X95-11208. Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1996  

  • [Federal Register Volume 60, Number 236 (Friday, December 8, 1995)]
    [Rules and Regulations]
    [Pages 63124-63357]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: X95-11208]
    
    
    
    
    [[Page 63123]]
    
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    Part II
    
    
    
    
    
    Department of Health and Human Services
    
    
    
    
    
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    Health Care Financing Administration
    
    
    
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    42 CFR Part 400, et al.
    
    
    
    Medicare Program; Physician Fee Schedule for Calendar Year 1996; 
    Payment Policies and Relative Value Unit Adjustments; Final Rule and 
    Notice
    
    Federal Register / Vol. 60, No. 236 / Friday, December 8, 1995 / 
    Rules and Regulations
    
    [[Page 63124]]
    
    
    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Health Care Financing Administration
    
    42 CFR Parts 400, 405, 410, 411, 412, 413, 414, 415, 417, and 489
    
    [BPD-827-FC]
    RIN 0938-AG96
    
    
    Medicare Program; Revisions to Payment Policies and Adjustments 
    to the Relative Value Units Under the Physician Fee Schedule for 
    Calendar Year 1996
    
    AGENCY: Health Care Financing Administration (HCFA), HHS.
    
    ACTION: Final rule with comment period.
    
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    SUMMARY: This final rule revises various policies affecting payment for 
    physician services including Medicare payment for physician services in 
    teaching settings, the relative value units (RVUs) for certain existing 
    procedure codes, and establishes interim RVUs for new and revised 
    procedure codes. The rule also includes the final revised 1996 
    geographic practice cost indices.
        The rule redesignates current regulations on teaching hospitals, on 
    the services of physicians to providers, on the services of physicians 
    in providers, and on the services of interns and residents. This 
    redesignation consolidates related rules affecting a specific audience 
    in a separate part and, thereby, makes them easier to use.
    
    DATES: Effective Date: This final rule is effective January 1, 1996, 
    except part 415 which is effective July 1, 1996.
        Comment Date: We will accept comments on interim RVUs for new or 
    revised procedure codes identified in Addendum C. Comments will be 
    considered if we receive them at the appropriate addresses, as provided 
    below, no later than 5 p.m., February 6, 1996.
    
    ADDRESSES: Mail written comments (1 original and 3 copies) to the 
    following address: Health Care Financing Administration, Department of 
    Health and Human Services, Attention: BPD-827-FC, P.O. Box 7519, 
    Baltimore, MD 21207-0519.
        If you prefer, you may deliver your written comments (1 original 
    and 3 copies) to one of the following addresses:
    
    Room 309-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., 
    Washington, DC 20201,
        or
    Room C5-09-26, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    
        Because of staffing and resource limitations, we cannot accept 
    comments by facsimile (FAX) transmission. In commenting, please refer 
    to file code BPD-827-FC. Comments received timely will be available for 
    public inspection as they are received, generally beginning 
    approximately 3 weeks after publication of a document, in Room 309-G of 
    the Department's offices at 200 Independence Avenue, SW., Washington, 
    DC, on Monday through Friday of each week from 8:30 a.m. to 5 p.m. 
    (phone: (202) 690-7890).
        For comments that relate to information collection requirements, 
    mail a copy of comments to: Allison Herron Eydt, HCFA Desk Officer, 
    Office of Information and Regulatory Affairs, Rm. 10235, New Executive 
    Office Bldg., Washington, DC 20530.
        Copies: To order copies of the Federal Register containing this 
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    ASCII, Lotus 123, and WordPerfect 5.1.
    
    FOR FURTHER INFORMATION CONTACT: Shana Olshan, (410) 786-5714 (for all 
    issues except those related to physician services in teaching 
    settings). William Morse, (410) 786-4520 (for issues related to 
    physician services in teaching settings).
    
    SUPPLEMENTARY INFORMATION: In this final rule, we provide background on 
    the statutory authority for and development of the physician fee 
    schedule. We also explain in detail the process by which certain 
    interim work RVUs are reviewed and, in some cases, revised.
        Section 1848(c)(2)(B) of the Social Security Act (the Act) provides 
    that adjustments in RVUs resulting from an annual review of those RVUs 
    may not cause total physician fee schedule payments to differ by more 
    than $20 million from what they would have been had the adjustments not 
    been made. Thus, the statute allows a $20 million tolerance for 
    increasing or reducing total expenditures under the physician fee 
    schedule. We have determined that net increases because of changes in 
    RVUs for codes reviewed as part of a refinement process, the addition 
    of new codes to the fee schedule, and the revisions in payment policies 
    would have added to projected expenditures in calendar year 1996 by 
    approximately $140 million. Therefore, it is necessary to adjust the 
    physician fee schedule conversion factors (CFs). We have made the 
    adjustments in such a manner as to achieve budget neutrality as we were 
    best able to estimate. As a result, the total projected expenditures 
    from the revised fee schedule are estimated to be the same as they 
    would have been had we not changed the RVUs for any individual codes or 
    added new codes to the fee schedule. We have adjusted all CFs by a 
    uniform adjustment factor of 0.9964, which results in a uniform 
    reduction of 0.36 percent to the CFs for all services.
        The CF is a national value that converts RVUs into payment amounts. 
    There are three separate CFs: one for surgical services, one for 
    primary care services, and one for nonsurgical services other than 
    primary care. The CFs are updated annually.
        Anesthesia services are paid differently from other physicians' 
    services under the fee schedule. Payment for anesthesia services is 
    based on base unit RVUs that are assigned to each service and on time 
    units that can vary by procedure. The base and time units are 
    multiplied by an anesthesia-specific CF, not the CFs used for surgical, 
    nonsurgical, or primary care services.
        This final rule also contains the second half of the revisions to 
    the geographic practice cost indices (GPCIs). Section 1848(e)(1)(c) of 
    the Act requires that the GPCIs be reviewed and, if necessary, revised 
    at least every 3 years. The first review was required by 1995. The 
    first-half of the revision was implemented in 1995. The second half, 
    
    [[Page 63125]]
    published in Addendum D, is effective January 1, 1996.
        Addenda to this rule provide the following information:
    Addendum A--Explanation and Use of Addenda B through E.
    Addendum B--1996 Relative Value Units and Related Information Used in 
    Determining Medicare Payments for 1996.
    Addendum C--Codes with Interim Relative Value Units.
    Addendum D--1996 Geographic Practice Cost Indices by Medicare Carrier 
    and Locality.
    Addendum E--Procedure Codes Subject to the Site-of-Service 
    Differential.
    
        The RVUs and revisions to payment policies in this final rule apply 
    to physicians' services furnished on or after January 1, 1996.
        For those codes identified in Addendum C of this final rule as new 
    or revised codes, the RVUs and update indicators are considered to be 
    interim as they have not been published before this final rule. 
    Therefore, we will accept comments on these interim RVUs and update 
    indicators if they are received no later than 5 p.m. February 6, 1996. 
    The RVUs for the remaining codes are final.
        To assist readers in referencing sections contained in this final 
    rule, we are providing the following table of contents. Some of the 
    issues discussed in this final rule affect the payment policies but do 
    not require changes to the regulations in the Code of Federal 
    Regulations.
    
    Table of Contents
    
    I. Background
        A. Legislative Requirements
        B. Published Changes to the Fee Schedule
        C. Components of the Fee Schedule Payment Amounts
        D. Summary of the Development of the Relative Value Units
        1. Work Relative Value Units
        2. Practice Expense and Malpractice Expense Relative Value Units
    II. Specific Proposals for Calendar Year 1996 and Responses to 
    Public Comments
        A. Budget-Neutrality Adjustments for Relative Value Units
        B. Bundled Services
        1. Hydration Therapy and Chemotherapy
        2. Evaluation of Psychiatric Records and Reports and Family 
    Counseling Services
        3. Fitting of Spectacles
        C. X-Rays and Electrocardiograms Taken in the Emergency Room
        D. Extension of Site-of-Service Payment Differential to Services 
    in Ambulatory Surgical Centers
        E. Services of Teaching Physicians
        1. General Background
        2. Payment for Physician Services Furnished in Teaching Settings
        3. Payments for Supervising Physicians in Teaching Settings and 
    for Residents in Certain Settings
        4. Public Comments on the Teaching Physician Proposal in the 
    Proposed Rule and Our Responses
        F. Unspecified Physical and Occupational Therapy Services (HCFA 
    Common Procedure Coding System Codes M0005 Through M0008 and H5300)
        G. Transportation in Connection With Furnishing Diagnostic Tests
        H. Maxillofacial Prosthetic Services
        I. Coverage of Mammography Services
    III. Anesthesia Issues
        A. Modifier Units for Anesthesia Services
        B. Issue for Change in Calendar Year 1998--Two Anesthesia 
    Providers Involved in One Procedure
    IV. Refinement of Relative Value Units for Calendar Year 1996 and 
    Responses to Public Comments on Interim Relative Value Units for 
    1995
        A. Summary of Issues Discussed Related to the Adjustment of 
    Relative Value Units
        B. Process for Establishing Work Relative Value Units for the 
    1996 Fee Schedule
        1. Work Relative Value Unit Refinements of Interim and Related 
    Relative Value Units
        2. Establishment of Interim Work Relative Value Units for New 
    and Revised Codes for 1996
    V. Issues for Discussion
        A. Five-Year Refinement of Relative Value Units
        B. Resource-Based Practice Expense Relative Value Units
        C. Case Management in a Fee-for-Service System
    VI. Provisions of the Final Rule
    VII. Collection of Information Requirements
    VIII.Response to Comments
    IX. Regulatory Impact Analysis
        A. Regulatory Flexibility Act
        B. Budget-Neutrality Adjustments
        C. Bundled Services
        1. Hydration Therapy and Chemotherapy
        2. Evaluation of Psychiatric Records and Reports and Family 
    Counseling Services
        3. Fitting of Spectacles
        D. X-Rays and Electrocardiograms Taken in the Emergency Room
        E. Extension of Site-of-Service Payment Differential to Services 
    in Ambulatory Surgical Centers
        F. Services of Teaching Physicians
        G. Unspecified Physical and Occupational Therapy Services (HCFA 
    Common Procedure Coding System Codes M0005 Through M0008 and H5300)
        H. Transportation in Connection With Furnishing Diagnostic Tests
        I. Maxillofacial Prosthetic Services
        J. Coverage of Mammography Services
        K. Two Anesthesia Providers Involved in One Procedure
        L. Rural Hospital Impact Statement
        Text of the Final Regulations
        Addenda
    Addendum A--Explanation and Use of Addenda B through E
    Addendum B--1996 Relative Value Units and Related Information Used 
    in Determining Medicare Payments for 1996
    Addendum C--Codes with Interim Relative Value Units
    Addendum D--1996 Geographic Practice Cost Indices by Medicare 
    Carrier and Locality
    Addendum E--Procedure Codes Subject to the Site-of-Service 
    Differential
    
        In addition, because of the many organizations and terms to which 
    we refer by acronym in this final rule, we are listing these acronyms 
    and their corresponding terms in alphabetical order below:
    
    ASC  Ambulatory surgical center
    CF  Conversion factor
    CFR  Code of Federal Regulations
    CPT  [Physicians'] Current Procedural Terminology [4th Edition, 1994, 
    copyrighted by the American Medical Association] DEFRA Deficit 
    Reduction Act
    EKG  Electrocardiogram
    GPCI  Geographic Practice Cost Index
    GME  Graduate Medical Education
    HCFA  Health Care Financing Administration
    HCPCS  HCFA Common Procedure Coding System
    OBRA  Omnibus Budget Reconciliation Act
    ORA  Omnibus Reconciliation Act
    RUC  [American Medical Association Specialty Society] Relative [Value] 
    Update Committee
    RVU  Relative Value Unit
    TEFRA  Tax Equity and Fiscal Responsibility Act
    
    I. Background
    
    A. Legislative Requirements
    
        The Medicare program was established in 1965 by the addition of 
    title XVIII to the Social Security Act (the Act). Since January 1, 
    1992, Medicare pays for physician services under section 1848 of the 
    Act, ``Payment for Physicians' Services.'' This section contains three 
    major elements: (1) A fee schedule for the payment of physician 
    services; (2) a Medicare volume performance standard for the rates of 
    increase in Medicare expenditures for physician services; and (3) 
    limits on the amounts that nonparticipating physicians can charge 
    beneficiaries. The Act requires that payments under the fee schedule be 
    based on national uniform relative value units (RVUs) based on the 
    resources used in furnishing a service. Section 1848(c) of the Act 
    requires that national RVUs be established for physician work, practice 
    expense, and malpractice expense.
        Section 1848(e)(1)(c) of the Act requires us to review and, if 
    necessary, adjust the geographic practice cost indices at least every 3 
    years. This section of the Act also requires us to phase in the 
    adjustment over 2 years and implement only one half of any 
    
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    adjustment if more than 1 year has elapsed since the last geographic 
    practice cost index revision. The geographic practice cost indices were 
    first implemented in 1992 and were not reviewed until 1994. We 
    implemented one half of the adjustment in 1995 and will implement the 
    second half of the adjustment in 1996.
        The Act requires that payments vary among fee schedule areas 
    according to geographic indices. In general, the fee schedule areas 
    that existed under the prior reasonable charge system were retained 
    under the fee schedule. A detailed discussion of fee schedule areas can 
    be found in the June 5, 1991 proposed rule (56 FR 25832) and in the 
    November 25, 1991 final rule (56 FR 59514). We are required by section 
    1848(e)(1)(A) of the Act to develop separate indices to measure 
    relative cost differences among fee schedule areas compared to the 
    national average for each of the three fee schedule components. While 
    requiring that the practice expense geographic practice cost indices 
    and malpractice geographic practice cost indices reflect the full 
    relative cost differences, the Act requires that the work indices 
    reflect only one-quarter of the relative cost differences compared to 
    the national average.
    
    B. Published Changes to the Fee Schedule
    
        We published a final rule on November 25, 1991, (56 FR 59502) to 
    implement section 1848 of the Act by establishing a fee schedule for 
    physician services furnished on or after January 1, 1992. In the 
    November 1991 final rule (56 FR 59511), we stated our intention to 
    update RVUs for new and revised codes in the American Medical 
    Association's Physicians' Current Procedural Terminology (CPT) through 
    an ``interim RVU'' process every year. The updates to the RVUs and fee 
    schedule policies follow:
         November 25, 1992, as a final notice with comment period 
    on new and revised RVUs only (57 FR 55914).
         December 2, 1993, as a final rule with comment period (58 
    FR 63626) announcing revised payment policies and RVUs for 1994. (We 
    solicited comments on new and revised RVUs only.)
         December 8, 1994, as a final rule with comment period (59 
    FR 63410) to revise the geographic adjustment factor values, fee 
    schedule payment areas, and payment policies and RVUs for 1995. The 
    final rule also discussed the process for periodic review and 
    adjustment of RVUs not less frequently than every 5 years as required 
    by section 1848(c)(2)(B)(I) of the Act.
    Prior Federal Register Documents
        The information in this final rule with comment period updates 
    information in the following Federal Register documents:
         June 5, 1991, proposed rule entitled ``Fee Schedule for 
    Physicians' Services'' (56 FR 25792).
         November 25, 1991, final rule entitled ``Fee Schedule for 
    Physicians' Services'' (56 FR 59502).
         September 15, 1992, correction notice for the 1992 fee 
    schedule (57 FR 42491).
         November 25, 1992, final notice with comment period 
    entitled ``Fee Schedule for Physicians' Services for CY 1993'' (57 FR 
    55914).
         June 7, 1993, correction notice for the 1993 fee schedule 
    (58 FR 31964).
         July 14, 1993, proposed rule entitled ``Revisions to 
    Payment Policies Under the Physician Fee Schedule'' (58 FR 37994).
         December 2, 1993, final rule with comment period entitled 
    ``Revisions to Payment Policies and Adjustments to the Relative Value 
    Units under the Physician Fee Schedule for Calendar Year 1994'' (58 FR 
    63626). (There were two correction notices published for the 1994 
    physician fee schedule (July 15, 1994, 59 FR 36069) and (August 4, 
    1994, 59 FR 39828).)
         June 24, 1994, proposed rule entitled ``Refinements to 
    Geographic Adjustment Factor Values and Other Policies Under the 
    Physician Fee Schedule'' (58 FR 32754).
         December 8, 1994, final rule with comment period entitled 
    ``Refinements to Geographic Adjustment Factor Values, Revisions to 
    Payment Policies, Adjustments to the Relative Value Units (RVUs) Under 
    the Physician Fee Schedule for Calendar Year 1995, and the 5-Year 
    Refinement of RVUs'' (59 FR 63410). (There were two correction notices 
    published for the 1995 physician fee schedule (January 3, 1995, 60 FR 
    46) and (July 18, 1995, 60 FR 36733).)
         July 26, 1995, proposed rule entitled ``Revisions to 
    Payment Policies Under the Physician Fee Schedule for Calendar Year 
    1996 (60 FR 38400).
        This final rule would affect the regulations set forth at 42 CFR 
    part 400, which consists of an introduction to, and definitions for, 
    the Medicare and Medicaid programs; part 405, which encompasses 
    regulations on Federal health insurance for the aged and disabled; part 
    410, which consists of regulations on supplementary medical insurance 
    benefits; part 414, which covers regulations on payment for Part B 
    medical and other health services; and new part 415, which contains 
    regulations on services of physicians in providers, supervising 
    physicians in teaching settings, and residents in certain settings. We 
    are making technical and conforming amendments to parts 411, 412, 413, 
    417, and 489.
    
    C. Components of the Fee Schedule Payment Amounts
    
        Under the formula set forth in section 1848(b)(1) of the Act, the 
    payment amount for each service paid for under the physician fee 
    schedule is the product of three factors: (1) A nationally uniform 
    relative value for the service; (2) a geographic adjustment factor for 
    each physician fee schedule area; and (3) a nationally uniform 
    conversion factor for the service. There are three conversion factors 
    (CFs)--one for surgical services, one for nonsurgical services, and one 
    for primary care services. The conversion factors convert the relative 
    values into payment amounts.
        For each physician fee schedule service, there are three relative 
    values: (1) An RVU for physician work; (2) an RVU for practice expense; 
    and (3) an RVU for malpractice expense. For each of these components of 
    the fee schedule there is a geographic practice cost index for each fee 
    schedule area. The geographic practice cost indices reflect the 
    relative costs of practice expenses, malpractice insurance, and 
    physician work in an area compared to the national average.
        The general formula for calculating the Medicare fee schedule 
    amount for a given service in a given fee schedule area can be 
    expressed as:
    
    Payment=[(RVUwork  x  GPCIwork) + (RVUpractice expense 
    x  GPCIpractice expense) + (RVUmalpractice  x  
    GPCImalpractice)]  x  CF
    
    The conversion factors for calendar year 1996 appear in Addendum A. The 
    RVUs for calendar year 1996 are in Addendum B. The GPCIs are in 
    Addendum D.
        Section 1848(e) of the Act requires the Secretary to develop 
    geographic adjustment factors for all physician fee schedule areas. The 
    total geographic adjustment factor for a fee schedule area is equal to 
    a weighted average of the individual GPCIs for each of the three 
    components of the service. Thus, the geographic practice cost indices 
    reflect the relative costs of practice expenses, malpractice insurance, 
    and physician work in an area compared to the national average. In 
    accordance with the law, however, the geographic adjustment factor for 
    the physician's 
    
    [[Page 63127]]
    work reflects one-quarter of the relative cost of physician's work 
    compared to the national average.
        For the first year of the fee schedule, the law required a base-
    year CF that was budget-neutral relative to 1991 estimated 
    expenditures. The Secretary is required to recommend to the Congress 
    updates to the CFs by April 15 of each year as part of the Medicare 
    volume performance standards and annual fee schedule update process. 
    The Congress may choose to enact the Secretary's recommendation, enact 
    another update amount, or not act at all. If the Congress does not act, 
    the annual fee schedule update is set according to a ``default'' 
    mechanism in the law. Under this mechanism, the update will equal the 
    Medicare Economic Index adjusted by the amount actual expenditures for 
    the second previous fiscal year (FY) were greater or less than the 
    performance standard rate of increase for that FY. (The Medicare 
    Economic Index is a physician input price index, in which the annual 
    percent changes for the direct-labor price component are adjusted by an 
    annual percent change in a 10-year moving average index of labor 
    productivity in the nonfarm business sector.) The Medicare volume 
    performance standard for FY 1996 and the physician fee schedule update 
    for CY 1996 are published elsewhere in this Federal Register issue as a 
    final notice (BPD-828-FN).
    
    D. Summary of the Development of the Relative Value Units
    
    1. Work Relative Value Units
        Approximately 7,500 codes represent services included in the 
    physician fee schedule. The work RVUs established for the 
    implementation of the fee schedule in January 1992 were developed with 
    extensive input from the physician community. The original work RVUs 
    for most codes were developed by a research team at the Harvard School 
    of Public Health in a cooperative agreement with us. In constructing 
    the vignettes for the original RVUs, Harvard worked with panels of 
    expert physicians and obtained input from physicians from numerous 
    specialties.
        The RVUs for radiology services are based on the American College 
    of Radiology (ACR) relative value scale, which we integrated into the 
    overall physician fee schedule. The RVUs for anesthesia services are 
    based on RVUs from a uniform relative value guide. We established a 
    separate CF for anesthesia services because we continue to recognize 
    time as a factor in determining payment for these services.
        Proposed RVUs for services were published in a proposed rule in the 
    Federal Register on June 5, 1991 (56 FR 25792). We responded to the 
    comments in the November 1991 final rule. Since many of the RVUs were 
    published for the first time in the final rule, we considered the RVUs 
    to be interim during the first year of the fee schedule and gave the 
    public 120 days to comment on all work RVUs. In response to the final 
    rule, we received comments on approximately 1,000 services. We 
    responded to those comments and listed the new RVUs in the November 
    1992 notice for the 1993 fee schedule for physicians' services. We 
    considered these RVUs to be final and did not request comments on them.
        The November 1992 notice (57 FR 55914) also discussed the process 
    used to establish work RVUs for codes that were new or revised in 1993. 
    The RVUs for these codes, which were listed in Addendum C of the 
    November 1992 notice, were considered interim in 1993 and open to 
    comment through January 26, 1993.
        We responded to comments received on RVUs listed in Addendum C of 
    the November 1992 notice (57 FR 56152) in the December 1993 final rule 
    (58 FR 63647) for the 1994 physician fee schedule. The December 1993 
    final rule discussed the process used to establish RVUs for codes that 
    were new or revised for 1994. The RVUs for these codes, which are 
    listed in Addendum C of the December 1993 final rule (58 FR 63842), 
    were considered interim in 1994 and open to comment through January 31, 
    1994. We proposed RVUs for some non-Medicare and carrier-priced codes 
    in our June 1994 proposed rule (59 FR 32760). Codes listed in Table 1 
    of the June 1994 proposed rule were open to comment. These comments, in 
    addition to comments on RVUs published as interim in the December 1993 
    final rule were addressed in the December 1994 final rule (59 FR 
    63432). In addition, the December 1994 final rule discussed the process 
    used to establish RVUs for codes that were new or revised for 1995. 
    Interim RVUs for new or revised procedure codes were open to comment. 
    Comments were also accepted on all RVUs considered under the 5-year 
    refinement process. The comment period closed on February 6, 1995.
    2. Practice Expense and Malpractice Expense Relative Value Units
        Section 1848(c)(2)(C) of the Act requires that the practice expense 
    and malpractice expense RVUs equal the product of the base allowed 
    charges and the practice expense and malpractice percentages for the 
    service. Base allowed charges are defined as the national average 
    allowed charges for the service furnished during 1991, as estimated 
    using the most recent data available. For most services, we used 1989 
    charge data ``aged'' to reflect the 1991 payment rules, since those 
    were the most recent data available for the 1992 fee schedule.
        If charge data were unavailable or insufficient, we imputed the 
    practice expense and malpractice expense RVUs from the work RVUs. For 
    example, if a procedure has work RVUs of 6.00, and the specialty 
    practice cost percentages for the specialty furnishing the service is 
    60 percent work, 30 percent practice expense, and 10 percent 
    malpractice expense, then the total RVUs would be 10.00 (6.00/.60), the 
    practice expense RVUs would be 3.00 (10  x  .30), and the malpractice 
    expense RVUs would be 1.00 (10  x  .10).
    
    II. Specific Proposals for Calendar Year 1996 and Responses to Public 
    Comments
    
        In response to the publication of the July 26, 1995 proposed rule, 
    we received approximately 9,500 comments. We received comments from 
    individual physicians and health care workers and professional 
    associations and societies. The majority of the comments addressed two 
    proposals: (1) Revising Medicare payment for physician services in 
    teaching settings; and (2) paying for only one interpretation of an 
    electrocardiogram or an x-ray procedure furnished to an emergency room 
    patient except in unusual circumstances.
        The proposed rule discussed policies that affect the number of RVUs 
    on which payment for certain services would be based. Any changes 
    implemented through this final rule are subject to the $20 million 
    limitation on annual adjustments as contained in section 1848(c)(2)(B) 
    of the Act.
        After reviewing the comments and determining the policies we will 
    implement, we have estimated the costs and savings of these policies 
    and added those costs and savings to the estimated costs associated 
    with any other changes in RVUs for 1996, including RVU changes 
    necessitated by the 1995 CPT coding changes. We discuss in detail the 
    effects of these changes in the Regulatory Impact Analysis (section 
    IX).
        In the July 1995 proposed rule (60 FR 38416), we invited public 
    comments on a proposal to calculate the Medicare volume performance 
    standard for fiscal year 1996 and all future years based on estimates 
    of the average volume and intensity growth specific to each category of 
    physician service. We are 
    
    [[Page 63128]]
    responding to the comments we received on this issue in the final 
    notice entitled ``Physician Fee Schedule Update for Calendar Year 1996 
    and Physician Volume Performance Standard Rates of Increase for Federal 
    Fiscal Year 1996 (BPD-828-FN) published elsewhere in this Federal 
    Register issue.
        For the convenience of the reader, the headings for the policy 
    issues in sections II, III, and IV, for the most part, correspond to 
    the headings used in the July 1995 proposed rule. More detailed 
    background information for each issue can be found in the July 1995 
    proposed rule (60 FR 38400).
    
    A. Budget-Neutrality Adjustments for Relative Value Units
    
        We make annual adjustments to RVUs for the physician fee schedule 
    to reflect changes in CPT codes and changes in estimated physician 
    work. The statute requires that these revisions may not change 
    physician expenditures by more than $20 million compared to estimated 
    expenditures that would have occurred if the RVU adjustments had not 
    been made. In the past, we have made an adjustment across all RVUs in 
    the physician fee schedule to maintain this statutorily-mandated budget 
    neutrality.
        We recognize that many other payers, including several Medicaid 
    programs, use the Medicare physician fee schedule. To reduce the number 
    of system changes required by the annual revisions to the physician fee 
    schedule, we proposed to apply these budget-neutrality adjustments to 
    the physician fee schedule conversion factors (CFs) rather than across 
    all RVUs.
        The impact of this proposal on payment amounts would be minimal 
    (slight differences could be caused by rounding). This alternative 
    approach would be administratively simpler for Medicare and other 
    payers that base payment on the Medicare RVUs, including many State 
    Medicaid programs. In addition, this change would provide for 
    consistent RVUs from year to year (for those codes with no other 
    changes), thus making it easier to analyze payment and policy changes.
        Comment: An overwhelming majority of commenters strongly supported 
    our decision to apply the annual budget-neutrality adjustments to the 
    physician fee schedule CFs rather than across all RVUs, beginning with 
    the publication of this final rule in the Federal Register; however, a 
    few commenters suggested that we apply this change retroactively by 
    converting all RVUs, which were altered for budget-neutrality reasons, 
    back to their original 1992 levels.
        Response: For the sake of administrative simplicity, we will not 
    readjust RVUs from periods before the current period. In addition, we 
    believe that retroactively adjusting the RVUs would cause unnecessary 
    programming costs for those who electronically maintain systems 
    containing the RVU data.
        Comment: A few commenters suggested the use of a separate budget-
    neutrality factor rather than the adjustment of the physician fee 
    schedule CFs to achieve budget neutrality. They stated that private 
    payers who use the Medicare fee schedule CFs would then be able to 
    decide whether to apply the budget neutrality adjustment. This 
    particularly could be an issue for any adjustments needed for the five-
    year review of all work RVUs, depending on the magnitude of the 
    adjustments.
        Response: We prefer to adjust the existing CFs rather than add an 
    additional factor to adjust for budget neutrality. Because we 
    explicitly identify the magnitude of the annual budget-neutrality 
    adjustment, other payers can decide whether to apply the adjustment to 
    their CFs. However, we may reconsider this issue in the future for 
    issues such as the 5-year review of RVUs or congressional action.
        Final Decision: Beginning with the publication of this final rule, 
    we will apply annual budget-neutrality adjustments to physician fee 
    schedule CFs rather than across all RVUs. However, if the Congress 
    explicitly sets a conversion factor at a fixed dollar amount for a 
    given year, we will consider establishing a separate budget-neutrality 
    adjustor.
    
    B. Bundled Services
    
    1. Hydration Therapy and Chemotherapy
        We proposed not paying separately for hydration therapy infusion 
    (CPT codes 90780 and 90781) when billed on the same day as chemotherapy 
    infusion, CPT codes (96410, 96412, and 96414). Frequently, hydration 
    therapy and chemotherapy are performed at the same time. We believe 
    paying for both would be duplicative. We would continue to pay 
    separately for both the hydration therapy solution and the chemotherapy 
    drug. This reflects a policy change that is not explicitly addressed in 
    our regulations.
        Comment: Commenters objected to our proposal stating that the 
    administration of saline for hydration therapy infusion at the same 
    time as chemotherapy infusion requires significant additional work and 
    supplies.
        Response: We disagree. The saline and the chemotherapy drug are 
    usually administered through the same port or site. In some cases, the 
    solutions may even be mixed. We see no significant additional work or 
    expense involved in these cases, and we believe that paying separately 
    for hydration therapy infusion administered at the same time as 
    chemotherapy infusion represents duplicate payment.
        Comment: A commenter agreed with our proposal stating that the same 
    access port or site is used for administering the chemotherapy drug and 
    the hydration therapy solution. The commenter requested clarification 
    as to whether the policy would apply to other drugs, such as 
    antiemetics and corticosteroids, which are often administered with 
    chemotherapy and, like hydration therapy, billed using CPT codes 90780 
    and 90781. The commenter suggested that a logical extension of our 
    proposal is to cover the administration of these drugs as well as 
    hydration therapy.
        Response: We agree with this comment. CPT codes 90780 and 90781 for 
    the administration of saline or drugs such as antiemetics and 
    corticosteriods will not be paid separately when furnished at the same 
    time as CPT codes 96410, 96412, and 96414 for chemotherapy infusion. 
    However, we will pay separately for the drugs.
        Comment: Most commenters agreed that for any given segment of time 
    it would be duplicative to pay for both chemotherapy infusion and 
    hydration therapy infusion. These commenters noted that the course of 
    treatment for many chemotherapy drugs, for example, cisplatin, 
    ifosmamide, and methotrexate, require hydration therapy or the infusion 
    of an antiemetic on the same day, but either before or after the 
    chemotherapy. The commenters believed that in these cases, the work is 
    not duplicative, and they should be allowed to bill for the infusion of 
    the saline or antiemetic.
        Response: We agree. We are revising our proposal to allow payment 
    for hydration therapy or the infusion of an antiemetic or other 
    nonchemotherapy drug on the same day as chemotherapy infusion when the 
    nonchemotherapy drug is administered sequentially rather than at the 
    same time as the chemotherapy infusion.
        Final Decision: We will not pay for the infusion of saline, an 
    antiemetic, or any other nonchemotherapy drug under CPT codes 90780 and 
    90781 when these drugs are administered at the same time as 
    chemotherapy infusion (CPT codes 
    
    [[Page 63129]]
    96410, 96412, or 96414). However, we will pay for the infusion of 
    saline, antiemetics, or any other nonchemotherapy drug under CPT codes 
    90780 and 90781 when these drugs are administered on the same day but 
    sequentially to rather than at the same time as chemotherapy infusion, 
    under CPT codes 96410, 96412, and 96414. Physicians should use the new 
    modifier ``-GB'' to indicate when CPT codes 90780 and 90781 are 
    provided sequentially rather than contemporaneously with CPT codes 
    96410, 96412, and 96414.
        This policy change is not explicitly addressed in our regulations.
    2. Evaluation of Psychiatric Records and Reports and Family Counseling 
    Services
        At present, we allow separate payment for CPT codes 90825 and 
    90887. However, we believe that the activities described by these codes 
    are generally performed as part of the prework and postwork of other 
    physician services. The RVUs for psychiatric services (CPT codes 90801 
    and 90835 through 90857) include the prework and postwork activities 
    described by CPT codes 90825 and 90887. Thus, continuing to allow 
    separate payment for these codes, in addition to payment for other 
    psychiatric services, results in duplicate payments and is inconsistent 
    with our policy for other services.
        Counseling of the family is part of the work of all other 
    evaluation and management services. Medicare has a long-standing policy 
    of covering these services if they relate to the management of the 
    beneficiary's problems and not to the problems of the family member. We 
    believe it is appropriate to bundle covered family counseling 
    procedures into the other psychiatric codes so that our policy is 
    consistent with our policy on services furnished by other physician 
    specialties.
        Therefore, we proposed to change the status indicator for CPT codes 
    90825 and 90887 to ``B'' to show that payment for these codes is 
    bundled into the payment for another service, and separate payment 
    would not be allowed. We proposed to implement this change in a budget-
    neutral manner by redistributing the RVUs for CPT codes 90825 and 90887 
    across the following psychiatric codes: 90801, 90820, 90835, 90842 
    through 90847, and 90853 through 90857.
        Comment: Several commenters questioned our claim that the work 
    involved in CPT codes 90825 and 90887 is a fundamental element of the 
    pre- and postwork of other physician or other psychiatric services, 
    stating that medical psychotherapy is a specific procedure, distinct 
    from evaluation and management, and that these procedures (CPT codes 
    90825 and 90887) are characteristically excluded from psychotherapy. 
    Some commenters believed this payment change would be inherently unfair 
    to providers who furnish services under CPT codes 90825 and 90887.
        Response: In addressing the concern that CPT codes 90825 and 90887 
    are excluded from psychotherapy and represent distinct and different 
    services, we note that in the CPT chapter on Psychiatry, General 
    Clinical Psychiatric Diagnostic or Evaluative Interview Procedures, CPT 
    code 90801 (Psychiatric Interview) refers to both communication with 
    family or other sources, as well as the ordering and medical 
    interpretation of laboratory or other medical diagnostic studies. 
    Further, the definition includes the history and the exchange of 
    information with family members and other informants. Additionally, the 
    final report by Harvard researchers (``Refinement of the Development of 
    a Resource-Based Relative Value Scale for Psychiatrist Services; 
    National Institute of Mental Health Contract No. 278-87-0024'') defines 
    physician work as encompassing work while with the patient and work 
    before and after the service, defined as reviewing records as well as 
    communicating with the patient, the patient's family, and other 
    professionals. We believe these definitions clearly indicate that the 
    evaluation of other records and family counseling fall within the scope 
    of medical psychotherapy and, thus, do not represent distinct services. 
    Therefore, we believe it is appropriate to bundle payment for these 
    services.
        Comment: Several commenters specifically addressed CPT code 90887. 
    One commenter agreed that the services encompassed by CPT code 90825 
    are usually performed as part of the pre- and postwork for other 
    physician services, but expressed concern this was not true for CPT 
    code 90887, which is typically the exclusive service being furnished. 
    Another commenter questioned the redistribution of the RVUs for CPT 
    code 90887. The commenter believed that if, as stated, family 
    counseling is part of the postwork of evaluation and management 
    services, the RVUs for this service should be distributed across all 
    evaluation and management codes, not just the psychiatric codes.
        Response: Family counseling must be related to the patient. The 
    fact that this service occurs on different days or times does not 
    preclude it from being part of the pre- and postwork. Although we 
    recognize that the services described by CPT code 90887 may be provided 
    on different dates of service from when the patient received 
    psychiatric service, they are still considered part of the postwork 
    service associated with that code. We note, also, that the evaluation 
    and management services cannot be billed by clinical psychologists and, 
    thus, have been included in other service codes.
        If the RVUs for CPT code 90887 were distributed across all 
    evaluation and management codes as well as the psychiatric codes for 
    this service, the impact would be negligible. That is, the amount to be 
    distributed is not of sufficient magnitude to have any noticeable 
    effect.
        Comment: One commenter requested that we also consider changing the 
    status indicator for CPT code 90862 (Pharmacologic management) to ``B'' 
    because, according to the commenter, pharmacological management is part 
    of evaluation and management services.
        Response: Separate payment for pharmacological management is not 
    permitted on the same day as psychotherapy as this service is already 
    included in the codes for psychotherapy. To distinguish services to 
    Medicare beneficiaries for the sole purpose of drug management from 
    those that include some psychotherapy, HCFA developed HCPCS code M0064. 
    This code is defined as a brief office visit for the sole purpose of 
    monitoring or changing drug prescriptions used in the treatment of 
    mental, psychoneurotic, and personality disorders.
        Comment: According to one commenter, since the original survey of 
    psychiatric work conducted by Harvard researchers, managed care has 
    increased. With the rise in managed care, there is a decrease in mental 
    health benefits. Therefore, the patients that psychiatrists treat, 
    especially in the fee-for-service setting, are much more complex. The 
    commenter believed this additional work is not currently included in 
    the RVUs for psychiatric services. In addition, this commenter has 
    found that psychiatrists are spending a greater amount of time 
    responding to review requests, developing treatment plans for managed 
    care, managing and supervising nonphysician mental health providers, 
    and documenting and coding work.
        Response: Section 1848(c)(2)(B) of the Act requires that all RVUs 
    be reviewed not less frequently than every 5 years to account for 
    changes in medical practice, coding changes, new data, and new 
    procedures. Thus, the issues of psychiatric work time, as well as the 
    
    [[Page 63130]]
    issue of psychiatric services delivered in a managed care setting, will 
    be addressed as part of the 5-year review process.
        Final Decision: We will bundle the payment for CPT codes 90825 and 
    90887 into the payment for other psychiatric services. Therefore, 
    separate payment for CPT codes 90825 and 90887 is not allowed.
        This policy change is not explicitly addressed in our regulations.
    3. Fitting of Spectacles
        We proposed to cease paying separately for the fitting of glasses 
    and low vision systems. The payment for the fitting of spectacles is 
    included in the payment for the spectacles in the same way that payment 
    for other prosthetic fitting services is included in the payment for 
    the prosthetic device.
        We proposed to assign a ``B'' status indicator to CPT codes 92352, 
    92353, 92354, 92355, 92358, and 92371 to indicate that the services are 
    covered under Medicare but that payment for them is bundled into the 
    payment for the spectacles. We proposed to implement this in a budget-
    neutral manner by redistributing the current RVUs for these services 
    across all RVUs.
        This reflects a policy change that is not explicitly addressed in 
    our regulations.
        Comment: A commenter believed that these fitting services should 
    continue to be paid separately because of the time and expertise 
    required to fit glasses for aphakic patients and low vision aids.
        Response: The fitting of spectacles is covered under section 
    1861(s)(8) of the Act. Services under this section are not included in 
    the definition of physician services as defined in section 1848(j)(3) 
    of the Act and are not payable under the physician fee schedule. 
    Although we have been allowing payment, the fitting of spectacles is 
    included in the payment for the spectacles in the same way that payment 
    for other prosthetic fitting services are included in the payment for 
    the device. Under the current system, duplicate payment has been made 
    for the aforementioned procedure codes.
        Final Decision: We will no longer pay separately for CPT codes 
    92352, 92353, 92354, 92355, 92358, and 92371. Beginning January 1, 
    1996, these codes will be assigned a ``B'' status indicator to indicate 
    that the services are covered under Medicare, but payment for them is 
    bundled into the payment for the spectacles.
        This policy change is not explicitly addressed in our regulations.
    
    C. X-Rays and Electrocardiograms Taken in the Emergency Room
    
        We proposed to pay for the x-ray and/or electrocardiogram (EKG) 
    interpretation that contributes to the diagnosis or treatment of the 
    patient in the emergency room. We will pay for only one x-ray and/or 
    EKG interpretation except under unusual circumstances.
        Comment: The comments from radiologists opposed every aspect of the 
    proposal. The primary point raised by virtually all of these commenters 
    was that, by training and experience, they were more qualified than 
    emergency physicians or other nonradiologists to furnish these 
    interpretations. Some radiologists commented that we should require 
    board certification as a requirement to bill for the interpretation of 
    x-rays.
        Response: In paying for physicians' services under the Act, we are 
    charged with determining the following:
         Is the service covered under Medicare?
         Is the service reasonable and necessary for the individual 
    beneficiary?
         Is the physician licensed to perform the service in the 
    State in which it is furnished?
        In the case of a licensed physician who has furnished a covered 
    service (that is not payable through another code) to a Medicare 
    beneficiary in an emergency room, it is not readily apparent to us upon 
    what basis the claim can be denied. There is no portion of the Act upon 
    which to base a decision that only board-certified radiologists can 
    furnish x-ray interpretations or board-certified cardiologists can 
    furnish EKG interpretations. (Where the Congress has determined that 
    there should be special qualifications in order to furnish a service, 
    as in the case of mammography, a provision was made in the statute.) 
    Our proposed policy for x-ray and EKG interpretation is consistent with 
    how we generally treat other physician services.
        Comment: Emergency room physicians supported the direction of the 
    proposal but requested clarification of the proposal including its 
    effect on payments for second interpretations. Many commended us for 
    proposing to change the existing policy but criticized the agency for 
    not going far enough. Several emergency physicians commented that it 
    was unethical for us to withhold compensation from physicians who make 
    life-saving decisions every day based on x-ray and EKG interpretations.
        Response: Our proposal addressed situations in which both the 
    emergency physician and the radiologist/cardiologist billed for the 
    same interpretation. It is that situation in which a determination 
    needs to be made of which interpretation contributed to the diagnosis 
    and treatment of the individual patient. If an emergency physician does 
    not bill for the interpretation, there would be no change from existing 
    policy. We would like to stress that if the only bill received is from 
    the radiologist or cardiologist, it is paid on the same basis as 
    current claims.
        Comment: We received relatively few comments from physicians and 
    other entities specializing in cardiology procedures. Their comments 
    focused on the cardiologists' greater qualifications to interpret EKGs 
    based on their training and experience.
        Response: The discussion above about the qualifications of the 
    interpreting radiologist would also apply here. The situation with EKGs 
    is somewhat different than with x-rays because section 13514 of OBRA 
    1993, Public Law 103-66, enacted August 10, 1993, requires us to make 
    separate payment for EKG interpretations and to exclude the RVUs for 
    EKG interpretations from the RVUs for visits and consultations, making 
    the EKG portion of the current policy as set forth in section 2020G of 
    the Medicare Carriers Manual obsolete.
        Comment: We proposed that the radiologist or cardiologist should be 
    paid for the interpretation when it is performed contemporaneously with 
    the diagnosis and treatment of the emergency room patient. This 
    standard would be met if an interpretation were initially conveyed to 
    the treating physician verbally. Nearly all commenters seemed to be 
    troubled by the use of the term ``contemporaneous'' and requested 
    clarification of the term. Some radiologists indicated that their 
    interpretation is furnished contemporaneously if it is provided timely, 
    which commenters variously defined as 12-24 hours. Other radiologists 
    indicated that there are teleradiology hook-ups to radiologists, homes 
    which should satisfy the need for contemporaneous interpretations. 
    Several emergency room specialists indicated that the circumstances 
    under which a radiologist or cardiologist furnishes a contemporaneous 
    interpretation as discussed in the proposal should be clarified. They 
    expressed concern that the provision of a verbal interpretation by the 
    specialist to the emergency room physician could be used to circumvent 
    the stated intention to pay for the interpretation used in the 
    diagnosis and treatment of the beneficiary. 
    
    [[Page 63131]]
    
        Response: When we used the term contemporaneous, we meant that the 
    interpretation of the procedure by the radiologist or cardiologist and 
    the diagnosis and treatment of the beneficiary by the physician in the 
    emergency room occur at the same time, as opposed to an interpretation 
    performed hours or days after the beneficiary is sent home. While the 
    argument that the carrier should pay for any interpretation furnished 
    timely sounds reasonable, it does not reflect the realities of claims 
    processing. It would be impossible for a reviewer to make an assessment 
    in every individual case as to whether the second interpretation was 
    furnished ``timely.'' In situations in which both physicians bill for 
    the interpretation, the question to be resolved is whether the 
    radiologist or cardiologist performed the interpretation in time to be 
    used in the diagnosis and treatment of the patient. As set forth in the 
    proposal, we believe that in any case in which the radiologist or 
    cardiologist furnishes the interpretation (a written interpretation or 
    a verbal interpretation that will be written later), the emergency room 
    physician should not bill for the interpretation, and the carrier 
    should pay for the claim submitted by the radiologist or cardiologist. 
    The comments we received from the emergency room physicians did not 
    seem to be requesting payment for interpretations furnished under these 
    conditions. We agree that an interpretation furnished via teleradiology 
    meets the requirement when the interpretation is used in the diagnosis 
    and treatment of the patient.
        Comment: Several commenters indicated that emergency room 
    physicians without formal training in interpreting computerized axial 
    tomography (CT) scans will miss subtle changes which could lead to 
    permanent injuries to patients. They also stated that there were 
    problems with the application of the proposal to other diagnostic 
    procedures such as mammography, ultrasound, and upper and lower 
    gastrointestinal series.
        Response: This proposal applies only to x-ray procedures and EKGs 
    furnished in emergency rooms.
        Comment: Many radiologists indicated that the proposal will 
    increase the Medicare program costs ``tremendously'' because of the 
    potential for self-referral abuse. The commenters believed that 
    physicians who see patients in the emergency room will order 
    unnecessary tests if they know that they will be able to bill for the 
    interpretations of these tests.
        Response: We would be interested in reviewing any evidence the 
    radiologists have that emergency room physicians order additional tests 
    that are not medically necessary when they are permitted to bill for x-
    ray and EKG interpretations. We are also interested in any suggestions 
    we might offer to the carriers on how to identify such unnecessary 
    testing. We will address any self referral prohibitions within our 
    Stark regulations.
        Comment: Several radiologists pointed out that a proper 
    interpretation does not really mean a ``check'' or a few words on the 
    chart, but requires a full written report.
        Response: We agree completely. The requirement for a written report 
    of the interpretation of an x-ray or EKG is an integral part of our 
    proposal. We would point out that less extensive ``reviews'' by 
    emergency room physicians are not separately billable because payment 
    for such reviews is included in the payment for the evaluation and 
    management services rendered in an emergency room.
        Comment: Many radiologists commented that, while some emergency 
    medicine specialists are very proficient at reading trauma films, they 
    lack the necessary training to identify subtle changes. For example, a 
    patient is brought into the emergency room with chest trauma. The 
    commenter indicated that the emergency physician would identify the 
    broken ribs but miss a lung tumor. Several other commenters were 
    concerned that a missed early diagnosis could result from an 
    interpretation performed by a nonradiologist emergency room physician 
    while a radiologist would review the total film rather than just the 
    area of clinical concern.
        Response: It seems to us that the major purpose of the emergency 
    room x-ray in this instance would be to diagnose the degree of chest 
    trauma. However, in this circumstance, if the emergency physician 
    billed for the interpretation and a radiologist made an additional 
    finding of a lung tumor, it would be appropriate for the carrier to pay 
    for both interpretations.
        Comment: One radiologist indicated that all too often the emergency 
    room preliminary interpretation is made by a nurse or medical student 
    and the films are never reviewed by a staff emergency room physician.
        Response: It is difficult to see how such an observation relates to 
    our proposal. A physician could not provide a written interpretation of 
    an x-ray unless he or she personally viewed it. A written report of 
    interpretation is an integral part of our proposal.
        Comment: Many commenters objected to the hospital playing a role in 
    determining which physician should bill for the interpretation of these 
    procedures. The following comments were received:
         Hospitals are not capable of making such determinations.
         It would be in the financial interest of the hospital for 
    the interpretation to be paid to those physicians who order the most 
    tests.
         The medical staff is usually a legally separate and 
    independent body from the hospital, and hospitals have no authority to 
    become involved in such matters.
         Such decisions should be left to peer review.
         Hospitals should be encouraged to ensure that the billed 
    interpretation is the one upon which treatment is based.
         The concept of a hospital making a policy decision as to 
    which physician should get paid for interpretations will be a 
    regulatory nightmare and the time and money carriers will have to 
    expend to monitor the situations will be enormous. However, one 
    emergency room physician commented that he hoped the proposal would 
    encourage radiologists and cardiologists to furnish these 
    interpretations in a more timely fashion.
        Response: In developing our proposal, we considered requiring 
    hospitals to notify their local carrier of the identity of the 
    physician who would be performing these interpretations for their 
    patients. We determined that such a requirement would have had an 
    effect as indicated by one of the commenters and that our authority to 
    impose such a requirement was questionable. However, under our 
    proposal, we suggested that hospitals act to ensure that only one 
    interpretation is billed. (Hospitals could do this now; we are not 
    mandating an additional duty.) If a carrier receives only one claim, 
    there will be no problem. The problem will arise when hospitals do not 
    take action and the carrier receives two claims for each interpretation 
    and then must make a determination about which claim to pay. It seems 
    reasonable to us for hospitals to work with their medical staffs to 
    establish guidelines for the billing of x-ray and EKG interpretations 
    for emergency room patients.
        Comment: Some commenters expressed concern about the effect of the 
    proposal on small, rural hospitals in which there are an insufficient 
    number of radiologists to cover the emergency room 24 hours a day. It 
    was pointed out that many of these hospitals either go without any 
    service at all and ship films to radiologists for interpretation or 
    
    [[Page 63132]]
    receive direct radiologist's services on an infrequent basis each week. 
    One commenter indicated that consideration should be given to the size 
    of the hospital, the definition of what constitutes an emergency room, 
    and the availability of radiologic services.
        Response: Since our proposal is limited to emergency room services, 
    if a hospital does not have an emergency room and no claims with a 
    place of service indicator of emergency room are received, there does 
    not appear to be a problem. Likewise, if there is an emergency room in 
    a hospital but no emergency room physician bills for an interpretation 
    of the test, there is also no problem. We indicated in our proposal 
    that if a carrier receives only one claim for a reasonable and 
    necessary interpretation of an x-ray or EKG, it would pay the claim, 
    generally without further development.
        Comment: One commenter indicated that the proposal was 
    inappropriate because emergency room physicians are thankful that 
    radiologists will interpret the overnight x-rays the next morning in 
    view of the harried circumstances under which services are furnished in 
    the emergency room.
        Response: Our proposal does not require emergency room physicians 
    to bill for these interpretations. If the emergency room physicians do 
    not bill for these interpretations, the radiologist and cardiologist 
    may continue to be paid for the interpretations. Our proposal has no 
    effect on situations in which the emergency physician does not wish to 
    bill for the interpretation.
        Comment: A carrier medical director expressed concern that it will 
    be impossible to determine from a claim whether the emergency physician 
    has submitted written documentation of the x-ray or EKG interpretation 
    for the medical record. The carrier medical director went on to 
    indicate that encouraging hospitals to exercise their authority to 
    ensure that only one claim for interpretation is received will not work 
    and recommended that the current policy should be maintained.
        Response: By submitting a claim for the interpretation of an x-ray 
    or EKG, the emergency room physician is stating that he or she has 
    prepared a written interpretation of the procedure for inclusion in the 
    patient's medical record. We do not agree that the current manual 
    policy works well since it became partially obsolete by the physician 
    fee schedule.
        Comment: Another carrier medical director indicated that the 
    requirement for a written report be strengthened to indicate that 
    Medicare is requiring a separately written report which meets the 
    hospital's requirement for an official report.
        Response: We agree and will include such a written report 
    requirement in the revised manual instructions.
        Comment: Some emergency room physicians commented that they should 
    be paid for the x-ray and EKG interpretation in almost every case since 
    it is they who furnish the real-time service.
        Response: We believe that our proposal is a better approach. There 
    is no question that the cardiologist or radiologist should be paid for 
    the interpretation when that physician furnishes the service in time to 
    be used in the diagnosis and treatment of the patient. Further, we 
    believe that there are physicians who work in emergency rooms who 
    prefer to defer to a cardiologist or radiologist for the final 
    interpretation and do not wish to prepare written reports or bill for 
    interpretations. However, our proposal provides for payment when the 
    emergency room physician provides a written interpretation that 
    contributed to the diagnosis and treatment of the patient.
        Comment: One commenter indicated that, in their community hospital, 
    the radiologist is summoned at the time of the initial diagnosis and 
    treatment for the most serious cases, whereas, for less urgent 
    examinations, the formal interpretation is made the following morning. 
    The commenter went on to say that the issue should be the 
    responsiveness of the radiologist when his or her input will affect 
    care, and that having x-rays read by nonradiologists is moving in the 
    wrong direction.
        Response: As indicated previously, interpretations by radiologists 
    used for the diagnosis and treatment of the patient would be payable.
        Comment: A few commenters suggested that the appropriate approach 
    is to split the fee for the interpretation between the radiologist and 
    the ER physician.
        Response: We do not believe that this would be a workable approach 
    since the carrier would not know when or if it would receive the second 
    claim.
        Comment: Radiologists made the following additional comments:
         The majority of carrier medical directors do not support 
    the proposal.
         The changes do not reflect the findings of the July 1993 
    report of the Department of Health and Human Services, Office of 
    Inspector General, entitled ``Medicare's Reimbursement for 
    Interpretations of Hospital Emergency Room X-Rays.''
        Response: We did present the proposal to a committee of carrier 
    medical directors during a monthly conference call on operational 
    issues and the views were mixed. The major impression we drew from 
    their comments was that they were most concerned with enforcement 
    issues. We will continue to seek the guidance of the carrier medical 
    directors and other interested parties in developing instructions to 
    implement this policy.
        The recommendation of the OIG report was to pay for 
    reinterpretations of x-rays only when attending physicians specifically 
    request a second physician's interpretation in order to render 
    appropriate medical care before the patient is discharged. Any other 
    reinterpretation of the attending physician's original interpretation 
    should be treated and reimbursed as part of the hospital's quality 
    assurance program.
        Using 1990 data, the OIG projected savings of $20.4 million based 
    on a cessation on payments for radiologists' interpretations of x-rays 
    if its recommendation were implemented. We believe that the OIG 
    recommendation would result in no payment for interpretations of these 
    services in many cases; therefore, we reject that portion of the 
    recommendation. In other words, we believe that one physician should be 
    paid for the interpretation of an x-ray.
        Comment: One commenter suggested that the solution to this problem 
    be developed through the CPT system. The commenter suggested that we 
    propose separate codes for the emergent reading of the test and a 
    second, different code for the over-read. This commenter and some 
    others indicated that payment for these interpretations be evenly 
    divided between the two codes.
        Response: The commenter may want to refer this proposal to the CPT 
    Editorial Panel.
        Final Decision: We are adopting the policy as set forth in the 
    proposed rule for services furnished on or after January 1, 1996.
        Listed below are the elements of our policy.
         The carrier will pay separately for only one 
    interpretation of an EKG or x-ray procedure furnished to an emergency 
    room patient. However, there is a provision for payment of second 
    interpretation under unusual circumstances such as a questionable 
    finding for which the physician performing the initial interpretation 
    believes another physician's expertise is needed.
         The professional component of a diagnostic procedure 
    furnished to a beneficiary in a hospital includes an interpretation and 
    written report for 
    
    [[Page 63133]]
    inclusion in the beneficiary's medical record maintained by the 
    hospital. We have placed this requirement in the radiology section of 
    the regulations on services of physicians in providers at 
    Sec. 405.554(a). (Under the recodification, this section becomes 
    415.120(a)).
         We distinguish between an ``interpretation and report'' of 
    an x-ray or an EKG procedure and a ``review'' of the procedure. An 
    interpretation and report of the procedure is separately payable by the 
    carrier. A review of the findings of these procedures, without a 
    written report, does not meet the conditions for separate payment of 
    the service since the review is already included in the emergency room 
    visit payment.
         In the case of multiple bills for the same interpretation 
    and report, we will instruct the carriers to adopt the following 
    procedures:
        + Cease consideration of physician specialty in deciding which 
    interpretation and report to pay regardless of when the service is 
    performed.
        + Pay for the interpretation and report that directly contributed 
    to the diagnosis and treatment of the individual patient.
        + Pay for the interpretation billed by the cardiologist or 
    radiologist if the interpretation of the procedure is performed at the 
    same time as the diagnosis and treatment of the beneficiary. (This 
    interpretation may be a verbal report conveyed to the treating 
    physician that will be written in a report at a later time.)
         We will minimize the carrier's need to make decisions 
    about which claim to pay when multiple claims for the interpretation 
    and report of the same procedure are received by--
        + Encouraging hospitals to work with their medical staffs to ensure 
    that only one claim per interpretation is submitted;
        + Advising hospitals that if they allow a physician to perform and 
    bill for a medically necessary service (the interpretation and report) 
    in an emergency room and permit another physician to perform and bill 
    for the same service, the Medicare carrier will not pay two claims;
        + Advising hospitals that the Medicare carrier may determine that 
    the hospital's ``official interpretation'' is for quality control and 
    liability purposes only and is a service to the hospital rather than to 
    an individual beneficiary; and
        + Advising hospitals that Medicare fiscal intermediaries consider 
    costs incurred for quality control activities in determining payments 
    to hospitals.
         When the Medicare carrier receives only one claim for an 
    interpretation and the procedure is reasonable and necessary, the 
    carrier will pay the claim. We will presume that the one service billed 
    was a service to the individual beneficiary and not a quality control 
    measure.
        Manual instructions to the carriers will be issued as soon as 
    possible.
        This policy change is not explicitly addressed in our regulations.
    
    D. Extension of Site-of-Service Payment Differential to Services in 
    Ambulatory Surgical Centers
    
        We proposed extending the site-of-service payment differential to 
    services on the ambulatory surgical center (ASC) covered list of 
    procedures that are predominantly performed in an office setting. We 
    see no reason for exempting these procedures from the site-of-service 
    payment differential. The practice expense RVUs duplicate many of the 
    overhead expenses included in the ASC facility and hospital payment 
    rates. As such, when a service is provided in an ASC or a hospital, the 
    physician does not bear the same level of practice costs as when the 
    same service is furnished in the office. Therefore, in Sec. 414.32 
    (``Determining payments for certain physician services furnished in 
    facility settings''), we proposed to modify in paragraph (d) 
    (``Services excluded from the reduction'') the subordinate paragraph 
    (d)(2), which would have the effect of applying the site-of-service 
    payment differential to ASC services. The payment differential does not 
    apply to procedures performed in an ASC that are not on the ASC list 
    because no facility payment is made.
        Comment: Many commenters stated that the Act provides that 
    procedures included on the ASC list, by definition, are not office-
    based procedures. Commenters indicated that we had concluded in 
    previously published regulations on ASCs that certain procedures, such 
    as cystoscopies, prostate biopsies, and skin lesion excisions, are not 
    office-based procedures.
        Response: Historically, the ASC list included only procedures that 
    were performed less than half of the time in an office setting. 
    Consequently, the ASC list and the site-of-service payment differential 
    lists were mutually exclusive. Over time, many procedures shifted from 
    being performed predominately in ASCs to being performed predominately 
    in offices. However, in many cases the procedures were retained on the 
    ASC list because we were persuaded by arguments that while the 
    procedure may usually be done in an office, there were circumstances 
    justifying using an ASC. Therefore, the two lists are no longer 
    mutually exclusive. Retention of certain procedures on the ASC list 
    does not imply that they cannot appropriately be performed in an 
    office. In fact, the only procedures proposed for addition to the site-
    of-service differential payment list are those that are performed in an 
    office setting the majority of the time.
        Comment: Several commenters questioned the accuracy of data or 
    indicated that they could not fully evaluate the proposals because we 
    did not publish data on which the site-of-service list is based. Some 
    stated we should use clinically-based criteria instead of purely 
    objective, arithmetic data.
        Many commenters indicated that many of the procedures added to the 
    site-of-service differential list were inappropriate and unlikely to be 
    office-based procedures because they are extraordinarily complicated 
    procedures, require anesthesia or sophisticated equipment, or need to 
    be evaluated on a case by case basis. Several commenters believed the 
    list to be arbitrary and unfair. Others indicated that physicians 
    should not be punished for selecting the medically appropriate site for 
    certain procedures on the list. One commenter agreed that we should 
    encourage physicians to perform procedures in an office when it is safe 
    and effective.
        Another commenter stated that we should pay urologists for supplies 
    and a small facility fee to shift procedures to the less costly office 
    setting.
        Some commenters stated that because nasal/sinus endoscopy codes 
    were added to the ASC list effective January 1, 1994 the site-of-
    service data are likely to be skewed toward the physician's office 
    setting. Other commenters stated the CPT description for breast biopsy 
    (CPT code 19100) was recently changed to include only core needle 
    aspiration while fine needle aspiration is now reported using code CPT 
    code 88170. One commenter agreed that breast biopsy should be on the 
    list. Other commenters argued that the data do not distinguish between 
    techniques employed. Many commenters indicated that the policy does not 
    account for gender differences. For example, cystoscopies performed on 
    males are more difficult and painful and are inappropriate for an 
    office setting.
        Response: According to our data, the procedures on the site-of-
    service payment differential list are performed in a physician's office 
    more than 50 percent of the time. Inclusion of procedures on the list 
    is not intended to 
    
    [[Page 63134]]
    reflect a judgment regarding the appropriateness of the site where the 
    service is performed or to encourage performance of procedures in the 
    less costly office setting or to create a financial disincentive for 
    the physician to select the most appropriate site. Inclusion on this 
    list merely recognizes where the service is being furnished the 
    majority of the time. We recognize that although the majority of the 
    procedures we proposed to add to the site-of-service list are performed 
    in a physician's office, the ASC setting is sometimes appropriate. That 
    is the reason they remain on the ASC list. It is not the purpose of 
    this policy to dictate where a physician should perform the service. 
    The policy reflects the lower practice costs incurred by physicians 
    when these services are performed in an ASC or a hospital.
        Comment: One commenter objected to including urodynamic evaluation 
    CPT codes 51725, 51726, and 51772 on the site-of-service payment 
    differential list. Another commenter provided information demonstrating 
    that 21 other proposed procedures should not be on the list because 
    more recent data indicate that the procedures are not performed in the 
    office more than 50 percent of the time.
        Response: We agree with the comment that urodynamic evaluation 
    codes do not belong on the list and have removed CPT codes 51725, 
    51726, 51772, and 51785 from the list. We also agree with the comment 
    that some of the proposed procedures are not performed in the office 
    setting more than 50 percent of the time based on the most current data 
    available. Therefore, we have removed the following CPT codes from the 
    list: 13150, 14020, 14060, 15740, 21208, 21440, 23066, 26645, 28030, 
    28043, 28092, 28261, 40510, 41805, 42408, 46220, 46610, 63600, 64420, 
    65270, and 67921.
        Comment: Some commenters stated that the site-of-service payment 
    differential should not apply to services furnished in an ASC for which 
    no facility payment is made. Another commenter said that many ASCs are 
    considered extensions of a physician's office, not a free-standing 
    facility, and physicians are responsible for ASC overhead.
        Response: We agree with these comments. Therefore, we have 
    clarified the proposal to state that when a service that is not on the 
    ASC list is performed in an ASC, the site-of-service payment 
    differential does not apply. In this case, we view the ASC as an 
    extension of the physician's office and, for purposes of this 
    provision, view this as an office service.
        Comment: Some commenters said that there is no difference in 
    practice costs between the office setting and the ASC. In some cases, 
    costs may be higher in the ASC because of more complicated cases, the 
    delivery of anesthesia services, and physician travel costs. Other 
    commenters said it is unjustified to conclude that there is no office 
    overhead for physicians performing procedures in another setting.
        Some commenters recommended that we make no changes to the site-of-
    service payment differential before the implementation of resource-
    based practice expense RVUs in 1998. One commenter requested that we 
    suspend the site-of-service payment differential altogether. Others 
    recommended increasing practice expense payments for procedures 
    performed in the office to discourage physicians from using hospital 
    ASCs. Other commenters said we should exempt codes that are reduced by 
    the interim practice expense reduction of OBRA 1993.
        Response: The site-of-service payment differential is a long 
    established policy that aims to avoid duplicate payments for overhead 
    while, at the same time, recognizes that some office overhead is 
    incurred when physicians perform procedures outside the office setting. 
    For this reason, the practice expense RVUs are reduced by only 50 
    percent. While we will implement resource-based practice expense RVUs 
    in 1998, we see no reason to postpone applying the payment differential 
    to ASCs until then. The site-of-service policy currently applies to 
    both inpatient and outpatient hospital settings. We see no 
    justification for continuing to exempt services provided in ASCs.
        Section 13513 of OBRA 1993 provided for reductions in practice 
    expense RVUs for services for which practice expense RVUs exceeded 128 
    percent of the work RVUs and that are performed less than 75 percent of 
    the time in an office setting. This reduction was based on the 
    Congress' determination that practice expense RVUs were too high for 
    some procedures. This reduction is independent of the long standing 
    site-of-service payment differential.
        Comment: Many commenters stated that the proposal would result in 
    reduced quality of care. Other commenters said it did not encourage 
    placement of patients in the most appropriate and cost-effective 
    setting to address the patient's medical needs. Several commenters 
    indicated that since we have determined that the proposed procedures 
    are appropriate for ASCs based on medical review and patient safety 
    outcome data, it would be inconsistent to apply the site-of-service 
    payment differential.
        Some commenters indicated that many of the proposed procedures 
    cannot be performed safely in an office. They indicated that offices 
    are not certified to meet the same standards of care or health care 
    outcomes as ASCs, which are generally safer places to perform 
    procedures. They believed the proposal creates a disincentive for 
    physicians to use ASCs even when it is in the patient's best interest 
    to do so. Other commenters said procedures are performed in an ASC 
    because of patient choice or for a patient's safety and comfort. They 
    believed that paying less for the most complicated cases will 
    discourage doctors from doing such cases, thereby creating serious 
    access problems for patients.
        Response: We disagree that application of the site-of-service 
    payment differential will penalize a physician who has valid clinical 
    reasons for performing a procedure in an ASC. Rather, we believe the 
    payment differential will appropriately reflect that the physician 
    incurs fewer costs when furnishing service in an ASC. We believe that 
    physicians consider the welfare of the beneficiary in selecting the 
    appropriate site to perform the service. We do not believe that 
    physicians will make inappropriate decisions regarding the health and 
    well being of their patients because of a reduction in their payment.
        Comment: Many commenters said that the proposal will encourage 
    physicians to buy costly equipment for their offices, such as that 
    required for urologic and arthroscopic procedures, which most do not 
    have.
        Response: We believe the payment differential is incentive neutral 
    with regard to selecting a practice site. That is, we do not believe 
    that the payment differential will induce physicians to purchase 
    additional equipment to enable them to furnish services in the office.
        Comment: One commenter stated that a large number of procedures 
    proposed for addition to the site-of-service list were originally 
    exempt from the list because they were performed less than 50 percent 
    of the time in a physician's office. Therefore, the practice expense 
    values already reflect the costs of furnishing the procedures outside 
    the office setting.
        Response: Physicians shift the place of service for procedures from 
    the hospital setting to the office setting for various reasons. Two 
    reasons are (1) that advances in technology, technique, or other 
    factors make it now feasible to do many services in the office setting 
    that 
    
    [[Page 63135]]
    historically were furnished in a hospital setting; and (2) physicians 
    believe that it is cost-effective and efficient to shift the place of 
    service. We believe that the direct costs of providing the service 
    (staff, supplies, equipment, and space) are reflected in the practice 
    expense relative values based on the predominant place of service. 
    Therefore, we believe it is appropriate to apply the site-of-service 
    reduction to these services when they are performed in a setting where 
    we make a payment for the direct costs of providing the service; for 
    example, hospitals and ASCs. However, this issue will be further 
    examined as part of the development of practice expense RVUs for 1998.
        Comment: Several commenters misunderstood the proposal. Some 
    implied that we were proposing a reduction in the ASC facility payment 
    rate or reducing payments for office based procedures. One objected to 
    applying the site-of-service payment differential to the hospital 
    setting. One commenter was not convinced the proposal will save money.
        Several comments concerned issues not covered under this proposal, 
    for example, objections to removing certain codes from the ASC approved 
    list and requests that particular codes be added or deleted from the 
    ASC list. Another commenter suggested that new criteria are needed for 
    procedures on the ASC list. Another thought we were proposing removing 
    the codes from the ASC list.
        Response: The proposal does not affect ASC facility payment rates 
    or physician payments for procedures performed in an office setting. 
    The site-of-service payment differential already applies to the 
    hospital outpatient setting. The proposal is budget neutral and is not 
    intended to reduce Medicare payments. The proposal does not revise 
    procedures on the approved ASC list.
        Final Decision: We will extend the site-of-service payment 
    differential to office-based services on the ASC list if those services 
    are performed in an ASC or in a hospital setting. However, when a 
    service that is not on the ASC list is performed in an ASC, the site-
    of-service payment differential will not apply. The site-of-service 
    list for 1996 appears in Addendum E of this final rule. All additions 
    to the list are identified by an asterisk.
    
    E. Services of Teaching Physicians
    
    1. General Background
        Our July 26, 1995 proposed rule (60 FR 38405) discussed Medicare 
    payment for those services furnished under graduate medical education 
    (GME) programs that are not payable through the mechanisms established 
    for direct GME costs by section 1886(h) of the Act. Section 1886(h) 
    addresses Medicare payments to hospitals and hospital-based providers 
    for the costs of approved GME programs in medicine, osteopathy, 
    dentistry, and podiatry. Those costs include residents' salaries and 
    fringe benefits, physician compensation costs for GME program 
    activities that are not payable on a fee schedule basis, and other GME 
    program costs.
        Medicare intermediary expenditures under section 1886(h) of the Act 
    for fiscal year 1996 are estimated to be approximately $1.9 billion. In 
    addition, under section 1886(d)(5)(B) of the Act, Medicare makes 
    additional payments to teaching hospitals under the prospective payment 
    system for the higher indirect operating costs hospitals incur by 
    having GME programs. (These are costs other than direct GME costs.) 
    Medicare indirect GME payments for fiscal year 1996 are estimated to be 
    approximately $4.9 billion. Medicare also supports GME programs in 
    teaching hospitals through billings for the services of attending 
    physicians who involve residents in the care of their patients. The 
    amount of Medicare expenditures for these services is not known since 
    attending physicians are not required to distinguish between services 
    they personally furnish and those they furnish as attending physicians 
    in claims submitted to the Part B carriers.
        Our proposal addressed services of teaching physicians that are 
    payable on a fee schedule basis, services of residents in settings that 
    are not payable under section 1886(h), and services of moonlighting 
    residents. In addition, the proposed rule addressed, but did not 
    substantially change, existing rules on related issues on Medicare 
    payments for the services of residents in approved GME programs 
    furnished in certain freestanding skilled nursing facilities and home 
    health agencies, and services of residents who are not in approved GME 
    programs. We referred to the section 1886(h) mechanisms to distinguish 
    between that payment methodology and other payment mechanisms.
        Title XVIII of the Act provides separate coverage and payment bases 
    for provider services and physician services. Under Medicare, provider 
    services, such as inpatient hospital services and skilled nursing 
    facility services, are covered under Hospital Insurance (Part A) and 
    are paid from the Part A Trust Fund. Outpatient hospital services are 
    covered under Supplementary Medical Insurance (Part B) and are paid 
    from the Part B Trust Fund. Provider services are paid on a prospective 
    payment, reasonable cost, or other payment mechanism through Medicare 
    contractors called ``fiscal intermediaries.'' Physician services and 
    other ``medical and other health services,'' as defined in section 
    1861(s) of the Act, are generally paid under Part B through Medicare 
    contractors called ``carriers.'' To administer the Medicare program, we 
    must distinguish clearly between provider services and physician 
    services to determine the appropriate payment methodology and the 
    appropriate Trust Fund that is liable for payment.
        As discussed in the proposed rule, in part 405 (``Federal Health 
    Insurance for the Aged and Disabled''), subpart D (``Principles of 
    Reimbursement for Services by Hospital-Based Physicians''), current 
    regulations beginning with Sec. 405.480 set forth the basic principles 
    regarding payment for services of physicians who practice in providers. 
    Additional principles applicable to payment for physician services in 
    teaching hospitals appeared in subpart E (``Criteria for Determination 
    of Reasonable Charges; Payment for Services of Hospital Interns, 
    Residents, and Supervising Physicians'') in Secs. 405.520 and 405.521. 
    Principles applicable to services of interns and residents appeared in 
    Secs. 405.522 through 405.525. Sections 405.465 and 405.466 addressed 
    the payment methodology for teaching hospitals that elect reasonable 
    cost payments for physician services. (See sections 
    1832(a)(2)(B)(i)(II) and 1861(b)(7) of the Act.) Since the publication 
    of those regulations, the Congress enacted a series of legislative 
    changes that affected payments for these services, and we proposed to 
    revise the regulations to conform to those statutory changes and to 
    clarify current policy.
        Section 948 of the Omnibus Reconciliation Act of 1980 (ORA 1980) 
    (Pub. L. 96-499), enacted on December 5, 1980, as amended by section 
    2307 of the Deficit Reduction Act of 1984 (DEFRA 1984) (Pub. L. 98-
    369), enacted on July 18, 1984, addressed payments for physician 
    services in teaching settings. (See section 1842(b)(7) of the Act.) 
    Another pertinent legislative change, section 108 of the Tax Equity and 
    Fiscal Responsibility Act of 1982 (TEFRA 1982) (Pub. L. 97-248), 
    enacted on September 3, 1982, added a new section 1887 to the Act. That 
    legislation dealt explicitly with distinguishing between the 
    professional services physicians furnish to individual patients in a 
    provider and services physicians furnish to the provider itself. While 
    section 1887 of the Act does not 
    
    [[Page 63136]]
    specifically address teaching physicians or GME issues, it is 
    consistent with Medicare policy on classifying the activities in which 
    physicians in teaching hospitals are engaged.
        We published a final rule with comment period in the Federal 
    Register on March 2, 1983 (48 FR 8902), which implemented the 
    provisions of section 1887 of the Act. That final rule revised the 
    regulations that govern Medicare payment for services of physicians who 
    practice in providers such as hospitals, skilled nursing facilities, 
    and comprehensive outpatient rehabilitation facilities. As a part of 
    that final rule, we revised Secs. 405.480 through 405.482, removed 
    Secs. 405.483 through 405.488, and added new Secs. 405.550 through 
    405.557. Those regulations--
         Set forth basic criteria for distinguishing those 
    physician services furnished in providers that are payable by Part B 
    carriers as physician services to individual patients from those 
    services that are payable by fiscal intermediaries as physician 
    services to the provider itself;
         Set limits on the amounts payable on a reasonable cost 
    basis to providers for physician services to the provider; and
         Established more specific criteria for determining the 
    basis and amount of payment for physician services in the specialties 
    of anesthesiology, radiology, and pathology.
        In the preamble to the March 1983 final rule (48 FR 8906), we 
    stated that because of problems related to applying portions of the 
    revised regulations to teaching hospitals and to implement sections 
    1842(b)(6) and 1861(b)(7) of the Act for physician payment (as amended 
    by section 948 of ORA 1980), we planned to publish, in a separate 
    document, proposed regulations that would establish special rules 
    governing payment for services of physicians in teaching hospitals. 
    Those rules would have superseded Secs. 405.520 and 405.521 if they 
    became effective. Subsequently, however, the Congress passed DEFRA 
    1984, which further amended section 1842(b)(6) of the Act and 
    redesignated it as section 1842(b)(7).
        Another statutory change that affected payments to teaching 
    hospitals was section 9202 of the Consolidated Omnibus Budget 
    Reconciliation Act of 1985 (Pub. L. 99-272), enacted on April 7, 1986, 
    as amended by section 9314 of the Omnibus Budget Reconciliation Act of 
    1986 (Pub. L. 99-509), enacted on October 21, 1986, which added a new 
    section 1886(h) to the Act. Section 1886(h) of the Act revised the 
    method of calculating Medicare payment for the direct costs of approved 
    GME activities such as residents' salaries and fringe benefits, from 
    reasonable cost payment to payments based on hospital-specific per-
    resident amounts multiplied by the number of full-time equivalent 
    residents working in the hospital during a hospital's cost reporting 
    period.
        A major change in the Medicare payment rules for physician services 
    in general was enacted as part of the Omnibus Budget Reconciliation Act 
    of 1989 (OBRA 1989) (Pub. L. 101-239), enacted on December 19, 1989, 
    which added section 1848 to the Act. Section 1848 replaced the 
    reasonable charge payment mechanism with a fee schedule for physician 
    services. The Omnibus Budget Reconciliation Act of 1990 (OBRA 1990) 
    (Pub. L. 101-508), enacted on November 5, 1990, contained several 
    modifications and clarifications to the OBRA 1989 provisions that 
    established the physician fee schedule.
    2. Payment for Physician Services Furnished in Teaching Settings
    a. Current Practices
        In our proposed rule (60 FR 38406), we stated that of the nearly 
    7,000 hospitals that participate in Medicare, approximately 1,200 have 
    GME programs that are approved for residency training by the 
    appropriate accrediting organization. (We used the term ``residents'' 
    in the preamble of the proposed rule to include residents, interns, and 
    fellows who are in formally organized and approved GME programs.)
        For hospital cost reporting periods beginning on or after July 1, 
    1985, the costs of residents' compensation (representing payment for 
    the residents' services), certain physician compensation costs related 
    to GME programs, and other GME program costs are payable based on 
    hospital-specific per-resident amounts as described in Sec. 413.86, in 
    accordance with section 1886(h) of the Act. Physician compensation 
    costs for administrative and supervisory services unrelated to the GME 
    program or other approved educational activities are payable as 
    operating costs through diagnosis-related group payments under the 
    prospective payment system for inpatient services and on a reasonable 
    cost basis for inpatient services in hospitals excluded from the 
    prospective payment system and for outpatient services.
        In the case of those few teaching hospitals that elect reasonable 
    cost payments for physician direct medical and surgical services under 
    section 1861(b)(7) of the Act instead of billing for services to 
    Medicare beneficiaries on a fee-for-service basis, the election and 
    payment mechanisms described in former Secs. 405.465 and 405.466 were 
    set forth in the proposed rule in new Sec. 415.160 and in redesignated 
    Secs. 415.162 and 415.164.
        Practices vary widely among and within teaching hospitals with 
    respect to the degree of physician involvement in the care of patients. 
    In some cases, teaching physicians personally direct residents in 
    furnishing patient care services. In others, residents assume a greater 
    degree of responsibility for the care patients receive, and the 
    teaching physicians exercise only general control over the residents' 
    activities.
    b. Statutory and Other Developments Pertaining to Teaching Physician 
    Services
    (1) Original Medicare Law and Regulations
        As originally enacted, title XVIII of the Act excluded the services 
    of physicians, interns, and residents from the definition of 
    ``inpatient hospital services,'' except for the services of interns and 
    residents in approved training programs. The services of residents in 
    an approved program of a hospital with which a skilled nursing facility 
    has a transfer agreement are included in the definition of ``extended 
    care services'' and in the definition of ``home health services'' in 
    the case of a home health agency that is affiliated with or under 
    common control of a hospital having the program. These provisions 
    established the costs of approved GME programs for provider services 
    payable by intermediaries on a reasonable cost basis. The Act did not 
    include special rules for payment of physician services in teaching 
    hospitals.
        At the time of the publication of the proposed rule, under 
    Secs. 405.520 and 405.521 for teaching physician services, and 
    Secs. 405.522 through 405.525 for residents' services, a physician in a 
    teaching setting was considered the attending physician for a Medicare 
    patient, and thereby qualified for Part B payment, only if he or she 
    furnished ``personal and identifiable direction'' to the interns and 
    residents who provided the actual services to the patient. Before 
    January 1, 1992, Part B physician services were paid under the 
    reasonable charge payment system. As of January 1, 1992, these 
    physician services are paid under the physician fee schedule set forth 
    in part 414 (56 FR 59502).
        Although former Sec. 405.521(b) listed examples that illustrated 
    the types of responsibilities attending physicians 
    
    [[Page 63137]]
    typically carry out, the list was not exhaustive. In individual cases, 
    it might be difficult to determine, by referring to Sec. 405.521, 
    whether a physician in a teaching setting is the ``attending 
    physician'' for a Medicare patient. It might be necessary for the 
    carrier to review hospital charts to see if the attending physician 
    requirements were met; however, the involvement of the teaching 
    physician in individual services was often unclear from a review of the 
    charts.
        It became apparent, shortly after the former Secs. 405.520 and 
    405.521 were issued, that some Medicare carriers were paying charges 
    for physician services in some teaching hospitals, even though interns 
    and residents were primarily responsible for the care of the patients. 
    The physicians who were billing for these services were often assuming 
    only limited responsibility for the medical management of the patients' 
    treatment. It also became clear that some physicians were submitting 
    charges for services furnished to Medicare patients even though non-
    Medicare patients were not billed for similar services, and patients 
    generally were not obligated to pay for those physician services.
        In April 1969, those problems led to the issuance of Intermediary 
    Letter 372, which set forth specific conditions that physicians in 
    teaching settings were required to meet to be considered attending 
    physicians and, thus, qualify to charge the carrier for services in 
    which they involved residents. It also specified how carriers were 
    required to determine the reasonable charges for these services. 
    Although Intermediary Letter 372, which was still in effect at the time 
    of the publication of the proposed rule, provided guidance to Medicare 
    carriers and intermediaries on payment for these services, it was not 
    applied uniformly by all Medicare carriers.
    (2) 1972 Amendments
        On October 30, 1972, the Congress amended the Act to provide rules 
    on payment for physician services (as distinguished from the services 
    of interns and residents) furnished in teaching hospitals. Section 227 
    of the Social Security Amendments of 1972 (Pub. L. 92-603) amended 
    section 1861(b) of the Act to require that Medicare treat those 
    services as hospital services and pay for them on a reasonable cost 
    basis, except under certain specific circumstances. Section 227 also 
    made certain incentives available to hospitals that elected to be paid 
    for physician services on a reasonable cost basis.
        In subsequent legislation (section 15 of Pub. L. 93-233, enacted on 
    December 31, 1973, and section 7 of the End-Stage Renal Disease Program 
    Amendments of 1978 (Pub. L. 95-292), enacted on June 13, 1978), the 
    Congress deferred implementation of all provisions of section 227 of 
    the 1972 amendments except for the incentives to elect reasonable cost 
    payment for physician direct medical and surgical services. The cost 
    reimbursement provisions were implemented through former Sec. 405.465, 
    as published in a final rule on August 8, 1975 (40 FR 33440). The 
    statutory provisions for which the Congress deferred implementation 
    were eventually replaced by new provisions passed by the Congress in 
    ORA 1980. ORA 1980 reaffirmed, but did not otherwise affect, the 
    provisions of section 227 of the 1972 amendments authorizing cost 
    reimbursement incentives.
    (3) ORA 1980
        Section 948 of ORA 1980 made several important changes in the 
    sections of the Medicare statute that address payment for physician 
    services in teaching hospitals. Specifically, section 948--
         Repealed the provisions of the 1972 Amendments that 
    required Medicare to pay for those services (with certain exceptions) 
    on a reasonable cost basis;
         Amended section 1861(b) of the Act to allow hospitals with 
    approved teaching programs to elect to be paid on a reasonable cost 
    basis for physician direct medical and surgical services furnished to 
    their Medicare patients and for the supervision of interns and 
    residents in the care of individual patients if all physicians in the 
    hospital agree not to bill charges for their services furnished to 
    Medicare patients; and
         Added section 1842(b)(6) of the Act (now section 
    1842(b)(7)) to specify the conditions that must be met to permit 
    payment under Part B for physician services in teaching hospitals that 
    do not elect cost reimbursement, and to provide special payment rules 
    for determining the customary charges applicable in this situation.
        In the Conference Report accompanying ORA 1980 (H.R. Rep. No. 1479, 
    96th Cong., 2d Sess. 145 (1980)), the Conference Committee stated that 
    its intention was to permit payment for physician services in a 
    teaching hospital on a reasonable charge basis only if the physician is 
    the patient's ``attending physician.'' The conferees also endorsed the 
    attending physician criteria in Intermediary Letter 372.
        The Conference Report further stated that ``[t]he conferees intend 
    (without precluding reasonable changes in the future) that in 
    determining the amount payable on a charge basis under Medicare Part B 
    for services of physicians in teaching hospitals, the policies 
    contained in Intermediary Letter 372 should be generally followed where 
    these are not inconsistent with the provisions of the conference 
    agreement.'' Ibid. p. 146.
    (4) DEFRA 1984
        Subsequently, section 2307(a) of DEFRA 1984 further amended section 
    1842(b)(7) of the Act concerning conditions for payment for physician 
    services furnished in teaching hospitals that do not elect cost 
    reimbursement. Section 2307(a) was later amended by sections 3(b) (5) 
    and (6) of the DEFRA Technical Amendments (Public Law 98-617), enacted 
    on November 8, 1984. As revised, section 1842(b)(7) of the Act (which 
    was redesignated from section 1842(b)(6) of the Act by section 2306 of 
    DEFRA '84) provided that--
         The customary charge of a physician qualifying as a 
    teaching physician is set no lower than 85 percent of the prevailing 
    charge paid for similar services in the same locality; and
         If all the teaching physicians in a teaching hospital 
    agree to accept assignment for all the services they furnish to 
    Medicare patients in that hospital, the customary charge is set at 90 
    percent of the prevailing charge paid for similar services in the same 
    locality.
    (5) 1989 Proposed Rule
        On February 7, 1989, we published a proposed rule that would have 
    implemented the teaching physician payment provisions of both ORA 1980 
    and DEFRA 1984 (54 FR 5946). In that document, we proposed the 
    following changes relating to teaching physicians:
         Revise the regulations governing the conditions under 
    which Medicare payment is made for the services of physicians in 
    teaching settings and implement a special methodology for determining 
    customary charges for the services of teaching physicians.
         Revise the regulations governing Medicare payment to 
    providers for compensation paid to physicians who furnish services that 
    are of general benefit to patients in the provider.
        That proposed rule was never published in final because legislation 
    enacted in 1989 and 1990 that mandated the implementation of the 
    Medicare physician fee schedule had the effect of replacing the payment 
    methodology of the proposed rule. 
    
    [[Page 63138]]
    
    3. Payments for Supervising Physicians in Teaching Settings and for 
    Residents in Certain Settings
        In our July 26, 1995 proposed rule, we proposed to revise the 
    regulations because of the substantial changes that have taken place in 
    the way Medicare payments for physician services are determined (that 
    is, the replacement of the reasonable charge system with the physician 
    fee schedule); the length of time since the publication of the February 
    1989 proposed rule; and our decision to propose to replace the 
    attending physician criteria of the February 1989 proposed rule. The 
    details of the attending physician policy had been set forth earlier in 
    Intermediary Letter 372, published in April 1969.
        We proposed to change the attending physician criteria from those 
    of Intermediary Letter 372 to make the criteria more flexible in terms 
    of the individual teaching physician who may serve as the responsible 
    physician for a particular service while ensuring that a teaching 
    physician is present during at least some portion of each service 
    payable by the carrier. We also proposed rules based on other Medicare 
    policies that had been in effect for years but had never been 
    explicitly addressed in the regulations.
    a. Distinction Between Teaching Hospital and Teaching Setting
        We proposed to distinguish between ``teaching hospital'' and 
    ``teaching setting,'' because the former is more directly related to 
    intermediary payments, and the latter (although defined in terms of 
    intermediary payments) is more directly related to carrier payments. We 
    proposed to define ``teaching hospital'' as a hospital engaged in an 
    approved GME residency program in medicine, osteopathy, dentistry, or 
    podiatry. We proposed to define ``teaching setting'' as a provider or 
    freestanding setting for which Medicare payment for the services of 
    residents is made under the direct GME payment provisions of 
    Sec. 413.86 (hospitals, hospital-based providers, and settings, 
    including nonprovider settings, meeting the requirements for residents 
    in Sec. 413.86(f)(1)(iii)), or on a reasonable cost basis under the 
    provisions of Sec. 409.26 or Sec. 409.40(f) for residents' services 
    furnished in freestanding skilled nursing facilities or home health 
    agencies, respectively.
    b. Statutory Requirements for Payment in Teaching Hospitals Not 
    Electing Reasonable Costs for Physician Services to Individual Patients
        Section 1842(b)(7) of the Act is generally premised on the use of 
    customary charges, that is, the reasonable charge system, as the basis 
    for Medicare payments for the services of physicians in teaching 
    hospitals. Section 1848 of the Act, however, established the physician 
    fee schedule as the payment methodology for physician services 
    furnished beginning January 1, 1992 without any exception for physician 
    services furnished in teaching settings. Therefore, we based the 
    policies in the July 26, 1995 proposed rule on principles established 
    in legislation on payment for physician services generally under the 
    physician fee schedule, on payment for physician services furnished in 
    providers, and on payment to hospitals for GME programs. With regard to 
    payment to hospitals for GME programs, the proposal addressed 
    activities associated with GME programs that were not payable through 
    fiscal intermediary payment mechanisms.
    c. Intermediary Letter 372 Attending Physician Criteria
        The Intermediary Letter 372 attending physician criteria and 
    related policy were developed by Medicare in 1969 as a means of 
    documenting the involvement of teaching physicians in patient care 
    services furnished in teaching hospitals and have been controversial 
    ever since. It was recognized then and now that residents must furnish 
    patient care services to develop their skills as physicians or other 
    types of practitioners. The ``attending physician'' policy was 
    developed as a mechanism to make Part B fee schedule payments for 
    services in which residents were involved. The main requirement of the 
    policy was that there would be a single attending physician who 
    personally examined the beneficiary within a reasonable time after 
    admission, confirmed the diagnosis and course of treatment, and was 
    continuously involved in the care of the beneficiary throughout the 
    stay. The attending physician policy as set forth in Intermediary 
    Letter 372 and related issuances specifically stated that the attending 
    physician had to be present when a major surgical procedure or a 
    complex or dangerous medical procedure was performed, but was vague, 
    perhaps necessarily, on the matter of the presence of the physician 
    during other occasions of inpatient service. There was less ambiguity 
    with regard to hospital outpatients. Part A Intermediary Letter No. 70-
    7/Part B Intermediary Letter No. 70-2 (issued in January 1970), a 
    question-and-answer on Intermediary Letter 372, indicated that the 
    supervising physician must either personally perform the service or 
    function as the attending physician and be present while a service is 
    being furnished (question 14).
        Medicare carriers were directed to periodically review the hospital 
    charts for verification of the establishment of attending physician 
    relationships and their involvement in individual services. If the 
    chart did not substantiate a sufficient level of involvement in the 
    care furnished, the teaching physician role was seen as supervisory in 
    nature, rather than as an attending physician, even though the teaching 
    physician may have had legal responsibility for the care furnished to 
    the patient. Consequently, the fiscal intermediary for the hospital 
    would pay Medicare's share of the salary costs of the teaching 
    physician attributable to the supervision of residents, but the 
    Medicare carrier would not make payment for the physician services on 
    the basis of reasonable charges.
        We believe, after years of working experience with the Intermediary 
    Letter 372 attending physician policy, that we should replace it. The 
    amount of postpayment review necessary to verify the establishment and 
    continuity of the attending physician relationship from patient charts 
    had become impractical given reductions in contractor budgets and was 
    inconsistent with more recent congressional action. While the Congress 
    endorsed the attending physician policy in the Conference Report 
    accompanying ORA 1980, the Intermediary Letter 372 policy might be 
    viewed as not entirely consistent with the payment mechanism enacted in 
    OBRA '86 under section 1886(h) of the Act for payment of direct GME 
    costs in teaching hospitals. For example, Intermediary Letter 372 
    indicated that, if a physician was not an attending physician but 
    supervised a resident who furnished a service, the costs of the 
    physician services were payable by the intermediary. Under section 
    1886(h) of the Act, if a service was determined not to be an attending 
    physician service billable under Part B, the service could not become a 
    provider service for purposes of additional payments made under Part A 
    since the GME payments were prospectively determined amounts that could 
    not be adjusted based on the individual circumstances of the delivery 
    of individual services. Further, allocation agreements between 
    physicians and hospitals identifying the various activities in which 
    the 
    
    [[Page 63139]]
    physicians were involved for purposes of determining the appropriate 
    payment amounts had no effect on GME payments in an individual hospital 
    cost reporting period. The costs that were allocated during the GME 
    base period were carried forward regardless of changes in the physician 
    activities.
        Moreover, the Intermediary Letter 372 policy left it to individual 
    carriers to determine coverage of the services based on customary 
    practices in the area or on the competence of individual residents. For 
    example, a sentence in Intermediary Letter 372.A. reads as follows:
    
    If the supervising physician was present at surgery, and the surgery 
    was performed by a resident acting under his close supervision and 
    instruction, he would not be the attending surgeon unless it were 
    customary in the community for such services to be performed in a 
    similar fashion to private patients who pay for services rendered by 
    a private physician.
    
    While this policy might have been appropriate 30 years ago in the early 
    days of Medicare, we stated in our proposed rule (60 FR 38409) that we 
    believe it is inappropriate to base the determination of whether a 
    carrier will pay several thousand dollars or zero dollars for a 
    surgical procedure on this standard, which could result in a wide 
    disparity of policy from area to area regarding when payment is made.
        Another problem with the Intermediary Letter 372 policy was 
    reliance on a single physician to be the attending physician for the 
    beneficiary throughout the inpatient stay. The only exception 
    permitting an attending physician relationship for only a portion of a 
    stay was if the portion was a distinct segment of the patient's course 
    of treatment, such as the postoperative period. Another example from 
    Intermediary Letter 372 reads as follows:
    
    A group of physicians share the teaching and supervision of the 
    house staff on a rotating basis. Each physician sees patients every 
    third day as he makes rounds. No physician can be held to be one of 
    these patients' attending physician for any portion of the hospital 
    care although consultations and other services they personally 
    perform for the patient might be covered.
    
        We stated in our proposed rule (60 FR 38409) that we believe that 
    this emphasis on a single teaching physician serving as the attending 
    physician through the stay was no longer necessary, and that we should 
    provide teaching hospitals and GME programs with flexibility in the 
    determination of the responsible teaching physician in an individual 
    case. We no longer believe the Intermediary Letter 372 requirement that 
    a single physician be recognized by the beneficiary as his or her 
    personal physician through a period of hospitalization reflects current 
    realities. Further, the existing attending physician regulation might 
    operate at cross-purposes with managed care arrangements that often 
    employ treatment teams.
        The Intermediary Letter 372 requirements for continuity of care 
    might be difficult for carriers to verify from reviews of medical 
    records, might be interpreted in different ways by different carriers, 
    and might be counterproductive and burdensome in the delivery of 
    services to the patient. We believe the proposed policy would address 
    potential sources of misunderstanding and abuse that have been 
    longstanding Medicare program concerns. For example, Intermediary 
    Letter 372 required the attending physician to personally examine the 
    patient, review the history and record of test results, etc. From 
    discussions with carrier medical directors, it is our understanding 
    that some carriers considered the requirements to be met if the 
    teaching physician first saw the patient 1 or 2 days after admission. 
    In those situations, the carrier might pay for an admission history and 
    physical performed by a resident on Saturday while the teaching 
    physician did not actually see and examine the patient until Monday. 
    Other carriers would maintain that, to pay for the admission history 
    and physical as an attending physician, the teaching physician would 
    have to see the patient on the day the service was performed.
        We believe that the most important consideration should be the 
    presence of the teaching physician during the key portion of the 
    service or procedure being furnished by the resident, and that 
    requiring both an attending physician relationship and the presence of 
    that same physician during every billable service is no longer 
    warranted. Thus, under our proposal, carriers would no longer pay for 
    services such as admission evaluation and management services unless a 
    teaching physician was present during the key portion of the service.
    d. Carrier Payment for Services of Teaching Physicians--General
        We proposed to eliminate the Intermediary Letter 372 attending 
    physician criteria from the determination of whether payment should be 
    made for the services of physicians in teaching settings. We recognize 
    that the term ``attending physician'' is used in academic medicine to 
    denote the responsible physician, and we believe that hospitals and GME 
    programs should be free to designate any physician to be the attending 
    physician of the patients in the teaching setting. We proposed to 
    require the following conditions for services of teaching physicians 
    (physicians who involve residents in the care of their patients) in 
    both inpatient and outpatient settings to be payable under the 
    physician fee schedule:
         A teaching physician (a physician other than a resident or 
    fellow in an approved program) must be present for a key portion of the 
    time during the performance of the service for which payment is sought.
         In the case of surgery or a dangerous or complex 
    procedure, the teaching physician must be present during all critical 
    portions of the procedure and must be immediately available to furnish 
    services during the entire service or procedure. We specified that the 
    teaching physician presence requirement is not met when the presence of 
    a teaching physician is required in two places for concurrent major 
    surgeries. The operative notes must indicate when the teaching 
    physician presence in individual procedures began and ended. In the 
    case of procedures, such as an endoscopy, in which a body area, rather 
    than a representation, is viewed, we would not make payment if the 
    teaching physician was not present during the viewing. A discussion of 
    the findings with a resident would not be sufficient. The situation is 
    contrasted with a diagnostic procedure, such as an x-ray, in which the 
    physician would not be expected to be present during the performance of 
    a test and could bill for an interpretation by reviewing the film with 
    the resident (or by performing an independent interpretation).
         In the case of services such as evaluation and management 
    services (for example, visits and consultations), for which there are 
    several levels of service available for reporting purposes, the 
    appropriate payment level must reflect the extent and complexity of the 
    service if the service had been fully furnished by the teaching 
    physician. In other words, if the medical decision-making in an 
    individual service is highly complex to an inexperienced resident, but 
    straightforward to the teaching physician, payment is made at the lower 
    payment level reflecting the involvement of the teaching physician in 
    the service. We intend to promote flexibility and leave the decision to 
    the teaching physician as to whether the teaching physician should 
    perform hands-on care, in addition to the care furnished by the 
    resident in the presence of the teaching physician. 
    
    [[Page 63140]]
    However, in the case of both hospital inpatient and outpatient 
    evaluation and management services, the teaching physician must be 
    present during the key portion of the visit.
         The presence of the physician during the service or 
    procedure must be documented in the medical records.
        The proposal eliminated the Intermediary Letter 372 requirement 
    that the attending physician personally examine the patient and left 
    the decision to the teaching physician as to whether he or she should 
    perform an examination in addition to the resident's examination based 
    on medical and risk management considerations rather than Medicare 
    payment rules. For example, a beneficiary might be admitted to the 
    hospital on a Saturday and be examined by a resident in the presence of 
    a teaching physician on duty at the time. On Monday, another teaching 
    physician might be designated to be the attending physician in the 
    case. Under the proposal to eliminate the Intermediary Letter 372 
    attending physician criteria, the services of both teaching physicians 
    in this example would be payable (as long as distinct services are 
    furnished).
        Under our proposal, we clarified that services of teaching 
    physicians that involve the supervision of residents in the care of 
    individual patients are payable under the physician fee schedule only 
    if the teaching physician is present during the key portion of the 
    service. If a teaching physician is engaged in such activities as 
    discussions of the patient's treatment with a resident but is not 
    present during any portion of the session with the patient, we believe 
    that the supervisory service furnished is a teaching service as 
    distinguished from a physician service to an individual patient.
        We believe that this clarification is consistent with existing 
    policy. Part A Intermediary Letter No. 70-7/Part B Intermediary Letter 
    No. 70-2, issued in January 1970, contained a series of questions and 
    answers about the attending physician policy set forth in Intermediary 
    Letter No. 372. Question 14 of that issuance addressed services 
    furnished in emergency rooms and outpatient departments and states the 
    following:
        Q. Intermediary letter No. 372 states, ``An emergency room 
    supervising physician may not customarily be considered to be the 
    attending physician of patients cared for by the house staff, etc.'' Is 
    this also true in the hospital's outpatient department?
        A. Yes, because an attending physician relationship is not normally 
    established with anyone other than the treating physician in an 
    outpatient department. If the Part B bills are submitted for services 
    performed by a physician in either the emergency room or in any part of 
    the outpatient department, the hospital records should clearly indicate 
    either that: the supervising physician personally performed the 
    service; or he functioned as the patient's attending physician and was 
    present at the furnishing of the service for which payment is claimed.
        At the same time we were concerned about the integrity of the 
    Medicare payment process, we recognized that application of this policy 
    to the reimbursement of teaching physicians in family practice 
    residency programs raised special concerns about the viability of these 
    programs. Family practice residency programs are different from other 
    programs because training occurs primarily in an outpatient setting, 
    known as a family practice center. In these centers, residents are 
    assigned a panel of patients for whom they will provide care throughout 
    their 3 years of training. While teaching physicians supervise this 
    care and, indeed, are present during the actual furnishing of services 
    in some circumstances (most notably with first year residents and for 
    more complex patient cases), a general requirement that teaching 
    physicians be physically present during all visits to the family 
    practice center would undermine the development of this physician/
    patient relationship. This requirement also would be incompatible with 
    the way family practice centers are organized and staffed and could 
    require the hiring of additional teaching physicians when the faculty 
    are already in short supply.
        We stated in our July 26, 1995 proposed rule (60 FR 38410) that we 
    would be willing to develop a special rule for paying teaching family 
    physicians that takes into account the unique nature of these training 
    programs while clarifying the appropriate level of involvement of the 
    teaching physician in patient care in family practice centers. We 
    invited comments on the structure and content of such a rule, or a 
    legislative proposal, along with any supportive data. We also invited 
    comments on whether and how such a rule might be applied to other 
    primary care training programs.
    e. Special Treatment--Psychiatric Services
        During the period in which we were developing the February 1989 
    proposed rule, we met with representatives of psychiatric GME programs 
    who indicated that it was inappropriate for a physician other than the 
    treating resident to be viewed by psychiatric patients as their 
    physician. In psychiatric programs, the teaching physician may observe 
    a resident's treatment of patients only through one-way mirrors or 
    video equipment. We accepted this position and proposed that, with 
    respect to psychiatric services (including evaluation and management 
    services) furnished under an approved psychiatric GME program, the 
    teaching physician would be considered to be ``present'' during each 
    visit for which payment is sought as long as the teaching physician 
    observes the visit through visual devices and meets with the patient 
    after the visit.
    f. Physician Services Furnished to Renal Dialysis Patients in Teaching 
    Hospitals
        Effective for services furnished on or after August 1, 1983, 
    Medicare pays for physician services to end-stage renal disease 
    patients on the basis of the physician monthly capitation payment 
    method described in Sec. 414.314. This payment method generally applies 
    to renal-related physician services furnished to outpatient maintenance 
    dialysis patients, regardless of where the services are furnished (that 
    is, in an independent end-stage renal disease facility, a hospital-
    based end-stage renal disease facility, or in the patient's home). 
    Physician services furnished to end-stage renal disease patients on or 
    after August 7, 1990 may also be paid on the basis of the initial 
    method as described in Sec. 414.313. We would continue application of 
    these physician payment methods to teaching hospitals with end-stage 
    renal disease facilities. We would not impose any special medical 
    record documentation requirements solely because the end-stage renal 
    disease facility is based in a teaching hospital.
        Physician fee schedule payments for covered physician services 
    furnished to inpatients in a hospital by a physician who elects not to 
    continue to receive payment on a monthly capitation basis through the 
    period of the inpatient stay, or who is paid based on the initial 
    method, would be determined according to the rules described in 
    proposed Sec. 415.170. Physicians would have to either personally 
    furnish the services, or furnish the services as a teaching physician 
    as described in proposed Sec. 415.172.
    g. Special Criteria for Anesthesia Services and Interpretation of 
    Diagnostic Tests
        Special criteria for anesthesia services involving residents appear 
    in Sec. 415.178. In the case of diagnostic radiology and other 
    diagnostic tests, we make payment 
    
    [[Page 63141]]
    for the interpretation if the physician either personally performs the 
    interpretation or reviews the resident's interpretation.
    h. Services of Residents
        We proposed to incorporate into the regulations longstanding 
    Medicare coverage and payment policy regarding the circumstances under 
    which the services of residents are payable as physician services. 
    These policies are in operating instructions and other issuances.
        Generally, the services of residents in approved GME programs 
    furnished in hospitals and hospital-based providers are payable through 
    the direct GME payment methodology in Sec. 413.86. For hospital cost 
    reporting periods beginning on or after July 1, 1985, a teaching 
    hospital is entitled to include residents working in the hospital and 
    hospital-based providers in the full-time equivalency count used to 
    compute direct GME payments. These payments are based on per-resident 
    amounts reflecting GME costs incurred during a base period and updated 
    by the Consumer Price Index. Further, effective July 1, 1987, under the 
    conditions set forth in Sec. 413.86(f)(1)(iii), a teaching hospital may 
    elect to enter into a written agreement with another entity for the 
    purpose of including the time spent by residents in furnishing patient 
    care services in a setting outside the hospital in the hospital's full-
    time equivalency count of residents for GME purposes. The agreement 
    must specify that the hospital compensate the resident for the services 
    in the nonhospital setting. When an agreement is in effect, the 
    teaching setting guidelines of proposed Secs. 415.170 through 415.184 
    would apply to services in which physicians involve residents in the 
    nonhospital setting. The services of residents in these settings are 
    payable as hospital services rather than physician services. We stated 
    that proposed Sec. 415.200 would replace current Sec. 405.522.
        Current Sec. 405.523 addressed payment for the services of 
    residents who are not in approved programs. The section was applicable 
    to the services of a physician employed by a hospital who is authorized 
    to practice only in a hospital setting and to residents in an 
    unapproved program. We proposed to replace this rule with new 
    Sec. 415.202. The proposed rule incorporated the policy currently in 
    section 404.1.B of the Provider Reimbursement Manual (HCFA Pub. 15-1), 
    which provides that only the costs of the residents' services are 
    allowable as Part B costs, and that other costs, such as teaching 
    costs, of an unapproved program are not allowable.
        Current Sec. 405.524 (``Interns' and residents' services outside 
    the hospital'') provided for reasonable cost payments for the services 
    of residents in freestanding skilled nursing facilities and home health 
    agencies. We proposed to rename this section to clarify that its scope 
    is limited to these types of providers and to include it with only 
    minor changes into a new Sec. 415.204.
        We proposed to establish a new Sec. 415.206 to address payment 
    issues relating to the services of residents in nonprovider settings, 
    such as freestanding clinics that are not part of a hospital. Paragraph 
    (a) addresses situations when a teaching hospital and another entity 
    have entered into a written agreement under which the time the 
    residents spend in patient care activities in these nonhospital 
    settings is included in the hospital's full-time equivalency count used 
    to compute direct GME payments. If an agreement is in force, the 
    carrier would make payments for teaching physician and other physician 
    services under the rules in Secs. 415.170 through 415.190.
        If a nonprovider entity, such as a freestanding family practice or 
    multispecialty clinic, does not enter into this type of agreement for 
    residency training with a teaching hospital, the payment mechanism in 
    proposed Sec. 415.206(b) would apply in the case of services furnished 
    by certain residents. We modified the policy on Part B billings for 
    services furnished by licensed residents in the late 1970's in an 
    action designed to enhance the ability of primary care residency 
    programs to finance their training activities outside the teaching 
    hospital setting. We revised the Medicare Carriers Manual (HCFA Pub. 
    14-3) to cover residents' services furnished in a setting that is not 
    part of a hospital as physician services if the resident was fully 
    licensed to practice by the State in which the service was performed. 
    This policy applies whether or not the residents are functioning within 
    the scope of their approved GME program. Under these circumstances, the 
    resident is functioning in the capacity of a physician, and the 
    teaching physician guidelines do not apply.
        Additionally, the services of residents practicing in freestanding 
    federally qualified health centers and rural health clinics who meet 
    the requirements of proposed Sec. 415.206(b) would be eligible for 
    payment under the payment methodology for federally qualified health 
    centers. (We would make payments for residents' services in a hospital-
    based entity under the provisions of Sec. 413.86 for direct GME 
    payments.) We proposed to allow freestanding federally qualified health 
    centers and rural health clinics to include the costs of a service 
    performed by a resident meeting those requirements as an allowable cost 
    on the entity's cost report. We proposed to amend Sec. 405.2468(b)(1), 
    which sets forth allowable costs for federally qualified health centers 
    and rural health clinic services, to recognize these costs. Further, a 
    resident is considered to be a physician as defined in revised 
    Sec. 405.2401(b) for the purpose of determining payments to the 
    federally qualified health centers and rural health clinics. Consistent 
    with the payment method for federally qualified health centers and 
    rural health clinics, payments for services furnished by residents in 
    federally qualified health centers and rural health clinics would be 
    paid under Sec. 405.2462 rather than under the physician fee schedule. 
    In other words, services of the resident would be treated in exactly 
    the same manner as services of other physicians who are not residents 
    in the federally qualified health center or rural health clinic. We 
    believe that recognizing the costs of these residents in federally 
    qualified health centers and rural health clinic settings would create 
    more uniformity in the way these costs are treated by the Medicare 
    program.
        We proposed to establish a new Sec. 415.208 to address carrier 
    payments for the services of ``moonlighting'' residents. Paragraph (a) 
    defines these services as referring to services that licensed residents 
    perform that are outside the scope of an approved GME program. 
    Paragraph (b) reflects the policy set forth in section 2020.8.C. of the 
    Medicare Carriers Manual under which carriers may pay under the 
    physician fee schedule for the services of moonlighting residents in 
    the outpatient department or emergency department of a hospital in 
    which they have their training program if there is a contract between 
    the resident and the hospital indicating that the following criteria 
    are met:
         The services are identifiable physician services and meet 
    the criteria in Sec. 415.102(a) (formerly Sec. 405.550(b)).
         The resident is fully licensed to practice medicine, 
    osteopathy, dentistry, or podiatry in the State in which the services 
    are performed.
         The services can be separately identified from those 
    services that are required as part of the approved GME program.
        Paragraph (c) indicates that the moonlighting services of a 
    resident furnished outside the scope of an approved GME program in a 
    hospital or other setting that does not participate in 
    
    [[Page 63142]]
    the GME program are payable as physician services under the physician 
    fee schedule.
    i. Redesignation of Regulations on Teaching Hospitals, Teaching 
    Physicians, and Physicians Who Practice in Providers
        As a part of this rulemaking process, we proposed to redesignate 
    the regulations currently set forth in Secs. 405.465 and 405.466, 
    405.480 through 405.482, 405.522 through 405.524, 405.550, 405.551, 
    405.554, 405.556, and 405.580 into a new part 415, along with the new 
    regulations proposed in this rule. The redesignation is part of our 
    continuing effort to improve the overall organization of title 42 of 
    the Code of Federal Regulations and, in this case, specifically, the 
    organization of the regulations on teaching hospitals, teaching 
    physicians, and physicians who practice in providers.
        Except as indicated below, we proposed only technical changes to 
    conform cross-references, and no substantive changes were included. We 
    proposed to remove Secs. 405.520 and 405.521 because the applicable 
    rules for payment of services are obsolete. We also proposed to remove 
    the chart for payment to interns and residents in Sec. 405.525 as 
    obsolete. In addition, we proposed to remove Sec. 405.552 because the 
    applicable payment rules for anesthesia services are set forth in 
    Sec. 414.46. The proposed deletion of Sec. 405.552 was an error; we are 
    redesignating this section as Sec. 415.110.
        We intended the redesignation to make these regulations easier to 
    use. Following is a distribution table that indicates the new section 
    numbers that will result from the redesignation or the removal of the 
    section:
    
                               Distribution Table                           
    ------------------------------------------------------------------------
                 Old section                          New section           
    ------------------------------------------------------------------------
    405.465.............................  415.162                           
    405.466.............................  415.164                           
     405.480............................  415.55                            
     405.481............................  415.60                            
     405.482............................  415.70                            
     405.520............................  Removed.                          
     405.521............................  Removed.                          
     405.522............................  415.200                           
     405.523............................  415.202                           
     405.524............................  415.204                           
     405.525............................  Removed.                          
     405.550............................  415.100, 415.102                  
     405.551............................  415.105                           
     405.552............................  415.110                           
     405.554............................  415.120                           
     405.556............................  415.130                           
     405.580............................  415.190                           
    ------------------------------------------------------------------------
    
        Following is a derivation table that shows the origin of each 
    section of the new material:
    
                                Derivation Table                            
    ------------------------------------------------------------------------
                            New section                          Old section
    ------------------------------------------------------------------------
    415.1.....................................................              
    415.50....................................................              
    415.55....................................................       405.480
    415.60....................................................       405.481
    415.70....................................................       405.482
    415.100, 415.102..........................................       405.550
    415.105...................................................       405.551
    415.110...................................................       405.552
    415.120...................................................       405.554
    415.130...................................................       405.556
    415.150...................................................              
    415.152...................................................              
    415.160...................................................              
    415.162...................................................       405.465
    415.164...................................................       405.466
    415.170...................................................              
    415.172...................................................              
    415.174...................................................              
    415.176...................................................              
    415.178...................................................              
    415.180...................................................              
    415.184...................................................              
    415.190...................................................       405.580
    415.200...................................................       405.522
    415.202...................................................       405.523
    415.204...................................................       405.524
    415.206...................................................              
    415.208...................................................              
    ------------------------------------------------------------------------
    
    4. Public Comments on the Teaching Physician Proposal in the Proposed 
    Rule and Our Responses
        We received several thousand comments on the teaching physician 
    proposal in our July 26, 1995 proposed rule. Almost all of the comments 
    came from medical schools, residency programs, and other entities that 
    bill for physicians' services in teaching hospitals and GME programs. 
    The comments and our responses to them follow.
        Comment: Most commenters argued that the requirement of teaching 
    physician presence during individual services was a significant 
    departure from the current practice, and that a teaching setting would 
    need a great deal of time to implement the requirement. They requested 
    a delay in the effective date of any new policy. They believed that 
    January 1 would be a particular problem since it falls in the middle of 
    the cost reporting period for most teaching hospitals.
        Response: We do not believe that the physical presence requirement 
    is a significant departure from current practice. Instead, as we have 
    indicated in the proposed rule and in this final rule, the proposed 
    rule requiring physical presence clarifies current policy. Under the 
    criteria in Intermediary Letter 372, Part B payment should be made only 
    when a supervising physician either personally performed the service or 
    functioned as the attending physician and was present while the service 
    was furnished. It has always been our intent that, at a minimum, a 
    teaching physician must be present during a service furnished by an 
    intern or resident in order for the teaching physician to receive Part 
    B payment.
        We proposed to clarify our policy because it has not been enforced 
    consistently across carriers. More specifically, we have learned that 
    some teaching physicians are billing Medicare and receiving Part B 
    payment for services even when the service is performed by an intern or 
    resident outside the presence of the teaching physician and the 
    teaching physician has minimal involvement, or no involvement, in the 
    service. Under the physician fee schedule, payment amounts are intended 
    to reflect the amount of resources required for a particular service, 
    and we believe a teaching physician should not receive a resource-based 
    fee schedule amount when the physician has expended little or no 
    resources with respect to the service. It would be particularly 
    inequitable to make a resource-based payment to some teaching 
    physicians when other teaching physicians receive no payment because a 
    carrier is properly applying the physical presence requirement in 
    Intermediary Letter 372.
        Thus, the proposed rule would clarify the physical presence 
    requirement reflected in Intermediary Letter 372. At the same time, the 
    proposed rule increases flexibility for billing. The criteria in 
    Intermediary Letter 372 were premised in part on the notion that the 
    same physician served as the attending physician throughout the entire 
    inpatient stay; therefore, only that physician could bill Medicare Part 
    B. Accordingly, under Intermediary Letter 372, if a patient receives a 
    service from the attending physician soon after admission, and receives 
    services from other physicians during the course of the inpatient stay, 
    the other physicians cannot bill Medicare Part B for services furnished 
    by a resident. The proposed rule deletes the requirement of a single 
    attending physician, and allows more than one teaching physician to 
    receive Medicare Part B payment with respect to a particular inpatient 
    stay.
        Although the physical presence requirement merely clarifies current 
    policy, we are nevertheless willing to delay the effective date of the 
    provisions of this final rule concerning teaching physicians until July 
    1, 1996 to give our 
    
    [[Page 63143]]
    contractors adequate time to educate all affected parties. This delay 
    will apply to all provisions of the regulation concerning teaching 
    physicians, including those that state the new policies relating to the 
    elimination of the single attending physician requirement and the 
    exception for residency programs in certain centers.
        Comment: One commenter stated that section 948 of the Omnibus 
    Reconciliation Act of 1980, as amended by section 2307 of the Deficit 
    Reduction Act of 1984, requires only that--
    
    The physician renders sufficient personal and identifiable 
    physicians' services to the patient and exercises full, personal 
    control over the management of the portion of the case for which 
    payment is sought.
    
    The commenter believed that these legislative provisions contain no 
    physician presence requirement and questioned our authority to change 
    25 years of policy without a Congressional mandate to do so.
        Response: We believe that the physical presence requirement is 
    entirely consistent with our statutory authority. Under section 1887 of 
    the Act, we are authorized to establish criteria to distinguish between 
    services furnished for an individual patient, which may be paid for by 
    carriers as physician services, and services that are furnished for the 
    general benefit to patients in a hospital, which are paid for by 
    intermediaries.
        In addition, we do not view the proposed policy as inconsistent 
    with the statutory provision cited by the commenter. In the first 
    place, we note that section 1842(b)(7) of the Act is largely premised 
    on the use of charges as a basis for payment, and the charge-based 
    system for physicians' services has been superseded by the enactment of 
    the physician fee schedule. Nevertheless, the requirements stated in 
    that section are not in conflict with the physical presence 
    requirement. Section 1842(b)(7) provides that Part B payment may not be 
    made for the services of teaching physicians unless, among other 
    things, ``The physician renders sufficient personal and identifiable 
    services to the patient and exercises full personal control over the 
    management of the portion of the case for which payment is sought.'' 
    (Emphasis added.)
        We believe we have ample authority under these provisions, as well 
    as section 1848 of the Act, to determine the circumstances under which 
    a teaching physician has performed a service for a patient, and thus 
    has furnished a ``physician's service'' that warrants Part B payment 
    under the physician fee schedule. Currently, despite the criteria in 
    Intermediary Letter 372, many teaching physicians are billing Medicare 
    and receiving Part B payment in situations when they have minimal, if 
    any, involvement in the care of an individual patient. For example, the 
    teaching physician may have medical and legal responsibility for the 
    care a resident furnishes to a patient but may never actually see the 
    patient after admission to the hospital. We believe it is inappropriate 
    to make Part B payment in these cases, particularly because the amount 
    of payment is resource-based.
        Of course, it is often difficult, and quite time-consuming, to 
    determine when a physician is ``sufficiently involved'' in a particular 
    patient care service so that Part B payment is warranted. As indicated 
    in the proposed rule (60 FR 38409), the amount of postpayment review 
    necessary to verify the involvement of teaching physicians in the care 
    of individual patients would be enormous, and the use of scarce carrier 
    resources in that effort would be impractical. Therefore, consistent 
    with our authority to establish standards for determining when a 
    service is furnished for a patient, as a general matter we believe the 
    most appropriate and feasible manner to determine when Part B payment 
    may be made is to require that the teaching physician must be present 
    for the service for which payment is sought. The physical presence 
    requirement identifies situations when the teaching physician is 
    sufficiently involved in the service, and at the same time it provides 
    a standard that can be readily documented and verified.
        Comment: One commenter argued that, under the proposed rule, 
    teaching physicians would not be reimbursed in any manner under 
    Medicare for certain teaching activities that were previously paid for 
    under Part B. According to the commenter, Part A payment reflects base 
    year costs that include only teaching physician costs related to the 
    administration of the teaching program, and ``Teaching physician time 
    was not allocable to Part A if attributable to patient care, whether 
    the service was personally performed by the physician, or furnished in 
    the context of the attending physician relationship.'' The commenter 
    argued that teaching activities related to services to individual 
    patients could not be included in base year costs and thus would never 
    be reimbursed under Part A. The commenter concluded that, under the 
    physical presence requirement, teaching activities related to the care 
    of individual patients would not be reimbursed under either Part A or 
    Part B.
        Response: We believe the policies reflected in this final rule 
    fairly reimburse hospitals and physicians for the activities of 
    teaching physicians. As we have indicated, currently many teaching 
    physicians are billing Medicare and receiving Part B payment even when 
    they have little or no involvement in a service furnished by an intern 
    or resident. We believe it is not appropriate for teaching physicians 
    to receive physician fee schedule payment in these situations as if the 
    teaching physician had personally performed the service, particularly 
    since fee schedule payments are intended to reflect the amount of 
    resources expended by the physician. In order to address this problem, 
    and to ensure that Part B payment is made only when the situation 
    warrants, this final rule clarifies the physical presence requirement 
    reflected in Intermediary Letter 372. We believe the requirement is 
    reasonable and necessary because it ensures that Part B payment is made 
    only when a teaching physician is sufficiently involved in the service 
    and does so in a manner that can be readily documented.
        We recognize that there may be some inherent tension between 
    policies for carrier payments under Part B and policies for 
    intermediary payments under Part A or Part B. If a service or activity 
    is payable under Medicare, and it is not payable under Part B, then 
    presumably the service or activity is encompassed in the Part A 
    payment. Therefore, any ``change'' in (or clarification of) Part B 
    policy may, at least arguably, implicate Part A policy. The commenter 
    argued that, despite this relationship between Part A and Part B, under 
    the proposed policies, some services might not be reimbursed at all 
    under Medicare.
        We believe that the commenter's arguments are misguided. We note 
    initially that, as a general matter, payment for the costs of direct 
    GME under Part A, like any system that uses base year costs, 
    necessarily reflects conditions in the base year, and any number of 
    conditions might change after the base year (these changes might 
    benefit or hurt the hospital). However, the use of base years for 
    purposes of making these Part A payments is required by statute. We do 
    not believe we should necessarily perpetuate inappropriate payments 
    under Part B simply because payments under Part A cannot be adjusted.
        Moreover, and more significantly, we believe that the policies 
    reflected in this final rule taken as a whole reasonably reconcile any 
    tension that there might be between Part A payment policies and 
    
    [[Page 63144]]
    Part B payment policies. The commenter seemed to suggest that, in 
    conducting the Part A base year audits, the agency excluded all costs 
    associated with teaching activities that were related to patient care. 
    This suggestion, however, is incorrect. Indeed, as the commenter 
    acknowledged, time spent supervising residents in patient care was 
    allocable to Part A under the audits if there was no attending 
    physician relationship. Furthermore, although the commenter also 
    asserted that 100 percent of a physician's time was allocable to Part B 
    ``in the absence of appropriate documentation,'' it follows that time 
    spent supervising residents could have been allocated to Part A if the 
    hospital or the physician provided appropriate documentation. Thus, 
    contrary to the commenter's suggestion, teaching activities related to 
    patient care were, or could have been, included in the Part A base year 
    costs. We believe we should not perpetuate inappropriate Part B 
    policies simply because hospitals and physicians failed to properly 
    claim or document Part A costs in the base year.
        The commenter also indicated that, under the proposed rule, certain 
    teaching activities would not be reimbursed under Part B even though 
    they were reimbursed under Part B previously (incorrectly or 
    otherwise). This might relate to activities such as discussions about 
    patient charts with a resident when the teaching physician was not 
    present during the visit itself. The commenter stated that, in the 
    proposed rule, we claimed incorrectly that lost Part B revenues could 
    be collected through Part A. Contrary to the commenter's suggestion, we 
    did not mean to suggest that services that were previously, but no 
    longer, paid for under Part B would be paid for through increased 
    payments under Part A. Rather, we meant to indicate that, at times in 
    the past, improper payments may have been made.
        We believe that our policies adequately reimburse hospitals and 
    teaching physicians for the activities of teaching physicians. First, 
    the services of the interns or residents themselves are payable under 
    separate mechanisms. Thus, to the extent that services are provided by 
    interns and residents who are largely unsupervised, Medicare pays for 
    the direct costs of those services through GME payments. Second, 
    consistent with the criteria in Intermediary Letter 372, the teaching 
    physician may receive Part B payment as long as the physician is 
    present for the service. Finally, we are providing further flexibility 
    for billing in this final rule, so that services may now be paid for 
    under Part B even though the same services could not previously be 
    properly billed to Part B; specifically, under this final rule, more 
    than one teaching physician may bill Part B with respect to a 
    particular hospital inpatient stay, whereas under Intermediary Letter 
    372, only a single attending physician could properly bill Part B.
        In short, hospitals and physicians will not, as alleged, be 
    systematically underreimbursed under the policies reflected in this 
    final rule. The Part A payment encompasses costs of supervising 
    residents that were (or could have been) properly allocated and 
    substantiated for the base year. Teaching physicians may continue to 
    receive Part B payment under the physical presence requirement 
    reflected in Intermediary Letter 372. And Part B payment may now be 
    made under circumstances in which payment could not properly be made 
    under Intermediary Letter 372.
        Comment: Many commenters believed that we developed the teaching 
    physician proposal because we had concluded that beneficiaries in 
    teaching hospitals receive substandard care when the teaching physician 
    is not present during the service or procedure.
        Response: The policy was not intended to specifically address 
    quality concerns. Rather, the policy addresses payment issues, in 
    particular, identifying when it is appropriate to make Medicare Part B 
    payment to teaching physicians who oversee the services of interns and 
    residents.
        It is important to distinguish between the services of interns and 
    residents and the services of teaching physicians. Medicare fiscal 
    intermediaries pay teaching hospitals for the services of interns and 
    residents. Those services are described in sections 1861(b) and 1832(a) 
    of the Act and are paid under the methodology established by section 
    1886(h) of the Act. Thus, the fiscal intermediaries are already paying 
    teaching hospitals for services furnished to beneficiaries by 
    residents. The graduate medical education costs payable through the 
    section 1886(h) methodology also encompass any costs associated with 
    the supervisory services of teaching physicians that were appropriately 
    allocated during the base period for that methodology (fiscal year 
    1984).
        Particularly in light of these other payments, we believe that, if 
    we are to pay a fee to another physician who is medically responsible 
    for the services the resident is furnishing to the beneficiary, it is 
    entirely appropriate to require as a condition of payment that the 
    supervising physician furnish a direct, personal physician service to 
    the beneficiary. This is the basis for the payment of physician 
    services under Medicare. If the resident has personally furnished the 
    service to the beneficiary and the intermediary is paying the teaching 
    hospital for Medicare's share of the services performed by the 
    resident, we believe it is appropriate not to pay a full fee to a 
    supervising physician who was not present when the service was 
    furnished. Furthermore, the Medicare beneficiary is responsible for a 
    20 percent coinsurance amount for that physician's services as well as 
    any deductible liability. We believe it is fully consistent with a 
    resource-based fee schedule that the physician in whose name the 
    service is billed furnishes a service to the beneficiary.
        Comment: Many commenters stated that residency programs cannot 
    afford to furnish services to Medicare beneficiaries without Medicare 
    payment.
        Response: Medicare fiscal intermediaries pay approximately $7 
    billion annually in direct and indirect medical expenses to teaching 
    hospitals for the costs associated with approved GME programs.
        Comment: Some commenters expressed concern about the term ``key 
    portion'' in determining when the teaching physician should be present. 
    They stated that it is often difficult to define the key portion of a 
    service or procedure. Many commenters expressed their concern with the 
    lack of a clear definition of what constitutes the key portion of every 
    service or procedure. Many other commenters contended that the key 
    portion of the teaching physician's services takes place during the 
    teaching physician's discussions of the case with the resident before 
    and after a visit or procedures. This argument was made by physicians 
    in both medical and surgical specialties.
        Response: We proposed the concept of the key portion of a service 
    or procedure to provide flexibility and to avoid requiring the presence 
    of the teaching physician for the duration of every service or 
    procedure billed in his or her name. Many of the commenters expressed 
    the view that the key portion--and the most meaningful portion--of the 
    teaching physician's service to the beneficiary actually takes place in 
    the absence of the beneficiary. We do not agree with this 
    interpretation of key portion because it blurs the distinction between 
    teaching oversight and actually furnishing an identifiable service to 
    the beneficiary.
        While we recognize the concern that it may be difficult to 
    determine the key portion for a particular service, this concept is 
    necessarily general because it 
    
    [[Page 63145]]
    is not feasible to define the key portion for each and every billable 
    service. In order to provide guidance, we stated some general 
    guidelines in the proposed rule. Thus, in the case of surgical, high-
    risk, or other complex procedures, the teaching physician must be 
    present during all critical portions of the procedure and immediately 
    available to furnish services during the entire service or procedure. 
    In the case of surgery, the teaching physician's presence is not 
    required during opening and closing of the surgical field. In the case 
    of procedures performed through an endoscope, the teaching physician 
    must be present during the entire viewing.
        In the case of evaluation and management services, the teaching 
    physician must be present during the portion of the service that 
    determines the level of service billed. The factors to be considered 
    are complexity of medical decision-making, extent of history obtained, 
    and extent of examination performed. We believe that the teaching 
    physician should have considerable discretion in determining the key 
    portion of the service, and we do not anticipate that carriers will 
    deny claims submitted based on this discretion, as long as the claims 
    are documented and in accord with our guidelines. If the teaching 
    physician believes that a key portion of an entire evaluation and 
    management service cannot be identified, the teaching physician should 
    be present for the entire service.
        We plan to address this matter further in carrier manual 
    instructions.
        Comment: Some commenters objected to the requirement of the 
    proposed rule that the teaching physician be present during the viewing 
    portion of a procedure such as an endoscopy. The commenters believed 
    that the presence of the physician should be determined by the teaching 
    physician based on the competence of the resident.
        Response: In those situations, we believe that the carrier should 
    pay for the interpretation of the viewed area by the teaching physician 
    rather than by the resident. As indicated earlier, the viewing by the 
    resident is not payable as a physician service; this service by the 
    resident is paid under direct GME.
        Comment: The majority of the commenters identified themselves as 
    representatives of family practice residency programs. The commenters 
    made the following points:
         Many appreciated the preamble language of the proposed 
    rule indicating our willingness to consider adopting special rules for 
    family practice programs.
         Many claimed that hospitals and health care delivery 
    systems would cease residency training for family practice programs if 
    the proposal went into effect without an exception.
         In a family practice program, the resident is the primary 
    care-giver, and the faculty physician sees the patient only in a 
    consultative role.
         It is beneficial for family practice residents to see 
    patients alone in order to learn medical decision-making and to 
    recognize their own limitations.
         A resident cannot be educated in the art and practice of 
    medicine without unsupervised patient contact; the proposed policy 
    would interfere with the development of a resident's bedside manner.
         One family practice resident objected to the low levels of 
    fee payments for his services under Medicare and Medicaid.
          The teaching physician presence requirement intrudes upon 
    the relationship between the resident and the patient and, in the view 
    of some, would cause Medicare beneficiaries to lose confidence in the 
    competence of their resident physician.
         The requirement would necessitate the hiring of more 
    teaching physicians and inhibit the ability to finance family practice 
    programs through patient care billings.
         In many cases, the presence of the teaching physician is 
    superfluous.
         The proposal does not adequately recognize the way 
    medicine is practiced in this country.
         The family practice teaching physician is responsible for 
    supervising four or more residents and medical students who are seeing 
    patients simultaneously. Since the teaching physician must remain with 
    the medical students during patient care visits, he or she does not 
    have time to be involved in services furnished by the residents.
         The family practice preceptors are responsible for signing 
    the medical records after the residents have dictated their entries 
    which, in the view of some, guarantees mandatory supervision for each 
    and every visit.
         Some residents are experienced physicians who have been in 
    private practice for years and are in the residency program only to 
    obtain board certification. The proposal does not adequately address 
    those residents.
         If the proposed policy is implemented, family practice 
    clinics will refuse to treat Medicare beneficiaries. Thus, the 
    beneficiaries will be forced to go to medical assistance clinics.
         The proposal would put the resident in the position of 
    being a clerk rather than a physician.
         Care furnished in family practice programs is more cost-
    effective than care furnished in established practices; therefore, 
    total Medicare costs are lower when services are provided by these 
    programs.
         The physician presence requirement would inhibit the 
    ability of family practice clinics to compete with managed care 
    programs in the community.
        In addition, the American Academy of Family Practice proposed a 
    specific limited exception to the physician presence requirement that 
    we have adopted in large part as set forth below.
        Response: As we have discussed, we believe the physical presence 
    requirement is necessary and appropriate as a general rule to ensure 
    that Part B payment is not made when a teaching physician does not 
    furnish a service for a patient; we also believe that hospitals and 
    teaching physicians generally can, as a practical matter, reasonably 
    meet the presence requirement and that Part B payment will be made as 
    appropriate for the services and activities of teaching physicians. At 
    the same time, we believe that, if the nature of a residency program is 
    fundamentally incompatible with a physical presence requirement, it may 
    be appropriate to make Part B payment if the teaching physicians 
    satisfy certain conditions that demonstrate that they are sufficiently 
    involved in the care of individual patients to warrant Medicare Part B 
    payment. As reflected in the proposed rule, we believe a requirement of 
    physical presence would be inherently incompatible with the nature of 
    family practice residency programs, and thus unfairly deny 
    reimbursement for the activities of teaching physicians in these 
    programs and endanger the financial viability of these programs. 
    Because of these considerations, we proposed a limited exception for 
    family practice residency programs.
        In light of the comments, we have concluded that an exception 
    should not be limited to family practice programs, but instead should 
    apply to any program that satisfies certain specified criteria. The 
    criteria are designed to capture those residency programs with 
    requirements that are incompatible with a physical presence 
    requirement. Thus, in this final rule, we have decided to establish an 
    exception to the physician presence requirement for certain evaluation 
    and management services furnished in certain centers within the context 
    of certain types of residency 
    
    [[Page 63146]]
    training programs. The exception is set forth in a new Sec. 415.174 of 
    this final rule.
        Under the exception, carriers may make physician fee schedule 
    payment for reasonable and necessary low to mid-level evaluation and 
    management services when furnished by a resident without the presence 
    of a teaching physician if all of the following conditions are met:
         Services must be furnished in a center located in the 
    outpatient department of a hospital or another ambulatory care entity 
    in which the time spent by residents in patient care activities is 
    included in determining intermediary payments to a hospital under 
    Sec. 413.86.
         Any resident furnishing the service without the presence 
    of a teaching physician must have completed more than 6 months of an 
    approved residency program. The center is responsible for furnishing 
    this information to the carrier. The family practice groups recommended 
    the 6-month requirement, and we believe it is an appropriate safeguard.
         The teaching physician may not supervise more than four 
    residents at any given time and must direct the care from such 
    proximity as to constitute immediate availability. The teaching 
    physician must--
        + Have no other responsibilities at the time of the service for 
    which payment is sought;
        + Assume management responsibility for those beneficiaries seen by 
    the residents;
        + Ensure that the services furnished are appropriate;
        + Review with each resident during or immediately after each visit, 
    the beneficiary's medical history, physical examination, diagnosis, and 
    record of tests and therapies; and
        + Document the extent of his or her own participation in the review 
    and direction of the services furnished to each beneficiary.
         The patients seen must be an identifiable group of 
    individuals who consider the center to be the continuing source of 
    their health care and in which services are furnished by residents 
    under the medical direction of teaching physicians. The residents must 
    generally follow the same group of patients throughout the course of 
    their residency program. We are not requiring that the teaching 
    physicians remain the same over any period of time.
         The range of services furnished by residents includes:
        + Acute care for undifferentiated problems or chronic care for 
    ongoing conditions.
        + Coordination of care furnished by other physicians and providers.
        + Comprehensive care not limited by organ system, diagnosis, or 
    gender.
        We believe that the types of GME programs most likely to qualify 
    for this exception include: family practice and some programs in 
    general internal medicine, geriatrics, and pediatrics.
         The center must be located in a setting in which the 
    resident's time is included in the full-time equivalency count used by 
    the intermediary to make direct GME payments to a hospital for services 
    of residents in that setting. In a freestanding setting in which 
    residents are not counted for the purpose of making these payments, the 
    services of licensed residents are already covered as physician 
    services.
        This exception to the teaching physician presence applies only to 
    specific low- and mid-level evaluation and management codes for office 
    or other outpatient visits for both new and established patients. The 
    established patient codes to which the exception applies are CPT codes 
    99211, 99212, and 99213 (and their successor codes). New patient codes 
    to which the exception applies are CPT codes 99201, 99202, and 99203 
    (and their successor codes). The teaching physician must be present for 
    higher level evaluation and management codes and all invasive 
    procedures.
        In paragraph (b) of new Sec. 415.174, we clarify that the exception 
    may not be construed as providing a basis for the coverage of otherwise 
    noncovered services under Medicare, such as routine physical checkups. 
    Further, this special treatment for certain training situations does 
    not apply to services involving medical school students. A service 
    furnished by a medical school student is a noncovered service under 
    Medicare even if the teaching physician is in the room. We will publish 
    further instructions on the new policy in the Medicare Carriers Manual.
        Comment: Some commenters who represent physician specialty 
    organizations stated that they were opposed to any exception to the 
    physician presence requirement if it was limited to a particular 
    specialty. They believed that the same rules on physician presence 
    should apply to all specialties. Some commenters indicated that special 
    treatment for family practice programs ``devalued'' the importance of 
    residency training in other programs. Many commenters argued that any 
    special treatment given to family practice programs should apply to 
    their programs as well. These include psychiatry, physical medicine, 
    internal medicine, and obstetrics-gynecology. For example, several 
    commenters believed that psychiatric residency programs should be given 
    the same special treatment in the final rule as might be afforded to 
    family practice programs. Some indicated that the costs of purchasing 
    video equipment or one-way mirrors would be too great.
        Response: The exception we are establishing at new Sec. 415.174 is 
    not limited to family practice programs; it applies to the indicated 
    evaluation and management codes when furnished under the specified 
    conditions. We are continuing to provide an additional, special 
    exception for psychiatric programs in Sec. 415.184 as originally 
    proposed.
        Comment: Some commenters indicated that their family practice 
    clinics are not under the sponsorship of a hospital, and that their 
    programs do not receive Medicare funds from a hospital for the time the 
    resident is in the clinic.
        Response: If the family practice clinic is freestanding (that is, 
    not part of a hospital) and the residents are not included in any 
    hospital's full-time equivalent count of residents, the services of 
    licensed residents are payable under the physician fee schedule on the 
    same basis as any other physician's services. This longstanding policy 
    applies regardless of whether or not the resident's services are 
    furnished within the scope of an approved GME training program.
        Comment: Several commenters expressed concern that the same 
    residents for whom we are requiring the presence of a teaching 
    physician are not supervised by a teaching physician when they 
    ``moonlight'' outside of their training programs.
        Response: We recognize moonlighting situations and addressed the 
    subject in the proposed rule. When licensed residents moonlight outside 
    of their training program, Medicare pays for their services as 
    physician services. Medicare does not pay a teaching hospital for these 
    services through the direct GME payment mechanism or through the 
    indirect medical education payment mechanism. In other words, in 
    moonlighting situations, the Medicare program pays for the service only 
    once.
        Comment: One organization supported the proposed rule on 
    ``moonlighting residents'' but sought clarification as to the impact of 
    the proposal on inpatient services. Another commenter sought 
    clarification of the policy when a licensed resident moonlights in 
    another teaching hospital.
        Response: The proposal reflects longstanding policy outlined in 
    section 2020.8 of the Medicare Carriers Manual. 
    
    [[Page 63147]]
    The policy does not encompass Medicare payment for moonlighting 
    services furnished to inpatients in the hospital in which the resident 
    has his or her program since we believe these services are virtually 
    indistinguishable from the services the resident furnishes within the 
    scope of the training program. However, when a licensed resident 
    moonlights in another teaching hospital, the carrier must be furnished 
    sufficient information to be sure that the moonlighting resident is not 
    being included in the residency count (used to determine direct and 
    indirect medical education payments) of either hospital for the period 
    of time in question. Moreover, in this final rule, we are revising 
    proposed Sec. 415.202 (``Services of residents not in approved GME 
    programs'') (formerly Sec. 405.523) to clarify that, when an intern or 
    resident is in an approved GME program at one hospital and is 
    concurrently furnishing moonlighting services in another hospital that 
    lacks an approved GME program, the services in the second hospital may 
    be reimbursed only pursuant to 42 CFR part 414 or section 2109 of the 
    Provider Reimbursement Manual.
        Comment: Some commenters suggested that we should discard the 
    current proposal and implement the ``philosophy'' of teaching physician 
    immediate availability rather than presence as proposed in the February 
    7, 1989 proposed rule.
        Response: The exception that we have added to the policy we are 
    adopting is consistent with the philosophy to which the commenters 
    referred.
        Comment: Some commenters stated that documentation of a teaching 
    physician's presence during a procedure would add costs to an already 
    burdensome, bureaucratic process.
        Response: The policy we are adopting cannot be enforced without 
    some documentation of the presence of the teaching physician during 
    procedures and the personal involvement of the teaching physician in 
    evaluation and management services.
        Comment: A few physician specialty organizations supported the 
    proposal. In addition, a few physicians stated that the physician 
    presence requirements reflected their standard practice. Some 
    commenters representing surgeons stated that, while they generally 
    supported the physician presence proposal, they objected to the 
    requirement that the surgeons have to indicate in their operative notes 
    when their presence began and ended since the anesthesiologist and 
    nurses already record this information. Many other commenters objected 
    to any restriction in the involvement of teaching surgeons in 
    concurrent cases. Some commenters believed that third or fourth year 
    residents were capable of performing surgical procedures with the 
    teaching physician in the operating suite rather than in the operating 
    room.
        Response: As we stated in the proposed rule, the notation in the 
    nurse's notes is sufficient documentation of the teaching physician's 
    presence during surgical procedures. There is no requirement that the 
    teaching physician personally record the information if it duplicates 
    information available elsewhere. If the teaching physician believes the 
    third or fourth year resident is capable of performing surgical 
    procedures without supervision, the teaching physician should not bill 
    Part B for the surgical services furnished by the resident.
        Comment: One commenter recommended that the teaching physician be 
    able to indicate the following general statement on all records:
        I have interviewed and examined the patient, and I agree with the 
    history and physical findings as recorded by Dr. (Resident) in his/her 
    note of (date).
        The commenter believed that this would clarify that the physician 
    participated in the care of the patient, but not require that he or she 
    spend valuable time repeating all of the documentation already present 
    in the record.
        Response: This statement, by itself, would not be sufficient for 
    Part B payment if the physician was not present during the service. If 
    the physician was present, it is not necessary for the teaching 
    physician to repeat all of the documentation entered into the medical 
    records by the resident. The teaching physician may countersign the 
    resident's entries and enter additional notes as necessary to indicate 
    his or her involvement in the service. We will address these matters in 
    more detail in manual instructions.
        Comment: One commenter believed that we should pay teaching 
    physicians under case management CPT codes 99361 through 99373 and care 
    plan oversight codes (CPT codes 99375 and 99376). These services 
    include care team conferences and telephone calls for consultation or 
    medical management with other health care professionals. In addition, 
    the commenter suggested that we undertake a demonstration project to 
    test the feasibility and cost-effectiveness of these payments with the 
    goal of implementing a budget-neutral policy for the payments. The same 
    commenter also suggested a policy under which the teaching physician 
    could bill Medicare for each visit if the physician were present to 
    observe every third visit furnished by the resident to the patient.
        Response: Medicare does not allow separate payment for the case 
    management codes. We consider case management services to be included 
    in the prework and postwork of the evaluation and management codes. The 
    suggestion seems to be a way of removing the teaching physician further 
    from the actual performance of the service, and we do not support this 
    outcome.
        Comment: Under current policy in Sec. 414.46(c)(1)(iii), if a 
    teaching anesthesiologist is involved in concurrent cases, the medical 
    direction payment rules apply, and a reduced allowance is recognized 
    for the physician service in each concurrent case. Commenters argued 
    that this standard is inconsistent with the standard for teaching 
    surgical services. They indicated their understanding that the teaching 
    surgeon can be involved in concurrent procedures and receive a full 
    allowance for each surgical procedure.
        Response: We intend to apply the physician presence standard for 
    both surgical and anesthesia teaching services and have revised 
    Sec. 415.178 (``Anesthesia services'') accordingly. Under the policy we 
    are adopting, while we require the teaching surgeon's presence during 
    the critical portion of the service, we do not require the surgeon's 
    presence during the opening and closing of the patient. However, during 
    this period, the teaching surgeon may not be involved in surgical 
    services for other patients since this would preclude his or her return 
    to the original case. We believe that this policy is analogous to the 
    teaching anesthesiologist policy under which, in order to receive an 
    unreduced fee, the anesthesiologist must be present during all critical 
    portions of the procedure and immediately available to furnish services 
    during the entire procedure.
        Comment: A carrier medical director commented that there should be 
    a national standard on documentation of what the teaching physician 
    actually does. The carrier medical director believed that physicians in 
    nonteaching settings have to provide considerably more documentation 
    than a counter-signature, and that the teaching physician should make a 
    brief notation documenting his or her involvement in support of the 
    level of evaluation and management code billed.
        Response: We plan to address this matter in billing instructions to 
    implement the new policy.
        Final decision: We are going forward with the policy we proposed 
    but have 
    
    [[Page 63148]]
    included an exception to the teaching physician presence requirement 
    for certain evaluation and management services furnished in certain 
    centers within the context of certain types of residency training 
    programs. The new exception is found in Sec. 415.174 (``Exception: 
    Evaluation and management services furnished in certain centers''). The 
    effective date of the regulations concerning teaching physicians will 
    be July 1, 1996.
    
    F. Unspecified Physical and Occupational Therapy Services (HCFA Common 
    Procedure Coding System Codes M0005 Through M0008 and H5300)
    
        We proposed to eliminate HCFA Common Procedure Coding System 
    (HCPCS) codes M0005 through M0008 and H5300 and to redistribute the 
    RVUs to the codes in the physical medicine section of the CPT (CPT 
    codes 97010 through 97799). This policy change requires a single way of 
    reporting and paying for a service for which there are now two ways to 
    report. We proposed no change regarding what services may be covered, 
    only as to how covered services would be billed and paid.
        Comment: All the comments we received expressed agreement with our 
    proposal to eliminate the HCPCS codes M0005 through M0008 and H5300. 
    The commenters stated that these services can be accurately reported 
    using the new and revised physical medicine and rehabilitation codes in 
    the CPT. They considered the decision to delete these codes to be 
    appropriate and long overdue. The commenters cited the opportunity for 
    unnecessary duplications of service codes and the misuse or overuse of 
    the ``M'' codes in billing by physical therapists to support 
    eliminating the HCPCS codes.
        However, some commenters were concerned that carriers might be 
    reluctant to follow billing rules under the CPT for occupational and 
    physical therapists in the same manner as is accepted for physicians. 
    One commenter had encountered problems in the past with carrier 
    refusals to accept the range of codes allowed under the scope of 
    practice, to allow payment for both physical therapy and occupational 
    therapy services required by the same patient, or to reimburse for more 
    than one code per visit. Another commenter questioned whether 
    occupational therapists in independent practice could report the full 
    range of codes or if some codes were appropriate only to physical 
    therapists in independent practice. The commenter also observed that 
    some procedures can be considered either a physical therapy service or 
    an occupational therapy service based solely on the specialty of the 
    provider performing the service. Because of the coding flexibility, a 
    beneficiary who has met his or her outpatient limit for physical 
    therapy can continue to receive some of the same services under the 
    occupational therapy outpatient limit if the service is furnished by an 
    occupational therapist and vice versa.
        Response: Physical therapy and occupational therapy services 
    required by the same patient are permitted, as is payment for more than 
    one code per visit, subject to statutory requirements and limitations. 
    That is, the provider of a service must be qualified within the State's 
    scope of practice to furnish the service. According to Sec. 410.60 
    (``Outpatient physical therapy services: Conditions.''), the services 
    must be furnished under a written plan of treatment established by the 
    physician or therapist caring for the patient. The services also must 
    be medically necessary and reasonable for the diagnosis or treatment of 
    an illness or injury, as mandated by section 1862(a) of the Act. 
    Occupational and physical therapy services furnished to the same 
    patient on the same day would necessitate two separate treatment plans, 
    two separate physician orders, and both must be medically necessary.
        The current Medicare coding limitations apply when both physical 
    therapists and occupational therapists furnish services to the same 
    patient. Specifically, we do not allow separate payment for CPT code 
    97250 (Myofascial release/soft tissue mobilization, one or more 
    regions) for the same patient, on the same date of service as CPT codes 
    97265 (Joint mobilization), 97260 (Manipulation (cervical, thoracic, 
    lumbosacral, sacroiliac, hand, wrist) (separate procedure)), or 97261 
    (each additional area) because these services overlap. Because of the 
    duplication of services represented by the codes for manual 
    manipulation (CPT codes 97260 and 97261), soft tissue mobilization (CPT 
    code 97250), joint mobilization (CPT code 97265), or osteopathic 
    manipulation (CPT codes 98925 through 98929), we do not permit separate 
    payment if any of these codes are reported for the same patient, on the 
    same date of service. Aside from these limitations, there is nothing 
    that precludes the payment for both physical therapy and occupational 
    therapy services for the same patient on the same date of service.
        The full range of CPT codes 97010 through 97799 may be reported by 
    occupational therapists in independent practice as well as by physical 
    therapists in independent practice if the service is within the scope 
    of practice. We have no national payment policy that prevents 
    occupational therapists in independent practice from billing and being 
    paid for any CPT code that describes a service they furnish that may be 
    covered. We do not allow payment for evaluation and management services 
    billed by physical therapists in independent practice and occupational 
    therapists in independent practice because the work RVUs for these 
    services include work that they are not trained to perform (for 
    example, evaluation for and prescription of drug therapy and evaluation 
    for and prescription of surgical or other therapy). Otherwise, 
    occupational therapists in independent practice may bill using any CPT 
    code the carrier determines describes the covered services, not just 
    the codes in the physical medicine section of the CPT.
        It follows, therefore, that the same procedure code may be used to 
    bill for an occupational therapy service or a physical therapy service. 
    The covered outpatient limit applies to both specialties individually.
        Comment: We were requested to clarify whether carriers allow 
    payment for therapists' bills submitted under the physician fee 
    schedule in the same manner as physicians' bills for similar services.
        Response: Section 1848(j)(3) of the Act defines physicians' 
    services to include outpatient physical therapy and occupational 
    therapy for physician fee schedule payment and, therefore, bills of 
    physical therapists and occupational therapists in independent practice 
    are treated in the same manner as bills of a physician for covered 
    services.
        Comment: We received one comment asking if RVUs will be established 
    for CPT codes 97545 and 97546, which are currently carrier priced.
        Response: We reviewed the RUC recommendations and decided to defer 
    assigning RVUs for these codes until there is a better definition of 
    the services. It is unclear whether the time specified in the codes 
    (CPT 97545, work hardening/conditioning, initial 2 hours and CPT code 
    97546, each additional hour) describes the time of the patient or the 
    practitioner. It is our belief that it is possible for physical 
    therapists in independent practice to do work hardening for four 
    patients simultaneously, rotating from patient to patient located 
    within the same room. Moreover, we believe that there is more work 
    (that is, higher intensity and one-on-one attention) in the first 2 or 
    more hours of service, not the initial 2 hours 
    
    [[Page 63149]]
    of care in a given day, as these codes are defined. We believe that the 
    intensity and amount of work drops off quickly in the process and that 
    it would be impossible to value the services correctly under its 
    current definition.
        Comment: As noted in the proposed rule, the Health Care 
    Professional Advisory Committee will be considering the creation of 
    evaluation and management codes for physical therapists in independent 
    practice and occupational therapists in independent practice. One 
    commenter expressed hope that these codes would be developed by 1997.
        Response: We anticipate these codes will be developed for use in 
    1997.
        Final Decision: We will eliminate HCPCS codes M0005 through M0008 
    and H5300 and redistribute the RVUs across CPT codes 97010 through 
    97799. This policy change is not explicitly addressed in our 
    regulations.
    
    G. Transportation in Connection with Furnishing Diagnostic Tests
    
        The general physician fee schedule policy regarding additional 
    payments for travel expenses is that travel is included in the practice 
    expense RVUs for a service. However, we have not specifically applied 
    that policy to the transportation of equipment used to perform 
    diagnostic tests. In the absence of specific instructions from us, 
    separate payment for the transportation of diagnostic equipment has 
    been at the Medicare carriers' discretion. We proposed to standardize 
    payment for transportation of diagnostic equipment by applying the 
    general physician fee schedule policy regarding payment for travel 
    expenses to transportation services except in some cases of 
    transporting portable x-ray and EKG equipment.
        The exceptions are based on longstanding specific instructions. In 
    the case of x-ray services furnished by approved suppliers, section 
    1861(s)(3) of the Act establishes the coverage of diagnostic x-rays 
    furnished in a place of residence used as the patient's home. Although 
    the Congress did not explicitly so state, we determined that, because 
    there were increased costs associated with transporting the x-ray 
    equipment to the beneficiary, the Congress intended for us to pay an 
    additional amount for the transportation service. Thus, we established 
    codes for use in billing for a transportation component of these 
    services. Nothing in our proposal affects the payment of a 
    transportation component in connection with the x-ray procedures 
    furnished by approved portable x-ray suppliers listed in section 
    2070.4.C of the Medicare Carriers Manual.
        We later added the taking of an EKG tracing to the list of services 
    approved suppliers of portable x-ray services may furnish (section 
    2070.4.F of the Medicare Carriers Manual) and established HCPCS code 
    R0076 to pay for the transportation of EKG equipment. Under our 
    proposal, we would continue to pay for the transportation of EKG 
    equipment by approved suppliers of portable x-ray equipment although we 
    did clarify that the policy applied only to standard EKG procedures 
    described by CPT code 93005 (or CPT code 93000 if the interpretation is 
    billed with the tracing).
        Many Medicare carriers have limited the use of HCPCS code R0076 to 
    approved portable x-ray suppliers, but some Medicare carriers permit 
    other types of entities, such as independent physiological laboratories 
    to use the code. Section 2070.1.G of the Medicare Carriers Manual 
    provides for the coverage of an EKG tracing by an independent 
    laboratory in the following situations:
         In a home if the beneficiary is a homebound patient.
         In an institution used as a place of residence if the 
    patient is confined to the facility and the facility does not have on-
    duty personnel qualified to perform the service.
        Under our proposal, we would remove the requirement that the 
    beneficiary be confined to his or her home or to an institution for the 
    EKG tracing to be a covered service since this requirement does not 
    apply to EKG tracings taken by portable x-ray suppliers.
        For all other types of diagnostic tests payable under the physician 
    fee schedule, Medicare carriers would pay for the transportation of 
    equipment only on a ``by report'' basis under CPT code 99082 if a 
    physician submits documentation to justify the ``very unusual'' travel 
    set forth in section 15026 of the Medicare Carriers Manual.
        Comment: One commenter, representing a mobile independent 
    physiological laboratory, indicated that the laboratory currently 
    furnished several types of diagnostic procedures to patients in various 
    settings without any separate payment for transportation. The commenter 
    appreciated the fact that, under the proposal, the laboratory would now 
    receive a transportation payment for CPT code 93005 (a 12-lead EKG) and 
    suggested that the exceptions to the transportation payment proposal be 
    extended to include CPT code 93225 (holter monitoring) and HCPCS code 
    G0005 (patient activated event recording procedures). The commenter 
    suggested that HCPCS code R0076 be revised to specifically include the 
    transportation of holter monitoring and patient activated event 
    recorder equipment to patients upon physician order.
        Response: We were not seeking to expand the list of services 
    independent physiological laboratories may furnish for which carriers 
    will make separate transportation payments. Since the law does not 
    provide for coverage of any diagnostic tests payable under the 
    physician fee schedule furnished to beneficiaries in their place of 
    residence other than x-ray services furnished under conditions we have 
    approved, we will not provide for transportation payments in connection 
    with other diagnostic tests furnished by independent physiological 
    laboratories.
        Under our proposal, Medicare carriers would make transportation 
    payments under HCPCS code R0076 in connection with standard EKG 
    procedures (CPT code 93005) furnished by an independent physiological 
    laboratory when the coverage conditions of section 2070.5 of the 
    Medicare Carriers Manual are met. We made this exception to the general 
    policy on transportation of diagnostic equipment because of the 
    longstanding nature of the Medicare Carriers Manual policy on 
    furnishing EKGs to patients in their residences or in nursing homes by 
    ``independent'' laboratories. We have some concerns about making this 
    exception because it is our understanding that some Medicare carriers 
    are not currently making such payments. However, we anticipate that 
    this additional cost will be offset, to some degree, nationally by the 
    discontinuation of transportation payments to independent physiological 
    laboratories for other types of diagnostic tests that Medicare carriers 
    may currently allow. In addition, we are modifying our proposal in that 
    we are maintaining section 2070.1.G of the Medicare Carriers Manual 
    regarding the homebound status of the beneficiary receiving the 
    service.
        Comment: A carrier medical director questioned why the proposal did 
    not address whether the diagnostic procedure itself was payable when 
    furnished by an independent physiological laboratory in settings such 
    as a nursing home and whether we were suggesting that such procedures 
    should not be done in nursing homes. The commenter noted that it would 
    be useful for us to establish a list of ``physiological'' tests that 
    can be furnished by an independent physiological laboratory.
        Response: Our proposal does not address the coverage for procedures 
    
    
    [[Page 63150]]
    furnished by independent physiological laboratories. In the absence of 
    a national policy on the payment for the services, the coverage for 
    independent physiological laboratory services remains within the 
    authority of the carrier and must be consistent with any applicable 
    State or local laws.
        Comment: A national organization of suppliers of portable x-ray 
    services commented that portable x-ray suppliers should be the only 
    entities paid under the physician fee schedule who may bill for 
    transportation of diagnostic equipment under HCPCS codes R0070, R0075, 
    and R0076.
        Response: Under the policy we are adopting, approved suppliers of 
    portable x-ray services are the only entities who may bill HCPCS codes 
    R0070 and R0075 under the physician fee schedule. Portable x-ray 
    suppliers and independent physiological laboratories may bill HCPCS 
    code R0076 for the transportation of EKG equipment used to furnish 
    standard EKGs (CPT codes 93000 and 93005).
        Comment: A national organization whose membership includes primary 
    care physicians opposed the proposal because it would adversely affect 
    the availability of portable diagnostic equipment for small hospitals 
    and for patients in home care and skilled nursing facilities. The 
    commenter noted that it was not in the best interest of patient care to 
    force patients to travel to medical facilities outside their 
    communities to receive the testing and that Medicare carriers should 
    ensure that transportation payments do not exceed transportation costs.
        Response: We believe there is no problem with respect to the 
    transportation of diagnostic equipment to small hospitals. The hospital 
    must purchase the service ``under arrangements'' if the service is 
    provided to its patients. When a hospital purchases services ``under 
    arrangement,'' it assumes responsibility for the service furnished, and 
    Medicare intermediary payment is made for this service through one of 
    several payment mechanisms applicable to payment for hospital services.
        Comment: Several commenters indicated that home and facility bound 
    patients would benefit from expanded coverage of portable ultrasound 
    services. One commenter indicated that these services offer the patient 
    a top quality examination while eliminating the trauma and expense of 
    an ambulance ride and emergency room stay. The commenter requested a 
    mobile ultrasound transport code and a mobile ultrasound set-up code.
        Response: Our proposal does not affect the furnishing of these 
    procedures in homes or facilities; it merely affects any additional 
    payment for the transportation of the diagnostic equipment. We can find 
    no basis in the statute to support separate payments for the 
    transportation of the equipment used to furnish these services.
        Comment: A national physicians' organization recommended we 
    establish a list of diagnostic services for which transportation 
    payment will be made. It suggested the list include transportation of 
    diagnostic equipment used to perform the following:
         Frozen section diagnosis in hospitals and other facilities 
    in which surgery is provided.
         Therapeutic apheresis furnished to patients in sites where 
    the equipment is not available.
        Response: The frozen section diagnostic equipment should be 
    purchased ``under arrangement'' by the hospital and is payable through 
    Medicare intermediary payment mechanisms. Therapeutic apheresis 
    services are outside the scope of this proposal, which only relates to 
    diagnostic tests.
        Comment: We received several comments requesting the following:
         The definition of an independent physiological laboratory 
    be extended to include diagnostic and screening mammograms furnished by 
    certified facilities.
         Transportation payments be made to mobile facilities 
    providing mammography services.
         Diagnostic and screening mammography services be added to 
    the list of covered portable x-ray services.
        Response: As indicated in an earlier response, the coverage of 
    services furnished by independent physiological laboratories is beyond 
    the scope of this proposal. Furthermore, the Congress has placed the 
    authority for setting standards for entities furnishing both diagnostic 
    and screening mammograms with the Food and Drug Administration. If an 
    independent physiological laboratory were to receive certification from 
    the Food and Drug Administration, it may furnish these services to 
    Medicare beneficiaries.
        Under the policy we are adopting, the only service furnished by an 
    independent physiological laboratory for which a separate 
    transportation payment may be made is a standard EKG.
        Under our proposal, we were not planning to make any changes in the 
    services an approved supplier of portable x-ray services may furnish; 
    however, the commenter has made a good point about mammography 
    services. Under the changes made to section 1861(s)(3) of the Act by 
    section 145(b) of the Social Security Act Amendments of 1994, Public 
    Law 103-432, enacted on October 31, 1994, we believe that the Congress 
    has added diagnostic mammography as part of the portable x-ray benefit. 
    We will issue instructions to Medicare carriers regarding payments 
    (including transportation payments) for mammograms furnished by 
    approved portable x-ray suppliers.
        Final Decision: We are adopting the proposal to preclude separate 
    payment for the transportation of diagnostic equipment except under the 
    following circumstances:
         Transportation services billed under HCPCS codes R0070, 
    R0075, or R0076 in connection with services furnished by approved 
    suppliers of portable x-ray services as set forth in section 2070.4 of 
    the Medicare Carriers Manual.
         Transportation services billed by an independent 
    physiological laboratory under HCPCS code R0076 in connection with the 
    provision of the CPT codes 93000 or 93005 (a 12-lead EKG with 
    interpretation and report or a 12-lead EKG, tracing only, without 
    interpretation and report, respectively) furnished under the conditions 
    set forth in section 2070.1.G. of the Medicare Carriers Manual.
         Transportation services billed on a ``by report'' basis 
    under CPT code 99082 (unusual travel) if a physician submits 
    documentation to justify ``very unusual'' travel as set forth in 
    section 15026 of the Medicare Carriers Manual.
        Payment for expenses associated with the transportation of 
    diagnostic equipment under conditions that do not meet any of the above 
    criteria is included in the practice expense RVUs assigned to the 
    service or procedure and is not separately payable. In addition, we 
    plan to develop a proposal related to the transportation of EKG 
    equipment furnished by any supplier as part of next year's physician 
    fee schedule regulation.
    
    H. Maxillofacial Prosthetic Services
    
        We proposed to eliminate the carrier-priced status and establish 
    RVUs for maxillofacial prosthetic services effective for services 
    performed on or after January 1, 1996. We proposed RVUs for CPT codes 
    21079 through 21087 and HCPCS codes G0020 and G0021.
        The work RVUs that we proposed were developed by the American 
    Academy of Maxillofacial Prosthetics. We believe they appropriately 
    represent the work involved in these procedures. 
    
    [[Page 63151]]
    Because the CPT codes were introduced in 1991 and the HCPCS codes in 
    1995, we have little or no charge data on which to base practice 
    expense and malpractice expense RVUs in accordance with section 
    1848(c)(2)(C) of the Act. Therefore, we imputed the practice expense 
    and malpractice expense RVUs from the work RVUs based on the practice 
    cost shares provided by the American Association of Oral and 
    Maxillofacial Surgeons. Those shares are 54.7 percent for practice 
    expense and 4.4 percent for malpractice expense.
        Comment: We received numerous comments in response to the RVUs 
    assigned to maxillofacial prosthetic services. Although there was some 
    support for eliminating the carrier-priced status of these services and 
    at least one commenter expressed appreciation of the work RVUs, the 
    commenters were unanimous in objecting to our use of the American 
    Association of Oral and Maxillofacial Surgeons' practice cost shares. 
    These commenters stated that the practice and malpractice expenses for 
    the sub-specialty of maxillofacial prosthetics differ substantially 
    from those of maxillofacial surgery, primarily due to increased 
    laboratory, supply, and maxillofacial material costs. The commenters 
    believed that the RVUs imputed for practice expense are too low and 
    should be between 65 and 70 percent to accurately reflect the practice 
    expenses incurred by the prosthodontist. According to the commenters, 
    the RVUs we proposed for malpractice expense are too high and should be 
    in the range of 1 percent to 3.5 percent of the total RVUs.
        Because maxillofacial prosthodontic practice expenses include 
    laboratory charges (including precious metals and impression materials) 
    that are rarely seen in oral and maxillofacial surgery and include 
    significantly higher practice expenses, the commenters requested that 
    we revise the RVUs for maxillofacial prosthetic procedures to account 
    for the higher practice cost shares.
        Response: In the absence of charge data, we use the best available 
    data to impute practice expense and malpractice expense RVUs. 
    Maxillofacial surgery represented the specialty for which we had 
    available data that used comparable survey methods. We note, also, that 
    we are currently working on a resource-based practice expense study 
    and, as part of this effort, hope to have more definitive data in the 
    future. At that time, we will reevaluate all maxillofacial practice 
    expense RVUs.
        Final Decision: We are recommending no additional modifications to 
    the RVUs for maxillofacial codes at this time. The proposed RVUs for 
    CPT codes 21079 through 21087 are accepted as final. HCPCS code G0020 
    has been replaced by new CPT code 21076, and G0021 has been replaced by 
    new CPT code 21077. Because these new CPT codes describe the same 
    services as the HCPCS codes, the assigned RVUs will not change. 
    Therefore, the proposed relative values for G0020 and G0021 are 
    accepted as final but are assigned to CPT codes 21076 and 21077, 
    respectively. G0020 and G0021 are deleted effective January 1, 1996. 
    All RVUs for oral maxillofacial prosthetic services are published in 
    Addendum B.
    
    I. Coverage of Mammography Services
    
        Based on recommendations from the Food and Drug Administration, the 
    National Cancer Institute, and a carrier medical directors' workgroup, 
    we proposed to revise the definitions of ``diagnostic'' and 
    ``screening'' mammography in Sec. 410.34 to make them consistent with 
    previous Medicare coverage policy regarding ``diagnostic'' mammography 
    and with the way these terms are used in general clinical practice in 
    the United States. Specifically, we proposed to expand the definition 
    of ``diagnostic'' mammography in Sec. 410.34(a)(1) to include as 
    candidates for this service asymptomatic men or women who have a 
    personal history of biopsy-proven breast disease. However, we proposed 
    to retain the substance of the present definition of ``screening'' 
    mammography in Sec. 410.34(a)(2) so that patients with a personal 
    history of breast disease can be considered candidates for the 
    ``screening'' examination, if the woman's attending physician 
    determines that this is appropriate.
        Comment: One commenter indicated that, because of the overlap in 
    the definitions for ``screening'' and ``diagnostic'' mammograms, the 
    proposal would lead to allowing almost every mammogram furnished to a 
    Medicare beneficiary to be covered as a diagnostic mammogram, thereby 
    increasing Medicare costs for mammograms.
        Response: We do not believe the revised definitions will 
    significantly increase the total number of diagnostic mammography 
    services furnished. Information from the Medicare carriers indicates 
    that most asymptomatic patients with a personal history of biopsy-
    proven breast disease are already receiving diagnostic mammograms 
    rather than screening mammograms. This final rule is consistent with 
    general clinical practice in the United States and falls within the 
    parameters of Medicare statutory coverage for diagnostic and screening 
    mammograms.
        Comment: Two commenters recommended that we clarify the term ``a 
    personal history of biopsy-proven breast disease.'' One commenter 
    assumed that both benign (for example, fibroadenomas) and malignant 
    neoplasms would fall in that category. The other commenter suggested 
    that we make a distinction between ``a personal history of breast 
    cancer'' and ``a personal history of biopsy-proven breast disease.''
        Response: We agree that this point needs to be clarified. The 
    intent of the proposal was to include both benign and malignant 
    neoplasms within the meaning of the term ``a personal history of 
    biopsy-proven breast disease.'' Breast diseases, including both benign 
    and malignant neoplasms, that require a biopsy and subsequently 
    demonstrate a pathologic process, establish a history of biopsy-proven 
    breast disease. In the final rule, we are clarifying this by revising 
    the term ``a personal history of biopsy-proven breast disease'' to read 
    ``a personal history of breast cancer or a personal history of biopsy-
    proven benign breast disease.''
        Comment: One commenter expressed the opinion that the term 
    ``fibrocystic disease'' referred to in the preamble of the proposed 
    rule should be more appropriately referenced as ``fibrocystic 
    changes.''
        Response: The terms ``fibrocystic disease'' and ``fibrocystic 
    changes'' are often used synonymously. We agree that, in our discussion 
    of this subject in the preamble to the proposed rule, the preferred 
    term is ``fibrocystic changes.''
        Comment: One commenter suggested that the proposal should be 
    revised to include, as candidates for diagnostic mammography, women who 
    have a family history of breast disease (within one generation).
        Response: While there is a growing consensus among clinicians and 
    mammography experts that family history is an important etiologic 
    factor that places women at high risk of developing breast cancer, and 
    thus eligible for screening mammography at frequent intervals, the data 
    are not sufficiently definitive at present to consider these women to 
    be candidates for diagnostic mammography.
        Comment: One commenter suggested that we discuss whether women who 
    have tested positive for any of the recently identified breast cancer 
    genes, such as BRCA1, should be considered to have a personal history 
    of breast cancer 
    
    [[Page 63152]]
    within the meaning of this term in the regulations.
        Response: As we stated in the final rule concerning Medicare 
    coverage of screening mammography that was published in the Federal 
    Register on September 30, 1994 (59 FR 49826), the term ``a personal 
    history of breast cancer'' in Sec. 410.34(b)(4) of the regulations was 
    intended to mean that there is documented evidence in the woman's 
    medical record that she has tested positive for breast cancer. While 
    the development of screening tests in this area is promising, we do not 
    believe that the inclusion of these tests as specific criteria for 
    coverage of screening mammograms is warranted at this time. However, as 
    new information becomes available, we will reconsider this issue.
        Final Decision: We are adopting our proposal to revise the 
    definitions of the terms diagnostic and screening mammography in 
    Sec. 410.34. As requested by several commenters, we are clarifying the 
    final regulations text by revising the term ``a personal history of 
    biopsy-proven breast disease'' to read ``a personal history of breast 
    cancer or a personal history of biopsy-proven benign breast disease.''
    
    III. Anesthesia Issues
    
    A. Modifier Units for Anesthesia Services
    
        In the January 26, 1989 proposed rule (54 FR 3794) and the August 
    7, 1990 final rule implementing the uniform relative value guide for 
    physician anesthesia services, we stated our national policy that 
    Medicare carriers cannot recognize payments for anesthesia modifiers. 
    Anesthesia modifiers represent additional units charged by physicians 
    because of the patient's advanced age, poor physical health status, or 
    unusual circumstances including the performance of anesthesia under 
    emergency circumstances or anesthesia complicated by the use of 
    controlled hypotension.
        For the 3 years preceding the physician fee schedule, Medicare 
    carriers had uniformly implemented the policy of not allowing modifier 
    units in determining payment for physician anesthesia services.
        The physician fee schedule legislation required us to use the 
    uniform relative value guide to the extent feasible and to make any 
    necessary adjustments to the anesthesia CF. In the November 1991 final 
    rule (56 FR 59509) to implement the physician fee schedule, we stated 
    that we were continuing to use the uniform relative value guide to 
    determine payment for physician anesthesia services under the physician 
    fee schedule. Since it was the established uniform practice for 
    Medicare carriers not to recognize modifier units, we believed it was 
    sufficient to write the regulations to explain only those elements that 
    the Medicare carrier would recognize in calculating anesthesia 
    payments, namely anesthesia base and time units. Thus, in the final 
    rule to implement the physician fee schedule, we did not include 
    specific regulatory language prohibiting anesthesia modifier units.
        Some administrative law judges have interpreted the absence of 
    language expressly prohibiting the use of modifier units under the 
    physician fee schedule to mean that modifier units can be allowed. This 
    is clearly an incorrect interpretation of our regulations, and we have 
    chosen to clarify this matter by including a specific reference in the 
    regulations stating that modifier units are not allowed. We have 
    revised Sec. 414.46 to reflect this policy. Because this clarification 
    of the regulations is an interpretive change, the law does not require 
    prior notice and comment. However, we will accept comments on this 
    change in the regulations.
    
    B. Issue for Change in Calendar Year 1998--Two Anesthesia Providers 
    Involved in One Procedure
    
        As a result of the revised payment methodology for the anesthesia 
    care team established by section 13516 of OBRA 1993, we proposed to 
    apply the medical direction payment policy to the single procedure 
    involving both the physician and the certified registered nurse 
    anesthetist. Thus, in Sec. 414.46 we proposed to revise paragraphs (c) 
    and (d) to state that, in this situation, the payment allowance for the 
    medical direction service of the physician and the medically directed 
    service of the certified registered nurse anesthetist or the 
    anesthesiologist assistant is based on the specified percentage of the 
    payment allowance in Sec. 414.46(d)(3). In addition, we proposed that 
    in 1998 and later years, this payment allowance is equal to 50 percent 
    of the allowance for personally performed procedures.
        We proposed to implement this policy on January 1, 1998. At that 
    time, the change in policy will be done in a budget-neutral manner.
        Comment: Commenters referred to those complicated anesthesia cases 
    when it may be medically necessary for two anesthesia care providers to 
    be involved. The anesthesia providers could be an anesthesiologist and 
    a certified registered nurse anesthetist or two anesthesiologists. They 
    asked whether we would permit full payment for each of these providers 
    or subject these providers to the new proposal in which case each 
    provider would receive only 50 percent of the allowance recognized for 
    the anesthesia case personally performed by a single anesthesiologist.
        Response: We are not changing the current policy under which the 
    Medicare carriers can, on the basis of medical necessity, recognize 
    full payment for the services of each of two anesthesia providers if 
    both providers are needed in a single anesthesia case. Thus, the 
    Medicare carriers can continue, based on medical necessity, to allow 
    full payment for the service furnished by each anesthesia provider in a 
    single case.
        Comment: A commenter offered an alternative proposal that would 
    achieve budget neutrality but allow implementation beginning in 1996. 
    Under the commenter's proposal, which would take effect in 1996, the 
    payment allowance for both the certified registered nurse anesthetist 
    and the anesthesiologist involved in the single case would be 50 
    percent of the allowance recognized for the single anesthesiologist.
        Response: The law recognizes that an anesthesia service is either 
    personally performed by a physician (or nonmedically directed certified 
    registered nurse anesthetist) or the case is medically directed. We 
    have implemented the medical direction policy as applying only to two, 
    three, or four concurrent procedures. Therefore, we deemed the case 
    involving both the anesthesiologist and the certified registered nurse 
    anesthetist to be personally performed by the physician. In the July 
    26, 1995 proposed rule, we proposed to modify the definition of medical 
    direction to include a single procedure in addition to concurrent 
    procedures. The statutory provisions governing medical direction 
    provide that, in 1996, the payment allowance for both the certified 
    registered nurse anesthetist and the physician are equal to 55 percent 
    of the single anesthesiologist payment allowance. Thus, there is no 
    direct authority in the law to recognize a payment allowance that is 50 
    percent of the single anesthesiologist payment allowance for both the 
    certified registered nurse anesthetist and the physician.
        Final Decision: We will apply the medical direction payment policy 
    to the single procedure involving both the physician and the certified 
    registered nurse anesthetist. We will implement this policy on January 
    1, 1998. At that 
    
    [[Page 63153]]
    time, the change in policy will be done in a budget-neutral manner.
    
    IV. Refinement of Relative Value Units for Calendar Year 1996 and 
    Responses to Public Comments on Interim Relative Value Units for 1995
    
    A. Summary of Issues Discussed Related to the Adjustment of Relative 
    Value Units
    
        Section IV.B. of this final rule describes the methodology used to 
    review the comments received on the relative value units (RVUs) for 
    physician work and the process used to establish RVUs for new and 
    revised CPT codes. (The CPT, which is published annually by the 
    American Medical Association, is a listing of descriptive terms and 
    identifying codes for reporting medical services and procedures 
    performed by physicians.) Changes to codes on the physician fee 
    schedule reflected in Addendum B are effective for services furnished 
    beginning January 1, 1996.
    
    B. Process for Establishing Work Relative Value Units for the 1996 Fee 
    Schedule
    
        Our December 8, 1994 final rule on the 1995 physician fee schedule 
    (59 FR 63410) announced the final RVUs for Medicare payment for 
    existing procedure codes under the physician fee schedule and interim 
    RVUs for new and revised codes. The RVUs contained in the rule apply to 
    physician services furnished beginning January 1, 1995. We announced 
    that we would accept comments on interim RVUs for new or revised codes. 
    We announced that we considered the RVUs for the remaining codes to be 
    subject to public comment under the 5-year refinement process. In this 
    section, we summarize the refinements to the interim work RVUs that 
    have occurred since publication of the December 1994 final rule and our 
    establishment of the work RVUs for new and revised codes for the 1996 
    fee schedule.
    1. Work Relative Value Unit Refinements of Interim and Related Relative 
    Value Units
        a. Methodology (Includes Table 1--Work Relative Value Unit 
    Refinements of Interim and Related Relative Value Units).
        Although the RVUs in the December 1994 final rule were used to 
    calculate 1995 payment amounts, we considered the RVUs for the new or 
    revised codes to be interim. We accepted comments for a period of 60 
    days. We received approximately 100 substantive comments from 24 
    specialty societies on approximately 83 CPT codes with interim RVUs.
        Only comments received on codes listed in Addendum C of the 
    December 1994 final rule were considered this year. We will consider 
    comments we received on other codes under the 5-year refinement 
    process. We convened a multispecialty panel of physicians to assist us 
    in the review of the comments with certain exceptions. The comments 
    that we did not submit to panel review are discussed at the end of this 
    section. The panel was moderated by our medical staff and consisted of 
    the following groups:
         A clinician representing each of the specialties most 
    identified with the procedures in question. Each specialist on the 
    panel was nominated by the specialty society that submitted the 
    comments. Eleven specialty societies, including primary care, were 
    represented on the panel.
         Primary care clinicians nominated by the American Academy 
    of Family Physicians, the American Society of Internal Medicine, the 
    American College of Physicians, and the American Academy of Pediatrics.
         Carrier medical directors.
        After eliminating the codes with final RVUs and certain codes that 
    are discussed at the end of this section, we submitted comments on 18 
    codes for evaluation by the panel. The panel discussed the work 
    involved in each procedure under review in comparison to the work 
    associated with other services on the fee schedule. We had assembled a 
    set of reference services and asked specialty societies to compare 
    clinical aspects of the work of services they believed were incorrectly 
    valued to one or more of the reference services. In compiling the set, 
    we attempted to include: (1) Services that are commonly performed whose 
    work RVUs are not controversial; (2) services that span the entire 
    spectrum from the easiest to the most difficult; and (3) at least three 
    services performed by each of the major specialties so that each 
    specialty would be represented. The set listed approximately 120 
    services. Panelists were encouraged to make comparisons to reference 
    services.
        The intent of the panel process was to capture each participant's 
    independent judgment based on the discussion and his or her clinical 
    experience. Following each discussion, each participant rated the work 
    for the procedure. Ratings were individual and confidential, and there 
    was no attempt to achieve consensus among the panel members.
        We then analyzed the ratings based on a presumption that the final 
    rule RVUs were correct. To overcome this presumption, the inaccuracy of 
    the interim RVUs had to be apparent to the broad range of physicians 
    participating in each panel.
        Ratings of work were analyzed for consistency among the groups 
    represented on each panel. In general terms, we used statistical tests 
    to determine whether there was enough agreement among the groups of the 
    panel and whether the agreed-upon RVUs were significantly different 
    from the interim RVUs published in Addendum C of the December 1994 
    final rule. We did not modify the RVUs unless there was clear 
    indication for a change. If there was agreement across groups for 
    change, but the groups did not agree on what the new RVUs should be, we 
    eliminated the outlier group and looked for agreement among the two 
    remaining groups as the basis for new RVUs. We used the same 
    methodology in analyzing the ratings that we used in the refinement 
    process for the 1993 fee schedule. The statistical tests were described 
    in detail in the November 25, 1992 final notice (57 FR 55938).
        Our decision to convene multispecialty panels of physicians and to 
    apply the statistical tests described above was based on our need to 
    balance the interests of those who commented on the work RVUs against 
    the redistributive effects that would occur in other specialties, 
    particularly the potential adverse effect on primary care services. Of 
    the 18 codes reviewed by our multispecialty panel, all of the requests 
    were for increased values.
        We also received comments on RVUs that were interim for 1995 but 
    which we did not submit to the panel for review for a variety of 
    reasons. These comments and our decisions on those comments are 
    discussed in further detail in section VI.B.1.c. of this final rule. Of 
    the 44 interim work RVUs that were reviewed, approximately 41 percent 
    were increased, and approximately 59 percent were not changed.
    
    Table 1--Work Relative Value Unit Refinements of Interim Relative Value 
    Units
    
        Table 1 lists the interim and related codes reviewed during the 
    1995 refinement process described in this section. This table includes 
    the following information:
         CPT code. This is the CPT code for a service.
         Modifier. A ``26'' in this column indicates that the RVUs 
    are for the professional component of the code.
         Description. This is an abbreviated version of the 
    narrative description of the code. 
    
    [[Page 63154]]
    
         1995 work RVUs. The work RVUs that appeared in the 
    December 1994 rule are shown for each reviewed code.
         Requested work RVUs. This column identifies the work RVUs 
    requested by commenters. We received more than one comment on some 
    codes, and, in a few of these cases, the commenters requested different 
    RVUs. The table lists the highest requested RVUs. For some codes, we 
    received recommendations for an increase or decrease but no specific 
    RVU recommendations.
         1996 work RVUs. This column contains the final RVUs for 
    physician work.
         Basis for decision. This column indicates whether:
    
    --The recommendations of the refinement panel were the basis upon which 
    we determined that the interim work RVUs published in the December 1994 
    final rule should be retained (indicator 1);
    --A new value emerged from our analysis of the refinement panel ratings 
    (indicator 2); or
    --A new or retained value emerged from some other source (indicator 3). 
    Codes with an indicator of 3 are discussed following Table 1, in 
    section VI.B.1.c.
    --New or retained values emerged through a combination of the panel 
    ratings and code descriptor interpretation (indicator 4). Codes with an 
    indicator of 4 are discussed following Table 1, in section VI.B.1.b.
    
    
    
                                                                            
    
    [[Page 63154]]
                               Table 1.--Work RVU Refinements of Interim and Related RVUs                           
    ----------------------------------------------------------------------------------------------------------------
                                                                          1995 work  Requested  1996 work  Basis for
       CPT*       Mod                       Description                      RVU      work RVU     RVU      decision
    ----------------------------------------------------------------------------------------------------------------
    11977....  .........  Removal/reinsert contra cap...................       2.52       3.30       3.30          3
    19367....  .........  Breast reconstruction.........................      24.73      26.50      24.73          3
    20955....  .........  Microvascular fibula graft....................      37.58      43.00      37.58          3
    25337....  .........  Reconstruct ulna/radioulna....................       9.10       9.50       9.50          3
    25830....  .........  Fusion radioulnar jnt/ulna....................       9.10       9.50       9.50          3
    26580....  .........  Repair hand deformity.........................      15.81      17.71      17.71          3
    29445....  .........  Apply rigid leg cast..........................       1.78       0.57       1.78          3
    31276....  .........  Sinus surgical endoscopy......................       7.42       8.85       8.85          3
    37209....  .........  Exchange arterial catheter....................       1.48       3.66       2.27          2
    41822....  .........  Excision of gum lesion........................       2.26       4.20       2.26          1
    41823....  .........  Excision of gum lesion........................       3.15       4.60       3.15          1
    41828....  .........  Excision of gum lesion........................       1.26       4.44       3.04          2
    41830....  .........  Removal of gum tissue.........................       1.12       5.00       3.30          2
    43842....  .........  Gastroplasty for obesity......................      13.76      17.47      13.76          3
    43843....  .........  Gastroplasty for obesity......................      13.76      17.47      13.76          3
    43846....  .........  Gastric bypass for obesity....................      17.84      20.87      17.84          3
    43847....  .........  Gastric bypass for obesity....................      19.87      23.24      19.87          3
    43848....  .........  Revision gastroplasty.........................      22.10      24.75      22.10          3
    52647....  .........  Laser surgery of prostate.....................       7.42      11.51       9.84          2
    52648....  .........  Laser surgery of prostate.....................       8.65      11.51      10.69          2
    59855....  .........  Abortion......................................       4.75       5.80       5.80          3
    64820....  .........  Remove sympathetic nerves.....................       9.10      10.00      10.00          3
    76093....         26  Magnetic image, breast........................       1.63       1.94       1.63          1
    76094....         26  Magnetic image, both breasts..................       1.63       1.94       1.63          1
    76936....         26  Echo guide for artery repair..................       1.31       2.64       1.99          2
    90849....  .........  Special family therapy........................       0.59       0.78       0.59          3
    90918....  .........  ESRD related services, month..................       9.77      13.27      11.18          4
    90919....  .........  ESRD related services, month..................       7.13       9.13       8.54          4
    90920....  .........  ESRD related services, month..................       5.86       6.64       7.27          4
    90921....  .........  ESRD related services, month..................       3.06       5.06       4.47          4
    92587....         26  Evoked auditory test..........................       0.13       1.40       0.13          3
    92588....         26  Evoked auditory test..........................       0.36       1.70       0.36          3
    93350....         26  Echo exam of heart............................       0.78   Increase       0.78          3
    93990....         26  Doppler flow testing..........................       0.25       1.18       0.25          1
    95812....         26  Electroencephalogram (EEG)....................       1.08       1.75       1.08          4
    95813....         26  Electroencephalogram (EEG)....................       1.73       2.50       1.73          4
    96913....  .........  Photochemotherapy, UV-A or B..................       0.00   Increase       0.00          3
    97124....  .........  Massage therapy...............................       0.35   Decrease       0.35          3
    97265....  .........  Joint mobilization............................       0.45   Decrease       0.45          3
    99354....  .........  Prolonged service, office.....................       1.51       2.33       1.51          3
    99355....  .........  Prolonged service, office.....................       1.51       1.20       1.51          3
    99356....  .........  Prolonged service, inpatient..................       1.44       3.00       1.44          3
    99357....  .........  Prolonged service, inpatient..................       1.44       1.50       1.44          3
    99375....  .........  Care plan oversight/30-60.....................       1.06       2.65       1.73          2
    ----------------------------------------------------------------------------------------------------------------
    
    
        b. Discussion of codes reviewed by the panel for which 
    clarification of the description of the service is required.
        For several of the codes reviewed by the refinement panel, it was 
    necessary to reach agreement on the meaning of the codes before 
    individual ratings of work could be provided. In the following 
    paragraphs, we summarize the 
    
    [[Page 63155]]
    panel's understanding of the nature and extent of the services included 
    in the codes for which extensive discussion was required.
        End-stage renal disease services, per full month (CPT codes 90918 
    through 90921).
        Before rating the work of CPT codes 90918 through 90921, the 
    refinement panel discussed the definition of the monthly capitation 
    payment and the list of services included in and excluded from the 
    monthly capitation payment that was developed by the Renal Physicians 
    Association and presented to the RUC and the refinement panel. The 
    refinement panel also reviewed HCFA regulations regarding the monthly 
    capitation payment and agreed to rate the work of the codes based on 
    the following definition and list of services included in and excluded 
    from the monthly capitation payment.
        The monthly capitation payment for maintenance dialysis is defined 
    as a comprehensive monthly payment that covers all physician services 
    associated with the continuing medical management of a maintenance 
    dialysis patient.
        The following physician services are included in the monthly 
    capitation payment:
         Assessment and determination of the need for outpatient 
    chronic dialysis therapy.
         Assessment of the need for a specified diet and the need 
    for nutritional supplementation for the control of chronic renal 
    failure. Specification of the quantity of total protein, high biologic 
    protein, sodium, potassium, and amount of fluids to be allowed during a 
    given time period. For diabetic patients with chronic renal failure, 
    the prescription usually includes specification of the number of 
    calories in the diet.
         Assessment of which mode(s) of chronic dialysis (types of 
    hemodialysis or peritoneal dialysis) are suitable for a given patient 
    and recommendation of the type(s) of therapy for a given patient.
         Assessment and determination of which type of dialysis 
    access is best suited for a given patient and arrangement for creation 
    of dialysis access.
         Assessment of whether the patient meets preliminary 
    criteria as a renal transplant candidate and presentation of this 
    assessment to the patient and family.
         Prescription of the parameters of intradialytic 
    management. For chronic hemodialysis therapies, this includes the type 
    of dialysis access, the type and amount of anticoagulant to be 
    employed, blood flow rates, dialysate flow rate, ultrafiltration rate, 
    dialysate temperature, type of dialysate (acetate versus bicarbonate) 
    and composition of the electrolytes in the dialysate, size of 
    hemodialyzer (surface area) and composition of the dialyzer membrane 
    (conventional versus high flux), duration and frequency of treatments, 
    the type and frequency of measuring indices of clearance, and 
    intradialytic medications to be administered. For chronic peritoneal 
    dialysis therapies, this includes the type of peritoneal dialysis, the 
    volume of dialysate, concentration of dextrose in the dialysate 
    electrolyte composition of the dialysate, duration of each exchange, 
    and addition of medication to the dialysate, such as heparin, and the 
    type and frequency of measuring indices of clearance. For diabetics, 
    the quantity of insulin to be added to each exchange is prescribed.
         Assessment of whether the patient has significant renal 
    failure-related anemia, determination of the etiology(ies) for the 
    anemia based on diagnostic tests, and prescription of therapy for 
    correction of the anemia, such as vitamins, oral or parenteral iron, 
    and hormonal therapy such as erythropoietin.
         Assessment of whether the patient has hyperparathyroidism 
    and/or renal osteodystrophy secondary to chronic renal failure and 
    prescription of appropriate therapy, such as calcium and phosphate 
    binders for control of hyperphosphatemia. Based upon assessment of 
    parahormone levels, serum calcium levels, and evaluation for the 
    presence of metabolic bone disease, the physician determines whether 
    oral or parenteral therapy with vitamin D or its analogs is indicated, 
    and prescribes the appropriate therapy. Based upon assessment and 
    diagnosis of aluminum bone disease, the physician may prescribe 
    specific chelation therapy with deferoxamine and the use of 
    hemoperfusion for removal of aluminum and the chelator.
         Assessment of whether the patient has dialysis-related 
    arthropathy or neuropathy and adjustment of the patient's prescription 
    accordingly. Referral of the patient for any additional needed 
    specialist evaluation and management of these end-organ problems.
         Assessment of whether the patient has fluid overload 
    resulting from renal failure and establishment of an estimated ``ideal 
    (dry) weight.'' The physician determines the need for fluid removal 
    independent of the dialysis prescription and implements these measures 
    when indicated.
         Determination of the need for and prescription of anti-
    hypertensive medications and their timing relative to dialysis when the 
    patient is hypertensive in spite of correction of fluid overload.
         Periodic review of the dialysis records to ascertain 
    whether the patient is receiving the prescribed amount of dialysis and 
    ordering of indices of clearance, such as urea kinetics, in order to 
    ascertain whether the dialysis prescription is producing adequate 
    dialysis. If the indices of clearance suggest that the prescription 
    requires alteration, the physician orders changes in the hemodialysis 
    prescription, such as blood flow rate, dialyzer surface area, dialysis 
    frequency, and/or dialysis duration (length of treatment). For 
    peritoneal dialysis patients, the physician may order changes in the 
    volume of dialysate, dextrose concentration of the dialysate, and 
    duration of the exchanges.
         Periodic visits to the patient during dialysis to 
    ascertain whether the dialysis is working well and whether the patient 
    is tolerating the procedure well (physiologically and psychologically). 
    During these visits, the physician determines whether alteration in any 
    aspect of a given patient's prescription is indicated, such as changes 
    in the estimate of the patient's dry weight. Review of the treatment 
    with the nurse or technician performing the therapy is also included. 
    The frequency of these visits will vary depending upon the patient's 
    medical status, complicating conditions, and other determinants.
         Performance of periodic physical assessments, based upon 
    the patient's clinical stability, in order to determine the necessity 
    for alterations in various aspects of the patient's prescription. 
    Similarly, the physician reviews the results of periodic laboratory 
    testing in order to determine the need for alterations in the patient's 
    prescription, such as changes in the amount and timing of phosphate 
    binders or dose of erythropoietin.
         Periodic assessment of the adequacy and function of the 
    patient's dialysis access.
         Assessment of patients on peritoneal dialysis for evidence 
    of peritonitis and the ordering of appropriate tests and antibiotic 
    therapy. 
    
    [[Page 63156]]
    
         Periodic review and update of the patient's short-term and 
    long-term care plans with staff.
         Coordination and direction of the care of patients by 
    other professional staff, such as dieticians and social workers.
         Certification of the need for items and services such as 
    durable medical equipment and home health care services. Care plan 
    oversight services described by CPT code 99375 also are included in the 
    monthly capitation payment and may not be separately reported.
        The following physician services are excluded from the monthly 
    capitation payment:
         Surgical services such as--
    
    --Temporary hemodialysis catheter placement.
    --Permanent hemodialysis catheter placement.
    --Temporary peritoneal dialysis catheter placement.
    --Permanent peritoneal dialysis catheter placement.
    --Repair of existing dialysis accesses.
    --Placement of catheter(s) for thrombolytic therapy.
    --Thrombolytic therapy (systemic, regional, or access catheter only; 
    hemodialysis or peritoneal dialysis).
    --Thrombectomy of clotted cannula.
    --Arthrocentesis.
    --Bone marrow aspiration.
    --Bone marrow biopsy.
    
         Interpretation of tests that have a professional component 
    such as:
    
    --Electrocardiograms (12 lead, Holter monitor, stress tests, etc.).
    --Echocardiograms.
    --24-hour blood pressure monitor.
    --Nerve conduction velocity and electromyography studies.
    --Flow doppler studies.
    --Bone densitometry studies.
    --Biopsies.
    --Spirometry and complete pulmonary function tests.
    
         Complete evaluation for renal transplantation. While the 
    physician assessment of whether the patient meets preliminary criteria 
    as a renal transplant candidate is included under the monthly 
    capitation payment, the complete evaluation for renal transplantation 
    is excluded from the monthly capitation payment.
         Evaluation of potential living transplant donors.
         The training of patients to perform home hemodialysis, 
    self hemodialysis, and the various forms of self peritoneal dialysis.
         Non-renal related physician's services. These services may 
    be furnished by the physician providing renal care or by another 
    physician. They may not be incidental to services furnished during a 
    dialysis session or office visit necessitated by the renal condition. 
    For example, the medical management of diabetes mellitus that is not 
    related to the dialysis or furnished during a dialysis session is 
    excluded.
         Covered physician services furnished to hospital 
    inpatients, including services related to inpatient dialysis, by a 
    physician who elects not to continue to receive the monthly capitation 
    payment during the period of inpatient stay. In these cases, the 
    physician receives a prorated portion of the monthly capitation payment 
    for that month.
         All physician services that antedate the initiation of 
    outpatient dialysis.
        While the refinement panel agreed to rate the work of the monthly 
    capitation payment codes based on the above definitions, it was unable 
    to reach consensus on whether the interpretation of all tests that have 
    a professional component should be included in or excluded from the 
    monthly capitation payment. Because the American Medical Association 
    Specialty Society Relative Value Update Committee (RUC) recommendations 
    were based on the Renal Physicians Association's definition, which 
    excludes test interpretations from the monthly capitation payment, it 
    was decided to rate the physician work based on an assumption that the 
    physician work associated with test interpretations was excluded from 
    the monthly capitation payment and included in other codes that would 
    be reported separately. It was also agreed that the Renal Physicians 
    Association and HCFA would examine current utilization data and that 
    HCFA would consider bundling the work of test interpretations into the 
    monthly capitation payment. This would lead to adding additional RVUs 
    to the RVUs that emerged from the panel ratings. The RVUs that emerged 
    from the statistical tests of the refinement panel were 4.45.
        Subsequent to the refinement panel, we analyzed utilization data on 
    test interpretations provided to end-stage renal disease patients by 
    monthly capitation payment physicians. In general, most physicians who 
    are paid under the monthly capitation payment method do not separately 
    bill for test interpretations. Based on our analysis, we have bundled 
    the work RVUs of the test interpretations listed below into the monthly 
    capitation payment:
         Bone mineral density studies (CPT codes 76070, 76075, 
    78350, and 78351).
         Non-invasive vascular diagnostic studies of hemodialysis 
    access (CPT codes 93925, 93926, 93930, 93931, and 93990).
         Nerve conduction studies (CPT codes 95900, 95903, 95904, 
    95925, 95926, 95927, 95934, 95935, and 95936).
         Electromyography studies (CPT codes 95860, 95861, 95863, 
    95864, 95867, 95868, 95869, and 95872).
        In performing our analysis, we took into account the fact that the 
    coding for the four categories of services listed above has changed in 
    the past 2 years. Thus, while we used all of the most current 
    utilization data, the specific codes listed may be new, revised or 
    deleted from CPT 1996. When the physician receiving the monthly 
    capitation payment payment performs the services listed above, we will 
    not make separate payment. However, these and other medically necessary 
    services that are included or bundled into the monthly capitation 
    payment are separately payable when furnished by physicians other than 
    the monthly capitation payment physician.
        The bundling of these services leads to the addition of 0.02 RVUs 
    to the refinement panel rating of 4.45 RVUs to result in the assignment 
    of 4.47 RVUs. Medically necessary services that are included or bundled 
    into the monthly capitation payment are separately payable when 
    furnished by physicians other than the monthly capitation payment 
    physician.
        We next increased the RVUs of the pediatric monthly capitation 
    payment CPT codes (90918 through 90920) to maintain the relationship of 
    adult to pediatric services that we established in last year's final 
    rule. This led to the assignment of 11.18 RVUs to CPT code 90918, 8.54 
    RVUs to CPT code 90919, and 7.27 RVUs to CPT code 90920.
    
    Electroencephalogram Codes
    
        Before rating the work of CPT codes 95812 and 95813 
    (electroencephalogram (EEG) extended monitoring), the panel discussed 
    extensively the work involved in EEG monitoring compared to other EEG 
    and electrodiagnostic services on the fee schedule. Subsequent to the 
    panel meeting, the American Academy of Neurology provided us with the 
    following written definitions and clinical vignettes to clarify the 
    types of services that should be coded using nine 
    
    [[Page 63157]]
    common EEG diagnostic codes by comparing and contrasting them. The 
    panel members discussed these definitions of the EEG services before 
    they rated the work of extended EEG monitoring.
        Extended EEG; up to one hour (CPT code 95812).
        EEG recording is conducted for 45 to 60 minutes. Hyperventilation, 
    photic stimulation and/or oral sedation may be used. The physician 
    reviews in detail the entire 45-to-60 minute record (270 to 360 pages 
    of standard EEG paper).
        The following is a vignette for CPT code 95812: A 35-year-old woman 
    experiences episodic loss of consciousness. Differential diagnosis 
    includes syncope and several types of seizure disorder. The EEG is 
    extended because the EEG technologist detected no epileptic 
    abnormalities during the first 20 to 30 minutes of recording, and the 
    physician had requested a longer recording if needed to find 
    abnormalities. Bursts of epileptic abnormalities are finally detected 
    at 55 minutes into the recording. This helps make the diagnosis of a 
    seizure disorder. The type of epileptic abnormalities seen on the EEG 
    guides the diagnosis and choice of medications.
        Extended EEG; greater than one hour (CPT code 95813).
        EEG recording is conducted continuously for more than 1 hour. 
    Hyperventilation, photic stimulation and/or oral sedation may be used. 
    The recording is continued until the events sought are obtained, if 
    possible. Typical recording time is 2 to 3 hours. The physician reviews 
    the entire recording in detail (typically equal to 360 to 1,000-plus 
    pages of standard EEG paper). The entire continuous EEG recording is 
    also interpreted for additional diagnostic information.
        The following is a vignette for CPT code 95813: A 55-year-old woman 
    is comatose in the intensive care unit with multiple medical problems 
    and is having repeated episodes of movements possibly representing 
    epileptic seizures. Continuous EEG recording is performed for 3 hours, 
    including recording during two of her episodes. Four additional 
    subclinical ictal events were also detected on the EEG beyond the two 
    events noted by the nurses. Events are determined to be epileptic 
    seizures, and a treatment plan is developed accordingly.
        Awake EEG (CPT code 95816).
        The test is conducted with the patient awake. The patient often 
    becomes drowsy or may briefly fall asleep, but the test is not run 
    deliberately to obtain sleep. Hyperventilation and/or photic 
    stimulation are usually obtained. The minimum recording time is 20 
    minutes. The typical recording time is 20 to 25 minutes. The physician 
    reads in detail the entire 20-to-25 minute record (120 to 150 pages of 
    standard EEG paper).
        The following is a vignette for CPT code 95816: A 60-year-old man 
    complains of memory and other cognitive impairment. Differential 
    diagnosis includes dementia and depression. EEG seeks objective 
    evidence of organic impairment supporting a diagnosis of a dementia.
        EEG awake and asleep (CPT code 95819).
        Sleep is deliberately sought during the EEG record to identify 
    specific epileptic abnormalities. The patient may be sleep-deprived 
    before the recording or given sedative medication to induce sleep. The 
    recording continues until at least 5 minutes of Stage 2 sleep is 
    obtained. During the awake portion of the recording, hyperventilation 
    and/or photic stimulation are usually obtained. The minimum recording 
    time is 20 minutes. The typical recording time is 30 to 35 minutes. The 
    physician reads in detail the entire 30-to-35 minute record (180 to 210 
    pages of standard EEG paper).
        The following is a vignette for CPT code 95819: A 25-year-old woman 
    experiences recent onset of lapses of consciousness. The differential 
    diagnosis includes syncope and several types of seizure disorders. A 
    test is conducted to look for evidence of a seizure disorder and to 
    help specify which type of seizure disorder.
        EEG; sleep only (CPT code 95822).
        The EEG is conducted with the patient asleep, stuporous, or 
    comatose. Little or no awake EEG is recorded. Hyperventilation and 
    photic stimulation are generally not performed. Stuporous or comatose 
    patients may be stimulated by the technologist to attempt to induce 
    state changes. The minimum recording time is 20 minutes. The typical 
    recording time is 20 to 30 minutes. The physician reads in detail the 
    entire 20 to 30 minute record (120 to 180 pages of standard EEG paper).
        The following is a vignette for CPT code 95822: A 45-year-old man 
    is comatose after a head injury. An EEG is performed to assess the 
    depth of the coma, assist in assessing prognosis, and evaluate for 
    epileptic discharges or focal cerebral abnormality.
        EEG; all night sleep only (CPT code 95827).
        Prolonged EEG recording is performed by leaving equipment at the 
    hospital bedside. The recording may or may not be continuous. If not 
    continuous, the recording is done periodically as needed. The minimum 
    time the EEG is at the bedside is 8 hours. The physician scans the 
    hours-long records, reading in detail selected or specific portions. 
    The minimum amount of the EEG actually reviewed in detail is 20 minutes 
    of recording (120 pages of standard EEG paper). The typical amount 
    reviewed in detail is 30 to 40 minutes.
        The following is a vignette for CPT code 95827: A 3-year-old boy is 
    comatose from near-drowning. The patient is in a therapeutic 
    barbiturate coma. The EEG is used to titrate the amount of barbiturate 
    to keep the EEG in burst-suppression. Incidental observations are made 
    of any epileptic discharges or focal features. The EEG is kept at the 
    intensive care unit bedside for 3 days. Each day, 50 to 90 minutes of 
    EEG are printed, of which 20 to 30 minutes (120 to 180 pages of 
    standard EEG paper) are reviewed in detail, and other pages are scanned 
    for relevant events.
        Electrocorticography (CPT code 95829).
        The EEG is recorded in the operating room from electrodes applied 
    directly to the surgically exposed cerebral cortex. Many separate 
    recording sites are used. While it is being recorded in the operating 
    room, the EEG is interpreted by the EEG physician, who is present in 
    the operating room for 60 minutes or more. The EEG physician uses the 
    EEG features for determining the extent of surgical resection of the 
    cerebral cortex. During this 60 minutes, 30 to 60 minutes of EEG 
    recording (minimum 20 minutes) are made from various cortical recording 
    sites.
        The following is a vignette for CPT code 95829: A 25-year-old man, 
    disabled by medically refractory epileptic seizures, undergoes a 
    craniotomy to resect a portion of his temporal lobe. The EEG physician 
    interprets the record in the operating room. Electrocorticography is 
    used to define the extent of epileptic spiking and slowing, and the 
    resection is tailored to include regions of electrically identified 
    pathology. Follow-up recording is made to check for any remaining 
    epileptic spiking after resection.
        Ambulatory EEG monitoring (CPT code 95950).
        The EEG is recorded onto a long-term storage medium such as 
    magnetic disc 
    
    [[Page 63158]]
    or tape, using a small portable recorder. The patient is free to take 
    this home, returning to the laboratory one or several days later. The 
    recording is continuous for 24 hours per day. The patient, family, and 
    friends write notes about clinical events. The recorded EEG is scanned 
    to find these or other events of clinical interest. Around the time of 
    each clinical event of interest, 5 to 10 minutes of the EEG is reviewed 
    in detail. The EEG is also surveyed for other EEG findings of clinical 
    importance.
        The following is a vignette for CPT code 95950: A 12-year-old boy 
    has episodes of staring or daydreaming, possibly representing 
    nonconvulsive seizures. Previous routine EEG recording was normal. 
    Ambulatory EEG is conducted to search for signs of epileptic 
    abnormality. During 2 days of ambulatory monitoring, 6 clinical 
    daydreaming events are noted by the family. These demonstrate petit mal 
    seizures, as do 10 additional events not noted by the family but found 
    on EEG review. A treatment plan is developed accordingly.
        Video EEG long-term monitoring (CPT code 95951).
        This daily procedure is used when video and EEG are continuously 
    recorded for several days. Continuous videotaping of the patient's 
    behavior is made simultaneously with the EEG. Monitoring is usually 
    conducted in a specialized inpatient epilepsy evaluation and monitoring 
    unit, with the patient's antiepileptic medications reduced or withdrawn 
    to induce epileptic seizures. The physician reviews the EEG and 
    videotapes recorded before, during, and after each captured epileptic 
    seizure. Typically, several seizures may occur each day. In some 
    patients, no seizures may occur for several days, whereas other 
    patients may have more than a dozen seizures per day. Randomly selected 
    recorded segments are also chosen for review and comparison to look for 
    subclinical seizures and isolated epileptic EEG discharges. Monitoring 
    generally is continued until at least 5 seizures are captured to 
    characterize and to localize the abnormality. The exact number of 
    seizures needed varies with the specific clinical circumstances and the 
    nature of EEG findings.
        The following is vignette number one for CPT code 95951: A 25-year-
    old man has become totally disabled as a result of frequent medically 
    refractory epileptic seizures. Long-term video EEG monitoring for 4 
    days captures 6 seizures and localizes the ictal onset sufficiently to 
    refer the patient for surgical excision of the epileptic area. 
    Localization for surgical excision is based primarily on this EEG 
    localization. After eventual surgical excision, the patient becomes 
    seizure-free, stops medication, and is no longer disabled.
        The following is vignette number two for CPT code 95951: A 9-year-
    old boy has frequent seizures not controlled by medication, during some 
    of which he abruptly falls to the ground. Because of the falls, he has 
    lacerated his scalp on several occasions, requiring trips to the 
    emergency room for x-rays, sutures, and antibiotic treatment. His 
    physicians are considering corpus callosum section, but some of the 
    clinical data suggest that the seizures may be originating from a more 
    localized area of one frontal lobe. Forty seizures are recorded in 2 
    days, some of which appear to originate from this region. Analysis of 
    the recordings indicates, however, that the majority do not, and he 
    undergoes callosal section. Following callosal section, he no longer 
    has ``falling seizures'' and no longer needs to wear a helmet for 
    protection. He does continue to have focal seizures of one arm.
        We have finalized the interim RVUs for the EEG CPT codes; we have 
    not changed any of the interim RVUs for these codes. However, we have 
    clarified the descriptors for the CPT codes for the services. We have 
    assigned 1.08 RVUs to CPT code 95812, 1.73 RVUs to CPT code 95813, 1.08 
    RVUs to CPT code 95816, 1.08 RVUs to CPT code 95819, 1.08 RVUs to CPT 
    code 95822, 1.08 RVUs to CPT code 95827, 6.21 RVUs to CPT code 95829, 
    1.51 RVUs to CPT code 95950, and 3.80 RVUs to CPT code 95951.
        c. Discussion of codes not reviewed by the panel.
        Codes listed in Table 1 with a basis of decision of ``3'' fall into 
    several categories. For most of these codes, we received comments that 
    were not considered by the multispecialty refinement panel for a 
    variety of reasons. Those codes and our rationale for the final work 
    RVUs we have established for the codes are discussed below.
        Removal with reinsertion, implantable contraceptive capsules (CPT 
    code 11977).
        Comment: A commenter stated that we erred in rejecting the RUC 
    recommendation of 3.30 RVUs for CPT code 11977. The commenter 
    recommended that ``Removal with reinsertion'' should be assigned the 
    full value of both CPT code 11975 (Insertion, implantable contraceptive 
    capsules) and CPT code 11976 (Removal, implantable contraceptive 
    capsules). Typically, the new capsules are inserted at a different site 
    than the one from which the old capsules were removed, thus requiring a 
    second incision and closure. In addition, the amount of preservice and 
    postservice work associated with reinsertion is similar to the 
    preservice and postservice work for the original insertion. The 
    physician must ascertain that the patient has not undergone changes in 
    health status or experienced side effects that would make her an 
    unsuitable candidate for this contraceptive method and must instruct 
    her about follow-up care and potential complications.
        Response: We agree with the comment and have assigned 3.30 RVUs to 
    CPT code 11977, as recommended.
        Breast reconstruction with a TRAM flap (CPT code 19367).
        Comment: A commenter recommended that the RVUs of CPT code 19367 be 
    increased from 24.73 to a minimum 26.50 RVUs. The commenter stated that 
    breast reconstruction is similar to facial fracture surgeries and that 
    in comparison to CPT code 21159 (Le Forte III), with 40.99 RVUs, a TRAM 
    flap reconstruction is a much larger procedure.
        Response: We disagree with this comment that we believe may have 
    been based on a misunderstanding of CPT code 21159. This code is used 
    to report reconstruction of the midface. It is not used to report the 
    repair of facial fractures. When compared to the RVUs of codes for the 
    open repair of a facial fracture, for example, CPT code 21432, which is 
    assigned 8.05 RVUs, the RVUs of the breast reconstruction code are much 
    higher. The 24.73 interim RVUs, which were based on a RUC 
    recommendation, will be made final.
        Microvascular fibula graft (CPT code 20955).
        Comment: A commenter recommended 43.00 RVUs for this procedure, 
    which was described as a very delicate, labor-intensive procedure 
    particularly for mandible reconstruction, multiple osteotomies, and 
    plate and wire fixation. The commenter stated that the work and 
    postoperative care can be compared to twice that of a breast 
    reconstruction with a TRAM flap (CPT code 19367), with 24.73 RVUs. 
    Because of the nature of this delicate procedure, the risks for 
    malpractice are greater than for any 
    
    [[Page 63159]]
    other bone procedure. These risks include complications such as foot 
    drop, sensory loss of the lower extremity, complications related to 
    skin graft healing, chronic pain, and wound closure.
        Response: We agree this is a complex procedure as confirmed by our 
    acceptance of a RUC recommendation of 38.00 RVUs (see Table 4, 
    ``American Medical Association RUC Recommendations and HCFA's 
    Decisions,'' in our December 8, 1994 final rule with comment period (60 
    FR 63441)). We do not believe, however, the arguments presented warrant 
    an increase to 43.00 RVUs, which would be nearly 3.00 RVUs higher than 
    the reference code for repair of a thoracoabdominal aortic aneurysm 
    with graft (CPT code 33877) valued at 40.29 RVUs. We have retained 
    38.00 RVUs for CPT code 20955 (37.58 RVUs after adjustment for budget 
    neutrality).
        Reconstruction for stabilization of unstable distal ulna or distal 
    radioulnar joint (CPT code 25337).
        Comment: A commenter disagreed with our decision to value new CPT 
    code 25337 at 9.10 RVUs instead of 9.50 RVUs as the RUC recommended. 
    The commenter stated that the preservice and postservice work is quite 
    similar between the new code and the reference service, CPT code 25312. 
    The commenter also stated the intraservice work requires more skill, 
    effort, and time because the new code may involve a two-tendon transfer 
    with two skin incisions, hence, a larger surgical exposure. The 
    potential of injury to the ulnar nerve is high. Confirmation of an 
    accurate reduction of the distal ulna requires an intraoperative x-ray, 
    and, frequently, internal fixation with K-wires. Tunnels must be 
    drilled into bone to allow passage of the tendons.
        Response: We agree with the comment and have assigned 9.50 RVUs to 
    CPT code 25337, as recommended.
        Distal radioulnar joint arthrodesis and segmental resection of ulna 
    (Sauve-Kapandji procedure) (CPT code 25830).
        Comment: A commenter stated that the work of CPT code 25830 is 
    equal to the work of CPT code 25337 (Distal radioulnar tenodesis) and 
    recommended that 9.50 RVUs are the most appropriate RVUs for both 
    codes. The commenter also stated that the RUC accepted CPT code 25390 
    (Osteoplasty, radius or ulna; shortening), with 9.96 RVUs, as a 
    reference service for new CPT code 25830. This reference service 
    involves excising a carefully measured segment of ulna followed by 
    internal fixation using a plate and screws. Preoperative work is 
    somewhat greater than the work in new CPT code 25830. New CPT code 
    25830 is similar to the reference service in that a small segment of 
    ulna is excised and then fused to the adjacent radius using pins or 
    screws. Plates are not used and the amount of excised ulna is less 
    critical. For these clinical reasons, the commenter recommended 9.50 
    RVUs for CPT code 25830.
        Response: We agree with the comment and have assigned 9.50 RVUs to 
    CPT code 25830, as recommended.
        Repair of cleft hand (CPT code 26580).
        Comment: A commenter disagreed with our decision to value CPT code 
    26580 at 15.99 RVUs (15.81 RVUs rescaled) instead of 17.71 RVUs, as the 
    RUC recommended (see Table 4 of our December 8, 1994 final rule with 
    comment period (60 FR 63441)). The commenter objected to the use of CPT 
    code 28360 (Repair of a cleft foot) as the reference service. The 
    commenter argued that the choice of this code as a reference service 
    was inappropriate because of its clinical dissimilarity to the revised 
    code. The commenter stated that CPT code 26590 (Repair macrodactylia), 
    with 17.63 RVUs, is a more appropriate reference service. This code 
    deals with a congenital anomaly of the digits of the hand requiring 
    exacting microsurgical reconstruction of soft tissue, nerves, and bone 
    in an infant. Revised CPT code 26580 requires metacarpal alignment by 
    soft tissue dissection or metacarpal osteotomy requiring internal 
    fixation, reconstruction of the deep transverse metacarpal ligament, 
    and a thumb re-alignment to allow opposition. Mobilization of skin 
    flaps may be necessary to achieve skin closure. This is a microsurgical 
    procedure performed in infants, with an amount of work similar to the 
    work involved in CPT code 26590. For these clinical reasons, the 
    commenter recommended that revised CPT code 26580 should have 17.71 
    RVUs.
        Response: We agree with the comment and have assigned 17.71 RVUs to 
    CPT code 26580, as recommended.
        Application of rigid total contact leg cast (CPT code 29445).
        Comment: A commenter stated that this service is overvalued 
    compared to the application of an Unna boot (CPT code 29580), with 0.57 
    RVUs.
        Response: We disagree that this service is overvalued. The 
    application of a rigid total contact leg cast (CPT code 29445) involves 
    more work than the application of an Unna boot because it requires the 
    physician to custom make and fabricate the walking surface for each 
    cast. The patient is usually diabetic with a grade 1 or 2 foot ulcer. 
    The use of casts by these patients is risky because they are at risk of 
    developing additional ulcers. Therefore, a great deal of time is spent 
    ensuring that the cast will fit properly. Unlike Unna boots or other 
    casts, total contact casts are always performed personally by a 
    physician who must hold the foot in place while applying the cast.
         Nasal/sinus endoscopy, surgical with frontal sinus exploration, 
    with or without removal of tissue from frontal sinus (CPT code 31276).
        Comment: A commenter objected to the assigned 7.42 RVUs and 
    requested an increase to 8.85 RVUs. The commenter presented the 
    following description of the procedure. This procedure is performed 
    around the middle turbinate anterior attachment in the frontal recess 
    at 90 degrees to the line of sight. It requires the use of 70 and 30 
    degree telescopes, small-angled forceps, curettes, and hooks. It 
    requires an exhaustive knowledge of frontal recess anatomy, very 
    delicate technique, removal of tiny bone fragments, preservation of 
    mucosa, and a dry field. It is very tedious and time-consuming. The 
    commenter believed that the overall intensity and time is significantly 
    greater for the endoscopic frontal sinustomy than either a total 
    ethmoidectomy (CPT code 31255), with 6.96 RVUs, or an external frontal 
    sinusotomy (CPT code 31075), with 8.85 RVUs.
        Response: We agree with the comment and have assigned 8.85 RVUs to 
    CPT code 31276, as recommended.
        Gastroplasties and gastric bypass for obesity (CPT codes 43842, 
    43843, 43846, 43847, and 43848).
        Comment: A commenter requested a re-evaluation of the entire family 
    of codes because of a lack of representation of bariatric surgeons in 
    the original resource-based relative value scale process. The commenter 
    stated that the modest increase in the RVUs we assigned to these 
    procedures still left a deficit valuation of approximately 27 percent 
    for CPT codes 43842 and 43843, 17 percent for CPT codes 43846 and 
    43847, and 12 percent for CPT code 43848.
        Response: We have not revised the interim RVUs because we do not 
    believe the commenter made a compelling argument for change. We also 
    disagree that the increases in RVUs assigned to 
    
    [[Page 63160]]
    these codes were modest. As we discussed in Table 4 of our December 8, 
    1994 final rule (59 FR 63444), the increases were as follows: CPT code 
    43842 from 11.99 RVUs to 13.91 RVUs; CPT code 43843 from 11.99 RVUs to 
    13.91 RVUs; CPT code 43846 from 12.90 RVUs to 18.04 RVUs; CPT code 
    43847 from 14.32 RVUs to 20.09 RVUs; and, CPT code 43848 from 15.00 
    RVUs to 22.35 RVUs. When the RVUs were adjusted for budget neutrality, 
    the RVUs were as follows: CPT code 43842, assigned 13.76 RVUs; CPT code 
    43843, assigned 13.76 RVUs; CPT code 43846, assigned 17.84 RVUs; CPT 
    code 43847, assigned 19.87 RVUs; and, CPT code 43848 assigned 22.10 
    RVUs. We believe that further increases would create rank order 
    anomalies with other abdominal surgical procedures on the physician fee 
    schedule.
        Induced abortion, by one or more vaginal suppositories (eg. 
    prostaglandin) with or without cervical dilation (eg. laminaria), 
    including hospital admission and visits (CPT code 59855).
        Comment: A commenter recommended that we assign the RUC-recommended 
    5.80 RVUs to CPT code 59855. The commenter believed that our rationale 
    for lowering the work RVUs to 4.80 (4.75 rescaled) was ``the physician 
    work in placing suppositories is less than the work in an 
    amnioinjection, regardless of the number of suppositories needed'' and 
    that CPT code 59855 requires less physician work than CPT code 59850 
    (Induced abortion by amnioinjection). The commenter stated that while 
    it is true that the procedural work associated with placing 
    suppositories is less than the procedural work associated with 
    amnioinjection, placement of the suppositories or performance of the 
    amnioinjection is only one element of the total work of each of these 
    services. Use of prostaglandin suppositories typically results in more 
    side effects that the physician must manage over a period of time that 
    is longer than that associated with the amnioinjection, increasing the 
    amount of evaluation and management work for CPT code 59855. Overall, 
    CPT code 59855 requires a greater amount of physician work than CPT 
    code 59850.
        Response: We agree with the comment and have assigned 5.80 RVUs to 
    CPT code 59855, as recommended.
        Sympathectomy, digital arteries (CPT code 64820).
        Comment: A commenter disagreed with our decision to value CPT code 
    64820 at 9.20 RVUs (9.10 RVUs rescaled) instead of 10.00 RVUs as the 
    RUC recommended. The commenter objected to our determination that the 
    work involved in new CPT code 64820 is approximately the same as the 
    repair of a blood vessel of the hand or finger (CPT code 35207). The 
    commenter stated that the work on the two vessels involved in a digital 
    sympathectomy is not similar to the anastomosis of a single vessel and 
    offered the following explanation. CPT code 35207 involves the repair 
    of a single injured vessel through an existing skin laceration. CPT 
    code 35207 has less preservice and intraservice work than new CPT code 
    64820. Digital sympathectomy is performed in individuals with 
    vasospastic disease of the hand and severe ischemic pain frequently 
    with ulceration of the finger tip. Two vessels are always treated 
    through an extensile palmar incision on the radial and ulnar side of a 
    digit. Using an operating microscope and jeweler's forceps, a tedious 
    removal of the adventitia is performed for a distance of 1.5 to 2.0 
    centimeters. Extraordinary care must be taken to avoid perforating the 
    vessel. Damaging the vessel's media or intima will cause thrombosis and 
    possible gangrene of the finger. Considering the clinical circumstances 
    regarding the patient indications and actual intraservice work, digital 
    sympathectomy represents a greater intensity of work than CPT code 
    35207, as measured by increased mental effort and judgment, greater 
    technical skill, and considerably more psychological stress. 
    Postservice work is similar for both codes, however, with an average of 
    four office visits after the procedure. For these clinical reasons, the 
    commenter recommended that new CPT code 64820 should have 10.00 RVUs.
        Response: We agree with the comment and have assigned 10.00 RVUs to 
    CPT code 64820, as recommended.
        Multiple-family group medical psychotherapy (CPT code 90849).
        Comment: A commenter recommended increases for all psychiatric 
    services in response to our request for comments as part of the 5-year 
    refinement of RVUs under the physician fee schedule. Included in that 
    comment was a recommendation to increase the RVUs for CPT code 90849 
    from 0.59 to 0.78 to maintain the relative value with the recommended 
    increases for the other psychiatric codes.
        Response: The RVUs assigned to this code were based on a 1994 RUC 
    recommendation that we accepted. We have not increased the RVUs this 
    year because we believe it is an issue for the 5-year refinement. We 
    will consider the recommended RVUs as part of that process. In the 
    meantime, we will maintain the assigned 0.59 RVUs.
        Evoked otoacoustic emissions testing (CPT codes 92587 and 92588).
        Comment: A commenter recommended that we provide a ten-fold 
    increase in the RVUs for these audiology services to ``properly 
    compensate for the training, effort, and time necessary to diagnose 
    hearing loss and related disorders.''
        Response: We have not accepted this comment because it did not 
    provide enough clinical information about the nature of the work to 
    warrant a reconsideration of the interim RVUs.
        Stress echocardiography (CPT code 93350).
        Comment: A commenter expressed concern about the decrease in RVUs 
    for this service.
        Response: The decrease in RVUs for stress echocardiography occurred 
    as a result of a change in CPT reporting instructions that now direct 
    the user to report the appropriate stress testing code from the 93015 
    through 93018 series in addition to CPT code 93350. The sum of the RVUs 
    for these services is equal to the RVUs that were assigned to CPT code 
    93350 in the past when it was the only code used to report stress 
    echocardiography.
        Photochemotherapy (Goeckerman and/or PUVA) for severe 
    photoresponsive dermatoses requiring at least four to eight hours of 
    care under direct supervision of the physician (includes application of 
    medication and dressings) (CPT code 96913).
        Comment: A commenter objected to our decision not to assign 
    physician work RVUs to this service. The commenter stated that with the 
    availability of psoriasis day treatment centers, much Goeckerman 
    therapy is now practical in a day treatment program but that it is very 
    different from a simple office visit. The commenter argued that there 
    is considerable professional judgment involved and there is also an 
    extraordinary quantity of nursing time involved since the patient is 
    typically in a day treatment center for 6 hours or more a day. The 
    treatment requires bathing, scale removal, twice daily application of 
    tar over the total body surface, shampoos, scale removal from scalp, 
    ultraviolet light, and typically anthralin as well. The treatment is 
    extremely time-consuming because the medication must be put on 
    
    [[Page 63161]]
    each individual spot while avoiding normal skin.
        Response: We have not revised our decision regarding this code. We 
    have not assigned any work RVUs to this service because the commenter 
    did not persuade us that photochemotherapy requires any physician work 
    beyond that already described by existing evaluation and management 
    codes. We have assigned practice expense and malpractice expense RVUs 
    based on historic charges for this code so that it will no longer be 
    carrier-priced. We have categorized this service as an ``incident to'' 
    code, which means that it is covered incident to a physician's service 
    when it is furnished by auxiliary personnel employed by the physician 
    and working under his or her direct supervision. Payment may not be 
    made for this service when it is furnished to hospital inpatients or 
    patients in a hospital outpatient department. Physicians may bill for 
    evaluation and management services in those settings.
        Joint mobilization and massage (CPT codes 97124 and 97265).
        Comment: One commenter stated that these codes may be overvalued 
    relative to osteopathic manipulative treatment (CPT codes 98925 through 
    98929) and evaluation and management services.
        Response: The interim RVUs we proposed for these codes were based 
    on our acceptance of recommendations we received from the RUC Health 
    Care Professionals Advisory Committee Review Board last year. The 
    history and functions of this board are described below.
        In 1992 the American Medical Association recommended that a Health 
    Care Professionals Advisory Committee be established to expand the CPT 
    Editorial Panel and the RUC processes to all groups legally required to 
    use the CPT to report their services. Organizations representing 
    physician assistants, nurses, occupational and physical therapists, 
    optometrists, podiatrists, psychologists, social workers, audiologists 
    and speech pathologists were invited to nominate representatives to the 
    CPT and RUC Health Care Professionals Advisory Committee. The CPT 
    Health Care Professionals Advisory Committee was created to foster 
    participation in and solicit comments from these professional 
    organizations in coding changes affecting their members, while the RUC 
    Health Care Professionals Advisory Committee was formed to allow 
    participation in development of RVUs for new and revised codes within 
    their scope of practice.
        To further facilitate the decision-making process on issues of 
    concern to both medical doctors (MDs) and doctors of osteopathy (DOs) 
    and non-MDs and non-DOs, CPT and RUC Health Care Professionals Advisory 
    Committee Review Boards were also formed. The review boards bring MDs 
    and DOs and non-MDs and non-DOs together to discuss coding issues and 
    RVU proposals. The RUC Health Care Professionals Advisory Committee 
    Review Board comprises all nine members of the current RUC Health Care 
    Professionals Advisory Committee and three RUC members. For codes used 
    only or predominantly by non-MDs and non-DOs, the RUC Health Care 
    Professionals Advisory Committee Review Board replaces the RUC as the 
    body responsible for developing recommendations for HCFA.
        We have decided to maintain the RVUs for joint mobilization (CPT 
    code 97265), with 0.45 RVUs, and massage (CPT code 97124), with 0.35 
    RVUs, as interim RVUs on the 1996 fee schedule so that we will have 
    additional time to re-evaluate them. While we agree that these services 
    appropriately are compared to other therapeutic procedures in the 
    physical medicine section of CPT, our review of them in light of the 
    comment causes us to believe that the interim RVUs we assigned to the 
    therapeutic procedures services may have been too high relative to 
    other services on the fee schedule, for example, osteopathic 
    manipulative treatments and evaluation and management services.
        While we acknowledge that we accepted last year's recommendations 
    of the RUC Health Care Professionals Advisory Committee Review Board, 
    we now plan to refer these and all other physical medicine and 
    rehabilitation codes (CPT codes 97010 through 97770) back to the RUC 
    Health Care Professionals Advisory Committee Review Board for its 
    reconsideration. We also will notify the RUC of our concerns. In 
    addition, we seek public comments on this issue.
        Prolonged physician services (CPT codes 99354 through 99357).
        Comment: A commenter provided extensive arguments for an increase 
    in the RVUs of these codes based on the premise that we have 
    underestimated the time involved in furnishing these services. Because 
    the RVUs for evaluation and management services are related to the time 
    specified in the CPT codes, the commenter believed that the selection 
    of the appropriate level of service should be based solely on the time 
    spent providing the service. For example, a consultation (CPT code 
    99253) typically assumes a 55-minute time segment. The commenter stated 
    that if less time is spent, the consultation would be coded at a lower 
    level as CPT code 99252 or 99251. The commenter believed that the 
    correct key references for these prolonged physician services are CPT 
    codes 99245 (Office consultation) and 99255 (Hospital inpatient 
    consultation) because the times specified in those codes correspond to 
    the times specified in the prolonged services codes.
        Response: We have decided not to accept this comment, which we 
    believe is based, in part, on a misunderstanding of the relationship of 
    the typical times associated with the evaluation and management codes 
    and the RVUs assigned to the codes. While it is true that time is a key 
    predictor of work, it is not true that physicians are required to 
    report their evaluation and management services based solely on the 
    amount of time spent furnishing the service. CPT codes 99354 and 99356 
    both describe the ``first hour'' of prolonged services. This 
    terminology in the code does not require that an entire hour of service 
    be furnished in order for the code to be used. In fact, the CPT directs 
    the reader to use the code to report 30 to 74 minutes of prolonged 
    services. In our discussion of these codes in the December 8, 1994 
    Federal Register (59 FR 63437 through 63440), we indicated that we did 
    not expect that the typical use of the code would be to report an hour 
    of service. We assigned RVUs that are equivalent to 40 minutes of face-
    to-face or floor time.
        Finally, for those specialties with very prolonged encounters, we 
    have assigned the same RVUS to the ``each additional 30 minutes'' codes 
    (CPT codes 99355 and 99357) that we assigned to the ``first hour'' 
    codes. This actually represents an increase above the recommended RVUs 
    we received from the RUC for CPT codes 99355 and 99357. We believe the 
    final RVUs for the prolonged service codes appropriately recognize the 
    work associated with very prolonged services.
    2. Establishment of Interim Work Relative Value Units for New and 
    Revised Codes for 1996
        a. Methodology (Includes Table 2--American Medical Association 
    Specialty Society Relative Value Update 
    
    [[Page 63162]]
    Committee Recommendations and HCFA's Decisions).
        The major aspect of establishing work RVUs for 1996 was related to 
    the assignment of interim RVUs for all new and revised CPT codes. As 
    described in our November 1992 notice on the 1993 fee schedule (57 FR 
    55938), we established a process, based on recommendations received 
    from the RUC, for establishing interim RVUs for new and revised codes.
        The RUC was formed in November 1991 and grew out of a series of 
    discussions between the American Medical Association and the major 
    national medical specialty societies. The RUC is comprised of 26 
    members; 22 are representatives of major specialty societies. The 
    remaining members represent the American Medical Association, the 
    American Osteopathic Association, and the CPT Editorial Panel. The work 
    of the RUC is supported by the RUC Advisory Committee made up of 
    representatives of 65 specialty societies in the American Medical 
    Association House of Delegates. The RUC used a small group survey 
    method to produce work RVUs that were voted on by the RUC, with a two-
    thirds vote required for acceptance. The RUC then submitted to us those 
    accepted RVUs as recommended values.
        We received work RVU recommendations for approximately 140 new and 
    revised codes from the RUC. We also received RUC recommendations for 
    base units for two anesthesia codes, CPT codes 00520 (Anesthesia, 
    closed chest procedures) and 00540 (Anesthesia, chest procedure) and 
    have accepted the recommendations of 6.00 and 13.00 base units, 
    respectively. Physician panels consisting of carrier medical directors 
    and our staff reviewed the RUC recommendations by comparing them to our 
    reference set or to other comparable services on the fee schedule for 
    which work RVUs had been established previously, or to both of these 
    criteria. The panels also considered the relationships among the new 
    and revised codes for which we received the RUC recommendations. We 
    agreed with a majority of the relationships reflected in the RUC 
    values. In some cases when we agreed with the RUC relationships, we 
    revised the RVUs recommended by the RUC in order to achieve work 
    neutrality within families of codes. For example, if CPT revised an 
    existing code by splitting it into two or more new codes, we took into 
    account the RVUs assigned to the existing code and the expected 
    utilization of the split codes in such a way that the coding change 
    would not lead to an overall increase in RVUs associated with services 
    previously described by a single code. For approximately 90 percent of 
    the RUC recommendations, proposed RVUs were accepted or increased, and 
    for approximately 10 percent, RVUs were decreased.
        We also received two recommendations from specialty societies and 
    four recommendations from the Health Care Professionals Advisory 
    Committee for new or revised codes for which the RUC did not provide a 
    recommendation. The specialty society recommendations were also 
    reviewed by the physician panels. All of the proposed RVUs of the 
    specialty society recommendations were accepted. All of the proposed 
    RVUs of the Health Care Professionals Advisory Committee 
    recommendations were decreased.
        Table 2 is a listing of those codes that will be new or revised in 
    1996 for which we received recommended work RVUs. This table includes 
    the following information:
         A ``#'' identifies a new code for 1996.
         CPT code. This is the CPT code for a service.
         Modifier. A ``26'' in this column indicates that the RVUs 
    are for the professional component of the code.
         Description. This is an abbreviated version of the 
    narrative description of the code.
         RUC-recommended work RVUs. This column identifies the work 
    RVUs recommended by the RUC. If no recommendation was received from the 
    RUC, this column shows ``no rec.''
         Health Care Professionals Advisory Committee (HCPAC) 
    recommendations.  This column identifies work RVUs recommended by the 
    Health Care Professionals Advisory Committee.
         Specialty-recommended RVUs. This column identifies work 
    RVUs recommended by a specialty society.
         HCFA decision. This column indicates whether we agreed 
    with the RUC recommendation (``agreed''); we established work RVUs that 
    are higher than the RUC recommendation (``increased''); or we 
    established work RVUs that were less than the RUC recommendation 
    (``decreased''). Codes for which we did not accept the RUC 
    recommendation are discussed in greater detail following Table 2. A 
    discussion follows the table in section VI.B.2.b. An (a) in the column 
    indicates that RVUs were not assigned.
         HCFA value. This column contains the 1996 RVUs for 
    physician work.
        This table includes only those codes that were reviewed by the full 
    RUC or for which we received a recommendation from a specialty society 
    or Health Care Professionals Advisory Committee.
    
    
                                                                                                                    
    
    [[Page 63162]]
                                                     Table 2.--AMA RUC Recommendations and HCFA's Decisions                                                 
    --------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                RUC             HCPAC          Specialty                                                    
       CPT*       Mod               Description           recommendations  recommendations  recommendations           HCFA  decision          1996 work RVUs
    --------------------------------------------------------------------------------------------------------------------------------------------------------
    17110....  .........  Destruction of skin lesions...             0.55  ...............  ...............  Agreed.........................            0.55
    #20100...  .........  Explore wound, neck...........             9.50  ...............  ...............  Agreed.........................            9.50
    #20101...  .........  Explore wound, chest..........             3.00  ...............  ...............  Agreed.........................            3.00
    #20102...  .........  Explore wound, abdomen........             3.68  ...............  ...............  Agreed.........................            3.68
    #20103...  .........  Explore wound, extremity......             4.95  ...............  ...............  Agreed.........................            4.95
    #20930...  .........  Spinal bone allograft.........             0.00  ...............  ...............  Agreed.........................            0.00
    #20931...  .........  Spinal bone allograft.........             1.81  ...............  ...............  Agreed.........................            1.81
    #20936...  .........  Spinal bone autograft.........             0.00  ...............  ...............  Agreed.........................            0.00
    #20937...  .........  Spinal bone autograft.........             2.79  ...............  ...............  Agreed.........................            2.79
    #20938...  .........  Spinal bone autograft.........             3.02  ...............  ...............  Agreed.........................            3.02
    #21076...  .........  Prepare face/oral prosthesis..  ...............  ...............            12.54   Agreed........................           12.54
    #21077...  .........  Prepare face/oral prosthesis..  ...............  ...............            31.54   Agreed........................           31.54
    #21141...  .........  Reconstruct midface, lefort...            16.92  ...............  ...............  Agreed.........................           16.92
    #21142...  .........  Reconstruct midface, lefort...            17.58  ...............  ...............  Agreed.........................           17.58
    
    [[Page 63163]]
                                                                                                                                                            
    #21143...  .........  Reconstruct midface, lefort...            18.30  ...............  ...............  Agreed.........................           18.30
    21145....  .........  Reconstruct midface, lefort...            18.92  ...............  ...............  Agreed.........................           18.92
    21146....  .........  Reconstruct midface, lefort...            19.58  ...............  ...............  Agreed.........................           19.58
    21147....  .........  Reconstruct midface, lefort...            20.30  ...............  ...............  Agreed.........................           20.30
    22100....  .........  Remove part of neck vertebra..             9.05  ...............  ...............  Agreed.........................            9.05
    22101....  .........  Remove part, thorax vertebra..             9.00  ...............  ...............  Agreed.........................            9.00
    22102....  .........  Remove part, lumbar vertebra..             9.00  ...............  ...............  Agreed.........................            9.00
    #22103...  .........  Remove extra spine segment....             2.34  ...............  ...............  Agreed.........................            2.34
    22110....  .........  Remove part of neck vertebra..            11.59  ...............  ...............  Agreed.........................           11.59
    22112....  .........  Remove part, thorax vertebra..            11.59  ...............  ...............  Agreed.........................           11.59
    22114....  .........  Remove part, lumbar vertebra..            11.59  ...............  ...............  Agreed.........................           11.59
    #22116...  .........  Remove extra spine segment....             2.32  ...............  ...............  Agreed.........................            2.32
    22210....  .........  Revision of neck spine........            22.51  ...............  ...............  Agreed.........................           22.51
    22212....  .........  Revision of thorax spine......            18.14  ...............  ...............  Agreed.........................           18.14
    22214....  .........  Revision of lumbar spine......            18.14  ...............  ...............  Agreed.........................           18.14
    #22216...  .........  Revise, extra spine segment...             6.04  ...............  ...............  Agreed.........................            6.04
    22220....  .........  Revision of neck spine........            20.15  ...............  ...............  Agreed.........................           20.15
    22222....  .........  Revision of thorax spine......            20.15  ...............  ...............  Agreed.........................           20.15
    22224....  .........  Revision of lumbar spine......            20.15  ...............  ...............  Agreed.........................           20.15
    #22226...  .........  Revise, extra spine segment...             6.04  ...............  ...............  Agreed.........................            6.04
    22305....  .........  Treat spine process fracture..             1.86  ...............  ...............  Agreed.........................            1.86
    22310....  .........  Treat spine fracture..........             1.86  ...............  ...............  Agreed.........................            1.86
    22315....  .........  Treat spine fracture..........             8.36  ...............  ...............  Agreed.........................            8.36
    22325....  .........  Repair of spine fracture......            17.19  ...............  ...............  Agreed.........................           17.19
    22326....  .........  Repair neck spine fracture....            18.43  ...............  ...............  Agreed.........................           18.43
    22327....  .........  Repair thorax spine fracture..            17.56  ...............  ...............  Agreed.........................           17.56
    #22328...  .........  Repair each add spine fx......             4.61  ...............  ...............  Agreed.........................            4.61
    22548....  .........  Neck spine fusion.............            24.08  ...............  ...............  Agreed.........................           24.08
    22554....  .........  Neck spine fusion.............            17.24  ...............  ...............  Agreed.........................           17.24
    22556....  .........  Thorax spine fusion...........            22.27  ...............  ...............  Agreed.........................           22.27
    22558....  .........  Lumbar spine fusion...........            21.22  ...............  ...............  Agreed.........................           21.22
    22585....  .........  Additional spinal fusion......             5.53  ...............  ...............  Agreed.........................            5.53
    22590....  .........  Spine & skull spinal fusion...            19.50  ...............  ...............  Agreed.........................           19.50
    22595....  .........  Neck spinal fusion............            18.19  ...............  ...............  Agreed.........................           18.19
    22600....  .........  Neck spine fusion.............            14.74  ...............  ...............  Agreed.........................           14.74
    22610....  .........  Thorax spine fusion...........            14.62  ...............  ...............  Agreed.........................           14.62
    22612....  .........  Lumbar spine fusion...........            20.19  ...............  ...............  Agreed.........................           20.19
    #22614...  .........  Spine fusion, extra segment...             6.44  ...............  ...............  Agreed.........................            6.44
    22630....  .........  Lumbar spine fusion...........            20.03  ...............  ...............  Agreed.........................           20.03
    #22632...  .........  Spine fusion, extra segment...             5.23  ...............  ...............  Agreed.........................            5.23
    22800....  .........  Fusion of spine...............            16.92  ...............  ...............  Agreed.........................           16.92
    22802....  .........  Fusion of spine...............            29.74  ...............  ...............  Agreed.........................           29.74
    #22804...  .........  Fusion of spine...............            35.00  ...............  ...............  Agreed.........................           35.00
    #22808...  .........  Fusion of spine...............            25.00  ...............  ...............  Agreed.........................           25.00
    22810....  .........  Fusion of spine...............            29.00  ...............  ...............  Agreed.........................           29.00
    22812....  .........  Fusion of spine...............            31.00  ...............  ...............  Agreed.........................           31.00
    22830....  .........  Exploration of spinal fusion..            10.22  ...............  ...............  Agreed.........................           10.22
    22840....  .........  Insert spine fixation device..             6.27  ...............  ...............  Agreed.........................            6.27
    #22841...  .........  Insert spine fixation device..             0.00  ...............  ...............  Agreed.........................            0.00
    #22842...  .........  Insert spine fixation device..             7.19  ...............  ...............  Agreed.........................            7.19
    #22843...  .........  Insert spine fixation device..             8.97  ...............  ...............  Agreed.........................            8.97
    #22844...  .........  Insert spine fixation device..            10.96  ...............  ...............  Agreed.........................           10.96
    22845....  .........  Insert spine fixation device..             5.98  ...............  ...............  Agreed.........................            5.98
    #22846...  .........  Insert spine fixation device..             8.28  ...............  ...............  Agreed.........................            8.28
    #22847...  .........  Insert spine fixation device..             9.20  ...............  ...............  Agreed.........................            9.20
    #22848...  .........  Insert pelvic fixation device.             6.00  ...............  ...............  Agreed.........................            6.00
    #22851...  .........  Apply spine prosth device.....             6.71  ...............  ...............  Agreed.........................            6.71
    32095....  .........  Biopsy through chest wall.....             7.13  ...............  ...............  Agreed.........................            7.13
    #32501...  .........  Repair bronchus (add-on)......             4.69  ...............  ...............  Agreed.........................            4.69
    #33253...  .........  Reconstruct atria.............            30.00  ...............  ...............  Agreed.........................           30.00
    #33924...  .........  Remove pulmonary shunt........             5.50  ...............  ...............  Agreed.........................            5.50
    #38231...  .........  Stem cell collection..........             1.74  ...............  ...............  Decreased......................            1.50
    38240....  .........  Bone marrow/stem transplant...             2.24  ...............  ...............  Agreed.........................            2.24
    38241....  .........  Bone marrow/stem transplant...             2.24  ...............  ...............  Agreed.........................            2.24
    47350....  .........  Repair liver wound............            11.29  ...............  ...............  Agreed.........................           11.29
    47360....  .........  Repair liver wound............            15.34  ...............  ...............  Agreed.........................           15.34
    #47361...  .........  Repair liver wound............            28.00  ...............  ...............  Agreed.........................           28.00
    #47362...  .........  Repair liver wound............            10.00  ...............  ...............  Agreed.........................           10.00
    
    [[Page 63164]]
                                                                                                                                                            
    49000....  .........  Exploration of abdomen........             8.99  ...............  ...............  Agreed.........................            8.99
    49002....  .........  Reopening of abdomen..........             9.40  ...............  ...............  Agreed.........................            9.40
    49010....  .........  Exploration behind abdomen....            11.19  ...............  ...............  Agreed.........................           11.19
    55859....  .........  Percut/needle insert, pros....            14.00  ...............  ...............  Decreased......................            8.29
    #56343...  .........  Laparoscopic salpingostomy....             6.96  ...............  ...............  Agreed.........................            6.96
    #56344...  .........  Laparoscopic fimbrioplasty....             7.16  ...............  ...............  Agreed.........................            7.16
    #57284...  .........  Repair paravaginal defect.....            12.10  ...............  ...............  Agreed.........................           12.10
    #59610...  .........  Vbac delivery.................            22.63  ...............  ...............  Decreased......................           22.55
    #59612...  .........  Vbac delivery only............            15.00  ...............  ...............  Decreased......................           14.84
    #59614...  .........  Vbac care after delivery......            16.00  ...............  ...............  Decreased......................           15.96
    #59618...  .........  Attempted vbac delivery.......            25.03  ...............  ...............  Increased......................           25.23
    #59620...  .........  Attempted vbac delivery only..            16.75  ...............  ...............  Increased......................           16.95
    #59622...  .........  Attempted vbac after care.....            17.94  ...............  ...............  Increased......................           18.11
    62274....  .........  Inject spinal anesthetic......             1.78  ...............  ...............  Agreed.........................            1.78
    62288....  .........  Injection into spinal canal...             1.74  ...............  ...............  Agreed.........................            1.74
    #62350...  .........  Implant spinal catheter.......             6.25  ...............  ...............  Agreed.........................            6.25
    #62351...  .........  Implant spinal catheter.......             9.25  ...............  ...............  Agreed.........................            9.25
    #62355...  .........  Remove spinal canal catheter..             4.80  ...............  ...............  Agreed.........................            4.80
    #62360...  .........  Insert spine infusion device..             2.00  ...............  ...............  Agreed.........................            2.00
    #62361...  .........  Implant spine infusion pump...             4.80  ...............  ...............  Agreed.........................            4.80
    #62362...  .........  Implant spine infusion pump...             6.29  ...............  ...............  Agreed.........................            6.29
    #62365...  .........  Remove spine infusion device..             4.77  ...............  ...............  Agreed.........................            4.77
    #62367...         26  Analyze spine infusion pump...             0.48  ...............  ...............  Agreed.........................            0.48
    #62368...         26  Analyze spine infusion pump...             0.75  ...............  ...............  Agreed.........................            0.75
    67107....  .........  Repair detached retina........            13.99  ...............  ...............  Agreed.........................           13.99
    67108....  .........  Repair detached retina........            19.90  ...............  ...............  Agreed.........................           19.90
    67112....  .........  Re-repair detached retina.....            16.15  ...............  ...............  Agreed.........................           16.15
    # 76965..         26   Echo guidance radiotherapy...             1.34  ...............  ...............  Agreed.........................            1.34
    # 78459..         26   Heart muscle imaging (PET)...             1.88  ...............  ...............  Agreed.........................            1.88
    # 78810..         26   Tumor imaging (PET)..........             1.93  ...............  ...............  Agreed.........................            1.93
    # 90922..  .........  ESRD related services, day....             0.44  ...............  ...............  Decreased......................            0.37
    # 90923..  .........  Esrd related services, day....             0.30  ...............  ...............  Decreased......................            0.28
    # 90924..  .........  Esrd related services, day....             0.22  ...............  ...............  Increased......................            0.24
    # 90925..  .........  Esrd related services, day....             0.17  ...............  ...............  Decreased......................            0.15
    92506....  .........  Speech & hearing evaluation...             0.86  ...............  ...............  Agreed.........................            0.86
    92507....  .........  Speech/hearing therapy........             0.52  ...............  ...............  Agreed.........................            0.52
    92508....  .........  Speech/hearing therapy........             0.26  ...............  ...............  Agreed.........................            0.26
    # 92510..  .........  Rehab for ear implant.........             1.50  ...............  ...............  Agreed.........................            1.50
    92516....  .........  Facial nerve function test....             0.43  ...............  ...............  Agreed.........................            0.43
    # 92525..  .........  Oral function evaluation......             1.61  ...............  ...............  Decreased......................            1.13
    # 92526..  .........  Oral function therapy.........             0.64  ...............  ...............  Decreased......................            0.52
    92546....         26   Sinusoidal rotational test...             0.29  ...............  ...............  Agreed.........................            0.29
    # 92579..  .........  Visual audiometry (vra).......  ...............  ...............  ...............  (a)............................  ..............
    # 92597..  .........  Oral speech device eval.......             1.50  ...............  ...............  Decreased......................            1.11
    # 92598..  .........  Modify oral speech device.....             0.99  ...............  ...............  Decreased......................            0.73
    # 92987..  .........  Revision of mitral valve......            20.69  ...............  ...............  Agreed.........................           20.69
    95872....         26   Muscle test, one fiber.......             1.50  ...............  ...............  Agreed.........................            1.50
    95900....         26   Motor nerve conduction test..             0.42  ...............  ...............  Agreed.........................            0.42
    # 95903..         26   Motor nerve conduction test..             0.60  ...............  ...............  Agreed.........................            0.60
    95904....         26   Sense nerve conduction test..             0.34  ...............  ...............  Agreed.........................            0.34
    95925....         26   Somatosensory testing........             0.81  ...............  ...............  Decreased......................            0.54
    # 95926..         26   Somatosensory testing........             0.81  ...............  ...............  Decreased......................            0.54
    # 95927..         26   Somatosensory testing........             0.81  ...............  ...............  Decreased......................            0.54
    # 95930..         26   Visual evoked potential test.             0.35  ...............  ...............  Agreed.........................            0.35
    # 95934..         26   `H' reflex test..............             0.51  ...............  ...............  Agreed.........................            0.51
    # 95936..         26   `H' reflex test..............             0.55  ...............  ...............  Agreed.........................            0.55
    97116....  .........  Gait training therapy.........             0.40  ...............  ...............  Agreed.........................            0.40
    # 97535..  .........  Self care mngment training....  ...............             0.45  ...............  Decreased......................            0.33
    # 97537..  .........  Community/work reintegration..  ...............             0.45  ...............  Decreased......................            0.33
    # 97542..  .........  Wheelchair mngement training..  ...............             0.45  ...............  Decreased......................            0.25
    # 97703..  .........  Prosthetic checkout...........  ...............             0.45  ...............  Decreased......................            0.25
    99238....  .........  Hospital discharge day........             1.06  ...............  ...............  Agreed.........................            1.06
    # 99239..  .........  Hospital discharge day........             1.75  ...............  ...............  Agreed.........................            1.75
    # 99435..  .........  Hospital NB discharge day.....             1.50  ...............  ...............  Agreed.........................            1.50
    --------------------------------------------------------------------------------------------------------------------------------------------------------
    
    
                                                                                                                                              
    [[Page 63165]]
    
        b. Discussion of codes for which the recommendations were not 
    accepted or for which clarification of the code is necessary.
        The following is a summary of our rationale for not accepting 
    particular recommendations. It is arranged by type of service in CPT 
    code order. We have included in this section a clarification of the 
    intended use of one family of codes for which we accepted the RUC 
    recommendations. This summary refers only to work RVUs.
        Exploration of penetrating wounds (CPT codes 20100 through 20103).
        We accepted the RUC recommendations for these codes but are 
    concerned that they could be inappropriately used to report the repair 
    of wounds. Therefore, we are providing a clarification of the codes 
    based on the language that will be included in CPT 1996.
        These codes are used to report the treatment of wounds resulting 
    from penetrating trauma that require surgical exploration and 
    enlargement of the wound, extension of dissection (to determine 
    penetration), debridement, removal of foreign body(s), ligation or 
    coagulation of minor subcutaneous and/or muscular blood vessel(s), of 
    the subcutaneous tissue, muscle fascia, and/or muscle. If a repair is 
    done to major blood vessel(s) requiring thoracotomy or laparotomy, 
    those specific code(s) would supersede the use of CPT codes 20100 
    through 20103. These codes should not be used to report simple, 
    intermediate, or complex repair of wound(s) that do not require 
    enlargement of the wound, extension of dissection, etc., as stated 
    above.
        Blood-derived peripheral stem cell harvesting for transplantation, 
    per collection (CPT code 38231).
        The RUC recommended 1.74 RVUs based on its determination that the 
    work is equivalent to the work of CPT code 36520 (Therapeutic 
    apheresis). We believe that the work associated with this procedure is 
    less than that for CPT code 36520 in that the patients are less ill and 
    the risk of complications is much less. In addition, patients require 
    less physician monitoring, and the procedure is more likely to be 
    performed on an outpatient basis. We believe the work is comparable to 
    a level-5 evaluation and management service (CPT code 99215), which is 
    assigned 1.50 RVUs.
        However, as with therapeutic apheresis, we do not permit payment 
    for both harvesting and certain evaluation and management codes on the 
    same date. Specifically, we do not allow separate payment for CPT codes 
    99211 through 99215 (Established patient office or other outpatient 
    visits), 99231 through 99233 (Subsequent hospital care), and 99261 
    through 99263 (Follow-up inpatient consultations) on the same date that 
    CPT code 38231 (Stem cell harvesting) is furnished because it would 
    allow duplicate payment for the evaluation and management service. 
    Physicians furnishing stem cell harvesting services may choose to bill 
    for the appropriate evaluation and management visit or consultation 
    code indicating the level of services furnished rather than billing for 
    the stem cell harvesting. This will permit physicians to be paid for 
    the level of service furnished.
        Separate payment will be allowed for physician services furnished 
    to establish the required vascular access if performed by the physician 
    and if the criteria for payment under the appropriate CPT code are 
    satisfied. We will also allow separate billing for CPT codes 99221 
    through 99223 (Initial hospital visit), CPT codes 99241 through 99245 
    and 99251 through 99255 (Initial consultations), and CPT code 99238 
    (Hospital discharge service) when billed on the same date as CPT code 
    38231 (Stem cell harvesting) because the work associated with these 
    evaluation and management services is not included in work RVUs 
    assigned to the stem cell harvesting. These policies are consistent 
    with the policies for therapeutic apheresis that were established for 
    the 1995 fee schedule.
        Transperineal placement of needles or catheters into prostate for 
    interstitial radioelement application, with or without cystoscopy (CPT 
    code 55859).
        We received a RUC recommendation of 14.00 RVUs based upon the use 
    of CPT code 61770 (Stereotactic localization, any method, including 
    burr hole(s) with insertion of catheter(s) for brachytherapy) as a 
    reference procedure. We believe that these RVUs are too high and 
    disagree with the RUC's use of CPT code 61770 as a reference procedure; 
    we view that procedure as requiring greater technical skill, mental 
    effort, and judgment. The recommended 14.00 RVUs are higher than the 
    RVUs assigned to CPT code 55860 (Exposure of prostate, any approach, 
    for insertion of radioactive substance), which is assigned 13.33 RVUs. 
    This is an open surgical procedure with significantly more 
    postprocedure work than CPT code 55859, which can be performed on an 
    outpatient basis.
        The placement of needles or catheters into the prostate is 
    performed under ultrasonic guidance, and the guidance is separately 
    reported by new CPT code 76965 for which we accepted the RUC 
    recommendation of 1.34 RVUs. In addition, CPT also directs separate 
    reporting of the interstitial radioelement application (CPT codes 77776 
    through 77778). CPT code 77778 (Interstitial radioelement application, 
    complex) is the code most likely to be reported. We assigned 10.46 RVUs 
    to this code. Thus, a physician performing all aspects of this 
    procedure would report all three codes with 25.80 total RVUs if we 
    accepted the RUC recommendation of 14.00 for code 55859.
        We believe it is possible that urologists responding to the 
    surveyed vignette may have misunderstood that this code is used to 
    report only the placement of the needles or catheters into the prostate 
    and that they inadvertently included in their estimates of work the 
    separately reported work of ultrasonic guidance and application of the 
    radioelements.
        We believe that a more appropriate reference procedure than a 
    neurosurgical procedure would be another prostate procedure that can be 
    performed on an outpatient basis. We selected CPT code 55700 (Biopsy, 
    prostate; needle or punch, single or multiple, any approach), which is 
    assigned 1.57 RVUs. Because of the increased intraoperative time and 
    complexity as well as the increased surgical risk associated with CPT 
    code 55859, we have increased the RVUs four-fold to 6.28 RVUs. In 
    addition we added 2.01 RVUs, the RVUs assigned to CPT code 52000, to 
    reflect the added work of the cystoscopy. This addition results is the 
    assignment of 8.29 RVUs for CPT code 55859.
        Vaginal birth after cesarean (CPT codes 59610, 59612, 59614, 59618, 
    59620, and 59622).
        The CPT has added a new section to the 1996 edition for ``delivery 
    after previous cesarean delivery.'' Included in this section are six 
    new codes that are used to report the services furnished to patients 
    who have had a previous cesarean delivery and who present with the 
    expectation of a vaginal delivery. If the patient has a successful 
    vaginal delivery after a previous cesarean delivery (VBAC), then either 
    CPT code 59610, 59612, or 59614 is reported. If the attempt is 
    unsuccessful and another cesarean delivery is carried out, either 
    
    [[Page 63166]]
    CPT code 59618, 59620, or 59622 is reported. The RUC-recommended RVUs 
    for all six codes that added varying increments of work to the RVUs of 
    the six existing codes that are used to report routine vaginal and 
    cesarean deliveries. The following table includes the RVUs for the six 
    existing codes, the RUC recommendations for the six new VBAC codes and 
    the difference in RVUs for each of the six pairs.
    
    ----------------------------------------------------------------------------------------------------------------
                                                                                  RUC-                              
                                                 RVUs of      Corresponding    Recommended                     HCFA 
             Existing delivery code             existing      new VBAC code   RVUs for new   RVU difference    RVUs 
                                              delivery code                     VBAC code                           
    ----------------------------------------------------------------------------------------------------------------
    59400..................................           20.99           59610           22.63            1.64    22.55
    59409..................................           13.28           59612           15.00            1.72    14.84
    59410..................................           14.44           59614           16.00            1.56    15.96
    59510..................................           23.67           59618           25.03            1.36    25.23
    59514..................................           15.39           59620           16.75            1.36    16.95
    59515..................................           16.55           59622           17.94            1.39    18.11
    ----------------------------------------------------------------------------------------------------------------
    
        While we accept the RUC conclusion that VBAC services entail more 
    physician work and that the existing delivery codes are appropriate 
    reference points, we disagree with the variable and small differences 
    in work from one code to the next. We believe the increased stress, 
    mental effort, and judgment associated with VBAC is the same regardless 
    of the particular delivery service furnished. Therefore, we are adding 
    1.56 RVUs (the median RVUs of the above differences) to each of the 
    existing delivery codes. This results in the interim RVUs identified in 
    the last column of the table as ``HCFA RVUs.''
        End-stage renal disease services, per day (CPT codes 90922 through 
    90925).
        CPT 1996 will include four codes for the reporting of end-stage 
    renal disease services on a per day rather than per month basis. We did 
    not accept the RUC recommendations for these codes that were based on 
    the RUC's recommendations for the monthly codes (CPT codes 90918 
    through 90921). As discussed in section VI.B.1.b. of this final rule, 
    new RVUs emerged from the refinement panel ratings for these codes. We 
    calculated work RVUs for the four ``per day'' end-stage renal disease 
    codes by dividing the RVUs of the ``per full month'' codes by 30. This 
    led to the assignment of 0.37 RVUs to CPT code 90922, 0.28 RVUs to CPT 
    code 90923, 0.24 RVUs to CPT code 90924, and 0.15 RVUs to CPT code 
    90925.
        Evaluation of swallowing and oral function for feeding (CPT code 
    92525).
        The RUC made its recommendation of 1.61 RVUs based on a clinical 
    vignette of an inpatient whose evaluation included a barium swallow. 
    The RUC lowered the specialty's recommendation to better account for 
    the times when the barium swallow might not be done. We believe the 
    RVUs recommended, which are between the RVUs of a level-3 inpatient 
    consultation (CPT code 99253), with 1.56 RVUs, and a level-4 inpatient 
    consultation (CPT code 99254) with 2.27 RVUs, are too high. While we 
    believe that the intraservice work determined by the survey for the 
    vignette may be reasonable, we do not believe that the surveyed 
    vignette represented a typical patient.
        Our data suggest that this procedure, which was formerly reported 
    by CPT code 92506, is performed primarily in the physician's office. We 
    took into consideration that the procedure is currently reported using 
    CPT code 92506, which is assigned 0.86 RVUs. We then took into account 
    that the barium swallow is probably included in at least 50 percent of 
    the cases and that the evaluation of the barium swallow is an integral 
    part of the procedure. Therefore, we added half the value of CPT code 
    74230 (Swallowing function, pharynx and/or esophagus, with 
    cineradiography and/or video), which is assigned 0.54 RVUs to the 0.86 
    RVUs for CPT code 92506 resulting in an assignment of 1.13 RVUs to CPT 
    code 92525. These RVUs are slightly higher than the RVUs of CPT code 
    99242, which is the code for a level-2 office consultation, the 
    components of which include an expanded problem-focused history, an 
    expanded problem-focused examination, and straightforward medical 
    decision making.
        Treatment of swallowing dysfunction and/or oral function for 
    feeding (CPT code 92526).
        The RUC recommended 0.64 RVUs based on a clinical vignette of an 
    inpatient similar to the patient described in the vignette used for CPT 
    code 92525 described above. Our data suggest that this procedure, which 
    is currently reported using CPT code 92507, also is performed primarily 
    in physicians' offices. Because we believe the surveyed vignette does 
    not describe a typical patient, we reduced the RUC recommendation for 
    CPT code 92526 to 0.52 RVUs, which are the same RVUs as those for CPT 
    code 92507 (Speech, language or hearing therapy, with continuing 
    medical supervision; individual). These RVUs are slightly less than the 
    RVUs assigned to a mid-level office visit (CPT code 99213), with 0.55 
    RVUs, which typically requires 15 minutes of face-to-face time with a 
    physician.
        Visual reinforcement audiometry (VRA) (CPT code 92579).
        The RUC made no recommendation for RVUs for this procedure. As with 
    most of the audiologic function tests, we do not believe this service 
    requires performance by a physician. Consequently, we have not assigned 
    physician work RVUs to this code. However, we have assigned 0.69 
    practice expense RVUs and 0.07 malpractice expense RVUs.
        Evaluation for use and/or fitting of voice prosthetic or 
    augmentative/alternative communication device to supplement oral speech 
    (CPT code 92597).
        The RUC recommended 1.50 RVUs. We believe the recommended RVUs are 
    too high because they are comparable to the highest level established 
    patient office visit, CPT code 99215, the components of which include a 
    comprehensive history, a comprehensive examination, and medical 
    decision-making of high complexity. We do not believe the work of these 
    two services is comparable. Rather, we believe the work associated with 
    CPT code 92597 is slightly less than the work associated with a level-3 
    new patient office visit (CPT code 99203) with 1.14 RVUs and a level-2 
    inpatient consultation (CPT code 99252) with 1.13 RVUs. Therefore, we 
    have assigned 1.11 RVUs to CPT code 92597. 
    
    [[Page 63167]]
    
        Modification of voice prosthetic or augmentative/alternative 
    communication device to supplement oral speech (CPT code 92598).
        The RUC recommended 0.99 RVUs, which are higher than the RVUs 
    assigned to a level-4 established patient office visit (CPT code 
    99214), with 0.94 RVUs. We believe that the recommendation is too high. 
    However, we believe that the relative relationship between this service 
    and CPT code 92597, as established by the RUC, should be maintained. 
    Thus, we calculated the interim RVUs by multiplying the recommended 
    0.99 RVUs by 74 percent (0.99 x 1.11/1.5) representing the percentage 
    of the RUC-recommended RVUs, which we accepted for the preceding code. 
    This calculation results in 0.73 interim RVUs for CPT code 92598.
        Short-latency somatosensory evoked potential studies, stimulation 
    of any/all peripheral nerves or skin sites, recording from the central 
    nervous system (CPT codes 95925 through 95927).
        The existing code for the reporting of somatosensory testing is CPT 
    code 95925. The descriptor in CPT 1995 is ``Somatosensory testing 
    (e.g., cerebral evoked potentials), one or more nerves.'' CPT revised 
    existing CPT code 95925 by splitting it into three codes (95925, 95926, 
    and 95927), which will be used to report testing of the upper limbs, 
    lower limbs, and trunk or head, respectively. Currently, 0.81 RVUs are 
    assigned to CPT code 95925. The RUC viewed the coding change as 
    editorial and recommended 0.81 RVUs for each of these codes. While we 
    agree that the same RVUs should be assigned to the three codes, we have 
    not accepted the specific recommendation of 0.81 RVUs because we do not 
    view it as an editorial change. We believe that the RUC failed to take 
    account of the fact that some patients will require testing of both the 
    upper and lower limbs during an encounter and that, under the existing 
    code, only one unit of service can be reported regardless of the number 
    of nerves tested because the descriptor specifies ``one or more 
    nerves.'' We estimate that the cases previously reported with CPT code 
    95925 will be reported under the new and revised codes as follows: 
    About 50 percent will be reported with revised CPT code 95925; about 50 
    percent will be reported as new CPT code 95926; about 1 percent will be 
    reported as CPT code 95927; and 50 percent of all testing will involve 
    both CPT codes 95925 and 95926 during the same encounter. Using these 
    estimates, we adjusted the RVUs for the three codes so that the total 
    number of RVUs under the new codes will be the same as the total number 
    of RVUs under the old codes. This results in a decrease of the RUC's 
    recommendation of 0.81 RVUs for each of the codes to 0.54 RVUs for each 
    of the codes.
    
                                Additional Codes                            
    ------------------------------------------------------------------------
                 CPT code                            Description            
    ------------------------------------------------------------------------
    97535.............................  Self care/home management training  
                                         (eg, activities of daily living    
                                         (ADL) and compensatory training,   
                                         meal preparation, safety           
                                         procedures, and instructions in use
                                         of adaptive equipment) direct one  
                                         on one contact by provider, each 15
                                         minutes.                           
    97537.............................  Community/work reintegration,       
                                         training (eg, shopping,            
                                         transportation, money management,  
                                         avocational activities and/or work 
                                         environment/modification analysis, 
                                         work task analysis), direct one on 
                                         one contact by provider, each 15   
                                         minutes.                           
    97542.............................  Wheelchair management/propulsion    
                                         training, each 15 minutes.         
    97703.............................  Checkout for orthotic/prosthetic    
                                         use, established patient, each 15  
                                         minutes.                           
    ------------------------------------------------------------------------
    
        The RUC Health Care Professionals Advisory Committee Review Board 
    recommended 0.45 RVUs for each of these services on the basis of their 
    comparability to other physical medicine codes, for example, CPT code 
    97110 (Therapeutic procedure, one or more areas, each 15 minutes; 
    therapeutic exercises to develop strength and endurance, range of 
    motion and flexibility). While we agree that these new services 
    appropriately are compared to other therapeutic procedures, our review 
    of the new services causes us to believe that the interim RVUs we 
    assigned to the therapeutic procedures services may have been too high 
    relative to other services on the fee schedule, for example, evaluation 
    and management services.
        We have decided to maintain the interim RVUs for the physical 
    medicine and rehabilitation codes (CPT codes 97010 through 97770) as 
    interim RVUs on the 1996 fee schedule so that we will have additional 
    time to re-evaluate them. While we acknowledge that we accepted last 
    year's recommendations of the Health Care Professionals Advisory 
    Committee Review Board to assign 0.45 RVUs to CPT code 97110 and 
    several other of the therapeutic procedures, we now plan to refer these 
    codes back to the RUC Health Care Professionals Advisory Committee 
    Review Board for its reconsideration, and we will notify the RUC of our 
    concerns. In addition, we seek public comments on this issue.
        For new CPT codes 97535 and 97537, we believe the recommended 0.45 
    RVUs are too high. Since they are currently reported using CPT code 
    97540 (Training in activities of daily living (self care skills and/or 
    daily life management skills); initial 30 minutes, each visit), which 
    has 0.44 RVUs, we divided the RVUs for CPT code 97540 by 2 to arrive at 
    RVUs for 15 minutes and added 50 percent to account for the prework and 
    postwork inherent in the service. This results in 0.33 RVUs for CPT 
    codes 97535 and 97537.
        For new CPT codes 97542 and 97703, we believe the recommended 0.45 
    RVUs are too high. We believe these services are comparable to attended 
    modality services such as manual electrical stimulation (CPT code 
    97032), with 0.25 RVUs. Therefore, we have assigned 0.25 RVUs to both 
    CPT codes 97542 and 97703.
    
    ------------------------------------------------------------------------
                 CPT code                            Description            
    ------------------------------------------------------------------------
    99238.............................  Hospital discharge day management;  
                                         30 minutes or less.                
    99239.............................  Hospital discharge day management;  
                                         more than 30 minutes.              
    ------------------------------------------------------------------------
    
        We agreed with the RUC recommendation of 1.06 RVUs for CPT code 
    99238 and 1.75 RVUs for CPT code 99239. The reporting of CPT code 99239 
    must be supported by documentation in the patient's medical record of 
    the time spent by the physician furnishing the service as well as 
    documentation of the actual services furnished. Time spent by 
    individuals other than the physician should not be considered in 
    selecting the appropriate hospital discharge day management code.
    
                                                                            
    
    [[Page 63168]]
    ------------------------------------------------------------------------
                 CPT code                            Description            
    ------------------------------------------------------------------------
    99411.............................  Preventive medicine counseling and/ 
                                         or risk factor reduction           
                                         intervention(s) provided to        
                                         individuals in a group setting     
                                         (separate procedure): approximately
                                         30 minutes.                        
    99412.............................  Preventive medicine counseling and/ 
                                         or risk factor reduction           
                                         intervention(s) provided to        
                                         individuals in a group setting     
                                         (separate procedure): approximately
                                         60 minutes.                        
    ------------------------------------------------------------------------
    
    
    
        We agreed with the RUC recommendations of 0.15 RVUs for CPT code 
    99411 and 0.25 RVUs for CPT code 99412. While these services are not 
    covered by Medicare, we believe it is important to state the 
    assumptions we made in agreeing with the RUC-recommended RVUs. The 
    intent of the codes is to represent an interactive service between the 
    patient and the physician. We expect that the interaction will be 
    documented in each patient's individual medical record. In addition, 
    since the RVUs are based on physician work, the codes should not be 
    reported unless they are personally performed by a physician; they 
    should not be used to report group preventive medicine counseling 
    furnished by anyone other than a physician. Nor is the service to be 
    reported if it is furnished in a place of service other than the 
    physician's office. Finally, the assigned RVUs are based on a group of 
    two to five persons for CPT code 99411 and a group of two to six 
    persons for CPT code 99412. Preventive medicine furnished to groups 
    larger than these should be reported using code 99249 which is for the 
    reporting of preventive medicine services not listed in CPT.
        c. Temporary alpha-numeric HCFA Common Procedure Coding System 
    codes.
        For the 1996 Medicare fee schedule for physicians services, we have 
    established several new alpha-numeric HCFA Common Procedure Coding 
    System (HCPCS) codes for the reporting of certain new services that are 
    not clearly described by existing CPT codes. In this section, we 
    discuss our rationale for establishing the codes as well as the basis 
    of the interim RVUs we have assigned to them. We view these codes as 
    temporary since we will be referring them to the CPT Editorial Panel 
    for possible inclusion in future editions of the CPT.
        Measurement of post-voiding residual urine and/or bladder capacity 
    by ultrasound (HCPCS code G0050).
        Measurement of postvoiding residual (PVR) urine and/or bladder 
    capacity can be done by simple diagnostic catheterization. It can also 
    be done by ultrasound using either traditional sonographic equipment or 
    smaller less expensive equipment whose capacity is limited only to 
    bladder volume determination. When done by catheterization, CPT code 
    53670, with 0.74 RVUs, is reported. When done by ultrasound, CPT code 
    76857, pelvic echography, with 1.65 RVUs, is reported whether done 
    using traditional equipment or the smaller bladder scan. There is 
    presently no separate CPT code for a bladder scan only. Both individual 
    carriers and a manufacturer of bladder scanning devices have 
    recommended that we establish a separate code to distinguish bladder 
    scans from general pelvic scans because they believe that payment for 
    CPT code 76857 is too high for only a bladder scan to determine PVR. We 
    agree with this recommendation and are issuing the new HCPCS code 
    G0050.
    
    ----------------------------------------------------------------------------------------------------------------
                                                                      Work                     Malpractice    Total 
                              HCPCS code                              RVUs    Practice RVUs       RVUs         RVUs 
    ----------------------------------------------------------------------------------------------------------------
    G0050.........................................................     0.00            0.81            0.05     0.86
    ----------------------------------------------------------------------------------------------------------------
    
        We believe that this bladder scan performs the same function as a 
    simple diagnostic catheterization but without the risk of infection. To 
    recognize the slightly higher equipment costs, we have established 
    interim total RVUs for bladder scan of 0.86, or about 0.12 RVUs higher 
    than for catheterization. We have not assigned physician work RVUs for 
    a bladder scan. We expect that the scan will be performed after a 
    physician has examined the patient and determined the medical necessity 
    for a bladder scan. Physician interpretation of the scan is included in 
    the associated evaluation and management service.
        Lung volume reduction surgery (reduction pneumoplasty) eg, lung 
    shaving, lung contouring, unilateral or bilateral (HCPCS code G0061).
        Lung volume reduction surgery, also termed reduction pneumoplasty, 
    lung shaving, or lung contouring is a procedure performed to improve 
    pulmonary function in patients with severe emphysema. Medicare has not 
    established that the procedure is reasonable and necessary for the 
    diagnosis or treatment of illness or injury. Therefore, we have 
    excluded this procedure from coverage under the provisions of section 
    1862(a)(1)(A) of the Act.
        Although we have assigned a noncoverage indicator of ``N'' to this 
    code, we are providing interim RVUs for those who look to the Medicare 
    fee schedule for information on the relative value of all physicians 
    services including those not covered by Medicare.
        We believe the procedure is most often being reported as wedge 
    resection(s) of the lung using CPT code 32500, which has 13.10 work 
    RVUs. Based on discussions with carrier medical directors, we believe 
    that lung volume reduction surgery is more difficult than wedge 
    resection(s). After considering existing CPT codes for other pulmonary 
    procedures, we have assigned 17.62 RVUs on an interim basis to HCPCS 
    code G0061. These are the same RVUs assigned to total pulmonary 
    decortication (CPT code 32220), which we believe is similar to lung 
    reduction surgery in terms of physician work.
    
    V. Issues for Discussion
    
    A. Five-Year Refinement of Relative Value Units
    
        Section 1848(c)(2)(B)(i) of the Act requires that we review all 
    RVUs no less often than every 5 years. Since we implemented the 
    physician fee schedule effective for services furnished beginning 
    January 1, 1992, we have initiated the 5-year refinement of RVUs that 
    will be effective for services furnished beginning January 1, 1997.
        All work RVUs included in the December 1994 final rule (59 FR 
    63617) were subject to comment. During the comment period, which closed 
    on February 6, 1995, we received approximately 500 public comments on 
    approximately 1,100 procedure codes. After review by our medical staff, 
    we forwarded comments on approximately 700 CPT codes for consideration 
    by the 
    
    [[Page 63169]]
    American Medical Association/Specialty Society Relative Value Update 
    Committee (RUC).
        After a thorough review of the RUC recommendations, we will 
    announce any proposed changes to the work RVUs in the Federal Register 
    in early 1996 and provide an opportunity for the public to comment 
    before we finalize the changes.
    
    B. Resource-Based Practice Expense Relative Value Units
    
        With the exception of anesthesia services, physician services and 
    other diagnostic services paid under the physician fee schedule have 
    practice expense and malpractice expense RVUs. Payments for practice 
    expense RVUs account for approximately 42 percent of physician fee 
    schedule payments.
        The practice expense RVUs are derived from historical allowed 
    charge data. The common criticism is that the practice expense RVUs are 
    not truly resource-based because they are not based on resource costs.
        Section 121 of the Social Security Act Amendments of 1994, Public 
    Law 103-432, enacted on October 31, 1994, requires the Secretary to 
    develop a methodology for a resource-based system for determining 
    practice expense RVUs for each physician service. In developing the 
    methodology, the Secretary must consider the staff, equipment, and 
    supplies used in the provision of medical and surgical services in 
    various settings. The Secretary must report to the Congress on the 
    methodology by June 30, 1996. The new payment methodology is effective 
    for services furnished in 1998. There is no transition provision for 
    these services.
        We awarded a contract to Abt Associates in March 1995. Abt will 
    develop a uniform database that can be used to support a number of 
    analytical methods (for example, microcosting or economic cost 
    functions) to estimate practice expense per service. Abt will also 
    provide us with both direct and indirect practice expense estimates for 
    all services paid under the physician fee schedule. We expect that 
    these estimates will vary based on the site where the service is 
    furnished. For example, the practice expense for a physician service 
    furnished in the hospital outpatient department will differ from the 
    practice expense for the same service performed in the physician's 
    office.
        As we pointed out in our July 26, 1995 proposed rule (60 FR 38400), 
    Abt will use information from two separate processes to generate 
    practice expense RVUs for physician services (60 FR 38417). Through the 
    use of Clinical Practice Expert Panels, Abt will estimate the expenses, 
    including the cost of clinical labor, supplies, and medical equipment 
    for specific physician services. The Clinical Practice Expert Panels 
    will also consider whether additional items, such as the cost of 
    administrative services, can be directly assigned to individual 
    services. The remaining expenses for physician services will be 
    calculated from the information obtained through the practice expense 
    survey.
    
    Practice Expense Survey
    
        Abt will obtain physician practice specific information through a 
    practice expense survey. Abt expects to receive responses from 
    approximately 3,000 practices.
        The survey instrument was sent to the Office of the Secretary in 
    the Department of Health and Human Services on August 7, 1995. Under 
    current procedures, the Department has a 60-day period to review this 
    survey. After Departmental clearance, the survey is sent to the Office 
    of Management and Budget where it will undergo a 60-day clearance 
    process. Under the current schedule, the earliest clearance on the 
    survey will be in early December.
        We expect that Abt will send the survey to individual practices 
    starting in January 1996. Abt estimates that it will take approximately 
    7 months for its staff to mail the survey, to compile the completed 
    responses, and to assemble the data into a database.
        As we stated in the July 26, 1995 proposed rule, one of the main 
    objectives of the practice expense survey will be to collect indirect 
    practice expenses so that these expenses can be related to individual 
    CPT procedure codes.
    
    Clinical Practice Expert Panels
    
        We furnished Abt with a list of all the codes in the Medicare 
    physician fee schedule database for which practice expense RVUs are to 
    be estimated. As a starting point, Abt used a classification system 
    that is a hybrid of the Ambulatory Patient Groups system developed by 
    3M and the Berenson-Eggers-Holahan (Urban Institute) system to group 
    the codes into similar families of codes. The objective was to sort the 
    codes into families that are clinically related and have relatively 
    comparable direct costs. This system was reviewed by our medical staff, 
    clinical consultants, and the Clinical Practice Expert Panel Technical 
    Expert Group, the advisory group for the overall design of the project.
        At a HCFA-sponsored public meeting on August 18, 1995, a draft copy 
    of this classification system was provided to various specialty groups. 
    These groups were given the opportunity to review the families of codes 
    and the Clinical Practice Expert Panel to which the family was assigned 
    and to suggest one or more reference codes for each family. Abt 
    considered these comments in the development of the final 
    classification system.
        At this time, Abt has grouped the codes into 199 families. These 
    families have been assigned to 15 Clinical Practice Expert Panels. Each 
    Clinical Practice Expert Panel is generally assigned between 6 to 25 
    families. A goal is to keep the number of service families per Clinical 
    Practice Expert Panel manageable.
        Each Clinical Practice Expert Panel will be composed of up to 15 
    members. Clinical Practice Expert Panel membership is not restricted to 
    practicing physicians. Clinical Practice Expert Panel members can be 
    practice managers and nonphysician clinicians who are knowledgeable 
    about physician practice expenses. There will be a primary care 
    physician and surgeon on every Clinical Practice Expert Panel. The 
    remainder of the Clinical Practice Expert Panel members will be 
    composed of the primary providers of the services in the Clinical 
    Practice Expert Panel families.
        The Clinical Practice Expert Panel is to reach consensus on the 
    detailed direct inputs for one reference procedure per family. The 
    following four criteria were established to guide the selection process 
    of the reference procedure:
         The service should be commonly performed.
         The service should have a mid-range level of resource 
    usage relative to the other codes in the family.
         The service should be a code whose definition or coding 
    application has not changed in the last several years.
         The variation across physicians in the way the service is 
    performed should be minimal.
        A Clinical Practice Expert Panel Technical Expert Group meeting was 
    held on September 7 and 8, 1995. The Clinical Practice Expert Panel 
    Technical Expert Group devoted its attention to 
    
    [[Page 63170]]
    the following topics: service family composition including criteria; 
    reference procedures per family; composition of the Clinical Practice 
    Expert Panel; and the process for conducting the Clinical Practice 
    Expert Panels, in particular, the worksheets to be completed.
    
    Future Scheduled Activities
    
        A mock Clinical Practice Expert Panel meeting will be held in 
    January 1996. The purpose of the mock Clinical Practice Expert Panel 
    meeting is to pre-test the Clinical Practice Expert Panel process and 
    worksheets.
        The first series of Clinical Practice Expert Panel meetings will be 
    conducted beginning in late January 1996. Before the Clinical Practice 
    Expert Panel meetings, each Clinical Practice Expert Panel member (and 
    if it so chooses, specialty group) will complete the worksheets on the 
    resource costs of reference procedures. Abt will compile these data and 
    provide summary information to each Clinical Practice Expert Panel 
    member. The Clinical Practice Expert Panel members will use a consensus 
    approach to estimate the direct inputs for the reference services.
        The second series of Clinical Practice Expert Panel meetings will 
    be conducted in the spring of 1996. The Clinical Practice Expert Panel 
    members will use an extrapolation process to estimate the direct costs 
    of the other nonreference procedures in the same family.
        Data collection on the practice expense survey will be completed by 
    June 1996. Abt will deliver data files by August 1, 1996. We expect to 
    award multiple contracts to analyze the data. Abt's report on the 
    analysis of the data is due by September 1996.
        We expect to publish the proposed rule in the Federal Register in 
    the spring of 1997 and the final rule in the fall of 1997. We will 
    implement the resource-based practice expense RVUs beginning January 1, 
    1998.
        As we also stated in the July 26, 1995 proposed rule, this 
    discussion of our efforts to implement the requirement in the statute 
    to develop a resource-based relative value scale is for informational 
    purposes and is not a formal proposal. We were not soliciting comments 
    on the proposal. While we did receive several comments, we are not 
    providing a summary of these comments nor responses to them because it 
    was not a formal proposal. We will, however, consider the comments.
    
    C. Case Management in a Fee-for-Service System
    
        In the July 26, 1995 proposed rule, we solicited information, 
    recommendations, and suggestions from the public on how we might apply 
    case management to the Medicare fee-for-service system. While the 
    comments we received addressed the issues we raised in the proposed 
    rule, we are now seeking comments on some additional issues.
        We are currently interested in paying physicians for the management 
    of patients with specific diagnoses. We believe that physicians often 
    provide extensive case management to patients with certain chronic 
    conditions and that these management activities may maintain or improve 
    health status. We are interested in learning more about which patients 
    would benefit from this case management.
        We are also exploring various managed care options within the 
    Medicare fee-for-service system. We are interested in receiving public 
    comment about the appropriateness and feasibility of creating periodic 
    capitated payments for comprehensive management of medical cases.
        Our intent at this time is to solicit information, recommendations, 
    and suggestions from the public on how we might create a capitated 
    payment for case management. We are particularly interested in the 
    following:
         What types of patients would benefit from extensive case 
    management? We are considering developing bundled payments for 
    physician services furnished to patients with dementia and one or more 
    co-morbidities, diabetes, hypertension, or congestive heart failure. We 
    are seeking comments on these and other types of patients who would 
    benefit from case management. Any information about the types of 
    services that should be included in a bundled payment for care of these 
    patients and data on the prevalence of a given medical condition or 
    combination of conditions in the Medicare population would be 
    appreciated.
         What is an appropriate periodicity for a capitated 
    payment? There is precedent in the Medicare program for monthly and 
    weekly capitated payments. (Medicare pays on a monthly basis for 
    physician services associated with the continuing medical management of 
    a maintenance dialysis patient and has a weekly radiation therapy 
    management payment.) Do other schedules such as quarterly or 
    semiannually make more sense for identifiable groups of patients?
    
    VI. Provisions of the Final Rule
    
        The provisions of this final rule, for the most part, restate the 
    provisions of the July 1995 proposed rule. This section includes the 
    following changes from the proposed rule:
         Adds a new statutory basis section in Sec. 405.500 for 
    subpart E (``Criteria for Determining Reasonable Charges'') in part 405 
    and also revises the authority citation for subpart E.
         Redesignates Sec. 405.552 (``Conditions for payment: 
    Anesthesiology services'') as Sec. 415.110.
         Adds a statutory basis section in Sec. 405.2400 for 
    subpart X (``Health Clinic and Federally Qualified Health Center 
    Services'') of part 405 and also revises the authority citation for 
    subpart X.
         Revises Sec. 405.2468 (``Allowable costs'') to expand the 
    definition of physician services in rural health clinics and Federally 
    qualified health centers to include services of residents as defined in 
    Sec. 415.152 (``Definitions'') who meet the requirements in 
    Sec. 415.206(b) (concerning physician fee schedule payment for services 
    of residents in nonprovider settings).
         Revises Sec. 414.30 (``Conversion factor update'') to 
    incorporate a change regarding the downward adjustment to the 
    conversion factor required by section 13511 of OBRA 1993.
         Revises Sec. 414.32 (``Determining payments for certain 
    physicians' services furnished in facility settings'') to state that 
    when a service which is not on the ASC list is performed in an ASC, the 
    site-of-service payment differential does not apply.
         Removes the urodynamic evaluation CPT codes 51725, 51726, 
    51772, 51785 and CPT codes 13150, 14020, 14060, 15740, 21208, 21440, 
    23066, 26645, 28030, 28043, 28092, 28261, 40510, 41805, 42408, 46220, 
    46610, 63600, 64420, 65270, and 67921 from the site-of-service payment 
    differential list as proposed.
         Revises Sec. 414.46 (``Additional rules for payment of 
    anesthesia services'') to state that anesthesia CPT modifier units are 
    not allowed for Medicare payment.
         Moves the ``Scope'' paragraph (a) in Sec. 415.100 of 
    subpart C (``Part B Carrier Payments for Physician Services to 
    Beneficiaries in Providers'') of part 415 in the proposed rule into a 
    separate Sec. 415.100. Redesignates the remaining paragraphs in 
    proposed rule Sec. 415.100 as Sec. 415.102 (``Conditions for fee 
    
    [[Page 63171]]
    schedule payment for physician services to beneficiaries in 
    providers'').
         Creates a limited exception to the teaching physician 
    presence requirement for certain residency programs in new Sec. 415.174 
    (``Exception: Evaluation and management services furnished in certain 
    centers'').
        In addition, the final rule differs from the proposed rule in that 
    we have revised our proposed payment policy related to hydration 
    therapy and chemotherapy as a result of public comments. We will allow 
    separate payment for hydration therapy or the infusion of antiemetics 
    or other nonchemotherapy drug on the same date of service as 
    chemotherapy infusion only when the nonchemotherapy drug is 
    administered sequentially rather than at the same time as the 
    chemotherapy infusion. However, as we proposed, we will not pay for 
    hydration therapy when administered at the same time as chemotherapy 
    infusion.
    
    VII. Collection of Information Requirements
    
        Under the Paperwork Reduction Act of 1995, agencies are required to 
    provide 60-day notice in the Federal Register and solicit public 
    comment before a collection of information requirement is submitted to 
    the Office of Management and Budget (OMB) for review and approval. In 
    order to fairly evaluate whether an information collection should be 
    approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act 
    of 1995 requires that we solicit comment on the following issues:
         Whether the information collection is necessary and useful 
    to carry out the proper functions of the agency;
         The accuracy of the agency's estimate of the information 
    collection burden;
         The quality, utility, and clarity of the information to be 
    collected; and
         Recommendations to minimize the information collection 
    burden on the affected public, including automated collection 
    techniques.
        Therefore, we are soliciting public comment on each of these issues 
    for the information collection requirements discussed below.
        The following sections of this document contain information 
    collection requirements as described below:
        The information collection requirements in Sec. 415.60 
    (``Allocation of physician compensation costs''), in paragraph (f)(1), 
    concern determination and payment of allowable physician compensation 
    costs. The requirements also concern the amounts of time the physician 
    spends in furnishing physician services to the provider, physician 
    services to patients, and services that are not paid under either Part 
    A or Part B of Medicare; and assurance that the compensation is 
    reasonable in terms of the time devoted to these services. The 
    information collection requirements in Sec. 415.60(g) concern 
    recordkeeping requirements for allocation of physician compensation 
    costs. They also concern time records used to allocate physician 
    compensation, information on which the physician compensation 
    allocation is based, and retention of this information for a 4-year 
    period after the end of each cost reporting period to which the 
    allocation applies. Respondents that will provide the information are 
    7,091 hospitals, 10,630 freestanding skilled nursing facilities, and 
    258 freestanding comprehensive outpatient rehabilitation facilities. 
    The respondents will provide the information in Exhibits 2 through 4 on 
    Form HCFA-339, ``Provider Cost Report Reimbursement Questionnaire.''
        The information collection requirements in Sec. 415.130 
    (``Conditions for payment: Physician pathology services''), paragraph 
    (b)(3), concern a written narrative report included in the 
    beneficiary's medical record for clinical consultation pathology 
    services. The services must be requested by the beneficiary's attending 
    physician, relate to a test result that lies outside the clinically 
    significant normal or expected range in view of the condition of the 
    beneficiary, and require the exercise of medical judgment by the 
    consultant physicians. Respondents who will provide the information are 
    physicians furnishing clinical consultation pathology services.
        The information collection requirements in Sec. 415.162 
    (``Determining payment for physician services furnished to 
    beneficiaries in teaching hospitals'') concern the apportionment of 
    compensation in the case of teaching hospitals electing cost 
    reimbursement for direct medical and surgical services furnished by 
    physicians to beneficiaries and supervision of interns and residents 
    furnishing care to beneficiaries in a teaching hospital. Respondents 
    that will provide the information are 40 cost election teaching 
    hospitals. The respondents will provide the information on Supplemental 
    Worksheet, Part I and Part II, of Form HCFA-2552-92.
        The information collection requirements in Sec. 415.172 
    (``Physician fee schedule payment for services of teaching 
    physicians''), paragraph (b), concern documentation in the medical 
    records that the teaching physician was present at the time the service 
    was furnished, and, in the case of evaluation and management services, 
    personal documentation by the teaching physician in the medical records 
    of his or her participation in the service. The information collection 
    requirements also concern, in the case of surgical, high-risk, or other 
    complex procedures, the presence of the teaching physician during all 
    critical portions of the procedure and immediate availability to 
    furnish services during the entire service or procedure. In the case of 
    surgery, the teaching physician's presence is not required during 
    opening and closing of the surgical field. In the case of procedures 
    performed through an endoscope, the teaching physician must be present 
    during the entire viewing. In the case of evaluation and management 
    services, the teaching physician must be present during the portion of 
    the service that determines the level of service billed. Respondents 
    who will provide this information are physicians, residents, or nurses; 
    however, in the case of evaluation and management services, the 
    teaching physician must personally document in the medical records his 
    or her participation in the service.
        The information collection requirements in Sec. 415.174 
    (``Exception: Evaluation and management services furnished in certain 
    centers''), paragraph (a)(3)(v), concern documentation of the extent of 
    the teaching physician's participation in the review and direction of 
    the services furnished to each beneficiary in an outpatient department 
    of a hospital or another ambulatory care entity. The information 
    collection requirements concern the conditions under which carriers 
    will make physician fee schedule payment for certain evaluation and 
    management services of lower and mid-level complexity furnished by a 
    resident without the presence of a teaching physician. Respondents who 
    will provide this information are teaching physicians.
        The information collection requirements in Sec. 415.178 
    (``Anesthesia services''), paragraph (b), concern 
    
    [[Page 63172]]
    documentation of the teaching physician's presence or participation in 
    the administration of the anesthesia and a preoperative and 
    postoperative visit by the teaching physician. The teaching physician 
    must be present during all critical portions of the procedure and 
    immediately available to furnish services during the entire service or 
    procedure. The teaching physician cannot receive an unreduced fee if he 
    or she performs services involving other patients during the period the 
    anesthesia resident is furnishing services in a single case. 
    Respondents who will provide this information are teaching physicians.
        The information collection requirements in Sec. 415.180 (``Teaching 
    setting requirements for the interpretation of diagnostic radiology and 
    other diagnostic tests''), paragraph (b), concern documentation that 
    the teaching physician personally performed the interpretation or 
    reviewed the resident's interpretation with the resident. Physician fee 
    schedule payment will be made in those situations. Respondents who will 
    provide this information are teaching physicians.
        The table below indicates the annual number of responses for each 
    regulation section in this final rule containing information collection 
    requirements, the average burden per response in minutes or hours, and 
    the total annual burden hours.
    
                                   Estimated Annual Reporting and Recordkeeping Burden                              
    ----------------------------------------------------------------------------------------------------------------
                                            Annual No. of      Annual          Average burden per      Annual burden
                 CFR sections                 responses       frequency             response               hours    
    ----------------------------------------------------------------------------------------------------------------
    415.60...............................          17,979               1  11 hours.................         197,769
    415.130..............................           9,273               1  3 minutes................             464
    415.162..............................              40               1  2 hours..................              80
    415.172..............................       3,200,232               1  1 minute.................          53,337
    415.174..............................       1,237,516               1  1 minute.................          20,625
    415.178..............................         106,819               1  1 minute.................           1,780
    415.180..............................       1,000,107               1  1 minute.................          16,668
    ----------------------------------------------------------------------------------------------------------------
    
        The information collection requirements were approved by OMB for 
    Secs. 415.60 and 415.162 as Secs. 405.481 and 405.465, respectively, 
    under OMB control number 0938-0301 and expire August 31, 1998.
        We have submitted a copy of this final rule with comment period to 
    OMB for its review of the information collection requirements in 
    Secs. 415.130, 415.172, 415.174, 415.178, and 415.180. These 
    requirements are not effective until they have been approved by OMB. A 
    document will be published in the Federal Register when OMB approval is 
    obtained.
        Organizations and individuals desiring to submit comments on the 
    information collection and recordkeeping requirements should send them 
    to the Health Care Financing Administration, Office of Financial and 
    Human Resources, Management Planning and Analysis Staff, 7500 Security 
    Boulevard, Baltimore, Maryland, 21244-1850 and to the Office of 
    Management and Budget official whose name appears in the ADDRESSES 
    section of this preamble.
    
    VIII. Response to Comments
    
        Because of the large number of items of correspondence we normally 
    receive on Federal Register documents published for comment, we are not 
    able to acknowledge or respond to them individually. We will consider 
    all comments we receive by the date and time specified in the DATES 
    section of this preamble, and, if we proceed with a subsequent 
    document, we will respond to the comments in the preamble to that 
    document.
    
    IX. Regulatory Impact Analysis
    
    A. Regulatory Flexibility Act
    
        Consistent with the Regulatory Flexibility Act (5 U.S.C. 601 
    through 612), we prepare a regulatory flexibility analysis unless the 
    Secretary certifies that a rule will not have a significant economic 
    impact on a substantial number of small entities. For purposes of the 
    Regulatory Flexibility Act, all physicians are considered to be small 
    entities.
        This final rule will not have a significant economic impact on a 
    substantial number of small entities. Nevertheless, we are preparing a 
    regulatory flexibility analysis because the provisions of this rule are 
    expected to have varying effects on the distribution of Medicare 
    physician payments across specialties and across geographic areas. We 
    anticipate that virtually all of the approximately 500,000 physicians 
    who furnish covered services to Medicare beneficiaries will be affected 
    by one or more provisions of this rule. In addition, physicians who are 
    paid by private insurers for non-Medicare services will be affected to 
    the extent that they are paid by private insurers that choose to use 
    the RVUs. However, with few exceptions, we expect that the impact on 
    individual medical practitioners will be limited.
        In accordance with the provisions of Executive Order 12866, this 
    final rule was reviewed by the Office of Management and Budget.
    
    B. Budget-Neutrality Adjustment
    
        Section 1848(c)(2)(B) of the Act requires that adjustments to RVUs 
    in a year may not cause the amount of expenditures for the year to 
    differ by more than $20 million from the amount of expenditures that 
    would have been made if these adjustments had not been made. We refer 
    to this as the budget-neutrality adjustment.
        In past years, we have made this adjustment across all RVUs. This 
    year, as we proposed, we are making this adjustment on the conversion 
    factors instead of the RVUs. This alternative approach is 
    administratively simpler, and it facilitates policy and data analysis 
    of RVUs. It does not significantly affect the final payments that are 
    made to physicians because any changes to payments will be the result 
    of rounding and will be minimal.
        The issues discussed in sections IX.C. through IX.K. will have no 
    impact on Medicare program expenditures because the effects of these 
    changes have been neutralized in the calculation of the conversion 
    factors for 1996.
        We have estimated the net increase in program costs in calendar 
    year 1996 
    
    [[Page 63173]]
    resulting from the adjustments to RVUs and revisions in payment 
    policies to be approximately $140 million. This is a net figure in that 
    savings from the reductions in RVUs for some services partially offset 
    the cost associated with increases in the RVUs for other services. This 
    figure requires a reduction of 0.36 percent in the conversion factors 
    for all services to comply with the statutory limitation on increases 
    in expenditures. Although a $20 million tolerance is permitted under 
    the law, this 0.36 percent reduction to all conversion factors is 
    designed to approximate budget neutrality as closely as possible, 
    without creating any increase or decrease in expenditures as a result 
    of RVU adjustments or revisions in payment policies.
    
    C. Bundled Services
    
    1. Hydration Therapy and Chemotherapy
        Bundling of payment for CPT codes 90780 and 90781, (Therapeutic 
    infusions except for chemotherapy) into CPT codes 96410, 96412, and 
    96414 (Chemotherapy infusion), when nonchemotherapy drugs are infused 
    at the same time as chemotherapy drugs means that in some cases, 
    physicians will no longer be paid for CPT codes 90780 and 90781. 
    However, our policy will allow physicians to continue to be paid for 
    CPT codes 90780 and 90781 when done on the same day as CPT codes 96410, 
    96412, and 96414 if the nonchemotherapy drugs are infused sequentially 
    rather than contemporaneously with the chemotherapy drugs. We are 
    unable to determine from our existing data which portion of billings 
    for CPT codes 90780 and 90781 that are currently furnished on the same 
    day as CPT codes 96410, 96412, and 96414 are for sequential or 
    contemporaneous services. Therefore, at this time, we are unable to 
    estimate the impact of this policy. We expect that the impact will be 
    minor.
    2. Evaluation of Psychiatric Records and Reports and Family Counseling 
    Services
        Bundling of payment for CPT codes 90825 and 90887 into the payment 
    for other psychiatric codes means that physicians who are currently 
    billing for, and receiving separate payment for, these services may no 
    longer do so. Because we believe that the services described by CPT 
    codes 90825 and 90887 are captured in the prework and postwork of other 
    psychiatric services, we will implement this change in policy by 
    redistributing the RVUs for CPT codes 90825 and 90887 equally into the 
    following psychiatric procedure codes: CPT codes 90801, 90820, 90835, 
    90842 through 90847, and 90853 through 90857. We estimate that this 
    change will increase the RVUs for the latter codes by approximately 0.7 
    percent.
    3. Fitting of Spectacles
        We will cease making separate payment under the physician fee 
    schedule for fitting of spectacles and low vision systems (CPT codes 
    92352 through 92358 and 92371) beginning January 1, 1996. Payment for 
    these services is already included in the payment for the prosthetic 
    device. We will redistribute the payment currently made for these CPT 
    codes across all physician services, which is what would have occurred 
    had we not included these fees when the fee schedule was created. 
    Because the total payment for spectacle fitting services is relatively 
    low (approximately $2.5 million in calendar year 1994) compared to the 
    total payment for all physician services, we believe the impact on RVUs 
    for all physician services is negligible.
        Virtually all of the providers who have been billing for the 
    fitting of spectacles as a professional service have been optometrists. 
    Under this revised policy, they are no longer able to bill separately 
    for this service. The effect on individual optometrists will depend 
    upon the amount of their income derived from billing for spectacle 
    fitting services.
    
    D. X-Rays and Electrocardiograms Taken in the Emergency Room
    
        Under policy issued in 1981, the interpretation of an x-ray or EKG 
    furnished to an emergency room patient by a radiologist or 
    cardiologist, respectively, ``almost always'' constituted a covered 
    Part B service payable by the carrier, regardless of whether the test 
    results had been previously used in the diagnosis and treatment of the 
    patient by a physician in the emergency room and regardless of when the 
    specialist furnished the interpretation. A study completed by the 
    Office of Inspector General of the Department of Health and Human 
    Services, dated July 1993, recommended that we change this policy to 
    indicate that the second interpretation is generally a quality control 
    service to be taken into account by intermediaries in determining 
    hospital reasonable costs. Further, we understand that some carriers 
    are currently paying both the emergency room physician and the 
    radiologist or cardiologist for the interpretation of the same x-ray or 
    EKG.
        We will pay for only one interpretation of an x-ray or EKG 
    furnished to an emergency room patient except under unusual 
    circumstances. In situations in which both the emergency room physician 
    and the radiologist or cardiologist bill for the interpretation, we 
    will instruct the carriers to pay for the interpretation used in the 
    diagnosis and treatment of the patient. We will consider the second 
    interpretation to be a quality control service. Under this policy, we 
    will reduce the incidence of carriers' paying twice for an 
    interpretation, but we have no estimate of the number of duplicate 
    payments that will be eliminated. We believe that the specialists will 
    be affected primarily. If hospitals want to ensure that their 
    specialists are paid for these interpretations, they can make 
    arrangements to preclude the emergency room physician from billing for 
    the same service.
    
    E. Extension of Site-of-Service Payment Differential to Services in 
    Ambulatory Surgical Centers
    
        We are extending the site-of-service payment limit to office-based 
    services if those services are performed in an ambulatory surgical 
    center, effective for services furnished beginning January 1, 1996. We 
    are adding 126 procedure codes to the list. Were it not for budget-
    neutrality adjustments, we estimate that these additions would result 
    in a $24.6 million reduction in 1996 Medicare payments.
    
    F. Services of Teaching Physicians
    
        This change removes the single attending physician criteria for 
    hospital patients. It allows and promotes supervision of the care by 
    physician group practices. We believe allowing for more than one 
    teaching physician per beneficiary inpatient stay will result in 
    negligible additional cost, but the lack of any data prevents us from 
    quantifying the effects of this change. In addition, this rule will 
    incorporate longstanding Medicare coverage and payment policy regarding 
    the circumstances under which the services of residents are payable as 
    physician services.
        We will require the physical presence of a teaching physician 
    during the key portion of the service in order for the teaching 
    physician to receive Part B physician fee schedule payment for the 
    service. Details regarding the physical 
    
    [[Page 63174]]
    presence of a teaching physician during different types of services and 
    procedures are discussed in section II.F. of this preamble. Although we 
    lack specific data, we believe that the provisions of this part of the 
    final rule have no budgetary effect because we believe that the 
    potential costs are offset by the potential savings.
    
    G. Unspecified Physical and Occupational Therapy Services (HCFA Common 
    Procedure Coding System Codes M0005 Through M0008 and H5300)
    
        We are eliminating HCPCS codes M0005 through M0008 and H5300 and 
    redistributing the RVUs to codes in the physical medicine and 
    rehabilitation section of the CPT (codes 97010 through 97799). The 
    codes we are deleting are general codes that do not describe adequately 
    the service being furnished. Their use precludes effective review 
    necessary to ensure that the services being paid are covered by 
    Medicare. In 1995, the American Medical Association revised the CPT 
    codes in the Physical Medicine and Rehabilitation section of the CPT to 
    better reflect the provision of physical and occupational therapy 
    services.
        We believe that each unit of service currently billed under the 
    codes we are deleting will be billed under a CPT or HCPCS code and that 
    the total amount of Medicare payment for physical medicine services 
    will not change significantly as a result of the elimination of these 
    codes. Therefore, we believe there will be no additional costs or 
    savings as a result of this change in billing. Since the original codes 
    were not descriptive, we had no way of comparing payments. However, we 
    believe that we are eliminating potential manipulation of payment and 
    are improving the data collected by requiring practitioners to use the 
    more specific codes when billing for these services.
    
    H. Transportation in Connection With Furnishing Diagnostic Tests
    
        Under the policy adopted in this final rule, we are restricting the 
    discretion of carriers to make separate payments for the transportation 
    of diagnostic testing equipment. Effective for services furnished 
    beginning January 1, 1996, the general policy is that separate 
    transportation payments will be made only in connection with the 
    following services:
         X-ray and standard EKG services furnished by an approved 
    portable x-ray supplier; and
         Standard EKG services furnished by an independent 
    physiological laboratory under special conditions.
        For all other types of diagnostic tests payable under the physician 
    fee schedule, travel expenses are considered to be ``bundled'' into the 
    payment for the procedure, and Medicare carriers will pay for the 
    transportation of equipment only on a ``by report'' basis under CPT 
    code 99082 if a physician submits documentation to justify the ``very 
    unusual'' travel as set forth in section 15026 of the Medicare 
    Carriers' Manual.
        We are unable to assess the impact of this new national policy 
    because carriers have had such varying payment policies on this issue. 
    We had thought that this might be a significant policy change since we 
    had received many inquiries on the subject in recent years; however, we 
    received fewer than 10 comments on this policy as set forth in the 
    proposed rule, and we now conclude that the national impact of the new 
    policy will not be significant. There will likely be an impact on 
    payments to independent physiological laboratories in some areas in 
    which transportation payments were made before January 1, but it is not 
    possible to assess these reductions from the comments received.
    
    I. Maxillofacial Prosthetic Services
    
        We are establishing national RVUs for these services and, 
    therefore, are discontinuing pricing by individual carriers, effective 
    January 1, 1996. We estimate that total expenditures for CPT codes 
    21079 through 21087 and codes G0020 and G0021 (replaced by CPT codes 
    21076 and 20177 in 1996), based on the RVUs will be approximately $2.4 
    million in calendar year 1996. The 1994 Medicare expenditures for these 
    codes under the carrier pricing methodology were approximately $1.5 
    million which, if updated for 1995, would be approximately $1.6 
    million. Thus, we estimate an increase of approximately $800,000 for 
    these codes. However, total expenditures for physician services will 
    not increase because we are implementing this change in a budget-
    neutral manner in accordance with section 1848(c)(2)(B)(ii) of the Act.
        These services are furnished most frequently by oral surgeons 
    (dentists only) and by maxillofacial surgeons. Because we estimate that 
    the total expenditures for these services will increase slightly, we 
    expect that, in general, the physicians who perform and bill for these 
    procedures will realize an increase in payment. However, in some areas, 
    the payment amounts based on national RVUs may be lower than those 
    calculated by the local carrier.
    
    J. Coverage of Mammography Services
    
        We are expanding the definition of ``diagnostic'' mammography to 
    include as candidates for this service asymptomatic men or women who 
    have a personal history of breast cancer or a personal history of 
    biopsy-proven benign breast disease. We do not believe this change will 
    result in a significant increase in the total number of mammography 
    services because information from carriers indicates that most 
    asymptomatic patients in these categories are already receiving 
    diagnostic mammography services.
    
    K. Two Anesthesia Providers Involved in One Procedure
    
        We will apply the medical direction payment policy to the single 
    procedure involving both the physician and the CRNA. We will not 
    implement this policy until January 1, 1998, at which time the proposal 
    will be budget-neutral. In 1998, the allowance for the medically-
    directed CRNA service and the medical-direction service of the 
    anesthesiologist will be equivalent to 50 percent of the allowance 
    recognized for the service personally performed by the anesthesiologist 
    alone. Thus, payment for both services will be no different than what 
    would be allowed for the anesthesia service personally performed by the 
    anesthesiologist.
        Although this proposal is budget-neutral, total payments to 
    anesthesiologists will decrease slightly and payments to the CRNAs' 
    employers will increase slightly. We cannot quantify the amount of the 
    losses to the anesthesiologists or the gains to the CRNAs' employers. 
    However, anesthesiologists can lessen their losses by actually 
    personally performing as many of these services as possible and 
    receiving the same allowance they would have in the absence of this new 
    policy.
    
    L. Rural Hospital Impact Statement
    
        Section 1102(b) of the Act requires the Secretary to prepare a 
    regulatory impact analysis if a rule may have a significant impact on 
    the operations of a substantial number of small rural hospitals. This 
    analysis must conform to the provisions of section 604 of the 
    Regulatory Flexibility Act. For purposes of section 
    
    [[Page 63175]]
    1102(b) of the Act, we define a small rural hospital as a hospital that 
    is located outside of a Metropolitan Statistical Area and has fewer 
    than 50 beds.
        This final rule will have little direct effect on payments to rural 
    hospitals since this rule will change only payments made to physicians 
    and certain other practitioners under Part B of the Medicare program 
    and will not change payments to hospitals under Part A. We do not 
    believe the changes will have a major, indirect effect on rural 
    hospitals.
        Therefore, we are not preparing an analysis for section 1102(b) of 
    the Act since we have determined, and the Secretary certifies, that 
    this rule will not have a significant impact on the operations of a 
    substantial number of small rural hospitals.
    
    List of Subjects
    
    42 CFR Part 400
    
        Grant programs--health, Health facilities, Health maintenance 
    organizations (HMO), Medicaid, Medicare, Reporting and recordkeeping 
    requirements.
    
    42 CFR Part 405
    
        Administrative practice and procedure, Health facilities, Health 
    professions, Kidney diseases, Medicare, Reporting and recordkeeping 
    requirements, Rural areas, X-rays.
    
    42 CFR Part 410
    
        Health facilities, Health professions, Kidney diseases, 
    Laboratories, Medicare, Rural areas, X-rays.
    
    42 CFR Part 411
    
        Kidney diseases, Medicare, Reporting and recordkeeping 
    requirements.
    
    42 CFR Part 412
    
        Administrative practice and procedure, Health facilities, Medicare, 
    Puerto Rico, Reporting and recordkeeping requirements.
    
    42 CFR Part 413
    
        Health facilities, Kidney diseases, Medicare, Puerto Rico, 
    Reporting and recordkeeping requirements.
    
    42 CFR Part 414
    
        Administrative practice and procedure, Health facilities, Health 
    professions, Kidney diseases, Medicare, Reporting and recordkeeping 
    requirements, Rural areas, X-rays.
    
    42 CFR Part 415
    
        Health facilities, Health professions, Medicare, Reporting and 
    recordkeeping requirements.
    
    42 CFR Part 417
    
        Administrative practice and procedure, Grant programs--health, 
    Health care, Health facilities, Health insurance, Health maintenance 
    organizations (HMO), Loan programs--health, Medicare, Reporting and 
    recordkeeping requirements.
    
    42 CFR Part 489
    
        Health facilities, Medicare, Reporting and recordkeeping 
    requirements.
    
        Under the authority of 42 U.S.C. 1302 and 1395hh, 42 CFR chapter IV 
    is amended as set forth below:
    
    PART 400--INTRODUCTION; DEFINITIONS
    
        A. Part 400 is amended as set forth below:
        1. The authority citation for part 400 continues to read as 
    follows:
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh) and 44 U.S.C. Chapter 35.
    
        2. In Sec. 400.202, the introductory text is republished and the 
    definition of GME is added in alphabetical order to read as follows:
    
    
    Sec. 400.202  Definitions specific to Medicare.
    
        As used in connection with the Medicare program, unless the context 
    indicates otherwise--
    * * * * *
        GME stands for graduate medical education.
    * * * * *
    
    PART 405--FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
    
        B. Part 405 is amended as set forth below:
    
    Subpart D--[Removed and Reserved]
    
        1. Subpart D, consisting of Secs. 405.465 through 405.482, is 
    removed and reserved.
        2. Subpart E is amended as set forth below:
        a. The authority citation for subpart E is revised to read as 
    follows:
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh).
    
        b. The heading for subpart E is revised to read as follows:
    
    Subpart E--Criteria for Determining Reasonable Charges
    
        c. A new Sec. 405.500 is added to read as follows:
    
    
    Sec. 405.500  Basis.
    
        Subpart E is based on the provisions of the following sections of 
    the Act: Section 1814(b) provides for Part A payment on the basis of 
    the lesser of a provider's reasonable costs or customary charges. 
    Section 1832 establishes the scope of benefits provided under the Part 
    B supplementary medical insurance program. Section 1833(a) sets forth 
    the amounts of payment for supplementary medical insurance services on 
    the basis of the lesser of a provider's reasonable costs or customary 
    charges. Section 1834(a) specifies how payments are made for the 
    purchase or rental of new and used durable medical equipment for 
    Medicare beneficiaries. Section 1834(b) provides for payment for 
    radiologist services on a fee schedule basis. Section 1834(c) provides 
    for payments and standards for screening mammography. Section 1842(b) 
    sets forth the provisions for a carrier to enter into a contract with 
    the Secretary and to make determinations with respect to Part B claims. 
    Section 1842(h) sets forth the requirements for a physician or supplier 
    to voluntarily enter into an agreement with the Secretary to become a 
    participating physician or supplier. Section 1842(i) sets forth the 
    provisions for the payment of Part B claims. Section 1848 establishes a 
    fee schedule for payment of physician services. Section 1861(b) sets 
    forth the inpatient hospital services covered by the Medicare program. 
    Section 1861(s) sets forth medical and other health services covered by 
    the Medicare program. Section 1861(v) sets forth the general authority 
    under which HCFA may establish limits on provider costs recognized as 
    reasonable in determining Medicare program payments. Section 1861(aa) 
    sets forth the rural health clinic services and Federally qualified 
    health center services covered by the Medicare program. Section 
    1861(jj) defines the term ``covered osteoporosis drug.'' Section 
    1862(a)(14) lists services that are excluded from coverage. Section 
    1866(a) specifies the terms for provider agreements. Section 1881 
    authorizes special rules for the coverage of and payment for services 
    furnished to patients with end-stage renal disease. Section 1886 sets 
    forth the requirements for payment to hospitals for inpatient hospital 
    services. Section 1887 sets forth 
    
    [[Page 63176]]
    requirements for payment of provider-based physicians and payment under 
    certain percentage arrangements. Section 1889 provides for Medicare and 
    Medigap information by telephone.
    
    
    Sec. 405.501  [Amended]
    
        d. In Sec. 405.501, the following changes are made:
        i. Paragraphs (c) and (d) are removed, and paragraphs (e) and (f) 
    are redesignated as paragraphs (c) and (d), respectively.
        ii. In newly redesignated paragraph (c), the phrase ``Secs. 405.480 
    through 405.482 and Secs. 405.550 through 405.557'' is removed, and the 
    phrase ``Secs. 415.55 through 415.70 and Secs. 415.100 through 415.130 
    of this chapter'' is added in its place.
        iii. In newly redesignated paragraph (d), the words ``For services 
    furnished on or after January 1, 1989, payment'' are removed, and the 
    word ``Payment'' is added in their place.
    
    
    Secs. 405.520-405.525  [Removed]
    
        e. Sections 405.520 through 405.525 are removed.
    
    Subpart F--[Removed and Reserved]
    
        3. Subpart F, consisting of Secs. 405.550 through 405.580, is 
    removed and reserved.
    
    Subpart X--Rural Health Clinic and Federally Qualified Health 
    Center Services
    
        4. Subpart X is amended as set forth below:
        a. The authority citation for subpart X is revised to read as 
    follows:
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh).
    
        b. A new Sec. 405.2400 is added to read as follows:
    
    
    Sec. 405.2400  Basis.
    
        Subpart X is based on the provisions of the following sections of 
    the Act: Section 1833 sets forth the amounts of payment for 
    supplementary medical insurance services. Section 1861(aa) sets forth 
    the rural health clinic services and Federally qualified health center 
    services covered by the Medicare program.
        c. In Sec. 405.2401, paragraph (b), the introductory text is 
    republished, and the definition for physician is revised to read as 
    follows:
    
    
    Sec. 405.2401  Scope and definitions.
    
    * * * * *
        (b) Definitions. As used in this subpart, unless the context 
    indicates otherwise:
    * * * * *
        Physician means the following:
        (1) A doctor of medicine or osteopathy legally authorized to 
    practice medicine and surgery by the State in which the function is 
    performed.
        (2) Within limitations as to the specific services furnished, a 
    doctor of dentistry or dental or oral surgery, a doctor of optometry, a 
    doctor of podiatry or surgical chiropody or a chiropractor. (See 
    section 1861(r) of the Act for specific limitations.)
        (3) A resident (including residents as defined in Sec. 415.152 of 
    this chapter who meet the requirements in Sec. 415.206(b) of this 
    chapter for payment under the physician fee schedule).
    * * * * *
        d. In Sec. 405.2468, the introductory text of paragraph (b) is 
    republished, and paragraph (b)(1) is revised to read as follows:
    
    
    Sec. 405.2468  Allowable costs.
    
    * * * * *
        (b) Typical rural health clinic and Federally qualified health 
    center costs. The following types and items of cost are included in 
    allowable costs to the extent that they are covered and reasonable:
        (1) Compensation for the services of physicians, (including 
    residents as defined in Sec. 415.152 of this chapter who meet the 
    requirements in Sec. 415.206(b) of this chapter for payment under the 
    physician fee schedule), physician assistants, nurse practitioners, 
    nurse midwives, specialized nurse practitioners, visiting nurses, 
    qualified clinical psychologists, and clinical social workers employed 
    by the clinic or center.
    * * * * *
    
    PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
    
        C. Part 410 is amended as set forth below:
        1. The authority citation for part 410 continues to read as 
    follows:
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh).
    
        2. Section 410.34 is amended by republishing the introductory text 
    to paragraph (a) and revising paragraphs (a)(1), (a)(2), and (d) to 
    read as follows:
    
    
    Sec. 410.34  Mammography services: Conditions for and limitations on 
    coverage.
    
        (a) Definitions. As used in this section, the following definitions 
    apply:
        (1) Diagnostic mammography means a radiologic procedure furnished 
    to a man or woman with signs or symptoms of breast disease, or a 
    personal history of breast cancer, or a personal history of biopsy-
    proven benign breast disease, and includes a physician's interpretation 
    of the results of the procedure.
        (2) Screening mammography means a radiologic procedure furnished to 
    a woman without signs or symptoms of breast disease, for the purpose of 
    early detection of breast cancer, and includes a physician's 
    interpretation of the results of the procedure.
    * * * * *
        (d) Limitations on coverage of screening mammography services. The 
    following limitations apply to coverage of screening mammography 
    services as described in paragraph (a)(2) of this section:
        (1) The service must be, at a minimum a two-view exposure (that is, 
    a cranio-caudal and a medial lateral oblique view) of each breast.
        (2) Payment may not be made for screening mammography performed on 
    a woman under age 35.
        (3) Payment may be made for only 1 screening mammography performed 
    on a woman over age 34, but under age 40.
        (4) For a woman over age 39, but under age 50, the following 
    limitations apply:
        (i) Payment may be made for a screening mammography performed after 
    at least 11 months have passed following the month in which the last 
    screening mammography was performed if the woman has--
        (A) A personal history of breast cancer;
        (B) A personal history of biopsy-proven benign breast disease;
        (C) A mother, sister, or daughter who has had breast cancer; or
        (D) Not given birth before age 30.
        (ii) If the woman does not meet the conditions described in 
    paragraph (d)(4)(i) of this section, payment may be made for a 
    screening mammography performed after at least 23 months have passed 
    following the month in which the last screening mammography was 
    performed.
        (5) For a woman over age 49, but under age 65, payment may be made 
    for a screening mammography performed after at least 11 months have 
    passed 
    
    [[Page 63177]]
    following the month in which the last screening mammography was 
    performed.
        (6) For a woman over age 64, payment may be made for a screening 
    mammography performed after at least 23 months have passed following 
    the month in which the last screening mammography was performed.
    
    PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
    
        D. Part 414 is amended as set forth below:
        1. The authority citation for part 414 continues to read as 
    follows:
    
        Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social 
    Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).
    
        2. In Sec. 414.2, the following definitions are added 
    alphabetically:
    
    
    Sec. 414.2  Definitions.
    
        AA stands for anesthesiologist assistant.
    * * * * *
        CRNA stands for certified registered nurse anesthetist.
    * * * * *
        3. In Sec. 414.28, the introductory text is republished, and 
    paragraph (b) is revised to read as follows:
    
    
    Sec. 414.28  Conversion factors.
    
        HCFA establishes CFs in accordance with section 1848(d) of the Act.
    * * * * *
        (b) Subsequent CFs. For calendar years 1993 through 1995, the CF 
    for each year is equal to the CF for the previous year, adjusted in 
    accordance with Sec. 414.30. Beginning January 1, 1996, the CF for each 
    calendar year may be further adjusted so that adjustments to the fee 
    schedule in accordance with section 1848(c)(2)(B)(ii) of the Act do not 
    cause total expenditures under the fee schedule to differ by more than 
    $20 million from the amount that would have been spent if these 
    adjustments had not been made.
        4. In Sec. 414.30, the introductory text to the section and the 
    introductory text to paragraph (b) are republished, paragraph (b)(2) is 
    revised, and paragraph (c) is added to read as follows:
    
    
    Sec. 414.30  Conversion factor update.
    
        Unless Congress acts in accordance with section 1848(d)(3) of the 
    Act--
    * * * * *
        (b) Downward adjustment. The downward adjustment may not exceed the 
    following:
    * * * * *
        (2) For CY 1994, 2.5 percentage points.
    * * * * *
        (c) For CYs 1995 and thereafter, 5 percentage points.
        5. In Sec. 414.32, the introductory text to paragraph (d) is 
    republished and paragraph (d)(2) is revised to read as follows:
    
    
    Sec. 414.32  Determining payments for certain physician services 
    furnished in facility settings.
    
    * * * * *
        (d) Services excluded from the reduction. The reduction established 
    under this section does not apply to the following:
    * * * * *
        (2) Surgical services not on the ambulatory surgical center covered 
    list of procedures published under Sec. 416.65(c) of this chapter when 
    furnished in an ambulatory surgical center.
    * * * * *
    
    
    Sec. 414.46  [Amended]
    
        6. In Sec. 414.46, the following changes are made:
        a. The word ``procedure'' in paragraph (g) is removed, and the word 
    ``service'' is added in its place. The word ``procedures'' in 
    paragraphs (a)(1), (e) and (g) is removed, and the word ``services'' is 
    added in its place.
        b. Paragraphs (b), (c), and (d) are revised to read as follows:
    
    
    Sec. 414.46  Additional rules for payment of anesthesia services.
    
    * * * * *
        (b) Determination of payment amount--Basic rule. For anesthesia 
    services performed, medically directed, or medically supervised by a 
    physician, HCFA pays the lesser of the actual charge or the anesthesia 
    fee schedule amount.
        (1) The physician fee schedule amount for an anesthesia service is 
    based on the product of the allowable base and time units and an 
    anesthesia-specific CF.
        (2) The allowable base units are determined by the uniform relative 
    value guide based on the 1988 American Society of Anesthesiologists' 
    Relative Value Guide except that the number of base units recognized 
    for anesthesia services furnished during cataract or iridectomy surgery 
    is four units. The uniform base units are identified in program 
    operating instructions.
        (3) Modifier units are not allowed. Modifier units include 
    additional units charged by a physician or a CRNA for patient health 
    status, risk, age, or unusual circumstances.
        (c) Physician personally performs the anesthesia procedure.
        (1) HCFA considers an anesthesia service to be personally performed 
    under any of the following circumstances:
        (i) The physician performs the entire anesthesia service alone.
        (ii) The physician establishes an attending physician relationship 
    in one or two concurrent cases involving an intern or resident and the 
    service was furnished before January 1, 1994.
        (iii) The physician establishes an attending physician relationship 
    in one case involving an intern or resident and the service was 
    furnished on or after January 1, 1994 but prior to January 1, 1996. For 
    services on or after January 1, 1996, the physician must be the 
    teaching physician as defined in Secs. 415.170 through 415.184 of this 
    chapter.
        (iv) The physician and the CRNA or AA are involved in a single case 
    and the services of each are found to be medically necessary.
        (v) The physician is continuously involved in a single case 
    involving a student nurse anesthetist.
        (vi) The physician is continuously involved in a single case 
    involving a CRNA or AA and the service was furnished prior to January 
    1, 1998.
        (2) HCFA determines the fee schedule amount for an anesthesia 
    service personally performed by a physician on the basis of an 
    anesthesia-specific fee schedule CF and unreduced base units and 
    anesthesia time units. One anesthesia time unit is equivalent to 15 
    minutes of anesthesia time, and fractions of a 15-minute period are 
    recognized as fractions of an anesthesia time unit.
        (d) Anesthesia services medically directed by a physician. (1) HCFA 
    considers an anesthesia service to be medically directed by a physician 
    if:
        (i) The physician performs the activities described in Sec. 415.110 
    of this chapter.
        (ii) The physician directs qualified individuals involved in two, 
    three, or four concurrent cases.
        (iii) Medical direction can occur for a single case furnished on or 
    after January 1, 1998 if the physician performs the activities 
    described in Sec. 415.110 of this 
    
    [[Page 63178]]
    chapter and medically directs a single CRNA or AA.
        (2) The rules for medical direction differ for certain time periods 
    depending on the nature of the qualified individual who is directed by 
    the physician. If more than two procedures are directed on or after 
    January 1, 1994, the qualified individuals could be AAs, CRNAs, 
    interns, or residents. The medical direction rules apply to student 
    nurse anesthetists only if the physician directs two concurrent cases, 
    each of which involves a student nurse anesthetist or the physician 
    directs one case involving a student nurse anesthetist and the other 
    involving a CRNA, AA, intern, or resident.
        (3) Payment for medical direction is based on a specific percentage 
    of the payment allowance recognized for the anesthesia service 
    personally performed by a physician alone. The following percentages 
    apply for the years specified:
        (i) CY 1994--60 percent of the payment allowance for personally 
    performed procedures.
        (ii) CY 1995--57.5 percent of the payment allowance for personally 
    performed services.
        (iii) CY 1996--55 percent of the payment allowance for personally 
    performed services.
        (iv) CY 1997--52.5 percent of the payment allowance for personally 
    performed services.
        (v) CY 1998 and thereafter--50 percent of the payment allowance for 
    personally performed services.
    * * * * *
        7. Section 414.60 is revised to read as follows:
    
    
    Sec. 414.60  Payment for the services of CRNAs.
    
        (a) Basis for payment. Beginning with CY 1994--
        (1) The allowance for an anesthesia service furnished by a 
    medically directed CRNA is based on a fixed percentage of the allowance 
    recognized for the anesthesia service personally performed by the 
    physician alone, as specified in Sec. 414.46(d)(3); and
        (2) The CF for an anesthesia service furnished by a CRNA not 
    directed by a physician may not exceed the CF for a service personally 
    performed by a physician.
        (b) To whom payment may be made. Payment for an anesthesia service 
    furnished by a CRNA may be made to the CRNA or to any individual or 
    entity (such as a hospital, rural primary care hospital, physician, 
    group practice, or ambulatory surgical center) with which the CRNA has 
    an employment or contract relationship that provides for payment to be 
    made to the individual or entity.
        (c) Condition for payment. Payment for the services of a CRNA may 
    be made only on an assignment related basis, and any assignment 
    accepted by a CRNA is binding on any other person presenting a claim or 
    request for payment for the service.
    
    Subpart H--[Removed and Reserved]
    
        8. Subpart H, consisting of Secs. 414.450 through 414.453, is 
    removed and reserved.
        E. A new part 415 is added to read as follows:
    
    PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, 
    SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN 
    CERTAIN SETTINGS
    
    Subpart A--General Provisions
    
    Sec.
    415.1  Basis and scope.
    
    Subpart B--Fiscal Intermediary Payments to Providers for Physician 
    Services
    
    415.50  Scope.
    415.55  General payment rules.
    415.60  Allocation of physician compensation costs.
    415.70  Limits on compensation for physician services in providers.
    
    Subpart C--Part B Carrier Payments for Physician Services to 
    Beneficiaries in Providers
    
    415.100  Scope.
    415.102  Conditions for fee schedule payment for physician services 
    to beneficiaries in providers.
    415.105  Amounts of payment for physician services to beneficiaries 
    in providers.
    415.110  Conditions for payment: Anesthesiology services.
    415.120  Conditions for payment: Radiology services.
    415.130  Conditions for payment: Physician pathology services.
    
    Subpart D--Physician Services in Teaching Settings
    
    415.150  Scope.
    415.152  Definitions.
    415.160  Election of reasonable cost payment for direct medical and 
    surgical services of physicians in teaching hospitals: General 
    provisions.
    415.162  Determining payment for physician services furnished to 
    beneficiaries in teaching hospitals.
    415.164  Payment to a fund.
    415.170  Conditions for payment on a fee schedule basis for 
    physician services in a teaching setting.
    415.172  Physician fee schedule payment for services of teaching 
    physicians.
    415.174  Exception: Evaluation and management services furnished in 
    certain centers.
    415.176  Renal dialysis services.
    415.178  Anesthesia services.
    415.180  Teaching setting requirements for the interpretation of 
    diagnostic radiology and other diagnostic tests.
    415.184  Psychiatric services.
    415.190  Conditions of payment: Assistants at surgery in teaching 
    hospitals.
    
    Subpart E--Services of Residents
    
    415.200  Services of residents in approved GME programs.
    415.202  Services of residents not in approved GME programs.
    415.204  Services of residents in skilled nursing facilities and 
    home health agencies.
    415.206  Services of residents in nonprovider settings.
    415.208  Services of moonlighting residents.
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh).
    
    Subpart A--General Provisions
    
    
    Sec. 415.1  Basis and scope.
    
        (a) Basis. This part is based on the provisions of the following 
    sections of the Act: Section 1848 establishes a fee schedule for 
    payment for physician services. Section 1861(q) specifies what is 
    included in the term ``physician services'' covered under Medicare. 
    Section 1862(a)(14) sets forth the exclusion of nonphysician services 
    furnished to hospital patients under Part B of Medicare. Section 
    1886(d)(5)(B) provides for a payment adjustment under the prospective 
    payment system for the operating costs of inpatient hospital services 
    furnished to Medicare beneficiaries in cost reporting periods beginning 
    on or after October 1, 1983, to account for the indirect costs of 
    medical education. Section 1886(h) establishes the methodology for 
    Medicare payment of the cost of direct GME activities.
        (b) Scope. This part sets forth rules for fiscal intermediary 
    payments to providers for physician services, Part B carrier payments 
    for physician services to beneficiaries in providers, physician 
    services in teaching settings, and services of residents.
    
    Subpart B--Fiscal Intermediary Payments to Providers for Physician 
    Services
    
    
    Sec. 415.50  Scope.
    
        This subpart sets forth rules for payment by fiscal intermediaries 
    to providers for services furnished by 
    
    [[Page 63179]]
    physicians. Payment for covered services is made either under the 
    prospective payment system (PPS) to PPS-participating providers in 
    accordance with part 412 of this chapter or under the reasonable cost 
    method to non-PPS participating providers in accordance with part 413 
    of this chapter.
    
    
    Sec. 415.55  General payment rules.
    
        (a) Allowable costs. Except as specified otherwise in Secs. 413.102 
    of this chapter (concerning compensation of owners), 415.60 (concerning 
    allocation of physician compensation costs), and 415.162 (concerning 
    payment for physician services furnished to beneficiaries in teaching 
    hospitals), costs a provider incurs for services of physicians are 
    allowable only if the following conditions are met:
        (1) The services do not meet the conditions in Sec. 415.102(a) 
    regarding fee schedule payment for services of physicians to a 
    beneficiary in a provider.
        (2) The services include a surgeon's supervision of services of a 
    qualified anesthetist, but do not include physician availability 
    services, except for reasonable availability services furnished for 
    emergency rooms and the services of standby surgical team physicians.
        (3) The provider has incurred a cost for salary or other 
    compensation it furnished the physician for the services.
        (4) The costs incurred by the provider for the services meet the 
    requirements in Sec. 413.9 of this chapter regarding costs related to 
    patient care.
        (5) The costs do not include supervision of interns and residents 
    unless the provider elects reasonable cost payment as specified in 
    Sec. 415.160, or any other costs incurred in connection with an 
    approved GME program that are payable under Sec. 413.86 of this 
    chapter.
        (b) Allocation of allowable costs. The provider must follow the 
    rules in Sec. 415.60 regarding allocation of physician compensation 
    costs to determine its costs of services.
        (c) Limits on allowable costs. The intermediary must apply the 
    limits on compensation set forth in Sec. 415.70 to determine its 
    payments to a provider for the costs of services.
    
    
    Sec. 415.60  Allocation of physician compensation costs.
    
        (a) Definition. For purposes of this subpart, physician 
    compensation costs means monetary payments, fringe benefits, deferred 
    compensation, and any other items of value (excluding office space or 
    billing and collection services) that a provider or other organization 
    furnishes a physician in return for the physician services. Other 
    organizations are entities related to the provider within the meaning 
    of Sec. 413.17 of this chapter or entities that furnish services for 
    the provider under arrangements within the meaning of the Act.
        (b) General rule. Except as provided in paragraph (d) of this 
    section, each provider that incurs physician compensation costs must 
    allocate those costs, in proportion to the percentage of total time 
    that is spent in furnishing each category of services, among--
        (1) Physician services to the provider (as described in 
    Sec. 415.55);
        (2) Physician services to patients (as described in Sec. 415.102); 
    and
        (3) Activities of the physician, such as funded research, that are 
    not paid under either Part A or Part B of Medicare.
        (c) Allowable physician compensation costs. Only costs allocated to 
    payable physician services to the provider (as described in 
    Sec. 415.55) are allowable costs to the provider under this subpart.
        (d) Allocation of all compensation to services to the provider. 
    Generally, the total physician compensation received by a physician is 
    allocated among all services furnished by the physician, unless--
        (1) The provider certifies that the compensation is attributable 
    solely to the physician services furnished to the provider; and
        (2) The physician bills all patients for the physician services he 
    or she furnishes to them and personally receives the payment from or on 
    behalf of the patients. If returned directly or indirectly to the 
    provider or an organization related to the provider within the meaning 
    of Sec. 413.17 of this chapter, these payments are not compensation for 
    physician services furnished to the provider.
        (e) Assumed allocation of all compensation to beneficiary services. 
    If the provider and physician agree to accept the assumed allocation of 
    all the physician services to direct services to beneficiaries as 
    described under Sec. 415.102(a), HCFA does not require a written 
    allocation agreement between the physician and the provider.
        (f) Determination and payment of allowable physician compensation 
    costs. (1) Except as provided under paragraph (e) of this section, the 
    intermediary pays the provider for these costs only if--
        (i) The provider submits to the intermediary a written allocation 
    agreement between the provider and the physician that specifies the 
    respective amounts of time the physician spends in furnishing physician 
    services to the provider, physician services to patients, and services 
    that are not payable under either Part A or Part B of Medicare; and
        (ii) The compensation is reasonable in terms of the time devoted to 
    these services.
        (2) In the absence of a written allocation agreement, the 
    intermediary assumes, for purposes of determining reasonable costs of 
    the provider, that 100 percent of the physician compensation cost is 
    allocated to services to beneficiaries as specified in paragraph (b)(2) 
    of this section.
        (g) Recordkeeping requirements. Except for services furnished in 
    accordance with the assumed allocation under paragraph (e) of this 
    section, each provider that claims payment for services of physicians 
    under this subpart must meet all of the following requirements:
        (1) Maintain the time records or other information it used to 
    allocate physician compensation in a form that permits the information 
    to be validated by the intermediary or the carrier.
        (2) Report the information on which the physician compensation 
    allocation is based to the intermediary or the carrier on an annual 
    basis and promptly notify the intermediary or carrier of any revisions 
    to the compensation allocation.
        (3) Retain each physician compensation allocation, and the 
    information on which it is based, for at least 4 years after the end of 
    each cost reporting period to which the allocation applies.
    
    
    Sec. 415.70  Limits on compensation for physician services in 
    providers.
    
        (a) Principle and scope. (1) Except as provided in paragraphs 
    (a)(2) and (a)(3) of this section, HCFA establishes reasonable 
    compensation equivalency limits on the amount of compensation paid to 
    physicians by providers. These limits are applied to a provider's costs 
    incurred in compensating physicians for services to the provider, as 
    described in Sec. 415.55(a).
        (2) Limits established under this section do not apply to costs of 
    physician compensation attributable to furnishing inpatient hospital 
    services that are paid for under the prospective 
    
    [[Page 63180]]
    payment system implemented under part 412 of this chapter or to costs 
    of physician compensation attributable to approved GME programs that 
    are payable under Sec. 413.86 of this chapter.
        (3) Compensation that a physician receives for activities that may 
    not be paid for under either Part A or Part B of Medicare is not 
    considered in applying these limits.
        (b) Methodology for establishing limits. HCFA establishes a 
    methodology for determining annual reasonable compensation equivalency 
    limits and, to the extent possible, considers average physician incomes 
    by specialty and type of location using the best available data.
        (c) Application of limits. If the level of compensation exceeds the 
    limits established under paragraph (b) of this section, Medicare 
    payment is based on the level established by the limits.
        (d) Adjustment of the limits. The intermediary may adjust limits 
    established under paragraph (b) of this section to account for costs 
    incurred by the physician or the provider related to malpractice 
    insurance, professional memberships, and continuing medical education.
        (1) For the costs of membership in professional societies and 
    continuing medical education, the intermediary may adjust the limit by 
    the lesser of--
        (i) The actual cost incurred by the provider or the physician for 
    these activities; or
        (ii) Five percent of the appropriate limit.
        (2) For the cost of malpractice expenses incurred by either the 
    provider or the physician, the intermediary may adjust the reasonable 
    compensation equivalency limit by the cost of the malpractice insurance 
    expense related to the physician service furnished to patients in 
    providers.
        (e) Exception to limits. An intermediary may grant a provider an 
    exception to the limits established under paragraph (b) of this section 
    only if the provider can demonstrate to the intermediary that it is 
    unable to recruit or maintain an adequate number of physicians at a 
    compensation level within these limits.
        (f) Notification of changes in methodologies and payment limits. 
    (1) Before the start of a cost reporting period to which limits 
    established under this section will be applied, HCFA publishes a notice 
    in the Federal Register that sets forth the amount of the limits and 
    explains how it calculated the limits.
        (2) If HCFA proposes to revise the methodology for establishing 
    payment limits under this section, HCFA publishes a notice, with 
    opportunity for public comment, in the Federal Register. The notice 
    explains the proposed basis and methodology for setting limits, 
    specifies the limits that would result, and states the date of 
    implementation of the limits.
        (3) If HCFA updates limits by applying the most recent economic 
    index data without revising the limit methodology, HCFA publishes the 
    revised limits in a notice in the Federal Register without prior 
    publication of a proposal or public comment period.
    
    Subpart C--Part B Carrier Payments for Physician Services to 
    Beneficiaries in Providers
    
    
    Sec. 415.100  Scope.
    
        This subpart implements section 1887(a)(1)(A) of the Act by 
    providing general conditions that must be met in order for services 
    furnished by physicians to beneficiaries in providers to be paid for on 
    the basis of the physician fee schedule under part 414 of this chapter. 
    Section 415.102 sets forth the conditions for fee schedule payment for 
    physician services to beneficiaries in providers. Section 415.105 sets 
    forth general requirements for determining the amounts of payment for 
    services that meet the conditions of this section. Sections 415.120 and 
    415.130 set forth additional conditions for payment for physician 
    services in the specialties of radiology and pathology (laboratory 
    services).
    
    
    Sec. 415.102  Conditions for fee schedule payment for physician 
    services to beneficiaries in providers.
    
        (a) General rule. If the physician furnishes services to 
    beneficiaries in providers, the carrier pays on a fee schedule basis 
    provided the following requirements are met:
        (1) The services are personally furnished for an individual 
    beneficiary by a physician.
        (2) The services contribute directly to the diagnosis or treatment 
    of an individual beneficiary.
        (3) The services ordinarily require performance by a physician.
        (4) In the case of radiology or laboratory services, the additional 
    requirements in Sec. 415.120 or Sec. 415.130, respectively, are met.
        (b) Exception. If a physician furnishes services in a provider that 
    do not meet the requirements in paragraph (a) of this section, but are 
    related to beneficiary care furnished by the provider, the intermediary 
    pays for those services, if otherwise covered. The intermediary follows 
    the rules in Secs. 415.55 and 415.60 for payment on the basis of 
    reasonable cost or PPS, as appropriate.
        (c) Effect of billing charges for physician services to a provider.
        (1) If a physician furnishes services that may be paid under the 
    reasonable cost rules in Sec. 415.55 or Sec. 415.60, and paid by the 
    intermediary, or would be paid under those rules except for the PPS 
    rules in part 412 of this chapter, and under the payment rules for GME 
    established by Sec. 413.86 of this chapter, neither the provider nor 
    the physician may seek payment from the carrier, beneficiary, or 
    another insurer.
        (2) If a physician furnishes services to an individual beneficiary 
    that do not meet the applicable conditions in Secs. 415.120 (concerning 
    conditions for payment for radiology services) and 415.130 (concerning 
    conditions for payment for physician pathology services), the carrier 
    does not pay on a fee schedule basis.
        (3) If the physician, the provider, or another entity bills the 
    carrier or the beneficiary or another insurer for physician services 
    furnished to the provider, as described in Sec. 415.55(a), HCFA 
    considers the provider to which the services are furnished to have 
    violated its provider participation agreement, and may terminate that 
    agreement. See part 489 of this chapter for rules governing provider 
    agreements.
        (d) Effect of physician assumption of operating costs. If a 
    physician or other entity enters into an agreement (such as a lease or 
    concession) with a provider, and the physician (or entity) assumes some 
    or all of the operating costs of the provider department in which the 
    physician furnishes physician services, the following rules apply:
        (1) If the conditions set forth in paragraph (a) of this section 
    are met, the carrier pays for the physician services under the 
    physician fee schedule in part 414 of this chapter.
        (2) To the extent the provider incurs a cost payable on a 
    reasonable cost basis under part 413 of this chapter, the intermediary 
    pays the provider on a reasonable cost basis for the costs associated 
    with producing these services, including overhead, supplies, equipment 
    costs, and services furnished by nonphysician personnel.
        (3) The physician (or other entity) is treated as being related to 
    the provider within the meaning of Sec. 413.17 of this 
    
    [[Page 63181]]
    chapter (concerning cost to related organizations).
        (4) The physician (or other entity) must make its books and records 
    available to the provider and the intermediary as necessary to verify 
    the nature and extent of the costs of the services furnished by the 
    physician (or other entity).
    
    
    Sec. 415.105  Amounts of payment for physician services to 
    beneficiaries in providers.
    
        (a) General rule. The carrier determines amounts of payment for 
    physician services to beneficiaries in providers in accordance with the 
    general rules governing the physician fee schedule payment in part 414 
    of this chapter, except as provided in paragraph (b) of this section.
        (b) Application in certain settings--(1) Teaching hospitals. The 
    carrier applies the rules in subpart D of this part (concerning 
    physician services in teaching settings), in addition to those in this 
    section, in determining whether fee schedule payment should be made for 
    physician services to individual beneficiaries in a teaching hospital.
        (2) Hospital-based ESRD facilities. The carrier applies 
    Secs. 414.310 through 414.314 of this chapter, which set forth 
    determination of reasonable charges under the ESRD program, to 
    determine the amount of payment for physician services furnished to 
    individual beneficiaries in a hospital-based ESRD facility approved 
    under part 405 subpart U.
    
    
    Sec. 415.110  Conditions for payment: Anesthesiology services.
    
        (a) Services furnished directly or concurrently. The carrier pays a 
    physician for anesthesia services furnished to patients in a provider 
    on a fee schedule basis only if the services meet the conditions in 
    Sec. 415.102(a) and the following additional conditions:
        (1) For each patient, the physician--
        (i) Performs a pre-anesthetic examination and evaluation;
        (ii) Prescribes the anesthesia plan;
        (iii) Personally participates in the most demanding procedures in 
    the anesthesia plan, including induction and emergence;
        (iv) Ensures that any procedures in the anesthesia plan that he or 
    she does not perform are performed by a qualified individual as defined 
    in program operating instructions;
        (v) Monitors the course of anesthesia administration at frequent 
    intervals;
        (vi) Remains physically present and available for immediate 
    diagnosis and treatment of emergencies; and
        (vii) Provides indicated post-anesthesia care.
        (2) The physician performs the procedure personally or directs no 
    more than four anesthesia procedures concurrently and does not perform 
    any other services while he or she is directing the concurrent 
    procedures.
        (b) Supervision of more than four procedures concurrently. If a 
    physician is involved in furnishing more than four procedures 
    concurrently, or is performing other services while directing the 
    concurrent procedures, the concurrent anesthesia services are physician 
    services to the provider in which the procedures are performed. In 
    these cases, the physician is not required to meet the criteria of 
    paragraphs (a)(1) (iii) and (vii) of this section personally, but must 
    ensure that a qualified individual performs any procedure in which the 
    physician does not personally participate. In these cases, the 
    intermediary pays for the services under the rules in Secs. 415.55 and 
    415.60 on reasonable cost payment for physician services to providers 
    or under the rules in part 412 of this chapter for payment under the 
    prospective payment system.
    
    
    Sec. 415.120  Conditions for payment: Radiology services.
    
        (a) Services to beneficiaries. The carrier pays for radiology 
    services furnished by a physician to a beneficiary on a fee schedule 
    basis only if the services meet the conditions for fee schedule payment 
    in Sec. 415.102(a) and are identifiable, direct, and discrete 
    diagnostic or therapeutic services furnished to an individual 
    beneficiary, such as interpretation of x-ray plates, angiograms, 
    myelograms, pyelograms, or ultrasound procedures. The carrier pays for 
    interpretations only if there is a written report prepared for 
    inclusion in the patient's medical record maintained by the hospital.
        (b) Services to providers. The carrier does not pay on a fee 
    schedule basis for physician services to the provider (for example, 
    administrative or supervisory services) or for provider services needed 
    to produce the x-ray films or other items that are interpreted by the 
    radiologist. However, the intermediary pays the provider for these 
    services in accordance with Sec. 415.55 for provider costs; 
    Sec. 415.102(d)(2) for costs incurred by a physician, such as under a 
    lease or concession agreement; or part 412 of this chapter for payment 
    under PPS.
    
    
    Sec. 415.130  Conditions for payment: Physician pathology services.
    
        (a) Physician pathology services. The carrier pays for pathology 
    services furnished by a physician to an individual beneficiary on a fee 
    schedule basis only if the services meet the conditions for payment in 
    Sec. 415.102(a) and are one of the following services:
        (1) Surgical pathology services.
        (2) Specific cytopathology, hematology, and blood banking services 
    that have been identified to require performance by a physician and are 
    listed in program operating instructions.
        (3) Clinical consultation services that meet the requirements in 
    paragraph (b) of this section.
        (4) Clinical laboratory interpretative services that meet the 
    requirements of paragraphs (b)(1), (b)(3), and (b)(4) of this section 
    and that are specifically listed in program operating instructions.
        (b) Clinical consultation services. For purposes of this section, 
    clinical consultation services must meet the following requirements:
        (1) Be requested by the beneficiary's attending physician.
        (2) Relate to a test result that lies outside the clinically 
    significant normal or expected range in view of the condition of the 
    beneficiary.
        (3) Result in a written narrative report included in the 
    beneficiary's medical record.
        (4) Require the exercise of medical judgment by the consultant 
    physician.
        (c) Physician pathology services furnished by an independent 
    laboratory. Laboratory services, including the technical component of a 
    service, furnished to a hospital inpatient or outpatient by an 
    independent laboratory are paid on a fee schedule basis under this 
    subpart only if they are physician pathology services as described in 
    paragraph (a) of this section.
    
    Subpart D--Physician Services in Teaching Settings
    
    
    Sec. 415.150  Scope.
    
        This subpart sets forth the rules governing payment for the 
    services of physicians in teaching settings and the criteria for 
    determining whether the payments are made as one of the following:
        (a) Services to the hospital under the reasonable cost election in 
    Secs. 415.160 through 415.164. 
    
    [[Page 63182]]
    
        (b) Provider services through the direct GME payment mechanism in 
    Sec. 413.86 of this chapter.
        (c) Physician services to beneficiaries under the physician fee 
    schedule as set forth in part 414 of this chapter.
    
    
    Sec. 415.152  Definitions.
    
        As used in this subpart--
        Approved graduate medical education (GME) program means a residency 
    program approved by the Accreditation Council for Graduate Medical 
    Education of the American Medical Association, by the Committee on 
    Hospitals of the Bureau of Professional Education of the American 
    Osteopathic Association, by the Council on Dental Education of the 
    American Dental Association, or by the Council on Podiatric Medicine 
    Education of the American Podiatric Medical Association.
        Direct medical and surgical services means services to individual 
    beneficiaries that are either personally furnished by a physician or 
    furnished by a resident under the supervision of a physician in a 
    teaching hospital making the cost election described in Secs. 415.160 
    through 415.162.
        Nonprovider setting means a setting other than a hospital, skilled 
    nursing facility, home health agency, or comprehensive outpatient 
    rehabilitation facility in which residents furnish services. These 
    include, but are not limited to, family practice or multispecialty 
    clinics and physician offices.
        Resident means one of the following:
        (1) An individual who participates in an approved GME program, 
    including programs in osteopathy, dentistry, and podiatry.
        (2) A physician who is not in an approved GME program, but who is 
    authorized to practice only in a hospital, for example, individuals 
    with temporary or restricted licenses, or unlicensed graduates of 
    foreign medical schools. For purposes of this subpart, the term 
    resident is synonymous with the terms intern and fellow.
        Teaching hospital means a hospital engaged in an approved GME 
    residency program in medicine, osteopathy, dentistry, or podiatry.
        Teaching physician means a physician (other than another resident) 
    who involves residents in the care of his or her patients.
        Teaching setting means any provider, hospital-based provider, or 
    nonprovider settings in which Medicare payment for the services of 
    residents is made under the direct GME payment provisions of 
    Sec. 413.86, or on a reasonable-cost basis under the provisions of 
    Sec. 409.26 or Sec. 409.40(f) for resident services furnished in 
    skilled nursing facilities or home health agencies, respectively.
    
    
    Sec. 415.160  Election of reasonable cost payment for direct medical 
    and surgical services of physicians in teaching hospitals: General 
    provisions.
    
        (a) Scope. A teaching hospital may elect to receive payment on a 
    reasonable cost basis for the direct medical and surgical services of 
    its physicians in lieu of fee schedule payments that might otherwise be 
    made for these services.
        (b) Conditions. A teaching hospital may elect to receive these 
    payments only if--
        (1) The hospital notifies its intermediary in writing of the 
    election and meets the conditions of either paragraph (b)(2) or 
    paragraph (b)(3) of this section;
        (2) All physicians who furnish services to Medicare beneficiaries 
    in the hospital agree not to bill charges for these services; or
        (3) All physicians who furnish services to Medicare beneficiaries 
    in the hospital are employees of the hospital and, as a condition of 
    employment, are precluded from billing for these services.
        (c) Effect of election. If a teaching hospital elects to receive 
    reasonable cost payment for physician direct medical and surgical 
    services furnished to beneficiaries--
        (1) Those services and the supervision of interns and residents 
    furnishing care to individual beneficiaries are covered as hospital 
    services, and
        (2) The intermediary pays the hospital for those services on a 
    reasonable cost basis under the rules in Sec. 415.162. (Payment for 
    other physician compensation costs related to approved GME programs is 
    made as described in Sec. 413.86 of this chapter.)
        (d) Election declined. If the teaching hospital does not make this 
    election, payment is made--
        (1) For physician services furnished to beneficiaries on a fee 
    schedule basis as described in part 414 subject to the rules in this 
    subpart, and
        (2) For the supervision of interns and residents as described in 
    Sec. 413.86.
    
    
    Sec. 415.162  Determining payment for physician services furnished to 
    beneficiaries in teaching hospitals.
    
        (a) General rule. Payments for direct medical and surgical services 
    of physicians furnished to beneficiaries and supervision of interns and 
    residents furnishing care to beneficiaries is made by Medicare on the 
    basis of reasonable cost if the hospital exercises the election as 
    provided for in Sec. 415.160. If this election is made, the following 
    occurs:
        (1) Physician services furnished to beneficiaries and supervision 
    of interns and residents furnishing care to beneficiaries are paid on a 
    reasonable-cost basis, as provided for in paragraph (b) of this 
    section.
        (2) Payment for certain medical school costs may be made as 
    provided for in paragraph (c) of this section.
        (3) Payments for services donated by volunteer physicians to 
    beneficiaries are made to a fund designated by the organized medical 
    staff of the teaching hospital or medical school as provided for in 
    paragraph (d) of this section.
        (b) Reasonable cost of physician services and supervision of 
    interns and residents.
        (1) Physician services furnished to beneficiaries and supervision 
    of interns and residents furnishing care to beneficiaries in a teaching 
    hospital are payable as provider services on a reasonable-cost basis.
        (2) For purposes of this paragraph, reasonable cost is defined as 
    the direct salary paid to these physicians, plus applicable fringe 
    benefits.
        (3) The costs must be allocated to the services as provided by 
    paragraph (j) of this section and apportioned to program beneficiaries 
    as provided by paragraph (g) of this section.
        (4) Other allowable costs incurred by the provider related to the 
    services described in this paragraph are payable subject to the 
    requirements applicable to all other provider services.
        (c) Reasonable costs for the services furnished by a medical school 
    or related organization in a hospital. An amount is payable to the 
    hospital by HCFA under the Medicare program provided that the costs 
    would be payable if incurred directly by the hospital rather than under 
    the arrangement. The amount must not be in excess of the reasonable 
    costs (as defined in paragraphs (c)(1) and (c)(2) of this section) 
    incurred by a teaching hospital for services furnished by a medical 
    school or organization as described in Sec. 413.17 of this chapter for 
    certain costs to the medical school (or a related organization) in 
    furnishing services in the hospital.
        (1) Reasonable costs of physician services.
        (i) When the medical school and the hospital are related 
    organizations. If the 
    
    [[Page 63183]]
    medical school (or organization related to the medical school) and the 
    hospital are related by common ownership or control as described in 
    Sec. 413.17 of this chapter--
        (A) The costs of these services are allowable costs to the hospital 
    under the provisions of Sec. 413.17 of this chapter; and
        (B) The reimbursable costs to the hospital are determined under the 
    provisions of this section in the same manner as the costs incurred for 
    physicians on the hospital staff and without regard to payments made to 
    the medical school by the hospital.
        (ii) When the medical school and the hospital are not related 
    organizations.
        (A) If the medical school and the hospital are not related 
    organizations under the provisions of Sec. 413.17 of this chapter and 
    the hospital makes payment to the medical school for the costs of those 
    services furnished to all patients, payment is made by Medicare to the 
    hospital for the reasonable cost incurred by the hospital for its 
    payments to the medical school for services furnished to beneficiaries.
        (B) Costs incurred under an arrangement must be allocated to the 
    full range of services furnished to the hospital by the medical school 
    physicians on the same basis as provided for under paragraph (j) of 
    this section, and costs allocated to direct medical and surgical 
    services furnished to hospital patients must be apportioned to 
    beneficiaries as provided for under paragraph (g) of this section.
        (C) If the medical school and the hospital are not related 
    organizations under the provisions of Sec. 413.17 of this chapter and 
    the hospital makes payment to the medical school only for the costs of 
    those services furnished to beneficiaries, costs of the medical school 
    not to exceed 105 percent of the sum of physician direct salaries, 
    applicable fringe benefits, employer's portion of FICA taxes, Federal 
    and State unemployment taxes, and workmen's compensation paid by the 
    medical school or an organization related to the medical school may be 
    recognized as allowable costs of the medical school.
        (D) These allowable medical school costs must be allocated to the 
    full range of services furnished by the physicians of the medical 
    school or organization related as provided by paragraph (j) of this 
    section.
        (E) Costs allocated to direct medical and surgical services 
    furnished to hospital patients must be apportioned to beneficiaries as 
    provided by paragraph (g) of this section.
        (2) Reasonable costs of other than direct medical and surgical 
    services. These costs are determined in accordance with paragraph 
    (c)(1) of this section except that--
        (i) If the hospital makes payment to the medical school for other 
    than direct medical and surgical services furnished to beneficiaries 
    and supervision of interns and residents furnishing care to 
    beneficiaries, these payments are subject to the required cost-finding 
    and apportionment methods applicable to the cost of other hospital 
    services (except for direct medical and surgical services furnished to 
    beneficiaries); or
        (ii) If the hospital makes payment to the medical school only for 
    these services furnished to beneficiaries, the cost of these services 
    is not subject to cost-finding and apportionment as otherwise provided 
    by this subpart, and the reasonable cost paid by Medicare must be 
    determined on the basis of the health insurance ratio(s) used in the 
    apportionment of all other provider costs (excluding physician direct 
    medical and surgical services furnished to beneficiaries) applied to 
    the allowable medical school costs incurred by the medical school for 
    the services furnished to all patients of the hospital.
        (d) ``Salary equivalent'' payments for direct medical and surgical 
    services furnished by physicians on the voluntary staff of the 
    hospital.
        (1) HCFA makes payments under the Medicare program to a fund as 
    defined in Sec. 415.164 for direct medical and surgical services 
    furnished to beneficiaries on a regularly scheduled basis by physicians 
    on the unpaid voluntary medical staff of the hospital (or medical 
    school under arrangement with the hospital).
        (i) These payments represent compensation for contributed medical 
    staff time which, if not contributed, would have to be obtained through 
    employed staff on a payable basis.
        (ii) Payments for volunteer services are determined by applying to 
    the regularly scheduled contributed time an hourly rate not to exceed 
    the equivalent of the average direct salary (exclusive of fringe 
    benefits) paid to all full-time, salaried physicians (other than 
    interns and residents) on the hospital staff or, if the number of full-
    time salaried physicians is minimal in absolute terms or in relation to 
    the number of physicians on the voluntary staff, to physicians at like 
    institutions in the area.
        (iii) This ``salary equivalent'' is a single hourly rate covering 
    all physicians regardless of specialty and is applied to the actual 
    regularly scheduled time contributed by the physicians in furnishing 
    direct medical and surgical services to beneficiaries including 
    supervision of interns and residents in that care.
        (iv) A physician who receives any compensation from the hospital or 
    a medical school related to the hospital by common ownership or control 
    (within the meaning of Sec. 413.17 of this chapter) for direct medical 
    and surgical services furnished to any patient in the hospital is not 
    considered an unpaid voluntary physician for purposes of this 
    paragraph.
        (v) If, however, a physician receives compensation from the 
    hospital or related medical school or organization only for services 
    that are other than direct medical and surgical services, a salary 
    equivalent payment for the physician's regularly scheduled direct 
    medical and surgical services to beneficiaries in the hospital may be 
    imputed. However, the sum of the imputed value for volunteer services 
    and the physician's actual compensation from the hospital and the 
    related medical school (or organization) may not exceed the amount that 
    would have been imputed if all of the physician's hospital and medical 
    school services (compensated and volunteer) had been volunteer 
    services, or paid at the rate of $30,000 per year, whichever is less.
        (2) The following examples illustrate how the allowable imputed 
    value for volunteer services is determined. In each example, it has 
    been assumed that the average salary equivalent hourly rate is equal to 
    the hourly rate for the individual physician's compensated services.
    
        Example No: 1. Dr. Jones received $3,000 a year from Hospital X 
    for services other than direct medical services to all patients, for 
    example, utilization review and administrative services. Dr. Jones 
    also voluntarily furnished direct medical services to beneficiaries. 
    The imputed value of the volunteer services amounted to $10,000 for 
    the cost reporting period. The full imputed value of Dr. Jones' 
    volunteer direct medical services would be allowed since the total 
    amount of the imputed value ($10,000) and the compensated services 
    ($3,000) does not exceed $30,000.
        Example No: 2. Dr. Smith received $25,000 from Hospital X for 
    services as a department head in a teaching hospital. Dr. Smith also 
    voluntarily furnished direct medical services to beneficiaries. The 
    imputed value of the 
    
    [[Page 63184]]
    volunteer services amounted to $10,000. Only $5,000 of the imputed 
    value of volunteer services would be allowed since the total amount 
    of the imputed value ($10,000) and the compensated services 
    ($25,000) exceeds the $30,000 maximum amount allowable for all of 
    Dr. Smith's services.
    
    Computation:
    
    Maximum amount allowable for all services performed by Dr.              
     Smith for purposes of this computation......................    $30,000
    Less compensation received from Hospital X for other than               
     direct medical services to individual patients..............    $25,000
    Allowable amount of imputed value for the volunteer services            
     furnished by Dr. Smith......................................     $5,000
                                                                            
    
        Example No. 3. Dr. Brown is not compensated by Hospital X for 
    any services furnished in the hospital. Dr. Brown voluntarily 
    furnished direct surgical services to beneficiaries for a period of 
    6 months, and the imputed value of these services amounted to 
    $20,000. The allowable amount of the imputed value for volunteer 
    services furnished by Dr. Brown would be limited to $15,000 ($30,000 
    x 6/12).
    
        (3) The amount of the imputed value for volunteer services 
    applicable to beneficiaries and payable to a fund is determined in 
    accordance with the aggregate per diem method described in paragraph 
    (g) of this section.
        (4) Medicare payments to a fund must be used by the fund solely for 
    improvement of care of hospital patients or for educational or 
    charitable purposes (which may include but are not limited to medical 
    and other scientific research).
        (i) No personal financial gain, either direct or indirect, from 
    benefits of the fund may inure to any of the hospital staff physicians, 
    medical school faculty, or physicians for whom Medicare imputes costs 
    for purposes of payment into the fund.
        (ii) Expenses met from contributions made to the hospital from a 
    fund are not included as a reimbursable cost when expended by the 
    hospital, and depreciation expense is not allowed with respect to 
    equipment or facilities donated to the hospital by a fund or purchased 
    by the hospital from monies in a fund.
        (e) Requirements for payment--(1) Physicians on the hospital staff. 
    The requirements under which the costs of physician direct medical and 
    surgical services (including supervision of interns and residents) to 
    beneficiaries are the same as those applicable to the cost of all other 
    covered provider services except that the costs of these services are 
    separately determined as provided by this section and are not subject 
    to cost-finding as described in Sec. 413.24 of this chapter.
        (2) Physicians on the medical school faculty. Payment is made to a 
    hospital for the costs of services of physicians on the medical school 
    faculty, provided that if the medical school is not related to the 
    hospital (within the meaning of Sec. 413.17 of this chapter, concerning 
    cost to related organizations), the hospital does not make payment to 
    the medical school for services furnished to all patients and the 
    following requirements are met: If the hospital makes payment to the 
    medical school for services furnished to all patients, these 
    requirements do not apply. (See paragraph (c)(1)(ii) of this section.)
        (i) There is a written agreement between the hospital and the 
    medical school or organization, specifying the types and extent of 
    services to be furnished by the medical school and specifying that the 
    hospital must pay to the medical school an amount at least equal to the 
    reasonable cost (as defined in paragraph (c) of this section) of 
    furnishing the services to beneficiaries.
        (ii) The costs are paid to the medical school by the hospital no 
    later than the date on which the cost report covering the period in 
    which the services were furnished is due to HCFA.
        (iii) Payment for the services furnished under an arrangement would 
    have been made to the hospital had the services been furnished directly 
    by the hospital.
        (3) Physicians on the voluntary staff of the hospital (or medical 
    school under arrangement with the hospital). If the conditions for 
    payment to a fund outlined in Sec. 415.164 are met, payments are made 
    on a ``salary equivalent'' basis (as defined in paragraph (d) of this 
    section) to a fund.
        (f) Requirements for payment for medical school faculty services 
    other than physician direct medical and surgical services. If the 
    requirements for payment for physician direct medical and surgical 
    services furnished to beneficiaries in a teaching hospital described in 
    paragraph (e) of this section are met, payment is made to a hospital 
    for the costs of medical school faculty services other than physician 
    direct medical and surgical services furnished in a teaching hospital.
        (g) Aggregate per diem methods of apportionment--(1) For the costs 
    of physician direct medical and surgical services. The cost of 
    physician direct medical and surgical services furnished in a teaching 
    hospital to beneficiaries is determined on the basis of an average cost 
    per diem as defined in paragraph (h)(1) of this section for physician 
    direct medical and surgical services to all patients (see Secs. 415.172 
    through 415.184) for each of the following categories of physicians:
        (i) Physicians on the hospital staff.
        (ii) Physicians on the medical school faculty.
        (2) For the imputed value of physician volunteer direct medical and 
    surgical services. The imputed value of physician direct medical and 
    surgical services furnished to beneficiaries in a teaching hospital is 
    determined on the basis of an average per diem, as defined in paragraph 
    (h)(1) of this section, for physician direct medical and surgical 
    services to all patients except that the average per diem is derived 
    from the imputed value of the physician volunteer direct medical and 
    surgical services furnished to all patients.
        (h) Definitions. (1) Average cost per diem for physician direct 
    medical and surgical services (including supervision of interns and 
    residents) furnished in a teaching hospital to patients in each 
    category of physician services described in paragraph (g)(1) of this 
    section means the amount computed by dividing total reasonable costs of 
    these services in each category by the sum of--
        (i) Inpatient days (as defined in paragraph (h)(2) of this 
    section); and
        (ii) Outpatient visit days (as defined in paragraph (h)(3) of this 
    section).
        (2) Inpatient days are determined by counting the day of admission 
    as 3.5 days and each day after a patient's day of admission, except the 
    day of discharge, as 1 day.
        (3) Outpatient visit days are determined by counting only one visit 
    day for each calendar day that a patient visits an outpatient 
    department or multiple outpatient departments.
        (i) Application. (1) The following illustrates how apportionment 
    based on the aggregate per diem method for costs of physician direct 
    medical and surgical services furnished in a teaching hospital to 
    patients is determined.
    
    Teaching Hospital Y
    
    Statistical and financial data:
    
    Total inpatient days as defined in paragraph (h)(2) of this             
     section and outpatient visit days as defined in paragraph              
     (h)(3) of this section....................................      75,000 
    
    [[Page 63185]]
                                                                            
    Total inpatient Part A days................................       20,000
    Total inpatient Part B days where Part A coverage is not                
     available.................................................        1,000
    Total outpatient Part B visit days.........................        5,000
    Total cost of direct medical and surgical services                      
     furnished to all patients by physicians on the hospital                
     staff as determined in accordance with paragraph (i) of                
     this section..............................................   $1,500,000
    Total cost of direct medical and surgical services                      
     furnished to all patients by physicians on the medical                 
     school faculty as determined in accordance with paragraph              
     (i) of this section.......................................   $1,650,000
                                                                            
    
    
    
        Computation of cost applicable to program for physicians on the 
    hospital staff:
        Average cost per diem for direct medical and surgical services 
    to patients by physicians on the hospital staff: $1,500,000  
    75,000 = $20 per diem.
    
    Cost of physician direct medical and surgical services                  
     furnished to inpatient beneficiaries covered under Part A:             
     $20 per diem  x  20,000...................................     $400,000
    Cost of physician direct medical and surgical services                  
     furnished to inpatient beneficiaries covered under Part B:             
     $20 per diem  x  1,000....................................      $20,000
    Cost of physician direct medical and surgical services                  
     furnished to outpatient beneficiaries covered under Part               
     B: $20 per diem  x  5,000.................................     $100,000
                                                                            
    
        Computation of cost applicable to program for physicians on the 
    medical school faculty:
        Average cost per diem for direct medical and surgical services 
    to patients by physicians on the medical school faculty: $1,650,000 
     75,000 = $22 per diem.
    
    Cost of physician direct medical and surgical services                  
     furnished to inpatient beneficiaries covered under Part A:             
     $22 per diem  x  20,000...................................     $440,000
    Cost of physician direct medical and surgical services                  
     furnished to inpatient beneficiaries covered under Part B:             
     $20 per diem  x  1,000....................................      $22,000
    Cost of physician direct medical and surgical services                  
     furnished to outpatient beneficiaries covered under Part               
     B: $22 per diem  x  5,000.................................     $110,000
                                                                            
    
        (2) The following illustrates how the imputed value of physician 
    volunteer direct medical and surgical services furnished in a 
    teaching hospital to beneficiaries is determined.
        Example: The physicians on the medical staff of Teaching 
    Hospital Y donated a total of 5,000 hours in furnishing direct 
    medical and surgical services to patients of the hospital during a 
    cost reporting period and did not receive any compensation from 
    either the hospital or the medical school. Also, the imputed value 
    for any physician volunteer services did not exceed the rate of 
    $30,000 per year per physician.
    
    Statistical and financial data:
    
    Total salaries paid to the full-time salaried physicians by             
     the hospital (excluding interns and residents)............     $800,000
    Total physicians who were paid for an average of 40 hours               
     per week or 2,080 (52 weeks x 40 hours per week) hours per             
     year......................................................           20
    Average hourly rate equivalent: $800,000  41,600                
     (2,080  x  20)............................................       $19.23
                                                                            
    
        Computation of total imputed value of physician volunteer 
    services applicable to all patients:
    
    (Total donated hours  x  average hourly rate equivalent):               
     5,000  x  $19.23..........................................      $96,150
    Total inpatient days (as defined in paragraph (h)(2) of                 
     this section) and outpatient visit days (as defined in                 
     paragraph (h)(3) of this section).........................       75,000
    Total inpatient Part A days................................       20,000
    Total inpatient Part B days if Part A coverage is not                   
     available.................................................        1,000
    Total outpatient Part B visit days.........................        5,000
                                                                            
    
        Computation of imputed value of physician volunteer direct 
    medical and surgical services furnished to Medicare beneficiaries:
        Average per diem for physician direct medical and surgical 
    services to all patients: $96,150  75,000 = $1.28 per diem
    
    Imputed value of physician direct medical and surgical                  
     services furnished to inpatient beneficiaries covered                  
     under Part A: $1.28 per diem  x  20,000...................      $25,600
    Imputed value of physician direct medical and surgical                  
     services furnished to inpatient beneficiaries covered                  
     under Part B: $1.28 per diem  x  1,000....................       $1,280
    Imputed value of physician direct medical and surgical                  
     services furnished to outpatient beneficiaries covered                 
     under Part B: $1.28 per diem  x  5,000....................       $6,400
    Total......................................................      $33,280
                                                                            
    
        (j) Allocation of compensation paid to physicians in a teaching 
    hospital. 
        (1) In determining reasonable cost under this section, the 
    compensation paid by a teaching hospital, or a medical school or 
    related organization under arrangement with the hospital, to physicians 
    in a teaching hospital must be allocated to the full range of services 
    implicit in the physician compensation arrangements. (However, see 
    paragraph (d) of this section for the computation of the ``salary 
    equivalent'' payments for volunteer services furnished to patients.)
        (2) This allocation must be made and must be capable of 
    substantiation on the basis of the proportion of each physician's time 
    spent in furnishing each type of service to the hospital or medical 
    school.
    
    
    Sec. 415.164  Payment to a fund.
    
        (a) General rules. Payment for certain voluntary services by 
    physicians in teaching hospitals (as these services are described in 
    Sec. 415.160) is made on a salary equivalent basis (as described in 
    Sec. 415.162(d)) subject to the conditions and limitations contained in 
    parts 405 and 413 of this chapter and this part 415, to a single fund 
    (as defined in paragraph (b) of this section) designated by the 
    organized medical staff of the hospital (or, if the services are 
    furnished in the hospital by the faculty of a medical school, to a fund 
    as may be designated by the faculty), if the following conditions are 
    met:
        (1) The hospital (or medical school furnishing the services under 
    arrangement with the hospital) incurs no actual cost in furnishing the 
    services.
        (2) The hospital has an agreement with HCFA under part 489 of this 
    chapter.
        (3) The intermediary, or HCFA as appropriate, has received written 
    assurances that--
        (i) The payment is used solely for the improvement of care of 
    hospital patients or for educational or charitable purposes; and
        (ii) Neither the individuals who are furnished the services nor any 
    other persons are charged for the services (and if charged, provision 
    is made for the return of any monies incorrectly collected).
    
    [[Page 63186]]
    
        (b) Definition of a fund. For purposes of paragraph (a) of this 
    section, a fund is an organization that meets either of the following 
    requirements:
        (1) The organization has and retains exemption, as a governmental 
    entity or under section 501(c)(3) of the Internal Revenue Code 
    (nonprofit educational, charitable, and similar organizations), from 
    Federal taxation.
        (2) The organization is an organization of physicians who, under 
    the terms of their employment by an entity that meets the requirements 
    of paragraph (b)(1) of this section, are required to turn over to that 
    entity all income that the physician organization derives from the 
    physician services.
        (c) Status of a fund. A fund approved for payment under paragraph 
    (a) of this section has all the rights and responsibilities of a 
    provider under Medicare except that it does not enter into an agreement 
    with HCFA under part 489 of this chapter.
    
    
    Sec. 415.170  Conditions for payment on a fee schedule basis for 
    physician services in a teaching setting.
    
        Services meeting the conditions for payment in Sec. 415.102(a) 
    furnished in teaching settings are payable under the physician fee 
    schedule if--
        (a) The services are personally furnished by a physician who is not 
    a resident; or
        (b) The services are furnished by a resident in the presence of a 
    teaching physician except as provided in Sec. 415.172 (concerning 
    physician fee schedule payment for services of teaching physicians), 
    Sec. 415.174 (concerning an exception for services furnished in 
    hospital outpatient and certain other ambulatory settings), 
    Sec. 415.176 (concerning renal dialysis services), and Sec. 415.184 
    (concerning psychiatric services), as applicable.
    
    
    Sec. 415.172  Physician fee schedule payment for services of teaching 
    physicians.
    
        (a) General rule. If a resident participates in a service furnished 
    in a teaching setting, physician fee schedule payment is made only if a 
    teaching physician is present during the key portion of any service or 
    procedure for which payment is sought.
        (1) In the case of surgical, high-risk, or other complex 
    procedures, the teaching physician must be present during all critical 
    portions of the procedure and immediately available to furnish services 
    during the entire service or procedure.
        (i) In the case of surgery, the teaching physician's presence is 
    not required during opening and closing of the surgical field.
        (ii) In the case of procedures performed through an endoscope, the 
    teaching physician must be present during the entire viewing.
        (2) In the case of evaluation and management services, the teaching 
    physician must be present during the portion of the service that 
    determines the level of service billed. (However, in the case of 
    evaluation and management services furnished in hospital outpatient 
    departments and certain other ambulatory settings, the requirements of 
    Sec. 415.174 apply.)
        (b) Documentation. Except for services furnished as set forth in 
    Secs. 415.174 (concerning an exception for services furnished in 
    hospital outpatient and certain other ambulatory settings), 415.176 
    (concerning renal dialysis services), and 415.184 (concerning 
    psychiatric services), the medical records must document the teaching 
    physician was present at the time the service is furnished. The 
    presence of the teaching physician during procedures may be 
    demonstrated by the notes in the medical records made by a physician, 
    resident, or nurse. In the case of evaluation and management 
    procedures, the teaching physician must personally document his or her 
    participation in the service in the medical records.
        (c) Payment level. In the case of services such as evaluation and 
    management for which there are several levels of service codes 
    available for reporting purposes, the appropriate payment level must 
    reflect the extent and complexity of the service when fully furnished 
    by the teaching physician.
    
    
    Sec. 415.174  Exception: Evaluation and management services furnished 
    in certain centers.
    
        (a) In the case of certain evaluation and management codes of lower 
    and mid-level complexity (as specified by HCFA in program 
    instructions), carriers may make physician fee schedule payment for a 
    service furnished by a resident without the presence of a teaching 
    physician. For the exception to apply, all of the following conditions 
    must be met:
        (1) The services must be furnished in a center that is located in 
    an outpatient department of a hospital or another ambulatory care 
    entity in which the time spent by residents in patient care activities 
    is included in determining intermediary payments to a hospital under 
    Sec. 413.86.
        (2) Any resident furnishing the service without the presence of a 
    teaching physician must have completed more than 6 months of an 
    approved residency program.
        (3) The teaching physician must not direct the care of more than 
    four residents at any given time and must direct the care from such 
    proximity as to constitute immediate availability. The teaching 
    physician must--
        (i) Have no other responsibilities at the time;
        (ii) Assume management responsibility for those beneficiaries seen 
    by the residents;
        (iii) Ensure that the services furnished are appropriate;
        (iv) Review with each resident during or immediately after each 
    visit, the beneficiary's medical history, physical examination, 
    diagnosis, and record of tests and therapies; and
        (v) Document the extent of the teaching physician's participation 
    in the review and direction of the services furnished to each 
    beneficiary.
        (4) The range of services furnished by residents in the center 
    includes all of the following:
        (i) Acute care for undifferentiated problems or chronic care for 
    ongoing conditions.
        (ii) Coordination of care furnished by other physicians and 
    providers.
        (iii) Comprehensive care not limited by organ system, diagnosis, or 
    gender.
        (5) The patients seen must be an identifiable group of individuals 
    who consider the center to be the continuing source of their health 
    care and in which services are furnished by residents under the medical 
    direction of teaching physicians.
        (b) Nothing in paragraph (a) of this section may be construed as 
    providing a basis for the coverage of services not determined to be 
    covered under Medicare, such as routine physical checkups.
    
    
    Sec. 415.176  Renal dialysis services.
    
        In the case of renal dialysis services, physicians who are not paid 
    under the physician monthly capitation payment method (as described in 
    Sec. 414.314 of this chapter) must meet the requirements of 
    Secs. 415.170 and 415.172 (concerning physician fee schedule payment 
    for services of teaching physicians).
    
    
    Sec. 415.178  Anesthesia services.
    
        (a) General rule. An unreduced physician fee schedule payment may 
    be made if a physician is involved in a 
    
    [[Page 63187]]
    single anesthesia procedure involving an anesthesia resident. In the 
    case of anesthesia services, the teaching physician must be present 
    during all critical portions of the procedure and immediately available 
    to furnish services during the entire service or procedure. The 
    teaching physician cannot receive an unreduced fee if he or she 
    performs services involving other patients during the period the 
    anesthesia resident is furnishing services in a single case. For 
    additional rules for payment of anesthesia services involving 
    residents, see Sec. 414.46(c)(1)(iii)).
        (b) Documentation. Documentation must indicate the physician's 
    presence or participation in the administration of the anesthesia and a 
    preoperative and postoperative visit by the physician.
    
    
    Sec. 415.180  Teaching setting requirements for the interpretation of 
    diagnostic radiology and other diagnostic tests.
    
        (a) General rule. Physician fee schedule payment is made for the 
    interpretation of diagnostic radiology and other diagnostic tests if 
    the interpretation is performed or reviewed by a physician other than a 
    resident.
        (b) Documentation. Documentation must indicate that the physician 
    personally performed the interpretation or reviewed the resident's 
    interpretation with the resident.
    
    
    Sec. 415.184  Psychiatric services.
    
        To qualify for physician fee schedule payment for psychiatric 
    services furnished under an approved GME program, the physician must 
    meet the requirements of Secs. 415.170 and 415.172, including 
    documentation, except that the requirement for the presence of the 
    teaching physician during the service in which a resident is involved 
    may be met by observation of the service by use of a one-way mirror, 
    video equipment, or similar device.
    
    
    Sec. 415.190  Conditions of payment: Assistants at surgery in teaching 
    hospitals.
    
        (a) Basis, purpose, and scope. This section describes the 
    conditions under which Medicare pays on a fee schedule basis for the 
    services of an assistant at surgery in a teaching hospital. This 
    section is based on section 1842(b)(7)(D)(I) of the Act and applies 
    only to hospitals with an approved GME residency program. Except as 
    specified in paragraph (c) of this section, fee schedule payment is not 
    available for assistants at surgery in hospitals with--
        (1) A training program relating to the medical specialty required 
    for the surgical procedure; and
        (2) A resident in a training program relating to the specialty 
    required for the surgery available to serve as an assistant at surgery.
        (b) Definition. Assistant at surgery means a physician who actively 
    assists the physician in charge of a case in performing a surgical 
    procedure.
        (c) Conditions for payment for assistants at surgery. Payment on a 
    fee schedule basis is made for the services of an assistant at surgery 
    in a teaching hospital only if the services meet one of the following 
    conditions:
        (1) Are required as a result of exceptional medical circumstances.
        (2) Are complex medical procedures performed by a team of 
    physicians, each performing a discrete, unique function integral to the 
    performance of a complex medical procedure that requires the special 
    skills of more than one physician.
        (3) Constitute concurrent medical care relating to a medical 
    condition that requires the presence of, and active care by, a 
    physician of another specialty during surgery.
        (4) Are medically required and are furnished by a physician who is 
    primarily engaged in the field of surgery, and the primary surgeon does 
    not use interns and residents in the surgical procedures that the 
    surgeon performs (including preoperative and postoperative care).
        (5) Are not related to a surgical procedure for which HCFA 
    determines that assistants are used less than 5 percent of the time.
    
    Subpart E--Services of Residents
    
    
    Sec. 415.200  Services of residents in approved GME programs.
    
        (a) General rules. Services furnished in hospitals by residents in 
    approved GME programs are specifically excluded from being paid as 
    ``physician services'' defined in Sec. 414.2 of this chapter and are 
    payable as hospital services. This exclusion applies whether or not the 
    resident is licensed to practice under the laws of the State in which 
    he or she performs the service. The payment methodology for services of 
    residents in hospitals and hospital-based providers is set forth in 
    Sec. 413.86 of this chapter.
        (b) Exception. For low and mid-level evaluation and management 
    services furnished under certain conditions in centers located in 
    hospital outpatient departments and other ambulatory settings, see 
    Sec. 415.174.
        (c) Definitions. See Sec. 415.152 for definitions of terms used in 
    this subpart E.
    
    
    Sec. 415.202  Services of residents not in approved GME programs.
    
        (a) General rules. For services of a physician employed by a 
    hospital who is authorized to practice only in a hospital setting and 
    for the services of a resident who is not in any approved GME program, 
    payment is made to the hospital on a Part B reasonable cost basis 
    regardless of whether the services are furnished to hospital inpatients 
    or outpatients.
        (b) Payment. For services described in paragraph (a) of this 
    section, payment is made under Part B by reducing the reasonable costs 
    of furnishing the services by the beneficiary deductible and paying 80 
    percent of the remaining amount. No payment is made for other costs of 
    unapproved programs, such as administrative costs related to teaching 
    activities of physicians.
    
    
    Sec. 415.204  Services of residents in skilled nursing facilities and 
    home health agencies.
    
        (a) Medicare Part A payment. Payment is made under Medicare Part A 
    for interns' and residents' services furnished in the following 
    settings that meet the specified requirements:
        (1) Skilled nursing facility. Payment to a participating skilled 
    nursing facility may include the cost of services of an intern or 
    resident who is in an approved GME program in a hospital with which the 
    skilled nursing facility has a transfer agreement that provides, in 
    part, for the transfer of patients and the interchange of medical 
    records.
        (2) Home health agency. A participating home health agency may 
    receive payment for the cost of the services of an intern or resident 
    who is under an approved GME program of a hospital with which the home 
    health agency is affiliated or under common control if these services 
    are furnished as part of the home health visits for a Medicare 
    beneficiary. (Nevertheless, see Sec. 413.86 of this chapter for the 
    costs of approved GME programs in hospital-based providers.)
        (b) Medicare Part B payment. Medical services of a resident of a 
    hospital that are furnished by a skilled nursing facility or home 
    health agency are paid under Medicare Part B if payment is not provided 
    under Medicare Part A. Payment is made under Part B for a resident's 
    services by reducing the 
    
    [[Page 63188]]
    reasonable costs of furnishing the services by the beneficiary 
    deductible and paying 80 percent of the remaining amount.
    
    
    Sec. 415.206  Services of residents in nonprovider settings.
    
        Patient care activities of residents in approved GME programs that 
    are furnished in nonprovider settings are payable in one of the 
    following two ways:
        (a) Direct GME payments. If the conditions in 
    Sec. 413.86(f)(1)(iii) regarding patient care activities and training 
    of residents are met, the time residents spend in nonprovider settings 
    such as clinics, nursing facilities, and physician offices in 
    connection with approved GME programs is included in determining the 
    number of full-time equivalency residents in the calculation of a 
    teaching hospital's resident count. The teaching physician rules on 
    carrier payments in Secs. 415.170 through 415.184 apply in these 
    teaching settings.
        (b) Physician fee schedule. (1) Services furnished by a resident in 
    a nonprovider setting are covered as physician services and payable 
    under the physician fee schedule if the following requirements are met:
        (i) The resident is fully licensed to practice medicine, 
    osteopathy, dentistry, or podiatry in the State in which the service is 
    performed.
        (ii) The time spent in patient care activities in the nonprovider 
    setting is not included in a teaching hospital's full-time equivalency 
    resident count for the purpose of direct GME payments.
        (2) Payment may be made regardless of whether a resident is 
    functioning within the scope of his or her GME program in the 
    nonprovider setting.
        (3) If fee schedule payment is made for the resident's services in 
    a nonprovider setting, payment must not be made for the services of a 
    teaching physician.
        (4) The carrier must apply the physician fee schedule payment rules 
    set forth in subpart A of part 414 of this chapter to payments for 
    services furnished by a resident in a nonprovider setting.
    
    
    Sec. 415.208  Services of moonlighting residents.
    
        (a) Definition. For purposes of this section, the term services of 
    moonlighting residents refers to services that licensed residents 
    perform that are outside the scope of an approved GME program.
        (b) Services in GME program hospitals. (1) The services of 
    residents to inpatients of hospitals in which the residents have their 
    approved GME program are not covered as physician services and are 
    payable under Sec. 413.86 regarding direct GME payments.
        (2) Services of residents that are not related to their approved 
    GME programs and are performed in an outpatient department or emergency 
    department of a hospital in which they have their training program are 
    covered as physician services and payable under the physician fee 
    schedule if all of the following criteria are met:
        (i) The services are identifiable physician services and meet the 
    conditions for payment of physician services to beneficiaries in 
    providers in Sec. 415.102(a).
        (ii) The resident is fully licensed to practice medicine, 
    osteopathy, dentistry, or podiatry by the State in which the services 
    are performed.
        (iii) The services performed can be separately identified from 
    those services that are required as part of the approved GME program.
        (3) If the criteria specified in paragraph (b)(2) of this section 
    are met, the services of the moonlighting resident are considered to 
    have been furnished by the individual in his or her capacity as a 
    physician, rather than in the capacity of a resident. The carrier must 
    review the contracts and agreements for these services to ensure 
    compliance with the criteria specified in paragraph (b)(2) of this 
    section.
        (4) No payment is made for services of a ``teaching physician'' 
    associated with moonlighting services, and the time spent furnishing 
    these services is not included in the teaching hospital's full-time 
    equivalency count for the indirect GME payment (Sec. 412.105 of this 
    chapter) and for the direct GME payment (Sec. 413.86 of this chapter).
        (c) Other settings. Moonlighting services of a licensed resident in 
    an approved GME program furnished outside the scope of that program in 
    a hospital or other setting that does not participate in the approved 
    GME program are payable under the physician fee schedule as set forth 
    in Sec. 415.206(b)(1).
    F. Technical Amendments
    
    PART 400--[AMENDED]
    
        1. In Sec. 400.310, the following changes are made:
        a. The entries for Secs. 405.481 and 405.552 are removed.
        b. The table is amended by adding the following entries:
    
    
    Sec. 400.310  Display of currently valid OMB control numbers.
    
    ------------------------------------------------------------------------
                                                                 Current OMB
     Sections in 42 CFR that contain collections of information    control  
                                                                   numbers  
    ------------------------------------------------------------------------
                                                                            
                      *        *        *        *        *                 
    415.60.....................................................    0938-0301
    415.162....................................................    0938-0301
                                                                            
                        *        *        *  *          *                   
    ------------------------------------------------------------------------
    
    PART 405--[AMENDED]
    
    
    Sec. 405.502  [Amended]
    
        2. In Sec. 405.502(a)(10), the phrase ``Sec. 405.580(c)(2) or (3)'' 
    is removed, and the phrase ``Sec. 415.190(c)(2) or (c)(3) of this 
    chapter'' is added in its place.
    
    PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE 
    PAYMENT
    
        3. The authority citation for part 411 continues to read as 
    follows:
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh).
    
    
    Sec. 411.15  [Amended]
    
        4. In Sec. 411.15(m)(2)(i), ``Sec. 405.550(b)'' is removed, and 
    ``Sec. 415.102(a)'' is added in its place.
    
    PART 412--PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL 
    SERVICES
    
        5. The authority citation for part 412 continues to read as 
    follows:
    
        Authority: Secs. 1102, 1815(e), 1820, 1871, and 1886 of the 
    Social Security Act (42 U.S.C. 1302, 1395g(e), 1395i-4, 1395hh, and 
    1395ww).
    
    
    Sec. 412.50  [Amended]
    
        6. In Sec. 412.50, the following changes are made:
        a. In paragraph (a), ``Sec. 405.550(b)'' is removed, and 
    ``Sec. 415.102(a)'' is added in its place.
        b. In paragraph (b), ``Sec. 405.550(b)'' is removed, and 
    ``Sec. 415.102(a)'' is added in its place.
    
    
    Sec. 412.71  [Amended]
    
        7. In Sec. 412.71(c)(1)(i), ``Sec. 405.550(b)'' is removed, and 
    ``Sec. 415.102(a)'' is added in its place.
    
    
    Sec. 412.105  [Amended]
    
        8. In Sec. 412.105(g)(1)(i)(A), ``Sec. 405.522(a)'' is removed, and 
    ``Sec. 415.200(a)'' is added in its place. 
    
    [[Page 63189]]
    
    
    PART 413--[AMENDED]
    
        9. The authority citation for part 413 continues to read as 
    follows:
    
        Authority: Secs. 1102, 1861(v)(1)(A), and 1871 of the Social 
    Security Act (42 U.S.C. 1302, 1395x(v)(1)(A), and 1395hh).
    
    
    Sec. 413.5  [Amended]
    
        10. In Sec. 413.5(c)(9), the phrase ``(as described in Sec. 405.465 
    of this chapter) where elected as provided for in Sec. 405.521 of this 
    chapter.'' is removed, and the phrase ``(as described in Sec. 415.162 
    of this chapter) if elected as provided for in Sec. 415.160 of this 
    chapter.'' is added in its place.
    
    
    Sec. 413.13  [Amended]
    
        11. In Sec. 413.13(g)(1)(i), the phrase ``Secs. 405.480 through 
    405.482'' is removed, and the phrase ``Secs. 415.55 through 415.70'' is 
    added in its place.
    
    
    Sec. 413.80  [Amended]
    
        12. In Sec. 413.80(h), the phrase ``, as described in Sec. 414.450 
    of this chapter,'' is removed.
    
    
    Sec. 413.86  [Amended]
    
        13. In Sec. 413.86, the following changes are made:
        a. In paragraph (b), in the definition of ``Approved medical 
    residency program'' in paragraph (1), ``Sec. 405.522(a)'' is removed, 
    and ``Sec. 415.200(a)'' is added in its place.
        b. In paragraph (g)(1)(ii), ``Sec. 405.522(a)'' is removed, and 
    ``Sec. 415.200(a)'' is added in its place.
    
    
    Sec. 413.174  [Amended]
    
        14. In Sec. 413.174(b)(4)(iv), the phrase ``Secs. 405.465 through 
    405.482'' is removed, and the phrase ``Secs. 415.55 through 415.70, 
    Sec. 415.162, and Sec. 415.164'' is added in its place.
    
    PART 414--[AMENDED]
    
    
    Sec. 414.58  [Amended]
    
        15. In Sec. 414.58, the following changes are made:
        a. In paragraph (a), the phrase ``Secs. 405.550 through 405.580'' 
    is removed, and the phrase ``Secs. 415.100 through 415.130, and 
    Sec. 415.190'' is added in its place.
        b. In paragraph (b), the phrase ``Sec. 405.465 of this chapter if 
    the hospital exercises the election described in Sec. 405.521(c)(2) of 
    this chapter'' is removed, and the phrase ``Sec. 415.162 of this 
    chapter if the hospital exercises the election described in 
    Sec. 415.160 of this chapter'' is added in its place.
    
    PART 417--HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL 
    PLANS, AND HEALTH CARE PREPAYMENT PLANS
    
        16. The authority citation for part 417 continues to read as 
    follows:
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh), secs. 1301, 1306, and 1310 of the Public 
    Health Service Act (42 U.S.C. 300e, 300e-5, and 300e-9); and 31 
    U.S.C. 9701.
    
    
    Sec. 417.554  [Amended]
    
        17. In Sec. 417.554, the phrase ``Sec. 405.480, part 412 of this 
    chapter, and Secs. 413.55 and 413.24'' is removed, and the phrase 
    ``part 412, Secs. 413.24, 413.55, and 415.55'' is added in its place.
    
    PART 489--PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
    
        18. The authority citation for part 489 continues to read as 
    follows:
    
        Authority: Secs. 1102 and 1871 of the Social Security Act (42 
    U.S.C. 1302 and 1395hh).
    
    
    Sec. 489.20  [Amended]
    
        19. In Sec. 489.20(d)(1), ``Sec. 405.550(b)'' is removed, and 
    ``Sec. 415.102(a)'' is added in its place.
    
    
    Sec. 489.21  [Amended]
    
        20. In Sec. 489.21(f), ``Sec. 405.550(b)'' is removed, and 
    ``Sec. 415.102(a)'' is added in its place.
    
    (Catalog of Federal Domestic Assistance Program No. 93.773, 
    Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
    Supplementary Medical Insurance Program)
    
        Dated: November 28, 1995.
    Bruce C. Vladeck,
    Administrator, Health Care Financing Administration.
        Dated: December 1, 1995.
    Donna E. Shalala,
    Secretary.
    
        Note: These addenda will not appear in the Code of Federal 
    Regulations.
    
    Addendum A--Explanation and Use of Addenda B Through E
    
        The addenda on the following pages provide various data 
    pertaining to the Medicare fee schedule for physician services 
    furnished in 1995. Addendum B contains the RVUs for work, practice 
    expense, and malpractice expense, and other information for all 
    services included in the physician fee schedule. Addendum C provides 
    interim RVUs and related information for codes that are subject to 
    comment. Each code listed in Addendum C is also included in Addendum 
    B. Further explanations of the information in these addenda are 
    provided at the beginning of each addendum.
        To compute a fee schedule amount according to the formula 
    provided in the final rule, use the RVUs listed in Addendum B and 
    the GPCIs for 1996 listed in Addendum D of this final rule. In 
    applying the formula, use the appropriate CF: For services 
    designated as surgical, use a CF of $40.7986. For primary care 
    services, use a CF of $35.4173. For other nonsurgical services, use 
    a CF of $34.6293.
        Addendum D lists the GPCIs for 1996.
        Addendum E lists the procedure codes subject to the site-of-
    service differential.
    
    Addendum B--1996 Relative Value Units and Related Information Used in 
    Determining Medicare Payments for 1996
    
        This addendum contains the following information for each CPT 
    code and alphanumeric HCPCS code, except for alphanumeric codes 
    beginning with B (enteral and parenteral therapy), E (durable 
    medical equipment), K (temporary codes for nonphysician services or 
    items), or L (orthotics), and codes for anesthesiology.
        1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number 
    for the service. Alphanumeric HCPCS codes are included at the end of 
    this addendum.
        2. Modifier. A modifier is shown if there is a technical 
    component (modifier TC) and a professional component (PC) (modifier 
    -26) for the service. If there is a PC and a TC for the service, 
    Addendum B contains three entries for the code: One for the global 
    values (both professional and technical); one for modifier -26 (PC); 
    and one for modifier TC. The global service is not designated by a 
    modifier, and physicians must bill using the code without a modifier 
    if the physician furnishes both the PC and the TC of the service.
        3. Status indicator. This indicator shows whether the CPT/HCPCS 
    code is in the physician fee schedule and whether it is separately 
    payable if the service is covered.
        A = Active code. These codes are separately payable under the 
    fee schedule if covered. There will be RVUs for codes with this 
    status. The presence of an ``A'' indicator does not mean that 
    Medicare has made a national decision regarding the coverage of the 
    service. Carriers remain responsible for coverage decisions in the 
    absence of a national Medicare policy.
        B = Bundled code. Payment for covered services is always bundled 
    into payment for other services not specified. If RVUs are shown, 
    they are not used for Medicare payment. If these services are 
    covered, payment for them is subsumed by the payment for the 
    services to which they are incident. (An example is a telephone call 
    from a hospital nurse regarding care of a patient.)
        C = Carrier-priced code. Carriers will establish RVUs and 
    payment amounts for these services, generally on a case-by-case 
    basis following review of documentation, such as an operative 
    report.
        D = Deleted code. These codes are deleted effective with the 
    beginning of the calendar year. 
    
    [[Page 63190]]
    
        E = Excluded from physician fee schedule by regulation. These 
    codes are for items or services that we chose to exclude from the 
    physician fee schedule payment by regulation. No RVUs are shown, and 
    no payment may be made under the physician fee schedule for these 
    codes. Payment for them, if they are covered, continues under 
    reasonable charge or other payment procedures.
        G = Code not valid for Medicare purposes. Medicare does not 
    recognize codes assigned this status. Medicare uses another code for 
    reporting of, and payment for, these services.
        H = Deleted modifier. This code had TC and PC components in 
    1995. For 1996, these components are deleted.
        N = Noncovered service. These codes are noncovered services. 
    Medicare payment may not be made for these codes. If RVUs are shown, 
    they are not used for Medicare payment.
        P = Bundled or excluded code. There are no RVUs for these 
    services. No separate payment should be made for them under the 
    physician fee schedule.
    
    --If the item or service is covered as incident to a physician 
    service and is furnished on the same day as a physician service, 
    payment for it is bundled into the payment for the physician service 
    to which it is incident (an example is an elastic bandage furnished 
    by a physician incident to a physician service).
    --If the item or service is covered as other than incident to a 
    physician service, it is excluded from the physician fee schedule 
    (for example, colostomy supplies) and is paid under the other 
    payment provisions of the Act.
    
        R = Restricted coverage. Special coverage instructions apply. If 
    the service is covered and no RVUs are shown, it is carrier-priced.
        T = Injections. There are RVUs for these services, but they are 
    only paid if there are no other services payable under the physician 
    fee schedule billed on the same date by the same provider. If any 
    other services payable under the physician fee schedule are billed 
    on the same date by the same provider, these services are bundled 
    into the service(s) for which payment is made.
        X = Exclusion by law. These codes represent an item or service 
    that is not within the definition of ``physician services'' for 
    physician fee schedule payment purposes. No RVUs are shown for these 
    codes, and no payment may be made under the physician fee schedule. 
    (Examples are ambulance services and clinical diagnostic laboratory 
    services.)
        4. Description of code. This is an abbreviated version of the 
    narrative description of the code.
        5. Physician work RVUs. These are the RVUs for the physician 
    work for this service in 1996. Codes that are not used for Medicare 
    payment are identified with a ``#.''
        6. Practice expense RVUs. These are the RVUs for the practice 
    expense for the service for 1996. Codes that are subject to the OBRA 
    1993 practice expense reduction are identified by an asterisk in 
    this column.
        7. Malpractice expense RVUs. These are the RVUs for the 
    malpractice expense for the service for 1996.
        8. Total RVUs. This is the sum of the work, practice expense, 
    and malpractice expense RVUs for 1996.
        9. Global period. This indicator shows the number of days in the 
    global period for the code (0, 10, or 90 days). An explanation of 
    the alpha codes follows:
        MMM = The code describes a service furnished in uncomplicated 
    maternity cases including antepartum care, delivery, and postpartum 
    care. The usual global surgical concept does not apply. See the 1996 
    Physicians' Current Procedural Terminology for specific definitions.
        XXX = The global concept does not apply.
        YYY = The global period is to be set by the carrier (for 
    example, unlisted surgery codes).
        ZZZ = The code is part of another service and falls within the 
    global period for the other service.
        10. Update indicator. This column indicates whether the update 
    for surgical procedures, primary care services, or other nonsurgical 
    services applies to the CPT/HCPCS code in column 1. A ``0'' appears 
    in this field for codes that are deleted in 1996 or are not paid 
    under the physician fee schedule. A ``P'' in this column indicates 
    that the update and CF for primary care services applies to this 
    code. An ``N'' in this column indicates that the update and CF for 
    other nonsurgical services applies to this code. An ``S'' in this 
    column indicates that the separate update and CF for surgical 
    procedures applies.
    
            \4\ * Indicates reduction of Practice 
    Expense RVUs as a result of OBRA 1993.
    
                                                Addendum B.--Relative Value Units (RVUs) and Related Information                                            
    --------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                    Physician  Practice                                                     
    CPT \1\/          MOD               Status                 Description          work RVUs   expense  Malpractice    Total    Global         Update      
      HCPCS                                                                            \3\     RVUs \4\      RVUs                period                     
    ---\2\--------------------------------------------------------------------------------------------------------------------------------------------------
    10040...  ..................  A                   Acne surgery of skin abscess       1.34      0.32        0.03       1.69       010  S                 
    10060...  ..................  A                   Drainage of skin abscess....       1.12      0.44        0.04       1.60       010  S                 
    10061...  ..................  A                   Drainage of skin abscess....       2.48      0.64        0.06       3.18       010  S                 
    10080...  ..................  A                   Drainage of pilonidal cyst..       1.62      0.50        0.05       2.17       010  N                 
    10081...  ..................  A                   Drainage of pilonidal cyst..       2.40      1.11        0.16       3.67       010  S                 
    10120...  ..................  A                   Remove foreign body.........       1.19      0.46        0.05       1.70       010  S                 
    10121...  ..................  A                   Remove foreign body.........       2.64      1.00        0.12       3.76       010  S                 
    10140...  ..................  A                   Drainage of hematoma/fluid..       1.48      0.48        0.05       2.01       010  S                 
    10160...  ..................  A                   Puncture drainage of lesion.       1.15      0.38        0.05       1.58       010  S                 
    10180...  ..................  A                   Complex drainage, wound.....       2.20      1.05        0.18       3.43       010  S                 
    11000...  ..................  A                   Surgical cleansing of skin..       0.91      0.40        0.04       1.35       000  S                 
    11001...  ..................  A                   Additional cleansing of skin       0.45      0.26        0.02       0.73       ZZZ  S                 
    11040...  ..................  A                   Surgical cleansing, abrasion       0.50      0.40        0.04       0.94       000  S                 
    11041...  ..................  A                   Surgical cleansing of skin..       0.82      0.56        0.06       1.44       000  S                 
    11042...  ..................  A                   Cleansing of skin/tissue....       1.12      0.65        0.08       1.85       000  S                 
    11043...  ..................  A                   Cleansing of tissue/muscle..       1.83      1.81        0.34       3.98       010  S                 
    11044...  ..................  A                   Cleansing tissue/muscle/bone       2.28      2.82        0.49       5.59       010  S                 
    11050...  ..................  A                   Trim skin lesion............       0.43      0.37        0.03       0.83       000  S                 
    11051...  ..................  A                   Trim 2 to 4 skin lesions....       0.66      0.50        0.05       1.21       000  S                 
    11052...  ..................  A                   Trim over 4 skin lesions....       0.86      0.41        0.04       1.31       000  S                 
    11100...  ..................  A                   Biopsy of skin lesion.......       0.81      0.51        0.04       1.36       000  S                 
    11101...  ..................  A                   Biopsy, each added lesion...       0.41      0.29        0.02       0.72       ZZZ  S                 
    11200...  ..................  A                   Removal of skin tags........       0.69      0.43        0.04       1.16       010  S                 
    11201...  ..................  A                   Removal of added skin tags..       0.26      0.17        0.02       0.45       ZZZ  S                 
    11300...  ..................  A                   Shave skin lesion...........       0.51      0.53        0.05       1.09       000  S                 
    11301...  ..................  A                   Shave skin lesion...........       0.85      0.67        0.06       1.58       000  S                 
    
    [[Page 63191]]
                                                                                                                                                            
    11302...  ..................  A                   Shave skin lesion...........       1.05      0.89        0.09       2.03       000  S                 
    11303...  ..................  A                   Shave skin lesion...........       1.24      1.36        0.17       2.77       000  S                 
    11305...  ..................  A                   Shave skin lesion...........       0.67      0.52        0.05       1.24       000  S                 
    11306...  ..................  A                   Shave skin lesion...........       0.99      0.71        0.07       1.77       000  S                 
    11307...  ..................  A                   Shave skin lesion...........       1.14      0.94        0.10       2.18       000  S                 
    11308...  ..................  A                   Shave skin lesion...........       1.41      1.40        0.17       2.98       000  S                 
    11310...  ..................  A                   Shave skin lesion...........       0.73      0.69        0.06       1.48       000  S                 
    11311...  ..................  A                   Shave skin lesion...........       1.05      0.85        0.08       1.98       000  S                 
    11312...  ..................  A                   Shave skin lesion...........       1.20      1.12        0.11       2.43       000  S                 
    11313...  ..................  A                   Shave skin lesion...........       1.62      1.49        0.15       3.26       000  S                 
    11400...  ..................  A                   Removal of skin lesion......       0.86      0.53        0.05       1.44       010  S                 
    11401...  ..................  A                   Removal of skin lesion......       1.27      0.67        0.06       2.00       010  S                 
    11402...  ..................  A                   Removal of skin lesion......       1.56      0.89        0.09       2.54       010  S                 
    11403...  ..................  A                   Removal of skin lesion......       1.87      1.17        0.13       3.17       010  S                 
    11404...  ..................  A                   Removal of skin lesion......       2.15      1.38        0.17       3.70       010  S                 
    11406...  ..................  A                   Removal of skin lesion......       2.71      1.88        0.33       4.92       010  S                 
    11420...  ..................  A                   Removal of skin lesion......       1.01      0.52        0.05       1.58       010  S                 
    11421...  ..................  A                   Removal of skin lesion......       1.48      0.71        0.07       2.26       010  S                 
    11422...  ..................  A                   Removal of skin lesion......       1.71      0.94        0.10       2.75       010  S                 
    11423...  ..................  A                   Removal of skin lesion......       2.12      1.31        0.15       3.58       010  S                 
    11424...  ..................  A                   Removal of skin lesion......       2.57      1.39        0.16       4.12       010  S                 
    11426...  ..................  A                   Removal of skin lesion......       3.73      1.83        0.29       5.85       010  S                 
    11440...  ..................  A                   Removal of skin lesion......       1.10      0.69        0.06       1.85       010  S                 
    11441...  ..................  A                   Removal of skin lesion......       1.56      0.85        0.08       2.49       010  S                 
    11442...  ..................  A                   Removal of skin lesion......       1.82      1.12        0.11       3.05       010  S                 
    11443...  ..................  A                   Removal of skin lesion......       2.44      1.45        0.15       4.04       010  S                 
    11444...  ..................  A                   Removal of skin lesion......       3.37      1.47        0.14       4.98       010  S                 
    11446...  ..................  A                   Removal of skin lesion......       4.44      1.78        0.18       6.40       010  S                 
    11450...  ..................  A                   Removal, sweat gland lesion.       2.58      2.68        0.44       5.70       090  S                 
    11451...  ..................  A                   Removal, sweat gland lesion.       3.80      2.90        0.46       7.16       090  S                 
    11462...  ..................  A                   Removal, sweat gland lesion.       2.36      2.41        0.36       5.13       090  S                 
    11463...  ..................  A                   Removal, sweat gland lesion.       3.80      2.00        0.34       6.14       090  S                 
    11470...  ..................  A                   Removal, sweat gland lesion.       3.10      2.78        0.45       6.33       090  S                 
    11471...  ..................  A                   Removal, sweat gland lesion.       4.26      2.46        0.48       7.20       090  S                 
    11600...  ..................  A                   Removal of skin lesion......       1.36      1.13        0.10       2.59       010  S                 
    11601...  ..................  A                   Removal of skin lesion......       1.88      1.39        0.12       3.39       010  S                 
    11602...  ..................  A                   Removal of skin lesion......       2.04      1.82        0.16       4.02       010  S                 
    11603...  ..................  A                   Removal of skin lesion......       2.30      2.25        0.21       4.76       010  S                 
    11604...  ..................  A                   Removal of skin lesion......       2.53      2.59        0.26       5.38       010  S                 
    11606...  ..................  A                   Removal of skin lesion......       3.38      3.11        0.49       6.98       010  S                 
    11620...  ..................  A                   Removal of skin lesion......       1.29      1.34        0.12       2.75       010  S                 
    11621...  ..................  A                   Removal of skin lesion......       1.92      1.75        0.16       3.83       010  S                 
    11622...  ..................  A                   Removal of skin lesion......       2.29      2.20        0.19       4.68       010  S                 
    11623...  ..................  A                   Removal of skin lesion......       2.88      2.58        0.25       5.71       010  S                 
    11624...  ..................  A                   Removal of skin lesion......       3.38      3.21        0.32       6.91       010  S                 
    11626...  ..................  A                   Removal of skin lesion......       4.20      3.41        0.51       8.12       010  S                 
    11640...  ..................  A                   Removal of skin lesion......       1.48      1.65        0.15       3.28       010  S                 
    11641...  ..................  A                   Removal of skin lesion......       2.39      2.09        0.18       4.66       010  S                 
    11642...  ..................  A                   Removal of skin lesion......       2.88      2.57        0.23       5.68       010  S                 
    11643...  ..................  A                   Removal of skin lesion......       3.45      3.01        0.28       6.74       010  S                 
    11644...  ..................  A                   Removal of skin lesion......       4.50      3.51        0.33       8.34       010  S                 
    11646...  ..................  A                   Removal of skin lesion......       5.85      4.32        0.60      10.77       010  S                 
    11700...  ..................  A                   Scraping of 1-5 nails.......       0.32      0.32        0.03       0.67       000  S                 
    11701...  ..................  A                   Scraping of additional nails       0.23      0.23        0.02       0.48       ZZZ  S                 
    11710...  ..................  A                   Scraping of 1-5 nails.......       0.32      0.32        0.03       0.67       000  S                 
    11711...  ..................  A                   Scraping of additional nails       0.20      0.19        0.02       0.41       ZZZ  S                 
    11730...  ..................  A                   Removal of nail plate.......       1.13      0.45        0.04       1.62       000  S                 
    11731...  ..................  A                   Removal of second nail plate       0.55      0.51        0.05       1.11       ZZZ  S                 
    11732...  ..................  A                   Remove additional nail plate       0.38      0.25        0.02       0.65       ZZZ  S                 
    11740...  ..................  A                   Drain blood from under nail.       0.37      0.39        0.04       0.80       000  S                 
    11750...  ..................  A                   Removal of nail bed.........       1.66      2.10        0.19       3.95       010  S                 
    11752...  ..................  A                   Remove nail bed/finger tip..       2.37      2.82        0.36       5.55       010  S                 
    11755...  ..................  A                   Biopsy, nail unit...........       1.31      0.99        0.12       2.42       000  S                 
    11760...  ..................  A                   Reconstruction of nail bed..       1.53      0.93        0.09       2.55       010  S                 
    11762...  ..................  A                   Reconstruction of nail bed..       2.84      2.57        0.24       5.65       010  S                 
    11765...  ..................  A                   Excision of nail fold, toe..       0.64      0.51        0.05       1.20       010  S                 
    
    [[Page 63192]]
                                                                                                                                                            
    11770...  ..................  A                   Removal of pilonidal lesion.       2.56      2.67        0.44       5.67       010  S                 
    11771...  ..................  A                   Removal of pilonidal lesion.       5.15      4.52        0.92      10.59       090  S                 
    11772...  ..................  A                   Removal of pilonidal lesion.       6.36      4.82        1.01      12.19       090  S                 
    11900...  ..................  A                   Injection into skin lesions.       0.52      0.25        0.02       0.79       000  S                 
    11901...  ..................  A                   Added skin lesions injection       0.80      0.41        0.03       1.24       000  S                 
    11920...  ..................  R                   Correct skin color defects..       1.61      1.18        0.23       3.02       000  S                 
    11921...  ..................  R                   Correct skin color defects..       1.93      1.40        0.28       3.61       000  S                 
    11922...  ..................  R                   Correct skin color defects..       0.49      0.36        0.07       0.92       ZZZ  S                 
    11950...  ..................  R                   Therapy for contour defects.       0.84      1.19        0.11       2.14       000  S                 
    11951...  ..................  R                   Therapy for contour defects.       1.19      1.19        0.11       2.49       000  S                 
    11952...  ..................  R                   Therapy for contour defects.       1.69      1.19        0.11       2.99       000  S                 
    11954...  ..................  R                   Therapy for contour defects.       1.85      1.19        0.11       3.15       000  S                 
    11960...  ..................  A                   Insert tissue expander(s)...       6.04     *7.73        1.48      15.25       090  S                 
    11970...  ..................  A                   Replace tissue expander.....       6.65     *8.51        1.61      16.77       090  S                 
    11971...  ..................  A                   Remove tissue expander(s)...       1.51     *2.30        0.82       4.63       090  S                 
    11975...  ..................  N                   Insert contraceptive cap....      #1.48      1.06        0.25       2.79       XXX  0                 
    11976...  ..................  R                   Removal of contraceptive cap       1.78      1.28        0.30       3.36       XXX  N                 
    11977...  ..................  N                   Removal/reinsert contra cap.      #3.30      2.36        0.55       6.21       XXX  0                 
    12001...  ..................  A                   Repair superficial wound(s).       1.65      0.57        0.05       2.27       010  N                 
    12002...  ..................  A                   Repair superficial wound(s).       1.81      0.79        0.07       2.67       010  N                 
    12004...  ..................  A                   Repair superficial wound(s).       2.19      1.14        0.10       3.43       010  N                 
    12005...  ..................  A                   Repair superficial wound(s).       2.81      1.47        0.14       4.42       010  N                 
    12006...  ..................  A                   Repair superficial wound(s).       3.62      1.78        0.19       5.59       010  N                 
    12007...  ..................  A                   Repair superficial wound(s).       4.07      1.80        0.19       6.06       010  S                 
    12011...  ..................  A                   Repair superficial wound(s).       1.71      0.74        0.06       2.51       010  N                 
    12013...  ..................  A                   Repair superficial wound(s).       1.94      1.03        0.08       3.05       010  N                 
    12014...  ..................  A                   Repair superficial wound(s).       2.41      1.19        0.10       3.70       010  N                 
    12015...  ..................  A                   Repair superficial wound(s).       3.14      1.62        0.14       4.90       010  N                 
    12016...  ..................  A                   Repair superficial wound(s).       3.88      2.26        0.19       6.33       010  N                 
    12017...  ..................  A                   Repair superficial wound(s).       4.66      3.36        0.31       8.33       010  N                 
    12018...  ..................  A                   Repair superficial wound(s).       5.48      5.15        0.48      11.11       010  S                 
    12020...  ..................  A                   Closure of split wound......       2.57      1.19        0.18       3.94       010  S                 
    12021...  ..................  A                   Closure of split wound......       1.79      0.62        0.11       2.52       010  S                 
    12031...  ..................  A                   Layer closure of wound(s)...       2.10      0.72        0.07       2.89       010  S                 
    12032...  ..................  A                   Layer closure of wound(s)...       2.42      1.05        0.10       3.57       010  S                 
    12034...  ..................  A                   Layer closure of wound(s)...       2.87      1.47        0.15       4.49       010  S                 
    12035...  ..................  A                   Layer closure of wound(s)...       3.38      1.92        0.23       5.53       010  S                 
    12036...  ..................  A                   Layer closure of wound(s)...       4.00      2.32        0.37       6.69       010  S                 
    12037...  ..................  A                   Layer closure of wound(s)...       4.62      3.09        0.48       8.19       010  S                 
    12041...  ..................  A                   Layer closure of wound(s)...       2.32      0.84        0.08       3.24       010  N                 
    12042...  ..................  A                   Layer closure of wound(s)...       2.69      1.17        0.12       3.98       010  N                 
    12044...  ..................  A                   Layer closure of wound(s)...       3.09      1.62        0.17       4.88       010  N                 
    12045...  ..................  A                   Layer closure of wound(s)...       3.59      2.13        0.23       5.95       010  N                 
    12046...  ..................  A                   Layer closure of wound(s)...       4.20      2.82        0.37       7.39       010  S                 
    12047...  ..................  A                   Layer closure of wound(s)...       4.60      4.02        0.56       9.18       010  N                 
    12051...  ..................  A                   Layer closure of wound(s)...       2.42      1.01        0.10       3.53       010  S                 
    12052...  ..................  A                   Layer closure of wound(s)...       2.72      1.47        0.14       4.33       010  S                 
    12053...  ..................  A                   Layer closure of wound(s)...       3.07      1.76        0.17       5.00       010  S                 
    12054...  ..................  A                   Layer closure of wound(s)...       3.41      2.60        0.25       6.26       010  S                 
    12055...  ..................  A                   Layer closure of wound(s)...       4.38      3.24        0.37       7.99       010  S                 
    12056...  ..................  A                   Layer closure of wound(s)...       5.19      4.74        0.52      10.45       010  S                 
    12057...  ..................  A                   Layer closure of wound(s)...       5.91      5.57        0.48      11.96       010  S                 
    13100...  ..................  A                   Repair of wound or lesion...       3.07      1.14        0.13       4.34       010  S                 
    13101...  ..................  A                   Repair of wound or lesion...       3.87      2.08        0.21       6.16       010  S                 
    13120...  ..................  A                   Repair of wound or lesion...       3.25      1.35        0.17       4.77       010  S                 
    13121...  ..................  A                   Repair of wound or lesion...       4.28      2.65        0.33       7.26       010  S                 
    13131...  ..................  A                   Repair of wound or lesion...       3.74      1.98        0.23       5.95       010  S                 
    13132...  ..................  A                   Repair of wound or lesion...       4.21      4.57        0.44       9.22       010  S                 
    13150...  ..................  A                   Repair of wound or lesion...       3.76      1.76        0.23       5.75       010  S                 
    13151...  ..................  A                   Repair of wound or lesion...       4.40      2.45        0.35       7.20       010  S                 
    13152...  ..................  A                   Repair of wound or lesion...       6.28      5.13        0.68      12.09       010  S                 
    13160...  ..................  A                   Late closure of wound.......       9.53      3.33        0.58      13.44       090  S                 
    13300...  ..................  A                   Repair of wound or lesion...       5.11      5.71        0.86      11.68       010  S                 
    14000...  ..................  A                   Skin tissue rearrangement...       5.43      3.41        0.38       9.22       090  S                 
    14001...  ..................  A                   Skin tissue rearrangement...       7.78      4.75        0.76      13.29       090  S                 
    14020...  ..................  A                   Skin tissue rearrangement...       6.08      4.90        0.49      11.47       090  S                 
    
    [[Page 63193]]
                                                                                                                                                            
    14021...  ..................  A                   Skin tissue rearrangement...       9.37      6.21        0.94      16.52       090  S                 
    14040...  ..................  A                   Skin tissue rearrangement...       7.18      6.77        0.65      14.60       090  S                 
    14041...  ..................  A                   Skin tissue rearrangement...      10.74      7.88        1.02      19.64       090  S                 
    14060...  ..................  A                   Skin tissue rearrangement...       8.05      7.75        1.04      16.84       090  S                 
    14061...  ..................  A                   Skin tissue rearrangement...      11.42     10.49        1.27      23.18       090  S                 
    14300...  ..................  A                   Skin tissue rearrangement...      10.76     11.31        1.84      23.91       090  S                 
    14350...  ..................  A                   Skin tissue rearrangement...       9.05      6.07        1.05      16.17       090  S                 
    15000...  ..................  A                   Skin graft procedure........       1.95     *2.49        0.53       4.97       ZZZ  S                 
    15050...  ..................  A                   Skin pinch graft procedure..       3.90      1.79        0.30       5.99       090  S                 
    15100...  ..................  A                   Skin split graft procedure..       8.05      4.54        0.89      13.48       090  S                 
    15101...  ..................  A                   Skin split graft procedure..       1.72      1.59        0.33       3.64       ZZZ  S                 
    15120...  ..................  A                   Skin split graft procedure..       9.14      6.05        0.94      16.13       090  S                 
    15121...  ..................  A                   Skin split graft procedure..       2.67      2.91        0.53       6.11       ZZZ  S                 
    15200...  ..................  A                   Skin full graft procedure...       7.46      4.13        0.69      12.28       090  S                 
    15201...  ..................  A                   Skin full graft procedure...       1.32     *1.68        0.50       3.50       ZZZ  S                 
    15220...  ..................  A                   Skin full graft procedure...       7.42      4.84        0.85      13.11       090  S                 
    15221...  ..................  A                   Skin full graft procedure...       1.19     *1.59        0.50       3.28       ZZZ  S                 
    15240...  ..................  A                   Skin full graft procedure...       8.30      6.10        1.03      15.43       090  S                 
    15241...  ..................  A                   Skin full graft procedure...       1.86     *2.38        0.58       4.82       ZZZ  S                 
    15260...  ..................  A                   Skin full graft procedure...       9.56      7.46        0.99      18.01       090  S                 
    15261...  ..................  A                   Skin full graft procedure...       2.23     *2.85        0.60       5.68       ZZZ  S                 
    15350...  ..................  A                   Skin homograft procedure....       3.89      2.15        0.42       6.46       090  S                 
    15400...  ..................  A                   Skin heterograft procedure..       4.91      1.06        0.17       6.14       090  S                 
    15570...  ..................  A                   Form skin pedicle flap......       3.75     *5.50        2.08      11.33       090  S                 
    15572...  ..................  A                   Form skin pedicle flap......       3.80     *5.38        1.86      11.04       090  S                 
    15574...  ..................  A                   Form skin pedicle flap......       3.85     *5.40        1.66      10.91       090  S                 
    15576...  ..................  A                   Form skin pedicle flap......       4.27      3.12        0.60       7.99       090  S                 
    15580...  ..................  A                   Attach skin pedicle graft...       3.30     *4.31        1.30       8.91       090  S                 
    15600...  ..................  A                   Skin graft procedure........       1.70     *2.51        0.88       5.09       090  S                 
    15610...  ..................  A                   Skin graft procedure........       2.21     *2.82        0.80       5.83       090  S                 
    15620...  ..................  A                   Skin graft procedure........       2.69     *3.44        0.86       6.99       090  S                 
    15625...  ..................  A                   Skin graft procedure........       1.81     *2.41        0.78       5.00       090  S                 
    15630...  ..................  A                   Skin graft procedure........       3.02     *3.86        0.90       7.78       090  S                 
    15650...  ..................  A                   Transfer skin pedicle flap..       3.61     *4.62        0.93       9.16       090  S                 
    15732...  ..................  A                   Muscle-skin graft, head/neck      12.10    *15.48        3.46      31.04       090  S                 
    15734...  ..................  A                   Muscle-skin graft, trunk....      16.52     19.01        3.24      38.77       090  S                 
    15736...  ..................  A                   Muscle-skin graft, arm......      15.26     16.21        3.02      34.49       090  S                 
    15738...  ..................  A                   Muscle-skin graft, leg......      10.07    *12.89        3.29      26.25       090  S                 
    15740...  ..................  A                   Island pedicle flap graft...       9.45     10.39        1.62      21.46       090  S                 
    15750...  ..................  A                   Neurovascular pedicle graft.      10.61     11.96        2.03      24.60       090  S                 
    15755...  ..................  A                   Microvascular flap graft....      28.33     30.09        5.33      63.75       090  S                 
    15760...  ..................  A                   Composite skin graft........       8.28      7.29        1.11      16.68       090  S                 
    15770...  ..................  A                   Derma-fat-fascia graft......       6.85      7.46        0.95      15.26       090  S                 
    15775...  ..................  R                   Hair transplant punch grafts       3.96      2.88        0.56       7.40       000  S                 
    15776...  ..................  R                   Hair transplant punch grafts       5.54      4.03        0.79      10.36       000  S                 
    15780...  ..................  A                   Abrasion treatment of skin..       6.73      1.53        0.13       8.39       090  S                 
    15781...  ..................  A                   Abrasion treatment of skin..       4.67      3.77        0.39       8.83       090  S                 
    15782...  ..................  A                   Abrasion treatment of skin..       4.19      1.19        0.13       5.51       090  S                 
    15783...  ..................  A                   Abrasion treatment of skin..       4.16      1.85        0.19       6.20       090  S                 
    15786...  ..................  A                   Abrasion treatment of lesion       1.98      0.62        0.06       2.66       010  S                 
    15787...  ..................  A                   Abrasion, added skin lesions       0.33      0.23        0.03       0.59       ZZZ  S                 
    15788...  ..................  R                   Chemical peel, face, epiderm       1.96      1.48        0.12       3.56       090  S                 
    15789...  ..................  R                   Chemical peel, face, dermal.       4.69      1.48        0.12       6.29       090  S                 
    15792...  ..................  R                   Chemical peel, nonfacial....       1.73      0.50        0.05       2.28       090  S                 
    15793...  ..................  A                   Chemical peel, nonfacial....       3.51      0.50        0.05       4.06       090  S                 
    15810...  ..................  A                   Salabrasion.................       4.49      3.80        0.29       8.58       090  S                 
    15811...  ..................  A                   Salabrasion.................       5.14      3.74        0.73       9.61       090  S                 
    15819...  ..................  A                   Plastic surgery, neck.......       8.87      8.01        0.87      17.75       090  S                 
    15820...  ..................  A                   Revision of lower eyelid....       4.80     *6.14        0.64      11.58       090  S                 
    15821...  ..................  A                   Revision of lower eyelid....       5.37     *6.87        0.68      12.92       090  S                 
    15822...  ..................  A                   Revision of upper eyelid....       4.27     *5.47        0.56      10.30       090  S                 
    15823...  ..................  A                   Revision of upper eyelid....       6.65      7.71        0.61      14.97       090  S                 
    15824...  ..................  R                   Removal of forehead wrinkles       0.00      0.00        0.00       0.00       XXX  S                 
    15825...  ..................  R                   Removal of neck wrinkles....       0.00      0.00        0.00       0.00       XXX  S                 
    15826...  ..................  R                   Removal of brow wrinkles....       0.00      0.00        0.00       0.00       XXX  S                 
    15828...  ..................  R                   Removal of face wrinkles....       0.00      0.00        0.00       0.00       XXX  S                 
    
    [[Page 63194]]
                                                                                                                                                            
    15829...  ..................  R                   Removal of skin wrinkles....       0.00      0.00        0.00       0.00       XXX  S                 
    15831...  ..................  A                   Excise excessive skin tissue      11.66      9.84        2.01      23.51       090  S                 
    15832...  ..................  A                   Excise excessive skin tissue      10.97      8.29        1.33      20.59       090  S                 
    15833...  ..................  A                   Excise excessive skin tissue      10.02      6.22        1.12      17.36       090  S                 
    15834...  ..................  A                   Excise excessive skin tissue      10.16      7.18        1.22      18.56       090  S                 
    15835...  ..................  A                   Excise excessive skin tissue      10.98      7.00        1.22      19.20       090  S                 
    15836...  ..................  A                   Excise excessive skin tissue       8.83      5.80        1.10      15.73       090  S                 
    15837...  ..................  A                   Excise excessive skin tissue       8.08      5.97        0.85      14.90       090  S                 
    15838...  ..................  A                   Excise excessive skin tissue       6.78      5.88        0.73      13.39       090  S                 
    15839...  ..................  A                   Excise excessive skin tissue       8.92      2.44        0.46      11.82       090  S                 
    15840...  ..................  A                   Graft for face nerve palsy..      12.26     15.54        2.28      30.08       090  S                 
    15841...  ..................  A                   Graft for face nerve palsy..      21.53     16.87        2.76      41.16       090  S                 
    15842...  ..................  A                   Graft for face nerve palsy..      35.98     29.00        2.68      67.66       090  S                 
    15845...  ..................  A                   Skin and muscle repair, face      11.80    *15.10        2.54      29.44       090  S                 
    15850...  ..................  B                   Removal of sutures..........      #0.78      0.36        0.04       1.18       XXX  0                 
    15851...  ..................  A                   Removal of sutures..........       0.86      0.30        0.03       1.19       000  N                 
    15852...  ..................  A                   Dressing change, not for           0.86      0.44        0.07       1.37       000  N                 
                                                       burn.                                                                                                
    15860...  ..................  A                   Test for blood flow in graft       1.95      1.35        0.25       3.55       000  S                 
    15876...  ..................  R                   Suction assisted lipectomy..       0.00      0.00        0.00       0.00       XXX  S                 
    15877...  ..................  R                   Suction assisted lipectomy..       0.00      0.00        0.00       0.00       XXX  S                 
    15878...  ..................  R                   Suction assisted lipectomy..       0.00      0.00        0.00       0.00       XXX  S                 
    15879...  ..................  R                   Suction assisted lipectomy..       0.00      0.00        0.00       0.00       XXX  S                 
    15920...  ..................  A                   Removal of tail bone ulcer..       7.37      2.95        0.63      10.95       090  S                 
    15922...  ..................  A                   Removal of tail bone ulcer..       9.17      5.98        1.19      16.34       090  S                 
    15931...  ..................  A                   Remove sacrum pressure sore.       8.13      2.93        0.55      11.61       090  S                 
    15933...  ..................  A                   Remove sacrum pressure sore.       9.64      6.92        1.43      17.99       090  S                 
    15934...  ..................  A                   Remove sacrum pressure sore.      11.40      7.46        1.50      20.36       090  S                 
    15935...  ..................  A                   Remove sacrum pressure sore.      13.05     11.24        2.27      26.56       090  S                 
    15936...  ..................  A                   Remove sacrum pressure sore.      11.31     10.27        2.05      23.63       090  S                 
    15937...  ..................  A                   Remove sacrum pressure sore.      12.98     13.47        2.67      29.12       090  S                 
    15940...  ..................  A                   Removal of pressure sore....       8.19      3.55        0.73      12.47       090  S                 
    15941...  ..................  A                   Removal of pressure sore....      10.15      7.05        1.39      18.59       090  S                 
    15944...  ..................  A                   Removal of pressure sore....      10.18      9.26        1.82      21.26       090  S                 
    15945...  ..................  A                   Removal of pressure sore....      11.32     11.14        2.09      24.55       090  S                 
    15946...  ..................  A                   Removal of pressure sore....      19.81     16.61        3.24      39.66       090  S                 
    15950...  ..................  A                   Remove thigh pressure sore..       6.79      3.01        0.58      10.38       090  S                 
    15951...  ..................  A                   Remove thigh pressure sore..       9.57      7.65        1.58      18.80       090  S                 
    15952...  ..................  A                   Remove thigh pressure sore..      10.18      7.13        1.37      18.68       090  S                 
    15953...  ..................  A                   Remove thigh pressure sore..      11.39      9.08        1.87      22.34       090  S                 
    15956...  ..................  A                   Remove thigh pressure sore..      13.93     17.17        3.39      34.49       090  S                 
    15958...  ..................  A                   Remove thigh pressure sore..      13.89    *17.77        3.76      35.42       090  S                 
    15999...  ..................  C                   Removal of pressure sore....       0.00      0.00        0.00       0.00       YYY  S                 
    16000...  ..................  A                   Initial treatment of burn(s)       0.89      0.35        0.03       1.27       000  N                 
    16010...  ..................  A                   Treatment of burn(s)........       0.87      0.32        0.03       1.22       000  N                 
    16015...  ..................  A                   Treatment of burn(s)........       2.35      2.04        0.38       4.77       000  S                 
    16020...  ..................  A                   Treatment of burn(s)........       0.80      0.34        0.03       1.17       000  N                 
    16025...  ..................  A                   Treatment of burn(s)........       1.85      0.45        0.05       2.35       000  S                 
    16030...  ..................  A                   Treatment of burn(s)........       2.08      0.52        0.08       2.68       000  S                 
    16035...  ..................  A                   Incision of burn scab.......       4.53      1.88        0.34       6.75       090  S                 
    16040...  ..................  A                   Burn wound excision.........       1.02     *1.56        0.53       3.11       000  S                 
    16041...  ..................  A                   Burn wound excision.........       2.70      3.16        0.53       6.39       000  S                 
    16042...  ..................  A                   Burn wound excision.........       2.35     *3.02        0.53       5.90       000  S                 
    17000...  ..................  A                   Destroy benign/premal lesion       0.64      0.42        0.03       1.09       010  S                 
    17001...  ..................  A                   Destruction of add'l lesions       0.19      0.19        0.02       0.40       ZZZ  S                 
    17002...  ..................  A                   Destruction of add'l lesions       0.19      0.10        0.01       0.30       ZZZ  S                 
    17010...  ..................  A                   Destruction skin lesion(s)..       1.01      0.48        0.04       1.53       010  S                 
    17100...  ..................  A                   Destruction of skin lesion..       0.53      0.37        0.03       0.93       010  S                 
    17101...  ..................  A                   Destruction of 2nd lesion...       0.11      0.18        0.02       0.31       ZZZ  S                 
    17102...  ..................  A                   Destruction of add'l lesions       0.11      0.08        0.01       0.20       ZZZ  S                 
    17104...  ..................  A                   Destruction of skin lesions.       2.01      0.07        0.01       2.09       010  S                 
    17105...  ..................  A                   Destruction of skin lesions.       0.76      0.31        0.03       1.10       010  S                 
    17106...  ..................  A                   Destruction of skin lesions.       4.54      1.93        0.18       6.65       090  S                 
    17107...  ..................  A                   Destruction of skin lesions.       9.06      3.70        0.39      13.15       090  S                 
    17108...  ..................  A                   Destruction of skin lesions.      13.10      9.32        0.69      23.11       090  S                 
    17110...  ..................  A                   Destruction of skin lesions.       0.55      0.40        0.03       0.98       010  S                 
    17200...  ..................  A                   Electrocautery of skin tags.       0.59      0.41        0.04       1.04       010  S                 
    
    [[Page 63195]]
                                                                                                                                                            
    17201...  ..................  A                   Electrocautery added lesions       0.38      0.15        0.01       0.54       ZZZ  S                 
    17250...  ..................  A                   Chemical cautery, tissue....       0.50      0.34        0.04       0.88       000  S                 
    17260...  ..................  A                   Destruction of skin lesions.       0.86      1.13        0.10       2.09       010  S                 
    17261...  ..................  A                   Destruction of skin lesions.       1.12      1.39        0.12       2.63       010  S                 
    17262...  ..................  A                   Destruction of skin lesions.       1.53      1.82        0.16       3.51       010  S                 
    17263...  ..................  A                   Destruction of skin lesions.       1.74      2.25        0.21       4.20       010  S                 
    17264...  ..................  A                   Destruction of skin lesions.       1.89      2.59        0.26       4.74       010  S                 
    17266...  ..................  A                   Destruction of skin lesions.       2.29      3.11        0.49       5.89       010  S                 
    17270...  ..................  A                   Destruction of skin lesions.       1.27      1.34        0.12       2.73       010  S                 
    17271...  ..................  A                   Destruction of skin lesions.       1.44      1.75        0.16       3.35       010  S                 
    17272...  ..................  A                   Destruction of skin lesions.       1.72      2.20        0.19       4.11       010  S                 
    17273...  ..................  A                   Destruction of skin lesions.       2.00      2.58        0.25       4.83       010  S                 
    17274...  ..................  A                   Destruction of skin lesions.       2.54      3.21        0.32       6.07       010  S                 
    17276...  ..................  A                   Destruction of skin lesions.       3.15      3.41        0.51       7.07       010  S                 
    17280...  ..................  A                   Destruction of skin lesions.       1.12      1.65        0.15       2.92       010  S                 
    17281...  ..................  A                   Destruction of skin lesions.       1.67      2.09        0.18       3.94       010  S                 
    17282...  ..................  A                   Destruction of skin lesions.       1.99      2.57        0.23       4.79       010  S                 
    17283...  ..................  A                   Destruction of skin lesions.       2.59      3.01        0.28       5.88       010  S                 
    17284...  ..................  A                   Destruction of skin lesions.       3.16      3.51        0.33       7.00       010  S                 
    17286...  ..................  A                   Destruction of skin lesions.       4.39      4.32        0.60       9.31       010  S                 
    17304...  ..................  A                   Chemosurgery of skin lesion.       7.60      4.02        0.31      11.93       000  S                 
    17305...  ..................  A                   2nd stage chemosurgery......       2.85      2.26        0.17       5.28       000  S                 
    17306...  ..................  A                   3rd stage chemosurgery......       2.85      1.40        0.11       4.36       000  S                 
    17307...  ..................  A                   Followup skin lesion therapy       2.85      1.47        0.12       4.44       000  S                 
    17310...  ..................  A                   Extensive skin chemosurgery.       0.95      0.13        0.01       1.09       000  S                 
    17340...  ..................  A                   Cryotherapy of skin.........       0.73      0.28        0.02       1.03       010  S                 
    17360...  ..................  A                   Skin peel therapy...........       1.40      0.27        0.02       1.69       010  S                 
    17380...  ..................  R                   Hair removal by electrolysis       0.00      0.00        0.00       0.00       XXX  S                 
    17999...  ..................  C                   Skin tissue procedure.......       0.00      0.00        0.00       0.00       YYY  S                 
    19000...  ..................  A                   Drainage of breast lesion...       0.84      0.38        0.07       1.29       000  S                 
    19001...  ..................  A                   Drain added breast lesion...       0.42      0.24        0.05       0.71       ZZZ  S                 
    19020...  ..................  A                   Incision of breast lesion...       3.37      1.40        0.28       5.05       090  S                 
    19030...  ..................  A                   Injection for breast x-ray..       1.53      0.49        0.04       2.06       000  N                 
    19100...  ..................  A                   Biopsy of breast............       1.27      0.64        0.13       2.04       000  S                 
    19101...  ..................  A                   Biopsy of breast............       3.13      2.34        0.45       5.92       010  S                 
    19110...  ..................  A                   Nipple exploration..........       4.15      2.46        0.51       7.12       090  S                 
    19112...  ..................  A                   Excise breast duct fistula..       3.52      2.34        0.35       6.21       090  S                 
    19120...  ..................  A                   Removal of breast lesion....       4.84      2.90        0.60       8.34       090  S                 
    19125...  ..................  A                   Excision, breast lesion.....       5.85      2.90        0.60       9.35       090  S                 
    19126...  ..................  A                   Excision, add'l breast             2.93      1.45        0.31       4.69       ZZZ  S                 
                                                       lesion.                                                                                              
    19140...  ..................  A                   Removal of breast tissue....       4.90      4.29        0.91      10.10       090  S                 
    19160...  ..................  A                   Removal of breast tissue....       6.65      4.13        0.88      11.66       090  S                 
    19162...  ..................  A                   Remove breast tissue, nodes.      12.81      9.38        1.96      24.15       090  S                 
    19180...  ..................  A                   Removal of breast...........       8.15      5.61        1.17      14.93       090  S                 
    19182...  ..................  A                   Removal of breast...........       7.28      6.07        1.27      14.62       090  S                 
    19200...  ..................  A                   Removal of breast...........      14.23     10.22        2.15      26.60       090  S                 
    19220...  ..................  A                   Removal of breast...........      14.23     10.73        2.38      27.34       090  S                 
    19240...  ..................  A                   Removal of breast...........      14.71      9.44        1.99      26.14       090  S                 
    19260...  ..................  A                   Removal of chest wall lesion      13.91      5.05        1.04      20.00       090  S                 
    19271...  ..................  A                   Revision of chest wall......      17.07     13.95        2.77      33.79       090  S                 
    19272...  ..................  A                   Extensive chest wall surgery      19.47     12.60        2.56      34.63       090  S                 
    19290...  ..................  A                   Place needle wire, breast...       1.27      0.44        0.07       1.78       000  S                 
    19291...  ..................  A                   Place needle wire, breast...       0.63      0.25        0.04       0.92       ZZZ  S                 
    19316...  ..................  A                   Suspension of breast........      10.07     12.84        2.43      25.34       090  S                 
    19318...  ..................  A                   Reduction of large breast...      11.08    *14.18        3.23      28.49       090  S                 
    19324...  ..................  A                   Enlarge breast..............       5.55      3.29        0.67       9.51       090  S                 
    19325...  ..................  A                   Enlarge breast with implant.       8.05      5.87        1.13      15.05       090  S                 
    19328...  ..................  A                   Removal of breast implant...       5.32      3.76        0.73       9.81       090  S                 
    19330...  ..................  A                   Removal of implant material.       7.18      3.88        0.75      11.81       090  S                 
    19340...  ..................  A                   Immediate breast prosthesis.       6.33     *8.10        2.06      16.49       ZZZ  S                 
    19342...  ..................  A                   Delayed breast prosthesis...      10.64     10.81        2.03      23.48       090  S                 
    19350...  ..................  A                   Breast reconstruction.......       8.21      7.08        1.38      16.67       090  S                 
    19355...  ..................  A                   Correct inverted nipple(s)..       7.27      4.93        1.00      13.20       090  S                 
    19357...  ..................  A                   Breast reconstruction.......      16.72     12.15        2.37      31.24       090  S                 
    19361...  ..................  A                   Breast reconstruction.......      17.82     20.13        3.88      41.83       090  S                 
    19364...  ..................  A                   Breast reconstruction.......      27.60     16.68        3.58      47.86       090  S                 
    
    [[Page 63196]]
                                                                                                                                                            
    19366...  ..................  A                   Breast reconstruction.......      19.84     16.40        3.18      39.42       090  S                 
    19367...  ..................  A                   Breast reconstruction.......      24.73     20.13        3.88      48.74       090  S                 
    19368...  ..................  A                   Breast reconstruction.......      31.15     20.13        3.88      55.16       090  S                 
    19369...  ..................  A                   Breast reconstruction.......      28.68     20.13        3.88      52.69       090  S                 
    19370...  ..................  A                   Surgery of breast capsule...       7.59      6.17        1.19      14.95       090  S                 
    19371...  ..................  A                   Removal of breast capsule...       8.84      7.91        1.54      18.29       090  S                 
    19380...  ..................  A                   Revise breast reconstruction       8.63      8.11        1.57      18.31       090  S                 
    19396...  ..................  A                   Design custom breast implant       2.17      1.57        0.31       4.05       000  S                 
    19499...  ..................  C                   Breast surgery procedure....       0.00      0.00        0.00       0.00       YYY  S                 
    20000...  ..................  A                   Incision of abscess.........       1.85      0.85        0.08       2.78       010  S                 
    20005...  ..................  A                   Incision of deep abscess....       3.02      1.83        0.28       5.13       010  S                 
    20100...  ..................  A                   Explore wound, neck.........       9.50      4.97        1.16      15.63       010  S                 
    20101...  ..................  A                   Explore wound, chest........       3.00      1.57        0.37       4.94       010  S                 
    20102...  ..................  A                   Explore wound, abdomen......       3.68      1.92        0.45       6.05       010  S                 
    20103...  ..................  A                   Explore wound, extremity....       4.95      2.59        0.60       8.14       010  S                 
    20200...  ..................  A                   Muscle biopsy...............       1.46      1.12        0.18       2.76       000  S                 
    20205...  ..................  A                   Deep muscle biopsy..........       2.35      1.88        0.33       4.56       000  S                 
    20206...  ..................  A                   Needle biopsy, muscle.......       0.99      0.96        0.14       2.09       000  S                 
    20220...  ..................  A                   Bone biopsy, trocar/needle..       1.27      1.31        0.09       2.67       000  N                 
    20225...  ..................  A                   Bone biopsy, trocar/needle..       1.87     *2.39        0.28       4.54       000  N                 
    20240...  ..................  A                   Bone biopsy, excisional.....       3.07      1.88        0.18       5.13       010  S                 
    20245...  ..................  A                   Bone biopsy, excisional.....       3.68      3.58        0.44       7.70       010  S                 
    20250...  ..................  A                   Open bone biopsy............       4.63      5.07        0.76      10.46       010  S                 
    20251...  ..................  A                   Open bone biopsy............       5.16      5.84        0.92      11.92       010  S                 
    20500...  ..................  A                   Injection of sinus tract....       1.18      0.36        0.04       1.58       010  N                 
    20501...  ..................  A                   Inject sinus tract for x-ray       0.76      0.30        0.02       1.08       000  N                 
    20520...  ..................  A                   Removal of foreign body.....       1.80      0.71        0.08       2.59       010  S                 
    20525...  ..................  A                   Removal of foreign body.....       3.23      2.23        0.33       5.79       010  S                 
    20550...  ..................  A                   Inj tendon/ligament/cyst....       0.86      0.38        0.04       1.28       000  N                 
    20600...  ..................  A                   Drain/inject joint/bursa....       0.66      0.47        0.05       1.18       000  S                 
    20605...  ..................  A                   Drain/inject joint/bursa....       0.68      0.45        0.05       1.18       000  S                 
    20610...  ..................  A                   Drain/inject joint/bursa....       0.79      0.45        0.05       1.29       000  N                 
    20615...  ..................  A                   Treatment of bone cyst......       2.23      0.49        0.06       2.78       010  N                 
    20650...  ..................  A                   Insert and remove bone pin..       2.07      1.08        0.14       3.29       010  S                 
    20660...  ..................  A                   Apply, remove fixation             2.51      1.56        0.21       4.28       000  S                 
                                                       device.                                                                                              
    20661...  ..................  A                   Application of head brace...       4.27      3.82        0.65       8.74       090  S                 
    20662...  ..................  A                   Application of pelvis brace.       5.52      6.54        1.03      13.09       090  S                 
    20663...  ..................  A                   Application of thigh brace..       4.88      4.64        0.76      10.28       090  S                 
    20665...  ..................  A                   Removal of fixation device..       1.26      0.50        0.07       1.83       010  S                 
    20670...  ..................  A                   Removal of support implant..       1.69      0.74        0.11       2.54       010  S                 
    20680...  ..................  A                   Removal of support implant..       3.25      3.33        0.51       7.09       090  S                 
    20690...  ..................  A                   Apply bone fixation device..       3.52      3.66        0.58       7.76       ZZZ  S                 
    20692...  ..................  A                   Apply bone fixation device..       6.41      5.51        0.89      12.81       ZZZ  S                 
    20693...  ..................  A                   Adjust bone fixation device.       5.42      2.49        0.42       8.33       090  S                 
    20694...  ..................  A                   Remove bone fixation device.       3.81      2.60        0.41       6.82       090  S                 
    20802...  ..................  A                   Replantation, arm, complete.      39.56     37.72        6.17      83.45       090  S                 
    20804...  ..................  D                   Replantation, arm, partial..       0.00      0.00        0.00       0.00       090  S                 
    20805...  ..................  A                   Replant forearm, complete...      48.41     46.17        7.56     102.14       090  S                 
    20806...  ..................  D                   Replantation, forearm,             0.00      0.00        0.00       0.00       090  S                 
                                                       partial.                                                                                             
    20808...  ..................  A                   Replantation, hand, complete      60.19     57.40        9.40     126.99       090  S                 
    20812...  ..................  D                   Replantation, hand, partial.       0.00      0.00        0.00       0.00       090  S                 
    20816...  ..................  A                   Replantation digit, complete      29.67     28.30        4.63      62.60       090  S                 
    20820...  ..................  D                   Replantation, digit, partial       0.00      0.00        0.00       0.00       090  S                 
    20822...  ..................  A                   Replantation digit, complete      24.53     23.39        3.83      51.75       090  S                 
    20823...  ..................  D                   Replantation, digit, partial       0.00      0.00        0.00       0.00       090  S                 
    20824...  ..................  A                   Replantation thumb, complete      29.67     28.30        4.63      62.60       090  S                 
    20826...  ..................  D                   Replantation, thumb, partial       0.00      0.00        0.00       0.00       090  S                 
    20827...  ..................  A                   Replantation thumb, complete      25.22     24.05        3.94      53.21       090  S                 
    20828...  ..................  D                   Replantation, thumb, partial       0.00      0.00        0.00       0.00       090  S                 
    20832...  ..................  D                   Replantation, leg, complete.       0.00      0.00        0.00       0.00       090  S                 
    20834...  ..................  D                   Replantation, leg, partial..       0.00      0.00        0.00       0.00       090  S                 
    20838...  ..................  A                   Replantation, foot, complete      39.56     37.72        6.17      83.45       090  S                 
    20840...  ..................  D                   Replantation, foot, partial.       0.00      0.00        0.00       0.00       090  S                 
    20900...  ..................  A                   Removal of bone for graft...       5.03      2.80        0.45       8.28       090  S                 
    20902...  ..................  A                   Removal of bone for graft...       6.74      4.95        0.80      12.49       090  S                 
    20910...  ..................  A                   Remove cartilage for graft..       5.03      0.79        0.09       5.91       090  S                 
    
    [[Page 63197]]
                                                                                                                                                            
    20912...  ..................  A                   Remove cartilage for graft..       6.04      4.62        0.64      11.30       090  S                 
    20920...  ..................  A                   Removal of fascia for graft.       4.87      3.93        0.50       9.30       090  S                 
    20922...  ..................  A                   Removal of fascia for graft.       6.04      4.39        0.71      11.14       090  S                 
    20924...  ..................  A                   Removal of tendon for graft.       6.04      5.45        0.85      12.34       090  S                 
    20926...  ..................  A                   Removal of tissue for graft.       5.03      2.59        0.39       8.01       090  S                 
    20930...  ..................  B                   Spinal bone allograft.......       0.00      0.00        0.00       0.00       XXX  0                 
    20931...  ..................  A                   Spinal bone allograft.......       1.81      1.73        0.28       3.82       ZZZ  S                 
    20936...  ..................  B                   Spinal bone autograft.......       0.00      0.00        0.00       0.00       XXX  0                 
    20937...  ..................  A                   Spinal bone autograft.......       2.79      2.66        0.44       5.89       ZZZ  S                 
    20938...  ..................  A                   Spinal bone autograft.......       3.02      2.88        0.47       6.37       ZZZ  S                 
    20950...  ..................  A                   Record fluid pressure,             1.26      1.09        0.17       2.52       000  S                 
                                                       muscle.                                                                                              
    20955...  ..................  A                   Microvascular fibula graft..      37.58     35.84        5.87      79.29       090  S                 
    20960...  ..................  C                   Microvascular rib graft.....       0.00      0.00        0.00       0.00       090  S                 
    20962...  ..................  C                   Microvascular bone graft....       0.00      0.00        0.00       0.00       090  S                 
    20969...  ..................  A                   Bone-skin graft.............      42.08     40.13        6.57      88.78       090  S                 
    20970...  ..................  A                   Bone-skin graft, pelvis.....      41.22     39.31        6.44      86.97       090  S                 
    20971...  ..................  C                   Bone-skin graft, rib........       0.00      0.00        0.00       0.00       090  S                 
    20972...  ..................  A                   Bone-skin graft, metatarsal.      41.54     39.61        6.49      87.64       090  S                 
    20973...  ..................  A                   Bone-skin graft, great toe..      44.31     42.25        6.91      93.47       090  S                 
    20974...  ..................  A                   Electrical bone stimulation.       0.62      3.42        0.53       4.57       ZZZ  S                 
    20975...  ..................  A                   Electrical bone stimulation.       2.60     *3.33        0.56       6.49       ZZZ  S                 
    20999...  ..................  C                   Musculoskeletal surgery.....       0.00      0.00        0.00       0.00       YYY  S                 
    21010...  ..................  A                   Incision of jaw joint.......       9.06     10.24        0.93      20.23       090  S                 
    21015...  ..................  A                   Resection of facial tumor...       4.94     *6.32        1.13      12.39       090  S                 
    21025...  ..................  A                   Excision of bone, lower jaw.       5.03      4.14        0.38       9.55       090  S                 
    21026...  ..................  A                   Excision of facial bone(s)..       4.53      3.14        0.28       7.95       090  S                 
    21029...  ..................  A                   Contour of face bone lesion.       7.21     *9.23        0.78      17.22       090  S                 
    21030...  ..................  A                   Removal of face bone lesion.       7.05      3.35        0.29      10.69       090  S                 
    21031...  ..................  A                   Remove exostosis, mandible..       2.01      3.68        0.32       6.01       090  S                 
    21032...  ..................  A                   Remove exostosis, maxilla...       4.27      3.88        0.35       8.50       090  S                 
    21034...  ..................  A                   Removal of face bone lesion.      15.11      6.98        0.89      22.98       090  S                 
    21040...  ..................  A                   Removal of jaw bone lesion..       2.01      2.76        0.24       5.01       090  S                 
    21041...  ..................  A                   Removal of jaw bone lesion..       5.03      5.76        0.50      11.29       090  S                 
    21044...  ..................  A                   Removal of jaw bone lesion..      11.08      9.55        1.11      21.74       090  S                 
    21045...  ..................  A                   Extensive jaw surgery.......      15.11     13.83        1.58      30.52       090  S                 
    21050...  ..................  A                   Removal of jaw joint........      10.07     12.33        1.08      23.48       090  S                 
    21060...  ..................  A                   Remove jaw joint cartilage..       9.56     11.59        1.04      22.19       090  S                 
    21070...  ..................  A                   Remove coronoid process.....       7.66      6.81        0.82      15.29       090  S                 
    21076...  ..................  A                   Prepare face/oral prosthesis      12.54     16.77        1.35      30.66       010  S                 
    21077...  ..................  A                   Prepare face/oral prosthesis      31.54     42.18        3.39      77.11       090  S                 
    21079...  ..................  A                   Prepare face/oral prosthesis      20.88     27.93        2.25      51.06       090  S                 
    21080...  ..................  A                   Prepare face/oral prosthesis      23.46     31.38        2.52      57.36       090  S                 
    21081...  ..................  A                   Prepare face/oral prosthesis      21.38     28.59        2.30      52.27       090  S                 
    21082...  ..................  A                   Prepare face/oral prosthesis      19.50     26.08        2.10      47.68       090  S                 
    21083...  ..................  A                   Prepare face/oral prosthesis      18.04     24.13        1.94      44.11       090  S                 
    21084...  ..................  A                   Prepare face/oral prosthesis      21.04     28.14        2.28      51.46       090  S                 
    21085...  ..................  A                   Prepare face/oral prosthesis       8.41     11.25        0.90      20.56       010  S                 
    21086...  ..................  A                   Prepare face/oral prosthesis      23.29     31.15        2.51      56.95       090  S                 
    21087...  ..................  A                   Prepare face/oral prosthesis      23.29     31.15        2.51      56.95       090  S                 
    21088...  ..................  C                   Prepare face/oral prosthesis       0.00      0.00        0.00       0.00       090  S                 
    21089...  ..................  C                   Prepare face/oral prosthesis       0.00      0.00        0.00       0.00       090  S                 
    21100...  ..................  A                   Maxillofacial fixation......       4.04      1.06        0.11       5.21       090  S                 
    21110...  ..................  A                   Interdental fixation........       5.03      5.53        0.46      11.02       090  S                 
    21116...  ..................  A                   Injection, jaw joint x-ray..       0.81      0.73        0.06       1.60       000  S                 
    21120...  ..................  A                   Reconstruction of chin......       4.75      3.59        0.42       8.76       090  S                 
    21121...  ..................  A                   Reconstruction of chin......       7.46      5.65        0.66      13.77       090  S                 
    21122...  ..................  A                   Reconstruction of chin......       8.21      6.23        0.73      15.17       090  S                 
    21123...  ..................  A                   Reconstruction of chin......      10.74      8.14        0.95      19.83       090  S                 
    21125...  ..................  A                   Augmentation lower jaw bone.       6.22      4.72        0.54      11.48       090  S                 
    21127...  ..................  A                   Augmentation lower jaw bone.      10.43      7.91        0.92      19.26       090  S                 
    21137...  ..................  A                   Reduction of forehead.......       9.40      7.11        0.83      17.34       090  S                 
    21138...  ..................  A                   Reduction of forehead.......      11.72      8.86        1.04      21.62       090  S                 
    21139...  ..................  A                   Reduction of forehead.......      14.06     10.64        1.25      25.95       090  S                 
    21141...  ..................  A                   Reconstruct midface, lefort.      16.92     14.34        1.68      32.94       090  S                 
    21142...  ..................  A                   Reconstruct midface, lefort.      17.58     14.84        1.74      34.16       090  S                 
    21143...  ..................  A                   Reconstruct midface, lefort.      18.30     15.40        1.81      35.51       090  S                 
    
    [[Page 63198]]
                                                                                                                                                            
    21144...  ..................  D                   Reconstruct midface, lefort.       0.00      0.00        0.00       0.00       090  S                 
    21145...  ..................  A                   Reconstruct midface, lefort.      18.92     14.34        1.68      34.94       090  S                 
    21146...  ..................  A                   Reconstruct midface, lefort.      19.58     14.84        1.74      36.16       090  S                 
    21147...  ..................  A                   Reconstruct midface, lefort.      20.30     15.40        1.81      37.51       090  S                 
    21150...  ..................  A                   Reconstruct midface, lefort.      24.41     18.46        2.17      45.04       090  S                 
    21151...  ..................  A                   Reconstruct midface, lefort.      27.34     20.68        2.42      50.44       090  S                 
    21154...  ..................  A                   Reconstruct midface, lefort.      29.28     22.15        2.59      54.02       090  S                 
    21155...  ..................  A                   Reconstruct midface, lefort.      33.19     25.11        2.94      61.24       090  S                 
    21159...  ..................  A                   Reconstruct midface, lefort.      40.99     31.02        3.63      75.64       090  S                 
    21160...  ..................  A                   Reconstruct midface, lefort.      44.90     33.96        3.98      82.84       090  S                 
    21172...  ..................  A                   Reconstruct orbit/forehead..      26.84     20.30        2.37      49.51       090  S                 
    21175...  ..................  A                   Reconstruct orbit/forehead..      32.21     24.37        2.85      59.43       090  S                 
    21179...  ..................  A                   Reconstruct entire forehead.      21.47     16.24        1.90      39.61       090  S                 
    21180...  ..................  A                   Reconstruct entire forehead.      24.41     18.46        2.17      45.04       090  S                 
    21181...  ..................  A                   Contour cranial bone lesion.       9.40      7.11        0.83      17.34       090  S                 
    21182...  ..................  A                   Reconstruct cranial bone....      31.23     23.63        2.77      57.63       090  S                 
    21183...  ..................  A                   Reconstruct cranial bone....      34.17     25.85        3.03      63.05       090  S                 
    21184...  ..................  A                   Reconstruct cranial bone....      37.10     28.06        3.28      68.44       090  S                 
    21188...  ..................  A                   Reconstruction of midface...      21.47     16.24        1.90      39.61       090  S                 
    21193...  ..................  A                   Reconstruct lower jaw bone..      16.23     12.31        1.44      29.98       090  S                 
    21194...  ..................  A                   Reconstruct lower jaw bone..      18.81     14.26        1.67      34.74       090  S                 
    21195...  ..................  A                   Reconstruct lower jaw bone..      16.27     12.34        1.44      30.05       090  S                 
    21196...  ..................  A                   Reconstruct lower jaw bone..      17.94     13.61        1.58      33.13       090  S                 
    21198...  ..................  A                   Reconstruct lower jaw bone..      13.36     14.82        1.74      29.92       090  S                 
    21206...  ..................  A                   Reconstruct upper jaw bone..      13.36     10.14        1.19      24.69       090  S                 
    21208...  ..................  A                   Augmentation of facial bones       9.56     11.26        1.07      21.89       090  S                 
    21209...  ..................  A                   Reduction of facial bones...       6.28      4.59        0.76      11.63       090  S                 
    21210...  ..................  A                   Face bone graft.............       9.56    *12.24        1.29      23.09       090  S                 
    21215...  ..................  A                   Lower jaw bone graft........      10.07    *12.89        1.42      24.38       090  S                 
    21230...  ..................  A                   Rib cartilage graft.........      10.07     10.37        1.69      22.13       090  S                 
    21235...  ..................  A                   Ear cartilage graft.........       6.28     *8.04        1.09      15.41       090  S                 
    21240...  ..................  A                   Reconstruction of jaw joint.      13.10    *16.77        2.09      31.96       090  S                 
    21242...  ..................  A                   Reconstruction of jaw joint.      12.10    *15.55        2.25      29.90       090  S                 
    21243...  ..................  A                   Reconstruction of jaw joint.      18.98     14.40        1.68      35.06       090  S                 
    21244...  ..................  A                   Reconstruction of lower jaw.      11.08    *14.18        1.93      27.19       090  S                 
    21245...  ..................  A                   Reconstruction of jaw.......      11.08     11.47        1.31      23.86       090  S                 
    21246...  ..................  A                   Reconstruction of jaw.......      11.65      8.83        1.04      21.52       090  S                 
    21247...  ..................  A                   Reconstruct lower jaw bone..      21.15    *27.08        2.27      50.50       090  S                 
    21248...  ..................  A                   Reconstruction of jaw.......      11.08    *14.18        1.75      27.01       090  S                 
    21249...  ..................  A                   Reconstruction of jaw.......      17.12    *23.10        3.29      43.51       090  S                 
    21255...  ..................  A                   Reconstruct lower jaw bone..      15.63    *20.00        1.68      37.31       090  S                 
    21256...  ..................  A                   Reconstruction of orbit.....      15.13    *19.36        1.63      36.12       090  S                 
    21260...  ..................  A                   Revise eye sockets..........      15.44    *19.76        1.66      36.86       090  S                 
    21261...  ..................  A                   Revise eye sockets..........      29.43     17.78        1.65      48.86       090  S                 
    21263...  ..................  A                   Revise eye sockets..........      26.56    *34.00        2.86      63.42       090  S                 
    21267...  ..................  A                   Revise eye sockets..........      17.66     14.61        2.13      34.40       090  S                 
    21268...  ..................  A                   Revise eye sockets..........      22.88     15.35        3.13      41.36       090  S                 
    21270...  ..................  A                   Augmentation cheek bone.....      12.10      9.60        1.41      23.11       090  S                 
    21275...  ..................  A                   Revision orbitofacial bones.      10.50      8.95        1.26      20.71       090  S                 
    21280...  ..................  A                   Revision of eyelid..........       5.64      7.19        0.61      13.44       090  S                 
    21282...  ..................  A                   Revision of eyelid..........       3.26     *4.52        0.79       8.57       090  S                 
    21295...  ..................  A                   Revision of jaw muscle/bone.       1.43      0.96        0.13       2.52       090  S                 
    21296...  ..................  A                   Revision of jaw muscle/bone.       3.97      3.62        0.22       7.81       090  S                 
    21299...  ..................  C                   Cranio/maxillofacial surgery       0.00      0.00        0.00       0.00       YYY  S                 
    21300...  ..................  A                   Treatment of skull fracture.       0.72     *0.92        0.11       1.75       000  S                 
    21310...  ..................  A                   Treatment of nose fracture..       0.58     *0.75        0.09       1.42       000  N                 
    21315...  ..................  A                   Treatment of nose fracture..       1.41      1.81        0.21       3.43       010  S                 
    21320...  ..................  A                   Treatment of nose fracture..       1.82     *2.33        0.34       4.49       010  S                 
    21325...  ..................  A                   Repair of nose fracture.....       3.52      4.09        0.52       8.13       090  S                 
    21330...  ..................  A                   Repair of nose fracture.....       5.03     *6.45        0.86      12.34       090  S                 
    21335...  ..................  A                   Repair of nose fracture.....       8.05    *10.31        1.56      19.92       090  S                 
    21336...  ..................  A                   Repair nasal septal fracture       5.35      4.09        0.52       9.96       090  S                 
    21337...  ..................  A                   Repair nasal septal fracture       2.52      2.82        0.38       5.72       090  S                 
    21338...  ..................  A                   Repair nasoethmoid fracture.       6.04      5.01        0.66      11.71       090  S                 
    21339...  ..................  A                   Repair nasoethmoid fracture.       7.56      7.09        0.70      15.35       090  S                 
    21340...  ..................  A                   Repair of nose fracture.....      10.07      8.91        1.04      20.02       090  S                 
    
    [[Page 63199]]
                                                                                                                                                            
    21343...  ..................  A                   Repair of sinus fracture....      12.10      9.17        1.08      22.35       090  S                 
    21344...  ..................  A                   Repair of sinus fracture....      18.43      9.17        1.08      28.68       090  S                 
    21345...  ..................  A                   Repair of nose/jaw fracture.       7.63      7.90        0.81      16.34       090  S                 
    21346...  ..................  A                   Repair of nose/jaw fracture.       9.92      9.40        1.04      20.36       090  S                 
    21347...  ..................  A                   Repair of nose/jaw fracture.      11.86     10.36        1.36      23.58       090  S                 
    21348...  ..................  A                   Repair of nose/jaw fracture.      15.60     11.34        2.22      29.16       090  S                 
    21355...  ..................  A                   Repair cheek bone fracture..       3.52      1.56        0.17       5.25       010  S                 
    21356...  ..................  A                   Repair cheek bone fracture..       3.88     *4.96        0.89       9.73       010  S                 
    21360...  ..................  A                   Repair cheek bone fracture..       6.04      7.28        0.89      14.21       090  S                 
    21365...  ..................  A                   Repair cheek bone fracture..      13.97     12.35        1.63      27.95       090  S                 
    21366...  ..................  A                   Repair cheek bone fracture..      16.61     12.08        2.36      31.05       090  S                 
    21385...  ..................  A                   Repair eye socket fracture..       8.56      9.59        1.13      19.28       090  S                 
    21386...  ..................  A                   Repair eye socket fracture..       8.56      9.07        1.25      18.88       090  S                 
    21387...  ..................  A                   Repair eye socket fracture..       9.07      7.45        0.96      17.48       090  S                 
    21390...  ..................  A                   Repair eye socket fracture..       9.47     11.89        1.37      22.73       090  S                 
    21395...  ..................  A                   Repair eye socket fracture..      11.85      9.63        1.37      22.85       090  S                 
    21400...  ..................  A                   Treat eye socket fracture...       1.31     *1.67        0.17       3.15       090  N                 
    21401...  ..................  A                   Repair eye socket fracture..       3.05      2.58        0.32       5.95       090  S                 
    21406...  ..................  A                   Repair eye socket fracture..       6.55      5.21        0.74      12.50       090  S                 
    21407...  ..................  A                   Repair eye socket fracture..       8.05      7.09        0.78      15.92       090  S                 
    21408...  ..................  A                   Repair eye socket fracture..      11.57      8.49        0.99      21.05       090  S                 
    21421...  ..................  A                   Treat mouth roof fracture...       4.80     *6.14        0.62      11.56       090  S                 
    21422...  ..................  A                   Repair mouth roof fracture..       7.78      9.80        1.19      18.77       090  S                 
    21423...  ..................  A                   Repair mouth roof fracture..       9.72      9.80        1.19      20.71       090  S                 
    21431...  ..................  A                   Treat craniofacial fracture.       6.59      6.02        0.71      13.32       090  S                 
    21432...  ..................  A                   Repair craniofacial fracture       8.05      6.76        0.84      15.65       090  S                 
    21433...  ..................  A                   Repair craniofacial fracture      23.69     17.96        2.10      43.75       090  S                 
    21435...  ..................  A                   Repair craniofacial fracture      16.12     13.25        1.88      31.25       090  S                 
    21436...  ..................  A                   Repair craniofacial fracture      26.21     14.65        2.08      42.94       090  S                 
    21440...  ..................  A                   Repair dental ridge fracture       2.52      3.07        0.28       5.87       090  S                 
    21445...  ..................  A                   Repair dental ridge fracture       5.03      6.11        0.56      11.70       090  S                 
    21450...  ..................  A                   Treat lower jaw fracture....       2.78      2.84        0.26       5.88       090  S                 
    21451...  ..................  A                   Treat lower jaw fracture....       4.55     *5.83        0.74      11.12       090  S                 
    21452...  ..................  A                   Treat lower jaw fracture....       1.85      1.39        0.17       3.41       090  S                 
    21453...  ..................  A                   Treat lower jaw fracture....       5.18     *6.64        0.55      12.37       090  S                 
    21454...  ..................  A                   Treat lower jaw fracture....       6.04     *8.19        1.42      15.65       090  S                 
    21461...  ..................  A                   Repair lower jaw fracture...       7.56     *9.67        1.30      18.53       090  S                 
    21462...  ..................  A                   Repair lower jaw fracture...       9.15    *11.71        1.34      22.20       090  S                 
    21465...  ..................  A                   Repair lower jaw fracture...      11.13      8.44        0.99      20.56       090  S                 
    21470...  ..................  A                   Repair lower jaw fracture...      14.19     17.13        1.74      33.06       090  S                 
    21480...  ..................  A                   Reset dislocated jaw........       0.61     *0.78        0.09       1.48       000  S                 
    21485...  ..................  A                   Reset dislocated jaw........       3.73      2.19        0.20       6.12       090  S                 
    21490...  ..................  A                   Repair dislocated jaw.......      11.08      6.31        0.52      17.91       090  S                 
    21493...  ..................  A                   Treat hyoid bone fracture...       1.19     *1.52        0.13       2.84       090  S                 
    21494...  ..................  A                   Repair hyoid bone fracture..       5.87     *7.52        0.63      14.02       090  S                 
    21495...  ..................  A                   Repair hyoid bone fracture..       5.32      4.82        0.51      10.65       090  S                 
    21497...  ..................  A                   Interdental wiring..........       3.61      3.97        0.38       7.96       090  S                 
    21499...  ..................  C                   Head surgery procedure......       0.00      0.00        0.00       0.00       YYY  S                 
    21501...  ..................  A                   Drain neck/chest lesion.....       3.52      1.82        0.26       5.60       090  S                 
    21502...  ..................  A                   Drain chest lesion..........       6.44      4.22        0.75      11.41       090  S                 
    21510...  ..................  A                   Drainage of bone lesion.....       5.03      3.82        0.50       9.35       090  S                 
    21550...  ..................  A                   Biopsy of neck/chest........       2.01      0.85        0.12       2.98       010  S                 
    21555...  ..................  A                   Remove lesion neck/chest....       4.09      1.60        0.25       5.94       090  S                 
    21556...  ..................  A                   Remove lesion neck/chest....       5.28      3.80        0.64       9.72       090  S                 
    21557...  ..................  A                   Remove tumor, neck or chest.       8.56      8.50        1.41      18.47       090  S                 
    21600...  ..................  A                   Partial removal of rib......       6.27      4.50        0.88      11.65       090  S                 
    21610...  ..................  A                   Partial removal of rib......       8.54      5.17        0.76      14.47       090  S                 
    21615...  ..................  A                   Removal of rib..............       9.03     10.13        1.96      21.12       090  S                 
    21616...  ..................  A                   Removal of rib and nerves...      11.11      7.26        1.50      19.87       090  S                 
    21620...  ..................  A                   Partial removal of sternum..       6.04      6.85        1.23      14.12       090  S                 
    21627...  ..................  A                   Sternal debridement.........       6.06      5.03        0.90      11.99       090  S                 
    21630...  ..................  A                   Extensive sternum surgery...      15.77     12.89        2.40      31.06       090  S                 
    21632...  ..................  A                   Extensive sternum surgery...      16.62     11.54        2.22      30.38       090  S                 
    21700...  ..................  A                   Revision of neck muscle.....       5.84      4.16        0.50      10.50       090  S                 
    21705...  ..................  A                   Revision of neck muscle/rib.       9.03      4.85        0.96      14.84       090  S                 
    21720...  ..................  A                   Revision of neck muscle.....       5.44      3.84        0.52       9.80       090  S                 
    
    [[Page 63200]]
                                                                                                                                                            
    21725...  ..................  A                   Revision of neck muscle.....       6.55      4.84        0.74      12.13       090  S                 
    21740...  ..................  A                   Reconstruction of sternum...      15.42      8.99        1.64      26.05       090  S                 
    21750...  ..................  A                   Repair of sternum separation      10.07      7.33        1.43      18.83       090  S                 
    21800...  ..................  A                   Treatment of rib fracture...       0.91      0.77        0.07       1.75       090  N                 
    21805...  ..................  A                   Treatment of rib fracture...       2.62      1.35        0.17       4.14       090  S                 
    21810...  ..................  A                   Treatment of rib fracture(s)       6.68      7.33        0.61      14.62       090  N                 
    21820...  ..................  A                   Treat sternum fracture......       1.20      1.36        0.17       2.73       090  S                 
    21825...  ..................  A                   Repair sternum fracture.....       6.82      6.90        1.12      14.84       090  S                 
    21899...  ..................  C                   Neck/chest surgery procedure       0.00      0.00        0.00       0.00       YYY  S                 
    21920...  ..................  A                   Biopsy soft tissue of back..       2.01      0.79        0.11       2.91       010  S                 
    21925...  ..................  A                   Biopsy soft tissue of back..       4.23      1.95        0.32       6.50       090  S                 
    21930...  ..................  A                   Remove lesion, back or flank       6.55      2.72        0.49       9.76       090  S                 
    21935...  ..................  A                   Remove tumor of back........      17.12      6.59        1.30      25.01       090  S                 
    22100...  ..................  A                   Remove part of neck vertebra       9.05      7.64        1.09      17.78       090  S                 
    22101...  ..................  A                   Remove part, thorax vertebra       9.00      8.01        1.38      18.39       090  S                 
    22102...  ..................  A                   Remove part, lumbar vertebra       9.00      4.50        0.67      14.17       090  S                 
    22103...  ..................  A                   Remove extra spine segment..       2.34      2.23        0.37       4.94       ZZZ  S                 
    22105...  ..................  D                   Remove part of neck vertebra       0.00      0.00        0.00       0.00       090  S                 
    22106...  ..................  D                   Remove part, thorax vertebra       0.00      0.00        0.00       0.00       090  S                 
    22107...  ..................  D                   Remove part, lumbar vertebra       0.00      0.00        0.00       0.00       090  S                 
    22110...  ..................  A                   Remove part of neck vertebra      11.59      9.72        1.64      22.95       090  S                 
    22112...  ..................  A                   Remove part, thorax vertebra      11.59      9.90        1.63      23.12       090  S                 
    22114...  ..................  A                   Remove part, lumbar vertebra      11.59      7.25        1.17      20.01       090  S                 
    22116...  ..................  A                   Remove extra spine segment..       2.32      2.21        0.36       4.89       ZZZ  S                 
    22140...  ..................  D                   Reconstruct neck spine......       0.00      0.00        0.00       0.00       090  S                 
    22141...  ..................  D                   Reconstruct thorax spine....       0.00      0.00        0.00       0.00       090  S                 
    22142...  ..................  D                   Reconstruct lumbar spine....       0.00      0.00        0.00       0.00       090  S                 
    22145...  ..................  D                   Reconstruct vertebra(e).....       0.00      0.00        0.00       0.00       ZZZ  S                 
    22148...  ..................  D                   Harvesting bone graft.......       0.00      0.00        0.00       0.00       ZZZ  S                 
    22150...  ..................  D                   Reconstruct neck spine......       0.00      0.00        0.00       0.00       090  S                 
    22151...  ..................  D                   Reconstruct thorax spine....       0.00      0.00        0.00       0.00       090  S                 
    22152...  ..................  D                   Reconstruct lumbar spine....       0.00      0.00        0.00       0.00       090  S                 
    22210...  ..................  A                   Revision of neck spine......      22.51     13.83        2.43      38.77       090  S                 
    22212...  ..................  A                   Revision of thorax spine....      18.14     17.29        2.83      38.26       090  S                 
    22214...  ..................  A                   Revision of lumbar spine....      18.14     15.11        2.68      35.93       090  S                 
    22216...  ..................  A                   Revise, extra spine segment.       6.04      5.07        0.89      12.00       ZZZ  S                 
    22220...  ..................  A                   Revision of neck spine......      20.15     16.64        2.63      39.42       090  S                 
    22222...  ..................  A                   Revision of thorax spine....      20.15     13.61        1.58      35.34       090  S                 
    22224...  ..................  A                   Revision of lumbar spine....      20.15     14.68        2.66      37.49       090  S                 
    22226...  ..................  A                   Revise, extra spine segment.       6.04      5.07        0.89      12.00       ZZZ  S                 
    22230...  ..................  D                   Additional revision of spine       0.00      0.00        0.00       0.00       ZZZ  S                 
    22305...  ..................  A                   Treat spine process fracture       1.86     *2.38        0.37       4.61       090  S                 
    22310...  ..................  A                   Treat spine fracture........       1.86     *2.52        0.69       5.07       090  S                 
    22315...  ..................  A                   Treat spine fracture........       8.36      5.51        0.86      14.73       090  S                 
    22325...  ..................  A                   Repair of spine fracture....      17.19      8.32        1.34      26.85       090  S                 
    22326...  ..................  A                   Repair neck spine fracture..      18.43     15.93        2.74      37.10       090  S                 
    22327...  ..................  A                   Repair thorax spine fracture      17.56     15.95        2.35      35.86       090  S                 
    22328...  ..................  A                   Repair each add spine fx....       4.61      4.40        0.72       9.73       ZZZ  S                 
    22505...  ..................  A                   Manipulation of spine.......       1.77      1.31        0.17       3.25       010  N                 
    22548...  ..................  A                   Neck spine fusion...........      24.08     22.74        3.82      50.64       090  S                 
    22554...  ..................  A                   Neck spine fusion...........      17.24     19.81        3.52      40.57       090  S                 
    22556...  ..................  A                   Thorax spine fusion.........      22.27     21.68        3.58      47.53       090  S                 
    22558...  ..................  A                   Lumbar spine fusion.........      21.22     20.17        3.38      44.77       090  S                 
    22585...  ..................  A                   Additional spinal fusion....       5.53      5.40        0.93      11.86       ZZZ  S                 
    22590...  ..................  A                   Spine & skull spinal fusion.      19.50     21.57        3.44      44.51       090  S                 
    22595...  ..................  A                   Neck spinal fusion..........      18.19     22.46        3.87      44.52       090  S                 
    22600...  ..................  A                   Neck spine fusion...........      14.74     19.36        3.32      37.42       090  S                 
    22610...  ..................  A                   Thorax spine fusion.........      14.62     17.87        2.75      35.24       090  S                 
    22612...  ..................  A                   Lumbar spine fusion.........      20.19     20.60        3.33      44.12       090  S                 
    22614...  ..................  A                   Spine fusion, extra segment.       6.44      5.65        0.92      13.01       ZZZ  S                 
    22625...  ..................  D                   Lumbar spine fusion.........       0.00      0.00        0.00       0.00       090  S                 
    22630...  ..................  A                   Lumbar spine fusion.........      20.03     18.44        3.15      41.62       090  S                 
    22632...  ..................  A                   Spine fusion, extra segment.       5.23      4.99        0.82      11.04       ZZZ  S                 
    22650...  ..................  D                   Additional spinal fusion....       0.00      0.00        0.00       0.00       ZZZ  S                 
    22800...  ..................  A                   Fusion of spine.............      16.92    *21.66        3.58      42.16       090  S                 
    22802...  ..................  A                   Fusion of spine.............      29.74     28.32        4.61      62.67       090  S                 
    
    [[Page 63201]]
                                                                                                                                                            
    22804...  ..................  A                   Fusion of spine.............      35.00     28.32        4.61      67.93       090  S                 
    22808...  ..................  A                   Fusion of spine.............      25.00     18.41        3.15      46.56       090  S                 
    22810...  ..................  A                   Fusion of spine.............      29.00     18.41        3.15      50.56       090  S                 
    22812...  ..................  A                   Fusion of spine.............      31.00     25.93        4.24      61.17       090  S                 
    22820...  ..................  D                   Harvesting of bone..........       0.00      0.00        0.00       0.00       ZZZ  S                 
    22830...  ..................  A                   Exploration of spinal fusion      10.22    *13.07        2.18      25.47       090  S                 
    22840...  ..................  A                   Insert spine fixation device       6.27      5.98        0.98      13.23       ZZZ  S                 
    22841...  ..................  B                   Insert spine fixation device       0.00      0.00        0.00       0.00       XXX  0                 
    22842...  ..................  A                   Insert spine fixation device       7.19      6.86        1.12      15.17       ZZZ  S                 
    22843...  ..................  A                   Insert spine fixation device       8.97      8.55        1.40      18.92       ZZZ  S                 
    22844...  ..................  A                   Insert spine fixation device      10.96     10.45        1.71      23.12       ZZZ  S                 
    22845...  ..................  A                   Insert spine fixation device       5.98      5.70        0.93      12.61       ZZZ  S                 
    22846...  ..................  A                   Insert spine fixation device       8.28      7.90        1.29      17.47       ZZZ  S                 
    22847...  ..................  A                   Insert spine fixation device       9.20      8.77        1.44      19.41       ZZZ  S                 
    22848...  ..................  A                   Insert pelvic fixation             6.00      5.72        0.94      12.66       ZZZ  S                 
                                                       device.                                                                                              
    22849...  ..................  A                   Reinsert spinal fixation....      12.86     11.76        1.97      26.59       090  S                 
    22850...  ..................  A                   Remove spine fixation device       8.98      9.17        1.50      19.65       090  S                 
    22851...  ..................  A                   Apply spine prosth device...       6.71      6.40        1.05      14.16       ZZZ  S                 
    22852...  ..................  A                   Remove spine fixation device       8.40      9.80        1.57      19.77       090  S                 
    22855...  ..................  A                   Remove spine fixation device       9.10      7.46        1.25      17.81       090  S                 
    22899...  ..................  C                   Spine surgery procedure.....       0.00      0.00        0.00       0.00       YYY  S                 
    22900...  ..................  A                   Remove abdominal wall lesion       6.56      3.03        0.60      10.19       090  S                 
    22999...  ..................  C                   Abdomen surgery procedure...       0.00      0.00        0.00       0.00       YYY  S                 
    23000...  ..................  A                   Removal of calcium deposits.       4.12      3.24        0.47       7.83       090  S                 
    23020...  ..................  A                   Release shoulder joint......       8.25      7.27        1.09      16.61       090  S                 
    23030...  ..................  A                   Drain shoulder lesion.......       3.16      2.16        0.35       5.67       010  S                 
    23031...  ..................  A                   Drain shoulder bursa........       2.69      0.50        0.05       3.24       010  S                 
    23035...  ..................  A                   Drain shoulder bone lesion..       7.80      6.22        1.04      15.06       090  S                 
    23040...  ..................  A                   Exploratory shoulder surgery       8.39      9.27        1.47      19.13       090  S                 
    23044...  ..................  A                   Exploratory shoulder surgery       6.40      6.91        1.18      14.49       090  S                 
    23065...  ..................  A                   Biopsy shoulder tissues.....       2.24      0.66        0.09       2.99       010  S                 
    23066...  ..................  A                   Biopsy shoulder tissues.....       4.01      1.18        0.10       5.29       090  S                 
    23075...  ..................  A                   Removal of shoulder lesion..       2.34      1.68        0.29       4.31       010  S                 
    23076...  ..................  A                   Removal of shoulder lesion..       7.12      3.54        0.65      11.31       090  S                 
    23077...  ..................  A                   Remove tumor of shoulder....      14.65      7.38        1.38      23.41       090  S                 
    23100...  ..................  A                   Biopsy of shoulder joint....       5.63     *7.20        1.24      14.07       090  S                 
    23101...  ..................  A                   Shoulder joint surgery......       5.21     *6.68        1.21      13.10       090  S                 
    23105...  ..................  A                   Remove shoulder joint lining       7.74     *9.91        1.73      19.38       090  S                 
    23106...  ..................  A                   Incision of collarbone joint       5.56      4.75        0.80      11.11       090  S                 
    23107...  ..................  A                   Explore, treat shoulder            8.13      9.59        1.60      19.32       090  S                 
                                                       joint.                                                                                               
    23120...  ..................  A                   Partial removal, collar bone       6.65      4.61        0.74      12.00       090  S                 
    23125...  ..................  A                   Removal of collarbone.......       8.90      8.49        1.27      18.66       090  S                 
    23130...  ..................  A                   Partial removal, shoulder          7.10      7.05        1.14      15.29       090  S                 
                                                       bone.                                                                                                
    23140...  ..................  A                   Removal of bone lesion......       6.43      4.16        0.73      11.32       090  S                 
    23145...  ..................  A                   Removal of bone lesion......       8.54      8.13        1.33      18.00       090  S                 
    23146...  ..................  A                   Removal of bone lesion......       7.34      5.23        1.01      13.58       090  S                 
    23150...  ..................  A                   Removal of humerus lesion...       7.80      6.64        1.01      15.45       090  S                 
    23155...  ..................  A                   Removal of humerus lesion...       9.58      8.80        1.37      19.75       090  S                 
    23156...  ..................  A                   Removal of humerus lesion...       8.00      7.64        1.25      16.89       090  S                 
    23170...  ..................  A                   Remove collarbone lesion....       6.27      4.81        0.78      11.86       090  S                 
    23172...  ..................  A                   Remove shoulder blade lesion       6.24      5.16        0.73      12.13       090  S                 
    23174...  ..................  A                   Remove humerus lesion.......       8.71      8.55        1.21      18.47       090  S                 
    23180...  ..................  A                   Remove collar bone lesion...       7.82      4.30        0.67      12.79       090  S                 
    23182...  ..................  A                   Remove shoulder blade lesion       7.44      6.57        1.13      15.14       090  S                 
    23184...  ..................  A                   Remove humerus lesion.......       8.61      8.83        1.48      18.92       090  S                 
    23190...  ..................  A                   Partial removal of scapula..       6.78      6.07        0.98      13.83       090  S                 
    23195...  ..................  A                   Removal of head of humerus..       9.00      8.91        1.45      19.36       090  S                 
    23200...  ..................  A                   Removal of collar bone......      11.05      9.17        1.26      21.48       090  S                 
    23210...  ..................  A                   Removal of shoulderblade....      11.39      9.01        1.41      21.81       090  S                 
    23220...  ..................  A                   Partial removal of humerus..      13.31     12.05        2.03      27.39       090  S                 
    23221...  ..................  A                   Partial removal of humerus..      16.62     18.13        1.19      35.94       090  S                 
    23222...  ..................  A                   Partial removal of humerus..      16.64     15.02        2.30      33.96       090  S                 
    23330...  ..................  A                   Remove shoulder foreign body       1.80      0.55        0.07       2.42       010  S                 
    23331...  ..................  A                   Remove shoulder foreign body       6.89      2.26        0.38       9.53       090  S                 
    23332...  ..................  A                   Remove shoulder foreign body      10.59      9.72        1.57      21.88       090  S                 
    23350...  ..................  A                   Injection for shoulder x-ray       1.00      0.52        0.05       1.57       000  N                 
    
    [[Page 63202]]
                                                                                                                                                            
    23395...  ..................  A                   Muscle transfer, shoulder/        12.42     11.13        1.84      25.39       090  S                 
                                                       arm.                                                                                                 
    23397...  ..................  A                   Muscle transfers............      15.23     13.97        2.34      31.54       090  S                 
    23400...  ..................  A                   Fixation of shoulder blade..      12.96      9.84        1.68      24.48       090  S                 
    23405...  ..................  A                   Incision of tendon & muscle.       7.97      7.49        0.99      16.45       090  S                 
    23406...  ..................  A                   Incise tendon(s) & muscle(s)      10.33      9.41        1.58      21.32       090  S                 
    23410...  ..................  A                   Repair of tendon(s).........      11.90     10.94        1.75      24.59       090  S                 
    23412...  ..................  A                   Repair of tendon(s).........      12.69     13.37        2.16      28.22       090  S                 
    23415...  ..................  A                   Release of shoulder ligament       9.51      5.18        0.83      15.52       090  S                 
    23420...  ..................  A                   Repair of shoulder..........      12.60     14.68        2.34      29.62       090  S                 
    23430...  ..................  A                   Repair biceps tendon........       9.56      7.34        1.19      18.09       090  S                 
    23440...  ..................  A                   Removal/transplant tendon...      10.08      7.17        1.17      18.42       090  S                 
    23450...  ..................  A                   Repair shoulder capsule.....      12.85     12.75        2.04      27.64       090  S                 
    23455...  ..................  A                   Repair shoulder capsule.....      13.82     15.56        2.50      31.88       090  S                 
    23460...  ..................  A                   Repair shoulder capsule.....      14.66     14.07        2.24      30.97       090  S                 
    23462...  ..................  A                   Repair shoulder capsule.....      14.62     15.13        2.48      32.23       090  S                 
    23465...  ..................  A                   Repair shoulder capsule.....      15.14     14.15        2.27      31.56       090  S                 
    23466...  ..................  A                   Repair shoulder capsule.....      13.65     16.53        2.67      32.85       090  S                 
    23470...  ..................  A                   Reconstruct shoulder joint..      16.12     16.76        2.65      35.53       090  S                 
    23472...  ..................  A                   Reconstruct shoulder joint..      16.09    *20.60        4.89      41.58       090  S                 
    23480...  ..................  A                   Revision of collarbone......      10.56      6.59        1.02      18.17       090  S                 
    23485...  ..................  A                   Revision of collarbone......      12.68     11.35        1.87      25.90       090  S                 
    23490...  ..................  A                   Reinforce clavicle..........      11.31      9.98        0.80      22.09       090  S                 
    23491...  ..................  A                   Reinforce shoulder bones....      13.63     12.70        2.11      28.44       090  S                 
    23500...  ..................  A                   Treat clavicle fracture.....       1.95      1.65        0.21       3.81       090  S                 
    23505...  ..................  A                   Treat clavicle fracture.....       3.54      2.57        0.38       6.49       090  S                 
    23515...  ..................  A                   Repair clavicle fracture....       7.01      6.93        1.12      15.06       090  S                 
    23520...  ..................  A                   Treat clavicle dislocation..       2.03      1.38        0.19       3.60       090  S                 
    23525...  ..................  A                   Treat clavicle dislocation..       3.40      1.98        0.27       5.65       090  S                 
    23530...  ..................  A                   Repair clavicle dislocation.       7.02      6.58        0.91      14.51       090  S                 
    23532...  ..................  A                   Repair clavicle dislocation.       7.59      7.23        1.19      16.01       090  S                 
    23540...  ..................  A                   Treat clavicle dislocation..       2.10      1.55        0.19       3.84       090  S                 
    23545...  ..................  A                   Treat clavicle dislocation..       3.07      1.98        0.29       5.34       090  S                 
    23550...  ..................  A                   Repair clavicle dislocation.       6.65     *8.51        1.46      16.62       090  S                 
    23552...  ..................  A                   Repair clavicle dislocation.       7.83      7.29        1.17      16.29       090  S                 
    23570...  ..................  A                   Treat shoulderblade fracture       2.10      1.70        0.25       4.05       090  S                 
    23575...  ..................  A                   Treat shoulderblade fracture       3.88      2.75        0.43       7.06       090  S                 
    23585...  ..................  A                   Repair scapula fracture.....       8.41      7.70        1.29      17.40       090  S                 
    23600...  ..................  A                   Treat humerus fracture......       2.75      2.90        0.43       6.08       090  S                 
    23605...  ..................  A                   Treat humerus fracture......       4.56      4.76        0.76      10.08       090  S                 
    23615...  ..................  A                   Repair humerus fracture.....       8.38    *10.72        1.78      20.88       090  S                 
    23616...  ..................  A                   Repair humerus fracture.....      19.88     22.32        3.54      45.74       090  S                 
    23620...  ..................  A                   Treat humerus fracture......       2.25     *2.88        0.46       5.59       090  S                 
    23625...  ..................  A                   Treat humerus fracture......       3.64      3.82        0.60       8.06       090  S                 
    23630...  ..................  A                   Repair humerus fracture.....       6.89      8.82        1.40      17.11       090  S                 
    23650...  ..................  A                   Treat shoulder dislocation..       3.24      2.10        0.24       5.58       090  S                 
    23655...  ..................  A                   Treat shoulder dislocation..       4.26      2.93        0.44       7.63       090  S                 
    23660...  ..................  A                   Repair shoulder dislocation.       7.09      9.07        1.40      17.56       090  S                 
    23665...  ..................  A                   Treat dislocation/fracture..       4.16      3.35        0.51       8.02       090  S                 
    23670...  ..................  A                   Repair dislocation/fracture.       7.44     *9.52        1.85      18.81       090  S                 
    23675...  ..................  A                   Treat dislocation/fracture..       5.60      3.93        0.61      10.14       090  S                 
    23680...  ..................  A                   Repair dislocation/fracture.       9.44    *12.09        2.13      23.66       090  S                 
    23700...  ..................  A                   Fixation of shoulder........       2.47      2.09        0.34       4.90       010  S                 
    23800...  ..................  A                   Fusion of shoulder joint....      13.32     16.35        2.63      32.30       090  S                 
    23802...  ..................  A                   Fusion of shoulder joint....      14.67     14.07        2.24      30.98       090  S                 
    23900...  ..................  A                   Amputation of arm & girdle..      18.40     12.57        2.40      33.37       090  S                 
    23920...  ..................  A                   Amputation at shoulder joint      13.60     13.85        2.54      29.99       090  S                 
    23921...  ..................  A                   Amputation follow-up surgery       5.03      4.27        0.74      10.04       090  S                 
    23929...  ..................  C                   Shoulder surgery procedure..       0.00      0.00        0.00       0.00       YYY  S                 
    23930...  ..................  A                   Drainage of arm lesion......       2.78      1.61        0.24       4.63       010  S                 
    23931...  ..................  A                   Drainage of arm bursa.......       1.63      0.75        0.11       2.49       010  S                 
    23935...  ..................  A                   Drain arm/elbow bone lesion.       5.56      4.69        0.78      11.03       090  S                 
    24000...  ..................  A                   Exploratory elbow surgery...       5.32     *6.81        1.44      13.57       090  S                 
    24006...  ..................  A                   Release elbow joint.........       8.70      7.14        1.17      17.01       090  S                 
    24065...  ..................  A                   Biopsy arm/elbow soft tissue       2.03      0.79        0.10       2.92       010  S                 
    24066...  ..................  A                   Biopsy arm/elbow soft tissue       4.95      2.71        0.41       8.07       090  S                 
    24075...  ..................  A                   Remove arm/elbow lesion.....       3.79      1.98        0.35       6.12       090  S                 
    
    [[Page 63203]]
                                                                                                                                                            
    24076...  ..................  A                   Remove arm/elbow lesion.....       6.01      3.68        0.67      10.36       090  S                 
    24077...  ..................  A                   Remove tumor of arm/elbow...      11.18      9.79        1.87      22.84       090  S                 
    24100...  ..................  A                   Biopsy elbow joint lining...       4.67      4.23        0.69       9.59       090  S                 
    24101...  ..................  A                   Explore/treat elbow joint...       5.84     *7.47        1.41      14.72       090  S                 
    24102...  ..................  A                   Remove elbow joint lining...       7.57     *9.68        1.81      19.06       090  S                 
    24105...  ..................  A                   Removal of elbow bursa......       3.43      3.77        0.63       7.83       090  S                 
    24110...  ..................  A                   Remove humerus lesion.......       7.08      7.69        1.22      15.99       090  S                 
    24115...  ..................  A                   Remove/graft bone lesion....       8.88      7.68        1.33      17.89       090  S                 
    24116...  ..................  A                   Remove/graft bone lesion....      11.13      9.72        1.47      22.32       090  S                 
    24120...  ..................  A                   Remove elbow lesion.........       6.36      6.02        0.98      13.36       090  S                 
    24125...  ..................  A                   Remove/graft bone lesion....       7.40      5.79        0.61      13.80       090  S                 
    24126...  ..................  A                   Remove/graft bone lesion....       7.76      7.40        1.21      16.37       090  S                 
    24130...  ..................  A                   Removal of head of radius...       5.96      6.72        1.08      13.76       090  S                 
    24134...  ..................  A                   Removal of arm bone lesion..       8.98      8.69        1.24      18.91       090  S                 
    24136...  ..................  A                   Remove radius bone lesion...       7.33      8.78        0.92      17.03       090  S                 
    24138...  ..................  A                   Remove elbow bone lesion....       7.36      6.39        1.06      14.81       090  S                 
    24140...  ..................  A                   Partial removal of arm bone.       8.56      8.77        1.45      18.78       090  S                 
    24145...  ..................  A                   Partial removal of radius...       7.12      6.38        1.03      14.53       090  S                 
    24147...  ..................  A                   Partial removal of elbow....       7.00      6.61        1.08      14.69       090  S                 
    24150...  ..................  A                   Extensive humerus surgery...      12.43     14.08        2.24      28.75       090  S                 
    24151...  ..................  A                   Extensive humerus surgery...      14.65     13.83        2.11      30.59       090  S                 
    24152...  ..................  A                   Extensive radius surgery....       9.51      6.80        1.16      17.47       090  S                 
    24153...  ..................  A                   Extensive radius surgery....      10.96     10.44        1.71      23.11       090  S                 
    24155...  ..................  A                   Removal of elbow joint......      11.11     10.75        1.72      23.58       090  S                 
    24160...  ..................  A                   Remove elbow joint implant..       7.43      4.84        0.80      13.07       090  S                 
    24164...  ..................  A                   Remove radius head implant..       5.79      5.53        0.90      12.22       090  S                 
    24200...  ..................  A                   Removal of arm foreign body.       1.71      0.56        0.06       2.33       010  N                 
    24201...  ..................  A                   Removal of arm foreign body.       4.30      3.06        0.49       7.85       090  S                 
    24220...  ..................  A                   Injection for elbow x-ray...       1.31      0.51        0.05       1.87       000  N                 
    24301...  ..................  A                   Muscle/tendon transfer......       9.78      7.90        1.23      18.91       090  S                 
    24305...  ..................  A                   Arm tendon lengthening......       7.16      3.08        0.29      10.53       090  S                 
    24310...  ..................  A                   Revision of arm tendon......       5.72      2.95        0.48       9.15       090  S                 
    24320...  ..................  A                   Repair of arm tendon........      10.01      9.20        1.29      20.50       090  S                 
    24330...  ..................  A                   Revision of arm muscles.....       9.18      8.74        1.43      19.35       090  S                 
    24331...  ..................  A                   Revision of arm muscles.....      10.10      9.62        1.57      21.29       090  S                 
    24340...  ..................  A                   Repair of biceps tendon.....       7.58      7.00        1.13      15.71       090  S                 
    24342...  ..................  A                   Repair of ruptured tendon...      10.13     10.38        1.76      22.27       090  S                 
    24350...  ..................  A                   Repair of tennis elbow......       5.05      4.23        0.69       9.97       090  S                 
    24351...  ..................  A                   Repair of tennis elbow......       5.73      4.57        0.73      11.03       090  S                 
    24352...  ..................  A                   Repair of tennis elbow......       6.14      5.69        0.93      12.76       090  S                 
    24354...  ..................  A                   Repair of tennis elbow......       6.19      5.61        0.94      12.74       090  S                 
    24356...  ..................  A                   Revision of tennis elbow....       6.39      7.28        1.18      14.85       090  S                 
    24360...  ..................  A                   Reconstruct elbow joint.....      11.76    *15.05        2.47      29.28       090  S                 
    24361...  ..................  A                   Reconstruct elbow joint.....      13.50     13.13        2.00      28.63       090  S                 
    24362...  ..................  A                   Reconstruct elbow joint.....      14.41     13.14        0.80      28.35       090  S                 
    24363...  ..................  A                   Replace elbow joint.........      17.66    *22.61        4.13      44.40       090  S                 
    24365...  ..................  A                   Reconstruct head of radius..       7.93      7.52        1.19      16.64       090  S                 
    24366...  ..................  A                   Reconstruct head of radius..       8.67     11.05        1.80      21.52       090  S                 
    24400...  ..................  A                   Revision of humerus.........      10.55      8.43        1.37      20.35       090  S                 
    24410...  ..................  A                   Revision of humerus.........      14.28     14.04        2.06      30.38       090  S                 
    24420...  ..................  A                   Revision of humerus.........      12.90     12.30        2.01      27.21       090  S                 
    24430...  ..................  A                   Repair of humerus...........      12.26     14.66        2.34      29.26       090  S                 
    24435...  ..................  A                   Repair humerus with graft...      12.19    *15.61        2.84      30.64       090  S                 
    24470...  ..................  A                   Revision of elbow joint.....       8.32      7.92        1.30      17.54       090  S                 
    24495...  ..................  A                   Decompression of forearm....       7.59      5.75        1.10      14.44       090  S                 
    24498...  ..................  A                   Reinforce humerus...........      11.30     10.37        1.62      23.29       090  S                 
    24500...  ..................  A                   Treat humerus fracture......       3.01      2.54        0.36       5.91       090  S                 
    24505...  ..................  A                   Treat humerus fracture......       4.83      4.50        0.71      10.04       090  S                 
    24515...  ..................  A                   Repair humerus fracture.....      10.92      9.65        1.54      22.11       090  S                 
    24516...  ..................  A                   Repair humerus fracture.....      10.92      9.65        1.54      22.11       090  S                 
    24530...  ..................  A                   Treat humerus fracture......       3.30      2.73        0.42       6.45       090  S                 
    24535...  ..................  A                   Treat humerus fracture......       6.51      4.85        0.78      12.14       090  S                 
    24538...  ..................  A                   Treat humerus fracture......       8.85      7.98        1.26      18.09       090  S                 
    24545...  ..................  A                   Repair humerus fracture.....       9.65      9.97        1.59      21.21       090  S                 
    24546...  ..................  A                   Repair humerus fracture.....      14.66      9.97        1.59      26.22       090  S                 
    24560...  ..................  A                   Treat humerus fracture......       2.62      2.16        0.30       5.08       090  S                 
    
    [[Page 63204]]
                                                                                                                                                            
    24565...  ..................  A                   Treat humerus fracture......       5.22      3.45        0.54       9.21       090  S                 
    24566...  ..................  A                   Treat humerus fracture......       7.17      6.06        0.96      14.19       090  S                 
    24575...  ..................  A                   Repair humerus fracture.....       9.91      7.79        1.24      18.94       090  S                 
    24576...  ..................  A                   Treat humerus fracture......       2.66      2.16        0.33       5.15       090  S                 
    24577...  ..................  A                   Treat humerus fracture......       5.45      4.00        0.61      10.06       090  S                 
    24579...  ..................  A                   Repair humerus fracture.....      10.85      8.37        1.35      20.57       090  S                 
    24582...  ..................  A                   Treat humerus fracture......       7.83      6.62        1.06      15.51       090  S                 
    24586...  ..................  A                   Repair elbow fracture.......      14.37     14.72        2.36      31.45       090  S                 
    24587...  ..................  A                   Repair elbow fracture.......      14.26     13.72        2.17      30.15       090  S                 
    24600...  ..................  A                   Treat elbow dislocation.....       4.08      1.95        0.26       6.29       090  S                 
    24605...  ..................  A                   Treat elbow dislocation.....       5.08      2.29        0.37       7.74       090  S                 
    24615...  ..................  A                   Repair elbow dislocation....       8.76      9.29        1.48      19.53       090  S                 
    24620...  ..................  A                   Treat elbow fracture........       6.62      3.78        0.57      10.97       090  S                 
    24635...  ..................  A                   Repair elbow fracture.......      12.42     11.06        1.78      25.26       090  S                 
    24640...  ..................  A                   Treat elbow dislocation.....       1.15      1.01        0.08       2.24       010  N                 
    24650...  ..................  A                   Treat radius fracture.......       2.01      2.25        0.33       4.59       090  S                 
    24655...  ..................  A                   Treat radius fracture.......       4.17      3.01        0.45       7.63       090  S                 
    24665...  ..................  A                   Repair radius fracture......       7.69      7.13        1.14      15.96       090  S                 
    24666...  ..................  A                   Repair radius fracture......       8.87     10.27        1.60      20.74       090  S                 
    24670...  ..................  A                   Treatment of ulna fracture..       2.39      1.95        0.27       4.61       090  S                 
    24675...  ..................  A                   Treatment of ulna fracture..       4.52      3.51        0.54       8.57       090  S                 
    24685...  ..................  A                   Repair ulna fracture........       8.34      8.40        1.34      18.08       090  S                 
    24800...  ..................  A                   Fusion of elbow joint.......      10.75     10.59        1.55      22.89       090  S                 
    24802...  ..................  A                   Fusion/graft of elbow joint.      12.79     12.18        1.99      26.96       090  S                 
    24900...  ..................  A                   Amputation of upper arm.....       8.76      7.68        1.39      17.83       090  S                 
    24920...  ..................  A                   Amputation of upper arm.....       8.69      6.78        1.19      16.66       090  S                 
    24925...  ..................  A                   Amputation follow-up surgery       6.61      6.27        0.75      13.63       090  S                 
    24930...  ..................  A                   Amputation follow-up surgery       9.40      8.16        1.17      18.73       090  S                 
    24931...  ..................  A                   Amputate upper arm & implant      11.71     11.17        1.84      24.72       090  S                 
    24935...  ..................  A                   Revision of amputation......      14.37     13.70        2.24      30.31       090  S                 
    24940...  ..................  C                   Revision of upper arm.......       0.00      0.00        0.00       0.00       090  S                 
    24999...  ..................  C                   Upper arm/elbow surgery.....       0.00      0.00        0.00       0.00       YYY  S                 
    25000...  ..................  A                   Incision of tendon sheath...       3.20      3.94        0.62       7.76       090  S                 
    25020...  ..................  A                   Decompression of forearm....       5.55      4.35        0.77      10.67       090  S                 
    25023...  ..................  A                   Decompression of forearm....      11.80      5.44        0.94      18.18       090  S                 
    25028...  ..................  A                   Drainage of forearm lesion..       4.88      2.06        0.36       7.30       090  S                 
    25031...  ..................  A                   Drainage of forearm bursa...       3.90      0.66        0.09       4.65       090  S                 
    25035...  ..................  A                   Treat forearm bone lesion...       6.83      6.30        1.01      14.14       090  S                 
    25040...  ..................  A                   Explore/treat wrist joint...       6.61      5.69        0.90      13.20       090  S                 
    25065...  ..................  A                   Biopsy forearm soft tissues.       2.39      0.75        0.09       3.23       010  S                 
    25066...  ..................  A                   Biopsy forearm soft tissues.       3.87      1.54        0.22       5.63       090  S                 
    25075...  ..................  A                   Removal of forearm lesion...       3.61      2.19        0.37       6.17       090  S                 
    25076...  ..................  A                   Removal of forearm lesion...       4.77      3.77        0.67       9.21       090  S                 
    25077...  ..................  A                   Remove tumor, forearm/wrist.       9.25      8.48        1.67      19.40       090  S                 
    25085...  ..................  A                   Incision of wrist capsule...       5.13      4.62        0.71      10.46       090  S                 
    25100...  ..................  A                   Biopsy of wrist joint.......       3.66     *4.69        0.79       9.14       090  S                 
    25101...  ..................  A                   Explore/treat wrist joint...       4.43      5.61        0.98      11.02       090  S                 
    25105...  ..................  A                   Remove wrist joint lining...       5.56     *7.11        1.19      13.86       090  S                 
    25107...  ..................  A                   Remove wrist joint cartilage       5.89      5.28        0.89      12.06       090  S                 
    25110...  ..................  A                   Remove wrist tendon lesion..       3.79      2.80        0.46       7.05       090  S                 
    25111...  ..................  A                   Remove wrist tendon lesion..       3.24      3.22        0.55       7.01       090  S                 
    25112...  ..................  A                   Reremove wrist tendon lesion       4.38      3.72        0.66       8.76       090  S                 
    25115...  ..................  A                   Remove wrist/forearm lesion.       6.26      7.14        1.23      14.63       090  S                 
    25116...  ..................  A                   Remove wrist/forearm lesion.       6.44      8.17        1.38      15.99       090  S                 
    25118...  ..................  A                   Excise wrist tendon sheath..       4.11     *5.26        1.02      10.39       090  S                 
    25119...  ..................  A                   Partial removal of ulna.....       5.64     *7.22        1.32      14.18       090  S                 
    25120...  ..................  A                   Removal of forearm lesion...       5.70      6.53        1.14      13.37       090  S                 
    25125...  ..................  A                   Remove/graft forearm lesion.       7.06      6.84        1.04      14.94       090  S                 
    25126...  ..................  A                   Remove/graft forearm lesion.       7.13      6.80        1.12      15.05       090  S                 
    25130...  ..................  A                   Removal of wrist lesion.....       5.08      4.21        0.67       9.96       090  S                 
    25135...  ..................  A                   Remove & graft wrist lesion.       6.58      5.46        0.97      13.01       090  S                 
    25136...  ..................  A                   Remove & graft wrist lesion.       5.68      4.74        0.85      11.27       090  S                 
    25145...  ..................  A                   Remove forearm bone lesion..       5.97      5.95        0.75      12.67       090  S                 
    25150...  ..................  A                   Partial removal of ulna.....       6.56      6.67        1.12      14.35       090  S                 
    25151...  ..................  A                   Partial removal of radius...       6.86      5.75        1.02      13.63       090  S                 
    25170...  ..................  A                   Extensive forearm surgery...      10.45      9.79        1.51      21.75       090  S                 
    
    [[Page 63205]]
                                                                                                                                                            
    25210...  ..................  A                   Removal of wrist bone.......       5.55      4.88        0.80      11.23       090  S                 
    25215...  ..................  A                   Removal of wrist bones......       7.40      8.68        1.42      17.50       090  S                 
    25230...  ..................  A                   Partial removal of radius...       4.86      5.57        0.85      11.28       090  S                 
    25240...  ..................  A                   Partial removal of ulna.....       4.91      5.30        0.86      11.07       090  S                 
    25246...  ..................  A                   Injection for wrist x-ray...       1.45      0.50        0.05       2.00       000  N                 
    25248...  ..................  A                   Remove forearm foreign body.       4.96      2.18        0.37       7.51       090  S                 
    25250...  ..................  A                   Removal of wrist prosthesis.       6.31      5.63        0.91      12.85       090  S                 
    25251...  ..................  A                   Removal of wrist prosthesis.       9.08      8.25        1.39      18.72       090  S                 
    25260...  ..................  A                   Repair forearm tendon/muscle       7.33      4.61        0.78      12.72       090  S                 
    25263...  ..................  A                   Repair forearm tendon/muscle       7.37      5.77        1.03      14.17       090  S                 
    25265...  ..................  A                   Repair forearm tendon/muscle       9.54      7.93        1.41      18.88       090  S                 
    25270...  ..................  A                   Repair forearm tendon/muscle       5.71      3.36        0.55       9.62       090  S                 
    25272...  ..................  A                   Repair forearm tendon/muscle       6.75      3.44        0.54      10.73       090  S                 
    25274...  ..................  A                   Repair forearm tendon/muscle       8.44      6.62        1.13      16.19       090  S                 
    25280...  ..................  A                   Revise wrist/forearm tendon.       6.82      4.22        0.69      11.73       090  S                 
    25290...  ..................  A                   Incise wrist/forearm tendon.       5.03      2.47        0.41       7.91       090  S                 
    25295...  ..................  A                   Release wrist/forearm tendon       6.26      3.05        0.52       9.83       090  S                 
    25300...  ..................  A                   Fusion of tendons at wrist..       8.46      7.36        1.19      17.01       090  S                 
    25301...  ..................  A                   Fusion of tendons at wrist..       8.09      6.77        1.18      16.04       090  S                 
    25310...  ..................  A                   Transplant forearm tendon...       7.68      7.14        1.17      15.99       090  S                 
    25312...  ..................  A                   Transplant forearm tendon...       9.08      7.63        1.31      18.02       090  S                 
    25315...  ..................  A                   Revise palsy hand tendon(s).       9.45      8.06        1.34      18.85       090  S                 
    25316...  ..................  A                   Revise palsy hand tendon(s).      11.49     10.58        1.78      23.85       090  S                 
    25320...  ..................  A                   Repair/revise wrist joint...       9.89      8.60        1.45      19.94       090  S                 
    25330...  ..................  A                   Revise wrist joint..........      10.85      9.23        1.50      21.58       090  S                 
    25331...  ..................  A                   Revise wrist joint..........      12.60     14.66        2.40      29.66       090  S                 
    25332...  ..................  A                   Revise wrist joint..........      10.83      9.98        1.61      22.42       090  S                 
    25335...  ..................  A                   Realignment of hand.........      12.11     11.41        1.56      25.08       090  S                 
    25337...  ..................  A                   Reconstruct ulna/radioulnar.       9.50      8.60        1.45      19.55       090  S                 
    25350...  ..................  A                   Revision of radius..........       8.23      7.61        1.26      17.10       090  S                 
    25355...  ..................  A                   Revision of radius..........       9.55      9.12        1.49      20.16       090  S                 
    25360...  ..................  A                   Revision of ulna............       7.88      6.41        0.99      15.28       090  S                 
    25365...  ..................  A                   Revise radius & ulna........      11.63     10.31        1.57      23.51       090  S                 
    25370...  ..................  A                   Revise radius or ulna.......      12.34     11.76        1.92      26.02       090  S                 
    25375...  ..................  A                   Revise radius & ulna........      12.27     13.38        0.87      26.52       090  S                 
    25390...  ..................  A                   Shorten radius/ulna.........       9.85      8.82        1.50      20.17       090  S                 
    25391...  ..................  A                   Lengthen radius/ulna........      12.75     11.25        1.93      25.93       090  S                 
    25392...  ..................  A                   Shorten radius & ulna.......      13.05     12.44        2.04      27.53       090  S                 
    25393...  ..................  A                   Lengthen radius & ulna......      14.90     14.21        2.32      31.43       090  S                 
    25400...  ..................  A                   Repair radius or ulna.......      10.30     10.78        1.75      22.83       090  S                 
    25405...  ..................  A                   Repair/graft radius or ulna.      13.48     12.42        2.02      27.92       090  S                 
    25415...  ..................  A                   Repair radius & ulna........      12.64     11.42        1.92      25.98       090  S                 
    25420...  ..................  A                   Repair/graft radius & ulna..      15.34     14.70        2.28      32.32       090  S                 
    25425...  ..................  A                   Repair/graft radius or ulna.      12.44     12.02        1.87      26.33       090  S                 
    25426...  ..................  A                   Repair/graft radius & ulna..      14.92     11.72        2.13      28.77       090  S                 
    25440...  ..................  A                   Repair/graft wrist bone.....       9.95      9.05        1.50      20.50       090  S                 
    25441...  ..................  A                   Reconstruct wrist joint.....      12.26     11.36        1.89      25.51       090  S                 
    25442...  ..................  A                   Reconstruct wrist joint.....      10.34      7.06        1.22      18.62       090  S                 
    25443...  ..................  A                   Reconstruct wrist joint.....       9.88      9.38        1.52      20.78       090  S                 
    25444...  ..................  A                   Reconstruct wrist joint.....      10.64     10.14        1.66      22.44       090  S                 
    25445...  ..................  A                   Reconstruct wrist joint.....       9.27     10.36        1.72      21.35       090  S                 
    25446...  ..................  A                   Wrist replacement...........      15.52    *19.86        3.49      38.87       090  S                 
    25447...  ..................  A                   Repair wrist joint(s).......       9.86      9.65        1.56      21.07       090  S                 
    25449...  ..................  A                   Remove wrist joint implant..      13.78      7.84        1.16      22.78       090  S                 
    25450...  ..................  A                   Revision of wrist joint.....       7.67      7.31        1.19      16.17       090  S                 
    25455...  ..................  A                   Revision of wrist joint.....       9.15      8.71        1.42      19.28       090  S                 
    25490...  ..................  A                   Reinforce radius............       9.12      8.69        1.42      19.23       090  S                 
    25491...  ..................  A                   Reinforce ulna..............       9.54      9.10        1.49      20.13       090  S                 
    25492...  ..................  A                   Reinforce radius and ulna...      11.75     11.20        1.84      24.79       090  S                 
    25500...  ..................  A                   Treat fracture of radius....       2.30      2.33        0.29       4.92       090  S                 
    25505...  ..................  A                   Treat fracture of radius....       4.96      3.57        0.51       9.04       090  S                 
    25515...  ..................  A                   Repair fracture of radius...       8.63      7.63        1.22      17.48       090  S                 
    25520...  ..................  A                   Repair fracture of radius...       6.01      5.74        0.94      12.69       090  S                 
    25525...  ..................  A                   Repair fracture of radius...      11.69     11.15        1.83      24.67       090  S                 
    25526...  ..................  A                   Repair fracture of radius...      12.43     11.85        1.94      26.22       090  S                 
    25530...  ..................  A                   Treat fracture of ulna......       1.94      2.44        0.35       4.73       090  S                 
    
    [[Page 63206]]
                                                                                                                                                            
    25535...  ..................  A                   Treat fracture of ulna......       4.91      3.57        0.54       9.02       090  S                 
    25545...  ..................  A                   Repair fracture of ulna.....       8.35      7.58        1.20      17.13       090  S                 
    25560...  ..................  A                   Treat fracture radius & ulna       2.29      2.27        0.27       4.83       090  S                 
    25565...  ..................  A                   Treat fracture radius & ulna       5.29      4.66        0.70      10.65       090  S                 
    25574...  ..................  A                   Treat fracture radius & ulna       6.03     *7.72        1.73      15.48       090  S                 
    25575...  ..................  A                   Repair fracture radius/ulna.       9.47     10.70        1.73      21.90       090  S                 
    25600...  ..................  A                   Treat fracture radius/ulna..       2.48      2.84        0.42       5.74       090  S                 
    25605...  ..................  A                   Treat fracture radius/ulna..       5.36      3.95        0.61       9.92       090  S                 
    25611...  ..................  A                   Repair fracture radius/ulna.       7.11      6.01        0.97      14.09       090  S                 
    25620...  ..................  A                   Repair fracture radius/ulna.       8.15      7.13        1.14      16.42       090  S                 
    25622...  ..................  A                   Treat wrist bone fracture...       2.43      2.28        0.33       5.04       090  S                 
    25624...  ..................  A                   Treat wrist bone fracture...       4.28      3.67        0.57       8.52       090  S                 
    25628...  ..................  A                   Repair wrist bone fracture..       7.81      7.13        1.16      16.10       090  S                 
    25630...  ..................  A                   Treat wrist bone fracture...       2.73      2.19        0.30       5.22       090  S                 
    25635...  ..................  A                   Treat wrist bone fracture...       4.16      3.36        0.50       8.02       090  S                 
    25645...  ..................  A                   Repair wrist bone fracture..       6.85      6.68        0.95      14.48       090  S                 
    25650...  ..................  A                   Repair wrist bone fracture..       2.87      2.66        0.36       5.89       090  S                 
    25660...  ..................  A                   Treat wrist dislocation.....       4.53      1.82        0.26       6.61       090  S                 
    25670...  ..................  A                   Repair wrist dislocation....       7.52      7.08        1.12      15.72       090  S                 
    25675...  ..................  A                   Treat wrist dislocation.....       4.44      2.28        0.34       7.06       090  S                 
    25676...  ..................  A                   Repair wrist dislocation....       7.55      7.32        1.11      15.98       090  S                 
    25680...  ..................  A                   Treat wrist fracture........       5.63      2.44        0.36       8.43       090  S                 
    25685...  ..................  A                   Repair wrist fracture.......       9.23      8.79        1.44      19.46       090  S                 
    25690...  ..................  A                   Treat wrist dislocation.....       5.16      4.89        0.73      10.78       090  S                 
    25695...  ..................  A                   Repair wrist dislocation....       7.94      7.04        1.17      16.15       090  S                 
    25800...  ..................  A                   Fusion of wrist joint.......       9.21     10.94        1.80      21.95       090  S                 
    25805...  ..................  A                   Fusion/graft of wrist joint.      10.57     12.85        2.09      25.51       090  S                 
    25810...  ..................  A                   Fusion/graft of wrist joint.       9.79    *12.53        2.06      24.38       090  S                 
    25820...  ..................  A                   Fusion of hand bones........       7.14      8.91        1.48      17.53       090  S                 
    25825...  ..................  A                   Fusion hand bones with graft       8.60    *11.02        1.99      21.61       090  S                 
    25830...  ..................  A                   Fusion radioulnar jnt/ulna..       9.50      8.60        1.45      19.55       090  S                 
    25900...  ..................  A                   Amputation of forearm.......       8.15      7.08        1.31      16.54       090  S                 
    25905...  ..................  A                   Amputation of forearm.......       8.40      7.11        1.15      16.66       090  S                 
    25907...  ..................  A                   Amputation follow-up surgery       7.27      5.74        1.00      14.01       090  S                 
    25909...  ..................  A                   Amputation follow-up surgery       8.37      5.55        1.06      14.98       090  S                 
    25915...  ..................  A                   Amputation of forearm.......      16.61     15.83        2.59      35.03       090  S                 
    25920...  ..................  A                   Amputate hand at wrist......       8.09      7.00        1.20      16.29       090  S                 
    25922...  ..................  A                   Amputate hand at wrist......       6.96      5.55        1.02      13.53       090  S                 
    25924...  ..................  A                   Amputation follow-up surgery       7.87      7.50        1.22      16.59       090  S                 
    25927...  ..................  A                   Amputation of hand..........       8.27      6.29        1.22      15.78       090  S                 
    25929...  ..................  A                   Amputation follow-up surgery       7.13      4.74        0.96      12.83       090  S                 
    25931...  ..................  A                   Amputation follow-up surgery       7.35      4.54        0.90      12.79       090  S                 
    25999...  ..................  C                   Forearm or wrist surgery....       0.00      0.00        0.00       0.00       YYY  S                 
    26010...  ..................  A                   Drainage of finger abscess..       1.49      0.48        0.05       2.02       010  N                 
    26011...  ..................  A                   Drainage of finger abscess..       2.14      1.54        0.24       3.92       010  S                 
    26020...  ..................  A                   Drain hand tendon sheath....       4.01      3.72        0.63       8.36       090  S                 
    26025...  ..................  A                   Drainage of palm bursa......       4.32      4.51        0.76       9.59       090  S                 
    26030...  ..................  A                   Drainage of palm bursa(s)...       5.36      5.73        0.98      12.07       090  S                 
    26034...  ..................  A                   Treat hand bone lesion......       5.59      4.23        0.71      10.53       090  S                 
    26035...  ..................  A                   Decompress fingers/hand.....       8.38      5.17        0.86      14.41       090  S                 
    26037...  ..................  A                   Decompress fingers/hand.....       6.68      6.37        1.05      14.10       090  S                 
    26040...  ..................  A                   Release palm contracture....       3.09      2.86        0.49       6.44       090  S                 
    26045...  ..................  A                   Release palm contracture....       5.27      4.83        0.81      10.91       090  S                 
    26055...  ..................  A                   Incise finger tendon sheath.       2.56     *3.28        0.56       6.40       090  S                 
    26060...  ..................  A                   Incision of finger tendon...       2.71      1.13        0.17       4.01       090  S                 
    26070...  ..................  A                   Explore/treat hand joint....       3.34      2.76        0.42       6.52       090  S                 
    26075...  ..................  A                   Explore/treat finger joint..       3.44      3.78        0.62       7.84       090  S                 
    26080...  ..................  A                   Explore/treat finger joint..       3.78      3.14        0.51       7.43       090  S                 
    26100...  ..................  A                   Biopsy hand joint lining....       3.54      2.99        0.45       6.98       090  S                 
    26105...  ..................  A                   Biopsy finger joint lining..       3.58      4.17        0.67       8.42       090  S                 
    26110...  ..................  A                   Biopsy finger joint lining..       3.40      2.93        0.50       6.83       090  S                 
    26115...  ..................  A                   Removal of hand lesion......       3.68      2.01        0.34       6.03       090  S                 
    26116...  ..................  A                   Removal of hand lesion......       5.19      3.71        0.62       9.52       090  S                 
    26117...  ..................  A                   Remove tumor, hand/finger...       8.24      5.07        0.91      14.22       090  S                 
    26121...  ..................  A                   Release palm contracture....       7.34     *9.40        1.61      18.35       090  S                 
    26123...  ..................  A                   Release palm contracture....       8.64      9.10        1.53      19.27       090  S                 
    
    [[Page 63207]]
                                                                                                                                                            
    26125...  ..................  A                   Release palm contracture....       4.61      2.62        0.45       7.68       ZZZ  S                 
    26130...  ..................  A                   Remove wrist joint lining...       5.13      5.01        0.86      11.00       090  S                 
    26135...  ..................  A                   Revise finger joint, each...       6.67      4.86        0.82      12.35       090  S                 
    26140...  ..................  A                   Revise finger joint, each...       5.88      4.40        0.75      11.03       090  S                 
    26145...  ..................  A                   Tendon excision, palm/finger       6.03      4.71        0.80      11.54       090  S                 
    26160...  ..................  A                   Remove tendon sheath lesion.       3.00      2.32        0.40       5.72       090  S                 
    26170...  ..................  A                   Removal of palm tendon, each       4.62      2.83        0.45       7.90       090  S                 
    26180...  ..................  A                   Removal of finger tendon....       5.00      4.01        0.71       9.72       090  S                 
    26200...  ..................  A                   Remove hand bone lesion.....       5.25      4.48        0.72      10.45       090  S                 
    26205...  ..................  A                   Remove/graft bone lesion....       7.24      6.40        1.03      14.67       090  S                 
    26210...  ..................  A                   Removal of finger lesion....       4.97      3.90        0.64       9.51       090  S                 
    26215...  ..................  A                   Remove/graft finger lesion..       6.81      5.55        0.94      13.30       090  S                 
    26230...  ..................  A                   Partial removal of hand bone       5.96      4.26        0.69      10.91       090  S                 
    26235...  ..................  A                   Partial removal, finger bone       5.82      4.17        0.71      10.70       090  S                 
    26236...  ..................  A                   Partial removal, finger bone       4.95      3.86        0.66       9.47       090  S                 
    26250...  ..................  A                   Extensive hand surgery......       7.26      6.00        1.07      14.33       090  S                 
    26255...  ..................  A                   Extensive hand surgery......      11.66      8.94        1.54      22.14       090  S                 
    26260...  ..................  A                   Extensive finger surgery....       6.74      5.73        0.97      13.44       090  S                 
    26261...  ..................  A                   Extensive finger surgery....       8.54      7.70        1.31      17.55       090  S                 
    26262...  ..................  A                   Partial removal of finger...       5.41      4.75        0.76      10.92       090  S                 
    26320...  ..................  A                   Removal of implant from hand       3.74      3.54        0.57       7.85       090  S                 
    26350...  ..................  A                   Repair finger/hand tendon...       5.76      5.74        0.99      12.49       090  S                 
    26352...  ..................  A                   Repair/graft hand tendon....       7.26      6.60        1.10      14.96       090  S                 
    26356...  ..................  A                   Repair finger/hand tendon...       7.05      7.21        1.24      15.50       090  S                 
    26357...  ..................  A                   Repair finger/hand tendon...       8.16      6.58        1.19      15.93       090  S                 
    26358...  ..................  A                   Repair/graft hand tendon....       8.69      7.40        1.27      17.36       090  S                 
    26370...  ..................  A                   Repair finger/hand tendon...       6.71      6.71        1.13      14.55       090  S                 
    26372...  ..................  A                   Repair/graft hand tendon....       8.27      6.39        1.15      15.81       090  S                 
    26373...  ..................  A                   Repair finger/hand tendon...       7.67      6.85        1.11      15.63       090  S                 
    26390...  ..................  A                   Revise hand/finger tendon...       8.73      7.95        1.23      17.91       090  S                 
    26392...  ..................  A                   Repair/graft hand tendon....       9.77      8.61        1.26      19.64       090  S                 
    26410...  ..................  A                   Repair hand tendon..........       4.37      3.29        0.51       8.17       090  S                 
    26412...  ..................  A                   Repair/graft hand tendon....       5.91      6.01        0.97      12.89       090  S                 
    26415...  ..................  A                   Excision, hand/finger tendon       8.05      6.75        0.90      15.70       090  S                 
    26416...  ..................  A                   Graft hand or finger tendon.       9.06      8.64        1.41      19.11       090  S                 
    26418...  ..................  A                   Repair finger tendon........       4.02      3.58        0.59       8.19       090  S                 
    26420...  ..................  A                   Repair/graft finger tendon..       6.37      5.68        0.96      13.01       090  S                 
    26426...  ..................  A                   Repair finger/hand tendon...       5.86      6.31        1.07      13.24       090  S                 
    26428...  ..................  A                   Repair/graft finger tendon..       6.90      5.50        1.00      13.40       090  S                 
    26432...  ..................  A                   Repair finger tendon........       3.87      3.15        0.51       7.53       090  S                 
    26433...  ..................  A                   Repair finger tendon........       4.41      3.94        0.66       9.01       090  S                 
    26434...  ..................  A                   Repair/graft finger tendon..       5.80      4.95        0.84      11.59       090  S                 
    26437...  ..................  A                   Realignment of tendons......       5.53      4.05        0.68      10.26       090  S                 
    26440...  ..................  A                   Release palm/finger tendon..       4.76      3.57        0.59       8.92       090  S                 
    26442...  ..................  A                   Release palm & finger tendon       6.10      3.37        0.59      10.06       090  S                 
    26445...  ..................  A                   Release hand/finger tendon..       4.16      3.25        0.54       7.95       090  S                 
    26449...  ..................  A                   Release forearm/hand tendon.       6.39      5.57        0.96      12.92       090  S                 
    26450...  ..................  A                   Incision of palm tendon.....       3.54      2.28        0.36       6.18       090  S                 
    26455...  ..................  A                   Incision of finger tendon...       3.51      1.89        0.33       5.73       090  S                 
    26460...  ..................  A                   Incise hand/finger tendon...       3.33      1.72        0.30       5.35       090  S                 
    26471...  ..................  A                   Fusion of finger tendons....       5.55      4.15        0.67      10.37       090  S                 
    26474...  ..................  A                   Fusion of finger tendons....       5.14      4.61        0.75      10.50       090  S                 
    26476...  ..................  A                   Tendon lengthening..........       5.00      2.89        0.27       8.16       090  S                 
    26477...  ..................  A                   Tendon shortening...........       4.97      3.99        0.73       9.69       090  S                 
    26478...  ..................  A                   Lengthening of hand tendon..       5.62      4.30        0.72      10.64       090  S                 
    26479...  ..................  A                   Shortening of hand tendon...       5.56      5.29        0.86      11.71       090  S                 
    26480...  ..................  A                   Transplant hand tendon......       6.49      6.53        1.11      14.13       090  S                 
    26483...  ..................  A                   Transplant/graft hand tendon       7.87      8.50        1.40      17.77       090  S                 
    26485...  ..................  A                   Transplant palm tendon......       7.28      6.50        1.08      14.86       090  S                 
    26489...  ..................  A                   Transplant/graft palm tendon       9.00      3.40        0.51      12.91       090  S                 
    26490...  ..................  A                   Revise thumb tendon.........       7.99      7.80        1.28      17.07       090  S                 
    26492...  ..................  A                   Tendon transfer with graft..       9.17      8.75        1.21      19.13       090  S                 
    26494...  ..................  A                   Hand tendon/muscle transfer.       8.05      7.28        1.23      16.56       090  S                 
    26496...  ..................  A                   Revise thumb tendon.........       9.17      8.73        1.53      19.43       090  S                 
    26497...  ..................  A                   Finger tendon transfer......       9.15      8.02        1.38      18.55       090  S                 
    26498...  ..................  A                   Finger tendon transfer......      13.55     11.78        2.04      27.37       090  S                 
    
    [[Page 63208]]
                                                                                                                                                            
    26499...  ..................  A                   Revision of finger..........       8.56      7.75        1.25      17.56       090  S                 
    26500...  ..................  A                   Hand tendon reconstruction..       5.67      3.49        0.60       9.76       090  S                 
    26502...  ..................  A                   Hand tendon reconstruction..       6.74      5.27        0.95      12.96       090  S                 
    26504...  ..................  A                   Hand tendon reconstruction..       7.05      6.72        1.11      14.88       090  S                 
    26508...  ..................  A                   Release thumb contracture...       5.61      4.15        0.72      10.48       090  S                 
    26510...  ..................  A                   Thumb tendon transfer.......       5.03      4.15        0.68       9.86       090  S                 
    26516...  ..................  A                   Fusion of knuckle joint.....       6.75      4.16        0.67      11.58       090  S                 
    26517...  ..................  A                   Fusion of knuckle joints....       8.34      7.07        1.23      16.64       090  S                 
    26518...  ..................  A                   Fusion of knuckle joints....       8.53      6.51        1.22      16.26       090  S                 
    26520...  ..................  A                   Release knuckle contracture.       5.01      4.48        0.71      10.20       090  S                 
    26525...  ..................  A                   Release finger contracture..       5.04      3.64        0.62       9.30       090  S                 
    26530...  ..................  A                   Revise knuckle joint........       6.38      5.16        0.85      12.39       090  S                 
    26531...  ..................  A                   Revise knuckle with implant.       7.57      6.65        1.11      15.33       090  S                 
    26535...  ..................  A                   Revise finger joint.........       4.95      4.84        0.58      10.37       090  S                 
    26536...  ..................  A                   Revise/implant finger joint.       6.06      7.21        1.19      14.46       090  S                 
    26540...  ..................  A                   Repair hand joint...........       6.03      6.64        1.12      13.79       090  S                 
    26541...  ..................  A                   Repair hand joint with graft       8.20      8.94        1.47      18.61       090  S                 
    26542...  ..................  A                   Repair hand joint with graft       6.38      5.67        0.97      13.02       090  S                 
    26545...  ..................  A                   Reconstruct finger joint....       6.50      5.27        0.94      12.71       090  S                 
    26548...  ..................  A                   Reconstruct finger joint....       7.61      5.79        1.00      14.40       090  S                 
    26550...  ..................  A                   Construct thumb replacement.      20.77     19.81        3.24      43.82       090  S                 
    26552...  ..................  C                   Construct thumb replacement.       0.00      0.00        0.00       0.00       090  S                 
    26555...  ..................  A                   Positional change of finger.      16.16     15.41        2.52      34.09       090  S                 
    26557...  ..................  C                   Construct finger replacement       0.00      0.00        0.00       0.00       090  S                 
    26558...  ..................  C                   Added finger surgery........       0.00      0.00        0.00       0.00       090  S                 
    26559...  ..................  C                   Added finger surgery........       0.00      0.00        0.00       0.00       090  S                 
    26560...  ..................  A                   Repair of web finger........       5.23      4.65        0.66      10.54       090  S                 
    26561...  ..................  A                   Repair of web finger........      10.50      8.89        1.56      20.95       090  S                 
    26562...  ..................  A                   Repair of web finger........       9.23     10.97        0.82      21.02       090  S                 
    26565...  ..................  A                   Correct metacarpal flaw.....       6.45      5.82        0.85      13.12       090  S                 
    26567...  ..................  A                   Correct finger deformity....       6.53      4.28        0.67      11.48       090  S                 
    26568...  ..................  A                   Lengthen metacarpal/finger..       8.66      8.45        1.06      18.17       090  S                 
    26580...  ..................  A                   Repair hand deformity.......      17.71     16.89        2.76      37.36       090  S                 
    26585...  ..................  A                   Repair finger deformity.....      13.58     12.95        2.12      28.65       090  S                 
    26587...  ..................  C                   Reconstruct extra finger....       0.00      0.00        0.00       0.00       090  S                 
    26590...  ..................  A                   Repair finger deformity.....      17.44     16.63        2.72      36.79       090  S                 
    26591...  ..................  A                   Repair muscles of hand......       2.90      2.29        0.39       5.58       090  S                 
    26593...  ..................  A                   Release muscles of hand.....       4.89      4.12        0.70       9.71       090  S                 
    26596...  ..................  A                   Excision constricting tissue       8.64      8.24        1.35      18.23       090  S                 
    26597...  ..................  A                   Release of scar contracture.       9.37      8.02        1.37      18.76       090  S                 
    26600...  ..................  A                   Treat metacarpal fracture...       1.81      1.54        0.22       3.57       090  S                 
    26605...  ..................  A                   Treat metacarpal fracture...       2.67      2.29        0.36       5.32       090  S                 
    26607...  ..................  A                   Treat metacarpal fracture...       5.12      3.55        0.57       9.24       090  S                 
    26608...  ..................  A                   Treat metacarpal fracture...       5.12      3.55        0.57       9.24       090  S                 
    26615...  ..................  A                   Repair metacarpal fracture..       5.18      4.87        0.80      10.85       090  S                 
    26641...  ..................  A                   Treat thumb dislocation.....       3.74      1.11        0.14       4.99       090  S                 
    26645...  ..................  A                   Treat thumb fracture........       4.23      2.20        0.33       6.76       090  S                 
    26650...  ..................  A                   Repair thumb fracture.......       5.49      4.01        0.64      10.14       090  S                 
    26665...  ..................  A                   Repair thumb fracture.......       7.14      6.39        1.09      14.62       090  S                 
    26670...  ..................  A                   Treat hand dislocation......       3.54      0.96        0.10       4.60       090  S                 
    26675...  ..................  A                   Treat hand dislocation......       4.44      4.34        0.60       9.38       090  S                 
    26676...  ..................  A                   Pin hand dislocation........       5.29      4.86        0.67      10.82       090  S                 
    26685...  ..................  A                   Repair hand dislocation.....       6.54      5.76        0.91      13.21       090  S                 
    26686...  ..................  A                   Repair hand dislocation.....       7.48      6.31        1.04      14.83       090  S                 
    26700...  ..................  A                   Treat knuckle dislocation...       3.54      0.88        0.10       4.52       090  S                 
    26705...  ..................  A                   Treat knuckle dislocation...       3.99      1.78        0.27       6.04       090  S                 
    26706...  ..................  A                   Pin knuckle dislocation.....       4.92      4.68        0.75      10.35       090  S                 
    26715...  ..................  A                   Repair knuckle dislocation..       5.48      4.13        0.66      10.27       090  S                 
    26720...  ..................  A                   Treat finger fracture, each.       1.56      1.10        0.15       2.81       090  S                 
    26725...  ..................  A                   Treat finger fracture, each.       3.18      1.54        0.23       4.95       090  S                 
    26727...  ..................  A                   Treat finger fracture, each.       4.92      2.45        0.38       7.75       090  S                 
    26735...  ..................  A                   Repair finger fracture, each       5.72      3.73        0.61      10.06       090  S                 
    26740...  ..................  A                   Treat finger fracture, each.       1.81      1.16        0.16       3.13       090  S                 
    26742...  ..................  A                   Treat finger fracture, each.       3.70      1.98        0.32       6.00       090  S                 
    26746...  ..................  A                   Repair finger fracture, each       5.55      4.75        0.80      11.10       090  S                 
    26750...  ..................  A                   Treat finger fracture, each.       1.60      0.83        0.10       2.53       090  S                 
    
    [[Page 63209]]
                                                                                                                                                            
    26755...  ..................  A                   Treat finger fracture, each.       2.97      1.08        0.15       4.20       090  S                 
    26756...  ..................  A                   Pin finger fracture, each...       4.19      1.90        0.33       6.42       090  S                 
    26765...  ..................  A                   Repair finger fracture, each       4.04      2.66        0.45       7.15       090  S                 
    26770...  ..................  A                   Treat finger dislocation....       2.89      0.76        0.08       3.73       090  S                 
    26775...  ..................  A                   Treat finger dislocation....       3.51      1.13        0.17       4.81       090  S                 
    26776...  ..................  A                   Pin finger dislocation......       4.60      2.08        0.35       7.03       090  S                 
    26785...  ..................  A                   Repair finger dislocation...       4.08      2.97        0.48       7.53       090  S                 
    26820...  ..................  A                   Thumb fusion with graft.....       7.84      6.65        1.05      15.54       090  S                 
    26841...  ..................  A                   Fusion of thumb.............       6.79      6.17        1.00      13.96       090  S                 
    26842...  ..................  A                   Thumb fusion with graft.....       7.75      8.58        1.37      17.70       090  S                 
    26843...  ..................  A                   Fusion of hand joint........       7.21      6.37        1.10      14.68       090  S                 
    26844...  ..................  A                   Fusion/graft of hand joint..       8.24      7.35        1.19      16.78       090  S                 
    26850...  ..................  A                   Fusion of knuckle...........       6.57      4.63        0.76      11.96       090  S                 
    26852...  ..................  A                   Fusion of knuckle with graft       7.97      5.72        1.00      14.69       090  S                 
    26860...  ..................  A                   Fusion of finger joint......       4.49      4.30        0.68       9.47       090  S                 
    26861...  ..................  A                   Fusion of finger joint,            1.74     *2.23        0.43       4.40       ZZZ  S                 
                                                       added.                                                                                               
    26862...  ..................  A                   Fusion/graft of finger joint       7.06      5.16        0.85      13.07       090  S                 
    26863...  ..................  A                   Fuse/graft added joint......       3.90      3.37        0.57       7.84       ZZZ  S                 
    26910...  ..................  A                   Amputate metacarpal bone....       7.18      5.16        0.93      13.27       090  S                 
    26951...  ..................  A                   Amputation of finger/thumb..       4.41      2.87        0.49       7.77       090  S                 
    26952...  ..................  A                   Amputation of finger/thumb..       6.02      4.00        0.69      10.71       090  S                 
    26989...  ..................  C                   Hand/finger surgery.........       0.00      0.00        0.00       0.00       YYY  S                 
    26990...  ..................  A                   Drainage of pelvis lesion...       6.76      3.10        0.51      10.37       090  S                 
    26991...  ..................  A                   Drainage of pelvis bursa....       6.05      1.81        0.29       8.15       090  S                 
    26992...  ..................  A                   Drainage of bone lesion.....      13.97      6.38        1.05      21.40       090  S                 
    27000...  ..................  A                   Incision of hip tendon......       5.27      1.85        0.24       7.36       090  S                 
    27001...  ..................  A                   Incision of hip tendon......       7.70      2.34        0.38      10.42       090  S                 
    27003...  ..................  A                   Incision of hip tendon......       6.53      6.77        1.08      14.38       090  S                 
    27005...  ..................  A                   Incision of hip tendon......       9.00      3.37        0.54      12.91       090  S                 
    27006...  ..................  A                   Incision of hip tendons.....       9.50      4.64        0.77      14.91       090  S                 
    27025...  ..................  A                   Incision of hip/thigh fascia      10.16      6.12        1.02      17.30       090  S                 
    27030...  ..................  A                   Drainage of hip joint.......      12.09     11.42        1.86      25.37       090  S                 
    27033...  ..................  A                   Exploration of hip joint....      12.38     11.52        1.85      25.75       090  S                 
    27035...  ..................  A                   Denervation of hip joint....      15.72     11.86        2.21      29.79       090  S                 
    27040...  ..................  A                   Biopsy of soft tissues......       3.26      0.72        0.11       4.09       010  N                 
    27041...  ..................  A                   Biopsy of soft tissues......       9.36      2.67        0.44      12.47       090  S                 
    27047...  ..................  A                   Remove hip/pelvis lesion....       7.16      1.89        0.32       9.37       090  S                 
    27048...  ..................  A                   Remove hip/pelvis lesion....       5.70      4.33        0.82      10.85       090  S                 
    27049...  ..................  A                   Remove tumor, hip/pelvis....      12.52     10.14        1.87      24.53       090  S                 
    27050...  ..................  A                   Biopsy of sacroiliac joint..       3.73     *4.78        0.90       9.41       090  S                 
    27052...  ..................  A                   Biopsy of hip joint.........       5.45     *6.97        1.59      14.01       090  S                 
    27054...  ..................  A                   Removal of hip joint lining.       7.60     *9.72        2.26      19.58       090  S                 
    27060...  ..................  A                   Removal of ischial bursa....       4.73      3.93        0.68       9.34       090  S                 
    27062...  ..................  A                   Remove femur lesion/bursa...       4.74      4.23        0.70       9.67       090  S                 
    27065...  ..................  A                   Removal of hip bone lesion..       4.98      5.59        0.90      11.47       090  S                 
    27066...  ..................  A                   Removal of hip bone lesion..       9.17      7.90        1.30      18.37       090  S                 
    27067...  ..................  A                   Remove/graft hip bone lesion      12.64     11.63        1.93      26.20       090  S                 
    27070...  ..................  A                   Partial removal of hip bone.       9.58      7.41        1.21      18.20       090  S                 
    27071...  ..................  A                   Partial removal of hip bone.      10.23      8.50        1.45      20.18       090  S                 
    27075...  ..................  A                   Extensive hip surgery.......      15.85     13.54        2.32      31.71       090  S                 
    27076...  ..................  A                   Extensive hip surgery.......      17.93     16.37        2.61      36.91       090  S                 
    27077...  ..................  A                   Extensive hip surgery.......      21.29     18.98        3.24      43.51       090  S                 
    27078...  ..................  A                   Extensive hip surgery.......      11.86      9.20        1.67      22.73       090  S                 
    27079...  ..................  A                   Extensive hip surgery.......      12.11      8.64        1.66      22.41       090  S                 
    27080...  ..................  A                   Removal of tail bone........       5.63      4.78        0.87      11.28       090  S                 
    27086...  ..................  A                   Remove hip foreign body.....       1.82      0.58        0.07       2.47       010  S                 
    27087...  ..................  A                   Remove hip foreign body.....       8.01      3.62        0.60      12.23       090  S                 
    27090...  ..................  A                   Removal of hip prosthesis...      12.00      9.09        1.46      22.55       090  S                 
    27091...  ..................  A                   Removal of hip prosthesis...      20.48     19.81        3.16      43.45       090  S                 
    27093...  ..................  A                   Injection for hip x-ray.....       1.30      0.82        0.11       2.23       000  S                 
    27095...  ..................  A                   Injection for hip x-ray.....       1.50      0.93        0.13       2.56       000  N                 
    27097...  ..................  A                   Revision of hip tendon......       8.08      7.71        1.26      17.05       090  S                 
    27098...  ..................  A                   Transfer tendon to pelvis...       8.08      7.71        1.26      17.05       090  S                 
    27100...  ..................  A                   Transfer of abdominal muscle      10.57      7.68        1.42      19.67       090  S                 
    27105...  ..................  A                   Transfer of spinal muscle...      11.26      5.89        1.36      18.51       090  S                 
    27110...  ..................  A                   Transfer of iliopsoas muscle      12.49     10.61        1.86      24.96       090  S                 
    
    [[Page 63210]]
                                                                                                                                                            
    27111...  ..................  A                   Transfer of iliopsoas muscle      11.44     11.63        1.65      24.72       090  S                 
    27120...  ..................  A                   Reconstruction of hip socket      16.43     18.10        2.95      37.48       090  S                 
    27122...  ..................  A                   Reconstruction of hip socket      13.56    *17.36        2.94      33.86       090  S                 
    27125...  ..................  A                   Partial hip replacement.....      13.21    *16.91        3.01      33.13       090  S                 
    27130...  ..................  A                   Total hip replacement.......      18.68    *23.91        4.58      47.17       090  S                 
    27132...  ..................  A                   Total hip replacement.......      21.44    *27.44        5.09      53.97       090  S                 
    27134...  ..................  A                   Revise hip joint replacement      24.54    *31.41        5.96      61.91       090  S                 
    27137...  ..................  A                   Revise hip joint replacement      18.67    *23.90        4.82      47.39       090  S                 
    27138...  ..................  A                   Revise hip joint replacement      18.93    *24.23        4.58      47.74       090  S                 
    27140...  ..................  A                   Transplant of femur ridge...      11.43     11.05        1.71      24.19       090  S                 
    27146...  ..................  A                   Incision of hip bone........      13.72     10.88        1.35      25.95       090  S                 
    27147...  ..................  A                   Revision of hip bone........      17.58     16.97        2.76      37.31       090  S                 
    27151...  ..................  A                   Incision of hip bones.......      18.58     17.71        2.90      39.19       090  S                 
    27156...  ..................  A                   Revision of hip bones.......      20.16     18.32        3.08      41.56       090  S                 
    27158...  ..................  A                   Revision of pelvis..........      18.10     14.42        2.64      35.16       090  S                 
    27161...  ..................  A                   Incision of neck of femur...      15.20     14.31        2.31      31.82       090  S                 
    27165...  ..................  A                   Incision/fixation of femur..      16.20     16.76        2.63      35.59       090  S                 
    27170...  ..................  A                   Repair/graft femur head/neck      14.90     16.41        2.65      33.96       090  S                 
    27175...  ..................  A                   Treat slipped epiphysis.....       7.24      1.18        0.18       8.60       090  S                 
    27176...  ..................  A                   Treat slipped epiphysis.....      10.89     10.39        1.70      22.98       090  S                 
    27177...  ..................  A                   Repair slipped epiphysis....      13.76     12.39        2.05      28.20       090  S                 
    27178...  ..................  A                   Repair slipped epiphysis....      10.76     10.46        1.55      22.77       090  S                 
    27179...  ..................  A                   Revise head/neck of femur...      11.69     11.15        1.83      24.67       090  S                 
    27181...  ..................  A                   Repair slipped epiphysis....      13.80     13.14        2.16      29.10       090  S                 
    27185...  ..................  A                   Revision of femur epiphysis.       8.30      2.77        0.87      11.94       090  S                 
    27187...  ..................  A                   Reinforce hip bones.........      12.57    *16.09        2.76      31.42       090  S                 
    27193...  ..................  A                   Treat pelvic ring fracture..       4.64      2.41        0.39       7.44       090  S                 
    27194...  ..................  A                   Treat pelvic ring fracture..       8.73      3.90        0.50      13.13       090  S                 
    27200...  ..................  A                   Treat tail bone fracture....       1.76      1.49        0.17       3.42       090  S                 
    27202...  ..................  A                   Repair tail bone fracture...       6.52      6.15        0.89      13.56       090  S                 
    27215...  ..................  A                   Pelvic fracture(s) treatment       9.39    *12.02        2.33      23.74       090  S                 
    27216...  ..................  A                   Treat pelvic ring fracture..      14.20      4.30        0.66      19.16       090  S                 
    27217...  ..................  A                   Treat pelvic ring fracture..      13.19     14.55        2.33      30.07       090  S                 
    27218...  ..................  A                   Treat pelvic ring fracture..      18.83     14.55        2.33      35.71       090  S                 
    27220...  ..................  A                   Treat hip socket fracture...       5.26      4.26        0.64      10.16       090  S                 
    27222...  ..................  A                   Treat hip socket fracture...      10.95      6.37        1.03      18.35       090  S                 
    27226...  ..................  A                   Treat hip wall fracture.....      13.93     15.78        2.52      32.23       090  S                 
    27227...  ..................  A                   Treat hip fracture(s).......      15.39    *19.70        3.20      38.29       090  S                 
    27228...  ..................  A                   Treat hip fracture(s).......      17.90     19.95        3.20      41.05       090  S                 
    27230...  ..................  A                   Treat fracture of thigh.....       4.95      3.30        0.41       8.66       090  S                 
    27232...  ..................  A                   Treat fracture of thigh.....       9.32      8.98        1.46      19.76       090  S                 
    27235...  ..................  A                   Repair of thigh fracture....      11.02    *14.10        2.60      27.72       090  S                 
    27236...  ..................  A                   Repair of thigh fracture....      14.14     16.91        2.71      33.76       090  S                 
    27238...  ..................  A                   Treatment of thigh fracture.       5.06      4.91        0.71      10.68       090  S                 
    27240...  ..................  A                   Treatment of thigh fracture.      10.86      9.70        1.53      22.09       090  S                 
    27244...  ..................  A                   Repair of thigh fracture....      14.35     16.30        2.62      33.27       090  S                 
    27245...  ..................  A                   Repair of thigh fracture....      18.72     16.30        2.62      37.64       090  S                 
    27246...  ..................  A                   Treatment of thigh fracture.       4.36      3.87        0.60       8.83       090  S                 
    27248...  ..................  A                   Repair of thigh fracture....       9.73    *12.46        2.11      24.30       090  S                 
    27250...  ..................  A                   Treat hip dislocation.......       6.31      3.19        0.45       9.95       090  S                 
    27252...  ..................  A                   Treat hip dislocation.......       9.47      4.34        0.68      14.49       090  S                 
    27253...  ..................  A                   Repair of hip dislocation...      11.98     13.14        2.11      27.23       090  S                 
    27254...  ..................  A                   Repair of hip dislocation...      17.29     13.47        2.27      33.03       090  S                 
    27256...  ..................  A                   Treatment of hip dislocation       3.72      1.88        0.31       5.91       010  S                 
    27257...  ..................  A                   Treatment of hip dislocation       4.82      4.62        0.73      10.17       010  S                 
    27258...  ..................  A                   Repair of hip dislocation...      14.40     13.73        2.25      30.38       090  S                 
    27259...  ..................  A                   Repair of hip dislocation...      18.03     17.20        2.82      38.05       090  S                 
    27265...  ..................  A                   Treatment of hip dislocation       5.58      3.46        0.54       9.58       090  S                 
    27266...  ..................  A                   Treatment of hip dislocation       7.73      4.45        0.71      12.89       090  S                 
    27275...  ..................  A                   Manipulation of hip joint...       2.00      1.88        0.30       4.18       010  S                 
    27280...  ..................  A                   Fusion of sacroiliac joint..      11.81     10.06        1.77      23.64       090  S                 
    27282...  ..................  A                   Fusion of pubic bones.......      10.57      9.01        1.69      21.27       090  S                 
    27284...  ..................  A                   Fusion of hip joint.........      15.62     14.50        2.40      32.52       090  S                 
    27286...  ..................  A                   Fusion of hip joint.........      15.65     15.20        2.26      33.11       090  S                 
    27290...  ..................  A                   Amputation of leg at hip....      21.68     25.40        4.70      51.78       090  S                 
    27295...  ..................  A                   Amputation of leg at hip....      17.32     16.54        2.95      36.81       090  S                 
    
    [[Page 63211]]
                                                                                                                                                            
    27299...  ..................  C                   Pelvis/hip joint surgery....       0.00      0.00        0.00       0.00       YYY  S                 
    27301...  ..................  A                   Drain thigh/knee lesion.....       5.96      2.46        0.40       8.82       090  S                 
    27303...  ..................  A                   Drainage of bone lesion.....       7.69      5.86        0.96      14.51       090  S                 
    27305...  ..................  A                   Incise thigh tendon & fascia       5.42      3.80        0.68       9.90       090  S                 
    27306...  ..................  A                   Incision of thigh tendon....       4.27      1.99        0.32       6.58       090  S                 
    27307...  ..................  A                   Incision of thigh tendons...       5.30      3.01        0.48       8.79       090  S                 
    27310...  ..................  A                   Exploration of knee joint...       8.26      9.60        1.51      19.37       090  S                 
    27315...  ..................  A                   Partial removal, thigh nerve       6.51      5.38        0.96      12.85       090  S                 
    27320...  ..................  A                   Partial removal, thigh nerve       5.90      5.18        0.73      11.81       090  S                 
    27323...  ..................  A                   Biopsy thigh soft tissues...       2.67      0.91        0.13       3.71       010  S                 
    27324...  ..................  A                   Biopsy thigh soft tissues...       4.53      2.63        0.45       7.61       090  S                 
    27327...  ..................  A                   Removal of thigh lesion.....       4.32      2.29        0.40       7.01       090  S                 
    27328...  ..................  A                   Removal of thigh lesion.....       5.31      4.07        0.73      10.11       090  S                 
    27329...  ..................  A                   Remove tumor, thigh/knee....      11.74     11.69        2.14      25.57       090  S                 
    27330...  ..................  A                   Biopsy knee joint lining....       4.71     *6.02        1.19      11.92       090  S                 
    27331...  ..................  A                   Explore/treat knee joint....       5.51     *7.05        1.49      14.05       090  S                 
    27332...  ..................  A                   Removal of knee cartilage...       7.85    *10.05        1.73      19.63       090  S                 
    27333...  ..................  A                   Removal of knee cartilage...       6.81     *9.01        2.52      18.34       090  S                 
    27334...  ..................  A                   Remove knee joint lining....       7.95    *10.18        1.77      19.90       090  S                 
    27335...  ..................  A                   Remove knee joint lining....       9.19    *11.76        2.05      23.00       090  S                 
    27340...  ..................  A                   Removal of kneecap bursa....       3.92      3.85        0.62       8.39       090  S                 
    27345...  ..................  A                   Removal of knee cyst........       5.63      5.63        0.95      12.21       090  S                 
    27350...  ..................  A                   Removal of kneecap..........       7.42     *9.49        1.54      18.45       090  S                 
    27355...  ..................  A                   Remove femur lesion.........       7.06      7.58        1.23      15.87       090  S                 
    27356...  ..................  A                   Remove femur lesion/graft...       8.60      8.20        1.34      18.14       090  S                 
    27357...  ..................  A                   Remove femur lesion/graft...       9.63      8.80        1.43      19.86       090  S                 
    27358...  ..................  A                   Remove femur lesion/fixation       4.74      4.55        0.72      10.01       ZZZ  S                 
    27360...  ..................  A                   Partial removal leg bone(s).       9.23      8.56        1.40      19.19       090  S                 
    27365...  ..................  A                   Extensive leg surgery.......      13.84     13.94        2.43      30.21       090  S                 
    27370...  ..................  A                   Injection for knee x-ray....       0.96      0.60        0.05       1.61       000  N                 
    27372...  ..................  A                   Removal of foreign body.....       4.81      3.42        0.54       8.77       090  S                 
    27380...  ..................  A                   Repair of kneecap tendon....       6.63      7.94        1.29      15.86       090  S                 
    27381...  ..................  A                   Repair/graft kneecap tendon.       9.66     11.27        1.82      22.75       090  S                 
    27385...  ..................  A                   Repair of thigh muscle......       7.17      8.84        1.42      17.43       090  S                 
    27386...  ..................  A                   Repair/graft of thigh muscle       9.72    *12.44        2.02      24.18       090  S                 
    27390...  ..................  A                   Incision of thigh tendon....       4.89      4.36        0.71       9.96       090  S                 
    27391...  ..................  A                   Incision of thigh tendons...       6.67      5.42        0.90      12.99       090  S                 
    27392...  ..................  A                   Incision of thigh tendons...       8.52      7.67        1.28      17.47       090  S                 
    27393...  ..................  A                   Lengthening of thigh tendon.       5.95      5.67        0.93      12.55       090  S                 
    27394...  ..................  A                   Lengthening of thigh tendons       7.97      5.73        0.94      14.64       090  S                 
    27395...  ..................  A                   Lengthening of thigh tendons      10.96     10.48        1.65      23.09       090  S                 
    27396...  ..................  A                   Transplant of thigh tendon..       7.33      7.06        1.11      15.50       090  S                 
    27397...  ..................  A                   Transplants of thigh tendons       9.33      8.88        1.45      19.66       090  S                 
    27400...  ..................  A                   Revise thigh muscles/tendons       8.47      7.89        1.24      17.60       090  S                 
    27403...  ..................  A                   Repair of knee cartilage....       7.80      8.79        1.44      18.03       090  S                 
    27405...  ..................  A                   Repair of knee ligament.....       7.97     10.17        1.67      19.81       090  S                 
    27407...  ..................  A                   Repair of knee ligament.....       9.44      8.87        1.42      19.73       090  S                 
    27409...  ..................  A                   Repair of knee ligaments....      11.80    *15.10        2.48      29.38       090  S                 
    27418...  ..................  A                   Repair degenerated kneecap..       9.82     12.23        1.85      23.90       090  S                 
    27420...  ..................  A                   Revision of unstable kneecap       9.15     10.99        1.74      21.88       090  S                 
    27422...  ..................  A                   Revision of unstable kneecap       9.10     11.45        1.83      22.38       090  S                 
    27424...  ..................  A                   Revision/removal of kneecap.       9.13    *11.68        1.89      22.70       090  S                 
    27425...  ..................  A                   Lateral retinacular release.       5.04     *6.46        1.08      12.58       090  S                 
    27427...  ..................  A                   Reconstruction, knee........       8.68    *11.12        2.25      22.05       090  S                 
    27428...  ..................  A                   Reconstruction, knee........      10.68    *13.67        2.71      27.06       090  S                 
    27429...  ..................  A                   Reconstruction, knee........      11.86     11.27        1.83      24.96       090  S                 
    27430...  ..................  A                   Revision of thigh muscles...       8.92      9.36        1.50      19.78       090  S                 
    27435...  ..................  A                   Incision of knee joint......       8.74      7.03        1.13      16.90       090  S                 
    27437...  ..................  A                   Revise kneecap..............       7.74     *9.91        1.55      19.20       090  S                 
    27438...  ..................  A                   Revise kneecap with implant.      10.29     13.13        2.14      25.56       090  S                 
    27440...  ..................  A                   Revision of knee joint......       9.49     11.83        2.10      23.42       090  S                 
    27441...  ..................  A                   Revision of knee joint......       9.81      9.14        1.51      20.46       090  S                 
    27442...  ..................  A                   Revision of knee joint......      11.14    *14.25        3.05      28.44       090  S                 
    27443...  ..................  A                   Revision of knee joint......      10.18    *13.03        3.34      26.55       090  S                 
    27445...  ..................  A                   Revision of knee joint......      16.39    *20.98        4.21      41.58       090  S                 
    27446...  ..................  A                   Revision of knee joint......      15.03    *19.25        3.87      38.15       090  S                 
    
    [[Page 63212]]
                                                                                                                                                            
    27447...  ..................  A                   Total knee replacement......      19.69    *25.20        4.95      49.84       090  S                 
    27448...  ..................  A                   Incision of thigh...........      10.25     12.87        2.09      25.21       090  S                 
    27450...  ..................  A                   Incision of thigh...........      13.08     14.84        2.36      30.28       090  S                 
    27454...  ..................  A                   Realignment of thigh bone...      12.26    *15.70        2.82      30.78       090  S                 
    27455...  ..................  A                   Realignment of knee.........      12.01     12.01        1.95      25.97       090  S                 
    27457...  ..................  A                   Realignment of knee.........      12.60     13.30        2.14      28.04       090  S                 
    27465...  ..................  A                   Shortening of thigh bone....      12.84     12.24        2.00      27.08       090  S                 
    27466...  ..................  A                   Lengthening of thigh bone...      15.08     13.43        2.27      30.78       090  S                 
    27468...  ..................  A                   Shorten/lengthen thighs.....      17.65     16.84        2.75      37.24       090  S                 
    27470...  ..................  A                   Repair of thigh.............      14.82     16.67        2.60      34.09       090  S                 
    27472...  ..................  A                   Repair/graft of thigh.......      16.40     19.87        3.16      39.43       090  S                 
    27475...  ..................  A                   Surgery to stop leg growth..       8.11      7.74        1.27      17.12       090  S                 
    27477...  ..................  A                   Surgery to stop leg growth..       9.32    *11.93        2.57      23.82       090  S                 
    27479...  ..................  A                   Surgery to stop leg growth..      12.18     11.63        1.89      25.70       090  S                 
    27485...  ..................  A                   Surgery to stop leg growth..       8.31      7.91        1.30      17.52       090  S                 
    27486...  ..................  A                   Revise knee joint replace...      16.63    *21.28        4.26      42.17       090  S                 
    27487...  ..................  A                   Revise knee joint replace...      21.69    *27.76        5.97      55.42       090  S                 
    27488...  ..................  A                   Removal of knee prosthesis..      14.48     16.16        2.58      33.22       090  S                 
    27495...  ..................  A                   Reinforce thigh.............      14.26     17.63        2.82      34.71       090  S                 
    27496...  ..................  A                   Decompression of thigh/knee.       4.75      4.53        0.74      10.02       090  S                 
    27497...  ..................  A                   Decompression of thigh/knee.       5.81      5.55        0.91      12.27       090  S                 
    27498...  ..................  A                   Decompression of thigh/knee.       6.63      6.32        1.04      13.99       090  S                 
    27499...  ..................  A                   Decompression of thigh/knee.       7.64      7.28        1.19      16.11       090  S                 
    27500...  ..................  A                   Treatment of thigh fracture.       5.29      5.41        0.82      11.52       090  S                 
    27501...  ..................  A                   Treatment of thigh fracture.       5.29      5.41        0.82      11.52       090  S                 
    27502...  ..................  A                   Treatment of thigh fracture.       9.51      7.67        1.21      18.39       090  S                 
    27503...  ..................  A                   Treatment of thigh fracture.       9.51      7.67        1.21      18.39       090  S                 
    27506...  ..................  A                   Repair of thigh fracture....      15.93     16.02        2.56      34.51       090  S                 
    27507...  ..................  A                   Treatment of thigh fracture.      12.85     16.02        2.56      31.43       090  S                 
    27508...  ..................  A                   Treatment of thigh fracture.       5.21      4.22        0.65      10.08       090  S                 
    27509...  ..................  A                   Treatment of thigh fracture.       6.77      4.22        0.65      11.64       090  S                 
    27510...  ..................  A                   Treatment of thigh fracture.       8.19      6.82        1.09      16.10       090  S                 
    27511...  ..................  A                   Treatment of thigh fracture.      12.50    *16.00        2.56      31.06       090  S                 
    27513...  ..................  A                   Treatment of thigh fracture.      16.78     16.02        2.56      35.36       090  S                 
    27514...  ..................  A                   Repair of thigh fracture....      15.98     15.76        2.53      34.27       090  S                 
    27516...  ..................  A                   Repair of thigh growth plate       4.92      4.82        0.71      10.45       090  S                 
    27517...  ..................  A                   Repair of thigh growth plate       8.20      7.82        1.28      17.30       090  S                 
    27519...  ..................  A                   Repair of thigh growth plate      13.82     12.68        2.05      28.55       090  S                 
    27520...  ..................  A                   Treat kneecap fracture......       2.68      3.04        0.45       6.17       090  S                 
    27524...  ..................  A                   Repair of kneecap fracture..       9.38     10.34        1.65      21.37       090  S                 
    27530...  ..................  A                   Treatment of knee fracture..       3.23      3.40        0.51       7.14       090  S                 
    27532...  ..................  A                   Treatment of knee fracture..       6.81      5.68        0.91      13.40       090  S                 
    27535...  ..................  A                   Treatment of knee fracture..      10.36     11.69        1.88      23.93       090  S                 
    27536...  ..................  A                   Repair of knee fracture.....      14.51     11.69        1.88      28.08       090  S                 
    27538...  ..................  A                   Treat knee fracture(s)......       4.64      3.37        0.51       8.52       090  S                 
    27540...  ..................  A                   Repair of knee fracture.....      12.38     10.95        1.74      25.07       090  S                 
    27550...  ..................  A                   Treat knee dislocation......       5.53      2.57        0.36       8.46       090  S                 
    27552...  ..................  A                   Treat knee dislocation......       7.39      3.43        0.53      11.35       090  S                 
    27556...  ..................  A                   Repair of knee dislocation..      13.47     12.48        1.95      27.90       090  S                 
    27557...  ..................  A                   Repair of knee dislocation..      15.80     14.60        2.43      32.83       090  S                 
    27558...  ..................  A                   Repair of knee dislocation..      16.75     14.60        2.43      33.78       090  S                 
    27560...  ..................  A                   Treat kneecap dislocation...       3.64      1.43        0.16       5.23       090  S                 
    27562...  ..................  A                   Treat kneecap dislocation...       5.48      5.18        0.76      11.42       090  S                 
    27566...  ..................  A                   Repair kneecap dislocation..      11.48     10.58        1.67      23.73       090  S                 
    27570...  ..................  A                   Fixation of knee joint......       1.69      1.72        0.28       3.69       010  S                 
    27580...  ..................  A                   Fusion of knee..............      12.26    *15.70        2.56      30.52       090  S                 
    27590...  ..................  A                   Amputate leg at thigh.......      10.24      9.11        1.80      21.15       090  S                 
    27591...  ..................  A                   Amputate leg at thigh.......      11.09     11.77        2.11      24.97       090  S                 
    27592...  ..................  A                   Amputate leg at thigh.......       8.75      8.11        1.61      18.47       090  S                 
    27594...  ..................  A                   Amputation follow-up surgery       6.30      3.65        0.68      10.63       090  S                 
    27596...  ..................  A                   Amputation follow-up surgery       9.63      7.37        1.42      18.42       090  S                 
    27598...  ..................  A                   Amputate lower leg at knee..       9.56     10.04        1.78      21.38       090  S                 
    27599...  ..................  C                   Leg surgery procedure.......       0.00      0.00        0.00       0.00       YYY  S                 
    27600...  ..................  A                   Decompression of lower leg..       5.02      3.39        0.64       9.05       090  S                 
    27601...  ..................  A                   Decompression of lower leg..       4.98      3.38        0.67       9.03       090  S                 
    27602...  ..................  A                   Decompression of lower leg..       6.63      4.05        0.77      11.45       090  S                 
    
    [[Page 63213]]
                                                                                                                                                            
    27603...  ..................  A                   Drain lower leg lesion......       4.41      2.38        0.41       7.20       090  S                 
    27604...  ..................  A                   Drain lower leg bursa.......       4.23      1.02        0.14       5.39       090  S                 
    27605...  ..................  A                   Incision of achilles tendon.       2.82      1.18        0.14       4.14       010  S                 
    27606...  ..................  A                   Incision of achilles tendon.       3.87      2.12        0.35       6.34       010  S                 
    27607...  ..................  A                   Treat lower leg bone lesion.       7.05      6.01        0.98      14.04       090  S                 
    27610...  ..................  A                   Explore/treat ankle joint...       7.27      7.43        1.13      15.83       090  S                 
    27612...  ..................  A                   Exploration of ankle joint..       6.23     *7.97        1.30      15.50       090  S                 
    27613...  ..................  A                   Biopsy lower leg soft tissue       2.12      0.67        0.10       2.89       010  S                 
    27614...  ..................  A                   Biopsy lower leg soft tissue       5.29      2.26        0.38       7.93       090  S                 
    27615...  ..................  A                   Remove tumor, lower leg.....      11.79      8.23        1.42      21.44       090  S                 
    27618...  ..................  A                   Remove lower leg lesion.....       4.94      2.10        0.32       7.36       090  S                 
    27619...  ..................  A                   Remove lower leg lesion.....       7.98      4.13        0.67      12.78       090  S                 
    27620...  ..................  A                   Explore, treat ankle joint..       5.69      6.03        0.96      12.68       090  S                 
    27625...  ..................  A                   Remove ankle joint lining...       7.88      8.71        1.27      17.86       090  S                 
    27626...  ..................  A                   Remove ankle joint lining...       8.49    *10.86        1.25      20.60       090  S                 
    27630...  ..................  A                   Removal of tendon lesion....       4.65      3.10        0.46       8.21       090  S                 
    27635...  ..................  A                   Remove lower leg bone lesion       7.29      8.04        1.27      16.60       090  S                 
    27637...  ..................  A                   Remove/graft leg bone lesion       9.14      8.47        1.40      19.01       090  S                 
    27638...  ..................  A                   Remove/graft leg bone lesion       9.89      9.15        1.52      20.56       090  S                 
    27640...  ..................  A                   Partial removal of tibia....      10.21      9.81        1.57      21.59       090  S                 
    27641...  ..................  A                   Partial removal of fibula...       8.36      7.13        1.18      16.67       090  S                 
    27645...  ..................  A                   Extensive lower leg surgery.      13.14     11.64        1.98      26.76       090  S                 
    27646...  ..................  A                   Extensive lower leg surgery.      11.69     10.75        1.71      24.15       090  S                 
    27647...  ..................  A                   Extensive ankle/heel surgery      11.21      9.95        1.35      22.51       090  S                 
    27648...  ..................  A                   Injection for ankle x-ray...       0.96      0.52        0.05       1.53       000  N                 
    27650...  ..................  A                   Repair achilles tendon......       9.07      8.98        1.41      19.46       090  S                 
    27652...  ..................  A                   Repair/graft achilles tendon       9.62     10.41        1.56      21.59       090  S                 
    27654...  ..................  A                   Repair of achilles tendon...       9.34     10.93        1.65      21.92       090  S                 
    27656...  ..................  A                   Repair leg fascia defect....       4.31      3.18        0.54       8.03       090  S                 
    27658...  ..................  A                   Repair of leg tendon, each..       4.61      4.02        0.60       9.23       090  S                 
    27659...  ..................  A                   Repair of leg tendon, each..       6.28      5.87        0.86      13.01       090  S                 
    27664...  ..................  A                   Repair of leg tendon, each..       4.33      3.41        0.52       8.26       090  S                 
    27665...  ..................  A                   Repair of leg tendon, each..       5.11      4.95        0.76      10.82       090  S                 
    27675...  ..................  A                   Repair lower leg tendons....       6.78      6.40        0.94      14.12       090  S                 
    27676...  ..................  A                   Repair lower leg tendons....       7.87      7.56        1.14      16.57       090  S                 
    27680...  ..................  A                   Release of lower leg tendon.       5.37      4.12        0.61      10.10       090  S                 
    27681...  ..................  A                   Release of lower leg tendons       6.36      5.97        0.86      13.19       090  S                 
    27685...  ..................  A                   Revision of lower leg tendon       6.08      3.83        0.41      10.32       090  S                 
    27686...  ..................  A                   Revise lower leg tendons....       6.93      6.56        0.90      14.39       090  S                 
    27687...  ..................  A                   Revision of calf tendon.....       5.84      5.45        0.76      12.05       090  S                 
    27690...  ..................  A                   Revise lower leg tendon.....       8.09      6.74        0.88      15.71       090  S                 
    27691...  ..................  A                   Revise lower leg tendon.....       9.25      7.89        1.23      18.37       090  S                 
    27692...  ..................  A                   Revise additional leg tendon       1.87      2.03        0.29       4.19       ZZZ  S                 
    27695...  ..................  A                   Repair of ankle ligament....       6.09     *7.79        1.32      15.20       090  S                 
    27696...  ..................  A                   Repair of ankle ligaments...       7.72      7.06        1.16      15.94       090  S                 
    27698...  ..................  A                   Repair of ankle ligament....       8.87    *11.35        1.86      22.08       090  S                 
    27700...  ..................  A                   Revision of ankle joint.....       8.67    *11.11        1.51      21.29       090  S                 
    27702...  ..................  A                   Reconstruct ankle joint.....      12.64    *16.18        3.99      32.81       090  S                 
    27703...  ..................  A                   Reconstruction, ankle joint.      14.49     13.82        2.25      30.56       090  S                 
    27704...  ..................  A                   Removal of ankle implant....       7.20      5.84        0.98      14.02       090  S                 
    27705...  ..................  A                   Incision of tibia...........       9.63     10.74        1.76      22.13       090  S                 
    27707...  ..................  A                   Incision of fibula..........       3.71     *4.75        0.79       9.25       090  S                 
    27709...  ..................  A                   Incision of tibia & fibula..       9.14    *11.70        2.14      22.98       090  S                 
    27712...  ..................  A                   Realignment of lower leg....      11.81     10.99        1.63      24.43       090  S                 
    27715...  ..................  A                   Revision of lower leg.......      12.97     12.61        1.88      27.46       090  S                 
    27720...  ..................  A                   Repair of tibia.............      10.95     13.97        2.25      27.17       090  S                 
    27722...  ..................  A                   Repair/graft of tibia.......      10.92     10.50        1.64      23.06       090  S                 
    27724...  ..................  A                   Repair/graft of tibia.......      12.11    *15.50        2.87      30.48       090  S                 
    27725...  ..................  A                   Repair of lower leg.........      11.04     10.43        1.53      23.00       090  S                 
    27727...  ..................  A                   Repair of lower leg.........      12.89      9.38        1.84      24.11       090  S                 
    27730...  ..................  A                   Repair of tibia epiphysis...       6.88      3.59        0.84      11.31       090  S                 
    27732...  ..................  A                   Repair of fibula epiphysis..       5.06      4.84        0.79      10.69       090  S                 
    27734...  ..................  A                   Repair lower leg epiphyses..       7.89      7.54        1.23      16.66       090  S                 
    27740...  ..................  A                   Repair of leg epiphyses.....       8.75      8.36        1.36      18.47       090  S                 
    27742...  ..................  A                   Repair of leg epiphyses.....       9.72      9.29        1.52      20.53       090  S                 
    27745...  ..................  A                   Reinforce tibia.............       9.39      8.97        1.39      19.75       090  S                 
    
    [[Page 63214]]
                                                                                                                                                            
    27750...  ..................  A                   Treatment of tibia fracture.       2.90      3.45        0.50       6.85       090  S                 
    27752...  ..................  A                   Treatment of tibia fracture.       5.16      5.09        0.81      11.06       090  S                 
    27756...  ..................  A                   Repair of tibia fracture....       5.84     *7.48        1.70      15.02       090  S                 
    27758...  ..................  A                   Repair of tibia fracture....      10.51    *13.46        2.22      26.19       090  S                 
    27759...  ..................  A                   Repair of tibia fracture....      12.60     13.74        2.22      28.56       090  S                 
    27760...  ..................  A                   Treatment of ankle fracture.       2.81      2.58        0.37       5.76       090  S                 
    27762...  ..................  A                   Treatment of ankle fracture.       4.80      3.36        0.50       8.66       090  S                 
    27766...  ..................  A                   Repair of ankle fracture....       7.61      7.87        1.26      16.74       090  S                 
    27780...  ..................  A                   Treatment of fibula fracture       2.47      1.97        0.26       4.70       090  S                 
    27781...  ..................  A                   Treatment of fibula fracture       4.20      3.29        0.49       7.98       090  S                 
    27784...  ..................  A                   Repair of fibula fracture...       6.45      5.59        0.87      12.91       090  S                 
    27786...  ..................  A                   Treatment of ankle fracture.       2.66      2.52        0.38       5.56       090  S                 
    27788...  ..................  A                   Treatment of ankle fracture.       4.25      3.27        0.50       8.02       090  S                 
    27792...  ..................  A                   Repair of ankle fracture....       7.04      7.38        1.17      15.59       090  S                 
    27808...  ..................  A                   Treatment of ankle fracture.       2.63      2.79        0.39       5.81       090  S                 
    27810...  ..................  A                   Treatment of ankle fracture.       4.82      5.05        0.80      10.67       090  S                 
    27814...  ..................  A                   Repair of ankle fracture....       9.87     10.00        1.60      21.47       090  S                 
    27816...  ..................  A                   Treatment of ankle fracture.       2.71     *3.47        0.55       6.73       090  S                 
    27818...  ..................  A                   Treatment of ankle fracture.       5.08     *6.51        1.06      12.65       090  S                 
    27822...  ..................  A                   Repair of ankle fracture....       8.39    *10.73        1.88      21.00       090  S                 
    27823...  ..................  A                   Repair of ankle fracture....      10.90     12.79        2.05      25.74       090  S                 
    27824...  ..................  A                   Treat lower leg fracture....       2.71     *3.47        0.55       6.73       090  S                 
    27825...  ..................  A                   Treat lower leg fracture....       5.08     *6.51        1.06      12.65       090  S                 
    27826...  ..................  A                   Treat lower leg fracture....       7.43     *9.50        1.88      18.81       090  S                 
    27827...  ..................  A                   Treat lower leg fracture....       9.90     11.71        1.88      23.49       090  S                 
    27828...  ..................  A                   Treat lower leg fracture....      12.33     12.79        2.05      27.17       090  S                 
    27829...  ..................  A                   Treat lower leg joint.......       4.87     *6.23        1.37      12.47       090  S                 
    27830...  ..................  A                   Treat lower leg dislocation.       3.50      3.25        0.46       7.21       090  S                 
    27831...  ..................  A                   Treat lower leg dislocation.       4.27      3.98        0.59       8.84       090  S                 
    27832...  ..................  A                   Repair lower leg dislocation       5.96      5.70        0.89      12.55       090  S                 
    27840...  ..................  A                   Treat ankle dislocation.....       4.27      1.87        0.21       6.35       090  S                 
    27842...  ..................  A                   Treat ankle dislocation.....       5.72      2.22        0.34       8.28       090  S                 
    27846...  ..................  A                   Repair ankle dislocation....       9.04      8.59        1.37      19.00       090  S                 
    27848...  ..................  A                   Repair ankle dislocation....      10.45      8.36        1.32      20.13       090  S                 
    27860...  ..................  A                   Fixation of ankle joint.....       2.29      1.39        0.23       3.91       010  S                 
    27870...  ..................  A                   Fusion of ankle joint.......      10.42    *13.34        2.22      25.98       090  S                 
    27871...  ..................  A                   Fusion of tibiofibular joint       8.55      7.79        1.21      17.55       090  S                 
    27880...  ..................  A                   Amputation of lower leg.....      10.69      8.36        1.60      20.65       090  S                 
    27881...  ..................  A                   Amputation of lower leg.....      10.89     10.82        1.87      23.58       090  S                 
    27882...  ..................  A                   Amputation of lower leg.....       7.80      7.36        1.42      16.58       090  S                 
    27884...  ..................  A                   Amputation follow-up surgery       7.40      3.37        0.61      11.38       090  S                 
    27886...  ..................  A                   Amputation follow-up surgery       8.35      7.17        1.34      16.86       090  S                 
    27888...  ..................  A                   Amputation of foot at ankle.       8.70      9.49        1.65      19.84       090  S                 
    27889...  ..................  A                   Amputation of foot at ankle.       8.82      8.43        1.55      18.80       090  S                 
    27892...  ..................  A                   Decompression of leg........       6.03      3.39        0.64      10.06       090  S                 
    27893...  ..................  A                   Decompression of leg........       5.99      3.38        0.67      10.04       090  S                 
    27894...  ..................  A                   Decompression of leg........       7.64      4.05        0.77      12.46       090  S                 
    27899...  ..................  C                   Leg/ankle surgery procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    28001...  ..................  A                   Drainage of bursa of foot...       2.68      0.52        0.05       3.25       010  S                 
    28002...  ..................  A                   Treatment of foot infection.       3.76      2.25        0.33       6.34       010  S                 
    28003...  ..................  A                   Treatment of foot infection.       7.49      3.50        0.59      11.58       090  S                 
    28005...  ..................  A                   Treat foot bone lesion......       7.65      4.08        0.61      12.34       090  S                 
    28008...  ..................  A                   Incision of foot fascia.....       4.19      2.68        0.29       7.16       090  S                 
    28010...  ..................  A                   Incision of toe tendon......       2.97      3.62        0.33       6.92       090  S                 
    28011...  ..................  A                   Incision of toe tendons.....       3.99      1.77        0.19       5.95       090  S                 
    28020...  ..................  A                   Exploration of a foot joint.       4.75      4.40        0.56       9.71       090  S                 
    28022...  ..................  A                   Exploration of a foot joint.       4.41      2.74        0.31       7.46       090  S                 
    28024...  ..................  A                   Exploration of a toe joint..       4.12      2.39        0.24       6.75       090  S                 
    28030...  ..................  A                   Removal of foot nerve.......       5.78      3.93        0.42      10.13       090  S                 
    28035...  ..................  A                   Decompression of tibia nerve       4.83     *6.18        0.90      11.91       090  S                 
    28043...  ..................  A                   Excision of foot lesion.....       3.41      1.73        0.20       5.34       090  S                 
    28045...  ..................  A                   Excision of foot lesion.....       4.46      3.99        0.46       8.91       090  S                 
    28046...  ..................  A                   Resection of tumor, foot....       9.41      5.35        0.79      15.55       090  S                 
    28050...  ..................  A                   Biopsy of foot joint lining.       3.99      3.84        0.53       8.36       090  S                 
    28052...  ..................  A                   Biopsy of foot joint lining.       3.70      3.82        0.43       7.95       090  S                 
    28054...  ..................  A                   Biopsy of toe joint lining..       3.21      2.24        0.28       5.73       090  S                 
    
    [[Page 63215]]
                                                                                                                                                            
    28060...  ..................  A                   Partial removal foot fascia.       5.05      4.22        0.53       9.80       090  S                 
    28062...  ..................  A                   Removal of foot fascia......       6.23      7.06        0.86      14.15       090  S                 
    28070...  ..................  A                   Removal of foot joint lining       4.73      4.48        0.48       9.69       090  S                 
    28072...  ..................  A                   Removal of foot joint lining       4.32      3.21        0.42       7.95       090  S                 
    28080...  ..................  A                   Removal of foot lesion......       3.18     *4.07        0.45       7.70       090  S                 
    28086...  ..................  A                   Excise foot tendon sheath...       4.52      3.12        0.46       8.10       090  S                 
    28088...  ..................  A                   Excise foot tendon sheath...       3.62      3.62        0.40       7.64       090  S                 
    28090...  ..................  A                   Removal of foot lesion......       4.26      3.02        0.29       7.57       090  S                 
    28092...  ..................  A                   Removal of toe lesions......       3.49      2.03        0.25       5.77       090  S                 
    28100...  ..................  A                   Removal of ankle/heel lesion       5.37      4.58        0.56      10.51       090  S                 
    28102...  ..................  A                   Remove/graft foot lesion....       7.31      6.84        0.85      15.00       090  S                 
    28103...  ..................  A                   Remove/graft foot lesion....       6.10      5.61        0.69      12.40       090  S                 
    28104...  ..................  A                   Removal of foot lesion......       4.86      4.33        0.49       9.68       090  S                 
    28106...  ..................  A                   Remove/graft foot lesion....       6.74      6.42        0.79      13.95       090  S                 
    28107...  ..................  A                   Remove/graft foot lesion....       5.16      4.86        0.48      10.50       090  S                 
    28108...  ..................  A                   Removal of toe lesions......       4.01      4.20        0.38       8.59       090  S                 
    28110...  ..................  A                   Part removal of metatarsal..       3.82      3.48        0.39       7.69       090  S                 
    28111...  ..................  A                   Part removal of metatarsal..       4.64      5.04        0.65      10.33       090  S                 
    28112...  ..................  A                   Part removal of metatarsal..       4.23      3.96        0.45       8.64       090  S                 
    28113...  ..................  A                   Part removal of metatarsal..       4.09      4.44        0.48       9.01       090  S                 
    28114...  ..................  A                   Removal of metatarsal heads.       7.16     *9.17        1.42      17.75       090  S                 
    28116...  ..................  A                   Revision of foot............       6.17      5.48        0.57      12.22       090  S                 
    28118...  ..................  A                   Removal of heel bone........       5.56      5.71        0.66      11.93       090  S                 
    28119...  ..................  A                   Removal of heel spur........       5.10      5.44        0.57      11.11       090  S                 
    28120...  ..................  A                   Part removal of ankle/heel..       4.81      5.04        0.67      10.52       090  S                 
    28122...  ..................  A                   Partial removal of foot bone       6.62      4.48        0.54      11.64       090  S                 
    28124...  ..................  A                   Partial removal of toe......       4.39      4.11        0.37       8.87       090  S                 
    28126...  ..................  A                   Partial removal of toe......       3.39      3.98        0.36       7.73       090  S                 
    28130...  ..................  A                   Removal of ankle bone.......       7.33      7.03        0.88      15.24       090  S                 
    28140...  ..................  A                   Removal of metatarsal.......       6.45      4.93        0.62      12.00       090  S                 
    28150...  ..................  A                   Removal of toe..............       3.83      3.29        0.38       7.50       090  S                 
    28153...  ..................  A                   Partial removal of toe......       3.40      3.99        0.36       7.75       090  S                 
    28160...  ..................  A                   Partial removal of toe......       3.59      4.12        0.38       8.09       090  S                 
    28171...  ..................  A                   Extensive foot surgery......       8.98      7.99        0.88      17.85       090  S                 
    28173...  ..................  A                   Extensive foot surgery......       8.18      5.74        0.74      14.66       090  S                 
    28175...  ..................  A                   Extensive foot surgery......       5.59      5.38        0.58      11.55       090  S                 
    28190...  ..................  A                   Removal of foot foreign body       1.91      0.52        0.05       2.48       010  S                 
    28192...  ..................  A                   Removal of foot foreign body       4.49      1.95        0.24       6.68       090  S                 
    28193...  ..................  A                   Removal of foot foreign body       5.44      2.38        0.30       8.12       090  S                 
    28200...  ..................  A                   Repair of foot tendon.......       4.45      5.06        0.50      10.01       090  S                 
    28202...  ..................  A                   Repair/graft of foot tendon.       6.38      5.82        0.77      12.97       090  S                 
    28208...  ..................  A                   Repair of foot tendon.......       4.11      2.81        0.28       7.20       090  S                 
    28210...  ..................  A                   Repair/graft of foot tendon.       5.95      5.60        0.60      12.15       090  S                 
    28220...  ..................  A                   Release of foot tendon......       4.27      3.87        0.43       8.57       090  S                 
    28222...  ..................  A                   Release of foot tendons.....       5.36      6.40        0.63      12.39       090  S                 
    28225...  ..................  A                   Release of foot tendon......       3.42      2.37        0.25       6.04       090  S                 
    28226...  ..................  A                   Release of foot tendons.....       4.27      3.38        0.40       8.05       090  S                 
    28230...  ..................  A                   Incision of foot tendon(s)..       4.00      2.43        0.22       6.65       090  S                 
    28232...  ..................  A                   Incision of toe tendon......       3.26      1.60        0.15       5.01       090  S                 
    28234...  ..................  A                   Incision of foot tendon.....       3.19      1.53        0.14       4.86       090  S                 
    28236...  ..................  D                   Transfer of foot tendon.....       0.00      0.00        0.00       0.00       090  S                 
    28238...  ..................  A                   Revision of foot tendon.....       7.27      7.23        0.85      15.35       090  S                 
    28240...  ..................  A                   Release of big toe..........       4.12      2.13        0.23       6.48       090  S                 
    28250...  ..................  A                   Revision of foot fascia.....       5.66      4.46        0.50      10.62       090  S                 
    28260...  ..................  A                   Release of midfoot joint....       7.50      4.43        0.48      12.41       090  S                 
    28261...  ..................  A                   Revision of foot tendon.....       8.92      5.91        0.58      15.41       090  S                 
    28262...  ..................  A                   Revision of foot and ankle..      12.19     11.91        1.44      25.54       090  S                 
    28264...  ..................  A                   Release of midfoot joint....       9.80      9.56        1.17      20.53       090  S                 
    28270...  ..................  A                   Release of foot contracture.       4.58      2.63        0.23       7.44       090  S                 
    28272...  ..................  A                   Release of toe joint, each..       3.67      2.04        0.18       5.89       090  S                 
    28280...  ..................  A                   Fusion of toes..............       4.93      2.22        0.30       7.45       090  S                 
    28285...  ..................  A                   Repair of hammertoe.........       4.41      4.37        0.39       9.17       090  S                 
    28286...  ..................  A                   Repair of hammertoe.........       4.41      3.58        0.38       8.37       090  S                 
    28288...  ..................  A                   Partial removal of foot bone       3.73      3.75        0.43       7.91       090  S                 
    28290...  ..................  A                   Correction of bunion........       5.37      5.36        0.63      11.36       090  S                 
    28292...  ..................  A                   Correction of bunion........       6.24      7.05        0.74      14.03       090  S                 
    
    [[Page 63216]]
                                                                                                                                                            
    28293...  ..................  A                   Correction of bunion........       8.25      9.55        0.98      18.78       090  S                 
    28294...  ..................  A                   Correction of bunion........       8.14      9.16        0.86      18.16       090  S                 
    28296...  ..................  A                   Correction of bunion........       8.69      8.81        0.98      18.48       090  S                 
    28297...  ..................  A                   Correction of bunion........       8.69      9.02        1.05      18.76       090  S                 
    28298...  ..................  A                   Correction of bunion........       7.52      8.89        0.79      17.20       090  S                 
    28299...  ..................  A                   Correction of bunion........       8.46     10.14        1.08      19.68       090  S                 
    28300...  ..................  A                   Incision of heel bone.......       9.12      6.52        0.79      16.43       090  S                 
    28302...  ..................  A                   Incision of ankle bone......       9.13      8.89        1.12      19.14       090  S                 
    28304...  ..................  A                   Incision of midfoot bones...       8.67      6.44        0.70      15.81       090  S                 
    28305...  ..................  A                   Incise/graft midfoot bones..       9.99      9.85        1.03      20.87       090  S                 
    28306...  ..................  A                   Incision of metatarsal......       5.71      4.57        0.47      10.75       090  S                 
    28307...  ..................  A                   Incision of metatarsal......       6.04      5.87        0.76      12.67       090  S                 
    28308...  ..................  A                   Incision of metatarsal......       5.09      5.71        0.50      11.30       090  S                 
    28309...  ..................  A                   Incision of metatarsals.....       8.83      6.87        1.00      16.70       090  S                 
    28310...  ..................  A                   Revision of big toe.........       5.06      4.17        0.42       9.65       090  S                 
    28312...  ..................  A                   Revision of toe.............       4.29      4.56        0.45       9.30       090  S                 
    28313...  ..................  A                   Repair deformity of toe.....       4.75      2.57        0.31       7.63       090  S                 
    28315...  ..................  A                   Removal of sesamoid bone....       4.60      4.24        0.41       9.25       090  S                 
    28320...  ..................  A                   Repair of foot bones........       8.76      8.69        1.03      18.48       090  S                 
    28322...  ..................  A                   Repair of metatarsals.......       8.03      4.67        0.52      13.22       090  S                 
    28340...  ..................  A                   Resect enlarged toe tissue..       6.58      6.34        0.91      13.83       090  S                 
    28341...  ..................  A                   Resect enlarged toe.........       7.86      7.66        0.96      16.48       090  S                 
    28344...  ..................  A                   Repair extra toe(s).........       3.89      3.70        0.60       8.19       090  S                 
    28345...  ..................  A                   Repair webbed toe(s)........       5.52      5.34        0.73      11.59       090  S                 
    28360...  ..................  A                   Reconstruct cleft foot......      12.49     11.91        1.95      26.35       090  S                 
    28400...  ..................  A                   Treatment of heel fracture..       2.01     *2.57        0.40       4.98       090  S                 
    28405...  ..................  A                   Treatment of heel fracture..       4.28      3.90        0.58       8.76       090  S                 
    28406...  ..................  A                   Treatment of heel fracture..       5.82      6.09        0.93      12.84       090  S                 
    28415...  ..................  A                   Repair of heel fracture.....      13.28      9.02        1.39      23.69       090  S                 
    28420...  ..................  A                   Repair/graft heel fracture..      15.80     10.89        1.63      28.32       090  S                 
    28430...  ..................  A                   Treatment of ankle fracture.       1.96      2.45        0.35       4.76       090  S                 
    28435...  ..................  A                   Treatment of ankle fracture.       3.25      3.36        0.50       7.11       090  S                 
    28436...  ..................  A                   Treatment of ankle fracture.       4.40      4.19        0.68       9.27       090  S                 
    28445...  ..................  A                   Repair of ankle fracture....       8.78      8.80        1.40      18.98       090  S                 
    28450...  ..................  A                   Treat midfoot fracture, each       1.77      1.87        0.25       3.89       090  S                 
    28455...  ..................  A                   Treat midfoot fracture, each       2.94      2.54        0.34       5.82       090  S                 
    28456...  ..................  A                   Repair midfoot fracture.....       2.39      2.27        0.38       5.04       090  S                 
    28465...  ..................  A                   Repair midfoot fracture,           6.55      5.54        0.81      12.90       090  S                 
                                                       each.                                                                                                
    28470...  ..................  A                   Treat metatarsal fracture...       1.76      1.80        0.23       3.79       090  S                 
    28475...  ..................  A                   Treat metatarsal fracture...       2.74      2.34        0.30       5.38       090  S                 
    28476...  ..................  A                   Repair metatarsal fracture..       3.15      3.37        0.45       6.97       090  S                 
    28485...  ..................  A                   Repair metatarsal fracture..       5.31      4.68        0.60      10.59       090  S                 
    28490...  ..................  A                   Treat big toe fracture......       1.01      0.90        0.10       2.01       090  S                 
    28495...  ..................  A                   Treat big toe fracture......       1.48      1.12        0.13       2.73       090  S                 
    28496...  ..................  A                   Repair big toe fracture.....       2.18      2.07        0.31       4.56       090  S                 
    28505...  ..................  A                   Repair big toe fracture.....       3.55      2.99        0.43       6.97       090  S                 
    28510...  ..................  A                   Treatment of toe fracture...       1.01      0.89        0.09       1.99       090  S                 
    28515...  ..................  A                   Treatment of toe fracture...       1.36      1.12        0.11       2.59       090  S                 
    28525...  ..................  A                   Repair of toe fracture......       3.08      2.06        0.29       5.43       090  S                 
    28530...  ..................  A                   Treat sesamoid bone fracture       1.01      1.00        0.10       2.11       090  S                 
    28531...  ..................  A                   Treat sesamoid bone fracture       2.01      1.91        0.32       4.24       090  S                 
    28540...  ..................  A                   Treat foot dislocation......       1.89      0.60        0.06       2.55       090  S                 
    28545...  ..................  A                   Treat foot dislocation......       2.19      1.31        0.14       3.64       090  S                 
    28546...  ..................  A                   Treat foot dislocation......       2.89      2.74        0.45       6.08       090  S                 
    28555...  ..................  A                   Repair foot dislocation.....       5.84      5.58        0.73      12.15       090  S                 
    28570...  ..................  A                   Treat foot dislocation......       1.56      1.59        0.17       3.32       090  S                 
    28575...  ..................  A                   Treat foot dislocation......       2.91      2.77        0.42       6.10       090  S                 
    28576...  ..................  A                   Treat foot dislocation......       3.75      2.77        0.42       6.94       090  S                 
    28585...  ..................  A                   Repair foot dislocation.....       7.46      4.96        0.55      12.97       090  S                 
    28600...  ..................  A                   Treat foot dislocation......       1.76      0.68        0.08       2.52       090  S                 
    28605...  ..................  A                   Treat foot dislocation......       2.42      2.26        0.34       5.02       090  S                 
    28606...  ..................  A                   Treat foot dislocation......       4.48      3.49        0.55       8.52       090  S                 
    28615...  ..................  A                   Repair foot dislocation.....       5.12      4.96        0.78      10.86       090  S                 
    28630...  ..................  A                   Treat toe dislocation.......       1.65      1.03        0.11       2.79       010  S                 
    28635...  ..................  A                   Treat toe dislocation.......       1.86      1.45        0.18       3.49       010  S                 
    28636...  ..................  A                   Treat toe dislocation.......       2.67      2.56        0.42       5.65       010  S                 
    
    [[Page 63217]]
                                                                                                                                                            
    28645...  ..................  A                   Repair toe dislocation......       3.96      3.24        0.38       7.58       090  S                 
    28660...  ..................  A                   Treat toe dislocation.......       1.18      0.63        0.06       1.87       010  S                 
    28665...  ..................  A                   Treat toe dislocation.......       1.87      0.98        0.11       2.96       010  S                 
    28666...  ..................  A                   Treat toe dislocation.......       2.56      2.44        0.40       5.40       010  S                 
    28675...  ..................  A                   Repair of toe dislocation...       2.68      3.00        0.41       6.09       090  S                 
    28705...  ..................  A                   Fusion of foot bones........      14.23     15.11        2.35      31.69       090  S                 
    28715...  ..................  A                   Fusion of foot bones........      12.18     12.33        1.89      26.40       090  S                 
    28725...  ..................  A                   Fusion of foot bones........      10.86      9.44        1.44      21.74       090  S                 
    28730...  ..................  A                   Fusion of foot bones........       9.91      9.00        1.33      20.24       090  S                 
    28735...  ..................  A                   Fusion of foot bones........      10.07      9.76        1.37      21.20       090  S                 
    28737...  ..................  A                   Revision of foot bones......       8.89      8.87        1.13      18.89       090  S                 
    28740...  ..................  A                   Fusion of foot bones........       6.20      5.14        0.72      12.06       090  S                 
    28750...  ..................  A                   Fusion of big toe joint.....       4.77      5.32        0.82      10.91       090  S                 
    28755...  ..................  A                   Fusion of big toe joint.....       4.48      3.69        0.45       8.62       090  S                 
    28760...  ..................  A                   Fusion of big toe joint.....       5.47      5.40        0.65      11.52       090  S                 
    28800...  ..................  A                   Amputation of midfoot.......       7.37      6.65        1.19      15.21       090  S                 
    28805...  ..................  A                   Amputation thru metatarsal..       7.55      6.32        1.21      15.08       090  S                 
    28810...  ..................  A                   Amputation toe & metatarsal.       5.53      3.91        0.75      10.19       090  S                 
    28820...  ..................  A                   Amputation of toe...........       3.56      2.58        0.46       6.60       090  S                 
    28825...  ..................  A                   Partial amputation of toe...       3.13      2.40        0.41       5.94       090  S                 
    28899...  ..................  C                   Foot/toes surgery procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    29000...  ..................  A                   Application of body cast....       2.25      1.85        0.21       4.31       000  S                 
    29010...  ..................  A                   Application of body cast....       2.06      2.33        0.34       4.73       000  S                 
    29015...  ..................  A                   Application of body cast....       2.41      2.33        0.33       5.07       000  S                 
    29020...  ..................  A                   Application of body cast....       2.11      1.82        0.23       4.16       000  S                 
    29025...  ..................  A                   Application of body cast....       2.40      0.75        0.14       3.29       000  S                 
    29035...  ..................  A                   Application of body cast....       1.77      1.95        0.32       4.04       000  S                 
    29040...  ..................  A                   Application of body cast....       2.22      2.02        0.30       4.54       000  S                 
    29044...  ..................  A                   Application of body cast....       2.12      2.09        0.34       4.55       000  S                 
    29046...  ..................  A                   Application of body cast....       2.41      2.23        0.36       5.00       000  S                 
    29049...  ..................  A                   Application of shoulder cast       0.89      0.42        0.06       1.37       000  S                 
    29055...  ..................  A                   Application of shoulder cast       1.78      1.20        0.17       3.15       000  S                 
    29058...  ..................  A                   Application of shoulder cast       1.31      0.65        0.09       2.05       000  S                 
    29065...  ..................  A                   Application of long arm cast       0.87      0.80        0.13       1.80       000  S                 
    29075...  ..................  A                   Application of forearm cast.       0.77      0.61        0.10       1.48       000  S                 
    29085...  ..................  A                   Apply hand/wrist cast.......       0.87      0.50        0.08       1.45       000  S                 
    29105...  ..................  A                   Apply long arm splint.......       0.87      0.50        0.08       1.45       000  S                 
    29125...  ..................  A                   Apply forearm splint........       0.59      0.37        0.05       1.01       000  S                 
    29126...  ..................  A                   Apply forearm splint........       0.77      0.40        0.06       1.23       000  S                 
    29130...  ..................  A                   Application of finger splint       0.50      0.17        0.02       0.69       000  S                 
    29131...  ..................  A                   Application of finger splint       0.55      0.39        0.06       1.00       000  S                 
    29200...  ..................  A                   Strapping of chest..........       0.65      0.27        0.03       0.95       000  N                 
    29220...  ..................  A                   Strapping of low back.......       0.64      0.38        0.05       1.07       000  S                 
    29240...  ..................  A                   Strapping of shoulder.......       0.71      0.27        0.03       1.01       000  S                 
    29260...  ..................  A                   Strapping of elbow or wrist.       0.55      0.23        0.03       0.81       000  S                 
    29280...  ..................  A                   Strapping of hand or finger.       0.51      0.21        0.02       0.74       000  S                 
    29305...  ..................  A                   Application of hip cast.....       2.03      1.88        0.31       4.22       000  S                 
    29325...  ..................  A                   Application of hip casts....       2.32      1.94        0.28       4.54       000  S                 
    29345...  ..................  A                   Application of long leg cast       1.40      1.02        0.16       2.58       000  S                 
    29355...  ..................  A                   Application of long leg cast       1.53      1.10        0.17       2.80       000  S                 
    29358...  ..................  A                   Apply long leg cast brace...       1.43     *1.84        0.33       3.60       000  S                 
    29365...  ..................  A                   Application of long leg cast       1.18      0.86        0.14       2.18       000  S                 
    29405...  ..................  A                   Apply short leg cast........       0.86      0.79        0.12       1.77       000  S                 
    29425...  ..................  A                   Apply short leg cast........       1.01      0.97        0.14       2.12       000  S                 
    29435...  ..................  A                   Apply short leg cast........       1.18      1.18        0.18       2.54       000  S                 
    29440...  ..................  A                   Addition of walker to cast..       0.57      0.23        0.03       0.83       000  S                 
    29445...  ..................  A                   Apply rigid leg cast........       1.78      1.70        0.28       3.76       000  S                 
    29450...  ..................  A                   Application of leg cast.....       1.02      0.39        0.04       1.45       000  S                 
    29505...  ..................  A                   Application long leg splint.       0.69      0.57        0.07       1.33       000  S                 
    29515...  ..................  A                   Application lower leg splint       0.73      0.47        0.06       1.26       000  S                 
    29520...  ..................  A                   Strapping of hip............       0.54      0.36        0.03       0.93       000  S                 
    29530...  ..................  A                   Strapping of knee...........       0.57      0.35        0.05       0.97       000  S                 
    29540...  ..................  A                   Strapping of ankle..........       0.51      0.30        0.03       0.84       000  S                 
    29550...  ..................  A                   Strapping of toes...........       0.47      0.28        0.03       0.78       000  S                 
    29580...  ..................  A                   Application of paste boot...       0.57      0.79        0.04       1.40       000  S                 
    29590...  ..................  A                   Application of foot splint..       0.76      0.28        0.03       1.07       000  S                 
    
    [[Page 63218]]
                                                                                                                                                            
    29700...  ..................  A                   Removal/revision of cast....       0.88      0.32        0.05       1.25       000  S                 
    29705...  ..................  A                   Removal/revision of cast....       1.12      0.35        0.05       1.52       000  S                 
    29710...  ..................  A                   Removal/revision of cast....       1.34      0.45        0.07       1.86       000  S                 
    29715...  ..................  A                   Removal/revision of cast....       0.94      0.86        0.12       1.92       000  S                 
    29720...  ..................  A                   Repair of body cast.........       0.68      0.23        0.04       0.95       000  S                 
    29730...  ..................  A                   Windowing of cast...........       0.75      0.26        0.04       1.05       000  S                 
    29740...  ..................  A                   Wedging of cast.............       1.12      0.38        0.06       1.56       000  S                 
    29750...  ..................  A                   Wedging of clubfoot cast....       1.26      0.50        0.07       1.83       000  S                 
    29799...  ..................  C                   Casting/strapping procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    29800...  ..................  A                   Jaw arthroscopy/surgery.....       5.28      4.01        0.46       9.75       090  S                 
    29804...  ..................  A                   Jaw arthroscopy/surgery.....       7.99    *10.23        1.46      19.68       090  S                 
    29815...  ..................  A                   Shoulder arthroscopy........       5.74      4.84        0.76      11.34       090  S                 
    29819...  ..................  A                   Shoulder arthroscopy/surgery       7.33     *9.38        1.73      18.44       090  S                 
    29820...  ..................  A                   Shoulder arthroscopy/surgery       6.81     *8.72        1.73      17.26       090  S                 
    29821...  ..................  A                   Shoulder arthroscopy/surgery       7.43     *9.50        2.13      19.06       090  S                 
    29822...  ..................  A                   Shoulder arthroscopy/surgery       7.14     *9.14        1.74      18.02       090  S                 
    29823...  ..................  A                   Shoulder arthroscopy/surgery       7.86    *10.07        2.32      20.25       090  S                 
    29825...  ..................  A                   Shoulder arthroscopy/surgery       7.33     *9.38        2.05      18.76       090  S                 
    29826...  ..................  A                   Shoulder arthroscopy/surgery       8.70    *11.14        2.31      22.15       090  S                 
    29830...  ..................  A                   Elbow arthroscopy...........       5.63      5.32        0.83      11.78       090  S                 
    29834...  ..................  A                   Elbow arthroscopy/surgery...       6.13      5.84        0.96      12.93       090  S                 
    29835...  ..................  A                   Elbow arthroscopy/surgery...       6.33      6.03        0.99      13.35       090  S                 
    29836...  ..................  A                   Elbow arthroscopy/surgery...       7.37      7.03        1.15      15.55       090  S                 
    29837...  ..................  A                   Elbow arthroscopy/surgery...       6.72      6.40        1.06      14.18       090  S                 
    29838...  ..................  A                   Elbow arthroscopy/surgery...       7.42      7.05        1.14      15.61       090  S                 
    29840...  ..................  A                   Wrist arthroscopy...........       5.39      3.29        0.54       9.22       090  S                 
    29843...  ..................  A                   Wrist arthroscopy/surgery...       5.86      5.60        0.91      12.37       090  S                 
    29844...  ..................  A                   Wrist arthroscopy/surgery...       6.22      5.59        0.95      12.76       090  S                 
    29845...  ..................  A                   Wrist arthroscopy/surgery...       7.34      7.00        1.15      15.49       090  S                 
    29846...  ..................  A                   Wrist arthroscopy/surgery...       6.60     *8.45        2.20      17.25       090  S                 
    29847...  ..................  A                   Wrist arthroscopy/surgery...       6.93      6.78        0.97      14.68       090  S                 
    29848...  ..................  A                   Wrist arthroscopy/surgery...       4.04      3.85        0.62       8.51       090  S                 
    29850...  ..................  A                   Knee arthroscopy/surgery....       7.96    *10.19        1.74      19.89       090  S                 
    29851...  ..................  A                   Knee arthroscopy/surgery....      12.38     10.95        1.74      25.07       090  S                 
    29855...  ..................  A                   Tibial arthroscopy/surgery..       9.48     11.69        1.88      23.05       090  S                 
    29856...  ..................  A                   Tibial arthroscopy/surgery..      13.28     11.69        1.88      26.85       090  S                 
    29870...  ..................  A                   Knee arthroscopy, diagnostic       4.94      4.02        0.64       9.60       090  S                 
    29871...  ..................  A                   Knee arthroscopy/drainage...       6.29      6.77        0.96      14.02       090  S                 
    29874...  ..................  A                   Knee arthroscopy/surgery....       6.79     *8.69        1.52      17.00       090  S                 
    29875...  ..................  A                   Knee arthroscopy/surgery....       6.16     *7.88        1.61      15.65       090  S                 
    29876...  ..................  A                   Knee arthroscopy/surgery....       7.51     *9.61        1.95      19.07       090  S                 
    29877...  ..................  A                   Knee arthroscopy/surgery....       7.05     *9.03        1.81      17.89       090  S                 
    29879...  ..................  A                   Knee arthroscopy/surgery....       7.63     *9.76        2.19      19.58       090  S                 
    29880...  ..................  A                   Knee arthroscopy/surgery....       8.09    *10.35        2.22      20.66       090  S                 
    29881...  ..................  A                   Knee arthroscopy/surgery....       7.46     *9.54        1.82      18.82       090  S                 
    29882...  ..................  A                   Knee arthroscopy/surgery....       8.24    *10.54        1.90      20.68       090  S                 
    29883...  ..................  A                   Knee arthroscopy/surgery....       9.00    *11.52        2.80      23.32       090  S                 
    29884...  ..................  A                   Knee arthroscopy/surgery....       6.92     *8.86        1.56      17.34       090  S                 
    29885...  ..................  A                   Knee arthroscopy/surgery....       8.63      8.23        1.35      18.21       090  S                 
    29886...  ..................  A                   Knee arthroscopy/surgery....       7.13      6.80        1.12      15.05       090  S                 
    29887...  ..................  A                   Knee arthroscopy/surgery....       8.58     10.52        1.71      20.81       090  S                 
    29888...  ..................  A                   Knee arthroscopy/surgery....      13.28    *17.00        3.18      33.46       090  S                 
    29889...  ..................  A                   Knee arthroscopy/surgery....      10.76     10.26        1.68      22.70       090  S                 
    29894...  ..................  A                   Ankle arthroscopy/surgery...       6.95     *8.90        1.47      17.32       090  S                 
    29895...  ..................  A                   Ankle arthroscopy/surgery...       6.73     *8.60        1.51      16.84       090  S                 
    29897...  ..................  A                   Ankle arthroscopy/surgery...       6.92     *8.86        1.77      17.55       090  S                 
    29898...  ..................  A                   Ankle arthroscopy/surgery...       8.03    *10.28        1.91      20.22       090  S                 
    29909...  ..................  C                   Arthroscopy of joint........       0.00      0.00        0.00       0.00       YYY  S                 
    30000...  ..................  A                   Drainage of nose lesion.....       1.38      0.58        0.05       2.01       010  S                 
    30020...  ..................  A                   Drainage of nose lesion.....       1.38      0.60        0.06       2.04       010  S                 
    30100...  ..................  A                   Intranasal biopsy...........       0.94      0.69        0.08       1.71       000  S                 
    30110...  ..................  A                   Removal of nose polyp(s)....       1.58      1.29        0.14       3.01       010  S                 
    30115...  ..................  A                   Removal of nose polyp(s)....       4.25      2.81        0.30       7.36       090  S                 
    30117...  ..................  A                   Removal of intranasal lesion       3.06      2.84        0.31       6.21       090  S                 
    30118...  ..................  A                   Removal of intranasal lesion       9.23      8.01        0.92      18.16       090  S                 
    30120...  ..................  A                   Revision of nose............       5.14     *6.59        1.00      12.73       090  S                 
    
    [[Page 63219]]
                                                                                                                                                            
    30124...  ..................  A                   Removal of nose lesion......       3.00      1.34        0.16       4.50       090  S                 
    30125...  ..................  A                   Removal of nose lesion......       6.79      5.55        0.73      13.07       090  S                 
    30130...  ..................  A                   Removal of turbinate bones..       3.17      1.67        0.17       5.01       090  S                 
    30140...  ..................  A                   Removal of turbinate bones..       3.28      3.04        0.34       6.66       090  S                 
    30150...  ..................  A                   Partial removal of nose.....       8.48      7.92        1.07      17.47       090  S                 
    30160...  ..................  A                   Removal of nose.............       8.92    *11.42        1.73      22.07       090  S                 
    30200...  ..................  A                   Injection treatment of nose.       0.78      0.37        0.04       1.19       000  S                 
    30210...  ..................  A                   Nasal sinus therapy.........       1.03      0.26        0.03       1.32       010  S                 
    30220...  ..................  A                   Insert nasal septal button..       1.49      1.51        0.16       3.16       010  S                 
    30300...  ..................  A                   Remove nasal foreign body...       0.99      0.46        0.05       1.50       010  S                 
    30310...  ..................  A                   Remove nasal foreign body...       1.91      1.62        0.18       3.71       010  S                 
    30320...  ..................  A                   Remove nasal foreign body...       4.39      4.29        0.43       9.11       090  S                 
    30400...  ..................  R                   Reconstruction of nose......       9.24      9.97        1.36      20.57       090  S                 
    30410...  ..................  R                   Reconstruction of nose......      12.39     14.54        2.01      28.94       090  S                 
    30420...  ..................  R                   Reconstruction of nose......      15.40     17.78        2.22      35.40       090  S                 
    30430...  ..................  R                   Revision of nose............       6.73      6.09        0.66      13.48       090  S                 
    30435...  ..................  R                   Revision of nose............      11.23     10.17        1.10      22.50       090  S                 
    30450...  ..................  R                   Revision of nose............      18.06     11.24        0.91      30.21       090  S                 
    30460...  ..................  A                   Revision of nose............       9.48      8.58        0.93      18.99       090  S                 
    30462...  ..................  A                   Revision of nose............      18.98     17.16        1.87      38.01       090  S                 
    30520...  ..................  A                   Repair of nasal septum......       5.55     *7.10        0.96      13.61       090  S                 
    30540...  ..................  A                   Repair nasal defect.........       7.46      6.63        0.70      14.79       090  S                 
    30545...  ..................  A                   Repair nasal defect.........      10.89     10.83        0.93      22.65       090  S                 
    30560...  ..................  A                   Release of nasal adhesions..       1.21      0.55        0.06       1.82       010  S                 
    30580...  ..................  A                   Repair upper jaw fistula....       6.49      6.24        0.57      13.30       090  S                 
    30600...  ..................  A                   Repair mouth/nose fistula...       5.87      3.77        0.36      10.00       090  S                 
    30620...  ..................  A                   Intranasal reconstruction...       5.55     *7.10        1.10      13.75       090  S                 
    30630...  ..................  A                   Repair nasal septum defect..       6.83      6.24        0.71      13.78       090  S                 
    30801...  ..................  A                   Cauterization inner nose....       1.02      0.47        0.05       1.54       010  S                 
    30802...  ..................  A                   Cauterization inner nose....       1.98      0.94        0.11       3.03       010  S                 
    30901...  ..................  A                   Control of nosebleed........       1.21      0.56        0.06       1.83       000  S                 
    30903...  ..................  A                   Control of nosebleed........       1.54      0.85        0.08       2.47       000  S                 
    30905...  ..................  A                   Control of nosebleed........       1.97      1.79        0.17       3.93       000  S                 
    30906...  ..................  A                   Repeat control of nosebleed.       2.45      1.08        0.11       3.64       000  S                 
    30915...  ..................  A                   Ligation nasal sinus artery.       6.72      4.95        0.52      12.19       090  S                 
    30920...  ..................  A                   Ligation upper jaw artery...       7.46     *9.54        1.32      18.32       090  S                 
    30930...  ..................  A                   Therapy fracture of nose....       1.21      0.71        0.08       2.00       010  S                 
    30999...  ..................  C                   Nasal surgery procedure.....       0.00      0.00        0.00       0.00       YYY  N                 
    31000...  ..................  A                   Irrigation maxillary sinus..       1.10      0.43        0.05       1.58       010  S                 
    31002...  ..................  A                   Irrigation sphenoid sinus...       1.86      0.46        0.05       2.37       010  S                 
    31020...  ..................  A                   Exploration maxillary sinus.       2.81      2.66        0.29       5.76       090  S                 
    31030...  ..................  A                   Exploration maxillary sinus.       5.60     *7.16        0.86      13.62       090  S                 
    31032...  ..................  A                   Explore sinus, remove polyps       6.22     *7.96        0.99      15.17       090  S                 
    31040...  ..................  A                   Exploration behind upper jaw       8.83      7.98        0.86      17.67       090  S                 
    31050...  ..................  A                   Exploration sphenoid sinus..       5.07      5.96        0.64      11.67       090  S                 
    31051...  ..................  A                   Sphenoid sinus surgery......       6.85      8.12        0.85      15.82       090  S                 
    31070...  ..................  A                   Exploration of frontal sinus       4.04      4.69        0.50       9.23       090  S                 
    31075...  ..................  A                   Exploration of frontal sinus       8.57     10.51        1.10      20.18       090  S                 
    31080...  ..................  A                   Removal of frontal sinus....      10.73      9.21        1.12      21.06       090  S                 
    31081...  ..................  A                   Removal of frontal sinus....      11.93     10.32        1.30      23.55       090  S                 
    31084...  ..................  A                   Removal of frontal sinus....      12.69     14.79        1.62      29.10       090  S                 
    31085...  ..................  A                   Removal of frontal sinus....      13.38     15.65        1.76      30.79       090  S                 
    31086...  ..................  A                   Removal of frontal sinus....      11.98     10.87        1.15      24.00       090  S                 
    31087...  ..................  A                   Removal of frontal sinus....      12.14     10.39        1.33      23.86       090  S                 
    31090...  ..................  A                   Exploration of sinuses......       8.65    *11.32        2.12      22.09       090  S                 
    31200...  ..................  A                   Removal of ethmoid sinus....       4.68      4.62        0.48       9.78       090  S                 
    31201...  ..................  A                   Removal of ethmoid sinus....       7.91      7.01        0.75      15.67       090  S                 
    31205...  ..................  A                   Removal of ethmoid sinus....       9.65      8.03        0.81      18.49       090  S                 
    31225...  ..................  A                   Removal of upper jaw........      15.19    *19.44        2.37      37.00       090  S                 
    31230...  ..................  A                   Removal of upper jaw........      21.06     21.74        2.48      45.28       090  S                 
    31231...  ..................  A                   Nasal endoscopy, dx.........       1.10      1.37        0.15       2.62       000  S                 
    31233...  ..................  A                   Nasal/sinus endoscopy, dx...       2.18     *2.79        0.31       5.28       000  S                 
    31235...  ..................  A                   Nasal/sinus endoscopy, dx...       2.64      2.39        0.26       5.29       000  S                 
    31237...  ..................  A                   Nasal/sinus endoscopy, surg.       2.98      3.37        0.37       6.72       000  S                 
    31238...  ..................  A                   Nasal/sinus endoscopy, surg.       3.26     *4.17        0.45       7.88       000  S                 
    31239...  ..................  A                   Nasal/sinus endoscopy, surg.       8.50    *10.88        1.18      20.56       010  S                 
    
    [[Page 63220]]
                                                                                                                                                            
    31240...  ..................  A                   Nasal/sinus endoscopy, surg.       2.61     *3.34        0.37       6.32       000  S                 
    31254...  ..................  A                   Revision of ethmoid sinus...       4.65     *5.95        0.69      11.29       000  S                 
    31255...  ..................  A                   Removal of ethmoid sinus....       6.96     *8.91        1.14      17.01       000  S                 
    31256...  ..................  A                   Exploration maxillary sinus.       3.29      3.77        0.41       7.47       000  S                 
    31267...  ..................  A                   Endoscopy, maxillary sinus..       5.46      5.23        0.81      11.50       000  S                 
    31276...  ..................  A                   Sinus surgical endoscopy....       8.85      6.72        0.73      16.30       000  S                 
    31287...  ..................  A                   Nasal/sinus endoscopy, surg.       3.92     *5.01        0.65       9.58       000  S                 
    31288...  ..................  A                   Nasal/sinus endoscopy, surg.       4.58     *5.86        0.78      11.22       000  S                 
    31290...  ..................  A                   Nasal/sinus endoscopy, surg.      12.87    *16.47        1.80      31.14       010  S                 
    31291...  ..................  A                   Nasal/sinus endoscopy, surg.      13.52    *17.31        1.88      32.71       010  S                 
    31292...  ..................  A                   Nasal/sinus endoscopy, surg.      10.45    *13.38        1.45      25.28       010  S                 
    31293...  ..................  A                   Nasal/sinus endoscopy, surg.      11.43    *14.64        1.59      27.66       010  S                 
    31294...  ..................  A                   Nasal/sinus endoscopy, surg.      13.06    *16.72        1.83      31.61       010  S                 
    31299...  ..................  C                   Sinus surgery procedure.....       0.00      0.00        0.00       0.00       YYY  S                 
    31300...  ..................  A                   Removal of larynx lesion....      13.28     11.58        1.28      26.14       090  S                 
    31320...  ..................  A                   Diagnostic incision larynx..       4.54      3.87        0.48       8.89       090  S                 
    31360...  ..................  A                   Removal of larynx...........      15.19     19.36        2.19      36.74       090  S                 
    31365...  ..................  A                   Removal of larynx...........      21.83     27.14        3.10      52.07       090  S                 
    31367...  ..................  A                   Partial removal of larynx...      18.98     17.22        1.88      38.08       090  S                 
    31368...  ..................  A                   Partial removal of larynx...      23.72     26.76        3.06      53.54       090  S                 
    31370...  ..................  A                   Partial removal of larynx...      18.50     17.18        1.88      37.56       090  S                 
    31375...  ..................  A                   Partial removal of larynx...      18.50     14.84        1.56      34.90       090  S                 
    31380...  ..................  A                   Partial removal of larynx...      18.50     17.27        1.88      37.65       090  S                 
    31382...  ..................  A                   Partial removal of larynx...      18.50     16.06        1.78      36.34       090  S                 
    31390...  ..................  A                   Removal of larynx & pharynx.      21.15    *27.08        4.05      52.28       090  S                 
    31395...  ..................  A                   Reconstruct larynx & pharynx      26.19    *33.52        4.42      64.13       090  S                 
    31400...  ..................  A                   Revision of larynx..........       9.06      7.81        0.91      17.78       090  S                 
    31420...  ..................  A                   Removal of epiglottis.......       9.06      8.08        0.84      17.98       090  S                 
    31500...  ..................  A                   Insert emergency airway.....       2.33      1.14        0.14       3.61       000  N                 
    31502...  ..................  A                   Change of windpipe airway...       0.65      0.58        0.07       1.30       000  S                 
    31505...  ..................  A                   Diagnostic laryngoscopy.....       0.61      0.43        0.05       1.09       000  S                 
    31510...  ..................  A                   Laryngoscopy with biopsy....       1.92      0.55        0.07       2.54       000  S                 
    31511...  ..................  A                   Remove foreign body, larynx.       2.16      0.96        0.10       3.22       000  S                 
    31512...  ..................  A                   Removal of larynx lesion....       2.07      1.79        0.20       4.06       000  S                 
    31513...  ..................  A                   Injection into vocal cord...       2.10     *2.68        0.38       5.16       000  S                 
    31515...  ..................  A                   Laryngoscopy for aspiration.       1.80      1.13        0.14       3.07       000  S                 
    31520...  ..................  A                   Diagnostic laryngoscopy.....       2.56      1.64        0.18       4.38       000  S                 
    31525...  ..................  A                   Diagnostic laryngoscopy.....       2.63      2.20        0.23       5.06       000  S                 
    31526...  ..................  A                   Diagnostic laryngoscopy.....       2.57     *3.29        0.38       6.24       000  S                 
    31527...  ..................  A                   Laryngoscopy for treatment..       3.27      2.99        0.30       6.56       000  S                 
    31528...  ..................  A                   Laryngoscopy and dilatation.       2.37      2.66        0.30       5.33       000  S                 
    31529...  ..................  A                   Laryngoscopy and dilatation.       2.68      2.46        0.25       5.39       000  S                 
    31530...  ..................  A                   Operative laryngoscopy......       3.39      3.63        0.39       7.41       000  S                 
    31531...  ..................  A                   Operative laryngoscopy......       3.73     *4.78        0.60       9.11       000  S                 
    31535...  ..................  A                   Operative laryngoscopy......       3.16      4.01        0.45       7.62       000  S                 
    31536...  ..................  A                   Operative laryngoscopy......       3.17     *4.06        0.59       7.82       000  S                 
    31540...  ..................  A                   Operative laryngoscopy......       4.13     *5.29        0.61      10.03       000  S                 
    31541...  ..................  A                   Operative laryngoscopy......       3.56     *4.56        0.75       8.87       000  S                 
    31560...  ..................  A                   Operative laryngoscopy......       5.46      4.99        0.51      10.96       000  S                 
    31561...  ..................  A                   Operative laryngoscopy......       4.90     *6.27        1.08      12.25       000  S                 
    31570...  ..................  A                   Laryngoscopy with injection.       3.87     *4.95        0.60       9.42       000  S                 
    31571...  ..................  A                   Laryngoscopy with injection.       3.52     *4.51        0.69       8.72       000  S                 
    31575...  ..................  A                   Diagnostic laryngoscopy.....       1.10      1.56        0.17       2.83       000  S                 
    31576...  ..................  A                   Laryngoscopy with biopsy....       1.97     *2.52        0.33       4.82       000  S                 
    31577...  ..................  A                   Remove foreign body, larynx.       2.47     *3.16        0.37       6.00       000  S                 
    31578...  ..................  A                   Removal of larynx lesion....       2.84     *3.63        0.48       6.95       000  S                 
    31579...  ..................  A                   Diagnostic laryngoscopy.....       2.26      2.33        0.26       4.85       000  S                 
    31580...  ..................  A                   Revision of larynx..........      11.01    *14.09        1.63      26.73       090  S                 
    31582...  ..................  A                   Revision of larynx..........      19.73     17.87        1.94      39.54       090  S                 
    31584...  ..................  A                   Repair of larynx fracture...      18.50     12.72        1.34      32.56       090  S                 
    31585...  ..................  A                   Repair of larynx fracture...       4.40      3.77        0.40       8.57       090  S                 
    31586...  ..................  A                   Repair of larynx fracture...       7.24      6.55        0.71      14.50       090  S                 
    31587...  ..................  A                   Revision of larynx..........       7.98      7.21        0.79      15.98       090  S                 
    31588...  ..................  A                   Revision of larynx..........      11.82     10.70        1.16      23.68       090  S                 
    31590...  ..................  A                   Reinnervate larynx..........       6.36      5.76        0.62      12.74       090  S                 
    31595...  ..................  A                   Larynx nerve surgery........       7.58      6.84        0.74      15.16       090  S                 
    
    [[Page 63221]]
                                                                                                                                                            
    31599...  ..................  C                   Larynx surgery procedure....       0.00      0.00        0.00       0.00       YYY  S                 
    31600...  ..................  A                   Incision of windpipe........       3.62      4.04        0.65       8.31       000  S                 
    31601...  ..................  A                   Incision of windpipe........       4.45      5.03        0.66      10.14       000  S                 
    31603...  ..................  A                   Incision of windpipe........       4.15      4.23        0.66       9.04       000  S                 
    31605...  ..................  A                   Incision of windpipe........       3.58      4.19        0.50       8.27       000  S                 
    31610...  ..................  A                   Incision of windpipe........       7.87      6.67        0.92      15.46       090  S                 
    31611...  ..................  A                   Surgery/speech prosthesis...       5.03     *6.45        1.04      12.52       090  S                 
    31612...  ..................  A                   Puncture/clear windpipe.....       0.91      1.17        0.12       2.20       000  S                 
    31613...  ..................  A                   Repair windpipe opening.....       4.24      2.21        0.28       6.73       090  S                 
    31614...  ..................  A                   Repair windpipe opening.....       6.11      6.74        0.73      13.58       090  S                 
    31615...  ..................  A                   Visualization of windpipe...       2.09      1.95        0.22       4.26       000  S                 
    31622...  ..................  A                   Diagnostic bronchoscopy.....       2.80      3.57        0.34       6.71       000  N                 
    31625...  ..................  A                   Bronchoscopy with biopsy....       3.37      3.83        0.35       7.55       000  N                 
    31628...  ..................  A                   Bronchoscopy with biopsy....       3.81     *4.88        0.38       9.07       000  N                 
    31629...  ..................  A                   Bronchoscopy with biopsy....       3.37     *4.31        0.34       8.02       000  N                 
    31630...  ..................  A                   Bronchoscopy with repair....       3.82      3.72        0.50       8.04       000  S                 
    31631...  ..................  A                   Bronchoscopy with dilation..       4.37      3.94        0.48       8.79       000  N                 
    31635...  ..................  A                   Remove foreign body, airway.       3.68      4.53        0.53       8.74       000  S                 
    31640...  ..................  A                   Bronchoscopy & remove lesion       4.94      5.02        0.67      10.63       000  S                 
    31641...  ..................  A                   Bronchoscopy, treat blockage       5.03     *6.45        0.85      12.33       000  N                 
    31645...  ..................  A                   Bronchoscopy, clear airways.       3.16      3.62        0.30       7.08       000  N                 
    31646...  ..................  A                   Bronchoscopy, reclear              2.72      3.06        0.27       6.05       000  N                 
                                                       airways.                                                                                             
    31656...  ..................  A                   Bronchoscopy, inject for x-        2.17     *2.77        0.31       5.25       000  N                 
                                                       ray.                                                                                                 
    31700...  ..................  A                   Insertion of airway catheter       1.34      1.38        0.17       2.89       000  N                 
    31708...  ..................  A                   Instill airway contrast dye.       1.41      0.77        0.09       2.27       000  N                 
    31710...  ..................  A                   Insertion of airway catheter       1.30      0.90        0.12       2.32       000  N                 
    31715...  ..................  A                   Injection for bronchus x-ray       1.11      0.48        0.04       1.63       000  N                 
    31717...  ..................  A                   Bronchial brush biopsy......       2.12      0.73        0.06       2.91       000  N                 
    31720...  ..................  A                   Clearance of airways........       1.06      0.74        0.09       1.89       000  N                 
    31725...  ..................  A                   Clearance of airways........       1.96      1.41        0.15       3.52       000  N                 
    31730...  ..................  A                   Intro windpipe wire/tube....       2.85      2.47        0.23       5.55       000  N                 
    31750...  ..................  A                   Repair of windpipe..........       9.05      8.88        1.09      19.02       090  S                 
    31755...  ..................  A                   Repair of windpipe..........      14.69     13.30        1.44      29.43       090  S                 
    31760...  ..................  A                   Repair of windpipe..........      20.89     10.92        2.55      34.36       090  S                 
    31766...  ..................  A                   Reconstruction of windpipe..      28.82     18.40        1.12      48.34       090  S                 
    31770...  ..................  A                   Repair/graft of bronchus....      21.15     15.07        2.08      38.30       090  S                 
    31775...  ..................  A                   Reconstruct bronchus........      22.15     16.37        1.92      40.44       090  S                 
    31780...  ..................  A                   Reconstruct windpipe........      16.14     17.33        2.08      35.55       090  S                 
    31781...  ..................  A                   Reconstruct windpipe........      22.22     16.86        1.96      41.04       090  S                 
    31785...  ..................  A                   Remove windpipe lesion......      16.14      8.92        1.17      26.23       090  S                 
    31786...  ..................  A                   Remove windpipe lesion......      22.54     13.30        2.24      38.08       090  S                 
    31800...  ..................  A                   Repair of windpipe injury...       6.77      4.90        0.76      12.43       090  S                 
    31805...  ..................  A                   Repair of windpipe injury...      12.59      9.82        1.41      23.82       090  S                 
    31820...  ..................  A                   Closure of windpipe lesion..       4.10      3.58        0.46       8.14       090  S                 
    31825...  ..................  A                   Repair of windpipe defect...       6.31      5.00        0.58      11.89       090  S                 
    31830...  ..................  A                   Revise windpipe scar........       4.26      3.66        0.42       8.34       090  S                 
    31899...  ..................  C                   Airways surgical procedure..       0.00      0.00        0.00       0.00       YYY  S                 
    32000...  ..................  A                   Drainage of chest...........       1.54      0.90        0.08       2.52       000  N                 
    32002...  ..................  A                   Treatment of collapsed lung.       2.19      1.34        0.22       3.75       000  N                 
    32005...  ..................  A                   Treat lung lining chemically       2.19      1.09        0.15       3.43       000  S                 
    32020...  ..................  A                   Insertion of chest tube.....       3.98      2.63        0.43       7.04       000  S                 
    32035...  ..................  A                   Exploration of chest........       6.55      6.76        1.25      14.56       090  S                 
    32036...  ..................  A                   Exploration of chest........       7.56      7.13        1.32      16.01       090  S                 
    32095...  ..................  A                   Biopsy through chest wall...       7.13      8.25        1.45      16.83       090  S                 
    32100...  ..................  A                   Exploration/biopsy of chest.      10.07     11.24        2.10      23.41       090  S                 
    32110...  ..................  A                   Explore/repair chest........      11.76     11.51        2.01      25.28       090  S                 
    32120...  ..................  A                   Re-exploration of chest.....       9.62      9.45        1.72      20.79       090  S                 
    32124...  ..................  A                   Explore chest, free               10.93     10.94        2.21      24.08       090  S                 
                                                       adhesions.                                                                                           
    32140...  ..................  A                   Removal of lung lesion(s)...      12.14     12.37        2.42      26.93       090  S                 
    32141...  ..................  A                   Remove/treat lung lesions...      12.14     13.42        2.53      28.09       090  S                 
    32150...  ..................  A                   Removal of lung lesion(s)...      12.42     10.34        2.01      24.77       090  S                 
    32151...  ..................  A                   Remove lung foreign body....      12.42      9.15        1.37      22.94       090  S                 
    32160...  ..................  A                   Open chest heart massage....       7.13     *9.13        1.52      17.78       090  S                 
    32200...  ..................  A                   Drainage of lung lesion.....      13.10      6.89        0.93      20.92       090  S                 
    32215...  ..................  A                   Treat chest lining..........      10.07      7.62        1.28      18.97       090  S                 
    32220...  ..................  A                   Release of lung.............      17.62     15.81        3.01      36.44       090  S                 
    
    [[Page 63222]]
                                                                                                                                                            
    32225...  ..................  A                   Partial release of lung.....      12.10     11.84        2.28      26.22       090  S                 
    32310...  ..................  A                   Removal of chest lining.....      12.05     11.64        2.10      25.79       090  S                 
    32320...  ..................  A                   Free/remove chest lining....      19.15     18.10        3.40      40.65       090  S                 
    32400...  ..................  A                   Needle biopsy chest lining..       1.76      1.48        0.12       3.36       000  N                 
    32402...  ..................  A                   Open biopsy chest lining....       6.55      7.58        1.34      15.47       090  S                 
    32405...  ..................  A                   Biopsy, lung or mediastinum.       1.93      2.12        0.18       4.23       000  N                 
    32420...  ..................  A                   Puncture/clear lung.........       2.18      1.50        0.13       3.81       000  N                 
    32440...  ..................  A                   Removal of lung.............      19.15     18.56        3.55      41.26       090  S                 
    32442...  ..................  A                   Sleeve pneumonectomy........      24.68     17.94        3.50      46.12       090  S                 
    32445...  ..................  A                   Removal of lung.............      23.37     20.46        3.88      47.71       090  S                 
    32480...  ..................  A                   Partial removal of lung.....      16.84     17.15        3.23      37.22       090  S                 
    32482...  ..................  A                   Bilobectomy.................      18.54     17.15        3.23      38.92       090  S                 
    32484...  ..................  A                   Segmentectomy...............      19.52     17.15        3.23      39.90       090  S                 
    32485...  ..................  D                   Partial removal of lung.....       0.00      0.00        0.00       0.00       090  S                 
    32486...  ..................  A                   Sleeve lobectomy............      22.75     16.54        3.23      42.52       090  S                 
    32488...  ..................  A                   Completion pneumonectomy....      24.41     17.74        3.46      45.61       090  S                 
    32500...  ..................  A                   Partial removal of lung.....      13.10     13.47        2.56      29.13       090  S                 
    32501...  ..................  A                   Repair bronchus (add-on)....       4.69      4.31        0.70       9.70       ZZZ  S                 
    32520...  ..................  A                   Remove lung & revise chest..      19.42     20.67        3.93      44.02       090  S                 
    32522...  ..................  A                   Remove lung & revise chest..      21.94     21.90        4.19      48.03       090  S                 
    32525...  ..................  A                   Remove lung & revise chest..      24.33     23.50        4.61      52.44       090  S                 
    32540...  ..................  A                   Removal of lung lesion......      13.31     11.67        2.05      27.03       090  S                 
    32601...  ..................  A                   Thoracoscopy, diagnostic....       5.46      3.47        0.57       9.50       000  S                 
    32602...  ..................  A                   Thoracoscopy, diagnostic....       5.96      3.87        0.64      10.47       000  S                 
    32603...  ..................  A                   Thoracoscopy, diagnostic....       7.81      3.47        0.57      11.85       000  S                 
    32604...  ..................  A                   Thoracoscopy, diagnostic....       8.78      3.87        0.64      13.29       000  S                 
    32605...  ..................  A                   Thoracoscopy, diagnostic....       6.93      3.47        0.57      10.97       000  S                 
    32606...  ..................  A                   Thoracoscopy, diagnostic....       8.40      3.87        0.64      12.91       000  S                 
    32650...  ..................  A                   Thoracoscopy, surgical......      10.07      7.62        1.28      18.97       090  S                 
    32651...  ..................  A                   Thoracoscopy, surgical......      12.10     11.84        2.28      26.22       090  S                 
    32652...  ..................  A                   Thoracoscopy, surgical......      17.62     15.81        3.01      36.44       090  S                 
    32653...  ..................  A                   Thoracoscopy, surgical......      12.42     10.34        2.01      24.77       090  S                 
    32654...  ..................  A                   Thoracoscopy, surgical......      11.76     11.51        2.01      25.28       090  S                 
    32655...  ..................  A                   Thoracoscopy, surgical......      12.42     13.42        2.53      28.37       090  S                 
    32656...  ..................  A                   Thoracoscopy, surgical......      12.10     13.36        2.36      27.82       090  S                 
    32657...  ..................  A                   Thoracoscopy, surgical......      13.10     13.47        2.56      29.13       090  S                 
    32658...  ..................  A                   Thoracoscopy, surgical......      11.08     13.26        2.52      26.86       090  S                 
    32659...  ..................  A                   Thoracoscopy, surgical......      10.91    *13.96        2.61      27.48       090  S                 
    32660...  ..................  A                   Thoracoscopy, surgical......      16.62     19.93        3.56      40.11       090  S                 
    32661...  ..................  A                   Thoracoscopy, surgical......      12.70      9.25        1.47      23.42       090  S                 
    32662...  ..................  A                   Thoracoscopy, surgical......      15.76     14.55        2.74      33.05       090  S                 
    32663...  ..................  A                   Thoracoscopy, surgical......      17.43     17.15        3.23      37.81       090  S                 
    32664...  ..................  A                   Thoracoscopy, surgical......      13.65     10.55        2.04      26.24       090  S                 
    32665...  ..................  A                   Thoracoscopy, surgical......      14.73     14.33        2.64      31.70       090  S                 
    32800...  ..................  A                   Repair lung hernia..........      12.10      8.28        1.58      21.96       090  S                 
    32810...  ..................  A                   Close chest after drainage..      11.59      6.50        1.19      19.28       090  S                 
    32815...  ..................  A                   Close bronchial fistula.....      21.36     15.22        2.62      39.20       090  S                 
    32820...  ..................  A                   Reconstruct injured chest...      19.78     19.01        3.24      42.03       090  S                 
    32850...  ..................  X                   Donor pneumonectomy.........       0.00      0.00        0.00       0.00       XXX  0                 
    32851...  ..................  A                   Lung transplant, single.....      35.14     25.55        4.99      65.68       090  S                 
    32852...  ..................  A                   Lung transplant w/bypass....      38.11     27.71        5.41      71.23       090  S                 
    32853...  ..................  A                   Lung transplant, double.....      43.93     31.94        6.24      82.11       090  S                 
    32854...  ..................  A                   Lung transplant w/bypass....      46.90     34.10        6.67      87.67       090  S                 
    32900...  ..................  A                   Removal of rib(s)...........      18.14      8.47        1.63      28.24       090  S                 
    32905...  ..................  A                   Revise & repair chest wall..      19.15     12.74        2.60      34.49       090  S                 
    32906...  ..................  A                   Revise & repair chest wall..      25.17     15.42        2.92      43.51       090  S                 
    32940...  ..................  A                   Revision of lung............      18.14     11.37        1.75      31.26       090  S                 
    32960...  ..................  A                   Therapeutic pneumothorax....       1.84      0.93        0.13       2.90       000  N                 
    32999...  ..................  C                   Chest surgery procedure.....       0.00      0.00        0.00       0.00       YYY  S                 
    33010...  ..................  A                   Drainage of heart sac.......       2.24      1.54        0.14       3.92       000  N                 
    33011...  ..................  A                   Repeat drainage of heart sac       2.24      1.11        0.12       3.47       000  N                 
    33015...  ..................  A                   Incision of heart sac.......       5.64      4.26        0.62      10.52       090  S                 
    33020...  ..................  A                   Incision of heart sac.......      11.08     13.26        2.52      26.86       090  S                 
    33025...  ..................  A                   Incision of heart sac.......      10.91    *13.96        2.61      27.48       090  S                 
    33030...  ..................  A                   Partial removal of heart sac      16.62     21.02        3.92      41.56       090  S                 
    33031...  ..................  A                   Partial removal of heart sac      19.64     13.25        2.50      35.39       090  S                 
    
    [[Page 63223]]
                                                                                                                                                            
    33050...  ..................  A                   Removal of heart sac lesion.      12.70      9.25        1.47      23.42       090  S                 
    33120...  ..................  A                   Removal of heart lesion.....      22.57    *28.89        5.17      56.63       090  S                 
    33130...  ..................  A                   Removal of heart lesion.....      19.53     13.50        2.22      35.25       090  S                 
    33200...  ..................  A                   Insertion of heart pacemaker      11.08     12.27        1.90      25.25       090  S                 
    33201...  ..................  A                   Insertion of heart pacemaker       8.93     11.19        1.67      21.79       090  S                 
    33206...  ..................  A                   Insertion of heart pacemaker       6.04     *7.73        1.34      15.11       090  S                 
    33207...  ..................  A                   Insertion of heart pacemaker       7.28      9.01        1.33      17.62       090  S                 
    33208...  ..................  A                   Insertion of heart pacemaker       7.28     *9.50        1.54      18.32       090  N                 
    33210...  ..................  A                   Insertion of heart electrode       3.30      3.30        0.27       6.87       000  N                 
    33211...  ..................  A                   Insertion of heart electrode       3.40      3.30        0.27       6.97       000  N                 
    33212...  ..................  A                   Insertion of pulse generator       5.21      5.38        0.88      11.47       090  S                 
    33213...  ..................  A                   Insertion of pulse generator       6.15      5.38        0.88      12.41       090  N                 
    33214...  ..................  A                   Upgrade of pacemaker system.       7.43      5.40        1.06      13.89       090  N                 
    33216...  ..................  A                   Revision implanted electrode       5.07      5.02        0.55      10.64       090  N                 
    33217...  ..................  A                   Insert/revise electrode.....       5.43      5.02        0.55      11.00       090  N                 
    33218...  ..................  A                   Repair pacemaker electrodes.       5.02      4.59        0.62      10.23       090  S                 
    33220...  ..................  A                   Repair pacemaker electrode..       5.10      4.59        0.62      10.31       090  N                 
    33222...  ..................  A                   Pacemaker aicd pocket.......       4.59      5.70        1.01      11.30       090  S                 
    33223...  ..................  A                   Pacemaker aicd pocket.......       6.14      5.70        1.01      12.85       090  S                 
    33233...  ..................  A                   Removal of pacemaker system.       2.97      2.64        0.05       5.66       090  N                 
    33234...  ..................  A                   Removal of pacemaker system.       8.69      4.74        0.38      13.81       090  S                 
    33235...  ..................  A                   Removal pacemaker electrode.       9.93      5.21        0.55      15.69       090  N                 
    33236...  ..................  A                   Remove electrode/thoracotomy      11.71      3.98        0.62      16.31       090  S                 
    33237...  ..................  A                   Remove electrode/thoracotomy      12.69      9.60        1.13      23.42       090  S                 
    33238...  ..................  A                   Remove electrode/thoracotomy      14.15     10.29        2.01      26.45       090  S                 
    33240...  ..................  A                   Insert/replace pulse gener..       7.20      5.38        0.88      13.46       090  S                 
    33241...  ..................  A                   Remove pulse generator only.       2.97      2.16        0.43       5.56       090  S                 
    33242...  ..................  A                   Repair pulse generator/leads       5.85     *7.50        1.54      14.89       090  S                 
    33243...  ..................  A                   Remove generator/thoracotomy      21.47      9.02        1.54      32.03       090  S                 
    33244...  ..................  A                   Remove generator............       8.34      9.02        1.54      18.90       090  S                 
    33245...  ..................  A                   Implant heart defibrillator.      12.57    *16.09        2.36      31.02       090  S                 
    33246...  ..................  A                   Implant heart defibrillator.      19.28     20.79        3.19      43.26       090  S                 
    33247...  ..................  A                   Insert/replace leads........       9.76    *12.49        2.36      24.61       090  N                 
    33249...  ..................  A                   Insert/replace leads/gener..      12.83    *16.42        3.19      32.44       090  S                 
    33250...  ..................  A                   Ablate heart dysrhythm focus      19.54     11.56        0.86      31.96       090  S                 
    33251...  ..................  A                   Ablate heart dysrhythm focus      22.57     16.41        3.21      42.19       090  S                 
    33253...  ..................  A                   Reconstruct atria...........      30.00     21.81        4.26      56.07       090  S                 
    33260...  ..................  D                   Ablate heart dysrhythm focus       0.00      0.00        0.00       0.00       090  S                 
    33261...  ..................  A                   Ablate heart dysrhythm focus      22.57     13.96        2.73      39.26       090  S                 
    33300...  ..................  A                   Repair of heart wound.......      16.19     14.36        2.60      33.15       090  S                 
    33305...  ..................  A                   Repair of heart wound.......      19.22     17.40        3.07      39.69       090  S                 
    33310...  ..................  A                   Exploratory heart surgery...      17.12     11.28        1.93      30.33       090  S                 
    33315...  ..................  A                   Exploratory heart surgery...      20.15     14.48        2.57      37.20       090  S                 
    33320...  ..................  A                   Repair major blood vessel(s)      15.39     14.14        2.51      32.04       090  S                 
    33321...  ..................  A                   Repair major vessel.........      18.74     21.75        3.61      44.10       090  S                 
    33322...  ..................  A                   Repair major blood vessel(s)      18.40     21.75        3.61      43.76       090  S                 
    33330...  ..................  A                   Insert major vessel graft...      19.15     12.67        1.93      33.75       090  S                 
    33332...  ..................  A                   Insert major vessel graft...      22.50     15.07        2.39      39.96       090  S                 
    33335...  ..................  A                   Insert major vessel graft...      27.66     15.07        2.39      45.12       090  S                 
    33350...  ..................  D                   Repair major blood vessel(s)       0.00      0.00        0.00       0.00       090  S                 
    33400...  ..................  A                   Repair of aortic valve......      23.16     26.21        2.83      52.20       090  S                 
    33401...  ..................  A                   Valvuloplasty, open.........      22.45     26.21        2.83      51.49       090  S                 
    33403...  ..................  A                   Valvuloplasty, w/cp bypass..      23.43     26.21        2.83      52.47       090  S                 
    33404...  ..................  A                   Prepare heart-aorta conduit.      26.62     31.25        5.59      63.46       090  S                 
    33405...  ..................  A                   Replacement of aortic valve.      28.47     30.48        5.33      64.28       090  S                 
    33406...  ..................  A                   Replacement, aortic valve...      31.23     38.65        7.45      77.33       090  S                 
    33411...  ..................  A                   Replacement of aortic valve.      30.37     38.65        7.45      76.47       090  S                 
    33412...  ..................  A                   Replacement of aortic valve.      32.26     38.65        7.45      78.36       090  S                 
    33413...  ..................  A                   Replacement, aortic valve...      34.17     41.09        7.23      82.49       090  S                 
    33414...  ..................  A                   Repair, aortic valve........      29.28     38.65        7.45      75.38       090  S                 
    33415...  ..................  A                   Revision, subvalvular tissue      25.02     30.48        5.33      60.83       090  S                 
    33416...  ..................  A                   Revise ventricle muscle.....      28.20     28.14        4.99      61.33       090  S                 
    33417...  ..................  A                   Repair of aortic valve......      27.34     34.71        6.18      68.23       090  S                 
    33420...  ..................  A                   Revision of mitral valve....      20.69     19.82        2.45      42.96       090  S                 
    33422...  ..................  A                   Revision of mitral valve....      23.72    *30.35        6.45      60.52       090  S                 
    33425...  ..................  A                   Repair of mitral valve......      25.57     31.27        5.42      62.26       090  S                 
    
    [[Page 63224]]
                                                                                                                                                            
    33426...  ..................  A                   Repair of mitral valve......      26.07     31.96        5.80      63.83       090  S                 
    33427...  ..................  A                   Repair of mitral valve......      32.07     34.71        6.30      73.08       090  S                 
    33430...  ..................  A                   Replacement of mitral valve.      29.42     34.85        6.11      70.38       090  S                 
    33460...  ..................  A                   Revision of tricuspid valve.      21.60     26.07        4.73      52.40       090  S                 
    33463...  ..................  A                   Valvuloplasty, tricuspid....      24.16     32.67        5.95      62.78       090  S                 
    33464...  ..................  A                   Valvuloplasty, tricuspid....      25.87     32.67        5.95      64.49       090  S                 
    33465...  ..................  A                   Replace tricuspid valve.....      26.57     32.67        5.95      65.19       090  S                 
    33468...  ..................  A                   Revision of tricuspid valve.      28.20     34.71        6.30      69.21       090  S                 
    33470...  ..................  A                   Revision of pulmonary valve.      19.52     19.82        2.45      41.79       090  S                 
    33471...  ..................  A                   Valvotomy, pulmonary valve..      21.13     26.21        2.83      50.17       090  S                 
    33472...  ..................  A                   Revision of pulmonary valve.      20.91    *28.70        2.83      52.44       090  S                 
    33474...  ..................  A                   Revision of pulmonary valve.      20.91    *28.70        2.83      52.44       090  S                 
    33475...  ..................  A                   Replacement, pulmonary valve      27.34     34.85        6.11      68.30       090  S                 
    33476...  ..................  A                   Revision of heart chamber...      24.41     28.14        4.99      57.54       090  S                 
    33478...  ..................  A                   Revision of heart chamber...      25.38     31.27        5.42      62.07       090  S                 
    33500...  ..................  A                   Repair heart vessel fistula.      23.91     29.55        5.20      58.66       090  S                 
    33501...  ..................  A                   Repair heart vessel fistula.      16.14     14.14        2.51      32.79       090  S                 
    33502...  ..................  A                   Coronary artery correction..      19.80     14.14        2.51      36.45       090  S                 
    33503...  ..................  A                   Coronary artery graft.......      20.15     29.55        5.20      54.90       090  S                 
    33504...  ..................  A                   Coronary artery graft.......      23.16     29.55        5.20      57.91       090  S                 
    33505...  ..................  A                   Repair artery w/tunnel......      25.38     34.24        6.03      65.65       090  S                 
    33506...  ..................  A                   Repair artery, translocation      25.38     34.24        6.03      65.65       090  S                 
    33510...  ..................  A                   CABG, vein, single..........      23.29     29.55        5.20      58.04       090  S                 
    33511...  ..................  A                   CABG, vein, two.............      25.57     32.44        5.71      63.72       090  S                 
    33512...  ..................  A                   CABG, vein, three...........      27.84     35.33        6.22      69.39       090  S                 
    33513...  ..................  A                   CABG, vein, four............      30.12     38.21        6.73      75.06       090  S                 
    33514...  ..................  A                   CABG, vein, five............      32.39     41.09        7.23      80.71       090  S                 
    33516...  ..................  A                   CABG, vein, six+............      34.66     43.97        7.74      86.37       090  S                 
    33517...  ..................  A                   CABG, artery-vein, single...       2.27      2.89        0.50       5.66       090  S                 
    33518...  ..................  A                   CABG, artery-vein, two......       4.55      5.77        1.02      11.34       090  S                 
    33519...  ..................  A                   CABG, artery-vein, three....       6.82      8.65        1.52      16.99       090  S                 
    33521...  ..................  A                   CABG, artery-vein, four.....       9.10     11.54        2.03      22.67       090  S                 
    33522...  ..................  A                   CABG, artery-vein, five.....      11.37     14.43        2.54      28.34       090  S                 
    33523...  ..................  A                   CABG, artery-vein, six+.....      13.65     17.32        3.05      34.02       090  S                 
    33530...  ..................  A                   Coronary artery, bypass/reop       5.86     *7.51        2.18      15.55       ZZZ  S                 
    33533...  ..................  A                   CABG, arterial, single......      24.00     30.45        5.36      59.81       090  S                 
    33534...  ..................  A                   CABG, arterial, two.........      26.99     34.24        6.03      67.26       090  S                 
    33535...  ..................  A                   CABG, arterial, three.......      29.98     38.03        6.70      74.71       090  S                 
    33536...  ..................  A                   CABG, arterial, four+.......      32.96     41.82        7.37      82.15       090  S                 
    33542...  ..................  A                   Removal of heart lesion.....      26.57     30.73        5.53      62.83       090  S                 
    33545...  ..................  A                   Repair of heart damage......      33.96     34.92        6.28      75.16       090  S                 
    33572...  ..................  A                   Open coronary endarterectomy       4.45      3.23        0.63       8.31       ZZZ  S                 
    33600...  ..................  A                   Closure of valve............      28.31     34.85        6.11      69.27       090  S                 
    33602...  ..................  A                   Closure of valve............      27.34     30.48        5.33      63.15       090  S                 
    33606...  ..................  A                   Anastomosis/artery-aorta....      29.28     38.65        7.45      75.38       090  S                 
    33608...  ..................  A                   Repair anomaly w/conduit....      30.02     38.65        7.45      76.12       090  S                 
    33610...  ..................  A                   Repair by enlargement.......      29.28     38.65        7.45      75.38       090  S                 
    33611...  ..................  A                   Repair double ventricle.....      31.23     38.65        7.45      77.33       090  S                 
    33612...  ..................  A                   Repair double ventricle.....      32.06     38.65        7.45      78.16       090  S                 
    33615...  ..................  A                   Repair (simple fontan)......      30.50     38.65        7.45      76.60       090  S                 
    33617...  ..................  A                   Repair by modified fontan...      32.21     38.65        7.45      78.31       090  S                 
    33619...  ..................  A                   Repair single ventricle.....      35.39     44.30        8.04      87.73       090  S                 
    33641...  ..................  A                   Repair heart septum defect..      19.93    *25.51        4.87      50.31       090  S                 
    33645...  ..................  A                   Revision of heart veins.....      22.78     27.61        4.87      55.26       090  S                 
    33647...  ..................  A                   Repair heart septum defects.      27.44     34.92        6.28      68.64       090  S                 
    33660...  ..................  A                   Repair of heart defects.....      24.41     31.27        5.42      61.10       090  S                 
    33665...  ..................  A                   Repair of heart defects.....      27.34     31.27        5.42      64.03       090  S                 
    33670...  ..................  A                   Repair of heart chambers....      31.23     38.65        7.45      77.33       090  S                 
    33681...  ..................  A                   Repair heart septum defect..      26.36     34.92        6.28      67.56       090  S                 
    33684...  ..................  A                   Repair heart septum defect..      28.31     34.92        6.28      69.51       090  S                 
    33688...  ..................  A                   Repair heart septum defect..      29.28     34.92        6.28      70.48       090  S                 
    33690...  ..................  A                   Reinforce pulmonary artery..      18.31     22.10        4.29      44.70       090  S                 
    33692...  ..................  A                   Repair of heart defects.....      29.28     38.65        7.45      75.38       090  S                 
    33694...  ..................  A                   Repair of heart defects.....      30.26     38.65        7.45      76.36       090  S                 
    33696...  ..................  D                   Repair of heart defects.....       0.00      0.00        0.00       0.00       090  S                 
    33697...  ..................  A                   Repair of heart defects.....      32.21     38.65        7.45      78.31       090  S                 
    
    [[Page 63225]]
                                                                                                                                                            
    33698...  ..................  D                   Repair of heart defects.....       0.00      0.00        0.00       0.00       090  S                 
    33702...  ..................  A                   Repair of heart defects.....      25.38     30.48        5.33      61.19       090  S                 
    33710...  ..................  A                   Repair of heart defects.....      28.35     34.92        6.28      69.55       090  S                 
    33720...  ..................  A                   Repair of heart defect......      25.38     30.48        5.33      61.19       090  S                 
    33722...  ..................  A                   Repair of heart defect......      27.34     30.48        5.33      63.15       090  S                 
    33730...  ..................  A                   Repair heart-vein defect(s).      29.89     38.65        7.45      75.99       090  S                 
    33732...  ..................  A                   Repair heart-vein defect....      27.09     31.27        5.42      63.78       090  S                 
    33735...  ..................  A                   Revision of heart chamber...      19.97     25.69        4.87      50.53       090  S                 
    33736...  ..................  A                   Revision of heart chamber...      22.45     25.69        4.87      53.01       090  S                 
    33737...  ..................  A                   Revision of heart chamber...      20.50     25.69        4.87      51.06       090  S                 
    33750...  ..................  A                   Major vessel shunt..........      20.15     22.10        4.29      46.54       090  S                 
    33755...  ..................  A                   Major vessel shunt..........      20.50     22.10        4.29      46.89       090  S                 
    33762...  ..................  A                   Major vessel shunt..........      20.50     22.10        4.29      46.89       090  S                 
    33764...  ..................  A                   Major vessel shunt & graft..      20.50     22.10        4.29      46.89       090  S                 
    33766...  ..................  A                   Major vessel shunt..........      21.47     22.10        4.29      47.86       090  S                 
    33767...  ..................  A                   Atrial septectomy/septostomy      23.43     25.69        4.87      53.99       090  S                 
    33770...  ..................  A                   Repair great vessels defect.      31.96     38.65        7.45      78.06       090  S                 
    33771...  ..................  A                   Repair great vessels defect.      33.19     38.65        7.45      79.29       090  S                 
    33774...  ..................  A                   Repair great vessels defect.      29.28     31.27        5.42      65.97       090  S                 
    33775...  ..................  A                   Repair great vessels defect.      30.50     31.27        5.42      67.19       090  S                 
    33776...  ..................  A                   Repair great vessels defect.      32.21     34.92        6.28      73.41       090  S                 
    33777...  ..................  A                   Repair great vessels defect.      31.73     31.27        5.42      68.42       090  S                 
    33778...  ..................  A                   Repair great vessels defect.      34.17     41.82        7.37      83.36       090  S                 
    33779...  ..................  A                   Repair great vessels defect.      34.41     41.82        7.37      83.60       090  S                 
    33780...  ..................  A                   Repair great vessels defect.      35.14     41.82        7.37      84.33       090  S                 
    33781...  ..................  A                   Repair great vessels defect.      34.65     41.82        7.37      83.84       090  S                 
    33786...  ..................  A                   Repair arterial trunk.......      33.19     38.65        7.45      79.29       090  S                 
    33788...  ..................  A                   Revision of pulmonary artery      25.38     29.55        5.20      60.13       090  S                 
    33800...  ..................  A                   Aortic suspension...........      15.18     14.14        2.51      31.83       090  S                 
    33802...  ..................  A                   Repair vessel defect........      16.60     22.10        4.29      42.99       090  S                 
    33803...  ..................  A                   Repair vessel defect........      18.54     22.10        4.29      44.93       090  S                 
    33813...  ..................  A                   Repair septal defect........      19.52     22.10        4.29      45.91       090  S                 
    33814...  ..................  A                   Repair septal defect........      24.41     30.48        5.33      60.22       090  S                 
    33820...  ..................  A                   Revise major vessel.........      15.62     22.10        4.29      42.01       090  S                 
    33822...  ..................  A                   Revise major vessel.........      16.60     22.10        4.29      42.99       090  S                 
    33824...  ..................  A                   Revise major vessel.........      18.54     22.10        4.29      44.93       090  S                 
    33840...  ..................  A                   Remove aorta constriction...      19.52     31.25        5.59      56.36       090  S                 
    33845...  ..................  A                   Remove aorta constriction...      20.99     31.25        5.59      57.83       090  S                 
    33851...  ..................  A                   Remove aorta constriction...      20.01     31.25        5.59      56.85       090  S                 
    33852...  ..................  A                   Repair septal defect........      22.45     31.25        5.59      59.29       090  S                 
    33853...  ..................  A                   Repair septal defect........      30.26     38.65        7.45      76.36       090  S                 
    33860...  ..................  A                   Ascending aorta graft.......      31.23     34.71        6.18      72.12       090  S                 
    33861...  ..................  A                   Ascending aorta graft.......      33.19     34.71        6.18      74.08       090  S                 
    33863...  ..................  A                   Ascending aorta graft.......      35.14     34.71        6.18      76.03       090  S                 
    33870...  ..................  A                   Transverse aortic arch graft      37.74     44.30        8.04      90.08       090  S                 
    33875...  ..................  A                   Thoracic aorta graft........      26.94     31.25        5.59      63.78       090  S                 
    33877...  ..................  A                   Thoracoabdominal graft......      40.29     44.11        8.38      92.78       090  S                 
    33910...  ..................  A                   Remove lung artery emboli...      21.86     14.65        2.77      39.28       090  S                 
    33915...  ..................  A                   Remove lung artery emboli...      18.84     12.02        2.22      33.08       090  S                 
    33916...  ..................  A                   Surgery of great vessel.....      24.17     17.57        3.43      45.17       090  S                 
    33917...  ..................  A                   Repair pulmonary artery.....      23.43     34.71        6.30      64.44       090  S                 
    33918...  ..................  A                   Repair pulmonary atresia....      25.38     29.55        5.20      60.13       090  S                 
    33919...  ..................  A                   Repair pulmonary atresia....      31.11     38.65        7.45      77.21       090  S                 
    33920...  ..................  A                   Repair pulmonary atresia....      30.75     38.65        7.45      76.85       090  S                 
    33922...  ..................  A                   Transect pulmonary artery...      22.45     26.21        2.83      51.49       090  S                 
    33924...  ..................  A                   Remove pulmonary shunt......       5.50      4.00        0.78      10.28       ZZZ  S                 
    33930...  ..................  X                   Removal of donor heart/lung.       0.00      0.00        0.00       0.00       XXX  0                 
    33935...  ..................  R                   Transplantation, heart/lung.      56.87     77.57       13.54     147.98       090  S                 
    33940...  ..................  X                   Removal of donor heart......       0.00      0.00        0.00       0.00       XXX  0                 
    33945...  ..................  R                   Transplantation of heart....      39.56     64.80       11.05     115.41       090  S                 
    33960...  ..................  A                   External circulation assist.      19.36      7.01        0.94      27.31       XXX  S                 
    33961...  ..................  A                   External circulation assist.      10.93      7.01        0.94      18.88       XXX  S                 
    33970...  ..................  A                   Aortic circulation assist...       8.05      7.54        1.00      16.59       000  S                 
    33971...  ..................  A                   Aortic circulation assist...       4.04     *5.16        0.91      10.11       090  S                 
    33973...  ..................  A                   Insert balloon device.......       9.76      7.54        1.00      18.30       000  S                 
    33974...  ..................  A                   Remove intra-aortic balloon.      12.69      5.56        0.91      19.16       090  S                 
    
    [[Page 63226]]
                                                                                                                                                            
    33975...  ..................  A                   Implant ventricular device..      19.52     14.19        2.77      36.48       090  S                 
    33976...  ..................  A                   Implant ventricular device..      26.60     19.33        3.78      49.71       090  S                 
    33977...  ..................  A                   Remove ventricular device...      17.08     12.41        2.43      31.92       090  S                 
    33978...  ..................  A                   Remove ventricular device...      19.52     14.19        2.77      36.48       090  S                 
    33999...  ..................  C                   Cardiac surgery procedure...       0.00      0.00        0.00       0.00       YYY  S                 
    34001...  ..................  A                   Removal of artery clot......      11.69      9.58        1.87      23.14       090  S                 
    34051...  ..................  A                   Removal of artery clot......      13.62      8.81        1.59      24.02       090  S                 
    34101...  ..................  A                   Removal of artery clot......       8.73      8.34        1.71      18.78       090  S                 
    34111...  ..................  A                   Removal of arm artery clot..       7.18      7.59        1.59      16.36       090  S                 
    34151...  ..................  A                   Removal of artery clot......      15.23     11.96        2.39      29.58       090  S                 
    34201...  ..................  A                   Removal of artery clot......       8.04      8.90        1.78      18.72       090  S                 
    34203...  ..................  A                   Removal of leg artery clot..      11.06      8.63        1.72      21.41       090  S                 
    34401...  ..................  A                   Removal of vein clot........      11.64      8.07        1.39      21.10       090  S                 
    34421...  ..................  A                   Removal of vein clot........       8.89      7.45        1.51      17.85       090  S                 
    34451...  ..................  A                   Removal of vein clot........      13.13     10.69        2.14      25.96       090  S                 
    34471...  ..................  A                   Removal of vein clot........       9.12      3.51        0.55      13.18       090  S                 
    34490...  ..................  A                   Removal of vein clot........       6.51      7.27        1.54      15.32       090  S                 
    34501...  ..................  A                   Repair valve, femoral vein..       9.71      7.35        0.86      17.92       090  S                 
    34502...  ..................  A                   Reconstruct, vena cava......      25.65     18.65        3.64      47.94       090  S                 
    34510...  ..................  A                   Transposition of vein valve.      11.75      8.89        1.04      21.68       090  S                 
    34520...  ..................  A                   Cross-over vein graft.......      12.33      9.33        1.09      22.75       090  S                 
    34530...  ..................  A                   Leg vein fusion.............      16.33     12.35        1.44      30.12       090  S                 
    35001...  ..................  A                   Repair defect of artery.....      18.14     15.90        3.18      37.22       090  S                 
    35002...  ..................  A                   Repair artery rupture, neck.      19.43     12.64        2.41      34.48       090  S                 
    35005...  ..................  A                   Repair defect of artery.....      16.62     10.28        2.19      29.09       090  S                 
    35011...  ..................  A                   Repair defect of artery.....      10.43    *13.35        2.76      26.54       090  S                 
    35013...  ..................  A                   Repair artery rupture, arm..      15.96     14.70        3.03      33.69       090  S                 
    35021...  ..................  A                   Repair defect of artery.....      17.62     18.13        3.06      38.81       090  S                 
    35022...  ..................  A                   Repair artery rupture, chest      21.15     14.78        2.80      38.73       090  S                 
    35045...  ..................  A                   Repair defect of arm artery.       9.98     12.35        2.50      24.83       090  S                 
    35081...  ..................  A                   Repair defect of artery.....      22.15     21.45        4.18      47.78       090  S                 
    35082...  ..................  A                   Repair artery rupture, aorta      28.82     22.91        4.59      56.32       090  S                 
    35091...  ..................  A                   Repair defect of artery.....      28.10     22.67        4.25      55.02       090  S                 
    35092...  ..................  A                   Repair artery rupture, aorta      36.06     26.27        5.21      67.54       090  S                 
    35102...  ..................  A                   Repair defect of artery.....      23.44     22.15        4.32      49.91       090  S                 
    35103...  ..................  A                   Repair artery rupture, groin      31.31     26.16        5.21      62.68       090  S                 
    35111...  ..................  A                   Repair defect of artery.....      15.12     17.60        3.70      36.42       090  S                 
    35112...  ..................  A                   Repair artery rupture,spleen      17.38     10.45        2.22      30.05       090  S                 
    35121...  ..................  A                   Repair defect of artery.....      24.68     19.12        3.66      47.46       090  S                 
    35122...  ..................  A                   Repair artery rupture, belly      32.08     17.92        3.96      53.96       090  S                 
    35131...  ..................  A                   Repair defect of artery.....      17.00     15.88        3.15      36.03       090  S                 
    35132...  ..................  A                   Repair artery rupture, groin      20.40     18.68        3.58      42.66       090  S                 
    35141...  ..................  A                   Repair defect of artery.....      13.28     14.70        2.88      30.86       090  S                 
    35142...  ..................  A                   Repair artery rupture, thigh      14.62     16.10        3.24      33.96       090  S                 
    35151...  ..................  A                   Repair defect of artery.....      15.76     15.36        2.94      34.06       090  S                 
    35152...  ..................  A                   Repair artery rupture, knee.      15.46      9.27        1.95      26.68       090  S                 
    35161...  ..................  A                   Repair defect of artery.....      17.45     15.88        3.15      36.48       090  S                 
    35162...  ..................  A                   Repair artery rupture.......      18.45     18.68        3.58      40.71       090  S                 
    35180...  ..................  A                   Repair blood vessel lesion..      12.16      7.37        1.48      21.01       090  S                 
    35182...  ..................  A                   Repair blood vessel lesion..      16.12     10.65        1.61      28.38       090  S                 
    35184...  ..................  A                   Repair blood vessel lesion..      10.79      9.73        1.96      22.48       090  S                 
    35188...  ..................  A                   Repair blood vessel lesion..      13.10      8.11        1.59      22.80       090  S                 
    35189...  ..................  A                   Repair blood vessel lesion..      17.12     11.33        2.21      30.66       090  S                 
    35190...  ..................  A                   Repair blood vessel lesion..      11.79     10.34        2.14      24.27       090  S                 
    35201...  ..................  A                   Repair blood vessel lesion..       8.90     10.07        1.94      20.91       090  S                 
    35206...  ..................  A                   Repair blood vessel lesion..       8.49     10.15        2.03      20.67       090  S                 
    35207...  ..................  A                   Repair blood vessel lesion..       9.06     10.80        1.93      21.79       090  S                 
    35211...  ..................  A                   Repair blood vessel lesion..      20.15     13.38        2.59      36.12       090  S                 
    35216...  ..................  A                   Repair blood vessel lesion..      17.12     10.68        2.08      29.88       090  S                 
    35221...  ..................  A                   Repair blood vessel lesion..      15.11     11.09        2.20      28.40       090  S                 
    35226...  ..................  A                   Repair blood vessel lesion..       8.17     10.28        1.95      20.40       090  S                 
    35231...  ..................  A                   Repair blood vessel lesion..      10.76    *13.78        2.91      27.45       090  S                 
    35236...  ..................  A                   Repair blood vessel lesion..       9.39    *12.02        2.56      23.97       090  S                 
    35241...  ..................  A                   Repair blood vessel lesion..      21.15     13.49        2.60      37.24       090  S                 
    35246...  ..................  A                   Repair blood vessel lesion..      18.14     16.95        2.15      37.24       090  S                 
    35251...  ..................  A                   Repair blood vessel lesion..      16.12      9.59        1.88      27.59       090  S                 
    
    [[Page 63227]]
                                                                                                                                                            
    35256...  ..................  A                   Repair blood vessel lesion..      10.14     12.40        2.39      24.93       090  S                 
    35261...  ..................  A                   Repair blood vessel lesion..      10.39     13.16        2.66      26.21       090  S                 
    35266...  ..................  A                   Repair blood vessel lesion..       9.06    *11.59        2.41      23.06       090  S                 
    35271...  ..................  A                   Repair blood vessel lesion..      20.15     12.53        2.56      35.24       090  S                 
    35276...  ..................  A                   Repair blood vessel lesion..      17.12     10.85        2.26      30.23       090  S                 
    35281...  ..................  A                   Repair blood vessel lesion..      15.11     17.28        3.37      35.76       090  S                 
    35286...  ..................  A                   Repair blood vessel lesion..      10.78     11.71        2.33      24.82       090  S                 
    35301...  ..................  A                   Rechanneling of artery......      15.95     14.46        2.81      33.22       090  S                 
    35311...  ..................  A                   Rechanneling of artery......      22.61     22.06        4.61      49.28       090  S                 
    35321...  ..................  A                   Rechanneling of artery......      11.08     12.96        2.69      26.73       090  S                 
    35331...  ..................  A                   Rechanneling of artery......      22.15     13.34        2.66      38.15       090  S                 
    35341...  ..................  A                   Rechanneling of artery......      23.67     17.37        3.53      44.57       090  S                 
    35351...  ..................  A                   Rechanneling of artery......      19.15     14.95        2.97      37.07       090  S                 
    35355...  ..................  A                   Rechanneling of artery......      15.11     15.42        2.99      33.52       090  S                 
    35361...  ..................  A                   Rechanneling of artery......      22.15     19.37        3.88      45.40       090  S                 
    35363...  ..................  A                   Rechanneling of artery......      23.16     22.77        4.40      50.33       090  S                 
    35371...  ..................  A                   Rechanneling of artery......      10.49     12.51        2.50      25.50       090  S                 
    35372...  ..................  A                   Rechanneling of artery......      12.28     11.20        2.28      25.76       090  S                 
    35381...  ..................  A                   Rechanneling of artery......      14.50     13.67        2.71      30.88       090  S                 
    35390...  ..................  A                   Reoperation, carotid........       3.19      1.67        0.39       5.25       ZZZ  S                 
    35450...  ..................  A                   Repair arterial blockage....      10.07    *12.89        1.38      24.34       000  N                 
    35452...  ..................  A                   Repair arterial blockage....       6.91      4.35        0.61      11.87       000  S                 
    35454...  ..................  A                   Repair arterial blockage....       6.04     *7.73        1.53      15.30       000  S                 
    35456...  ..................  A                   Repair arterial blockage....       7.35     *9.41        1.69      18.45       000  S                 
    35458...  ..................  A                   Repair arterial blockage....       9.49     10.13        1.83      21.45       000  S                 
    35459...  ..................  A                   Repair arterial blockage....       8.63     10.39        1.69      20.71       000  S                 
    35460...  ..................  A                   Repair venous blockage......       6.04      3.16        0.74       9.94       000  S                 
    35470...  ..................  A                   Repair arterial blockage....       8.63     10.39        1.69      20.71       000  N                 
    35471...  ..................  A                   Repair arterial blockage....      10.07    *12.89        1.38      24.34       000  N                 
    35472...  ..................  A                   Repair arterial blockage....       6.91      3.61        0.85      11.37       000  N                 
    35473...  ..................  A                   Repair arterial blockage....       6.04     *7.73        1.53      15.30       000  N                 
    35474...  ..................  A                   Repair arterial blockage....       7.36     *9.42        1.69      18.47       000  N                 
    35475...  ..................  R                   Repair arterial blockage....       9.49     10.13        1.83      21.45       000  N                 
    35476...  ..................  A                   Repair venous blockage......       6.04      3.16        0.74       9.94       000  N                 
    35480...  ..................  A                   Atherectomy, open...........      11.08     13.43        1.38      25.89       000  S                 
    35481...  ..................  A                   Atherectomy, open...........       7.61      4.35        0.61      12.57       000  S                 
    35482...  ..................  A                   Atherectomy, open...........       6.65     *8.51        1.53      16.69       000  S                 
    35483...  ..................  A                   Atherectomy, open...........       8.10    *10.36        1.69      20.15       000  S                 
    35484...  ..................  A                   Atherectomy, open...........      10.44     10.13        1.83      22.40       000  S                 
    35485...  ..................  A                   Atherectomy, open...........       9.49      4.52        1.06      15.07       000  S                 
    35490...  ..................  A                   Atherectomy, percutaneous...      11.08     13.43        1.38      25.89       000  N                 
    35491...  ..................  A                   Atherectomy, percutaneous...       7.61      4.35        0.61      12.57       000  N                 
    35492...  ..................  A                   Atherectomy, percutaneous...       6.65     *8.51        1.53      16.69       000  N                 
    35493...  ..................  A                   Atherectomy, percutaneous...       8.10    *10.36        1.69      20.15       000  N                 
    35494...  ..................  A                   Atherectomy, percutaneous...      10.44     10.13        1.83      22.40       000  N                 
    35495...  ..................  A                   Atherectomy, percutaneous...       9.49      4.52        1.06      15.07       000  N                 
    35501...  ..................  A                   Artery bypass graft.........      18.23     19.35        3.49      41.07       090  S                 
    35506...  ..................  A                   Artery bypass graft.........      18.23     19.17        3.64      41.04       090  S                 
    35507...  ..................  A                   Artery bypass graft.........      18.23     17.92        3.61      39.76       090  S                 
    35508...  ..................  A                   Artery bypass graft.........      17.21     18.11        3.43      38.75       090  S                 
    35509...  ..................  A                   Artery bypass graft.........      16.70     18.90        3.92      39.52       090  S                 
    35511...  ..................  A                   Artery bypass graft.........      15.39     10.40        1.92      27.71       090  S                 
    35515...  ..................  A                   Artery bypass graft.........      17.21     11.25        2.01      30.47       090  S                 
    35516...  ..................  A                   Artery bypass graft.........      14.88     17.37        3.54      35.79       090  S                 
    35518...  ..................  A                   Artery bypass graft.........      14.05     17.47        3.38      34.90       090  S                 
    35521...  ..................  A                   Artery bypass graft.........      14.80     17.53        3.34      35.67       090  S                 
    35526...  ..................  A                   Artery bypass graft.........      18.63     12.95        2.44      34.02       090  S                 
    35531...  ..................  A                   Artery bypass graft.........      24.17     20.25        3.90      48.32       090  S                 
    35533...  ..................  A                   Artery bypass graft.........      19.15     21.04        4.43      44.62       090  S                 
    35536...  ..................  A                   Artery bypass graft.........      21.65     21.37        4.17      47.19       090  S                 
    35541...  ..................  A                   Artery bypass graft.........      24.17     19.55        3.65      47.37       090  S                 
    35546...  ..................  A                   Artery bypass graft.........      24.17     21.39        4.26      49.82       090  S                 
    35548...  ..................  A                   Artery bypass graft.........      20.13     19.55        3.65      43.33       090  S                 
    35549...  ..................  A                   Artery bypass graft.........      21.91     21.39        4.26      47.56       090  S                 
    35551...  ..................  A                   Artery bypass graft.........      25.17     19.25        3.87      48.29       090  S                 
    35556...  ..................  A                   Artery bypass graft.........      15.47     18.71        3.71      37.89       090  S                 
    
    [[Page 63228]]
                                                                                                                                                            
    35558...  ..................  A                   Artery bypass graft.........      12.82    *16.41        3.23      32.46       090  S                 
    35560...  ..................  A                   Artery bypass graft.........      22.12     20.22        3.93      46.27       090  S                 
    35563...  ..................  A                   Artery bypass graft.........      13.83      8.32        1.70      23.85       090  S                 
    35565...  ..................  A                   Artery bypass graft.........      13.83    *17.69        3.51      35.03       090  S                 
    35566...  ..................  A                   Artery bypass graft.........      20.21     20.62        4.08      44.91       090  S                 
    35571...  ..................  A                   Artery bypass graft.........      16.66     19.36        3.87      39.89       090  S                 
    35582...  ..................  A                   Vein bypass graft...........      25.69     23.74        4.89      54.32       090  S                 
    35583...  ..................  A                   Vein bypass graft...........      15.97    *20.44        4.13      40.54       090  S                 
    35585...  ..................  A                   Vein bypass graft...........      19.05     22.95        4.63      46.63       090  S                 
    35587...  ..................  A                   Vein bypass graft...........      17.07     21.51        4.13      42.71       090  S                 
    35601...  ..................  A                   Artery bypass graft.........      16.19     18.83        3.33      38.35       090  S                 
    35606...  ..................  A                   Artery bypass graft.........      17.40     17.55        3.51      38.46       090  S                 
    35612...  ..................  A                   Artery bypass graft.........      14.39     16.75        3.30      34.44       090  S                 
    35616...  ..................  A                   Artery bypass graft.........      14.39     16.79        3.42      34.60       090  S                 
    35621...  ..................  A                   Artery bypass graft.........      13.23    *16.94        3.80      33.97       090  S                 
    35623...  ..................  A                   Bypass graft, not vein......      15.42      8.06        1.88      25.36       090  S                 
    35626...  ..................  A                   Artery bypass graft.........      22.26     20.51        4.08      46.85       090  S                 
    35631...  ..................  A                   Artery bypass graft.........      23.16     17.87        3.57      44.60       090  S                 
    35636...  ..................  A                   Artery bypass graft.........      21.15     13.50        2.45      37.10       090  S                 
    35641...  ..................  A                   Artery bypass graft.........      22.67     20.56        4.08      47.31       090  S                 
    35642...  ..................  A                   Artery bypass graft.........      16.70     10.33        2.20      29.23       090  S                 
    35645...  ..................  A                   Artery bypass graft.........      16.19     11.15        2.05      29.39       090  S                 
    35646...  ..................  A                   Artery bypass graft.........      24.00     23.78        4.73      52.51       090  S                 
    35650...  ..................  A                   Artery bypass graft.........      13.05    *16.71        3.56      33.32       090  S                 
    35651...  ..................  A                   Artery bypass graft.........      23.67     24.09        4.69      52.45       090  S                 
    35654...  ..................  A                   Artery bypass graft.........      17.62     22.10        4.42      44.14       090  S                 
    35656...  ..................  A                   Artery bypass graft.........      13.86    *17.73        3.60      35.19       090  S                 
    35661...  ..................  A                   Artery bypass graft.........      11.81    *15.11        3.30      30.22       090  S                 
    35663...  ..................  A                   Artery bypass graft.........      12.82    *16.41        3.80      33.03       090  S                 
    35665...  ..................  A                   Artery bypass graft.........      14.05     17.79        3.57      35.41       090  S                 
    35666...  ..................  A                   Artery bypass graft.........      15.97     20.06        4.00      40.03       090  S                 
    35671...  ..................  A                   Artery bypass graft.........      12.18    *15.60        4.08      31.86       090  S                 
    35681...  ..................  A                   Artery bypass graft.........       8.05    *10.42        3.52      21.99       ZZZ  S                 
    35691...  ..................  A                   Arterial transposition......      16.70     19.62        3.81      40.13       090  S                 
    35693...  ..................  A                   Arterial transposition......      14.01      9.40        1.91      25.32       090  S                 
    35694...  ..................  A                   Arterial transposition......      17.81      9.33        2.17      29.31       090  S                 
    35695...  ..................  A                   Arterial transposition......      17.81      9.33        2.17      29.31       090  S                 
    35700...  ..................  A                   Reoperation, bypass graft...       3.08      1.61        0.38       5.07       ZZZ  S                 
    35701...  ..................  A                   Exploration, carotid artery.       4.54     *5.82        1.25      11.61       090  S                 
    35721...  ..................  A                   Exploration, femoral artery.       4.54      5.56        1.11      11.21       090  S                 
    35741...  ..................  A                   Exploration popliteal artery       4.54      5.73        1.15      11.42       090  S                 
    35761...  ..................  A                   Exploration of artery/vein..       4.54      5.81        1.14      11.49       090  S                 
    35800...  ..................  A                   Explore neck vessels........       6.04      5.28        0.97      12.29       090  S                 
    35820...  ..................  A                   Explore chest vessels.......      11.64      7.92        1.43      20.99       090  S                 
    35840...  ..................  A                   Explore abdominal vessels...       8.63      7.23        1.44      17.30       090  S                 
    35860...  ..................  A                   Explore limb vessels........       4.54      5.81        1.15      11.50       090  S                 
    35870...  ..................  A                   Repair vessel graft defect..      20.35     10.64        2.47      33.46       090  S                 
    35875...  ..................  A                   Removal of clot in graft....       9.07      8.21        1.65      18.93       090  S                 
    35876...  ..................  A                   Removal of clot in graft....      12.91      8.21        1.65      22.77       090  S                 
    35901...  ..................  A                   Excision, graft, neck.......       7.25      7.18        1.46      15.89       090  S                 
    35903...  ..................  A                   Excision, graft, extremity..       8.63      7.18        1.46      17.27       090  S                 
    35905...  ..................  A                   Excision, graft, thorax.....      16.89      7.18        1.46      25.53       090  S                 
    35907...  ..................  A                   Excision, graft, abdomen....      17.68      7.18        1.46      26.32       090  S                 
    36000...  ..................  A                   Place needle in vein........       0.18     *0.24        0.04       0.46       XXX  N                 
    36005...  ..................  A                   Injection, venography.......       0.95      0.47        0.04       1.46       000  N                 
    36010...  ..................  A                   Place catheter in vein......       2.43      2.11        0.31       4.85       XXX  N                 
    36011...  ..................  A                   Place catheter in vein......       3.14      1.90        0.22       5.26       XXX  N                 
    36012...  ..................  A                   Place catheter in vein......       3.52      2.67        0.32       6.51       XXX  N                 
    36013...  ..................  A                   Place catheter in artery....       2.52      2.11        0.31       4.94       XXX  N                 
    36014...  ..................  A                   Place catheter in artery....       3.02      2.28        0.27       5.57       XXX  N                 
    36015...  ..................  A                   Place catheter in artery....       3.52      2.67        0.32       6.51       XXX  N                 
    36100...  ..................  A                   Establish access to artery..       3.02      2.59        0.32       5.93       XXX  N                 
    36120...  ..................  A                   Establish access to artery..       2.01      2.32        0.30       4.63       XXX  N                 
    36140...  ..................  A                   Establish access to artery..       2.01      1.41        0.24       3.66       XXX  N                 
    36145...  ..................  A                   Artery to vein shunt........       2.01     *2.57        0.49       5.07       XXX  N                 
    36160...  ..................  A                   Establish access to aorta...       2.52      2.32        0.35       5.19       XXX  S                 
    
    [[Page 63229]]
                                                                                                                                                            
    36200...  ..................  A                   Place catheter in aorta.....       3.02      2.73        0.28       6.03       XXX  N                 
    36215...  ..................  A                   Place catheter in artery....       4.47      2.78        0.23       7.48       XXX  N                 
    36216...  ..................  A                   Place catheter in artery....       5.28      3.29        0.27       8.84       XXX  N                 
    36217...  ..................  A                   Place catheter in artery....       6.30      3.92        0.32      10.54       XXX  N                 
    36218...  ..................  A                   Place catheter in artery....       1.01      0.62        0.05       1.68       XXX  N                 
    36245...  ..................  A                   Place catheter in artery....       5.07      3.15        0.26       8.48       XXX  N                 
    36246...  ..................  A                   Place catheter in artery....       5.28      3.29        0.27       8.84       XXX  N                 
    36247...  ..................  A                   Place catheter in artery....       6.30      3.92        0.32      10.54       XXX  N                 
    36248...  ..................  A                   Place catheter in artery....       1.01      0.62        0.05       1.68       XXX  N                 
    36260...  ..................  A                   Insertion of infusion pump..       9.27      6.74        1.41      17.42       090  S                 
    36261...  ..................  A                   Revision of infusion pump...       5.04      2.23        0.42       7.69       090  S                 
    36262...  ..................  A                   Removal of infusion pump....       3.70      1.93        0.40       6.03       090  S                 
    36299...  ..................  C                   Vessel injection procedure..       0.00      0.00        0.00       0.00       YYY  N                 
    36400...  ..................  A                   Drawing blood...............       0.18      0.09        0.01       0.28       XXX  N                 
    36405...  ..................  A                   Drawing blood...............       0.18      0.45        0.03       0.66       XXX  N                 
    36406...  ..................  A                   Drawing blood...............       0.18      0.16        0.01       0.35       XXX  S                 
    36410...  ..................  A                   Drawing blood...............       0.18      0.22        0.02       0.42       XXX  N                 
    36415...  ..................  G                   Drawing blood...............       0.00      0.00        0.00       0.00       XXX  0                 
    36420...  ..................  A                   Establish access to vein....       1.01      0.51        0.05       1.57       XXX  N                 
    36425...  ..................  A                   Establish access to vein....       0.76      0.08        0.01       0.85       XXX  N                 
    36430...  ..................  A                   Blood transfusion service...       0.00      0.96        0.07       1.03       XXX  N                 
    36440...  ..................  A                   Blood transfusion service...       1.03      0.94        0.07       2.04       XXX  S                 
    36450...  ..................  A                   Exchange transfusion service       2.23      1.88        0.18       4.29       XXX  N                 
    36455...  ..................  A                   Exchange transfusion service       2.43      2.27        0.22       4.92       XXX  N                 
    36460...  ..................  A                   Transfusion service, fetal..       6.59      4.71        1.09      12.39       XXX  N                 
    36468...  ..................  R                   Injection(s); spider veins..       0.00      0.00        0.00       0.00       XXX  S                 
    36469...  ..................  R                   Injection(s); spider veins..       0.00      0.00        0.00       0.00       XXX  S                 
    36470...  ..................  A                   Injection therapy of vein...       1.02      0.27        0.04       1.33       010  S                 
    36471...  ..................  A                   Injection therapy of veins..       1.49      0.39        0.05       1.93       010  S                 
    36481...  ..................  A                   Insertion of catheter, vein.       6.99      5.30        0.61      12.90       000  S                 
    36488...  ..................  A                   Insertion of catheter, vein.       1.35      0.97        0.14       2.46       000  N                 
    36489...  ..................  A                   Insertion of catheter, vein.       1.22      1.12        0.17       2.51       000  N                 
    36490...  ..................  A                   Insertion of catheter, vein.       1.67      1.38        0.20       3.25       000  N                 
    36491...  ..................  A                   Insertion of catheter, vein.       1.43      1.71        0.32       3.46       000  N                 
    36493...  ..................  A                   Repositioning of cvc........       1.21      0.63        0.16       2.00       000  N                 
    36500...  ..................  A                   Insertion of catheter, vein.       3.52      0.08        0.01       3.61       000  N                 
    36510...  ..................  A                   Insertion of catheter, vein.       1.09      0.34        0.02       1.45       000  N                 
    36520...  ..................  A                   Plasma and/or cell exchange.       1.74      1.92        0.12       3.78       000  N                 
    36522...  ..................  A                   Photopheresis...............       1.67     *2.48        0.37       4.52       000  S                 
    36530...  ..................  R                   Insertion of infusion pump..       4.83      4.82        1.02      10.67       010  S                 
    36531...  ..................  R                   Revision of infusion pump...       4.80      4.37        0.27       9.44       010  S                 
    36532...  ..................  R                   Removal of infusion pump....       3.23      1.77        0.37       5.37       010  S                 
    36533...  ..................  A                   Insertion of access port....       3.82      4.29        0.85       8.96       010  S                 
    36534...  ..................  A                   Revision of access port.....       3.79      3.46        0.21       7.46       010  S                 
    36535...  ..................  A                   Removal of access port......       2.22      1.81        0.38       4.41       010  S                 
    36600...  ..................  A                   Withdrawal of arterial blood       0.32      0.28        0.02       0.62       XXX  N                 
    36620...  ..................  A                   Insertion catheter, artery..       1.15      0.66        0.14       1.95       000  N                 
    36625...  ..................  A                   Insertion catheter, artery..       2.11      0.86        0.18       3.15       000  N                 
    36640...  ..................  A                   Insertion catheter, artery..       2.10      2.32        0.40       4.82       000  N                 
    36660...  ..................  A                   Insertion catheter, artery..       1.40      0.49        0.04       1.93       000  N                 
    36680...  ..................  A                   Insert needle, bone cavity..       1.20      1.24        0.10       2.54       000  N                 
    36800...  ..................  A                   Insertion of cannula........       2.43      2.22        0.28       4.93       000  N                 
    36810...  ..................  A                   Insertion of cannula........       3.97      4.85        0.74       9.56       000  S                 
    36815...  ..................  A                   Insertion of cannula........       2.62     *3.35        0.70       6.67       000  S                 
    36821...  ..................  A                   Artery-vein fusion..........       8.39      7.24        1.46      17.09       090  S                 
    36822...  ..................  A                   Insertion of cannula(s).....       5.03      5.60        0.77      11.40       090  S                 
    36825...  ..................  A                   Artery-vein graft...........       9.36     11.20        2.21      22.77       090  S                 
    36830...  ..................  A                   Artery-vein graft...........       7.78     *9.96        2.36      20.10       090  S                 
    36832...  ..................  A                   Revise artery-vein fistula..       5.84     *7.48        2.38      15.70       090  S                 
    36834...  ..................  A                   Repair A-V aneurysm.........       9.32      7.80        1.66      18.78       090  S                 
    36835...  ..................  A                   Artery to vein shunt........       6.54      3.42        0.79      10.75       090  S                 
    36860...  ..................  A                   Cannula declotting..........       2.01      2.57        0.43       5.01       000  N                 
    36861...  ..................  A                   Cannula declotting..........       2.52     *3.22        1.01       6.75       000  S                 
    37140...  ..................  A                   Revision of circulation.....      22.15     16.29        3.34      41.78       090  S                 
    37145...  ..................  A                   Revision of circulation.....      23.16     17.13        1.72      42.01       090  S                 
    37160...  ..................  A                   Revision of circulation.....      20.15     17.74        3.79      41.68       090  S                 
    
    [[Page 63230]]
                                                                                                                                                            
    37180...  ..................  A                   Revision of circulation.....      23.16     14.19        2.76      40.11       090  S                 
    37181...  ..................  A                   Splice spleen/kidney veins..      25.17     16.41        3.52      45.10       090  S                 
    37200...  ..................  A                   Transcatheter biopsy........       4.56      1.59        0.13       6.28       000  N                 
    37201...  ..................  A                   Transcatheter therapy infuse       7.25      5.50        0.64      13.39       000  N                 
    37202...  ..................  A                   Transcatheter therapy infuse       5.68      4.30        0.50      10.48       000  N                 
    37203...  ..................  A                   Transcatheter retrieval.....       5.03      3.82        0.45       9.30       000  N                 
    37204...  ..................  A                   Transcatheter occlusion.....      18.14     13.76        1.60      33.50       000  N                 
    37205...  ..................  A                   Transcatheter stent.........       8.28      5.16        0.42      13.86       000  S                 
    37206...  ..................  A                   Transcatheter stent.........       4.13      2.58        0.21       6.92       ZZZ  S                 
    37207...  ..................  A                   Transcatheter stent.........       8.28      5.16        0.42      13.86       000  S                 
    37208...  ..................  A                   Transcatheter stent.........       4.13      2.58        0.21       6.92       ZZZ  S                 
    37209...  ..................  A                   Exchange arterial catheter..       2.27      1.41        0.11       3.79       000  N                 
    37565...  ..................  A                   Ligation of neck vein.......       3.90      3.79        0.74       8.43       090  S                 
    37600...  ..................  A                   Ligation of neck artery.....       3.90     *4.98        0.80       9.68       090  S                 
    37605...  ..................  A                   Ligation of neck artery.....       4.63      5.56        1.04      11.23       090  S                 
    37606...  ..................  A                   Ligation of neck artery.....       4.63     *5.92        0.72      11.27       090  S                 
    37607...  ..................  A                   Ligation of fistula.........       5.84      3.06        0.71       9.61       090  S                 
    37609...  ..................  A                   Temporal artery procedure...       2.27      2.22        0.38       4.87       010  S                 
    37615...  ..................  A                   Ligation of neck artery.....       4.39     *5.62        1.11      11.12       090  S                 
    37616...  ..................  A                   Ligation of chest artery....      14.69      4.21        0.83      19.73       090  S                 
    37617...  ..................  A                   Ligation of abdomen artery..      14.19      8.00        1.54      23.73       090  S                 
    37618...  ..................  A                   Ligation of extremity artery       3.90     *4.98        1.06       9.94       090  S                 
    37620...  ..................  A                   Revision of major vein......       9.24      8.81        1.48      19.53       090  S                 
    37650...  ..................  A                   Revision of major vein......       4.39      4.02        0.52       8.93       090  S                 
    37660...  ..................  A                   Revision of major vein......       9.65      5.75        1.07      16.47       090  S                 
    37700...  ..................  A                   Revise leg vein.............       3.52      3.64        0.73       7.89       090  S                 
    37720...  ..................  A                   Removal of leg vein.........       5.22      5.11        1.04      11.37       090  S                 
    37730...  ..................  A                   Removal of leg veins........       6.63      6.95        1.40      14.98       090  S                 
    37735...  ..................  A                   Removal of leg veins/lesion.       9.90      8.34        1.68      19.92       090  S                 
    37760...  ..................  A                   Revision of leg veins.......       9.90      7.48        1.52      18.90       090  S                 
    37780...  ..................  A                   Revision of leg vein........       3.52      1.89        0.35       5.76       090  S                 
    37785...  ..................  A                   Revise secondary varicosity.       3.56      0.98        0.18       4.72       090  S                 
    37788...  ..................  A                   Revascularization, penis....      21.33     15.14        1.48      37.95       090  S                 
    37790...  ..................  A                   Penile venous occlusion.....       8.02      5.70        0.55      14.27       090  S                 
    37799...  ..................  C                   Vascular surgery procedure..       0.00      0.00        0.00       0.00       YYY  S                 
    38100...  ..................  A                   Removal of spleen, total....      11.99      8.55        1.81      22.35       090  S                 
    38101...  ..................  A                   Removal of spleen, partial..      12.59      6.99        1.51      21.09       090  S                 
    38102...  ..................  A                   Removal of spleen, total....       4.80      2.51        0.58       7.89       ZZZ  S                 
    38115...  ..................  A                   Repair of ruptured spleen...      12.59      7.64        1.49      21.72       090  S                 
    38200...  ..................  A                   Injection for spleen x-ray..       2.64      1.71        0.15       4.50       000  S                 
    38230...  ..................  A                   Bone marrow collection......       3.16      2.78        0.21       6.15       010  N                 
    38231...  ..................  A                   Stem cell collection........       1.50      1.37        0.08       2.95       000  N                 
    38240...  ..................  A                   Bone marrow/stem transplant.       2.24      2.08        0.14       4.46       XXX  N                 
    38241...  ..................  A                   Bone marrow/stem transplant.       2.24      2.04        0.13       4.41       XXX  N                 
    38300...  ..................  A                   Drainage lymph node lesion..       1.48      0.58        0.10       2.16       010  S                 
    38305...  ..................  A                   Drainage lymph node lesion..       4.24      1.96        0.36       6.56       090  S                 
    38308...  ..................  A                   Incision of lymph channels..       4.55      3.37        0.45       8.37       090  S                 
    38380...  ..................  A                   Thoracic duct procedure.....       6.53      4.44        0.76      11.73       090  S                 
    38381...  ..................  A                   Thoracic duct procedure.....      12.10      7.56        1.50      21.16       090  S                 
    38382...  ..................  A                   Thoracic duct procedure.....       9.24      4.84        1.13      15.21       090  S                 
    38500...  ..................  A                   Biopsy/removal, lymph              2.83      1.59        0.31       4.73       010  S                 
                                                       node(s).                                                                                             
    38505...  ..................  A                   Needle biopsy, lymph node(s)       1.14      1.12        0.17       2.43       000  S                 
    38510...  ..................  A                   Biopsy/removal, lymph              3.90      2.54        0.45       6.89       090  S                 
                                                       node(s).                                                                                             
    38520...  ..................  A                   Biopsy/removal, lymph              4.86      2.99        0.56       8.41       090  S                 
                                                       node(s).                                                                                             
    38525...  ..................  A                   Biopsy/removal, lymph              4.37      2.59        0.53       7.49       090  S                 
                                                       node(s).                                                                                             
    38530...  ..................  A                   Biopsy/removal, lymph              5.82      3.17        0.65       9.64       090  S                 
                                                       node(s).                                                                                             
    38542...  ..................  A                   Explore deep node(s), neck..       5.41      4.26        0.59      10.26       090  S                 
    38550...  ..................  A                   Removal neck/armpit lesion..       6.42      3.23        0.63      10.28       090  S                 
    38555...  ..................  A                   Removal neck/armpit lesion..      13.05      7.27        1.38      21.70       090  S                 
    38562...  ..................  A                   Removal, pelvic lymph nodes.       9.65      6.88        1.20      17.73       090  S                 
    38564...  ..................  A                   Removal, abdomen lymph nodes      10.00      7.39        1.51      18.90       090  S                 
    38700...  ..................  A                   Removal of lymph nodes, neck       7.56      9.64        1.31      18.51       090  S                 
    38720...  ..................  A                   Removal of lymph nodes, neck      12.29    *15.73        2.04      30.06       090  S                 
    38724...  ..................  A                   Removal of lymph nodes, neck      13.22     14.36        2.00      29.58       090  S                 
    38740...  ..................  A                   Remove armpit lymph nodes...       6.28      4.72        1.00      12.00       090  S                 
    38745...  ..................  A                   Remove armpits lymph nodes..       8.08      8.28        1.76      18.12       090  S                 
    
    [[Page 63231]]
                                                                                                                                                            
    38746...  ..................  A                   Remove thoracic lymph nodes.       4.39      2.29        0.53       7.21       ZZZ  S                 
    38747...  ..................  A                   Remove abdominal lymph nodes       4.89      2.56        0.59       8.04       ZZZ  S                 
    38760...  ..................  A                   Remove groin lymph nodes....       8.19      6.63        1.35      16.17       090  S                 
    38765...  ..................  A                   Remove groin lymph nodes....      14.98     12.67        2.42      30.07       090  S                 
    38770...  ..................  A                   Remove pelvis lymph nodes...      12.10     15.40        1.73      29.23       090  S                 
    38780...  ..................  A                   Remove abdomen lymph nodes..      15.17     16.06        3.13      34.36       090  S                 
    38790...  ..................  A                   Injection for lymphatic xray       1.29     *1.64        0.19       3.12       000  N                 
    38794...  ..................  A                   Access thoracic lymph duct..       4.05      2.84        0.38       7.27       090  S                 
    38999...  ..................  C                   Blood/lymph system procedure       0.00      0.00        0.00       0.00       YYY  S                 
    39000...  ..................  A                   Exploration of chest........       5.03      6.05        1.08      12.16       090  S                 
    39010...  ..................  A                   Exploration of chest........      10.78     11.46        2.08      24.32       090  S                 
    39200...  ..................  A                   Removal chest lesion........      12.40     11.58        2.14      26.12       090  S                 
    39220...  ..................  A                   Removal chest lesion........      16.16     14.94        2.83      33.93       090  S                 
    39400...  ..................  A                   Visualization of chest......       5.11      5.12        0.95      11.18       010  S                 
    39499...  ..................  C                   Chest procedure.............       0.00      0.00        0.00       0.00       YYY  S                 
    39501...  ..................  A                   Repair diaphragm laceration.      12.10     10.66        2.10      24.86       090  S                 
    39502...  ..................  A                   Repair paraesophageal hernia      15.18     11.93        2.45      29.56       090  S                 
    39503...  ..................  A                   Repair of diaphragm hernia..      33.22     25.18        2.94      61.34       090  S                 
    39520...  ..................  A                   Repair of diaphragm hernia..      15.18     12.53        2.46      30.17       090  S                 
    39530...  ..................  A                   Repair of diaphragm hernia..      14.22     14.06        2.71      30.99       090  S                 
    39531...  ..................  A                   Repair of diaphragm hernia..      15.23     10.00        1.80      27.03       090  S                 
    39540...  ..................  A                   Repair of diaphragm hernia..      12.10     11.98        2.51      26.59       090  S                 
    39541...  ..................  A                   Repair of diaphragm hernia..      13.10     12.16        2.37      27.63       090  S                 
    39545...  ..................  A                   Revision of diaphragm.......      12.10      7.90        1.31      21.31       090  S                 
    39599...  ..................  C                   Diaphragm surgery procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    40490...  ..................  A                   Biopsy of lip...............       1.22      0.74        0.07       2.03       000  S                 
    40500...  ..................  A                   Partial excision of lip.....       4.08     *5.23        0.94      10.25       090  S                 
    40510...  ..................  A                   Partial excision of lip.....       4.57     *5.84        0.83      11.24       090  S                 
    40520...  ..................  A                   Partial excision of lip.....       4.54      4.50        0.68       9.72       090  S                 
    40525...  ..................  A                   Reconstruct lip with flap...       7.26     *9.30        1.43      17.99       090  S                 
    40527...  ..................  A                   Reconstruct lip with flap...       8.71    *11.16        1.65      21.52       090  S                 
    40530...  ..................  A                   Partial removal of lip......       5.14      5.10        0.74      10.98       090  S                 
    40650...  ..................  A                   Repair lip..................       3.49     *4.47        0.65       8.61       090  S                 
    40652...  ..................  A                   Repair lip..................       4.08     *5.23        0.79      10.10       090  S                 
    40654...  ..................  A                   Repair lip..................       5.13     *6.57        1.00      12.70       090  S                 
    40700...  ..................  A                   Repair cleft lip/nasal......      12.04      8.46        1.28      21.78       090  S                 
    40701...  ..................  A                   Repair cleft lip/nasal......      15.10    *19.33        1.62      36.05       090  S                 
    40702...  ..................  A                   Repair cleft lip/nasal......      12.34      9.37        1.10      22.81       090  S                 
    40720...  ..................  A                   Repair cleft lip/nasal......      12.91      9.59        1.79      24.29       090  S                 
    40761...  ..................  A                   Repair cleft lip/nasal......      14.00     10.84        1.74      26.58       090  S                 
    40799...  ..................  C                   Lip surgery procedure.......       0.00      0.00        0.00       0.00       YYY  S                 
    40800...  ..................  A                   Drainage of mouth lesion....       1.12      0.74        0.07       1.93       010  S                 
    40801...  ..................  A                   Drainage of mouth lesion....       2.48      1.70        0.16       4.34       010  S                 
    40804...  ..................  A                   Removal foreign body, mouth.       1.19      0.58        0.06       1.83       010  S                 
    40805...  ..................  A                   Removal foreign body, mouth.       2.64      2.50        0.30       5.44       010  S                 
    40806...  ..................  A                   Incision of lip fold........       0.31      0.36        0.03       0.70       000  S                 
    40808...  ..................  A                   Biopsy of mouth lesion......       0.91      0.76        0.08       1.75       010  S                 
    40810...  ..................  A                   Excision of mouth lesion....       1.26      1.18        0.11       2.55       010  S                 
    40812...  ..................  A                   Excise/repair mouth lesion..       2.26      1.50        0.14       3.90       010  S                 
    40814...  ..................  A                   Excise/repair mouth lesion..       3.27      3.23        0.32       6.82       090  S                 
    40816...  ..................  A                   Excision of mouth lesion....       3.52      3.22        0.33       7.07       090  S                 
    40818...  ..................  A                   Excise oral mucosa for graft       2.26      2.25        0.20       4.71       090  S                 
    40819...  ..................  A                   Excise lip or cheek fold....       2.26      1.23        0.14       3.63       090  S                 
    40820...  ..................  A                   Treatment of mouth lesion...       1.23      0.53        0.06       1.82       010  S                 
    40830...  ..................  A                   Repair mouth laceration.....       1.71      0.67        0.07       2.45       010  S                 
    40831...  ..................  A                   Repair mouth laceration.....       2.41      1.94        0.21       4.56       010  S                 
    40840...  ..................  R                   Reconstruction of mouth.....       8.31      6.28        0.73      15.32       090  S                 
    40842...  ..................  R                   Reconstruction of mouth.....       8.31      6.28        0.73      15.32       090  S                 
    40843...  ..................  R                   Reconstruction of mouth.....      11.63      8.80        1.03      21.46       090  S                 
    40844...  ..................  R                   Reconstruction of mouth.....      15.37     11.63        1.36      28.36       090  S                 
    40845...  ..................  R                   Reconstruction of mouth.....      17.94     23.99        1.93      43.86       090  S                 
    40899...  ..................  C                   Mouth surgery procedure.....       0.00      0.00        0.00       0.00       YYY  S                 
    41000...  ..................  A                   Drainage of mouth lesion....       1.25      0.76        0.08       2.09       010  S                 
    41005...  ..................  A                   Drainage of mouth lesion....       1.21      0.62        0.07       1.90       010  S                 
    41006...  ..................  A                   Drainage of mouth lesion....       3.03      1.01        0.11       4.15       090  S                 
    41007...  ..................  A                   Drainage of mouth lesion....       2.89      2.90        0.30       6.09       090  S                 
    
    [[Page 63232]]
                                                                                                                                                            
    41008...  ..................  A                   Drainage of mouth lesion....       3.16      1.06        0.11       4.33       090  S                 
    41009...  ..................  A                   Drainage of mouth lesion....       3.35      3.31        0.34       7.00       090  S                 
    41010...  ..................  A                   Incision of tongue fold.....       1.19      0.37        0.04       1.60       010  S                 
    41015...  ..................  A                   Drainage of mouth lesion....       3.72      0.87        0.10       4.69       090  S                 
    41016...  ..................  A                   Drainage of mouth lesion....       3.72      3.69        0.38       7.79       090  S                 
    41017...  ..................  A                   Drainage of mouth lesion....       3.72      1.40        0.14       5.26       090  S                 
    41018...  ..................  A                   Drainage of mouth lesion....       4.75      3.93        0.38       9.06       090  S                 
    41100...  ..................  A                   Biopsy of tongue............       1.58      0.80        0.08       2.46       010  S                 
    41105...  ..................  A                   Biopsy of tongue............       1.37      1.03        0.12       2.52       010  S                 
    41108...  ..................  A                   Biopsy of floor of mouth....       1.00      0.85        0.09       1.94       010  S                 
    41110...  ..................  A                   Excision of tongue lesion...       1.46      1.30        0.15       2.91       010  S                 
    41112...  ..................  A                   Excision of tongue lesion...       2.63      2.39        0.23       5.25       090  S                 
    41113...  ..................  A                   Excision of tongue lesion...       3.09      3.41        0.37       6.87       090  S                 
    41114...  ..................  A                   Excision of tongue lesion...       7.88      6.39        0.73      15.00       090  S                 
    41115...  ..................  A                   Excision of tongue fold.....       1.69      1.78        0.17       3.64       010  S                 
    41116...  ..................  A                   Excision of mouth lesion....       2.36      2.49        0.27       5.12       090  S                 
    41120...  ..................  A                   Partial removal of tongue...       8.83      7.28        0.88      16.99       090  S                 
    41130...  ..................  A                   Partial removal of tongue...      10.27      9.06        1.14      20.47       090  S                 
    41135...  ..................  A                   Tongue and neck surgery.....      14.29    *18.30        2.64      35.23       090  S                 
    41140...  ..................  A                   Removal of tongue...........      23.46     18.89        2.45      44.80       090  S                 
    41145...  ..................  A                   Tongue removal; neck surgery      27.58     22.79        2.95      53.32       090  S                 
    41150...  ..................  A                   Tongue, mouth, jaw surgery..      19.36     18.96        2.46      40.78       090  S                 
    41153...  ..................  A                   Tongue, mouth, neck surgery.      21.18     25.00        3.03      49.21       090  S                 
    41155...  ..................  A                   Tongue, jaw, & neck surgery.      23.40    *29.95        3.75      57.10       090  S                 
    41250...  ..................  A                   Repair tongue laceration....       1.86      1.07        0.11       3.04       010  S                 
    41251...  ..................  A                   Repair tongue laceration....       2.22      2.07        0.21       4.50       010  S                 
    41252...  ..................  A                   Repair tongue laceration....       2.92      2.35        0.26       5.53       010  S                 
    41500...  ..................  A                   Fixation of tongue..........       3.50      3.29        0.26       7.05       090  S                 
    41510...  ..................  A                   Tongue to lip surgery.......       3.32      2.53        0.45       6.30       090  S                 
    41520...  ..................  A                   Reconstruction, tongue fold.       2.63      2.88        0.28       5.79       090  S                 
    41599...  ..................  C                   Tongue and mouth surgery....       0.00      0.00        0.00       0.00       YYY  S                 
    41800...  ..................  A                   Drainage of gum lesion......       1.12      0.69        0.07       1.88       010  S                 
    41805...  ..................  A                   Removal foreign body, gum...       1.19      0.84        0.08       2.11       010  S                 
    41806...  ..................  A                   Removal foreign body,              2.64      1.64        0.15       4.43       010  S                 
                                                       jawbone.                                                                                             
    41820...  ..................  R                   Excision, gum, each quadrant       0.00      0.00        0.00       0.00       XXX  S                 
    41821...  ..................  R                   Excision of gum flap........       0.00      0.00        0.00       0.00       XXX  S                 
    41822...  ..................  R                   Excision of gum lesion......       2.26      3.03        0.25       5.54       010  S                 
    41823...  ..................  R                   Excision of gum lesion......       3.15      4.20        0.34       7.69       090  S                 
    41825...  ..................  A                   Excision of gum lesion......       1.26      1.49        0.14       2.89       010  S                 
    41826...  ..................  A                   Excision of gum lesion......       2.26      2.07        0.18       4.51       010  S                 
    41827...  ..................  A                   Excision of gum lesion......       3.27      3.78        0.38       7.43       090  S                 
    41828...  ..................  R                   Excision of gum lesion......       3.04      4.07        0.33       7.44       010  S                 
    41830...  ..................  R                   Removal of gum tissue.......       3.30      4.41        0.36       8.07       010  S                 
    41850...  ..................  R                   Treatment of gum lesion.....       0.00      0.00        0.00       0.00       XXX  S                 
    41870...  ..................  R                   Gum graft...................       0.00      0.00        0.00       0.00       XXX  S                 
    41872...  ..................  R                   Repair gum..................       2.44      3.26        0.27       5.97       090  S                 
    41874...  ..................  R                   Repair tooth socket.........       2.94      3.93        0.32       7.19       090  S                 
    41899...  ..................  C                   Dental surgery procedure....       0.00      0.00        0.00       0.00       YYY  S                 
    42000...  ..................  A                   Drainage mouth roof lesion..       1.18      0.62        0.06       1.86       010  S                 
    42100...  ..................  A                   Biopsy roof of mouth........       1.26      0.79        0.08       2.13       010  S                 
    42104...  ..................  A                   Excision lesion, mouth roof.       1.59      1.62        0.17       3.38       010  S                 
    42106...  ..................  A                   Excision lesion, mouth roof.       2.63      2.22        0.21       5.06       010  S                 
    42107...  ..................  A                   Excision lesion, mouth roof.       4.20      4.91        0.50       9.61       090  S                 
    42120...  ..................  A                   Remove palate/lesion........       5.39     *6.90        1.01      13.30       090  S                 
    42140...  ..................  A                   Excision of uvula...........       1.54      1.35        0.15       3.04       090  S                 
    42145...  ..................  A                   Repair, palate, pharynx/           7.04     *9.01        1.45      17.50       090  S                 
                                                       uvula.                                                                                               
    42160...  ..................  A                   Treatment mouth roof lesion.       1.75      1.53        0.16       3.44       010  S                 
    42180...  ..................  A                   Repair palate...............       2.45      2.24        0.26       4.95       010  S                 
    42182...  ..................  A                   Repair palate...............       3.78      3.47        0.38       7.63       010  S                 
    42200...  ..................  A                   Reconstruct cleft palate....       9.48      7.19        0.85      17.52       090  S                 
    42205...  ..................  A                   Reconstruct cleft palate....       8.96     10.82        0.79      20.57       090  S                 
    42210...  ..................  A                   Reconstruct cleft palate....      10.02     12.51        0.95      23.48       090  S                 
    42215...  ..................  A                   Reconstruct cleft palate....       8.42      7.68        0.86      16.96       090  S                 
    42220...  ..................  A                   Reconstruct cleft palate....       6.65      5.40        0.81      12.86       090  S                 
    42225...  ..................  A                   Reconstruct cleft palate....       9.08      6.90        1.08      17.06       090  S                 
    42226...  ..................  A                   Lengthening of palate.......       9.42      7.89        0.86      18.17       090  S                 
    
    [[Page 63233]]
                                                                                                                                                            
    42227...  ..................  A                   Lengthening of palate.......       8.89      7.41        0.38      16.68       090  S                 
    42235...  ..................  A                   Repair palate...............       7.50      5.55        0.49      13.54       090  S                 
    42260...  ..................  A                   Repair nose to lip fistula..       4.17      3.98        0.44       8.59       090  S                 
    42280...  ..................  A                   Preparation, palate mold....       1.49      1.99        0.17       3.65       010  S                 
    42281...  ..................  A                   Insertion, palate prosthesis       1.77      1.47        0.15       3.39       010  S                 
    42299...  ..................  C                   Palate/uvula surgery........       0.00      0.00        0.00       0.00       YYY  S                 
    42300...  ..................  A                   Drainage of salivary gland..       1.88      0.96        0.12       2.96       010  S                 
    42305...  ..................  A                   Drainage of salivary gland..       5.59      2.18        0.27       8.04       090  S                 
    42310...  ..................  A                   Drainage of salivary gland..       1.51      1.03        0.12       2.66       010  S                 
    42320...  ..................  A                   Drainage of salivary gland..       2.30      1.83        0.22       4.35       010  S                 
    42325...  ..................  A                   Create salivary cyst drain..       2.65      2.12        0.20       4.97       090  S                 
    42326...  ..................  A                   Create salivary cyst drain..       3.65      4.34        0.33       8.32       090  S                 
    42330...  ..................  A                   Removal of salivary stone...       2.16      1.10        0.12       3.38       010  S                 
    42335...  ..................  A                   Removal of salivary stone...       3.21      2.47        0.27       5.95       090  S                 
    42340...  ..................  A                   Removal of salivary stone...       4.47      4.25        0.45       9.17       090  S                 
    42400...  ..................  A                   Biopsy of salivary gland....       0.78      0.79        0.10       1.67       000  S                 
    42405...  ..................  A                   Biopsy of salivary gland....       3.24      1.54        0.19       4.97       010  S                 
    42408...  ..................  A                   Excision of salivary cyst...       4.41      3.24        0.38       8.03       090  S                 
    42409...  ..................  A                   Drainage of salivary cyst...       2.71      2.81        0.30       5.82       090  S                 
    42410...  ..................  A                   Excise parotid gland/lesion.       8.88      5.94        0.92      15.74       090  S                 
    42415...  ..................  A                   Excise parotid gland/lesion.      16.12     12.68        1.68      30.48       090  S                 
    42420...  ..................  A                   Excise parotid gland/lesion.      18.63     14.82        1.87      35.32       090  S                 
    42425...  ..................  A                   Excise parotid gland/lesion.      12.36     11.10        1.43      24.89       090  S                 
    42426...  ..................  A                   Excise parotid gland/lesion.      19.88     24.12        3.21      47.21       090  S                 
    42440...  ..................  A                   Excision submaxillary gland.       6.61      7.98        0.99      15.58       090  S                 
    42450...  ..................  A                   Excision sublingual gland...       4.38      3.42        0.35       8.15       090  S                 
    42500...  ..................  A                   Repair salivary duct........       4.06      4.61        0.50       9.17       090  S                 
    42505...  ..................  A                   Repair salivary duct........       5.92      7.34        0.86      14.12       090  S                 
    42507...  ..................  A                   Parotid duct diversion......       5.96      4.65        0.67      11.28       090  S                 
    42508...  ..................  A                   Parotid duct diversion......       8.64      7.61        0.94      17.19       090  S                 
    42509...  ..................  A                   Parotid duct diversion......      11.08      7.31        1.23      19.62       090  S                 
    42510...  ..................  A                   Parotid duct diversion......       7.71      7.65        0.84      16.20       090  S                 
    42550...  ..................  A                   Injection for salivary x-ray       1.25      0.44        0.04       1.73       000  N                 
    42600...  ..................  A                   Closure of salivary fistula.       4.58      3.89        0.46       8.93       090  S                 
    42650...  ..................  A                   Dilation of salivary duct...       0.77      0.39        0.04       1.20       000  S                 
    42660...  ..................  A                   Dilation of salivary duct...       1.13      0.50        0.06       1.69       000  S                 
    42665...  ..................  A                   Ligation of salivary duct...       2.43      2.04        0.25       4.72       090  S                 
    42699...  ..................  C                   Salivary surgery procedure..       0.00      0.00        0.00       0.00       YYY  S                 
    42700...  ..................  A                   Drainage of tonsil abscess..       1.57      0.85        0.10       2.52       010  S                 
    42720...  ..................  A                   Drainage of throat abscess..       2.61      1.89        0.22       4.72       010  S                 
    42725...  ..................  A                   Drainage of throat abscess..       7.60      4.45        0.53      12.58       090  S                 
    42800...  ..................  A                   Biopsy of throat............       1.34      0.74        0.08       2.16       010  S                 
    42802...  ..................  A                   Biopsy of throat............       1.49      1.02        0.12       2.63       010  S                 
    42804...  ..................  A                   Biopsy of upper nose/throat.       1.19      1.09        0.13       2.41       010  S                 
    42806...  ..................  A                   Biopsy of upper nose/throat.       1.53      1.40        0.16       3.09       010  S                 
    42808...  ..................  A                   Excise pharynx lesion.......       2.25      2.52        0.29       5.06       010  S                 
    42809...  ..................  A                   Remove pharynx foreign body.       1.76      0.82        0.08       2.66       010  S                 
    42810...  ..................  A                   Excision of neck cyst.......       3.20      3.14        0.47       6.81       090  S                 
    42815...  ..................  A                   Excision of neck cyst.......       6.75      8.47        1.12      16.34       090  S                 
    42820...  ..................  A                   Remove tonsils and adenoids.       3.59      3.15        0.32       7.06       090  S                 
    42821...  ..................  A                   Remove tonsils and adenoids.       4.10      3.93        0.46       8.49       090  S                 
    42825...  ..................  A                   Removal of tonsils..........       3.21      2.64        0.33       6.18       090  S                 
    42826...  ..................  A                   Removal of tonsils..........       3.19      3.86        0.43       7.48       090  S                 
    42830...  ..................  A                   Removal of adenoids.........       2.49      1.86        0.27       4.62       090  S                 
    42831...  ..................  A                   Removal of adenoids.........       2.61      2.36        0.25       5.22       090  S                 
    42835...  ..................  A                   Removal of adenoids.........       2.22      1.86        0.10       4.18       090  S                 
    42836...  ..................  A                   Removal of adenoids.........       3.10      2.79        0.31       6.20       090  S                 
    42842...  ..................  A                   Extensive surgery of throat.       8.13      6.69        0.73      15.55       090  S                 
    42844...  ..................  A                   Extensive surgery of throat.      12.73     10.85        1.27      24.85       090  S                 
    42845...  ..................  A                   Extensive surgery of throat.      21.88     18.62        2.22      42.72       090  S                 
    42860...  ..................  A                   Excision of tonsil tags.....       2.14      1.89        0.21       4.24       090  S                 
    42870...  ..................  A                   Excision of lingual tonsil..       5.16      2.32        0.26       7.74       090  S                 
    42880...  ..................  A                   Excise nose/throat lesion...       6.01      4.62        0.52      11.15       090  S                 
    42890...  ..................  A                   Partial removal of pharynx..      11.67      8.99        1.03      21.69       090  S                 
    42892...  ..................  A                   Revision of pharyngeal walls      13.94     10.92        1.27      26.13       090  S                 
    42894...  ..................  A                   Revision of pharyngeal walls      20.68     16.06        1.83      38.57       090  S                 
    
    [[Page 63234]]
                                                                                                                                                            
    42900...  ..................  A                   Repair throat wound.........       4.98      4.26        0.48       9.72       010  S                 
    42950...  ..................  A                   Reconstruction of throat....       7.70      9.86        1.10      18.66       090  S                 
    42953...  ..................  A                   Repair throat, esophagus....       8.21      6.34        0.93      15.48       090  S                 
    42955...  ..................  A                   Surgical opening of throat..       6.50      3.32        0.43      10.25       090  S                 
    42960...  ..................  A                   Control throat bleeding.....       2.28      1.08        0.12       3.48       010  S                 
    42961...  ..................  A                   Control throat bleeding.....       5.18      1.75        0.19       7.12       090  S                 
    42962...  ..................  A                   Control throat bleeding.....       6.64      5.98        0.68      13.30       090  S                 
    42970...  ..................  A                   Control nose/throat bleeding       4.78      1.03        0.10       5.91       090  N                 
    42971...  ..................  A                   Control nose/throat bleeding       5.56      2.90        0.34       8.80       090  S                 
    42972...  ..................  A                   Control nose/throat bleeding       6.55      4.55        0.73      11.83       090  S                 
    42999...  ..................  C                   Throat surgery procedure....       0.00      0.00        0.00       0.00       YYY  S                 
    43020...  ..................  A                   Incision of esophagus.......       7.72      6.58        0.71      15.01       090  S                 
    43030...  ..................  A                   Throat muscle surgery.......       7.15     *9.15        1.21      17.51       090  S                 
    43045...  ..................  A                   Incision of esophagus.......      18.83     12.45        2.36      33.64       090  S                 
    43100...  ..................  A                   Excision of esophagus lesion       8.47      6.19        0.95      15.61       090  S                 
    43101...  ..................  A                   Excision of esophagus lesion      15.11      9.48        1.88      26.47       090  S                 
    43107...  ..................  A                   Removal of esophagus........      27.20     22.50        4.42      54.12       090  S                 
    43108...  ..................  A                   Removal of esophagus........      32.64     25.27        4.77      62.68       090  S                 
    43112...  ..................  A                   Removal of esophagus........      29.67     21.65        4.22      55.54       090  S                 
    43113...  ..................  A                   Removal of esophagus........      33.63     25.27        4.77      63.67       090  S                 
    43116...  ..................  A                   Partial removal of esophagus      29.67     25.27        4.77      59.71       090  S                 
    43117...  ..................  A                   Partial removal of esophagus      28.47     25.27        4.77      58.51       090  S                 
    43118...  ..................  A                   Partial removal of esophagus      31.65     25.27        4.77      61.69       090  S                 
    43121...  ..................  A                   Partial removal of esophagus      27.69     21.36        4.19      53.24       090  S                 
    43122...  ..................  A                   Parital removal of esophagus      27.69     21.36        4.19      53.24       090  S                 
    43123...  ..................  A                   Partial removal of esophagus      31.65     25.27        4.77      61.69       090  S                 
    43124...  ..................  A                   Removal of esophagus........      24.73     22.50        4.42      51.65       090  S                 
    43130...  ..................  A                   Removal of esophagus pouch..      10.68     10.51        1.60      22.79       090  S                 
    43135...  ..................  A                   Removal of esophagus pouch..      15.11     11.72        2.17      29.00       090  S                 
    43200...  ..................  A                   Esophagus endoscopy.........       1.59     *2.04        0.26       3.89       000  S                 
    43202...  ..................  A                   Esophagus endoscopy, biopsy.       1.89     *2.41        0.31       4.61       000  N                 
    43204...  ..................  A                   Esophagus endoscopy & inject       3.77     *4.83        0.36       8.96       000  N                 
    43205...  ..................  A                   Esophagus endoscopy/ligation       3.79      2.70        0.18       6.67       000  N                 
    43215...  ..................  A                   Esophagus endoscopy.........       2.60     *3.33        0.46       6.39       000  N                 
    43216...  ..................  A                   Esophagus endoscopy/lesion..       2.40     *3.58        0.37       6.35       000  N                 
    43217...  ..................  A                   Esophagus endoscopy.........       2.90     *3.58        0.37       6.85       000  N                 
    43219...  ..................  A                   Esophagus endoscopy.........       2.80     *3.58        0.34       6.72       000  N                 
    43220...  ..................  A                   Esophagus endoscopy,               2.10     *2.68        0.27       5.05       000  N                 
                                                       dilation.                                                                                            
    43226...  ..................  A                   Esophagus endoscopy,               2.34     *3.00        0.26       5.60       000  N                 
                                                       dilation.                                                                                            
    43227...  ..................  A                   Esophagus endoscopy, repair.       3.60     *4.61        0.34       8.55       000  N                 
    43228...  ..................  A                   Esophagus endoscopy,               3.77      4.79        0.38       8.94       000  N                 
                                                       ablation.                                                                                            
    43234...  ..................  A                   Upper GI endoscopy, exam....       2.01     *2.57        0.30       4.88       000  N                 
    43235...  ..................  A                   Upper GI endoscopy,                2.39     *3.07        0.29       5.75       000  N                 
                                                       diagnosis.                                                                                           
    43239...  ..................  A                   Upper GI endoscopy, biopsy..       2.69     *3.44        0.33       6.46       000  N                 
    43241...  ..................  A                   Upper GI endoscopy with tube       2.59     *3.31        0.38       6.28       000  N                 
    43243...  ..................  A                   Upper GI endoscopy & inject.       4.57      5.63        0.39      10.59       000  N                 
    43244...  ..................  A                   Upper GI endoscopy/ligation.       4.59      3.47        0.41       8.47       000  N                 
    43245...  ..................  A                   Operative upper GI endoscopy       3.39     *4.34        0.40       8.13       000  N                 
    43246...  ..................  A                   Place gastrostomy tube......       4.33     *5.55        0.51      10.39       000  N                 
    43247...  ..................  A                   Operative upper GI endoscopy       3.39     *4.34        0.38       8.11       000  N                 
    43248...  ..................  A                   Upper GI endoscopy/guidewire       3.15     *4.03        0.35       7.53       000  N                 
    43249...  ..................  A                   Esophagus endoscopy,               2.90      3.73        0.30       6.93       000  N                 
                                                       dilation.                                                                                            
    43250...  ..................  A                   Upper GI endoscopy/tumor....       3.20     *4.60        0.43       8.23       000  N                 
    43251...  ..................  A                   Operative upper GI endoscopy       3.70     *4.60        0.43       8.73       000  N                 
    43255...  ..................  A                   Operative upper GI endoscopy       4.40      5.63        0.38      10.41       000  N                 
    43258...  ..................  A                   Operative upper GI endoscopy       4.55      5.41        0.38      10.34       000  N                 
    43259...  ..................  A                   Endoscopic ultrasound exam..       4.89      4.02        0.35       9.26       000  N                 
    43260...  ..................  A                   Endoscopy,bile duct/pancreas       5.96      5.98        0.39      12.33       000  N                 
    43261...  ..................  A                   Endoscopy,bile duct/pancreas       6.27      5.98        0.39      12.64       000  N                 
    43262...  ..................  A                   Endoscopy,bile duct/pancreas       7.39      9.00        0.58      16.97       000  N                 
    43263...  ..................  A                   Endoscopy,bile duct/pancreas       6.19      5.83        0.38      12.40       000  N                 
    43264...  ..................  A                   Endoscopy,bile duct/pancreas       8.90      8.92        0.61      18.43       000  N                 
    43265...  ..................  A                   Endoscopy,bile duct/pancreas       8.90      6.82        0.49      16.21       000  N                 
    43267...  ..................  A                   Endoscopy,bile duct/pancreas       7.39      7.41        0.48      15.28       000  N                 
    43268...  ..................  A                   Endoscopy,bile duct/pancreas       7.39      8.72        0.56      16.67       000  N                 
    43269...  ..................  A                   Endoscopy,bile duct/pancreas       6.04      7.35        0.51      13.90       000  N                 
    
    [[Page 63235]]
                                                                                                                                                            
    43271...  ..................  A                   Endoscopy,bile duct/pancreas       7.39      7.63        0.50      15.52       000  N                 
    43272...  ..................  A                   Endoscopy,bile duct/pancreas       7.39      5.60        0.42      13.41       000  N                 
    43300...  ..................  A                   Repair of esophagus.........       8.72    *11.17        1.70      21.59       090  S                 
    43305...  ..................  A                   Repair esophagus and fistula      16.14     13.71        1.78      31.63       090  S                 
    43310...  ..................  A                   Repair of esophagus.........      24.20     16.99        3.23      44.42       090  S                 
    43312...  ..................  A                   Repair esophagus and fistula      27.26     13.72        2.30      43.28       090  S                 
    43320...  ..................  A                   Fuse esophagus & stomach....      14.49     11.68        2.05      28.22       090  S                 
    43324...  ..................  A                   Revise esophagus & stomach..      15.18     11.88        2.53      29.59       090  S                 
    43325...  ..................  A                   Revise esophagus & stomach..      14.63     11.61        2.29      28.53       090  S                 
    43326...  ..................  A                   Revise esophagus & stomach..      14.37      7.52        1.75      23.64       090  S                 
    43330...  ..................  A                   Repair of esophagus.........      14.27     11.36        2.39      28.02       090  S                 
    43331...  ..................  A                   Repair of esophagus.........      14.73     14.33        2.64      31.70       090  S                 
    43340...  ..................  A                   Fuse esophagus & intestine..      14.16     12.44        2.52      29.12       090  S                 
    43341...  ..................  A                   Fuse esophagus & intestine..      15.26      9.90        1.56      26.72       090  S                 
    43350...  ..................  A                   Surgical opening, esophagus.      11.25      7.88        1.15      20.28       090  S                 
    43351...  ..................  A                   Surgical opening, esophagus.      13.42      8.77        1.53      23.72       090  S                 
    43352...  ..................  A                   Surgical opening, esophagus.      10.92      8.86        1.47      21.25       090  S                 
    43360...  ..................  A                   Gastrointestinal repair.....      26.06     21.36        4.19      51.61       090  S                 
    43361...  ..................  A                   Gastrointestinal repair.....      29.67     25.27        4.77      59.71       090  S                 
    43400...  ..................  A                   Ligate esophagus veins......      15.55     10.82        1.63      28.00       090  S                 
    43401...  ..................  A                   Esophagus surgery for veins.      16.26      9.59        1.93      27.78       090  S                 
    43405...  ..................  A                   Ligate/staple esophagus.....      14.84     14.33        2.64      31.81       090  S                 
    43410...  ..................  A                   Repair esophagus wound......       9.61      8.90        1.54      20.05       090  S                 
    43415...  ..................  A                   Repair esophagus wound......      15.86     12.74        2.52      31.12       090  S                 
    43420...  ..................  A                   Repair esophagus opening....      10.19      5.88        0.78      16.85       090  S                 
    43425...  ..................  A                   Repair esophagus opening....      15.58      9.94        1.71      27.23       090  S                 
    43450...  ..................  A                   Dilate esophagus............       1.38      0.68        0.05       2.11       000  N                 
    43453...  ..................  A                   Dilate esophagus............       1.51      1.51        0.11       3.13       000  N                 
    43456...  ..................  A                   Dilate esophagus............       3.52      2.47        0.24       6.23       000  N                 
    43458...  ..................  A                   Dilation of esophagus.......       3.06     *1.52        0.27       4.85       000  N                 
    43460...  ..................  A                   Pressure treatment esophagus       3.80      1.67        0.15       5.62       000  N                 
    43499...  ..................  C                   Esophagus surgery procedure.       0.00      0.00        0.00       0.00       YYY  N                 
    43500...  ..................  A                   Surgical opening of stomach.       7.60      6.13        1.20      14.93       090  S                 
    43501...  ..................  A                   Surgical repair of stomach..      13.85      8.58        1.83      24.26       090  S                 
    43502...  ..................  A                   Surgical repair of stomach..      15.82      8.58        1.83      26.23       090  S                 
    43510...  ..................  A                   Surgical opening of stomach.       9.27      8.29        0.94      18.50       090  N                 
    43520...  ..................  A                   Incision of pyloric muscle..       7.00      4.48        0.87      12.35       090  S                 
    43600...  ..................  A                   Biopsy of stomach...........       1.91      0.50        0.05       2.46       000  N                 
    43605...  ..................  A                   Biopsy of stomach...........       8.23      5.91        1.29      15.43       090  S                 
    43610...  ..................  A                   Excision of stomach lesion..      10.11      8.17        1.71      19.99       090  S                 
    43611...  ..................  A                   Excision of stomach lesion..      12.43      8.17        1.71      22.31       090  S                 
    43620...  ..................  A                   Removal of stomach..........      21.03     15.38        3.19      39.60       090  S                 
    43621...  ..................  A                   Removal of stomach..........      21.47     15.38        3.19      40.04       090  S                 
    43622...  ..................  A                   Removal of stomach..........      22.82     15.38        3.19      41.39       090  S                 
    43631...  ..................  A                   Removal of stomach, partial.      18.10     12.42        2.66      33.18       090  S                 
    43632...  ..................  A                   Removal stomach, partial....      18.10     12.42        2.66      33.18       090  S                 
    43633...  ..................  A                   Removal stomach, partial....      18.54     12.42        2.66      33.62       090  S                 
    43634...  ..................  A                   Removal stomach, partial....      19.89     20.83        4.57      45.29       090  S                 
    43635...  ..................  A                   Partial removal of stomach..       2.06      1.08        0.26       3.40       ZZZ  S                 
    43638...  ..................  A                   Partial removal of stomach..      20.15     12.75        2.73      35.63       090  S                 
    43639...  ..................  A                   Removal stomach, partial....      20.64     12.75        2.73      36.12       090  S                 
    43640...  ..................  A                   Vagotomy & pylorus repair...      13.28     10.34        2.19      25.81       090  S                 
    43641...  ..................  A                   Vagotomy & pylorus repair...      13.28     10.34        2.18      25.80       090  S                 
    43750...  ..................  A                   Place gastrostomy tube......       5.71      4.35        0.56      10.62       010  N                 
    43760...  ..................  A                   Change gastrostomy tube.....       1.10      0.69        0.09       1.88       000  N                 
    43761...  ..................  A                   Reposition gastrostomy tube.       2.01      1.06        0.25       3.32       000  N                 
    43800...  ..................  A                   Reconstruction of pylorus...       9.41      6.85        1.47      17.73       090  S                 
    43810...  ..................  A                   Fusion of stomach and bowel.      10.08      7.64        1.53      19.25       090  S                 
    43820...  ..................  A                   Fusion of stomach and bowel.      10.43      8.29        1.75      20.47       090  S                 
    43825...  ..................  A                   Fusion of stomach and bowel.      13.28     11.08        2.30      26.66       090  S                 
    43830...  ..................  A                   Place gastrostomy tube......       4.84     *6.19        1.19      12.22       090  S                 
    43831...  ..................  A                   Place gastrostomy tube......       6.41      5.20        0.93      12.54       090  S                 
    43832...  ..................  A                   Place gastrostomy tube......      10.68      7.95        1.36      19.99       090  S                 
    43840...  ..................  A                   Repair of stomach lesion....      10.45      7.84        1.66      19.95       090  S                 
    43842...  ..................  A                   Gastroplasty for obesity....      13.76     13.72        2.93      30.41       090  S                 
    43843...  ..................  A                   Gastroplasty for obesity....      13.76     13.72        2.93      30.41       090  S                 
    
    [[Page 63236]]
                                                                                                                                                            
    43846...  ..................  A                   Gastric bypass for obesity..      17.84     14.80        3.30      35.94       090  S                 
    43847...  ..................  A                   Gastric bypass for obesity..      19.87     14.80        3.30      37.97       090  S                 
    43848...  ..................  A                   Revision gastroplasty.......      22.10     14.80        3.30      40.20       090  S                 
    43850...  ..................  A                   Revise stomach-bowel fusion.      18.14     11.64        2.25      32.03       090  S                 
    43855...  ..................  A                   Revise stomach-bowel fusion.      19.15     10.44        2.28      31.87       090  S                 
    43860...  ..................  A                   Revise stomach-bowel fusion.      18.14     11.46        2.51      32.11       090  S                 
    43865...  ..................  A                   Revise stomach-bowel fusion.      19.15     13.39        2.98      35.52       090  S                 
    43870...  ..................  A                   Repair stomach opening......       6.56      5.77        1.14      13.47       090  S                 
    43880...  ..................  A                   Repair stomach-bowel fistula      18.14      8.25        1.76      28.15       090  S                 
    43999...  ..................  C                   Stomach surgery procedure...       0.00      0.00        0.00       0.00       YYY  N                 
    44005...  ..................  A                   Freeing of bowel adhesion...      12.52      8.28        1.75      22.55       090  S                 
    44010...  ..................  A                   Incision of small bowel.....       9.24      6.91        1.42      17.57       090  S                 
    44015...  ..................  A                   Insert needle catheter,            2.62      3.22        0.45       6.29       ZZZ  S                 
                                                       bowel.                                                                                               
    44020...  ..................  A                   Exploration of small bowel..      10.69      7.81        1.65      20.15       090  S                 
    44021...  ..................  A                   Decompress small bowel......      10.83      7.00        1.48      19.31       090  S                 
    44025...  ..................  A                   Incision of large bowel.....      11.07      7.74        1.61      20.42       090  S                 
    44050...  ..................  A                   Reduce bowel obstruction....      10.05      7.77        1.64      19.46       090  S                 
    44055...  ..................  A                   Correct malrotation of bowel      11.92      7.66        1.60      21.18       090  S                 
    44100...  ..................  A                   Biopsy of bowel.............       2.01      1.38        0.13       3.52       000  N                 
    44110...  ..................  A                   Excision of bowel lesion(s).       9.01      7.67        1.58      18.26       090  S                 
    44111...  ..................  A                   Excision of bowel lesion(s).      11.05      9.67        2.14      22.86       090  S                 
    44120...  ..................  A                   Removal of small intestine..      13.15      9.46        2.02      24.63       090  S                 
    44121...  ..................  A                   Removal of small intestine..       4.45      2.32        0.54       7.31       ZZZ  S                 
    44125...  ..................  A                   Removal of small intestine..      13.15     10.75        2.28      26.18       090  S                 
    44130...  ..................  A                   Bowel to bowel fusion.......      11.09      8.67        1.86      21.62       090  S                 
    44139...  ..................  A                   Mobilization of colon.......       2.23      1.17        0.27       3.67       ZZZ  S                 
    44140...  ..................  A                   Partial removal of colon....      16.97     11.37        2.40      30.74       090  S                 
    44141...  ..................  A                   Partial removal of colon....      17.36     11.86        2.55      31.77       090  S                 
    44143...  ..................  A                   Partial removal of colon....      15.00     12.26        2.62      29.88       090  S                 
    44144...  ..................  A                   Partial removal of colon....      15.00     12.06        2.53      29.59       090  S                 
    44145...  ..................  A                   Partial removal of colon....      21.29     13.25        2.78      37.32       090  S                 
    44146...  ..................  A                   Partial removal of colon....      22.22     14.98        3.14      40.34       090  S                 
    44147...  ..................  A                   Partial removal of colon....      16.23     15.34        3.30      34.87       090  S                 
    44150...  ..................  A                   Removal of colon............      19.04     14.84        3.17      37.05       090  S                 
    44151...  ..................  A                   Removal of colon/ileostomy..      17.95     10.21        2.22      30.38       090  S                 
    44152...  ..................  A                   Removal of colon/ileostomy..      22.98     15.44        3.36      41.78       090  S                 
    44153...  ..................  A                   Removal of colon/ileostomy..      24.69     19.35        3.63      47.67       090  S                 
    44155...  ..................  A                   Removal of colon............      22.09     16.65        3.50      42.24       090  S                 
    44156...  ..................  A                   Removal of colon/ileostomy..      20.48     11.40        2.52      34.40       090  S                 
    44160...  ..................  A                   Removal of colon............      14.09     12.44        2.68      29.21       090  S                 
    44300...  ..................  A                   Open bowel to skin..........       7.77      6.03        1.29      15.09       090  S                 
    44310...  ..................  A                   Ileostomy/jejunostomy.......      10.07      7.88        1.66      19.61       090  S                 
    44312...  ..................  A                   Revision of ileostomy.......       5.34      3.08        0.45       8.87       090  S                 
    44314...  ..................  A                   Revision of ileostomy.......       9.77      6.68        1.21      17.66       090  S                 
    44316...  ..................  A                   Devise bowel pouch..........      13.59      9.64        1.43      24.66       090  S                 
    44320...  ..................  A                   Colostomy...................      11.39      7.46        1.57      20.42       090  S                 
    44322...  ..................  A                   Colostomy with biopsies.....      10.31      9.07        1.88      21.26       090  S                 
    44340...  ..................  A                   Revision of colostomy.......       4.92      1.68        0.35       6.95       090  S                 
    44345...  ..................  A                   Revision of colostomy.......      10.05      4.84        1.03      15.92       090  S                 
    44346...  ..................  A                   Revision of colostomy.......      11.13      6.65        1.38      19.16       090  S                 
    44360...  ..................  A                   Small bowel endoscopy.......       2.92     *3.74        0.32       6.98       000  N                 
    44361...  ..................  A                   Small bowel endoscopy,             3.23     *4.14        0.34       7.71       000  N                 
                                                       biopsy.                                                                                              
    44363...  ..................  A                   Small bowel endoscopy.......       3.94      2.99        0.36       7.29       000  N                 
    44364...  ..................  A                   Small bowel endoscopy.......       4.22      4.73        0.72       9.67       000  N                 
    44365...  ..................  A                   Small bowel endoscopy.......       3.73      4.73        0.72       9.18       000  N                 
    44366...  ..................  A                   Small bowel endoscopy.......       4.97      5.86        0.45      11.28       000  N                 
    44369...  ..................  A                   Small bowel endoscopy.......       5.09     *6.52        0.50      12.11       000  N                 
    44372...  ..................  A                   Small bowel endoscopy.......       4.97      5.83        0.67      11.47       000  N                 
    44373...  ..................  A                   Small bowel endoscopy.......       3.94     *5.03        0.50       9.47       000  N                 
    44376...  ..................  A                   Small bowel endoscopy.......       5.69      4.05        0.26      10.00       000  N                 
    44377...  ..................  A                   Small bowel endoscopy.......       5.98      4.26        0.28      10.52       000  N                 
    44378...  ..................  A                   Small bowel endoscopy.......       7.71      5.27        0.35      13.33       000  N                 
    44380...  ..................  A                   Small bowel endoscopy.......       1.51     *1.94        0.22       3.67       000  N                 
    44382...  ..................  A                   Small bowel endoscopy.......       1.82     *2.33        0.29       4.44       000  N                 
    44385...  ..................  A                   Endoscopy of bowel pouch....       1.82     *2.33        0.34       4.49       000  S                 
    44386...  ..................  A                   Endoscopy, bowel pouch,            2.12      1.54        0.15       3.81       000  N                 
                                                       biopsy.                                                                                              
    
    [[Page 63237]]
                                                                                                                                                            
    44388...  ..................  A                   Colon endoscopy.............       2.82     *3.61        0.50       6.93       000  S                 
    44389...  ..................  A                   Colonoscopy with biopsy.....       3.13     *4.00        0.45       7.58       000  N                 
    44390...  ..................  A                   Colonoscopy for foreign body       3.83      2.63        0.28       6.74       000  N                 
    44391...  ..................  A                   Colonoscopy for bleeding....       4.32      5.26        0.53      10.11       000  N                 
    44392...  ..................  A                   Colonoscopy & polypectomy...       3.82     *5.16        0.70       9.68       000  N                 
    44393...  ..................  A                   Colonoscopy, lesion removal.       4.84      5.41        0.70      10.95       000  N                 
    44394...  ..................  A                   Colonoscopy w/snare.........       4.43     *5.16        0.70      10.29       000  N                 
    44500...  ..................  A                   Intro, gastrointestinal tube       0.49      0.36        0.02       0.87       000  N                 
    44602...  ..................  A                   Suture, small intestine.....       9.72      7.65        1.62      18.99       090  S                 
    44603...  ..................  A                   Suture, small intestine.....      12.94      9.09        1.96      23.99       090  S                 
    44604...  ..................  A                   Suture, large intestine.....      12.94      7.87        1.67      22.48       090  S                 
    44605...  ..................  A                   Repair of bowel lesion......      13.91      9.37        2.02      25.30       090  S                 
    44615...  ..................  A                   Intestinal stricturoplasty..      12.89      6.74        1.57      21.20       090  S                 
    44620...  ..................  A                   Repair bowel opening........       9.65      5.97        1.26      16.88       090  S                 
    44625...  ..................  A                   Repair bowel opening........      12.10      9.58        2.03      23.71       090  S                 
    44640...  ..................  A                   Repair bowel-skin fistula...      13.34      6.54        1.35      21.23       090  S                 
    44650...  ..................  A                   Repair bowel fistula........      13.76      7.33        1.46      22.55       090  S                 
    44660...  ..................  A                   Repair bowel-bladder fistula      13.14      8.34        1.21      22.69       090  S                 
    44661...  ..................  A                   Repair bowel-bladder fistula      15.44     13.94        2.52      31.90       090  S                 
    44680...  ..................  A                   Surgical revision, intestine      12.41      9.71        2.14      24.26       090  S                 
    44799...  ..................  C                   Intestine surgery procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    44800...  ..................  A                   Excision of bowel pouch.....      10.12      5.24        1.08      16.44       090  S                 
    44820...  ..................  A                   Excision of mesentery lesion       9.31      5.80        1.21      16.32       090  S                 
    44850...  ..................  A                   Repair of mesentery.........       8.64      5.60        1.18      15.42       090  S                 
    44899...  ..................  C                   Bowel surgery procedure.....       0.00      0.00        0.00       0.00       YYY  S                 
    44900...  ..................  A                   Drainage of appendix abscess       7.86      4.28        0.88      13.02       090  S                 
    44950...  ..................  A                   Appendectomy................       6.06      4.89        1.01      11.96       090  S                 
    44955...  ..................  A                   Appendectomy................       1.53     *1.96        0.60       4.09       ZZZ  S                 
    44960...  ..................  A                   Appendectomy................       9.78      5.89        1.24      16.91       090  S                 
    45000...  ..................  A                   Drainage of pelvic abscess..       4.28      1.59        0.24       6.11       090  S                 
    45005...  ..................  A                   Drainage of rectal abscess..       1.96      1.29        0.21       3.46       010  S                 
    45020...  ..................  A                   Drainage of rectal abscess..       4.40      2.61        0.51       7.52       090  S                 
    45100...  ..................  A                   Biopsy of rectum............       3.38      1.88        0.35       5.61       090  S                 
    45108...  ..................  A                   Removal of anorectal lesion.       4.28      2.66        0.53       7.47       090  S                 
    45110...  ..................  A                   Removal of rectum...........      21.68     16.32        3.43      41.43       090  S                 
    45111...  ..................  A                   Partial removal of rectum...      14.97     11.77        2.49      29.23       090  S                 
    45112...  ..................  A                   Removal of rectum...........      24.02     16.06        3.36      43.44       090  S                 
    45113...  ..................  A                   Partial proctectomy.........      24.69     16.06        3.36      44.11       090  S                 
    45114...  ..................  A                   Partial removal of rectum...      21.20     15.39        3.24      39.83       090  S                 
    45116...  ..................  A                   Partial removal of rectum...      19.09     10.77        2.34      32.20       090  S                 
    45120...  ..................  A                   Removal of rectum...........      22.78     16.39        3.54      42.71       090  S                 
    45121...  ..................  A                   Removal of rectum and colon.      24.96     10.79        2.01      37.76       090  S                 
    45123...  ..................  A                   Partial proctectomy.........      13.27     11.77        2.49      27.53       090  S                 
    45130...  ..................  A                   Excision of rectal prolapse.      13.03      8.92        1.79      23.74       090  S                 
    45135...  ..................  A                   Excision of rectal prolapse.      15.36     15.95        3.50      34.81       090  S                 
    45150...  ..................  A                   Excision of rectal stricture       5.26      3.38        0.63       9.27       090  S                 
    45160...  ..................  A                   Excision of rectal lesion...      12.34      7.46        1.56      21.36       090  S                 
    45170...  ..................  A                   Excision of rectal lesion...       9.40      4.62        0.96      14.98       090  S                 
    45190...  ..................  A                   Destruction, rectal tumor...       7.91      5.09        1.06      14.06       090  S                 
    45300...  ..................  A                   Proctosigmoidoscopy.........       0.70      0.55        0.07       1.32       000  S                 
    45303...  ..................  A                   Proctosigmoidoscopy.........       0.50     *0.64        0.12       1.26       000  S                 
    45305...  ..................  A                   Proctosigmoidoscopy; biopsy.       1.01      0.84        0.14       1.99       000  S                 
    45307...  ..................  A                   Proctosigmoidoscopy.........       1.71      1.27        0.18       3.16       000  S                 
    45308...  ..................  A                   Proctosigmoidoscopy.........       1.51      1.13        0.20       2.84       000  S                 
    45309...  ..................  A                   Proctosigmoidoscopy.........       2.01      1.13        0.20       3.34       000  S                 
    45315...  ..................  A                   Proctosigmoidoscopy.........       2.54      1.19        0.18       3.91       000  S                 
    45317...  ..................  A                   Proctosigmoidoscopy.........       2.73      1.26        0.19       4.18       000  S                 
    45320...  ..................  A                   Proctosigmoidoscopy.........       2.88      1.87        0.34       5.09       000  S                 
    45321...  ..................  A                   Proctosigmoidoscopy.........       2.12      1.47        0.27       3.86       000  S                 
    45330...  ..................  A                   Sigmoidoscopy, diagnostic...       0.96     *1.23        0.12       2.31       000  N                 
    45331...  ..................  A                   Sigmoidoscopy and biopsy....       1.26     *1.61        0.15       3.02       000  N                 
    45332...  ..................  A                   Sigmoidoscopy...............       1.96      1.76        0.16       3.88       000  N                 
    45333...  ..................  A                   Sigmoidoscopy & polypectomy.       1.96      2.24        0.26       4.46       000  N                 
    45334...  ..................  A                   Sigmoidoscopy for bleeding..       2.99      2.71        0.23       5.93       000  N                 
    45337...  ..................  A                   Sigmoidoscopy, decompression       2.36     *3.03        0.38       5.77       000  N                 
    45338...  ..................  A                   Sigmoidoscopy...............       2.57      2.24        0.26       5.07       000  N                 
    
    [[Page 63238]]
                                                                                                                                                            
    45339...  ..................  A                   Sigmoidoscopy...............       3.14      3.24        0.31       6.69       000  N                 
    45355...  ..................  A                   Surgical colonoscopy........       3.52      1.17        0.10       4.79       000  N                 
    45378...  ..................  A                   Diagnostic colonoscopy......       3.70      4.13        0.39       8.22       000  N                 
    45379...  ..................  A                   Colonoscopy.................       4.72      5.33        0.45      10.50       000  N                 
    45380...  ..................  A                   Colonoscopy and biopsy......       4.01      4.79        0.40       9.20       000  N                 
    45382...  ..................  A                   Colonoscopy, control               5.73      5.87        0.41      12.01       000  N                 
                                                       bleeding.                                                                                            
    45383...  ..................  A                   Colonoscopy, lesion removal.       5.87      5.92        0.50      12.29       000  N                 
    45384...  ..................  A                   Colonoscopy.................       4.70     *6.65        0.58      11.93       000  N                 
    45385...  ..................  A                   Colonoscopy, lesion removal.       5.31     *6.65        0.58      12.54       000  N                 
    45500...  ..................  A                   Repair of rectum............       6.59      5.95        1.21      13.75       090  S                 
    45505...  ..................  A                   Repair of rectum............       5.54      6.29        1.23      13.06       090  S                 
    45520...  ..................  A                   Treatment of rectal prolapse       0.55      0.61        0.10       1.26       000  N                 
    45540...  ..................  A                   Correct rectal prolapse.....      11.98      9.89        2.10      23.97       090  S                 
    45541...  ..................  A                   Correct rectal prolapse.....       9.79     10.17        2.04      22.00       090  S                 
    45550...  ..................  A                   Repair rectum; remove             13.38     11.49        2.38      27.25       090  S                 
                                                       sigmoid.                                                                                             
    45560...  ..................  A                   Repair of rectocele.........       7.48      4.79        0.98      13.25       090  S                 
    45562...  ..................  A                   Exploration/repair of rectum      11.13      8.09        1.58      20.80       090  S                 
    45563...  ..................  A                   Exploration/repair of rectum      17.55     12.77        2.49      32.81       090  S                 
    45800...  ..................  A                   Repair rectumbladder fistula      12.75      9.82        1.45      24.02       090  S                 
    45805...  ..................  A                   Repair fistula; colostomy...      15.08     12.32        2.39      29.79       090  S                 
    45820...  ..................  A                   Repair rectourethral fistula      13.31      8.98        1.23      23.52       090  S                 
    45825...  ..................  A                   Repair fistula; colostomy...      15.45      9.87        1.66      26.98       090  S                 
    45900...  ..................  A                   Reduction of rectal prolapse       1.68      0.58        0.11       2.37       010  S                 
    45905...  ..................  A                   Dilation of anal sphincter..       1.51      0.71        0.12       2.34       010  S                 
    45910...  ..................  A                   Dilation of rectal narrowing       1.86      0.87        0.13       2.86       010  S                 
    45915...  ..................  A                   Remove rectal obstruction...       2.09      0.78        0.09       2.96       010  N                 
    45999...  ..................  C                   Rectum surgery procedure....       0.00      0.00        0.00       0.00       YYY  N                 
    46030...  ..................  A                   Removal of rectal marker....       1.20      0.40        0.07       1.67       010  S                 
    46040...  ..................  A                   Incision of rectal abscess..       4.90      1.69        0.34       6.93       090  S                 
    46045...  ..................  A                   Incision of rectal abscess..       3.91      1.85        0.38       6.14       090  S                 
    46050...  ..................  A                   Incision of anal abscess....       1.14      0.60        0.11       1.85       010  S                 
    46060...  ..................  A                   Incision of rectal abscess..       5.03      5.35        1.12      11.50       090  S                 
    46070...  ..................  A                   Incision of anal septum.....       2.63      1.37        0.33       4.33       090  S                 
    46080...  ..................  A                   Incision of anal sphincter..       2.35      2.13        0.43       4.91       010  S                 
    46083...  ..................  A                   Incise external hemorrhoid..       1.35      0.63        0.08       2.06       010  N                 
    46200...  ..................  A                   Removal of anal fissure.....       3.02      3.29        0.66       6.97       090  S                 
    46210...  ..................  A                   Removal of anal crypt.......       2.52      0.77        0.14       3.43       090  S                 
    46211...  ..................  A                   Removal of anal crypts......       4.07      1.90        0.38       6.35       090  S                 
    46220...  ..................  A                   Removal of anal tab.........       1.51      0.63        0.12       2.26       010  S                 
    46221...  ..................  A                   Ligation of hemorrhoid(s)...       1.38      0.66        0.14       2.18       010  S                 
    46230...  ..................  A                   Removal of anal tabs........       2.52      0.83        0.12       3.47       010  S                 
    46250...  ..................  A                   Hemorrhoidectomy............       4.29      2.84        0.52       7.65       090  S                 
    46255...  ..................  A                   Hemorrhoidectomy............       4.95      4.72        0.85      10.52       090  S                 
    46257...  ..................  A                   Remove hemorrhoids & fissure       5.87      5.23        1.08      12.18       090  S                 
    46258...  ..................  A                   Remove hemorrhoids & fistula       6.26      5.87        1.22      13.35       090  S                 
    46260...  ..................  A                   Hemorrhoidectomy............       6.70      6.07        1.25      14.02       090  S                 
    46261...  ..................  A                   Remove hemorrhoids & fissure       6.54      6.62        1.34      14.50       090  S                 
    46262...  ..................  A                   Remove hemorrhoids & fistula       6.77      6.72        1.39      14.88       090  S                 
    46270...  ..................  A                   Removal of anal fistula.....       3.51      1.87        0.37       5.75       090  S                 
    46275...  ..................  A                   Removal of anal fistula.....       4.35      5.50        1.13      10.98       090  S                 
    46280...  ..................  A                   Removal of anal fistula.....       5.63      6.08        1.24      12.95       090  S                 
    46285...  ..................  A                   Removal of anal fistula.....       3.88      2.28        0.43       6.59       090  S                 
    46288...  ..................  A                   Repair anal fistula.........       6.83      3.57        0.83      11.23       090  S                 
    46320...  ..................  A                   Removal of hemorrhoid clot..       1.58      0.70        0.11       2.39       010  S                 
    46500...  ..................  A                   Injection into hemorrhoids..       1.53      0.32        0.06       1.91       010  S                 
    46600...  ..................  A                   Diagnostic anoscopy.........       0.50      0.28        0.03       0.81       000  N                 
    46604...  ..................  A                   Anoscopy and dilation.......       1.31      0.38        0.06       1.75       000  S                 
    46606...  ..................  A                   Anoscopy and biopsy.........       0.81      0.36        0.06       1.23       000  S                 
    46608...  ..................  A                   Anoscopy; remove foreign           1.51      1.07        0.12       2.70       000  N                 
                                                       body.                                                                                                
    46610...  ..................  A                   Anoscopy; remove lesion.....       1.32      0.85        0.15       2.32       000  S                 
    46611...  ..................  A                   Anoscopy....................       1.81      0.85        0.15       2.81       000  S                 
    46612...  ..................  A                   Anoscopy; remove lesions....       2.34      1.39        0.20       3.93       000  S                 
    46614...  ..................  A                   Anoscopy; control bleeding..       2.01      1.55        0.25       3.81       000  S                 
    46615...  ..................  A                   Anoscopy....................       2.68      1.55        0.25       4.48       000  S                 
    46700...  ..................  A                   Repair of anal stricture....       6.40      6.14        1.24      13.78       090  S                 
    46705...  ..................  A                   Repair of anal stricture....       6.38      3.60        0.77      10.75       090  S                 
    
    [[Page 63239]]
                                                                                                                                                            
    46715...  ..................  A                   Repair of anovaginal fistula       6.73      3.51        0.82      11.06       090  S                 
    46716...  ..................  A                   Repair of anovaginal fistula      11.58      6.05        1.40      19.03       090  S                 
    46730...  ..................  A                   Construction of absent anus.      20.54     10.74        2.50      33.78       090  S                 
    46735...  ..................  A                   Construction of absent anus.      24.91     13.04        3.04      40.99       090  S                 
    46740...  ..................  A                   Construction of absent anus.      22.08     11.55        2.68      36.31       090  S                 
    46742...  ..................  A                   Repair, imperforated anus...      27.82     19.75        1.93      49.50       090  S                 
    46744...  ..................  A                   Repair, cloacal anomaly.....      31.23     22.17        2.17      55.57       090  S                 
    46746...  ..................  A                   Repair, cloacal anomaly.....      34.17     24.26        2.37      60.80       090  S                 
    46748...  ..................  A                   Repair, cloacal anomaly.....      38.07     27.03        2.64      67.74       090  S                 
    46750...  ..................  A                   Repair of anal sphincter....       7.35      6.00        1.22      14.57       090  S                 
    46751...  ..................  A                   Repair of anal sphincter....       7.78      4.07        0.95      12.80       090  S                 
    46753...  ..................  A                   Reconstruction of anus......       6.04      4.89        1.02      11.95       090  S                 
    46754...  ..................  A                   Removal of suture from anus.       1.51      1.48        0.30       3.29       010  S                 
    46760...  ..................  A                   Repair of anal sphincter....      10.61      6.80        1.41      18.82       090  S                 
    46761...  ..................  A                   Repair of anal sphincter....      10.16      6.83        1.35      18.34       090  S                 
    46762...  ..................  A                   Implant artificial sphincter       9.26      5.72        1.21      16.19       090  S                 
    46900...  ..................  A                   Destruction, anal lesion(s).       1.81      0.39        0.06       2.26       010  S                 
    46910...  ..................  A                   Destruction, anal lesion(s).       1.81      0.64        0.08       2.53       010  S                 
    46916...  ..................  A                   Cryosurgery, anal lesion(s).       1.81      0.67        0.06       2.54       010  S                 
    46917...  ..................  A                   Laser surgery, anal                1.81      1.94        0.31       4.06       010  S                 
                                                       lesion(s).                                                                                           
    46922...  ..................  A                   Excision of anal lesion(s)..       1.81      1.28        0.23       3.32       010  S                 
    46924...  ..................  A                   Destruction, anal lesion(s).       2.71      2.56        0.46       5.73       010  S                 
    46934...  ..................  A                   Destruction of hemorrhoids..       3.84      1.19        0.17       5.20       090  N                 
    46935...  ..................  A                   Destruction of hemorrhoids..       2.40      1.62        0.22       4.24       010  N                 
    46936...  ..................  A                   Destruction of hemorrhoids..       4.17      2.29        0.24       6.70       090  N                 
    46937...  ..................  A                   Cryotherapy of rectal lesion       2.66      2.35        0.45       5.46       010  S                 
    46938...  ..................  A                   Cryotherapy of rectal lesion       4.42      2.50        0.52       7.44       090  S                 
    46940...  ..................  A                   Treatment of anal fissure...       2.29      0.51        0.09       2.89       010  S                 
    46942...  ..................  A                   Treatment of anal fissure...       2.01      0.46        0.08       2.55       010  S                 
    46945...  ..................  A                   Ligation of hemorrhoids.....       3.06      0.63        0.12       3.81       090  S                 
    46946...  ..................  A                   Ligation of hemorrhoids.....       4.04      0.94        0.17       5.15       090  S                 
    46999...  ..................  C                   Anus surgery procedure......       0.00      0.00        0.00       0.00       YYY  S                 
    47000...  ..................  A                   Needle biopsy of liver......       1.90      1.40        0.13       3.43       000  N                 
    47001...  ..................  A                   Needle biopsy, liver........       1.90      1.40        0.13       3.43       ZZZ  S                 
    47010...  ..................  A                   Drainage of liver lesion....       8.75      6.75        1.13      16.63       090  S                 
    47015...  ..................  A                   Inject/aspirate liver cyst..       8.78      6.75        1.13      16.66       090  S                 
    47100...  ..................  A                   Wedge biopsy of liver.......       6.75      3.29        0.67      10.71       090  S                 
    47120...  ..................  A                   Partial removal of liver....      19.99     12.00        2.48      34.47       090  S                 
    47122...  ..................  A                   Extensive removal of liver..      32.54     17.58        3.59      53.71       090  S                 
    47125...  ..................  A                   Partial removal of liver....      28.68     17.43        3.61      49.72       090  S                 
    47130...  ..................  A                   Partial removal of liver....      31.56     19.19        3.89      54.64       090  S                 
    47133...  ..................  X                   Removal of donor liver......       0.00      0.00        0.00       0.00       XXX  0                 
    47134...  ..................  R                   Partial removal, donor liver      39.15     20.48        4.77      64.40       XXX  S                 
    47135...  ..................  R                   Transplantation of liver....      77.61     54.48        8.49     140.58       090  S                 
    47136...  ..................  R                   Transplantation of liver....      64.04     33.50        7.79     105.33       090  S                 
    47300...  ..................  A                   Surgery for liver lesion....       8.75      7.67        1.59      18.01       090  S                 
    47350...  ..................  A                   Repair liver wound..........      11.29      7.46        1.49      20.24       090  S                 
    47355...  ..................  D                   Repair liver wound..........       0.00      0.00        0.00       0.00       090  S                 
    47360...  ..................  A                   Repair liver wound..........      15.34     10.93        2.18      28.45       090  S                 
    47361...  ..................  A                   Repair liver wound..........      28.00     14.64        3.41      46.05       090  S                 
    47362...  ..................  A                   Repair liver wound..........      10.00      5.23        1.22      16.45       090  S                 
    47399...  ..................  C                   Liver surgery procedure.....       0.00      0.00        0.00       0.00       YYY  S                 
    47400...  ..................  A                   Incision of liver duct......      18.90      8.53        1.36      28.79       090  S                 
    47420...  ..................  A                   Incision of bile duct.......      15.31      9.48        1.99      26.78       090  S                 
    47425...  ..................  A                   Incision of bile duct.......      14.79     11.71        2.45      28.95       090  S                 
    47460...  ..................  A                   Incise bile duct sphincter..      14.41     15.54        1.82      31.77       090  N                 
    47480...  ..................  A                   Incision of gallbladder.....       8.05      7.60        1.59      17.24       090  S                 
    47490...  ..................  A                   Incision of gallbladder.....       6.04      3.57        0.38       9.99       090  N                 
    47500...  ..................  A                   Injection for liver x-rays..       1.96      1.51        0.14       3.61       000  N                 
    47505...  ..................  A                   Injection for liver x-rays..       0.76     *0.98        0.14       1.88       000  N                 
    47510...  ..................  A                   Insert catheter, bile duct..       7.39      2.87        0.25      10.51       090  N                 
    47511...  ..................  A                   Insert bile duct drain......       9.91      2.87        0.25      13.03       090  N                 
    47525...  ..................  A                   Change bile duct catheter...       5.41      1.59        0.16       7.16       010  N                 
    47530...  ..................  A                   Revise, reinsert bile tube..       5.41      1.51        0.19       7.11       090  N                 
    47550...  ..................  A                   Bile duct endoscopy.........       3.02      1.56        0.35       4.93       000  S                 
    47552...  ..................  A                   Biliary endoscopy, thru skin       6.04      1.36        0.21       7.61       000  S                 
    
    [[Page 63240]]
                                                                                                                                                            
    47553...  ..................  A                   Biliary endoscopy, thru skin       6.35      3.80        0.62      10.77       000  N                 
    47554...  ..................  A                   Biliary endoscopy, thru skin       9.06      3.93        0.67      13.66       000  S                 
    47555...  ..................  A                   Biliary endoscopy, thru skin       7.56      2.63        0.30      10.49       000  N                 
    47556...  ..................  A                   Biliary endoscopy, thru skin       8.56      2.63        0.30      11.49       000  N                 
    47600...  ..................  A                   Removal of gallbladder......      10.68      7.53        1.58      19.79       090  S                 
    47605...  ..................  A                   Removal of gallbladder......      11.53      8.14        1.75      21.42       090  S                 
    47610...  ..................  A                   Removal of gallbladder......      13.86      9.37        2.00      25.23       090  S                 
    47612...  ..................  A                   Removal of gallbladder......      14.75     14.23        3.05      32.03       090  S                 
    47620...  ..................  A                   Removal of gallbladder......      15.79     11.23        2.36      29.38       090  S                 
    47630...  ..................  A                   Remove bile duct stone......       8.31      3.75        0.40      12.46       090  N                 
    47700...  ..................  A                   Exploration of bile ducts...      13.75      7.63        1.58      22.96       090  S                 
    47701...  ..................  A                   Bile duct revision..........      26.57      8.21        1.90      36.68       090  S                 
    47711...  ..................  A                   Excision of bile duct tumor.      18.16     12.06        2.46      32.68       090  S                 
    47712...  ..................  A                   Excision of bile duct tumor.      23.74     12.06        2.46      38.26       090  S                 
    47715...  ..................  A                   Excision of bile duct cyst..      14.50      8.22        1.71      24.43       090  S                 
    47716...  ..................  A                   Fusion of bile duct cyst....      12.53      6.56        1.53      20.62       090  S                 
    47720...  ..................  A                   Fuse gallbladder & bowel....      11.90      9.16        1.93      22.99       090  S                 
    47721...  ..................  A                   Fuse upper gi structures....      14.41     11.42        2.47      28.30       090  S                 
    47740...  ..................  A                   Fuse gallbladder & bowel....      13.93     10.21        2.14      26.28       090  S                 
    47741...  ..................  A                   Fuse gallbladder & bowel....      16.23     14.35        3.02      33.60       090  S                 
    47760...  ..................  A                   Fuse bile ducts and bowel...      19.93     11.61        2.53      34.07       090  S                 
    47765...  ..................  A                   Fuse liver ducts & bowel....      19.04     14.61        2.97      36.62       090  S                 
    47780...  ..................  A                   Fuse bile ducts and bowel...      20.40     13.07        2.73      36.20       090  S                 
    47785...  ..................  A                   Fuse bile ducts and bowel...      24.41     13.07        2.73      40.21       090  S                 
    47800...  ..................  A                   Reconstruction of bile ducts      17.71     13.22        2.43      33.36       090  S                 
    47801...  ..................  A                   Placement, bile duct support      11.28      5.48        0.81      17.57       090  S                 
    47802...  ..................  A                   Fuse liver duct & intestine.      16.01     10.27        1.75      28.03       090  S                 
    47900...  ..................  A                   Suture bile duct injury.....      15.63     13.22        2.43      31.28       090  S                 
    47999...  ..................  C                   Bile tract surgery procedure       0.00      0.00        0.00       0.00       YYY  S                 
    48000...  ..................  A                   Drainage of abdomen.........      13.10      7.05        1.40      21.55       090  S                 
    48001...  ..................  A                   Placement of drain, pancreas      15.54      8.13        1.89      25.56       090  S                 
    48005...  ..................  A                   Resect/debride pancreas.....      17.57      9.19        2.14      28.90       090  S                 
    48020...  ..................  A                   Removal of pancreatic stone.      12.98      6.78        1.57      21.33       090  S                 
    48100...  ..................  A                   Biopsy of pancreas..........      10.19      4.21        0.79      15.19       090  S                 
    48102...  ..................  A                   Needle biopsy, pancreas.....       4.43      2.41        0.25       7.09       010  N                 
    48120...  ..................  A                   Removal of pancreas lesion..      12.79      9.72        2.07      24.58       090  S                 
    48140...  ..................  A                   Partial removal of pancreas.      18.27     13.29        2.83      34.39       090  S                 
    48145...  ..................  A                   Partial removal of pancreas.      19.09     15.71        3.16      37.96       090  S                 
    48146...  ..................  A                   Pancreatectomy..............      21.73     16.49        1.92      40.14       090  S                 
    48148...  ..................  A                   Removal of pancreatic duct..      14.41      8.23        1.68      24.32       090  S                 
    48150...  ..................  A                   Partial removal of pancreas.      40.25     22.54        4.75      67.54       090  S                 
    48152...  ..................  A                   Pancreatectomy..............      36.50     22.54        4.75      63.79       090  S                 
    48153...  ..................  A                   Pancreatectomy..............      40.25     22.54        4.75      67.54       090  S                 
    48154...  ..................  A                   Pancreatectomy..............      36.50     22.54        4.75      63.79       090  S                 
    48155...  ..................  A                   Removal of pancreas.........      19.43     20.40        4.26      44.09       090  S                 
    48160...  ..................  N                   Pancreas removal, transplant       0.00      0.00        0.00       0.00       XXX  0                 
    48180...  ..................  A                   Fuse pancreas and bowel.....      20.88     12.60        2.63      36.11       090  S                 
    48400...  ..................  A                   Injection, intraoperative...       1.95      1.03        0.24       3.22       ZZZ  N                 
    48500...  ..................  A                   Surgery of pancreas cyst....      12.04      8.53        1.66      22.23       090  S                 
    48510...  ..................  A                   Drain pancreatic pseudocyst.      11.22      7.54        1.44      20.20       090  S                 
    48520...  ..................  A                   Fuse pancreas cyst and bowel      12.97     11.30        2.43      26.70       090  S                 
    48540...  ..................  A                   Fuse pancreas cyst and bowel      15.77     12.66        2.65      31.08       090  S                 
    48545...  ..................  A                   Pancreatorrhaphy............      14.65      7.66        1.79      24.10       090  S                 
    48547...  ..................  A                   Duodenal exclusion..........      21.18     11.08        2.58      34.84       090  S                 
    48550...  ..................  N                   Donor pancreatectomy........       0.00      0.00        0.00       0.00       XXX  0                 
    48554...  ..................  N                   Transplantallograft pancreas     #34.17     17.87        4.16      56.20       XXX  0                 
    48556...  ..................  A                   Removal, allograft pancreas.      13.89      7.26        1.69      22.84       090  S                 
    48999...  ..................  C                   Pancreas surgery procedure..       0.00      0.00        0.00       0.00       YYY  S                 
    49000...  ..................  A                   Exploration of abdomen......       8.99      6.79        1.40      17.18       090  S                 
    49002...  ..................  A                   Reopening of abdomen........       9.40      6.05        1.21      16.66       090  S                 
    49010...  ..................  A                   Exploration behind abdomen..      11.19      6.95        1.31      19.45       090  S                 
    49020...  ..................  A                   Drain abdominal abscess.....       9.06      4.82        0.91      14.79       090  S                 
    49040...  ..................  A                   Drain abdominal abscess.....       8.74      6.54        1.27      16.55       090  S                 
    49060...  ..................  A                   Drain abdominal abscess.....      10.55      5.54        1.01      17.10       090  S                 
    49080...  ..................  A                   Puncture, peritoneal cavity.       1.35      0.87        0.08       2.30       000  N                 
    49081...  ..................  A                   Removal of abdominal fluid..       1.26      0.75        0.07       2.08       000  N                 
    
    [[Page 63241]]
                                                                                                                                                            
    49085...  ..................  A                   Remove abdomen foreign body.       7.91      3.46        0.67      12.04       090  S                 
    49180...  ..................  A                   Biopsy, abdominal mass......       1.49      1.82        0.20       3.51       000  N                 
    49200...  ..................  A                   Removal of abdominal lesion.       9.19      8.38        1.70      19.27       090  S                 
    49201...  ..................  A                   Removal of abdominal lesion.      13.60     12.10        2.50      28.20       090  S                 
    49215...  ..................  A                   Excise sacral spine tumor...      21.05      8.50        1.59      31.14       090  S                 
    49220...  ..................  A                   Multiple surgery, abdomen...      13.66     12.30        2.53      28.49       090  S                 
    49250...  ..................  A                   Excision of umbilicus.......       7.42      4.52        0.96      12.90       090  S                 
    49255...  ..................  A                   Removal of omentum..........       4.04     *5.16        1.15      10.35       090  S                 
    49400...  ..................  A                   Air injection into abdomen..       1.88      1.12        0.17       3.17       000  S                 
    49420...  ..................  A                   Insert abdominal drain......       2.22      1.58        0.20       4.00       000  S                 
    49421...  ..................  A                   Insert abdominal drain......       4.89      4.14        0.81       9.84       090  S                 
    49422...  ..................  A                   Remove perm cannula/catheter       5.85      4.14        0.81      10.80       010  S                 
    49425...  ..................  A                   Insert abdomen-venous drain.      10.22      8.48        1.78      20.48       090  S                 
    49426...  ..................  A                   Revise abdomen-venous shunt.       8.57      5.39        1.07      15.03       090  S                 
    49427...  ..................  A                   Injection, abdominal shunt..       0.89      0.49        0.03       1.41       000  N                 
    49428...  ..................  A                   Ligation of shunt...........       1.98      1.04        0.24       3.26       010  S                 
    49429...  ..................  A                   Removal of shunt............       6.35      3.32        0.77      10.44       010  S                 
    49495...  ..................  A                   Repair inguinal hernia, init       5.79      4.98        0.95      11.72       090  S                 
    49496...  ..................  A                   Repair inguinal hernia, init       8.37      5.04        1.08      14.49       090  S                 
    49500...  ..................  A                   Repair inguinal hernia......       4.41      4.98        0.95      10.34       090  S                 
    49501...  ..................  A                   Repair inguinal hernia, init       7.26      5.04        1.08      13.38       090  S                 
    49505...  ..................  A                   Repair inguinal hernia......       6.17      4.51        0.94      11.62       090  S                 
    49507...  ..................  A                   Repair, inguinal hernia.....       7.40      5.04        1.08      13.52       090  S                 
    49520...  ..................  A                   Rerepair inguinal hernia....       7.87      5.22        1.11      14.20       090  S                 
    49521...  ..................  A                   Repair inguinal hernia, rec.       9.43      5.04        1.08      15.55       090  S                 
    49525...  ..................  A                   Repair inguinal hernia......       6.97      5.55        1.16      13.68       090  S                 
    49540...  ..................  A                   Repair lumbar hernia........       7.91      5.20        1.12      14.23       090  S                 
    49550...  ..................  A                   Repair femoral hernia.......       6.97      4.61        0.97      12.55       090  S                 
    49553...  ..................  A                   Repair femoral hernia, init.       7.40      4.61        0.97      12.98       090  S                 
    49555...  ..................  A                   Repair femoral hernia.......       7.29      6.07        1.26      14.62       090  S                 
    49557...  ..................  A                   Repair femoral hernia, recur       8.73      6.07        1.26      16.06       090  S                 
    49560...  ..................  A                   Repair abdominal hernia.....       9.48      5.65        1.19      16.32       090  S                 
    49561...  ..................  A                   Repair incisional hernia....      11.38      5.65        1.19      18.22       090  S                 
    49565...  ..................  A                   Rerepair abdominal hernia...       9.48      6.41        1.35      17.24       090  S                 
    49566...  ..................  A                   Repair incisional hernia....      11.38      6.41        1.35      19.14       090  S                 
    49568...  ..................  A                   Hernia repair w/mesh........       4.89      2.56        0.59       8.04       ZZZ  S                 
    49570...  ..................  A                   Repair epigastric hernia....       4.46      4.38        0.91       9.75       090  S                 
    49572...  ..................  A                   Repair, epigastric hernia...       5.35      5.60        1.18      12.13       090  S                 
    49580...  ..................  A                   Repair umbilical hernia.....       3.24     *4.15        0.94       8.33       090  S                 
    49582...  ..................  A                   Repair umbilical hernia.....       5.13      4.61        0.94      10.68       090  S                 
    49585...  ..................  A                   Repair umbilical hernia.....       4.95      4.41        0.91      10.27       090  S                 
    49587...  ..................  A                   Repair umbilical hernia.....       5.93      4.41        0.91      11.25       090  S                 
    49590...  ..................  A                   Repair abdominal hernia.....       6.55      5.63        1.22      13.40       090  S                 
    49600...  ..................  A                   Repair umbilical lesion.....       9.48      5.26        0.77      15.51       090  S                 
    49605...  ..................  A                   Repair umbilical lesion.....      21.92      8.57        1.77      32.26       090  S                 
    49606...  ..................  A                   Repair umbilical lesion.....      17.93      8.31        0.96      27.20       090  S                 
    49610...  ..................  A                   Repair umbilical lesion.....       9.83      5.48        1.27      16.58       090  S                 
    49611...  ..................  A                   Repair umbilical lesion.....       8.25      9.00        0.58      17.83       090  S                 
    49900...  ..................  A                   Repair of abdominal wall....       4.54      3.66        0.75       8.95       090  S                 
    49905...  ..................  A                   Omental flap................       6.55      3.42        0.80      10.77       ZZZ  S                 
    49999...  ..................  C                   Abdomen surgery procedure...       0.00      0.00        0.00       0.00       YYY  S                 
    50010...  ..................  A                   Exploration of kidney.......      10.07      9.55        1.13      20.75       090  S                 
    50020...  ..................  A                   Drainage of kidney abscess..      12.41      6.80        0.85      20.06       090  S                 
    50040...  ..................  A                   Drainage of kidney..........      13.80      7.18        0.62      21.60       090  N                 
    50045...  ..................  A                   Exploration of kidney.......      14.48      9.81        0.89      25.18       090  S                 
    50060...  ..................  A                   Removal of kidney stone.....      18.00     12.25        1.21      31.46       090  S                 
    50065...  ..................  A                   Incision of kidney..........      19.62     13.93        1.35      34.90       090  S                 
    50070...  ..................  A                   Incision of kidney..........      19.15     12.87        1.35      33.37       090  S                 
    50075...  ..................  A                   Removal of kidney stone.....      24.05     16.87        1.62      42.54       090  S                 
    50080...  ..................  A                   Removal of kidney stone.....      13.98     12.20        1.15      27.33       090  S                 
    50081...  ..................  A                   Removal of kidney stone.....      20.58     14.96        1.44      36.98       090  S                 
    50100...  ..................  A                   Revise kidney blood vessels.      15.11     10.34        1.35      26.80       090  S                 
    50120...  ..................  A                   Exploration of kidney.......      15.00     10.91        1.24      27.15       090  S                 
    50125...  ..................  A                   Explore and drain kidney....      15.61     10.95        1.06      27.62       090  S                 
    50130...  ..................  A                   Removal of kidney stone.....      16.12     12.80        1.26      30.18       090  S                 
    50135...  ..................  A                   Exploration of kidney.......      18.14     17.05        1.63      36.82       090  S                 
    
    [[Page 63242]]
                                                                                                                                                            
    50200...  ..................  A                   Biopsy of kidney............       2.63      2.61        0.22       5.46       000  N                 
    50205...  ..................  A                   Biopsy of kidney............      12.69      5.64        0.69      19.02       090  S                 
    50220...  ..................  A                   Removal of kidney...........      15.98     13.31        1.43      30.72       090  S                 
    50225...  ..................  A                   Removal of kidney...........      18.93     16.52        1.70      37.15       090  S                 
    50230...  ..................  A                   Removal of kidney...........      20.56     18.40        1.84      40.80       090  S                 
    50234...  ..................  A                   Removal of kidney & ureter..      21.11     16.65        1.65      39.41       090  S                 
    50236...  ..................  A                   Removal of kidney & ureter..      23.33     17.74        1.74      42.81       090  S                 
    50240...  ..................  A                   Partial removal of kidney...      20.24     16.00        1.70      37.94       090  S                 
    50280...  ..................  A                   Removal of kidney lesion....      14.63     10.86        1.16      26.65       090  S                 
    50290...  ..................  A                   Removal of kidney lesion....      13.69      8.87        1.19      23.75       090  S                 
    50300...  ..................  X                   Removal of donor kidney.....       0.00      0.00        0.00       0.00       XXX  0                 
    50320...  ..................  A                   Removal of donor kidney.....      21.22     16.49        2.40      40.11       090  S                 
    50340...  ..................  A                   Removal of kidney...........      10.73     12.49        2.24      25.46       090  S                 
    50360...  ..................  A                   Transplantation of kidney...      27.05     24.45        4.24      55.74       090  S                 
    50365...  ..................  A                   Transplantation of kidney...      32.54     30.71        3.89      67.14       090  S                 
    50370...  ..................  A                   Remove transplanted kidney..      11.11     11.08        1.92      24.11       090  S                 
    50380...  ..................  A                   Reimplantation of kidney....      16.49     10.12        1.71      28.32       090  S                 
    50390...  ..................  A                   Drainage of kidney lesion...       3.24      1.69        0.15       5.08       000  N                 
    50392...  ..................  A                   Insert kidney drain.........       5.59      2.36        0.20       8.15       000  N                 
    50393...  ..................  A                   Insert ureteral tube........       6.88      3.01        0.26      10.15       000  N                 
    50394...  ..................  A                   Injection for kidney x-ray..       0.76      0.55        0.05       1.36       000  N                 
    50395...  ..................  A                   Create passage to kidney....       5.15      3.33        0.29       8.77       000  N                 
    50396...  ..................  A                   Measure kidney pressure.....       2.09      0.50        0.05       2.64       000  N                 
    50398...  ..................  A                   Change kidney tube..........       1.46      0.53        0.05       2.04       000  S                 
    50400...  ..................  A                   Revision of kidney/ureter...      18.07     13.66        1.36      33.09       090  S                 
    50405...  ..................  A                   Revision of kidney/ureter...      22.45     17.29        1.74      41.48       090  S                 
    50500...  ..................  A                   Repair of kidney wound......      18.27     12.46        1.64      32.37       090  S                 
    50520...  ..................  A                   Close kidney-skin fistula...      15.93     10.34        1.50      27.77       090  S                 
    50525...  ..................  A                   Repair renal-abdomen fistula      20.59     12.61        1.99      35.19       090  S                 
    50526...  ..................  A                   Repair renal-abdomen fistula      22.15      7.39        2.32      31.86       090  S                 
    50540...  ..................  A                   Revision of horseshoe kidney      19.15     13.41        1.54      34.10       090  S                 
    50551...  ..................  A                   Kidney endoscopy............       5.60      2.19        0.21       8.00       000  S                 
    50553...  ..................  A                   Kidney endoscopy............       5.99      1.66        0.17       7.82       000  S                 
    50555...  ..................  A                   Kidney endoscopy & biopsy...       6.53      4.70        0.45      11.68       000  S                 
    50557...  ..................  A                   Kidney endoscopy & treatment       6.62      4.71        0.49      11.82       000  S                 
    50559...  ..................  A                   Renal endoscopy; radiotracer       6.78      1.34        0.14       8.26       000  S                 
    50561...  ..................  A                   Kidney endoscopy & treatment       7.59      5.12        0.49      13.20       000  S                 
    50570...  ..................  A                   Kidney endoscopy............       9.54      1.45        0.14      11.13       000  S                 
    50572...  ..................  A                   Kidney endoscopy............      10.35      7.25        0.75      18.35       000  S                 
    50574...  ..................  A                   Kidney endoscopy & biopsy...      11.02      7.08        0.64      18.74       000  S                 
    50575...  ..................  A                   Kidney endoscopy............      13.98      9.93        0.97      24.88       000  S                 
    50576...  ..................  A                   Kidney endoscopy & treatment      10.99      8.69        0.77      20.45       000  S                 
    50578...  ..................  A                   Renal endoscopy; radiotracer      11.35      3.79        1.19      16.33       000  S                 
    50580...  ..................  A                   Kidney endoscopy & treatment      11.86      3.58        0.35      15.79       000  S                 
    50590...  ..................  A                   Fragmenting of kidney stone.       9.62     10.11        0.97      20.70       090  S                 
    50600...  ..................  A                   Exploration of ureter.......      14.78      9.69        1.01      25.48       090  S                 
    50605...  ..................  A                   Insert ureteral support.....      14.40      6.11        0.60      21.11       090  S                 
    50610...  ..................  A                   Removal of ureter stone.....      14.86     11.77        1.17      27.80       090  S                 
    50620...  ..................  A                   Removal of ureter stone.....      14.17     11.49        1.16      26.82       090  S                 
    50630...  ..................  A                   Removal of ureter stone.....      13.95     12.71        1.25      27.91       090  S                 
    50650...  ..................  A                   Removal of ureter...........      16.37     12.07        1.21      29.65       090  S                 
    50660...  ..................  A                   Removal of ureter...........      18.44     12.49        1.53      32.46       090  S                 
    50684...  ..................  A                   Injection for ureter x-ray..       0.76      0.49        0.05       1.30       000  S                 
    50686...  ..................  A                   Measure ureter pressure.....       1.51      0.37        0.04       1.92       000  S                 
    50688...  ..................  A                   Change of ureter tube.......       1.14      0.39        0.04       1.57       010  S                 
    50690...  ..................  A                   Injection for ureter x-ray..       1.16      0.32        0.03       1.51       000  S                 
    50700...  ..................  A                   Revision of ureter..........      14.10     12.57        1.29      27.96       090  S                 
    50715...  ..................  A                   Release of ureter...........      17.60     11.24        1.49      30.33       090  S                 
    50722...  ..................  A                   Release of ureter...........      15.11     10.32        1.97      27.40       090  S                 
    50725...  ..................  A                   Release/revise ureter.......      17.12     12.05        1.75      30.92       090  S                 
    50727...  ..................  A                   Revise ureter...............       7.57      5.37        0.51      13.45       090  S                 
    50728...  ..................  A                   Revise ureter...............      11.13      7.90        0.77      19.80       090  S                 
    50740...  ..................  A                   Fusion of ureter & kidney...      17.12     13.03        1.88      32.03       090  S                 
    50750...  ..................  A                   Fusion of ureter & kidney...      18.14     14.04        1.26      33.44       090  S                 
    50760...  ..................  A                   Fusion of ureters...........      17.12     13.47        1.48      32.07       090  S                 
    50770...  ..................  A                   Splicing of ureters.........      18.14     15.23        1.53      34.90       090  S                 
    
    [[Page 63243]]
                                                                                                                                                            
    50780...  ..................  A                   Reimplant ureter in bladder.      17.12     13.78        1.46      32.36       090  S                 
    50782...  ..................  A                   Reimplant ureter in bladder.      18.23     13.78        1.46      33.47       090  S                 
    50783...  ..................  A                   Reimplant ureter in bladder.      19.17     13.78        1.46      34.41       090  S                 
    50785...  ..................  A                   Reimplant ureter in bladder.      19.15     15.42        1.80      36.37       090  S                 
    50800...  ..................  A                   Implant ureter in bowel.....      13.10     14.67        1.51      29.28       090  S                 
    50810...  ..................  A                   Fusion of ureter & bowel....      18.14     12.57        1.75      32.46       090  S                 
    50815...  ..................  A                   Urine shunt to bowel........      18.14     19.76        2.75      40.65       090  S                 
    50820...  ..................  A                   Construct bowel bladder.....      20.15     18.97        2.50      41.62       090  S                 
    50825...  ..................  A                   Construct bowel bladder.....      26.19     30.54        3.33      60.06       090  S                 
    50830...  ..................  A                   Revise urine flow...........      29.29     20.93        2.27      52.49       090  S                 
    50840...  ..................  A                   Replace ureter by bowel.....      18.14     13.32        1.35      32.81       090  S                 
    50845...  ..................  A                   Appendico-vesicostomy.......      19.52     13.87        1.35      34.74       090  S                 
    50860...  ..................  A                   Transplant ureter to skin...      13.99     10.92        1.16      26.07       090  S                 
    50900...  ..................  A                   Repair of ureter............      12.58      9.98        1.15      23.71       090  S                 
    50920...  ..................  A                   Closure ureter/skin fistula.      13.22      9.52        0.99      23.73       090  S                 
    50930...  ..................  A                   Closure ureter/bowel fistula      17.61     12.50        1.22      31.33       090  S                 
    50940...  ..................  A                   Release of ureter...........      13.47      9.90        0.95      24.32       090  S                 
    50951...  ..................  A                   Endoscopy of ureter.........       5.84      1.67        0.17       7.68       000  S                 
    50953...  ..................  A                   Endoscopy of ureter.........       6.24      1.66        0.16       8.06       000  S                 
    50955...  ..................  A                   Ureter endoscopy & biopsy...       6.75      2.55        0.25       9.55       000  S                 
    50957...  ..................  A                   Ureter endoscopy & treatment       6.79      2.50        0.25       9.54       000  S                 
    50959...  ..................  A                   Ureter endoscopy & tracer...       4.40      3.38        0.29       8.07       000  S                 
    50961...  ..................  A                   Ureter endoscopy & treatment       6.05      2.62        0.26       8.93       000  S                 
    50970...  ..................  A                   Ureter endoscopy............       7.14      5.17        0.52      12.83       000  S                 
    50972...  ..................  A                   Ureter endoscopy & catheter.       6.89      1.54        0.16       8.59       000  S                 
    50974...  ..................  A                   Ureter endoscopy & biopsy...       9.17      7.01        0.65      16.83       000  S                 
    50976...  ..................  A                   Ureter endoscopy & treatment       9.04      6.41        0.62      16.07       000  S                 
    50978...  ..................  A                   Ureter endoscopy & tracer...       5.10      4.05        0.48       9.63       000  S                 
    50980...  ..................  A                   Ureter endoscopy & treatment       6.85      3.13        0.30      10.28       000  S                 
    51000...  ..................  A                   Drainage of bladder.........       0.78      0.48        0.05       1.31       000  S                 
    51005...  ..................  A                   Drainage of bladder.........       1.02      0.46        0.04       1.52       000  S                 
    51010...  ..................  A                   Drainage of bladder.........       2.54      0.97        0.11       3.62       010  S                 
    51020...  ..................  A                   Incise & treat bladder......       6.04      6.85        0.71      13.60       090  S                 
    51030...  ..................  A                   Incise & treat bladder......       6.04      4.53        0.43      11.00       090  S                 
    51040...  ..................  A                   Incise & drain bladder......       4.08     *5.23        0.75      10.06       090  S                 
    51045...  ..................  A                   Incise bladder, drain ureter       6.04      4.96        0.50      11.50       090  S                 
    51050...  ..................  A                   Removal of bladder stone....       6.04      7.12        0.70      13.86       090  S                 
    51060...  ..................  A                   Removal of ureter stone.....       8.05    *10.31        1.19      19.55       090  S                 
    51065...  ..................  A                   Removal of ureter stone.....       8.05      7.08        0.71      15.84       090  S                 
    51080...  ..................  A                   Drainage of bladder abscess.       5.41      5.18        0.57      11.16       090  S                 
    51500...  ..................  A                   Removal of bladder cyst.....       9.54      6.86        1.21      17.61       090  S                 
    51520...  ..................  A                   Removal of bladder lesion...       8.69      8.53        0.87      18.09       090  S                 
    51525...  ..................  A                   Removal of bladder lesion...      12.78     10.67        1.06      24.51       090  S                 
    51530...  ..................  A                   Removal of bladder lesion...      11.32      9.25        1.02      21.59       090  S                 
    51535...  ..................  A                   Repair of ureter lesion.....      11.51      7.68        1.14      20.33       090  S                 
    51550...  ..................  A                   Partial removal of bladder..      14.34     10.71        1.17      26.22       090  S                 
    51555...  ..................  A                   Partial removal of bladder..      19.60     12.26        1.31      33.17       090  S                 
    51565...  ..................  A                   Revise bladder & ureter(s)..      20.01     15.84        1.67      37.52       090  S                 
    51570...  ..................  A                   Removal of bladder..........      22.16     15.66        1.62      39.44       090  S                 
    51575...  ..................  A                   Removal of bladder & nodes..      27.93     22.87        2.25      53.05       090  S                 
    51580...  ..................  A                   Remove bladder; revise tract      28.20     19.95        2.04      50.19       090  S                 
    51585...  ..................  A                   Removal of bladder & nodes..      32.22     25.12        2.42      59.76       090  S                 
    51590...  ..................  A                   Remove bladder; revise tract      30.21     24.52        2.56      57.29       090  S                 
    51595...  ..................  A                   Remove bladder; revise tract      34.25     33.80        3.34      71.39       090  S                 
    51596...  ..................  A                   Remove bladder, create pouch      36.27     34.89        3.45      74.61       090  S                 
    51597...  ..................  A                   Removal of pelvic structures      35.27     30.63        4.31      70.21       090  S                 
    51600...  ..................  A                   Injection for bladder x-ray.       0.88      0.28        0.03       1.19       000  S                 
    51605...  ..................  A                   Preparation for bladder xray       1.13      0.30        0.03       1.46       000  S                 
    51610...  ..................  A                   Injection for bladder x-ray.       1.59      0.27        0.02       1.88       000  S                 
    51700...  ..................  A                   Irrigation of bladder.......       0.88      0.22        0.02       1.12       000  S                 
    51705...  ..................  A                   Change of bladder tube......       0.99      0.38        0.04       1.41       010  S                 
    51710...  ..................  A                   Change of bladder tube......       1.46      0.57        0.06       2.09       010  S                 
    51715...  ..................  A                   Endoscopic injection/implant       3.74      2.65        0.27       6.66       000  S                 
    51720...  ..................  A                   Treatment of bladder lesion.       1.96      0.45        0.05       2.46       000  S                 
    51725...  ..................  A                   Simple cystometrogram.......       1.51      1.01        0.11       2.63       000  S                 
    51725...  26                  A                   Simple cystometrogram.......       1.51      0.63        0.07       2.21       000  S                 
    
    [[Page 63244]]
                                                                                                                                                            
    51725...  TC                  A                   Simple cystometrogram.......       0.00      0.38        0.04       0.42       000  S                 
    51726...  ..................  A                   Complex cystometrogram......       1.71      1.29        0.13       3.13       000  S                 
    51726...  26                  A                   Complex cystometrogram......       1.71      0.81        0.08       2.60       000  S                 
    51726...  TC                  A                   Complex cystometrogram......       0.00      0.48        0.05       0.53       000  S                 
    51736...  ..................  A                   Urine flow measurement......       0.84      0.41        0.04       1.29       000  S                 
    51736...  26                  A                   Urine flow measurement......       0.84      0.26        0.03       1.13       000  S                 
    51736...  TC                  A                   Urine flow measurement......       0.00      0.15        0.01       0.16       000  S                 
    51741...  ..................  A                   Electro-uroflowmetry, first.       1.57      0.56        0.06       2.19       000  S                 
    51741...  26                  A                   Electro-uroflowmetry, first.       1.57      0.35        0.04       1.96       000  S                 
    51741...  TC                  A                   Electro-uroflowmetry, first.       0.00      0.21        0.02       0.23       000  S                 
    51772...  ..................  A                   Urethra pressure profile....       1.61      0.94        0.11       2.66       000  S                 
    51772...  26                  A                   Urethra pressure profile....       1.61      0.52        0.06       2.19       000  S                 
    51772...  TC                  A                   Urethra pressure profile....       0.00      0.42        0.05       0.47       000  S                 
    51784...  ..................  A                   Anal/urinary muscle study...       1.53      1.04        0.11       2.68       000  S                 
    51784...  26                  A                   Anal/urinary muscle study...       1.53      0.65        0.07       2.25       000  S                 
    51784...  TC                  A                   Anal/urinary muscle study...       0.00      0.39        0.04       0.43       000  S                 
    51785...  ..................  A                   Anal/urinary muscle study...       1.53      1.04        0.11       2.68       000  S                 
    51785...  26                  A                   Anal/urinary muscle study...       1.53      0.65        0.07       2.25       000  S                 
    51785...  TC                  A                   Anal/urinary muscle study...       0.00      0.39        0.04       0.43       000  S                 
    51792...  ..................  A                   Urinary reflex study........       1.10      1.93        0.20       3.23       000  S                 
    51792...  26                  A                   Urinary reflex study........       1.10      0.59        0.06       1.75       000  S                 
    51792...  TC                  A                   Urinary reflex study........       0.00      1.34        0.14       1.48       000  S                 
    51795...  ..................  A                   Urine voiding pressure study       1.53      1.44        0.16       3.13       000  S                 
    51795...  26                  A                   Urine voiding pressure study       1.53      0.57        0.06       2.16       000  S                 
    51795...  TC                  A                   Urine voiding pressure study       0.00      0.87        0.10       0.97       000  S                 
    51797...  ..................  A                   Intraabdominal pressure test       1.60      0.96        0.10       2.66       000  S                 
    51797...  26                  A                   Intraabdominal pressure test       1.60      0.51        0.05       2.16       000  S                 
    51797...  TC                  A                   Intraabdominal pressure test       0.00      0.45        0.05       0.50       000  S                 
    51800...  ..................  A                   Revision of bladder/urethra.      16.31     12.02        1.47      29.80       090  S                 
    51820...  ..................  A                   Revision of urinary tract...      16.67      7.39        1.32      25.38       090  S                 
    51840...  ..................  A                   Attach bladder/urethra......       9.78      9.22        1.26      20.26       090  S                 
    51841...  ..................  A                   Attach bladder/urethra......      12.10     11.01        1.48      24.59       090  S                 
    51845...  ..................  A                   Repair bladder neck.........       9.06     10.71        1.09      20.86       090  S                 
    51860...  ..................  A                   Repair of bladder wound.....      11.17      7.62        0.91      19.70       090  S                 
    51865...  ..................  A                   Repair of bladder wound.....      13.99     10.96        1.27      26.22       090  S                 
    51880...  ..................  A                   Repair of bladder opening...       7.21      4.96        0.52      12.69       090  S                 
    51900...  ..................  A                   Repair bladder/vagina lesion      11.67     11.65        1.41      24.73       090  S                 
    51920...  ..................  A                   Close bladder-uterus fistula      10.57      7.51        0.73      18.81       090  S                 
    51925...  ..................  A                   Hysterectomy/bladder repair.      14.10     10.07        2.33      26.50       090  S                 
    51940...  ..................  A                   Correction of bladder defect      25.00     18.95        2.22      46.17       090  S                 
    51960...  ..................  A                   Revision of bladder & bowel.      21.15     21.40        2.27      44.82       090  S                 
    51980...  ..................  A                   Construct bladder opening...      10.43      7.46        0.75      18.64       090  S                 
    52000...  ..................  A                   Cystoscopy..................       2.01      1.33        0.14       3.48       000  S                 
    52005...  ..................  A                   Cystoscopy & ureter catheter       2.37      2.20        0.22       4.79       000  S                 
    52007...  ..................  A                   Cystoscopy and biopsy.......       3.02      2.82        0.28       6.12       000  S                 
    52010...  ..................  A                   Cystoscopy & duct catheter..       3.02      1.90        0.20       5.12       000  S                 
    52204...  ..................  A                   Cystoscopy..................       2.37      2.38        0.24       4.99       000  S                 
    52214...  ..................  A                   Cystoscopy and treatment....       3.71      2.80        0.28       6.79       000  S                 
    52224...  ..................  A                   Cystoscopy and treatment....       3.14      2.90        0.29       6.33       000  S                 
    52234...  ..................  A                   Cystoscopy and treatment....       4.63      4.71        0.45       9.79       000  S                 
    52235...  ..................  A                   Cystoscopy and treatment....       5.45     *6.97        0.81      13.23       000  S                 
    52240...  ..................  A                   Cystoscopy and treatment....       9.72     10.65        1.04      21.41       000  S                 
    52250...  ..................  A                   Cystoscopy & radiotracer....       4.50      2.86        0.29       7.65       000  S                 
    52260...  ..................  A                   Cystoscopy & treatment......       3.92      2.11        0.22       6.25       000  S                 
    52265...  ..................  A                   Cystoscopy & treatment......       2.94      1.35        0.14       4.43       000  S                 
    52270...  ..................  A                   Cystoscopy & revise urethra.       3.84      3.47        0.35       7.66       000  S                 
    52275...  ..................  A                   Cystoscopy & revise urethra.       4.70      3.42        0.34       8.46       000  S                 
    52276...  ..................  A                   Cystoscopy and treatment....       3.93      4.58        0.45       8.96       000  S                 
    52277...  ..................  A                   Cystoscopy and treatment....       6.17      4.82        0.47      11.46       000  S                 
    52281...  ..................  A                   Cystoscopy and treatment....       2.80      2.31        0.23       5.34       000  S                 
    52283...  ..................  A                   Cystoscopy and treatment....       3.74      1.51        0.15       5.40       000  S                 
    52285...  ..................  A                   Cystoscopy and treatment....       3.61      2.94        0.30       6.85       000  S                 
    52290...  ..................  A                   Cystoscopy and treatment....       4.59      2.34        0.24       7.17       000  S                 
    52300...  ..................  A                   Cystoscopy and treatment....       5.35      3.47        0.36       9.18       000  S                 
    52305...  ..................  A                   Cystoscopy and treatment....       5.31      3.50        0.35       9.16       000  S                 
    52310...  ..................  A                   Cystoscopy and treatment....       2.81      2.99        0.30       6.10       000  S                 
    
    [[Page 63245]]
                                                                                                                                                            
    52315...  ..................  A                   Cystoscopy and treatment....       5.21      4.07        0.40       9.68       000  S                 
    52317...  ..................  A                   Remove bladder stone........       6.72      6.19        0.59      13.50       000  S                 
    52318...  ..................  A                   Remove bladder stone........       9.19      7.88        0.77      17.84       000  S                 
    52320...  ..................  A                   Cystoscopy and treatment....       4.70      4.86        0.47      10.03       000  S                 
    52325...  ..................  A                   Cystoscopy, stone removal...       6.16      7.01        0.68      13.85       000  S                 
    52327...  ..................  A                   Cystoscopy, inject material.       5.19      3.69        0.36       9.24       000  S                 
    52330...  ..................  A                   Cystoscopy and treatment....       5.04      3.47        0.35       8.86       000  S                 
    52332...  ..................  A                   Cystoscopy and treatment....       2.83      3.21        0.32       6.36       000  S                 
    52334...  ..................  A                   Create passage to kidney....       4.83      3.33        0.34       8.50       000  S                 
    52335...  ..................  A                   Endoscopy of urinary tract..       5.86      4.69        0.45      11.00       000  S                 
    52336...  ..................  A                   Cystoscopy, stone removal...       6.88     *8.81        0.99      16.68       000  S                 
    52337...  ..................  A                   Cystoscopy, stone removal...       7.97    *10.21        1.08      19.26       000  S                 
    52338...  ..................  A                   Cystoscopy and treatment....       7.34      5.92        0.57      13.83       000  S                 
    52339...  ..................  A                   Cystoscopy and treatment....       8.82      5.92        0.57      15.31       000  S                 
    52340...  ..................  A                   Cystoscopy and treatment....       7.76      5.15        0.50      13.41       090  S                 
    52450...  ..................  A                   Incision of prostate........       7.05      4.99        0.49      12.53       090  S                 
    52500...  ..................  A                   Revision of bladder neck....       7.82      7.44        0.72      15.98       090  S                 
    52510...  ..................  A                   Dilation prostatic urethra..       6.04      7.64        0.74      14.42       090  S                 
    52601...  ..................  A                   Prostatectomy (TURP)........      11.51     11.87        1.16      24.54       090  S                 
    52606...  ..................  A                   Control postop bleeding.....       7.51      3.32        0.33      11.16       090  S                 
    52612...  ..................  A                   Prostatectomy, first stage..       7.05     *9.03        0.99      17.07       090  S                 
    52614...  ..................  A                   Prostatectomy, second stage.       6.04      7.09        0.68      13.81       090  S                 
    52620...  ..................  A                   Remove residual prostate....       6.04      5.33        0.51      11.88       090  S                 
    52630...  ..................  A                   Remove prostate regrowth....       6.55     *8.38        1.13      16.06       090  S                 
    52640...  ..................  A                   Relieve bladder contracture.       6.04      6.43        0.62      13.09       090  S                 
    52647...  ..................  A                   Laser surgery of prostate...       9.84     11.87        1.16      22.87       090  S                 
    52648...  ..................  A                   Laser surgery of prostate...      10.69     11.87        1.16      23.72       090  S                 
    52700...  ..................  A                   Drainage of prostate abscess       6.31      3.30        0.34       9.95       090  S                 
    53000...  ..................  A                   Incision of urethra.........       2.01      1.76        0.17       3.94       010  S                 
    53010...  ..................  A                   Incision of urethra.........       3.02      3.52        0.37       6.91       090  S                 
    53020...  ..................  A                   Incision of urethra.........       1.77      0.82        0.09       2.68       000  S                 
    53025...  ..................  A                   Incision of urethra.........       1.13      0.80        0.08       2.01       000  S                 
    53040...  ..................  A                   Drainage of urethra abscess.       6.01      1.85        0.19       8.05       090  S                 
    53060...  ..................  A                   Drainage of urethra abscess.       2.58      0.51        0.07       3.16       010  S                 
    53080...  ..................  A                   Drainage of urinary leakage.       5.87      3.98        0.45      10.30       090  S                 
    53085...  ..................  A                   Drainage of urinary leakage.       9.67      6.75        0.70      17.12       090  S                 
    53200...  ..................  A                   Biopsy of urethra...........       2.59      1.10        0.12       3.81       000  S                 
    53210...  ..................  A                   Removal of urethra..........      11.71      6.64        0.67      19.02       090  S                 
    53215...  ..................  A                   Removal of urethra..........      14.59     10.00        0.96      25.55       090  S                 
    53220...  ..................  A                   Treatment of urethra lesion.       6.58      4.77        0.49      11.84       090  S                 
    53230...  ..................  A                   Removal of urethra lesion...       9.04      7.93        0.79      17.76       090  S                 
    53235...  ..................  A                   Removal of urethra lesion...       9.60      5.02        0.49      15.11       090  N                 
    53240...  ..................  A                   Surgery for urethra pouch...       6.03      4.33        0.45      10.81       090  S                 
    53250...  ..................  A                   Removal of urethra gland....       5.69      4.05        0.40      10.14       090  S                 
    53260...  ..................  A                   Treatment of urethra lesion.       2.93      1.12        0.16       4.21       010  S                 
    53265...  ..................  A                   Treatment of urethra lesion.       3.07      1.88        0.22       5.17       010  S                 
    53270...  ..................  A                   Removal of urethra gland....       2.93      0.84        0.18       3.95       010  S                 
    53275...  ..................  A                   Repair of urethra defect....       4.37      2.37        0.25       6.99       010  S                 
    53400...  ..................  A                   Revise urethra, 1st stage...      11.79      7.47        0.76      20.02       090  S                 
    53405...  ..................  A                   Revise urethra, 2nd stage...      13.70     10.38        1.21      25.29       090  S                 
    53410...  ..................  A                   Reconstruction of urethra...      15.59      8.56        0.84      24.99       090  S                 
    53415...  ..................  A                   Reconstruction of urethra...      18.50     11.87        1.15      31.52       090  S                 
    53420...  ..................  A                   Reconstruct urethra, stage 1      13.28     10.88        1.05      25.21       090  S                 
    53425...  ..................  A                   Reconstruct urethra, stage 2      15.18      9.25        0.88      25.31       090  S                 
    53430...  ..................  A                   Reconstruction of urethra...      15.54      7.16        0.76      23.46       090  S                 
    53440...  ..................  A                   Correct bladder function....      11.49     13.14        1.39      26.02       090  S                 
    53442...  ..................  A                   Remove perineal prosthesis..       7.67      5.84        0.67      14.18       090  S                 
    53443...  ..................  A                   Reconstruction of urethra...      18.98     10.03        1.07      30.08       090  S                 
    53445...  ..................  A                   Correct urine flow control..      13.15    *16.83        2.03      32.01       090  S                 
    53447...  ..................  A                   Remove artificial sphincter.      12.37      9.16        0.89      22.42       090  S                 
    53449...  ..................  A                   Correct artificial sphincter       9.16      8.41        0.82      18.39       090  S                 
    53450...  ..................  A                   Revision of urethra.........       5.72      2.74        0.27       8.73       090  S                 
    53460...  ..................  A                   Revision of urethra.........       6.70      2.44        0.25       9.39       090  S                 
    53502...  ..................  A                   Repair of urethra injury....       7.21      4.97        0.56      12.74       090  S                 
    53505...  ..................  A                   Repair of urethra injury....       7.21      5.18        0.51      12.90       090  S                 
    53510...  ..................  A                   Repair of urethra injury....       9.57      6.98        0.66      17.21       090  S                 
    
    [[Page 63246]]
                                                                                                                                                            
    53515...  ..................  A                   Repair of urethra injury....      12.71      9.03        0.88      22.62       090  S                 
    53520...  ..................  A                   Repair of urethra defect....       8.21      5.89        0.56      14.66       090  S                 
    53600...  ..................  A                   Dilate urethra stricture....       1.21      0.33        0.03       1.57       000  S                 
    53601...  ..................  A                   Dilate urethra stricture....       0.98      0.29        0.03       1.30       000  S                 
    53605...  ..................  A                   Dilate urethra stricture....       1.28      0.46        0.05       1.79       000  S                 
    53620...  ..................  A                   Dilate urethra stricture....       1.62      0.47        0.05       2.14       000  S                 
    53621...  ..................  A                   Dilate urethra stricture....       1.35      0.38        0.04       1.77       000  S                 
    53640...  ..................  A                   Relieve bladder retention...       1.59      0.57        0.06       2.22       000  S                 
    53660...  ..................  A                   Dilation of urethra.........       0.71      0.28        0.03       1.02       000  S                 
    53661...  ..................  A                   Dilation of urethra.........       0.72      0.25        0.03       1.00       000  S                 
    53665...  ..................  A                   Dilation of urethra.........       0.76      0.36        0.04       1.16       000  S                 
    53670...  ..................  A                   Insert urinary catheter.....       0.50      0.22        0.02       0.74       000  S                 
    53675...  ..................  A                   Insert urinary catheter.....       1.47      0.47        0.05       1.99       000  S                 
    53899...  ..................  C                   Urology surgery procedure...       0.00      0.00        0.00       0.00       YYY  S                 
    54000...  ..................  A                   Slitting of prepuce.........       1.49      0.63        0.07       2.19       010  S                 
    54001...  ..................  A                   Slitting of prepuce.........       2.14      0.84        0.09       3.07       010  S                 
    54015...  ..................  A                   Drain penis lesion..........       5.16      0.83        0.09       6.08       010  S                 
    54050...  ..................  A                   Destruction, penis lesion(s)       1.19      0.38        0.03       1.60       010  S                 
    54055...  ..................  A                   Destruction, penis lesion(s)       1.19      0.61        0.06       1.86       010  S                 
    54056...  ..................  A                   Cryosurgery, penis lesion(s)       1.19      0.53        0.04       1.76       010  S                 
    54057...  ..................  A                   Laser surg, penis lesion(s).       1.19     *1.52        0.21       2.92       010  S                 
    54060...  ..................  A                   Excision of penis lesion(s).       1.88      1.17        0.12       3.17       010  S                 
    54065...  ..................  A                   Destruction, penis lesion(s)       2.37      2.47        0.25       5.09       010  S                 
    54100...  ..................  A                   Biopsy of penis.............       1.90      0.65        0.07       2.62       000  S                 
    54105...  ..................  A                   Biopsy of penis.............       3.45      1.01        0.11       4.57       010  S                 
    54110...  ..................  A                   Treatment of penis lesion...       9.66      6.03        0.61      16.30       090  S                 
    54111...  ..................  A                   Treat penis lesion, graft...      13.03      9.18        0.97      23.18       090  S                 
    54112...  ..................  A                   Treat penis lesion, graft...      15.14     10.84        1.14      27.12       090  S                 
    54115...  ..................  A                   Treatment of penis lesion...       5.68      4.18        0.44      10.30       090  S                 
    54120...  ..................  A                   Partial removal of penis....       9.24      6.47        0.62      16.33       090  S                 
    54125...  ..................  A                   Removal of penis............      12.80     11.56        1.17      25.53       090  S                 
    54130...  ..................  A                   Remove penis & nodes........      18.92     14.66        1.32      34.90       090  S                 
    54135...  ..................  A                   Remove penis & nodes........      25.01     17.75        1.74      44.50       090  S                 
    54150...  ..................  A                   Circumcision................       1.78      0.54        0.05       2.37       010  S                 
    54152...  ..................  A                   Circumcision................       2.26      1.82        0.20       4.28       010  S                 
    54160...  ..................  A                   Circumcision................       2.43      1.66        0.21       4.30       010  S                 
    54161...  ..................  A                   Circumcision................       3.22      2.17        0.23       5.62       010  S                 
    54200...  ..................  A                   Treatment of penis lesion...       1.01      0.32        0.03       1.36       010  S                 
    54205...  ..................  A                   Treatment of penis lesion...       7.20      5.11        0.50      12.81       090  S                 
    54220...  ..................  A                   Treatment of penis lesion...       2.42      1.58        0.17       4.17       000  S                 
    54230...  ..................  A                   Prepare penis study.........       1.34      1.34        0.13       2.81       000  S                 
    54231...  ..................  A                   Dynamic cavernosometry......       2.04      1.44        0.14       3.62       000  S                 
    54235...  ..................  A                   Penile injection............       1.19      0.43        0.04       1.66       000  S                 
    54240...  ..................  A                   Penis study.................       1.31      0.99        0.12       2.42       000  S                 
    54240...  26                  A                   Penis study.................       1.31      0.51        0.06       1.88       000  S                 
    54240...  TC                  A                   Penis study.................       0.00      0.48        0.06       0.54       000  S                 
    54250...  ..................  A                   Penis study.................       2.22      0.80        0.08       3.10       000  S                 
    54250...  26                  A                   Penis study.................       2.22      0.50        0.05       2.77       000  S                 
    54250...  TC                  A                   Penis study.................       0.00      0.30        0.03       0.33       000  S                 
    54300...  ..................  A                   Revision of penis...........      10.05      6.88        0.87      17.80       090  S                 
    54304...  ..................  A                   Revision of penis...........      12.13      8.66        0.90      21.69       090  S                 
    54308...  ..................  A                   Reconstruction of urethra...      11.58      5.84        0.74      18.16       090  S                 
    54312...  ..................  A                   Reconstruction of urethra...      13.16      9.37        0.91      23.44       090  S                 
    54316...  ..................  A                   Reconstruction of urethra...      15.97     11.34        1.12      28.43       090  S                 
    54318...  ..................  A                   Reconstruction of urethra...      10.47      7.53        1.11      19.11       090  S                 
    54322...  ..................  A                   Reconstruction of urethra...      12.34      7.61        0.74      20.69       090  S                 
    54324...  ..................  A                   Reconstruction of urethra...      15.46     10.98        1.08      27.52       090  S                 
    54326...  ..................  A                   Reconstruction of urethra...      14.81     10.51        1.03      26.35       090  S                 
    54328...  ..................  A                   Revise penis, urethra.......      14.80     10.72        1.24      26.76       090  S                 
    54332...  ..................  A                   Revise penis, urethra.......      16.17     12.52        1.13      29.82       090  S                 
    54336...  ..................  A                   Revise penis, urethra.......      18.95     18.79        1.40      39.14       090  S                 
    54340...  ..................  A                   Secondary urethral surgery..       8.55      6.07        0.59      15.21       090  S                 
    54344...  ..................  A                   Secondary urethral surgery..      15.22     16.61        1.10      32.93       090  S                 
    54348...  ..................  A                   Secondary urethral surgery..      16.37     11.62        1.14      29.13       090  S                 
    54352...  ..................  A                   Reconstruct urethra, penis..      23.84     16.18        1.49      41.51       090  S                 
    54360...  ..................  A                   Penis plastic surgery.......      11.39      7.02        0.73      19.14       090  S                 
    
    [[Page 63247]]
                                                                                                                                                            
    54380...  ..................  A                   Repair penis................      12.59      9.42        0.75      22.76       090  S                 
    54385...  ..................  A                   Repair penis................      14.75     10.46        0.89      26.10       090  S                 
    54390...  ..................  A                   Repair penis and bladder....      20.97     13.57        1.58      36.12       090  S                 
    54400...  ..................  A                   Insert semi-rigid prosthesis       8.58    *10.99        1.27      20.84       090  S                 
    54401...  ..................  A                   Insert self-contd prosthesis       9.67    *12.38        1.73      23.78       090  S                 
    54402...  ..................  A                   Remove penis prosthesis.....       8.67      6.00        0.58      15.25       090  S                 
    54405...  ..................  A                   Insert multi-comp prosthesis      12.63    *16.17        2.10      30.90       090  S                 
    54407...  ..................  A                   Remove multi-comp prosthesis      12.61     11.22        1.10      24.93       090  S                 
    54409...  ..................  A                   Revise penis prosthesis.....      11.53      8.97        0.87      21.37       090  S                 
    54420...  ..................  A                   Revision of penis...........      10.75      7.74        0.87      19.36       090  S                 
    54430...  ..................  A                   Revision of penis...........       9.55      6.99        0.69      17.23       090  S                 
    54435...  ..................  A                   Revision of penis...........       5.63      4.15        0.39      10.17       090  S                 
    54440...  ..................  C                   Repair of penis.............       0.00      0.00        0.00       0.00       090  S                 
    54450...  ..................  A                   Preputial stretching........       1.12      0.68        0.07       1.87       000  S                 
    54500...  ..................  A                   Biopsy of testis............       1.31      0.44        0.05       1.80       000  S                 
    54505...  ..................  A                   Biopsy of testis............       3.41      1.86        0.22       5.49       010  S                 
    54510...  ..................  A                   Removal of testis lesion....       5.24      3.03        0.38       8.65       090  S                 
    54520...  ..................  A                   Removal of testis...........       4.93      5.31        0.52      10.76       090  S                 
    54530...  ..................  A                   Removal of testis...........       8.04      7.32        0.77      16.13       090  S                 
    54535...  ..................  A                   Extensive testis surgery....      11.43      8.54        1.02      20.99       090  S                 
    54550...  ..................  A                   Exploration for testis......       7.36      5.25        0.61      13.22       090  S                 
    54560...  ..................  A                   Exploration for testis......      10.46      7.23        0.81      18.50       090  S                 
    54600...  ..................  A                   Reduce testis torsion.......       6.59      4.62        0.48      11.69       090  S                 
    54620...  ..................  A                   Suspension of testis........       4.69      3.32        0.33       8.34       010  S                 
    54640...  ..................  A                   Suspension of testis........       6.55      7.82        0.91      15.28       090  S                 
    54650...  ..................  A                   Orchiopexy (Fowler-Stephens)      10.93      7.82        0.91      19.66       090  S                 
    54660...  ..................  A                   Revision of testis..........       4.80      3.40        0.34       8.54       090  S                 
    54670...  ..................  A                   Repair testis injury........       6.06      4.30        0.43      10.79       090  S                 
    54680...  ..................  A                   Relocation of testis(es)....      11.53      8.19        0.80      20.52       090  S                 
    54700...  ..................  A                   Drainage of scrotum.........       3.38      0.90        0.11       4.39       010  S                 
    54800...  ..................  A                   Biopsy of epididymis........       2.33      1.97        0.19       4.49       000  S                 
    54820...  ..................  A                   Exploration of epididymis...       4.72      2.62        0.29       7.63       090  S                 
    54830...  ..................  A                   Remove epididymis lesion....       5.07      3.51        0.39       8.97       090  S                 
    54840...  ..................  A                   Remove epididymis lesion....       5.01      4.84        0.48      10.33       090  S                 
    54860...  ..................  A                   Removal of epididymis.......       6.01      5.17        0.50      11.68       090  S                 
    54861...  ..................  A                   Removal of epididymis.......       8.54      7.30        0.72      16.56       090  S                 
    54900...  ..................  A                   Fusion of spermatic ducts...      12.61      8.95        0.87      22.43       090  S                 
    54901...  ..................  A                   Fusion of spermatic ducts...      17.30     12.29        1.20      30.79       090  S                 
    55000...  ..................  A                   Drainage of hydrocele.......       1.43      0.40        0.04       1.87       000  S                 
    55040...  ..................  A                   Removal of hydrocele........       5.15      4.88        0.55      10.58       090  S                 
    55041...  ..................  A                   Removal of hydroceles.......       7.38      7.47        0.81      15.66       090  S                 
    55060...  ..................  A                   Repair of hydrocele.........       5.21      4.13        0.50       9.84       090  S                 
    55100...  ..................  A                   Drainage of scrotum abscess.       2.03      0.63        0.07       2.73       010  S                 
    55110...  ..................  A                   Explore scrotum.............       5.28      3.48        0.37       9.13       090  S                 
    55120...  ..................  A                   Removal of scrotum lesion...       4.78      1.79        0.21       6.78       090  S                 
    55150...  ..................  A                   Removal of scrotum..........       6.62      5.45        0.57      12.64       090  S                 
    55175...  ..................  A                   Revision of scrotum.........       4.93      4.49        0.48       9.90       090  S                 
    55180...  ..................  A                   Revision of scrotum.........      10.07      6.83        0.82      17.72       090  S                 
    55200...  ..................  A                   Incision of sperm duct......       4.14      1.97        0.20       6.31       090  S                 
    55250...  ..................  A                   Removal of sperm duct(s)....       3.21      2.63        0.28       6.12       090  S                 
    55300...  ..................  A                   Preparation, sperm duct x-         3.51      2.71        0.27       6.49       000  S                 
                                                       ray.                                                                                                 
    55400...  ..................  A                   Repair of sperm duct........       8.25      6.56        0.62      15.43       090  S                 
    55450...  ..................  A                   Ligation of sperm duct......       3.91      2.61        0.32       6.84       010  S                 
    55500...  ..................  A                   Removal of hydrocele........       5.28      4.32        0.50      10.10       090  S                 
    55520...  ..................  A                   Removal of sperm cord lesion       5.72      3.12        0.51       9.35       090  S                 
    55530...  ..................  A                   Revise spermatic cord veins.       5.45      5.20        0.60      11.25       090  S                 
    55535...  ..................  A                   Revise spermatic cord veins.       6.25      4.40        0.45      11.10       090  S                 
    55540...  ..................  A                   Revise hernia & sperm veins.       7.25      4.54        0.91      12.70       090  S                 
    55600...  ..................  A                   Incise sperm duct pouch.....       6.07      4.31        0.55      10.93       090  S                 
    55605...  ..................  A                   Incise sperm duct pouch.....       7.60      5.60        0.59      13.79       090  S                 
    55650...  ..................  A                   Remove sperm duct pouch.....      11.26      7.22        0.76      19.24       090  S                 
    55680...  ..................  A                   Remove sperm pouch lesion...       4.82      4.43        0.38       9.63       090  S                 
    55700...  ..................  A                   Biopsy of prostate..........       1.57      1.50        0.15       3.22       000  S                 
    55705...  ..................  A                   Biopsy of prostate..........       4.41      3.37        0.34       8.12       010  S                 
    55720...  ..................  A                   Drainage of prostate abscess       7.54      3.51        0.37      11.42       090  S                 
    55725...  ..................  A                   Drainage of prostate abscess       7.70      5.62        0.54      13.86       090  S                 
    
    [[Page 63248]]
                                                                                                                                                            
    55801...  ..................  A                   Removal of prostate.........      16.25     12.76        1.44      30.45       090  S                 
    55810...  ..................  A                   Extensive prostate surgery..      21.21     17.88        1.77      40.86       090  S                 
    55812...  ..................  A                   Extensive prostate surgery..      25.65     17.68        1.94      45.27       090  S                 
    55815...  ..................  A                   Extensive prostate surgery..      28.47     25.20        2.42      56.09       090  S                 
    55821...  ..................  A                   Removal of prostate.........      13.00     13.59        1.35      27.94       090  S                 
    55831...  ..................  A                   Removal of prostate.........      14.30     14.56        1.44      30.30       090  S                 
    55840...  ..................  A                   Extensive prostate surgery..      21.21     16.60        1.61      39.42       090  S                 
    55842...  ..................  A                   Extensive prostate surgery..      22.70     19.16        1.88      43.74       090  S                 
    55845...  ..................  A                   Extensive prostate surgery..      26.73     25.10        2.44      54.27       090  S                 
    55859...  ..................  A                   Percut/needle insert, pros..       8.29      5.89        0.58      14.76       090  S                 
    55860...  ..................  A                   Surgical exposure, prostate.      13.33      7.13        0.70      21.16       090  S                 
    55862...  ..................  A                   Extensive prostate surgery..      17.09     11.69        1.20      29.98       090  S                 
    55865...  ..................  A                   Extensive prostate surgery..      21.65     24.52        2.39      48.56       090  S                 
    55870...  ..................  A                   Electroejaculation..........       2.58      1.83        0.18       4.59       000  N                 
    55899...  ..................  C                   Genital surgery procedure...       0.00      0.00        0.00       0.00       YYY  S                 
    55970...  ..................  N                   Sex transformation, M to F..       0.00      0.00        0.00       0.00       XXX  0                 
    55980...  ..................  N                   Sex transformation, F to M..       0.00      0.00        0.00       0.00       XXX  0                 
    56300...  ..................  A                   Pelvis laparoscopy, dx......       3.58     *4.58        1.03       9.19       010  S                 
    56301...  ..................  A                   Laparoscopy; tubal cautery..       3.68     *4.71        1.28       9.67       010  S                 
    56302...  ..................  A                   Laparoscopy; tubal block....       4.11     *5.26        1.32      10.69       010  S                 
    56303...  ..................  A                   Laparoscopy; excise lesions.       5.69      5.53        1.16      12.38       010  S                 
    56304...  ..................  A                   Laparoscopy; lysis..........       4.37     *5.60        1.20      11.17       010  S                 
    56305...  ..................  A                   Pelvic laparoscopy; biopsy..       3.80     *4.87        0.95       9.62       010  S                 
    56306...  ..................  A                   Laparoscopy; aspiration.....       3.80     *4.87        1.18       9.85       010  S                 
    56307...  ..................  A                   Laparoscopy; remove adnexa..       5.60     *7.16        1.60      14.36       010  S                 
    56308...  ..................  A                   Laparoscopy; hysterectomy...      13.87      9.39        2.07      25.33       010  S                 
    56309...  ..................  A                   Laparoscopy; remove myoma...       5.60      4.76        1.03      11.39       010  S                 
    56311...  ..................  A                   Laparoscopic lymph node biop       8.93      6.38        1.47      16.78       010  S                 
    56312...  ..................  A                   Laparoscopic lymphadenectomy      12.06      8.56        0.84      21.46       010  S                 
    56313...  ..................  A                   Laparoscopic lymphadenectomy      14.00     10.01        2.31      26.32       010  S                 
    56315...  ..................  A                   Laparoscopic appendectomy...       6.06      4.89        1.01      11.96       090  S                 
    56316...  ..................  A                   Laparoscopic hernia repair..       6.17      4.51        0.94      11.62       090  S                 
    56317...  ..................  A                   Laparoscopic hernia repair..       7.87      5.22        1.11      14.20       090  S                 
    56320...  ..................  A                   Laparoscopy, spermatic veins       6.25      4.40        0.45      11.10       090  S                 
    56322...  ..................  A                   Laparoscopy, vagus nerves...       9.70      5.07        1.18      15.95       090  S                 
    56323...  ..................  A                   Laparoscopy, vagus nerves...      11.65      6.09        1.41      19.15       090  S                 
    56324...  ..................  A                   Laparoscopy, cholecystoenter      11.90      9.16        1.93      22.99       090  S                 
    56340...  ..................  A                   Laparoscopic cholecystectomy      10.68      7.99        1.74      20.41       090  S                 
    56341...  ..................  A                   Laparoscopic cholecystectomy      11.53      8.43        1.84      21.80       090  S                 
    56342...  ..................  A                   Laparoscopic cholecystectomy      13.86      9.37        2.00      25.23       090  S                 
    56343...  ..................  A                   Laparoscopic salpingostomy..       6.96      5.28        1.11      13.35       090  S                 
    56344...  ..................  A                   Laparoscopic fimbrioplasty..       7.16      5.11        1.19      13.46       090  S                 
    56350...  ..................  A                   Hysteroscopy; diagnostic....       2.39      1.99        0.44       4.82       000  S                 
    56351...  ..................  A                   Hysteroscopy; biopsy........       2.85      1.99        0.44       5.28       000  S                 
    56352...  ..................  A                   Hysteroscopy; lysis.........       3.14      3.77        0.85       7.76       000  S                 
    56353...  ..................  A                   Hysteroscopy; resect septum.       3.51      3.77        0.85       8.13       000  S                 
    56354...  ..................  A                   Hysteroscopy; remove myoma..       3.85     *4.93        1.30      10.08       000  S                 
    56355...  ..................  A                   Hysteroscopy; remove impact.       3.09      1.99        0.44       5.52       000  S                 
    56356...  ..................  A                   Hysteroscopy; ablation......       3.43     *4.39        1.49       9.31       000  S                 
    56360...  ..................  A                   Peritoneoscopy..............       4.04      3.80        0.43       8.27       000  S                 
    56361...  ..................  A                   Peritoneoscopy w/biopsy.....       4.32      4.93        0.49       9.74       000  S                 
    56362...  ..................  A                   Peritoneoscopy w/cholangio..       4.89      2.77        0.19       7.85       000  S                 
    56363...  ..................  A                   Peritoneoscopy w/biopsy.....       5.18      3.93        0.45       9.56       000  S                 
    56399...  ..................  C                   Laparoscopy procedure.......       0.00      0.00        0.00       0.00       YYY  S                 
    56405...  ..................  A                   I & D of vulva/perineum.....       1.39      0.76        0.15       2.30       010  S                 
    56420...  ..................  A                   Drainage of gland abscess...       1.34      0.80        0.13       2.27       010  S                 
    56440...  ..................  A                   Surgery for vulva lesion....       2.79      2.63        0.52       5.94       010  S                 
    56441...  ..................  A                   Lysis of labial lesion(s)...       1.92      1.65        0.30       3.87       010  S                 
    56501...  ..................  A                   Destruction, vulva lesion(s)       1.48      0.54        0.11       2.13       010  S                 
    56515...  ..................  A                   Destruction, vulva lesion(s)       1.85     *2.36        0.66       4.87       010  S                 
    56605...  ..................  A                   Biopsy of vulva/perineum....       0.86      0.68        0.15       1.69       000  S                 
    56606...  ..................  A                   Biopsy of vulva/perineum....       0.43      0.35        0.08       0.86       000  S                 
    56620...  ..................  A                   Partial removal of vulva....       6.67      6.47        1.40      14.54       090  S                 
    56625...  ..................  A                   Complete removal of vulva...       7.41     *9.52        2.13      19.06       090  S                 
    56630...  ..................  A                   Extensive vulva surgery.....      10.47    *13.46        3.28      27.21       090  S                 
    56631...  ..................  A                   Extensive vulva surgery.....      14.57    *18.70        4.51      37.78       090  S                 
    
    [[Page 63249]]
                                                                                                                                                            
    56632...  ..................  A                   Extensive vulva surgery.....      18.66    *21.32        4.51      44.49       090  S                 
    56633...  ..................  A                   Extensive vulva surgery.....      12.15    *15.97        3.28      31.40       090  S                 
    56634...  ..................  A                   Extensive vulva surgery.....      16.25    *21.21        4.51      41.97       090  S                 
    56637...  ..................  A                   Extensive vulva surgery.....      20.34     21.42        4.51      46.27       090  S                 
    56640...  ..................  A                   Extensive vulva surgery.....      20.09     19.95        4.36      44.40       090  S                 
    56700...  ..................  A                   Partial removal of hymen....       2.42      1.82        0.35       4.59       010  S                 
    56720...  ..................  A                   Incision of hymen...........       0.68      0.48        0.11       1.27       000  S                 
    56740...  ..................  A                   Remove vagina gland lesion..       3.60      2.87        0.55       7.02       010  S                 
    56800...  ..................  A                   Repair of vagina............       3.73      2.92        0.57       7.22       010  S                 
    56805...  ..................  A                   Repair clitoris.............      15.49     11.75        1.37      28.61       090  S                 
    56810...  ..................  A                   Repair of perineum..........       3.97      2.62        0.51       7.10       010  S                 
    57000...  ..................  A                   Exploration of vagina.......       2.92      2.03        0.35       5.30       010  S                 
    57010...  ..................  A                   Drainage of pelvic abscess..       5.41      2.65        0.51       8.57       090  S                 
    57020...  ..................  A                   Drainage of pelvic fluid....       1.50      0.65        0.14       2.29       000  S                 
    57061...  ..................  A                   Destruction vagina lesion(s)       1.20      0.82        0.17       2.19       010  S                 
    57065...  ..................  A                   Destruction vagina lesion(s)       2.56     *3.28        0.74       6.58       010  S                 
    57100...  ..................  A                   Biopsy of vagina............       0.97      0.62        0.13       1.72       000  S                 
    57105...  ..................  A                   Biopsy of vagina............       1.64      1.57        0.33       3.54       010  S                 
    57108...  ..................  A                   Partial removal of vagina...       5.69      5.28        1.10      12.07       090  S                 
    57110...  ..................  A                   Removal of vagina...........      13.48      7.88        1.76      23.12       090  S                 
    57120...  ..................  A                   Closure of vagina...........       6.73      6.99        1.51      15.23       090  S                 
    57130...  ..................  A                   Remove vagina lesion........       2.40      2.62        0.55       5.57       010  S                 
    57135...  ..................  A                   Remove vagina lesion........       2.64      1.93        0.38       4.95       010  S                 
    57150...  ..................  A                   Treat vagina infection......       0.94      0.19        0.04       1.17       000  S                 
    57160...  ..................  A                   Insertion of pessary........       0.89      0.25        0.05       1.19       000  S                 
    57170...  ..................  A                   Fitting of diaphragm/cap....       0.91      0.32        0.06       1.29       000  S                 
    57180...  ..................  A                   Treat vaginal bleeding......       1.53      0.55        0.11       2.19       010  S                 
    57200...  ..................  A                   Repair of vagina............       3.68      2.71        0.60       6.99       090  S                 
    57210...  ..................  A                   Repair vagina/perineum......       4.73      3.27        0.65       8.65       090  S                 
    57220...  ..................  A                   Revision of urethra.........       3.87      4.44        0.80       9.11       090  S                 
    57230...  ..................  A                   Repair of urethral lesion...       5.07      3.84        0.64       9.55       090  S                 
    57240...  ..................  A                   Repair bladder & vagina.....       5.39     *6.90        1.60      13.89       090  S                 
    57250...  ..................  A                   Repair rectum & vagina......       4.96     *6.36        1.69      13.01       090  S                 
    57260...  ..................  A                   Repair of vagina............       7.59      8.65        1.88      18.12       090  S                 
    57265...  ..................  A                   Extensive repair of vagina..       7.36     *9.42        2.11      18.89       090  S                 
    57268...  ..................  A                   Repair of bowel bulge.......       6.14      7.02        1.50      14.66       090  S                 
    57270...  ..................  A                   Repair of bowel pouch.......       7.36      6.83        1.44      15.63       090  S                 
    57280...  ..................  A                   Suspension of vagina........       8.35      8.53        1.85      18.73       090  S                 
    57282...  ..................  A                   Repair of vaginal prolapse..       8.06      8.72        1.89      18.67       090  S                 
    57284...  ..................  A                   Repair paravaginal defect...      12.10      8.59        0.84      21.53       090  S                 
    57288...  ..................  A                   Repair bladder defect.......      12.34     10.72        1.36      24.42       090  S                 
    57289...  ..................  A                   Repair bladder & vagina.....       6.40     *8.19        1.13      15.72       090  S                 
    57291...  ..................  A                   Construction of vagina......       7.46      5.35        1.19      14.00       090  S                 
    57292...  ..................  A                   Construct vagina with graft.      12.34      6.55        1.38      20.27       090  S                 
    57300...  ..................  A                   Repair rectum-vagina fistula       6.81      7.91        1.66      16.38       090  S                 
    57305...  ..................  A                   Repair rectum-vagina fistula       8.69      7.55        1.56      17.80       090  S                 
    57307...  ..................  A                   Fistula repair & colostomy..      10.05      6.11        1.28      17.44       090  S                 
    57310...  ..................  A                   Repair urethrovaginal lesion       6.10      4.32        0.48      10.90       090  S                 
    57311...  ..................  A                   Repair urethrovaginal lesion       7.23      5.58        0.41      13.22       090  S                 
    57320...  ..................  A                   Repair bladder-vagina lesion       7.33     *9.38        1.35      18.06       090  S                 
    57330...  ..................  A                   Repair bladder-vagina lesion      11.67      8.29        0.81      20.77       090  S                 
    57335...  ..................  A                   Repair vagina...............       9.11      6.91        0.81      16.83       090  S                 
    57400...  ..................  A                   Dilation of vagina..........       0.83      0.33        0.06       1.22       000  S                 
    57410...  ..................  A                   Pelvic examination..........       0.59      0.36        0.05       1.00       000  S                 
    57415...  ..................  A                   Removal vaginal foreign body       0.91      0.36        0.05       1.32       010  S                 
    57452...  ..................  A                   Examination of vagina.......       0.99      0.65        0.14       1.78       000  S                 
    57454...  ..................  A                   Vagina examination & biopsy.       1.27      1.21        0.26       2.74       000  S                 
    57460...  ..................  A                   Cervix excision.............       2.83      2.02        0.46       5.31       000  S                 
    57500...  ..................  A                   Biopsy of cervix............       0.97      0.57        0.12       1.66       000  S                 
    57505...  ..................  A                   Endocervical curettage......       1.09      0.63        0.13       1.85       010  S                 
    57510...  ..................  A                   Cauterization of cervix.....       1.85      0.52        0.09       2.46       010  S                 
    57511...  ..................  A                   Cryocautery of cervix.......       1.85      0.85        0.17       2.87       010  S                 
    57513...  ..................  A                   Laser surgery of cervix.....       1.85     *2.36        0.67       4.88       010  S                 
    57520...  ..................  A                   Conization of cervix........       3.96      3.45        0.73       8.14       090  S                 
    57522...  ..................  A                   Conization of cervix........       3.26      3.45        0.73       7.44       090  S                 
    57530...  ..................  A                   Removal of cervix...........       4.42      3.61        0.78       8.81       090  S                 
    
    [[Page 63250]]
                                                                                                                                                            
    57540...  ..................  A                   Removal of residual cervix..       6.01      6.74        1.51      14.26       090  S                 
    57545...  ..................  A                   Remove cervix, repair pelvis       6.63      4.58        1.03      12.24       090  S                 
    57550...  ..................  A                   Removal of residual cervix..       4.91     *6.28        1.54      12.73       090  S                 
    57555...  ..................  A                   Remove cervix, repair vagina       8.14     10.10        2.17      20.41       090  S                 
    57556...  ..................  A                   Remove cervix, repair bowel.       7.56      9.44        1.92      18.92       090  S                 
    57700...  ..................  A                   Revision of cervix..........       3.30      2.39        0.34       6.03       090  S                 
    57720...  ..................  A                   Revision of cervix..........       3.87      2.76        0.50       7.13       090  S                 
    57800...  ..................  A                   Dilation of cervical canal..       0.77      0.48        0.10       1.35       000  S                 
    57820...  ..................  A                   D&C of residual cervix......       1.62     *2.08        0.46       4.16       010  S                 
    58100...  ..................  A                   Biopsy of uterus lining.....       0.71      0.66        0.14       1.51       000  S                 
    58120...  ..................  A                   Dilation and curettage (D&C)       2.45      2.70        0.56       5.71       010  S                 
    58140...  ..................  A                   Removal of uterus lesion....       7.61      8.33        1.71      17.65       090  S                 
    58145...  ..................  A                   Removal of uterus lesion....       7.36      8.24        1.54      17.14       090  S                 
    58150...  ..................  A                   Total hysterectomy..........      13.00      9.57        2.08      24.65       090  S                 
    58152...  ..................  A                   Total hysterectomy..........      14.10     11.99        2.59      28.68       090  S                 
    58180...  ..................  A                   Partial hysterectomy........       9.06      9.76        2.11      20.93       090  S                 
    58200...  ..................  A                   Extensive hysterectomy......      20.34     12.98        2.80      36.12       090  S                 
    58210...  ..................  A                   Extensive hysterectomy......      23.97     17.77        3.87      45.61       090  S                 
    58240...  ..................  A                   Removal of pelvis contents..      28.79     28.73        6.15      63.67       090  S                 
    58260...  ..................  A                   Vaginal hysterectomy........      11.39      9.39        2.07      22.85       090  S                 
    58262...  ..................  A                   Vaginal hysterectomy........      13.06      9.39        2.07      24.52       090  S                 
    58263...  ..................  A                   Vaginal hysterectomy........      14.27     10.32        2.22      26.81       090  S                 
    58267...  ..................  A                   Hysterectomy & vagina repair      13.94     11.53        2.46      27.93       090  S                 
    58270...  ..................  A                   Hysterectomy & vagina repair      12.60     10.32        2.22      25.14       090  S                 
    58275...  ..................  A                   Hysterectomy, revise vagina.      13.99     11.02        2.32      27.33       090  S                 
    58280...  ..................  A                   Hysterectomy, revise vagina.      14.35     10.50        2.30      27.15       090  S                 
    58285...  ..................  A                   Extensive hysterectomy......      17.45     11.60        2.70      31.75       090  S                 
    58300...  ..................  N                   Insert intrauterine device..      #1.01      0.77        0.13       1.91       XXX  0                 
    58301...  ..................  A                   Remove intrauterine device..       0.73      0.45        0.08       1.26       000  S                 
    58321...  ..................  A                   Artificial insemination.....       0.92      0.71        0.15       1.78       000  S                 
    58322...  ..................  A                   Artificial insemination.....       1.10      0.71        0.15       1.96       000  S                 
    58323...  ..................  A                   Sperm washing...............       0.23      0.16        0.04       0.43       000  S                 
    58340...  ..................  A                   Inject for uterus/tube x-ray       0.88      0.57        0.08       1.53       000  S                 
    58345...  ..................  A                   Reopen fallopian tube.......       4.61      3.49        0.41       8.51       010  S                 
    58350...  ..................  A                   Reopen fallopian tube.......       0.96      0.69        0.16       1.81       010  S                 
    58400...  ..................  A                   Suspension of uterus........       5.66      5.64        1.16      12.46       090  S                 
    58410...  ..................  A                   Suspension of uterus........       6.78      5.53        0.84      13.15       090  S                 
    58520...  ..................  A                   Repair of ruptured uterus...       6.35      4.24        0.99      11.58       090  S                 
    58540...  ..................  A                   Revision of uterus..........       8.58      6.13        1.42      16.13       090  S                 
    58600...  ..................  A                   Division of fallopian tube..       3.74     *4.79        1.38       9.91       090  S                 
    58605...  ..................  A                   Division of fallopian tube..       3.29     *4.21        1.01       8.51       090  S                 
    58611...  ..................  A                   Ligate oviduct(s)...........       0.63      0.47        0.10       1.20       ZZZ  S                 
    58615...  ..................  A                   Occlude fallopian tube(s)...       3.85      2.91        0.35       7.11       010  S                 
    58700...  ..................  A                   Removal of fallopian tube...       5.92      6.33        1.31      13.56       090  S                 
    58720...  ..................  A                   Removal of ovary/tube(s)....       6.20      7.50        1.63      15.33       090  S                 
    58740...  ..................  A                   Revise fallopian tube(s)....       5.28     *6.76        1.88      13.92       090  S                 
    58750...  ..................  A                   Repair oviduct..............       8.82      6.31        1.46      16.59       090  S                 
    58752...  ..................  A                   Revise ovarian tube(s)......       7.94      6.74        0.93      15.61       090  S                 
    58760...  ..................  A                   Remove tubal obstruction....       7.16      5.11        1.19      13.46       090  S                 
    58770...  ..................  A                   Create new tubal opening....       6.96      5.28        1.11      13.35       090  S                 
    58800...  ..................  A                   Drainage of ovarian cyst(s).       3.77      2.68        0.53       6.98       090  S                 
    58805...  ..................  A                   Drainage of ovarian cyst(s).       5.44      6.38        1.36      13.18       090  S                 
    58820...  ..................  A                   Drainage of ovarian abscess.       3.96      2.76        0.49       7.21       090  S                 
    58822...  ..................  A                   Drainage of ovarian abscess.       6.18      3.55        0.81      10.54       090  S                 
    58825...  ..................  A                   Transposition, ovary(s).....       5.63      4.03        0.93      10.59       090  S                 
    58900...  ..................  A                   Biopsy of ovary(s)..........       5.49      5.19        1.07      11.75       090  S                 
    58920...  ..................  A                   Partial removal of ovary(s).       6.28      6.78        1.41      14.47       090  S                 
    58925...  ..................  A                   Removal of ovarian cyst(s)..       6.40      6.56        1.38      14.34       090  S                 
    58940...  ..................  A                   Removal of ovary(s).........       6.54      6.49        1.33      14.36       090  S                 
    58943...  ..................  A                   Removal of ovary(s).........      17.49     12.11        2.63      32.23       090  S                 
    58950...  ..................  A                   Resect ovarian malignancy...      14.10     11.24        2.38      27.72       090  S                 
    58951...  ..................  A                   Resect ovarian malignancy...      20.34     18.34        3.93      42.61       090  S                 
    58952...  ..................  A                   Resect ovarian malignancy...      21.35     18.11        3.92      43.38       090  S                 
    58960...  ..................  A                   Exploration of abdomen......      10.14    *12.98        2.95      26.07       090  S                 
    58970...  ..................  A                   Retrieval of oocyte.........       3.53      2.52        0.58       6.63       000  N                 
    58972...  ..................  D                   Fertilization of oocyte.....       0.00      0.00        0.00       0.00       000  N                 
    
    [[Page 63251]]
                                                                                                                                                            
    58974...  ..................  C                   Transfer of embryo..........       0.00      0.00        0.00       0.00       000  N                 
    58976...  ..................  A                   Transfer of embryo..........       3.83      2.73        0.63       7.19       000  N                 
    58999...  ..................  C                   Genital surgery procedure...       0.00      0.00        0.00       0.00       YYY  S                 
    59000...  ..................  A                   Amniocentesis...............       1.30      0.97        0.18       2.45       000  S                 
    59012...  ..................  A                   Fetal cord puncture,               3.45      2.62        0.31       6.38       000  S                 
                                                       prenatal.                                                                                            
    59015...  ..................  A                   Chorion biopsy..............       2.20      1.20        0.10       3.50       000  S                 
    59020...  ..................  A                   Fetal contract stress test..       0.66     *1.35        0.29       2.30       000  S                 
    59020...  26                  A                   Fetal contract stress test..       0.66     *0.85        0.19       1.70       000  S                 
    59020...  TC                  A                   Fetal contract stress test..       0.00      0.50        0.10       0.60       000  S                 
    59025...  ..................  A                   Fetal non-stress test.......       0.53      0.61        0.12       1.26       000  S                 
    59025...  26                  A                   Fetal non-stress test.......       0.53      0.39        0.08       1.00       000  S                 
    59025...  TC                  A                   Fetal non-stress test.......       0.00      0.22        0.04       0.26       000  S                 
    59030...  ..................  A                   Fetal scalp blood sample....       1.99      1.58        0.21       3.78       000  S                 
    59050...  ..................  A                   Fetal monitor w/report......       0.89      0.81        0.15       1.85       XXX  S                 
    59051...  ..................  A                   Fetal monitor/interpret only       0.74      0.81        0.15       1.70       XXX  N                 
    59100...  ..................  A                   Remove uterus lesion........       5.96      4.14        0.96      11.06       090  S                 
    59120...  ..................  A                   Treat ectopic pregnancy.....       7.11      7.86        1.50      16.47       090  S                 
    59121...  ..................  A                   Treat ectopic pregnancy.....       6.99      5.38        1.07      13.44       090  S                 
    59130...  ..................  A                   Treat ectopic pregnancy.....       7.88      5.96        0.70      14.54       090  S                 
    59135...  ..................  A                   Treat ectopic pregnancy.....      13.00      9.85        1.15      24.00       090  S                 
    59136...  ..................  A                   Treat ectopic pregnancy.....       8.69      6.22        1.44      16.35       090  S                 
    59140...  ..................  A                   Treat ectopic pregnancy.....       5.09      4.66        0.29      10.04       090  S                 
    59150...  ..................  A                   Treat ectopic pregnancy.....       6.34      4.53        1.05      11.92       090  S                 
    59151...  ..................  A                   Treat ectopic pregnancy.....       7.24      8.61        0.64      16.49       090  S                 
    59160...  ..................  A                   D&C after delivery..........       2.66      2.93        0.52       6.11       010  S                 
    59200...  ..................  A                   Insert cervical dilator.....       0.79      0.54        0.11       1.44       000  S                 
    59300...  ..................  A                   Episiotomy or vaginal repair       2.41      0.99        0.10       3.50       000  S                 
    59320...  ..................  A                   Revision of cervix..........       2.48      1.78        0.41       4.67       000  S                 
    59325...  ..................  A                   Revision of cervix..........       4.07      2.89        0.29       7.25       000  S                 
    59350...  ..................  A                   Repair of uterus............       4.95      3.54        0.82       9.31       000  S                 
    59400...  ..................  A                   Obstetrical care............      20.99     14.99        3.47      39.45       MMM  S                 
    59409...  ..................  A                   Obstetrical care............      13.28      9.48        2.20      24.96       MMM  S                 
    59410...  ..................  A                   Obstetrical care............      14.44     10.31        2.39      27.14       MMM  S                 
    59412...  ..................  A                   Antepartum manipulation.....       1.71      1.22        0.29       3.22       MMM  S                 
    59414...  ..................  A                   Deliver placenta............       1.61      1.15        0.27       3.03       MMM  S                 
    59425...  ..................  A                   Antepartum care only........       4.04      2.88        0.66       7.58       MMM  S                 
    59426...  ..................  A                   Antepartum care only........       6.91      4.94        1.14      12.99       MMM  S                 
    59430...  ..................  A                   Care after delivery.........       2.01      0.38        0.07       2.46       MMM  S                 
    59510...  ..................  A                   Cesarean delivery...........      23.67     16.90        3.92      44.49       MMM  S                 
    59514...  ..................  A                   Cesarean delivery only......      15.39     10.99        2.55      28.93       MMM  S                 
    59515...  ..................  A                   Cesarean delivery...........      16.55     11.82        2.73      31.10       MMM  S                 
    59525...  ..................  A                   Remove uterus after cesarean       8.54      3.81        0.88      13.23       MMM  S                 
    59610...  ..................  A                   Vbac delivery...............      22.55     14.99        3.47      41.01       MMM  S                 
    59612...  ..................  A                   Vbac delivery only..........      14.84      9.48        2.20      26.52       MMM  S                 
    59614...  ..................  A                   Vbac care after delivery....      15.96     10.31        2.39      28.66       MMM  S                 
    59618...  ..................  A                   Attempted vbac delivery.....      25.23     16.90        3.92      46.05       MMM  S                 
    59620...  ..................  A                   Attempted vbac delivery only      16.95     10.99        2.55      30.49       MMM  S                 
    59622...  ..................  A                   Attempted vbac after care...      18.11     11.82        2.73      32.66       MMM  S                 
    59812...  ..................  A                   Treatment of miscarriage....       3.10      3.61        0.77       7.48       090  S                 
    59820...  ..................  A                   Care of miscarriage.........       3.73      3.75        0.77       8.25       090  S                 
    59821...  ..................  A                   Treatment of miscarriage....       4.26      2.72        0.62       7.60       090  S                 
    59830...  ..................  A                   Treat uterus infection......       5.96      4.53        0.52      11.01       090  S                 
    59840...  ..................  A                   Abortion....................       2.91      3.22        0.69       6.82       010  S                 
    59841...  ..................  A                   Abortion....................       3.24      3.75        0.76       7.75       010  S                 
    59850...  ..................  A                   Abortion....................       5.46      4.00        0.85      10.31       090  S                 
    59851...  ..................  A                   Abortion....................       5.62      4.28        0.88      10.78       090  S                 
    59852...  ..................  A                   Abortion....................       7.70      5.51        1.27      14.48       090  S                 
    59855...  ..................  A                   Abortion....................       5.80      4.14        0.96      10.90       090  S                 
    59856...  ..................  A                   Abortion....................       7.16      5.11        1.19      13.46       090  S                 
    59857...  ..................  A                   Abortion....................       8.71      6.22        1.44      16.37       090  S                 
    59870...  ..................  A                   Evacuate mole of uterus.....       4.08      2.91        0.67       7.66       090  S                 
    59899...  ..................  C                   Maternity care procedure....       0.00      0.00        0.00       0.00       YYY  S                 
    60000...  ..................  A                   Drain thyroid/tongue cyst...       1.71      0.60        0.09       2.40       010  N                 
    60001...  ..................  A                   Aspirate/inject thyriod cyst       0.97      1.05        0.12       2.14       000  N                 
    60100...  ..................  A                   Biopsy of thyroid...........       0.97      1.05        0.12       2.14       000  N                 
    60200...  ..................  A                   Remove thyroid lesion.......       8.83      6.02        1.04      15.89       090  S                 
    
    [[Page 63252]]
                                                                                                                                                            
    60210...  ..................  A                   Partial excision thyroid....      10.51      8.68        1.65      20.84       090  S                 
    60212...  ..................  A                   Parital thyroid excision....      15.48      9.04        1.74      26.26       090  S                 
    60220...  ..................  A                   Partial removal of thyroid..       9.86      8.54        1.61      20.01       090  S                 
    60225...  ..................  A                   Partial removal of thyroid..      11.65     10.49        1.92      24.06       090  S                 
    60240...  ..................  A                   Removal of thyroid..........      15.66     10.58        1.96      28.20       090  S                 
    60252...  ..................  A                   Removal of thyroid..........      15.40     13.65        2.55      31.60       090  S                 
    60254...  ..................  A                   Extensive thyroid surgery...      16.68     19.21        3.08      38.97       090  S                 
    60260...  ..................  A                   Repeat thyroid surgery......      14.49      3.14        0.34      17.97       090  S                 
    60270...  ..................  A                   Removal of thyroid..........      16.44     13.97        2.54      32.95       090  S                 
    60271...  ..................  A                   Removal of thyroid..........      14.16     12.14        2.25      28.55       090  S                 
    60280...  ..................  A                   Remove thyroid duct lesion..       5.55     *7.10        1.11      13.76       090  S                 
    60281...  ..................  A                   Remove thyroid duct lesion..       8.00      5.04        0.95      13.99       090  S                 
    60500...  ..................  A                   Explore parathyroid glands..      15.40     11.36        2.31      29.07       090  S                 
    60502...  ..................  A                   Re-explore parathyroids.....      19.25     11.39        2.33      32.97       090  S                 
    60505...  ..................  A                   Explore parathyroid glands..      19.93     13.14        2.56      35.63       090  S                 
    60512...  ..................  A                   Autotransplant, parathyroid.       4.45      2.32        0.54       7.31       ZZZ  S                 
    60520...  ..................  A                   Removal of thymus gland.....      15.82     13.54        2.46      31.82       090  S                 
    60521...  ..................  A                   Removal thymus gland........      17.80     13.54        2.46      33.80       090  S                 
    60522...  ..................  A                   Removal of thymus gland.....      21.76     13.54        2.46      37.76       090  S                 
    60540...  ..................  A                   Explore adrenal gland.......      15.72     12.05        2.08      29.85       090  S                 
    60545...  ..................  A                   Explore adrenal gland.......      18.51     14.27        2.34      35.12       090  S                 
    60600...  ..................  A                   Remove carotid body lesion..      16.13     11.46        1.88      29.47       090  S                 
    60605...  ..................  A                   Remove carotid body lesion..      18.20     10.71        2.21      31.12       090  S                 
    60699...  ..................  C                   Endocrine surgery procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    61000...  ..................  A                   Remove cranial cavity fluid.       1.58      1.07        0.17       2.82       000  S                 
    61001...  ..................  A                   Remove cranial cavity fluid.       1.49      0.88        0.17       2.54       000  S                 
    61020...  ..................  A                   Remove brain cavity fluid...       1.51      1.26        0.20       2.97       000  S                 
    61026...  ..................  A                   Injection into brain canal..       1.69      2.03        0.22       3.94       000  N                 
    61050...  ..................  A                   Remove brain canal fluid....       1.51      1.23        0.15       2.89       000  N                 
    61055...  ..................  A                   Injection into brain canal..       2.10      1.88        0.19       4.17       000  N                 
    61070...  ..................  A                   Brain canal shunt procedure.       0.89      0.49        0.03       1.41       000  N                 
    61105...  ..................  A                   Drill skull for examination.       8.19      6.89        1.24      16.32       090  S                 
    61106...  ..................  A                   Drill skull for exam/surgery       7.35      6.15        1.15      14.65       ZZZ  S                 
    61107...  ..................  A                   Drill skull for implantation       4.35     *5.57        1.26      11.18       000  S                 
    61108...  ..................  A                   Drill skull for drainage....      10.80     12.05        2.22      25.07       090  S                 
    61120...  ..................  A                   Pierce skull for examination       9.31      5.95        1.08      16.34       090  S                 
    61130...  ..................  A                   Pierce skull, exam/surgery..       6.37      4.95        0.96      12.28       ZZZ  S                 
    61140...  ..................  A                   Pierce skull for biopsy.....      14.84     14.13        2.56      31.53       090  S                 
    61150...  ..................  A                   Pierce skull for drainage...      16.37     14.65        2.63      33.65       090  S                 
    61151...  ..................  A                   Pierce skull for drainage...      11.40      2.13        0.37      13.90       090  S                 
    61154...  ..................  A                   Pierce skull, remove clot...      13.67    *17.50        3.27      34.44       090  S                 
    61156...  ..................  A                   Pierce skull for drainage...      15.23     16.19        3.05      34.47       090  S                 
    61210...  ..................  A                   Pierce skull; implant device       4.72     *6.04        1.53      12.29       000  S                 
    61215...  ..................  A                   Insert brain-fluid device...      10.05      9.00        1.63      20.68       090  S                 
    61250...  ..................  A                   Pierce skull & explore......      11.03      8.03        1.44      20.50       090  S                 
    61253...  ..................  A                   Pierce skull & explore......      13.00      9.62        1.69      24.31       090  S                 
    61304...  ..................  A                   Open skull for exploration..      20.63     26.03        4.78      51.44       090  S                 
    61305...  ..................  A                   Open skull for exploration..      24.77     29.11        5.05      58.93       090  S                 
    61312...  ..................  A                   Open skull for drainage.....      20.54     24.13        4.46      49.13       090  S                 
    61313...  ..................  A                   Open skull for drainage.....      20.54     24.04        4.38      48.96       090  S                 
    61314...  ..................  A                   Open skull for drainage.....      22.78     25.62        4.68      53.08       090  S                 
    61315...  ..................  A                   Open skull for drainage.....      25.91     24.41        4.47      54.79       090  S                 
    61320...  ..................  A                   Open skull for drainage.....      23.90     18.70        3.41      46.01       090  S                 
    61321...  ..................  A                   Open skull for drainage.....      26.66     19.83        3.54      50.03       090  S                 
    61330...  ..................  A                   Decompress eye socket.......      15.65     12.97        1.22      29.84       090  S                 
    61332...  ..................  A                   Explore/biopsy eye socket...      26.08     20.72        2.76      49.56       090  S                 
    61333...  ..................  A                   Explore orbit; remove lesion      26.75     20.46        3.26      50.47       090  S                 
    61334...  ..................  A                   Explore orbit; remove object      17.07     14.65        1.82      33.54       090  S                 
    61340...  ..................  A                   Relieve cranial pressure....      11.56    *14.80        2.54      28.90       090  S                 
    61343...  ..................  A                   Incise skull, pressure            27.87     30.05        5.28      63.20       090  S                 
                                                       relief.                                                                                              
    61345...  ..................  A                   Relieve cranial pressure....      25.36     19.18        3.45      47.99       090  S                 
    61440...  ..................  A                   Incise skull for surgery....      24.79     20.75        3.00      48.54       090  S                 
    61450...  ..................  A                   Incise skull for surgery....      24.29     20.43        3.43      48.15       090  S                 
    61458...  ..................  A                   Incise skull for brain wound      25.97     27.28        4.87      58.12       090  S                 
    61460...  ..................  A                   Incise skull for surgery....      26.75     25.05        3.98      55.78       090  S                 
    61470...  ..................  A                   Incise skull for surgery....      20.79     13.86        2.53      37.18       090  S                 
    
    [[Page 63253]]
                                                                                                                                                            
    61480...  ..................  A                   Incise skull for surgery....      16.77     15.07        1.78      33.62       090  S                 
    61490...  ..................  A                   Incise skull for surgery....      15.63     11.72        2.16      29.51       090  S                 
    61500...  ..................  A                   Removal of skull lesion.....      16.93     20.07        3.58      40.58       090  S                 
    61501...  ..................  A                   Remove infected skull bone..      13.59    *17.40        3.33      34.32       090  S                 
    61510...  ..................  A                   Removal of brain lesion.....      23.39     27.04        4.90      55.33       090  S                 
    61512...  ..................  A                   Remove brain lining lesion..      24.26     29.02        5.28      58.56       090  S                 
    61514...  ..................  A                   Removal of brain abscess....      23.49     25.52        4.74      53.75       090  S                 
    61516...  ..................  A                   Removal of brain lesion.....      22.84     26.48        4.57      53.89       090  S                 
    61518...  ..................  A                   Removal of brain lesion.....      32.27     30.02        5.46      67.75       090  S                 
    61519...  ..................  A                   Remove brain lining lesion..      33.84     31.22        5.77      70.83       090  S                 
    61520...  ..................  A                   Removal of brain lesion.....      38.35     33.85        5.89      78.09       090  S                 
    61521...  ..................  A                   Removal of brain lesion.....      39.48     32.97        5.85      78.30       090  S                 
    61522...  ..................  A                   Removal of brain abscess....      27.55     19.96        3.79      51.30       090  S                 
    61524...  ..................  A                   Removal of brain lesion.....      26.02     27.45        5.15      58.62       090  S                 
    61526...  ..................  A                   Removal of brain lesion.....      29.71     34.01        4.79      68.51       090  S                 
    61530...  ..................  A                   Removal of brain lesion.....      42.35     34.01        4.79      81.15       090  S                 
    61531...  ..................  A                   Implant brain electrodes....      20.50     14.98        1.75      37.23       090  S                 
    61533...  ..................  A                   Implant brain electrodes....      23.41     17.02        3.33      43.76       090  S                 
    61534...  ..................  A                   Removal of brain lesion.....      19.13      6.38        2.01      27.52       090  S                 
    61535...  ..................  A                   Remove brain electrodes.....      10.23      7.66        1.25      19.14       090  S                 
    61536...  ..................  A                   Removal of brain lesion.....      29.43     21.96        3.99      55.38       090  S                 
    61538...  ..................  A                   Removal of brain tissue.....      28.05     29.08        4.97      62.10       090  S                 
    61539...  ..................  A                   Removal of brain tissue.....      30.05     22.96        4.07      57.08       090  S                 
    61541...  ..................  A                   Incision of brain tissue....      26.95     19.80        3.78      50.53       090  S                 
    61542...  ..................  A                   Removal of brain tissue.....      27.39     19.91        3.90      51.20       090  S                 
    61543...  ..................  A                   Removal of brain tissue.....      20.62     17.24        2.49      40.35       090  S                 
    61544...  ..................  A                   Remove & treat brain lesion.      23.71     28.19        2.11      54.01       090  S                 
    61545...  ..................  A                   Excision of brain tumor.....      34.50     25.66        4.80      64.96       090  S                 
    61546...  ..................  A                   Removal of pituitary gland..      29.33     27.01        4.78      61.12       090  S                 
    61548...  ..................  A                   Removal of pituitary gland..      20.15     24.78        4.03      48.96       090  S                 
    61550...  ..................  A                   Release of skull seams......      14.24     11.81        1.11      27.16       090  S                 
    61552...  ..................  A                   Release of skull seams......      19.02     13.83        2.70      35.55       090  S                 
    61556...  ..................  A                   Incise skull/sutures........      21.35     15.53        3.04      39.92       090  S                 
    61557...  ..................  A                   Incise skull/sutures........      21.47     15.62        3.05      40.14       090  S                 
    61558...  ..................  A                   Excision of skull/sutures...      24.41     17.74        3.47      45.62       090  S                 
    61559...  ..................  A                   Excision of skull/sutures...      31.65     23.01        4.50      59.16       090  S                 
    61563...  ..................  A                   Excision of skull tumor.....      25.87     18.81        3.68      48.36       090  S                 
    61564...  ..................  A                   Excision of skull tumor.....      32.64     23.73        4.64      61.01       090  S                 
    61570...  ..................  A                   Remove brain foreign body...      22.89     16.49        3.06      42.44       090  S                 
    61571...  ..................  A                   Incise skull for brain wound      24.55     18.32        3.21      46.08       090  S                 
    61575...  ..................  A                   Skull base/brainstem surgery      32.33     32.99        5.05      70.37       090  S                 
    61576...  ..................  A                   Skull base/brainstem surgery      33.82     28.23        3.91      65.96       090  S                 
    61580...  ..................  A                   Craniofacial approach, skull      28.90     21.01        4.10      54.01       090  S                 
    61581...  ..................  A                   Craniofacial approach, skull      32.80     23.84        4.66      61.30       090  S                 
    61582...  ..................  A                   Craniofacial approach, skull      29.77     21.65        4.22      55.64       090  S                 
    61583...  ..................  A                   Craniofacial approach, skull      33.97     24.70        4.83      63.50       090  S                 
    61584...  ..................  A                   Orbitocranial approach/skull      32.89     23.91        4.68      61.48       090  S                 
    61585...  ..................  A                   Orbitocranial approach/skull      36.80     26.75        5.23      68.78       090  S                 
    61590...  ..................  A                   Infratemporal approach/skull      40.02     29.10        5.68      74.80       090  S                 
    61591...  ..................  A                   Infratemporal approach/skull      41.97     30.52        5.96      78.45       090  S                 
    61592...  ..................  A                   Orbitocranial approach/skull      38.07     27.68        5.41      71.16       090  S                 
    61595...  ..................  A                   Transtemporal approach/skull      28.12     20.44        4.00      52.56       090  S                 
    61596...  ..................  A                   Transcochlear approach/skull      34.17     24.84        4.86      63.87       090  S                 
    61597...  ..................  A                   Transcondylar approach/skull      36.12     26.26        5.13      67.51       090  S                 
    61598...  ..................  A                   Transpetrosal approach/skull      31.83     23.13        4.52      59.48       090  S                 
    61600...  ..................  A                   Resect/excise cranial lesion      24.41     17.74        3.46      45.61       090  S                 
    61601...  ..................  A                   Resect/excise cranial lesion      26.16     19.03        3.72      48.91       090  S                 
    61605...  ..................  A                   Resect/excise cranial lesion      27.62     20.09        3.93      51.64       090  S                 
    61606...  ..................  A                   Resect/excise cranial lesion      37.00     26.90        5.25      69.15       090  S                 
    61607...  ..................  A                   Resect/excise cranial lesion      34.56     25.13        4.91      64.60       090  S                 
    61608...  ..................  A                   Resect/excise cranial lesion      40.21     29.24        5.71      75.16       090  S                 
    61609...  ..................  A                   Transect, artery, sinus.....       9.89      7.19        1.40      18.48       ZZZ  S                 
    61610...  ..................  A                   Transect, artery, sinus.....      29.67     21.57        4.21      55.45       ZZZ  S                 
    61611...  ..................  A                   Transect, artery, sinus.....       7.42      5.39        1.06      13.87       ZZZ  S                 
    61612...  ..................  A                   Transect, artery, sinus.....      27.88     20.27        3.96      52.11       ZZZ  S                 
    61613...  ..................  A                   Remove aneurysm, sinus......      39.43     28.67        5.61      73.71       090  S                 
    
    [[Page 63254]]
                                                                                                                                                            
    61615...  ..................  A                   Resect/excise lesion, skull.      30.36     22.07        4.31      56.74       090  S                 
    61616...  ..................  A                   Resect/excise lesion, skull.      41.29     30.03        5.86      77.18       090  S                 
    61618...  ..................  A                   Repair dura.................      15.62     11.35        2.22      29.19       090  S                 
    61619...  ..................  A                   Repair dura.................      19.52     14.19        2.77      36.48       090  S                 
    61624...  ..................  A                   Occlusion/embolization cath.      20.15     15.28        1.79      37.22       000  N                 
    61626...  ..................  A                   Occlusion/embolization cath.      16.62     12.60        1.47      30.69       000  N                 
    61680...  ..................  A                   Intracranial vessel surgery.      36.45     31.06        5.79      73.30       090  S                 
    61682...  ..................  A                   Intracranial vessel surgery.      42.21     35.31        6.36      83.88       090  S                 
    61684...  ..................  A                   Intracranial vessel surgery.      39.25     29.76        3.47      72.48       090  S                 
    61686...  ..................  A                   Intracranial vessel surgery.      47.45     35.98        4.20      87.63       090  S                 
    61690...  ..................  A                   Intracranial vessel surgery.      33.82     27.46        4.09      65.37       090  S                 
    61692...  ..................  A                   Intracranial vessel surgery.      37.96     28.79        3.36      70.11       090  S                 
    61700...  ..................  A                   Inner skull vessel surgery..      34.83     31.69        5.67      72.19       090  S                 
    61702...  ..................  A                   Inner skull vessel surgery..      39.20     36.31        6.61      82.12       090  S                 
    61703...  ..................  A                   Clamp neck artery...........      16.27     12.21        2.24      30.72       090  S                 
    61705...  ..................  A                   Revise circulation to head..      34.49     30.41        5.25      70.15       090  S                 
    61708...  ..................  A                   Revise circulation to head..      33.59     25.20        2.32      61.11       090  S                 
    61710...  ..................  A                   Revise circulation to head..      28.14     16.63        1.75      46.52       090  S                 
    61711...  ..................  A                   Fusion of skull arteries....      34.62     33.04        6.20      73.86       090  S                 
    61712...  ..................  A                   Skull or spine microsurgery.       3.49     *4.47        0.93       8.89       ZZZ  S                 
    61720...  ..................  A                   Incise skull/brain surgery..      15.85    *20.29        4.05      40.19       090  S                 
    61735...  ..................  A                   Incise skull/brain surgery..      17.08     12.96        1.51      31.55       090  S                 
    61750...  ..................  A                   Incise skull; brain biopsy..      10.03    *13.54        4.31      27.88       090  S                 
    61751...  ..................  A                   Brain biopsy with cat scan..      15.18    *19.43        4.44      39.05       090  S                 
    61760...  ..................  A                   Implant brain electrodes....      24.83     14.98        1.75      41.56       090  S                 
    61770...  ..................  A                   Incise skull for treatment..      15.14    *19.38        3.43      37.95       090  S                 
    61790...  ..................  A                   Treat trigeminal nerve......      10.31    *13.19        3.03      26.53       090  S                 
    61791...  ..................  A                   Treat trigeminal tract......       7.29     *9.77        3.16      20.22       090  S                 
    61793...  ..................  A                   Focus radiation beam........      16.70     21.35        1.96      40.01       090  S                 
    61795...  ..................  A                   Brain surgery using computer       4.04     *5.24        1.55      10.83       000  S                 
    61850...  ..................  A                   Implant neuroelectrodes.....      15.98     11.63        2.26      29.87       090  S                 
    61855...  ..................  A                   Implant neuroelectrodes.....      12.94     10.39        1.47      24.80       090  S                 
    61860...  ..................  A                   Implant neuroelectrodes.....      11.20      8.14        1.59      20.93       090  S                 
    61865...  ..................  A                   Implant neuroelectrodes.....      21.70     15.78        3.09      40.57       090  S                 
    61870...  ..................  A                   Implant neuroelectrodes.....       5.77      4.19        0.82      10.78       090  S                 
    61875...  ..................  A                   Implant neuroelectrodes.....       9.20      6.69        1.31      17.20       090  S                 
    61880...  ..................  A                   Revise/remove neuroelectrode       5.72      4.79        0.66      11.17       090  S                 
    61885...  ..................  A                   Implant neuroreceiver.......       2.35      1.96        0.29       4.60       090  S                 
    61888...  ..................  A                   Revise/remove neuroreceiver.       3.10      2.25        0.44       5.79       010  S                 
    62000...  ..................  A                   Repair of skull fracture....      11.26      5.73        0.95      17.94       090  S                 
    62005...  ..................  A                   Repair of skull fracture....      14.84     11.08        1.97      27.89       090  S                 
    62010...  ..................  A                   Treatment of head injury....      18.43     19.20        3.39      41.02       090  S                 
    62100...  ..................  A                   Repair brain fluid leakage..      20.78     21.62        3.72      46.12       090  S                 
    62115...  ..................  A                   Reduction of skull defect...      20.50     15.51        1.82      37.83       090  S                 
    62116...  ..................  A                   Reduction of skull defect...      22.45     16.98        1.99      41.42       090  S                 
    62117...  ..................  A                   Reduction of skull defect...      25.38     19.20        2.25      46.83       090  S                 
    62120...  ..................  A                   Repair skull cavity lesion..      22.34     16.90        1.98      41.22       090  S                 
    62121...  ..................  A                   Incise skull repair.........      20.25     17.51        3.41      41.17       090  S                 
    62140...  ..................  A                   Repair of skull defect......      12.63     13.43        2.39      28.45       090  S                 
    62141...  ..................  A                   Repair of skull defect......      13.90     17.73        3.28      34.91       090  S                 
    62142...  ..................  A                   Remove skull plate/flap.....       9.91    *12.69        2.64      25.24       090  S                 
    62143...  ..................  A                   Replace skull plate/flap....      12.11      9.17        1.65      22.93       090  S                 
    62145...  ..................  A                   Repair of skull & brain.....      17.68     13.16        2.29      33.13       090  S                 
    62146...  ..................  A                   Repair of skull with graft..      15.11     10.99        2.15      28.25       090  S                 
    62147...  ..................  A                   Repair of skull with graft..      18.14     13.17        2.57      33.88       090  S                 
    62180...  ..................  A                   Establish brain cavity shunt      12.72     14.21        2.70      29.63       090  S                 
    62190...  ..................  A                   Establish brain cavity shunt      10.13    *12.97        3.21      26.31       090  S                 
    62192...  ..................  A                   Establish brain cavity shunt      11.31    *14.48        2.74      28.53       090  S                 
    62194...  ..................  A                   Replace/irrigate catheter...       2.81      1.88        0.29       4.98       010  N                 
    62200...  ..................  A                   Establish brain cavity shunt      13.24    *16.95        3.09      33.28       090  S                 
    62201...  ..................  A                   Establish brain cavity shunt      12.10      8.78        1.72      22.60       090  S                 
    62220...  ..................  A                   Establish brain cavity shunt      12.06    *15.43        3.12      30.61       090  S                 
    62223...  ..................  A                   Establish brain cavity shunt      12.81    *16.40        3.02      32.23       090  S                 
    62225...  ..................  A                   Replace/irrigate catheter...       4.71      4.80        0.58      10.09       090  S                 
    62230...  ..................  A                   Replace/revise brain shunt..       9.71      9.83        1.82      21.36       090  S                 
    62256...  ..................  A                   Remove brain cavity shunt...       5.90      6.38        1.17      13.45       090  S                 
    
    [[Page 63255]]
                                                                                                                                                            
    62258...  ..................  A                   Replace brain cavity shunt..      13.60     14.78        2.55      30.93       090  S                 
    62268...  ..................  A                   Drain spinal cord cyst......       3.87      2.98        0.36       7.21       000  N                 
    62269...  ..................  A                   Needle biopsy spinal cord...       4.07      1.75        0.28       6.10       000  N                 
    62270...  ..................  A                   Spinal fluid tap, diagnostic       1.13      0.71        0.06       1.90       000  N                 
    62272...  ..................  A                   Drain spinal fluid..........       1.35      1.01        0.12       2.48       000  N                 
    62273...  ..................  A                   Treat lumbar spine lesion...       2.15      1.12        0.26       3.53       000  N                 
    62274...  ..................  A                   Inject spinal anesthetic....       1.78      0.74        0.17       2.69       000  N                 
    62275...  ..................  A                   Inject spinal anesthetic....       1.79      0.59        0.19       2.57       000  N                 
    62276...  ..................  A                   Inject spinal anesthetic....       2.04      1.23        0.23       3.50       000  N                 
    62277...  ..................  A                   Inject spinal anesthetic....       2.15      0.84        0.23       3.22       000  N                 
    62278...  ..................  A                   Inject spinal anesthetic....       1.51      0.98        0.26       2.75       000  N                 
    62279...  ..................  A                   Inject spinal anesthetic....       1.58      0.82        0.24       2.64       000  N                 
    62280...  ..................  A                   Treat spinal cord lesion....       2.58      0.71        0.14       3.43       010  N                 
    62281...  ..................  A                   Treat spinal cord lesion....       2.61      0.87        0.28       3.76       010  N                 
    62282...  ..................  A                   Treat spinal canal lesion...       2.28      1.70        0.40       4.38       010  N                 
    62284...  ..................  A                   Injection for myelogram.....       1.54     *1.98        0.34       3.86       000  S                 
    62287...  ..................  A                   Percutaneous diskectomy.....       4.13     *6.96        2.65      13.74       090  S                 
    62288...  ..................  A                   Injection into spinal canal.       1.74      1.12        0.24       3.10       000  N                 
    62289...  ..................  A                   Injection into spinal canal.       1.64      1.07        0.29       3.00       000  N                 
    62290...  ..................  A                   Inject for spine disk x-ray.       3.58      1.86        0.24       5.68       000  N                 
    62291...  ..................  A                   Inject for spine disk x-ray.       2.91      1.78        0.39       5.08       000  N                 
    62292...  ..................  A                   Injection into disk lesion..       7.00     *8.96        2.13      18.09       090  S                 
    62294...  ..................  A                   Injection into spinal artery       8.05      5.84        0.68      14.57       090  S                 
    62298...  ..................  A                   Injection into spinal canal.       2.20      1.04        0.13       3.37       000  N                 
    62350...  ..................  A                   Implant spinal catheter.....       6.25      3.49        1.02      10.76       090  S                 
    62351...  ..................  A                   Implant spinal catheter.....       9.25      5.16        1.50      15.91       090  S                 
    62355...  ..................  A                   Remove spinal canal catheter       4.80      3.49        0.68       8.97       090  S                 
    62360...  ..................  A                   Insert spine infusion device       2.00      1.12        0.33       3.45       090  S                 
    62361...  ..................  A                   Implant spine infusion pump.       4.80      2.68        0.78       8.26       090  S                 
    62362...  ..................  A                   Implant spine infusion pump.       6.29      3.51        1.02      10.82       090  S                 
    62365...  ..................  A                   Remove spine infusion device       4.77      3.47        0.68       8.92       090  S                 
    62367...  ..................  C                   Analyze spine infusion pump.       0.00      0.00        0.00       0.00       XXX  N                 
    62367...  26                  A                   Analyze spine infusion pump.       0.48      0.35        0.07       0.90       XXX  N                 
    62367...  TC                  C                   Analyze spine infusion pump.       0.00      0.00        0.00       0.00       XXX  N                 
    62368...  ..................  C                   Analyze spine infusion pump.       0.00      0.00        0.00       0.00       XXX  N                 
    62368...  26                  A                   Analyze spine infusion pump.       0.75      0.55        0.11       1.41       XXX  N                 
    62368...  TC                  C                   Analyze spine infusion pump.       0.00      0.00        0.00       0.00       XXX  N                 
    63001...  ..................  A                   Removal of spinal lamina....      14.50    *18.55        3.42      36.47       090  S                 
    63003...  ..................  A                   Removal of spinal lamina....      14.63     17.93        3.23      35.79       090  S                 
    63005...  ..................  A                   Removal of spinal lamina....      13.53    *17.32        3.10      33.95       090  S                 
    63011...  ..................  A                   Removal of spinal lamina....      11.11      9.99        1.87      22.97       090  S                 
    63012...  ..................  A                   Removal of spinal lamina....      14.21     18.07        3.15      35.43       090  S                 
    63015...  ..................  A                   Removal of spinal lamina....      16.59    *21.23        4.18      42.00       090  S                 
    63016...  ..................  A                   Removal of spinal lamina....      17.43    *22.30        4.11      43.84       090  S                 
    63017...  ..................  A                   Removal of spinal lamina....      15.85    *20.29        4.00      40.14       090  S                 
    63020...  ..................  A                   Neck spine disk surgery.....      12.53    *16.04        3.38      31.95       090  S                 
    63030...  ..................  A                   Low back disk surgery.......      12.11    *15.50        2.81      30.42       090  S                 
    63035...  ..................  A                   Added spinal disk surgery...       3.15     *4.04        0.76       7.95       ZZZ  S                 
    63040...  ..................  A                   Neck spine disk surgery.....      17.56    *22.48        4.30      44.34       090  S                 
    63042...  ..................  A                   Low back disk surgery.......      17.27    *22.10        4.38      43.75       090  S                 
    63045...  ..................  A                   Removal of spinal lamina....      15.31    *19.59        4.38      39.28       090  S                 
    63046...  ..................  A                   Removal of spinal lamina....      14.61    *18.70        4.58      37.89       090  S                 
    63047...  ..................  A                   Removal of spinal lamina....      12.76    *16.33        4.48      33.57       090  S                 
    63048...  ..................  A                   Removal of spinal lamina....       3.26     *4.17        1.03       8.46       ZZZ  S                 
    63055...  ..................  A                   Decompress spinal cord......      20.67     23.73        4.18      48.58       090  S                 
    63056...  ..................  A                   Decompress spinal cord......      19.11     21.84        3.76      44.71       090  S                 
    63057...  ..................  A                   Decompress spinal cord......       3.00     *3.84        0.85       7.69       ZZZ  S                 
    63064...  ..................  A                   Decompress spinal cord......      23.23     23.83        4.09      51.15       090  S                 
    63066...  ..................  A                   Decompress spinal cord......       3.26      2.48        0.45       6.19       ZZZ  S                 
    63075...  ..................  A                   Neck spine disk surgery.....      19.77     17.57        3.21      40.55       090  S                 
    63076...  ..................  A                   Neck spine disk surgery.....       4.05     *5.19        0.97      10.21       ZZZ  S                 
    63077...  ..................  A                   Spine disk surgery, thorax..      20.25     18.42        3.17      41.84       090  S                 
    63078...  ..................  A                   Spine disk surgery, thorax..       3.28      2.61        0.45       6.34       ZZZ  S                 
    63081...  ..................  A                   Removal of vertebral body...      22.08     26.26        4.50      52.84       090  S                 
    63082...  ..................  A                   Removal of vertebral body...       4.37     *5.60        1.22      11.19       ZZZ  S                 
    63085...  ..................  A                   Removal of vertebral body...      25.07     27.39        4.69      57.15       090  S                 
    
    [[Page 63256]]
                                                                                                                                                            
    63086...  ..................  A                   Removal of vertebral body...       3.19     *4.08        1.07       8.34       ZZZ  S                 
    63087...  ..................  A                   Removal of vertebral body...      27.56     28.25        4.85      60.66       090  S                 
    63088...  ..................  A                   Removal of vertebral body...       4.33     *5.55        1.18      11.06       ZZZ  S                 
    63090...  ..................  A                   Removal of vertebral body...      26.20     29.22        4.92      60.34       090  S                 
    63091...  ..................  A                   Removal of vertebral body...       3.03      2.73        0.46       6.22       ZZZ  S                 
    63170...  ..................  A                   Incise spinal cord tract(s).      18.18     18.88        3.28      40.34       090  S                 
    63172...  ..................  A                   Drainage of spinal cyst.....      16.19    *20.72        4.26      41.17       090  S                 
    63173...  ..................  A                   Drainage of spinal cyst.....      20.40     15.47        1.81      37.68       090  S                 
    63180...  ..................  A                   Revise spinal cord ligaments      16.75     11.61        2.05      30.41       090  S                 
    63182...  ..................  A                   Revise spinal cord ligaments      18.91     16.44        2.21      37.56       090  S                 
    63185...  ..................  A                   Incise spinal column/nerves.      13.85     15.55        2.93      32.33       090  S                 
    63190...  ..................  A                   Incise spinal column/nerves.      16.26    *20.81        3.91      40.98       090  S                 
    63191...  ..................  A                   Incise spinal column/nerves.      16.42     13.04        2.21      31.67       090  S                 
    63194...  ..................  A                   Incise spinal column & cord.      17.53     13.02        2.33      32.88       090  S                 
    63195...  ..................  A                   Incise spinal column & cord.      17.16     13.86        2.11      33.13       090  S                 
    63196...  ..................  A                   Incise spinal column & cord.      20.57     15.59        1.83      37.99       090  S                 
    63197...  ..................  A                   Incise spinal column & cord.      19.38     14.36        2.62      36.36       090  S                 
    63198...  ..................  A                   Incise spinal column & cord.      22.45     16.32        3.19      41.96       090  S                 
    63199...  ..................  A                   Incise spinal column & cord.      23.89     21.40        2.61      47.90       090  S                 
    63200...  ..................  A                   Release of spinal cord......      17.66     12.49        1.83      31.98       090  S                 
    63250...  ..................  A                   Revise spinal cord vessels..      38.67     27.99        5.22      71.88       090  S                 
    63251...  ..................  A                   Revise spinal cord vessels..      38.86     22.74        4.32      65.92       090  S                 
    63252...  ..................  A                   Revise spinal cord vessels..      38.85     28.25        5.52      72.62       090  S                 
    63265...  ..................  A                   Excise intraspinal lesion...      20.04     22.01        3.90      45.95       090  S                 
    63266...  ..................  A                   Excise intraspinal lesion...      20.65     24.76        4.43      49.84       090  S                 
    63267...  ..................  A                   Excise intraspinal lesion...      16.70    *21.38        4.20      42.28       090  S                 
    63268...  ..................  A                   Excise intraspinal lesion...      17.27     12.56        2.46      32.29       090  S                 
    63270...  ..................  A                   Excise intraspinal lesion...      24.84     18.14        3.42      46.40       090  S                 
    63271...  ..................  A                   Excise intraspinal lesion...      24.96     26.60        4.79      56.35       090  S                 
    63272...  ..................  A                   Excise intraspinal lesion...      23.69     23.15        4.26      51.10       090  S                 
    63273...  ..................  A                   Excise intraspinal lesion...      22.66     17.56        3.12      43.34       090  S                 
    63275...  ..................  A                   Biopsy/excise spinal tumor..      22.05     27.82        5.09      54.96       090  S                 
    63276...  ..................  A                   Biopsy/excise spinal tumor..      21.76     25.31        4.62      51.69       090  S                 
    63277...  ..................  A                   Biopsy/excise spinal tumor..      19.51     23.75        4.25      47.51       090  S                 
    63278...  ..................  A                   Biopsy/excise spinal tumor..      19.24     23.34        4.32      46.90       090  S                 
    63280...  ..................  A                   Biopsy/excise spinal tumor..      26.72     28.08        4.99      59.79       090  S                 
    63281...  ..................  A                   Biopsy/excise spinal tumor..      26.42     27.67        4.96      59.05       090  S                 
    63282...  ..................  A                   Biopsy/excise spinal tumor..      24.96     24.11        4.44      53.51       090  S                 
    63283...  ..................  A                   Biopsy/excise spinal tumor..      23.57     18.77        3.44      45.78       090  S                 
    63285...  ..................  A                   Biopsy/excise spinal tumor..      34.24     24.49        4.49      63.22       090  S                 
    63286...  ..................  A                   Biopsy/excise spinal tumor..      33.94     28.76        4.92      67.62       090  S                 
    63287...  ..................  A                   Biopsy/excise spinal tumor..      34.43     25.72        4.53      64.68       090  S                 
    63290...  ..................  A                   Biopsy/excise spinal tumor..      35.04     27.16        4.65      66.85       090  S                 
    63300...  ..................  A                   Removal of vertebral body...      22.78     17.27        2.02      42.07       090  S                 
    63301...  ..................  A                   Removal of vertebral body...      25.08     18.45        3.58      47.11       090  S                 
    63302...  ..................  A                   Removal of vertebral body...      25.60     21.36        3.02      49.98       090  S                 
    63303...  ..................  A                   Removal of vertebral body...      28.47     18.50        3.39      50.36       090  S                 
    63304...  ..................  A                   Removal of vertebral body...      28.10     21.31        2.49      51.90       090  S                 
    63305...  ..................  A                   Removal of vertebral body...      29.42     22.49        3.75      55.66       090  S                 
    63306...  ..................  A                   Removal of vertebral body...      30.01     22.76        2.65      55.42       090  S                 
    63307...  ..................  A                   Removal of vertebral body...      29.42     24.42        2.98      56.82       090  S                 
    63308...  ..................  A                   Removal of vertebral body...       5.25      4.05        0.73      10.03       ZZZ  S                 
    63600...  ..................  A                   Remove spinal cord lesion...      13.08     10.70        2.63      26.41       090  N                 
    63610...  ..................  A                   Stimulation of spinal cord..       8.73      6.73        2.06      17.52       000  N                 
    63615...  ..................  A                   Remove lesion of spinal cord      15.40     11.55        2.03      28.98       090  S                 
    63650...  ..................  A                   Implant neuroelectrodes.....       5.99     *7.67        2.13      15.79       090  S                 
    63655...  ..................  A                   Implant neuroelectrodes.....       8.95    *11.93        3.64      24.52       090  S                 
    63660...  ..................  A                   Revise/remove neuroelectrode       5.54     *7.09        1.56      14.19       090  S                 
    63685...  ..................  A                   Implant neuroreceiver.......       6.29      7.40        1.46      15.15       090  S                 
    63688...  ..................  A                   Revise/remove neuroreceiver.       4.77     *6.10        1.26      12.13       090  S                 
    63690...  ..................  A                   Analysis of neuroreceiver...       0.45     *0.58        0.12       1.15       XXX  N                 
    63691...  ..................  A                   Analysis of neuroreceiver...       0.65      0.41        0.11       1.17       XXX  N                 
    63700...  ..................  A                   Repair of spinal herniation.      15.62     11.35        2.22      29.19       090  S                 
    63702...  ..................  A                   Repair of spinal herniation.      17.57     12.78        2.49      32.84       090  S                 
    63704...  ..................  A                   Repair of spinal herniation.      19.52     14.19        2.77      36.48       090  S                 
    63706...  ..................  A                   Repair of spinal herniation.      22.45     16.33        3.18      41.96       090  S                 
    
    [[Page 63257]]
                                                                                                                                                            
    63707...  ..................  A                   Repair spinal fluid leakage.      10.14    *12.98        2.56      25.68       090  S                 
    63709...  ..................  A                   Repair spinal fluid leakage.      13.26    *16.97        3.30      33.53       090  S                 
    63710...  ..................  A                   Graft repair of spine defect      13.01      9.75        1.58      24.34       090  S                 
    63740...  ..................  A                   Install spinal shunt........      10.43    *13.35        2.99      26.77       090  S                 
    63741...  ..................  A                   Install spinal shunt........       7.13     *9.13        2.39      18.65       090  S                 
    63744...  ..................  A                   Revision of spinal shunt....       6.83      8.15        1.68      16.66       090  S                 
    63746...  ..................  A                   Removal of spinal shunt.....       5.60      5.52        1.08      12.20       090  S                 
    63750...  ..................  D                   Insert spinal canal catheter       0.00      0.00        0.00       0.00       090  S                 
    63780...  ..................  D                   Insert spinal canal catheter       0.00      0.00        0.00       0.00       090  N                 
    64400...  ..................  A                   Injection for nerve block...       1.11      0.48        0.05       1.64       000  N                 
    64402...  ..................  A                   Injection for nerve block...       1.25      0.62        0.09       1.96       000  S                 
    64405...  ..................  A                   Injection for nerve block...       1.32      0.64        0.07       2.03       000  N                 
    64408...  ..................  A                   Injection for nerve block...       1.41      1.04        0.11       2.56       000  N                 
    64410...  ..................  A                   Injection for nerve block...       1.43      0.71        0.15       2.29       000  N                 
    64412...  ..................  A                   Injection for nerve block...       1.18      0.62        0.08       1.88       000  N                 
    64413...  ..................  A                   Injection for nerve block...       1.40      0.74        0.08       2.22       000  N                 
    64415...  ..................  A                   Injection for nerve block...       1.48      0.26        0.07       1.81       000  N                 
    64417...  ..................  A                   Injection for nerve block...       1.44      0.63        0.15       2.22       000  N                 
    64418...  ..................  A                   Injection for nerve block...       1.32      0.85        0.10       2.27       000  N                 
    64420...  ..................  A                   Injection for nerve block...       1.18      0.64        0.07       1.89       000  N                 
    64421...  ..................  A                   Injection for nerve block...       1.68      0.83        0.17       2.68       000  N                 
    64425...  ..................  A                   Injection for nerve block...       1.75      0.57        0.10       2.42       000  N                 
    64430...  ..................  A                   Injection for nerve block...       1.46      0.70        0.12       2.28       000  S                 
    64435...  ..................  A                   Injection for nerve block...       1.45      0.47        0.09       2.01       000  S                 
    64440...  ..................  A                   Injection for nerve block...       1.34      0.79        0.09       2.22       000  N                 
    64441...  ..................  A                   Injection for nerve block...       1.79      1.01        0.12       2.92       000  N                 
    64442...  ..................  A                   Injection for nerve block...       1.41      1.19        0.16       2.76       000  N                 
    64443...  ..................  A                   Injection for nerve block...       1.35      0.63        0.12       2.10       ZZZ  N                 
    64445...  ..................  A                   Injection for nerve block...       1.48      0.49        0.06       2.03       000  N                 
    64450...  ..................  A                   Injection for nerve block...       1.27      0.53        0.05       1.85       000  S                 
    64505...  ..................  A                   Injection for nerve block...       1.36      0.62        0.06       2.04       000  N                 
    64508...  ..................  A                   Injection for nerve block...       1.12      1.04        0.08       2.24       000  N                 
    64510...  ..................  A                   Injection for nerve block...       1.22      0.71        0.18       2.11       000  N                 
    64520...  ..................  A                   Injection for nerve block...       1.35      0.72        0.17       2.24       000  N                 
    64530...  ..................  A                   Injection for nerve block...       1.58      1.17        0.28       3.03       000  N                 
    64550...  ..................  A                   Apply neurostimulator.......       0.18      0.44        0.04       0.66       000  N                 
    64553...  ..................  A                   Implant neuroelectrodes.....       2.26      1.02        0.10       3.38       010  N                 
    64555...  ..................  A                   Implant neuroelectrodes.....       2.22      0.42        0.10       2.74       010  N                 
    64560...  ..................  A                   Implant neuroelectrodes.....       2.31      1.45        0.24       4.00       010  S                 
    64565...  ..................  A                   Implant neuroelectrodes.....       1.71      0.76        0.08       2.55       010  N                 
    64573...  ..................  A                   Implant neuroelectrodes.....       4.35      3.16        0.61       8.12       090  S                 
    64575...  ..................  A                   Implant neuroelectrodes.....       4.27      3.07        0.40       7.74       090  S                 
    64577...  ..................  A                   Implant neuroelectrodes.....       4.54      2.76        0.45       7.75       090  S                 
    64580...  ..................  A                   Implant neuroelectrodes.....       4.04      2.91        0.20       7.15       090  S                 
    64585...  ..................  A                   Revise/remove neuroelectrode       2.01      0.97        0.09       3.07       010  S                 
    64590...  ..................  A                   Implant neuroreceiver.......       2.35      1.84        0.35       4.54       010  S                 
    64595...  ..................  A                   Revise/remove neuroreceiver.       1.68      1.12        0.21       3.01       010  S                 
    64600...  ..................  A                   Injection treatment of nerve       3.40      1.69        0.17       5.26       010  N                 
    64605...  ..................  A                   Injection treatment of nerve       5.56      1.56        0.33       7.45       010  N                 
    64610...  ..................  A                   Injection treatment of nerve       7.11      7.26        1.35      15.72       010  N                 
    64612...  ..................  A                   Destroy nerve, face muscle..       1.91      1.45        0.17       3.53       010  S                 
    64613...  ..................  A                   Destroy nerve, spine muscle.       1.91      1.45        0.17       3.53       010  S                 
    64620...  ..................  A                   Injection treatment of nerve       2.79      1.00        0.19       3.98       010  N                 
    64622...  ..................  A                   Injection treatment of nerve       2.95      1.82        0.35       5.12       010  N                 
    64623...  ..................  A                   Injection treatment of nerve       0.99      0.85        0.17       2.01       ZZZ  N                 
    64630...  ..................  A                   Injection treatment of nerve       2.95      1.74        0.38       5.07       010  N                 
    64640...  ..................  A                   Injection treatment of nerve       2.49      0.92        0.09       3.50       010  N                 
    64680...  ..................  A                   Injection treatment of nerve       2.57      1.55        0.41       4.53       010  N                 
    64702...  ..................  A                   Revise finger/toe nerve.....       4.02      4.22        0.70       8.94       090  S                 
    64704...  ..................  A                   Revise hand/foot nerve......       4.44      5.38        0.74      10.56       090  S                 
    64708...  ..................  A                   Revise arm/leg nerve........       5.71     *7.31        1.26      14.28       090  S                 
    64712...  ..................  A                   Revision of sciatic nerve...       7.18     *9.19        1.68      18.05       090  S                 
    64713...  ..................  A                   Revision of arm nerve(s)....      10.34      9.40        1.72      21.46       090  S                 
    64714...  ..................  A                   Revise low back nerve(s)....       9.87      6.13        1.41      17.41       090  S                 
    64716...  ..................  A                   Revision of cranial nerve...       5.80      4.83        0.67      11.30       090  S                 
    64718...  ..................  A                   Revise ulnar nerve at elbow.       5.48      6.72        1.13      13.33       090  S                 
    
    [[Page 63258]]
                                                                                                                                                            
    64719...  ..................  A                   Revise ulnar nerve at wrist.       4.72      4.95        0.85      10.52       090  S                 
    64721...  ..................  A                   Carpal tunnel surgery.......       3.99      4.90        0.83       9.72       090  S                 
    64722...  ..................  A                   Relieve pressure on nerve(s)       4.46     *5.71        1.11      11.28       090  S                 
    64726...  ..................  A                   Release foot/toe nerve......       3.97      0.72        0.07       4.76       090  S                 
    64727...  ..................  A                   Internal nerve revision.....       3.10      3.24        0.55       6.89       ZZZ  S                 
    64732...  ..................  A                   Incision of brow nerve......       4.15      4.31        0.72       9.18       090  S                 
    64734...  ..................  A                   Incision of cheek nerve.....       4.62      4.61        0.67       9.90       090  S                 
    64736...  ..................  A                   Incision of chin nerve......       4.40      4.46        0.42       9.28       090  S                 
    64738...  ..................  A                   Incision of jaw nerve.......       5.42      5.07        0.61      11.10       090  S                 
    64740...  ..................  A                   Incision of tongue nerve....       5.28      5.18        0.62      11.08       090  S                 
    64742...  ..................  A                   Incision of facial nerve....       5.91      5.00        0.44      11.35       090  S                 
    64744...  ..................  A                   Incise nerve, back of head..       4.87      6.10        1.10      12.07       090  S                 
    64746...  ..................  A                   Incise diaphragm nerve......       5.62      3.77        0.77      10.16       090  S                 
    64752...  ..................  A                   Incision of vagus nerve.....       6.64      3.93        0.85      11.42       090  S                 
    64755...  ..................  A                   Incision of stomach nerves..      13.10     10.47        2.27      25.84       090  S                 
    64760...  ..................  A                   Incision of vagus nerve.....       6.54      6.65        1.50      14.69       090  S                 
    64761...  ..................  A                   Incision of pelvis nerve....       6.10      4.66        0.50      11.26       090  S                 
    64763...  ..................  A                   Incise hip/thigh nerve......       6.72      4.80        0.92      12.44       090  S                 
    64766...  ..................  A                   Incise hip/thigh nerve......       8.31      6.67        1.20      16.18       090  S                 
    64771...  ..................  A                   Sever cranial nerve.........       6.99      6.42        0.73      14.14       090  S                 
    64772...  ..................  A                   Incision of spinal nerve....       6.79      6.77        1.30      14.86       090  S                 
    64774...  ..................  A                   Remove skin nerve lesion....       4.86      2.74        0.45       8.05       090  S                 
    64776...  ..................  A                   Remove digit nerve lesion...       4.86      2.78        0.41       8.05       090  S                 
    64778...  ..................  A                   Added digit nerve surgery...       3.11      2.73        0.43       6.27       ZZZ  S                 
    64782...  ..................  A                   Remove limb nerve lesion....       5.81      4.70        0.46      10.97       090  S                 
    64783...  ..................  A                   Added limb nerve surgery....       3.72      3.26        0.47       7.45       ZZZ  S                 
    64784...  ..................  A                   Remove nerve lesion.........       9.46      5.64        0.96      16.06       090  S                 
    64786...  ..................  A                   Remove sciatic nerve lesion.      15.10     12.66        2.14      29.90       090  S                 
    64787...  ..................  A                   Implant nerve end...........       4.30      3.47        0.60       8.37       ZZZ  S                 
    64788...  ..................  A                   Remove skin nerve lesion....       4.30      3.63        0.50       8.43       090  S                 
    64790...  ..................  A                   Removal of nerve lesion.....      10.95      7.11        1.22      19.28       090  S                 
    64792...  ..................  A                   Removal of nerve lesion.....      14.40      8.99        1.66      25.05       090  S                 
    64795...  ..................  A                   Biopsy of nerve.............       3.01      2.38        0.39       5.78       000  S                 
    64802...  ..................  A                   Remove sympathetic nerves...       8.22      5.40        1.10      14.72       090  S                 
    64804...  ..................  A                   Remove sympathetic nerves...      13.65     12.77        2.44      28.86       090  S                 
    64809...  ..................  A                   Remove sympathetic nerves...      12.79     10.55        2.04      25.38       090  S                 
    64818...  ..................  A                   Remove sympathetic nerves...       9.42      8.57        1.72      19.71       090  S                 
    64820...  ..................  A                   Remove sympathetic nerves...      10.00      7.27        1.42      18.69       090  S                 
    64830...  ..................  A                   Microrepair of nerve........       3.10      2.01        0.38       5.49       ZZZ  S                 
    64831...  ..................  A                   Repair of digit nerve.......       8.84      3.38        0.56      12.78       090  S                 
    64832...  ..................  A                   Repair additional nerve.....       5.66      1.40        0.24       7.30       ZZZ  S                 
    64834...  ..................  A                   Repair of hand or foot nerve       9.77      3.50        0.56      13.83       090  S                 
    64835...  ..................  A                   Repair of hand or foot nerve      10.47      5.96        1.03      17.46       090  S                 
    64836...  ..................  A                   Repair of hand or foot nerve      10.47      6.70        1.22      18.39       090  S                 
    64837...  ..................  A                   Repair additional nerve.....       6.26      4.45        0.85      11.56       ZZZ  S                 
    64840...  ..................  A                   Repair of leg nerve.........      12.43     10.35        0.53      23.31       090  S                 
    64856...  ..................  A                   Repair/transpose nerve......      12.81      8.21        1.46      22.48       090  S                 
    64857...  ..................  A                   Repair arm/leg nerve........      13.43      9.53        1.54      24.50       090  S                 
    64858...  ..................  A                   Repair sciatic nerve........      15.43     10.98        2.11      28.52       090  S                 
    64859...  ..................  A                   Additional nerve surgery....       4.26      3.50        0.58       8.34       ZZZ  S                 
    64861...  ..................  A                   Repair of arm nerves........      17.94     13.42        1.38      32.74       090  S                 
    64862...  ..................  A                   Repair of low back nerves...      18.14     21.56        1.61      41.31       090  S                 
    64864...  ..................  A                   Repair of facial nerve......      11.87      7.86        1.16      20.89       090  S                 
    64865...  ..................  A                   Repair of facial nerve......      14.70     12.34        1.50      28.54       090  S                 
    64866...  ..................  A                   Fusion of facial/other nerve      14.94     11.19        1.84      27.97       090  S                 
    64868...  ..................  A                   Fusion of facial/other nerve      13.36     11.19        1.47      26.02       090  S                 
    64870...  ..................  A                   Fusion of facial/other nerve      15.19     13.91        1.70      30.80       090  S                 
    64872...  ..................  A                   Subsequent repair of nerve..       1.99      1.44        0.29       3.72       ZZZ  S                 
    64874...  ..................  A                   Repair & revise nerve.......       2.98      2.17        0.43       5.58       ZZZ  S                 
    64876...  ..................  A                   Repair nerve; shorten bone..       3.38      2.46        0.48       6.32       ZZZ  N                 
    64885...  ..................  A                   Nerve graft, head or neck...      16.73     12.69        1.48      30.90       090  S                 
    64886...  ..................  A                   Nerve graft, head or neck...      19.95     15.13        1.77      36.85       090  S                 
    64890...  ..................  A                   Nerve graft, hand or foot...      14.35     12.26        2.12      28.73       090  S                 
    64891...  ..................  A                   Nerve graft, hand or foot...      15.21     10.42        1.73      27.36       090  S                 
    64892...  ..................  A                   Nerve graft, arm or leg.....      13.85     11.04        1.69      26.58       090  S                 
    64893...  ..................  A                   Nerve graft, arm or leg.....      14.61     13.93        2.27      30.81       090  S                 
    
    [[Page 63259]]
                                                                                                                                                            
    64895...  ..................  A                   Nerve graft, hand or foot...      18.39     13.16        2.55      34.10       090  S                 
    64896...  ..................  A                   Nerve graft, hand or foot...      19.38     17.53        1.90      38.81       090  S                 
    64897...  ..................  A                   Nerve graft, arm or leg.....      17.38     12.63        2.47      32.48       090  S                 
    64898...  ..................  A                   Nerve graft, arm or leg.....      18.39     14.40        2.35      35.14       090  S                 
    64901...  ..................  A                   Additional nerve graft......      10.22     10.16        0.87      21.25       ZZZ  S                 
    64902...  ..................  A                   Additional nerve graft......      11.83     11.92        0.99      24.74       ZZZ  S                 
    64905...  ..................  A                   Nerve pedicle transfer......      13.22      9.40        0.70      23.32       090  S                 
    64907...  ..................  A                   Nerve pedicle transfer......      17.90     13.02        2.55      33.47       090  S                 
    64999...  ..................  C                   Nervous system surgery......       0.00      0.00        0.00       0.00       YYY  N                 
    65091...  ..................  A                   Revise eye..................       6.10     *7.81        0.45      14.36       090  S                 
    65093...  ..................  A                   Revise eye with implant.....       6.47     *8.28        0.52      15.27       090  S                 
    65101...  ..................  A                   Removal of eye..............       6.52     *8.35        0.47      15.34       090  S                 
    65103...  ..................  A                   Remove eye/insert implant...       7.06     *9.04        0.50      16.60       090  S                 
    65105...  ..................  A                   Remove eye/attach implant...       7.82    *10.01        0.55      18.38       090  S                 
    65110...  ..................  A                   Removal of eye..............      13.18     15.99        1.14      30.31       090  S                 
    65112...  ..................  A                   Remove eye, revise socket...      15.44     12.16        1.09      28.69       090  S                 
    65114...  ..................  A                   Remove eye, revise socket...      16.59     13.07        1.65      31.31       090  S                 
    65125...  ..................  A                   Revise ocular implant.......       2.97      2.47        0.13       5.57       090  S                 
    65130...  ..................  A                   Insert ocular implant.......       6.75     *8.64        0.50      15.89       090  S                 
    65135...  ..................  A                   Insert ocular implant.......       6.93      5.42        0.35      12.70       090  S                 
    65140...  ..................  A                   Attach ocular implant.......       7.46      6.22        0.33      14.01       090  S                 
    65150...  ..................  A                   Revise ocular implant.......       5.97     *7.64        0.56      14.17       090  S                 
    65155...  ..................  A                   Reinsert ocular implant.....       8.21    *10.50        0.90      19.61       090  S                 
    65175...  ..................  A                   Removal of ocular implant...       5.93      7.49        0.40      13.82       090  S                 
    65205...  ..................  A                   Remove foreign body from eye       0.78      0.37        0.02       1.17       000  S                 
    65210...  ..................  A                   Remove foreign body from eye       0.84      0.46        0.03       1.33       000  S                 
    65220...  ..................  A                   Remove foreign body from eye       0.71      0.52        0.04       1.27       000  N                 
    65222...  ..................  A                   Remove foreign body from eye       0.93      0.57        0.03       1.53       000  S                 
    65235...  ..................  A                   Remove foreign body from eye       7.12      5.61        0.30      13.03       090  S                 
    65260...  ..................  A                   Remove foreign body from eye      10.35      8.63        0.45      19.43       090  S                 
    65265...  ..................  A                   Remove foreign body from eye      12.04     10.04        0.51      22.59       090  S                 
    65270...  ..................  A                   Repair of eye wound.........       1.85      1.17        0.07       3.09       010  S                 
    65272...  ..................  A                   Repair of eye wound.........       3.57      1.64        0.10       5.31       090  S                 
    65273...  ..................  A                   Repair of eye wound.........       3.89      3.22        0.21       7.32       090  S                 
    65275...  ..................  A                   Repair of eye wound.........       5.04      0.66        0.04       5.74       090  S                 
    65280...  ..................  A                   Repair of eye wound.........       7.10     *9.09        0.49      16.68       090  S                 
    65285...  ..................  A                   Repair of eye wound.........      12.06     12.26        0.64      24.96       090  S                 
    65286...  ..................  A                   Repair of eye wound.........       5.16      4.79        0.25      10.20       090  S                 
    65290...  ..................  A                   Repair of eye socket wound..       5.06      6.20        0.37      11.63       090  S                 
    65400...  ..................  A                   Removal of eye lesion.......       5.61      6.46        0.35      12.42       090  S                 
    65410...  ..................  A                   Biopsy of cornea............       1.47      1.59        0.11       3.17       000  S                 
    65420...  ..................  A                   Removal of eye lesion.......       3.97      4.28        0.23       8.48       090  S                 
    65426...  ..................  A                   Removal of eye lesion.......       5.05     *6.47        0.38      11.90       090  S                 
    65430...  ..................  A                   Corneal smear...............       0.87      0.54        0.03       1.44       000  S                 
    65435...  ..................  A                   Curette/treat cornea........       0.92      0.77        0.04       1.73       000  S                 
    65436...  ..................  A                   Curette/treat cornea........       3.99      1.53        0.08       5.60       090  S                 
    65450...  ..................  A                   Treatment of corneal lesion.       3.07      3.28        0.17       6.52       090  S                 
    65600...  ..................  A                   Revision of cornea..........       3.15      2.62        0.14       5.91       090  S                 
    65710...  ..................  A                   Corneal transplant..........       9.52    *12.44        1.13      23.09       090  S                 
    65730...  ..................  A                   Corneal transplant..........      11.83    *15.14        1.29      28.26       090  S                 
    65750...  ..................  A                   Corneal transplant..........      12.58    *16.10        1.33      30.01       090  S                 
    65755...  ..................  A                   Corneal transplant..........      12.58    *16.10        1.39      30.07       090  S                 
    65760...  ..................  N                   Revision of cornea..........       0.00      0.00        0.00       0.00       XXX  0                 
    65765...  ..................  N                   Revision of cornea..........       0.00      0.00        0.00       0.00       XXX  0                 
    65767...  ..................  N                   Corneal tissue transplant...       0.00      0.00        0.00       0.00       XXX  0                 
    65770...  ..................  A                   Revise cornea with implant..      16.56     13.81        0.71      31.08       090  S                 
    65771...  ..................  N                   Radial keratotomy...........       0.00      0.00        0.00       0.00       XXX  0                 
    65772...  ..................  A                   Correction of astigmatism...       4.04     *5.16        0.31       9.51       090  S                 
    65775...  ..................  A                   Correction of astigmatism...       5.44     *6.96        0.50      12.90       090  S                 
    65800...  ..................  A                   Drainage of eye.............       1.91      1.72        0.10       3.73       000  S                 
    65805...  ..................  A                   Drainage of eye.............       1.91      1.81        0.10       3.82       000  S                 
    65810...  ..................  A                   Drainage of eye.............       4.57      5.45        0.30      10.32       090  S                 
    65815...  ..................  A                   Drainage of eye.............       4.75      4.49        0.24       9.48       090  S                 
    65820...  ..................  A                   Relieve inner eye pressure..       7.60      9.54        0.51      17.65       090  S                 
    65850...  ..................  A                   Incision of eye.............      10.18    *13.03        0.69      23.90       090  S                 
    65855...  ..................  A                   Laser surgery of eye........       4.65     *6.01        0.52      11.18       090  S                 
    
    [[Page 63260]]
                                                                                                                                                            
    65860...  ..................  A                   Incise inner eye adhesions..       3.37     *4.31        0.37       8.05       090  S                 
    65865...  ..................  A                   Incise inner eye adhesions..       5.42     *6.93        0.41      12.76       090  S                 
    65870...  ..................  A                   Incise inner eye adhesions..       5.92      5.86        0.31      12.09       090  S                 
    65875...  ..................  A                   Incise inner eye adhesions..       6.14      6.28        0.34      12.76       090  S                 
    65880...  ..................  A                   Incise inner eye adhesions..       6.69      6.85        0.37      13.91       090  S                 
    65900...  ..................  A                   Remove eye lesion...........      10.43      7.91        0.92      19.26       090  S                 
    65920...  ..................  A                   Remove implant from eye.....       7.90      8.36        0.44      16.70       090  S                 
    65930...  ..................  A                   Remove blood clot from eye..       7.03      7.68        0.41      15.12       090  S                 
    66020...  ..................  A                   Injection treatment of eye..       1.54     *1.98        0.14       3.66       010  S                 
    66030...  ..................  A                   Injection treatment of eye..       1.20      0.54        0.03       1.77       010  S                 
    66130...  ..................  A                   Remove eye lesion...........       7.54      5.28        0.28      13.10       090  S                 
    66150...  ..................  A                   Glaucoma surgery............       7.60     *9.72        0.59      17.91       090  S                 
    66155...  ..................  A                   Glaucoma surgery............       7.48     *9.57        0.50      17.55       090  S                 
    66160...  ..................  A                   Glaucoma surgery............       9.47     10.77        0.55      20.79       090  S                 
    66165...  ..................  A                   Glaucoma surgery............       7.31     *9.36        0.57      17.24       090  S                 
    66170...  ..................  A                   Glaucoma surgery............      11.31     12.15        0.63      24.09       090  S                 
    66172...  ..................  A                   Incision of eye.............      13.67     12.15        0.63      26.45       090  S                 
    66180...  ..................  A                   Implant eye shunt...........      12.63    *16.17        1.03      29.83       090  S                 
    66185...  ..................  A                   Revise eye shunt............       7.69     *9.85        0.58      18.12       090  S                 
    66220...  ..................  A                   Repair eye lesion...........       7.32      5.95        0.34      13.61       090  S                 
    66225...  ..................  A                   Repair/graft eye lesion.....      10.55    *13.51        0.86      24.92       090  S                 
    66250...  ..................  A                   Follow-up surgery of eye....       5.63     *7.20        0.38      13.21       090  S                 
    66500...  ..................  A                   Incision of iris............       3.58     *4.58        0.27       8.43       090  S                 
    66505...  ..................  A                   Incision of iris............       3.93      3.27        0.17       7.37       090  S                 
    66600...  ..................  A                   Remove iris and lesion......       8.23      9.36        0.51      18.10       090  S                 
    66605...  ..................  A                   Removal of iris.............      12.34     11.87        0.67      24.88       090  S                 
    66625...  ..................  A                   Removal of iris.............       4.95     *6.33        0.48      11.76       090  S                 
    66630...  ..................  A                   Removal of iris.............       5.81     *7.43        0.45      13.69       090  S                 
    66635...  ..................  A                   Removal of iris.............       5.90     *7.56        0.49      13.95       090  S                 
    66680...  ..................  A                   Repair iris and ciliary body       5.14      6.42        0.35      11.91       090  S                 
    66682...  ..................  A                   Repair iris and ciliary body       5.86      7.33        0.38      13.57       090  S                 
    66700...  ..................  A                   Destruction, ciliary body...       4.55     *5.83        0.35      10.73       090  S                 
    66710...  ..................  A                   Destruction, ciliary body...       4.55     *5.83        0.41      10.79       090  S                 
    66720...  ..................  A                   Destruction, ciliary body...       4.55     *5.83        0.38      10.76       090  S                 
    66740...  ..................  A                   Destruction, ciliary body...       4.55     *5.83        0.39      10.77       090  S                 
    66761...  ..................  A                   Revision of iris............       3.77     *5.10        0.47       9.34       090  S                 
    66762...  ..................  A                   Revision of iris............       4.33     *5.92        0.55      10.80       090  S                 
    66770...  ..................  A                   Removal of inner eye lesion.       4.88     *6.24        0.45      11.57       090  S                 
    66820...  ..................  A                   Incision, secondary cataract       3.76     *4.81        0.29       8.86       090  S                 
    66821...  ..................  A                   After cataract laser surgery       2.78     *3.81        0.37       6.96       090  S                 
    66825...  ..................  A                   Reposition intraocular lens.       7.73      7.33        0.38      15.44       090  S                 
    66830...  ..................  A                   Removal of lens lesion......       7.80      7.67        0.40      15.87       090  S                 
    66840...  ..................  A                   Removal of lens material....       7.51     *9.61        0.54      17.66       090  S                 
    66850...  ..................  A                   Removal of lens material....       8.66    *11.09        0.70      20.45       090  S                 
    66852...  ..................  A                   Removal of lens material....       9.52    *12.19        0.90      22.61       090  S                 
    66920...  ..................  A                   Extraction of lens..........       8.46    *10.82        0.60      19.88       090  S                 
    66930...  ..................  A                   Extraction of lens..........       9.73     10.49        0.57      20.79       090  S                 
    66940...  ..................  A                   Extraction of lens..........       8.48    *10.85        0.62      19.95       090  S                 
    66983...  ..................  A                   Remove cataract, insert lens       8.54    *10.94        0.95      20.43       090  S                 
    66984...  ..................  A                   Remove cataract, insert lens       9.89    *12.66        0.94      23.49       090  S                 
    66985...  ..................  A                   Insert lens prosthesis......       7.89    *10.10        0.63      18.62       090  S                 
    66986...  ..................  A                   Exchange lens prosthesis....      11.78     12.20        0.63      24.61       090  S                 
    66999...  ..................  C                   Eye surgery procedure.......       0.00      0.00        0.00       0.00       YYY  S                 
    67005...  ..................  A                   Partial removal of eye fluid       6.63    *10.28        1.13      18.04       090  S                 
    67010...  ..................  A                   Partial removal of eye fluid       6.67     *9.98        1.04      17.69       090  S                 
    67015...  ..................  A                   Release of eye fluid........       6.69      6.45        0.35      13.49       090  S                 
    67025...  ..................  A                   Replace eye fluid...........       6.44      6.75        0.36      13.55       090  S                 
    67028...  ..................  A                   Injection eye drug..........       2.52     *3.22        0.18       5.92       000  S                 
    67030...  ..................  A                   Incise inner eye strands....       4.44     *5.75        0.50      10.69       090  S                 
    67031...  ..................  A                   Laser surgery, eye strands..       3.42     *6.15        0.75      10.32       090  S                 
    67036...  ..................  A                   Removal of inner eye fluid..      11.33    *15.67        1.49      28.49       090  S                 
    67038...  ..................  A                   Strip retinal membrane......      20.20    *25.85        1.80      47.85       090  S                 
    67039...  ..................  A                   Laser treatment of retina...      13.60    *18.22        1.68      33.50       090  S                 
    67040...  ..................  A                   Laser treatment of retina...      16.26    *20.81        1.75      38.82       090  S                 
    67101...  ..................  A                   Repair, detached retina.....       7.02     *8.99        0.66      16.67       090  S                 
    67105...  ..................  A                   Repair, detached retina.....       7.06     *9.14        0.80      17.00       090  S                 
    
    [[Page 63261]]
                                                                                                                                                            
    67107...  ..................  A                   Repair, detached retina.....      13.99    *17.91        1.10      33.00       090  S                 
    67108...  ..................  A                   Repair, detached retina.....      19.90    *25.47        1.76      47.13       090  S                 
    67109...  ..................  D                   Repair, detached retina.....       0.00      0.00        0.00       0.00       090  S                 
    67110...  ..................  A                   Repair, detached retina.....       8.14    *10.60        0.97      19.71       090  S                 
    67112...  ..................  A                   Re-repair, detached retina..      16.15     16.51        0.86      33.52       090  S                 
    67115...  ..................  A                   Release, encircling material       4.64     *5.93        0.44      11.01       090  S                 
    67120...  ..................  A                   Remove eye implant material.       5.63      7.15        0.38      13.16       090  S                 
    67121...  ..................  A                   Remove eye implant material.      10.17      9.42        0.49      20.08       090  S                 
    67141...  ..................  A                   Treatment of retina.........       4.90     *6.27        0.48      11.65       090  S                 
    67145...  ..................  A                   Treatment of retina.........       5.07     *6.50        0.49      12.06       090  S                 
    67208...  ..................  A                   Treatment of retinal lesion.       6.40     *8.19        0.52      15.11       090  S                 
    67210...  ..................  A                   Treatment of retinal lesion.       9.48      9.02        0.47      18.97       090  S                 
    67218...  ..................  A                   Treatment of retinal lesion.      12.73     13.31        0.70      26.74       090  S                 
    67227...  ..................  A                   Treatment of retinal lesion.       6.28     *8.04        0.51      14.83       090  S                 
    67228...  ..................  A                   Treatment of retinal lesion.      12.39      9.39        0.48      22.26       090  S                 
    67250...  ..................  A                   Reinforce eye wall..........       8.36      6.99        0.40      15.75       090  S                 
    67255...  ..................  A                   Reinforce/graft eye wall....       8.39    *10.73        0.87      19.99       090  S                 
    67299...  ..................  C                   Eye surgery procedure.......       0.00      0.00        0.00       0.00       YYY  S                 
    67311...  ..................  A                   Revise eye muscle...........       6.30     *8.06        0.47      14.83       090  S                 
    67312...  ..................  A                   Revise two eye muscles......       7.55     *9.66        0.53      17.74       090  S                 
    67314...  ..................  A                   Revise eye muscle...........       7.12     *9.12        0.58      16.82       090  S                 
    67316...  ..................  A                   Revise two eye muscles......       8.02    *10.27        0.67      18.96       090  S                 
    67318...  ..................  A                   Revise eye muscle(s)........       7.45      6.21        0.33      13.99       090  S                 
    67320...  ..................  A                   Revise eye muscle(s)........       8.26    *10.57        0.69      19.52       090  S                 
    67331...  ..................  A                   Eye surgery follow-up.......       7.72     *9.89        0.54      18.15       090  S                 
    67332...  ..................  A                   Rerevise eye muscles........       8.59    *11.00        0.58      20.17       090  S                 
    67334...  ..................  A                   Revise eye muscle w/suture..       7.56      6.30        0.33      14.19       090  S                 
    67335...  ..................  A                   Eye suture during surgery...       2.49     *3.89        0.43       6.81       ZZZ  S                 
    67340...  ..................  A                   Revise eye muscle...........       9.45      7.88        0.41      17.74       090  S                 
    67343...  ..................  A                   Release eye tissue..........       7.00      5.83        0.31      13.14       090  S                 
    67345...  ..................  A                   Destroy nerve of eye muscle.       2.91      2.22        0.26       5.39       010  S                 
    67350...  ..................  A                   Biopsy eye muscle...........       2.87      2.39        0.13       5.39       000  S                 
    67399...  ..................  C                   Eye muscle surgery procedure       0.00      0.00        0.00       0.00       YYY  S                 
    67400...  ..................  A                   Explore/biopsy eye socket...       9.20     10.91        0.62      20.73       090  S                 
    67405...  ..................  A                   Explore/drain eye socket....       7.42     *9.49        0.67      17.58       090  S                 
    67412...  ..................  A                   Explore/treat eye socket....       9.14    *11.70        0.67      21.51       090  S                 
    67413...  ..................  A                   Explore/treat eye socket....       9.75      8.09        0.57      18.41       090  S                 
    67414...  ..................  A                   Explore/decompress eye            10.07      8.39        0.44      18.90       090  S                 
                                                       socket.                                                                                              
    67415...  ..................  A                   Aspiration orbital contents.       1.76      2.02        0.12       3.90       000  S                 
    67420...  ..................  A                   Explore/treat eye socket....      13.36     16.78        1.11      31.25       090  S                 
    67430...  ..................  A                   Explore/treat eye socket....      12.79     10.65        0.54      23.98       090  S                 
    67440...  ..................  A                   Explore/drain eye socket....      12.43    *15.91        0.97      29.31       090  S                 
    67445...  ..................  A                   Explore/decompress eye            13.36     11.13        0.57      25.06       090  S                 
                                                       socket.                                                                                              
    67450...  ..................  A                   Explore/biopsy eye socket...      12.80     15.29        0.87      28.96       090  S                 
    67500...  ..................  A                   Inject/treat eye socket.....       0.79      0.73        0.06       1.58       000  S                 
    67505...  ..................  A                   Inject/treat eye socket.....       0.82      1.04        0.06       1.92       000  S                 
    67515...  ..................  A                   Inject/treat eye socket.....       0.61      0.56        0.03       1.20       000  S                 
    67550...  ..................  A                   Insert eye socket implant...       9.69      9.62        0.70      20.01       090  S                 
    67560...  ..................  A                   Revise eye socket implant...      10.10      8.30        0.48      18.88       090  S                 
    67570...  ..................  A                   Decompress optic nerve......      12.52      7.56        0.39      20.47       090  S                 
    67599...  ..................  C                   Orbit surgery procedure.....       0.00      0.00        0.00       0.00       YYY  S                 
    67700...  ..................  A                   Drainage of eyelid abscess..       1.30      0.49        0.03       1.82       010  S                 
    67710...  ..................  A                   Incision of eyelid..........       0.97      1.01        0.06       2.04       010  S                 
    67715...  ..................  A                   Incision of eyelid fold.....       1.17     *1.49        0.09       2.75       010  S                 
    67800...  ..................  A                   Remove eyelid lesion........       1.35      0.94        0.05       2.34       010  S                 
    67801...  ..................  A                   Remove eyelid lesions.......       1.85      1.39        0.08       3.32       010  S                 
    67805...  ..................  A                   Remove eyelid lesions.......       2.17      1.38        0.08       3.63       010  S                 
    67808...  ..................  A                   Remove eyelid lesion(s).....       3.55      2.13        0.13       5.81       090  S                 
    67810...  ..................  A                   Biopsy of eyelid............       1.48      0.81        0.05       2.34       000  S                 
    67820...  ..................  A                   Revise eyelashes............       0.89      0.38        0.02       1.29       000  S                 
    67825...  ..................  A                   Revise eyelashes............       1.33      0.90        0.05       2.28       010  S                 
    67830...  ..................  A                   Revise eyelashes............       1.65     *2.12        0.17       3.94       010  S                 
    67835...  ..................  A                   Revise eyelashes............       5.41     *6.92        0.45      12.78       090  S                 
    67840...  ..................  A                   Remove eyelid lesion........       1.99      1.22        0.07       3.28       010  S                 
    67850...  ..................  A                   Treat eyelid lesion.........       1.64      0.82        0.05       2.51       010  S                 
    67875...  ..................  A                   Closure of eyelid by suture.       1.35     *1.72        0.13       3.20       000  S                 
    
    [[Page 63262]]
                                                                                                                                                            
    67880...  ..................  A                   Revision of eyelid..........       3.55      3.94        0.23       7.72       090  S                 
    67882...  ..................  A                   Revision of eyelid..........       4.77     *6.10        0.37      11.24       090  S                 
    67900...  ..................  A                   Repair brow defect..........       4.54      3.78        0.20       8.52       090  S                 
    67901...  ..................  A                   Repair eyelid defect........       6.82     *8.73        0.64      16.19       090  S                 
    67902...  ..................  A                   Repair eyelid defect........       6.88     *8.81        0.72      16.41       090  S                 
    67903...  ..................  A                   Repair eyelid defect........       6.22     *7.96        0.73      14.91       090  S                 
    67904...  ..................  A                   Repair eyelid defect........       5.96     *7.64        0.71      14.31       090  S                 
    67906...  ..................  A                   Repair eyelid defect........       6.64      5.46        0.36      12.46       090  S                 
    67908...  ..................  A                   Repair eyelid defect........       4.95     *6.34        0.54      11.83       090  S                 
    67909...  ..................  A                   Revise eyelid defect........       5.22     *6.69        0.48      12.39       090  S                 
    67911...  ..................  A                   Revise eyelid defect........       5.09     *6.58        0.79      12.46       090  S                 
    67914...  ..................  A                   Repair eyelid defect........       3.60     *4.61        0.39       8.60       090  S                 
    67915...  ..................  A                   Repair eyelid defect........       3.10      1.25        0.07       4.42       090  S                 
    67916...  ..................  A                   Repair eyelid defect........       5.13      6.50        0.38      12.01       090  S                 
    67917...  ..................  A                   Repair eyelid defect........       5.84     *7.48        0.47      13.79       090  S                 
    67921...  ..................  A                   Repair eyelid defect........       3.32      3.82        0.20       7.34       090  S                 
    67922...  ..................  A                   Repair eyelid defect........       2.98      1.19        0.07       4.24       090  S                 
    67923...  ..................  A                   Repair eyelid defect........       5.70      6.88        0.38      12.96       090  S                 
    67924...  ..................  A                   Repair eyelid defect........       5.64     *7.22        0.43      13.29       090  S                 
    67930...  ..................  A                   Repair eyelid wound.........       3.56      1.27        0.08       4.91       010  S                 
    67935...  ..................  A                   Repair eyelid wound.........       6.07      3.79        0.24      10.10       090  S                 
    67938...  ..................  A                   Remove eyelid foreign body..       1.28      0.52        0.03       1.83       010  S                 
    67950...  ..................  A                   Revision of eyelid..........       5.64     *7.22        0.45      13.31       090  S                 
    67961...  ..................  A                   Revision of eyelid..........       5.51     *7.05        0.50      13.06       090  S                 
    67966...  ..................  A                   Revision of eyelid..........       6.39     *8.18        0.66      15.23       090  S                 
    67971...  ..................  A                   Reconstruction of eyelid....       9.56     10.68        0.64      20.88       090  S                 
    67973...  ..................  A                   Reconstruction of eyelid....      12.59     13.54        0.91      27.04       090  S                 
    67974...  ..................  A                   Reconstruction of eyelid....      12.56     14.07        0.87      27.50       090  S                 
    67975...  ..................  A                   Reconstruction of eyelid....       8.90      4.15        0.24      13.29       090  S                 
    67999...  ..................  C                   Revision of eyelid..........       0.00      0.00        0.00       0.00       YYY  S                 
    68020...  ..................  A                   Incise/drain eyelid lining..       1.32      0.51        0.03       1.86       010  S                 
    68040...  ..................  A                   Treatment of eyelid lesions.       0.85      0.45        0.02       1.32       000  S                 
    68100...  ..................  A                   Biopsy of eyelid lining.....       1.35      0.99        0.06       2.40       000  S                 
    68110...  ..................  A                   Remove eyelid lining lesion.       1.72      1.24        0.07       3.03       010  S                 
    68115...  ..................  A                   Remove eyelid lining lesion.       2.31      1.93        0.11       4.35       010  S                 
    68130...  ..................  A                   Remove eyelid lining lesion.       4.75      4.09        0.22       9.06       090  S                 
    68135...  ..................  A                   Remove eyelid lining lesion.       1.79      0.74        0.04       2.57       010  S                 
    68200...  ..................  A                   Treat eyelid by injection...       0.49      0.52        0.03       1.04       000  S                 
    68320...  ..................  A                   Revise/graft eyelid lining..       4.97     *6.37        0.42      11.76       090  S                 
    68325...  ..................  A                   Revise/graft eyelid lining..       6.96     *8.91        0.62      16.49       090  S                 
    68326...  ..................  A                   Revise/graft eyelid lining..       6.75      8.62        0.49      15.86       090  S                 
    68328...  ..................  A                   Revise/graft eyelid lining..       7.78     *9.96        0.82      18.56       090  S                 
    68330...  ..................  A                   Revise eyelid lining........       4.53     *5.80        0.35      10.68       090  S                 
    68335...  ..................  A                   Revise/graft eyelid lining..       6.79     *8.69        0.68      16.16       090  S                 
    68340...  ..................  A                   Separate eyelid adhesions...       3.92      3.14        0.17       7.23       090  S                 
    68360...  ..................  A                   Revise eyelid lining........       4.12     *5.28        0.33       9.73       090  S                 
    68362...  ..................  A                   Revise eyelid lining........       6.94      8.01        0.42      15.37       090  S                 
    68399...  ..................  C                   Eyelid lining surgery.......       0.00      0.00        0.00       0.00       YYY  S                 
    68400...  ..................  A                   Incise/drain tear gland.....       1.64      1.00        0.06       2.70       010  S                 
    68420...  ..................  A                   Incise/drain tear sac.......       2.25      1.02        0.06       3.33       010  S                 
    68440...  ..................  A                   Incise tear duct opening....       0.89      0.76        0.04       1.69       010  S                 
    68500...  ..................  A                   Removal of tear gland.......      10.47      7.61        0.75      18.83       090  S                 
    68505...  ..................  A                   Partial removal tear gland..      10.39      8.69        0.49      19.57       090  S                 
    68510...  ..................  A                   Biopsy of tear gland........       4.61      3.69        0.28       8.58       000  S                 
    68520...  ..................  A                   Removal of tear sac.........       7.11     *9.10        0.51      16.72       090  S                 
    68525...  ..................  A                   Biopsy of tear sac..........       4.43      3.68        0.23       8.34       000  S                 
    68530...  ..................  A                   Clearance of tear duct......       3.61      2.85        0.17       6.63       010  S                 
    68540...  ..................  A                   Remove tear gland lesion....      10.10      8.31        0.50      18.91       090  S                 
    68550...  ..................  A                   Remove tear gland lesion....      12.66     11.34        0.74      24.74       090  S                 
    68700...  ..................  A                   Repair tear ducts...........       6.20      2.69        0.15       9.04       090  S                 
    68705...  ..................  A                   Revise tear duct opening....       2.01      1.02        0.05       3.08       010  S                 
    68720...  ..................  A                   Create tear sac drain.......       7.68     *9.84        0.74      18.26       090  S                 
    68745...  ..................  A                   Create tear duct drain......       8.23      6.56        0.45      15.24       090  S                 
    68750...  ..................  A                   Create tear duct drain......       8.21    *10.50        0.83      19.54       090  S                 
    68760...  ..................  A                   Close tear duct opening.....       1.68      0.92        0.04       2.64       010  S                 
    68761...  ..................  A                   Close tear duct opening.....       1.31      0.92        0.04       2.27       010  S                 
    
    [[Page 63263]]
                                                                                                                                                            
    68770...  ..................  A                   Close tear system fistula...       6.62      4.24        0.23      11.09       090  S                 
    68800...  ..................  A                   Dilate tear duct opening(s).       1.11      0.42        0.02       1.55       010  S                 
    68820...  ..................  A                   Explore tear duct system....       1.47      0.55        0.03       2.05       010  S                 
    68825...  ..................  A                   Explore tear duct system....       1.53      1.49        0.09       3.11       010  S                 
    68830...  ..................  A                   Reopen tear duct channel....       2.12      1.93        0.10       4.15       010  S                 
    68840...  ..................  A                   Explore/irrigate tear ducts.       1.22      0.49        0.03       1.74       010  S                 
    68850...  ..................  A                   Injection for tear sac x-ray       0.80      0.51        0.04       1.35       000  S                 
    68899...  ..................  C                   Tear duct system surgery....       0.00      0.00        0.00       0.00       YYY  S                 
    69000...  ..................  A                   Drain external ear lesion...       1.40      0.35        0.03       1.78       010  S                 
    69005...  ..................  A                   Drain external ear lesion...       2.06      1.16        0.13       3.35       010  S                 
    69020...  ..................  A                   Drain outer ear canal lesion       1.43      0.45        0.04       1.92       010  S                 
    69090...  ..................  N                   Pierce earlobes.............       0.00      0.00        0.00       0.00       XXX  0                 
    69100...  ..................  A                   Biopsy of external ear......       0.76      0.66        0.07       1.49       000  S                 
    69105...  ..................  A                   Biopsy of external ear canal       0.85      0.80        0.09       1.74       000  S                 
    69110...  ..................  A                   Partial removal external ear       3.34      2.63        0.37       6.34       090  S                 
    69120...  ..................  A                   Removal of external ear.....       3.95      0.78        0.07       4.80       090  S                 
    69140...  ..................  A                   Remove ear canal lesion(s)..       7.68      8.00        0.88      16.56       090  S                 
    69145...  ..................  A                   Remove ear canal lesion(s)..       2.54      2.51        0.28       5.33       090  S                 
    69150...  ..................  A                   Extensive ear canal surgery.      13.01     10.46        1.25      24.72       090  S                 
    69155...  ..................  A                   Extensive ear/neck surgery..      17.03     15.92        1.61      34.56       090  S                 
    69200...  ..................  A                   Clear outer ear canal.......       0.77      0.42        0.04       1.23       000  N                 
    69205...  ..................  A                   Clear outer ear canal.......       1.15      1.07        0.11       2.33       010  S                 
    69210...  ..................  A                   Remove impacted ear wax.....       0.61      0.23        0.02       0.86       000  N                 
    69220...  ..................  A                   Clean out mastoid cavity....       0.83      0.50        0.05       1.38       000  S                 
    69222...  ..................  A                   Clean out mastoid cavity....       1.35      0.74        0.08       2.17       010  S                 
    69300...  ..................  R                   Revise external ear.........       6.36      5.30        0.28      11.94       YYY  S                 
    69310...  ..................  A                   Rebuild outer ear canal.....      10.59      9.84        1.08      21.51       090  S                 
    69320...  ..................  A                   Rebuild outer ear canal.....      16.60     14.65        1.66      32.91       090  S                 
    69399...  ..................  C                   Outer ear surgery procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    69400...  ..................  A                   Inflate middle ear canal....       0.83      0.45        0.05       1.33       000  S                 
    69401...  ..................  A                   Inflate middle ear canal....       0.63      0.25        0.03       0.91       000  S                 
    69405...  ..................  A                   Catheterize middle ear canal       2.58      0.48        0.04       3.10       010  S                 
    69410...  ..................  A                   Inset middle ear baffle.....       0.33      0.60        0.07       1.00       000  S                 
    69420...  ..................  A                   Incision of eardrum.........       1.28      0.69        0.08       2.05       010  S                 
    69421...  ..................  A                   Incision of eardrum.........       1.68      1.14        0.13       2.95       010  S                 
    69424...  ..................  A                   Remove ventilating tube.....       0.85      0.60        0.06       1.51       000  S                 
    69433...  ..................  A                   Create eardrum opening......       1.47      1.33        0.15       2.95       010  S                 
    69436...  ..................  A                   Create eardrum opening......       1.91      2.13        0.23       4.27       010  S                 
    69440...  ..................  A                   Exploration of middle ear...       7.31      8.69        0.93      16.93       090  S                 
    69450...  ..................  A                   Eardrum revision............       5.44     *6.96        1.15      13.55       090  S                 
    69501...  ..................  A                   Mastoidectomy...............       8.81     10.90        1.17      20.88       090  S                 
    69502...  ..................  A                   Mastoidectomy...............      11.96     13.36        1.45      26.77       090  S                 
    69505...  ..................  A                   Remove mastoid structures...      12.57    *16.09        1.79      30.45       090  S                 
    69511...  ..................  A                   Extensive mastoid surgery...      13.10    *16.77        1.84      31.71       090  S                 
    69530...  ..................  A                   Extensive mastoid surgery...      18.04     16.71        1.72      36.47       090  S                 
    69535...  ..................  A                   Remove part of temporal bone      34.50     25.27        2.85      62.62       090  S                 
    69540...  ..................  A                   Remove ear lesion...........       1.15      1.27        0.14       2.56       010  S                 
    69550...  ..................  A                   Remove ear lesion...........      10.70    *13.70        2.00      26.40       090  S                 
    69552...  ..................  A                   Remove ear lesion...........      18.84     16.73        1.86      37.43       090  S                 
    69554...  ..................  A                   Remove ear lesion...........      25.78     22.87        2.63      51.28       090  S                 
    69601...  ..................  A                   Mastoid surgery revision....      12.79     14.02        1.55      28.36       090  S                 
    69602...  ..................  A                   Mastoid surgery revision....      13.16     16.27        1.75      31.18       090  S                 
    69603...  ..................  A                   Mastoid surgery revision....      13.60     17.34        1.88      32.82       090  S                 
    69604...  ..................  A                   Mastoid surgery revision....      13.60    *17.41        2.70      33.71       090  S                 
    69605...  ..................  A                   Mastoid surgery revision....      18.04     14.95        1.86      34.85       090  S                 
    69610...  ..................  A                   Repair of eardrum...........       4.38      0.93        0.10       5.41       010  S                 
    69620...  ..................  A                   Repair of eardrum...........       5.74     *7.34        1.16      14.24       090  S                 
    69631...  ..................  A                   Repair eardrum structures...       9.55    *12.22        1.61      23.38       090  S                 
    69632...  ..................  A                   Rebuild eardrum structures..      12.41    *15.88        1.73      30.02       090  S                 
    69633...  ..................  A                   Rebuild eardrum structures..      11.76    *15.05        1.78      28.59       090  S                 
    69635...  ..................  A                   Repair eardrum structures...      13.02    *16.65        1.91      31.58       090  S                 
    69636...  ..................  A                   Rebuild eardrum structures..      14.88    *19.05        2.11      36.04       090  S                 
    69637...  ..................  A                   Rebuild eardrum structures..      14.77    *18.90        2.22      35.89       090  S                 
    69641...  ..................  A                   Revise middle ear & mastoid.      12.29    *15.73        1.87      29.89       090  S                 
    69642...  ..................  A                   Revise middle ear & mastoid.      16.37     20.62        2.21      39.20       090  S                 
    69643...  ..................  A                   Revise middle ear & mastoid.      14.81    *18.95        2.51      36.27       090  S                 
    
    [[Page 63264]]
                                                                                                                                                            
    69644...  ..................  A                   Revise middle ear & mastoid.      16.46    *21.07        2.70      40.23       090  S                 
    69645...  ..................  A                   Revise middle ear & mastoid.      15.80    *20.23        2.51      38.54       090  S                 
    69646...  ..................  A                   Revise middle ear & mastoid.      17.35     21.97        2.40      41.72       090  S                 
    69650...  ..................  A                   Release middle ear bone.....       9.40    *12.03        1.33      22.76       090  S                 
    69660...  ..................  A                   Revise middle ear bone......      11.64    *14.90        1.82      28.36       090  S                 
    69661...  ..................  A                   Revise middle ear bone......      15.32     18.44        1.93      35.69       090  S                 
    69662...  ..................  A                   Revise middle ear bone......      15.04     18.02        1.94      35.00       090  S                 
    69666...  ..................  A                   Repair middle ear structures       9.38    *12.00        1.77      23.15       090  S                 
    69667...  ..................  A                   Repair middle ear structures       9.39    *12.02        1.66      23.07       090  S                 
    69670...  ..................  A                   Remove mastoid air cells....      11.05     10.18        1.08      22.31       090  S                 
    69676...  ..................  A                   Remove middle ear nerve.....       9.23      8.53        0.86      18.62       090  S                 
    69700...  ..................  A                   Close mastoid fistula.......       7.97      7.86        0.84      16.67       090  S                 
    69710...  ..................  N                   Implant/replace hearing aid.       0.00      0.00        0.00       0.00       XXX  0                 
    69711...  ..................  A                   Remove/repair hearing aid...      10.13      8.44        0.44      19.01       090  S                 
    69720...  ..................  A                   Release facial nerve........      13.80    *17.66        2.27      33.73       090  S                 
    69725...  ..................  A                   Release facial nerve........      18.98     14.65        1.51      35.14       090  S                 
    69740...  ..................  A                   Repair facial nerve.........      15.39     11.83        1.69      28.91       090  S                 
    69745...  ..................  A                   Repair facial nerve.........      16.10     15.95        1.53      33.58       090  S                 
    69799...  ..................  C                   Middle ear surgery procedure       0.00      0.00        0.00       0.00       YYY  S                 
    69801...  ..................  A                   Incise inner ear............       8.19    *10.48        1.84      20.51       090  S                 
    69802...  ..................  A                   Incise inner ear............      12.44     11.24        1.22      24.90       090  S                 
    69805...  ..................  A                   Explore inner ear...........      10.27    *13.14        2.00      25.41       090  S                 
    69806...  ..................  A                   Explore inner ear...........      11.82    *15.13        2.54      29.49       090  S                 
    69820...  ..................  A                   Establish inner ear window..      10.14      8.85        1.00      19.99       090  S                 
    69840...  ..................  A                   Revise inner ear window.....      10.06      8.49        0.51      19.06       090  S                 
    69905...  ..................  A                   Remove inner ear............      10.70    *13.70        2.07      26.47       090  S                 
    69910...  ..................  A                   Remove inner ear & mastoid..      13.10    *16.77        2.34      32.21       090  S                 
    69915...  ..................  A                   Incise inner ear nerve......      19.89     17.71        2.02      39.62       090  S                 
    69930...  ..................  A                   Implant cochlear device.....      14.00    *18.56        3.34      35.90       090  S                 
    69949...  ..................  C                   Inner ear surgery procedure.       0.00      0.00        0.00       0.00       YYY  S                 
    69950...  ..................  A                   Incise inner ear nerve......      21.15     17.99        2.31      41.45       090  S                 
    69955...  ..................  A                   Release facial nerve........      22.12     20.28        2.25      44.65       090  S                 
    69960...  ..................  A                   Release inner ear canal.....      19.75     17.85        1.93      39.53       090  S                 
    69970...  ..................  A                   Remove inner ear lesion.....      22.30     19.69        2.26      44.25       090  S                 
    69979...  ..................  C                   Temporal bone surgery.......       0.00      0.00        0.00       0.00       YYY  S                 
    70010...  ..................  A                   Contrast x-ray of brain.....       1.19      4.65        0.34       6.18       XXX  N                 
    70010...  26                  A                   Contrast x-ray of brain.....       1.19      0.52        0.08       1.79       XXX  N                 
    70010...  TC                  A                   Contrast x-ray of brain.....       0.00      4.13        0.26       4.39       XXX  N                 
    70015...  ..................  A                   Contrast x-ray of brain.....       1.19      1.81        0.17       3.17       XXX  N                 
    70015...  26                  A                   Contrast x-ray of brain.....       1.19      0.52        0.08       1.79       XXX  N                 
    70015...  TC                  A                   Contrast x-ray of brain.....       0.00      1.29        0.09       1.38       XXX  N                 
    70030...  ..................  A                   X-ray eye for foreign body..       0.17      0.48        0.04       0.69       XXX  N                 
    70030...  26                  A                   X-ray eye for foreign body..       0.17      0.08        0.01       0.26       XXX  N                 
    70030...  TC                  A                   X-ray eye for foreign body..       0.00      0.40        0.03       0.43       XXX  N                 
    70100...  ..................  A                   X-ray exam of jaw...........       0.18      0.59        0.04       0.81       XXX  N                 
    70100...  26                  A                   X-ray exam of jaw...........       0.18      0.09        0.01       0.28       XXX  N                 
    70100...  TC                  A                   X-ray exam of jaw...........       0.00      0.50        0.03       0.53       XXX  N                 
    70110...  ..................  A                   X-ray exam of jaw...........       0.25      0.71        0.06       1.02       XXX  N                 
    70110...  26                  A                   X-ray exam of jaw...........       0.25      0.12        0.02       0.39       XXX  N                 
    70110...  TC                  A                   X-ray exam of jaw...........       0.00      0.59        0.04       0.63       XXX  N                 
    70120...  ..................  A                   X-ray exam of mastoids......       0.18      0.68        0.05       0.91       XXX  N                 
    70120...  26                  A                   X-ray exam of mastoids......       0.18      0.09        0.01       0.28       XXX  N                 
    70120...  TC                  A                   X-ray exam of mastoids......       0.00      0.59        0.04       0.63       XXX  N                 
    70130...  ..................  A                   X-ray exam of mastoids......       0.34      0.91        0.07       1.32       XXX  N                 
    70130...  26                  A                   X-ray exam of mastoids......       0.34      0.16        0.02       0.52       XXX  N                 
    70130...  TC                  A                   X-ray exam of mastoids......       0.00      0.75        0.05       0.80       XXX  N                 
    70134...  ..................  A                   X-ray exam of middle ear....       0.34      0.86        0.07       1.27       XXX  N                 
    70134...  26                  A                   X-ray exam of middle ear....       0.34      0.16        0.02       0.52       XXX  N                 
    70134...  TC                  A                   X-ray exam of middle ear....       0.00      0.70        0.05       0.75       XXX  N                 
    70140...  ..................  A                   X-ray exam of facial bones..       0.19      0.68        0.05       0.92       XXX  N                 
    70140...  26                  A                   X-ray exam of facial bones..       0.19      0.09        0.01       0.29       XXX  N                 
    70140...  TC                  A                   X-ray exam of facial bones..       0.00      0.59        0.04       0.63       XXX  N                 
    70150...  ..................  A                   X-ray exam of facial bones..       0.26      0.87        0.07       1.20       XXX  N                 
    70150...  26                  A                   X-ray exam of facial bones..       0.26      0.12        0.02       0.40       XXX  N                 
    70150...  TC                  A                   X-ray exam of facial bones..       0.00      0.75        0.05       0.80       XXX  N                 
    70160...  ..................  A                   X-ray exam of nasal bones...       0.17      0.58        0.04       0.79       XXX  N                 
    
    [[Page 63265]]
                                                                                                                                                            
    70160...  26                  A                   X-ray exam of nasal bones...       0.17      0.08        0.01       0.26       XXX  N                 
    70160...  TC                  A                   X-ray exam of nasal bones...       0.00      0.50        0.03       0.53       XXX  N                 
    70170...  ..................  A                   X-ray exam of tear duct.....       0.30      1.04        0.08       1.42       XXX  N                 
    70170...  26                  A                   X-ray exam of tear duct.....       0.30      0.14        0.02       0.46       XXX  N                 
    70170...  TC                  A                   X-ray exam of tear duct.....       0.00      0.90        0.06       0.96       XXX  N                 
    70190...  ..................  A                   X-ray exam of eye sockets...       0.21      0.69        0.05       0.95       XXX  N                 
    70190...  26                  A                   X-ray exam of eye sockets...       0.21      0.10        0.01       0.32       XXX  N                 
    70190...  TC                  A                   X-ray exam of eye sockets...       0.00      0.59        0.04       0.63       XXX  N                 
    70200...  ..................  A                   X-ray exam of eye sockets...       0.28      0.88        0.07       1.23       XXX  N                 
    70200...  26                  A                   X-ray exam of eye sockets...       0.28      0.13        0.02       0.43       XXX  N                 
    70200...  TC                  A                   X-ray exam of eye sockets...       0.00      0.75        0.05       0.80       XXX  N                 
    70210...  ..................  A                   X-ray exam of sinuses.......       0.17      0.67        0.05       0.89       XXX  N                 
    70210...  26                  A                   X-ray exam of sinuses.......       0.17      0.08        0.01       0.26       XXX  N                 
    70210...  TC                  A                   X-ray exam of sinuses.......       0.00      0.59        0.04       0.63       XXX  N                 
    70220...  ..................  A                   X-ray exam of sinuses.......       0.25      0.87        0.07       1.19       XXX  N                 
    70220...  26                  A                   X-ray exam of sinuses.......       0.25      0.12        0.02       0.39       XXX  N                 
    70220...  TC                  A                   X-ray exam of sinuses.......       0.00      0.75        0.05       0.80       XXX  N                 
    70240...  ..................  A                   X-ray exam pituitary saddle.       0.19      0.49        0.04       0.72       XXX  N                 
    70240...  26                  A                   X-ray exam pituitary saddle.       0.19      0.09        0.01       0.29       XXX  N                 
    70240...  TC                  A                   X-ray exam pituitary saddle.       0.00      0.40        0.03       0.43       XXX  N                 
    70250...  ..................  A                   X-ray exam of skull.........       0.24      0.70        0.06       1.00       XXX  N                 
    70250...  26                  A                   X-ray exam of skull.........       0.24      0.11        0.02       0.37       XXX  N                 
    70250...  TC                  A                   X-ray exam of skull.........       0.00      0.59        0.04       0.63       XXX  N                 
    70260...  ..................  A                   X-ray exam of skull.........       0.34      1.01        0.08       1.43       XXX  N                 
    70260...  26                  A                   X-ray exam of skull.........       0.34      0.16        0.02       0.52       XXX  N                 
    70260...  TC                  A                   X-ray exam of skull.........       0.00      0.85        0.06       0.91       XXX  N                 
    70300...  ..................  A                   X-ray exam of teeth.........       0.10      0.30        0.03       0.43       XXX  N                 
    70300...  26                  A                   X-ray exam of teeth.........       0.10      0.05        0.01       0.16       XXX  N                 
    70300...  TC                  A                   X-ray exam of teeth.........       0.00      0.25        0.02       0.27       XXX  N                 
    70310...  ..................  A                   X-ray exam of teeth.........       0.16      0.47        0.04       0.67       XXX  N                 
    70310...  26                  A                   X-ray exam of teeth.........       0.16      0.07        0.01       0.24       XXX  N                 
    70310...  TC                  A                   X-ray exam of teeth.........       0.00      0.40        0.03       0.43       XXX  N                 
    70320...  ..................  A                   Full mouth x-ray of teeth...       0.22      0.85        0.07       1.14       XXX  N                 
    70320...  26                  A                   Full mouth x-ray of teeth...       0.22      0.10        0.02       0.34       XXX  N                 
    70320...  TC                  A                   Full mouth x-ray of teeth...       0.00      0.75        0.05       0.80       XXX  N                 
    70328...  ..................  A                   X-ray exam of jaw joint.....       0.18      0.56        0.04       0.78       XXX  N                 
    70328...  26                  A                   X-ray exam of jaw joint.....       0.18      0.09        0.01       0.28       XXX  N                 
    70328...  TC                  A                   X-ray exam of jaw joint.....       0.00      0.47        0.03       0.50       XXX  N                 
    70330...  ..................  A                   X-ray exam of jaw joints....       0.24      0.91        0.07       1.22       XXX  N                 
    70330...  26                  A                   X-ray exam of jaw joints....       0.24      0.11        0.02       0.37       XXX  N                 
    70330...  TC                  A                   X-ray exam of jaw joints....       0.00      0.80        0.05       0.85       XXX  N                 
    70332...  ..................  A                   X-ray exam of jaw joint.....       0.54      2.25        0.17       2.96       XXX  N                 
    70332...  26                  A                   X-ray exam of jaw joint.....       0.54      0.25        0.04       0.83       XXX  N                 
    70332...  TC                  A                   X-ray exam of jaw joint.....       0.00      2.00        0.13       2.13       XXX  N                 
    70336...  ..................  A                   Magnetic image jaw joint....       0.95     11.11        0.73      12.79       XXX  N                 
    70336...  26                  A                   Magnetic image jaw joint....       0.95      0.43        0.06       1.44       XXX  N                 
    70336...  TC                  A                   Magnetic image jaw joint....       0.00     10.68        0.67      11.35       XXX  N                 
    70350...  ..................  A                   X-ray head for orthodontia..       0.17      0.44        0.03       0.64       XXX  N                 
    70350...  26                  A                   X-ray head for orthodontia..       0.17      0.08        0.01       0.26       XXX  N                 
    70350...  TC                  A                   X-ray head for orthodontia..       0.00      0.36        0.02       0.38       XXX  N                 
    70355...  ..................  A                   Panoramic x-ray of jaws.....       0.20      0.63        0.05       0.88       XXX  N                 
    70355...  26                  A                   Panoramic x-ray of jaws.....       0.20      0.09        0.01       0.30       XXX  N                 
    70355...  TC                  A                   Panoramic x-ray of jaws.....       0.00      0.54        0.04       0.58       XXX  N                 
    70360...  ..................  A                   X-ray exam of neck..........       0.17      0.48        0.04       0.69       XXX  N                 
    70360...  26                  A                   X-ray exam of neck..........       0.17      0.08        0.01       0.26       XXX  N                 
    70360...  TC                  A                   X-ray exam of neck..........       0.00      0.40        0.03       0.43       XXX  N                 
    70370...  ..................  A                   Throat x-ray & fluoroscopy..       0.32      1.39        0.10       1.81       XXX  N                 
    70370...  26                  A                   Throat x-ray & fluoroscopy..       0.32      0.15        0.02       0.49       XXX  N                 
    70370...  TC                  A                   Throat x-ray & fluoroscopy..       0.00      1.24        0.08       1.32       XXX  N                 
    70371...  ..................  A                   Speech evaluation, complex..       0.84      2.38        0.19       3.41       XXX  N                 
    70371...  26                  A                   Speech evaluation, complex..       0.84      0.38        0.06       1.28       XXX  N                 
    70371...  TC                  A                   Speech evaluation, complex..       0.00      2.00        0.13       2.13       XXX  N                 
    70373...  ..................  A                   Contrast x-ray of larynx....       0.44      1.90        0.14       2.48       XXX  N                 
    70373...  26                  A                   Contrast x-ray of larynx....       0.44      0.20        0.03       0.67       XXX  N                 
    70373...  TC                  A                   Contrast x-ray of larynx....       0.00      1.70        0.11       1.81       XXX  N                 
    70380...  ..................  A                   X-ray exam of salivary gland       0.17      0.72        0.05       0.94       XXX  N                 
    
    [[Page 63266]]
                                                                                                                                                            
    70380...  26                  A                   X-ray exam of salivary gland       0.17      0.08        0.01       0.26       XXX  N                 
    70380...  TC                  A                   X-ray exam of salivary gland       0.00      0.64        0.04       0.68       XXX  N                 
    70390...  ..................  A                   X-ray exam of salivary duct.       0.38      1.87        0.14       2.39       XXX  N                 
    70390...  26                  A                   X-ray exam of salivary duct.       0.38      0.17        0.03       0.58       XXX  N                 
    70390...  TC                  A                   X-ray exam of salivary duct.       0.00      1.70        0.11       1.81       XXX  N                 
    70450...  ..................  A                   CAT scan of head or brain...       0.85      4.88        0.35       6.08       XXX  N                 
    70450...  26                  A                   CAT scan of head or brain...       0.85      0.38        0.06       1.29       XXX  N                 
    70450...  TC                  A                   CAT scan of head or brain...       0.00      4.50        0.29       4.79       XXX  N                 
    70460...  ..................  A                   Contrast CAT scan of head...       1.13      5.89        0.43       7.45       XXX  N                 
    70460...  26                  A                   Contrast CAT scan of head...       1.13      0.50        0.08       1.71       XXX  N                 
    70460...  TC                  A                   Contrast CAT scan of head...       0.00      5.39        0.35       5.74       XXX  N                 
    70470...  ..................  A                   Contrast CAT scans of head..       1.27      7.30        0.52       9.09       XXX  N                 
    70470...  26                  A                   Contrast CAT scans of head..       1.27      0.56        0.09       1.92       XXX  N                 
    70470...  TC                  A                   Contrast CAT scans of head..       0.00      6.74        0.43       7.17       XXX  N                 
    70480...  ..................  A                   CAT scan of skull...........       1.28      5.07        0.38       6.73       XXX  N                 
    70480...  26                  A                   CAT scan of skull...........       1.28      0.57        0.09       1.94       XXX  N                 
    70480...  TC                  A                   CAT scan of skull...........       0.00      4.50        0.29       4.79       XXX  N                 
    70481...  ..................  A                   Contrast CAT scan of skull..       1.38      6.00        0.44       7.82       XXX  N                 
    70481...  26                  A                   Contrast CAT scan of skull..       1.38      0.61        0.09       2.08       XXX  N                 
    70481...  TC                  A                   Contrast CAT scan of skull..       0.00      5.39        0.35       5.74       XXX  N                 
    70482...  ..................  A                   Contrast CAT scans of skull.       1.45      7.38        0.53       9.36       XXX  N                 
    70482...  26                  A                   Contrast CAT scans of skull.       1.45      0.64        0.10       2.19       XXX  N                 
    70482...  TC                  A                   Contrast CAT scans of skull.       0.00      6.74        0.43       7.17       XXX  N                 
    70486...  ..................  A                   CAT scan of face, jaw.......       1.14      5.00        0.37       6.51       XXX  N                 
    70486...  26                  A                   CAT scan of face, jaw.......       1.14      0.50        0.08       1.72       XXX  N                 
    70486...  TC                  A                   CAT scan of face, jaw.......       0.00      4.50        0.29       4.79       XXX  N                 
    70487...  ..................  A                   Contrast CAT scan, face/jaw.       1.30      5.96        0.44       7.70       XXX  N                 
    70487...  26                  A                   Contrast CAT scan, face/jaw.       1.30      0.57        0.09       1.96       XXX  N                 
    70487...  TC                  A                   Contrast CAT scan, face/jaw.       0.00      5.39        0.35       5.74       XXX  N                 
    70488...  ..................  A                   Contrast CAT scans face/jaw.       1.42      7.37        0.53       9.32       XXX  N                 
    70488...  26                  A                   Contrast CAT scans face/jaw.       1.42      0.63        0.10       2.15       XXX  N                 
    70488...  TC                  A                   Contrast CAT scans face/jaw.       0.00      6.74        0.43       7.17       XXX  N                 
    70490...  ..................  A                   CAT scan of neck tissue.....       1.28      5.07        0.38       6.73       XXX  N                 
    70490...  26                  A                   CAT scan of neck tissue.....       1.28      0.57        0.09       1.94       XXX  N                 
    70490...  TC                  A                   CAT scan of neck tissue.....       0.00      4.50        0.29       4.79       XXX  N                 
    70491...  ..................  A                   Contrast CAT of neck tissue.       1.38      6.00        0.44       7.82       XXX  N                 
    70491...  26                  A                   Contrast CAT of neck tissue.       1.38      0.61        0.09       2.08       XXX  N                 
    70491...  TC                  A                   Contrast CAT of neck tissue.       0.00      5.39        0.35       5.74       XXX  N                 
    70492...  ..................  A                   Contrast CAT of neck tissue.       1.45      7.38        0.53       9.36       XXX  N                 
    70492...  26                  A                   Contrast CAT of neck tissue.       1.45      0.64        0.10       2.19       XXX  N                 
    70492...  TC                  A                   Contrast CAT of neck tissue.       0.00      6.74        0.43       7.17       XXX  N                 
    70540...  ..................  A                   Magnetic image, face, neck..       1.48     11.34        0.77      13.59       XXX  N                 
    70540...  26                  A                   Magnetic image, face, neck..       1.48      0.66        0.10       2.24       XXX  N                 
    70540...  TC                  A                   Magnetic image, face, neck..       0.00     10.68        0.67      11.35       XXX  N                 
    70541...  ..................  R                   Magnetic image, head (MRA)..       1.81     11.34        0.77      13.92       XXX  N                 
    70541...  26                  R                   Magnetic image, head (MRA)..       1.81      0.66        0.10       2.57       XXX  N                 
    70541...  TC                  R                   Magnetic image, head (MRA)..       0.00     10.68        0.67      11.35       XXX  N                 
    70551...  ..................  A                   Magnetic image, brain (MRI).       1.48     11.34        0.77      13.59       XXX  N                 
    70551...  26                  A                   Magnetic image, brain (MRI).       1.48      0.66        0.10       2.24       XXX  N                 
    70551...  TC                  A                   Magnetic image, brain (MRI).       0.00     10.68        0.67      11.35       XXX  N                 
    70552...  ..................  A                   Magnetic image, brain (MRI).       1.78     13.61        0.93      16.32       XXX  N                 
    70552...  26                  A                   Magnetic image, brain (MRI).       1.78      0.80        0.12       2.70       XXX  N                 
    70552...  TC                  A                   Magnetic image, brain (MRI).       0.00     12.81        0.81      13.62       XXX  N                 
    70553...  ..................  A                   Magnetic image, brain.......       2.36     24.79        1.65      28.80       XXX  N                 
    70553...  26                  A                   Magnetic image, brain.......       2.36      1.07        0.16       3.59       XXX  N                 
    70553...  TC                  A                   Magnetic image, brain.......       0.00     23.72        1.49      25.21       XXX  N                 
    71010...  ..................  A                   Chest x-ray.................       0.18      0.53        0.04       0.75       XXX  N                 
    71010...  26                  A                   Chest x-ray.................       0.18      0.08        0.01       0.27       XXX  N                 
    71010...  TC                  A                   Chest x-ray.................       0.00      0.45        0.03       0.48       XXX  N                 
    71015...  ..................  A                   X-ray exam of chest.........       0.21      0.60        0.04       0.85       XXX  N                 
    71015...  26                  A                   X-ray exam of chest.........       0.21      0.10        0.01       0.32       XXX  N                 
    71015...  TC                  A                   X-ray exam of chest.........       0.00      0.50        0.03       0.53       XXX  N                 
    71020...  ..................  A                   Chest x-ray.................       0.22      0.69        0.05       0.96       XXX  N                 
    71020...  26                  A                   Chest x-ray.................       0.22      0.10        0.01       0.33       XXX  N                 
    71020...  TC                  A                   Chest x-ray.................       0.00      0.59        0.04       0.63       XXX  N                 
    71021...  ..................  A                   Chest x-ray.................       0.27      0.82        0.07       1.16       XXX  N                 
    
    [[Page 63267]]
                                                                                                                                                            
    71021...  26                  A                   Chest x-ray.................       0.27      0.12        0.02       0.41       XXX  N                 
    71021...  TC                  A                   Chest x-ray.................       0.00      0.70        0.05       0.75       XXX  N                 
    71022...  ..................  A                   Chest x-ray.................       0.31      0.84        0.07       1.22       XXX  N                 
    71022...  26                  A                   Chest x-ray.................       0.31      0.14        0.02       0.47       XXX  N                 
    71022...  TC                  A                   Chest x-ray.................       0.00      0.70        0.05       0.75       XXX  N                 
    71023...  ..................  A                   Chest x-ray and fluoroscopy.       0.38      0.92        0.08       1.38       XXX  N                 
    71023...  26                  A                   Chest x-ray and fluoroscopy.       0.38      0.17        0.03       0.58       XXX  N                 
    71023...  TC                  A                   Chest x-ray and fluoroscopy.       0.00      0.75        0.05       0.80       XXX  N                 
    71030...  ..................  A                   Chest x-ray.................       0.31      0.89        0.07       1.27       XXX  N                 
    71030...  26                  A                   Chest x-ray.................       0.31      0.14        0.02       0.47       XXX  N                 
    71030...  TC                  A                   Chest x-ray.................       0.00      0.75        0.05       0.80       XXX  N                 
    71034...  ..................  A                   Chest x-ray & fluoroscopy...       0.46      1.58        0.12       2.16       XXX  N                 
    71034...  26                  A                   Chest x-ray & fluoroscopy...       0.46      0.21        0.03       0.70       XXX  N                 
    71034...  TC                  A                   Chest x-ray & fluoroscopy...       0.00      1.37        0.09       1.46       XXX  N                 
    71035...  ..................  A                   Chest x-ray.................       0.18      0.58        0.04       0.80       XXX  N                 
    71035...  26                  A                   Chest x-ray.................       0.18      0.08        0.01       0.27       XXX  N                 
    71035...  TC                  A                   Chest x-ray.................       0.00      0.50        0.03       0.53       XXX  N                 
    71036...  ..................  A                   X-ray guidance for biopsy...       0.54      1.75        0.14       2.43       XXX  N                 
    71036...  26                  A                   X-ray guidance for biopsy...       0.54      0.25        0.04       0.83       XXX  N                 
    71036...  TC                  A                   X-ray guidance for biopsy...       0.00      1.50        0.10       1.60       XXX  N                 
    71038...  ..................  A                   X-ray guidance for biopsy...       0.54      1.85        0.15       2.54       XXX  N                 
    71038...  26                  A                   X-ray guidance for biopsy...       0.54      0.25        0.04       0.83       XXX  N                 
    71038...  TC                  A                   X-ray guidance for biopsy...       0.00      1.60        0.11       1.71       XXX  N                 
    71040...  ..................  A                   Contrast x-ray of bronchi...       0.58      1.66        0.13       2.37       XXX  N                 
    71040...  26                  A                   Contrast x-ray of bronchi...       0.58      0.27        0.04       0.89       XXX  N                 
    71040...  TC                  A                   Contrast x-ray of bronchi...       0.00      1.39        0.09       1.48       XXX  N                 
    71060...  ..................  A                   Contrast x-ray of bronchi...       0.74      2.44        0.19       3.37       XXX  N                 
    71060...  26                  A                   Contrast x-ray of bronchi...       0.74      0.34        0.05       1.13       XXX  N                 
    71060...  TC                  A                   Contrast x-ray of bronchi...       0.00      2.10        0.14       2.24       XXX  N                 
    71090...  ..................  A                   X-ray & pacemaker insertion.       0.54      1.85        0.15       2.54       XXX  N                 
    71090...  26                  A                   X-ray & pacemaker insertion.       0.54      0.25        0.04       0.83       XXX  N                 
    71090...  TC                  A                   X-ray & pacemaker insertion.       0.00      1.60        0.11       1.71       XXX  N                 
    71100...  ..................  A                   X-ray exam of ribs..........       0.22      0.64        0.06       0.92       XXX  N                 
    71100...  26                  A                   X-ray exam of ribs..........       0.22      0.10        0.02       0.34       XXX  N                 
    71100...  TC                  A                   X-ray exam of ribs..........       0.00      0.54        0.04       0.58       XXX  N                 
    71101...  ..................  A                   X-ray exam of ribs, chest...       0.27      0.77        0.06       1.10       XXX  N                 
    71101...  26                  A                   X-ray exam of ribs, chest...       0.27      0.13        0.02       0.42       XXX  N                 
    71101...  TC                  A                   X-ray exam of ribs, chest...       0.00      0.64        0.04       0.68       XXX  N                 
    71110...  ..................  A                   X-ray exam of ribs..........       0.27      0.88        0.07       1.22       XXX  N                 
    71110...  26                  A                   X-ray exam of ribs..........       0.27      0.13        0.02       0.42       XXX  N                 
    71110...  TC                  A                   X-ray exam of ribs..........       0.00      0.75        0.05       0.80       XXX  N                 
    71111...  ..................  A                   X-ray exam of ribs, chest...       0.32      1.00        0.08       1.40       XXX  N                 
    71111...  26                  A                   X-ray exam of ribs, chest...       0.32      0.15        0.02       0.49       XXX  N                 
    71111...  TC                  A                   X-ray exam of ribs, chest...       0.00      0.85        0.06       0.91       XXX  N                 
    71120...  ..................  A                   X-ray exam of breastbone....       0.20      0.71        0.05       0.96       XXX  N                 
    71120...  26                  A                   X-ray exam of breastbone....       0.20      0.09        0.01       0.30       XXX  N                 
    71120...  TC                  A                   X-ray exam of breastbone....       0.00      0.62        0.04       0.66       XXX  N                 
    71130...  ..................  A                   X-ray exam of breastbone....       0.22      0.77        0.05       1.04       XXX  N                 
    71130...  26                  A                   X-ray exam of breastbone....       0.22      0.10        0.01       0.33       XXX  N                 
    71130...  TC                  A                   X-ray exam of breastbone....       0.00      0.67        0.04       0.71       XXX  N                 
    71250...  ..................  A                   Cat scan of chest...........       1.16      6.14        0.44       7.74       XXX  N                 
    71250...  26                  A                   Cat scan of chest...........       1.16      0.51        0.08       1.75       XXX  N                 
    71250...  TC                  A                   Cat scan of chest...........       0.00      5.63        0.36       5.99       XXX  N                 
    71260...  ..................  A                   Contrast CAT scan of chest..       1.24      7.29        0.51       9.04       XXX  N                 
    71260...  26                  A                   Contrast CAT scan of chest..       1.24      0.55        0.08       1.87       XXX  N                 
    71260...  TC                  A                   Contrast CAT scan of chest..       0.00      6.74        0.43       7.17       XXX  N                 
    71270...  ..................  A                   Contrast CAT scans of chest.       1.38      9.04        0.61      11.03       XXX  N                 
    71270...  26                  A                   Contrast CAT scans of chest.       1.38      0.61        0.09       2.08       XXX  N                 
    71270...  TC                  A                   Contrast CAT scans of chest.       0.00      8.43        0.52       8.95       XXX  N                 
    71550...  ..................  A                   Magnetic image, chest.......       1.60     11.40        0.78      13.78       XXX  N                 
    71550...  26                  A                   Magnetic image, chest.......       1.60      0.72        0.11       2.43       XXX  N                 
    71550...  TC                  A                   Magnetic image, chest.......       0.00     10.68        0.67      11.35       XXX  N                 
    71555...  ..................  N                   Magnetic imaging/chest (MRA)      #1.81     11.40        0.78      13.99       XXX  0                 
    71555...  26                  N                   Magnetic imaging/chest (MRA)      #1.81      0.72        0.11       2.64       XXX  0                 
    71555...  TC                  N                   Magnetic imaging/chest (MRA)      #0.00     10.68        0.67      11.35       XXX  0                 
    72010...  ..................  A                   X-ray exam of spine.........       0.45      1.18        0.09       1.72       XXX  N                 
    
    [[Page 63268]]
                                                                                                                                                            
    72010...  26                  A                   X-ray exam of spine.........       0.45      0.20        0.03       0.68       XXX  N                 
    72010...  TC                  A                   X-ray exam of spine.........       0.00      0.98        0.06       1.04       XXX  N                 
    72020...  ..................  A                   X-ray exam of spine.........       0.15      0.47        0.04       0.66       XXX  N                 
    72020...  26                  A                   X-ray exam of spine.........       0.15      0.07        0.01       0.23       XXX  N                 
    72020...  TC                  A                   X-ray exam of spine.........       0.00      0.40        0.03       0.43       XXX  N                 
    72040...  ..................  A                   X-ray exam of neck spine....       0.22      0.67        0.05       0.94       XXX  N                 
    72040...  26                  A                   X-ray exam of neck spine....       0.22      0.10        0.01       0.33       XXX  N                 
    72040...  TC                  A                   X-ray exam of neck spine....       0.00      0.57        0.04       0.61       XXX  N                 
    72050...  ..................  A                   X-ray exam of neck spine....       0.31      0.99        0.08       1.38       XXX  N                 
    72050...  26                  A                   X-ray exam of neck spine....       0.31      0.14        0.02       0.47       XXX  N                 
    72050...  TC                  A                   X-ray exam of neck spine....       0.00      0.85        0.06       0.91       XXX  N                 
    72052...  ..................  A                   X-ray exam of neck spine....       0.36      1.25        0.09       1.70       XXX  N                 
    72052...  26                  A                   X-ray exam of neck spine....       0.36      0.17        0.02       0.55       XXX  N                 
    72052...  TC                  A                   X-ray exam of neck spine....       0.00      1.08        0.07       1.15       XXX  N                 
    72069...  ..................  A                   X-ray exam of trunk spine...       0.22      0.57        0.04       0.83       XXX  N                 
    72069...  26                  A                   X-ray exam of trunk spine...       0.22      0.10        0.01       0.33       XXX  N                 
    72069...  TC                  A                   X-ray exam of trunk spine...       0.00      0.47        0.03       0.50       XXX  N                 
    72070...  ..................  A                   X-ray exam of thorax spine..       0.22      0.72        0.05       0.99       XXX  N                 
    72070...  26                  A                   X-ray exam of thorax spine..       0.22      0.10        0.01       0.33       XXX  N                 
    72070...  TC                  A                   X-ray exam of thorax spine..       0.00      0.62        0.04       0.66       XXX  N                 
    72072...  ..................  A                   X-ray exam of thoracic spine       0.22      0.80        0.06       1.08       XXX  N                 
    72072...  26                  A                   X-ray exam of thoracic spine       0.22      0.10        0.01       0.33       XXX  N                 
    72072...  TC                  A                   X-ray exam of thoracic spine       0.00      0.70        0.05       0.75       XXX  N                 
    72074...  ..................  A                   X-ray exam of thoracic spine       0.22      0.97        0.07       1.26       XXX  N                 
    72074...  26                  A                   X-ray exam of thoracic spine       0.22      0.10        0.01       0.33       XXX  N                 
    72074...  TC                  A                   X-ray exam of thoracic spine       0.00      0.87        0.06       0.93       XXX  N                 
    72080...  ..................  A                   X-ray exam of trunk spine...       0.22      0.74        0.05       1.01       XXX  N                 
    72080...  26                  A                   X-ray exam of trunk spine...       0.22      0.10        0.01       0.33       XXX  N                 
    72080...  TC                  A                   X-ray exam of trunk spine...       0.00      0.64        0.04       0.68       XXX  N                 
    72090...  ..................  A                   X-ray exam of trunk spine...       0.28      0.77        0.06       1.11       XXX  N                 
    72090...  26                  A                   X-ray exam of trunk spine...       0.28      0.13        0.02       0.43       XXX  N                 
    72090...  TC                  A                   X-ray exam of trunk spine...       0.00      0.64        0.04       0.68       XXX  N                 
    72100...  ..................  A                   X-ray exam of lower spine...       0.22      0.74        0.05       1.01       XXX  N                 
    72100...  26                  A                   X-ray exam of lower spine...       0.22      0.10        0.01       0.33       XXX  N                 
    72100...  TC                  A                   X-ray exam of lower spine...       0.00      0.64        0.04       0.68       XXX  N                 
    72110...  ..................  A                   X-ray exam of lower spine...       0.31      1.01        0.08       1.40       XXX  N                 
    72110...  26                  A                   X-ray exam of lower spine...       0.31      0.14        0.02       0.47       XXX  N                 
    72110...  TC                  A                   X-ray exam of lower spine...       0.00      0.87        0.06       0.93       XXX  N                 
    72114...  ..................  A                   X-ray exam of lower spine...       0.36      1.30        0.09       1.75       XXX  N                 
    72114...  26                  A                   X-ray exam of lower spine...       0.36      0.17        0.02       0.55       XXX  N                 
    72114...  TC                  A                   X-ray exam of lower spine...       0.00      1.13        0.07       1.20       XXX  N                 
    72120...  ..................  A                   X-ray exam of lower spine...       0.22      0.95        0.07       1.24       XXX  N                 
    72120...  26                  A                   X-ray exam of lower spine...       0.22      0.10        0.01       0.33       XXX  N                 
    72120...  TC                  A                   X-ray exam of lower spine...       0.00      0.85        0.06       0.91       XXX  N                 
    72125...  ..................  A                   CAT scan of neck spine......       1.16      6.14        0.44       7.74       XXX  N                 
    72125...  26                  A                   CAT scan of neck spine......       1.16      0.51        0.08       1.75       XXX  N                 
    72125...  TC                  A                   CAT scan of neck spine......       0.00      5.63        0.36       5.99       XXX  N                 
    72126...  ..................  A                   Contrast CAT scan of neck...       1.22      7.27        0.51       9.00       XXX  N                 
    72126...  26                  A                   Contrast CAT scan of neck...       1.22      0.53        0.08       1.83       XXX  N                 
    72126...  TC                  A                   Contrast CAT scan of neck...       0.00      6.74        0.43       7.17       XXX  N                 
    72127...  ..................  A                   Contrast CAT scans of neck..       1.27      8.99        0.61      10.87       XXX  N                 
    72127...  26                  A                   Contrast CAT scans of neck..       1.27      0.56        0.09       1.92       XXX  N                 
    72127...  TC                  A                   Contrast CAT scans of neck..       0.00      8.43        0.52       8.95       XXX  N                 
    72128...  ..................  A                   CAT scan of thorax spine....       1.16      6.14        0.44       7.74       XXX  N                 
    72128...  26                  A                   CAT scan of thorax spine....       1.16      0.51        0.08       1.75       XXX  N                 
    72128...  TC                  A                   CAT scan of thorax spine....       0.00      5.63        0.36       5.99       XXX  N                 
    72129...  ..................  A                   Contrast CAT scan of thorax.       1.22      7.27        0.51       9.00       XXX  N                 
    72129...  26                  A                   Contrast CAT scan of thorax.       1.22      0.53        0.08       1.83       XXX  N                 
    72129...  TC                  A                   Contrast CAT scan of thorax.       0.00      6.74        0.43       7.17       XXX  N                 
    72130...  ..................  A                   Contrast CAT scans of thorax       1.27      8.99        0.61      10.87       XXX  N                 
    72130...  26                  A                   Contrast CAT scans of thorax       1.27      0.56        0.09       1.92       XXX  N                 
    72130...  TC                  A                   Contrast CAT scans of thorax       0.00      8.43        0.52       8.95       XXX  N                 
    72131...  ..................  A                   CAT scan of lower spine.....       1.16      6.14        0.44       7.74       XXX  N                 
    72131...  26                  A                   CAT scan of lower spine.....       1.16      0.51        0.08       1.75       XXX  N                 
    72131...  TC                  A                   CAT scan of lower spine.....       0.00      5.63        0.36       5.99       XXX  N                 
    72132...  ..................  A                   Contrast CAT of lower spine.       1.22      7.27        0.51       9.00       XXX  N                 
    
    [[Page 63269]]
                                                                                                                                                            
    72132...  26                  A                   Contrast CAT of lower spine.       1.22      0.53        0.08       1.83       XXX  N                 
    72132...  TC                  A                   Contrast CAT of lower spine.       0.00      6.74        0.43       7.17       XXX  N                 
    72133...  ..................  A                   Contrast CAT scans,low spine       1.27      8.99        0.61      10.87       XXX  N                 
    72133...  26                  A                   Contrast CAT scans,low spine       1.27      0.56        0.09       1.92       XXX  N                 
    72133...  TC                  A                   Contrast CAT scans,low spine       0.00      8.43        0.52       8.95       XXX  N                 
    72141...  ..................  A                   Magnetic image, neck spine..       1.60     11.40        0.78      13.78       XXX  N                 
    72141...  26                  A                   Magnetic image, neck spine..       1.60      0.72        0.11       2.43       XXX  N                 
    72141...  TC                  A                   Magnetic image, neck spine..       0.00     10.68        0.67      11.35       XXX  N                 
    72142...  ..................  A                   Magnetic image, neck spine..       1.92     13.67        0.94      16.53       XXX  N                 
    72142...  26                  A                   Magnetic image, neck spine..       1.92      0.86        0.13       2.91       XXX  N                 
    72142...  TC                  A                   Magnetic image, neck spine..       0.00     12.81        0.81      13.62       XXX  N                 
    72146...  ..................  A                   Magnetic image, chest spine.       1.60     12.58        0.85      15.03       XXX  N                 
    72146...  26                  A                   Magnetic image, chest spine.       1.60      0.72        0.11       2.43       XXX  N                 
    72146...  TC                  A                   Magnetic image, chest spine.       0.00     11.86        0.74      12.60       XXX  N                 
    72147...  ..................  A                   Magnetic image, chest spine.       1.92     13.67        0.94      16.53       XXX  N                 
    72147...  26                  A                   Magnetic image, chest spine.       1.92      0.86        0.13       2.91       XXX  N                 
    72147...  TC                  A                   Magnetic image, chest spine.       0.00     12.81        0.81      13.62       XXX  N                 
    72148...  ..................  A                   Magnetic image, lumbar spine       1.48     12.52        0.84      14.84       XXX  N                 
    72148...  26                  A                   Magnetic image, lumbar spine       1.48      0.66        0.10       2.24       XXX  N                 
    72148...  TC                  A                   Magnetic image, lumbar spine       0.00     11.86        0.74      12.60       XXX  N                 
    72149...  ..................  A                   Magnetic image, lumbar spine       1.78     13.61        0.93      16.32       XXX  N                 
    72149...  26                  A                   Magnetic image, lumbar spine       1.78      0.80        0.12       2.70       XXX  N                 
    72149...  TC                  A                   Magnetic image, lumbar spine       0.00     12.81        0.81      13.62       XXX  N                 
    72156...  ..................  A                   Magnetic image, neck spine..       2.57     24.87        1.66      29.10       XXX  N                 
    72156...  26                  A                   Magnetic image, neck spine..       2.57      1.15        0.17       3.89       XXX  N                 
    72156...  TC                  A                   Magnetic image, neck spine..       0.00     23.72        1.49      25.21       XXX  N                 
    72157...  ..................  A                   Magnetic image, chest spine.       2.57     24.87        1.66      29.10       XXX  N                 
    72157...  26                  A                   Magnetic image, chest spine.       2.57      1.15        0.17       3.89       XXX  N                 
    72157...  TC                  A                   Magnetic image, chest spine.       0.00     23.72        1.49      25.21       XXX  N                 
    72158...  ..................  A                   Magnetic image, lumbar spine       2.36     24.79        1.65      28.80       XXX  N                 
    72158...  26                  A                   Magnetic image, lumbar spine       2.36      1.07        0.16       3.59       XXX  N                 
    72158...  TC                  A                   Magnetic image, lumbar spine       0.00     23.72        1.49      25.21       XXX  N                 
    72159...  ..................  N                   Magnetic imaging/spine (MRA)      #1.80     12.52        0.84      15.16       XXX  0                 
    72159...  26                  N                   Magnetic imaging/spine (MRA)      #1.80      0.66        0.10       2.56       XXX  0                 
    72159...  TC                  N                   Magnetic imaging/spine (MRA)      #0.00     11.86        0.74      12.60       XXX  0                 
    72170...  ..................  A                   X-ray exam of pelvis........       0.17      0.57        0.04       0.78       XXX  N                 
    72170...  26                  A                   X-ray exam of pelvis........       0.17      0.07        0.01       0.25       XXX  N                 
    72170...  TC                  A                   X-ray exam of pelvis........       0.00      0.50        0.03       0.53       XXX  N                 
    72190...  ..................  A                   X-ray exam of pelvis........       0.21      0.74        0.05       1.00       XXX  N                 
    72190...  26                  A                   X-ray exam of pelvis........       0.21      0.10        0.01       0.32       XXX  N                 
    72190...  TC                  A                   X-ray exam of pelvis........       0.00      0.64        0.04       0.68       XXX  N                 
    72192...  ..................  A                   CAT scan of pelvis..........       1.09      6.11        0.43       7.63       XXX  N                 
    72192...  26                  A                   CAT scan of pelvis..........       1.09      0.48        0.07       1.64       XXX  N                 
    72192...  TC                  A                   CAT scan of pelvis..........       0.00      5.63        0.36       5.99       XXX  N                 
    72193...  ..................  A                   Contrast CAT scan of pelvis.       1.16      7.03        0.49       8.68       XXX  N                 
    72193...  26                  A                   Contrast CAT scan of pelvis.       1.16      0.51        0.08       1.75       XXX  N                 
    72193...  TC                  A                   Contrast CAT scan of pelvis.       0.00      6.52        0.41       6.93       XXX  N                 
    72194...  ..................  A                   Contrast CAT scans of pelvis       1.22      8.62        0.58      10.42       XXX  N                 
    72194...  26                  A                   Contrast CAT scans of pelvis       1.22      0.53        0.08       1.83       XXX  N                 
    72194...  TC                  A                   Contrast CAT scans of pelvis       0.00      8.09        0.50       8.59       XXX  N                 
    72196...  ..................  A                   Magnetic image, pelvis......       1.60     11.40        0.78      13.78       XXX  N                 
    72196...  26                  A                   Magnetic image, pelvis......       1.60      0.72        0.11       2.43       XXX  N                 
    72196...  TC                  A                   Magnetic image, pelvis......       0.00     10.68        0.67      11.35       XXX  N                 
    72198...  ..................  N                   Magnetic imaging/pelvis(MRA)      #1.80     11.40        0.78      13.98       XXX  0                 
    72198...  26                  N                   Magnetic imaging/pelvis(MRA)      #1.80      0.72        0.11       2.63       XXX  0                 
    72198...  TC                  N                   Magnetic imaging/pelvis(MRA)      #0.00     10.68        0.67      11.35       XXX  0                 
    72200...  ..................  A                   X-ray exam sacroiliac joints       0.17      0.58        0.04       0.79       XXX  N                 
    72200...  26                  A                   X-ray exam sacroiliac joints       0.17      0.08        0.01       0.26       XXX  N                 
    72200...  TC                  A                   X-ray exam sacroiliac joints       0.00      0.50        0.03       0.53       XXX  N                 
    72202...  ..................  A                   X-ray exam sacroiliac joints       0.19      0.68        0.05       0.92       XXX  N                 
    72202...  26                  A                   X-ray exam sacroiliac joints       0.19      0.09        0.01       0.29       XXX  N                 
    72202...  TC                  A                   X-ray exam sacroiliac joints       0.00      0.59        0.04       0.63       XXX  N                 
    72220...  ..................  A                   X-ray exam of tailbone......       0.17      0.62        0.05       0.84       XXX  N                 
    72220...  26                  A                   X-ray exam of tailbone......       0.17      0.08        0.01       0.26       XXX  N                 
    72220...  TC                  A                   X-ray exam of tailbone......       0.00      0.54        0.04       0.58       XXX  N                 
    72240...  ..................  A                   Contrast x-ray of neck spine       0.91      4.93        0.35       6.19       XXX  N                 
    
    [[Page 63270]]
                                                                                                                                                            
    72240...  26                  A                   Contrast x-ray of neck spine       0.91      0.41        0.06       1.38       XXX  N                 
    72240...  TC                  A                   Contrast x-ray of neck spine       0.00      4.52        0.29       4.81       XXX  N                 
    72255...  ..................  A                   Contrast x-ray thorax spine.       0.91      4.54        0.32       5.77       XXX  N                 
    72255...  26                  A                   Contrast x-ray thorax spine.       0.91      0.41        0.06       1.38       XXX  N                 
    72255...  TC                  A                   Contrast x-ray thorax spine.       0.00      4.13        0.26       4.39       XXX  N                 
    72265...  ..................  A                   Contrast x-ray lower spine..       0.83      4.26        0.31       5.40       XXX  N                 
    72265...  26                  A                   Contrast x-ray lower spine..       0.83      0.38        0.06       1.27       XXX  N                 
    72265...  TC                  A                   Contrast x-ray lower spine..       0.00      3.88        0.25       4.13       XXX  N                 
    72270...  ..................  A                   Contrast x-ray of spine.....       1.33      6.40        0.46       8.19       XXX  N                 
    72270...  26                  A                   Contrast x-ray of spine.....       1.33      0.59        0.09       2.01       XXX  N                 
    72270...  TC                  A                   Contrast x-ray of spine.....       0.00      5.81        0.37       6.18       XXX  N                 
    72285...  ..................  A                   X-ray of neck spine disk....       0.83      8.37        0.56       9.76       XXX  N                 
    72285...  26                  A                   X-ray of neck spine disk....       0.83      0.38        0.06       1.27       XXX  N                 
    72285...  TC                  A                   X-ray of neck spine disk....       0.00      7.99        0.50       8.49       XXX  N                 
    72295...  ..................  A                   X-ray of lower spine disk...       0.83      7.87        0.52       9.22       XXX  N                 
    72295...  26                  A                   X-ray of lower spine disk...       0.83      0.38        0.06       1.27       XXX  N                 
    72295...  TC                  A                   X-ray of lower spine disk...       0.00      7.49        0.46       7.95       XXX  N                 
    73000...  ..................  A                   X-ray exam of collarbone....       0.16      0.57        0.04       0.77       XXX  N                 
    73000...  26                  A                   X-ray exam of collarbone....       0.16      0.07        0.01       0.24       XXX  N                 
    73000...  TC                  A                   X-ray exam of collarbone....       0.00      0.50        0.03       0.53       XXX  N                 
    73010...  ..................  A                   X-ray exam of shoulder blade       0.17      0.58        0.04       0.79       XXX  N                 
    73010...  26                  A                   X-ray exam of shoulder blade       0.17      0.08        0.01       0.26       XXX  N                 
    73010...  TC                  A                   X-ray exam of shoulder blade       0.00      0.50        0.03       0.53       XXX  N                 
    73020...  ..................  A                   X-ray exam of shoulder......       0.15      0.52        0.04       0.71       XXX  N                 
    73020...  26                  A                   X-ray exam of shoulder......       0.15      0.07        0.01       0.23       XXX  N                 
    73020...  ..................  A                   Contrast CAT scans of leg...       1.22      7.61        0.53       9.36       XXX  N                 
    73020...  26                  A                   Contrast CAT scans of leg...       1.22      0.53        0.08       1.83       XXX  N                 
    73020...  TC                  A                   X-ray exam of shoulder......       0.00      0.45        0.03       0.48       XXX  N                 
    73030...  ..................  A                   X-ray exam of shoulder......       0.18      0.62        0.05       0.85       XXX  N                 
    73030...  26                  A                   X-ray exam of shoulder......       0.18      0.08        0.01       0.27       XXX  N                 
    73030...  TC                  A                   X-ray exam of shoulder......       0.00      0.54        0.04       0.58       XXX  N                 
    73040...  ..................  A                   Contrast x-ray of shoulder..       0.54      2.25        0.17       2.96       XXX  N                 
    73040...  26                  A                   Contrast x-ray of shoulder..       0.54      0.25        0.04       0.83       XXX  N                 
    73040...  TC                  A                   Contrast x-ray of shoulder..       0.00      2.00        0.13       2.13       XXX  N                 
    73050...  ..................  A                   X-ray exam of shoulders.....       0.20      0.73        0.05       0.98       XXX  N                 
    73050...  26                  A                   X-ray exam of shoulders.....       0.20      0.09        0.01       0.30       XXX  N                 
    73050...  TC                  A                   X-ray exam of shoulders.....       0.00      0.64        0.04       0.68       XXX  N                 
    73060...  ..................  A                   X-ray exam of humerus.......       0.17      0.62        0.05       0.84       XXX  N                 
    73060...  26                  A                   X-ray exam of humerus.......       0.17      0.08        0.01       0.26       XXX  N                 
    73060...  TC                  A                   X-ray exam of humerus.......       0.00      0.54        0.04       0.58       XXX  N                 
    73070...  ..................  A                   X-ray exam of elbow.........       0.15      0.57        0.04       0.76       XXX  N                 
    73070...  26                  A                   X-ray exam of elbow.........       0.15      0.07        0.01       0.23       XXX  N                 
    73070...  TC                  A                   X-ray exam of elbow.........       0.00      0.50        0.03       0.53       XXX  N                 
    73080...  ..................  A                   X-ray exam of elbow.........       0.17      0.62        0.05       0.84       XXX  N                 
    73080...  26                  A                   X-ray exam of elbow.........       0.17      0.08        0.01       0.26       XXX  N                 
    73080...  TC                  A                   X-ray exam of elbow.........       0.00      0.54        0.04       0.58       XXX  N                 
    73085...  ..................  A                   Contrast x-ray of elbow.....       0.54      2.25        0.17       2.96       XXX  N                 
    73085...  26                  A                   Contrast x-ray of elbow.....       0.54      0.25        0.04       0.83       XXX  N                 
    73085...  TC                  A                   Contrast x-ray of elbow.....       0.00      2.00        0.13       2.13       XXX  N                 
    73090...  ..................  A                   X-ray exam of forearm.......       0.16      0.57        0.04       0.77       XXX  N                 
    73090...  26                  A                   X-ray exam of forearm.......       0.16      0.07        0.01       0.24       XXX  N                 
    73090...  TC                  A                   X-ray exam of forearm.......       0.00      0.50        0.03       0.53       XXX  N                 
    73092...  ..................  A                   X-ray exam of arm, infant...       0.16      0.54        0.04       0.74       XXX  N                 
    73092...  26                  A                   X-ray exam of arm, infant...       0.16      0.07        0.01       0.24       XXX  N                 
    73092...  TC                  A                   X-ray exam of arm, infant...       0.00      0.47        0.03       0.50       XXX  N                 
    73100...  ..................  A                   X-ray exam of wrist.........       0.16      0.54        0.04       0.74       XXX  N                 
    73100...  26                  A                   X-ray exam of wrist.........       0.16      0.07        0.01       0.24       XXX  N                 
    73100...  TC                  A                   X-ray exam of wrist.........       0.00      0.47        0.03       0.50       XXX  N                 
    73110...  ..................  A                   X-ray exam of wrist.........       0.17      0.59        0.04       0.80       XXX  N                 
    73110...  26                  A                   X-ray exam of wrist.........       0.17      0.08        0.01       0.26       XXX  N                 
    73110...  TC                  A                   X-ray exam of wrist.........       0.00      0.51        0.03       0.54       XXX  N                 
    73115...  ..................  A                   Contrast x-ray of wrist.....       0.54      1.75        0.14       2.43       XXX  N                 
    73115...  26                  A                   Contrast x-ray of wrist.....       0.54      0.25        0.04       0.83       XXX  N                 
    73115...  TC                  A                   Contrast x-ray of wrist.....       0.00      1.50        0.10       1.60       XXX  N                 
    73120...  ..................  A                   X-ray exam of hand..........       0.16      0.54        0.04       0.74       XXX  N                 
    73120...  26                  A                   X-ray exam of hand..........       0.16      0.07        0.01       0.24       XXX  N                 
    
    [[Page 63271]]
                                                                                                                                                            
    73120...  TC                  A                   X-ray exam of hand..........       0.00      0.47        0.03       0.50       XXX  N                 
    73130...  ..................  A                   X-ray exam of hand..........       0.17      0.59        0.04       0.80       XXX  N                 
    73130...  26                  A                   X-ray exam of hand..........       0.17      0.08        0.01       0.26       XXX  N                 
    73130...  TC                  A                   X-ray exam of hand..........       0.00      0.51        0.03       0.54       XXX  N                 
    73140...  ..................  A                   X-ray exam of finger(s).....       0.13      0.46        0.04       0.63       XXX  N                 
    73140...  26                  A                   X-ray exam of finger(s).....       0.13      0.06        0.01       0.20       XXX  N                 
    73140...  TC                  A                   X-ray exam of finger(s).....       0.00      0.40        0.03       0.43       XXX  N                 
    73200...  ..................  A                   CAT scan of arm.............       1.09      5.21        0.37       6.67       XXX  N                 
    73200...  26                  A                   CAT scan of arm.............       1.09      0.48        0.07       1.64       XXX  N                 
    73200...  TC                  A                   CAT scan of arm.............       0.00      4.73        0.30       5.03       XXX  N                 
    73201...  ..................  A                   Contrast CAT scan of arm....       1.16      6.14        0.44       7.74       XXX  N                 
    73201...  26                  A                   Contrast CAT scan of arm....       1.16      0.51        0.08       1.75       XXX  N                 
    73201...  TC                  A                   Contrast CAT scan of arm....       0.00      5.63        0.36       5.99       XXX  N                 
    73202...  ..................  A                   Contrast CAT scans of arm...       1.22      7.61        0.53       9.36       XXX  N                 
    73202...  26                  A                   Contrast CAT scans of arm...       1.22      0.53        0.08       1.83       XXX  N                 
    73202...  TC                  A                   Contrast CAT scans of arm...       0.00      7.08        0.45       7.53       XXX  N                 
    73220...  ..................  A                   Magnetic image, arm, hand...       1.48     11.34        0.77      13.59       XXX  N                 
    73220...  26                  A                   Magnetic image, arm, hand...       1.48      0.66        0.10       2.24       XXX  N                 
    73220...  TC                  A                   Magnetic image, arm, hand...       0.00     10.68        0.67      11.35       XXX  N                 
    73221...  ..................  A                   Magnetic image, joint of arm       0.95     11.11        0.73      12.79       XXX  N                 
    73221...  26                  A                   Magnetic image, joint of arm       0.95      0.43        0.06       1.44       XXX  N                 
    73221...  TC                  A                   Magnetic image, joint of arm       0.00     10.68        0.67      11.35       XXX  N                 
    73225...  ..................  N                   Magnetic imaging/upper (MRA)      #1.73     11.34        0.77      13.84       XXX  0                 
    73225...  26                  N                   Magnetic imaging/upper (MRA)      #1.73      0.66        0.10       2.49       XXX  0                 
    73225...  TC                  N                   Magnetic imaging/upper (MRA)      #0.00     10.68        0.67      11.35       XXX  0                 
    73500...  ..................  A                   X-ray exam of hip...........       0.17      0.53        0.04       0.74       XXX  N                 
    73500...  26                  A                   X-ray exam of hip...........       0.17      0.08        0.01       0.26       XXX  N                 
    73500...  TC                  A                   X-ray exam of hip...........       0.00      0.45        0.03       0.48       XXX  N                 
    73510...  ..................  A                   X-ray exam of hip...........       0.21      0.64        0.05       0.90       XXX  N                 
    73510...  26                  A                   X-ray exam of hip...........       0.21      0.10        0.01       0.32       XXX  N                 
    73510...  TC                  A                   X-ray exam of hip...........       0.00      0.54        0.04       0.58       XXX  N                 
    73520...  ..................  A                   X-ray exam of hips..........       0.26      0.76        0.06       1.08       XXX  N                 
    73520...  26                  A                   X-ray exam of hips..........       0.26      0.12        0.02       0.40       XXX  N                 
    73520...  TC                  A                   X-ray exam of hips..........       0.00      0.64        0.04       0.68       XXX  N                 
    73525...  ..................  A                   Contrast x-ray of hip.......       0.54      2.25        0.17       2.96       XXX  N                 
    73525...  26                  A                   Contrast x-ray of hip.......       0.54      0.25        0.04       0.83       XXX  N                 
    73525...  TC                  A                   Contrast x-ray of hip.......       0.00      2.00        0.13       2.13       XXX  N                 
    73530...  ..................  A                   X-ray exam of hip...........       0.29      0.63        0.05       0.97       XXX  N                 
    73530...  26                  A                   X-ray exam of hip...........       0.29      0.13        0.02       0.44       XXX  N                 
    73530...  TC                  A                   X-ray exam of hip...........       0.00      0.50        0.03       0.53       XXX  N                 
    73540...  ..................  A                   X-ray exam of pelvis & hips.       0.20      0.64        0.05       0.89       XXX  N                 
    73540...  26                  A                   X-ray exam of pelvis & hips.       0.20      0.10        0.01       0.31       XXX  N                 
    73540...  TC                  A                   X-ray exam of pelvis & hips.       0.00      0.54        0.04       0.58       XXX  N                 
    73550...  ..................  A                   X-ray exam of thigh.........       0.17      0.62        0.05       0.84       XXX  N                 
    73550...  26                  A                   X-ray exam of thigh.........       0.17      0.08        0.01       0.26       XXX  N                 
    73550...  TC                  A                   X-ray exam of thigh.........       0.00      0.54        0.04       0.58       XXX  N                 
    73560...  ..................  A                   X-ray exam of knee..........       0.17      0.57        0.04       0.78       XXX  N                 
    73560...  26                  A                   X-ray exam of knee..........       0.17      0.07        0.01       0.25       XXX  N                 
    73560...  TC                  A                   X-ray exam of knee..........       0.00      0.50        0.03       0.53       XXX  N                 
    73562...  ..................  A                   X-ray exam of knee..........       0.18      0.63        0.05       0.86       XXX  N                 
    73562...  26                  A                   X-ray exam of knee..........       0.18      0.09        0.01       0.28       XXX  N                 
    73562...  TC                  A                   X-ray exam of knee..........       0.00      0.54        0.04       0.58       XXX  N                 
    73564...  ..................  A                   X-ray exam of knee..........       0.22      0.69        0.06       0.97       XXX  N                 
    73564...  26                  A                   X-ray exam of knee..........       0.22      0.10        0.02       0.34       XXX  N                 
    73564...  TC                  A                   X-ray exam of knee..........       0.00      0.59        0.04       0.63       XXX  N                 
    73565...  ..................  A                   X-ray exam of knee..........       0.17      0.54        0.04       0.75       XXX  N                 
    73565...  26                  A                   X-ray exam of knee..........       0.17      0.07        0.01       0.25       XXX  N                 
    73565...  TC                  A                   X-ray exam of knee..........       0.00      0.47        0.03       0.50       XXX  N                 
    73580...  ..................  A                   Contrast x-ray of knee joint       0.54      2.75        0.21       3.50       XXX  N                 
    73580...  26                  A                   Contrast x-ray of knee joint       0.54      0.25        0.04       0.83       XXX  N                 
    73580...  TC                  A                   Contrast x-ray of knee joint       0.00      2.50        0.17       2.67       XXX  N                 
    73590...  ..................  A                   X-ray exam of lower leg.....       0.17      0.57        0.04       0.78       XXX  N                 
    73590...  26                  A                   X-ray exam of lower leg.....       0.17      0.07        0.01       0.25       XXX  N                 
    73590...  TC                  A                   X-ray exam of lower leg.....       0.00      0.50        0.03       0.53       XXX  N                 
    73592...  ..................  A                   X-ray exam of leg, infant...       0.16      0.54        0.04       0.74       XXX  N                 
    73592...  26                  A                   X-ray exam of leg, infant...       0.16      0.07        0.01       0.24       XXX  N                 
    
    [[Page 63272]]
                                                                                                                                                            
    73592...  TC                  A                   X-ray exam of leg, infant...       0.00      0.47        0.03       0.50       XXX  N                 
    73600...  ..................  A                   X-ray exam of ankle.........       0.16      0.54        0.04       0.74       XXX  N                 
    73600...  26                  A                   X-ray exam of ankle.........       0.16      0.07        0.01       0.24       XXX  N                 
    73600...  TC                  A                   X-ray exam of ankle.........       0.00      0.47        0.03       0.50       XXX  N                 
    73610...  ..................  A                   X-ray exam of ankle.........       0.17      0.59        0.04       0.80       XXX  N                 
    73610...  26                  A                   X-ray exam of ankle.........       0.17      0.08        0.01       0.26       XXX  N                 
    73610...  TC                  A                   X-ray exam of ankle.........       0.00      0.51        0.03       0.54       XXX  N                 
    73615...  ..................  A                   Contrast x-ray of ankle.....       0.54      2.25        0.17       2.96       XXX  N                 
    73615...  26                  A                   Contrast x-ray of ankle.....       0.54      0.25        0.04       0.83       XXX  N                 
    73615...  TC                  A                   Contrast x-ray of ankle.....       0.00      2.00        0.13       2.13       XXX  N                 
    73620...  ..................  A                   X-ray exam of foot..........       0.16      0.54        0.04       0.74       XXX  N                 
    73620...  26                  A                   X-ray exam of foot..........       0.16      0.07        0.01       0.24       XXX  N                 
    73620...  TC                  A                   X-ray exam of foot..........       0.00      0.47        0.03       0.50       XXX  N                 
    73630...  ..................  A                   X-ray exam of foot..........       0.17      0.59        0.04       0.80       XXX  N                 
    73630...  26                  A                   X-ray exam of foot..........       0.17      0.08        0.01       0.26       XXX  N                 
    73630...  TC                  A                   X-ray exam of foot..........       0.00      0.51        0.03       0.54       XXX  N                 
    73650...  ..................  A                   X-ray exam of heel..........       0.16      0.52        0.04       0.72       XXX  N                 
    73650...  26                  A                   X-ray exam of heel..........       0.16      0.07        0.01       0.24       XXX  N                 
    73650...  TC                  A                   X-ray exam of heel..........       0.00      0.45        0.03       0.48       XXX  N                 
    73660...  ..................  A                   X-ray exam of toe(s)........       0.13      0.46        0.04       0.63       XXX  N                 
    73660...  26                  A                   X-ray exam of toe(s)........       0.13      0.06        0.01       0.20       XXX  N                 
    73660...  TC                  A                   X-ray exam of toe(s)........       0.00      0.40        0.03       0.43       XXX  N                 
    73700...  ..................  A                   CAT scan of leg.............       1.09      5.21        0.37       6.67       XXX  N                 
    73700...  26                  A                   CAT scan of leg.............       1.09      0.48        0.07       1.64       XXX  N                 
    73700...  TC                  A                   CAT scan of leg.............       0.00      4.73        0.30       5.03       XXX  N                 
    73701...  ..................  A                   Contrast CAT scan of leg....       1.16      6.14        0.44       7.74       XXX  N                 
    73701...  26                  A                   Contrast CAT scan of leg....       1.16      0.51        0.08       1.75       XXX  N                 
    73701...  TC                  A                   Contrast CAT scan of leg....       0.00      5.63        0.36       5.99       XXX  N                 
    73702...  ..................  A                   Contrast CAT scans of leg...       1.22      7.61        0.53       9.36       XXX  N                 
    73702...  26                  A                   Contrast CAT scans of leg...       1.22      0.53        0.08       1.83       XXX  N                 
    73702...  TC                  A                   Contrast CAT scans of leg...       0.00      7.08        0.45       7.53       XXX  N                 
    73720...  ..................  A                   Magnetic image, leg, foot...       1.48     11.34        0.77      13.59       XXX  N                 
    73720...  26                  A                   Magnetic image, leg, foot...       1.48      0.66        0.10       2.24       XXX  N                 
    73720...  TC                  A                   Magnetic image, leg, foot...       0.00     10.68        0.67      11.35       XXX  N                 
    73721...  ..................  A                   Magnetic image, joint of leg       0.95     11.11        0.73      12.79       XXX  N                 
    73721...  26                  A                   Magnetic image, joint of leg       0.95      0.43        0.06       1.44       XXX  N                 
    73721...  TC                  A                   Magnetic image, joint of leg       0.00     10.68        0.67      11.35       XXX  N                 
    73725...  ..................  N                   Magnetic imaging/lower (MRA)      #1.82     11.34        0.77      13.93       XXX  0                 
    73725...  26                  N                   Magnetic imaging/lower (MRA)      #1.82      0.66        0.10       2.58       XXX  0                 
    73725...  TC                  N                   Magnetic imaging/lower (MRA)      #0.00     10.68        0.67      11.35       XXX  0                 
    74000...  ..................  A                   X-ray exam of abdomen.......       0.18      0.58        0.04       0.80       XXX  N                 
    74000...  26                  A                   X-ray exam of abdomen.......       0.18      0.08        0.01       0.27       XXX  N                 
    74000...  TC                  A                   X-ray exam of abdomen.......       0.00      0.50        0.03       0.53       XXX  N                 
    74010...  ..................  A                   X-ray exam of abdomen.......       0.23      0.65        0.06       0.94       XXX  N                 
    74010...  26                  A                   X-ray exam of abdomen.......       0.23      0.11        0.02       0.36       XXX  N                 
    74010...  TC                  A                   X-ray exam of abdomen.......       0.00      0.54        0.04       0.58       XXX  N                 
    74020...  ..................  A                   X-ray exam of abdomen.......       0.27      0.72        0.06       1.05       XXX  N                 
    74020...  26                  A                   X-ray exam of abdomen.......       0.27      0.13        0.02       0.42       XXX  N                 
    74020...  TC                  A                   X-ray exam of abdomen.......       0.00      0.59        0.04       0.63       XXX  N                 
    74022...  ..................  A                   X-ray exam series, abdomen..       0.32      0.85        0.07       1.24       XXX  N                 
    74022...  26                  A                   X-ray exam series, abdomen..       0.32      0.15        0.02       0.49       XXX  N                 
    74022...  TC                  A                   X-ray exam series, abdomen..       0.00      0.70        0.05       0.75       XXX  N                 
    74150...  ..................  A                   CAT scan of abdomen.........       1.19      5.91        0.43       7.53       XXX  N                 
    74150...  26                  A                   CAT scan of abdomen.........       1.19      0.52        0.08       1.79       XXX  N                 
    74150...  TC                  A                   CAT scan of abdomen.........       0.00      5.39        0.35       5.74       XXX  N                 
    74160...  ..................  A                   Contrast CAT scan of abdomen       1.27      7.08        0.50       8.85       XXX  N                 
    74160...  26                  A                   Contrast CAT scan of abdomen       1.27      0.56        0.09       1.92       XXX  N                 
    74160...  TC                  A                   Contrast CAT scan of abdomen       0.00      6.52        0.41       6.93       XXX  N                 
    74170...  ..................  A                   Contrast CAT scans, abdomen.       1.40      8.71        0.60      10.71       XXX  N                 
    74170...  26                  A                   Contrast CAT scans, abdomen.       1.40      0.62        0.10       2.12       XXX  N                 
    74170...  TC                  A                   Contrast CAT scans, abdomen.       0.00      8.09        0.50       8.59       XXX  N                 
    74181...  ..................  A                   Magnetic image, abdomen            1.60     11.40        0.78      13.78       XXX  N                 
                                                       (MRI).                                                                                               
    74181...  26                  A                   Magnetic image, abdomen            1.60      0.72        0.11       2.43       XXX  N                 
                                                       (MRI).                                                                                               
    74181...  TC                  A                   Magnetic image, abdomen            0.00     10.68        0.67      11.35       XXX  N                 
                                                       (MRI).                                                                                               
    74185...  ..................  N                   Magnetic image/abdomen (MRA)      #1.80     11.40        0.78      13.98       XXX  0                 
    74185...  26                  N                   Magnetic image/abdomen (MRA)      #1.80      0.72        0.11       2.63       XXX  0                 
    
    [[Page 63273]]
                                                                                                                                                            
    74185...  TC                  N                   Magnetic image/abdomen (MRA)      #0.00     10.68        0.67      11.35       XXX  0                 
    74190...  ..................  A                   X-ray exam of peritoneum....       0.48      1.37        0.10       1.95       XXX  N                 
    74190...  26                  A                   X-ray exam of peritoneum....       0.48      0.13        0.02       0.63       XXX  N                 
    74190...  TC                  A                   X-ray exam of peritoneum....       0.00      1.24        0.08       1.32       XXX  N                 
    74210...  ..................  A                   Contrast xray exam of throat       0.36      1.29        0.09       1.74       XXX  N                 
    74210...  26                  A                   Contrast xray exam of throat       0.36      0.16        0.02       0.54       XXX  N                 
    74210...  TC                  A                   Contrast xray exam of throat       0.00      1.13        0.07       1.20       XXX  N                 
    74220...  ..................  A                   Contrast xray exam,                0.46      1.34        0.10       1.90       XXX  N                 
                                                       esophagus.                                                                                           
    74220...  26                  A                   Contrast xray exam,                0.46      0.21        0.03       0.70       XXX  N                 
                                                       esophagus.                                                                                           
    74220...  TC                  A                   Contrast xray exam,                0.00      1.13        0.07       1.20       XXX  N                 
                                                       esophagus.                                                                                           
    74230...  ..................  A                   Cinema xray throat/esophagus       0.53      1.49        0.12       2.14       XXX  N                 
    74230...  26                  A                   Cinema xray throat/esophagus       0.53      0.25        0.04       0.82       XXX  N                 
    74230...  TC                  A                   Cinema xray throat/esophagus       0.00      1.24        0.08       1.32       XXX  N                 
    74235...  ..................  A                   Remove esophagus obstruction       1.19      3.02        0.25       4.46       XXX  N                 
    74235...  26                  A                   Remove esophagus obstruction       1.19      0.52        0.08       1.79       XXX  N                 
    74235...  TC                  A                   Remove esophagus obstruction       0.00      2.50        0.17       2.67       XXX  N                 
    74240...  ..................  A                   X-ray exam upper GI tract...       0.69      1.71        0.14       2.54       XXX  N                 
    74240...  26                  A                   X-ray exam upper GI tract...       0.69      0.32        0.05       1.06       XXX  N                 
    74240...  TC                  A                   X-ray exam upper GI tract...       0.00      1.39        0.09       1.48       XXX  N                 
    74241...  ..................  A                   X-ray exam upper GI tract...       0.69      1.74        0.14       2.57       XXX  N                 
    74241...  26                  A                   X-ray exam upper GI tract...       0.69      0.32        0.05       1.06       XXX  N                 
    74241...  TC                  A                   X-ray exam upper GI tract...       0.00      1.42        0.09       1.51       XXX  N                 
    74245...  ..................  A                   X-ray exam upper GI tract...       0.91      2.68        0.21       3.80       XXX  N                 
    74245...  26                  A                   X-ray exam upper GI tract...       0.91      0.41        0.06       1.38       XXX  N                 
    74245...  TC                  A                   X-ray exam upper GI tract...       0.00      2.27        0.15       2.42       XXX  N                 
    74246...  ..................  A                   Contrast xray upper GI tract       0.69      1.89        0.15       2.73       XXX  N                 
    74246...  26                  A                   Contrast xray upper GI tract       0.69      0.32        0.05       1.06       XXX  N                 
    74246...  TC                  A                   Contrast xray upper GI tract       0.00      1.57        0.10       1.67       XXX  N                 
    74247...  ..................  A                   Contrast xray upper GI tract       0.69      1.92        0.16       2.77       XXX  N                 
    74247...  26                  A                   Contrast xray upper GI tract       0.69      0.32        0.05       1.06       XXX  N                 
    74247...  TC                  A                   Contrast xray upper GI tract       0.00      1.60        0.11       1.71       XXX  N                 
    74249...  ..................  A                   Contrast xray upper GI tract       0.91      2.86        0.22       3.99       XXX  N                 
    74249...  26                  A                   Contrast xray upper GI tract       0.91      0.41        0.06       1.38       XXX  N                 
    74249...  TC                  A                   Contrast xray upper GI tract       0.00      2.45        0.16       2.61       XXX  N                 
    74250...  ..................  A                   X-ray exam of small bowel...       0.47      1.45        0.11       2.03       XXX  N                 
    74250...  26                  A                   X-ray exam of small bowel...       0.47      0.21        0.03       0.71       XXX  N                 
    74250...  TC                  A                   X-ray exam of small bowel...       0.00      1.24        0.08       1.32       XXX  N                 
    74251...  ..................  A                   X-ray exam of small bowel...       0.69      1.45        0.11       2.25       XXX  N                 
    74251...  26                  A                   X-ray exam of small bowel...       0.69      0.21        0.03       0.93       XXX  N                 
    74251...  TC                  A                   X-ray exam of small bowel...       0.00      1.24        0.08       1.32       XXX  N                 
    74260...  ..................  A                   X-ray exam of small bowel...       0.50      1.65        0.12       2.27       XXX  N                 
    74260...  26                  A                   X-ray exam of small bowel...       0.50      0.23        0.03       0.76       XXX  N                 
    74260...  TC                  A                   X-ray exam of small bowel...       0.00      1.42        0.09       1.51       XXX  N                 
    74270...  ..................  A                   Contrast x-ray exam of colon       0.69      1.94        0.16       2.79       XXX  N                 
    74270...  26                  A                   Contrast x-ray exam of colon       0.69      0.32        0.05       1.06       XXX  N                 
    74270...  TC                  A                   Contrast x-ray exam of colon       0.00      1.62        0.11       1.73       XXX  N                 
    74280...  ..................  A                   Contrast x-ray exam of colon       0.99      2.58        0.21       3.78       XXX  N                 
    74280...  26                  A                   Contrast x-ray exam of colon       0.99      0.45        0.07       1.51       XXX  N                 
    74280...  TC                  A                   Contrast x-ray exam of colon       0.00      2.13        0.14       2.27       XXX  N                 
    74283...  ..................  A                   Contrast x-ray exam of colon       2.02      3.34        0.30       5.66       XXX  N                 
    74283...  26                  A                   Contrast x-ray exam of colon       2.02      0.90        0.14       3.06       XXX  N                 
    74283...  TC                  A                   Contrast x-ray exam of colon       0.00      2.44        0.16       2.60       XXX  N                 
    74290...  ..................  A                   Contrast x-ray, gallbladder.       0.32      0.85        0.07       1.24       XXX  N                 
    74290...  26                  A                   Contrast x-ray, gallbladder.       0.32      0.15        0.02       0.49       XXX  N                 
    74290...  TC                  A                   Contrast x-ray, gallbladder.       0.00      0.70        0.05       0.75       XXX  N                 
    74291...  ..................  A                   Contrast x-rays, gallbladder       0.20      0.49        0.04       0.73       XXX  N                 
    74291...  26                  A                   Contrast x-rays, gallbladder       0.20      0.09        0.01       0.30       XXX  N                 
    74291...  TC                  A                   Contrast x-rays, gallbladder       0.00      0.40        0.03       0.43       XXX  N                 
    74300...  ..................  C                   X-ray bile ducts, pancreas..       0.00      0.00        0.00       0.00       XXX  N                 
    74300...  26                  A                   X-ray bile ducts, pancreas..       0.36      0.17        0.02       0.55       XXX  N                 
    74300...  TC                  C                   X-ray bile ducts, pancreas..       0.00      0.00        0.00       0.00       XXX  N                 
    74301...  ..................  C                   Additional x-rays at surgery       0.00      0.00        0.00       0.00       XXX  N                 
    74301...  26                  A                   Additional x-rays at surgery       0.21      0.10        0.01       0.32       XXX  N                 
    74301...  TC                  C                   Additional x-rays at surgery       0.00      0.00        0.00       0.00       XXX  N                 
    74305...  ..................  A                   X-ray bile ducts, pancreas..       0.42      0.94        0.08       1.44       XXX  N                 
    74305...  26                  A                   X-ray bile ducts, pancreas..       0.42      0.19        0.03       0.64       XXX  N                 
    
    [[Page 63274]]
                                                                                                                                                            
    74305...  TC                  A                   X-ray bile ducts, pancreas..       0.00      0.75        0.05       0.80       XXX  N                 
    74320...  ..................  A                   Contrast x-ray of bile ducts       0.54      3.25        0.23       4.02       XXX  N                 
    74320...  26                  A                   Contrast x-ray of bile ducts       0.54      0.25        0.04       0.83       XXX  N                 
    74320...  TC                  A                   Contrast x-ray of bile ducts       0.00      3.00        0.19       3.19       XXX  N                 
    74327...  ..................  A                   X-ray for bile stone removal       0.70      2.00        0.16       2.86       XXX  N                 
    74327...  26                  A                   X-ray for bile stone removal       0.70      0.32        0.05       1.07       XXX  N                 
    74327...  TC                  A                   X-ray for bile stone removal       0.00      1.68        0.11       1.79       XXX  N                 
    74328...  ..................  A                   Xray for bile duct endoscopy       0.70      3.32        0.24       4.26       XXX  N                 
    74328...  26                  A                   Xray for bile duct endoscopy       0.70      0.32        0.05       1.07       XXX  N                 
    74328...  TC                  A                   Xray for bile duct endoscopy       0.00      3.00        0.19       3.19       XXX  N                 
    74329...  ..................  A                   X-ray for pancreas endoscopy       0.70      3.32        0.24       4.26       XXX  N                 
    74329...  26                  A                   X-ray for pancreas endoscopy       0.70      0.32        0.05       1.07       XXX  N                 
    74329...  TC                  A                   X-ray for pancreas endoscopy       0.00      3.00        0.19       3.19       XXX  N                 
    74330...  ..................  A                   Xray, bile/pancreas                0.70      3.32        0.24       4.26       XXX  N                 
                                                       endoscopy.                                                                                           
    74330...  26                  A                   Xray, bile/pancreas                0.70      0.32        0.05       1.07       XXX  N                 
                                                       endoscopy.                                                                                           
    74330...  TC                  A                   Xray, bile/pancreas                0.00      3.00        0.19       3.19       XXX  N                 
                                                       endoscopy.                                                                                           
    74340...  ..................  A                   X-ray guide for GI tube.....       0.54      2.75        0.21       3.50       XXX  N                 
    74340...  26                  A                   X-ray guide for GI tube.....       0.54      0.25        0.04       0.83       XXX  N                 
    74340...  TC                  A                   X-ray guide for GI tube.....       0.00      2.50        0.17       2.67       XXX  N                 
    74350...  ..................  A                   X-ray guide, stomach tube...       0.76      3.35        0.24       4.35       XXX  N                 
    74350...  26                  A                   X-ray guide, stomach tube...       0.76      0.35        0.05       1.16       XXX  N                 
    74350...  TC                  A                   X-ray guide, stomach tube...       0.00      3.00        0.19       3.19       XXX  N                 
    74355...  ..................  A                   X-ray guide, intestinal tube       0.76      2.85        0.22       3.83       XXX  N                 
    74355...  26                  A                   X-ray guide, intestinal tube       0.76      0.35        0.05       1.16       XXX  N                 
    74355...  TC                  A                   X-ray guide, intestinal tube       0.00      2.50        0.17       2.67       XXX  N                 
    74360...  ..................  A                   X-ray guide, GI dilation....       0.54      3.25        0.23       4.02       XXX  N                 
    74360...  26                  A                   X-ray guide, GI dilation....       0.54      0.25        0.04       0.83       XXX  N                 
    74360...  TC                  A                   X-ray guide, GI dilation....       0.00      3.00        0.19       3.19       XXX  N                 
    74363...  ..................  A                   X-ray, bile duct dilation...       0.88      6.21        0.43       7.52       XXX  N                 
    74363...  26                  A                   X-ray, bile duct dilation...       0.88      0.40        0.06       1.34       XXX  N                 
    74363...  TC                  A                   X-ray, bile duct dilation...       0.00      5.81        0.37       6.18       XXX  N                 
    74400...  ..................  A                   Contrast x-ray urinary tract       0.49      1.82        0.14       2.45       XXX  N                 
    74400...  26                  A                   Contrast x-ray urinary tract       0.49      0.22        0.03       0.74       XXX  N                 
    74400...  TC                  A                   Contrast x-ray urinary tract       0.00      1.60        0.11       1.71       XXX  N                 
    74405...  ..................  A                   Contrast x-ray urinary tract       0.49      2.11        0.16       2.76       XXX  N                 
    74405...  26                  A                   Contrast x-ray urinary tract       0.49      0.22        0.03       0.74       XXX  N                 
    74405...  TC                  A                   Contrast x-ray urinary tract       0.00      1.89        0.13       2.02       XXX  N                 
    74410...  ..................  A                   Contrast x-ray urinary tract       0.49      2.08        0.15       2.72       XXX  N                 
    74410...  26                  A                   Contrast x-ray urinary tract       0.49      0.22        0.03       0.74       XXX  N                 
    74410...  TC                  A                   Contrast x-ray urinary tract       0.00      1.86        0.12       1.98       XXX  N                 
    74415...  ..................  A                   Contrast x-ray urinary tract       0.49      2.24        0.16       2.89       XXX  N                 
    74415...  26                  A                   Contrast x-ray urinary tract       0.49      0.22        0.03       0.74       XXX  N                 
    74415...  TC                  A                   Contrast x-ray urinary tract       0.00      2.02        0.13       2.15       XXX  N                 
    74420...  ..................  A                   Contrast x-ray urinary tract       0.36      2.66        0.19       3.21       XXX  N                 
    74420...  26                  A                   Contrast x-ray urinary tract       0.36      0.16        0.02       0.54       XXX  N                 
    74420...  TC                  A                   Contrast x-ray urinary tract       0.00      2.50        0.17       2.67       XXX  N                 
    74425...  ..................  A                   Contrast x-ray urinary tract       0.36      1.40        0.10       1.86       XXX  N                 
    74425...  26                  A                   Contrast x-ray urinary tract       0.36      0.16        0.02       0.54       XXX  N                 
    74425...  TC                  A                   Contrast x-ray urinary tract       0.00      1.24        0.08       1.32       XXX  N                 
    74430...  ..................  A                   Contrast x-ray of bladder...       0.32      1.15        0.09       1.56       XXX  N                 
    74430...  26                  A                   Contrast x-ray of bladder...       0.32      0.15        0.02       0.49       XXX  N                 
    74430...  TC                  A                   Contrast x-ray of bladder...       0.00      1.00        0.07       1.07       XXX  N                 
    74440...  ..................  A                   Xray exam male genital tract       0.38      1.25        0.10       1.73       XXX  N                 
    74440...  26                  A                   Xray exam male genital tract       0.38      0.17        0.03       0.58       XXX  N                 
    74440...  TC                  A                   Xray exam male genital tract       0.00      1.08        0.07       1.15       XXX  N                 
    74445...  ..................  A                   X-ray exam of penis.........       1.14      1.58        0.15       2.87       XXX  N                 
    74445...  26                  A                   X-ray exam of penis.........       1.14      0.50        0.08       1.72       XXX  N                 
    74445...  TC                  A                   X-ray exam of penis.........       0.00      1.08        0.07       1.15       XXX  N                 
    74450...  ..................  A                   X-ray exam urethra/bladder..       0.33      1.54        0.11       1.98       XXX  N                 
    74450...  26                  A                   X-ray exam urethra/bladder..       0.33      0.15        0.02       0.50       XXX  N                 
    74450...  TC                  A                   X-ray exam urethra/bladder..       0.00      1.39        0.09       1.48       XXX  N                 
    74455...  ..................  A                   X-ray exam urethra/bladder..       0.33      1.65        0.12       2.10       XXX  N                 
    74455...  26                  A                   X-ray exam urethra/bladder..       0.33      0.15        0.02       0.50       XXX  N                 
    74455...  TC                  A                   X-ray exam urethra/bladder..       0.00      1.50        0.10       1.60       XXX  N                 
    74470...  ..................  A                   X-ray exam of kidney lesion.       0.54      1.44        0.12       2.10       XXX  N                 
    74470...  26                  A                   X-ray exam of kidney lesion.       0.54      0.25        0.04       0.83       XXX  N                 
    
    [[Page 63275]]
                                                                                                                                                            
    74470...  TC                  A                   X-ray exam of kidney lesion.       0.00      1.19        0.08       1.27       XXX  N                 
    74475...  ..................  A                   Xray control catheter insert       0.54      4.13        0.29       4.96       XXX  N                 
    74475...  26                  A                   Xray control catheter insert       0.54      0.25        0.04       0.83       XXX  N                 
    74475...  TC                  A                   Xray control catheter insert       0.00      3.88        0.25       4.13       XXX  N                 
    74480...  ..................  A                   Xray control catheter insert       0.54      4.13        0.29       4.96       XXX  N                 
    74480...  26                  A                   Xray control catheter insert       0.54      0.25        0.04       0.83       XXX  N                 
    74480...  TC                  A                   Xray control catheter insert       0.00      3.88        0.25       4.13       XXX  N                 
    74485...  ..................  A                   X-ray guide, GU dilation....       0.54      3.25        0.23       4.02       XXX  N                 
    74485...  26                  A                   X-ray guide, GU dilation....       0.54      0.25        0.04       0.83       XXX  N                 
    74485...  TC                  A                   X-ray guide, GU dilation....       0.00      3.00        0.19       3.19       XXX  N                 
    74710...  ..................  A                   X-ray measurement of pelvis.       0.34      1.16        0.09       1.59       XXX  N                 
    74710...  26                  A                   X-ray measurement of pelvis.       0.34      0.16        0.02       0.52       XXX  N                 
    74710...  TC                  A                   X-ray measurement of pelvis.       0.00      1.00        0.07       1.07       XXX  N                 
    74740...  ..................  A                   X-ray female genital tract..       0.38      1.41        0.11       1.90       XXX  N                 
    74740...  26                  A                   X-ray female genital tract..       0.38      0.17        0.03       0.58       XXX  N                 
    74740...  TC                  A                   X-ray female genital tract..       0.00      1.24        0.08       1.32       XXX  N                 
    74742...  ..................  A                   X-ray fallopian tube........       0.61      3.25        0.23       4.09       XXX  N                 
    74742...  26                  A                   X-ray fallopian tube........       0.61      0.25        0.04       0.90       XXX  N                 
    74742...  TC                  A                   X-ray fallopian tube........       0.00      3.00        0.19       3.19       XXX  N                 
    74775...  ..................  A                   X-ray exam of perineum......       0.62      1.68        0.13       2.43       XXX  N                 
    74775...  26                  A                   X-ray exam of perineum......       0.62      0.29        0.04       0.95       XXX  N                 
    74775...  TC                  A                   X-ray exam of perineum......       0.00      1.39        0.09       1.48       XXX  N                 
    75552...  ..................  A                   Magnetic image, myocardium..       1.60     11.40        0.78      13.78       XXX  N                 
    75552...  26                  A                   Magnetic image, myocardium..       1.60      0.72        0.11       2.43       XXX  N                 
    75552...  TC                  A                   Magnetic image, myocardium..       0.00     10.68        0.67      11.35       XXX  N                 
    75553...  ..................  A                   Magnetic image, myocardium..       2.00     11.40        0.78      14.18       XXX  N                 
    75553...  26                  A                   Magnetic image, myocardium..       2.00      0.72        0.11       2.83       XXX  N                 
    75553...  TC                  A                   Magnetic image, myocardium..       0.00     10.68        0.67      11.35       XXX  N                 
    75554...  ..................  A                   Cardiac MRI/function........       1.83     11.40        0.78      14.01       XXX  N                 
    75554...  26                  A                   Cardiac MRI/function........       1.83      0.72        0.11       2.66       XXX  N                 
    75554...  TC                  A                   Cardiac MRI/function........       0.00     10.68        0.67      11.35       XXX  N                 
    75555...  ..................  A                   Cardiac MRI/limited study...       1.74     11.40        0.78      13.92       XXX  N                 
    75555...  26                  A                   Cardiac MRI/limited study...       1.74      0.72        0.11       2.57       XXX  N                 
    75555...  TC                  A                   Cardiac MRI/limited study...       0.00     10.68        0.67      11.35       XXX  N                 
    75556...  ..................  N                   Cardiac MRI/flow mapping....       0.00      0.00        0.00       0.00       XXX  0                 
    75600...  ..................  A                   Contrast x-ray exam of aorta       0.49     12.23        0.78      13.50       XXX  N                 
    75600...  26                  A                   Contrast x-ray exam of aorta       0.49      0.22        0.03       0.74       XXX  N                 
    75600...  TC                  A                   Contrast x-ray exam of aorta       0.00     12.01        0.75      12.76       XXX  N                 
    75605...  ..................  A                   Contrast x-ray exam of aorta       1.14     12.51        0.83      14.48       XXX  N                 
    75605...  26                  A                   Contrast x-ray exam of aorta       1.14      0.50        0.08       1.72       XXX  N                 
    75605...  TC                  A                   Contrast x-ray exam of aorta       0.00     12.01        0.75      12.76       XXX  N                 
    75625...  ..................  A                   Contrast x-ray exam of aorta       1.14     12.51        0.83      14.48       XXX  N                 
    75625...  26                  A                   Contrast x-ray exam of aorta       1.14      0.50        0.08       1.72       XXX  N                 
    75625...  TC                  A                   Contrast x-ray exam of aorta       0.00     12.01        0.75      12.76       XXX  N                 
    75630...  ..................  A                   X-ray aorta, leg arteries...       1.31     13.09        0.88      15.28       XXX  N                 
    75630...  26                  A                   X-ray aorta, leg arteries...       1.31      0.58        0.09       1.98       XXX  N                 
    75630...  TC                  A                   X-ray aorta, leg arteries...       0.00     12.51        0.79      13.30       XXX  N                 
    75650...  ..................  A                   Artery x-rays, head & neck..       1.49     12.67        0.85      15.01       XXX  N                 
    75650...  26                  A                   Artery x-rays, head & neck..       1.49      0.66        0.10       2.25       XXX  N                 
    75650...  TC                  A                   Artery x-rays, head & neck..       0.00     12.01        0.75      12.76       XXX  N                 
    75658...  ..................  A                   X-ray exam of arm arteries..       1.31     12.59        0.84      14.74       XXX  N                 
    75658...  26                  A                   X-ray exam of arm arteries..       1.31      0.58        0.09       1.98       XXX  N                 
    75658...  TC                  A                   X-ray exam of arm arteries..       0.00     12.01        0.75      12.76       XXX  N                 
    75660...  ..................  A                   Artery x-rays, head & neck..       1.31     12.59        0.84      14.74       XXX  N                 
    75660...  26                  A                   Artery x-rays, head & neck..       1.31      0.58        0.09       1.98       XXX  N                 
    75660...  TC                  A                   Artery x-rays, head & neck..       0.00     12.01        0.75      12.76       XXX  N                 
    75662...  ..................  A                   Artery x-rays, head & neck..       1.66     12.75        0.86      15.27       XXX  N                 
    75662...  26                  A                   Artery x-rays, head & neck..       1.66      0.74        0.11       2.51       XXX  N                 
    75662...  TC                  A                   Artery x-rays, head & neck..       0.00     12.01        0.75      12.76       XXX  N                 
    75665...  ..................  A                   Artery x-rays, head & neck..       1.31     12.59        0.84      14.74       XXX  N                 
    75665...  26                  A                   Artery x-rays, head & neck..       1.31      0.58        0.09       1.98       XXX  N                 
    75665...  TC                  A                   Artery x-rays, head & neck..       0.00     12.01        0.75      12.76       XXX  N                 
    75671...  ..................  A                   Artery x-rays, head & neck..       1.66     12.75        0.86      15.27       XXX  N                 
    75671...  26                  A                   Artery x-rays, head & neck..       1.66      0.74        0.11       2.51       XXX  N                 
    75671...  TC                  A                   Artery x-rays, head & neck..       0.00     12.01        0.75      12.76       XXX  N                 
    75676...  ..................  A                   Artery x-rays, neck.........       1.31     12.59        0.84      14.74       XXX  N                 
    
    [[Page 63276]]
                                                                                                                                                            
    75676...  26                  A                   Artery x-rays, neck.........       1.31      0.58        0.09       1.98       XXX  N                 
    75676...  TC                  A                   Artery x-rays, neck.........       0.00     12.01        0.75      12.76       XXX  N                 
    75680...  ..................  A                   Artery x-rays, neck.........       1.66     12.75        0.86      15.27       XXX  N                 
    75680...  26                  A                   Artery x-rays, neck.........       1.66      0.74        0.11       2.51       XXX  N                 
    75680...  TC                  A                   Artery x-rays, neck.........       0.00     12.01        0.75      12.76       XXX  N                 
    75685...  ..................  A                   Artery x-rays, spine........       1.31     12.59        0.84      14.74       XXX  N                 
    75685...  26                  A                   Artery x-rays, spine........       1.31      0.58        0.09       1.98       XXX  N                 
    75685...  TC                  A                   Artery x-rays, spine........       0.00     12.01        0.75      12.76       XXX  N                 
    75705...  ..................  A                   Artery x-rays, spine........       2.18     12.99        0.90      16.07       XXX  N                 
    75705...  26                  A                   Artery x-rays, spine........       2.18      0.98        0.15       3.31       XXX  N                 
    75705...  TC                  A                   Artery x-rays, spine........       0.00     12.01        0.75      12.76       XXX  N                 
    75710...  ..................  A                   Artery x-rays, arm/leg......       1.14     12.51        0.83      14.48       XXX  N                 
    75710...  26                  A                   Artery x-rays, arm/leg......       1.14      0.50        0.08       1.72       XXX  N                 
    75710...  TC                  A                   Artery x-rays, arm/leg......       0.00     12.01        0.75      12.76       XXX  N                 
    75716...  ..................  A                   Artery x-rays, arms/legs....       1.31     12.59        0.84      14.74       XXX  N                 
    75716...  26                  A                   Artery x-rays, arms/legs....       1.31      0.58        0.09       1.98       XXX  N                 
    75716...  TC                  A                   Artery x-rays, arms/legs....       0.00     12.01        0.75      12.76       XXX  N                 
    75722...  ..................  A                   Artery x-rays, kidney.......       1.14     12.51        0.83      14.48       XXX  N                 
    75722...  26                  A                   Artery x-rays, kidney.......       1.14      0.50        0.08       1.72       XXX  N                 
    75722...  TC                  A                   Artery x-rays, kidney.......       0.00     12.01        0.75      12.76       XXX  N                 
    75724...  ..................  A                   Artery x-rays, kidneys......       1.49     12.67        0.85      15.01       XXX  N                 
    75724...  26                  A                   Artery x-rays, kidneys......       1.49      0.66        0.10       2.25       XXX  N                 
    75724...  TC                  A                   Artery x-rays, kidneys......       0.00     12.01        0.75      12.76       XXX  N                 
    75726...  ..................  A                   Artery x-rays, abdomen......       1.14     12.51        0.83      14.48       XXX  N                 
    75726...  26                  A                   Artery x-rays, abdomen......       1.14      0.50        0.08       1.72       XXX  N                 
    75726...  TC                  A                   Artery x-rays, abdomen......       0.00     12.01        0.75      12.76       XXX  N                 
    75731...  ..................  A                   Artery x-rays, adrenal gland       1.14     12.51        0.83      14.48       XXX  N                 
    75731...  26                  A                   Artery x-rays, adrenal gland       1.14      0.50        0.08       1.72       XXX  N                 
    75731...  TC                  A                   Artery x-rays, adrenal gland       0.00     12.01        0.75      12.76       XXX  N                 
    75733...  ..................  A                   Artery x-rays, adrenal             1.31     12.59        0.84      14.74       XXX  N                 
                                                       glands.                                                                                              
    75733...  26                  A                   Artery x-rays, adrenal             1.31      0.58        0.09       1.98       XXX  N                 
                                                       glands.                                                                                              
    75733...  TC                  A                   Artery x-rays, adrenal             0.00     12.01        0.75      12.76       XXX  N                 
                                                       glands.                                                                                              
    75736...  ..................  A                   Artery x-rays, pelvis.......       1.14     12.51        0.83      14.48       XXX  N                 
    75736...  26                  A                   Artery x-rays, pelvis.......       1.14      0.50        0.08       1.72       XXX  N                 
    75736...  TC                  A                   Artery x-rays, pelvis.......       0.00     12.01        0.75      12.76       XXX  N                 
    75741...  ..................  A                   Artery x-rays, lung.........       1.31     12.59        0.84      14.74       XXX  N                 
    75741...  26                  A                   Artery x-rays, lung.........       1.31      0.58        0.09       1.98       XXX  N                 
    75741...  TC                  A                   Artery x-rays, lung.........       0.00     12.01        0.75      12.76       XXX  N                 
    75743...  ..................  A                   Artery x-rays, lungs........       1.66     12.75        0.86      15.27       XXX  N                 
    75743...  26                  A                   Artery x-rays, lungs........       1.66      0.74        0.11       2.51       XXX  N                 
    75743...  TC                  A                   Artery x-rays, lungs........       0.00     12.01        0.75      12.76       XXX  N                 
    75746...  ..................  A                   Artery x-rays, lung.........       1.14     12.51        0.83      14.48       XXX  N                 
    75746...  26                  A                   Artery x-rays, lung.........       1.14      0.50        0.08       1.72       XXX  N                 
    75746...  TC                  A                   Artery x-rays, lung.........       0.00     12.01        0.75      12.76       XXX  N                 
    75756...  ..................  A                   Artery x-rays, chest........       1.14     12.51        0.83      14.48       XXX  N                 
    75756...  26                  A                   Artery x-rays, chest........       1.14      0.50        0.08       1.72       XXX  N                 
    75756...  TC                  A                   Artery x-rays, chest........       0.00     12.01        0.75      12.76       XXX  N                 
    75774...  ..................  A                   Artery x-ray, each vessel...       0.36     12.17        0.77      13.30       XXX  N                 
    75774...  26                  A                   Artery x-ray, each vessel...       0.36      0.16        0.02       0.54       XXX  N                 
    75774...  TC                  A                   Artery x-ray, each vessel...       0.00     12.01        0.75      12.76       XXX  N                 
    75790...  ..................  A                   Visualize A-V shunt.........       1.84      2.12        0.21       4.17       XXX  N                 
    75790...  26                  A                   Visualize A-V shunt.........       1.84      0.83        0.12       2.79       XXX  N                 
    75790...  TC                  A                   Visualize A-V shunt.........       0.00      1.29        0.09       1.38       XXX  N                 
    75801...  ..................  A                   Lymph vessel x-ray, arm/leg.       0.81      5.53        0.38       6.72       XXX  N                 
    75801...  26                  A                   Lymph vessel x-ray, arm/leg.       0.81      0.37        0.05       1.23       XXX  N                 
    75801...  TC                  A                   Lymph vessel x-ray, arm/leg.       0.00      5.16        0.33       5.49       XXX  N                 
    75803...  ..................  A                   Lymph vessel x-ray, arms/          1.17      5.67        0.41       7.25       XXX  N                 
                                                       legs.                                                                                                
    75803...  26                  A                   Lymph vessel x-ray, arms/          1.17      0.51        0.08       1.76       XXX  N                 
                                                       legs.                                                                                                
    75803...  TC                  A                   Lymph vessel x-ray, arms/          0.00      5.16        0.33       5.49       XXX  N                 
                                                       legs.                                                                                                
    75805...  ..................  A                   Lymph vessel x-ray, trunk...       0.81      6.18        0.42       7.41       XXX  N                 
    75805...  26                  A                   Lymph vessel x-ray, trunk...       0.81      0.37        0.05       1.23       XXX  N                 
    75805...  TC                  A                   Lymph vessel x-ray, trunk...       0.00      5.81        0.37       6.18       XXX  N                 
    75807...  ..................  A                   Lymph vessel x-ray, trunk...       1.17      6.32        0.45       7.94       XXX  N                 
    75807...  26                  A                   Lymph vessel x-ray, trunk...       1.17      0.51        0.08       1.76       XXX  N                 
    75807...  TC                  A                   Lymph vessel x-ray, trunk...       0.00      5.81        0.37       6.18       XXX  N                 
    75809...  ..................  A                   Nonvascular shunt, x-ray....       0.47      0.94        0.08       1.49       XXX  N                 
    
    [[Page 63277]]
                                                                                                                                                            
    75809...  26                  A                   Nonvascular shunt, x-ray....       0.47      0.19        0.03       0.69       XXX  N                 
    75809...  TC                  A                   Nonvascular shunt, x-ray....       0.00      0.75        0.05       0.80       XXX  N                 
    75810...  ..................  A                   Vein x-ray, spleen/liver....       1.14     12.51        0.83      14.48       XXX  N                 
    75810...  26                  A                   Vein x-ray, spleen/liver....       1.14      0.50        0.08       1.72       XXX  N                 
    75810...  TC                  A                   Vein x-ray, spleen/liver....       0.00     12.01        0.75      12.76       XXX  N                 
    75820...  ..................  A                   Vein x-ray, arm/leg.........       0.70      1.22        0.11       2.03       XXX  N                 
    75820...  26                  A                   Vein x-ray, arm/leg.........       0.70      0.32        0.05       1.07       XXX  N                 
    75820...  TC                  A                   Vein x-ray, arm/leg.........       0.00      0.90        0.06       0.96       XXX  N                 
    75822...  ..................  A                   Vein x-ray, arms/legs.......       1.06      1.88        0.16       3.10       XXX  N                 
    75822...  26                  A                   Vein x-ray, arms/legs.......       1.06      0.47        0.07       1.60       XXX  N                 
    75822...  TC                  A                   Vein x-ray, arms/legs.......       0.00      1.41        0.09       1.50       XXX  N                 
    75825...  ..................  A                   Vein x-ray, trunk...........       1.14     12.51        0.83      14.48       XXX  N                 
    75825...  26                  A                   Vein x-ray, trunk...........       1.14      0.50        0.08       1.72       XXX  N                 
    75825...  TC                  A                   Vein x-ray, trunk...........       0.00     12.01        0.75      12.76       XXX  N                 
    75827...  ..................  A                   Vein x-ray, chest...........       1.14     12.51        0.83      14.48       XXX  N                 
    75827...  26                  A                   Vein x-ray, chest...........       1.14      0.50        0.08       1.72       XXX  N                 
    75827...  TC                  A                   Vein x-ray, chest...........       0.00     12.01        0.75      12.76       XXX  N                 
    75831...  ..................  A                   Vein x-ray, kidney..........       1.14     12.51        0.83      14.48       XXX  N                 
    75831...  26                  A                   Vein x-ray, kidney..........       1.14      0.50        0.08       1.72       XXX  N                 
    75831...  TC                  A                   Vein x-ray, kidney..........       0.00     12.01        0.75      12.76       XXX  N                 
    75833...  ..................  A                   Vein x-ray, kidneys.........       1.49     12.67        0.85      15.01       XXX  N                 
    75833...  26                  A                   Vein x-ray, kidneys.........       1.49      0.66        0.10       2.25       XXX  N                 
    75833...  TC                  A                   Vein x-ray, kidneys.........       0.00     12.01        0.75      12.76       XXX  N                 
    75840...  ..................  A                   Vein x-ray, adrenal gland...       1.14     12.51        0.83      14.48       XXX  N                 
    75840...  26                  A                   Vein x-ray, adrenal gland...       1.14      0.50        0.08       1.72       XXX  N                 
    75840...  TC                  A                   Vein x-ray, adrenal gland...       0.00     12.01        0.75      12.76       XXX  N                 
    75842...  ..................  A                   Vein x-ray, adrenal glands..       1.49     12.67        0.85      15.01       XXX  N                 
    75842...  26                  A                   Vein x-ray, adrenal glands..       1.49      0.66        0.10       2.25       XXX  N                 
    75842...  TC                  A                   Vein x-ray, adrenal glands..       0.00     12.01        0.75      12.76       XXX  N                 
    75860...  ..................  A                   Vein x-ray, neck............       1.14     12.51        0.83      14.48       XXX  N                 
    75860...  26                  A                   Vein x-ray, neck............       1.14      0.50        0.08       1.72       XXX  N                 
    75860...  TC                  A                   Vein x-ray, neck............       0.00     12.01        0.75      12.76       XXX  N                 
    75870...  ..................  A                   Vein x-ray, skull...........       1.14     12.51        0.83      14.48       XXX  N                 
    75870...  26                  A                   Vein x-ray, skull...........       1.14      0.50        0.08       1.72       XXX  N                 
    75870...  TC                  A                   Vein x-ray, skull...........       0.00     12.01        0.75      12.76       XXX  N                 
    75872...  ..................  A                   Vein x-ray, skull...........       1.14     12.51        0.83      14.48       XXX  N                 
    75872...  26                  A                   Vein x-ray, skull...........       1.14      0.50        0.08       1.72       XXX  N                 
    75872...  TC                  A                   Vein x-ray, skull...........       0.00     12.01        0.75      12.76       XXX  N                 
    75880...  ..................  A                   Vein x-ray, eye socket......       0.70      1.22        0.11       2.03       XXX  N                 
    75880...  26                  A                   Vein x-ray, eye socket......       0.70      0.32        0.05       1.07       XXX  N                 
    75880...  TC                  A                   Vein x-ray, eye socket......       0.00      0.90        0.06       0.96       XXX  N                 
    75885...  ..................  A                   Vein x-ray, liver...........       1.44     12.65        0.85      14.94       XXX  N                 
    75885...  26                  A                   Vein x-ray, liver...........       1.44      0.64        0.10       2.18       XXX  N                 
    75885...  TC                  A                   Vein x-ray, liver...........       0.00     12.01        0.75      12.76       XXX  N                 
    75887...  ..................  A                   Vein x-ray, liver...........       1.44     12.65        0.85      14.94       XXX  N                 
    75887...  26                  A                   Vein x-ray, liver...........       1.44      0.64        0.10       2.18       XXX  N                 
    75887...  TC                  A                   Vein x-ray, liver...........       0.00     12.01        0.75      12.76       XXX  N                 
    75889...  ..................  A                   Vein x-ray, liver...........       1.14     12.51        0.83      14.48       XXX  N                 
    75889...  26                  A                   Vein x-ray, liver...........       1.14      0.50        0.08       1.72       XXX  N                 
    75889...  TC                  A                   Vein x-ray, liver...........       0.00     12.01        0.75      12.76       XXX  N                 
    75891...  ..................  A                   Vein x-ray, liver...........       1.14     12.51        0.83      14.48       XXX  N                 
    75891...  26                  A                   Vein x-ray, liver...........       1.14      0.50        0.08       1.72       XXX  N                 
    75891...  TC                  A                   Vein x-ray, liver...........       0.00     12.01        0.75      12.76       XXX  N                 
    75893...  ..................  A                   Venous sampling by catheter.       0.54     12.26        0.79      13.59       XXX  N                 
    75893...  26                  A                   Venous sampling by catheter.       0.54      0.25        0.04       0.83       XXX  N                 
    75893...  TC                  A                   Venous sampling by catheter.       0.00     12.01        0.75      12.76       XXX  N                 
    75894...  ..................  A                   X-rays, transcatheter              1.31     23.58        1.53      26.42       XXX  N                 
                                                       therapy.                                                                                             
    75894...  26                  A                   X-rays, transcatheter              1.31      0.58        0.09       1.98       XXX  N                 
                                                       therapy.                                                                                             
    75894...  TC                  A                   X-rays, transcatheter              0.00     23.00        1.44      24.44       XXX  N                 
                                                       therapy.                                                                                             
    75896...  ..................  A                   X-rays, transcatheter              1.31     20.58        1.34      23.23       XXX  N                 
                                                       therapy.                                                                                             
    75896...  26                  A                   X-rays, transcatheter              1.31      0.58        0.09       1.98       XXX  N                 
                                                       therapy.                                                                                             
    75896...  TC                  A                   X-rays, transcatheter              0.00     20.00        1.25      21.25       XXX  N                 
                                                       therapy.                                                                                             
    75898...  ..................  A                   Follow-up angiogram.........       1.65      1.74        0.18       3.57       XXX  N                 
    75898...  26                  A                   Follow-up angiogram.........       1.65      0.74        0.11       2.50       XXX  N                 
    75898...  TC                  A                   Follow-up angiogram.........       0.00      1.00        0.07       1.07       XXX  N                 
    75900...  ..................  A                   Arterial catheter exchange..       0.49     20.22        1.29      22.00       XXX  N                 
    
    [[Page 63278]]
                                                                                                                                                            
    75900...  26                  A                   Arterial catheter exchange..       0.49      0.23        0.03       0.75       XXX  N                 
    75900...  TC                  A                   Arterial catheter exchange..       0.00     19.99        1.26      21.25       XXX  N                 
    75940...  ..................  A                   X-ray placement, vein filter       0.54     12.26        0.79      13.59       XXX  N                 
    75940...  26                  A                   X-ray placement, vein filter       0.54      0.25        0.04       0.83       XXX  N                 
    75940...  TC                  A                   X-ray placement, vein filter       0.00     12.01        0.75      12.76       XXX  N                 
    75960...  ..................  A                   Transcatheter intro, stent..       0.82     14.57        0.94      16.33       XXX  N                 
    75960...  26                  A                   Transcatheter intro, stent..       0.82      0.37        0.06       1.25       XXX  N                 
    75960...  TC                  A                   Transcatheter intro, stent..       0.00     14.20        0.88      15.08       XXX  N                 
    75961...  ..................  A                   Retrieval, broken catheter..       4.25     11.91        0.90      17.06       XXX  N                 
    75961...  26                  A                   Retrieval, broken catheter..       4.25      1.90        0.28       6.43       XXX  N                 
    75961...  TC                  A                   Retrieval, broken catheter..       0.00     10.01        0.62      10.63       XXX  N                 
    75962...  ..................  A                   Repair arterial blockage....       0.54     15.25        0.98      16.77       XXX  N                 
    75962...  26                  A                   Repair arterial blockage....       0.54      0.25        0.04       0.83       XXX  N                 
    75962...  TC                  A                   Repair arterial blockage....       0.00     15.00        0.94      15.94       XXX  N                 
    75964...  ..................  A                   Repair artery blockage, each       0.36      8.16        0.52       9.04       XXX  N                 
    75964...  26                  A                   Repair artery blockage, each       0.36      0.16        0.02       0.54       XXX  N                 
    75964...  TC                  A                   Repair artery blockage, each       0.00      8.00        0.50       8.50       XXX  N                 
    75966...  ..................  A                   Repair arterial blockage....       1.31     15.58        1.03      17.92       XXX  N                 
    75966...  26                  A                   Repair arterial blockage....       1.31      0.58        0.09       1.98       XXX  N                 
    75966...  TC                  A                   Repair arterial blockage....       0.00     15.00        0.94      15.94       XXX  N                 
    75968...  ..................  A                   Repair artery blockage, each       0.36      8.16        0.52       9.04       XXX  N                 
    75968...  26                  A                   Repair artery blockage, each       0.36      0.16        0.02       0.54       XXX  N                 
    75968...  TC                  A                   Repair artery blockage, each       0.00      8.00        0.50       8.50       XXX  N                 
    75970...  ..................  A                   Vascular biopsy.............       0.83     11.38        0.75      12.96       XXX  N                 
    75970...  26                  A                   Vascular biopsy.............       0.83      0.38        0.06       1.27       XXX  N                 
    75970...  TC                  A                   Vascular biopsy.............       0.00     11.00        0.69      11.69       XXX  N                 
    75978...  ..................  A                   Repair venous blockage......       0.54     15.48        0.98      17.00       XXX  N                 
    75978...  26                  A                   Repair venous blockage......       0.54      0.48        0.04       1.06       XXX  N                 
    75978...  TC                  A                   Repair venous blockage......       0.00     15.00        0.94      15.94       XXX  N                 
    75980...  ..................  A                   Contrast x-ray exam bile           1.44      5.80        0.43       7.67       XXX  N                 
                                                       duct.                                                                                                
    75980...  26                  A                   Contrast x-ray exam bile           1.44      0.64        0.10       2.18       XXX  N                 
                                                       duct.                                                                                                
    75980...  TC                  A                   Contrast x-ray exam bile           0.00      5.16        0.33       5.49       XXX  N                 
                                                       duct.                                                                                                
    75982...  ..................  A                   Contrast x-ray exam bile           1.44      6.45        0.47       8.36       XXX  N                 
                                                       duct.                                                                                                
    75982...  26                  A                   Contrast x-ray exam bile           1.44      0.64        0.10       2.18       XXX  N                 
                                                       duct.                                                                                                
    75982...  TC                  A                   Contrast x-ray exam bile           0.00      5.81        0.37       6.18       XXX  N                 
                                                       duct.                                                                                                
    75984...  ..................  A                   X-ray control catheter             0.72      2.19        0.17       3.08       XXX  N                 
                                                       change.                                                                                              
    75984...  26                  A                   X-ray control catheter             0.72      0.33        0.05       1.10       XXX  N                 
                                                       change.                                                                                              
    75984...  TC                  A                   X-ray control catheter             0.00      1.86        0.12       1.98       XXX  N                 
                                                       change.                                                                                              
    75989...  ..................  A                   Abscess drainage under x-ray       1.19      3.52        0.27       4.98       XXX  N                 
    75989...  26                  A                   Abscess drainage under x-ray       1.19      0.52        0.08       1.79       XXX  N                 
    75989...  TC                  A                   Abscess drainage under x-ray       0.00      3.00        0.19       3.19       XXX  N                 
    75992...  ..................  A                   Atherectomy, x-ray exam.....       0.54     15.25        0.98      16.77       XXX  N                 
    75992...  26                  A                   Atherectomy, x-ray exam.....       0.54      0.25        0.04       0.83       XXX  N                 
    75992...  TC                  A                   Atherectomy, x-ray exam.....       0.00     15.00        0.94      15.94       XXX  N                 
    75993...  ..................  A                   Atherectomy, x-ray exam.....       0.36      8.16        0.52       9.04       XXX  N                 
    75993...  26                  A                   Atherectomy, x-ray exam.....       0.36      0.16        0.02       0.54       XXX  N                 
    75993...  TC                  A                   Atherectomy, x-ray exam.....       0.00      8.00        0.50       8.50       XXX  N                 
    75994...  ..................  A                   Atherectomy, x-ray exam.....       1.31     15.58        1.03      17.92       XXX  N                 
    75994...  26                  A                   Atherectomy, x-ray exam.....       1.31      0.58        0.09       1.98       XXX  N                 
    75994...  TC                  A                   Atherectomy, x-ray exam.....       0.00     15.00        0.94      15.94       XXX  N                 
    75995...  ..................  A                   Atherectomy, x-ray exam.....       1.31     15.58        1.03      17.92       XXX  N                 
    75995...  26                  A                   Atherectomy, x-ray exam.....       1.31      0.58        0.09       1.98       XXX  N                 
    75995...  TC                  A                   Atherectomy, x-ray exam.....       0.00     15.00        0.94      15.94       XXX  N                 
    75996...  ..................  A                   Atherectomy, x-ray exam.....       0.36      8.16        0.52       9.04       XXX  N                 
    75996...  26                  A                   Atherectomy, x-ray exam.....       0.36      0.16        0.02       0.54       XXX  N                 
    75996...  TC                  A                   Atherectomy, x-ray exam.....       0.00      8.00        0.50       8.50       XXX  N                 
    76000...  ..................  A                   Fluoroscope examination.....       0.17      1.31        0.09       1.57       XXX  N                 
    76000...  26                  A                   Fluoroscope examination.....       0.17      0.07        0.01       0.25       XXX  N                 
    76000...  TC                  A                   Fluoroscope examination.....       0.00      1.24        0.08       1.32       XXX  N                 
    76001...  ..................  A                   Fluoroscope exam, extensive.       0.67      2.81        0.22       3.70       XXX  N                 
    76001...  26                  A                   Fluoroscope exam, extensive.       0.67      0.31        0.05       1.03       XXX  N                 
    76001...  TC                  A                   Fluoroscope exam, extensive.       0.00      2.50        0.17       2.67       XXX  N                 
    76003...  ..................  A                   Needle localization by x-ray       0.54      1.49        0.12       2.15       XXX  N                 
    76003...  26                  A                   Needle localization by x-ray       0.54      0.25        0.04       0.83       XXX  N                 
    76003...  TC                  A                   Needle localization by x-ray       0.00      1.24        0.08       1.32       XXX  N                 
    76010...  ..................  A                   X-ray, nose to rectum.......       0.18      0.58        0.04       0.80       XXX  N                 
    
    [[Page 63279]]
                                                                                                                                                            
    76010...  26                  A                   X-ray, nose to rectum.......       0.18      0.08        0.01       0.27       XXX  N                 
    76010...  TC                  A                   X-ray, nose to rectum.......       0.00      0.50        0.03       0.53       XXX  N                 
    76020...  ..................  A                   X-rays for bone age.........       0.19      0.59        0.04       0.82       XXX  N                 
    76020...  26                  A                   X-rays for bone age.........       0.19      0.09        0.01       0.29       XXX  N                 
    76020...  TC                  A                   X-rays for bone age.........       0.00      0.50        0.03       0.53       XXX  N                 
    76040...  ..................  A                   X-rays, bone evaluation.....       0.27      0.88        0.07       1.22       XXX  N                 
    76040...  26                  A                   X-rays, bone evaluation.....       0.27      0.13        0.02       0.42       XXX  N                 
    76040...  TC                  A                   X-rays, bone evaluation.....       0.00      0.75        0.05       0.80       XXX  N                 
    76061...  ..................  A                   X-rays, bone survey.........       0.45      1.15        0.09       1.69       XXX  N                 
    76061...  26                  A                   X-rays, bone survey.........       0.45      0.20        0.03       0.68       XXX  N                 
    76061...  TC                  A                   X-rays, bone survey.........       0.00      0.95        0.06       1.01       XXX  N                 
    76062...  ..................  A                   X-rays, bone survey.........       0.54      1.62        0.13       2.29       XXX  N                 
    76062...  26                  A                   X-rays, bone survey.........       0.54      0.25        0.04       0.83       XXX  N                 
    76062...  TC                  A                   X-rays, bone survey.........       0.00      1.37        0.09       1.46       XXX  N                 
    76065...  ..................  A                   X-rays, bone evaluation.....       0.28      0.83        0.07       1.18       XXX  N                 
    76065...  26                  A                   X-rays, bone evaluation.....       0.28      0.13        0.02       0.43       XXX  N                 
    76065...  TC                  A                   X-rays, bone evaluation.....       0.00      0.70        0.05       0.75       XXX  N                 
    76066...  ..................  A                   Joint(s) survey, single film       0.31      1.20        0.09       1.60       XXX  N                 
    76066...  26                  A                   Joint(s) survey, single film       0.31      0.14        0.02       0.47       XXX  N                 
    76066...  TC                  A                   Joint(s) survey, single film       0.00      1.06        0.07       1.13       XXX  N                 
    76070...  ..................  A                   CT scan, bone density study.       0.25      2.93        0.20       3.38       XXX  N                 
    76070...  26                  A                   CT scan, bone density study.       0.25      0.12        0.02       0.39       XXX  N                 
    76070...  TC                  A                   CT scan, bone density study.       0.00      2.81        0.18       2.99       XXX  N                 
    76075...  ..................  A                   Dual energy x-ray study.....       0.30      3.07        0.21       3.58       XXX  N                 
    76075...  26                  A                   Dual energy x-ray study.....       0.30      0.12        0.02       0.44       XXX  N                 
    76075...  TC                  A                   Dual energy x-ray study.....       0.00      2.95        0.19       3.14       XXX  N                 
    76080...  ..................  A                   X-ray exam of fistula.......       0.54      1.25        0.11       1.90       XXX  N                 
    76080...  26                  A                   X-ray exam of fistula.......       0.54      0.25        0.04       0.83       XXX  N                 
    76080...  TC                  A                   X-ray exam of fistula.......       0.00      1.00        0.07       1.07       XXX  N                 
    76086...  ..................  A                   X-ray of mammary duct.......       0.36      2.67        0.19       3.22       XXX  N                 
    76086...  26                  A                   X-ray of mammary duct.......       0.36      0.17        0.02       0.55       XXX  N                 
    76086...  TC                  A                   X-ray of mammary duct.......       0.00      2.50        0.17       2.67       XXX  N                 
    76088...  ..................  A                   X-ray of mammary ducts......       0.45      3.69        0.25       4.39       XXX  N                 
    76088...  26                  A                   X-ray of mammary ducts......       0.45      0.20        0.03       0.68       XXX  N                 
    76088...  TC                  A                   X-ray of mammary ducts......       0.00      3.49        0.22       3.71       XXX  N                 
    76090...  ..................  A                   Mammogram, one breast.......       0.25      1.12        0.09       1.46       XXX  N                 
    76090...  26                  A                   Mammogram, one breast.......       0.25      0.12        0.02       0.39       XXX  N                 
    76090...  TC                  A                   Mammogram, one breast.......       0.00      1.00        0.07       1.07       XXX  N                 
    76091...  ..................  A                   Mammogram, both breasts.....       0.41      1.42        0.11       1.94       XXX  N                 
    76091...  26                  A                   Mammogram, both breasts.....       0.41      0.18        0.03       0.62       XXX  N                 
    76091...  TC                  A                   Mammogram, both breasts.....       0.00      1.24        0.08       1.32       XXX  N                 
    76092...  ..................  X                   Mammogram, screening........       0.00      0.00        0.00       0.00       XXX  0                 
    76093...  ..................  A                   Magnetic image, breast......       1.63     17.52        1.16      20.31       XXX  N                 
    76093...  26                  A                   Magnetic image, breast......       1.63      0.72        0.11       2.46       XXX  N                 
    76093...  TC                  A                   Magnetic image, breast......       0.00     16.80        1.05      17.85       XXX  N                 
    76094...  ..................  A                   Magnetic image, both breasts       1.63     23.51        1.53      26.67       XXX  N                 
    76094...  26                  A                   Magnetic image, both breasts       1.63      0.72        0.11       2.46       XXX  N                 
    76094...  TC                  A                   Magnetic image, both breasts       0.00     22.79        1.42      24.21       XXX  N                 
    76095...  ..................  A                   Stereotactic breast biopsy..       1.59      7.54        0.54       9.67       XXX  N                 
    76095...  26                  A                   Stereotactic breast biopsy..       1.59      0.71        0.11       2.41       XXX  N                 
    76095...  TC                  A                   Stereotactic breast biopsy..       0.00      6.83        0.43       7.26       XXX  N                 
    76096...  ..................  A                   X-ray of needle wire, breast       0.56      1.50        0.12       2.18       XXX  N                 
    76096...  26                  A                   X-ray of needle wire, breast       0.56      0.26        0.04       0.86       XXX  N                 
    76096...  TC                  A                   X-ray of needle wire, breast       0.00      1.24        0.08       1.32       XXX  N                 
    76098...  ..................  A                   X-ray exam, breast specimen.       0.16      0.47        0.04       0.67       XXX  N                 
    76098...  26                  A                   X-ray exam, breast specimen.       0.16      0.07        0.01       0.24       XXX  N                 
    76098...  TC                  A                   X-ray exam, breast specimen.       0.00      0.40        0.03       0.43       XXX  N                 
    76100...  ..................  A                   X-ray exam of body section..       0.58      1.46        0.12       2.16       XXX  N                 
    76100...  26                  A                   X-ray exam of body section..       0.58      0.27        0.04       0.89       XXX  N                 
    76100...  TC                  A                   X-ray exam of body section..       0.00      1.19        0.08       1.27       XXX  N                 
    76101...  ..................  A                   Complex body section x-ray..       0.58      1.62        0.13       2.33       XXX  N                 
    76101...  26                  A                   Complex body section x-ray..       0.58      0.27        0.04       0.89       XXX  N                 
    76101...  TC                  A                   Complex body section x-ray..       0.00      1.35        0.09       1.44       XXX  N                 
    76102...  ..................  A                   Complex body section x-rays.       0.58      1.92        0.15       2.65       XXX  N                 
    76102...  26                  A                   Complex body section x-rays.       0.58      0.27        0.04       0.89       XXX  N                 
    76102...  TC                  A                   Complex body section x-rays.       0.00      1.65        0.11       1.76       XXX  N                 
    
    [[Page 63280]]
                                                                                                                                                            
    76120...  ..................  A                   Cinematic x-rays............       0.38      1.17        0.10       1.65       XXX  N                 
    76120...  26                  A                   Cinematic x-rays............       0.38      0.17        0.03       0.58       XXX  N                 
    76120...  TC                  A                   Cinematic x-rays............       0.00      1.00        0.07       1.07       XXX  N                 
    76125...  ..................  A                   Cinematic x-rays............       0.27      0.87        0.07       1.21       XXX  N                 
    76125...  26                  A                   Cinematic x-rays............       0.27      0.12        0.02       0.41       XXX  N                 
    76125...  TC                  A                   Cinematic x-rays............       0.00      0.75        0.05       0.80       XXX  N                 
    76140...  ..................  G                   X-ray consultation..........       0.00      0.00        0.00       0.00       XXX  0                 
    76150...  ..................  A                   X-ray exam, dry process.....       0.00      0.40        0.03       0.43       XXX  N                 
    76350...  ..................  C                   Special x-ray contrast study       0.00      0.00        0.00       0.00       XXX  N                 
    76355...  ..................  A                   CAT scan for localization...       1.21      8.40        0.57      10.18       XXX  N                 
    76355...  26                  A                   CAT scan for localization...       1.21      0.53        0.08       1.82       XXX  N                 
    76355...  TC                  A                   CAT scan for localization...       0.00      7.87        0.49       8.36       XXX  N                 
    76360...  ..................  A                   CAT scan for needle biopsy..       1.16      8.37        0.57      10.10       XXX  N                 
    76360...  26                  A                   CAT scan for needle biopsy..       1.16      0.50        0.08       1.74       XXX  N                 
    76360...  TC                  A                   CAT scan for needle biopsy..       0.00      7.87        0.49       8.36       XXX  N                 
    76365...  ..................  A                   CAT scan for cyst aspiration       1.16      8.37        0.57      10.10       XXX  N                 
    76365...  26                  A                   CAT scan for cyst aspiration       1.16      0.50        0.08       1.74       XXX  N                 
    76365...  TC                  A                   CAT scan for cyst aspiration       0.00      7.87        0.49       8.36       XXX  N                 
    76370...  ..................  A                   CAT scan for therapy guide..       0.85      3.19        0.24       4.28       XXX  N                 
    76370...  26                  A                   CAT scan for therapy guide..       0.85      0.38        0.06       1.29       XXX  N                 
    76370...  TC                  A                   CAT scan for therapy guide..       0.00      2.81        0.18       2.99       XXX  N                 
    76375...  ..................  A                   CAT scans, other planes.....       0.16      3.44        0.22       3.82       XXX  N                 
    76375...  26                  A                   CAT scans, other planes.....       0.16      0.07        0.01       0.24       XXX  N                 
    76375...  TC                  A                   CAT scans, other planes.....       0.00      3.37        0.21       3.58       XXX  N                 
    76380...  ..................  A                   CAT scan follow-up study....       0.98      3.78        0.28       5.04       XXX  N                 
    76380...  26                  A                   CAT scan follow-up study....       0.98      0.44        0.07       1.49       XXX  N                 
    76380...  TC                  A                   CAT scan follow-up study....       0.00      3.34        0.21       3.55       XXX  N                 
    76400...  ..................  A                   Magnetic image, bone marrow.       1.60     11.40        0.78      13.78       XXX  N                 
    76400...  26                  A                   Magnetic image, bone marrow.       1.60      0.72        0.11       2.43       XXX  N                 
    76400...  TC                  A                   Magnetic image, bone marrow.       0.00     10.68        0.67      11.35       XXX  N                 
    76499...  ..................  C                   Radiographic procedure......       0.00      0.00        0.00       0.00       XXX  N                 
    76499...  26                  C                   Radiographic procedure......       0.00      0.00        0.00       0.00       XXX  N                 
    76499...  TC                  C                   Radiographic procedure......       0.00      0.00        0.00       0.00       XXX  N                 
    76506...  ..................  A                   Echo exam of head...........       0.63      1.64        0.13       2.40       XXX  N                 
    76506...  26                  A                   Echo exam of head...........       0.63      0.29        0.04       0.96       XXX  N                 
    76506...  TC                  A                   Echo exam of head...........       0.00      1.35        0.09       1.44       XXX  N                 
    76511...  ..................  A                   Echo exam of eye............       0.94      1.44        0.12       2.50       XXX  N                 
    76511...  26                  A                   Echo exam of eye............       0.94      0.25        0.04       1.23       XXX  N                 
    76511...  TC                  A                   Echo exam of eye............       0.00      1.19        0.08       1.27       XXX  N                 
    76512...  ..................  A                   Echo exam of eye............       0.66      1.75        0.15       2.56       XXX  N                 
    76512...  26                  A                   Echo exam of eye............       0.66      0.30        0.05       1.01       XXX  N                 
    76512...  TC                  A                   Echo exam of eye............       0.00      1.45        0.10       1.55       XXX  N                 
    76513...  ..................  A                   Echo exam of eye, water bath       0.66      1.75        0.15       2.56       XXX  N                 
    76513...  26                  A                   Echo exam of eye, water bath       0.66      0.30        0.05       1.01       XXX  N                 
    76513...  TC                  A                   Echo exam of eye, water bath       0.00      1.45        0.10       1.55       XXX  N                 
    76516...  ..................  A                   Echo exam of eye............       0.54      1.44        0.12       2.10       XXX  N                 
    76516...  26                  A                   Echo exam of eye............       0.54      0.25        0.04       0.83       XXX  N                 
    76516...  TC                  A                   Echo exam of eye............       0.00      1.19        0.08       1.27       XXX  N                 
    76519...  ..................  A                   Echo exam of eye............       0.54      1.44        0.12       2.10       XXX  N                 
    76519...  26                  A                   Echo exam of eye............       0.54      0.25        0.04       0.83       XXX  N                 
    76519...  TC                  A                   Echo exam of eye............       0.00      1.19        0.08       1.27       XXX  N                 
    76529...  ..................  A                   Echo exam of eye............       0.57      1.56        0.13       2.26       XXX  N                 
    76529...  26                  A                   Echo exam of eye............       0.57      0.26        0.04       0.87       XXX  N                 
    76529...  TC                  A                   Echo exam of eye............       0.00      1.30        0.09       1.39       XXX  N                 
    76536...  ..................  A                   Echo exam of head and neck..       0.56      1.61        0.13       2.30       XXX  N                 
    76536...  26                  A                   Echo exam of head and neck..       0.56      0.26        0.04       0.86       XXX  N                 
    76536...  TC                  A                   Echo exam of head and neck..       0.00      1.35        0.09       1.44       XXX  N                 
    76604...  ..................  A                   Echo exam of chest..........       0.55      1.50        0.12       2.17       XXX  N                 
    76604...  26                  A                   Echo exam of chest..........       0.55      0.26        0.04       0.85       XXX  N                 
    76604...  TC                  A                   Echo exam of chest..........       0.00      1.24        0.08       1.32       XXX  N                 
    76645...  ..................  A                   Echo exam of breast.........       0.54      1.25        0.11       1.90       XXX  N                 
    76645...  26                  A                   Echo exam of breast.........       0.54      0.25        0.04       0.83       XXX  N                 
    76645...  TC                  A                   Echo exam of breast.........       0.00      1.00        0.07       1.07       XXX  N                 
    76700...  ..................  A                   Echo exam of abdomen........       0.81      2.25        0.17       3.23       XXX  N                 
    76700...  26                  A                   Echo exam of abdomen........       0.81      0.37        0.05       1.23       XXX  N                 
    76700...  TC                  A                   Echo exam of abdomen........       0.00      1.88        0.12       2.00       XXX  N                 
    
    [[Page 63281]]
                                                                                                                                                            
    76705...  ..................  A                   Echo exam of abdomen........       0.59      1.62        0.13       2.34       XXX  N                 
    76705...  26                  A                   Echo exam of abdomen........       0.59      0.27        0.04       0.90       XXX  N                 
    76705...  TC                  A                   Echo exam of abdomen........       0.00      1.35        0.09       1.44       XXX  N                 
    76770...  ..................  A                   Echo exam abdomen back wall.       0.74      2.22        0.17       3.13       XXX  N                 
    76770...  26                  A                   Echo exam abdomen back wall.       0.74      0.34        0.05       1.13       XXX  N                 
    76770...  TC                  A                   Echo exam abdomen back wall.       0.00      1.88        0.12       2.00       XXX  N                 
    76775...  ..................  A                   Echo exam abdomen back wall.       0.58      1.62        0.13       2.33       XXX  N                 
    76775...  26                  A                   Echo exam abdomen back wall.       0.58      0.27        0.04       0.89       XXX  N                 
    76775...  TC                  A                   Echo exam abdomen back wall.       0.00      1.35        0.09       1.44       XXX  N                 
    76778...  ..................  A                   Echo exam kidney transplant.       0.74      2.22        0.17       3.13       XXX  N                 
    76778...  26                  A                   Echo exam kidney transplant.       0.74      0.34        0.05       1.13       XXX  N                 
    76778...  TC                  A                   Echo exam kidney transplant.       0.00      1.88        0.12       2.00       XXX  N                 
    76800...  ..................  A                   Echo exam spinal canal......       1.13      1.85        0.17       3.15       XXX  N                 
    76800...  26                  A                   Echo exam spinal canal......       1.13      0.50        0.08       1.71       XXX  N                 
    76800...  TC                  A                   Echo exam spinal canal......       0.00      1.35        0.09       1.44       XXX  N                 
    76805...  ..................  A                   Echo exam of pregnant uterus       0.99      2.45        0.20       3.64       XXX  N                 
    76805...  26                  A                   Echo exam of pregnant uterus       0.99      0.45        0.07       1.51       XXX  N                 
    76805...  TC                  A                   Echo exam of pregnant uterus       0.00      2.00        0.13       2.13       XXX  N                 
    76810...  ..................  A                   Echo exam of pregnant uterus       1.97      4.88        0.38       7.23       XXX  N                 
    76810...  26                  A                   Echo exam of pregnant uterus       1.97      0.88        0.13       2.98       XXX  N                 
    76810...  TC                  A                   Echo exam of pregnant uterus       0.00      4.00        0.25       4.25       XXX  N                 
    76815...  ..................  A                   Echo exam of pregnant uterus       0.65      1.65        0.13       2.43       XXX  N                 
    76815...  26                  A                   Echo exam of pregnant uterus       0.65      0.30        0.04       0.99       XXX  N                 
    76815...  TC                  A                   Echo exam of pregnant uterus       0.00      1.35        0.09       1.44       XXX  N                 
    76816...  ..................  A                   Echo exam followup or repeat       0.57      1.32        0.11       2.00       XXX  N                 
    76816...  26                  A                   Echo exam followup or repeat       0.57      0.26        0.04       0.87       XXX  N                 
    76816...  TC                  A                   Echo exam followup or repeat       0.00      1.06        0.07       1.13       XXX  N                 
    76818...  ..................  A                   Fetal biophysical profile...       0.77      1.89        0.15       2.81       XXX  N                 
    76818...  26                  A                   Fetal biophysical profile...       0.77      0.35        0.05       1.17       XXX  N                 
    76818...  TC                  A                   Fetal biophysical profile...       0.00      1.54        0.10       1.64       XXX  N                 
    76825...  ..................  A                   Echo exam of fetal heart....       0.98      2.23        0.17       3.38       XXX  N                 
    76825...  26                  A                   Echo exam of fetal heart....       0.98      0.35        0.05       1.38       XXX  N                 
    76825...  TC                  A                   Echo exam of fetal heart....       0.00      1.88        0.12       2.00       XXX  N                 
    76826...  ..................  A                   Echo exam of fetal heart....       0.83      1.35        0.10       2.28       XXX  N                 
    76826...  26                  A                   Echo exam of fetal heart....       0.83      0.68        0.05       1.56       XXX  N                 
    76826...  TC                  A                   Echo exam of fetal heart....       0.00      0.67        0.05       0.72       XXX  N                 
    76827...  ..................  A                   Echo exam of fetal heart....       0.58      2.33        0.18       3.09       XXX  N                 
    76827...  26                  A                   Echo exam of fetal heart....       0.58      0.69        0.05       1.32       XXX  N                 
    76827...  TC                  A                   Echo exam of fetal heart....       0.00      1.64        0.13       1.77       XXX  N                 
    76828...  ..................  A                   Echo exam of fetal heart....       0.56      1.34        0.11       2.01       XXX  N                 
    76828...  26                  A                   Echo exam of fetal heart....       0.56      0.28        0.02       0.86       XXX  N                 
    76828...  TC                  A                   Echo exam of fetal heart....       0.00      1.06        0.09       1.15       XXX  N                 
    76830...  ..................  A                   Echo exam, transvaginal.....       0.69      1.77        0.15       2.61       XXX  N                 
    76830...  26                  A                   Echo exam, transvaginal.....       0.69      0.32        0.05       1.06       XXX  N                 
    76830...  TC                  A                   Echo exam, transvaginal.....       0.00      1.45        0.10       1.55       XXX  N                 
    76856...  ..................  A                   Echo exam of pelvis.........       0.69      1.77        0.15       2.61       XXX  N                 
    76856...  26                  A                   Echo exam of pelvis.........       0.69      0.32        0.05       1.06       XXX  N                 
    76856...  TC                  A                   Echo exam of pelvis.........       0.00      1.45        0.10       1.55       XXX  N                 
    76857...  ..................  A                   Echo exam of pelvis.........       0.38      1.17        0.10       1.65       XXX  N                 
    76857...  26                  A                   Echo exam of pelvis.........       0.38      0.17        0.03       0.58       XXX  N                 
    76857...  TC                  A                   Echo exam of pelvis.........       0.00      1.00        0.07       1.07       XXX  N                 
    76870...  ..................  A                   Echo exam of scrotum........       0.64      1.74        0.14       2.52       XXX  N                 
    76870...  26                  A                   Echo exam of scrotum........       0.64      0.29        0.04       0.97       XXX  N                 
    76870...  TC                  A                   Echo exam of scrotum........       0.00      1.45        0.10       1.55       XXX  N                 
    76872...  ..................  A                   Echo exam, transrectal......       0.69      1.77        0.15       2.61       XXX  N                 
    76872...  26                  A                   Echo exam, transrectal......       0.69      0.32        0.05       1.06       XXX  N                 
    76872...  TC                  A                   Echo exam, transrectal......       0.00      1.45        0.10       1.55       XXX  N                 
    76880...  ..................  A                   Echo exam of extremity......       0.59      1.62        0.13       2.34       XXX  N                 
    76880...  26                  A                   Echo exam of extremity......       0.59      0.27        0.04       0.90       XXX  N                 
    76880...  TC                  A                   Echo exam of extremity......       0.00      1.35        0.09       1.44       XXX  N                 
    76930...  ..................  A                   Echo guide for heart sac tap       0.67      1.76        0.15       2.58       XXX  N                 
    76930...  26                  A                   Echo guide for heart sac tap       0.67      0.31        0.05       1.03       XXX  N                 
    76930...  TC                  A                   Echo guide for heart sac tap       0.00      1.45        0.10       1.55       XXX  N                 
    76932...  ..................  A                   Echo guide for heart biopsy.       0.67      1.76        0.15       2.58       XXX  N                 
    76932...  26                  A                   Echo guide for heart biopsy.       0.67      0.31        0.05       1.03       XXX  N                 
    76932...  TC                  A                   Echo guide for heart biopsy.       0.00      1.45        0.10       1.55       XXX  N                 
    
    [[Page 63282]]
                                                                                                                                                            
    76934...  ..................  A                   Echo guide for chest tap....       0.67      1.76        0.15       2.58       XXX  N                 
    76934...  26                  A                   Echo guide for chest tap....       0.67      0.31        0.05       1.03       XXX  N                 
    76934...  TC                  A                   Echo guide for chest tap....       0.00      1.45        0.10       1.55       XXX  N                 
    76936...  ..................  A                   Echo guide for artery repair       1.99      7.24        0.48       9.71       XXX  N                 
    76936...  26                  A                   Echo guide for artery repair       1.99      1.24        0.10       3.33       XXX  N                 
    76936...  TC                  A                   Echo guide for artery repair       0.00      6.00        0.38       6.38       XXX  N                 
    76938...  ..................  A                   Echo exam for drainage......       0.67      1.76        0.15       2.58       XXX  N                 
    76938...  26                  A                   Echo exam for drainage......       0.67      0.31        0.05       1.03       XXX  N                 
    76938...  TC                  A                   Echo exam for drainage......       0.00      1.45        0.10       1.55       XXX  N                 
    76941...  ..................  A                   Echo guide for transfusion..       1.34      2.07        0.19       3.60       XXX  N                 
    76941...  26                  A                   Echo guide for transfusion..       1.34      0.61        0.10       2.05       XXX  N                 
    76941...  TC                  A                   Echo guide for transfusion..       0.00      1.46        0.09       1.55       XXX  N                 
    76942...  ..................  A                   Echo guide for biopsy.......       0.67      1.76        0.15       2.58       XXX  N                 
    76942...  26                  A                   Echo guide for biopsy.......       0.67      0.31        0.05       1.03       XXX  N                 
    76942...  TC                  A                   Echo guide for biopsy.......       0.00      1.45        0.10       1.55       XXX  N                 
    76945...  ..................  A                   Echo guide, villus sampling.       0.67      2.07        0.19       2.93       XXX  N                 
    76945...  26                  A                   Echo guide, villus sampling.       0.67      0.61        0.10       1.38       XXX  N                 
    76945...  TC                  A                   Echo guide, villus sampling.       0.00      1.46        0.09       1.55       XXX  N                 
    76946...  ..................  A                   Echo guide for amniocentesis       0.38      1.62        0.13       2.13       XXX  N                 
    76946...  26                  A                   Echo guide for amniocentesis       0.38      0.17        0.03       0.58       XXX  N                 
    76946...  TC                  A                   Echo guide for amniocentesis       0.00      1.45        0.10       1.55       XXX  N                 
    76948...  ..................  A                   Echo guide, ova aspiration..       0.38      1.62        0.13       2.13       XXX  N                 
    76948...  26                  A                   Echo guide, ova aspiration..       0.38      0.17        0.03       0.58       XXX  N                 
    76948...  TC                  A                   Echo guide, ova aspiration..       0.00      1.45        0.10       1.55       XXX  N                 
    76950...  ..................  A                   Echo guidance radiotherapy..       0.58      1.51        0.12       2.21       XXX  N                 
    76950...  26                  A                   Echo guidance radiotherapy..       0.58      0.27        0.04       0.89       XXX  N                 
    76950...  TC                  A                   Echo guidance radiotherapy..       0.00      1.24        0.08       1.32       XXX  N                 
    76960...  ..................  A                   Echo guidance radiotherapy..       0.58      1.51        0.12       2.21       XXX  N                 
    76960...  26                  A                   Echo guidance radiotherapy..       0.58      0.27        0.04       0.89       XXX  N                 
    76960...  TC                  A                   Echo guidance radiotherapy..       0.00      1.24        0.08       1.32       XXX  N                 
    76965...  ..................  A                   Echo guidance radiotherapy..       1.34      7.38        0.52       9.24       XXX  N                 
    76965...  26                  A                   Echo guidance radiotherapy..       1.34      2.07        0.19       3.60       XXX  N                 
    76965...  TC                  A                   Echo guidance radiotherapy..       0.00      5.31        0.33       5.64       XXX  N                 
    76970...  ..................  A                   Ultrasound exam follow-up...       0.40      1.18        0.10       1.68       XXX  N                 
    76970...  26                  A                   Ultrasound exam follow-up...       0.40      0.18        0.03       0.61       XXX  N                 
    76970...  TC                  A                   Ultrasound exam follow-up...       0.00      1.00        0.07       1.07       XXX  N                 
    76975...  ..................  A                   GI endoscopic ultrasound....       0.81      1.79        0.15       2.75       XXX  N                 
    76975...  26                  A                   GI endoscopic ultrasound....       0.81      0.34        0.05       1.20       XXX  N                 
    76975...  TC                  A                   GI endoscopic ultrasound....       0.00      1.45        0.10       1.55       XXX  N                 
    76986...  ..................  A                   Echo exam at surgery........       1.20      3.03        0.25       4.48       XXX  N                 
    76986...  26                  A                   Echo exam at surgery........       1.20      0.53        0.08       1.81       XXX  N                 
    76986...  TC                  A                   Echo exam at surgery........       0.00      2.50        0.17       2.67       XXX  N                 
    76999...  ..................  C                   Echo examination procedure..       0.00      0.00        0.00       0.00       XXX  N                 
    76999...  26                  C                   Echo examination procedure..       0.00      0.00        0.00       0.00       XXX  N                 
    76999...  TC                  C                   Echo examination procedure..       0.00      0.00        0.00       0.00       XXX  N                 
    77261...  ..................  A                   Radiation therapy planning..       1.39      0.62        0.09       2.10       XXX  N                 
    77262...  ..................  A                   Radiation therapy planning..       2.11      0.94        0.14       3.19       XXX  N                 
    77263...  ..................  A                   Radiation therapy planning..       3.14      1.40        0.20       4.74       XXX  N                 
    77280...  ..................  A                   Set radiation therapy field.       0.70      3.63        0.26       4.59       XXX  N                 
    77280...  26                  A                   Set radiation therapy field.       0.70      0.32        0.05       1.07       XXX  N                 
    77280...  TC                  A                   Set radiation therapy field.       0.00      3.31        0.21       3.52       XXX  N                 
    77285...  ..................  A                   Set radiation therapy field.       1.05      5.77        0.41       7.23       XXX  N                 
    77285...  26                  A                   Set radiation therapy field.       1.05      0.46        0.07       1.58       XXX  N                 
    77285...  TC                  A                   Set radiation therapy field.       0.00      5.31        0.34       5.65       XXX  N                 
    77290...  ..................  A                   Set radiation therapy field.       1.56      6.90        0.50       8.96       XXX  N                 
    77290...  26                  A                   Set radiation therapy field.       1.56      0.70        0.11       2.37       XXX  N                 
    77290...  TC                  A                   Set radiation therapy field.       0.00      6.20        0.39       6.59       XXX  N                 
    77295...  ..................  A                   Set radiation therapy field.       4.57     28.68        1.93      35.18       XXX  N                 
    77295...  26                  A                   Set radiation therapy field.       4.57      2.06        0.23       6.86       XXX  N                 
    77295...  TC                  A                   Set radiation therapy field.       0.00     26.62        1.70      28.32       XXX  N                 
    77299...  ..................  C                   Radiation therapy planning..       0.00      0.00        0.00       0.00       XXX  N                 
    77299...  26                  C                   Radiation therapy planning..       0.00      0.00        0.00       0.00       XXX  N                 
    77299...  TC                  C                   Radiation therapy planning..       0.00      0.00        0.00       0.00       XXX  N                 
    77300...  ..................  A                   Radiation therapy dose plan.       0.62      1.56        0.12       2.30       XXX  N                 
    77300...  26                  A                   Radiation therapy dose plan.       0.62      0.28        0.04       0.94       XXX  N                 
    77300...  TC                  A                   Radiation therapy dose plan.       0.00      1.28        0.08       1.36       XXX  N                 
    
    [[Page 63283]]
                                                                                                                                                            
    77305...  ..................  A                   Radiation therapy dose plan.       0.70      2.09        0.17       2.96       XXX  N                 
    77305...  26                  A                   Radiation therapy dose plan.       0.70      0.32        0.05       1.07       XXX  N                 
    77305...  TC                  A                   Radiation therapy dose plan.       0.00      1.77        0.12       1.89       XXX  N                 
    77310...  ..................  A                   Radiation therapy dose plan.       1.05      2.68        0.22       3.95       XXX  N                 
    77310...  26                  A                   Radiation therapy dose plan.       1.05      0.46        0.07       1.58       XXX  N                 
    77310...  TC                  A                   Radiation therapy dose plan.       0.00      2.22        0.15       2.37       XXX  N                 
    77315...  ..................  A                   Radiation therapy dose plan.       1.56      3.23        0.28       5.07       XXX  N                 
    77315...  26                  A                   Radiation therapy dose plan.       1.56      0.70        0.11       2.37       XXX  N                 
    77315...  TC                  A                   Radiation therapy dose plan.       0.00      2.53        0.17       2.70       XXX  N                 
    77321...  ..................  A                   Radiation therapy port plan.       0.95      4.28        0.30       5.53       XXX  N                 
    77321...  26                  A                   Radiation therapy port plan.       0.95      0.43        0.06       1.44       XXX  N                 
    77321...  TC                  A                   Radiation therapy port plan.       0.00      3.85        0.24       4.09       XXX  N                 
    77326...  ..................  A                   Radiation therapy dose plan.       0.93      2.67        0.21       3.81       XXX  N                 
    77326...  26                  A                   Radiation therapy dose plan.       0.93      0.42        0.06       1.41       XXX  N                 
    77326...  TC                  A                   Radiation therapy dose plan.       0.00      2.25        0.15       2.40       XXX  N                 
    77327...  ..................  A                   Radiation therapy dose plan.       1.39      3.93        0.30       5.62       XXX  N                 
    77327...  26                  A                   Radiation therapy dose plan.       1.39      0.62        0.09       2.10       XXX  N                 
    77327...  TC                  A                   Radiation therapy dose plan.       0.00      3.31        0.21       3.52       XXX  N                 
    77328...  ..................  A                   Radiation therapy dose plan.       2.09      5.66        0.44       8.19       XXX  N                 
    77328...  26                  A                   Radiation therapy dose plan.       2.09      0.93        0.14       3.16       XXX  N                 
    77328...  TC                  A                   Radiation therapy dose plan.       0.00      4.73        0.30       5.03       XXX  N                 
    77331...  ..................  A                   Special radiation dosimetry.       0.87      0.87        0.09       1.83       XXX  N                 
    77331...  26                  A                   Special radiation dosimetry.       0.87      0.39        0.06       1.32       XXX  N                 
    77331...  TC                  A                   Special radiation dosimetry.       0.00      0.48        0.03       0.51       XXX  N                 
    77332...  ..................  A                   Radiation treatment aid(s)..       0.54      1.53        0.12       2.19       XXX  N                 
    77332...  26                  A                   Radiation treatment aid(s)..       0.54      0.25        0.04       0.83       XXX  N                 
    77332...  TC                  A                   Radiation treatment aid(s)..       0.00      1.28        0.08       1.36       XXX  N                 
    77333...  ..................  A                   Radiation treatment aid(s)..       0.84      2.19        0.18       3.21       XXX  N                 
    77333...  26                  A                   Radiation treatment aid(s)..       0.84      0.38        0.06       1.28       XXX  N                 
    77333...  TC                  A                   Radiation treatment aid(s)..       0.00      1.81        0.12       1.93       XXX  N                 
    77334...  ..................  A                   Radiation treatment aid(s)..       1.24      3.64        0.27       5.15       XXX  N                 
    77334...  26                  A                   Radiation treatment aid(s)..       1.24      0.54        0.08       1.86       XXX  N                 
    77334...  TC                  A                   Radiation treatment aid(s)..       0.00      3.10        0.19       3.29       XXX  N                 
    77336...  ..................  A                   Radiation physics consult...       0.00      2.84        0.18       3.02       XXX  N                 
    77370...  ..................  A                   Radiation physics consult...       0.00      3.33        0.21       3.54       XXX  N                 
    77399...  ..................  C                   External radiation dosimetry       0.00      0.00        0.00       0.00       XXX  N                 
    77399...  26                  C                   External radiation dosimetry       0.00      0.00        0.00       0.00       XXX  N                 
    77399...  TC                  C                   External radiation dosimetry       0.00      0.00        0.00       0.00       XXX  N                 
    77401...  ..................  A                   Radiation treatment delivery       0.00      1.69        0.11       1.80       XXX  N                 
    77402...  ..................  A                   Radiation treatment delivery       0.00      1.69        0.11       1.80       XXX  N                 
    77403...  ..................  A                   Radiation treatment delivery       0.00      1.69        0.11       1.80       XXX  N                 
    77404...  ..................  A                   Radiation treatment delivery       0.00      1.69        0.11       1.80       XXX  N                 
    77406...  ..................  A                   Radiation treatment delivery       0.00      1.69        0.11       1.80       XXX  N                 
    77407...  ..................  A                   Radiation treatment delivery       0.00      1.99        0.13       2.12       XXX  N                 
    77408...  ..................  A                   Radiation treatment delivery       0.00      1.99        0.13       2.12       XXX  N                 
    77409...  ..................  A                   Radiation treatment delivery       0.00      1.99        0.13       2.12       XXX  N                 
    77411...  ..................  A                   Radiation treatment delivery       0.00      1.99        0.13       2.12       XXX  N                 
    77412...  ..................  A                   Radiation treatment delivery       0.00      2.22        0.15       2.37       XXX  N                 
    77413...  ..................  A                   Radiation treatment delivery       0.00      2.22        0.15       2.37       XXX  N                 
    77414...  ..................  A                   Radiation treatment delivery       0.00      2.22        0.15       2.37       XXX  N                 
    77416...  ..................  A                   Radiation treatment delivery       0.00      2.22        0.15       2.37       XXX  N                 
    77417...  ..................  A                   Radiology port film(s)......       0.00      0.56        0.04       0.60       XXX  N                 
    77419...  ..................  A                   Weekly radiation therapy....       3.60      1.61        0.23       5.44       XXX  N                 
    77420...  ..................  A                   Weekly radiation therapy....       1.61      0.72        0.11       2.44       XXX  N                 
    77425...  ..................  A                   Weekly radiation therapy....       2.44      1.10        0.17       3.71       XXX  N                 
    77430...  ..................  A                   Weekly radiation therapy....       3.60      1.61        0.23       5.44       XXX  N                 
    77431...  ..................  A                   Radiation therapy management       1.81      0.81        0.12       2.74       XXX  N                 
    77432...  ..................  A                   Stereotactic radiation trmt.       7.93      4.94        0.40      13.27       XXX  N                 
    77470...  ..................  A                   Special radiation treatment.       2.09     11.55        0.80      14.44       XXX  N                 
    77470...  26                  A                   Special radiation treatment.       2.09      0.93        0.14       3.16       XXX  N                 
    77470...  TC                  A                   Special radiation treatment.       0.00     10.62        0.66      11.28       XXX  N                 
    77499...  ..................  C                   Radiation therapy management       0.00      0.00        0.00       0.00       XXX  N                 
    77499...  26                  C                   Radiation therapy management       0.00      0.00        0.00       0.00       XXX  N                 
    77499...  TC                  C                   Radiation therapy management       0.00      0.00        0.00       0.00       XXX  N                 
    77600...  ..................  A                   Hyperthermia treatment......       1.56      3.60        0.29       5.45       ZZZ  N                 
    77600...  26                  A                   Hyperthermia treatment......       1.56      0.70        0.11       2.37       ZZZ  N                 
    
    [[Page 63284]]
                                                                                                                                                            
    77600...  TC                  A                   Hyperthermia treatment......       0.00      2.90        0.18       3.08       ZZZ  N                 
    77605...  ..................  A                   Hyperthermia treatment......       2.09      4.80        0.39       7.28       ZZZ  N                 
    77605...  26                  A                   Hyperthermia treatment......       2.09      0.93        0.14       3.16       ZZZ  N                 
    77605...  TC                  A                   Hyperthermia treatment......       0.00      3.87        0.25       4.12       ZZZ  N                 
    77610...  ..................  A                   Hyperthermia treatment......       1.56      3.60        0.29       5.45       ZZZ  N                 
    77610...  26                  A                   Hyperthermia treatment......       1.56      0.70        0.11       2.37       ZZZ  N                 
    77610...  TC                  A                   Hyperthermia treatment......       0.00      2.90        0.18       3.08       ZZZ  N                 
    77615...  ..................  A                   Hyperthermia treatment......       2.09      4.80        0.39       7.28       ZZZ  N                 
    77615...  26                  A                   Hyperthermia treatment......       2.09      0.93        0.14       3.16       ZZZ  N                 
    77615...  TC                  A                   Hyperthermia treatment......       0.00      3.87        0.25       4.12       ZZZ  N                 
    77620...  ..................  A                   Hyperthermia treatment......       1.56      3.60        0.29       5.45       ZZZ  N                 
    77620...  26                  A                   Hyperthermia treatment......       1.56      0.70        0.11       2.37       ZZZ  N                 
    77620...  TC                  A                   Hyperthermia treatment......       0.00      2.90        0.18       3.08       ZZZ  N                 
    77750...  ..................  A                   Infuse radioactive materials       4.59      3.32        0.38       8.29       090  N                 
    77750...  26                  A                   Infuse radioactive materials       4.59      2.05        0.30       6.94       090  N                 
    77750...  TC                  A                   Infuse radioactive materials       0.00      1.27        0.08       1.35       090  N                 
    77761...  ..................  A                   Radioelement application....       3.56      3.98        0.39       7.93       090  N                 
    77761...  26                  A                   Radioelement application....       3.56      1.59        0.23       5.38       090  N                 
    77761...  TC                  A                   Radioelement application....       0.00      2.39        0.16       2.55       090  N                 
    77762...  ..................  A                   Radioelement application....       5.35      5.83        0.57      11.75       090  N                 
    77762...  26                  A                   Radioelement application....       5.35      2.39        0.35       8.09       090  N                 
    77762...  TC                  A                   Radioelement application....       0.00      3.44        0.22       3.66       090  N                 
    77763...  ..................  A                   Radioelement application....       8.01      7.86        0.77      16.64       090  N                 
    77763...  26                  A                   Radioelement application....       8.01      3.58        0.50      12.09       090  N                 
    77763...  TC                  A                   Radioelement application....       0.00      4.28        0.27       4.55       090  N                 
    77776...  ..................  A                   Radioelement application....       4.66      4.16        0.45       9.27       XXX  N                 
    77776...  26                  A                   Radioelement application....       4.66      2.09        0.31       7.06       XXX  N                 
    77776...  TC                  A                   Radioelement application....       0.00      2.07        0.14       2.21       XXX  N                 
    77777...  ..................  A                   Radioelement application....       6.99      7.17        0.71      14.87       090  N                 
    77777...  26                  A                   Radioelement application....       6.99      3.13        0.45      10.57       090  N                 
    77777...  TC                  A                   Radioelement application....       0.00      4.04        0.26       4.30       090  N                 
    77778...  ..................  A                   Radioelement application....      10.46      9.58        0.98      21.02       090  N                 
    77778...  26                  A                   Radioelement application....      10.46      4.69        0.67      15.82       090  N                 
    77778...  TC                  A                   Radioelement application....       0.00      4.89        0.31       5.20       090  N                 
    77781...  ..................  A                   High intensity brachytherapy       1.55     20.04        1.32      22.91       090  N                 
    77781...  26                  A                   High intensity brachytherapy       1.55      0.69        0.11       2.35       090  N                 
    77781...  TC                  A                   High intensity brachytherapy       0.00     19.35        1.21      20.56       090  N                 
    77782...  ..................  A                   High intensity brachytherapy       2.33     20.40        1.37      24.10       090  N                 
    77782...  26                  A                   High intensity brachytherapy       2.33      1.05        0.16       3.54       090  N                 
    77782...  TC                  A                   High intensity brachytherapy       0.00     19.35        1.21      20.56       090  N                 
    77783...  ..................  A                   High intensity brachytherapy       3.49     20.90        1.44      25.83       090  N                 
    77783...  26                  A                   High intensity brachytherapy       3.49      1.55        0.23       5.27       090  N                 
    77783...  TC                  A                   High intensity brachytherapy       0.00     19.35        1.21      20.56       090  N                 
    77784...  ..................  A                   High intensity brachytherapy       5.24     21.69        1.56      28.49       090  N                 
    77784...  26                  A                   High intensity brachytherapy       5.24      2.34        0.35       7.93       090  N                 
    77784...  TC                  A                   High intensity brachytherapy       0.00     19.35        1.21      20.56       090  N                 
    77789...  ..................  A                   Radioelement application....       1.05      0.89        0.10       2.04       090  N                 
    77789...  26                  A                   Radioelement application....       1.05      0.46        0.07       1.58       090  N                 
    77789...  TC                  A                   Radioelement application....       0.00      0.43        0.03       0.46       090  N                 
    77790...  ..................  A                   Radioelement handling.......       1.05      0.94        0.10       2.09       XXX  N                 
    77790...  26                  A                   Radioelement handling.......       1.05      0.46        0.07       1.58       XXX  N                 
    77790...  TC                  A                   Radioelement handling.......       0.00      0.48        0.03       0.51       XXX  N                 
    77799...  ..................  C                   Radium/radioisotope therapy.       0.00      0.00        0.00       0.00       XXX  N                 
    77799...  26                  C                   Radium/radioisotope therapy.       0.00      0.00        0.00       0.00       XXX  N                 
    77799...  TC                  C                   Radium/radioisotope therapy.       0.00      0.00        0.00       0.00       XXX  N                 
    78000...  ..................  A                   Thyroid, single uptake......       0.19      1.01        0.07       1.27       XXX  N                 
    78000...  26                  A                   Thyroid, single uptake......       0.19      0.09        0.01       0.29       XXX  N                 
    78000...  TC                  A                   Thyroid, single uptake......       0.00      0.92        0.06       0.98       XXX  N                 
    78001...  ..................  A                   Thyroid, multiple uptakes...       0.26      1.36        0.10       1.72       XXX  N                 
    78001...  26                  A                   Thyroid, multiple uptakes...       0.26      0.12        0.02       0.40       XXX  N                 
    78001...  TC                  A                   Thyroid, multiple uptakes...       0.00      1.24        0.08       1.32       XXX  N                 
    78003...  ..................  A                   Thyroid suppress/stimul.....       0.33      1.07        0.08       1.48       XXX  N                 
    78003...  26                  A                   Thyroid suppress/stimul.....       0.33      0.15        0.02       0.50       XXX  N                 
    78003...  TC                  A                   Thyroid suppress/stimul.....       0.00      0.92        0.06       0.98       XXX  N                 
    78006...  ..................  A                   Thyroid, imaging with uptake       0.49      2.49        0.18       3.16       XXX  N                 
    78006...  26                  A                   Thyroid, imaging with uptake       0.49      0.22        0.03       0.74       XXX  N                 
    
    [[Page 63285]]
                                                                                                                                                            
    78006...  TC                  A                   Thyroid, imaging with uptake       0.00      2.27        0.15       2.42       XXX  N                 
    78007...  ..................  A                   Thyroid, image, mult uptakes       0.50      2.68        0.19       3.37       XXX  N                 
    78007...  26                  A                   Thyroid, image, mult uptakes       0.50      0.23        0.03       0.76       XXX  N                 
    78007...  TC                  A                   Thyroid, image, mult uptakes       0.00      2.45        0.16       2.61       XXX  N                 
    78010...  ..................  A                   Thyroid imaging.............       0.39      1.90        0.14       2.43       XXX  N                 
    78010...  26                  A                   Thyroid imaging.............       0.39      0.17        0.03       0.59       XXX  N                 
    78010...  TC                  A                   Thyroid imaging.............       0.00      1.73        0.11       1.84       XXX  N                 
    78011...  ..................  A                   Thyroid imaging with flow...       0.45      2.50        0.18       3.13       XXX  N                 
    78011...  26                  A                   Thyroid imaging with flow...       0.45      0.21        0.03       0.69       XXX  N                 
    78011...  TC                  A                   Thyroid imaging with flow...       0.00      2.29        0.15       2.44       XXX  N                 
    78015...  ..................  A                   Thyroid met imaging.........       0.67      2.76        0.21       3.64       XXX  N                 
    78015...  26                  A                   Thyroid met imaging.........       0.67      0.31        0.05       1.03       XXX  N                 
    78015...  TC                  A                   Thyroid met imaging.........       0.00      2.45        0.16       2.61       XXX  N                 
    78016...  ..................  A                   Thyroid met imaging/studies.       0.82      3.70        0.27       4.79       XXX  N                 
    78016...  26                  A                   Thyroid met imaging/studies.       0.82      0.38        0.06       1.26       XXX  N                 
    78016...  TC                  A                   Thyroid met imaging/studies.       0.00      3.32        0.21       3.53       XXX  N                 
    78017...  ..................  A                   Thyroid met imaging, mult...       0.87      3.94        0.28       5.09       XXX  N                 
    78017...  26                  A                   Thyroid met imaging, mult...       0.87      0.39        0.06       1.32       XXX  N                 
    78017...  TC                  A                   Thyroid met imaging, mult...       0.00      3.55        0.22       3.77       XXX  N                 
    78018...  ..................  A                   Thyroid, met imaging, body..       0.95      5.60        0.39       6.94       XXX  N                 
    78018...  26                  A                   Thyroid, met imaging, body..       0.95      0.43        0.06       1.44       XXX  N                 
    78018...  TC                  A                   Thyroid, met imaging, body..       0.00      5.17        0.33       5.50       XXX  N                 
    78070...  ..................  A                   Parathyroid nuclear imaging.       0.51      1.96        0.15       2.62       XXX  N                 
    78070...  26                  A                   Parathyroid nuclear imaging.       0.51      0.23        0.04       0.78       XXX  N                 
    78070...  TC                  A                   Parathyroid nuclear imaging.       0.00      1.73        0.11       1.84       XXX  N                 
    78075...  ..................  A                   Adrenal nuclear imaging.....       0.74      5.51        0.38       6.63       XXX  N                 
    78075...  26                  A                   Adrenal nuclear imaging.....       0.74      0.34        0.05       1.13       XXX  N                 
    78075...  TC                  A                   Adrenal nuclear imaging.....       0.00      5.17        0.33       5.50       XXX  N                 
    78099...  ..................  C                   Endocrine nuclear procedure.       0.00      0.00        0.00       0.00       XXX  N                 
    78099...  26                  C                   Endocrine nuclear procedure.       0.00      0.00        0.00       0.00       XXX  N                 
    78099...  TC                  C                   Endocrine nuclear procedure.       0.00      0.00        0.00       0.00       XXX  N                 
    78102...  ..................  A                   Bone marrow imaging, ltd....       0.55      2.19        0.17       2.91       XXX  N                 
    78102...  26                  A                   Bone marrow imaging, ltd....       0.55      0.25        0.04       0.84       XXX  N                 
    78102...  TC                  A                   Bone marrow imaging, ltd....       0.00      1.94        0.13       2.07       XXX  N                 
    78103...  ..................  A                   Bone marrow imaging, mult...       0.75      3.36        0.24       4.35       XXX  N                 
    78103...  26                  A                   Bone marrow imaging, mult...       0.75      0.34        0.05       1.14       XXX  N                 
    78103...  TC                  A                   Bone marrow imaging, mult...       0.00      3.02        0.19       3.21       XXX  N                 
    78104...  ..................  A                   Bone marrow imaging, body...       0.80      4.25        0.30       5.35       XXX  N                 
    78104...  26                  A                   Bone marrow imaging, body...       0.80      0.37        0.05       1.22       XXX  N                 
    78104...  TC                  A                   Bone marrow imaging, body...       0.00      3.88        0.25       4.13       XXX  N                 
    78110...  ..................  A                   Plasma volume, single.......       0.19      0.99        0.07       1.25       XXX  N                 
    78110...  26                  A                   Plasma volume, single.......       0.19      0.09        0.01       0.29       XXX  N                 
    78110...  TC                  A                   Plasma volume, single.......       0.00      0.90        0.06       0.96       XXX  N                 
    78111...  ..................  A                   Plasma volume, multiple.....       0.22      2.55        0.18       2.95       XXX  N                 
    78111...  26                  A                   Plasma volume, multiple.....       0.22      0.10        0.02       0.34       XXX  N                 
    78111...  TC                  A                   Plasma volume, multiple.....       0.00      2.45        0.16       2.61       XXX  N                 
    78120...  ..................  A                   Red cell mass, single.......       0.23      1.76        0.13       2.12       XXX  N                 
    78120...  26                  A                   Red cell mass, single.......       0.23      0.11        0.02       0.36       XXX  N                 
    78120...  TC                  A                   Red cell mass, single.......       0.00      1.65        0.11       1.76       XXX  N                 
    78121...  ..................  A                   Red cell mass, multiple.....       0.32      2.92        0.19       3.43       XXX  N                 
    78121...  26                  A                   Red cell mass, multiple.....       0.32      0.15        0.02       0.49       XXX  N                 
    78121...  TC                  A                   Red cell mass, multiple.....       0.00      2.77        0.17       2.94       XXX  N                 
    78122...  ..................  A                   Blood volume................       0.45      4.59        0.31       5.35       XXX  N                 
    78122...  26                  A                   Blood volume................       0.45      0.20        0.03       0.68       XXX  N                 
    78122...  TC                  A                   Blood volume................       0.00      4.39        0.28       4.67       XXX  N                 
    78130...  ..................  A                   Red cell survival study.....       0.61      3.00        0.21       3.82       XXX  N                 
    78130...  26                  A                   Red cell survival study.....       0.61      0.28        0.04       0.93       XXX  N                 
    78130...  TC                  A                   Red cell survival study.....       0.00      2.72        0.17       2.89       XXX  N                 
    78135...  ..................  A                   Red cell survival kinetics..       0.64      4.93        0.34       5.91       XXX  N                 
    78135...  26                  A                   Red cell survival kinetics..       0.64      0.29        0.04       0.97       XXX  N                 
    78135...  TC                  A                   Red cell survival kinetics..       0.00      4.64        0.30       4.94       XXX  N                 
    78140...  ..................  A                   Red cell sequestration......       0.61      4.03        0.28       4.92       XXX  N                 
    78140...  26                  A                   Red cell sequestration......       0.61      0.28        0.04       0.93       XXX  N                 
    78140...  TC                  A                   Red cell sequestration......       0.00      3.75        0.24       3.99       XXX  N                 
    78160...  ..................  A                   Plasma iron turnover........       0.33      3.64        0.24       4.21       XXX  N                 
    78160...  26                  A                   Plasma iron turnover........       0.33      0.15        0.02       0.50       XXX  N                 
    
    [[Page 63286]]
                                                                                                                                                            
    78160...  TC                  A                   Plasma iron turnover........       0.00      3.49        0.22       3.71       XXX  N                 
    78162...  ..................  A                   Iron absorption exam........       0.45      3.25        0.22       3.92       XXX  N                 
    78162...  26                  A                   Iron absorption exam........       0.45      0.20        0.03       0.68       XXX  N                 
    78162...  TC                  A                   Iron absorption exam........       0.00      3.05        0.19       3.24       XXX  N                 
    78170...  ..................  A                   Red cell iron utilization...       0.41      5.24        0.35       6.00       XXX  N                 
    78170...  26                  A                   Red cell iron utilization...       0.41      0.18        0.03       0.62       XXX  N                 
    78170...  TC                  A                   Red cell iron utilization...       0.00      5.06        0.32       5.38       XXX  N                 
    78172...  ..................  C                   Total body iron estimation..       0.00      0.00        0.00       0.00       XXX  N                 
    78172...  26                  A                   Total body iron estimation..       0.53      0.25        0.04       0.82       XXX  N                 
    78172...  TC                  C                   Total body iron estimation..       0.00      0.00        0.00       0.00       XXX  N                 
    78185...  ..................  A                   Spleen imaging..............       0.40      2.43        0.18       3.01       XXX  N                 
    78185...  26                  A                   Spleen imaging..............       0.40      0.18        0.03       0.61       XXX  N                 
    78185...  TC                  A                   Spleen imaging..............       0.00      2.25        0.15       2.40       XXX  N                 
    78190...  ..................  A                   Platelet survival, kinetics.       1.09      5.93        0.42       7.44       XXX  N                 
    78190...  26                  A                   Platelet survival, kinetics.       1.09      0.48        0.07       1.64       XXX  N                 
    78190...  TC                  A                   Platelet survival, kinetics.       0.00      5.45        0.35       5.80       XXX  N                 
    78191...  ..................  A                   Platelet survival...........       0.61      7.27        0.48       8.36       XXX  N                 
    78191...  26                  A                   Platelet survival...........       0.61      0.28        0.04       0.93       XXX  N                 
    78191...  TC                  A                   Platelet survival...........       0.00      6.99        0.44       7.43       XXX  N                 
    78195...  ..................  A                   Lymph system imaging........       0.70      4.20        0.30       5.20       XXX  N                 
    78195...  26                  A                   Lymph system imaging........       0.70      0.32        0.05       1.07       XXX  N                 
    78195...  TC                  A                   Lymph system imaging........       0.00      3.88        0.25       4.13       XXX  N                 
    78199...  ..................  C                   Blood/lymph nuclear exam....       0.00      0.00        0.00       0.00       XXX  N                 
    78199...  26                  C                   Blood/lymph nuclear exam....       0.00      0.00        0.00       0.00       XXX  N                 
    78199...  TC                  C                   Blood/lymph nuclear exam....       0.00      0.00        0.00       0.00       XXX  N                 
    78201...  ..................  A                   Liver imaging...............       0.44      2.44        0.18       3.06       XXX  N                 
    78201...  26                  A                   Liver imaging...............       0.44      0.19        0.03       0.66       XXX  N                 
    78201...  TC                  A                   Liver imaging...............       0.00      2.25        0.15       2.40       XXX  N                 
    78202...  ..................  A                   Liver imaging with flow.....       0.51      2.98        0.21       3.70       XXX  N                 
    78202...  26                  A                   Liver imaging with flow.....       0.51      0.23        0.04       0.78       XXX  N                 
    78202...  TC                  A                   Liver imaging with flow.....       0.00      2.75        0.17       2.92       XXX  N                 
    78205...  ..................  A                   Liver imaging (3D)..........       0.71      5.96        0.41       7.08       XXX  N                 
    78205...  26                  A                   Liver imaging (3D)..........       0.71      0.33        0.05       1.09       XXX  N                 
    78205...  TC                  A                   Liver imaging (3D)..........       0.00      5.63        0.36       5.99       XXX  N                 
    78215...  ..................  A                   Liver and spleen imaging....       0.49      3.02        0.20       3.71       XXX  N                 
    78215...  26                  A                   Liver and spleen imaging....       0.49      0.22        0.03       0.74       XXX  N                 
    78215...  TC                  A                   Liver and spleen imaging....       0.00      2.80        0.17       2.97       XXX  N                 
    78216...  ..................  A                   Liver & spleen image, flow..       0.57      3.58        0.25       4.40       XXX  N                 
    78216...  26                  A                   Liver & spleen image, flow..       0.57      0.26        0.04       0.87       XXX  N                 
    78216...  TC                  A                   Liver & spleen image, flow..       0.00      3.32        0.21       3.53       XXX  N                 
    78220...  ..................  A                   Liver function study........       0.49      3.77        0.25       4.51       XXX  N                 
    78220...  26                  A                   Liver function study........       0.49      0.22        0.03       0.74       XXX  N                 
    78220...  TC                  A                   Liver function study........       0.00      3.55        0.22       3.77       XXX  N                 
    78223...  ..................  A                   Hepatobiliary imaging.......       0.84      3.87        0.28       4.99       XXX  N                 
    78223...  26                  A                   Hepatobiliary imaging.......       0.84      0.38        0.06       1.28       XXX  N                 
    78223...  TC                  A                   Hepatobiliary imaging.......       0.00      3.49        0.22       3.71       XXX  N                 
    78230...  ..................  A                   Salivary gland imaging......       0.45      2.28        0.17       2.90       XXX  N                 
    78230...  26                  A                   Salivary gland imaging......       0.45      0.21        0.03       0.69       XXX  N                 
    78230...  TC                  A                   Salivary gland imaging......       0.00      2.07        0.14       2.21       XXX  N                 
    78231...  ..................  A                   Serial salivary imaging.....       0.52      3.26        0.23       4.01       XXX  N                 
    78231...  26                  A                   Serial salivary imaging.....       0.52      0.24        0.04       0.80       XXX  N                 
    78231...  TC                  A                   Serial salivary imaging.....       0.00      3.02        0.19       3.21       XXX  N                 
    78232...  ..................  A                   Salivary gland function exam       0.47      3.59        0.24       4.30       XXX  N                 
    78232...  26                  A                   Salivary gland function exam       0.47      0.22        0.03       0.72       XXX  N                 
    78232...  TC                  A                   Salivary gland function exam       0.00      3.37        0.21       3.58       XXX  N                 
    78258...  ..................  A                   Esophageal motility study...       0.74      3.09        0.22       4.05       XXX  N                 
    78258...  26                  A                   Esophageal motility study...       0.74      0.34        0.05       1.13       XXX  N                 
    78258...  TC                  A                   Esophageal motility study...       0.00      2.75        0.17       2.92       XXX  N                 
    78261...  ..................  A                   Gastric mucosa imaging......       0.69      4.23        0.30       5.22       XXX  N                 
    78261...  26                  A                   Gastric mucosa imaging......       0.69      0.32        0.05       1.06       XXX  N                 
    78261...  TC                  A                   Gastric mucosa imaging......       0.00      3.91        0.25       4.16       XXX  N                 
    78262...  ..................  A                   Gastroesophageal reflux exam       0.68      4.36        0.31       5.35       XXX  N                 
    78262...  26                  A                   Gastroesophageal reflux exam       0.68      0.31        0.05       1.04       XXX  N                 
    78262...  TC                  A                   Gastroesophageal reflux exam       0.00      4.05        0.26       4.31       XXX  N                 
    78264...  ..................  A                   Gastric emptying study......       0.78      4.29        0.30       5.37       XXX  N                 
    78264...  26                  A                   Gastric emptying study......       0.78      0.36        0.05       1.19       XXX  N                 
    
    [[Page 63287]]
                                                                                                                                                            
    78264...  TC                  A                   Gastric emptying study......       0.00      3.93        0.25       4.18       XXX  N                 
    78270...  ..................  A                   Vit B-12 absorption exam....       0.20      1.57        0.11       1.88       XXX  N                 
    78270...  26                  A                   Vit B-12 absorption exam....       0.20      0.10        0.01       0.31       XXX  N                 
    78270...  TC                  A                   Vit B-12 absorption exam....       0.00      1.47        0.10       1.57       XXX  N                 
    78271...  ..................  A                   Vit B-12 absorp exam, IF....       0.20      1.67        0.11       1.98       XXX  N                 
    78271...  26                  A                   Vit B-12 absorp exam, IF....       0.20      0.10        0.01       0.31       XXX  N                 
    78271...  TC                  A                   Vit B-12 absorp exam, IF....       0.00      1.57        0.10       1.67       XXX  N                 
    78272...  ..................  A                   Vit B-12 absorp, combined...       0.27      2.34        0.17       2.78       XXX  N                 
    78272...  26                  A                   Vit B-12 absorp, combined...       0.27      0.13        0.02       0.42       XXX  N                 
    78272...  TC                  A                   Vit B-12 absorp, combined...       0.00      2.21        0.15       2.36       XXX  N                 
    78278...  ..................  A                   Acute GI blood loss imaging.       0.99      5.09        0.37       6.45       XXX  N                 
    78278...  26                  A                   Acute GI blood loss imaging.       0.99      0.45        0.07       1.51       XXX  N                 
    78278...  TC                  A                   Acute GI blood loss imaging.       0.00      4.64        0.30       4.94       XXX  N                 
    78282...  ..................  C                   GI protein loss exam........       0.00      0.00        0.00       0.00       XXX  N                 
    78282...  26                  A                   GI protein loss exam........       0.38      0.17        0.03       0.58       XXX  N                 
    78282...  TC                  C                   GI protein loss exam........       0.00      0.00        0.00       0.00       XXX  N                 
    78290...  ..................  A                   Meckel's divert exam........       0.68      3.21        0.23       4.12       XXX  N                 
    78290...  26                  A                   Meckel's divert exam........       0.68      0.31        0.05       1.04       XXX  N                 
    78290...  TC                  A                   Meckel's divert exam........       0.00      2.90        0.18       3.08       XXX  N                 
    78291...  ..................  A                   Leveen/shunt patency exam...       0.88      3.31        0.24       4.43       XXX  N                 
    78291...  26                  A                   Leveen/shunt patency exam...       0.88      0.39        0.06       1.33       XXX  N                 
    78291...  TC                  A                   Leveen/shunt patency exam...       0.00      2.92        0.18       3.10       XXX  N                 
    78299...  ..................  C                   GI nuclear procedure........       0.00      0.00        0.00       0.00       XXX  N                 
    78299...  26                  C                   GI nuclear procedure........       0.00      0.00        0.00       0.00       XXX  N                 
    78299...  TC                  C                   GI nuclear procedure........       0.00      0.00        0.00       0.00       XXX  N                 
    78300...  ..................  A                   Bone imaging, limited area..       0.62      2.66        0.20       3.48       XXX  N                 
    78300...  26                  A                   Bone imaging, limited area..       0.62      0.29        0.04       0.95       XXX  N                 
    78300...  TC                  A                   Bone imaging, limited area..       0.00      2.37        0.16       2.53       XXX  N                 
    78305...  ..................  A                   Bone imaging, multiple areas       0.83      3.87        0.28       4.98       XXX  N                 
    78305...  26                  A                   Bone imaging, multiple areas       0.83      0.38        0.06       1.27       XXX  N                 
    78305...  TC                  A                   Bone imaging, multiple areas       0.00      3.49        0.22       3.71       XXX  N                 
    78306...  ..................  A                   Bone imaging, whole body....       0.86      4.46        0.32       5.64       XXX  N                 
    78306...  26                  A                   Bone imaging, whole body....       0.86      0.39        0.06       1.31       XXX  N                 
    78306...  TC                  A                   Bone imaging, whole body....       0.00      4.07        0.26       4.33       XXX  N                 
    78315...  ..................  A                   Bone imaging, 3 phase.......       1.02      5.00        0.36       6.38       XXX  N                 
    78315...  26                  A                   Bone imaging, 3 phase.......       1.02      0.45        0.07       1.54       XXX  N                 
    78315...  TC                  A                   Bone imaging, 3 phase.......       0.00      4.55        0.29       4.84       XXX  N                 
    78320...  ..................  A                   Bone imaging (3D)...........       1.04      6.09        0.43       7.56       XXX  N                 
    78320...  26                  A                   Bone imaging (3D)...........       1.04      0.46        0.07       1.57       XXX  N                 
    78320...  TC                  A                   Bone imaging (3D)...........       0.00      5.63        0.36       5.99       XXX  N                 
    78350...  ..................  A                   Bone mineral, single photon.       0.22      0.82        0.07       1.11       XXX  N                 
    78350...  26                  A                   Bone mineral, single photon.       0.22      0.10        0.02       0.34       XXX  N                 
    78350...  TC                  A                   Bone mineral, single photon.       0.00      0.72        0.05       0.77       XXX  N                 
    78351...  ..................  N                   Bone mineral, dual photon...      #0.30      0.19        0.02       0.51       XXX  0                 
    78399...  ..................  C                   Musculoskeletal nuclear exam       0.00      0.00        0.00       0.00       XXX  N                 
    78399...  26                  C                   Musculoskeletal nuclear exam       0.00      0.00        0.00       0.00       XXX  N                 
    78399...  TC                  C                   Musculoskeletal nuclear exam       0.00      0.00        0.00       0.00       XXX  N                 
    78414...  ..................  C                   Non-imaging heart function..       0.00      0.00        0.00       0.00       XXX  N                 
    78414...  26                  A                   Non-imaging heart function..       0.45      0.20        0.03       0.68       XXX  N                 
    78414...  TC                  C                   Non-imaging heart function..       0.00      0.00        0.00       0.00       XXX  N                 
    78428...  ..................  A                   Cardiac shunt imaging.......       0.78      2.51        0.19       3.48       XXX  N                 
    78428...  26                  A                   Cardiac shunt imaging.......       0.78      0.36        0.05       1.19       XXX  N                 
    78428...  TC                  A                   Cardiac shunt imaging.......       0.00      2.15        0.14       2.29       XXX  N                 
    78445...  ..................  A                   Vascular flow imaging.......       0.49      2.01        0.15       2.65       XXX  N                 
    78445...  26                  A                   Vascular flow imaging.......       0.49      0.24        0.04       0.77       XXX  N                 
    78445...  TC                  A                   Vascular flow imaging.......       0.00      1.77        0.11       1.88       XXX  N                 
    78455...  ..................  A                   Venous thrombosis study.....       0.73      4.13        0.29       5.15       XXX  N                 
    78455...  26                  A                   Venous thrombosis study.....       0.73      0.33        0.05       1.11       XXX  N                 
    78455...  TC                  A                   Venous thrombosis study.....       0.00      3.80        0.24       4.04       XXX  N                 
    78457...  ..................  A                   Venous thrombosis imaging...       0.77      2.88        0.22       3.87       XXX  N                 
    78457...  26                  A                   Venous thrombosis imaging...       0.77      0.35        0.05       1.17       XXX  N                 
    78457...  TC                  A                   Venous thrombosis imaging...       0.00      2.53        0.17       2.70       XXX  N                 
    78458...  ..................  A                   Ven thrombosis images, bilat       0.90      4.23        0.30       5.43       XXX  N                 
    78458...  26                  A                   Ven thrombosis images, bilat       0.90      0.40        0.06       1.36       XXX  N                 
    78458...  TC                  A                   Ven thrombosis images, bilat       0.00      3.83        0.24       4.07       XXX  N                 
    78459...  ..................  G                   Heart muscle imaging (PET)..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63288]]
                                                                                                                                                            
    78459...  26                  G                   Heart muscle imaging (PET)..      #1.88      1.34        0.10       3.32       XXX  0                 
    78459...  TC                  G                   Heart muscle imaging (PET)..       0.00      0.00        0.00       0.00       XXX  0                 
    78460...  ..................  A                   Heart muscle blood single...       0.86      2.64        0.21       3.71       XXX  N                 
    78460...  26                  A                   Heart muscle blood single...       0.86      0.39        0.06       1.31       XXX  N                 
    78460...  TC                  A                   Heart muscle blood single...       0.00      2.25        0.15       2.40       XXX  N                 
    78461...  ..................  A                   Heart muscle blood multiple.       1.23      5.04        0.37       6.64       XXX  N                 
    78461...  26                  A                   Heart muscle blood multiple.       1.23      0.54        0.08       1.85       XXX  N                 
    78461...  TC                  A                   Heart muscle blood multiple.       0.00      4.50        0.29       4.79       XXX  N                 
    78464...  ..................  A                   Heart image (3D) single.....       1.09      7.22        0.50       8.81       XXX  N                 
    78464...  26                  A                   Heart image (3D) single.....       1.09      0.48        0.07       1.64       XXX  N                 
    78464...  TC                  A                   Heart image (3D) single.....       0.00      6.74        0.43       7.17       XXX  N                 
    78465...  ..................  A                   Heart image (3D) multiple...       1.46     11.89        0.80      14.15       XXX  N                 
    78465...  26                  A                   Heart image (3D) multiple...       1.46      0.65        0.10       2.21       XXX  N                 
    78465...  TC                  A                   Heart image (3D) multiple...       0.00     11.24        0.70      11.94       XXX  N                 
    78466...  ..................  A                   Heart infarct image.........       0.69      2.82        0.22       3.73       XXX  N                 
    78466...  26                  A                   Heart infarct image.........       0.69      0.32        0.05       1.06       XXX  N                 
    78466...  TC                  A                   Heart infarct image.........       0.00      2.50        0.17       2.67       XXX  N                 
    78468...  ..................  A                   Heart infarct image, EF.....       0.80      3.85        0.27       4.92       XXX  N                 
    78468...  26                  A                   Heart infarct image, EF.....       0.80      0.36        0.05       1.21       XXX  N                 
    78468...  TC                  A                   Heart infarct image, EF.....       0.00      3.49        0.22       3.71       XXX  N                 
    78469...  ..................  A                   Heart infarct image (3D)....       0.92      5.39        0.38       6.69       XXX  N                 
    78469...  26                  A                   Heart infarct image (3D)....       0.92      0.41        0.06       1.39       XXX  N                 
    78469...  TC                  A                   Heart infarct image (3D)....       0.00      4.98        0.32       5.30       XXX  N                 
    78472...  ..................  A                   Gated heart, resting........       0.98      5.69        0.41       7.08       XXX  N                 
    78472...  26                  A                   Gated heart, resting........       0.98      0.44        0.07       1.49       XXX  N                 
    78472...  TC                  A                   Gated heart, resting........       0.00      5.25        0.34       5.59       XXX  N                 
    78473...  ..................  A                   Gated heart, multiple.......       1.47      8.52        0.59      10.58       XXX  N                 
    78473...  26                  A                   Gated heart, multiple.......       1.47      0.65        0.10       2.22       XXX  N                 
    78473...  TC                  A                   Gated heart, multiple.......       0.00      7.87        0.49       8.36       XXX  N                 
    78478...  ..................  A                   Heart wall motion (add-on)..       0.62      1.76        0.14       2.52       XXX  N                 
    78478...  26                  A                   Heart wall motion (add-on)..       0.62      0.28        0.04       0.94       XXX  N                 
    78478...  TC                  A                   Heart wall motion (add-on)..       0.00      1.48        0.10       1.58       XXX  N                 
    78480...  ..................  A                   Heart function, (add-on)....       0.62      1.76        0.14       2.52       XXX  N                 
    78480...  26                  A                   Heart function, (add-on)....       0.62      0.28        0.04       0.94       XXX  N                 
    78480...  TC                  A                   Heart function, (add-on)....       0.00      1.48        0.10       1.58       XXX  N                 
    78481...  ..................  A                   Heart first pass single.....       0.98      5.42        0.39       6.79       XXX  N                 
    78481...  26                  A                   Heart first pass single.....       0.98      0.44        0.07       1.49       XXX  N                 
    78481...  TC                  A                   Heart first pass single.....       0.00      4.98        0.32       5.30       XXX  N                 
    78483...  ..................  A                   Heart first pass multiple...       1.47      8.15        0.57      10.19       XXX  N                 
    78483...  26                  A                   Heart first pass multiple...       1.47      0.65        0.10       2.22       XXX  N                 
    78483...  TC                  A                   Heart first pass multiple...       0.00      7.50        0.47       7.97       XXX  N                 
    78499...  ..................  C                   Cardiovascular nuclear exam.       0.00      0.00        0.00       0.00       XXX  N                 
    78499...  26                  C                   Cardiovascular nuclear exam.       0.00      0.00        0.00       0.00       XXX  N                 
    78499...  TC                  C                   Cardiovascular nuclear exam.       0.00      0.00        0.00       0.00       XXX  N                 
    78580...  ..................  A                   Lung perfusion imaging......       0.74      3.61        0.26       4.61       XXX  N                 
    78580...  26                  A                   Lung perfusion imaging......       0.74      0.34        0.05       1.13       XXX  N                 
    78580...  TC                  A                   Lung perfusion imaging......       0.00      3.27        0.21       3.48       XXX  N                 
    78584...  ..................  A                   Lung V/Q image single breath       0.99      3.50        0.26       4.75       XXX  N                 
    78584...  26                  A                   Lung V/Q image single breath       0.99      0.45        0.07       1.51       XXX  N                 
    78584...  TC                  A                   Lung V/Q image single breath       0.00      3.05        0.19       3.24       XXX  N                 
    78585...  ..................  A                   Lung V/Q imaging............       1.09      5.85        0.41       7.35       XXX  N                 
    78585...  26                  A                   Lung V/Q imaging............       1.09      0.48        0.07       1.64       XXX  N                 
    78585...  TC                  A                   Lung V/Q imaging............       0.00      5.37        0.34       5.71       XXX  N                 
    78586...  ..................  A                   Aerosol lung image, single..       0.40      2.65        0.19       3.24       XXX  N                 
    78586...  26                  A                   Aerosol lung image, single..       0.40      0.18        0.03       0.61       XXX  N                 
    78586...  TC                  A                   Aerosol lung image, single..       0.00      2.47        0.16       2.63       XXX  N                 
    78587...  ..................  A                   Aerosol lung image, multiple       0.49      2.89        0.20       3.58       XXX  N                 
    78587...  26                  A                   Aerosol lung image, multiple       0.49      0.22        0.03       0.74       XXX  N                 
    78587...  TC                  A                   Aerosol lung image, multiple       0.00      2.67        0.17       2.84       XXX  N                 
    78591...  ..................  A                   Vent image, 1 breath, 1 proj       0.40      2.90        0.20       3.50       XXX  N                 
    78591...  26                  A                   Vent image, 1 breath, 1 proj       0.40      0.18        0.03       0.61       XXX  N                 
    78591...  TC                  A                   Vent image, 1 breath, 1 proj       0.00      2.72        0.17       2.89       XXX  N                 
    78593...  ..................  A                   Vent image, 1 proj, gas.....       0.49      3.51        0.24       4.24       XXX  N                 
    78593...  26                  A                   Vent image, 1 proj, gas.....       0.49      0.22        0.03       0.74       XXX  N                 
    78593...  TC                  A                   Vent image, 1 proj, gas.....       0.00      3.29        0.21       3.50       XXX  N                 
    78594...  ..................  A                   Vent image, mult proj, gas..       0.53      5.00        0.34       5.87       XXX  N                 
    
    [[Page 63289]]
                                                                                                                                                            
    78594...  26                  A                   Vent image, mult proj, gas..       0.53      0.25        0.04       0.82       XXX  N                 
    78594...  TC                  A                   Vent image, mult proj, gas..       0.00      4.75        0.30       5.05       XXX  N                 
    78596...  ..................  A                   Lung differential function..       1.27      7.30        0.52       9.09       XXX  N                 
    78596...  26                  A                   Lung differential function..       1.27      0.56        0.09       1.92       XXX  N                 
    78596...  TC                  A                   Lung differential function..       0.00      6.74        0.43       7.17       XXX  N                 
    78599...  ..................  C                   Respiratory nuclear exam....       0.00      0.00        0.00       0.00       XXX  N                 
    78599...  26                  C                   Respiratory nuclear exam....       0.00      0.00        0.00       0.00       XXX  N                 
    78599...  TC                  C                   Respiratory nuclear exam....       0.00      0.00        0.00       0.00       XXX  N                 
    78600...  ..................  A                   Brain imaging, ltd static...       0.44      2.95        0.20       3.59       XXX  N                 
    78600...  26                  A                   Brain imaging, ltd static...       0.44      0.20        0.03       0.67       XXX  N                 
    78600...  TC                  A                   Brain imaging, ltd static...       0.00      2.75        0.17       2.92       XXX  N                 
    78601...  ..................  A                   Brain ltd imaging & flow....       0.51      3.48        0.24       4.23       XXX  N                 
    78601...  26                  A                   Brain ltd imaging & flow....       0.51      0.24        0.04       0.79       XXX  N                 
    78601...  TC                  A                   Brain ltd imaging & flow....       0.00      3.24        0.20       3.44       XXX  N                 
    78605...  ..................  A                   Brain imaging, complete.....       0.53      3.49        0.24       4.26       XXX  N                 
    78605...  26                  A                   Brain imaging, complete.....       0.53      0.25        0.04       0.82       XXX  N                 
    78605...  TC                  A                   Brain imaging, complete.....       0.00      3.24        0.20       3.44       XXX  N                 
    78606...  ..................  A                   Brain imaging comp & flow...       0.64      3.98        0.27       4.89       XXX  N                 
    78606...  26                  A                   Brain imaging comp & flow...       0.64      0.29        0.04       0.97       XXX  N                 
    78606...  TC                  A                   Brain imaging comp & flow...       0.00      3.69        0.23       3.92       XXX  N                 
    78607...  ..................  A                   Brain imaging (3D)..........       1.23      6.79        0.47       8.49       XXX  N                 
    78607...  26                  A                   Brain imaging (3D)..........       1.23      0.54        0.08       1.85       XXX  N                 
    78607...  TC                  A                   Brain imaging (3D)..........       0.00      6.25        0.39       6.64       XXX  N                 
    78608...  ..................  N                   Brain imaging (PET).........       0.00      0.00        0.00       0.00       XXX  0                 
    78609...  ..................  N                   Brain imaging (PET).........       0.00      0.00        0.00       0.00       XXX  0                 
    78610...  ..................  A                   Brain flow imaging only.....       0.30      1.64        0.12       2.06       XXX  N                 
    78610...  26                  A                   Brain flow imaging only.....       0.30      0.14        0.02       0.46       XXX  N                 
    78610...  TC                  A                   Brain flow imaging only.....       0.00      1.50        0.10       1.60       XXX  N                 
    78615...  ..................  A                   Cerebral blood flow imaging.       0.42      3.86        0.26       4.54       XXX  N                 
    78615...  26                  A                   Cerebral blood flow imaging.       0.42      0.19        0.03       0.64       XXX  N                 
    78615...  TC                  A                   Cerebral blood flow imaging.       0.00      3.67        0.23       3.90       XXX  N                 
    78630...  ..................  A                   Cerebrospinal fluid scan....       0.68      5.11        0.36       6.15       XXX  N                 
    78630...  26                  A                   Cerebrospinal fluid scan....       0.68      0.31        0.05       1.04       XXX  N                 
    78630...  TC                  A                   Cerebrospinal fluid scan....       0.00      4.80        0.31       5.11       XXX  N                 
    78635...  ..................  A                   CSF ventriculography........       0.61      2.70        0.20       3.51       XXX  N                 
    78635...  26                  A                   CSF ventriculography........       0.61      0.28        0.04       0.93       XXX  N                 
    78635...  TC                  A                   CSF ventriculography........       0.00      2.42        0.16       2.58       XXX  N                 
    78645...  ..................  A                   CSF shunt evaluation........       0.57      3.53        0.25       4.35       XXX  N                 
    78645...  26                  A                   CSF shunt evaluation........       0.57      0.26        0.04       0.87       XXX  N                 
    78645...  TC                  A                   CSF shunt evaluation........       0.00      3.27        0.21       3.48       XXX  N                 
    78647...  ..................  A                   Cerebrospinal fluid scan....       0.90      6.04        0.42       7.36       XXX  N                 
    78647...  26                  A                   Cerebrospinal fluid scan....       0.90      0.41        0.06       1.37       XXX  N                 
    78647...  TC                  A                   Cerebrospinal fluid scan....       0.00      5.63        0.36       5.99       XXX  N                 
    78650...  ..................  A                   CSF leakage imaging.........       0.61      4.70        0.32       5.63       XXX  N                 
    78650...  26                  A                   CSF leakage imaging.........       0.61      0.28        0.04       0.93       XXX  N                 
    78650...  TC                  A                   CSF leakage imaging.........       0.00      4.42        0.28       4.70       XXX  N                 
    78655...  ..................  D                   Nuclear exam of eye lesion..       0.00      0.00        0.00       0.00       XXX  N                 
    78655...  26                  D                   Nuclear exam of eye lesion..       0.00      0.00        0.00       0.00       XXX  N                 
    78655...  TC                  D                   Nuclear exam of eye lesion..       0.00      0.00        0.00       0.00       XXX  N                 
    78660...  ..................  A                   Nuclear exam of tear flow...       0.53      2.27        0.17       2.97       XXX  N                 
    78660...  26                  A                   Nuclear exam of tear flow...       0.53      0.25        0.04       0.82       XXX  N                 
    78660...  TC                  A                   Nuclear exam of tear flow...       0.00      2.02        0.13       2.15       XXX  N                 
    78699...  ..................  C                   Nervous system nuclear exam.       0.00      0.00        0.00       0.00       XXX  N                 
    78699...  26                  C                   Nervous system nuclear exam.       0.00      0.00        0.00       0.00       XXX  N                 
    78699...  TC                  C                   Nervous system nuclear exam.       0.00      0.00        0.00       0.00       XXX  N                 
    78700...  ..................  A                   Kidney imaging, static......       0.45      3.10        0.21       3.76       XXX  N                 
    78700...  26                  A                   Kidney imaging, static......       0.45      0.20        0.03       0.68       XXX  N                 
    78700...  TC                  A                   Kidney imaging, static......       0.00      2.90        0.18       3.08       XXX  N                 
    78701...  ..................  A                   Kidney imaging with flow....       0.49      3.61        0.24       4.34       XXX  N                 
    78701...  26                  A                   Kidney imaging with flow....       0.49      0.22        0.03       0.74       XXX  N                 
    78701...  TC                  A                   Kidney imaging with flow....       0.00      3.39        0.21       3.60       XXX  N                 
    78704...  ..................  A                   Imaging renogram............       0.74      4.11        0.29       5.14       XXX  N                 
    78704...  26                  A                   Imaging renogram............       0.74      0.34        0.05       1.13       XXX  N                 
    78704...  TC                  A                   Imaging renogram............       0.00      3.77        0.24       4.01       XXX  N                 
    78707...  ..................  A                   Kidney flow & function image       0.94      4.68        0.33       5.95       XXX  N                 
    78707...  26                  A                   Kidney flow & function image       0.94      0.42        0.06       1.42       XXX  N                 
    
    [[Page 63290]]
                                                                                                                                                            
    78707...  TC                  A                   Kidney flow & function image       0.00      4.26        0.27       4.53       XXX  N                 
    78710...  ..................  A                   Kidney imaging (3D).........       0.66      5.93        0.41       7.00       XXX  N                 
    78710...  26                  A                   Kidney imaging (3D).........       0.66      0.30        0.05       1.01       XXX  N                 
    78710...  TC                  A                   Kidney imaging (3D).........       0.00      5.63        0.36       5.99       XXX  N                 
    78715...  ..................  A                   Renal vascular flow exam....       0.30      1.64        0.12       2.06       XXX  N                 
    78715...  26                  A                   Renal vascular flow exam....       0.30      0.14        0.02       0.46       XXX  N                 
    78715...  TC                  A                   Renal vascular flow exam....       0.00      1.50        0.10       1.60       XXX  N                 
    78725...  ..................  A                   Kidney function study.......       0.38      1.87        0.14       2.39       XXX  N                 
    78725...  26                  A                   Kidney function study.......       0.38      0.17        0.03       0.58       XXX  N                 
    78725...  TC                  A                   Kidney function study.......       0.00      1.70        0.11       1.81       XXX  N                 
    78726...  ..................  A                   Kidney function w/intervent.       0.87      3.21        0.24       4.32       XXX  N                 
    78726...  26                  A                   Kidney function w/intervent.       0.87      0.39        0.06       1.32       XXX  N                 
    78726...  TC                  A                   Kidney function w/intervent.       0.00      2.82        0.18       3.00       XXX  N                 
    78727...  ..................  A                   Kidney transplant evaluation       0.99      4.25        0.31       5.55       XXX  N                 
    78727...  26                  A                   Kidney transplant evaluation       0.99      0.45        0.07       1.51       XXX  N                 
    78727...  TC                  A                   Kidney transplant evaluation       0.00      3.80        0.24       4.04       XXX  N                 
    78730...  ..................  A                   Urinary bladder retention...       0.36      1.55        0.11       2.02       XXX  N                 
    78730...  26                  A                   Urinary bladder retention...       0.36      0.16        0.02       0.54       XXX  N                 
    78730...  TC                  A                   Urinary bladder retention...       0.00      1.39        0.09       1.48       XXX  N                 
    78740...  ..................  A                   Ureteral reflux study.......       0.57      2.28        0.17       3.02       XXX  N                 
    78740...  26                  A                   Ureteral reflux study.......       0.57      0.26        0.04       0.87       XXX  N                 
    78740...  TC                  A                   Ureteral reflux study.......       0.00      2.02        0.13       2.15       XXX  N                 
    78760...  ..................  A                   Testicular imaging..........       0.66      2.85        0.21       3.72       XXX  N                 
    78760...  26                  A                   Testicular imaging..........       0.66      0.30        0.04       1.00       XXX  N                 
    78760...  TC                  A                   Testicular imaging..........       0.00      2.55        0.17       2.72       XXX  N                 
    78761...  ..................  A                   Testicular imaging & flow...       0.71      3.38        0.24       4.33       XXX  N                 
    78761...  26                  A                   Testicular imaging & flow...       0.71      0.33        0.05       1.09       XXX  N                 
    78761...  TC                  A                   Testicular imaging & flow...       0.00      3.05        0.19       3.24       XXX  N                 
    78799...  ..................  C                   Genitourinary nuclear exam..       0.00      0.00        0.00       0.00       XXX  N                 
    78799...  26                  C                   Genitourinary nuclear exam..       0.00      0.00        0.00       0.00       XXX  N                 
    78799...  TC                  C                   Genitourinary nuclear exam..       0.00      0.00        0.00       0.00       XXX  N                 
    78800...  ..................  A                   Tumor imaging, limited area.       0.66      3.54        0.24       4.44       XXX  N                 
    78800...  26                  A                   Tumor imaging, limited area.       0.66      0.30        0.04       1.00       XXX  N                 
    78800...  TC                  A                   Tumor imaging, limited area.       0.00      3.24        0.20       3.44       XXX  N                 
    78801...  ..................  A                   Tumor imaging, mult areas...       0.79      4.39        0.31       5.49       XXX  N                 
    78801...  26                  A                   Tumor imaging, mult areas...       0.79      0.36        0.05       1.20       XXX  N                 
    78801...  TC                  A                   Tumor imaging, mult areas...       0.00      4.03        0.26       4.29       XXX  N                 
    78802...  ..................  A                   Tumor imaging, whole body...       0.86      5.66        0.40       6.92       XXX  N                 
    78802...  26                  A                   Tumor imaging, whole body...       0.86      0.39        0.06       1.31       XXX  N                 
    78802...  TC                  A                   Tumor imaging, whole body...       0.00      5.27        0.34       5.61       XXX  N                 
    78803...  ..................  A                   Tumor imaging (3D)..........       1.09      6.73        0.46       8.28       XXX  N                 
    78803...  26                  A                   Tumor imaging (3D)..........       1.09      0.48        0.07       1.64       XXX  N                 
    78803...  TC                  A                   Tumor imaging (3D)..........       0.00      6.25        0.39       6.64       XXX  N                 
    78805...  ..................  A                   Abscess imaging, ltd area...       0.73      3.57        0.25       4.55       XXX  N                 
    78805...  26                  A                   Abscess imaging, ltd area...       0.73      0.33        0.05       1.11       XXX  N                 
    78805...  TC                  A                   Abscess imaging, ltd area...       0.00      3.24        0.20       3.44       XXX  N                 
    78806...  ..................  A                   Abscess imaging, whole body.       0.86      6.51        0.45       7.82       XXX  N                 
    78806...  26                  A                   Abscess imaging, whole body.       0.86      0.38        0.06       1.30       XXX  N                 
    78806...  TC                  A                   Abscess imaging, whole body.       0.00      6.13        0.39       6.52       XXX  N                 
    78807...  ..................  A                   Nuclear localization/abscess       1.09      6.73        0.46       8.28       XXX  N                 
    78807...  26                  A                   Nuclear localization/abscess       1.09      0.48        0.07       1.64       XXX  N                 
    78807...  TC                  A                   Nuclear localization/abscess       0.00      6.25        0.39       6.64       XXX  N                 
    78810...  ..................  N                   Tumor imaging (PET).........       0.00      0.00        0.00       0.00       XXX  0                 
    78810...  26                  N                   Tumor imaging (PET).........      #1.93      1.37        0.10       3.40       XXX  0                 
    78810...  TC                  N                   Tumor imaging (PET).........       0.00      0.00        0.00       0.00       XXX  0                 
    78890...  ..................  B                   Nuclear medicine data proc..      #0.05      1.26        0.08       1.39       XXX  0                 
    78890...  26                  B                   Nuclear medicine data proc..      #0.05      0.02        0.00       0.07       XXX  0                 
    78890...  TC                  B                   Nuclear medicine data proc..      #0.00      1.24        0.08       1.32       XXX  0                 
    78891...  ..................  B                   Nuclear med data proc.......      #0.10      2.55        0.18       2.83       XXX  0                 
    78891...  26                  B                   Nuclear med data proc.......      #0.10      0.05        0.01       0.16       XXX  0                 
    78891...  TC                  B                   Nuclear med data proc.......      #0.00      2.50        0.17       2.67       XXX  0                 
    78990...  ..................  G                   Provide diag radionuclide(s)       0.00      0.00        0.00       0.00       XXX  0                 
    78999...  ..................  C                   Nuclear diagnostic exam.....       0.00      0.00        0.00       0.00       XXX  N                 
    78999...  26                  C                   Nuclear diagnostic exam.....       0.00      0.00        0.00       0.00       XXX  N                 
    78999...  TC                  C                   Nuclear diagnostic exam.....       0.00      0.00        0.00       0.00       XXX  N                 
    79000...  ..................  A                   Intial hyperthyroid therapy.       1.80      3.31        0.29       5.40       XXX  N                 
    
    [[Page 63291]]
                                                                                                                                                            
    79000...  26                  A                   Intial hyperthyroid therapy.       1.80      0.81        0.12       2.73       XXX  N                 
    79000...  TC                  A                   Intial hyperthyroid therapy.       0.00      2.50        0.17       2.67       XXX  N                 
    79001...  ..................  A                   Repeat hyperthyroid therapy.       1.05      1.70        0.15       2.90       XXX  N                 
    79001...  26                  A                   Repeat hyperthyroid therapy.       1.05      0.46        0.07       1.58       XXX  N                 
    79001...  TC                  A                   Repeat hyperthyroid therapy.       0.00      1.24        0.08       1.32       XXX  N                 
    79020...  ..................  A                   Thyroid ablation............       1.81      3.31        0.29       5.41       XXX  N                 
    79020...  26                  A                   Thyroid ablation............       1.81      0.81        0.12       2.74       XXX  N                 
    79020...  TC                  A                   Thyroid ablation............       0.00      2.50        0.17       2.67       XXX  N                 
    79030...  ..................  A                   Thyroid ablation, carcinoma.       2.10      3.44        0.31       5.85       XXX  N                 
    79030...  26                  A                   Thyroid ablation, carcinoma.       2.10      0.94        0.14       3.18       XXX  N                 
    79030...  TC                  A                   Thyroid ablation, carcinoma.       0.00      2.50        0.17       2.67       XXX  N                 
    79035...  ..................  A                   Thyroid metastatic therapy..       2.52      3.63        0.34       6.49       XXX  N                 
    79035...  26                  A                   Thyroid metastatic therapy..       2.52      1.13        0.17       3.82       XXX  N                 
    79035...  TC                  A                   Thyroid metastatic therapy..       0.00      2.50        0.17       2.67       XXX  N                 
    79100...  ..................  A                   Hematopoetic nuclear therapy       1.32      3.08        0.26       4.66       XXX  N                 
    79100...  26                  A                   Hematopoetic nuclear therapy       1.32      0.58        0.09       1.99       XXX  N                 
    79100...  TC                  A                   Hematopoetic nuclear therapy       0.00      2.50        0.17       2.67       XXX  N                 
    79200...  ..................  A                   Intracavitary nuc treatment.       1.99      3.39        0.31       5.69       XXX  N                 
    79200...  26                  A                   Intracavitary nuc treatment.       1.99      0.89        0.14       3.02       XXX  N                 
    79200...  TC                  A                   Intracavitary nuc treatment.       0.00      2.50        0.17       2.67       XXX  N                 
    79300...  ..................  C                   Interstitial nuclear therapy       0.00      0.00        0.00       0.00       XXX  N                 
    79300...  26                  A                   Interstitial nuclear therapy       1.60      0.71        0.11       2.42       XXX  N                 
    79300...  TC                  C                   Interstitial nuclear therapy       0.00      0.00        0.00       0.00       XXX  N                 
    79400...  ..................  A                   Nonhemato nuclear therapy...       1.96      3.37        0.30       5.63       XXX  N                 
    79400...  26                  A                   Nonhemato nuclear therapy...       1.96      0.87        0.13       2.96       XXX  N                 
    79400...  TC                  A                   Nonhemato nuclear therapy...       0.00      2.50        0.17       2.67       XXX  N                 
    79420...  ..................  C                   Intravascular nuc therapy...       0.00      0.00        0.00       0.00       XXX  N                 
    79420...  26                  A                   Intravascular nuc therapy...       1.51      0.67        0.10       2.28       XXX  N                 
    79420...  TC                  C                   Intravascular nuc therapy...       0.00      0.00        0.00       0.00       XXX  N                 
    79440...  ..................  A                   Nuclear joint therapy.......       1.99      3.39        0.31       5.69       XXX  N                 
    79440...  26                  A                   Nuclear joint therapy.......       1.99      0.89        0.14       3.02       XXX  N                 
    79440...  TC                  A                   Nuclear joint therapy.......       0.00      2.50        0.17       2.67       XXX  N                 
    79900...  ..................  C                   Provide ther radiopharm(s)..       0.00      0.00        0.00       0.00       XXX  N                 
    79999...  ..................  C                   Nuclear medicine therapy....       0.00      0.00        0.00       0.00       XXX  N                 
    79999...  26                  C                   Nuclear medicine therapy....       0.00      0.00        0.00       0.00       XXX  N                 
    79999...  TC                  C                   Nuclear medicine therapy....       0.00      0.00        0.00       0.00       XXX  N                 
    80002...  ..................  X                   1-2 clinical chem tests.....       0.00      0.00        0.00       0.00       XXX  0                 
    80003...  ..................  X                   3 clinical chemistry tests..       0.00      0.00        0.00       0.00       XXX  0                 
    80004...  ..................  X                   4 clinical chemistry tests..       0.00      0.00        0.00       0.00       XXX  0                 
    80005...  ..................  X                   5 clinical chemistry tests..       0.00      0.00        0.00       0.00       XXX  0                 
    80006...  ..................  X                   6 clinical chemistry tests..       0.00      0.00        0.00       0.00       XXX  0                 
    80007...  ..................  X                   7 clinical chemistry tests..       0.00      0.00        0.00       0.00       XXX  0                 
    80008...  ..................  X                   8 clinical chemistry tests..       0.00      0.00        0.00       0.00       XXX  0                 
    80009...  ..................  X                   9 clinical chemistry tests..       0.00      0.00        0.00       0.00       XXX  0                 
    80010...  ..................  X                   10 clinical chemistry tests.       0.00      0.00        0.00       0.00       XXX  0                 
    80011...  ..................  X                   11 clinical chemistry tests.       0.00      0.00        0.00       0.00       XXX  0                 
    80012...  ..................  X                   12 clinical chemistry tests.       0.00      0.00        0.00       0.00       XXX  0                 
    80016...  ..................  X                   13-16 blood/urine tests.....       0.00      0.00        0.00       0.00       XXX  0                 
    80018...  ..................  X                   17-18 blood/urine tests.....       0.00      0.00        0.00       0.00       XXX  0                 
    80019...  ..................  X                   19 blood/urine tests........       0.00      0.00        0.00       0.00       XXX  0                 
    80050...  ..................  X                   General health panel........       0.00      0.00        0.00       0.00       XXX  0                 
    80055...  ..................  X                   Obstetric panel.............       0.00      0.00        0.00       0.00       XXX  0                 
    80058...  ..................  X                   Hepatic function panel......       0.00      0.00        0.00       0.00       XXX  0                 
    80059...  ..................  X                   Hepatitis panel.............       0.00      0.00        0.00       0.00       XXX  0                 
    80061...  ..................  X                   Lipid panel.................       0.00      0.00        0.00       0.00       XXX  0                 
    80072...  ..................  X                   Arthritis panel.............       0.00      0.00        0.00       0.00       XXX  0                 
    80090...  ..................  X                   Torch antibody panel........       0.00      0.00        0.00       0.00       XXX  0                 
    80091...  ..................  X                   Thyroid panel...............       0.00      0.00        0.00       0.00       XXX  0                 
    80092...  ..................  X                   Thyroid panel w/TSH.........       0.00      0.00        0.00       0.00       XXX  0                 
    80100...  ..................  X                   Drug screen.................       0.00      0.00        0.00       0.00       XXX  0                 
    80101...  ..................  X                   Drug screen.................       0.00      0.00        0.00       0.00       XXX  0                 
    80102...  ..................  X                   Drug confirmation...........       0.00      0.00        0.00       0.00       XXX  0                 
    80103...  ..................  X                   Drug analysis, tissue prep..       0.00      0.00        0.00       0.00       XXX  0                 
    80150...  ..................  X                   Assay of amikacin...........       0.00      0.00        0.00       0.00       XXX  0                 
    80152...  ..................  X                   Assay of amitriptyline......       0.00      0.00        0.00       0.00       XXX  0                 
    80154...  ..................  X                   Assay of benzodiazepines....       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63292]]
                                                                                                                                                            
    80156...  ..................  X                   Assay carbamazepine.........       0.00      0.00        0.00       0.00       XXX  0                 
    80158...  ..................  X                   Assay of cyclosporine.......       0.00      0.00        0.00       0.00       XXX  0                 
    80160...  ..................  X                   Assay of desipramine........       0.00      0.00        0.00       0.00       XXX  0                 
    80162...  ..................  X                   Assay for digoxin...........       0.00      0.00        0.00       0.00       XXX  0                 
    80164...  ..................  X                   Assay, dipropylacetic acid..       0.00      0.00        0.00       0.00       XXX  0                 
    80166...  ..................  X                   Assay of doxepin............       0.00      0.00        0.00       0.00       XXX  0                 
    80168...  ..................  X                   Assay of ethosuximide.......       0.00      0.00        0.00       0.00       XXX  0                 
    80170...  ..................  X                   Gentamicin..................       0.00      0.00        0.00       0.00       XXX  0                 
    80172...  ..................  X                   Assay for gold..............       0.00      0.00        0.00       0.00       XXX  0                 
    80174...  ..................  X                   Assay of imipramine.........       0.00      0.00        0.00       0.00       XXX  0                 
    80176...  ..................  X                   Assay for lidocaine.........       0.00      0.00        0.00       0.00       XXX  0                 
    80178...  ..................  X                   Assay for lithium...........       0.00      0.00        0.00       0.00       XXX  0                 
    80182...  ..................  X                   Assay for nortriptyline.....       0.00      0.00        0.00       0.00       XXX  0                 
    80184...  ..................  X                   Assay for phenobarbital.....       0.00      0.00        0.00       0.00       XXX  0                 
    80185...  ..................  X                   Assay for phenytoin.........       0.00      0.00        0.00       0.00       XXX  0                 
    80186...  ..................  X                   Assay for phenytoin, free...       0.00      0.00        0.00       0.00       XXX  0                 
    80188...  ..................  X                   Assay for primidone.........       0.00      0.00        0.00       0.00       XXX  0                 
    80190...  ..................  X                   Assay for procainamide......       0.00      0.00        0.00       0.00       XXX  0                 
    80192...  ..................  X                   Assay for procainamide......       0.00      0.00        0.00       0.00       XXX  0                 
    80194...  ..................  X                   Assay for quinidine.........       0.00      0.00        0.00       0.00       XXX  0                 
    80196...  ..................  X                   Assay for salicylate........       0.00      0.00        0.00       0.00       XXX  0                 
    80198...  ..................  X                   Assay for theophylline......       0.00      0.00        0.00       0.00       XXX  0                 
    80200...  ..................  X                   Assay for tobramycin........       0.00      0.00        0.00       0.00       XXX  0                 
    80202...  ..................  X                   Assay for vancomycin........       0.00      0.00        0.00       0.00       XXX  0                 
    80299...  ..................  X                   Quantitative assay, drug....       0.00      0.00        0.00       0.00       XXX  0                 
    80400...  ..................  X                   Acth stimulation panel......       0.00      0.00        0.00       0.00       XXX  0                 
    80402...  ..................  X                   Acth stimulation panel......       0.00      0.00        0.00       0.00       XXX  0                 
    80406...  ..................  X                   Acth stimulation panel......       0.00      0.00        0.00       0.00       XXX  0                 
    80408...  ..................  X                   Aldosterone suppression eval       0.00      0.00        0.00       0.00       XXX  0                 
    80410...  ..................  X                   Calcitonin stimul panel.....       0.00      0.00        0.00       0.00       XXX  0                 
    80412...  ..................  X                   CRH stimulation panel.......       0.00      0.00        0.00       0.00       XXX  0                 
    80414...  ..................  X                   Testosterone response.......       0.00      0.00        0.00       0.00       XXX  0                 
    80415...  ..................  X                   Estradiol response panel....       0.00      0.00        0.00       0.00       XXX  0                 
    80416...  ..................  X                   Renin stimulation panel.....       0.00      0.00        0.00       0.00       XXX  0                 
    80417...  ..................  X                   Renin stimulation panel.....       0.00      0.00        0.00       0.00       XXX  0                 
    80418...  ..................  X                   Pituitary evaluation panel..       0.00      0.00        0.00       0.00       XXX  0                 
    80420...  ..................  X                   Dexamethasone panel.........       0.00      0.00        0.00       0.00       XXX  0                 
    80422...  ..................  X                   Glucagon tolerance panel....       0.00      0.00        0.00       0.00       XXX  0                 
    80424...  ..................  X                   Glucagon tolerance panel....       0.00      0.00        0.00       0.00       XXX  0                 
    80426...  ..................  X                   Gonadotropin hormone panel..       0.00      0.00        0.00       0.00       XXX  0                 
    80428...  ..................  X                   Growth hormone panel........       0.00      0.00        0.00       0.00       XXX  0                 
    80430...  ..................  X                   Growth hormone panel........       0.00      0.00        0.00       0.00       XXX  0                 
    80432...  ..................  X                   Insulin suppression panel...       0.00      0.00        0.00       0.00       XXX  0                 
    80434...  ..................  X                   Insulin tolerance panel.....       0.00      0.00        0.00       0.00       XXX  0                 
    80435...  ..................  X                   Insulin tolerance panel.....       0.00      0.00        0.00       0.00       XXX  0                 
    80436...  ..................  X                   Metyrapone panel............       0.00      0.00        0.00       0.00       XXX  0                 
    80438...  ..................  X                   TRH stimulation panel.......       0.00      0.00        0.00       0.00       XXX  0                 
    80439...  ..................  X                   TRH stimulation panel.......       0.00      0.00        0.00       0.00       XXX  0                 
    80440...  ..................  X                   TRH stimulation panel.......       0.00      0.00        0.00       0.00       XXX  0                 
    80500...  ..................  A                   Lab pathology consultation..       0.37      0.20        0.01       0.58       XXX  N                 
    80502...  ..................  A                   Lab pathology consultation..       1.33      0.33        0.02       1.68       XXX  N                 
    81000...  ..................  X                   Urinalysis, nonauto, w/scope       0.00      0.00        0.00       0.00       XXX  0                 
    81001...  ..................  X                   Urinalysis, auto, w/scope...       0.00      0.00        0.00       0.00       XXX  0                 
    81002...  ..................  X                   Urinalysis nonauto w/o scope       0.00      0.00        0.00       0.00       XXX  0                 
    81003...  ..................  X                   Urinalysis, auto, w/o scope.       0.00      0.00        0.00       0.00       XXX  0                 
    81005...  ..................  X                   Urinalysis..................       0.00      0.00        0.00       0.00       XXX  0                 
    81007...  ..................  X                   Urine screen for bacteria...       0.00      0.00        0.00       0.00       XXX  0                 
    81015...  ..................  X                   Microscopic exam of urine...       0.00      0.00        0.00       0.00       XXX  0                 
    81020...  ..................  X                   Urinalysis, glass test......       0.00      0.00        0.00       0.00       XXX  0                 
    81025...  ..................  X                   Urine pregnancy test........       0.00      0.00        0.00       0.00       XXX  0                 
    81050...  ..................  X                   Urinalysis, volume measure..       0.00      0.00        0.00       0.00       XXX  0                 
    81099...  ..................  X                   Urinalysis test procedure...       0.00      0.00        0.00       0.00       XXX  0                 
    82000...  ..................  X                   Assay blood acetaldehyde....       0.00      0.00        0.00       0.00       XXX  0                 
    82003...  ..................  X                   Assay acetaminophen.........       0.00      0.00        0.00       0.00       XXX  0                 
    82009...  ..................  X                   Test for acetone/ketones....       0.00      0.00        0.00       0.00       XXX  0                 
    82010...  ..................  X                   Acetone assay...............       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63293]]
                                                                                                                                                            
    82013...  ..................  X                   Acetylcholinesterase assay..       0.00      0.00        0.00       0.00       XXX  0                 
    82024...  ..................  X                   ACTH........................       0.00      0.00        0.00       0.00       XXX  0                 
    82030...  ..................  X                   ADP & AMP...................       0.00      0.00        0.00       0.00       XXX  0                 
    82040...  ..................  X                   Assay serum albumin.........       0.00      0.00        0.00       0.00       XXX  0                 
    82042...  ..................  X                   Assay urine albumin.........       0.00      0.00        0.00       0.00       XXX  0                 
    82043...  ..................  X                   Microalbumin, quantitative..       0.00      0.00        0.00       0.00       XXX  0                 
    82044...  ..................  X                   Microalbumin, semiquant.....       0.00      0.00        0.00       0.00       XXX  0                 
    82055...  ..................  X                   Assay ethanol...............       0.00      0.00        0.00       0.00       XXX  0                 
    82075...  ..................  X                   Assay breath ethanol........       0.00      0.00        0.00       0.00       XXX  0                 
    82085...  ..................  X                   Assay of aldolase...........       0.00      0.00        0.00       0.00       XXX  0                 
    82088...  ..................  X                   Aldosterone.................       0.00      0.00        0.00       0.00       XXX  0                 
    82101...  ..................  X                   Assay of urine alkaloids....       0.00      0.00        0.00       0.00       XXX  0                 
    82103...  ..................  X                   Alpha-1-antitrypsin, total..       0.00      0.00        0.00       0.00       XXX  0                 
    82104...  ..................  X                   Alpha-1-antitrypsin, pheno..       0.00      0.00        0.00       0.00       XXX  0                 
    82105...  ..................  X                   Alpha-fetoprotein, serum....       0.00      0.00        0.00       0.00       XXX  0                 
    82106...  ..................  X                   Alpha-fetoprotein, amniotic.       0.00      0.00        0.00       0.00       XXX  0                 
    82108...  ..................  X                   Assay, aluminum.............       0.00      0.00        0.00       0.00       XXX  0                 
    82128...  ..................  X                   Test for amino acids........       0.00      0.00        0.00       0.00       XXX  0                 
    82130...  ..................  X                   Amino acids analysis........       0.00      0.00        0.00       0.00       XXX  0                 
    82131...  ..................  X                   Amino acids.................       0.00      0.00        0.00       0.00       XXX  0                 
    82135...  ..................  X                   Assay, aminolevulinic acid..       0.00      0.00        0.00       0.00       XXX  0                 
    82140...  ..................  X                   Assay of ammonia............       0.00      0.00        0.00       0.00       XXX  0                 
    82143...  ..................  X                   Amniotic fluid scan.........       0.00      0.00        0.00       0.00       XXX  0                 
    82145...  ..................  X                   Assay of amphetamines.......       0.00      0.00        0.00       0.00       XXX  0                 
    82150...  ..................  X                   Assay of amylase............       0.00      0.00        0.00       0.00       XXX  0                 
    82154...  ..................  X                   Androstanediol glucuronide..       0.00      0.00        0.00       0.00       XXX  0                 
    82157...  ..................  X                   Assay of androstenedione....       0.00      0.00        0.00       0.00       XXX  0                 
    82160...  ..................  X                   Androsterone assay..........       0.00      0.00        0.00       0.00       XXX  0                 
    82163...  ..................  X                   Assay of angiotensin II.....       0.00      0.00        0.00       0.00       XXX  0                 
    82164...  ..................  X                   Angiotensin I enzyme test...       0.00      0.00        0.00       0.00       XXX  0                 
    82172...  ..................  X                   Apolipoprotein..............       0.00      0.00        0.00       0.00       XXX  0                 
    82175...  ..................  X                   Assay of arsenic............       0.00      0.00        0.00       0.00       XXX  0                 
    82180...  ..................  X                   Assay of ascorbic acid......       0.00      0.00        0.00       0.00       XXX  0                 
    82190...  ..................  X                   Atomic absorption...........       0.00      0.00        0.00       0.00       XXX  0                 
    82205...  ..................  X                   Assay of barbiturates.......       0.00      0.00        0.00       0.00       XXX  0                 
    82232...  ..................  X                   Beta-2 protein..............       0.00      0.00        0.00       0.00       XXX  0                 
    82239...  ..................  X                   Bile acids, total...........       0.00      0.00        0.00       0.00       XXX  0                 
    82240...  ..................  X                   Bile acids, cholylglycine...       0.00      0.00        0.00       0.00       XXX  0                 
    82250...  ..................  X                   Assay bilirubin.............       0.00      0.00        0.00       0.00       XXX  0                 
    82251...  ..................  X                   Assay bilirubin.............       0.00      0.00        0.00       0.00       XXX  0                 
    82252...  ..................  X                   Fecal bilirubin test........       0.00      0.00        0.00       0.00       XXX  0                 
    82270...  ..................  X                   Test feces for blood........       0.00      0.00        0.00       0.00       XXX  0                 
    82273...  ..................  X                   Test for blood, other source       0.00      0.00        0.00       0.00       XXX  0                 
    82286...  ..................  X                   Assay of bradykinin.........       0.00      0.00        0.00       0.00       XXX  0                 
    82300...  ..................  X                   Assay cadmium...............       0.00      0.00        0.00       0.00       XXX  0                 
    82306...  ..................  X                   Assay of vitamin D..........       0.00      0.00        0.00       0.00       XXX  0                 
    82307...  ..................  X                   Assay of vitamin D..........       0.00      0.00        0.00       0.00       XXX  0                 
    82308...  ..................  X                   Assay of calcitonin.........       0.00      0.00        0.00       0.00       XXX  0                 
    82310...  ..................  X                   Assay calcium...............       0.00      0.00        0.00       0.00       XXX  0                 
    82330...  ..................  X                   Assay calcium...............       0.00      0.00        0.00       0.00       XXX  0                 
    82331...  ..................  X                   Calcium infusion test.......       0.00      0.00        0.00       0.00       XXX  0                 
    82340...  ..................  X                   Assay calcium in urine......       0.00      0.00        0.00       0.00       XXX  0                 
    82355...  ..................  X                   Calculus (stone) analysis...       0.00      0.00        0.00       0.00       XXX  0                 
    82360...  ..................  X                   Calculus (stone) assay......       0.00      0.00        0.00       0.00       XXX  0                 
    82365...  ..................  X                   Calculus (stone) assay......       0.00      0.00        0.00       0.00       XXX  0                 
    82370...  ..................  X                   X-ray assay, calculus              0.00      0.00        0.00       0.00       XXX  0                 
                                                       (stone).                                                                                             
    82374...  ..................  X                   Assay blood carbon dioxide..       0.00      0.00        0.00       0.00       XXX  0                 
    82375...  ..................  X                   Assay blood carbon monoxide.       0.00      0.00        0.00       0.00       XXX  0                 
    82376...  ..................  X                   Test for carbon monoxide....       0.00      0.00        0.00       0.00       XXX  0                 
    82378...  ..................  X                   Carcinoembryonic antigen....       0.00      0.00        0.00       0.00       XXX  0                 
    82380...  ..................  X                   Assay carotene..............       0.00      0.00        0.00       0.00       XXX  0                 
    82382...  ..................  X                   Assay urine catecholamines..       0.00      0.00        0.00       0.00       XXX  0                 
    82383...  ..................  X                   Assay blood catecholamines..       0.00      0.00        0.00       0.00       XXX  0                 
    82384...  ..................  X                   Assay three catecholamines..       0.00      0.00        0.00       0.00       XXX  0                 
    82387...  ..................  X                   Cathepsin-D.................       0.00      0.00        0.00       0.00       XXX  0                 
    82390...  ..................  X                   Assay ceruloplasmin.........       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63294]]
                                                                                                                                                            
    82397...  ..................  X                   Chemiluminescent assay......       0.00      0.00        0.00       0.00       XXX  0                 
    82415...  ..................  X                   Assay chloramphenicol.......       0.00      0.00        0.00       0.00       XXX  0                 
    82435...  ..................  X                   Assay blood chloride........       0.00      0.00        0.00       0.00       XXX  0                 
    82436...  ..................  X                   Assay urine chloride........       0.00      0.00        0.00       0.00       XXX  0                 
    82438...  ..................  X                   Assay other fluid chlorides.       0.00      0.00        0.00       0.00       XXX  0                 
    82441...  ..................  X                   Test for chlorohydrocarbons.       0.00      0.00        0.00       0.00       XXX  0                 
    82465...  ..................  X                   Assay serum cholesterol.....       0.00      0.00        0.00       0.00       XXX  0                 
    82480...  ..................  X                   Assay serum cholinesterase..       0.00      0.00        0.00       0.00       XXX  0                 
    82482...  ..................  X                   Assay rbc cholinesterase....       0.00      0.00        0.00       0.00       XXX  0                 
    82485...  ..................  X                   Assay chondroitin sulfate...       0.00      0.00        0.00       0.00       XXX  0                 
    82486...  ..................  X                   Gas/liquid chromatography...       0.00      0.00        0.00       0.00       XXX  0                 
    82487...  ..................  X                   Paper chromatography........       0.00      0.00        0.00       0.00       XXX  0                 
    82488...  ..................  X                   Paper chromatography........       0.00      0.00        0.00       0.00       XXX  0                 
    82489...  ..................  X                   Thin layer chromatography...       0.00      0.00        0.00       0.00       XXX  0                 
    82491...  ..................  X                   Chromotography, quantitative       0.00      0.00        0.00       0.00       XXX  0                 
    82495...  ..................  X                   Assay chromium..............       0.00      0.00        0.00       0.00       XXX  0                 
    82507...  ..................  X                   Assay citrate...............       0.00      0.00        0.00       0.00       XXX  0                 
    82520...  ..................  X                   Assay for cocaine...........       0.00      0.00        0.00       0.00       XXX  0                 
    82525...  ..................  X                   Assay copper................       0.00      0.00        0.00       0.00       XXX  0                 
    82528...  ..................  X                   Assay corticosterone........       0.00      0.00        0.00       0.00       XXX  0                 
    82530...  ..................  X                   Cortisol, free..............       0.00      0.00        0.00       0.00       XXX  0                 
    82533...  ..................  X                   Total cortisol..............       0.00      0.00        0.00       0.00       XXX  0                 
    82540...  ..................  X                   Assay creatine..............       0.00      0.00        0.00       0.00       XXX  0                 
    82550...  ..................  X                   Assay CK (CPK)..............       0.00      0.00        0.00       0.00       XXX  0                 
    82552...  ..................  X                   Assay CPK in blood..........       0.00      0.00        0.00       0.00       XXX  0                 
    82553...  ..................  X                   Creatine, MB fraction.......       0.00      0.00        0.00       0.00       XXX  0                 
    82554...  ..................  X                   Creatine, isoforms..........       0.00      0.00        0.00       0.00       XXX  0                 
    82565...  ..................  X                   Assay creatinine............       0.00      0.00        0.00       0.00       XXX  0                 
    82570...  ..................  X                   Assay urine creatinine......       0.00      0.00        0.00       0.00       XXX  0                 
    82575...  ..................  X                   Creatinine clearance test...       0.00      0.00        0.00       0.00       XXX  0                 
    82585...  ..................  X                   Assay cryofibrinogen........       0.00      0.00        0.00       0.00       XXX  0                 
    82595...  ..................  X                   Assay cryoglobulin..........       0.00      0.00        0.00       0.00       XXX  0                 
    82600...  ..................  X                   Assay cyanide...............       0.00      0.00        0.00       0.00       XXX  0                 
    82607...  ..................  X                   Vitamin B-12................       0.00      0.00        0.00       0.00       XXX  0                 
    82608...  ..................  X                   B-12 binding capacity.......       0.00      0.00        0.00       0.00       XXX  0                 
    82615...  ..................  X                   Test for urine cystines.....       0.00      0.00        0.00       0.00       XXX  0                 
    82626...  ..................  X                   Dehydroepiandrosterone......       0.00      0.00        0.00       0.00       XXX  0                 
    82627...  ..................  X                   Dehydroepiandrosterone......       0.00      0.00        0.00       0.00       XXX  0                 
    82633...  ..................  X                   Desoxycorticosterone........       0.00      0.00        0.00       0.00       XXX  0                 
    82634...  ..................  X                   Deoxycortisol...............       0.00      0.00        0.00       0.00       XXX  0                 
    82638...  ..................  X                   Assay dibucaine number......       0.00      0.00        0.00       0.00       XXX  0                 
    82646...  ..................  X                   Assay of dihydrocodeinone...       0.00      0.00        0.00       0.00       XXX  0                 
    82649...  ..................  X                   Assay of dihydromorphinone..       0.00      0.00        0.00       0.00       XXX  0                 
    82651...  ..................  X                   Dihydrotestosterone assay...       0.00      0.00        0.00       0.00       XXX  0                 
    82652...  ..................  X                   Assay, dihydroxyvitamin D...       0.00      0.00        0.00       0.00       XXX  0                 
    82654...  ..................  X                   Assay of dimethadione.......       0.00      0.00        0.00       0.00       XXX  0                 
    82664...  ..................  X                   Electrophoretic test........       0.00      0.00        0.00       0.00       XXX  0                 
    82666...  ..................  X                   Epiandrosterone assay.......       0.00      0.00        0.00       0.00       XXX  0                 
    82668...  ..................  X                   Erythropoietin..............       0.00      0.00        0.00       0.00       XXX  0                 
    82670...  ..................  X                   Estradiol...................       0.00      0.00        0.00       0.00       XXX  0                 
    82671...  ..................  X                   Estrogen assay..............       0.00      0.00        0.00       0.00       XXX  0                 
    82672...  ..................  X                   Estrogen assay..............       0.00      0.00        0.00       0.00       XXX  0                 
    82677...  ..................  X                   Estriol.....................       0.00      0.00        0.00       0.00       XXX  0                 
    82679...  ..................  X                   Estrone.....................       0.00      0.00        0.00       0.00       XXX  0                 
    82690...  ..................  X                   Ethchlorvynol...............       0.00      0.00        0.00       0.00       XXX  0                 
    82693...  ..................  X                   Ethylene glycol.............       0.00      0.00        0.00       0.00       XXX  0                 
    82696...  ..................  X                   Etiocholanolone.............       0.00      0.00        0.00       0.00       XXX  0                 
    82705...  ..................  X                   Fats/lipids, feces,                0.00      0.00        0.00       0.00       XXX  0                 
                                                       qualitative.                                                                                         
    82710...  ..................  X                   Fats/lipids, feces,                0.00      0.00        0.00       0.00       XXX  0                 
                                                       quantitative.                                                                                        
    82715...  ..................  X                   Fecal fat assay.............       0.00      0.00        0.00       0.00       XXX  0                 
    82725...  ..................  X                   Assay blood fatty acids.....       0.00      0.00        0.00       0.00       XXX  0                 
    82728...  ..................  X                   Assay ferritin..............       0.00      0.00        0.00       0.00       XXX  0                 
    82735...  ..................  X                   Assay fluoride..............       0.00      0.00        0.00       0.00       XXX  0                 
    82742...  ..................  X                   Assay of flurazepam.........       0.00      0.00        0.00       0.00       XXX  0                 
    82746...  ..................  X                   Blood folic acid serum......       0.00      0.00        0.00       0.00       XXX  0                 
    82747...  ..................  X                   Folic acid, RBC.............       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63295]]
                                                                                                                                                            
    82757...  ..................  X                   Assay semen fructose........       0.00      0.00        0.00       0.00       XXX  0                 
    82759...  ..................  X                   RBC galactokinase assay.....       0.00      0.00        0.00       0.00       XXX  0                 
    82760...  ..................  X                   Assay galactose.............       0.00      0.00        0.00       0.00       XXX  0                 
    82775...  ..................  X                   Assay galactose transferase.       0.00      0.00        0.00       0.00       XXX  0                 
    82776...  ..................  X                   Galactose transferase test..       0.00      0.00        0.00       0.00       XXX  0                 
    82784...  ..................  X                   Assay gammaglobulin IgM.....       0.00      0.00        0.00       0.00       XXX  0                 
    82785...  ..................  X                   Assay, gammaglobulin IgE....       0.00      0.00        0.00       0.00       XXX  0                 
    82787...  ..................  X                   IgG1, 2, 3 and 4............       0.00      0.00        0.00       0.00       XXX  0                 
    82800...  ..................  X                   Blood pH....................       0.00      0.00        0.00       0.00       XXX  0                 
    82803...  ..................  X                   Blood gases: pH, pO2 & pCO2.       0.00      0.00        0.00       0.00       XXX  0                 
    82805...  ..................  X                   Blood gases W/O2 saturation.       0.00      0.00        0.00       0.00       XXX  0                 
    82810...  ..................  X                   Blood gases, O2 sat only....       0.00      0.00        0.00       0.00       XXX  0                 
    82820...  ..................  X                   Hemoglobin-oxygen affinity..       0.00      0.00        0.00       0.00       XXX  0                 
    82926...  ..................  X                   Assay gastric acid..........       0.00      0.00        0.00       0.00       XXX  0                 
    82928...  ..................  X                   Assay gastric acid..........       0.00      0.00        0.00       0.00       XXX  0                 
    82938...  ..................  X                   Gastrin test................       0.00      0.00        0.00       0.00       XXX  0                 
    82941...  ..................  X                   Assay of gastrin............       0.00      0.00        0.00       0.00       XXX  0                 
    82943...  ..................  X                   Assay of glucagon...........       0.00      0.00        0.00       0.00       XXX  0                 
    82946...  ..................  X                   Glucagon tolerance test.....       0.00      0.00        0.00       0.00       XXX  0                 
    82947...  ..................  X                   Assay quantitative, glucose.       0.00      0.00        0.00       0.00       XXX  0                 
    82948...  ..................  X                   Reagent strip/blood glucose.       0.00      0.00        0.00       0.00       XXX  0                 
    82950...  ..................  X                   Glucose test................       0.00      0.00        0.00       0.00       XXX  0                 
    82951...  ..................  X                   Glucose tolerance test (GTT)       0.00      0.00        0.00       0.00       XXX  0                 
    82952...  ..................  X                   GTT-added samples...........       0.00      0.00        0.00       0.00       XXX  0                 
    82953...  ..................  X                   Glucose-tolbutamide test....       0.00      0.00        0.00       0.00       XXX  0                 
    82955...  ..................  X                   Assay G6PD enzyme...........       0.00      0.00        0.00       0.00       XXX  0                 
    82960...  ..................  X                   Test for G6PD enzyme........       0.00      0.00        0.00       0.00       XXX  0                 
    82962...  ..................  X                   Glucose blood test..........       0.00      0.00        0.00       0.00       XXX  0                 
    82963...  ..................  X                   Glucosidase assay...........       0.00      0.00        0.00       0.00       XXX  0                 
    82965...  ..................  X                   Assay GDH enzyme............       0.00      0.00        0.00       0.00       XXX  0                 
    82975...  ..................  X                   Assay glutamine.............       0.00      0.00        0.00       0.00       XXX  0                 
    82977...  ..................  X                   Assay of GGT................       0.00      0.00        0.00       0.00       XXX  0                 
    82978...  ..................  X                   Glutathione assay...........       0.00      0.00        0.00       0.00       XXX  0                 
    82979...  ..................  X                   Assay RBC glutathione enzyme       0.00      0.00        0.00       0.00       XXX  0                 
    82980...  ..................  X                   Assay of glutethimide.......       0.00      0.00        0.00       0.00       XXX  0                 
    82985...  ..................  X                   Glycated protein............       0.00      0.00        0.00       0.00       XXX  0                 
    83001...  ..................  X                   Gonadotropin (FSH)..........       0.00      0.00        0.00       0.00       XXX  0                 
    83002...  ..................  X                   Gonadotropin (LH)...........       0.00      0.00        0.00       0.00       XXX  0                 
    83003...  ..................  X                   Assay growth hormone (HGH)..       0.00      0.00        0.00       0.00       XXX  0                 
    83008...  ..................  X                   Assay guanosine.............       0.00      0.00        0.00       0.00       XXX  0                 
    83010...  ..................  X                   Quant assay haptoglobin.....       0.00      0.00        0.00       0.00       XXX  0                 
    83012...  ..................  X                   Assay haptoglobins..........       0.00      0.00        0.00       0.00       XXX  0                 
    83015...  ..................  X                   Heavy metal screen..........       0.00      0.00        0.00       0.00       XXX  0                 
    83018...  ..................  X                   Quantitative screen, metals.       0.00      0.00        0.00       0.00       XXX  0                 
    83020...  ..................  X                   Assay hemoglobin............       0.00      0.00        0.00       0.00       XXX  0                 
    83020...  26                  A                   Assay hemoglobin............       0.37      0.20        0.01       0.58       XXX  N                 
    83026...  ..................  X                   Hemoglobin, copper sulfate..       0.00      0.00        0.00       0.00       XXX  0                 
    83030...  ..................  X                   Fetal hemoglobin assay......       0.00      0.00        0.00       0.00       XXX  0                 
    83033...  ..................  X                   Fetal fecal hemoglobin assay       0.00      0.00        0.00       0.00       XXX  0                 
    83036...  ..................  X                   Glycated hemoglobin test....       0.00      0.00        0.00       0.00       XXX  0                 
    83045...  ..................  X                   Blood methemoglobin test....       0.00      0.00        0.00       0.00       XXX  0                 
    83050...  ..................  X                   Blood methemoglobin assay...       0.00      0.00        0.00       0.00       XXX  0                 
    83051...  ..................  X                   Assay plasma hemoglobin.....       0.00      0.00        0.00       0.00       XXX  0                 
    83055...  ..................  X                   Blood sulfhemoglobin test...       0.00      0.00        0.00       0.00       XXX  0                 
    83060...  ..................  X                   Blood sulfhemoglobin assay..       0.00      0.00        0.00       0.00       XXX  0                 
    83065...  ..................  X                   Hemoglobin heat assay.......       0.00      0.00        0.00       0.00       XXX  0                 
    83068...  ..................  X                   Hemoglobin stability screen.       0.00      0.00        0.00       0.00       XXX  0                 
    83069...  ..................  X                   Assay urine hemoglobin......       0.00      0.00        0.00       0.00       XXX  0                 
    83070...  ..................  X                   Qualt assay hemosiderin.....       0.00      0.00        0.00       0.00       XXX  0                 
    83071...  ..................  X                   Quant assay of hemosiderin..       0.00      0.00        0.00       0.00       XXX  0                 
    83088...  ..................  X                   Assay histamine.............       0.00      0.00        0.00       0.00       XXX  0                 
    83150...  ..................  X                   Assay for HVA...............       0.00      0.00        0.00       0.00       XXX  0                 
    83491...  ..................  X                   Assay of corticosteroids....       0.00      0.00        0.00       0.00       XXX  0                 
    83497...  ..................  X                   Assay 5-HIAA................       0.00      0.00        0.00       0.00       XXX  0                 
    83498...  ..................  X                   Assay of progesterone.......       0.00      0.00        0.00       0.00       XXX  0                 
    83499...  ..................  X                   Assay of progesterone.......       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63296]]
                                                                                                                                                            
    83500...  ..................  X                   Assay free hydroxyproline...       0.00      0.00        0.00       0.00       XXX  0                 
    83505...  ..................  X                   Assay total hydroxyproline..       0.00      0.00        0.00       0.00       XXX  0                 
    83516...  ..................  X                   Immunoassay, non antibody...       0.00      0.00        0.00       0.00       XXX  0                 
    83518...  ..................  X                   Immunoassay, dipstick.......       0.00      0.00        0.00       0.00       XXX  0                 
    83519...  ..................  X                   Immunoassay nonantibody.....       0.00      0.00        0.00       0.00       XXX  0                 
    83520...  ..................  X                   Immunoassay, RIA............       0.00      0.00        0.00       0.00       XXX  0                 
    83525...  ..................  X                   Assay of insulin............       0.00      0.00        0.00       0.00       XXX  0                 
    83527...  ..................  X                   Assay of insulin............       0.00      0.00        0.00       0.00       XXX  0                 
    83528...  ..................  X                   Assay intrinsic factor......       0.00      0.00        0.00       0.00       XXX  0                 
    83540...  ..................  X                   Assay iron..................       0.00      0.00        0.00       0.00       XXX  0                 
    83550...  ..................  X                   Iron binding test...........       0.00      0.00        0.00       0.00       XXX  0                 
    83570...  ..................  X                   Assay IDH enzyme............       0.00      0.00        0.00       0.00       XXX  0                 
    83582...  ..................  X                   Assay ketogenic steroids....       0.00      0.00        0.00       0.00       XXX  0                 
    83586...  ..................  X                   Assay 17-(17-KS)ketosteroids       0.00      0.00        0.00       0.00       XXX  0                 
    83593...  ..................  X                   Fractionation ketosteroids..       0.00      0.00        0.00       0.00       XXX  0                 
    83605...  ..................  X                   Lactic acid assay...........       0.00      0.00        0.00       0.00       XXX  0                 
    83615...  ..................  X                   Lactate (LD) (LDH) enzyme...       0.00      0.00        0.00       0.00       XXX  0                 
    83625...  ..................  X                   Assay LDH enzymes...........       0.00      0.00        0.00       0.00       XXX  0                 
    83632...  ..................  X                   Placental lactogen..........       0.00      0.00        0.00       0.00       XXX  0                 
    83633...  ..................  X                   Test urine for lactose......       0.00      0.00        0.00       0.00       XXX  0                 
    83634...  ..................  X                   Assay urine for lactose.....       0.00      0.00        0.00       0.00       XXX  0                 
    83655...  ..................  X                   Assay for lead..............       0.00      0.00        0.00       0.00       XXX  0                 
    83661...  ..................  X                   Assay L/S ratio.............       0.00      0.00        0.00       0.00       XXX  0                 
    83662...  ..................  X                   L/S ratio, foam stability...       0.00      0.00        0.00       0.00       XXX  0                 
    83670...  ..................  X                   Assay LAP enzyme............       0.00      0.00        0.00       0.00       XXX  0                 
    83690...  ..................  X                   Assay lipase................       0.00      0.00        0.00       0.00       XXX  0                 
    83715...  ..................  X                   Assay blood lipoproteins....       0.00      0.00        0.00       0.00       XXX  0                 
    83717...  ..................  X                   Assay blood lipoproteins....       0.00      0.00        0.00       0.00       XXX  0                 
    83718...  ..................  X                   Blood lipoprotein assay.....       0.00      0.00        0.00       0.00       XXX  0                 
    83719...  ..................  X                   Blood lipoprotein assay.....       0.00      0.00        0.00       0.00       XXX  0                 
    83721...  ..................  X                   Blood lipoprotein assay.....       0.00      0.00        0.00       0.00       XXX  0                 
    83727...  ..................  X                   LRH hormone assay...........       0.00      0.00        0.00       0.00       XXX  0                 
    83735...  ..................  X                   Assay magnesium.............       0.00      0.00        0.00       0.00       XXX  0                 
    83775...  ..................  X                   Assay of md enzyme..........       0.00      0.00        0.00       0.00       XXX  0                 
    83785...  ..................  X                   Assay of manganese..........       0.00      0.00        0.00       0.00       XXX  0                 
    83805...  ..................  X                   Assay of meprobamate........       0.00      0.00        0.00       0.00       XXX  0                 
    83825...  ..................  X                   Assay mercury...............       0.00      0.00        0.00       0.00       XXX  0                 
    83835...  ..................  X                   Assay metanephrines.........       0.00      0.00        0.00       0.00       XXX  0                 
    83840...  ..................  X                   Assay methadone.............       0.00      0.00        0.00       0.00       XXX  0                 
    83857...  ..................  X                   Assay methemalbumin.........       0.00      0.00        0.00       0.00       XXX  0                 
    83858...  ..................  X                   Assay methsuximide..........       0.00      0.00        0.00       0.00       XXX  0                 
    83864...  ..................  X                   Mucopolysaccharides.........       0.00      0.00        0.00       0.00       XXX  0                 
    83866...  ..................  X                   Mucopolysaccharides screen..       0.00      0.00        0.00       0.00       XXX  0                 
    83872...  ..................  X                   Assay synovial fluid mucin..       0.00      0.00        0.00       0.00       XXX  0                 
    83873...  ..................  X                   Assay, CSF protein..........       0.00      0.00        0.00       0.00       XXX  0                 
    83874...  ..................  X                   Myoglobin...................       0.00      0.00        0.00       0.00       XXX  0                 
    83883...  ..................  X                   Nephelometry, not specified.       0.00      0.00        0.00       0.00       XXX  0                 
    83885...  ..................  X                   Assay for nickel............       0.00      0.00        0.00       0.00       XXX  0                 
    83887...  ..................  X                   Assay nicotine..............       0.00      0.00        0.00       0.00       XXX  0                 
    83890...  ..................  X                   Molecular diagnostics.......       0.00      0.00        0.00       0.00       XXX  0                 
    83892...  ..................  X                   Molecular diagnostics.......       0.00      0.00        0.00       0.00       XXX  0                 
    83894...  ..................  X                   Molecular diagnostics.......       0.00      0.00        0.00       0.00       XXX  0                 
    83896...  ..................  X                   Molecular diagnostics.......       0.00      0.00        0.00       0.00       XXX  0                 
    83898...  ..................  X                   Molecular diagnostics.......       0.00      0.00        0.00       0.00       XXX  0                 
    83912...  ..................  X                   Genetic examination.........       0.00      0.00        0.00       0.00       XXX  0                 
    83912...  26                  A                   Genetic examination.........       0.37      0.20        0.01       0.58       XXX  N                 
    83915...  ..................  X                   Assay nucleotidase..........       0.00      0.00        0.00       0.00       XXX  0                 
    83916...  ..................  X                   Oligoclonal bands...........       0.00      0.00        0.00       0.00       XXX  0                 
    83918...  ..................  X                   Assay organic acids.........       0.00      0.00        0.00       0.00       XXX  0                 
    83925...  ..................  X                   Opiates.....................       0.00      0.00        0.00       0.00       XXX  0                 
    83930...  ..................  X                   Assay blood osmolality......       0.00      0.00        0.00       0.00       XXX  0                 
    83935...  ..................  X                   Assay urine osmolality......       0.00      0.00        0.00       0.00       XXX  0                 
    83937...  ..................  X                   Assay for osteocalcin.......       0.00      0.00        0.00       0.00       XXX  0                 
    83945...  ..................  X                   Assay oxalate...............       0.00      0.00        0.00       0.00       XXX  0                 
    83970...  ..................  X                   Assay of parathormone.......       0.00      0.00        0.00       0.00       XXX  0                 
    83986...  ..................  X                   Assay body fluid acidity....       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63297]]
                                                                                                                                                            
    83992...  ..................  X                   Assay for phencyclidine.....       0.00      0.00        0.00       0.00       XXX  0                 
    84022...  ..................  X                   Assay of phenothiazine......       0.00      0.00        0.00       0.00       XXX  0                 
    84030...  ..................  X                   Assay blood PKU.............       0.00      0.00        0.00       0.00       XXX  0                 
    84035...  ..................  X                   Assay phenylketones.........       0.00      0.00        0.00       0.00       XXX  0                 
    84060...  ..................  X                   Assay acid phosphatase......       0.00      0.00        0.00       0.00       XXX  0                 
    84061...  ..................  X                   Phosphatase, forensic exam..       0.00      0.00        0.00       0.00       XXX  0                 
    84066...  ..................  X                   Assay prostate phosphatase..       0.00      0.00        0.00       0.00       XXX  0                 
    84075...  ..................  X                   Assay alkaline phosphatase..       0.00      0.00        0.00       0.00       XXX  0                 
    84078...  ..................  X                   Assay alkaline phosphatase..       0.00      0.00        0.00       0.00       XXX  0                 
    84080...  ..................  X                   Assay alkaline phosphatases.       0.00      0.00        0.00       0.00       XXX  0                 
    84081...  ..................  X                   Amniotic fluid enzyme test..       0.00      0.00        0.00       0.00       XXX  0                 
    84085...  ..................  X                   Assay RBC PG6D enzyme.......       0.00      0.00        0.00       0.00       XXX  0                 
    84087...  ..................  X                   Assay phosphohexose enzymes.       0.00      0.00        0.00       0.00       XXX  0                 
    84100...  ..................  X                   Assay phosphorus............       0.00      0.00        0.00       0.00       XXX  0                 
    84105...  ..................  X                   Assay urine phosphorus......       0.00      0.00        0.00       0.00       XXX  0                 
    84106...  ..................  X                   Test for porphobilinogen....       0.00      0.00        0.00       0.00       XXX  0                 
    84110...  ..................  X                   Assay porphobilinogen.......       0.00      0.00        0.00       0.00       XXX  0                 
    84119...  ..................  X                   Test urine for porphyrins...       0.00      0.00        0.00       0.00       XXX  0                 
    84120...  ..................  X                   Assay urine porphyrins......       0.00      0.00        0.00       0.00       XXX  0                 
    84126...  ..................  X                   Assay feces porphyrins......       0.00      0.00        0.00       0.00       XXX  0                 
    84127...  ..................  X                   Porphyrins, feces...........       0.00      0.00        0.00       0.00       XXX  0                 
    84132...  ..................  X                   Assay serum potassium.......       0.00      0.00        0.00       0.00       XXX  0                 
    84133...  ..................  X                   Assay urine potassium.......       0.00      0.00        0.00       0.00       XXX  0                 
    84134...  ..................  X                   Prealbumin..................       0.00      0.00        0.00       0.00       XXX  0                 
    84135...  ..................  X                   Assay pregnanediol..........       0.00      0.00        0.00       0.00       XXX  0                 
    84138...  ..................  X                   Assay pregnanetriol.........       0.00      0.00        0.00       0.00       XXX  0                 
    84140...  ..................  X                   Assay for pregnenolone......       0.00      0.00        0.00       0.00       XXX  0                 
    84143...  ..................  X                   Assay/17-hydroxypregnenolone       0.00      0.00        0.00       0.00       XXX  0                 
    84144...  ..................  X                   Assay progesterone..........       0.00      0.00        0.00       0.00       XXX  0                 
    84146...  ..................  X                   Assay for prolactin.........       0.00      0.00        0.00       0.00       XXX  0                 
    84150...  ..................  X                   Assay of prostaglandin......       0.00      0.00        0.00       0.00       XXX  0                 
    84153...  ..................  X                   Prostate specific antigen...       0.00      0.00        0.00       0.00       XXX  0                 
    84155...  ..................  X                   Assay protein...............       0.00      0.00        0.00       0.00       XXX  0                 
    84160...  ..................  X                   Assay serum protein.........       0.00      0.00        0.00       0.00       XXX  0                 
    84165...  ..................  X                   Assay serum proteins........       0.00      0.00        0.00       0.00       XXX  0                 
    84165...  26                  A                   Assay serum proteins........       0.37      0.20        0.01       0.58       XXX  N                 
    84181...  ..................  X                   Western blot test...........       0.00      0.00        0.00       0.00       XXX  0                 
    84181...  26                  A                   Western blot test...........       0.37      0.20        0.01       0.58       XXX  N                 
    84182...  ..................  X                   Protein, western blot test..       0.00      0.00        0.00       0.00       XXX  0                 
    84182...  26                  A                   Protein, western blot test..       0.37      0.20        0.01       0.58       XXX  N                 
    84202...  ..................  X                   Assay RBC protoporphyrin....       0.00      0.00        0.00       0.00       XXX  0                 
    84203...  ..................  X                   Test RBC protoporphyrin.....       0.00      0.00        0.00       0.00       XXX  0                 
    84206...  ..................  X                   Assay of proinsulin.........       0.00      0.00        0.00       0.00       XXX  0                 
    84207...  ..................  X                   Assay vitamin B-6...........       0.00      0.00        0.00       0.00       XXX  0                 
    84210...  ..................  X                   Assay pyruvate..............       0.00      0.00        0.00       0.00       XXX  0                 
    84220...  ..................  X                   Assay pyruvate kinase.......       0.00      0.00        0.00       0.00       XXX  0                 
    84228...  ..................  X                   Assay quinine...............       0.00      0.00        0.00       0.00       XXX  0                 
    84233...  ..................  X                   Assay estrogen..............       0.00      0.00        0.00       0.00       XXX  0                 
    84234...  ..................  X                   Assay progesterone..........       0.00      0.00        0.00       0.00       XXX  0                 
    84235...  ..................  X                   Assay endocrine hormone.....       0.00      0.00        0.00       0.00       XXX  0                 
    84238...  ..................  X                   Assay non-endocrine receptor       0.00      0.00        0.00       0.00       XXX  0                 
    84244...  ..................  X                   Assay of renin..............       0.00      0.00        0.00       0.00       XXX  0                 
    84252...  ..................  X                   Assay vitamin B-2...........       0.00      0.00        0.00       0.00       XXX  0                 
    84255...  ..................  X                   Assay selenium..............       0.00      0.00        0.00       0.00       XXX  0                 
    84260...  ..................  X                   Assay serotonin.............       0.00      0.00        0.00       0.00       XXX  0                 
    84270...  ..................  X                   Sex hormone globulin (SHBG).       0.00      0.00        0.00       0.00       XXX  0                 
    84275...  ..................  X                   Assay sialic acid...........       0.00      0.00        0.00       0.00       XXX  0                 
    84285...  ..................  X                   Assay silica................       0.00      0.00        0.00       0.00       XXX  0                 
    84295...  ..................  X                   Assay serum sodium..........       0.00      0.00        0.00       0.00       XXX  0                 
    84300...  ..................  X                   Assay urine sodium..........       0.00      0.00        0.00       0.00       XXX  0                 
    84305...  ..................  X                   Somatomedin.................       0.00      0.00        0.00       0.00       XXX  0                 
    84307...  ..................  X                   Somatostatin................       0.00      0.00        0.00       0.00       XXX  0                 
    84311...  ..................  X                   Spectrophotometry...........       0.00      0.00        0.00       0.00       XXX  0                 
    84315...  ..................  X                   Body fluid specific gravity.       0.00      0.00        0.00       0.00       XXX  0                 
    84375...  ..................  X                   Chromatogram assay, sugars..       0.00      0.00        0.00       0.00       XXX  0                 
    84392...  ..................  X                   Assay urine sulfate.........       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63298]]
                                                                                                                                                            
    84402...  ..................  X                   Testosterone................       0.00      0.00        0.00       0.00       XXX  0                 
    84403...  ..................  X                   Assay total testosterone....       0.00      0.00        0.00       0.00       XXX  0                 
    84425...  ..................  X                   Assay vitamin B-1...........       0.00      0.00        0.00       0.00       XXX  0                 
    84430...  ..................  X                   Assay thiocyanate...........       0.00      0.00        0.00       0.00       XXX  0                 
    84432...  ..................  X                   Thyroglobulin...............       0.00      0.00        0.00       0.00       XXX  0                 
    84436...  ..................  X                   Assay, total thyroxine......       0.00      0.00        0.00       0.00       XXX  0                 
    84437...  ..................  X                   Assay neonatal thyroxine....       0.00      0.00        0.00       0.00       XXX  0                 
    84439...  ..................  X                   Assay, free thyroxine.......       0.00      0.00        0.00       0.00       XXX  0                 
    84442...  ..................  X                   Thyroid activity (TBG) assay       0.00      0.00        0.00       0.00       XXX  0                 
    84443...  ..................  X                   Assay thyroid stim hormone..       0.00      0.00        0.00       0.00       XXX  0                 
    84445...  ..................  X                   Thyroid immunoglobulins TSI.       0.00      0.00        0.00       0.00       XXX  0                 
    84446...  ..................  X                   Assay vitamin E.............       0.00      0.00        0.00       0.00       XXX  0                 
    84449...  ..................  X                   Assay for transcortin.......       0.00      0.00        0.00       0.00       XXX  0                 
    84450...  ..................  X                   Transferase (AST) (SGOT)....       0.00      0.00        0.00       0.00       XXX  0                 
    84460...  ..................  X                   Alanine amino (ALT) (SGPT)..       0.00      0.00        0.00       0.00       XXX  0                 
    84466...  ..................  X                   Transferrin.................       0.00      0.00        0.00       0.00       XXX  0                 
    84478...  ..................  X                   Assay triglycerides.........       0.00      0.00        0.00       0.00       XXX  0                 
    84479...  ..................  X                   Assay triiodothyronine (T-3)       0.00      0.00        0.00       0.00       XXX  0                 
    84480...  ..................  X                   Total assay, TT-3...........       0.00      0.00        0.00       0.00       XXX  0                 
    84481...  ..................  X                   Free assay (FT-3)...........       0.00      0.00        0.00       0.00       XXX  0                 
    84482...  ..................  X                   T3 reverse..................       0.00      0.00        0.00       0.00       XXX  0                 
    84485...  ..................  X                   Assay duodenal fluid trypsin       0.00      0.00        0.00       0.00       XXX  0                 
    84488...  ..................  X                   Test feces for trypsin......       0.00      0.00        0.00       0.00       XXX  0                 
    84490...  ..................  X                   Assay feces for trypsin.....       0.00      0.00        0.00       0.00       XXX  0                 
    84510...  ..................  X                   Assay tyrosine..............       0.00      0.00        0.00       0.00       XXX  0                 
    84520...  ..................  X                   Assay urea nitrogen.........       0.00      0.00        0.00       0.00       XXX  0                 
    84525...  ..................  X                   Urea nitrogen semi-quant....       0.00      0.00        0.00       0.00       XXX  0                 
    84540...  ..................  X                   Assay urine urea-N..........       0.00      0.00        0.00       0.00       XXX  0                 
    84545...  ..................  X                   Urea-N clearance test.......       0.00      0.00        0.00       0.00       XXX  0                 
    84550...  ..................  X                   Assay blood uric acid.......       0.00      0.00        0.00       0.00       XXX  0                 
    84560...  ..................  X                   Assay urine uric acid.......       0.00      0.00        0.00       0.00       XXX  0                 
    84577...  ..................  X                   Assay feces urobilinogen....       0.00      0.00        0.00       0.00       XXX  0                 
    84578...  ..................  X                   Test urine urobilinogen.....       0.00      0.00        0.00       0.00       XXX  0                 
    84580...  ..................  X                   Assay urine urobilinogen....       0.00      0.00        0.00       0.00       XXX  0                 
    84583...  ..................  X                   Assay urine urobilinogen....       0.00      0.00        0.00       0.00       XXX  0                 
    84585...  ..................  X                   Assay urine VMA.............       0.00      0.00        0.00       0.00       XXX  0                 
    84586...  ..................  X                   VIP assay...................       0.00      0.00        0.00       0.00       XXX  0                 
    84588...  ..................  X                   Assay vasopressin...........       0.00      0.00        0.00       0.00       XXX  0                 
    84590...  ..................  X                   Assay vitamin-A.............       0.00      0.00        0.00       0.00       XXX  0                 
    84597...  ..................  X                   Assay vitamin-K.............       0.00      0.00        0.00       0.00       XXX  0                 
    84600...  ..................  X                   Assay for volatiles.........       0.00      0.00        0.00       0.00       XXX  0                 
    84620...  ..................  X                   Xylose tolerance test.......       0.00      0.00        0.00       0.00       XXX  0                 
    84630...  ..................  X                   Assay zinc..................       0.00      0.00        0.00       0.00       XXX  0                 
    84681...  ..................  X                   Assay C-peptide.............       0.00      0.00        0.00       0.00       XXX  0                 
    84702...  ..................  X                   Chorionic gonadotropin test.       0.00      0.00        0.00       0.00       XXX  0                 
    84703...  ..................  X                   Chorionic gonadotropin assay       0.00      0.00        0.00       0.00       XXX  0                 
    84830...  ..................  X                   Ovulation tests.............       0.00      0.00        0.00       0.00       XXX  0                 
    84999...  ..................  X                   Clinical chemistry test.....       0.00      0.00        0.00       0.00       XXX  0                 
    85002...  ..................  X                   Bleeding time test..........       0.00      0.00        0.00       0.00       XXX  0                 
    85007...  ..................  X                   Differential WBC count......       0.00      0.00        0.00       0.00       XXX  0                 
    85008...  ..................  X                   Nondifferential WBC count...       0.00      0.00        0.00       0.00       XXX  0                 
    85009...  ..................  X                   Differential WBC count......       0.00      0.00        0.00       0.00       XXX  0                 
    85013...  ..................  X                   Hematocrit..................       0.00      0.00        0.00       0.00       XXX  0                 
    85014...  ..................  X                   Hematocrit..................       0.00      0.00        0.00       0.00       XXX  0                 
    85018...  ..................  X                   Hemoglobin..................       0.00      0.00        0.00       0.00       XXX  0                 
    85021...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85022...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85023...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85024...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85025...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85027...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85029...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85030...  ..................  X                   Automated hemogram..........       0.00      0.00        0.00       0.00       XXX  0                 
    85031...  ..................  X                   Manual hemogram, complete          0.00      0.00        0.00       0.00       XXX  0                 
                                                       cbc.                                                                                                 
    85041...  ..................  X                   Red blood cell (RBC) count..       0.00      0.00        0.00       0.00       XXX  0                 
    85044...  ..................  X                   Reticulocyte count..........       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63299]]
                                                                                                                                                            
    85045...  ..................  X                   Reticulocyte count..........       0.00      0.00        0.00       0.00       XXX  0                 
    85048...  ..................  X                   White blood cell (WBC) count       0.00      0.00        0.00       0.00       XXX  0                 
    85060...  ..................  A                   Blood smear interpretation..       0.45      0.22        0.02       0.69       XXX  N                 
    85095...  ..................  A                   Bone marrow aspiration......       1.08      0.67        0.05       1.80       XXX  N                 
    85097...  ..................  A                   Bone marrow interpretation..       0.94      0.48        0.04       1.46       XXX  N                 
    85102...  ..................  A                   Bone marrow biopsy..........       1.37      0.80        0.05       2.22       XXX  N                 
    85130...  ..................  X                   Chromogenic substrate assay.       0.00      0.00        0.00       0.00       XXX  0                 
    85170...  ..................  X                   Blood clot retraction.......       0.00      0.00        0.00       0.00       XXX  0                 
    85175...  ..................  X                   Blood clot lysis time.......       0.00      0.00        0.00       0.00       XXX  0                 
    85210...  ..................  X                   Blood clot factor II test...       0.00      0.00        0.00       0.00       XXX  0                 
    85220...  ..................  X                   Blood clot factor V test....       0.00      0.00        0.00       0.00       XXX  0                 
    85230...  ..................  X                   Blood clot factor VII test..       0.00      0.00        0.00       0.00       XXX  0                 
    85240...  ..................  X                   Blood clot factor VIII test.       0.00      0.00        0.00       0.00       XXX  0                 
    85244...  ..................  X                   Blood clot factor VIII test.       0.00      0.00        0.00       0.00       XXX  0                 
    85245...  ..................  X                   Blood clot factor VIII test.       0.00      0.00        0.00       0.00       XXX  0                 
    85246...  ..................  X                   Blood clot factor VIII test.       0.00      0.00        0.00       0.00       XXX  0                 
    85247...  ..................  X                   Blood clot factor VIII test.       0.00      0.00        0.00       0.00       XXX  0                 
    85250...  ..................  X                   Blood clot factor IX test...       0.00      0.00        0.00       0.00       XXX  0                 
    85260...  ..................  X                   Blood clot factor X test....       0.00      0.00        0.00       0.00       XXX  0                 
    85270...  ..................  X                   Blood clot factor XI test...       0.00      0.00        0.00       0.00       XXX  0                 
    85280...  ..................  X                   Blood clot factor XII test..       0.00      0.00        0.00       0.00       XXX  0                 
    85290...  ..................  X                   Blood clot factor XIII test.       0.00      0.00        0.00       0.00       XXX  0                 
    85291...  ..................  X                   Blood clot factor XIII test.       0.00      0.00        0.00       0.00       XXX  0                 
    85292...  ..................  X                   Blood clot factor assay.....       0.00      0.00        0.00       0.00       XXX  0                 
    85293...  ..................  X                   Blood clot factor assay.....       0.00      0.00        0.00       0.00       XXX  0                 
    85300...  ..................  X                   Antithrombin III test.......       0.00      0.00        0.00       0.00       XXX  0                 
    85301...  ..................  X                   Antithrombin III test.......       0.00      0.00        0.00       0.00       XXX  0                 
    85302...  ..................  X                   Blood clot inhibitor antigen       0.00      0.00        0.00       0.00       XXX  0                 
    85303...  ..................  X                   Blood clot inhibitor test...       0.00      0.00        0.00       0.00       XXX  0                 
    85305...  ..................  X                   Blood clot inhibitor assay..       0.00      0.00        0.00       0.00       XXX  0                 
    85306...  ..................  X                   Blood clot inhibitor test...       0.00      0.00        0.00       0.00       XXX  0                 
    85335...  ..................  X                   Factor inhibitor test.......       0.00      0.00        0.00       0.00       XXX  0                 
    85337...  ..................  X                   Thrombomodulin..............       0.00      0.00        0.00       0.00       XXX  0                 
    85345...  ..................  X                   Coagulation time............       0.00      0.00        0.00       0.00       XXX  0                 
    85347...  ..................  X                   Coagulation time............       0.00      0.00        0.00       0.00       XXX  0                 
    85348...  ..................  X                   Coagulation time............       0.00      0.00        0.00       0.00       XXX  0                 
    85360...  ..................  X                   Euglobulin lysis............       0.00      0.00        0.00       0.00       XXX  0                 
    85362...  ..................  X                   Fibrin degradation products.       0.00      0.00        0.00       0.00       XXX  0                 
    85366...  ..................  X                   Fibrinogen test.............       0.00      0.00        0.00       0.00       XXX  0                 
    85370...  ..................  X                   Fibrinogen test.............       0.00      0.00        0.00       0.00       XXX  0                 
    85378...  ..................  X                   Fibrin degradation..........       0.00      0.00        0.00       0.00       XXX  0                 
    85379...  ..................  X                   Fibrin degradation..........       0.00      0.00        0.00       0.00       XXX  0                 
    85384...  ..................  X                   Fibrinogen..................       0.00      0.00        0.00       0.00       XXX  0                 
    85385...  ..................  X                   Fibrinogen..................       0.00      0.00        0.00       0.00       XXX  0                 
    85390...  ..................  X                   Fibrinolysins screen........       0.00      0.00        0.00       0.00       XXX  0                 
    85390...  26                  A                   Fibrinolysins screen........       0.37      0.20        0.01       0.58       XXX  N                 
    85400...  ..................  X                   Fibrinolytic plasmin........       0.00      0.00        0.00       0.00       XXX  0                 
    85410...  ..................  X                   Fibrinolytic antiplasmin....       0.00      0.00        0.00       0.00       XXX  0                 
    85415...  ..................  X                   Fibrinolytic plasminogen....       0.00      0.00        0.00       0.00       XXX  0                 
    85420...  ..................  X                   Fibrinolytic plasminogen....       0.00      0.00        0.00       0.00       XXX  0                 
    85421...  ..................  X                   Fibrinolytic plasminogen....       0.00      0.00        0.00       0.00       XXX  0                 
    85441...  ..................  X                   Heinz bodies; direct........       0.00      0.00        0.00       0.00       XXX  0                 
    85445...  ..................  X                   Heinz bodies; induced.......       0.00      0.00        0.00       0.00       XXX  0                 
    85460...  ..................  X                   Hemoglobin, fetal...........       0.00      0.00        0.00       0.00       XXX  0                 
    85461...  ..................  X                   Hemoglobin, fetal...........       0.00      0.00        0.00       0.00       XXX  0                 
    85475...  ..................  X                   Hemolysin...................       0.00      0.00        0.00       0.00       XXX  0                 
    85520...  ..................  X                   Heparin assay...............       0.00      0.00        0.00       0.00       XXX  0                 
    85525...  ..................  X                   Heparin.....................       0.00      0.00        0.00       0.00       XXX  0                 
    85530...  ..................  X                   Heparin-protamine tolerance.       0.00      0.00        0.00       0.00       XXX  0                 
    85535...  ..................  X                   Iron stain, blood cells.....       0.00      0.00        0.00       0.00       XXX  0                 
    85540...  ..................  X                   Wbc alkaline phosphatase....       0.00      0.00        0.00       0.00       XXX  0                 
    85547...  ..................  X                   RBC mechanical fragility....       0.00      0.00        0.00       0.00       XXX  0                 
    85549...  ..................  X                   Muramidase..................       0.00      0.00        0.00       0.00       XXX  0                 
    85555...  ..................  X                   RBC osmotic fragility.......       0.00      0.00        0.00       0.00       XXX  0                 
    85557...  ..................  X                   RBC osmotic fragility.......       0.00      0.00        0.00       0.00       XXX  0                 
    85576...  ..................  X                   Blood platelet aggregation..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63300]]
                                                                                                                                                            
    85576...  26                  A                   Blood platelet aggregation..       0.37      0.20        0.01       0.58       XXX  N                 
    85585...  ..................  X                   Blood platelet estimation...       0.00      0.00        0.00       0.00       XXX  0                 
    85590...  ..................  X                   Platelet manual count.......       0.00      0.00        0.00       0.00       XXX  0                 
    85595...  ..................  X                   Platelet count, automated...       0.00      0.00        0.00       0.00       XXX  0                 
    85597...  ..................  X                   Platelet neutralization.....       0.00      0.00        0.00       0.00       XXX  0                 
    85610...  ..................  X                   Prothrombin time............       0.00      0.00        0.00       0.00       XXX  0                 
    85611...  ..................  X                   Prothrombin test............       0.00      0.00        0.00       0.00       XXX  0                 
    85612...  ..................  X                   Viper venom prothrombin time       0.00      0.00        0.00       0.00       XXX  0                 
    85613...  ..................  X                   Russell viper venom, diluted       0.00      0.00        0.00       0.00       XXX  0                 
    85635...  ..................  X                   Reptilase test..............       0.00      0.00        0.00       0.00       XXX  0                 
    85651...  ..................  X                   RBC sed rate, nonauto.......       0.00      0.00        0.00       0.00       XXX  0                 
    85652...  ..................  X                   RBC sed rate, auto..........       0.00      0.00        0.00       0.00       XXX  0                 
    85660...  ..................  X                   RBC sickle cell test........       0.00      0.00        0.00       0.00       XXX  0                 
    85670...  ..................  X                   Thrombin time, plasma.......       0.00      0.00        0.00       0.00       XXX  0                 
    85675...  ..................  X                   Thrombin time, titer........       0.00      0.00        0.00       0.00       XXX  0                 
    85705...  ..................  X                   Thromboplastin inhibition...       0.00      0.00        0.00       0.00       XXX  0                 
    85730...  ..................  X                   Thromboplastin time, partial       0.00      0.00        0.00       0.00       XXX  0                 
    85732...  ..................  X                   Thromboplastin time, partial       0.00      0.00        0.00       0.00       XXX  0                 
    85810...  ..................  X                   Blood viscosity examination.       0.00      0.00        0.00       0.00       XXX  0                 
    85999...  ..................  X                   Hematology procedure........       0.00      0.00        0.00       0.00       XXX  0                 
    86000...  ..................  X                   Agglutinins; febrile........       0.00      0.00        0.00       0.00       XXX  0                 
    86003...  ..................  X                   Allergen specific IgE.......       0.00      0.00        0.00       0.00       XXX  0                 
    86005...  ..................  X                   Allergen specific IgE.......       0.00      0.00        0.00       0.00       XXX  0                 
    86021...  ..................  X                   WBC antibody identification.       0.00      0.00        0.00       0.00       XXX  0                 
    86022...  ..................  X                   Platelet antibodies.........       0.00      0.00        0.00       0.00       XXX  0                 
    86023...  ..................  X                   Immunoglobulin assay........       0.00      0.00        0.00       0.00       XXX  0                 
    86038...  ..................  X                   Antinuclear antibodies......       0.00      0.00        0.00       0.00       XXX  0                 
    86039...  ..................  X                   Antinuclear antibodies (ANA)       0.00      0.00        0.00       0.00       XXX  0                 
    86060...  ..................  X                   Antistreptolysin O titer....       0.00      0.00        0.00       0.00       XXX  0                 
    86063...  ..................  X                   Antistreptolysin O screen...       0.00      0.00        0.00       0.00       XXX  0                 
    86077...  ..................  A                   Physician blood bank service       0.37      0.30        0.02       0.69       XXX  N                 
    86078...  ..................  A                   Physician blood bank service       0.94      0.34        0.02       1.30       XXX  N                 
    86079...  ..................  A                   Physician blood bank service       0.37      0.33        0.02       0.72       XXX  N                 
    86140...  ..................  X                   C-reactive protein..........       0.00      0.00        0.00       0.00       XXX  0                 
    86147...  ..................  X                   Cardiolipin antibody........       0.00      0.00        0.00       0.00       XXX  0                 
    86155...  ..................  X                   Chemotaxis assay............       0.00      0.00        0.00       0.00       XXX  0                 
    86156...  ..................  X                   Cold agglutinin screen......       0.00      0.00        0.00       0.00       XXX  0                 
    86157...  ..................  X                   Cold agglutinin, titer......       0.00      0.00        0.00       0.00       XXX  0                 
    86160...  ..................  X                   Complement, antigen.........       0.00      0.00        0.00       0.00       XXX  0                 
    86161...  ..................  X                   Complement/function activity       0.00      0.00        0.00       0.00       XXX  0                 
    86162...  ..................  X                   Complement, total (CH50)....       0.00      0.00        0.00       0.00       XXX  0                 
    86171...  ..................  X                   Complement fixation, each...       0.00      0.00        0.00       0.00       XXX  0                 
    86185...  ..................  X                   Counterimmunoelectrophoresis       0.00      0.00        0.00       0.00       XXX  0                 
    86215...  ..................  X                   Deoxyribonuclease, antibody.       0.00      0.00        0.00       0.00       XXX  0                 
    86225...  ..................  X                   DNA antibody................       0.00      0.00        0.00       0.00       XXX  0                 
    86226...  ..................  X                   DNA antibody, single strand.       0.00      0.00        0.00       0.00       XXX  0                 
    86235...  ..................  X                   Nuclear antigen antibody....       0.00      0.00        0.00       0.00       XXX  0                 
    86243...  ..................  X                   Fc receptor.................       0.00      0.00        0.00       0.00       XXX  0                 
    86255...  ..................  X                   Fluorescent antibody; screen       0.00      0.00        0.00       0.00       XXX  0                 
    86255...  26                  A                   Fluorescent antibody; screen       0.37      0.20        0.01       0.58       XXX  N                 
    86256...  ..................  X                   Fluorescent antibody; titer.       0.00      0.00        0.00       0.00       XXX  0                 
    86256...  26                  A                   Fluorescent antibody; titer.       0.37      0.20        0.01       0.58       XXX  N                 
    86277...  ..................  X                   Growth hormone antibody.....       0.00      0.00        0.00       0.00       XXX  0                 
    86280...  ..................  X                   Hemagglutination inhibition.       0.00      0.00        0.00       0.00       XXX  0                 
    86287...  ..................  X                   Hepatitis B (HBsAg).........       0.00      0.00        0.00       0.00       XXX  0                 
    86289...  ..................  X                   Hepatitis BC antibody test..       0.00      0.00        0.00       0.00       XXX  0                 
    86290...  ..................  X                   Hepatitis BC antibody test..       0.00      0.00        0.00       0.00       XXX  0                 
    86291...  ..................  X                   Hepatitis BS antibody test..       0.00      0.00        0.00       0.00       XXX  0                 
    86293...  ..................  X                   Hepatitis Be antibody test..       0.00      0.00        0.00       0.00       XXX  0                 
    86295...  ..................  X                   Hepatitis Be antibody test..       0.00      0.00        0.00       0.00       XXX  0                 
    86296...  ..................  X                   Hepatitis A antibody test...       0.00      0.00        0.00       0.00       XXX  0                 
    86299...  ..................  X                   Hepatitis A antibody test...       0.00      0.00        0.00       0.00       XXX  0                 
    86302...  ..................  X                   Hepatitis C antibody........       0.00      0.00        0.00       0.00       XXX  0                 
    86303...  ..................  X                   Hepatitis C antibody........       0.00      0.00        0.00       0.00       XXX  0                 
    86306...  ..................  X                   Hepatitis, delta agent......       0.00      0.00        0.00       0.00       XXX  0                 
    86308...  ..................  X                   Heterophile antibodies......       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63301]]
                                                                                                                                                            
    86309...  ..................  X                   Heterophile antibodies......       0.00      0.00        0.00       0.00       XXX  0                 
    86310...  ..................  X                   Heterophile antibodies......       0.00      0.00        0.00       0.00       XXX  0                 
    86311...  ..................  X                   HIV antigen test............       0.00      0.00        0.00       0.00       XXX  0                 
    86313...  ..................  X                   Immunoassay, infectious            0.00      0.00        0.00       0.00       XXX  0                 
                                                       agent.                                                                                               
    86315...  ..................  X                   Immunoassay, infectious            0.00      0.00        0.00       0.00       XXX  0                 
                                                       agent.                                                                                               
    86316...  ..................  X                   Immunoassay, tumor antigen..       0.00      0.00        0.00       0.00       XXX  0                 
    86317...  ..................  X                   Immunoassay, infectious            0.00      0.00        0.00       0.00       XXX  0                 
                                                       agent.                                                                                               
    86318...  ..................  X                   Immunoassay, infectious            0.00      0.00        0.00       0.00       XXX  0                 
                                                       agent.                                                                                               
    86320...  ..................  X                   Serum immunoelectrophoresis.       0.00      0.00        0.00       0.00       XXX  0                 
    86320...  26                  A                   Serum immunoelectrophoresis.       0.37      0.20        0.01       0.58       XXX  N                 
    86325...  ..................  X                   Other immunoelectrophoresis.       0.00      0.00        0.00       0.00       XXX  0                 
    86325...  26                  A                   Other immunoelectrophoresis.       0.37      0.20        0.01       0.58       XXX  N                 
    86327...  ..................  X                   Immunoelectrophoresis assay.       0.00      0.00        0.00       0.00       XXX  0                 
    86327...  26                  A                   Immunoelectrophoresis assay.       0.37      0.20        0.01       0.58       XXX  N                 
    86329...  ..................  X                   Immunodiffusion.............       0.00      0.00        0.00       0.00       XXX  0                 
    86331...  ..................  X                   Immunodiffusion ouchterlony.       0.00      0.00        0.00       0.00       XXX  0                 
    86332...  ..................  X                   Immune complex assay........       0.00      0.00        0.00       0.00       XXX  0                 
    86334...  ..................  X                   Immunofixation procedure....       0.00      0.00        0.00       0.00       XXX  0                 
    86334...  26                  A                   Immunofixation procedure....       0.37      0.20        0.01       0.58       XXX  N                 
    86337...  ..................  X                   Insulin antibodies..........       0.00      0.00        0.00       0.00       XXX  0                 
    86340...  ..................  X                   Intrinsic factor antibody...       0.00      0.00        0.00       0.00       XXX  0                 
    86341...  ..................  X                   Islet cell antibody.........       0.00      0.00        0.00       0.00       XXX  0                 
    86343...  ..................  X                   Leukocyte histamine release.       0.00      0.00        0.00       0.00       XXX  0                 
    86344...  ..................  X                   Leukocyte phagocytosis......       0.00      0.00        0.00       0.00       XXX  0                 
    86353...  ..................  X                   Lymphocyte transformation...       0.00      0.00        0.00       0.00       XXX  0                 
    86359...  ..................  X                   T cells, total count........       0.00      0.00        0.00       0.00       XXX  0                 
    86360...  ..................  X                   T cell ratio................       0.00      0.00        0.00       0.00       XXX  0                 
    86376...  ..................  X                   Microsomal antibody.........       0.00      0.00        0.00       0.00       XXX  0                 
    86378...  ..................  X                   Migration inhibitory factor.       0.00      0.00        0.00       0.00       XXX  0                 
    86382...  ..................  X                   Neutralization test, viral..       0.00      0.00        0.00       0.00       XXX  0                 
    86384...  ..................  X                   Nitroblue tetrazolium dye...       0.00      0.00        0.00       0.00       XXX  0                 
    86403...  ..................  X                   Particle agglutination test.       0.00      0.00        0.00       0.00       XXX  0                 
    86406...  ..................  X                   Particle agglutination test.       0.00      0.00        0.00       0.00       XXX  0                 
    86430...  ..................  X                   Rheumatoid factor test......       0.00      0.00        0.00       0.00       XXX  0                 
    86431...  ..................  X                   Rheumatoid factor, quant....       0.00      0.00        0.00       0.00       XXX  0                 
    86485...  ..................  C                   Skin test, candida..........       0.00      0.00        0.00       0.00       XXX  N                 
    86490...  ..................  A                   Coccidioidomycosis skin test       0.00      0.28        0.02       0.30       XXX  N                 
    86510...  ..................  A                   Histoplasmosis skin test....       0.00      0.30        0.02       0.32       XXX  N                 
    86580...  ..................  A                   TB intradermal test.........       0.00      0.24        0.02       0.26       XXX  N                 
    86585...  ..................  A                   TB tine test................       0.00      0.19        0.01       0.20       XXX  N                 
    86586...  ..................  C                   Skin test, unlisted.........       0.00      0.00        0.00       0.00       XXX  N                 
    86588...  ..................  X                   Streptocollus, direct screen       0.00      0.00        0.00       0.00       XXX  0                 
    86590...  ..................  X                   Streptokinase, antibody.....       0.00      0.00        0.00       0.00       XXX  0                 
    86592...  ..................  X                   Blood serology, qualitative.       0.00      0.00        0.00       0.00       XXX  0                 
    86593...  ..................  X                   Blood serology, quantitative       0.00      0.00        0.00       0.00       XXX  0                 
    86602...  ..................  X                   Antinomyces antibody........       0.00      0.00        0.00       0.00       XXX  0                 
    86603...  ..................  X                   Adenovirus, antibody........       0.00      0.00        0.00       0.00       XXX  0                 
    86606...  ..................  X                   Aspergillus antibody........       0.00      0.00        0.00       0.00       XXX  0                 
    86609...  ..................  X                   Bacterium, antibody.........       0.00      0.00        0.00       0.00       XXX  0                 
    86612...  ..................  X                   Blastomyces, antibody.......       0.00      0.00        0.00       0.00       XXX  0                 
    86615...  ..................  X                   Bordetella antibody.........       0.00      0.00        0.00       0.00       XXX  0                 
    86617...  ..................  X                   Lyme disease antibody.......       0.00      0.00        0.00       0.00       XXX  0                 
    86618...  ..................  X                   Lyme disease antibody.......       0.00      0.00        0.00       0.00       XXX  0                 
    86619...  ..................  X                   Borrelia antibody...........       0.00      0.00        0.00       0.00       XXX  0                 
    86622...  ..................  X                   Brucella, antibody..........       0.00      0.00        0.00       0.00       XXX  0                 
    86625...  ..................  X                   Campylobacter, antibody.....       0.00      0.00        0.00       0.00       XXX  0                 
    86628...  ..................  X                   Candida, antibody...........       0.00      0.00        0.00       0.00       XXX  0                 
    86631...  ..................  X                   Chlamydia, antibody.........       0.00      0.00        0.00       0.00       XXX  0                 
    86632...  ..................  X                   Chlamydia, IgM, antibody....       0.00      0.00        0.00       0.00       XXX  0                 
    86635...  ..................  X                   Coccidioides, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86638...  ..................  X                   Q fever antibody............       0.00      0.00        0.00       0.00       XXX  0                 
    86641...  ..................  X                   Cryptococcus antibody.......       0.00      0.00        0.00       0.00       XXX  0                 
    86644...  ..................  X                   CMV antibody................       0.00      0.00        0.00       0.00       XXX  0                 
    86645...  ..................  X                   CMV antibody, IgM...........       0.00      0.00        0.00       0.00       XXX  0                 
    86648...  ..................  X                   Diphtheria antibody.........       0.00      0.00        0.00       0.00       XXX  0                 
    86651...  ..................  X                   Encephalitis, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63302]]
                                                                                                                                                            
    86652...  ..................  X                   Encephalitis, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86653...  ..................  X                   Encephalitis, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86654...  ..................  X                   Encephalitis, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86658...  ..................  X                   Enterovirus, antibody.......       0.00      0.00        0.00       0.00       XXX  0                 
    86663...  ..................  X                   Epstein-barr, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86664...  ..................  X                   Epstein-barr, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86665...  ..................  X                   Epstein-barr, antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86668...  ..................  X                   Francisella tularensis......       0.00      0.00        0.00       0.00       XXX  0                 
    86671...  ..................  X                   Fungus, antibody............       0.00      0.00        0.00       0.00       XXX  0                 
    86674...  ..................  X                   Giardia lamblia.............       0.00      0.00        0.00       0.00       XXX  0                 
    86677...  ..................  X                   Helicobacter pylori.........       0.00      0.00        0.00       0.00       XXX  0                 
    86682...  ..................  X                   Helminth, antibody..........       0.00      0.00        0.00       0.00       XXX  0                 
    86684...  ..................  X                   Hemophilus influenza........       0.00      0.00        0.00       0.00       XXX  0                 
    86687...  ..................  X                   HTLV I......................       0.00      0.00        0.00       0.00       XXX  0                 
    86688...  ..................  X                   HTLV-II.....................       0.00      0.00        0.00       0.00       XXX  0                 
    86689...  ..................  X                   HTLV/HIV confirmatory test..       0.00      0.00        0.00       0.00       XXX  0                 
    86692...  ..................  X                   Hepatitis, delta agent......       0.00      0.00        0.00       0.00       XXX  0                 
    86694...  ..................  X                   Herpes simplex test.........       0.00      0.00        0.00       0.00       XXX  0                 
    86695...  ..................  X                   Herpes simplex test.........       0.00      0.00        0.00       0.00       XXX  0                 
    86698...  ..................  X                   Histoplasma.................       0.00      0.00        0.00       0.00       XXX  0                 
    86701...  ..................  X                   HIV-1.......................       0.00      0.00        0.00       0.00       XXX  0                 
    86702...  ..................  X                   HIV-2.......................       0.00      0.00        0.00       0.00       XXX  0                 
    86703...  ..................  X                   HIV-1/HIV-2, single assay...       0.00      0.00        0.00       0.00       XXX  0                 
    86710...  ..................  X                   Influenza virus.............       0.00      0.00        0.00       0.00       XXX  0                 
    86713...  ..................  X                   Legionella..................       0.00      0.00        0.00       0.00       XXX  0                 
    86717...  ..................  X                   Leishmania..................       0.00      0.00        0.00       0.00       XXX  0                 
    86720...  ..................  X                   Leptospira..................       0.00      0.00        0.00       0.00       XXX  0                 
    86723...  ..................  X                   Listeria monocytogenes......       0.00      0.00        0.00       0.00       XXX  0                 
    86727...  ..................  X                   Lymph choriomeningitis......       0.00      0.00        0.00       0.00       XXX  0                 
    86729...  ..................  X                   Lympho venereum.............       0.00      0.00        0.00       0.00       XXX  0                 
    86732...  ..................  X                   Mucormycosis................       0.00      0.00        0.00       0.00       XXX  0                 
    86735...  ..................  X                   Mumps.......................       0.00      0.00        0.00       0.00       XXX  0                 
    86738...  ..................  X                   Mycoplasma..................       0.00      0.00        0.00       0.00       XXX  0                 
    86741...  ..................  X                   Neisseria meningitidis......       0.00      0.00        0.00       0.00       XXX  0                 
    86744...  ..................  X                   Nocardia....................       0.00      0.00        0.00       0.00       XXX  0                 
    86747...  ..................  X                   Parvovirus..................       0.00      0.00        0.00       0.00       XXX  0                 
    86750...  ..................  X                   Malaria.....................       0.00      0.00        0.00       0.00       XXX  0                 
    86753...  ..................  X                   Protozoa, not elsewhere.....       0.00      0.00        0.00       0.00       XXX  0                 
    86756...  ..................  X                   Respiratory virus...........       0.00      0.00        0.00       0.00       XXX  0                 
    86759...  ..................  X                   Rotavirus...................       0.00      0.00        0.00       0.00       XXX  0                 
    86762...  ..................  X                   Rubella.....................       0.00      0.00        0.00       0.00       XXX  0                 
    86765...  ..................  X                   Rubeola.....................       0.00      0.00        0.00       0.00       XXX  0                 
    86768...  ..................  X                   Salmonella..................       0.00      0.00        0.00       0.00       XXX  0                 
    86771...  ..................  X                   Shigella....................       0.00      0.00        0.00       0.00       XXX  0                 
    86774...  ..................  X                   Tetanus.....................       0.00      0.00        0.00       0.00       XXX  0                 
    86777...  ..................  X                   Toxoplasma..................       0.00      0.00        0.00       0.00       XXX  0                 
    86778...  ..................  X                   Toxoplasma, IgM.............       0.00      0.00        0.00       0.00       XXX  0                 
    86781...  ..................  X                   Treponema pallidum confirm..       0.00      0.00        0.00       0.00       XXX  0                 
    86784...  ..................  X                   Trichinella.................       0.00      0.00        0.00       0.00       XXX  0                 
    86787...  ..................  X                   Varicella-zoster............       0.00      0.00        0.00       0.00       XXX  0                 
    86790...  ..................  X                   Virus, not specified........       0.00      0.00        0.00       0.00       XXX  0                 
    86793...  ..................  X                   Yersinia....................       0.00      0.00        0.00       0.00       XXX  0                 
    86800...  ..................  X                   Thyroglobulin antibody......       0.00      0.00        0.00       0.00       XXX  0                 
    86805...  ..................  X                   Lymphocytotoxicity assay....       0.00      0.00        0.00       0.00       XXX  0                 
    86806...  ..................  X                   Lymphocytotoxicity assay....       0.00      0.00        0.00       0.00       XXX  0                 
    86807...  ..................  X                   Cytotoxic antibody screening       0.00      0.00        0.00       0.00       XXX  0                 
    86808...  ..................  X                   Cytotoxic antibody screening       0.00      0.00        0.00       0.00       XXX  0                 
    86812...  ..................  X                   HLA typing, A, B, or C......       0.00      0.00        0.00       0.00       XXX  0                 
    86813...  ..................  X                   HLA typing, A, B, or C......       0.00      0.00        0.00       0.00       XXX  0                 
    86816...  ..................  X                   HLA typing, DR/DQ...........       0.00      0.00        0.00       0.00       XXX  0                 
    86817...  ..................  X                   HLA typing, DR/DQ...........       0.00      0.00        0.00       0.00       XXX  0                 
    86821...  ..................  X                   Lymphocyte culture, mixed...       0.00      0.00        0.00       0.00       XXX  0                 
    86822...  ..................  X                   Lymphocyte culture, primed..       0.00      0.00        0.00       0.00       XXX  0                 
    86849...  ..................  X                   Immunology procedure........       0.00      0.00        0.00       0.00       XXX  0                 
    86850...  ..................  X                   RBC antibody screen.........       0.00      0.00        0.00       0.00       XXX  0                 
    86860...  ..................  X                   RBC antibody elution........       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63303]]
                                                                                                                                                            
    86870...  ..................  X                   RBC antibody identification.       0.00      0.00        0.00       0.00       XXX  0                 
    86880...  ..................  X                   Coombs test.................       0.00      0.00        0.00       0.00       XXX  0                 
    86885...  ..................  X                   Coombs test.................       0.00      0.00        0.00       0.00       XXX  0                 
    86886...  ..................  X                   Coombs test.................       0.00      0.00        0.00       0.00       XXX  0                 
    86890...  ..................  X                   Autologous blood process....       0.00      0.00        0.00       0.00       XXX  0                 
    86891...  ..................  X                   Autologous blood, op salvage       0.00      0.00        0.00       0.00       XXX  0                 
    86900...  ..................  X                   Blood typing, ABO...........       0.00      0.00        0.00       0.00       XXX  0                 
    86901...  ..................  X                   Blood typing, Rh (D)........       0.00      0.00        0.00       0.00       XXX  0                 
    86903...  ..................  X                   Blood typing, antigen screen       0.00      0.00        0.00       0.00       XXX  0                 
    86904...  ..................  X                   Blood typing, patient serum.       0.00      0.00        0.00       0.00       XXX  0                 
    86905...  ..................  X                   Blood typing, RBC antigens..       0.00      0.00        0.00       0.00       XXX  0                 
    86906...  ..................  X                   Blood typing, Rh phenotype..       0.00      0.00        0.00       0.00       XXX  0                 
    86910...  ..................  N                   Blood typing, paternity test       0.00      0.00        0.00       0.00       XXX  0                 
    86911...  ..................  N                   Blood typing, antigen system       0.00      0.00        0.00       0.00       XXX  0                 
    86915...  ..................  X                   Bone marrow.................       0.00      0.00        0.00       0.00       XXX  0                 
    86920...  ..................  X                   Compatibility test..........       0.00      0.00        0.00       0.00       XXX  0                 
    86921...  ..................  X                   Compatibility test..........       0.00      0.00        0.00       0.00       XXX  0                 
    86922...  ..................  X                   Compatibility test..........       0.00      0.00        0.00       0.00       XXX  0                 
    86927...  ..................  X                   Plasma, fresh frozen........       0.00      0.00        0.00       0.00       XXX  0                 
    86930...  ..................  X                   Frozen blood prep...........       0.00      0.00        0.00       0.00       XXX  0                 
    86931...  ..................  X                   Frozen blood thaw...........       0.00      0.00        0.00       0.00       XXX  0                 
    86932...  ..................  X                   Frozen blood, freeze/thaw...       0.00      0.00        0.00       0.00       XXX  0                 
    86940...  ..................  X                   Hemolysins/agglutinins auto.       0.00      0.00        0.00       0.00       XXX  0                 
    86941...  ..................  X                   Hemolysins/agglutinins......       0.00      0.00        0.00       0.00       XXX  0                 
    86945...  ..................  X                   Blood product/irradiation...       0.00      0.00        0.00       0.00       XXX  0                 
    86950...  ..................  X                   Leukacyte transfusion.......       0.00      0.00        0.00       0.00       XXX  0                 
    86965...  ..................  X                   Pooling blood platelets.....       0.00      0.00        0.00       0.00       XXX  0                 
    86970...  ..................  X                   RBC pretreatment............       0.00      0.00        0.00       0.00       XXX  0                 
    86971...  ..................  X                   RBC pretreatment............       0.00      0.00        0.00       0.00       XXX  0                 
    86972...  ..................  X                   RBC pretreatment............       0.00      0.00        0.00       0.00       XXX  0                 
    86975...  ..................  X                   RBC pretreatment, serum.....       0.00      0.00        0.00       0.00       XXX  0                 
    86976...  ..................  X                   RBC pretreatment, serum.....       0.00      0.00        0.00       0.00       XXX  0                 
    86977...  ..................  X                   RBC pretreatment, serum.....       0.00      0.00        0.00       0.00       XXX  0                 
    86978...  ..................  X                   RBC pretreatment, serum.....       0.00      0.00        0.00       0.00       XXX  0                 
    86985...  ..................  X                   Split blood or products.....       0.00      0.00        0.00       0.00       XXX  0                 
    86999...  ..................  X                   Transfusion procedure.......       0.00      0.00        0.00       0.00       XXX  0                 
    87001...  ..................  X                   Small animal inoculation....       0.00      0.00        0.00       0.00       XXX  0                 
    87003...  ..................  X                   Small animal inoculation....       0.00      0.00        0.00       0.00       XXX  0                 
    87015...  ..................  X                   Specimen concentration......       0.00      0.00        0.00       0.00       XXX  0                 
    87040...  ..................  X                   Blood culture for bacteria..       0.00      0.00        0.00       0.00       XXX  0                 
    87045...  ..................  X                   Stool culture for bacteria..       0.00      0.00        0.00       0.00       XXX  0                 
    87060...  ..................  X                   Nose/throat culture,               0.00      0.00        0.00       0.00       XXX  0                 
                                                       bacteria.                                                                                            
    87070...  ..................  X                   Culture specimen, bacteria..       0.00      0.00        0.00       0.00       XXX  0                 
    87072...  ..................  X                   Culture of specimen by kit..       0.00      0.00        0.00       0.00       XXX  0                 
    87075...  ..................  X                   Culture specimen, bacteria..       0.00      0.00        0.00       0.00       XXX  0                 
    87076...  ..................  X                   Bacteria identification.....       0.00      0.00        0.00       0.00       XXX  0                 
    87081...  ..................  X                   Bacteria culture screen.....       0.00      0.00        0.00       0.00       XXX  0                 
    87082...  ..................  X                   Culture of specimen by kit..       0.00      0.00        0.00       0.00       XXX  0                 
    87083...  ..................  X                   Culture of specimen by kit..       0.00      0.00        0.00       0.00       XXX  0                 
    87084...  ..................  X                   Culture of specimen by kit..       0.00      0.00        0.00       0.00       XXX  0                 
    87085...  ..................  X                   Culture of specimen by kit..       0.00      0.00        0.00       0.00       XXX  0                 
    87086...  ..................  X                   Urine culture, colony count.       0.00      0.00        0.00       0.00       XXX  0                 
    87087...  ..................  X                   Urine bacteria culture......       0.00      0.00        0.00       0.00       XXX  0                 
    87088...  ..................  X                   Urine bacteria culture......       0.00      0.00        0.00       0.00       XXX  0                 
    87101...  ..................  X                   Skin fungus culture.........       0.00      0.00        0.00       0.00       XXX  0                 
    87102...  ..................  X                   Fungus isolation culture....       0.00      0.00        0.00       0.00       XXX  0                 
    87103...  ..................  X                   Blood fungus culture........       0.00      0.00        0.00       0.00       XXX  0                 
    87106...  ..................  X                   Fungus identification.......       0.00      0.00        0.00       0.00       XXX  0                 
    87109...  ..................  X                   Mycoplasma culture..........       0.00      0.00        0.00       0.00       XXX  0                 
    87110...  ..................  X                   Culture, chlamydia..........       0.00      0.00        0.00       0.00       XXX  0                 
    87116...  ..................  X                   Mycobacteria culture........       0.00      0.00        0.00       0.00       XXX  0                 
    87117...  ..................  X                   Mycobacteria culture........       0.00      0.00        0.00       0.00       XXX  0                 
    87118...  ..................  X                   Mycobacteria identification.       0.00      0.00        0.00       0.00       XXX  0                 
    87140...  ..................  X                   Culture typing, fluorescent.       0.00      0.00        0.00       0.00       XXX  0                 
    87143...  ..................  X                   Culture typing, GLC method..       0.00      0.00        0.00       0.00       XXX  0                 
    87145...  ..................  X                   Culture typing, phage method       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63304]]
                                                                                                                                                            
    87147...  ..................  X                   Culture typing, serologic...       0.00      0.00        0.00       0.00       XXX  0                 
    87151...  ..................  X                   Culture typing, serologic...       0.00      0.00        0.00       0.00       XXX  0                 
    87155...  ..................  X                   Culture typing, precipitin..       0.00      0.00        0.00       0.00       XXX  0                 
    87158...  ..................  X                   Culture typing, added method       0.00      0.00        0.00       0.00       XXX  0                 
    87163...  ..................  X                   Special microbiology culture       0.00      0.00        0.00       0.00       XXX  0                 
    87164...  ..................  X                   Dark field examination......       0.00      0.00        0.00       0.00       XXX  0                 
    87164...  26                  A                   Dark field examination......       0.37      0.20        0.01       0.58       XXX  N                 
    87166...  ..................  X                   Dark field examination......       0.00      0.00        0.00       0.00       XXX  0                 
    87174...  ..................  X                   Endotoxin, bacterial........       0.00      0.00        0.00       0.00       XXX  0                 
    87175...  ..................  X                   Assay, endotoxin, bacterial.       0.00      0.00        0.00       0.00       XXX  0                 
    87176...  ..................  X                   Endotoxin, bacterial........       0.00      0.00        0.00       0.00       XXX  0                 
    87177...  ..................  X                   Ova and parasites smears....       0.00      0.00        0.00       0.00       XXX  0                 
    87178...  ..................  X                   Microbe identification......       0.00      0.00        0.00       0.00       XXX  0                 
    87179...  ..................  X                   Microbe identification......       0.00      0.00        0.00       0.00       XXX  0                 
    87181...  ..................  X                   Antibiotic sensitivity, each       0.00      0.00        0.00       0.00       XXX  0                 
    87184...  ..................  X                   Antibiotic sensitivity, each       0.00      0.00        0.00       0.00       XXX  0                 
    87186...  ..................  X                   Antibiotic sensitivity, MIC.       0.00      0.00        0.00       0.00       XXX  0                 
    87187...  ..................  X                   Antibiotic sensitivity, MBC.       0.00      0.00        0.00       0.00       XXX  0                 
    87188...  ..................  X                   Antibiotic sensitivity, each       0.00      0.00        0.00       0.00       XXX  0                 
    87190...  ..................  X                   TB antibiotic sensitivity...       0.00      0.00        0.00       0.00       XXX  0                 
    87192...  ..................  X                   Antibiotic sensitivity, each       0.00      0.00        0.00       0.00       XXX  0                 
    87197...  ..................  X                   Bactericidal level, serum...       0.00      0.00        0.00       0.00       XXX  0                 
    87205...  ..................  X                   Smear, stain & interpret....       0.00      0.00        0.00       0.00       XXX  0                 
    87206...  ..................  X                   Smear, stain & interpret....       0.00      0.00        0.00       0.00       XXX  0                 
    87207...  ..................  X                   Smear, stain & interpret....       0.00      0.00        0.00       0.00       XXX  0                 
    87207...  26                  A                   Smear, stain & interpret....       0.37      0.20        0.01       0.58       XXX  N                 
    87208...  ..................  X                   Smear, stain & interpret....       0.00      0.00        0.00       0.00       XXX  0                 
    87210...  ..................  X                   Smear, stain & interpret....       0.00      0.00        0.00       0.00       XXX  0                 
    87211...  ..................  X                   Smear, stain & interpret....       0.00      0.00        0.00       0.00       XXX  0                 
    87220...  ..................  X                   Tissue exam for fungi.......       0.00      0.00        0.00       0.00       XXX  0                 
    87230...  ..................  X                   Assay, toxin or antitoxin...       0.00      0.00        0.00       0.00       XXX  0                 
    87250...  ..................  X                   Virus inoculation for test..       0.00      0.00        0.00       0.00       XXX  0                 
    87252...  ..................  X                   Virus inoculation for test..       0.00      0.00        0.00       0.00       XXX  0                 
    87253...  ..................  X                   Virus inoculation for test..       0.00      0.00        0.00       0.00       XXX  0                 
    87999...  ..................  X                   Microbiology procedure......       0.00      0.00        0.00       0.00       XXX  0                 
    88000...  ..................  N                   Autopsy (necropsy), gross...       0.00      0.00        0.00       0.00       XXX  0                 
    88005...  ..................  N                   Autopsy (necropsy), gross...       0.00      0.00        0.00       0.00       XXX  0                 
    88007...  ..................  N                   Autopsy (necropsy), gross...       0.00      0.00        0.00       0.00       XXX  0                 
    88012...  ..................  N                   Autopsy (necropsy), gross...       0.00      0.00        0.00       0.00       XXX  0                 
    88014...  ..................  N                   Autopsy (necropsy), gross...       0.00      0.00        0.00       0.00       XXX  0                 
    88016...  ..................  N                   Autopsy (necropsy), gross...       0.00      0.00        0.00       0.00       XXX  0                 
    88020...  ..................  N                   Autopsy (necropsy), complete       0.00      0.00        0.00       0.00       XXX  0                 
    88025...  ..................  N                   Autopsy (necropsy), complete       0.00      0.00        0.00       0.00       XXX  0                 
    88027...  ..................  N                   Autopsy (necropsy), complete       0.00      0.00        0.00       0.00       XXX  0                 
    88028...  ..................  N                   Autopsy (necropsy), complete       0.00      0.00        0.00       0.00       XXX  0                 
    88029...  ..................  N                   Autopsy (necropsy), complete       0.00      0.00        0.00       0.00       XXX  0                 
    88036...  ..................  N                   Limited autopsy.............       0.00      0.00        0.00       0.00       XXX  0                 
    88037...  ..................  N                   Limited autopsy.............       0.00      0.00        0.00       0.00       XXX  0                 
    88040...  ..................  N                   Forensic autopsy (necropsy).       0.00      0.00        0.00       0.00       XXX  0                 
    88045...  ..................  N                   Coroner's autopsy (necropsy)       0.00      0.00        0.00       0.00       XXX  0                 
    88099...  ..................  N                   Necropsy (autopsy) procedure       0.00      0.00        0.00       0.00       XXX  0                 
    88104...  ..................  A                   Microscopic exam of cells...       0.56      0.44        0.04       1.04       XXX  N                 
    88104...  26                  A                   Microscopic exam of cells...       0.56      0.23        0.02       0.81       XXX  N                 
    88104...  TC                  A                   Microscopic exam of cells...       0.00      0.21        0.02       0.23       XXX  N                 
    88106...  ..................  A                   Microscopic exam of cells...       0.56      0.37        0.03       0.96       XXX  N                 
    88106...  26                  A                   Microscopic exam of cells...       0.56      0.20        0.01       0.77       XXX  N                 
    88106...  TC                  A                   Microscopic exam of cells...       0.00      0.17        0.02       0.19       XXX  N                 
    88107...  ..................  A                   Microscopic exam of cells...       0.76      0.47        0.04       1.27       XXX  N                 
    88107...  26                  A                   Microscopic exam of cells...       0.76      0.24        0.02       1.02       XXX  N                 
    88107...  TC                  A                   Microscopic exam of cells...       0.00      0.23        0.02       0.25       XXX  N                 
    88108...  ..................  A                   Cytopathology...............       0.56      0.47        0.04       1.07       XXX  N                 
    88108...  26                  A                   Cytopathology...............       0.56      0.24        0.02       0.82       XXX  N                 
    88108...  TC                  A                   Cytopathology...............       0.00      0.23        0.02       0.25       XXX  N                 
    88125...  ..................  A                   Forensic cytopathology......       0.26      0.11        0.00       0.37       XXX  N                 
    88125...  26                  A                   Forensic cytopathology......       0.26      0.07        0.00       0.33       XXX  N                 
    88125...  TC                  A                   Forensic cytopathology......       0.00      0.04        0.00       0.04       XXX  N                 
    
    [[Page 63305]]
                                                                                                                                                            
    88130...  ..................  X                   Sex chromatin identification       0.00      0.00        0.00       0.00       XXX  0                 
    88140...  ..................  X                   Sex chromatin identification       0.00      0.00        0.00       0.00       XXX  0                 
    88150...  ..................  X                   Cytopathology, pap smear....       0.00      0.00        0.00       0.00       XXX  0                 
    88151...  ..................  X                   Cytopathology interpretation       0.00      0.00        0.00       0.00       XXX  0                 
    88151...  26                  A                   Cytopathology interpretation       0.42      0.32        0.04       0.78       XXX  N                 
    88155...  ..................  X                   Cytopathology, pap smear....       0.00      0.00        0.00       0.00       XXX  0                 
    88156...  ..................  X                   TBS smear (bethesda system).       0.00      0.00        0.00       0.00       XXX  0                 
    88157...  ..................  X                   TBS smear (bethesda system).       0.00      0.00        0.00       0.00       XXX  0                 
    88157...  26                  A                   TBS smear (bethesda system).       0.42      0.32        0.04       0.78       XXX  N                 
    88160...  ..................  A                   Cytopathology...............       0.50      0.33        0.03       0.86       XXX  N                 
    88160...  26                  A                   Cytopathology...............       0.50      0.17        0.01       0.68       XXX  N                 
    88160...  TC                  A                   Cytopathology...............       0.00      0.16        0.02       0.18       XXX  N                 
    88161...  ..................  A                   Cytopathology...............       0.50      0.39        0.03       0.92       XXX  N                 
    88161...  26                  A                   Cytopathology...............       0.50      0.20        0.01       0.71       XXX  N                 
    88161...  TC                  A                   Cytopathology...............       0.00      0.19        0.02       0.21       XXX  N                 
    88162...  ..................  A                   Cytopathology, extensive....       0.76      0.79        0.05       1.60       XXX  N                 
    88162...  26                  A                   Cytopathology, extensive....       0.76      0.41        0.03       1.20       XXX  N                 
    88162...  TC                  A                   Cytopathology, extensive....       0.00      0.38        0.02       0.40       XXX  N                 
    88170...  ..................  A                   Fine needle aspiration......       0.50      0.99        0.09       1.58       XXX  N                 
    88170...  26                  A                   Fine needle aspiration......       0.50      0.52        0.05       1.07       XXX  N                 
    88170...  TC                  A                   Fine needle aspiration......       0.00      0.47        0.04       0.51       XXX  N                 
    88171...  ..................  A                   Fine needle aspiration......       1.05      1.35        0.09       2.49       XXX  N                 
    88171...  26                  A                   Fine needle aspiration......       1.05      0.71        0.05       1.81       XXX  N                 
    88171...  TC                  A                   Fine needle aspiration......       0.00      0.64        0.04       0.68       XXX  N                 
    88172...  ..................  A                   Evaluation of smear.........       0.60      0.71        0.05       1.36       XXX  N                 
    88172...  26                  A                   Evaluation of smear.........       0.60      0.36        0.03       0.99       XXX  N                 
    88172...  TC                  A                   Evaluation of smear.........       0.00      0.35        0.02       0.37       XXX  N                 
    88173...  ..................  A                   Interpretation of smear.....       1.08      0.87        0.05       2.00       XXX  N                 
    88173...  26                  A                   Interpretation of smear.....       1.08      0.45        0.03       1.56       XXX  N                 
    88173...  TC                  A                   Interpretation of smear.....       0.00      0.42        0.02       0.44       XXX  N                 
    88180...  ..................  A                   Cell marker study...........       0.36      0.33        0.03       0.72       XXX  N                 
    88180...  26                  A                   Cell marker study...........       0.36      0.17        0.01       0.54       XXX  N                 
    88180...  TC                  A                   Cell marker study...........       0.00      0.16        0.02       0.18       XXX  N                 
    88182...  ..................  A                   Cell marker study...........       0.77      0.89        0.07       1.73       XXX  N                 
    88182...  26                  A                   Cell marker study...........       0.77      0.45        0.03       1.25       XXX  N                 
    88182...  TC                  A                   Cell marker study...........       0.00      0.44        0.04       0.48       XXX  N                 
    88199...  ..................  C                   Cytopathology procedure.....       0.00      0.00        0.00       0.00       XXX  N                 
    88199...  26                  C                   Cytopathology procedure.....       0.00      0.00        0.00       0.00       XXX  N                 
    88199...  TC                  C                   Cytopathology procedure.....       0.00      0.00        0.00       0.00       XXX  N                 
    88230...  ..................  X                   Tissue culture, lymphocyte..       0.00      0.00        0.00       0.00       XXX  0                 
    88233...  ..................  X                   Tissue culture, skin/biopsy.       0.00      0.00        0.00       0.00       XXX  0                 
    88235...  ..................  X                   Tissue culture, placenta....       0.00      0.00        0.00       0.00       XXX  0                 
    88237...  ..................  X                   Tissue culture, bone marrow.       0.00      0.00        0.00       0.00       XXX  0                 
    88239...  ..................  X                   Tissue culture, other.......       0.00      0.00        0.00       0.00       XXX  0                 
    88245...  ..................  X                   Chromosome analysis.........       0.00      0.00        0.00       0.00       XXX  0                 
    88248...  ..................  X                   Chromosome analysis.........       0.00      0.00        0.00       0.00       XXX  0                 
    88250...  ..................  X                   Chromosome analysis.........       0.00      0.00        0.00       0.00       XXX  0                 
    88260...  ..................  X                   Chromosome analysis: 5 cells       0.00      0.00        0.00       0.00       XXX  0                 
    88261...  ..................  X                   Chromosome analysis: 5 cells       0.00      0.00        0.00       0.00       XXX  0                 
    88262...  ..................  X                   Chromosome count: 15-20            0.00      0.00        0.00       0.00       XXX  0                 
                                                       cells.                                                                                               
    88263...  ..................  X                   Chromosome analysis: 45            0.00      0.00        0.00       0.00       XXX  0                 
                                                       cells.                                                                                               
    88267...  ..................  X                   Chromosome analysis: placent       0.00      0.00        0.00       0.00       XXX  0                 
    88269...  ..................  X                   Chromosome analysis:               0.00      0.00        0.00       0.00       XXX  0                 
                                                       amniotic.                                                                                            
    88280...  ..................  X                   Chromosome karyotype study..       0.00      0.00        0.00       0.00       XXX  0                 
    88283...  ..................  X                   Chromosome banding study....       0.00      0.00        0.00       0.00       XXX  0                 
    88285...  ..................  X                   Chromosome count: additional       0.00      0.00        0.00       0.00       XXX  0                 
    88289...  ..................  X                   Chromosome study: additional       0.00      0.00        0.00       0.00       XXX  0                 
    88299...  ..................  C                   Cytogenetic study...........       0.00      0.00        0.00       0.00       XXX  N                 
    88300...  ..................  A                   Surg path, gross............       0.08     *0.20        0.01       0.29       XXX  N                 
    88300...  26                  A                   Surg path, gross............       0.08     *0.10        0.01       0.19       XXX  N                 
    88300...  TC                  A                   Surg path, gross............       0.00      0.10        0.00       0.10       XXX  N                 
    88302...  ..................  A                   Tissue exam by pathologist..       0.13     *0.40        0.04       0.57       XXX  N                 
    88302...  26                  A                   Tissue exam by pathologist..       0.13     *0.17        0.02       0.32       XXX  N                 
    88302...  TC                  A                   Tissue exam by pathologist..       0.00      0.23        0.02       0.25       XXX  N                 
    88304...  ..................  A                   Tissue exam by pathologist..       0.22     *0.61        0.04       0.87       XXX  N                 
    88304...  26                  A                   Tissue exam by pathologist..       0.22     *0.28        0.02       0.52       XXX  N                 
    
    [[Page 63306]]
                                                                                                                                                            
    88304...  TC                  A                   Tissue exam by pathologist..       0.00      0.33        0.02       0.35       XXX  N                 
    88305...  ..................  A                   Tissue exam by pathologist..       0.75      1.03        0.08       1.86       XXX  N                 
    88305...  26                  A                   Tissue exam by pathologist..       0.75      0.53        0.04       1.32       XXX  N                 
    88305...  TC                  A                   Tissue exam by pathologist..       0.00      0.50        0.04       0.54       XXX  N                 
    88307...  ..................  A                   Tissue exam by pathologist..       1.59      1.52        0.12       3.23       XXX  N                 
    88307...  26                  A                   Tissue exam by pathologist..       1.59      0.78        0.06       2.43       XXX  N                 
    88307...  TC                  A                   Tissue exam by pathologist..       0.00      0.74        0.06       0.80       XXX  N                 
    88309...  ..................  A                   Tissue exam by pathologist..       2.28      1.92        0.13       4.33       XXX  N                 
    88309...  26                  A                   Tissue exam by pathologist..       2.28      0.99        0.07       3.34       XXX  N                 
    88309...  TC                  A                   Tissue exam by pathologist..       0.00      0.93        0.06       0.99       XXX  N                 
    88311...  ..................  A                   Decalcify tissue............       0.24      0.21        0.01       0.46       XXX  N                 
    88311...  26                  A                   Decalcify tissue............       0.24      0.11        0.01       0.36       XXX  N                 
    88311...  TC                  A                   Decalcify tissue............       0.00      0.10        0.00       0.10       XXX  N                 
    88312...  ..................  A                   Special stains..............       0.54      0.26        0.01       0.81       XXX  N                 
    88312...  26                  A                   Special stains..............       0.54      0.14        0.01       0.69       XXX  N                 
    88312...  TC                  A                   Special stains..............       0.00      0.12        0.00       0.12       XXX  N                 
    88313...  ..................  A                   Special stains..............       0.24      0.21        0.01       0.46       XXX  N                 
    88313...  26                  A                   Special stains..............       0.24      0.11        0.01       0.36       XXX  N                 
    88313...  TC                  A                   Special stains..............       0.00      0.10        0.00       0.10       XXX  N                 
    88314...  ..................  A                   Histochemical stain.........       0.45      0.62        0.04       1.11       XXX  N                 
    88314...  26                  A                   Histochemical stain.........       0.45      0.35        0.02       0.82       XXX  N                 
    88314...  TC                  A                   Histochemical stain.........       0.00      0.27        0.02       0.29       XXX  N                 
    88318...  ..................  A                   Chemical histochemistry.....       0.42      0.24        0.01       0.67       XXX  N                 
    88318...  26                  A                   Chemical histochemistry.....       0.42      0.12        0.01       0.55       XXX  N                 
    88318...  TC                  A                   Chemical histochemistry.....       0.00      0.12        0.00       0.12       XXX  N                 
    88319...  ..................  A                   Enzyme histochemistry.......       0.53      0.49        0.04       1.06       XXX  N                 
    88319...  26                  A                   Enzyme histochemistry.......       0.53      0.26        0.02       0.81       XXX  N                 
    88319...  TC                  A                   Enzyme histochemistry.......       0.00      0.23        0.02       0.25       XXX  N                 
    88321...  ..................  A                   Microslide consultation.....       1.30      0.41        0.03       1.74       XXX  N                 
    88323...  ..................  A                   Microslide consultation.....       1.35      0.72        0.05       2.12       XXX  N                 
    88323...  26                  A                   Microslide consultation.....       1.35      0.39        0.03       1.77       XXX  N                 
    88323...  TC                  A                   Microslide consultation.....       0.00      0.33        0.02       0.35       XXX  N                 
    88325...  ..................  A                   Comprehensive review of data       2.22      0.47        0.04       2.73       XXX  N                 
    88329...  ..................  A                   Pathology consult in surgery       0.67      0.37        0.03       1.07       XXX  N                 
    88331...  ..................  A                   Pathology consult in surgery       1.19      1.10        0.08       2.37       XXX  N                 
    88331...  26                  A                   Pathology consult in surgery       1.19      0.56        0.04       1.79       XXX  N                 
    88331...  TC                  A                   Pathology consult in surgery       0.00      0.54        0.04       0.58       XXX  N                 
    88332...  ..................  A                   Pathology consult in surgery       0.59      0.56        0.04       1.19       XXX  N                 
    88332...  26                  A                   Pathology consult in surgery       0.59      0.29        0.02       0.90       XXX  N                 
    88332...  TC                  A                   Pathology consult in surgery       0.00      0.27        0.02       0.29       XXX  N                 
    88342...  ..................  A                   Immunocytochemistry.........       0.85      0.64        0.04       1.53       XXX  N                 
    88342...  26                  A                   Immunocytochemistry.........       0.85      0.33        0.02       1.20       XXX  N                 
    88342...  TC                  A                   Immunocytochemistry.........       0.00      0.31        0.02       0.33       XXX  N                 
    88346...  ..................  A                   Immunofluorescent study.....       0.86      0.58        0.04       1.48       XXX  N                 
    88346...  26                  A                   Immunofluorescent study.....       0.86      0.31        0.02       1.19       XXX  N                 
    88346...  TC                  A                   Immunofluorescent study.....       0.00      0.27        0.02       0.29       XXX  N                 
    88347...  ..................  A                   Immunofluorescent study.....       0.86      0.42        0.04       1.32       XXX  N                 
    88347...  26                  A                   Immunofluorescent study.....       0.86      0.15        0.02       1.03       XXX  N                 
    88347...  TC                  A                   Immunofluorescent study.....       0.00      0.27        0.02       0.29       XXX  N                 
    88348...  ..................  A                   Electron microscopy.........       1.51      2.28        0.16       3.95       XXX  N                 
    88348...  26                  A                   Electron microscopy.........       1.51      1.19        0.08       2.78       XXX  N                 
    88348...  TC                  A                   Electron microscopy.........       0.00      1.09        0.08       1.17       XXX  N                 
    88349...  ..................  A                   Scanning electron microscopy       0.76      1.55        0.12       2.43       XXX  N                 
    88349...  26                  A                   Scanning electron microscopy       0.76      0.79        0.06       1.61       XXX  N                 
    88349...  TC                  A                   Scanning electron microscopy       0.00      0.76        0.06       0.82       XXX  N                 
    88355...  ..................  A                   Analysis, skeletal muscle...       1.85      1.74        0.13       3.72       XXX  N                 
    88355...  26                  A                   Analysis, skeletal muscle...       1.85      0.92        0.07       2.84       XXX  N                 
    88355...  TC                  A                   Analysis, skeletal muscle...       0.00      0.82        0.06       0.88       XXX  N                 
    88356...  ..................  A                   Analysis, nerve.............       3.02      2.66        0.18       5.86       XXX  N                 
    88356...  26                  A                   Analysis, nerve.............       3.02      1.39        0.10       4.51       XXX  N                 
    88356...  TC                  A                   Analysis, nerve.............       0.00      1.27        0.08       1.35       XXX  N                 
    88358...  ..................  A                   Analysis, tumor.............       2.82      2.32        0.16       5.30       XXX  N                 
    88358...  26                  A                   Analysis, tumor.............       2.82      1.16        0.08       4.06       XXX  N                 
    88358...  TC                  A                   Analysis, tumor.............       0.00      1.16        0.08       1.24       XXX  N                 
    88362...  ..................  A                   Nerve teasing preparations..       2.17      1.97        0.13       4.27       XXX  N                 
    88362...  26                  A                   Nerve teasing preparations..       2.17      1.00        0.07       3.24       XXX  N                 
    
    [[Page 63307]]
                                                                                                                                                            
    88362...  TC                  A                   Nerve teasing preparations..       0.00      0.97        0.06       1.03       XXX  N                 
    88365...  ..................  A                   Tissue hybridization........       0.93      0.75        0.05       1.73       XXX  N                 
    88365...  26                  A                   Tissue hybridization........       0.93      0.38        0.03       1.34       XXX  N                 
    88365...  TC                  A                   Tissue hybridization........       0.00      0.37        0.02       0.39       XXX  N                 
    88371...  ..................  X                   Protein, western blot tissue       0.00      0.00        0.00       0.00       XXX  0                 
    88371...  26                  A                   Protein, western blot tissue       0.37      0.20        0.01       0.58       XXX  N                 
    88372...  ..................  X                   Protein analysis w/probe....       0.00      0.00        0.00       0.00       XXX  0                 
    88372...  26                  A                   Protein analysis w/probe....       0.37      0.20        0.01       0.58       XXX  N                 
    88399...  ..................  C                   Surgical pathology procedure       0.00      0.00        0.00       0.00       XXX  N                 
    88399...  26                  C                   Surgical pathology procedure       0.00      0.00        0.00       0.00       XXX  N                 
    88399...  TC                  C                   Surgical pathology procedure       0.00      0.00        0.00       0.00       XXX  N                 
    89050...  ..................  X                   Body fluid cell count.......       0.00      0.00        0.00       0.00       XXX  0                 
    89051...  ..................  X                   Body fluid cell count.......       0.00      0.00        0.00       0.00       XXX  0                 
    89060...  ..................  X                   Exam, synovial fluid               0.00      0.00        0.00       0.00       XXX  0                 
                                                       crystals.                                                                                            
    89060...  26                  A                   Exam, synovial fluid               0.37      0.20        0.01       0.58       XXX  N                 
                                                       crystals.                                                                                            
    89100...  ..................  A                   Sample intestinal contents..       0.60      0.42        0.03       1.05       XXX  N                 
    89105...  ..................  A                   Sample intestinal contents..       0.50      0.39        0.03       0.92       XXX  N                 
    89125...  ..................  X                   Specimen fat stain..........       0.00      0.00        0.00       0.00       XXX  0                 
    89130...  ..................  A                   Sample stomach contents.....       0.45      0.41        0.03       0.89       XXX  N                 
    89132...  ..................  A                   Sample stomach contents.....       0.19      0.19        0.02       0.40       XXX  N                 
    89135...  ..................  A                   Sample stomach contents.....       0.79      0.58        0.04       1.41       XXX  N                 
    89136...  ..................  A                   Sample stomach contents.....       0.21      0.22        0.02       0.45       XXX  N                 
    89140...  ..................  A                   Sample stomach contents.....       0.94      0.81        0.07       1.82       XXX  N                 
    89141...  ..................  A                   Sample stomach contents.....       0.85      0.73        0.06       1.64       XXX  N                 
    89160...  ..................  X                   Exam feces for meat fibers..       0.00      0.00        0.00       0.00       XXX  0                 
    89190...  ..................  X                   Nasal smear for eosinophils.       0.00      0.00        0.00       0.00       XXX  0                 
    89250...  ..................  X                   Fertilization of oocyte.....       0.00      0.00        0.00       0.00       XXX  0                 
    89300...  ..................  X                   Semen analysis..............       0.00      0.00        0.00       0.00       XXX  0                 
    89310...  ..................  X                   Semen analysis..............       0.00      0.00        0.00       0.00       XXX  0                 
    89320...  ..................  X                   Semen analysis..............       0.00      0.00        0.00       0.00       XXX  0                 
    89325...  ..................  X                   Sperm antibody test.........       0.00      0.00        0.00       0.00       XXX  0                 
    89329...  ..................  X                   Sperm evaluation test.......       0.00      0.00        0.00       0.00       XXX  0                 
    89330...  ..................  X                   Evaluation, cervical mucus..       0.00      0.00        0.00       0.00       XXX  0                 
    89350...  ..................  A                   Sputum specimen collection..       0.00      0.39        0.03       0.42       XXX  N                 
    89355...  ..................  X                   Exam feces for starch.......       0.00      0.00        0.00       0.00       XXX  0                 
    89360...  ..................  A                   Collect sweat for test......       0.00      0.43        0.03       0.46       XXX  N                 
    89365...  ..................  X                   Water load test.............       0.00      0.00        0.00       0.00       XXX  0                 
    89399...  ..................  C                   Pathology lab procedure.....       0.00      0.00        0.00       0.00       XXX  N                 
    89399...  26                  C                   Pathology lab procedure.....       0.00      0.00        0.00       0.00       XXX  N                 
    89399...  TC                  C                   Pathology lab procedure.....       0.00      0.00        0.00       0.00       XXX  N                 
    90700...  ..................  E                   DTaP immunization...........       0.00      0.00        0.00       0.00       XXX  0                 
    90701...  ..................  E                   DTP immunization............       0.00      0.00        0.00       0.00       XXX  0                 
    90702...  ..................  E                   DT immunization.............       0.00      0.00        0.00       0.00       XXX  0                 
    90703...  ..................  E                   Tetanus immunization........       0.00      0.00        0.00       0.00       XXX  0                 
    90704...  ..................  E                   Mumps immunization..........       0.00      0.00        0.00       0.00       XXX  0                 
    90705...  ..................  E                   Measles immunization........       0.00      0.00        0.00       0.00       XXX  0                 
    90706...  ..................  E                   Rubella immunization........       0.00      0.00        0.00       0.00       XXX  0                 
    90707...  ..................  E                   MMR virus immunization......       0.00      0.00        0.00       0.00       XXX  0                 
    90708...  ..................  E                   Measles-rubella immunization       0.00      0.00        0.00       0.00       XXX  0                 
    90709...  ..................  E                   Rubella & mumps immunization       0.00      0.00        0.00       0.00       XXX  0                 
    90710...  ..................  E                   Combined vaccine............       0.00      0.00        0.00       0.00       XXX  0                 
    90711...  ..................  E                   Combined vaccine............       0.00      0.00        0.00       0.00       XXX  0                 
    90712...  ..................  E                   Oral poliovirus immunization       0.00      0.00        0.00       0.00       XXX  0                 
    90713...  ..................  E                   Poliomyelitis immunization..       0.00      0.00        0.00       0.00       XXX  0                 
    90714...  ..................  E                   Typhoid immunization........       0.00      0.00        0.00       0.00       XXX  0                 
    90716...  ..................  E                   Chicken pox vaccine.........       0.00      0.00        0.00       0.00       XXX  0                 
    90717...  ..................  E                   Yellow fever immunization...       0.00      0.00        0.00       0.00       XXX  0                 
    90718...  ..................  E                   Td immunization.............       0.00      0.00        0.00       0.00       XXX  0                 
    90719...  ..................  E                   Diphtheria immunization.....       0.00      0.00        0.00       0.00       XXX  0                 
    90720...  ..................  E                   DTP/HIB vaccine.............       0.00      0.00        0.00       0.00       XXX  0                 
    90721...  ..................  E                   Dtap/hib vaccine............       0.00      0.00        0.00       0.00       XXX  0                 
    90724...  ..................  X                   Influenza immunization......       0.00      0.00        0.00       0.00       XXX  0                 
    90725...  ..................  E                   Cholera immunization........       0.00      0.00        0.00       0.00       XXX  0                 
    90726...  ..................  E                   Rabies immunization.........       0.00      0.00        0.00       0.00       XXX  0                 
    90727...  ..................  E                   Plague immunization.........       0.00      0.00        0.00       0.00       XXX  0                 
    90728...  ..................  E                   BCG immunization............       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63308]]
                                                                                                                                                            
    90730...  ..................  E                   Hepatitis A vaccine.........       0.00      0.00        0.00       0.00       XXX  0                 
    90731...  ..................  D                   Hepatitis B immunization....       0.00      0.00        0.00       0.00       XXX  0                 
    90732...  ..................  X                   Pneumococcal immunization...       0.00      0.00        0.00       0.00       XXX  0                 
    90733...  ..................  E                   Meningococcal immunization..       0.00      0.00        0.00       0.00       XXX  0                 
    90735...  ..................  E                   Encephalitis virus vaccine..       0.00      0.00        0.00       0.00       XXX  0                 
    90737...  ..................  E                   Influenza B immunization....       0.00      0.00        0.00       0.00       XXX  0                 
    90741...  ..................  E                   Passive immunization, ISG...       0.00      0.00        0.00       0.00       XXX  0                 
    90742...  ..................  E                   Special passive immunization       0.00      0.00        0.00       0.00       XXX  0                 
    90744...  ..................  X                   Hepatitis B vaccine, under         0.00      0.00        0.00       0.00       XXX  0                 
                                                       11.                                                                                                  
    90745...  ..................  X                   Hepatitis B vaccine, 11-19..       0.00      0.00        0.00       0.00       XXX  0                 
    90746...  ..................  X                   Hepatitis B vaccine, over 20       0.00      0.00        0.00       0.00       XXX  0                 
    90747...  ..................  X                   Hepatitis B vaccine, ill pat       0.00      0.00        0.00       0.00       XXX  0                 
    90749...  ..................  C                   Immunization procedure......       0.00      0.00        0.00       0.00       XXX  N                 
    90780...  ..................  A                   IV infusion therapy, 1 hour.       0.00      1.06        0.08       1.14       XXX  N                 
    90781...  ..................  A                   IV infusion, additional hour       0.00      0.53        0.04       0.57       XXX  N                 
    90782...  ..................  T                   Injection (SC)/(IM).........       0.00      0.10        0.01       0.11       XXX  N                 
    90783...  ..................  T                   Injection (IA)..............       0.00      0.39        0.03       0.42       XXX  N                 
    90784...  ..................  T                   Injection (IV)..............       0.00      0.45        0.04       0.49       XXX  N                 
    90788...  ..................  T                   Injection of antibiotic.....       0.00      0.11        0.01       0.12       XXX  N                 
    90799...  ..................  C                   Therapeutic/diag injection..       0.00      0.00        0.00       0.00       XXX  N                 
    90801...  ..................  A                   Psychiatric interview.......       2.21      0.67        0.09       2.97       XXX  N                 
    90820...  ..................  A                   Diagnostic interview........       2.27      0.38        0.05       2.70       XXX  N                 
    90825...  ..................  B                   Evaluation of tests/records.      #0.97      0.31        0.04       1.32       XXX  0                 
    90830...  ..................  D                   Psychological testing.......       0.00      0.00        0.00       0.00       XXX  N                 
    90835...  ..................  A                   Special interview...........       2.84      0.50        0.07       3.41       XXX  N                 
    90841...  ..................  G                   Psychotherapy...............       0.00      0.00        0.00       0.00       XXX  0                 
    90842...  ..................  A                   Psychotherapy, 75-80 min....       2.76      1.05        0.15       3.96       XXX  N                 
    90843...  ..................  A                   Psychotherapy, 20-30 min....       1.11      0.35        0.05       1.51       XXX  N                 
    90844...  ..................  A                   Psychotherapy, 45-50 min....       1.73      0.54        0.08       2.35       XXX  N                 
    90845...  ..................  A                   Medical psychoanalysis......       1.79      0.41        0.05       2.25       XXX  N                 
    90846...  ..................  R                   Special family therapy......       1.83      0.62        0.08       2.53       XXX  N                 
    90847...  ..................  R                   Special family therapy......       2.21      0.58        0.08       2.87       XXX  N                 
    90849...  ..................  R                   Special family therapy......       0.59      0.26        0.03       0.88       XXX  N                 
    90853...  ..................  A                   Special group therapy.......       0.43      0.26        0.03       0.72       XXX  N                 
    90855...  ..................  A                   Individual psychotherapy....       1.82      0.59        0.09       2.50       XXX  N                 
    90857...  ..................  A                   Special group therapy.......       0.43      0.15        0.02       0.60       XXX  N                 
    90862...  ..................  A                   Medication management.......       0.95      0.37        0.05       1.37       XXX  N                 
    90870...  ..................  A                   Electroconvulsive therapy...       1.88      0.55        0.08       2.51       000  N                 
    90871...  ..................  A                   Electroconvulsive therapy...       2.72      0.83        0.13       3.68       000  N                 
    90880...  ..................  A                   Medical hypnotherapy........       2.19      0.64        0.07       2.90       XXX  N                 
    90882...  ..................  N                   Environmental manipulation..       0.00      0.00        0.00       0.00       XXX  0                 
    90887...  ..................  B                   Consultation with family....      #1.48      0.33        0.04       1.85       XXX  0                 
    90889...  ..................  B                   Preparation of report.......       0.00      0.00        0.00       0.00       XXX  0                 
    90899...  ..................  C                   Psychiatric service/therapy.       0.00      0.00        0.00       0.00       XXX  N                 
    90900...  ..................  A                   Biofeedback, electromyogram.       0.89      0.90        0.08       1.87       000  N                 
    90902...  ..................  A                   Biofeedback, nerve impulse..       0.89      0.63        0.05       1.57       000  N                 
    90904...  ..................  A                   Biofeedback, blood pressure.       0.89      0.35        0.03       1.27       000  N                 
    90906...  ..................  A                   Biofeedback, blood flow.....       0.89      1.60        0.11       2.60       000  N                 
    90908...  ..................  A                   Biofeedback, brain waves....       0.89      0.86        0.06       1.81       000  N                 
    90910...  ..................  A                   Biofeedback, oculogram......       0.89      0.67        0.10       1.66       000  N                 
    90911...  ..................  A                   Anorectal biofeedback.......       2.15      1.13        0.27       3.55       000  N                 
    90915...  ..................  A                   Biofeedback, unspecified....       0.89      0.76        0.06       1.71       000  N                 
    90918...  ..................  A                   ESRD related services, month      11.18      2.19        0.14      13.51       XXX  P                 
    90919...  ..................  A                   ESRD related services, month       8.54      2.19        0.14      10.87       XXX  P                 
    90920...  ..................  A                   ESRD related services, month       7.27      2.19        0.14       9.60       XXX  P                 
    90921...  ..................  A                   ESRD related services, month       4.47      2.19        0.14       6.80       XXX  P                 
    90922...  ..................  A                   ESRD related services, day..       0.37      0.07        0.01       0.45       XXX  P                 
    90923...  ..................  A                   Esrd related services, day..       0.28      0.07        0.01       0.36       XXX  P                 
    90924...  ..................  A                   Esrd related services, day..       0.24      0.07        0.01       0.32       XXX  P                 
    90925...  ..................  A                   Esrd related services, day..       0.15      0.07        0.01       0.23       XXX  P                 
    90935...  ..................  A                   Hemodialysis, one evaluation       1.22      1.49        0.10       2.81       000  N                 
    90937...  ..................  A                   Hemodialysis, repeated eval.       2.11     *2.65        0.18       4.94       000  N                 
    90945...  ..................  A                   Dialysis, one evaluation....       1.28      1.27        0.08       2.63       000  N                 
    90947...  ..................  A                   Dialysis, repeated eval.....       2.16      2.09        0.14       4.39       000  N                 
    90989...  ..................  X                   Dialysis training/complete..       0.00      0.00        0.00       0.00       XXX  0                 
    90993...  ..................  X                   Dialysis training/incomplete       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63309]]
                                                                                                                                                            
    90997...  ..................  A                   Hemoperfusion...............       1.84     *2.35        0.16       4.35       000  N                 
    90999...  ..................  C                   Dialysis procedure..........       0.00      0.00        0.00       0.00       XXX  N                 
    91000...  ..................  A                   Esophageal intubation.......       0.99      0.66        0.06       1.71       000  N                 
    91000...  26                  A                   Esophageal intubation.......       0.99      0.59        0.05       1.63       000  N                 
    91000...  TC                  A                   Esophageal intubation.......       0.00      0.07        0.01       0.08       000  N                 
    91010...  ..................  A                   Esophagus motility study....       1.65      2.28        0.17       4.10       000  N                 
    91010...  26                  A                   Esophagus motility study....       1.65      1.50        0.11       3.26       000  N                 
    91010...  TC                  A                   Esophagus motility study....       0.00      0.78        0.06       0.84       000  N                 
    91011...  ..................  A                   Esophagus motility study....       1.98      2.66        0.18       4.82       000  N                 
    91011...  26                  A                   Esophagus motility study....       1.98      1.68        0.11       3.77       000  N                 
    91011...  TC                  A                   Esophagus motility study....       0.00      0.98        0.07       1.05       000  N                 
    91012...  ..................  A                   Esophagus motility study....       1.92      3.12        0.23       5.27       000  N                 
    91012...  26                  A                   Esophagus motility study....       1.92      2.02        0.15       4.09       000  N                 
    91012...  TC                  A                   Esophagus motility study....       0.00      1.10        0.08       1.18       000  N                 
    91020...  ..................  A                   Esophagogastric study.......       1.89      2.50        0.18       4.57       000  N                 
    91020...  26                  A                   Esophagogastric study.......       1.89      1.77        0.12       3.78       000  N                 
    91020...  TC                  A                   Esophagogastric study.......       0.00      0.73        0.06       0.79       000  N                 
    91030...  ..................  A                   Acid perfusion of esophagus.       1.20      0.56        0.05       1.81       000  N                 
    91030...  26                  A                   Acid perfusion of esophagus.       1.20      0.35        0.03       1.58       000  N                 
    91030...  TC                  A                   Acid perfusion of esophagus.       0.00      0.21        0.02       0.23       000  N                 
    91032...  ..................  A                   Esophagus, acid reflux test.       1.59      1.96        0.16       3.71       000  N                 
    91032...  26                  A                   Esophagus, acid reflux test.       1.59      1.25        0.10       2.94       000  N                 
    91032...  TC                  A                   Esophagus, acid reflux test.       0.00      0.71        0.06       0.77       000  N                 
    91033...  ..................  A                   Prolonged acid reflux test..       1.71      2.97        0.25       4.93       000  N                 
    91033...  26                  A                   Prolonged acid reflux test..       1.71      1.69        0.14       3.54       000  N                 
    91033...  TC                  A                   Prolonged acid reflux test..       0.00      1.28        0.11       1.39       000  N                 
    91052...  ..................  A                   Gastric analysis test.......       1.71      0.82        0.07       2.60       000  N                 
    91052...  26                  A                   Gastric analysis test.......       1.71      0.50        0.04       2.25       000  N                 
    91052...  TC                  A                   Gastric analysis test.......       0.00      0.32        0.03       0.35       000  N                 
    91055...  ..................  A                   Gastric intubation for smear       1.28      0.80        0.06       2.14       000  N                 
    91055...  26                  A                   Gastric intubation for smear       1.28      0.51        0.04       1.83       000  N                 
    91055...  TC                  A                   Gastric intubation for smear       0.00      0.29        0.02       0.31       000  N                 
    91060...  ..................  A                   Gastric saline load test....       0.45      0.71        0.06       1.22       000  N                 
    91060...  26                  A                   Gastric saline load test....       0.45      0.50        0.04       0.99       000  N                 
    91060...  TC                  A                   Gastric saline load test....       0.00      0.21        0.02       0.23       000  N                 
    91065...  ..................  A                   Breath hydrogen test........       0.45      0.83        0.05       1.33       000  N                 
    91065...  26                  A                   Breath hydrogen test........       0.45      0.49        0.03       0.97       000  N                 
    91065...  TC                  A                   Breath hydrogen test........       0.00      0.34        0.02       0.36       000  N                 
    91100...  ..................  A                   Pass intestine bleeding tube       1.08      0.56        0.05       1.69       000  N                 
    91105...  ..................  A                   Gastric intubation treatment       0.37     *0.46        0.04       0.87       000  N                 
    91122...  ..................  A                   Anal pressure record........       1.77      1.73        0.22       3.72       000  S                 
    91122...  26                  A                   Anal pressure record........       1.77      1.06        0.13       2.96       000  S                 
    91122...  TC                  A                   Anal pressure record........       0.00      0.67        0.09       0.76       000  S                 
    91299...  ..................  C                   Gastroenterology procedure..       0.00      0.00        0.00       0.00       XXX  N                 
    91299...  26                  C                   Gastroenterology procedure..       0.00      0.00        0.00       0.00       XXX  N                 
    91299...  TC                  C                   Gastroenterology procedure..       0.00      0.00        0.00       0.00       XXX  N                 
    92002...  ..................  A                   Eye exam, new patient.......       1.01      0.49        0.02       1.52       XXX  P                 
    92004...  ..................  A                   Eye exam, new patient.......       1.61      0.57        0.02       2.20       XXX  P                 
    92012...  ..................  A                   Eye exam established pt.....       0.82      0.44        0.02       1.28       XXX  N                 
    92014...  ..................  A                   Eye exam & treatment........       1.06      0.54        0.02       1.62       XXX  N                 
    92015...  ..................  N                   Refraction..................      #0.38      0.32        0.02       0.72       XXX  0                 
    92018...  ..................  A                   New eye exam & treatment....       1.51      0.47        0.03       2.01       XXX  N                 
    92019...  ..................  A                   Eye exam & treatment........       1.31      0.47        0.03       1.81       XXX  N                 
    92020...  ..................  A                   Special eye evaluation......       0.37      0.29        0.01       0.67       XXX  N                 
    92060...  ..................  A                   Special eye evaluation......       0.50      0.39        0.02       0.91       XXX  N                 
    92060...  26                  A                   Special eye evaluation......       0.50      0.21        0.01       0.72       XXX  N                 
    92060...  TC                  A                   Special eye evaluation......       0.00      0.18        0.01       0.19       XXX  N                 
    92065...  ..................  A                   Orthoptic/pleoptic training.       0.37      0.36        0.01       0.74       XXX  N                 
    92065...  26                  A                   Orthoptic/pleoptic training.       0.37      0.20        0.01       0.58       XXX  N                 
    92065...  TC                  A                   Orthoptic/pleoptic training.       0.00      0.16        0.00       0.16       XXX  N                 
    92070...  ..................  A                   Fitting of contact lens.....       0.70      1.20        0.06       1.96       XXX  N                 
    92081...  ..................  A                   Visual field examination(s).       0.36      0.32        0.01       0.69       XXX  N                 
    92081...  26                  A                   Visual field examination(s).       0.36      0.17        0.01       0.54       XXX  N                 
    92081...  TC                  A                   Visual field examination(s).       0.00      0.15        0.00       0.15       XXX  N                 
    92082...  ..................  A                   Visual field examination(s).       0.44      0.49        0.02       0.95       XXX  N                 
    92082...  26                  A                   Visual field examination(s).       0.44      0.30        0.01       0.75       XXX  N                 
    
    [[Page 63310]]
                                                                                                                                                            
    92082...  TC                  A                   Visual field examination(s).       0.00      0.19        0.01       0.20       XXX  N                 
    92083...  ..................  A                   Visual field examination(s).       0.50      0.83        0.04       1.37       XXX  N                 
    92083...  26                  A                   Visual field examination(s).       0.50      0.55        0.03       1.08       XXX  N                 
    92083...  TC                  A                   Visual field examination(s).       0.00      0.28        0.01       0.29       XXX  N                 
    92100...  ..................  A                   Serial tonometry exam(s)....       0.92      0.25        0.01       1.18       XXX  N                 
    92120...  ..................  A                   Tonography & eye evaluation.       0.81      0.31        0.02       1.14       XXX  N                 
    92130...  ..................  A                   Water provocation tonography       0.81      0.49        0.02       1.32       XXX  N                 
    92140...  ..................  A                   Glaucoma provocative tests..       0.50      0.30        0.01       0.81       XXX  N                 
    92225...  ..................  A                   Special eye exam, initial...       0.58      0.45        0.02       1.05       XXX  N                 
    92226...  ..................  A                   Special eye exam, subsequent       0.50      0.40        0.02       0.92       XXX  N                 
    92230...  ..................  A                   Eye exam with photos........       0.60      0.69        0.04       1.33       XXX  N                 
    92235...  ..................  A                   Eye exam with photos........       0.81      1.58        0.09       2.48       XXX  N                 
    92235...  26                  A                   Eye exam with photos........       0.81      0.59        0.03       1.43       XXX  N                 
    92235...  TC                  A                   Eye exam with photos........       0.00      0.99        0.06       1.05       XXX  N                 
    92250...  ..................  A                   Eye exam with photos........       0.44      0.42        0.02       0.88       XXX  N                 
    92250...  26                  A                   Eye exam with photos........       0.44      0.25        0.01       0.70       XXX  N                 
    92250...  TC                  A                   Eye exam with photos........       0.00      0.17        0.01       0.18       XXX  N                 
    92260...  ..................  A                   Ophthalmoscopy/dynamometry..       0.50      0.54        0.03       1.07       XXX  N                 
    92265...  ..................  A                   Eye muscle evaluation.......       0.81      0.29        0.02       1.12       XXX  N                 
    92265...  26                  A                   Eye muscle evaluation.......       0.81      0.07        0.00       0.88       XXX  N                 
    92265...  TC                  A                   Eye muscle evaluation.......       0.00      0.22        0.02       0.24       XXX  N                 
    92270...  ..................  A                   Electro-oculography.........       0.81      0.67        0.05       1.53       XXX  N                 
    92270...  26                  A                   Electro-oculography.........       0.81      0.37        0.03       1.21       XXX  N                 
    92270...  TC                  A                   Electro-oculography.........       0.00      0.30        0.02       0.32       XXX  N                 
    92275...  ..................  A                   Electroretinography.........       1.01      0.90        0.05       1.96       XXX  N                 
    92275...  26                  A                   Electroretinography.........       1.01      0.51        0.03       1.55       XXX  N                 
    92275...  TC                  A                   Electroretinography.........       0.00      0.39        0.02       0.41       XXX  N                 
    92280...  ..................  D                   Special eye evaluation......       0.00      0.00        0.00       0.00       XXX  N                 
    92280...  26                  D                   Special eye evaluation......       0.00      0.00        0.00       0.00       XXX  N                 
    92280...  TC                  D                   Special eye evaluation......       0.00      0.00        0.00       0.00       XXX  N                 
    92283...  ..................  A                   Color vision examination....       0.26      0.29        0.01       0.56       XXX  N                 
    92283...  26                  A                   Color vision examination....       0.26      0.17        0.01       0.44       XXX  N                 
    92283...  TC                  A                   Color vision examination....       0.00      0.12        0.00       0.12       XXX  N                 
    92284...  ..................  A                   Dark adaptation eye exam....       0.37      0.45        0.02       0.84       XXX  N                 
    92284...  26                  A                   Dark adaptation eye exam....       0.37      0.28        0.01       0.66       XXX  N                 
    92284...  TC                  A                   Dark adaptation eye exam....       0.00      0.17        0.01       0.18       XXX  N                 
    92285...  ..................  A                   Eye photography.............       0.20      0.29        0.01       0.50       XXX  N                 
    92285...  26                  A                   Eye photography.............       0.20      0.18        0.01       0.39       XXX  N                 
    92285...  TC                  A                   Eye photography.............       0.00      0.11        0.00       0.11       XXX  N                 
    92286...  ..................  A                   Internal eye photography....       0.66      1.22        0.07       1.95       XXX  N                 
    92286...  26                  A                   Internal eye photography....       0.66      0.83        0.05       1.54       XXX  N                 
    92286...  TC                  A                   Internal eye photography....       0.00      0.39        0.02       0.41       XXX  N                 
    92287...  ..................  A                   Internal eye photography....       0.81      1.52        0.08       2.41       XXX  N                 
    92310...  ..................  N                   Contact lens fitting........      #1.17      1.32        0.00       2.49       XXX  0                 
    92311...  ..................  A                   Contact lens fitting........       1.08      0.90        0.03       2.01       XXX  N                 
    92312...  ..................  A                   Contact lens fitting........       1.26      1.16        0.03       2.45       XXX  N                 
    92313...  ..................  A                   Contact lens fitting........       0.92      0.88        0.03       1.83       XXX  N                 
    92314...  ..................  N                   Prescription of contact lens      #0.69      0.78        0.00       1.47       XXX  0                 
    92315...  ..................  A                   Prescription of contact lens       0.45      0.66        0.03       1.14       XXX  N                 
    92316...  ..................  A                   Prescription of contact lens       0.68      0.95        0.04       1.67       XXX  N                 
    92317...  ..................  A                   Prescription of contact lens       0.45      0.39        0.02       0.86       XXX  N                 
    92325...  ..................  A                   Modification of contact lens       0.00      0.38        0.01       0.39       XXX  N                 
    92326...  ..................  A                   Replacement of contact lens.       0.00      1.56        0.06       1.62       XXX  N                 
    92330...  ..................  A                   Fitting of artificial eye...       1.08      1.13        0.09       2.30       XXX  N                 
    92335...  ..................  A                   Fitting of artificial eye...       0.45      1.97        0.11       2.53       XXX  N                 
    92340...  ..................  N                   Fitting of spectacles.......      #0.37      0.42        0.00       0.79       XXX  0                 
    92341...  ..................  N                   Fitting of spectacles.......      #0.47      0.53        0.00       1.00       XXX  0                 
    92342...  ..................  N                   Fitting of spectacles.......      #0.53      0.60        0.00       1.13       XXX  0                 
    92352...  ..................  B                   Special spectacles fitting..      #0.37      0.30        0.01       0.68       XXX  0                 
    92353...  ..................  B                   Special spectacles fitting..      #0.50      0.40        0.01       0.91       XXX  0                 
    92354...  ..................  B                   Special spectacles fitting..      #0.00      8.44        0.10       8.54       XXX  0                 
    92355...  ..................  B                   Special spectacles fitting..      #0.00      4.13        0.01       4.14       XXX  0                 
    92358...  ..................  B                   Eye prosthesis service......      #0.00      0.92        0.05       0.97       XXX  0                 
    92370...  ..................  N                   Repair & adjust spectacles..      #0.32      0.36        0.00       0.68       XXX  0                 
    92371...  ..................  B                   Repair & adjust spectacles..      #0.00      0.59        0.02       0.61       XXX  0                 
    92390...  ..................  N                   Supply of spectacles........       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63311]]
                                                                                                                                                            
    92391...  ..................  N                   Supply of contact lenses....       0.00      0.00        0.00       0.00       XXX  0                 
    92392...  ..................  G                   Supply of low vision aids...      #0.00      3.85        0.02       3.87       XXX  0                 
    92393...  ..................  G                   Supply of artificial eye....      #0.00     11.96        0.67      12.63       XXX  0                 
    92395...  ..................  G                   Supply of spectacles........      #0.00      1.31        0.10       1.41       XXX  0                 
    92396...  ..................  G                   Supply of contact lenses....      #0.00      2.19        0.08       2.27       XXX  0                 
    92499...  ..................  C                   Eye service or procedure....       0.00      0.00        0.00       0.00       XXX  N                 
    92499...  26                  C                   Eye service or procedure....       0.00      0.00        0.00       0.00       XXX  N                 
    92499...  TC                  C                   Eye service or procedure....       0.00      0.00        0.00       0.00       XXX  N                 
    92502...  ..................  A                   Ear and throat examination..       1.51      1.12        0.12       2.75       000  N                 
    92504...  ..................  A                   Ear microscopy examination..       0.18      0.26        0.02       0.46       XXX  N                 
    92506...  ..................  A                   Speech & hearing evaluation.       0.86      0.52        0.05       1.43       XXX  N                 
    92507...  ..................  A                   Speech/hearing therapy......       0.52      0.33        0.03       0.88       XXX  N                 
    92508...  ..................  A                   Speech/hearing therapy......       0.26      0.18        0.02       0.46       XXX  N                 
    92510...  ..................  A                   Rehab for ear implant.......       1.50      1.36        0.15       3.01       XXX  N                 
    92511...  ..................  A                   Nasopharyngoscopy...........       0.84      0.85        0.09       1.78       000  S                 
    92512...  ..................  A                   Nasal function studies......       0.55      0.47        0.05       1.07       XXX  N                 
    92516...  ..................  A                   Facial nerve function test..       0.43      0.39        0.04       0.86       XXX  N                 
    92520...  ..................  A                   Laryngeal function studies..       0.76      0.53        0.05       1.34       XXX  N                 
    92525...  ..................  A                   Oral function evaluation....       1.13      1.02        0.11       2.26       XXX  N                 
    92526...  ..................  A                   Oral function therapy.......       0.52      0.47        0.05       1.04       XXX  N                 
    92531...  ..................  B                   Spontaneous nystagmus study.       0.00      0.00        0.00       0.00       XXX  0                 
    92532...  ..................  B                   Positional nystagmus study..       0.00      0.00        0.00       0.00       XXX  0                 
    92533...  ..................  B                   Caloric vestibular test.....       0.00      0.00        0.00       0.00       XXX  0                 
    92534...  ..................  B                   Optokinetic nystagmus.......       0.00      0.00        0.00       0.00       XXX  0                 
    92541...  ..................  A                   Spontaneous nystagmus test..       0.40      0.67        0.07       1.14       XXX  N                 
    92541...  26                  A                   Spontaneous nystagmus test..       0.40      0.45        0.05       0.90       XXX  N                 
    92541...  TC                  A                   Spontaneous nystagmus test..       0.00      0.22        0.02       0.24       XXX  N                 
    92542...  ..................  A                   Positional nystagmus test...       0.33      0.61        0.07       1.01       XXX  N                 
    92542...  26                  A                   Positional nystagmus test...       0.33      0.36        0.04       0.73       XXX  N                 
    92542...  TC                  A                   Positional nystagmus test...       0.00      0.25        0.03       0.28       XXX  N                 
    92543...  ..................  A                   Caloric vestibular test.....       0.38      0.82        0.09       1.29       XXX  N                 
    92543...  26                  A                   Caloric vestibular test.....       0.38      0.42        0.05       0.85       XXX  N                 
    92543...  TC                  A                   Caloric vestibular test.....       0.00      0.40        0.04       0.44       XXX  N                 
    92544...  ..................  A                   Optokinetic nystagmus test..       0.26      0.47        0.05       0.78       XXX  N                 
    92544...  26                  A                   Optokinetic nystagmus test..       0.26      0.27        0.03       0.56       XXX  N                 
    92544...  TC                  A                   Optokinetic nystagmus test..       0.00      0.20        0.02       0.22       XXX  N                 
    92545...  ..................  A                   Oscillating tracking test...       0.23      0.40        0.04       0.67       XXX  N                 
    92545...  26                  A                   Oscillating tracking test...       0.23      0.20        0.02       0.45       XXX  N                 
    92545...  TC                  A                   Oscillating tracking test...       0.00      0.20        0.02       0.22       XXX  N                 
    92546...  ..................  A                   Sinusoidal rotational test..       0.29      0.53        0.05       0.87       XXX  N                 
    92546...  26                  A                   Sinusoidal rotational test..       0.29      0.30        0.03       0.62       XXX  N                 
    92546...  TC                  A                   Sinusoidal rotational test..       0.00      0.23        0.02       0.25       XXX  N                 
    92547...  ..................  A                   Supplemental electrical test       0.00      0.53        0.06       0.59       XXX  N                 
    92551...  ..................  N                   Pure tone hearing test, air.       0.00      0.00        0.00       0.00       XXX  0                 
    92552...  ..................  A                   Pure tone audiometry, air...       0.00      0.42        0.04       0.46       XXX  N                 
    92553...  ..................  A                   Audiometry, air & bone......       0.00      0.63        0.07       0.70       XXX  N                 
    92555...  ..................  A                   Speech threshold audiometry.       0.00      0.36        0.04       0.40       XXX  N                 
    92556...  ..................  A                   Speech audiometry, complete.       0.00      0.54        0.06       0.60       XXX  N                 
    92557...  ..................  A                   Comprehensive hearing test..       0.00      1.13        0.13       1.26       XXX  N                 
    92559...  ..................  N                   Group audiometric testing...       0.00      0.00        0.00       0.00       XXX  0                 
    92560...  ..................  N                   Bekesy audiometry, screen...       0.00      0.00        0.00       0.00       XXX  0                 
    92561...  ..................  A                   Bekesy audiometry, diagnosis       0.00      0.68        0.07       0.75       XXX  N                 
    92562...  ..................  A                   Loudness balance test.......       0.00      0.39        0.04       0.43       XXX  N                 
    92563...  ..................  A                   Tone decay hearing test.....       0.00      0.36        0.04       0.40       XXX  N                 
    92564...  ..................  A                   Sisi hearing test...........       0.00      0.45        0.05       0.50       XXX  N                 
    92565...  ..................  A                   Stenger test, pure tone.....       0.00      0.38        0.04       0.42       XXX  N                 
    92567...  ..................  A                   Tympanometry................       0.00      0.50        0.06       0.56       XXX  N                 
    92568...  ..................  A                   Acoustic reflex testing.....       0.00      0.36        0.04       0.40       XXX  N                 
    92569...  ..................  A                   Acoustic reflex decay test..       0.00      0.39        0.04       0.43       XXX  N                 
    92571...  ..................  A                   Filtered speech hearing test       0.00      0.37        0.04       0.41       XXX  N                 
    92572...  ..................  A                   Staggered spondaic word test       0.00      0.08        0.01       0.09       XXX  N                 
    92573...  ..................  A                   Lombard test................       0.00      0.33        0.04       0.37       XXX  N                 
    92574...  ..................  D                   Swinging story test.........       0.00      0.00        0.00       0.00       XXX  N                 
    92575...  ..................  A                   Sensorineural acuity test...       0.00      0.29        0.03       0.32       XXX  N                 
    92576...  ..................  A                   Synthetic sentence test.....       0.00      0.42        0.05       0.47       XXX  N                 
    92577...  ..................  A                   Stenger test, speech........       0.00      0.68        0.08       0.76       XXX  N                 
    
    [[Page 63312]]
                                                                                                                                                            
    92578...  ..................  D                   Delayed auditory feedback...       0.00      0.00        0.00       0.00       XXX  N                 
    92579...  ..................  A                   Visual audiometry (vra).....       0.00      0.69        0.07       0.76       XXX  N                 
    92580...  ..................  D                   Electrodermal audiometry....       0.00      0.00        0.00       0.00       XXX  N                 
    92582...  ..................  A                   Conditioning play audiometry       0.00      0.69        0.07       0.76       XXX  N                 
    92583...  ..................  A                   Select picture audiometry...       0.00      0.85        0.09       0.94       XXX  N                 
    92584...  ..................  A                   Electrocochleography........       0.00      2.36        0.25       2.61       XXX  N                 
    92585...  ..................  A                   Auditory evoked potential...       0.50      3.25        0.31       4.06       XXX  N                 
    92585...  26                  A                   Auditory evoked potential...       0.50      1.49        0.14       2.13       XXX  N                 
    92585...  TC                  A                   Auditory evoked potential...       0.00      1.76        0.17       1.93       XXX  N                 
    92587...  ..................  A                   Evoked auditory test........       0.13      1.35        0.13       1.61       XXX  N                 
    92587...  26                  A                   Evoked auditory test........       0.13      0.11        0.01       0.25       XXX  N                 
    92587...  TC                  A                   Evoked auditory test........       0.00      1.24        0.12       1.36       XXX  N                 
    92588...  ..................  A                   Evoked auditory test........       0.36      1.70        0.16       2.22       XXX  N                 
    92588...  26                  A                   Evoked auditory test........       0.36      0.30        0.02       0.68       XXX  N                 
    92588...  TC                  A                   Evoked auditory test........       0.00      1.40        0.14       1.54       XXX  N                 
    92589...  ..................  A                   Auditory function test(s)...       0.00      0.51        0.06       0.57       XXX  N                 
    92590...  ..................  N                   Hearing aid exam, one ear...       0.00      0.00        0.00       0.00       XXX  0                 
    92591...  ..................  N                   Hearing aid exam, both ears.       0.00      0.00        0.00       0.00       XXX  0                 
    92592...  ..................  N                   Hearing aid check, one ear..       0.00      0.00        0.00       0.00       XXX  0                 
    92593...  ..................  N                   Hearing aid check, both ears       0.00      0.00        0.00       0.00       XXX  0                 
    92594...  ..................  N                   Electro hearing aid test,          0.00      0.00        0.00       0.00       XXX  0                 
                                                       one.                                                                                                 
    92595...  ..................  N                   Electro hearingaid test,           0.00      0.00        0.00       0.00       XXX  0                 
                                                       both.                                                                                                
    92596...  ..................  A                   Ear protector evaluation....       0.00      0.56        0.06       0.62       XXX  N                 
    92597...  ..................  A                   Oral speech device eval.....       1.11      1.01        0.11       2.23       XXX  N                 
    92598...  ..................  A                   Modify oral speech device...       0.73      0.66        0.07       1.46       XXX  N                 
    92599...  ..................  C                   ENT procedure/service.......       0.00      0.00        0.00       0.00       XXX  N                 
    92599...  26                  C                   ENT procedure/service.......       0.00      0.00        0.00       0.00       XXX  N                 
    92599...  TC                  C                   ENT procedure/service.......       0.00      0.00        0.00       0.00       XXX  N                 
    92950...  ..................  A                   Heart/lung resuscitation           3.80      2.27        0.17       6.24       000  N                 
                                                       (CPR).                                                                                               
    92953...  ..................  A                   Temporary external pacing...       0.23     *0.66        0.15       1.04       000  N                 
    92960...  ..................  A                   Heart electroconversion.....       2.25      1.88        0.16       4.29       000  N                 
    92970...  ..................  A                   Cardioassist, internal......       3.52      3.47        0.41       7.40       000  N                 
    92971...  ..................  A                   Cardioassist, external......       1.77      1.11        0.08       2.96       000  N                 
    92975...  ..................  A                   Dissolve clot, heart vessel.       7.25      5.71        0.42      13.38       000  N                 
    92977...  ..................  A                   Dissolve clot, heart vessel.       0.00      7.68        0.54       8.22       XXX  N                 
    92980...  ..................  A                   Insert intracoronary stent..      14.84     16.41        1.22      32.47       000  N                 
    92981...  ..................  A                   Insert intracoronary stent..       4.17     *5.42        0.44      10.03       ZZZ  N                 
    92982...  ..................  A                   Coronary artery dilation....      10.98    *14.05        1.22      26.25       000  N                 
    92984...  ..................  A                   Coronary artery dilation....       2.97     *3.80        0.44       7.21       ZZZ  N                 
    92986...  ..................  A                   Revision of aortic valve....      20.34     12.04        0.90      33.28       090  N                 
    92987...  ..................  A                   Revision of mitral valve....      20.69     12.20        0.91      33.80       090  N                 
    92990...  ..................  A                   Revision of pulmonary valve.      16.22      9.59        0.71      26.52       090  N                 
    92992...  ..................  C                   Revision of heart chamber...       0.00      0.00        0.00       0.00       090  S                 
    92993...  ..................  C                   Revision of heart chamber...       0.00      0.00        0.00       0.00       090  S                 
    92995...  ..................  A                   Coronary atherectomy........      12.09    *15.47        1.22      28.78       000  N                 
    92996...  ..................  A                   Coronary atherectomy........       3.26     *4.17        0.44       7.87       ZZZ  N                 
    93000...  ..................  A                   Electrocardiogram, complete.       0.17      0.59        0.04       0.80       XXX  N                 
    93005...  ..................  A                   Electrocardiogram, tracing..       0.00      0.43        0.03       0.46       XXX  N                 
    93010...  ..................  A                   Electrocardiogram report....       0.17      0.16        0.01       0.34       XXX  N                 
    93012...  ..................  A                   Transmission of ecg.........       0.00      2.25        0.22       2.47       XXX  N                 
    93014...  ..................  A                   Report on transmitted ecg...       0.52      0.40        0.05       0.97       XXX  N                 
    93015...  ..................  A                   Cardiovascular stress test..       0.75      2.37        0.18       3.30       XXX  N                 
    93016...  ..................  A                   Cardiovascular stress test..       0.45      0.39        0.03       0.87       XXX  N                 
    93017...  ..................  A                   Cardiovascular stress test..       0.00      1.60        0.12       1.72       XXX  N                 
    93018...  ..................  A                   Cardiovascular stress test..       0.30      0.38        0.03       0.71       XXX  N                 
    93024...  ..................  A                   Cardiac drug stress test....       1.17     *2.56        0.23       3.96       XXX  N                 
    93024...  26                  A                   Cardiac drug stress test....       1.17     *1.49        0.14       2.80       XXX  N                 
    93024...  TC                  A                   Cardiac drug stress test....       0.00      1.07        0.09       1.16       XXX  N                 
    93040...  ..................  A                   Rhythm ECG with report......       0.16      0.26        0.02       0.44       XXX  N                 
    93041...  ..................  A                   Rhythm ECG, tracing.........       0.00      0.14        0.01       0.15       XXX  N                 
    93042...  ..................  A                   Rhythm ECG, report..........       0.16      0.12        0.01       0.29       XXX  N                 
    93201...  ..................  A                   Phonocardiogram & ECG lead..       0.42      1.03        0.09       1.54       XXX  N                 
    93202...  ..................  A                   Phonocardiogram & ECG lead..       0.00      0.75        0.07       0.82       XXX  N                 
    93204...  ..................  A                   Phonocardiogram & ECG lead..       0.42      0.28        0.02       0.72       XXX  N                 
    93205...  ..................  A                   Special phonocardiogram.....       0.46      0.88        0.07       1.41       XXX  N                 
    93208...  ..................  A                   Special phonocardiogram.....       0.00      0.33        0.03       0.36       XXX  N                 
    
    [[Page 63313]]
                                                                                                                                                            
    93209...  ..................  A                   Special phonocardiogram.....       0.46      0.55        0.04       1.05       XXX  N                 
    93210...  ..................  A                   Intracardiac phonocardiogram       0.92      1.73        0.13       2.78       XXX  N                 
    93210...  26                  A                   Intracardiac phonocardiogram       0.92      0.82        0.06       1.80       XXX  N                 
    93210...  TC                  A                   Intracardiac phonocardiogram       0.00      0.91        0.07       0.98       XXX  N                 
    93220...  ..................  A                   Vectorcardiogram............       0.26     *0.91        0.07       1.24       XXX  N                 
    93221...  ..................  A                   Vectorcardiogram tracing....       0.00      0.58        0.04       0.62       XXX  N                 
    93222...  ..................  A                   Vectorcardiogram report.....       0.26     *0.33        0.03       0.62       XXX  N                 
    93224...  ..................  A                   ECG monitor/report, 24 hrs..       0.52     *3.93        0.31       4.76       XXX  N                 
    93225...  ..................  A                   ECG monitor/record, 24 hrs..       0.00      1.18        0.09       1.27       XXX  N                 
    93226...  ..................  A                   ECG monitor/report, 24 hrs..       0.00      2.08        0.16       2.24       XXX  N                 
    93227...  ..................  A                   ECG monitor/review, 24 hrs..       0.52     *0.67        0.06       1.25       XXX  N                 
    93230...  ..................  A                   ECG monitor/report, 24 hrs..       0.52     *4.19        0.34       5.05       XXX  N                 
    93231...  ..................  A                   ECG monitor/record, 24 hrs..       0.00      1.45        0.11       1.56       XXX  N                 
    93232...  ..................  A                   ECG monitor/report, 24 hrs..       0.00      2.07        0.15       2.22       XXX  N                 
    93233...  ..................  A                   ECG monitor/review, 24 hrs..       0.52     *0.67        0.08       1.27       XXX  N                 
    93235...  ..................  A                   ECG monitor/report, 24 hrs..       0.45     *3.07        0.23       3.75       XXX  N                 
    93236...  ..................  A                   ECG monitor/report, 24 hrs..       0.00      2.50        0.17       2.67       XXX  N                 
    93237...  ..................  A                   ECG monitor/review, 24 hrs..       0.45     *0.57        0.06       1.08       XXX  N                 
    93268...  ..................  A                   ECG record/review...........       0.52      3.83        0.36       4.71       XXX  N                 
    93270...  ..................  A                   ECG recording...............       0.00      1.18        0.09       1.27       XXX  N                 
    93271...  ..................  A                   ECG/monitoring and analysis.       0.00      2.25        0.22       2.47       XXX  N                 
    93272...  ..................  A                   ECG/review, interpret only..       0.52      0.40        0.05       0.97       XXX  N                 
    93278...  ..................  A                   ECG/signal-averaged.........       0.35     *1.55        0.18       2.08       XXX  N                 
    93278...  26                  A                   ECG/signal-averaged.........       0.35     *0.45        0.06       0.86       XXX  N                 
    93278...  TC                  A                   ECG/signal-averaged.........       0.00      1.10        0.12       1.22       XXX  N                 
    93307...  ..................  A                   Echo exam of heart..........       0.78     *4.68        0.36       5.82       XXX  N                 
    93307...  26                  A                   Echo exam of heart..........       0.78     *1.00        0.09       1.87       XXX  N                 
    93307...  TC                  A                   Echo exam of heart..........       0.00      3.68        0.27       3.95       XXX  N                 
    93308...  ..................  A                   Echo exam of heart..........       0.53      2.53        0.19       3.25       XXX  N                 
    93308...  26                  A                   Echo exam of heart..........       0.53      0.68        0.05       1.26       XXX  N                 
    93308...  TC                  A                   Echo exam of heart..........       0.00      1.85        0.14       1.99       XXX  N                 
    93312...  ..................  A                   Echo exam of heart..........       1.57      4.95        0.45       6.97       XXX  N                 
    93312...  26                  A                   Echo exam of heart..........       1.57      1.35        0.12       3.04       XXX  N                 
    93312...  TC                  A                   Echo exam of heart..........       0.00      3.60        0.33       3.93       XXX  N                 
    93313...  ..................  A                   Echo exam of heart..........       0.95      0.67        0.06       1.68       XXX  N                 
    93314...  ..................  A                   Echo exam of heart..........       0.95      4.27        0.39       5.61       XXX  N                 
    93314...  26                  A                   Echo exam of heart..........       0.95      0.67        0.06       1.68       XXX  N                 
    93314...  TC                  A                   Echo exam of heart..........       0.00      3.60        0.33       3.93       XXX  N                 
    93320...  ..................  A                   Doppler echo exam, heart....       0.38     *2.11        0.18       2.67       XXX  N                 
    93320...  26                  A                   Doppler echo exam, heart....       0.38     *0.48        0.05       0.91       XXX  N                 
    93320...  TC                  A                   Doppler echo exam, heart....       0.00      1.63        0.13       1.76       XXX  N                 
    93321...  ..................  A                   Doppler echo exam, heart....       0.15     *1.25        0.11       1.51       XXX  N                 
    93321...  26                  A                   Doppler echo exam, heart....       0.15     *0.19        0.02       0.36       XXX  N                 
    93321...  TC                  A                   Doppler echo exam, heart....       0.00      1.06        0.09       1.15       XXX  N                 
    93325...  ..................  A                   Doppler color flow..........       0.07      2.80        0.25       3.12       XXX  N                 
    93325...  26                  A                   Doppler color flow..........       0.07      0.04        0.01       0.12       XXX  N                 
    93325...  TC                  A                   Doppler color flow..........       0.00      2.76        0.24       3.00       XXX  N                 
    93350...  ..................  A                   Echo exam of heart..........       0.78     *3.63        0.24       4.65       XXX  N                 
    93350...  26                  A                   Echo exam of heart..........       0.78     *1.95        0.10       2.83       XXX  N                 
    93350...  TC                  A                   Echo exam of heart..........       0.00      1.68        0.14       1.82       XXX  N                 
    93501...  ..................  A                   Right heart catheterization.       3.02     19.72        1.54      24.28       000  N                 
    93501...  26                  A                   Right heart catheterization.       3.02      3.61        0.34       6.97       000  N                 
    93501...  TC                  A                   Right heart catheterization.       0.00     16.11        1.20      17.31       000  N                 
    93503...  ..................  A                   Insert/place heart catheter.       2.43      2.37        0.36       5.16       000  N                 
    93505...  ..................  A                   Biopsy of heart lining......       4.56      4.92        0.46       9.94       000  N                 
    93505...  26                  A                   Biopsy of heart lining......       4.56      3.03        0.28       7.87       000  N                 
    93505...  TC                  A                   Biopsy of heart lining......       0.00      1.89        0.18       2.07       000  N                 
    93510...  ..................  A                   Left heart catheterization..       4.33     38.28        2.86      45.47       000  N                 
    93510...  26                  A                   Left heart catheterization..       4.33      3.06        0.23       7.62       000  N                 
    93510...  TC                  A                   Left heart catheterization..       0.00     35.22        2.63      37.85       000  N                 
    93511...  ..................  A                   Left heart catheterization..       5.03     36.91        2.76      44.70       000  N                 
    93511...  26                  A                   Left heart catheterization..       5.03      2.62        0.20       7.85       000  N                 
    93511...  TC                  A                   Left heart catheterization..       0.00     34.29        2.56      36.85       000  N                 
    93514...  ..................  A                   Left heart catheterization..       7.05     38.84        2.94      48.83       000  S                 
    93514...  26                  A                   Left heart catheterization..       7.05      4.55        0.38      11.98       000  S                 
    93514...  TC                  A                   Left heart catheterization..       0.00     34.29        2.56      36.85       000  S                 
    
    [[Page 63314]]
                                                                                                                                                            
    93524...  ..................  A                   Left heart catheterization..       6.95     49.45        3.69      60.09       000  N                 
    93524...  26                  A                   Left heart catheterization..       6.95      4.65        0.34      11.94       000  N                 
    93524...  TC                  A                   Left heart catheterization..       0.00     44.80        3.35      48.15       000  N                 
    93526...  ..................  A                   Rt & Lt heart catheters.....       5.99     51.48        3.83      61.30       000  N                 
    93526...  26                  A                   Rt & Lt heart catheters.....       5.99      5.45        0.39      11.83       000  N                 
    93526...  TC                  A                   Rt & Lt heart catheters.....       0.00     46.03        3.44      49.47       000  N                 
    93527...  ..................  A                   Rt & Lt heart catheters.....       7.28     51.94        3.85      63.07       000  N                 
    93527...  26                  A                   Rt & Lt heart catheters.....       7.28      7.14        0.50      14.92       000  N                 
    93527...  TC                  A                   Rt & Lt heart catheters.....       0.00     44.80        3.35      48.15       000  N                 
    93528...  ..................  A                   Rt & Lt heart catheters.....       9.00     49.23        3.68      61.91       000  N                 
    93528...  26                  A                   Rt & Lt heart catheters.....       9.00      4.43        0.33      13.76       000  N                 
    93528...  TC                  A                   Rt & Lt heart catheters.....       0.00     44.80        3.35      48.15       000  N                 
    93529...  ..................  A                   Rt, Lt heart catheterization       4.80     47.73        3.57      56.10       000  N                 
    93529...  26                  A                   Rt, Lt heart catheterization       4.80      2.93        0.22       7.95       000  N                 
    93529...  TC                  A                   Rt, Lt heart catheterization       0.00     44.80        3.35      48.15       000  N                 
    93536...  ..................  A                   Insert circulation assi.....       4.85     *6.20        0.71      11.76       000  N                 
    93539...  ..................  A                   Injection, cardiac cath.....       0.29     *0.88        0.20       1.37       000  N                 
    93540...  ..................  A                   Injection, cardiac cath.....       0.43     *0.88        0.20       1.51       000  N                 
    93541...  ..................  A                   Injection for lung angiogram       0.29     *0.73        0.16       1.18       000  N                 
    93542...  ..................  A                   Injection for heart x-rays..       0.29     *0.72        0.16       1.17       000  N                 
    93543...  ..................  A                   Injection for heart x-rays..       0.29     *0.57        0.11       0.97       000  N                 
    93544...  ..................  A                   Injection for aortography...       0.29     *0.57        0.11       0.97       000  N                 
    93545...  ..................  A                   Injection for coronary xrays       0.29     *1.03        0.24       1.56       000  N                 
    93555...  ..................  A                   Imaging, cardiac cath.......       0.81      6.25        0.42       7.48       XXX  N                 
    93555...  26                  A                   Imaging, cardiac cath.......       0.81      0.27        0.04       1.12       XXX  N                 
    93555...  TC                  A                   Imaging, cardiac cath.......       0.00      5.98        0.38       6.36       XXX  N                 
    93556...  ..................  A                   Imaging, cardiac cath.......       0.83      9.88        0.65      11.36       XXX  N                 
    93556...  26                  A                   Imaging, cardiac cath.......       0.83      0.45        0.07       1.35       XXX  N                 
    93556...  TC                  A                   Imaging, cardiac cath.......       0.00      9.43        0.58      10.01       XXX  N                 
    93561...  ..................  A                   Cardiac output measurement..       1.15      1.25        0.16       2.56       000  N                 
    93561...  26                  A                   Cardiac output measurement..       1.15      0.75        0.09       1.99       000  N                 
    93561...  TC                  A                   Cardiac output measurement..       0.00      0.50        0.07       0.57       000  N                 
    93562...  ..................  A                   Cardiac output measurement..       0.37     *0.76        0.10       1.23       000  N                 
    93562...  26                  A                   Cardiac output measurement..       0.37     *0.46        0.06       0.89       000  N                 
    93562...  TC                  A                   Cardiac output measurement..       0.00      0.30        0.04       0.34       000  N                 
    93600...  ..................  A                   Bundle of His recording.....       2.12     *4.57        0.38       7.07       000  N                 
    93600...  26                  A                   Bundle of His recording.....       2.12     *2.71        0.24       5.07       000  N                 
    93600...  TC                  A                   Bundle of His recording.....       0.00      1.86        0.14       2.00       000  N                 
    93602...  ..................  A                   Intra-atrial recording......       2.12      2.83        0.22       5.17       000  N                 
    93602...  26                  A                   Intra-atrial recording......       2.12      1.77        0.14       4.03       000  N                 
    93602...  TC                  A                   Intra-atrial recording......       0.00      1.06        0.08       1.14       000  N                 
    93603...  ..................  A                   Right ventricular recording.       2.12      3.79        0.28       6.19       000  N                 
    93603...  26                  A                   Right ventricular recording.       2.12      2.19        0.16       4.47       000  N                 
    93603...  TC                  A                   Right ventricular recording.       0.00      1.60        0.12       1.72       000  N                 
    93607...  ..................  A                   Right ventricular recording.       3.26      3.63        0.28       7.17       000  N                 
    93607...  26                  A                   Right ventricular recording.       3.26      2.21        0.17       5.64       000  N                 
    93607...  TC                  A                   Right ventricular recording.       0.00      1.42        0.11       1.53       000  N                 
    93609...  ..................  A                   Mapping of tachycardia......      10.07      6.43        0.47      16.97       000  N                 
    93609...  26                  A                   Mapping of tachycardia......      10.07      3.84        0.28      14.19       000  N                 
    93609...  TC                  A                   Mapping of tachycardia......       0.00      2.59        0.19       2.78       000  N                 
    93610...  ..................  A                   Intra-atrial pacing.........       3.02      3.60        0.27       6.89       000  N                 
    93610...  26                  A                   Intra-atrial pacing.........       3.02      2.31        0.17       5.50       000  N                 
    93610...  TC                  A                   Intra-atrial pacing.........       0.00      1.29        0.10       1.39       000  N                 
    93612...  ..................  A                   Intraventricular pacing.....       3.02      3.88        0.29       7.19       000  N                 
    93612...  26                  A                   Intraventricular pacing.....       3.02      2.34        0.17       5.53       000  N                 
    93612...  TC                  A                   Intraventricular pacing.....       0.00      1.54        0.12       1.66       000  N                 
    93615...  ..................  A                   Esophageal recording........       0.99      0.65        0.04       1.68       000  N                 
    93615...  26                  A                   Esophageal recording........       0.99      0.35        0.02       1.36       000  N                 
    93615...  TC                  A                   Esophageal recording........       0.00      0.30        0.02       0.32       000  N                 
    93616...  ..................  A                   Esophageal recording........       1.49      1.66        0.10       3.25       000  N                 
    93616...  26                  A                   Esophageal recording........       1.49      1.36        0.08       2.93       000  N                 
    93616...  TC                  A                   Esophageal recording........       0.00      0.30        0.02       0.32       000  N                 
    93618...  ..................  A                   Heart rhythm pacing.........       4.26     *9.24        0.72      14.22       000  N                 
    93618...  26                  A                   Heart rhythm pacing.........       4.26     *5.46        0.44      10.16       000  N                 
    93618...  TC                  A                   Heart rhythm pacing.........       0.00      3.78        0.28       4.06       000  N                 
    93619...  ..................  A                   Electrophysiology evaluation       7.32    *16.71        1.40      25.43       000  N                 
    
    [[Page 63315]]
                                                                                                                                                            
    93619...  26                  A                   Electrophysiology evaluation       7.32     *9.37        0.86      17.55       000  N                 
    93619...  TC                  A                   Electrophysiology evaluation       0.00      7.34        0.54       7.88       000  N                 
    93620...  ..................  A                   Electrophysiology evaluation      11.59     22.07        1.55      35.21       000  N                 
    93620...  26                  A                   Electrophysiology evaluation      11.59     13.53        0.95      26.07       000  N                 
    93620...  TC                  A                   Electrophysiology evaluation       0.00      8.54        0.60       9.14       000  N                 
    93621...  ..................  C                   Electrophysiology evaluation       0.00      0.00        0.00       0.00       000  N                 
    93621...  26                  A                   Electrophysiology evaluation      12.66     14.94        1.11      28.71       000  N                 
    93621...  TC                  C                   Electrophysiology evaluation       0.00      0.00        0.00       0.00       000  N                 
    93622...  ..................  C                   Electrophysiology evaluation       0.00      0.00        0.00       0.00       000  N                 
    93622...  26                  A                   Electrophysiology evaluation      12.74     14.74        1.07      28.55       000  N                 
    93622...  TC                  C                   Electrophysiology evaluation       0.00      0.00        0.00       0.00       000  N                 
    93623...  ..................  C                   Stimulation, pacing heart...       0.00      0.00        0.00       0.00       000  N                 
    93623...  26                  A                   Stimulation, pacing heart...       2.85      2.78        0.20       5.83       000  N                 
    93623...  TC                  C                   Stimulation, pacing heart...       0.00      0.00        0.00       0.00       000  N                 
    93624...  ..................  A                   Electrophysiologic study....       4.81      4.88        0.35      10.04       000  N                 
    93624...  26                  A                   Electrophysiologic study....       4.81      2.99        0.21       8.01       000  N                 
    93624...  TC                  A                   Electrophysiologic study....       0.00      1.89        0.14       2.03       000  N                 
    93631...  ..................  A                   Heart pacing, mapping.......       7.60     11.62        1.37      20.59       000  N                 
    93631...  26                  A                   Heart pacing, mapping.......       7.60      5.76        0.67      14.03       000  N                 
    93631...  TC                  A                   Heart pacing, mapping.......       0.00      5.86        0.70       6.56       000  N                 
    93640...  ..................  A                   Evaluation heart device.....       3.52    *11.51        1.09      16.12       000  N                 
    93640...  26                  A                   Evaluation heart device.....       3.52     *4.67        0.61       8.80       000  N                 
    93640...  TC                  A                   Evaluation heart device.....       0.00      6.84        0.48       7.32       000  N                 
    93641...  ..................  A                   Electrophysiology evaluation       5.93    *13.85        1.09      20.87       000  N                 
    93641...  26                  A                   Electrophysiology evaluation       5.93     *7.01        0.61      13.55       000  N                 
    93641...  TC                  A                   Electrophysiology evaluation       0.00      6.84        0.48       7.32       000  N                 
    93642...  ..................  A                   Electrophysiology evaluation       4.89    *13.09        1.09      19.07       000  N                 
    93642...  26                  A                   Electrophysiology evaluation       4.89     *6.25        0.61      11.75       000  N                 
    93642...  TC                  A                   Electrophysiology evaluation       0.00      6.84        0.48       7.32       000  N                 
    93650...  ..................  A                   Ablate heart dysrhythm focus      10.51    *13.46        1.34      25.31       000  N                 
    93651...  ..................  A                   Ablate heart dysrhythm focus      16.25     17.83        1.34      35.42       000  N                 
    93652...  ..................  A                   Ablate heart dysrhythm focus      17.68     17.83        1.34      36.85       000  N                 
    93660...  ..................  C                   Tilt table evaluation.......       0.00      0.00        0.00       0.00       000  N                 
    93660...  26                  A                   Tilt table evaluation.......       1.89      1.44        0.17       3.50       000  N                 
    93660...  TC                  C                   Tilt table evaluation.......       0.00      0.00        0.00       0.00       000  N                 
    93720...  ..................  A                   Total body plethysmography..       0.17     *0.89        0.10       1.16       XXX  N                 
    93721...  ..................  A                   Plethysmography tracing.....       0.00      0.67        0.07       0.74       XXX  N                 
    93722...  ..................  A                   Plethysmography report......       0.17     *0.22        0.03       0.42       XXX  N                 
    93724...  ..................  A                   Analyze pacemaker system....       4.89      6.66        0.50      12.05       000  N                 
    93724...  26                  A                   Analyze pacemaker system....       4.89      2.88        0.22       7.99       000  N                 
    93724...  TC                  A                   Analyze pacemaker system....       0.00      3.78        0.28       4.06       000  N                 
    93731...  ..................  A                   Analyze pacemaker system....       0.45      0.79        0.07       1.31       XXX  N                 
    93731...  26                  A                   Analyze pacemaker system....       0.45      0.32        0.03       0.80       XXX  N                 
    93731...  TC                  A                   Analyze pacemaker system....       0.00      0.47        0.04       0.51       XXX  N                 
    93732...  ..................  A                   Analyze pacemaker system....       0.92      0.91        0.08       1.91       XXX  N                 
    93732...  26                  A                   Analyze pacemaker system....       0.92      0.42        0.04       1.38       XXX  N                 
    93732...  TC                  A                   Analyze pacemaker system....       0.00      0.49        0.04       0.53       XXX  N                 
    93733...  ..................  A                   Telephone analysis,                0.17     *0.91        0.08       1.16       XXX  N                 
                                                       pacemaker.                                                                                           
    93733...  26                  A                   Telephone analysis,                0.17     *0.22        0.02       0.41       XXX  N                 
                                                       pacemaker.                                                                                           
    93733...  TC                  A                   Telephone analysis,                0.00      0.69        0.06       0.75       XXX  N                 
                                                       pacemaker.                                                                                           
    93734...  ..................  A                   Analyze pacemaker system....       0.38      0.64        0.06       1.08       XXX  N                 
    93734...  26                  A                   Analyze pacemaker system....       0.38      0.31        0.03       0.72       XXX  N                 
    93734...  TC                  A                   Analyze pacemaker system....       0.00      0.33        0.03       0.36       XXX  N                 
    93735...  ..................  A                   Analyze pacemaker system....       0.74      0.85        0.08       1.67       XXX  N                 
    93735...  26                  A                   Analyze pacemaker system....       0.74      0.43        0.04       1.21       XXX  N                 
    93735...  TC                  A                   Analyze pacemaker system....       0.00      0.42        0.04       0.46       XXX  N                 
    93736...  ..................  A                   Telephone analysis,                0.15     *0.79        0.09       1.03       XXX  N                 
                                                       pacemaker.                                                                                           
    93736...  26                  A                   Telephone analysis,                0.15     *0.19        0.03       0.37       XXX  N                 
                                                       pacemaker.                                                                                           
    93736...  TC                  A                   Telephone analysis,                0.00      0.60        0.06       0.66       XXX  N                 
                                                       pacemaker.                                                                                           
    93737...  ..................  A                   Analyze cardio/defibrillator       0.45      0.74        0.06       1.25       XXX  N                 
    93737...  26                  A                   Analyze cardio/defibrillator       0.45      0.27        0.02       0.74       XXX  N                 
    93737...  TC                  A                   Analyze cardio/defibrillator       0.00      0.47        0.04       0.51       XXX  N                 
    93738...  ..................  A                   Analyze cardio/defibrillator       0.92      0.88        0.07       1.87       XXX  N                 
    93738...  26                  A                   Analyze cardio/defibrillator       0.92      0.39        0.03       1.34       XXX  N                 
    93738...  TC                  A                   Analyze cardio/defibrillator       0.00      0.49        0.04       0.53       XXX  N                 
    93740...  ..................  A                   Temperature gradient studies       0.16      0.45        0.04       0.65       XXX  N                 
    
    [[Page 63316]]
                                                                                                                                                            
    93740...  26                  A                   Temperature gradient studies       0.16      0.30        0.03       0.49       XXX  N                 
    93740...  TC                  A                   Temperature gradient studies       0.00      0.15        0.01       0.16       XXX  N                 
    93760...  ..................  N                   Cephalic thermogram.........       0.00      0.00        0.00       0.00       XXX  0                 
    93762...  ..................  N                   Peripheral thermogram.......       0.00      0.00        0.00       0.00       XXX  0                 
    93770...  ..................  A                   Measure venous pressure.....       0.16      0.20        0.02       0.38       XXX  N                 
    93770...  26                  A                   Measure venous pressure.....       0.16      0.17        0.02       0.35       XXX  N                 
    93770...  TC                  A                   Measure venous pressure.....       0.00      0.03        0.00       0.03       XXX  N                 
    93784...  ..................  N                   Ambulatory BP monitoring....       0.00      0.00        0.00       0.00       XXX  0                 
    93786...  ..................  N                   Ambulatory BP recording.....       0.00      0.00        0.00       0.00       XXX  0                 
    93788...  ..................  N                   Ambulatory BP analysis......       0.00      0.00        0.00       0.00       XXX  0                 
    93790...  ..................  N                   Review/report BP recording..       0.00      0.00        0.00       0.00       XXX  0                 
    93797...  ..................  A                   Cardiac rehab...............       0.18      0.30        0.02       0.50       000  N                 
    93798...  ..................  A                   Cardiac rehab/monitor.......       0.28      0.47        0.04       0.79       000  N                 
    93799...  ..................  C                   Cardiovascular procedure....       0.00      0.00        0.00       0.00       XXX  N                 
    93799...  26                  C                   Cardiovascular procedure....       0.00      0.00        0.00       0.00       XXX  N                 
    93799...  TC                  C                   Cardiovascular procedure....       0.00      0.00        0.00       0.00       XXX  N                 
    93875...  ..................  A                   Extracranial study..........       0.22     *1.36        0.18       1.76       XXX  N                 
    93875...  26                  A                   Extracranial study..........       0.22     *0.31        0.06       0.59       XXX  N                 
    93875...  TC                  A                   Extracranial study..........       0.00      1.05        0.12       1.17       XXX  N                 
    93880...  ..................  A                   Extracranial study..........       0.60      3.94        0.44       4.98       XXX  N                 
    93880...  26                  A                   Extracranial study..........       0.60      0.39        0.04       1.03       XXX  N                 
    93880...  TC                  A                   Extracranial study..........       0.00      3.55        0.40       3.95       XXX  N                 
    93882...  ..................  A                   Extracranial study..........       0.40      2.62        0.29       3.31       XXX  N                 
    93882...  26                  A                   Extracranial study..........       0.40      0.26        0.03       0.69       XXX  N                 
    93882...  TC                  A                   Extracranial study..........       0.00      2.36        0.26       2.62       XXX  N                 
    93886...  ..................  A                   Intracranial study..........       0.94      4.44        0.50       5.88       XXX  N                 
    93886...  26                  A                   Intracranial study..........       0.94      0.42        0.05       1.41       XXX  N                 
    93886...  TC                  A                   Intracranial study..........       0.00      4.02        0.45       4.47       XXX  N                 
    93888...  ..................  A                   Intracranial study..........       0.62      2.96        0.34       3.92       XXX  N                 
    93888...  26                  A                   Intracranial study..........       0.62      0.28        0.03       0.93       XXX  N                 
    93888...  TC                  A                   Intracranial study..........       0.00      2.68        0.31       2.99       XXX  N                 
    93922...  ..................  A                   Extremity study.............       0.25     *1.38        0.19       1.82       XXX  N                 
    93922...  26                  A                   Extremity study.............       0.25     *0.28        0.05       0.58       XXX  N                 
    93922...  TC                  A                   Extremity study.............       0.00      1.10        0.14       1.24       XXX  N                 
    93923...  ..................  A                   Extremity study.............       0.45     *2.59        0.35       3.39       XXX  N                 
    93923...  26                  A                   Extremity study.............       0.45     *0.51        0.09       1.05       XXX  N                 
    93923...  TC                  A                   Extremity study.............       0.00      2.08        0.26       2.34       XXX  N                 
    93924...  ..................  A                   Extremity study.............       0.50     *2.83        0.39       3.72       XXX  N                 
    93924...  26                  A                   Extremity study.............       0.50     *0.57        0.10       1.17       XXX  N                 
    93924...  TC                  A                   Extremity study.............       0.00      2.26        0.29       2.55       XXX  N                 
    93925...  ..................  A                   Lower extremity study.......       0.58      3.96        0.44       4.98       XXX  N                 
    93925...  26                  A                   Lower extremity study.......       0.58      0.39        0.04       1.01       XXX  N                 
    93925...  TC                  A                   Lower extremity study.......       0.00      3.57        0.40       3.97       XXX  N                 
    93926...  ..................  A                   Lower extremity study.......       0.39      2.64        0.30       3.33       XXX  N                 
    93926...  26                  A                   Lower extremity study.......       0.39      0.26        0.03       0.68       XXX  N                 
    93926...  TC                  A                   Lower extremity study.......       0.00      2.38        0.27       2.65       XXX  N                 
    93930...  ..................  A                   Upper extremity study.......       0.46      4.18        0.47       5.11       XXX  N                 
    93930...  26                  A                   Upper extremity study.......       0.46      0.39        0.05       0.90       XXX  N                 
    93930...  TC                  A                   Upper extremity study.......       0.00      3.79        0.42       4.21       XXX  N                 
    93931...  ..................  A                   Upper extremity study.......       0.31      2.78        0.31       3.40       XXX  N                 
    93931...  26                  A                   Upper extremity study.......       0.31      0.26        0.03       0.60       XXX  N                 
    93931...  TC                  A                   Upper extremity study.......       0.00      2.52        0.28       2.80       XXX  N                 
    93965...  ..................  A                   Extremity study.............       0.35     *1.49        0.19       2.03       XXX  N                 
    93965...  26                  A                   Extremity study.............       0.35     *0.45        0.06       0.86       XXX  N                 
    93965...  TC                  A                   Extremity study.............       0.00      1.04        0.13       1.17       XXX  N                 
    93970...  ..................  A                   Extremity study.............       0.68      4.33        0.51       5.52       XXX  N                 
    93970...  26                  A                   Extremity study.............       0.68      0.40        0.05       1.13       XXX  N                 
    93970...  TC                  A                   Extremity study.............       0.00      3.93        0.46       4.39       XXX  N                 
    93971...  ..................  A                   Extremity study.............       0.45      2.89        0.34       3.68       XXX  N                 
    93971...  26                  A                   Extremity study.............       0.45      0.27        0.03       0.75       XXX  N                 
    93971...  TC                  A                   Extremity study.............       0.00      2.62        0.31       2.93       XXX  N                 
    93975...  ..................  A                   Vascular study..............       1.80      4.90        0.55       7.25       XXX  N                 
    93975...  26                  A                   Vascular study..............       1.80      0.42        0.05       2.27       XXX  N                 
    93975...  TC                  A                   Vascular study..............       0.00      4.48        0.50       4.98       XXX  N                 
    93976...  ..................  A                   Vascular study..............       1.21      3.27        0.37       4.85       XXX  N                 
    93976...  26                  A                   Vascular study..............       1.21      0.28        0.03       1.52       XXX  N                 
    
    [[Page 63317]]
                                                                                                                                                            
    93976...  TC                  A                   Vascular study..............       0.00      2.99        0.34       3.33       XXX  N                 
    93978...  ..................  A                   Vascular study..............       0.65      4.06        0.47       5.18       XXX  N                 
    93978...  26                  A                   Vascular study..............       0.65      0.39        0.05       1.09       XXX  N                 
    93978...  TC                  A                   Vascular study..............       0.00      3.67        0.42       4.09       XXX  N                 
    93979...  ..................  A                   Vascular study..............       0.44      2.70        0.31       3.45       XXX  N                 
    93979...  26                  A                   Vascular study..............       0.44      0.26        0.03       0.73       XXX  N                 
    93979...  TC                  A                   Vascular study..............       0.00      2.44        0.28       2.72       XXX  N                 
    93980...  ..................  A                   Penile vascular study.......       1.82      4.15        0.45       6.42       XXX  N                 
    93980...  26                  A                   Penile vascular study.......       1.82      0.82        0.07       2.71       XXX  N                 
    93980...  TC                  A                   Penile vascular study.......       0.00      3.33        0.38       3.71       XXX  N                 
    93981...  ..................  A                   Penile vascular study.......       0.64      3.47        0.39       4.50       XXX  N                 
    93981...  26                  A                   Penile vascular study.......       0.64      0.40        0.03       1.07       XXX  N                 
    93981...  TC                  A                   Penile vascular study.......       0.00      3.07        0.36       3.43       XXX  N                 
    93990...  ..................  A                   Doppler flow testing........       0.25      2.57        0.29       3.11       XXX  N                 
    93990...  26                  A                   Doppler flow testing........       0.25      0.19        0.02       0.46       XXX  N                 
    93990...  TC                  A                   Doppler flow testing........       0.00      2.38        0.27       2.65       XXX  N                 
    94010...  ..................  A                   Breathing capacity test.....       0.17      0.68        0.05       0.90       XXX  N                 
    94010...  26                  A                   Breathing capacity test.....       0.17      0.28        0.02       0.47       XXX  N                 
    94010...  TC                  A                   Breathing capacity test.....       0.00      0.40        0.03       0.43       XXX  N                 
    94060...  ..................  A                   Evaluation of wheezing......       0.31      1.27        0.09       1.67       XXX  N                 
    94060...  26                  A                   Evaluation of wheezing......       0.31      0.38        0.03       0.72       XXX  N                 
    94060...  TC                  A                   Evaluation of wheezing......       0.00      0.89        0.06       0.95       XXX  N                 
    94070...  ..................  A                   Evaluation of wheezing......       0.60      1.77        0.13       2.50       XXX  N                 
    94070...  26                  A                   Evaluation of wheezing......       0.60      0.38        0.03       1.01       XXX  N                 
    94070...  TC                  A                   Evaluation of wheezing......       0.00      1.39        0.10       1.49       XXX  N                 
    94150...  ..................  A                   Vital capacity test.........       0.11      0.20        0.02       0.33       XXX  N                 
    94150...  26                  A                   Vital capacity test.........       0.11      0.12        0.01       0.24       XXX  N                 
    94150...  TC                  A                   Vital capacity test.........       0.00      0.08        0.01       0.09       XXX  N                 
    94160...  ..................  A                   Vital capacity screening....       0.18      0.37        0.02       0.57       XXX  N                 
    94160...  26                  A                   Vital capacity screening....       0.18      0.19        0.01       0.38       XXX  N                 
    94160...  TC                  A                   Vital capacity screening....       0.00      0.18        0.01       0.19       XXX  N                 
    94200...  ..................  A                   Lung function test (MBC/MVV)       0.11     *0.38        0.03       0.52       XXX  N                 
    94200...  26                  A                   Lung function test (MBC/MVV)       0.11     *0.14        0.01       0.26       XXX  N                 
    94200...  TC                  A                   Lung function test (MBC/MVV)       0.00      0.24        0.02       0.26       XXX  N                 
    94240...  ..................  A                   Residual lung capacity......       0.26      0.88        0.07       1.21       XXX  N                 
    94240...  26                  A                   Residual lung capacity......       0.26      0.23        0.02       0.51       XXX  N                 
    94240...  TC                  A                   Residual lung capacity......       0.00      0.65        0.05       0.70       XXX  N                 
    94250...  ..................  A                   Expired gas collection......       0.11     *0.27        0.02       0.40       XXX  N                 
    94250...  26                  A                   Expired gas collection......       0.11     *0.14        0.01       0.26       XXX  N                 
    94250...  TC                  A                   Expired gas collection......       0.00      0.13        0.01       0.14       XXX  N                 
    94260...  ..................  A                   Thoracic gas volume.........       0.13     *0.69        0.06       0.88       XXX  N                 
    94260...  26                  A                   Thoracic gas volume.........       0.13     *0.17        0.02       0.32       XXX  N                 
    94260...  TC                  A                   Thoracic gas volume.........       0.00      0.52        0.04       0.56       XXX  N                 
    94350...  ..................  A                   Lung nitrogen washout curve.       0.26      0.73        0.05       1.04       XXX  N                 
    94350...  26                  A                   Lung nitrogen washout curve.       0.26      0.21        0.01       0.48       XXX  N                 
    94350...  TC                  A                   Lung nitrogen washout curve.       0.00      0.52        0.04       0.56       XXX  N                 
    94360...  ..................  A                   Measure airflow resistance..       0.26      1.11        0.07       1.44       XXX  N                 
    94360...  26                  A                   Measure airflow resistance..       0.26      0.19        0.01       0.46       XXX  N                 
    94360...  TC                  A                   Measure airflow resistance..       0.00      0.92        0.06       0.98       XXX  N                 
    94370...  ..................  A                   Breath airway closing volume       0.26      0.40        0.03       0.69       XXX  N                 
    94370...  26                  A                   Breath airway closing volume       0.26      0.14        0.01       0.41       XXX  N                 
    94370...  TC                  A                   Breath airway closing volume       0.00      0.26        0.02       0.28       XXX  N                 
    94375...  ..................  A                   Respiratory flow volume loop       0.31      0.67        0.04       1.02       XXX  N                 
    94375...  26                  A                   Respiratory flow volume loop       0.31      0.21        0.01       0.53       XXX  N                 
    94375...  TC                  A                   Respiratory flow volume loop       0.00      0.46        0.03       0.49       XXX  N                 
    94400...  ..................  A                   CO2 breathing response curve       0.40      0.77        0.19       1.36       XXX  N                 
    94400...  26                  A                   CO2 breathing response curve       0.40      0.47        0.13       1.00       XXX  N                 
    94400...  TC                  A                   CO2 breathing response curve       0.00      0.30        0.06       0.36       XXX  N                 
    94450...  ..................  A                   Hypoxia response curve......       0.40      0.61        0.05       1.06       XXX  N                 
    94450...  26                  A                   Hypoxia response curve......       0.40      0.24        0.02       0.66       XXX  N                 
    94450...  TC                  A                   Hypoxia response curve......       0.00      0.37        0.03       0.40       XXX  N                 
    94620...  ..................  A                   Pulmonary stress testing....       0.88      2.05        0.15       3.08       XXX  N                 
    94620...  26                  A                   Pulmonary stress testing....       0.88      0.70        0.05       1.63       XXX  N                 
    94620...  TC                  A                   Pulmonary stress testing....       0.00      1.35        0.10       1.45       XXX  N                 
    94640...  ..................  A                   Airway inhalation treatment.       0.00      0.39        0.03       0.42       XXX  N                 
    94642...  ..................  C                   Aerosol inhalation treatment       0.00      0.00        0.00       0.00       XXX  N                 
    
    [[Page 63318]]
                                                                                                                                                            
    94650...  ..................  A                   Pressure breathing (IPPB)...       0.00      0.37        0.03       0.40       XXX  N                 
    94651...  ..................  A                   Pressure breathing (IPPB)...       0.00      0.36        0.03       0.39       XXX  N                 
    94652...  ..................  A                   Pressure breathing (IPPB)...       0.00      0.41        0.08       0.49       XXX  N                 
    94656...  ..................  A                   Initial ventilator mgmt.....       1.22      1.13        0.12       2.47       XXX  N                 
    94657...  ..................  A                   Cont. ventilator............       0.83      0.62        0.05       1.50       XXX  N                 
    94660...  ..................  A                   Pos airway pressure, CPAP...       0.76      0.71        0.06       1.53       XXX  N                 
    94662...  ..................  A                   Neg pressure ventilation,          0.76      0.30        0.02       1.08       XXX  N                 
                                                       cnp.                                                                                                 
    94664...  ..................  A                   Aerosol or vapor inhalations       0.00      0.50        0.04       0.54       XXX  N                 
    94665...  ..................  A                   Aerosol or vapor inhalations       0.00      0.46        0.05       0.51       XXX  N                 
    94667...  ..................  A                   Chest wall manipulation.....       0.00      0.55        0.05       0.60       XXX  N                 
    94668...  ..................  A                   Chest wall manipulation.....       0.00      0.34        0.03       0.37       XXX  N                 
    94680...  ..................  A                   Exhaled air analysis: O2....       0.26      0.82        0.10       1.18       XXX  N                 
    94680...  26                  A                   Exhaled air analysis: O2....       0.26      0.33        0.03       0.62       XXX  N                 
    94680...  TC                  A                   Exhaled air analysis: O2....       0.00      0.49        0.07       0.56       XXX  N                 
    94681...  ..................  A                   Exhaled air analysis: O2,          0.20     *1.58        0.17       1.95       XXX  N                 
                                                       CO2.                                                                                                 
    94681...  26                  A                   Exhaled air analysis: O2,          0.20     *0.26        0.04       0.50       XXX  N                 
                                                       CO2.                                                                                                 
    94681...  TC                  A                   Exhaled air analysis: O2,          0.00      1.32        0.13       1.45       XXX  N                 
                                                       CO2.                                                                                                 
    94690...  ..................  A                   Exhaled air analysis........       0.07      0.56        0.04       0.67       XXX  N                 
    94690...  26                  A                   Exhaled air analysis........       0.07      0.05        0.00       0.12       XXX  N                 
    94690...  TC                  A                   Exhaled air analysis........       0.00      0.51        0.04       0.55       XXX  N                 
    94720...  ..................  A                   Monoxide diffusing capacity.       0.26      1.03        0.08       1.37       XXX  N                 
    94720...  26                  A                   Monoxide diffusing capacity.       0.26      0.23        0.02       0.51       XXX  N                 
    94720...  TC                  A                   Monoxide diffusing capacity.       0.00      0.80        0.06       0.86       XXX  N                 
    94725...  ..................  A                   Membrane diffusion capacity.       0.26      1.84        0.14       2.24       XXX  N                 
    94725...  26                  A                   Membrane diffusion capacity.       0.26      0.18        0.01       0.45       XXX  N                 
    94725...  TC                  A                   Membrane diffusion capacity.       0.00      1.66        0.13       1.79       XXX  N                 
    94750...  ..................  A                   Pulmonary compliance study..       0.23      0.83        0.06       1.12       XXX  N                 
    94750...  26                  A                   Pulmonary compliance study..       0.23      0.28        0.02       0.53       XXX  N                 
    94750...  TC                  A                   Pulmonary compliance study..       0.00      0.55        0.04       0.59       XXX  N                 
    94760...  ..................  A                   Measure blood oxygen level..       0.00      0.25        0.02       0.27       XXX  N                 
    94761...  ..................  A                   Measure blood oxygen level..       0.00      0.64        0.06       0.70       XXX  N                 
    94762...  ..................  A                   Measure blood oxygen level..       0.00      1.08        0.10       1.18       XXX  N                 
    94770...  ..................  A                   Exhaled carbon dioxide test.       0.20      0.40        0.11       0.71       XXX  N                 
    94770...  26                  A                   Exhaled carbon dioxide test.       0.20      0.11        0.03       0.34       XXX  N                 
    94770...  TC                  A                   Exhaled carbon dioxide test.       0.00      0.29        0.08       0.37       XXX  N                 
    94772...  ..................  C                   Breath recording, infant....       0.00      0.00        0.00       0.00       XXX  N                 
    94772...  26                  C                   Breath recording, infant....       0.00      0.00        0.00       0.00       XXX  N                 
    94772...  TC                  C                   Breath recording, infant....       0.00      0.00        0.00       0.00       XXX  N                 
    94799...  ..................  C                   Pulmonary service/procedure.       0.00      0.00        0.00       0.00       XXX  N                 
    94799...  26                  C                   Pulmonary service/procedure.       0.00      0.00        0.00       0.00       XXX  N                 
    94799...  TC                  C                   Pulmonary service/procedure.       0.00      0.00        0.00       0.00       XXX  N                 
    95004...  ..................  A                   Allergy skin tests..........       0.00      0.09        0.01       0.10       XXX  N                 
    95010...  ..................  A                   Sensitivity skin tests......       0.15      0.11        0.01       0.27       XXX  N                 
    95015...  ..................  A                   Sensitivity skin tests......       0.15      0.11        0.01       0.27       XXX  N                 
    95024...  ..................  A                   Allergy skin tests..........       0.00      0.14        0.01       0.15       XXX  N                 
    95027...  ..................  A                   Skin end point titration....       0.00      0.14        0.01       0.15       XXX  N                 
    95028...  ..................  A                   Allergy skin tests..........       0.00      0.22        0.01       0.23       XXX  N                 
    95044...  ..................  A                   Allergy patch tests.........       0.00      0.19        0.01       0.20       XXX  N                 
    95052...  ..................  A                   Photo patch test............       0.00      0.24        0.01       0.25       XXX  N                 
    95056...  ..................  A                   Photosensitivity tests......       0.00      0.17        0.01       0.18       XXX  N                 
    95060...  ..................  A                   Eye allergy tests...........       0.00      0.33        0.02       0.35       XXX  N                 
    95065...  ..................  A                   Nose allergy test...........       0.00      0.19        0.01       0.20       XXX  N                 
    95070...  ..................  A                   Bronchial allergy tests.....       0.00      2.17        0.02       2.19       XXX  N                 
    95071...  ..................  A                   Bronchial allergy tests.....       0.00      2.78        0.02       2.80       XXX  N                 
    95075...  ..................  A                   Ingestion challenge test....       0.95      1.97        0.02       2.94       XXX  N                 
    95078...  ..................  A                   Provocative testing.........       0.00      0.24        0.02       0.26       XXX  N                 
    95115...  ..................  A                   Immunotherapy, one injection       0.00      0.37        0.02       0.39       000  N                 
    95117...  ..................  A                   Immunotherapy injections....       0.00      0.48        0.02       0.50       000  N                 
    95120...  ..................  G                   Immunotherapy, one injection       0.00      0.00        0.00       0.00       XXX  0                 
    95125...  ..................  G                   Immunotherapy, many antigens       0.00      0.00        0.00       0.00       XXX  0                 
    95130...  ..................  G                   Immunotherapy, insect venom.       0.00      0.00        0.00       0.00       XXX  0                 
    95131...  ..................  G                   Immunotherapy, insect venoms       0.00      0.00        0.00       0.00       XXX  0                 
    95132...  ..................  G                   Immunotherapy, insect venoms       0.00      0.00        0.00       0.00       XXX  0                 
    95133...  ..................  G                   Immunotherapy, insect venoms       0.00      0.00        0.00       0.00       XXX  0                 
    95134...  ..................  G                   Immunotherapy, insect venoms       0.00      0.00        0.00       0.00       XXX  0                 
    95144...  ..................  A                   Antigen therapy services....       0.06      0.13        0.01       0.20       000  N                 
    
    [[Page 63319]]
                                                                                                                                                            
    95145...  ..................  A                   Antigen therapy services....       0.06      0.34        0.03       0.43       000  N                 
    95146...  ..................  A                   Antigen therapy services....       0.06      0.61        0.03       0.70       000  N                 
    95147...  ..................  A                   Antigen therapy services....       0.06      0.91        0.03       1.00       000  N                 
    95148...  ..................  A                   Antigen therapy services....       0.06      0.91        0.03       1.00       000  N                 
    95149...  ..................  A                   Antigen therapy services....       0.06      1.14        0.03       1.23       000  N                 
    95165...  ..................  A                   Antigen therapy services....       0.06      0.10        0.01       0.17       000  N                 
    95170...  ..................  A                   Antigen therapy services....       0.06      0.35        0.03       0.44       000  N                 
    95180...  ..................  A                   Rapid desensitization.......       2.01      0.14        0.01       2.16       000  N                 
    95199...  ..................  C                   Allergy immunology services.       0.00      0.00        0.00       0.00       000  N                 
    95805...  ..................  A                   Multiple sleep latency test.       1.88      5.51        0.45       7.84       XXX  N                 
    95805...  26                  A                   Multiple sleep latency test.       1.88      0.56        0.07       2.51       XXX  N                 
    95805...  TC                  A                   Multiple sleep latency test.       0.00      4.95        0.38       5.33       XXX  N                 
    95807...  ..................  A                   Sleep study.................       1.66      8.75        0.67      11.08       XXX  N                 
    95807...  26                  A                   Sleep study.................       1.66      2.45        0.19       4.30       XXX  N                 
    95807...  TC                  A                   Sleep study.................       0.00      6.30        0.48       6.78       XXX  N                 
    95808...  ..................  A                   Polysomnography, 1-3........       2.65      8.75        0.67      12.07       XXX  N                 
    95808...  26                  A                   Polysomnography, 1-3........       2.65      2.45        0.19       5.29       XXX  N                 
    95808...  TC                  A                   Polysomnography, 1-3........       0.00      6.30        0.48       6.78       XXX  N                 
    95810...  ..................  A                   Polysomnography, 4 or more..       3.53      8.75        0.67      12.95       XXX  N                 
    95810...  26                  A                   Polysomnography, 4 or more..       3.53      2.45        0.19       6.17       XXX  N                 
    95810...  TC                  A                   Polysomnography, 4 or more..       0.00      6.30        0.48       6.78       XXX  N                 
    95812...  ..................  A                   Electroencephalogram (EEG)..       1.08      1.85        0.15       3.08       XXX  N                 
    95812...  26                  A                   Electroencephalogram (EEG)..       1.08      0.50        0.04       1.62       XXX  N                 
    95812...  TC                  A                   Electroencephalogram (EEG)..       0.00      1.35        0.11       1.46       XXX  N                 
    95813...  ..................  A                   Electroencephalogram (EEG)..       1.73      1.85        0.15       3.73       XXX  N                 
    95813...  26                  A                   Electroencephalogram (EEG)..       1.73      0.50        0.04       2.27       XXX  N                 
    95813...  TC                  A                   Electroencephalogram (EEG)..       0.00      1.35        0.11       1.46       XXX  N                 
    95816...  ..................  A                   Electroencephalogram (EEG)..       1.08      1.54        0.13       2.75       XXX  N                 
    95816...  26                  A                   Electroencephalogram (EEG)..       1.08      0.28        0.03       1.39       XXX  N                 
    95816...  TC                  A                   Electroencephalogram (EEG)..       0.00      1.26        0.10       1.36       XXX  N                 
    95819...  ..................  A                   Electroencephalogram (EEG)..       1.08      1.80        0.14       3.02       XXX  N                 
    95819...  26                  A                   Electroencephalogram (EEG)..       1.08      0.50        0.04       1.62       XXX  N                 
    95819...  TC                  A                   Electroencephalogram (EEG)..       0.00      1.30        0.10       1.40       XXX  N                 
    95822...  ..................  A                   Sleep electroencephalogram..       1.08      2.28        0.18       3.54       XXX  N                 
    95822...  26                  A                   Sleep electroencephalogram..       1.08      0.56        0.04       1.68       XXX  N                 
    95822...  TC                  A                   Sleep electroencephalogram..       0.00      1.72        0.14       1.86       XXX  N                 
    95824...  ..................  A                   Electroencephalography......       0.74      0.98        0.07       1.79       XXX  N                 
    95824...  26                  A                   Electroencephalography......       0.74      0.58        0.04       1.36       XXX  N                 
    95824...  TC                  A                   Electroencephalography......       0.00      0.40        0.03       0.43       XXX  N                 
    95827...  ..................  A                   Night electroencephalogram..       1.08      3.06        0.24       4.38       XXX  N                 
    95827...  26                  A                   Night electroencephalogram..       1.08      0.88        0.07       2.03       XXX  N                 
    95827...  TC                  A                   Night electroencephalogram..       0.00      2.18        0.17       2.35       XXX  N                 
    95829...  ..................  A                   Surgery electrocorticogram..       6.21      0.59        0.05       6.85       XXX  N                 
    95829...  26                  A                   Surgery electrocorticogram..       6.21      0.45        0.03       6.69       XXX  N                 
    95829...  TC                  A                   Surgery electrocorticogram..       0.00      0.14        0.02       0.16       XXX  N                 
    95830...  ..................  A                   Insert electrodes for EEG...       1.70      0.78        0.07       2.55       XXX  N                 
    95831...  ..................  A                   Limb muscle testing, manual.       0.28      0.29        0.03       0.60       XXX  N                 
    95832...  ..................  A                   Hand muscle testing, manual.       0.29      0.25        0.02       0.56       XXX  N                 
    95833...  ..................  A                   Body muscle testing, manual.       0.47      0.38        0.05       0.90       XXX  N                 
    95834...  ..................  A                   Body muscle testing, manual.       0.60      0.61        0.06       1.27       XXX  N                 
    95851...  ..................  A                   Range of motion measurements       0.28      0.24        0.02       0.54       XXX  N                 
    95852...  ..................  A                   Range of motion measurements       0.19      0.15        0.02       0.36       XXX  N                 
    95857...  ..................  A                   Tensilon test...............       0.53      0.50        0.04       1.07       XXX  N                 
    95858...  ..................  A                   Tensilon test & myogram.....       1.56      1.02        0.09       2.67       XXX  N                 
    95858...  26                  A                   Tensilon test & myogram.....       1.56      0.64        0.05       2.25       XXX  N                 
    95858...  TC                  A                   Tensilon test & myogram.....       0.00      0.38        0.04       0.42       XXX  N                 
    95860...  ..................  A                   Muscle test, one limb.......       0.96      1.09        0.09       2.14       XXX  N                 
    95860...  26                  A                   Muscle test, one limb.......       0.96      0.73        0.06       1.75       XXX  N                 
    95860...  TC                  A                   Muscle test, one limb.......       0.00      0.36        0.03       0.39       XXX  N                 
    95861...  ..................  A                   Muscle test, two limbs......       1.54      1.97        0.16       3.67       XXX  N                 
    95861...  26                  A                   Muscle test, two limbs......       1.54      1.27        0.10       2.91       XXX  N                 
    95861...  TC                  A                   Muscle test, two limbs......       0.00      0.70        0.06       0.76       XXX  N                 
    95863...  ..................  A                   Muscle test, 3 limbs........       1.87      2.30        0.18       4.35       XXX  N                 
    95863...  26                  A                   Muscle test, 3 limbs........       1.87      1.41        0.11       3.39       XXX  N                 
    95863...  TC                  A                   Muscle test, 3 limbs........       0.00      0.89        0.07       0.96       XXX  N                 
    95864...  ..................  A                   Muscle test, 4 limbs........       1.99      3.45        0.27       5.71       XXX  N                 
    
    [[Page 63320]]
                                                                                                                                                            
    95864...  26                  A                   Muscle test, 4 limbs........       1.99      1.75        0.14       3.88       XXX  N                 
    95864...  TC                  A                   Muscle test, 4 limbs........       0.00      1.70        0.13       1.83       XXX  N                 
    95867...  ..................  A                   Muscle test, head or neck...       0.62      1.13        0.09       1.84       XXX  N                 
    95867...  26                  A                   Muscle test, head or neck...       0.62      0.58        0.05       1.25       XXX  N                 
    95867...  TC                  A                   Muscle test, head or neck...       0.00      0.55        0.04       0.59       XXX  N                 
    95868...  ..................  A                   Muscle test, head or neck...       1.50      1.92        0.15       3.57       XXX  N                 
    95868...  26                  A                   Muscle test, head or neck...       1.50      1.26        0.10       2.86       XXX  N                 
    95868...  TC                  A                   Muscle test, head or neck...       0.00      0.66        0.05       0.71       XXX  N                 
    95869...  ..................  A                   Muscle test, limited........       0.37      0.53        0.05       0.95       XXX  N                 
    95869...  26                  A                   Muscle test, limited........       0.37      0.33        0.03       0.73       XXX  N                 
    95869...  TC                  A                   Muscle test, limited........       0.00      0.20        0.02       0.22       XXX  N                 
    95872...  ..................  A                   Muscle test, one fiber......       1.50      1.25        0.11       2.86       XXX  N                 
    95872...  26                  A                   Muscle test, one fiber......       1.50      0.68        0.06       2.24       XXX  N                 
    95872...  TC                  A                   Muscle test, one fiber......       0.00      0.57        0.05       0.62       XXX  N                 
    95875...  ..................  A                   Limb exercise test..........       1.34      0.60        0.10       2.04       XXX  N                 
    95875...  26                  A                   Limb exercise test..........       1.34      0.22        0.04       1.60       XXX  N                 
    95875...  TC                  A                   Limb exercise test..........       0.00      0.38        0.06       0.44       XXX  N                 
    95880...  ..................  D                   Cerebral aphasia testing....       0.00      0.00        0.00       0.00       XXX  N                 
    95881...  ..................  D                   Cerebral developmental test.       0.00      0.00        0.00       0.00       XXX  N                 
    95882...  ..................  D                   Cognitive function testing..       0.00      0.00        0.00       0.00       XXX  N                 
    95883...  ..................  D                   Neuropsychological testing..       0.00      0.00        0.00       0.00       XXX  N                 
    95900...  ..................  A                   Motor nerve conduction test.       0.42      0.62        0.05       1.09       XXX  N                 
    95900...  26                  A                   Motor nerve conduction test.       0.42      0.35        0.03       0.80       XXX  N                 
    95900...  TC                  A                   Motor nerve conduction test.       0.00      0.27        0.02       0.29       XXX  N                 
    95903...  ..................  A                   Motor nerve conduction test.       0.60      0.59        0.05       1.24       XXX  N                 
    95903...  26                  A                   Motor nerve conduction test.       0.60      0.35        0.03       0.98       XXX  N                 
    95903...  TC                  A                   Motor nerve conduction test.       0.00      0.24        0.02       0.26       XXX  N                 
    95904...  ..................  A                   Sense nerve conduction test.       0.34      0.55        0.05       0.94       XXX  N                 
    95904...  26                  A                   Sense nerve conduction test.       0.34      0.34        0.03       0.71       XXX  N                 
    95904...  TC                  A                   Sense nerve conduction test.       0.00      0.21        0.02       0.23       XXX  N                 
    95920...  ..................  A                   Intraoperative nerve testing       2.11      2.67        0.20       4.98       XXX  N                 
    95920...  26                  A                   Intraoperative nerve testing       2.11      1.43        0.12       3.66       XXX  N                 
    95920...  TC                  A                   Intraoperative nerve testing       0.00      1.24        0.08       1.32       XXX  N                 
    95925...  ..................  A                   Somatosensory testing.......       0.54      1.51        0.12       2.17       XXX  N                 
    95925...  26                  A                   Somatosensory testing.......       0.54      0.64        0.05       1.23       XXX  N                 
    95925...  TC                  A                   Somatosensory testing.......       0.00      0.87        0.07       0.94       XXX  N                 
    95926...  ..................  A                   Somatosensory testing.......       0.54      1.51        0.12       2.17       XXX  N                 
    95926...  26                  A                   Somatosensory testing.......       0.54      0.64        0.05       1.23       XXX  N                 
    95926...  TC                  A                   Somatosensory testing.......       0.00      0.87        0.07       0.94       XXX  N                 
    95927...  ..................  A                   Somatosensory testing.......       0.54      1.51        0.12       2.17       XXX  N                 
    95927...  26                  A                   Somatosensory testing.......       0.54      0.64        0.05       1.23       XXX  N                 
    95927...  TC                  A                   Somatosensory testing.......       0.00      0.87        0.07       0.94       XXX  N                 
    95930...  ..................  A                   Visual evoked potential test       0.35      0.83        0.05       1.23       XXX  N                 
    95930...  26                  A                   Visual evoked potential test       0.35      0.58        0.04       0.97       XXX  N                 
    95930...  TC                  A                   Visual evoked potential test       0.00      0.25        0.01       0.26       XXX  N                 
    95933...  ..................  A                   Blink reflex test...........       0.59      1.25        0.10       1.94       XXX  N                 
    95933...  26                  A                   Blink reflex test...........       0.59      0.50        0.04       1.13       XXX  N                 
    95933...  TC                  A                   Blink reflex test...........       0.00      0.75        0.06       0.81       XXX  N                 
    95934...  ..................  A                   `H' reflex test.............       0.51      0.54        0.05       1.10       XXX  N                 
    95934...  26                  A                   `H' reflex test.............       0.51      0.34        0.03       0.88       XXX  N                 
    95934...  TC                  A                   `H' reflex test.............       0.00      0.20        0.02       0.22       XXX  N                 
    95935...  ..................  D                   `H' or `F' reflex study.....       0.00      0.00        0.00       0.00       XXX  N                 
    95935...  26                  D                   `H' or `F' reflex study.....       0.00      0.00        0.00       0.00       XXX  N                 
    95935...  TC                  D                   `H' or `F' reflex study.....       0.00      0.00        0.00       0.00       XXX  N                 
    95936...  ..................  A                   `H' reflex test.............       0.55      0.54        0.05       1.14       XXX  N                 
    95936...  26                  A                   `H' reflex test.............       0.55      0.34        0.03       0.92       XXX  N                 
    95936...  TC                  A                   `H' reflex test.............       0.00      0.20        0.02       0.22       XXX  N                 
    95937...  ..................  A                   Neuromuscular junction test.       0.60      0.77        0.07       1.44       XXX  N                 
    95937...  26                  A                   Neuromuscular junction test.       0.60      0.45        0.04       1.09       XXX  N                 
    95937...  TC                  A                   Neuromuscular junction test.       0.00      0.32        0.03       0.35       XXX  N                 
    95950...  ..................  A                   Ambulatory eeg monitoring...       1.51      7.25        0.60       9.36       XXX  N                 
    95950...  26                  A                   Ambulatory eeg monitoring...       1.51      1.21        0.10       2.82       XXX  N                 
    95950...  TC                  A                   Ambulatory eeg monitoring...       0.00      6.04        0.50       6.54       XXX  N                 
    95951...  ..................  A                   EEG monitoring/videorecord..       3.80      8.83        0.64      13.27       XXX  N                 
    95951...  26                  A                   EEG monitoring/videorecord..       3.80      1.50        0.11       5.41       XXX  N                 
    95951...  TC                  A                   EEG monitoring/videorecord..       0.00      7.33        0.53       7.86       XXX  N                 
    
    [[Page 63321]]
                                                                                                                                                            
    95953...  ..................  A                   EEG monitoring/computer.....       3.08      7.25        0.60      10.93       XXX  N                 
    95953...  26                  A                   EEG monitoring/computer.....       3.08      1.21        0.10       4.39       XXX  N                 
    95953...  TC                  A                   EEG monitoring/computer.....       0.00      6.04        0.50       6.54       XXX  N                 
    95954...  ..................  A                   EEG monitoring/giving drugs.       2.45      2.32        0.28       5.05       XXX  N                 
    95954...  26                  A                   EEG monitoring/giving drugs.       2.45      1.87        0.22       4.54       XXX  N                 
    95954...  TC                  A                   EEG monitoring/giving drugs.       0.00      0.45        0.06       0.51       XXX  N                 
    95955...  ..................  A                   EEG during surgery..........       1.01      2.90        0.30       4.21       XXX  N                 
    95955...  26                  A                   EEG during surgery..........       1.01      1.03        0.11       2.15       XXX  N                 
    95955...  TC                  A                   EEG during surgery..........       0.00      1.87        0.19       2.06       XXX  N                 
    95956...  ..................  A                   EEG monitoring/cable/radio..       3.08      7.54        0.61      11.23       XXX  N                 
    95956...  26                  A                   EEG monitoring/cable/radio..       3.08      1.50        0.11       4.69       XXX  N                 
    95956...  TC                  A                   EEG monitoring/cable/radio..       0.00      6.04        0.50       6.54       XXX  N                 
    95957...  ..................  A                   EEG digital analysis........       1.98      2.25        0.18       4.41       XXX  N                 
    95957...  26                  A                   EEG digital analysis........       1.98      0.63        0.05       2.66       XXX  N                 
    95957...  TC                  A                   EEG digital analysis........       0.00      1.62        0.13       1.75       XXX  N                 
    95958...  ..................  A                   EEG monitoring/function test       4.25      4.89        0.52       9.66       XXX  N                 
    95958...  26                  A                   EEG monitoring/function test       4.25      3.23        0.38       7.86       XXX  N                 
    95958...  TC                  A                   EEG monitoring/function test       0.00      1.66        0.14       1.80       XXX  N                 
    95961...  ..................  A                   Electrode stimulation, brain       2.97      2.67        0.20       5.84       XXX  N                 
    95961...  26                  A                   Electrode stimulation, brain       2.97      1.43        0.12       4.52       XXX  N                 
    95961...  TC                  A                   Electrode stimulation, brain       0.00      1.24        0.08       1.32       XXX  N                 
    95962...  ..................  A                   Electrode stimulation, brain       3.21      2.67        0.20       6.08       XXX  N                 
    95962...  26                  A                   Electrode stimulation, brain       3.21      1.43        0.12       4.76       XXX  N                 
    95962...  TC                  A                   Electrode stimulation, brain       0.00      1.24        0.08       1.32       XXX  N                 
    95999...  ..................  C                   Neurological procedure......       0.00      0.00        0.00       0.00       XXX  N                 
    96100...  ..................  A                   Psychological testing.......       0.00      1.68        0.20       1.88       XXX  N                 
    96105...  ..................  A                   Assessment of aphasia.......       0.00      1.68        0.20       1.88       XXX  N                 
    96110...  ..................  C                   Developmental test, lim.....       0.00      0.00        0.00       0.00       XXX  N                 
    96111...  ..................  A                   Developmental test, extend..       0.00      1.68        0.20       1.88       XXX  N                 
    96115...  ..................  A                   Neurobehavior status exam...       0.00      1.68        0.20       1.88       XXX  N                 
    96117...  ..................  A                   Neuropsych test battery.....       0.00      1.68        0.20       1.88       XXX  N                 
    96400...  ..................  A                   Chemotherapy, (SC)/(IM).....       0.00      0.13        0.01       0.14       XXX  N                 
    96405...  ..................  A                   Intralesional chemo admin...       0.52      0.38        0.03       0.93       000  S                 
    96406...  ..................  A                   Intralesional chemo admin...       0.80      0.56        0.04       1.40       000  S                 
    96408...  ..................  A                   Chemotherapy, push technique       0.00      0.92        0.06       0.98       XXX  N                 
    96410...  ..................  A                   Chemotherapy, infusion             0.00      1.47        0.09       1.56       XXX  N                 
                                                       method.                                                                                              
    96412...  ..................  A                   Chemotherapy, infusion             0.00      1.10        0.08       1.18       XXX  N                 
                                                       method.                                                                                              
    96414...  ..................  A                   Chemotherapy, infusion             0.00      1.27        0.09       1.36       XXX  N                 
                                                       method.                                                                                              
    96420...  ..................  A                   Chemotherapy, push technique       0.00      1.19        0.09       1.28       XXX  N                 
    96422...  ..................  A                   Chemotherapy, infusion             0.00      1.17        0.09       1.26       XXX  N                 
                                                       method.                                                                                              
    96423...  ..................  A                   Chemotherapy, infusion             0.00      0.46        0.03       0.49       XXX  N                 
                                                       method.                                                                                              
    96425...  ..................  A                   Chemotherapy, infusion             0.00      1.36        0.09       1.45       XXX  N                 
                                                       method.                                                                                              
    96440...  ..................  A                   Chemotherapy, intracavitary.       2.37      0.81        0.06       3.24       000  N                 
    96445...  ..................  A                   Chemotherapy, intracavitary.       2.20      0.98        0.09       3.27       000  N                 
    96450...  ..................  A                   Chemotherapy, into CNS......       1.89      0.87        0.06       2.82       000  N                 
    96520...  ..................  A                   Pump refilling, maintenance.       0.00      0.85        0.06       0.91       XXX  N                 
    96530...  ..................  A                   Pump refilling, maintenance.       0.00      1.01        0.07       1.08       XXX  N                 
    96542...  ..................  A                   Chemotherapy injection......       1.42      1.09        0.13       2.64       XXX  N                 
    96545...  ..................  B                   Provide chemotherapy agent..       0.00      0.00        0.00       0.00       XXX  0                 
    96549...  ..................  C                   Chemotherapy, unspecified...       0.00      0.00        0.00       0.00       XXX  N                 
    96900...  ..................  A                   Ultraviolet light therapy...       0.00      0.38        0.03       0.41       XXX  N                 
    96910...  ..................  A                   Photochemotherapy with UV-B.       0.00      0.55        0.04       0.59       XXX  N                 
    96912...  ..................  A                   Photochemotherapy with UV-A.       0.00      0.63        0.05       0.68       XXX  N                 
    96913...  ..................  A                   Photochemotherapy, UV-A or B       0.00      1.29        0.10       1.39       XXX  N                 
    96999...  ..................  C                   Dermatological procedure....       0.00      0.00        0.00       0.00       XXX  N                 
    97010...  ..................  A                   Hot or cold packs therapy...       0.11      0.21        0.02       0.34       XXX  N                 
    97012...  ..................  A                   Mechanical traction therapy.       0.25      0.19        0.02       0.46       XXX  N                 
    97014...  ..................  A                   Electric stimulation therapy       0.18      0.20        0.02       0.40       XXX  N                 
    97016...  ..................  A                   Vasopneumatic device therapy       0.18      0.25        0.02       0.45       XXX  N                 
    97018...  ..................  A                   Paraffin bath therapy.......       0.11      0.24        0.03       0.38       XXX  N                 
    97020...  ..................  A                   Microwave therapy...........       0.11      0.20        0.02       0.33       XXX  N                 
    97022...  ..................  A                   Whirlpool therapy...........       0.25      0.19        0.02       0.46       XXX  N                 
    97024...  ..................  A                   Diathermy treatment.........       0.11      0.21        0.02       0.34       XXX  N                 
    97026...  ..................  A                   Infrared therapy............       0.11      0.19        0.02       0.32       XXX  N                 
    97028...  ..................  A                   Ultraviolet therapy.........       0.20      0.19        0.01       0.40       XXX  N                 
    97032...  ..................  A                   Electrical stimulation......       0.25      0.14        0.01       0.40       XXX  N                 
    
    [[Page 63322]]
                                                                                                                                                            
    97033...  ..................  A                   Electric current therapy....       0.26      0.14        0.02       0.42       XXX  N                 
    97034...  ..................  A                   Contrast bath therapy.......       0.21      0.10        0.01       0.32       XXX  N                 
    97035...  ..................  A                   Ultrasound therapy..........       0.21      0.11        0.01       0.33       XXX  N                 
    97036...  ..................  A                   Hydrotherapy................       0.38      0.21        0.02       0.61       XXX  N                 
    97039...  ..................  A                   Physical therapy treatment..       0.29      0.24        0.03       0.56       XXX  N                 
    97110...  ..................  A                   Therapeutic exercises.......       0.45      0.13        0.02       0.60       XXX  N                 
    97112...  ..................  A                   Neuromuscular reeducation...       0.45      0.13        0.01       0.59       XXX  N                 
    97113...  ..................  A                   Aquatic therapy/exercises...       0.44      0.20        0.02       0.66       XXX  N                 
    97116...  ..................  A                   Gait training therapy.......       0.40      0.11        0.01       0.52       XXX  N                 
    97122...  ..................  A                   Manual traction therapy.....       0.45      0.11        0.01       0.57       XXX  N                 
    97124...  ..................  A                   Massage therapy.............       0.35      0.11        0.01       0.47       XXX  N                 
    97139...  ..................  A                   Physical medicine procedure.       0.21      0.16        0.02       0.39       XXX  N                 
    97150...  ..................  A                   Group therapeutic procedures       0.27      0.20        0.02       0.49       XXX  N                 
    97250...  ..................  A                   Myofascial release..........       0.45      0.35        0.04       0.84       000  N                 
    97260...  ..................  A                   Regional manipulation.......       0.19      0.20        0.02       0.41       000  N                 
    97261...  ..................  A                   Supplemental manipulations..       0.12      0.11        0.01       0.24       000  N                 
    97265...  ..................  A                   Joint mobilization..........       0.45      0.35        0.04       0.84       XXX  N                 
    97500...  ..................  A                   Orthotics training..........       0.31      0.27        0.04       0.62       XXX  N                 
    97501...  ..................  A                   Supplemental training.......       0.17      0.15        0.02       0.34       XXX  N                 
    97520...  ..................  A                   Prosthetic training.........       0.37      0.30        0.04       0.71       XXX  N                 
    97521...  ..................  A                   Supplemental training.......       0.22      0.17        0.02       0.41       XXX  N                 
    97530...  ..................  A                   Therapeutic activities......       0.44      0.17        0.02       0.63       XXX  N                 
    97535...  ..................  A                   Self care mngment training..       0.33      0.17        0.02       0.52       XXX  N                 
    97537...  ..................  A                   Community/work reintegration       0.33      0.17        0.02       0.52       XXX  N                 
    97540...  ..................  D                   Training for daily living...       0.00      0.00        0.00       0.00       XXX  N                 
    97541...  ..................  D                   Supplemental training.......       0.00      0.00        0.00       0.00       XXX  N                 
    97542...  ..................  A                   Wheelchair mngement training       0.25      0.17        0.02       0.44       XXX  N                 
    97545...  ..................  R                   Work hardening..............       0.00      0.00        0.00       0.00       XXX  N                 
    97546...  ..................  R                   Work hardening..............       0.00      0.00        0.00       0.00       XXX  N                 
    97700...  ..................  D                   Training checkout...........       0.00      0.00        0.00       0.00       XXX  N                 
    97701...  ..................  D                   Supplemental checkout.......       0.00      0.00        0.00       0.00       XXX  N                 
    97703...  ..................  A                   Prosthetic checkout.........       0.25      0.18        0.03       0.46       XXX  N                 
    97750...  ..................  A                   Physical performance test...       0.45      0.24        0.03       0.72       XXX  N                 
    97770...  ..................  A                   Cognitive skills development       0.44      0.28        0.03       0.75       XXX  N                 
    97799...  ..................  C                   Physical medicine procedure.       0.00      0.00        0.00       0.00       XXX  N                 
    98925...  ..................  A                   Osteopathic manipulation....       0.45      0.25        0.02       0.72       000  N                 
    98926...  ..................  A                   Osteopathic manipulation....       0.65      0.40        0.03       1.08       000  N                 
    98927...  ..................  A                   Osteopathic manipulation....       0.87      0.38        0.03       1.28       000  N                 
    98928...  ..................  A                   Osteopathic manipulation....       1.03      0.42        0.04       1.49       000  N                 
    98929...  ..................  A                   Osteopathic manipulation....       1.19      0.39        0.03       1.61       000  N                 
    99000...  ..................  B                   Specimen handling...........       0.00      0.00        0.00       0.00       XXX  0                 
    99001...  ..................  B                   Specimen handling...........       0.00      0.00        0.00       0.00       XXX  0                 
    99002...  ..................  B                   Device handling.............       0.00      0.00        0.00       0.00       XXX  0                 
    99024...  ..................  B                   Post-op follow-up visit.....       0.00      0.00        0.00       0.00       XXX  0                 
    99025...  ..................  B                   Initial surgical evaluation.       0.00      0.00        0.00       0.00       XXX  0                 
    99050...  ..................  B                   Medical services after hrs..       0.00      0.00        0.00       0.00       XXX  0                 
    99052...  ..................  B                   Medical services at night...       0.00      0.00        0.00       0.00       XXX  0                 
    99054...  ..................  B                   Medical services, unusual          0.00      0.00        0.00       0.00       XXX  0                 
                                                       hrs.                                                                                                 
    99056...  ..................  B                   Non-office medical services.       0.00      0.00        0.00       0.00       XXX  0                 
    99058...  ..................  B                   Office emergency care.......       0.00      0.00        0.00       0.00       XXX  0                 
    99070...  ..................  B                   Special supplies............       0.00      0.00        0.00       0.00       XXX  0                 
    99071...  ..................  B                   Patient education materials.       0.00      0.00        0.00       0.00       XXX  0                 
    99075...  ..................  N                   Medical testimony...........       0.00      0.00        0.00       0.00       XXX  0                 
    99078...  ..................  B                   Group health education......       0.00      0.00        0.00       0.00       XXX  0                 
    99080...  ..................  B                   Special reports or forms....       0.00      0.00        0.00       0.00       XXX  0                 
    99082...  ..................  C                   Unusual physician travel....       0.00      0.00        0.00       0.00       XXX  N                 
    99090...  ..................  B                   Computer data analysis......       0.00      0.00        0.00       0.00       XXX  0                 
    99100...  ..................  B                   Special anesthesia service..       0.00      0.00        0.00       0.00       XXX  0                 
    99116...  ..................  B                   Anesthesia with hypothermia.       0.00      0.00        0.00       0.00       XXX  0                 
    99135...  ..................  B                   Special anesthesia procedure       0.00      0.00        0.00       0.00       XXX  0                 
    99140...  ..................  B                   Emergency anesthesia........       0.00      0.00        0.00       0.00       XXX  0                 
    99175...  ..................  A                   Induction of vomiting.......       0.00      1.33        0.10       1.43       XXX  N                 
    99178...  ..................  D                   Development evaluation tests       0.00      0.00        0.00       0.00       XXX  N                 
    99183...  ..................  A                   Hyperbaric oxygen therapy...       2.34      1.67        0.11       4.12       XXX  N                 
    99185...  ..................  A                   Regional hypothermia........       0.00      0.61        0.04       0.65       XXX  N                 
    99186...  ..................  A                   Total body hypothermia......       0.00      1.70        0.52       2.22       XXX  N                 
    
    [[Page 63323]]
                                                                                                                                                            
    99190...  ..................  X                   Special pump services.......       0.00      0.00        0.00       0.00       XXX  0                 
    99191...  ..................  X                   Special pump services.......       0.00      0.00        0.00       0.00       XXX  0                 
    99192...  ..................  X                   Special pump services.......       0.00      0.00        0.00       0.00       XXX  0                 
    99195...  ..................  A                   Phlebotomy..................       0.00      0.42        0.03       0.45       XXX  N                 
    99199...  ..................  C                   Special service or report...       0.00      0.00        0.00       0.00       XXX  N                 
    99201...  ..................  A                   Office/outpatient visit, new       0.38      0.37        0.04       0.79       XXX  P                 
    99202...  ..................  A                   Office/outpatient visit, new       0.75      0.45        0.05       1.25       XXX  P                 
    99203...  ..................  A                   Office/outpatient visit, new       1.14      0.52        0.06       1.72       XXX  P                 
    99204...  ..................  A                   Office/outpatient visit, new       1.71      0.78        0.08       2.57       XXX  P                 
    99205...  ..................  A                   Office/outpatient visit, new       2.28      0.85        0.09       3.22       XXX  P                 
    99211...  ..................  A                   Office/outpatient visit, est       0.17      0.19        0.02       0.38       XXX  P                 
    99212...  ..................  A                   Office/outpatient visit, est       0.38      0.28        0.02       0.68       XXX  P                 
    99213...  ..................  A                   Office/outpatient visit, est       0.55      0.38        0.03       0.96       XXX  P                 
    99214...  ..................  A                   Office/outpatient visit, est       0.94      0.50        0.04       1.48       XXX  P                 
    99215...  ..................  A                   Office/outpatient visit, est       1.51      0.76        0.07       2.34       XXX  P                 
    99217...  ..................  A                   Observation care discharge..       1.09      0.52        0.04       1.65       XXX  N                 
    99218...  ..................  A                   Observation care............       1.08      0.68        0.06       1.82       XXX  N                 
    99219...  ..................  A                   Observation care............       1.75      1.05        0.09       2.89       XXX  N                 
    99220...  ..................  A                   Observation care............       2.41      1.14        0.09       3.64       XXX  N                 
    99221...  ..................  A                   Initial hospital care.......       1.06      0.67        0.06       1.79       XXX  N                 
    99222...  ..................  A                   Initial hospital care.......       1.84      1.04        0.09       2.97       XXX  N                 
    99223...  ..................  A                   Initial hospital care.......       2.57      1.13        0.08       3.78       XXX  N                 
    99231...  ..................  A                   Subsequent hospital care....       0.51      0.38        0.03       0.92       XXX  N                 
    99232...  ..................  A                   Subsequent hospital care....       0.88      0.45        0.04       1.37       XXX  N                 
    99233...  ..................  A                   Subsequent hospital care....       1.25      0.60        0.05       1.90       XXX  N                 
    99238...  ..................  A                   Hospital discharge day......       1.06      0.51        0.04       1.61       XXX  N                 
    99239...  ..................  A                   Hospital discharge day......       1.75      0.51        0.04       2.30       XXX  N                 
    99241...  ..................  A                   Office consultation.........       0.54      0.64        0.08       1.26       XXX  N                 
    99242...  ..................  A                   Office consultation.........       1.11      0.77        0.09       1.97       XXX  N                 
    99243...  ..................  A                   Office consultation.........       1.47      0.97        0.10       2.54       XXX  N                 
    99244...  ..................  A                   Office consultation.........       2.23      1.23        0.11       3.57       XXX  N                 
    99245...  ..................  A                   Office consultation.........       2.96      1.69        0.16       4.81       XXX  N                 
    99251...  ..................  A                   Initial inpatient consult...       0.54      0.67        0.08       1.29       XXX  N                 
    99252...  ..................  A                   Initial inpatient consult...       1.13      0.76        0.09       1.98       XXX  N                 
    99253...  ..................  A                   Initial inpatient consult...       1.56      0.95        0.10       2.61       XXX  N                 
    99254...  ..................  A                   Initial inpatient consult...       2.27      1.20        0.11       3.58       XXX  N                 
    99255...  ..................  A                   Initial inpatient consult...       3.14      1.57        0.14       4.85       XXX  N                 
    99261...  ..................  A                   Follow-up inpatient consult.       0.36      0.33        0.03       0.72       XXX  N                 
    99262...  ..................  A                   Follow-up inpatient consult.       0.74      0.46        0.04       1.24       XXX  N                 
    99263...  ..................  A                   Follow-up inpatient consult.       1.16      0.67        0.04       1.87       XXX  N                 
    99271...  ..................  A                   Confirmatory consultation...       0.45     *0.58        0.07       1.10       XXX  N                 
    99272...  ..................  A                   Confirmatory consultation...       0.84      0.71        0.09       1.64       XXX  N                 
    99273...  ..................  A                   Confirmatory consultation...       1.19      1.02        0.11       2.32       XXX  N                 
    99274...  ..................  A                   Confirmatory consultation...       1.73      1.22        0.11       3.06       XXX  N                 
    99275...  ..................  A                   Confirmatory consultation...       2.31      1.74        0.17       4.22       XXX  N                 
    99281...  ..................  A                   Emergency dept visit........       0.28      0.28        0.01       0.57       XXX  P                 
    99282...  ..................  A                   Emergency dept visit........       0.47      0.38        0.03       0.88       XXX  P                 
    99283...  ..................  A                   Emergency dept visit........       1.07      0.49        0.04       1.60       XXX  P                 
    99284...  ..................  A                   Emergency dept visit........       1.68      0.70        0.06       2.44       XXX  P                 
    99285...  ..................  A                   Emergency dept visit........       2.63      1.13        0.08       3.84       XXX  P                 
    99288...  ..................  B                   Direct advanced life support       0.00      0.00        0.00       0.00       XXX  0                 
    99291...  ..................  A                   Critical care, first hour...       3.64      1.43        0.11       5.18       XXX  N                 
    99292...  ..................  A                   Critical care, addl 30 min..       1.84      0.63        0.04       2.51       XXX  N                 
    99295...  ..................  A                   Neonatal critical care......      16.03      5.08        1.55      22.66       XXX  N                 
    99296...  ..................  A                   Neonatal critical care......       7.40      2.46        0.77      10.63       XXX  N                 
    99297...  ..................  A                   Neonatal critical care......       3.84      1.23        0.38       5.45       XXX  N                 
    99301...  ..................  A                   Nursing facility care.......       1.07      0.45        0.03       1.55       XXX  P                 
    99302...  ..................  A                   Nursing facility care.......       1.67      0.50        0.04       2.21       XXX  P                 
    99303...  ..................  A                   Nursing facility care.......       2.29      0.95        0.07       3.31       XXX  P                 
    99311...  ..................  A                   Nursing facility care,             0.54      0.34        0.03       0.91       XXX  P                 
                                                       subseq.                                                                                              
    99312...  ..................  A                   Nursing facility care,             0.89      0.41        0.03       1.33       XXX  P                 
                                                       subseq.                                                                                              
    99313...  ..................  A                   Nursing facility care,             1.19      0.46        0.04       1.69       XXX  P                 
                                                       subseq.                                                                                              
    99321...  ..................  A                   Rest home visit, new patient       0.71      0.37        0.03       1.11       XXX  P                 
    99322...  ..................  A                   Rest home visit, new patient       1.01      0.51        0.05       1.57       XXX  P                 
    99323...  ..................  A                   Rest home visit, new patient       1.28      0.73        0.06       2.07       XXX  P                 
    99331...  ..................  A                   Rest home visit, estab pat..       0.60      0.28        0.02       0.90       XXX  P                 
    
    [[Page 63324]]
                                                                                                                                                            
    99332...  ..................  A                   Rest home visit, estab pat..       0.80      0.36        0.03       1.19       XXX  P                 
    99333...  ..................  A                   Rest home visit, estab pat..       1.00      0.44        0.02       1.46       XXX  P                 
    99341...  ..................  A                   Home visit, new patient.....       1.12      0.53        0.05       1.70       XXX  P                 
    99342...  ..................  A                   Home visit, new patient.....       1.58      0.60        0.05       2.23       XXX  P                 
    99343...  ..................  A                   Home visit, new patient.....       2.09      0.77        0.06       2.92       XXX  P                 
    99351...  ..................  A                   Home visit, estab patient...       0.83      0.45        0.04       1.32       XXX  P                 
    99352...  ..................  A                   Home visit, estab patient...       1.12      0.53        0.04       1.69       XXX  P                 
    99353...  ..................  A                   Home visit, estab patient...       1.48      0.61        0.05       2.14       XXX  P                 
    99354...  ..................  A                   Prolonged service, office...       1.51      0.76        0.07       2.34       XXX  P                 
    99355...  ..................  A                   Prolonged service, office...       1.51      0.76        0.07       2.34       XXX  P                 
    99356...  ..................  A                   Prolonged service, inpatient       1.44      0.85        0.08       2.37       XXX  N                 
    99357...  ..................  A                   Prolonged service, inpatient       1.44      0.85        0.08       2.37       XXX  N                 
    99358...  ..................  B                   Prolonged serv, w/o contact.       0.00      0.00        0.00       0.00       XXX  0                 
    99359...  ..................  B                   Prolonged serv, w/o contact.       0.00      0.00        0.00       0.00       XXX  0                 
    99360...  ..................  X                   Physician standby services..       0.00      0.00        0.00       0.00       XXX  0                 
    99361...  ..................  B                   Physician/team conference...       0.00      0.00        0.00       0.00       XXX  0                 
    99362...  ..................  B                   Physician/team conference...       0.00      0.00        0.00       0.00       XXX  0                 
    99371...  ..................  B                   Physician phone consultation       0.00      0.00        0.00       0.00       XXX  0                 
    99372...  ..................  B                   Physician phone consultation       0.00      0.00        0.00       0.00       XXX  0                 
    99373...  ..................  B                   Physician phone consultation       0.00      0.00        0.00       0.00       XXX  0                 
    99375...  ..................  A                   Care plan oversight/30-60...       1.73      0.51        0.04       2.28       XXX  P                 
    99376...  ..................  B                   Care plan oversight/over 60.       0.00      0.00        0.00       0.00       XXX  0                 
    99381...  ..................  N                   Preventive visit, new,            #1.19      1.23        0.08       2.50       XXX  0                 
                                                       infant.                                                                                              
    99382...  ..................  N                   Preventive visit, new, age 1-     #1.36      1.41        0.09       2.86       XXX  0                 
                                                       4.                                                                                                   
    99383...  ..................  N                   Preventive visit, new, age 5-     #1.36      1.41        0.09       2.86       XXX  0                 
                                                       11.                                                                                                  
    99384...  ..................  N                   Preventive visit, new, 12-17      #1.53      1.59        0.10       3.22       XXX  0                 
    99385...  ..................  N                   Preventive visit, new, 18-39      #1.53      1.40        0.09       3.02       XXX  0                 
    99386...  ..................  N                   Preventive visit, new, 40-64      #1.88      1.72        0.10       3.70       XXX  0                 
    99387...  ..................  N                   Preventive visit, new, 65 &       #2.06      1.88        0.11       4.05       XXX  0                 
                                                       over.                                                                                                
    99391...  ..................  N                   Preventive visit, est,            #1.02      1.06        0.07       2.15       XXX  0                 
                                                       infant.                                                                                              
    99392...  ..................  N                   Preventive visit, est, age 1-     #1.19      1.23        0.08       2.50       XXX  0                 
                                                       4.                                                                                                   
    99393...  ..................  N                   Preventive visit, est, age 5-     #1.19      1.23        0.08       2.50       XXX  0                 
                                                       11.                                                                                                  
    99394...  ..................  N                   Preventive visit, est, 12-17      #1.36      1.41        0.09       2.86       XXX  0                 
    99395...  ..................  N                   Preventive visit, est, 18-39      #1.36      1.25        0.08       2.69       XXX  0                 
    99396...  ..................  N                   Preventive visit, est, 40-64      #1.53      1.40        0.09       3.02       XXX  0                 
    99397...  ..................  N                   Preventive visit, est, 65 &       #1.71      1.56        0.10       3.37       XXX  0                 
                                                       over.                                                                                                
    99401...  ..................  N                   Preventive counseling, indiv      #0.48      0.45        0.03       0.96       XXX  0                 
    99402...  ..................  N                   Preventive counseling, indiv      #0.98      0.89        0.05       1.92       XXX  0                 
    99403...  ..................  N                   Preventive counseling, indiv      #1.46      1.34        0.08       2.88       XXX  0                 
    99404...  ..................  N                   Preventive counseling, indiv      #1.95      1.78        0.11       3.84       XXX  0                 
    99411...  ..................  N                   Preventive counseling, group      #0.15      0.14        0.01       0.30       XXX  0                 
    99412...  ..................  N                   Preventive counseling, group      #0.25      0.23        0.01       0.49       XXX  0                 
    99420...  ..................  N                   Health risk assessment test.       0.00      0.00        0.00       0.00       XXX  0                 
    99429...  ..................  N                   Unlisted preventive service.       0.00      0.00        0.00       0.00       XXX  0                 
    99431...  ..................  A                   Initial care, normal newborn       1.17      1.21        0.08       2.46       XXX  N                 
    99432...  ..................  A                   Newborn care not in hospital       1.26      1.31        0.08       2.65       XXX  N                 
    99433...  ..................  A                   Normal newborn care,               0.62      0.64        0.04       1.30       XXX  N                 
                                                       hospital.                                                                                            
    99435...  ..................  A                   Hospital NB discharge day...       1.50      1.55        0.10       3.15       XXX  P                 
    99440...  ..................  A                   Newborn resuscitation.......       2.93      3.04        0.19       6.16       XXX  N                 
    99450...  ..................  N                   Life/disability evaluation..       0.00      0.00        0.00       0.00       XXX  0                 
    99455...  ..................  R                   Disability examination......       0.00      0.00        0.00       0.00       XXX  N                 
    99456...  ..................  R                   Disability examination......       0.00      0.00        0.00       0.00       XXX  N                 
    99499...  ..................  C                   Unlisted E/M service........       0.00      0.00        0.00       0.00       XXX  N                 
    A0021...  ..................  G                   Outside state ambulance serv       0.00      0.00        0.00       0.00       XXX  0                 
    A0030...  ..................  X                   Air ambulance service.......       0.00      0.00        0.00       0.00       XXX  0                 
    A0040...  ..................  X                   Helicopter ambulance service       0.00      0.00        0.00       0.00       XXX  0                 
    A0050...  ..................  X                   Water amb service emergency.       0.00      0.00        0.00       0.00       XXX  0                 
    A0080...  ..................  G                   Noninterest escort in non er       0.00      0.00        0.00       0.00       XXX  0                 
    A0090...  ..................  G                   Interest escort in non er...       0.00      0.00        0.00       0.00       XXX  0                 
    A0100...  ..................  G                   Nonemergency transport taxi.       0.00      0.00        0.00       0.00       XXX  0                 
    A0110...  ..................  G                   Nonemergency transport bus..       0.00      0.00        0.00       0.00       XXX  0                 
    A0120...  ..................  G                   Noner transport mini-bus....       0.00      0.00        0.00       0.00       XXX  0                 
    A0130...  ..................  G                   Noner transport wheelch van.       0.00      0.00        0.00       0.00       XXX  0                 
    A0140...  ..................  G                   Nonemergency transport air..       0.00      0.00        0.00       0.00       XXX  0                 
    A0160...  ..................  G                   Noner transport case worker.       0.00      0.00        0.00       0.00       XXX  0                 
    A0170...  ..................  G                   Noner transport parking fees       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63325]]
                                                                                                                                                            
    A0180...  ..................  G                   Noner transport lodgng recip       0.00      0.00        0.00       0.00       XXX  0                 
    A0190...  ..................  G                   Noner transport meals recip.       0.00      0.00        0.00       0.00       XXX  0                 
    A0200...  ..................  G                   Noner transport lodgng escrt       0.00      0.00        0.00       0.00       XXX  0                 
    A0210...  ..................  G                   Noner transport meals escort       0.00      0.00        0.00       0.00       XXX  0                 
    A0225...  ..................  X                   Neonatal emergency transport       0.00      0.00        0.00       0.00       XXX  0                 
    A0300...  ..................  X                   Ambulance basic non-emer all       0.00      0.00        0.00       0.00       XXX  0                 
    A0302...  ..................  X                   Ambulance basic emergeny all       0.00      0.00        0.00       0.00       XXX  0                 
    A0304...  ..................  X                   Amb adv non-er no serv all..       0.00      0.00        0.00       0.00       XXX  0                 
    A0306...  ..................  X                   Amb adv non-er spec serv all       0.00      0.00        0.00       0.00       XXX  0                 
    A0308...  ..................  X                   Amb adv er no spec serv all.       0.00      0.00        0.00       0.00       XXX  0                 
    A0310...  ..................  X                   Amb adv er spec serv all....       0.00      0.00        0.00       0.00       XXX  0                 
    A0320...  ..................  X                   Amb basic non-er + supplies.       0.00      0.00        0.00       0.00       XXX  0                 
    A0322...  ..................  X                   Amb basic emerg + supplies..       0.00      0.00        0.00       0.00       XXX  0                 
    A0324...  ..................  X                   Adv non-er serv sep mileage.       0.00      0.00        0.00       0.00       XXX  0                 
    A0326...  ..................  X                   Adv non-er no serv sep mile.       0.00      0.00        0.00       0.00       XXX  0                 
    A0328...  ..................  X                   Adv er no serv sep mileage..       0.00      0.00        0.00       0.00       XXX  0                 
    A0330...  ..................  X                   Adv er spec serv sep mile...       0.00      0.00        0.00       0.00       XXX  0                 
    A0340...  ..................  X                   Amb basic non-er + mileage..       0.00      0.00        0.00       0.00       XXX  0                 
    A0342...  ..................  X                   Ambul basic emer + mileage..       0.00      0.00        0.00       0.00       XXX  0                 
    A0344...  ..................  X                   Amb adv non-er no serv +           0.00      0.00        0.00       0.00       XXX  0                 
                                                       mile.                                                                                                
    A0346...  ..................  X                   Amb adv non-er serv + mile..       0.00      0.00        0.00       0.00       XXX  0                 
    A0348...  ..................  X                   Adv emer no spec serv + mile       0.00      0.00        0.00       0.00       XXX  0                 
    A0350...  ..................  X                   Adv emer spec serv + mileage       0.00      0.00        0.00       0.00       XXX  0                 
    A0360...  ..................  X                   Basic non-er sep mile & supp       0.00      0.00        0.00       0.00       XXX  0                 
    A0362...  ..................  X                   Basic emer sep mile & supply       0.00      0.00        0.00       0.00       XXX  0                 
    A0364...  ..................  X                   Adv non-er no serv sep mi&su       0.00      0.00        0.00       0.00       XXX  0                 
    A0366...  ..................  X                   Adv non-er serv sep mil&supp       0.00      0.00        0.00       0.00       XXX  0                 
    A0368...  ..................  X                   Adv er no serv sep mile&supp       0.00      0.00        0.00       0.00       XXX  0                 
    A0370...  ..................  X                   Adv er spec serv sep mi&supp       0.00      0.00        0.00       0.00       XXX  0                 
    A0380...  ..................  X                   Basic life support mileage..       0.00      0.00        0.00       0.00       XXX  0                 
    A0382...  ..................  X                   Basic support routine suppls       0.00      0.00        0.00       0.00       XXX  0                 
    A0384...  ..................  X                   Bls defibrillation supplies.       0.00      0.00        0.00       0.00       XXX  0                 
    A0390...  ..................  X                   Advanced life support mileag       0.00      0.00        0.00       0.00       XXX  0                 
    A0392...  ..................  X                   Als defibrillation supplies.       0.00      0.00        0.00       0.00       XXX  0                 
    A0394...  ..................  X                   Als IV drug therapy supplies       0.00      0.00        0.00       0.00       XXX  0                 
    A0396...  ..................  X                   Als esophageal intub suppls.       0.00      0.00        0.00       0.00       XXX  0                 
    A0398...  ..................  X                   Als routine disposble suppls       0.00      0.00        0.00       0.00       XXX  0                 
    A0420...  ..................  X                   Ambulance waiting 1/2 hr....       0.00      0.00        0.00       0.00       XXX  0                 
    A0422...  ..................  X                   Ambulance 02 life sustaining       0.00      0.00        0.00       0.00       XXX  0                 
    A0424...  ..................  X                   Extra ambulance attendant...       0.00      0.00        0.00       0.00       XXX  0                 
    A0888...  ..................  N                   Noncovered ambulance mileage       0.00      0.00        0.00       0.00       XXX  0                 
    A0999...  ..................  X                   Unlisted ambulance service..       0.00      0.00        0.00       0.00       XXX  0                 
    A2000...  ..................  A                   Chiropractor manip of spine.       0.45      0.29        0.01       0.75       XXX  N                 
    A4190...  ..................  P                   Transparent film each.......       0.00      0.00        0.00       0.00       XXX  0                 
    A4200...  ..................  P                   Gauze pad medicated/non-med.       0.00      0.00        0.00       0.00       XXX  0                 
    A4202...  ..................  P                   Elastic gauze roll..........       0.00      0.00        0.00       0.00       XXX  0                 
    A4203...  ..................  P                   Non-elastic gauze roll......       0.00      0.00        0.00       0.00       XXX  0                 
    A4204...  ..................  P                   Absorptive dressing.........       0.00      0.00        0.00       0.00       XXX  0                 
    A4205...  ..................  P                   Nonabsorptive dressing......       0.00      0.00        0.00       0.00       XXX  0                 
    A4206...  ..................  P                   1 CC sterile syringe &             0.00      0.00        0.00       0.00       XXX  0                 
                                                       needle.                                                                                              
    A4207...  ..................  P                   2 CC sterile syringe &             0.00      0.00        0.00       0.00       XXX  0                 
                                                       needle.                                                                                              
    A4208...  ..................  P                   3 CC sterile syringe &             0.00      0.00        0.00       0.00       XXX  0                 
                                                       needle.                                                                                              
    A4209...  ..................  P                   5+ CC sterile syringe &            0.00      0.00        0.00       0.00       XXX  0                 
                                                       needle.                                                                                              
    A4210...  ..................  N                   Nonneedle injection device..       0.00      0.00        0.00       0.00       XXX  0                 
    A4211...  ..................  P                   Supp for self-adm injections       0.00      0.00        0.00       0.00       XXX  0                 
    A4212...  ..................  P                   Non coring needle or stylet.       0.00      0.00        0.00       0.00       XXX  0                 
    A4213...  ..................  P                   20+ CC syringe only.........       0.00      0.00        0.00       0.00       XXX  0                 
    A4214...  ..................  P                   30 CC sterile water/saline..       0.00      0.00        0.00       0.00       XXX  0                 
    A4215...  ..................  P                   Sterile needle..............       0.00      0.00        0.00       0.00       XXX  0                 
    A4220...  ..................  P                   Infusion pump refill kit....       0.00      0.00        0.00       0.00       XXX  0                 
    A4230...  ..................  N                   Infus insulin pump non             0.00      0.00        0.00       0.00       XXX  0                 
                                                       needle.                                                                                              
    A4231...  ..................  N                   Infusion insulin pump needle       0.00      0.00        0.00       0.00       XXX  0                 
    A4232...  ..................  N                   Syringe w/needle insulin 3cc       0.00      0.00        0.00       0.00       XXX  0                 
    A4244...  ..................  P                   Alcohol or peroxide per pint       0.00      0.00        0.00       0.00       XXX  0                 
    A4245...  ..................  P                   Alcohol wipes per box.......       0.00      0.00        0.00       0.00       XXX  0                 
    A4246...  ..................  P                   Betadine/phisohex solution..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63326]]
                                                                                                                                                            
    A4247...  ..................  P                   Betadine/iodine swabs/wipes.       0.00      0.00        0.00       0.00       XXX  0                 
    A4250...  ..................  R                   Urine reagent strips/tablets       0.00      0.00        0.00       0.00       XXX  N                 
    A4253...  ..................  P                   Blood glucose/reagent strips       0.00      0.00        0.00       0.00       XXX  0                 
    A4254...  ..................  X                   Battery for glucose monitor.       0.00      0.00        0.00       0.00       XXX  0                 
    A4256...  ..................  P                   Calibrator solution/chips...       0.00      0.00        0.00       0.00       XXX  0                 
    A4258...  ..................  P                   Lancet device each..........       0.00      0.00        0.00       0.00       XXX  0                 
    A4259...  ..................  P                   Lancets per box.............       0.00      0.00        0.00       0.00       XXX  0                 
    A4260...  ..................  N                   Levonorgestrel implant......       0.00      0.00        0.00       0.00       XXX  0                 
    A4262...  ..................  B                   Temporary tear duct plug....       0.00      0.00        0.00       0.00       XXX  0                 
    A4263...  ..................  A                   Permanent tear duct plug....       0.00      0.95        0.00       0.95       XXX  N                 
    A4265...  ..................  P                   Paraffin....................       0.00      0.00        0.00       0.00       XXX  0                 
    A4270...  ..................  B                   Disposable endoscope sheath.       0.00      0.00        0.00       0.00       XXX  0                 
    A4300...  ..................  A                   Cath impl vasc access portal       0.00      0.95        0.00       0.95       XXX  N                 
    A4301...  ..................  P                   Implantable access syst perc       0.00      0.00        0.00       0.00       XXX  0                 
    A4305...  ..................  P                   Drug delivery system >=50 ML       0.00      0.00        0.00       0.00       XXX  0                 
    A4306...  ..................  P                   Drug delivery system <=5 ml.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4310...="" ..................="" p="" insert="" tray="" w/o="" bag/cath....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4311...="" ..................="" p="" catheter="" w/o="" bag="" 2-way="" latex="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4312...="" ..................="" p="" cath="" w/o="" bag="" 2-way="" silicone.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4313...="" ..................="" p="" catheter="" w/bag="" 3-way........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4314...="" ..................="" p="" cath="" w/drainage="" 2-way="" latex.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4315...="" ..................="" p="" cath="" w/drainage="" 2-way="" silcne="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4316...="" ..................="" p="" cath="" w/drainage="" 3-way.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4320...="" ..................="" p="" irrigation="" tray.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4322...="" ..................="" p="" irrigation="" syringe..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4323...="" ..................="" p="" saline="" irrigation="" solution..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4326...="" ..................="" p="" male="" external="" catheter......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4327...="" ..................="" p="" fem="" urinary="" collect="" dev="" cup.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4328...="" ..................="" p="" fem="" urinary="" collect="" pouch...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4329...="" ..................="" p="" external="" catheter="" start="" set.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4330...="" ..................="" p="" stool="" collection="" pouch......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4335...="" ..................="" p="" incontinence="" supply.........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4338...="" ..................="" p="" indwelling="" catheter="" latex...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4340...="" ..................="" p="" indwelling="" catheter="" special.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4344...="" ..................="" p="" cath="" indw="" foley="" 2="" way="" silicn="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4346...="" ..................="" p="" cath="" indw="" foley="" 3="" way.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4347...="" ..................="" p="" male="" external="" catheter......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4351...="" ..................="" p="" straight="" tip="" urine="" catheter.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4352...="" ..................="" p="" coude="" tip="" urinary="" catheter..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4354...="" ..................="" p="" cath="" insertion="" tray="" w/bag...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4355...="" ..................="" p="" bladder="" irrigation="" tubing...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4356...="" ..................="" p="" ext="" ureth="" clmp="" or="" compr="" dvc.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4357...="" ..................="" p="" bedside="" drainage="" bag........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4358...="" ..................="" p="" urinary="" leg="" bag.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4359...="" ..................="" p="" urinary="" suspensory="" w/o="" leg="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" bag.="" a4361...="" ..................="" p="" ostomy="" face="" plate...........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4362...="" ..................="" p="" solid="" skin="" barrier..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4363...="" ..................="" p="" liquid="" skin="" barrier.........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4364...="" ..................="" p="" ostomy/cath="" adhesive........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4367...="" ..................="" p="" ostomy="" belt.................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4397...="" ..................="" p="" irrigation="" supply="" sleeve....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4398...="" ..................="" p="" irrigation="" supply="" bags......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4399...="" ..................="" p="" irrigation="" supply="" cone/cathe="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4400...="" ..................="" p="" ostomy="" irrigation="" set.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4402...="" ..................="" p="" lubricant="" per="" ounce.........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4404...="" ..................="" p="" ostomy="" ring="" each............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4421...="" ..................="" p="" ostomy="" supply="" misc..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4454...="" ..................="" p="" tape="" all="" types="" all="" sizes....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4455...="" ..................="" p="" adhesive="" remover="" per="" ounce..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4460...="" ..................="" p="" elastic="" compression="" bandage.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4465...="" ..................="" p="" non-elastic="" extremity="" binder="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4470...="" ..................="" p="" gravlee="" jet="" washer..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4480...="" ..................="" p="" vabra="" aspirator.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4490...="" ..................="" n="" above="" knee="" surgical="" stocking="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4495...="" ..................="" n="" thigh="" length="" surg="" stocking..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4500...="" ..................="" n="" below="" knee="" surgical="" stocking="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" [[page="" 63327]]="" a4510...="" ..................="" n="" full="" length="" surg="" stocking...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4550...="" ..................="" a="" surgical="" trays..............="" 0.00="" 0.95="" 0.00="" 0.95="" xxx="" n="" a4554...="" ..................="" n="" disposable="" underpads........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4556...="" ..................="" p="" electrodes..................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4557...="" ..................="" p="" lead="" wires..................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4558...="" ..................="" p="" conductive="" paste="" or="" gel.....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4560...="" ..................="" x="" pessary.....................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4565...="" ..................="" x="" slings......................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4570...="" ..................="" x="" splint......................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4572...="" ..................="" x="" rib="" belt....................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4575...="" ..................="" n="" hyperbaric="" o2="" chamber="" disps.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4580...="" ..................="" x="" cast="" supplies="" (plaster).....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4581...="" ..................="" x="" risser="" jacket="" supplies......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4590...="" ..................="" x="" special="" casting="" material....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4595...="" ..................="" x="" tens="" suppl="" 2="" lead="" per="" month.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4610...="" ..................="" x="" med="" supplies="" for="" use="" in="" dme.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4611...="" ..................="" x="" heavy="" duty="" battery..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4612...="" ..................="" x="" battery="" cables..............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4613...="" ..................="" x="" battery="" charger.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4615...="" ..................="" x="" cannula="" nasal...............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4616...="" ..................="" x="" tubing="" (oxygen)="" per="" foot....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4617...="" ..................="" x="" mouth="" piece.................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4618...="" ..................="" x="" breathing="" circuits..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4619...="" ..................="" x="" face="" tent...................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4620...="" ..................="" x="" variable="" concentration="" mask.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4621...="" ..................="" x="" tracheotomy="" mask="" or="" collar..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4622...="" ..................="" x="" tracheostomy="" or="" larngectomy.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4623...="" ..................="" x="" tracheostomy="" inner="" cannula..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4624...="" ..................="" x="" tracheal="" suction="" tube.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4625...="" ..................="" x="" trach="" care="" kit="" for="" new="" trach="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4626...="" ..................="" x="" tracheostomy="" cleaning="" brush.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4627...="" ..................="" x="" spacer="" bag/reservoir........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4628...="" ..................="" x="" oropharyngeal="" suction="" cath..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4629...="" ..................="" x="" tracheostomy="" care="" kit.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4630...="" ..................="" x="" repl="" bat="" t.e.n.s.="" own="" by="" pt.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4631...="" ..................="" x="" wheelchair="" battery..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4635...="" ..................="" x="" underarm="" crutch="" pad.........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4636...="" ..................="" x="" handgrip="" for="" cane="" etc.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4637...="" ..................="" x="" repl="" tip="" cane/crutch/walker.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4640...="" ..................="" x="" alternating="" pressure="" pad....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4641...="" ..................="" e="" diagnostic="" imaging="" agent....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4642...="" ..................="" e="" satumomab="" pendetide="" per="" dose="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4643...="" ..................="" e="" high="" dose="" contrast="" mri......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4644...="" ..................="" e="" contrast="" 100-199="" mgs="" iodine.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4645...="" ..................="" e="" contrast="" 200-299="" mgs="" iodine.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4646...="" ..................="" e="" contrast="" 300-399="" mgs="" iodine.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4647...="" ..................="" b="" supp-="" paramagnetic="" contr="" mat="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4649...="" ..................="" b="" surgical="" supplies...........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4650...="" ..................="" x="" supp="" esrd="" centrifuge........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4655...="" ..................="" x="" esrd="" syringe/needle.........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4660...="" ..................="" x="" esrd="" blood="" pressure="" device..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4663...="" ..................="" x="" esrd="" blood="" pressure="" cuff....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4670...="" ..................="" n="" auto="" blood="" pressure="" monitor.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4680...="" ..................="" x="" activated="" carbon="" filters....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4690...="" ..................="" x="" dialyzers...................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4700...="" ..................="" x="" standard="" dialysate="" solution.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4705...="" ..................="" x="" bicarb="" dialysate="" solution...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4712...="" ..................="" x="" sterile="" water...............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4714...="" ..................="" x="" treated="" water="" for="" dialysis..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4730...="" ..................="" x="" fistula="" cannulation="" set="" dial="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4735...="" ..................="" x="" local/topical="" anesthetics...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4740...="" ..................="" x="" esrd="" shunt="" accessory........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4750...="" ..................="" x="" arterial="" or="" venous="" tubing...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4755...="" ..................="" x="" arterial="" and="" venous="" tubing..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4760...="" ..................="" x="" standard="" testing="" solution...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4765...="" ..................="" x="" dialysate="" concentrate.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" [[page="" 63328]]="" a4770...="" ..................="" x="" blood="" testing="" supplies......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4771...="" ..................="" x="" blood="" clotting="" time="" tube....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4772...="" ..................="" x="" dextrostick/glucose="" strips..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4773...="" ..................="" x="" hemostix....................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4774...="" ..................="" x="" ammonia="" test="" paper..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4780...="" ..................="" x="" esrd="" sterilizing="" agent......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4790...="" ..................="" x="" esrd="" cleansing="" agents.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4800...="" ..................="" x="" heparin/antidote="" dialysis...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4820...="" ..................="" x="" supplies="" hemodialysis="" kit...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4850...="" ..................="" x="" rubber="" tipped="" hemostats.....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4860...="" ..................="" x="" disposable="" catheter="" caps....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4870...="" ..................="" x="" plumbing/electrical="" work....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4880...="" ..................="" x="" water="" storage="" tanks.........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4890...="" ..................="" n="" contracts/repair/maintenance="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4900...="" ..................="" x="" capd="" supply="" kit.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4901...="" ..................="" x="" ccpd="" supply="" kit.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4905...="" ..................="" x="" ipd="" supply="" kit..............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4910...="" ..................="" x="" esrd="" nonmedical="" supplies....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4912...="" ..................="" x="" gomco="" drain="" bottle..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4913...="" ..................="" x="" esrd="" supply.................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4914...="" ..................="" x="" preparation="" kit.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4918...="" ..................="" x="" venous="" pressure="" clamp.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4919...="" ..................="" x="" supp="" dialysis="" dialyzer="" holde="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4920...="" ..................="" x="" harvard="" pressure="" clamp......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4921...="" ..................="" x="" measuring="" cylinder..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a4927...="" ..................="" x="" gloves......................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5051...="" ..................="" p="" pouch="" clsd="" w="" barr="" attached..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5052...="" ..................="" p="" clsd="" ostomy="" pouch="" w/o="" barr..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5053...="" ..................="" p="" clsd="" ostomy="" pouch="" faceplate.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5054...="" ..................="" p="" clsd="" ostomy="" pouch="" w/flange..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5055...="" ..................="" p="" stoma="" cap...................="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5061...="" ..................="" p="" pouch="" drainable="" w="" barrier="" at="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5062...="" ..................="" p="" drnble="" ostomy="" pouch="" w/o="" barr="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5063...="" ..................="" p="" drain="" ostomy="" pouch="" w/flange.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5064...="" ..................="" p="" drain="" ostomy="" pouch="" w/fceplte="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5065...="" ..................="" p="" drain="" ostomy="" pouch="" on="" fcplte="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5071...="" ..................="" p="" urinary="" pouch="" w/barrier.....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5072...="" ..................="" p="" urinary="" pouch="" w/o="" barrier...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5073...="" ..................="" p="" urinary="" pouch="" on="" barr="" w/flng="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5074...="" ..................="" p="" urinary="" pouch="" w/faceplate...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5075...="" ..................="" p="" urinary="" pouch="" on="" faceplate..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5081...="" ..................="" p="" continent="" stoma="" plug........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5082...="" ..................="" p="" continent="" stoma="" catheter....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5093...="" ..................="" p="" ostomy="" accessory="" convex="" inse="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5102...="" ..................="" p="" bedside="" btle="" rigid/expanable="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5105...="" ..................="" p="" urinary="" suspensory..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5112...="" ..................="" p="" urinary="" leg="" bag.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5113...="" ..................="" p="" latex="" leg="" strap.............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5114...="" ..................="" p="" foam/fabric="" leg="" strap.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5119...="" ..................="" p="" skin="" barrier="" wipes="" box="" pr="" 50="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5121...="" ..................="" p="" solid="" skin="" barrier="" 6x6......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5122...="" ..................="" p="" solid="" skin="" barrier="" 8x8......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5123...="" ..................="" p="" skin="" barrier="" with="" flange....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5126...="" ..................="" p="" adhesive="" disc/foam="" pad......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5131...="" ..................="" p="" appliance="" cleaner...........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5149...="" ..................="" p="" incontinence/ostomy="" supply..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5500...="" ..................="" x="" diab="" shoe="" for="" density="" insert="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5501...="" ..................="" x="" diabetic="" custom="" molded="" shoe.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5502...="" ..................="" x="" diabetic="" shoe="" density="" insert="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5503...="" ..................="" x="" diabetic="" shoe="" w/roller/rockr="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5504...="" ..................="" x="" diabetic="" shoe="" with="" wedge....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5505...="" ..................="" x="" diab="" shoe="" w/metatarsal="" bar..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5506...="" ..................="" x="" diabetic="" shoe="" w/off="" set="" heel="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a5507...="" ..................="" x="" modification="" diabetic="" shoe..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a6020...="" ..................="" p="" collagen="" dressing="" cover="" ea..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a9150...="" ..................="" e="" misc/exper="" non-prescript="" dru="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" [[page="" 63329]]="" a9160...="" ..................="" n="" podiatrist="" non-covered="" servi="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a9170...="" ..................="" n="" chiropractor="" non-covered="" ser="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a9190...="" ..................="" n="" misc/expe="" personal="" comfort="" i="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a9270...="" ..................="" n="" non-covered="" item="" or="" service.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a9300...="" ..................="" n="" exercise="" equipment..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a9500...="" ..................="" e="" technetium="" tc="" 99m="" sestamibi.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" a9505...="" ..................="" e="" thallous="" chloride="" tl="" 201/mci="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0110...="" ..................="" d="" initial="" oral="" examination....="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0120...="" ..................="" n="" periodic="" oral="" evaluation....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0130...="" ..................="" d="" emergency="" oral="" examination..="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0140...="" ..................="" n="" limit="" oral="" eval="" problm="" focus="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0150...="" ..................="" r="" comprehensve="" oral="" evaluation="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0160...="" ..................="" n="" extensv="" oral="" eval="" prob="" focus="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0210...="" ..................="" g="" intraor="" complete="" film="" series="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0220...="" ..................="" g="" intraoral="" periapical="" first="" f="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0230...="" ..................="" g="" intraoral="" periapical="" ea="" add.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0240...="" ..................="" r="" intraoral="" occlusal="" film.....="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0250...="" ..................="" r="" extraoral="" first="" film........="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0260...="" ..................="" r="" extraoral="" ea="" additional="" film="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0270...="" ..................="" r="" dental="" bitewing="" single="" film.="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0272...="" ..................="" r="" dental="" bitewings="" two="" films..="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0274...="" ..................="" r="" dental="" bitewings="" four="" films.="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0290...="" ..................="" g="" dental="" film="" skull/facial="" bon="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0310...="" ..................="" g="" dental="" saliography..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0320...="" ..................="" g="" dental="" tmj="" arthrogram="" incl="" i="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0321...="" ..................="" g="" dental="" other="" tmj="" films......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0322...="" ..................="" g="" dental="" tomographic="" survey...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0330...="" ..................="" g="" dental="" panoramic="" film.......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0340...="" ..................="" g="" dental="" cephalometric="" film...="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0415...="" ..................="" n="" bacteriologic="" study.........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0425...="" ..................="" n="" caries="" susceptibility="" test..="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0460...="" ..................="" r="" pulp="" vitality="" test..........="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0470...="" ..................="" n="" diagnostic="" casts............="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d0471...="" ..................="" r="" diagnostic="" photographs......="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0501...="" ..................="" r="" histopathologic="" examinations="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0502...="" ..................="" r="" other="" oral="" pathology="" procedu="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d0999...="" ..................="" r="" unspecified="" diagnostic="" proce="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1110...="" ..................="" n="" dental="" prophylaxis="" adult....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1120...="" ..................="" n="" dental="" prophylaxis="" child....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1201...="" ..................="" n="" topical="" fluor="" w="" prophy="" child="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1203...="" ..................="" n="" topical="" fluor="" w/o="" prophy="" chi="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1204...="" ..................="" n="" topical="" fluor="" w/o="" prophy="" adu="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1205...="" ..................="" n="" topical="" fluoride="" w/="" prophy="" a="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1310...="" ..................="" n="" nutri="" counsel-control="" caries="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1320...="" ..................="" n="" tobacco="" counseling..........="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1330...="" ..................="" n="" oral="" hygiene="" instruction....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1351...="" ..................="" n="" dental="" sealant="" per="" tooth....="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d1510...="" ..................="" r="" space="" maintainer="" fxd="" unilat.="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1515...="" ..................="" r="" fixed="" bilat="" space="" maintainer="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1520...="" ..................="" r="" remove="" unilat="" space="" maintain="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1515...="" ..................="" r="" fixed="" bilat="" space="" maintainer="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1520...="" ..................="" r="" remove="" unilat="" space="" maintain="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1525...="" ..................="" r="" remove="" bilat="" space="" maintain.="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d1550...="" ..................="" r="" recement="" space="" maintainer...="" 0.00="" 0.00="" 0.00="" 0.00="" yyy="" n="" d2110...="" ..................="" n="" amalgam="" one="" surface="" primary.="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d2120...="" ..................="" n="" amalgam="" two="" surfaces="" primary="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d2130...="" ..................="" n="" amalgam="" three="" surfaces="" prima="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d2131...="" ..................="" n="" amalgam="" four/more="" surf="" prima="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d2140...="" ..................="" n="" amalgam="" one="" surface="" permanen="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d2150...="" ..................="" n="" amalgam="" two="" surfaces="" permane="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d2160...="" ..................="" n="" amalgam="" three="" surfaces="" perma="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" d2161...="" ..................="" n="" amalgam="" 4="" or=""> surfaces perm       0.00      0.00        0.00       0.00       XXX  0                 
    D2210...  ..................  N                   Silcate cement per restorat.       0.00      0.00        0.00       0.00       XXX  0                 
    D2330...  ..................  N                   Resin one surface-anterior..       0.00      0.00        0.00       0.00       XXX  0                 
    D2331...  ..................  N                   Resin two surfaces-anterior.       0.00      0.00        0.00       0.00       XXX  0                 
    D2332...  ..................  N                   Resin three surfaces-anterio       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63330]]
                                                                                                                                                            
    D2335...  ..................  N                   Resin 4/> surf or w incis an       0.00      0.00        0.00       0.00       XXX  0                 
    D2336...  ..................  N                   Composite resin crown.......       0.00      0.00        0.00       0.00       XXX  0                 
    D2380...  ..................  N                   Resin one surf poster primar       0.00      0.00        0.00       0.00       XXX  0                 
    D2381...  ..................  N                   Resin two surf poster primar       0.00      0.00        0.00       0.00       XXX  0                 
    D2382...  ..................  N                   Resin three/more surf post p       0.00      0.00        0.00       0.00       XXX  0                 
    D2385...  ..................  N                   Resin one surf poster perman       0.00      0.00        0.00       0.00       XXX  0                 
    D2386...  ..................  N                   Resin two surf poster perman       0.00      0.00        0.00       0.00       XXX  0                 
    D2387...  ..................  N                   Resin three/more surf post p       0.00      0.00        0.00       0.00       XXX  0                 
    D2410...  ..................  N                   Dental gold foil one surface       0.00      0.00        0.00       0.00       XXX  0                 
    D2420...  ..................  N                   Dental gold foil two surface       0.00      0.00        0.00       0.00       XXX  0                 
    D2430...  ..................  N                   Dental gold foil three surfa       0.00      0.00        0.00       0.00       XXX  0                 
    D2510...  ..................  N                   Dental inlay metalic 1 surf.       0.00      0.00        0.00       0.00       XXX  0                 
    D2520...  ..................  N                   Dental inlay metallic 2 surf       0.00      0.00        0.00       0.00       XXX  0                 
    D2530...  ..................  N                   Dental inlay metl 3/more sur       0.00      0.00        0.00       0.00       XXX  0                 
    D2540...  ..................  D                   Dental onlay metallic.......       0.00      0.00        0.00       0.00       YYY  N                 
    D2543...  ..................  N                   Dental onlay metallic 3 surf       0.00      0.00        0.00       0.00       XXX  0                 
    D2544...  ..................  N                   Dental onlay metl 4/more sur       0.00      0.00        0.00       0.00       XXX  0                 
    D2610...  ..................  N                   Inlay porcelain/ceramic 1 su       0.00      0.00        0.00       0.00       XXX  0                 
    D2620...  ..................  N                   Inlay porcelain/ceramic 2 su       0.00      0.00        0.00       0.00       XXX  0                 
    D2630...  ..................  N                   Dental onlay porc 3/more sur       0.00      0.00        0.00       0.00       XXX  0                 
    D2640...  ..................  D                   Onlay w inlay porcelain/cera       0.00      0.00        0.00       0.00       YYY  N                 
    D2642...  ..................  N                   Dental onlay porcelin 2 surf       0.00      0.00        0.00       0.00       XXX  0                 
    D2643...  ..................  N                   Dental onlay porcelin 3 surf       0.00      0.00        0.00       0.00       XXX  0                 
    D2644...  ..................  N                   Dental onlay porc 4/more sur       0.00      0.00        0.00       0.00       XXX  0                 
    D2650...  ..................  N                   Inlay composite/resin one su       0.00      0.00        0.00       0.00       XXX  0                 
    D2651...  ..................  N                   Inlay composite/resin two su       0.00      0.00        0.00       0.00       XXX  0                 
    D2652...  ..................  N                   Dental inlay resin 3/mre sur       0.00      0.00        0.00       0.00       XXX  0                 
    D2660...  ..................  D                   Onlay w inlay composite/resi       0.00      0.00        0.00       0.00       YYY  N                 
    D2662...  ..................  N                   Dental onlay resin 2 surface       0.00      0.00        0.00       0.00       XXX  0                 
    D2663...  ..................  N                   Dental onlay resin 3 surface       0.00      0.00        0.00       0.00       XXX  0                 
    D2664...  ..................  N                   Dental onlay resin 4/mre sur       0.00      0.00        0.00       0.00       XXX  0                 
    D2710...  ..................  N                   Crown resin laboratory......       0.00      0.00        0.00       0.00       XXX  0                 
    D2720...  ..................  N                   Crown resin w/ high noble me       0.00      0.00        0.00       0.00       XXX  0                 
    D2721...  ..................  N                   Crown resin w/ base metal...       0.00      0.00        0.00       0.00       XXX  0                 
    D2722...  ..................  N                   Crown resin w/ noble metal..       0.00      0.00        0.00       0.00       XXX  0                 
    D2740...  ..................  N                   Crown porcelain/ceramic subs       0.00      0.00        0.00       0.00       XXX  0                 
    D2750...  ..................  N                   Crown porcelain w/ h noble m       0.00      0.00        0.00       0.00       XXX  0                 
    D2751...  ..................  N                   Crown porcelain fused base m       0.00      0.00        0.00       0.00       XXX  0                 
    D2752...  ..................  N                   Crown porcelain w/ noble met       0.00      0.00        0.00       0.00       XXX  0                 
    D2790...  ..................  N                   Crown full cast high noble m       0.00      0.00        0.00       0.00       XXX  0                 
    D2791...  ..................  N                   Crown full cast base metal..       0.00      0.00        0.00       0.00       XXX  0                 
    D2792...  ..................  N                   Crown full cast noble metal.       0.00      0.00        0.00       0.00       XXX  0                 
    D2810...  ..................  N                   Crown 3/4 cast metallic.....       0.00      0.00        0.00       0.00       XXX  0                 
    D2910...  ..................  N                   Dental recement inlay.......       0.00      0.00        0.00       0.00       XXX  0                 
    D2920...  ..................  N                   Dental recement crown.......       0.00      0.00        0.00       0.00       XXX  0                 
    D2930...  ..................  N                   Prefab stnlss steel crwn pri       0.00      0.00        0.00       0.00       XXX  0                 
    D2931...  ..................  N                   Prefab stnlss steel crown pe       0.00      0.00        0.00       0.00       XXX  0                 
    D2932...  ..................  N                   Prefabricated resin crown...       0.00      0.00        0.00       0.00       XXX  0                 
    D2933...  ..................  N                   Prefab stainless steel crown       0.00      0.00        0.00       0.00       XXX  0                 
    D2940...  ..................  N                   Dental sedative filling.....       0.00      0.00        0.00       0.00       XXX  0                 
    D2950...  ..................  N                   Core build-up incl any pins.       0.00      0.00        0.00       0.00       XXX  0                 
    D2951...  ..................  N                   Tooth pin retention.........       0.00      0.00        0.00       0.00       XXX  0                 
    D2952...  ..................  N                   Post and core cast + crown..       0.00      0.00        0.00       0.00       XXX  0                 
    D2954...  ..................  N                   Prefab post/core + crown....       0.00      0.00        0.00       0.00       XXX  0                 
    D2955...  ..................  N                   Post removal................       0.00      0.00        0.00       0.00       XXX  0                 
    D2960...  ..................  N                   Laminate labial veneer......       0.00      0.00        0.00       0.00       XXX  0                 
    D2961...  ..................  N                   Lab labial veneer resin.....       0.00      0.00        0.00       0.00       XXX  0                 
    D2962...  ..................  N                   Lab labial veneer porcelain.       0.00      0.00        0.00       0.00       XXX  0                 
    D2970...  ..................  R                   Temporary- fractured tooth..       0.00      0.00        0.00       0.00       YYY  N                 
    D2980...  ..................  N                   Crown repair................       0.00      0.00        0.00       0.00       XXX  0                 
    D2999...  ..................  R                   Dental unspec restorative pr       0.00      0.00        0.00       0.00       YYY  N                 
    D3110...  ..................  N                   Pulp cap direct.............       0.00      0.00        0.00       0.00       XXX  0                 
    D3120...  ..................  N                   Pulp cap indirect...........       0.00      0.00        0.00       0.00       XXX  0                 
    D3220...  ..................  N                   Therapeutic pulpotomy.......       0.00      0.00        0.00       0.00       XXX  0                 
    D3230...  ..................  N                   Pulpal therapy anterior prim       0.00      0.00        0.00       0.00       XXX  0                 
    D3240...  ..................  N                   Pulpal therapy posterior pri       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63331]]
                                                                                                                                                            
    D3310...  ..................  N                   Anterior....................       0.00      0.00        0.00       0.00       XXX  0                 
    D3320...  ..................  N                   Root canal therapy 2 canals.       0.00      0.00        0.00       0.00       XXX  0                 
    D3330...  ..................  N                   Root canal therapy 3 canals.       0.00      0.00        0.00       0.00       XXX  0                 
    D3346...  ..................  N                   Retreat root canal anterior.       0.00      0.00        0.00       0.00       XXX  0                 
    D3347...  ..................  N                   Retreat root canal bicuspid.       0.00      0.00        0.00       0.00       XXX  0                 
    D3348...  ..................  N                   Retreat root canal molar....       0.00      0.00        0.00       0.00       XXX  0                 
    D3351...  ..................  N                   Apexification/recalc initial       0.00      0.00        0.00       0.00       XXX  0                 
    D3352...  ..................  N                   Apexification/recalc interim       0.00      0.00        0.00       0.00       XXX  0                 
    D3353...  ..................  N                   Apexification/recalc final..       0.00      0.00        0.00       0.00       XXX  0                 
    D3410...  ..................  N                   Apicoect/perirad surg anter.       0.00      0.00        0.00       0.00       XXX  0                 
    D3421...  ..................  N                   Root surgery bicuspid.......       0.00      0.00        0.00       0.00       XXX  0                 
    D3425...  ..................  N                   Root surgery molar..........       0.00      0.00        0.00       0.00       XXX  0                 
    D3426...  ..................  N                   Root surgery ea add root....       0.00      0.00        0.00       0.00       XXX  0                 
    D3430...  ..................  N                   Retrograde filling..........       0.00      0.00        0.00       0.00       XXX  0                 
    D3450...  ..................  N                   Root amputation.............       0.00      0.00        0.00       0.00       XXX  0                 
    D3460...  ..................  R                   Endodontic endosseous implan       0.00      0.00        0.00       0.00       YYY  N                 
    D3470...  ..................  N                   Intentional replantation....       0.00      0.00        0.00       0.00       XXX  0                 
    D3910...  ..................  N                   Isolation- tooth w rubb dam.       0.00      0.00        0.00       0.00       XXX  0                 
    D3920...  ..................  N                   Tooth splitting.............       0.00      0.00        0.00       0.00       XXX  0                 
    D3950...  ..................  N                   Canal prep/fitting of dowel.       0.00      0.00        0.00       0.00       XXX  0                 
    D3960...  ..................  N                   Bleaching of discolored toot       0.00      0.00        0.00       0.00       XXX  0                 
    D3999...  ..................  R                   Endodontic procedure........       0.00      0.00        0.00       0.00       YYY  N                 
    D4210...  ..................  G                   Gingivectomy/plasty per quad       0.00      0.00        0.00       0.00       XXX  0                 
    D4211...  ..................  G                   Gingivectomy/plasty per toot       0.00      0.00        0.00       0.00       XXX  0                 
    D4220...  ..................  N                   Gingival curettage per quadr       0.00      0.00        0.00       0.00       XXX  0                 
    D4240...  ..................  N                   Gingival flap proc w/ planin       0.00      0.00        0.00       0.00       XXX  0                 
    D4249...  ..................  N                   Crown lengthen hard tissue..       0.00      0.00        0.00       0.00       XXX  0                 
    D4250...  ..................  R                   Mucogingival surg per quadra       0.00      0.00        0.00       0.00       YYY  N                 
    D4260...  ..................  R                   Osseous surgery per quadrant       0.00      0.00        0.00       0.00       YYY  S                 
    D4261...  ..................  D                   Bone replace graft single si       0.00      0.00        0.00       0.00       YYY  S                 
    D4262...  ..................  D                   Bone replace graft mult site       0.00      0.00        0.00       0.00       YYY  N                 
    D4263...  ..................  R                   Bone replce graft first site       0.00      0.00        0.00       0.00       YYY  N                 
    D4264...  ..................  R                   Bone replce graft each add..       0.00      0.00        0.00       0.00       YYY  N                 
    D4266...  ..................  N                   Guided tiss regen resorble..       0.00      0.00        0.00       0.00       XXX  0                 
    D4267...  ..................  N                   Guided tiss regen nonresorb.       0.00      0.00        0.00       0.00       XXX  0                 
    D4268...  ..................  D                   Guided tissue regeneration..       0.00      0.00        0.00       0.00       YYY  N                 
    D4270...  ..................  R                   Pedicle soft tissue graft pr       0.00      0.00        0.00       0.00       YYY  S                 
    D4271...  ..................  R                   Free soft tissue graft proc.       0.00      0.00        0.00       0.00       YYY  S                 
    D4273...  ..................  R                   Subepithelial tissue graft..       0.00      0.00        0.00       0.00       YYY  N                 
    D4274...  ..................  N                   Distal/proximal wedge proc..       0.00      0.00        0.00       0.00       XXX  0                 
    D4320...  ..................  N                   Provision splnt intracoronal       0.00      0.00        0.00       0.00       XXX  0                 
    D4321...  ..................  N                   Provisional splint extracoro       0.00      0.00        0.00       0.00       XXX  0                 
    D4341...  ..................  N                   Periodontal scaling & root..       0.00      0.00        0.00       0.00       XXX  0                 
    D4345...  ..................  D                   Periodontal scaling w/inflam       0.00      0.00        0.00       0.00       YYY  N                 
    D4355...  ..................  R                   Full mouth debridement......       0.00      0.00        0.00       0.00       YYY  N                 
    D4381...  ..................  R                   Localized chemo delivery....       0.00      0.00        0.00       0.00       YYY  N                 
    D4910...  ..................  N                   Periodontal maint procedures       0.00      0.00        0.00       0.00       XXX  0                 
    D4920...  ..................  N                   Unscheduled dressing change.       0.00      0.00        0.00       0.00       XXX  0                 
    D4999...  ..................  N                   Unspecified periodontal proc       0.00      0.00        0.00       0.00       XXX  0                 
    D5110...  ..................  N                   Dentures complete maxillary.       0.00      0.00        0.00       0.00       XXX  0                 
    D5120...  ..................  N                   Dentures complete mandible..       0.00      0.00        0.00       0.00       XXX  0                 
    D5130...  ..................  N                   Dentures immediat maxillary.       0.00      0.00        0.00       0.00       XXX  0                 
    D5140...  ..................  N                   Dentures immediat mandible..       0.00      0.00        0.00       0.00       XXX  0                 
    D5211...  ..................  N                   Dentures maxill part resin..       0.00      0.00        0.00       0.00       XXX  0                 
    D5212...  ..................  N                   Dentures mand part resin....       0.00      0.00        0.00       0.00       XXX  0                 
    D5213...  ..................  N                   Dentures maxill part metal..       0.00      0.00        0.00       0.00       XXX  0                 
    D5214...  ..................  N                   Dentures mandibl part metal.       0.00      0.00        0.00       0.00       XXX  0                 
    D5281...  ..................  N                   Removable partial denture...       0.00      0.00        0.00       0.00       XXX  0                 
    D5410...  ..................  N                   Dentures adjust cmplt maxil.       0.00      0.00        0.00       0.00       XXX  0                 
    D5411...  ..................  N                   Dentures adjust cmplt mand..       0.00      0.00        0.00       0.00       XXX  0                 
    D5421...  ..................  N                   Dentures adjust part maxill.       0.00      0.00        0.00       0.00       XXX  0                 
    D5422...  ..................  N                   Dentures adjust part mandbl.       0.00      0.00        0.00       0.00       XXX  0                 
    D5510...  ..................  N                   Dentur repr broken compl bas       0.00      0.00        0.00       0.00       XXX  0                 
    D5520...  ..................  N                   Replace denture teeth complt       0.00      0.00        0.00       0.00       XXX  0                 
    D5610...  ..................  N                   Dentures repair resin base..       0.00      0.00        0.00       0.00       XXX  0                 
    D5620...  ..................  N                   Rep part denture cast frame.       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63332]]
                                                                                                                                                            
    D5630...  ..................  N                   Rep partial denture clasp...       0.00      0.00        0.00       0.00       XXX  0                 
    D5640...  ..................  N                   Replace part denture teeth..       0.00      0.00        0.00       0.00       XXX  0                 
    D5650...  ..................  N                   Add tooth to partial denture       0.00      0.00        0.00       0.00       XXX  0                 
    D5660...  ..................  N                   Add clasp to partial denture       0.00      0.00        0.00       0.00       XXX  0                 
    D5710...  ..................  N                   Dentures rebase cmplt maxil.       0.00      0.00        0.00       0.00       XXX  0                 
    D5711...  ..................  N                   Dentures rebase cmplt mand..       0.00      0.00        0.00       0.00       XXX  0                 
    D5720...  ..................  N                   Dentures rebase part maxill.       0.00      0.00        0.00       0.00       XXX  0                 
    D5721...  ..................  N                   Dentures rebase part mandbl.       0.00      0.00        0.00       0.00       XXX  0                 
    D5730...  ..................  N                   Denture reln cmplt maxil ch.       0.00      0.00        0.00       0.00       XXX  0                 
    D5731...  ..................  N                   Denture reln cmplt mand chr.       0.00      0.00        0.00       0.00       XXX  0                 
    D5740...  ..................  N                   Denture reln part maxil chr.       0.00      0.00        0.00       0.00       XXX  0                 
    D5741...  ..................  N                   Denture reln part mand chr..       0.00      0.00        0.00       0.00       XXX  0                 
    D5750...  ..................  N                   Denture reln cmplt max lab..       0.00      0.00        0.00       0.00       XXX  0                 
    D5751...  ..................  N                   Denture reln cmplt mand lab.       0.00      0.00        0.00       0.00       XXX  0                 
    D5760...  ..................  N                   Denture reln part maxil lab.       0.00      0.00        0.00       0.00       XXX  0                 
    D5761...  ..................  N                   Denture reln part mand lab..       0.00      0.00        0.00       0.00       XXX  0                 
    D5810...  ..................  N                   Denture interm cmplt maxill.       0.00      0.00        0.00       0.00       XXX  0                 
    D5811...  ..................  N                   Denture interm cmplt mandbl.       0.00      0.00        0.00       0.00       XXX  0                 
    D5820...  ..................  N                   Denture interm part maxill..       0.00      0.00        0.00       0.00       XXX  0                 
    D5821...  ..................  N                   Denture interm part mandbl..       0.00      0.00        0.00       0.00       XXX  0                 
    D5850...  ..................  N                   Denture tiss conditn maxill.       0.00      0.00        0.00       0.00       XXX  0                 
    D5851...  ..................  N                   Denture tiss condtin mandbl.       0.00      0.00        0.00       0.00       XXX  0                 
    D5860...  ..................  N                   Overdenture complete........       0.00      0.00        0.00       0.00       XXX  0                 
    D5861...  ..................  N                   Overdenture partial.........       0.00      0.00        0.00       0.00       XXX  0                 
    D5862...  ..................  N                   Precision attachment........       0.00      0.00        0.00       0.00       XXX  0                 
    D5899...  ..................  N                   Removable prosthodontic proc       0.00      0.00        0.00       0.00       XXX  0                 
    D5911...  ..................  R                   Facial moulage sectional....       0.00      0.00        0.00       0.00       YYY  N                 
    D5912...  ..................  R                   Facial moulage complete.....       0.00      0.00        0.00       0.00       YYY  N                 
    D5913...  ..................  G                   Nasal prosthesis............       0.00      0.00        0.00       0.00       XXX  0                 
    D5914...  ..................  G                   Auricular prosthesis........       0.00      0.00        0.00       0.00       XXX  0                 
    D5915...  ..................  G                   Orbital prosthesis..........       0.00      0.00        0.00       0.00       XXX  0                 
    D5916...  ..................  G                   Ocular prosthesis...........       0.00      0.00        0.00       0.00       XXX  0                 
    D5919...  ..................  G                   Facial prosthesis...........       0.00      0.00        0.00       0.00       XXX  0                 
    D5922...  ..................  G                   Nasal septal prosthesis.....       0.00      0.00        0.00       0.00       XXX  0                 
    D5923...  ..................  G                   Ocular prosthesis interim...       0.00      0.00        0.00       0.00       XXX  0                 
    D5924...  ..................  G                   Cranial prosthesis..........       0.00      0.00        0.00       0.00       XXX  0                 
    D5925...  ..................  G                   Facial augmentation implant.       0.00      0.00        0.00       0.00       XXX  0                 
    D5926...  ..................  G                   Replacement nasal prosthesis       0.00      0.00        0.00       0.00       XXX  0                 
    D5927...  ..................  G                   Auricular replacement.......       0.00      0.00        0.00       0.00       XXX  0                 
    D5928...  ..................  G                   Orbital replacement.........       0.00      0.00        0.00       0.00       XXX  0                 
    D5929...  ..................  G                   Facial replacement..........       0.00      0.00        0.00       0.00       XXX  0                 
    D5931...  ..................  G                   Surgical obturator..........       0.00      0.00        0.00       0.00       XXX  0                 
    D5932...  ..................  G                   Postsurgical obturator......       0.00      0.00        0.00       0.00       XXX  0                 
    D5933...  ..................  G                   Refitting of obturator......       0.00      0.00        0.00       0.00       XXX  0                 
    D5934...  ..................  G                   Mandibular flange prosthesis       0.00      0.00        0.00       0.00       XXX  0                 
    D5935...  ..................  G                   Mandibular denture prosth...       0.00      0.00        0.00       0.00       XXX  0                 
    D5936...  ..................  G                   Temp obturator prosthesis...       0.00      0.00        0.00       0.00       XXX  0                 
    D5937...  ..................  G                   Trismus appliance...........       0.00      0.00        0.00       0.00       XXX  0                 
    D5951...  ..................  R                   Feeding aid.................       0.00      0.00        0.00       0.00       YYY  N                 
    D5952...  ..................  G                   Pediatric speech aid........       0.00      0.00        0.00       0.00       XXX  0                 
    D5953...  ..................  G                   Adult speech aid............       0.00      0.00        0.00       0.00       XXX  0                 
    D5954...  ..................  G                   Superimposed prosthesis.....       0.00      0.00        0.00       0.00       XXX  0                 
    D5955...  ..................  G                   Palatal lift prosthesis.....       0.00      0.00        0.00       0.00       XXX  0                 
    D5958...  ..................  G                   Intraoral con def inter plt.       0.00      0.00        0.00       0.00       XXX  0                 
    D5959...  ..................  G                   Intraoral con def mod palat.       0.00      0.00        0.00       0.00       XXX  0                 
    D5960...  ..................  G                   Modify speech aid prosthesis       0.00      0.00        0.00       0.00       XXX  0                 
    D5982...  ..................  G                   Surgical stent..............       0.00      0.00        0.00       0.00       XXX  0                 
    D5983...  ..................  R                   Radiation applicator........       0.00      0.00        0.00       0.00       YYY  N                 
    D5984...  ..................  R                   Radiation shield............       0.00      0.00        0.00       0.00       YYY  N                 
    D5985...  ..................  R                   Radiation cone locator......       0.00      0.00        0.00       0.00       YYY  N                 
    D5986...  ..................  N                   Fluoride applicator.........       0.00      0.00        0.00       0.00       XXX  0                 
    D5987...  ..................  R                   Commissure splint...........       0.00      0.00        0.00       0.00       YYY  N                 
    D5988...  ..................  R                   Surgical splint.............       0.00      0.00        0.00       0.00       YYY  N                 
    D5999...  ..................  G                   Maxillofacial prosthesis....       0.00      0.00        0.00       0.00       XXX  0                 
    D6010...  ..................  G                   Odontics endosteal implant..       0.00      0.00        0.00       0.00       XXX  0                 
    D6020...  ..................  G                   Odontics abutment placement.       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63333]]
                                                                                                                                                            
    D6030...  ..................  D                   Prosthodont endosseous impl.       0.00      0.00        0.00       0.00       YYY  N                 
    D6040...  ..................  G                   Odontics eposteal implant...       0.00      0.00        0.00       0.00       XXX  0                 
    D6050...  ..................  G                   Odontics transosteal implnt.       0.00      0.00        0.00       0.00       XXX  0                 
    D6055...  ..................  G                   Implant connecting bar......       0.00      0.00        0.00       0.00       XXX  0                 
    D6080...  ..................  G                   Implant maintenance.........       0.00      0.00        0.00       0.00       XXX  0                 
    D6090...  ..................  G                   Repair implant..............       0.00      0.00        0.00       0.00       XXX  0                 
    D6095...  ..................  G                   Odontics repr abutment......       0.00      0.00        0.00       0.00       XXX  0                 
    D6100...  ..................  G                   Removal of implant..........       0.00      0.00        0.00       0.00       XXX  0                 
    D6199...  ..................  G                   Implant procedure...........       0.00      0.00        0.00       0.00       XXX  0                 
    D6210...  ..................  N                   Prosthodont high noble metal       0.00      0.00        0.00       0.00       XXX  0                 
    D6211...  ..................  N                   Bridge base metal cast......       0.00      0.00        0.00       0.00       XXX  0                 
    D6212...  ..................  N                   Bridge noble metal cast.....       0.00      0.00        0.00       0.00       XXX  0                 
    D6240...  ..................  N                   Bridge porcelain high noble.       0.00      0.00        0.00       0.00       XXX  0                 
    D6241...  ..................  N                   Bridge porcelain base metal.       0.00      0.00        0.00       0.00       XXX  0                 
    D6242...  ..................  N                   Bridge porcelain nobel metal       0.00      0.00        0.00       0.00       XXX  0                 
    D6250...  ..................  N                   Bridge resin w/high noble...       0.00      0.00        0.00       0.00       XXX  0                 
    D6251...  ..................  N                   Bridge resin base metal.....       0.00      0.00        0.00       0.00       XXX  0                 
    D6252...  ..................  N                   Bridge resin w/noble metal..       0.00      0.00        0.00       0.00       XXX  0                 
    D6520...  ..................  N                   Dental retainer two surfaces       0.00      0.00        0.00       0.00       XXX  0                 
    D6530...  ..................  N                   Retainer metallic 3+ surface       0.00      0.00        0.00       0.00       XXX  0                 
    D6540...  ..................  D                   Retainer metallic cusps.....       0.00      0.00        0.00       0.00       YYY  N                 
    D6543...  ..................  N                   Dental retainr onlay 3 surf.       0.00      0.00        0.00       0.00       XXX  0                 
    D6544...  ..................  N                   Dental retainr onlay 4/more.       0.00      0.00        0.00       0.00       XXX  0                 
    D6545...  ..................  N                   Dental retainr cast metl....       0.00      0.00        0.00       0.00       XXX  0                 
    D6720...  ..................  N                   Retain crown resin w hi nble       0.00      0.00        0.00       0.00       XXX  0                 
    D6721...  ..................  N                   Crown resin w/base metal....       0.00      0.00        0.00       0.00       XXX  0                 
    D6722...  ..................  N                   Crown resin w/noble metal...       0.00      0.00        0.00       0.00       XXX  0                 
    D6750...  ..................  N                   Crown porcelain high noble..       0.00      0.00        0.00       0.00       XXX  0                 
    D6751...  ..................  N                   Crown porcelain base metal..       0.00      0.00        0.00       0.00       XXX  0                 
    D6752...  ..................  N                   Crown porcelain noble metal.       0.00      0.00        0.00       0.00       XXX  0                 
    D6780...  ..................  N                   Crown 3/4 high noble metal..       0.00      0.00        0.00       0.00       XXX  0                 
    D6790...  ..................  N                   Crown full high noble metal.       0.00      0.00        0.00       0.00       XXX  0                 
    D6791...  ..................  N                   Crown full base metal cast..       0.00      0.00        0.00       0.00       XXX  0                 
    D6792...  ..................  N                   Crown full noble metal cast.       0.00      0.00        0.00       0.00       XXX  0                 
    D6920...  ..................  R                   Dental connector bar........       0.00      0.00        0.00       0.00       YYY  N                 
    D6930...  ..................  N                   Dental recement bridge......       0.00      0.00        0.00       0.00       XXX  0                 
    D6940...  ..................  N                   Stress breaker..............       0.00      0.00        0.00       0.00       XXX  0                 
    D6950...  ..................  N                   Precision attachment........       0.00      0.00        0.00       0.00       XXX  0                 
    D6970...  ..................  N                   Post & core plus retainer...       0.00      0.00        0.00       0.00       XXX  0                 
    D6971...  ..................  N                   Cast post bridge retainer...       0.00      0.00        0.00       0.00       XXX  0                 
    D6972...  ..................  N                   Prefab post & core plus reta       0.00      0.00        0.00       0.00       XXX  0                 
    D6973...  ..................  N                   Core build up for retainer..       0.00      0.00        0.00       0.00       XXX  0                 
    D6975...  ..................  N                   Coping metal................       0.00      0.00        0.00       0.00       XXX  0                 
    D6980...  ..................  N                   Bridge repair...............       0.00      0.00        0.00       0.00       XXX  0                 
    D6999...  ..................  N                   Fixed prosthodontic proc....       0.00      0.00        0.00       0.00       XXX  0                 
    D7110...  ..................  R                   Oral surgery single tooth...       0.00      0.00        0.00       0.00       YYY  S                 
    D7120...  ..................  R                   Each add tooth extraction...       0.00      0.00        0.00       0.00       YYY  S                 
    D7130...  ..................  R                   Tooth root removal..........       0.00      0.00        0.00       0.00       YYY  S                 
    D7210...  ..................  R                   Rem imp tooth w mucoper flp.       0.00      0.00        0.00       0.00       YYY  S                 
    D7220...  ..................  R                   Impact tooth remov soft tiss       0.00      0.00        0.00       0.00       YYY  S                 
    D7230...  ..................  R                   Impact tooth remov part bony       0.00      0.00        0.00       0.00       YYY  S                 
    D7240...  ..................  R                   Impact tooth remov comp bony       0.00      0.00        0.00       0.00       YYY  S                 
    D7241...  ..................  R                   Impact tooth rem bony w/comp       0.00      0.00        0.00       0.00       YYY  S                 
    D7250...  ..................  R                   Tooth root removal..........       0.00      0.00        0.00       0.00       YYY  S                 
    D7260...  ..................  R                   Oral antral fistula closure.       0.00      0.00        0.00       0.00       YYY  S                 
    D7270...  ..................  N                   Tooth reimplantation........       0.00      0.00        0.00       0.00       XXX  0                 
    D7271...  ..................  D                   Tooth implantation..........       0.00      0.00        0.00       0.00       YYY  N                 
    D7272...  ..................  N                   Tooth transplantation.......       0.00      0.00        0.00       0.00       XXX  0                 
    D7280...  ..................  N                   Exposure impact tooth orthod       0.00      0.00        0.00       0.00       XXX  0                 
    D7281...  ..................  N                   Exposure tooth aid eruption.       0.00      0.00        0.00       0.00       XXX  0                 
    D7285...  ..................  G                   Biopsy of oral tissue hard..       0.00      0.00        0.00       0.00       XXX  0                 
    D7286...  ..................  G                   Biopsy of oral tissue soft..       0.00      0.00        0.00       0.00       XXX  0                 
    D7290...  ..................  N                   Repositioning of teeth......       0.00      0.00        0.00       0.00       XXX  0                 
    D7291...  ..................  R                   Transseptal fiberotomy......       0.00      0.00        0.00       0.00       YYY  N                 
    D7310...  ..................  G                   Alveoplasty w/ extraction...       0.00      0.00        0.00       0.00       XXX  0                 
    D7320...  ..................  G                   Alveoplasty w/o extraction..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63334]]
                                                                                                                                                            
    D7340...  ..................  G                   Vestibuloplasty ridge extens       0.00      0.00        0.00       0.00       XXX  0                 
    D7350...  ..................  G                   Vestibuloplasty exten graft.       0.00      0.00        0.00       0.00       XXX  0                 
    D7410...  ..................  G                   Rad exc lesion up to 1.25 cm       0.00      0.00        0.00       0.00       XXX  0                 
    D7420...  ..................  G                   Lesion > 1.25 cm............       0.00      0.00        0.00       0.00       XXX  0                 
    D7430...  ..................  G                   Exc benign tumor to 1.25 cm.       0.00      0.00        0.00       0.00       XXX  0                 
    D7431...  ..................  G                   Benign tumor exc > 1.25 cm..       0.00      0.00        0.00       0.00       XXX  0                 
    D7440...  ..................  G                   Malig tumor exc to 1.25 cm..       0.00      0.00        0.00       0.00       XXX  0                 
    D7441...  ..................  G                   Malig tumor > 1.25 cm.......       0.00      0.00        0.00       0.00       XXX  0                 
    D7450...  ..................  G                   Rem odontogen cyst to 1.25cm       0.00      0.00        0.00       0.00       XXX  0                 
    D7451...  ..................  G                   Rem odontogen cyst > 1.25 cm       0.00      0.00        0.00       0.00       XXX  0                 
    D7460...  ..................  G                   Rem nonodonto cyst to 1.25cm       0.00      0.00        0.00       0.00       XXX  0                 
    D7461...  ..................  G                   Rem nonodonto cyst > 1.25 cm       0.00      0.00        0.00       0.00       XXX  0                 
    D7465...  ..................  G                   Lesion destruction..........       0.00      0.00        0.00       0.00       XXX  0                 
    D7470...  ..................  G                   Rem exostosis maxilla/mandib       0.00      0.00        0.00       0.00       XXX  0                 
    D7480...  ..................  G                   Partial ostectomy...........       0.00      0.00        0.00       0.00       XXX  0                 
    D7490...  ..................  G                   Mandible resection..........       0.00      0.00        0.00       0.00       XXX  0                 
    D7510...  ..................  G                   I&d absc intraoral soft tiss       0.00      0.00        0.00       0.00       XXX  0                 
    D7520...  ..................  G                   I&d abscess extraoral.......       0.00      0.00        0.00       0.00       XXX  0                 
    D7530...  ..................  G                   Removal fb skin/areolar tiss       0.00      0.00        0.00       0.00       XXX  0                 
    D7540...  ..................  G                   Removal of fb reaction......       0.00      0.00        0.00       0.00       XXX  0                 
    D7550...  ..................  G                   Removal of sloughed off bone       0.00      0.00        0.00       0.00       XXX  0                 
    D7560...  ..................  G                   Maxillary sinusotomy........       0.00      0.00        0.00       0.00       XXX  0                 
    D7610...  ..................  G                   Maxilla open reduct simple..       0.00      0.00        0.00       0.00       XXX  0                 
    D7620...  ..................  G                   Clsd reduct simpl maxilla fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7630...  ..................  G                   Open red simpl mandible fx..       0.00      0.00        0.00       0.00       XXX  0                 
    D7640...  ..................  G                   Clsd red simpl mandible fx..       0.00      0.00        0.00       0.00       XXX  0                 
    D7650...  ..................  G                   Open red simp malar/zygom fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7660...  ..................  G                   Clsd red simp malar/zygom fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7670...  ..................  G                   Open red simple alveolus fx.       0.00      0.00        0.00       0.00       XXX  0                 
    D7680...  ..................  G                   Reduct simple facial bone fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7710...  ..................  G                   Maxilla open reduct compound       0.00      0.00        0.00       0.00       XXX  0                 
    D7720...  ..................  G                   Clsd reduct compd maxilla fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7730...  ..................  G                   Open reduct compd mandble fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7740...  ..................  G                   Clsd reduct compd mandble fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7750...  ..................  G                   Open red comp malar/zygma fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7760...  ..................  G                   Clsd red comp malar/zygma fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7770...  ..................  G                   Open reduc compd alveolus fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7780...  ..................  G                   Reduct compnd facial bone fx       0.00      0.00        0.00       0.00       XXX  0                 
    D7810...  ..................  G                   Tmj open reduct-dislocation.       0.00      0.00        0.00       0.00       XXX  0                 
    D7820...  ..................  G                   Closed tmp manipulation.....       0.00      0.00        0.00       0.00       XXX  0                 
    D7830...  ..................  G                   Tmj manipulation under anest       0.00      0.00        0.00       0.00       XXX  0                 
    D7840...  ..................  G                   Removal of tmj condyle......       0.00      0.00        0.00       0.00       XXX  0                 
    D7850...  ..................  G                   Tmj meniscectomy............       0.00      0.00        0.00       0.00       XXX  0                 
    D7852...  ..................  G                   Tmj repair of joint disc....       0.00      0.00        0.00       0.00       XXX  0                 
    D7854...  ..................  G                   Tmj excisn of joint membrane       0.00      0.00        0.00       0.00       XXX  0                 
    D7856...  ..................  G                   Tmj cutting of a muscle.....       0.00      0.00        0.00       0.00       XXX  0                 
    D7858...  ..................  G                   Tmj reconstruction..........       0.00      0.00        0.00       0.00       XXX  0                 
    D7860...  ..................  G                   Tmj cutting into joint......       0.00      0.00        0.00       0.00       XXX  0                 
    D7865...  ..................  G                   Tmj reshaping components....       0.00      0.00        0.00       0.00       XXX  0                 
    D7870...  ..................  G                   Tmj aspiration joint fluid..       0.00      0.00        0.00       0.00       XXX  0                 
    D7872...  ..................  G                   Tmj diagnostic arthroscopy..       0.00      0.00        0.00       0.00       XXX  0                 
    D7873...  ..................  G                   Tmj arthroscopy lysis adhesn       0.00      0.00        0.00       0.00       XXX  0                 
    D7874...  ..................  G                   Tmj arthroscopy disc reposit       0.00      0.00        0.00       0.00       XXX  0                 
    D7875...  ..................  G                   Tmj arthroscopy synovectomy.       0.00      0.00        0.00       0.00       XXX  0                 
    D7876...  ..................  G                   Tmj arthroscopy discectomy..       0.00      0.00        0.00       0.00       XXX  0                 
    D7877...  ..................  G                   Tmj arthroscopy debridement.       0.00      0.00        0.00       0.00       XXX  0                 
    D7880...  ..................  G                   Occlusal orthotic appliance.       0.00      0.00        0.00       0.00       XXX  0                 
    D7899...  ..................  G                   Tmj unspecified therapy.....       0.00      0.00        0.00       0.00       XXX  0                 
    D7910...  ..................  G                   Dent sutur recent wnd to 5cm       0.00      0.00        0.00       0.00       XXX  0                 
    D7911...  ..................  G                   Dental suture wound to 5 cm.       0.00      0.00        0.00       0.00       XXX  0                 
    D7912...  ..................  G                   Suture complicate wnd > 5 cm       0.00      0.00        0.00       0.00       XXX  0                 
    D7920...  ..................  G                   Dental skin graft...........       0.00      0.00        0.00       0.00       XXX  0                 
    D7940...  ..................  R                   Reshaping bone orthognathic.       0.00      0.00        0.00       0.00       YYY  S                 
    D7941...  ..................  G                   Bone cutting ramus closed...       0.00      0.00        0.00       0.00       XXX  0                 
    D7942...  ..................  G                   Bone cutting ramus open.....       0.00      0.00        0.00       0.00       XXX  0                 
    D7943...  ..................  G                   Cutting ramus open w/graft..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63335]]
                                                                                                                                                            
    D7944...  ..................  G                   Bone cutting segmented......       0.00      0.00        0.00       0.00       XXX  0                 
    D7945...  ..................  G                   Bone cutting body mandible..       0.00      0.00        0.00       0.00       XXX  0                 
    D7946...  ..................  G                   Reconstruction maxilla total       0.00      0.00        0.00       0.00       XXX  0                 
    D7947...  ..................  G                   Reconstruct maxilla segment.       0.00      0.00        0.00       0.00       XXX  0                 
    D7948...  ..................  G                   Reconstruct midface no graft       0.00      0.00        0.00       0.00       XXX  0                 
    D7949...  ..................  G                   Reconstruct midface w/graft.       0.00      0.00        0.00       0.00       XXX  0                 
    D7950...  ..................  G                   Mandible graft..............       0.00      0.00        0.00       0.00       XXX  0                 
    D7955...  ..................  G                   Repair maxillofacial defects       0.00      0.00        0.00       0.00       XXX  0                 
    D7960...  ..................  G                   Frenulectomy/frenulotomy....       0.00      0.00        0.00       0.00       XXX  0                 
    D7970...  ..................  G                   Excision hyperplastic tissue       0.00      0.00        0.00       0.00       XXX  0                 
    D7971...  ..................  G                   Excision pericoronal gingiva       0.00      0.00        0.00       0.00       XXX  0                 
    D7980...  ..................  G                   Sialolithotomy..............       0.00      0.00        0.00       0.00       XXX  0                 
    D7981...  ..................  G                   Excision of salivary gland..       0.00      0.00        0.00       0.00       XXX  0                 
    D7982...  ..................  G                   Sialodochoplasty............       0.00      0.00        0.00       0.00       XXX  0                 
    D7983...  ..................  G                   Closure of salivary fistula.       0.00      0.00        0.00       0.00       XXX  0                 
    D7990...  ..................  G                   Emergency tracheotomy.......       0.00      0.00        0.00       0.00       XXX  0                 
    D7991...  ..................  G                   Dental coronoidectomy.......       0.00      0.00        0.00       0.00       XXX  0                 
    D7993...  ..................  D                   Implant facial bones........       0.00      0.00        0.00       0.00       YYY  N                 
    D7994...  ..................  D                   Implant chin................       0.00      0.00        0.00       0.00       YYY  N                 
    D7995...  ..................  G                   Synthetic graft facial bones       0.00      0.00        0.00       0.00       XXX  0                 
    D7996...  ..................  G                   Implant mandible for augment       0.00      0.00        0.00       0.00       XXX  0                 
    D7999...  ..................  G                   Oral surgery procedure......       0.00      0.00        0.00       0.00       XXX  0                 
    D8010...  ..................  N                   Limited dental tx primary...       0.00      0.00        0.00       0.00       XXX  0                 
    D8020...  ..................  N                   Limited dental tx transition       0.00      0.00        0.00       0.00       XXX  0                 
    D8030...  ..................  N                   Limited dental tx adolescent       0.00      0.00        0.00       0.00       XXX  0                 
    D8040...  ..................  N                   Limited dental tx adult.....       0.00      0.00        0.00       0.00       XXX  0                 
    D8050...  ..................  N                   Intercep dental tx primary..       0.00      0.00        0.00       0.00       XXX  0                 
    D8060...  ..................  N                   Intercep dental tx transitn.       0.00      0.00        0.00       0.00       XXX  0                 
    D8070...  ..................  N                   Compre dental tx transition.       0.00      0.00        0.00       0.00       XXX  0                 
    D8080...  ..................  N                   Compre dental tx adolescent.       0.00      0.00        0.00       0.00       XXX  0                 
    D8090...  ..................  N                   Compre dental tx adult......       0.00      0.00        0.00       0.00       XXX  0                 
    D8110...  ..................  D                   Orthodontic rem appliance tx       0.00      0.00        0.00       0.00       YYY  N                 
    D8120...  ..................  D                   Fixed appliance therapy guid       0.00      0.00        0.00       0.00       YYY  N                 
    D8210...  ..................  N                   Orthodontic rem appliance tx       0.00      0.00        0.00       0.00       XXX  0                 
    D8220...  ..................  N                   Fixed appliance therapy habt       0.00      0.00        0.00       0.00       XXX  0                 
    D8360...  ..................  D                   Orthodontic rem appliance tx       0.00      0.00        0.00       0.00       YYY  N                 
    D8370...  ..................  D                   Fixed appliance interceptive       0.00      0.00        0.00       0.00       YYY  N                 
    D8460...  ..................  D                   Trans dentit class 1 maloccl       0.00      0.00        0.00       0.00       YYY  N                 
    D8470...  ..................  D                   Class ii malocclusion trnstn       0.00      0.00        0.00       0.00       YYY  N                 
    D8480...  ..................  D                   Class iii malocclusion trnst       0.00      0.00        0.00       0.00       YYY  N                 
    D8560...  ..................  D                   Class i tx atyp/ext skel cas       0.00      0.00        0.00       0.00       YYY  N                 
    D8570...  ..................  D                   Class ii malocclusion perman       0.00      0.00        0.00       0.00       YYY  N                 
    D8580...  ..................  D                   Class iii malocclusion permn       0.00      0.00        0.00       0.00       YYY  N                 
    D8650...  ..................  D                   Tx atypical/extend skel case       0.00      0.00        0.00       0.00       YYY  N                 
    D8660...  ..................  N                   Preorthodontic tx visit.....       0.00      0.00        0.00       0.00       XXX  0                 
    D8670...  ..................  N                   Periodic orthodontc tx visit       0.00      0.00        0.00       0.00       XXX  0                 
    D8680...  ..................  N                   Orthodontic retention.......       0.00      0.00        0.00       0.00       XXX  0                 
    D8690...  ..................  N                   Orthodontic treatment.......       0.00      0.00        0.00       0.00       XXX  0                 
    D8750...  ..................  D                   Post-treatment stabilization       0.00      0.00        0.00       0.00       YYY  N                 
    D8999...  ..................  N                   Orthodontic procedure.......       0.00      0.00        0.00       0.00       XXX  0                 
    D9110...  ..................  R                   Tx dental pain minor proc...       0.00      0.00        0.00       0.00       YYY  N                 
    D9210...  ..................  G                   Dent anesthesia w/o surgery.       0.00      0.00        0.00       0.00       XXX  0                 
    D9211...  ..................  G                   Regional block anesthesia...       0.00      0.00        0.00       0.00       XXX  0                 
    D9212...  ..................  G                   Trigeminal block anesthesia.       0.00      0.00        0.00       0.00       XXX  0                 
    D9215...  ..................  G                   Local anesthesia............       0.00      0.00        0.00       0.00       XXX  0                 
    D9220...  ..................  G                   General anesthesia..........       0.00      0.00        0.00       0.00       XXX  0                 
    D9221...  ..................  G                   General anesthesia ea ad 15m       0.00      0.00        0.00       0.00       XXX  0                 
    D9230...  ..................  R                   Analgesia...................       0.00      0.00        0.00       0.00       YYY  N                 
    D9240...  ..................  G                   Intravenous sedation........       0.00      0.00        0.00       0.00       XXX  0                 
    D9310...  ..................  G                   Dental consultation.........       0.00      0.00        0.00       0.00       XXX  0                 
    D9410...  ..................  G                   Dental house call...........       0.00      0.00        0.00       0.00       XXX  0                 
    D9420...  ..................  G                   Hospital call...............       0.00      0.00        0.00       0.00       XXX  0                 
    D9430...  ..................  G                   Office visit during hours...       0.00      0.00        0.00       0.00       XXX  0                 
    D9440...  ..................  G                   Office visit after hours....       0.00      0.00        0.00       0.00       XXX  0                 
    D9610...  ..................  G                   Dent therapeutic drug inject       0.00      0.00        0.00       0.00       XXX  0                 
    D9630...  ..................  R                   Other drugs/medicaments.....       0.00      0.00        0.00       0.00       YYY  N                 
    
    [[Page 63336]]
                                                                                                                                                            
    D9910...  ..................  N                   Dent appl desensitizing med.       0.00      0.00        0.00       0.00       XXX  0                 
    D9920...  ..................  N                   Behavior management.........       0.00      0.00        0.00       0.00       XXX  0                 
    D9930...  ..................  R                   Treatment of complications..       0.00      0.00        0.00       0.00       YYY  N                 
    D9940...  ..................  R                   Dental occlusal guard.......       0.00      0.00        0.00       0.00       YYY  N                 
    D9941...  ..................  N                   Fabrication athletic guard..       0.00      0.00        0.00       0.00       XXX  0                 
    D9950...  ..................  R                   Occlusion analysis..........       0.00      0.00        0.00       0.00       YYY  N                 
    D9951...  ..................  R                   Limited occlusal adjustment.       0.00      0.00        0.00       0.00       YYY  N                 
    D9952...  ..................  R                   Complete occlusal adjustment       0.00      0.00        0.00       0.00       YYY  N                 
    D9970...  ..................  N                   Enamel microabrasion........       0.00      0.00        0.00       0.00       XXX  0                 
    D9999...  ..................  G                   Adjunctive procedure........       0.00      0.00        0.00       0.00       XXX  0                 
    G0001...  ..................  X                   Drawing blood for specimen..       0.00      0.00        0.00       0.00       XXX  0                 
    G0002...  ..................  A                   Temporary urinary catheter..       0.50      0.70        0.02       1.22       000  S                 
    G0004...  ..................  A                   ECG transm phys review & int       0.52      7.31        0.65       8.48       XXX  N                 
    G0005...  ..................  A                   ECG 24 hour recording.......       0.00      1.18        0.09       1.27       XXX  N                 
    G0006...  ..................  A                   ECG transmission & analysis.       0.00      5.73        0.51       6.24       XXX  N                 
    G0007...  ..................  A                   ECG phy review & interpret..       0.52      0.40        0.05       0.97       XXX  N                 
    G0008...  ..................  X                   Admin influenza virus vac...       0.00      0.00        0.00       0.00       XXX  0                 
    G0009...  ..................  X                   Admin pneumococcal vaccine..       0.00      0.00        0.00       0.00       XXX  0                 
    G0010...  ..................  X                   Admin hepatitis b vaccine...       0.00      0.00        0.00       0.00       XXX  0                 
    G0015...  ..................  A                   Post symptom ECG tracing....       0.00      5.73        0.51       6.24       XXX  N                 
    G0016...  ..................  A                   Post symptom ECG md review..       0.52      0.40        0.05       0.97       XXX  N                 
    G0020...  ..................  D                   Prepare face/oral prosthesis       0.00      0.00        0.00       0.00       010  S                 
    G0021...  ..................  D                   Prepare orbital prosthesis..       0.00      0.00        0.00       0.00       090  S                 
    G0025...  ..................  A                   Collagen skin test kit......       0.00      0.95        0.00       0.95       XXX  N                 
    G0026...  ..................  X                   Fecal leukocyte examination.       0.00      0.00        0.00       0.00       XXX  0                 
    G0027...  ..................  X                   Semen analysis..............       0.00      0.00        0.00       0.00       XXX  0                 
    G0030...  ..................  C                   PET imaging prev PET single.       0.00      0.00        0.00       0.00       XXX  N                 
    G0030...  26                  A                   PET imaging prev PET single.       1.09      0.48        0.07       1.64       XXX  N                 
    G0030...  TC                  C                   PET imaging prev PET single.       0.00      0.00        0.00       0.00       XXX  N                 
    G0031...  ..................  C                   PET imaging prev PET multple       0.00      0.00        0.00       0.00       XXX  N                 
    G0031...  26                  A                   PET imaging prev PET multple       1.46      0.65        0.10       2.21       XXX  N                 
    G0031...  TC                  C                   PET imaging prev PET multple       0.00      0.00        0.00       0.00       XXX  N                 
    G0032...  ..................  C                   PET follow SPECT 78464 singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0032...  26                  A                   PET follow SPECT 78464 singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0032...  TC                  C                   PET follow SPECT 78464 singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0033...  ..................  C                   PET follow SPECT 78464 mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0033...  26                  A                   PET follow SPECT 78464 mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0033...  TC                  C                   PET follow SPECT 78464 mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0034...  ..................  C                   PET follow SPECT 76865 singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0034...  26                  A                   PET follow SPECT 76865 singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0034...  TC                  C                   PET follow SPECT 76865 singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0035...  ..................  C                   PET follow SPECT 78465 mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0035...  26                  A                   PET follow SPECT 78465 mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0035...  TC                  C                   PET follow SPECT 78465 mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0036...  ..................  C                   PET follow cornry angio sing       0.00      0.00        0.00       0.00       XXX  N                 
    G0036...  26                  A                   PET follow cornry angio sing       1.09      0.48        0.07       1.64       XXX  N                 
    G0036...  TC                  C                   PET follow cornry angio sing       0.00      0.00        0.00       0.00       XXX  N                 
    G0037...  ..................  C                   PET follow cornry angio mult       0.00      0.00        0.00       0.00       XXX  N                 
    G0037...  26                  A                   PET follow cornry angio mult       1.46      0.65        0.10       2.21       XXX  N                 
    G0037...  TC                  C                   PET follow cornry angio mult       0.00      0.00        0.00       0.00       XXX  N                 
    G0038...  ..................  C                   PET follow myocard perf sing       0.00      0.00        0.00       0.00       XXX  N                 
    G0038...  26                  A                   PET follow myocard perf sing       1.09      0.48        0.07       1.64       XXX  N                 
    G0038...  TC                  C                   PET follow myocard perf sing       0.00      0.00        0.00       0.00       XXX  N                 
    G0039...  ..................  C                   PET follow myocard perf mult       0.00      0.00        0.00       0.00       XXX  N                 
    G0039...  26                  A                   PET follow myocard perf mult       1.46      0.65        0.10       2.21       XXX  N                 
    G0039...  TC                  C                   PET follow myocard perf mult       0.00      0.00        0.00       0.00       XXX  N                 
    G0040...  ..................  C                   PET follow stress echo singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0040...  26                  A                   PET follow stress echo singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0040...  TC                  C                   PET follow stress echo singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0041...  ..................  C                   PET follow stress echo mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0041...  26                  A                   PET follow stress echo mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0041...  TC                  C                   PET follow stress echo mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0042...  ..................  C                   PET follow ventriculogm sing       0.00      0.00        0.00       0.00       XXX  N                 
    G0042...  26                  A                   PET follow ventriculogm sing       1.09      0.48        0.07       1.64       XXX  N                 
    G0042...  TC                  C                   PET follow ventriculogm sing       0.00      0.00        0.00       0.00       XXX  N                 
    G0043...  ..................  C                   PET follow ventriculogm mult       0.00      0.00        0.00       0.00       XXX  N                 
    
    [[Page 63337]]
                                                                                                                                                            
    G0043...  26                  A                   PET follow ventriculogm mult       1.46      0.65        0.10       2.21       XXX  N                 
    G0043...  TC                  C                   PET follow ventriculogm mult       0.00      0.00        0.00       0.00       XXX  N                 
    G0044...  ..................  C                   PET following rest ECG singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0044...  26                  A                   PET following rest ECG singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0044...  TC                  C                   PET following rest ECG singl       0.00      0.00        0.00       0.00       XXX  N                 
    G0045...  ..................  C                   PET following rest ECG mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0045...  26                  A                   PET following rest ECG mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0045...  TC                  C                   PET following rest ECG mult.       0.00      0.00        0.00       0.00       XXX  N                 
    G0046...  ..................  C                   PET follow stress ECG singl.       0.00      0.00        0.00       0.00       XXX  N                 
    G0046...  26                  A                   PET follow stress ECG singl.       1.09      0.48        0.07       1.64       XXX  N                 
    G0046...  TC                  C                   PET follow stress ECG singl.       0.00      0.00        0.00       0.00       XXX  N                 
    G0047...  ..................  C                   PET follow stress ECG mult..       0.00      0.00        0.00       0.00       XXX  N                 
    G0047...  26                  A                   PET follow stress ECG mult..       1.46      0.65        0.10       2.21       XXX  N                 
    G0047...  TC                  C                   PET follow stress ECG mult..       0.00      0.00        0.00       0.00       XXX  N                 
    G0050...  ..................  A                   Residual urine by ultrasound       0.00      0.81        0.05       0.86       XXX  N                 
    G0054...  ..................  X                   Blood cholesterol test......       0.00      0.00        0.00       0.00       XXX  0                 
    G0055...  ..................  X                   Glucose post dose measure...       0.00      0.00        0.00       0.00       XXX  0                 
    G0056...  ..................  X                   Glucose tolerance 3 specimen       0.00      0.00        0.00       0.00       XXX  0                 
    G0057...  ..................  X                   Glucose tolerance>3 specimen       0.00      0.00        0.00       0.00       XXX  0                 
    G0058...  ..................  X                   Auto multichannel 20 tests..       0.00      0.00        0.00       0.00       XXX  0                 
    G0059...  ..................  X                   Auto multichannel 21 tests..       0.00      0.00        0.00       0.00       XXX  0                 
    G0060...  ..................  X                   Auto multichannel 22 tests..       0.00      0.00        0.00       0.00       XXX  0                 
    G0061...  ..................  N                   Lung volume reduction surg..     #17.62     15.81        3.01      36.44       XXX  0                 
    H5300...  ..................  G                   Occupational therapy........      #0.32      0.24        0.03       0.59       XXX  0                 
    J0110...  ..................  D                   Administration injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J0120...  ..................  E                   Tetracyclin injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J0150...  ..................  E                   Injection adenosine 6 MG....       0.00      0.00        0.00       0.00       XXX  0                 
    J0170...  ..................  E                   Adrenalin epinephrin inject.       0.00      0.00        0.00       0.00       XXX  0                 
    J0190...  ..................  E                   Inj biperiden lactate/5 mg..       0.00      0.00        0.00       0.00       XXX  0                 
    J0205...  ..................  E                   Alglucerase injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J0210...  ..................  E                   Methyldopate hcl injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J0256...  ..................  E                   Alpha 1-proteinase 500 MG...       0.00      0.00        0.00       0.00       XXX  0                 
    J0280...  ..................  E                   Aminophyllin 250 MG inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J0290...  ..................  E                   Ampicillin 500 MG inj.......       0.00      0.00        0.00       0.00       XXX  0                 
    J0295...  ..................  E                   Ampicillin sodium per 1.5 gm       0.00      0.00        0.00       0.00       XXX  0                 
    J0300...  ..................  E                   Amobarbital 125 MG inj......       0.00      0.00        0.00       0.00       XXX  0                 
    J0330...  ..................  E                   Succinycholine chloride inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0340...  ..................  E                   Nandrolon phenpropionate inj       0.00      0.00        0.00       0.00       XXX  0                 
    J0350...  ..................  E                   Injection anistreplase 30 u.       0.00      0.00        0.00       0.00       XXX  0                 
    J0360...  ..................  E                   Hydralazine hcl injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J0380...  ..................  E                   Inj metaraminol bitartrate..       0.00      0.00        0.00       0.00       XXX  0                 
    J0390...  ..................  E                   Chloroquine injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J0400...  ..................  E                   Inj trimethaphan camsylate..       0.00      0.00        0.00       0.00       XXX  0                 
    J0460...  ..................  E                   Atropine sulfate injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J0470...  ..................  E                   Dimecaprol injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J0475...  ..................  E                   Baclofen 10 MG injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J0500...  ..................  E                   Dicyclomine injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J0510...  ..................  E                   Benzquinamide injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J0515...  ..................  E                   Inj benztropine mesylate....       0.00      0.00        0.00       0.00       XXX  0                 
    J0520...  ..................  E                   Bethanechol chloride inject.       0.00      0.00        0.00       0.00       XXX  0                 
    J0530...  ..................  E                   Penicillin g benzathine inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0540...  ..................  E                   Penicillin g benzathine inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0550...  ..................  E                   Penicillin g benzathine inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0560...  ..................  E                   Penicillin g benzathine inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0570...  ..................  E                   Penicillin g benzathine inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0580...  ..................  E                   Penicillin g benzathine inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0585...  ..................  E                   Botulinum toxin a per 100 u.       0.00      0.00        0.00       0.00       XXX  0                 
    J0590...  ..................  E                   Ethylnorepinephrine hcl inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0600...  ..................  E                   Edetate calcium disodium inj       0.00      0.00        0.00       0.00       XXX  0                 
    J0610...  ..................  E                   Calcium gluconate injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J0620...  ..................  E                   Calcium glycer & lact/10 ML.       0.00      0.00        0.00       0.00       XXX  0                 
    J0630...  ..................  E                   Calcitonin salmon injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J0635...  ..................  E                   Calcitriol injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J0640...  ..................  E                   Leucovorin calcium injection       0.00      0.00        0.00       0.00       XXX  0                 
    J0670...  ..................  E                   Inj mepivacaine HCL/10 ml...       0.00      0.00        0.00       0.00       XXX  0                 
    J0680...  ..................  D                   Deslanoside injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63338]]
                                                                                                                                                            
    J0690...  ..................  E                   Cefazolin sodium injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J0694...  ..................  E                   Cefoxitin sodium injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J0695...  ..................  E                   Cefonocid sodium injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J0696...  ..................  E                   Ceftriaxone sodium injection       0.00      0.00        0.00       0.00       XXX  0                 
    J0697...  ..................  E                   Sterile cefuroxime injection       0.00      0.00        0.00       0.00       XXX  0                 
    J0698...  ..................  E                   Cefotaxime sodium injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J0702...  ..................  E                   Betamethasone acet&sod phosp       0.00      0.00        0.00       0.00       XXX  0                 
    J0704...  ..................  E                   Betamethasone sod phosp/4 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J0710...  ..................  E                   Cephapirin sodium injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J0713...  ..................  E                   Inj ceftazidime per 500 mg..       0.00      0.00        0.00       0.00       XXX  0                 
    J0715...  ..................  E                   Ceftizoxime sodium / 500 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J0720...  ..................  E                   Chloramphenicol sodium injec       0.00      0.00        0.00       0.00       XXX  0                 
    J0725...  ..................  E                   Chorionic gonadotropin/1000u       0.00      0.00        0.00       0.00       XXX  0                 
    J0730...  ..................  E                   Chlorpheniramin maleate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0743...  ..................  E                   Cilastatin sodium injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J0745...  ..................  E                   Inj codeine phosphate /30 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J0760...  ..................  E                   Colchicine injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J0770...  ..................  E                   Colistimethate sodium inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J0780...  ..................  E                   Prochlorperazine injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J0800...  ..................  E                   Corticotropin injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J0810...  ..................  E                   Cortisone injection.........       0.00      0.00        0.00       0.00       XXX  0                 
    J0820...  ..................  D                   Cortigel 40 injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J0835...  ..................  E                   Inj cosyntropin per 0.25 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J0850...  ..................  E                   Cytomegalovirus imm IV /vial       0.00      0.00        0.00       0.00       XXX  0                 
    J0895...  ..................  E                   Deferoxamine mesylate inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J0900...  ..................  E                   Testosterone enanthate inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J0945...  ..................  E                   Brompheniramine maleate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J0970...  ..................  E                   Estradiol valerate injection       0.00      0.00        0.00       0.00       XXX  0                 
    J1000...  ..................  E                   Depo-estradiol cypionate inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1020...  ..................  E                   Methylprednisolone 20 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1030...  ..................  E                   Methylprednisolone 40 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1040...  ..................  E                   Methylprednisolone 80 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1050...  ..................  E                   Medroxyprogesterone inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1055...  ..................  E                   Medrxyprogester acetate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J1060...  ..................  E                   Testosterone cypionate 1 ML.       0.00      0.00        0.00       0.00       XXX  0                 
    J1070...  ..................  E                   Testosterone cypionat 100 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J1080...  ..................  E                   Testosterone cypionat 200 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J1090...  ..................  E                   Testosterone cypionate 50 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J1095...  ..................  E                   Inj dexamethasone acetate...       0.00      0.00        0.00       0.00       XXX  0                 
    J1100...  ..................  E                   Dexamethosone sodium phos...       0.00      0.00        0.00       0.00       XXX  0                 
    J1110...  ..................  E                   Inj dihydroergotamine mesylt       0.00      0.00        0.00       0.00       XXX  0                 
    J1120...  ..................  E                   Acetazolamid sodium injectio       0.00      0.00        0.00       0.00       XXX  0                 
    J1160...  ..................  E                   Digoxin injection...........       0.00      0.00        0.00       0.00       XXX  0                 
    J1165...  ..................  E                   Phenytoin sodium injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J1170...  ..................  E                   Hydromorphone injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1180...  ..................  E                   Dyphylline injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J1200...  ..................  E                   Diphenhydramine hcl injectio       0.00      0.00        0.00       0.00       XXX  0                 
    J1205...  ..................  E                   Chlorothiazide sodium inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J1212...  ..................  E                   Dimethyl sulfoxide 50% 50 ML       0.00      0.00        0.00       0.00       XXX  0                 
    J1230...  ..................  E                   Methadone injection.........       0.00      0.00        0.00       0.00       XXX  0                 
    J1240...  ..................  E                   Dimenhydrinate injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J1245...  ..................  E                   Dipyridamole injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J1250...  ..................  E                   Inj dobutamine HCL/250 mg...       0.00      0.00        0.00       0.00       XXX  0                 
    J1320...  ..................  E                   Amitriptyline injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1330...  ..................  E                   Ergonovine maleate injection       0.00      0.00        0.00       0.00       XXX  0                 
    J1340...  ..................  D                   Aqueous/saline placebo inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J1362...  ..................  E                   Erythromycin glucep / 250 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J1364...  ..................  E                   Erythro lactobionate /500 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J1380...  ..................  E                   Estradiol valerate 10 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1390...  ..................  E                   Estradiol valerate 20 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1410...  ..................  E                   Inj estrogen conjugate 25 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J1435...  ..................  E                   Injection estrone per 1 MG..       0.00      0.00        0.00       0.00       XXX  0                 
    J1436...  ..................  E                   Etidronate disodium inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1440...  ..................  E                   Filgrastim 300 mcg injeciton       0.00      0.00        0.00       0.00       XXX  0                 
    J1441...  ..................  E                   Filgrastim 480 mcg injection       0.00      0.00        0.00       0.00       XXX  0                 
    J1455...  ..................  E                   Foscarnet sodium injection..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63339]]
                                                                                                                                                            
    J1460...  ..................  E                   Gamma globulin 1 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1470...  ..................  E                   Gamma globulin 2 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1480...  ..................  E                   Gamma globulin 3 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1490...  ..................  E                   Gamma globulin 4 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1500...  ..................  E                   Gamma globulin 5 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1510...  ..................  E                   Gamma globulin 6 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1520...  ..................  E                   Gamma globulin 7 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1530...  ..................  E                   Gamma globulin 8 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1540...  ..................  E                   Gamma globulin 9 CC inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1550...  ..................  E                   Gamma globulin 10 CC inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J1560...  ..................  E                   Gamma globulin > 10 CC inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J1561...  ..................  E                   Immune globulin injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J1562...  ..................  E                   Immune globulin 10% /5 grams       0.00      0.00        0.00       0.00       XXX  0                 
    J1570...  ..................  E                   Ganciclovir sodium injection       0.00      0.00        0.00       0.00       XXX  0                 
    J1580...  ..................  E                   Garamycin gentamicin inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J1600...  ..................  E                   Gold sodium thiomaleate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J1610...  ..................  E                   Glucagon hydrochloride/1 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J1620...  ..................  E                   Gonadorelin hydroch/ 100 mcg       0.00      0.00        0.00       0.00       XXX  0                 
    J1625...  ..................  E                   Granisetron hydrochlor/1 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J1630...  ..................  E                   Haloperidol injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J1631...  ..................  E                   Haloperidol decanoate inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J1642...  ..................  E                   Inj heparin sodium per 10 u.       0.00      0.00        0.00       0.00       XXX  0                 
    J1644...  ..................  E                   Inj heparin sodium per 1000u       0.00      0.00        0.00       0.00       XXX  0                 
    J1650...  ..................  E                   Inj enoxaparin sodium 30 mg.       0.00      0.00        0.00       0.00       XXX  0                 
    J1660...  ..................  D                   Histamine injection.........       0.00      0.00        0.00       0.00       XXX  0                 
    J1670...  ..................  E                   Tetanus immune globulin inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J1690...  ..................  E                   Prednisolone tebutate inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J1700...  ..................  E                   Hydrocortisone acetate inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J1710...  ..................  E                   Hydrocortisone sodium ph inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1720...  ..................  E                   Hydrocortisone sodium succ i       0.00      0.00        0.00       0.00       XXX  0                 
    J1730...  ..................  E                   Diazoxide injection.........       0.00      0.00        0.00       0.00       XXX  0                 
    J1739...  ..................  E                   Hydroxyprogesterone cap 125.       0.00      0.00        0.00       0.00       XXX  0                 
    J1741...  ..................  E                   Hydroxyprogesterone cap 250.       0.00      0.00        0.00       0.00       XXX  0                 
    J1760...  ..................  E                   Iron dextran 2 CC inj.......       0.00      0.00        0.00       0.00       XXX  0                 
    J1770...  ..................  E                   Iron dextran 5 CC inj.......       0.00      0.00        0.00       0.00       XXX  0                 
    J1780...  ..................  E                   Iron dextran 10 CC inj......       0.00      0.00        0.00       0.00       XXX  0                 
    J1785...  ..................  E                   Injection imiglucerase /unit       0.00      0.00        0.00       0.00       XXX  0                 
    J1790...  ..................  E                   Droperidol injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J1800...  ..................  E                   Propranolol injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J1810...  ..................  E                   Droperidol/fentanyl inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1820...  ..................  E                   Insulin injection...........       0.00      0.00        0.00       0.00       XXX  0                 
    J1830...  ..................  E                   Interferon beta-1b / .25 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J1840...  ..................  E                   Kanamycin sulfate 500 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J1850...  ..................  E                   Kanamycin sulfate 75 MG inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J1885...  ..................  E                   Ketorolac tromethamine inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J1890...  ..................  E                   Cephalothin sodium injection       0.00      0.00        0.00       0.00       XXX  0                 
    J1910...  ..................  E                   Kutapressin injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J1930...  ..................  E                   Propiomazine injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J1940...  ..................  E                   Furosemide injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J1950...  ..................  E                   Leuprolide acetate /3.75 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J1955...  ..................  E                   Inj levocarnitine per 1 gm..       0.00      0.00        0.00       0.00       XXX  0                 
    J1960...  ..................  E                   Levorphanol tartrate inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J1970...  ..................  E                   Methotrimeprazine injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J1980...  ..................  E                   Hyoscyamine sulfate inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J1990...  ..................  E                   Chlordiazepoxide injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J2000...  ..................  E                   Lidocaine injection.........       0.00      0.00        0.00       0.00       XXX  0                 
    J2010...  ..................  E                   Lincomycin injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J2050...  ..................  E                   Liver injection.............       0.00      0.00        0.00       0.00       XXX  0                 
    J2060...  ..................  E                   Lorazepam injection.........       0.00      0.00        0.00       0.00       XXX  0                 
    J2100...  ..................  D                   Luminal sodium injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J2150...  ..................  E                   Mannitol injection..........       0.00      0.00        0.00       0.00       XXX  0                 
    J2175...  ..................  E                   Meperidine hydrochl /100 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J2180...  ..................  E                   Meperidine/promethazine inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J2190...  ..................  D                   Mersalyl & theophylline inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J2210...  ..................  E                   Methylergonovin maleate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J2240...  ..................  E                   Metocurine iodide injection.       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63340]]
                                                                                                                                                            
    J2250...  ..................  E                   Inj midazolam hydrochloride.       0.00      0.00        0.00       0.00       XXX  0                 
    J2260...  ..................  E                   Inj milrinone lactate / 5 ML       0.00      0.00        0.00       0.00       XXX  0                 
    J2270...  ..................  E                   Morphine sulfate injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J2275...  ..................  E                   Morphine sulfate injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J2300...  ..................  E                   Inj nalbuphine hydrochloride       0.00      0.00        0.00       0.00       XXX  0                 
    J2310...  ..................  E                   Inj naloxone hydrochloride..       0.00      0.00        0.00       0.00       XXX  0                 
    J2320...  ..................  E                   Nandrolone decanoate 50 MG..       0.00      0.00        0.00       0.00       XXX  0                 
    J2321...  ..................  E                   Nandrolone decanoate 100 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J2322...  ..................  E                   Nandrolone decanoate 200 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J2330...  ..................  E                   Thiothixene injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J2350...  ..................  E                   Niacinamide/niacin injection       0.00      0.00        0.00       0.00       XXX  0                 
    J2360...  ..................  E                   Orphenadrine injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J2370...  ..................  E                   Phenylephrine hcl injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J2400...  ..................  E                   Chloroprocaine hcl injection       0.00      0.00        0.00       0.00       XXX  0                 
    J2405...  ..................  E                   Ondansetron hcl injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J2410...  ..................  E                   Oxymorphone hcl injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J2430...  ..................  E                   Pamidronate disodium /30 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J2440...  ..................  E                   Papaverin hcl injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J2460...  ..................  E                   Oxytetracycline injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J2480...  ..................  E                   Hydrochlorides of opium inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J2495...  ..................  D                   Tridihexethyl chloride inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J2510...  ..................  E                   Penicillin g procaine inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J2512...  ..................  E                   Inj pentagastrin per 2 ML...       0.00      0.00        0.00       0.00       XXX  0                 
    J2515...  ..................  E                   Pentobarbital sodium inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J2540...  ..................  E                   Penicillin g potassium inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J2545...  ..................  E                   Pentamidine isethionte/300mg       0.00      0.00        0.00       0.00       XXX  0                 
    J2550...  ..................  E                   Promethazine hcl injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J2560...  ..................  E                   Phenobarbital sodium inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J2590...  ..................  E                   Oxytocin injection..........       0.00      0.00        0.00       0.00       XXX  0                 
    J2597...  ..................  E                   Inj desmopressin acetate....       0.00      0.00        0.00       0.00       XXX  0                 
    J2640...  ..................  E                   Prednisolone sodium ph inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J2650...  ..................  E                   Prednisolone acetate inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J2670...  ..................  E                   Totazoline hcl injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J2675...  ..................  E                   Inj progesterone per 50 MG..       0.00      0.00        0.00       0.00       XXX  0                 
    J2680...  ..................  E                   Fluphenazine decanoate 25 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J2690...  ..................  E                   Procainamide hcl injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J2700...  ..................  E                   Oxacillin sodium injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J2710...  ..................  E                   Neostigmine methylslfte inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J2720...  ..................  E                   Inj protamine sulfate/10 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J2725...  ..................  E                   Inj protirelin per 250 mcg..       0.00      0.00        0.00       0.00       XXX  0                 
    J2730...  ..................  E                   Pralidoxime chloride inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J2760...  ..................  E                   Phentolaine mesylate inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J2765...  ..................  E                   Metoclopramide hcl injection       0.00      0.00        0.00       0.00       XXX  0                 
    J2790...  ..................  E                   Rho d immune globulin inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J2800...  ..................  E                   Methocarbamol injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J2810...  ..................  E                   Inj theophylline per 40 MG..       0.00      0.00        0.00       0.00       XXX  0                 
    J2820...  ..................  E                   Sargramostim injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J2860...  ..................  E                   Secobarbital sodium inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J2910...  ..................  E                   Aurothioglucose injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J2912...  ..................  E                   Sodium chloride injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J2914...  ..................  D                   Sodium salicylate injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J2920...  ..................  E                   Methylprednisolone injection       0.00      0.00        0.00       0.00       XXX  0                 
    J2930...  ..................  E                   Methylprednisolone injection       0.00      0.00        0.00       0.00       XXX  0                 
    J2950...  ..................  E                   Promazine hcl injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J2970...  ..................  E                   Methicillin sodium injection       0.00      0.00        0.00       0.00       XXX  0                 
    J2995...  ..................  E                   Inj streptokinase /250000 IU       0.00      0.00        0.00       0.00       XXX  0                 
    J2996...  ..................  E                   Alteplase recombinant inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J3000...  ..................  E                   Streptomycin injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J3005...  ..................  E                   Strontium-89 chloride /10 ML       0.00      0.00        0.00       0.00       XXX  0                 
    J3010...  ..................  E                   Fentanyl citrate injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J3030...  ..................  E                   Sumatriptan succinate / 6 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J3070...  ..................  E                   Pentazocine hcl injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J3080...  ..................  E                   Chlorprothixene injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J3105...  ..................  E                   Terbutaline sulfate inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J3120...  ..................  E                   Testosterone enanthate inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J3130...  ..................  E                   Testosterone enanthate inj..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63341]]
                                                                                                                                                            
    J3140...  ..................  E                   Testosterone suspension inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J3150...  ..................  E                   Testosterone propionate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J3230...  ..................  E                   Chlorpromazine hcl injection       0.00      0.00        0.00       0.00       XXX  0                 
    J3240...  ..................  E                   Thyrotropin injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J3250...  ..................  E                   Trimethobenzamide hcl inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J3260...  ..................  E                   Tobramycin sulfate injection       0.00      0.00        0.00       0.00       XXX  0                 
    J3265...  ..................  E                   Injection torsemide 10 mg/ml       0.00      0.00        0.00       0.00       XXX  0                 
    J3270...  ..................  E                   Imipramine hcl injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J3280...  ..................  E                   Thiethylperazine maleate inj       0.00      0.00        0.00       0.00       XXX  0                 
    J3301...  ..................  E                   Triamcinolone acetonide inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J3302...  ..................  E                   Triamcinolone diacetate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J3303...  ..................  E                   Triamcinolone hexacetonl inj       0.00      0.00        0.00       0.00       XXX  0                 
    J3305...  ..................  E                   Inj trimetrexate glucoronate       0.00      0.00        0.00       0.00       XXX  0                 
    J3310...  ..................  E                   Perphenazine injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J3320...  ..................  E                   Spectinomycin di-hcl inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J3340...  ..................  D                   Cryptenamine acetate inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J3350...  ..................  E                   Urea injection..............       0.00      0.00        0.00       0.00       XXX  0                 
    J3360...  ..................  E                   Diazepam injection..........       0.00      0.00        0.00       0.00       XXX  0                 
    J3364...  ..................  E                   Urokinase 5000 IU injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J3365...  ..................  E                   Urokinase 250,000 IU inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J3370...  ..................  E                   Vancomycin hcl injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J3380...  ..................  D                   Isoxsuprine hcl injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J3390...  ..................  E                   Methoxamine injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J3400...  ..................  E                   Triflupromazine hcl inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J3410...  ..................  E                   Hydroxyzine hcl injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J3420...  ..................  E                   Vitamin b12 injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J3430...  ..................  E                   Vitamin k phytonadione inj..       0.00      0.00        0.00       0.00       XXX  0                 
    J3450...  ..................  E                   Mephentermine sulfate inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J3470...  ..................  E                   Hyaluronidase injection.....       0.00      0.00        0.00       0.00       XXX  0                 
    J3475...  ..................  E                   Inj magnesium sulfate.......       0.00      0.00        0.00       0.00       XXX  0                 
    J3480...  ..................  E                   Inj potassium chloride......       0.00      0.00        0.00       0.00       XXX  0                 
    J3490...  ..................  E                   Drugs unclassified injection       0.00      0.00        0.00       0.00       XXX  0                 
    J3500...  ..................  D                   Vitamin therapy.............       0.00      0.00        0.00       0.00       XXX  0                 
    J3520...  ..................  N                   Edetate disodium per 150 mg.       0.00      0.00        0.00       0.00       XXX  0                 
    J3530...  ..................  E                   Nasal vaccine inhalation....       0.00      0.00        0.00       0.00       XXX  0                 
    J3535...  ..................  E                   Metered dose inhaler drug...       0.00      0.00        0.00       0.00       XXX  0                 
    J3540...  ..................  D                   Autogenous blood extract....       0.00      0.00        0.00       0.00       XXX  0                 
    J3550...  ..................  D                   Intra-arterial oxygen inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J3560...  ..................  D                   Adrenal cortex extract......       0.00      0.00        0.00       0.00       XXX  0                 
    J3570...  ..................  N                   Laetrile amygdalin vit B17..       0.00      0.00        0.00       0.00       XXX  0                 
    J6015...  ..................  D                   Typhus immun/injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J7030...  ..................  E                   Normal saline solution infus       0.00      0.00        0.00       0.00       XXX  0                 
    J7040...  ..................  E                   Normal saline solution infus       0.00      0.00        0.00       0.00       XXX  0                 
    J7042...  ..................  E                   5% dextrose/normal saline...       0.00      0.00        0.00       0.00       XXX  0                 
    J7050...  ..................  E                   Normal saline solution infus       0.00      0.00        0.00       0.00       XXX  0                 
    J7051...  ..................  E                   Sterile saline/water........       0.00      0.00        0.00       0.00       XXX  0                 
    J7060...  ..................  E                   5% dextrose/water...........       0.00      0.00        0.00       0.00       XXX  0                 
    J7070...  ..................  E                   D5w infusion................       0.00      0.00        0.00       0.00       XXX  0                 
    J7080...  ..................  D                   5% albumisol infusion.......       0.00      0.00        0.00       0.00       XXX  0                 
    J7090...  ..................  D                   25% albumisol infusion......       0.00      0.00        0.00       0.00       XXX  0                 
    J7100...  ..................  E                   Dextran 40 infusion.........       0.00      0.00        0.00       0.00       XXX  0                 
    J7110...  ..................  E                   Dextran 75 infusion.........       0.00      0.00        0.00       0.00       XXX  0                 
    J7120...  ..................  E                   Ringers lactate infusion....       0.00      0.00        0.00       0.00       XXX  0                 
    J7130...  ..................  E                   Hypertonic saline solution..       0.00      0.00        0.00       0.00       XXX  0                 
    J7140...  ..................  N                   Prescription oral drug......       0.00      0.00        0.00       0.00       XXX  0                 
    J7150...  ..................  N                   Prescription oral chemo drug       0.00      0.00        0.00       0.00       XXX  0                 
    J7190...  ..................  X                   Factor viii.................       0.00      0.00        0.00       0.00       XXX  0                 
    J7191...  ..................  X                   Factor VIII (porcine).......       0.00      0.00        0.00       0.00       XXX  0                 
    J7192...  ..................  X                   Factor viii recombinant.....       0.00      0.00        0.00       0.00       XXX  0                 
    J7194...  ..................  X                   Factor ix complex...........       0.00      0.00        0.00       0.00       XXX  0                 
    J7196...  ..................  X                   Othr hemophilia clot factors       0.00      0.00        0.00       0.00       XXX  0                 
    J7197...  ..................  X                   Antithrombin iii injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J7300...  ..................  N                   Intraut copper contraceptive       0.00      0.00        0.00       0.00       XXX  0                 
    J7500...  ..................  X                   Azathiop po tab 50mg 100s ea       0.00      0.00        0.00       0.00       XXX  0                 
    J7501...  ..................  X                   Azathioprine parenteral.....       0.00      0.00        0.00       0.00       XXX  0                 
    J7502...  ..................  X                   Cyclosporine oral solution..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63342]]
                                                                                                                                                            
    J7503...  ..................  X                   Cyclosporine parenteral.....       0.00      0.00        0.00       0.00       XXX  0                 
    J7504...  ..................  X                   Lymphocyte immune globulin..       0.00      0.00        0.00       0.00       XXX  0                 
    J7505...  ..................  X                   Monoclonal antibodies.......       0.00      0.00        0.00       0.00       XXX  0                 
    J7506...  ..................  X                   Prednisone..................       0.00      0.00        0.00       0.00       XXX  0                 
    J7507...  ..................  E                   Tacrolimus oral per 1 MG....       0.00      0.00        0.00       0.00       XXX  0                 
    J7508...  ..................  E                   Tacrolimus oral per 5 MG....       0.00      0.00        0.00       0.00       XXX  0                 
    J7509...  ..................  X                   Methylprednisolone oral.....       0.00      0.00        0.00       0.00       XXX  0                 
    J7510...  ..................  X                   Prednisolone oral per 5 mg..       0.00      0.00        0.00       0.00       XXX  0                 
    J7599...  ..................  X                   Immunosuppressive drug noc..       0.00      0.00        0.00       0.00       XXX  0                 
    J7610...  ..................  E                   Acetylcysteine 10% injection       0.00      0.00        0.00       0.00       XXX  0                 
    J7615...  ..................  E                   Acetylcysteine 20% injection       0.00      0.00        0.00       0.00       XXX  0                 
    J7620...  ..................  E                   Albuterol sulfate .083% inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J7625...  ..................  E                   Albuterol sulfate .5% inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J7627...  ..................  E                   Bitolterolmesylate inhal sol       0.00      0.00        0.00       0.00       XXX  0                 
    J7630...  ..................  E                   Cromolyn sodium injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J7640...  ..................  E                   Epinephrine injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J7645...  ..................  E                   Ipratropium bromide .02%/ml.       0.00      0.00        0.00       0.00       XXX  0                 
    J7650...  ..................  E                   Isoetharine hcl .1% inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J7651...  ..................  E                   Isoetharine hcl .125% inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J7652...  ..................  E                   Isoetharine hcl .167% inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J7653...  ..................  E                   Isoetharine hcl .2%/ inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J7654...  ..................  E                   Isoetharine hcl .25% inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J7655...  ..................  E                   Isoetharine hcl 1% inj......       0.00      0.00        0.00       0.00       XXX  0                 
    J7660...  ..................  E                   Isoproterenol hcl .5% inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J7665...  ..................  E                   Isoproterenol hcl 1% inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J7670...  ..................  E                   Metaproterenol sulfate .4%..       0.00      0.00        0.00       0.00       XXX  0                 
    J7672...  ..................  E                   Metaproterenol sulfate .6%..       0.00      0.00        0.00       0.00       XXX  0                 
    J7675...  ..................  E                   Metaproterenol sulfate 5%...       0.00      0.00        0.00       0.00       XXX  0                 
    J7699...  ..................  E                   Inhalation solution for DME.       0.00      0.00        0.00       0.00       XXX  0                 
    J7799...  ..................  E                   Non-inhalation drug for DME.       0.00      0.00        0.00       0.00       XXX  0                 
    J8499...  ..................  N                   Oral prescrip drug non chemo       0.00      0.00        0.00       0.00       XXX  0                 
    J8530...  ..................  E                   Cyclophosphamide oral 25 MG.       0.00      0.00        0.00       0.00       XXX  0                 
    J8560...  ..................  E                   Etoposide oral 50 MG........       0.00      0.00        0.00       0.00       XXX  0                 
    J8600...  ..................  E                   Melphalan oral 2 MG.........       0.00      0.00        0.00       0.00       XXX  0                 
    J8610...  ..................  E                   Methotrexate oral 2.5 MG....       0.00      0.00        0.00       0.00       XXX  0                 
    J8999...  ..................  E                   Oral prescription drug chemo       0.00      0.00        0.00       0.00       XXX  0                 
    J9000...  ..................  E                   Doxorubic hcl 10 MG vl chemo       0.00      0.00        0.00       0.00       XXX  0                 
    J9010...  ..................  E                   Doxorubicin hcl 50 MG inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J9015...  ..................  E                   Aldesleukin/single use vial.       0.00      0.00        0.00       0.00       XXX  0                 
    J9020...  ..................  E                   Asparaginase injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J9031...  ..................  E                   Bcg live intravesical vac...       0.00      0.00        0.00       0.00       XXX  0                 
    J9040...  ..................  E                   Bleomycin sulfate injection.       0.00      0.00        0.00       0.00       XXX  0                 
    J9045...  ..................  E                   Carboplatin injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J9050...  ..................  E                   Carmus bischl nitro inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J9060...  ..................  E                   Cisplatin 10 MG injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J9062...  ..................  E                   Cisplatin 50 MG injection...       0.00      0.00        0.00       0.00       XXX  0                 
    J9065...  ..................  E                   Inj cladribine per 1 MG.....       0.00      0.00        0.00       0.00       XXX  0                 
    J9070...  ..................  E                   Cyclophosphamide 100 MG inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J9080...  ..................  E                   Cyclophosphamide 200 MG inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J9090...  ..................  E                   Cyclophosphamide 500 MG inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J9091...  ..................  E                   Cyclophosphamide 1.0 grm inj       0.00      0.00        0.00       0.00       XXX  0                 
    J9092...  ..................  E                   Cyclophosphamide 2.0 grm inj       0.00      0.00        0.00       0.00       XXX  0                 
    J9093...  ..................  E                   Cyclophosphamide lyophilized       0.00      0.00        0.00       0.00       XXX  0                 
    J9094...  ..................  E                   Cyclophosphamide lyophilized       0.00      0.00        0.00       0.00       XXX  0                 
    J9095...  ..................  E                   Cyclophosphamide lyophilized       0.00      0.00        0.00       0.00       XXX  0                 
    J9096...  ..................  E                   Cyclophosphamide lyophilized       0.00      0.00        0.00       0.00       XXX  0                 
    J9097...  ..................  E                   Cyclophosphamide lyophilized       0.00      0.00        0.00       0.00       XXX  0                 
    J9100...  ..................  E                   Cytarabine hcl 100 MG inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J9110...  ..................  E                   Cytarabine hcl 500 MG inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J9120...  ..................  E                   Dactinomycin actinomycin d..       0.00      0.00        0.00       0.00       XXX  0                 
    J9130...  ..................  E                   Dacarbazine 10 MG inj.......       0.00      0.00        0.00       0.00       XXX  0                 
    J9140...  ..................  E                   Dacarbazine 200 MG inj......       0.00      0.00        0.00       0.00       XXX  0                 
    J9150...  ..................  E                   Daunorubicin hcl injection..       0.00      0.00        0.00       0.00       XXX  0                 
    J9165...  ..................  E                   Diethylstilbestrol injection       0.00      0.00        0.00       0.00       XXX  0                 
    J9181...  ..................  E                   Etoposide 10 MG inj.........       0.00      0.00        0.00       0.00       XXX  0                 
    J9182...  ..................  E                   Etoposide 100 MG inj........       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63343]]
                                                                                                                                                            
    J9185...  ..................  E                   Fludarabine phosphate inj...       0.00      0.00        0.00       0.00       XXX  0                 
    J9190...  ..................  E                   Fluorouracil injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J9200...  ..................  E                   Floxuridine injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J9202...  ..................  E                   Goserelin acetate implant...       0.00      0.00        0.00       0.00       XXX  0                 
    J9208...  ..................  E                   Ifosfomide injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J9209...  ..................  E                   Mesna injection.............       0.00      0.00        0.00       0.00       XXX  0                 
    J9211...  ..................  E                   Idarubicin hcl injection....       0.00      0.00        0.00       0.00       XXX  0                 
    J9213...  ..................  E                   Interferon alfa-2a inj......       0.00      0.00        0.00       0.00       XXX  0                 
    J9214...  ..................  E                   Interferon alfa-2b inj......       0.00      0.00        0.00       0.00       XXX  0                 
    J9215...  ..................  E                   Interferon alfa-n3 inj......       0.00      0.00        0.00       0.00       XXX  0                 
    J9216...  ..................  E                   Interferon gamma 1-b inj....       0.00      0.00        0.00       0.00       XXX  0                 
    J9217...  ..................  E                   Leuprolide acetate suspnsion       0.00      0.00        0.00       0.00       XXX  0                 
    J9218...  ..................  E                   Leuprolide acetate injection       0.00      0.00        0.00       0.00       XXX  0                 
    J9230...  ..................  E                   Mechlorethamine hcl inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J9245...  ..................  E                   Inj melphalan hydrochl 50 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J9250...  ..................  E                   Methotrexate sodium inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J9260...  ..................  E                   Methotrexate sodium inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J9265...  ..................  E                   Paclitaxel injection........       0.00      0.00        0.00       0.00       XXX  0                 
    J9266...  ..................  E                   Pegaspargase/singl dose vial       0.00      0.00        0.00       0.00       XXX  0                 
    J9268...  ..................  E                   Pentostatin injection.......       0.00      0.00        0.00       0.00       XXX  0                 
    J9270...  ..................  E                   Plicamycin (mithramycin) inj       0.00      0.00        0.00       0.00       XXX  0                 
    J9280...  ..................  E                   Mitomycin 5 MG inj..........       0.00      0.00        0.00       0.00       XXX  0                 
    J9290...  ..................  E                   Mitomycin 20 MG inj.........       0.00      0.00        0.00       0.00       XXX  0                 
    J9291...  ..................  E                   Mitomycin 40 MG inj.........       0.00      0.00        0.00       0.00       XXX  0                 
    J9293...  ..................  E                   Mitoxantrone hydrochl / 5 MG       0.00      0.00        0.00       0.00       XXX  0                 
    J9295...  ..................  D                   Polyestradiol phosphate inj.       0.00      0.00        0.00       0.00       XXX  0                 
    J9320...  ..................  E                   Streptozocin injection......       0.00      0.00        0.00       0.00       XXX  0                 
    J9340...  ..................  E                   Thiotepa injection..........       0.00      0.00        0.00       0.00       XXX  0                 
    J9360...  ..................  E                   Vinblastine sulfate inj.....       0.00      0.00        0.00       0.00       XXX  0                 
    J9370...  ..................  E                   Vincristine sulfate 1 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J9375...  ..................  E                   Vincristine sulfate 2 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J9380...  ..................  E                   Vincristine sulfate 5 MG inj       0.00      0.00        0.00       0.00       XXX  0                 
    J9390...  ..................  E                   Vinorelbine tartrate/10 mg..       0.00      0.00        0.00       0.00       XXX  0                 
    J9999...  ..................  E                   Chemotherapy drug...........       0.00      0.00        0.00       0.00       XXX  0                 
    M0005...  ..................  G                   Off visit 2/more modalities.      #0.76      0.31        0.03       1.10       XXX  0                 
    M0006...  ..................  G                   One phys therapy modality...      #0.50      0.15        0.02       0.67       XXX  0                 
    M0007...  ..................  G                   Combined phys ther mod & tx.      #1.01      0.35        0.04       1.40       XXX  0                 
    M0008...  ..................  G                   Combined phys ther mod & tx.      #0.50      0.11        0.01       0.62       XXX  0                 
    M0064...  ..................  A                   Visit for drug monitoring...       0.37      0.19        0.03       0.59       XXX  N                 
    M0075...  ..................  N                   Cellular therapy............       0.00      0.00        0.00       0.00       XXX  0                 
    M0076...  ..................  N                   Prolotherapy................       0.00      0.00        0.00       0.00       XXX  0                 
    M0100...  ..................  N                   Intragastric hypothermia....       0.00      0.00        0.00       0.00       XXX  0                 
    M0101...  ..................  A                   Cutting or removal of corns.       0.37      0.35        0.03       0.75       XXX  S                 
    M0300...  ..................  N                   IV chelation therapy........       0.00      0.00        0.00       0.00       XXX  0                 
    M0301...  ..................  N                   Fabric wrapping of aneurysm.       0.00      0.00        0.00       0.00       XXX  0                 
    M0302...  ..................  N                   Assessment of cardiac output       0.00      0.00        0.00       0.00       XXX  0                 
    P2028...  ..................  X                   Cephalin floculation test...       0.00      0.00        0.00       0.00       XXX  0                 
    P2029...  ..................  X                   Congo red blood test........       0.00      0.00        0.00       0.00       XXX  0                 
    P2031...  ..................  N                   Hair analysis...............       0.00      0.00        0.00       0.00       XXX  0                 
    P2033...  ..................  X                   Blood thymol turbidity......       0.00      0.00        0.00       0.00       XXX  0                 
    P2038...  ..................  X                   Blood mucoprotein...........       0.00      0.00        0.00       0.00       XXX  0                 
    P3000...  ..................  X                   Screen pap by tech w md supv       0.00      0.00        0.00       0.00       XXX  0                 
    P3001...  ..................  X                   Screening pap smear by phys.       0.00      0.00        0.00       0.00       XXX  0                 
    P3001...  26                  A                   Screening pap smear by phys.       0.42      0.32        0.04       0.78       XXX  N                 
    P7001...  ..................  G                   Culture bacterial urine.....       0.00      0.00        0.00       0.00       XXX  0                 
    P9010...  ..................  E                   Whole blood for transfusion.       0.00      0.00        0.00       0.00       XXX  0                 
    P9011...  ..................  E                   Blood split unit............       0.00      0.00        0.00       0.00       XXX  0                 
    P9012...  ..................  E                   Cryoprecipitate each unit...       0.00      0.00        0.00       0.00       XXX  0                 
    P9013...  ..................  E                   Unit/s blood fibrinogen.....       0.00      0.00        0.00       0.00       XXX  0                 
    P9014...  ..................  E                   Gamma globulin 1 ML.........       0.00      0.00        0.00       0.00       XXX  0                 
    P9015...  ..................  E                   Rh immune globulin 1 ML.....       0.00      0.00        0.00       0.00       XXX  0                 
    P9016...  ..................  E                   Leukocyte poor blood, unit..       0.00      0.00        0.00       0.00       XXX  0                 
    P9017...  ..................  E                   One donor fresh frozn plasma       0.00      0.00        0.00       0.00       XXX  0                 
    P9018...  ..................  E                   Plasma protein fract, unit..       0.00      0.00        0.00       0.00       XXX  0                 
    P9019...  ..................  E                   Platelet concentrate unit...       0.00      0.00        0.00       0.00       XXX  0                 
    P9020...  ..................  E                   Platelet rich plasma unit...       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63344]]
                                                                                                                                                            
    P9021...  ..................  E                   Red blood cells unit........       0.00      0.00        0.00       0.00       XXX  0                 
    P9022...  ..................  E                   Washed red blood cells unit.       0.00      0.00        0.00       0.00       XXX  0                 
    P9603...  ..................  X                   One-way allow prorated miles       0.00      0.00        0.00       0.00       XXX  0                 
    P9604...  ..................  X                   One-way allow prorated trip.       0.00      0.00        0.00       0.00       XXX  0                 
    P9605...  ..................  D                   Routine venipuncture........       0.00      0.00        0.00       0.00       XXX  0                 
    P9610...  ..................  X                   Urine specimen collect singl       0.00      0.00        0.00       0.00       XXX  0                 
    P9615...  ..................  X                   Urine specimen collect mult.       0.00      0.00        0.00       0.00       XXX  0                 
    Q0034...  ..................  X                   Admin of influenza vaccine..       0.00      0.00        0.00       0.00       XXX  0                 
    Q0035...  ..................  A                   Cardiokymography............       0.17      0.49        0.04       0.70       XXX  N                 
    Q0035...  26                  A                   Cardiokymography............       0.17      0.12        0.01       0.30       XXX  N                 
    Q0035...  TC                  A                   Cardiokymography............       0.00      0.37        0.03       0.40       XXX  N                 
    Q0068...  ..................  A                   Extracorpeal plasmapheresis.       1.67      1.27        0.16       3.10       000  N                 
    Q0091...  ..................  A                   Obtaining screen pap smear..       0.37      0.28        0.03       0.68       XXX  N                 
    Q0092...  ..................  A                   Set up port xray equipment..       0.00      0.30        0.01       0.31       XXX  N                 
    Q0103...  ..................  A                   Physical therapy evaluation.       1.01      0.35        0.11       1.47       XXX  N                 
    Q0104...  ..................  A                   Phys therapy re-evaluation..       0.50      0.04        0.01       0.55       XXX  N                 
    Q0109...  ..................  A                   Occupational therapy eval...       1.01      0.35        0.11       1.47       XXX  N                 
    Q0110...  ..................  A                   Occupational therap re-eval.       0.50      0.04        0.01       0.55       XXX  N                 
    Q0111...  ..................  X                   Wet mounts/ w preparations..       0.00      0.00        0.00       0.00       XXX  0                 
    Q0112...  ..................  X                   Potassium hydroxide preps...       0.00      0.00        0.00       0.00       XXX  0                 
    Q0113...  ..................  X                   Pinworm examinations........       0.00      0.00        0.00       0.00       XXX  0                 
    Q0114...  ..................  X                   Fern test...................       0.00      0.00        0.00       0.00       XXX  0                 
    Q0115...  ..................  X                   Post-coital mucous exam.....       0.00      0.00        0.00       0.00       XXX  0                 
    Q0116...  ..................  X                   Hemoglbn sngle analyte exam.       0.00      0.00        0.00       0.00       XXX  0                 
    Q0132...  ..................  X                   Dispensing fee DME neb drug.       0.00      0.00        0.00       0.00       XXX  0                 
    Q0136...  ..................  X                   Non esrd epoetin alpha inj..       0.00      0.00        0.00       0.00       XXX  0                 
    Q0137...  ..................  D                   Dexamethasone acetate 8MG/ML       0.00      0.00        0.00       0.00       XXX  0                 
    Q0138...  ..................  D                   Dexamethasone acetat 16MG/ML       0.00      0.00        0.00       0.00       XXX  0                 
    Q0139...  ..................  D                   Inj desmopressin acetat 4mcg       0.00      0.00        0.00       0.00       XXX  N                 
    Q0140...  ..................  D                   Inj potassium chloride, 2meg       0.00      0.00        0.00       0.00       XXX  0                 
    Q0141...  ..................  D                   Inj magnesum sulfate, 500 mg       0.00      0.00        0.00       0.00       XXX  N                 
    Q0142...  ..................  D                   Sup thallous chloride tl 201       0.00      0.00        0.00       0.00       XXX  N                 
    Q0143...  ..................  D                   Sup technetium tc sestamibi.       0.00      0.00        0.00       0.00       XXX  0                 
    Q9920...  ..................  E                   Epoetin with hct <= 20......="" 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9921...="" ..................="" e="" epoetin="" with="" hct="21......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9922...="" ..................="" e="" epoetin="" with="" hct="22......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9923...="" ..................="" e="" epoetin="" with="" hct="23......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9924...="" ..................="" e="" epoetin="" with="" hct="24......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9925...="" ..................="" e="" epoetin="" with="" hct="25......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9926...="" ..................="" e="" epoetin="" with="" hct="26......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9927...="" ..................="" e="" epoetin="" with="" hct="27......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9928...="" ..................="" e="" epoetin="" with="" hct="28......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9929...="" ..................="" e="" epoetin="" with="" hct="29......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9930...="" ..................="" e="" epoetin="" with="" hct="30......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9931...="" ..................="" e="" epoetin="" with="" hct="31......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9932...="" ..................="" e="" epoetin="" with="" hct="32......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9933...="" ..................="" e="" epoetin="" with="" hct="33......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9934...="" ..................="" e="" epoetin="" with="" hct="34......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9935...="" ..................="" e="" epoetin="" with="" hct="35......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9936...="" ..................="" e="" epoetin="" with="" hct="36......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9937...="" ..................="" e="" epoetin="" with="" hct="37......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9938...="" ..................="" e="" epoetin="" with="" hct="38......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9939...="" ..................="" e="" epoetin="" with="" hct="39......." 0.00="" 0.00="" 0.00="" 0.00="" xxx="" 0="" q9940...="" ..................="" e="" epoetin="" with="" hct="">= 40......       0.00      0.00        0.00       0.00       XXX  0                 
    R0070...  ..................  C                   Transport portable x-ray....       0.00      0.00        0.00       0.00       XXX  N                 
    R0075...  ..................  C                   Transport port x-ray multipl       0.00      0.00        0.00       0.00       XXX  N                 
    R0076...  ..................  C                   Transport portable EKG......       0.00      0.00        0.00       0.00       XXX  N                 
    V2020...  ..................  X                   Vision svcs frames purchases       0.00      0.00        0.00       0.00       XXX  0                 
    V2025...  ..................  N                   Eyeglasses delux frames.....       0.00      0.00        0.00       0.00       XXX  0                 
    V2100...  ..................  X                   Lens spher single plano 4.00       0.00      0.00        0.00       0.00       XXX  0                 
    V2101...  ..................  X                   Single visn sphere 4.12-7.00       0.00      0.00        0.00       0.00       XXX  0                 
    V2102...  ..................  X                   Singl visn sphere 7.12-20.00       0.00      0.00        0.00       0.00       XXX  0                 
    V2103...  ..................  X                   Spherocylindr 4.00d/12-2.00d       0.00      0.00        0.00       0.00       XXX  0                 
    V2104...  ..................  X                   Spherocylindr 4.00d/2.12-4d.       0.00      0.00        0.00       0.00       XXX  0                 
    V2105...  ..................  X                   Spherocylinder 4.00d/4.25-6d       0.00      0.00        0.00       0.00       XXX  0                 
    V2106...  ..................  X                   Spherocylinder 4.00d/>6.00d.       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63345]]
                                                                                                                                                            
    V2107...  ..................  X                   Spherocylinder 4.25d/12-2d..       0.00      0.00        0.00       0.00       XXX  0                 
    V2108...  ..................  X                   Spherocylinder 4.25d/2.12-4d       0.00      0.00        0.00       0.00       XXX  0                 
    V2109...  ..................  X                   Spherocylinder 4.25d/4.25-6d       0.00      0.00        0.00       0.00       XXX  0                 
    V2110...  ..................  X                   Spherocylinder 4.25d/over 6d       0.00      0.00        0.00       0.00       XXX  0                 
    V2111...  ..................  X                   Spherocylindr 7.25d/.25-2.25       0.00      0.00        0.00       0.00       XXX  0                 
    V2112...  ..................  X                   Spherocylindr 7.25d/2.25-4d.       0.00      0.00        0.00       0.00       XXX  0                 
    V2113...  ..................  X                   Spherocylindr 7.25d/4.25-6d.       0.00      0.00        0.00       0.00       XXX  0                 
    V2114...  ..................  X                   Spherocylinder over 12.00d..       0.00      0.00        0.00       0.00       XXX  0                 
    V2115...  ..................  X                   Lens lenticular bifocal.....       0.00      0.00        0.00       0.00       XXX  0                 
    V2116...  ..................  X                   Nonaspheric lens bifocal....       0.00      0.00        0.00       0.00       XXX  0                 
    V2117...  ..................  X                   Aspheric lens bifocal.......       0.00      0.00        0.00       0.00       XXX  0                 
    V2118...  ..................  X                   Lens aniseikonic single.....       0.00      0.00        0.00       0.00       XXX  0                 
    V2199...  ..................  X                   Lens single vision not oth c       0.00      0.00        0.00       0.00       XXX  0                 
    V2200...  ..................  X                   Lens spher bifoc plano 4.00d       0.00      0.00        0.00       0.00       XXX  0                 
    V2201...  ..................  X                   Lens sphere bifocal 4.12-7.0       0.00      0.00        0.00       0.00       XXX  0                 
    V2202...  ..................  X                   Lens sphere bifocal 7.12-20.       0.00      0.00        0.00       0.00       XXX  0                 
    V2203...  ..................  X                   Lens sphcyl bifocal 4.00d/.1       0.00      0.00        0.00       0.00       XXX  0                 
    V2204...  ..................  X                   Lens sphcy bifocal 4.00d/2.1       0.00      0.00        0.00       0.00       XXX  0                 
    V2205...  ..................  X                   Lens sphcy bifocal 4.00d/4.2       0.00      0.00        0.00       0.00       XXX  0                 
    V2206...  ..................  X                   Lens sphcy bifocal 4.00d/ove       0.00      0.00        0.00       0.00       XXX  0                 
    V2207...  ..................  X                   Lens sphcy bifocal 4.25-7d/.       0.00      0.00        0.00       0.00       XXX  0                 
    V2208...  ..................  X                   Lens sphcy bifocal 4.25-7/2.       0.00      0.00        0.00       0.00       XXX  0                 
    V2209...  ..................  X                   Lens sphcy bifocal 4.25-7/4.       0.00      0.00        0.00       0.00       XXX  0                 
    V2210...  ..................  X                   Lens sphcy bifocal 4.25-7/ov       0.00      0.00        0.00       0.00       XXX  0                 
    V2211...  ..................  X                   Lens sphcy bifo 7.25-12/.25-       0.00      0.00        0.00       0.00       XXX  0                 
    V2212...  ..................  X                   Lens sphcyl bifo 7.25-12/2.2       0.00      0.00        0.00       0.00       XXX  0                 
    V2213...  ..................  X                   Lens sphcyl bifo 7.25-12/4.2       0.00      0.00        0.00       0.00       XXX  0                 
    V2214...  ..................  X                   Lens sphcyl bifocal over 12.       0.00      0.00        0.00       0.00       XXX  0                 
    V2215...  ..................  X                   Lens lenticular bifocal.....       0.00      0.00        0.00       0.00       XXX  0                 
    V2216...  ..................  X                   Lens lenticular nonaspheric.       0.00      0.00        0.00       0.00       XXX  0                 
    V2217...  ..................  X                   Lens lenticular aspheric bif       0.00      0.00        0.00       0.00       XXX  0                 
    V2218...  ..................  X                   Lens aniseikonic bifocal....       0.00      0.00        0.00       0.00       XXX  0                 
    V2219...  ..................  X                   Lens bifocal seg width over.       0.00      0.00        0.00       0.00       XXX  0                 
    V2220...  ..................  X                   Lens bifocal add over 3.25d.       0.00      0.00        0.00       0.00       XXX  0                 
    V2299...  ..................  X                   Lens bifocal speciality.....       0.00      0.00        0.00       0.00       XXX  0                 
    V2300...  ..................  X                   Lens sphere trifocal 4.00d..       0.00      0.00        0.00       0.00       XXX  0                 
    V2301...  ..................  X                   Lens sphere trifocal 4.12-7.       0.00      0.00        0.00       0.00       XXX  0                 
    V2302...  ..................  X                   Lens sphere trifocal 7.12-20       0.00      0.00        0.00       0.00       XXX  0                 
    V2303...  ..................  X                   Lens sphcy trifocal 4.0/.12-       0.00      0.00        0.00       0.00       XXX  0                 
    V2304...  ..................  X                   Lens sphcy trifocal 4.0/2.25       0.00      0.00        0.00       0.00       XXX  0                 
    V2305...  ..................  X                   Lens sphcy trifocal 4.0/4.25       0.00      0.00        0.00       0.00       XXX  0                 
    V2306...  ..................  X                   Lens sphcyl trifocal 4.00/>6       0.00      0.00        0.00       0.00       XXX  0                 
    V2307...  ..................  X                   Lens sphcy trifocal 4.25-7/.       0.00      0.00        0.00       0.00       XXX  0                 
    V2308...  ..................  X                   Lens sphc trifocal 4.25-7/2.       0.00      0.00        0.00       0.00       XXX  0                 
    V2309...  ..................  X                   Lens sphc trifocal 4.25-7/4.       0.00      0.00        0.00       0.00       XXX  0                 
    V2310...  ..................  X                   Lens sphc trifocal 4.25-7/>6       0.00      0.00        0.00       0.00       XXX  0                 
    V2311...  ..................  X                   Lens sphc trifo 7.25-12/.25-       0.00      0.00        0.00       0.00       XXX  0                 
    V2312...  ..................  X                   Lens sphc trifo 7.25-12/2.25       0.00      0.00        0.00       0.00       XXX  0                 
    V2313...  ..................  X                   Lens sphc trifo 7.25-12/4.25       0.00      0.00        0.00       0.00       XXX  0                 
    V2314...  ..................  X                   Lens sphcyl trifocal over 12       0.00      0.00        0.00       0.00       XXX  0                 
    V2315...  ..................  X                   Lens lenticular trifocal....       0.00      0.00        0.00       0.00       XXX  0                 
    V2316...  ..................  X                   Lens lenticular nonaspheric.       0.00      0.00        0.00       0.00       XXX  0                 
    V2317...  ..................  X                   Lens lenticular aspheric tri       0.00      0.00        0.00       0.00       XXX  0                 
    V2318...  ..................  X                   Lens aniseikonic trifocal...       0.00      0.00        0.00       0.00       XXX  0                 
    V2319...  ..................  X                   Lens trifocal seg width > 28       0.00      0.00        0.00       0.00       XXX  0                 
    V2320...  ..................  X                   Lens trifocal add over 3.25d       0.00      0.00        0.00       0.00       XXX  0                 
    V2399...  ..................  X                   Lens trifocal speciality....       0.00      0.00        0.00       0.00       XXX  0                 
    V2410...  ..................  X                   Lens variab asphericity sing       0.00      0.00        0.00       0.00       XXX  0                 
    V2430...  ..................  X                   Lens variable asphericity bi       0.00      0.00        0.00       0.00       XXX  0                 
    V2499...  ..................  X                   Variable asphericity lens...       0.00      0.00        0.00       0.00       XXX  0                 
    V2500...  ..................  X                   Contact lens pmma spherical.       0.00      0.00        0.00       0.00       XXX  0                 
    V2501...  ..................  X                   Cntct lens pmma-toric/prism.       0.00      0.00        0.00       0.00       XXX  0                 
    V2502...  ..................  X                   Contact lens pmma bifocal...       0.00      0.00        0.00       0.00       XXX  0                 
    V2503...  ..................  X                   Cntct lens pmma color vision       0.00      0.00        0.00       0.00       XXX  0                 
    V2510...  ..................  X                   Cntct gas permeable sphericl       0.00      0.00        0.00       0.00       XXX  0                 
    V2511...  ..................  X                   Cntct toric prism ballast...       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63346]]
                                                                                                                                                            
    V2512...  ..................  X                   Cntct lens gas permbl bifocl       0.00      0.00        0.00       0.00       XXX  0                 
    V2513...  ..................  X                   Contact lens extended wear..       0.00      0.00        0.00       0.00       XXX  0                 
    V2520...  ..................  P                   Contact lens hydrophilic....       0.00      0.00        0.00       0.00       XXX  0                 
    V2521...  ..................  X                   Cntct lens hydrophilic toric       0.00      0.00        0.00       0.00       XXX  0                 
    V2522...  ..................  X                   Cntct lens hydrophil bifocl.       0.00      0.00        0.00       0.00       XXX  0                 
    V2523...  ..................  X                   Cntct lens hydrophil extend.       0.00      0.00        0.00       0.00       XXX  0                 
    V2530...  ..................  X                   Contact lens gas impermeable       0.00      0.00        0.00       0.00       XXX  0                 
    V2531...  ..................  X                   Contact lens gas permeable..       0.00      0.00        0.00       0.00       XXX  0                 
    V2599...  ..................  X                   Contact lens/es other type..       0.00      0.00        0.00       0.00       XXX  0                 
    V2600...  ..................  X                   Hand held low vision aids...       0.00      0.00        0.00       0.00       XXX  0                 
    V2610...  ..................  X                   Single lens spectacle mount.       0.00      0.00        0.00       0.00       XXX  0                 
    V2615...  ..................  X                   Telescop/othr compound lens.       0.00      0.00        0.00       0.00       XXX  0                 
    V2623...  ..................  X                   Plastic eye prosth custom...       0.00      0.00        0.00       0.00       XXX  0                 
    V2624...  ..................  X                   Polishing artifical eye.....       0.00      0.00        0.00       0.00       XXX  0                 
    V2625...  ..................  X                   Enlargemnt of eye prosthesis       0.00      0.00        0.00       0.00       XXX  0                 
    V2626...  ..................  X                   Reduction of eye prosthesis.       0.00      0.00        0.00       0.00       XXX  0                 
    V2627...  ..................  X                   Scleral cover shell.........       0.00      0.00        0.00       0.00       XXX  0                 
    V2628...  ..................  X                   Fabrication & fitting.......       0.00      0.00        0.00       0.00       XXX  0                 
    V2629...  ..................  X                   Prosthetic eye other type...       0.00      0.00        0.00       0.00       XXX  0                 
    V2630...  ..................  X                   Anter chamber intraocul lens       0.00      0.00        0.00       0.00       XXX  0                 
    V2631...  ..................  X                   Iris support intraoclr lens.       0.00      0.00        0.00       0.00       XXX  0                 
    V2632...  ..................  X                   Post chmbr intraocular lens.       0.00      0.00        0.00       0.00       XXX  0                 
    V2700...  ..................  X                   Balance lens................       0.00      0.00        0.00       0.00       XXX  0                 
    V2710...  ..................  X                   Glass/plastic slab off prism       0.00      0.00        0.00       0.00       XXX  0                 
    V2715...  ..................  X                   Prism lens/es...............       0.00      0.00        0.00       0.00       XXX  0                 
    V2718...  ..................  X                   Fresnell prism press-on lens       0.00      0.00        0.00       0.00       XXX  0                 
    V2730...  ..................  X                   Special base curve..........       0.00      0.00        0.00       0.00       XXX  0                 
    V2740...  ..................  X                   Rose tint plastic...........       0.00      0.00        0.00       0.00       XXX  0                 
    V2741...  ..................  X                   Non-rose tint plastic.......       0.00      0.00        0.00       0.00       XXX  0                 
    V2742...  ..................  X                   Rose tint glass.............       0.00      0.00        0.00       0.00       XXX  0                 
    V2743...  ..................  X                   Non-rose tint glass.........       0.00      0.00        0.00       0.00       XXX  0                 
    V2744...  ..................  X                   Tint photochromatic lens/es.       0.00      0.00        0.00       0.00       XXX  0                 
    V2750...  ..................  X                   Anti-reflective coating.....       0.00      0.00        0.00       0.00       XXX  0                 
    V2755...  ..................  X                   UV lens/es..................       0.00      0.00        0.00       0.00       XXX  0                 
    V2760...  ..................  X                   Scratch resistant coating...       0.00      0.00        0.00       0.00       XXX  0                 
    V2770...  ..................  X                   Occluder lens/es............       0.00      0.00        0.00       0.00       XXX  0                 
    V2780...  ..................  X                   Oversize lens/es............       0.00      0.00        0.00       0.00       XXX  0                 
    V2781...  ..................  X                   Progressive lens per lens...       0.00      0.00        0.00       0.00       XXX  0                 
    V2785...  ..................  X                   Corneal tissue processing...       0.00      0.00        0.00       0.00       XXX  0                 
    V2799...  ..................  X                   Miscellaneous vision service       0.00      0.00        0.00       0.00       XXX  0                 
    V5008...  ..................  N                   Hearing screening...........       0.00      0.00        0.00       0.00       XXX  0                 
    V5010...  ..................  N                   Assessment for hearing aid..       0.00      0.00        0.00       0.00       XXX  0                 
    V5011...  ..................  N                   Hearing aid fitting/checking       0.00      0.00        0.00       0.00       XXX  0                 
    V5014...  ..................  N                   Hearing aid repair/modifying       0.00      0.00        0.00       0.00       XXX  0                 
    V5020...  ..................  N                   Conformity evaluation.......       0.00      0.00        0.00       0.00       XXX  0                 
    V5030...  ..................  N                   Body-worn hearing aid air...       0.00      0.00        0.00       0.00       XXX  0                 
    V5040...  ..................  N                   Body-worn hearing aid bone..       0.00      0.00        0.00       0.00       XXX  0                 
    V5050...  ..................  N                   Body-worn hearing aid in ear       0.00      0.00        0.00       0.00       XXX  0                 
    V5060...  ..................  N                   Behind ear hearing aid......       0.00      0.00        0.00       0.00       XXX  0                 
    V5070...  ..................  N                   Glasses air conduction......       0.00      0.00        0.00       0.00       XXX  0                 
    V5080...  ..................  N                   Glasses bone conduction.....       0.00      0.00        0.00       0.00       XXX  0                 
    V5090...  ..................  N                   Hearing aid dispensing fee..       0.00      0.00        0.00       0.00       XXX  0                 
    V5100...  ..................  N                   Body-worn bilat hearing aid.       0.00      0.00        0.00       0.00       XXX  0                 
    V5110...  ..................  N                   Hearing aid dispensing fee..       0.00      0.00        0.00       0.00       XXX  0                 
    V5120...  ..................  N                   Body-worn binaur hearing aid       0.00      0.00        0.00       0.00       XXX  0                 
    V5130...  ..................  N                   In ear binaural hearing aid.       0.00      0.00        0.00       0.00       XXX  0                 
    V5140...  ..................  N                   Behind ear binaur hearing          0.00      0.00        0.00       0.00       XXX  0                 
                                                       aid.                                                                                                 
    V5150...  ..................  N                   Glasses binaural hearing aid       0.00      0.00        0.00       0.00       XXX  0                 
    V5160...  ..................  N                   Dispensing fee binaural.....       0.00      0.00        0.00       0.00       XXX  0                 
    V5170...  ..................  N                   Within ear cros hearing aid.       0.00      0.00        0.00       0.00       XXX  0                 
    V5180...  ..................  N                   Behind ear cros hearing aid.       0.00      0.00        0.00       0.00       XXX  0                 
    V5190...  ..................  N                   Glasses cros hearing aid....       0.00      0.00        0.00       0.00       XXX  0                 
    V5200...  ..................  N                   Cros hearing aid dispens fee       0.00      0.00        0.00       0.00       XXX  0                 
    V5210...  ..................  N                   In ear bicros hearing aid...       0.00      0.00        0.00       0.00       XXX  0                 
    V5220...  ..................  N                   Behind ear bicros hearing          0.00      0.00        0.00       0.00       XXX  0                 
                                                       aid.                                                                                                 
    V5230...  ..................  N                   Glasses bicros hearing aid..       0.00      0.00        0.00       0.00       XXX  0                 
    
    [[Page 63347]]
                                                                                                                                                            
    V5240...  ..................  N                   Dispensing fee bicros.......       0.00      0.00        0.00       0.00       XXX  0                 
    V5299...  ..................  R                   Hearing service.............       0.00      0.00        0.00       0.00       XXX  N                 
    V5336...  ..................  N                   Repair communication device.       0.00      0.00        0.00       0.00       XXX  0                 
    V5362...  ..................  R                   Speech screening............       0.00      0.00        0.00       0.00       XXX  N                 
    V5363...  ..................  R                   Language screening..........       0.00      0.00        0.00       0.00       XXX  N                 
    V5364...  ..................  R                   Dysphagia screening.........       0.00      0.00        0.00       0.00       XXX  N                 
    --------------------------------------------------------------------------------------------------------------------------------------------------------
    
    
              
    
    Addendum C--Codes With Interim Relative Value Units
    
        Addendum C lists the codes for which interim RVUs have been 
    established. Because these RVUs are interim, public comments on 
    these codes will be considered if they are received by 5 p.m., 
    February 6, 1996. Any revisions to the interim RVUs will be 
    announced in a document to be published in 1996 that provides our 
    analysis of and responses to public comments. These revisions will 
    apply to services furnished beginning January 1, 1997.
        Addendum C contains the following information:
        1. CPT/HCPCS code. This is either a CPT or alphanumeric HCPCS 
    code for the service in question. CPT codes are listed first, 
    followed by alphanumeric HCPCS codes.
        2. Modifier. A modifier is shown if there is TC (modifier TC) 
    and a PC (modifier -26) for the service. If there is a PC and a TC 
    for the service, Addendum C contains three entries for the code: One 
    for the global values (both professional and technical); one for 
    modifier -26 (PC); and one for modifier TC. The global service is 
    not designated by a modifier, and physicians must bill using the 
    code without a modifier if the physician furnishes both the PCs and 
    the TCs of the service.
        3. Status indicator. This indicator shows whether the CPT/HCPCS 
    code is in the fee schedule and whether it is separately payable if 
    the service is covered. See Addendum B for a description of the 
    status indicators.
        4. Description of the code. This is an abbreviated version of 
    the narrative description of the code.
        5. Physician work RVUs.  These are the interim RVUs for the 
    physician work for this service.
        6. Practice expense RVUs. These are the interim RVUs for the 
    practice expense for the service.
        7.  Malpractice expense RVUs. These are the interim RVUs for the 
    malpractice expense for the service.
        8. Total RVUs.  This is the sum of the work, practice expense, 
    and malpractice expense RVUs.
        9. Global period. This indicator shows the number of days in the 
    global period for the code (0, 10, or 90 days). See Addendum B for 
    explanations of the alpha codes.
        10. Update. This column indicates whether the update for 
    surgical procedures, primary care services, or other nonsurgical 
    services applies to the CPT/HCPCS code in column 1. A ``0'' appears 
    in this field for codes that are deleted in 1996 or are not paid 
    under the physician fee schedule. A ``P'' in this column indicates 
    that the update and CF for primary care services applies to this 
    code. An ``N'' in this column indicates that the update and CF for 
    other nonsurgical services applies to this code. An ``S'' in this 
    column indicates that the separate update and CF for surgical 
    procedures applies.
    
    
                                                              Addendum C.--Codes With Interim RVUs                                                          
    --------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                    Physician  Practice                                                     
      CPT/            MOD               Status                 Description          work RVUs   expense  Malpractice    Total    Global         Update      
      HCPCS                                                                            \2\     RVUs \3\      RVUs                period                     
    ---\1\--------------------------------------------------------------------------------------------------------------------------------------------------
    17110...  ..................  A                   Destruction of skin lesions.       0.55      0.40        0.03       0.98       010  S                 
    20100...  ..................  A                   Explore wound, neck.........       9.50      4.97        1.16      15.63       010  S                 
    20101...  ..................  A                   Explore wound, chest........       3.00      1.57        0.37       4.94       010  S                 
    20102...  ..................  A                   Explore wound, abdomen......       3.68      1.92        0.45       6.05       010  S                 
    20103...  ..................  A                   Explore wound, extremity....       4.95      2.59        0.60       8.14       010  S                 
    20930...  ..................  B                   Spinal bone allograft.......       0.00      0.00        0.00       0.00       XXX  0                 
    20931...  ..................  A                   Spinal bone allograft.......       1.81      1.73        0.28       3.82       ZZZ  S                 
    20936...  ..................  B                   Spinal bone autograft.......       0.00      0.00        0.00       0.00       XXX  0                 
    20937...  ..................  A                   Spinal bone autograft.......       2.79      2.66        0.44       5.89       ZZZ  S                 
    20938...  ..................  A                   Spinal bone autograft.......       3.02      2.88        0.47       6.37       ZZZ  S                 
    21076...  ..................  A                   Prepare face/oral prosthesis      12.54     16.77        1.35      30.66       010  S                 
    21077...  ..................  A                   Prepare face/oral prosthesis      31.54     42.18        3.39      77.11       090  S                 
    21141...  ..................  A                   Reconstruct midface, lefort.      16.92     14.34        1.68      32.94       090  S                 
    21142...  ..................  A                   Reconstruct midface, lefort.      17.58     14.84        1.74      34.16       090  S                 
    21143...  ..................  A                   Reconstruct midface, lefort.      18.30     15.40        1.81      35.51       090  S                 
    21145...  ..................  A                   Reconstruct midface, lefort.      18.92     14.34        1.68      34.94       090  S                 
    21146...  ..................  A                   Reconstruct midface, lefort.      19.58     14.84        1.74      36.16       090  S                 
    21147...  ..................  A                   Reconstruct midface, lefort.      20.30     15.40        1.81      37.51       090  S                 
    22100...  ..................  A                   Remove part of neck vertebra       9.05      7.64        1.09      17.78       090  S                 
    22101...  ..................  A                   Remove part, thorax vertebra       9.00      8.01        1.38      18.39       090  S                 
    22102...  ..................  A                   Remove part, lumbar vertebra       9.00      4.50        0.67      14.17       090  S                 
    22103...  ..................  A                   Remove extra spine segment..       2.34      2.23        0.37       4.94       ZZZ  S                 
    22110...  ..................  A                   Remove part of neck vertebra      11.59      9.72        1.64      22.95       090  S                 
    22112...  ..................  A                   Remove part, thorax vertebra      11.59      9.90        1.63      23.12       090  S                 
    22114...  ..................  A                   Remove part, lumbar vertebra      11.59      7.25        1.17      20.01       090  S                 
    
    [[Page 63348]]
                                                                                                                                                            
    22116...  ..................  A                   Remove extra spine segment..       2.32      2.21        0.36       4.89       ZZZ  S                 
    22210...  ..................  A                   Revision of neck spine......      22.51     13.83        2.43      38.77       090  S                 
    22212...  ..................  A                   Revision of thorax spine....      18.14     17.29        2.83      38.26       090  S                 
    22214...  ..................  A                   Revision of lumbar spine....      18.14     15.11        2.68      35.93       090  S                 
    22216...  ..................  A                   Revise, extra spine segment.       6.04      5.07        0.89      12.00       ZZZ  S                 
    22220...  ..................  A                   Revision of neck spine......      20.15     16.64        2.63      39.42       090  S                 
    22222...  ..................  A                   Revision of thorax spine....      20.15     13.61        1.58      35.34       090  S                 
    22224...  ..................  A                   Revision of lumbar spine....      20.15     14.68        2.66      37.49       090  S                 
    22226...  ..................  A                   Revise, extra spine segment.       6.04      5.07        0.89      12.00       ZZZ  S                 
    22305...  ..................  A                   Treat spine process fracture       1.86     *2.38        0.37       4.61       090  S                 
    22310...  ..................  A                   Treat spine fracture........       1.86     *2.52        0.69       5.07       090  S                 
    22315...  ..................  A                   Treat spine fracture........       8.36      5.51        0.86      14.73       090  S                 
    22325...  ..................  A                   Repair of spine fracture....      17.19      8.32        1.34      26.85       090  S                 
    22326...  ..................  A                   Repair neck spine fracture..      18.43     15.93        2.74      37.10       090  S                 
    22327...  ..................  A                   Repair thorax spine fracture      17.56     15.95        2.35      35.86       090  S                 
    22328...  ..................  A                   Repair each add spine fx....       4.61      4.40        0.72       9.73       ZZZ  S                 
    22548...  ..................  A                   Neck spine fusion...........      24.08     22.74        3.82      50.64       090  S                 
    22554...  ..................  A                   Neck spine fusion...........      17.24     19.81        3.52      40.57       090  S                 
    22556...  ..................  A                   Thorax spine fusion.........      22.27     21.68        3.58      47.53       090  S                 
    22558...  ..................  A                   Lumbar spine fusion.........      21.22     20.17        3.38      44.77       090  S                 
    22585...  ..................  A                   Additional spinal fusion....       5.53      5.40        0.93      11.86       ZZZ  S                 
    22590...  ..................  A                   Spine & skull spinal fusion.      19.50     21.57        3.44      44.51       090  S                 
    22595...  ..................  A                   Neck spinal fusion..........      18.19     22.46        3.87      44.52       090  S                 
    22600...  ..................  A                   Neck spine fusion...........      14.74     19.36        3.32      37.42       090  S                 
    22610...  ..................  A                   Thorax spine fusion.........      14.62     17.87        2.75      35.24       090  S                 
    22612...  ..................  A                   Lumbar spine fusion.........      20.19     20.60        3.33      44.12       090  S                 
    22614...  ..................  A                   Spine fusion, extra segment.       6.44      5.65        0.92      13.01       ZZZ  S                 
    22630...  ..................  A                   Lumbar spine fusion.........      20.03     18.44        3.15      41.62       090  S                 
    22632...  ..................  A                   Spine fusion, extra segment.       5.23      4.99        0.82      11.04       ZZZ  S                 
    22800...  ..................  A                   Fusion of spine.............      16.92    *21.66        3.58      42.16       090  S                 
    22802...  ..................  A                   Fusion of spine.............      29.74     28.32        4.61      62.67       090  S                 
    22804...  ..................  A                   Fusion of spine.............      35.00     28.32        4.61      67.93       090  S                 
    22808...  ..................  A                   Fusion of spine.............      25.00     18.41        3.15      46.56       090  S                 
    22810...  ..................  A                   Fusion of spine.............      29.00     18.41        3.15      50.56       090  S                 
    22812...  ..................  A                   Fusion of spine.............      31.00     25.93        4.24      61.17       090  S                 
    22830...  ..................  A                   Exploration of spinal fusion      10.22    *13.07        2.18      25.47       090  S                 
    22840...  ..................  A                   Insert spine fixation device       6.27      5.98        0.98      13.23       ZZZ  S                 
    22841...  ..................  B                   Insert spine fixation device       0.00      0.00        0.00       0.00       XXX  0                 
    22842...  ..................  A                   Insert spine fixation device       7.19      6.86        1.12      15.17       ZZZ  S                 
    22843...  ..................  A                   Insert spine fixation device       8.97      8.55        1.40      18.92       ZZZ  S                 
    22844...  ..................  A                   Insert spine fixation device      10.96     10.45        1.71      23.12       ZZZ  S                 
    22845...  ..................  A                   Insert spine fixation device       5.98      5.70        0.93      12.61       ZZZ  S                 
    22846...  ..................  A                   Insert spine fixation device       8.28      7.90        1.29      17.47       ZZZ  S                 
    22847...  ..................  A                   Insert spine fixation device       9.20      8.77        1.44      19.41       ZZZ  S                 
    22848...  ..................  A                   Insert pelvic fixation             6.00      5.72        0.94      12.66       ZZZ  S                 
                                                       device.                                                                                              
    22851...  ..................  A                   Apply spine prosth device...       6.71      6.40        1.05      14.16       ZZZ  S                 
    32095...  ..................  A                   Biopsy through chest wall...       7.13      8.25        1.45      16.83       090  S                 
    32501...  ..................  A                   Repair bronchus (add-on)....       4.69      4.31        0.70       9.70       ZZZ  S                 
    33253...  ..................  A                   Reconstruct atria...........      30.00     21.81        4.26      56.07       090  S                 
    33924...  ..................  A                   Remove pulmonary shunt......       5.50      4.00        0.78      10.28       ZZZ  S                 
    38231...  ..................  A                   Stem cell collection........       1.50      1.37        0.08       2.95       000  N                 
    38240...  ..................  A                   Bone marrow/stem transplant.       2.24      2.08        0.14       4.46       XXX  N                 
    38241...  ..................  A                   Bone marrow/stem transplant.       2.24      2.04        0.13       4.41       XXX  N                 
    47350...  ..................  A                   Repair liver wound..........      11.29      7.46        1.49      20.24       090  S                 
    47360...  ..................  A                   Repair liver wound..........      15.34     10.93        2.18      28.45       090  S                 
    47361...  ..................  A                   Repair liver wound..........      28.00     14.64        3.41      46.05       090  S                 
    47362...  ..................  A                   Repair liver wound..........      10.00      5.23        1.22      16.45       090  S                 
    49000...  ..................  A                   Exploration of abdomen......       8.99      6.79        1.40      17.18       090  S                 
    49002...  ..................  A                   Reopening of abdomen........       9.40      6.05        1.21      16.66       090  S                 
    49010...  ..................  A                   Exploration behind abdomen..      11.19      6.95        1.31      19.45       090  S                 
    55859...  ..................  A                   Percut/needle insert, pros..       8.29      5.89        0.58      14.76       090  S                 
    56343...  ..................  A                   Laparoscopic salpingostomy..       6.96      5.28        1.11      13.35       090  S                 
    56344...  ..................  A                   Laparoscopic fimbrioplasty..       7.16      5.11        1.19      13.46       090  S                 
    57284...  ..................  A                   Repair paravaginal defect...      12.10      8.59        0.84      21.53       090  S                 
    59610...  ..................  A                   Vbac delivery...............      22.55     14.99        3.47      41.01       MMM  S                 
    59612...  ..................  A                   Vbac delivery only..........      14.84      9.48        2.20      26.52       MMM  S                 
    
    [[Page 63349]]
                                                                                                                                                            
    59614...  ..................  A                   Vbac care after delivery....      15.96     10.31        2.39      28.66       MMM  S                 
    59618...  ..................  A                   Attempted vbac delivery.....      25.23     16.90        3.92      46.05       MMM  S                 
    59620...  ..................  A                   Attempted vbac delivery only      16.95     10.99        2.55      30.49       MMM  S                 
    59622...  ..................  A                   Attempted vbac after care...      18.11     11.82        2.73      32.66       MMM  S                 
    62274...  ..................  A                   Inject spinal anesthetic....       1.78      0.74        0.17       2.69       000  N                 
    62288...  ..................  A                   Injection into spinal canal.       1.74      1.12        0.24       3.10       000  N                 
    62350...  ..................  A                   Implant spinal catheter.....       6.25      3.49        1.02      10.76       090  S                 
    62351...  ..................  A                   Implant spinal catheter.....       9.25      5.16        1.50      15.91       090  S                 
    62355...  ..................  A                   Remove spinal canal catheter       4.80      3.49        0.68       8.97       090  S                 
    62360...  ..................  A                   Insert spine infusion device       2.00      1.12        0.33       3.45       090  S                 
    62361...  ..................  A                   Implant spine infusion pump.       4.80      2.68        0.78       8.26       090  S                 
    62362...  ..................  A                   Implant spine infusion pump.       6.29      3.51        1.02      10.82       090  S                 
    62365...  ..................  A                   Remove spine infusion device       4.77      3.47        0.68       8.92       090  S                 
    62367...  26                  A                   Analyze spine infusion pump.       0.48      0.35        0.07       0.90       XXX  N                 
    62368...  26                  A                   Analyze spine infusion pump.       0.75      0.55        0.11       1.41       XXX  N                 
    67107...  ..................  A                   Repair detached retina......      13.99    *17.91        1.10      33.00       090  S                 
    67108...  ..................  A                   Repair detached retina......      19.90    *25.47        1.76      47.13       090  S                 
    67112...  ..................  A                   Re-repair detached retina...      16.15     16.51        0.86      33.52       090  S                 
    76965...  26                  A                   Echo guidance radiotherapy..       1.34      2.07        0.19       3.60       XXX  N                 
    78459...  26                  G                   Heart muscle imaging (PET)..      #1.88      1.34        0.10       3.32       XXX  0                 
    78810...  26                  N                   Tumor imaging (PET).........      #1.93      1.37        0.10       3.40       XXX  0                 
    92506...  ..................  A                   Speech & hearing evaluation.       0.86      0.52        0.05       1.43       XXX  N                 
    92507...  ..................  A                   Speech/hearing therapy......       0.52      0.33        0.03       0.88       XXX  N                 
    92508...  ..................  A                   Speech/hearing therapy......       0.26      0.18        0.02       0.46       XXX  N                 
    92510...  ..................  A                   Rehab for ear implant.......       1.50      1.36        0.15       3.01       XXX  N                 
    92516...  ..................  A                   Facial nerve function test..       0.43      0.39        0.04       0.86       XXX  N                 
    92525...  ..................  A                   Oral function evaluation....       1.13      1.02        0.11       2.26       XXX  N                 
    92526...  ..................  A                   Oral function therapy.......       0.52      0.47        0.05       1.04       XXX  N                 
    92546...  26                  A                   Sinusoidal rotational test..       0.29      0.30        0.03       0.62       XXX  N                 
    92579...  ..................  A                   Visual audiometry (vra).....       0.00      0.69        0.07       0.76       XXX  N                 
    92597...  ..................  A                   Oral speech device eval.....       1.11      1.01        0.11       2.23       XXX  N                 
    92598...  ..................  A                   Modify oral speech device...       0.73      0.66        0.07       1.46       XXX  N                 
    92987...  ..................  A                   Revision of mitral valve....      20.69     12.20        0.91      33.80       090  N                 
    95872...  26                  A                   Muscle test, one fiber......       1.50      0.68        0.06       2.24       XXX  N                 
    95900...  26                  A                   Motor nerve conduction test.       0.42      0.35        0.03       0.80       XXX  N                 
    95903...  26                  A                   Motor nerve conduction test.       0.60      0.35        0.03       0.98       XXX  N                 
    95904...  26                  A                   Sense nerve conduction test.       0.34      0.34        0.03       0.71       XXX  N                 
    95925...  26                  A                   Somatosensory testing.......       0.54      0.64        0.05       1.23       XXX  N                 
    95926...  26                  A                   Somatosensory testing.......       0.54      0.64        0.05       1.23       XXX  N                 
    95927...  26                  A                   Somatosensory testing.......       0.54      0.64        0.05       1.23       XXX  N                 
    95930...  26                  A                   Visual evoked potential test       0.35      0.58        0.04       0.97       XXX  N                 
    95934...  26                  A                   `H' reflex test.............       0.51      0.34        0.03       0.88       XXX  N                 
    95936...  26                  A                   `H' reflex test.............       0.55      0.34        0.03       0.92       XXX  N                 
    97010...  ..................  A                   Hot or cold packs therapy...       0.11      0.21        0.02       0.34       XXX  N                 
    97012...  ..................  A                   Mechanical traction therapy.       0.25      0.19        0.02       0.46       XXX  N                 
    97014...  ..................  A                   Electric stimulation therapy       0.18      0.20        0.02       0.40       XXX  N                 
    97016...  ..................  A                   Vasopneumatic device therapy       0.18      0.25        0.02       0.45       XXX  N                 
    97018...  ..................  A                   Paraffin bath therapy.......       0.11      0.24        0.03       0.38       XXX  N                 
    97020...  ..................  A                   Microwave therapy...........       0.11      0.20        0.02       0.33       XXX  N                 
    97022...  ..................  A                   Whirlpool therapy...........       0.25      0.19        0.02       0.46       XXX  N                 
    97024...  ..................  A                   Diathermy treatment.........       0.11      0.21        0.02       0.34       XXX  N                 
    97026...  ..................  A                   Infrared therapy............       0.11      0.19        0.02       0.32       XXX  N                 
    97028...  ..................  A                   Ultraviolet therapy.........       0.20      0.19        0.01       0.40       XXX  N                 
    97032...  ..................  A                   Electrical stimulation......       0.25      0.14        0.01       0.40       XXX  N                 
    97033...  ..................  A                   Electric current therapy....       0.26      0.14        0.02       0.42       XXX  N                 
    97034...  ..................  A                   Contrast bath therapy.......       0.21      0.10        0.01       0.32       XXX  N                 
    97035...  ..................  A                   Ultrasound therapy..........       0.21      0.11        0.01       0.33       XXX  N                 
    97036...  ..................  A                   Hydrotherapy................       0.38      0.21        0.02       0.61       XXX  N                 
    97039...  ..................  A                   Physical therapy treatment..       0.29      0.24        0.03       0.56       XXX  N                 
    97110...  ..................  A                   Therapeutic exercises.......       0.45      0.13        0.02       0.60       XXX  N                 
    97112...  ..................  A                   Neuromuscular reeducation...       0.45      0.13        0.01       0.59       XXX  N                 
    97113...  ..................  A                   Aquatic therapy/exercises...       0.44      0.20        0.02       0.66       XXX  N                 
    97116...  ..................  A                   Gait training therapy.......       0.40      0.11        0.01       0.52       XXX  N                 
    97122...  ..................  A                   Manual traction therapy.....       0.45      0.11        0.01       0.57       XXX  N                 
    97124...  ..................  A                   Massage therapy.............       0.35      0.11        0.01       0.47       XXX  N                 
    97139...  ..................  A                   Physical medicine procedure.       0.21      0.16        0.02       0.39       XXX  N                 
    
    [[Page 63350]]
                                                                                                                                                            
    97150...  ..................  A                   Group therapeutic procedures       0.27      0.20        0.02       0.49       XXX  N                 
    97250...  ..................  A                   Myofascial release..........       0.45      0.35        0.04       0.84       000  N                 
    97260...  ..................  A                   Regional manipulation.......       0.19      0.20        0.02       0.41       000  N                 
    97261...  ..................  A                   Supplemental manipulations..       0.12      0.11        0.01       0.24       000  N                 
    97265...  ..................  A                   Joint mobilization..........       0.45      0.35        0.04       0.84       XXX  N                 
    97500...  ..................  A                   Orthotics training..........       0.31      0.27        0.04       0.62       XXX  N                 
    97501...  ..................  A                   Supplemental training.......       0.17      0.15        0.02       0.34       XXX  N                 
    97520...  ..................  A                   Prosthetic training.........       0.37      0.30        0.04       0.71       XXX  N                 
    97521...  ..................  A                   Supplemental training.......       0.22      0.17        0.02       0.41       XXX  N                 
    97530...  ..................  A                   Therapeutic activities......       0.44      0.17        0.02       0.63       XXX  N                 
    97535...  ..................  A                   Self care mngment training..       0.33      0.17        0.02       0.52       XXX  N                 
    97537...  ..................  A                   Community/work reintegration       0.33      0.17        0.02       0.52       XXX  N                 
    97542...  ..................  A                   Wheelchair mngement training       0.25      0.17        0.02       0.44       XXX  N                 
    97703...  ..................  A                   Prosthetic checkout.........       0.25      0.18        0.03       0.46       XXX  N                 
    97750...  ..................  A                   Physical performance test...       0.45      0.24        0.03       0.72       XXX  N                 
    97770...  ..................  A                   Cognitive skills development       0.44      0.28        0.03       0.75       XXX  N                 
    99238...  ..................  A                   Hospital discharge day......       1.06      0.51        0.04       1.61       XXX  N                 
    99239...  ..................  A                   Hospital discharge day......       1.75      0.51        0.04       2.30       XXX  N                 
    99435...  ..................  A                   Hospital NB discharge day...       1.50      1.55        0.10       3.15       XXX  P                 
    G0030...  26                  A                   PET imaging prev PET single.       1.09      0.48        0.07       1.64       XXX  N                 
    G0031...  26                  A                   PET imaging prev PET multple       1.46      0.65        0.10       2.21       XXX  N                 
    G0032...  26                  A                   PET follow SPECT 78464 singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0033...  26                  A                   PET follow SPECT 78464 mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0034...  26                  A                   PET follow SPECT 76865 singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0035...  26                  A                   PET follow SPECT 78465 mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0036...  26                  A                   PET follow cornry angio sing       1.09      0.48        0.07       1.64       XXX  N                 
    G0037...  26                  A                   PET follow cornry angio mult       1.46      0.65        0.10       2.21       XXX  N                 
    G0038...  26                  A                   PET follow myocard perf sing       1.09      0.48        0.07       1.64       XXX  N                 
    G0039...  26                  A                   PET follow myocard perf mult       1.46      0.65        0.10       2.21       XXX  N                 
    G0040...  26                  A                   PET follow stress echo singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0041...  26                  A                   PET follow stress echo mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0042...  26                  A                   PET follow ventriculogm sing       1.09      0.48        0.07       1.64       XXX  N                 
    G0043...  26                  A                   PET follow ventriculogm mult       1.46      0.65        0.10       2.21       XXX  N                 
    G0044...  26                  A                   PET following rest ECG singl       1.09      0.48        0.07       1.64       XXX  N                 
    G0045...  26                  A                   PET following rest ECG mult.       1.46      0.65        0.10       2.21       XXX  N                 
    G0046...  26                  A                   PET follow stress ECG singl.       1.09      0.48        0.07       1.64       XXX  N                 
    G0047...  26                  A                   PET follow stress ECG mult..       1.46      0.65        0.10       2.21       XXX  N                 
    --------------------------------------------------------------------------------------------------------------------------------------------------------
    
    
                                                                                                                                          
    
                   Addendum D.--1996 Geographic Practice Cost Indices by Medicare Carrier and Locality              
    ----------------------------------------------------------------------------------------------------------------
    Carrier    Locality                                                                        Practice             
     number     number                          Locality name                          Work     expense  Malpractice
    ----------------------------------------------------------------------------------------------------------------
    00510..           05  Birmingham, AL...........................................     0.994     0.912       0.927 
    00510..           04  Mobile, AL...............................................     0.975     0.858       0.927 
    00510..           02  North Central AL.........................................     0.973     0.850       0.927 
    00510..           01  Northwest AL.............................................     0.990     0.873       0.927 
    00510..           06  Rest Of AL...............................................     0.964     0.818       0.927 
    00510..           03  Southeast AL.............................................     0.970     0.858       0.927 
    01020..           01  Alaska...................................................     1.064     1.155       1.617 
    01030..           05  Flagstaff, AZ............................................     0.971     0.936       1.321 
    01030..           01  Phoenix, AZ..............................................     1.004     0.963       1.321 
    01030..           07  Prescott, AZ.............................................     0.971     0.912       1.321 
    01030..           99  Rest Of AZ...............................................     0.989     0.948       1.321 
    01030..           02  Tucson, AZ...............................................     0.978     0.942       1.321 
    01030..           08  Yuma, AZ.................................................     0.984     0.925       1.321 
    00520..           13  Arkansas.................................................     0.954     0.853       0.427 
    02050..           26  Anaheim/Santa Ana, CA....................................     1.037     1.205       0.752 
    00542..           14  Bakersfield, CA..........................................     1.023     0.992       0.686 
    00542..           11  Fresno/Madera, CA........................................     1.000     0.977       0.596 
    00542..           13  Kings/Tulare, CA.........................................     0.987     0.954       0.596 
    02050..           18  Los Angeles (1st Of 8)...................................     1.056     1.207       0.752 
    02050..           19  Los Angeles (2nd Of 8)...................................     1.056     1.207       0.752 
    02050..           20  Los Angeles (3rd Of 8)...................................     1.056     1.207       0.752 
    02050..           21  Los Angeles (4th Of 8)...................................     1.056     1.207       0.752 
    
    [[Page 63351]]
                                                                                                                    
    02050..           22  Los Angeles (5th Of 8)...................................     1.056     1.207       0.752 
    02050..           23  Los Angeles (6th Of 8)...................................     1.056     1.207       0.752 
    02050..           24  Los Angeles (7th Of 8)...................................     1.056     1.207       0.752 
    02050..           25  Los Angeles (8th Of 8)...................................     1.056     1.207       0.752 
    00542..           03  Marin/Napa/Solano, CA....................................     1.015     1.180       0.596 
    00542..           10  Merced/Surr.Cntys, CA....................................     1.002     0.988       0.596 
    00542..           12  Monterey/Santa Cruz, CA..................................     1.008     1.143       0.596 
    00542..           01  N. Coastal Cntys, CA.....................................     1.003     1.090       0.596 
    00542..           02  Ne Rural, CA.............................................     0.982     0.953       0.596 
    00542..           07  Oakland/Berkeley, CA.....................................     1.042     1.215       0.596 
    00542..           27  Riverside, CA............................................     1.011     1.059       0.667 
    00542..           04  Sacramento/Surr. Cntys, CA...............................     1.020     1.069       0.596 
    00542..           15  San Bernadino/E.Ctrl Cntys...............................     1.015     1.056       0.749 
    02050..           28  San Diego/Imperial, CA...................................     1.017     1.077       0.618 
    00542..           05  San Francisco, CA........................................     1.068     1.330       0.596 
    00542..           06  San Mateo, CA............................................     1.049     1.300       0.596 
    02050..           16  Santa Barbara, CA........................................     1.016     1.119       0.686 
    00542..           09  Santa Clara, CA..........................................     1.064     1.289       0.596 
    00542..           08  Stockton/Surr. Cntys., CA................................     1.001     1.041       0.596 
    02050..           17  Ventura, CA..............................................     1.028     1.192       0.686 
    00824..           01  Colorado.................................................     0.989     0.951       0.827 
    10230..           04  Eastern CT...............................................     1.033     1.132       1.001 
    10230..           01  Nw And N. Cntrl CT.......................................     1.049     1.159       1.001 
    10230..           03  S. Cntrl CT..............................................     1.056     1.226       1.001 
    10230..           02  Sw CT....................................................     1.055     1.275       1.001 
    00570..           01  Delaware.................................................     1.021     1.032       0.792 
    00580..           01  DC+MD/VA Suburbs.........................................     1.051     1.192       0.980 
    00590..           03  Fort Lauderdale, FL......................................     0.998     1.036       1.867 
    00590..           04  Miami, FL................................................     1.016     1.087       2.456 
    00590..           02  N/Nc FL Cities...........................................     0.978     0.952       1.417 
    00590..           01  Rest Of Florida..........................................     0.971     0.914       1.417 
    01040..           01  Atlanta, GA..............................................     1.007     1.030       0.902 
    01040..           04  Rest Of GA...............................................     0.965     0.856       0.902 
    01040..           02  Small GA Cities 02.......................................     0.981     0.917       0.902 
    01040..           03  Small GA Cities 03.......................................     0.966     0.884       0.902 
    01120..           01  Hawaii/Guam..............................................     0.999     1.220       0.921 
    05130..           12  North Idaho..............................................     0.957     0.864       0.588 
    05130..           11  South Idaho..............................................     0.963     0.887       0.588 
    00621..           10  Champaign-Urbana, IL.....................................     0.952     0.884       1.008 
    00621..           16  Chicago, IL..............................................     1.028     1.080       1.382 
    00621..           03  De Kalb, IL..............................................     0.953     0.873       0.780 
    00621..           11  Decatur, IL..............................................     0.962     0.864       0.880 
    00621..           12  East St. Louis, IL.......................................     0.988     0.929       1.202 
    00621..           06  Kankakee, IL.............................................     0.959     0.881       0.901 
    00621..           08  Normal, IL...............................................     0.969     0.893       0.731 
    00621..           01  Northwest, IL............................................     0.951     0.842       0.731 
    00621..           05  Peoria, IL...............................................     0.980     0.906       0.731 
    00621..           07  Quincy, IL...............................................     0.946     0.824       0.731 
    00621..           04  Rock Island, IL..........................................     0.972     0.858       0.731 
    00621..           02  Rockford, IL.............................................     0.978     0.941       0.813 
    00621..           13  Southeast IL.............................................     0.946     0.814       0.731 
    00621..           14  Southern IL..............................................     0.946     0.822       0.822 
    00621..           09  Springfield, IL..........................................     0.981     0.936       0.946 
    00621..           15  Suburban Chicago, IL.....................................     1.007     1.093       1.159 
    00630..           01  Metropolitan IN..........................................     0.989     0.937       0.363 
    00630..           03  Rest Of IN...............................................     0.973     0.872       0.346 
    00630..           02  Urban IN.................................................     0.974     0.896       0.346 
    00640..           00  Iowa.....................................................     0.960     0.877       0.679 
    00740..           05  Kansas City, Kansas......................................     0.989     0.949       1.191 
    00650..           01  Rest Of Kansas...........................................     0.958     0.877       1.191 
    00740..           04  Suburban Kansas City, Kans...............................     0.989     0.949       1.191 
    00660..           01  Lexington & Louisville, KY...............................     0.989     0.904       0.819 
    00660..           03  Rest Of Kentucky.........................................     0.957     0.821       0.819 
    00660..           02  Sm Cities (City Limits), KY..............................     0.960     0.850       0.819 
    00528..           07  Alexandria, LA...........................................     0.958     0.864       0.911 
    00528..           03  Baton Rouge, LA..........................................     0.984     0.894       0.911 
    00528..           06  Lafayette, LA............................................     0.971     0.857       0.911 
    00528..           04  Lake Charles, LA.........................................     0.974     0.901       0.911 
    
    [[Page 63352]]
                                                                                                                    
    00528..           05  Monroe, LA...............................................     0.958     0.867       0.911 
    00528..           01  New Orleans, LA..........................................     0.999     0.946       0.997 
    00528..           50  Rest Of LA...............................................     0.965     0.850       0.913 
    00528..           02  Shreveport, LA...........................................     0.971     0.889       0.911 
    21200..           02  Central Maine............................................     0.961     0.929       0.759 
    21200..           01  Northern Maine...........................................     0.964     0.920       0.759 
    21200..           03  Southern Maine...........................................     0.980     1.034       0.759 
    00901..           01  Baltimore/Surr. Cntys, MD................................     1.021     1.036       1.115 
    00901..           03  South & E. Shore MD......................................     0.985     0.972       0.862 
    00901..           02  Western MD...............................................     0.982     0.930       0.862 
    00700..           02  MA Suburbs/Rural Cities..................................     1.015     1.101       0.978 
    00700..           01  Urban MA.................................................     1.030     1.167       0.978 
    00623..           01  Detroit, MI..............................................     1.043     1.038       3.051 
    00623..           02  Michigan, Not Detroit....................................     0.998     0.935       1.844 
    00720..           00  Minnesota (Blue Shield)..................................     0.990     0.965       0.594 
    10240..           00  Minnesota (Travelers)....................................     0.990     0.965       0.594 
    10250..           01  Rest Of Mississippi......................................     0.950     0.813       0.726 
    10250..           02  Urban Mississippi........................................     0.964     0.868       0.726 
    00740..           03  K.C. (Jackson Cnty), MO..................................     0.989     0.949       1.207 
    00740..           02  N K.C. (Clay/Platte), MO.................................     0.989     0.949       1.204 
    11260..           03  Rest Of MO...............................................     0.944     0.810       1.159 
    00740..           06  Rural Nw Counties, MO....................................     0.950     0.835       1.159 
    11260..           02  Sm E. Cities, MO.........................................     0.940     0.809       1.159 
    00740..           01  St Joseph, MO............................................     0.952     0.850       1.159 
    11260..           01  St. Louis/Lg E. Cities, MO...............................     0.983     0.921       1.193 
    00751..           01  Montana..................................................     0.952     0.864       0.756 
    00655..           00  Nebraska.................................................     0.951     0.872       0.444 
    01290..           03  Elko & Ely (Cities), NV..................................     0.984     0.986       0.887 
    01290..           01  Las Vegas, Et Al. (Cities), NV...........................     1.012     1.022       0.887 
    01290..           02  Reno, Et Al. (Cities), NV................................     0.997     1.049       0.887 
    01290..           99  Rest Of Nevada...........................................     0.997     1.013       0.887 
    00780..           40  New Hampshire............................................     0.988     1.034       0.916 
    00860..           02  Middle NJ................................................     1.032     1.137       0.762 
    00860..           01  Northern NJ..............................................     1.059     1.215       0.762 
    00860..           03  Southern NJ..............................................     1.024     1.082       0.762 
    01360..           05  New Mexico...............................................     0.975     0.903       0.792 
    00801..           01  Buffalo/Surr. Cntys, NY..................................     1.003     0.936       0.821 
    00803..           01  Manhattan, NY............................................     1.095     1.359       1.546 
    00801..           03  N. Central Cities, NY....................................     1.005     0.967       0.821 
    00803..           02  Nyc Suburbs/Long I., NY..................................     1.068     1.235       1.759 
    00803..           03  Poughkpsie/N Nyc Suburbs, NY.............................     1.011     1.081       1.218 
    14330..           04  Queens, NY...............................................     1.058     1.240       1.686 
    00801..           04  Rest Of New York.........................................     0.989     0.937       0.821 
    00801..           02  Rochester/Surr. Cntys, NY................................     1.012     0.992       0.821 
    05535..           00  North Carolina...........................................     0.971     0.918       0.435 
    00820..           01  North Dakota.............................................     0.951     0.860       0.617 
    16360..           00  Ohio.....................................................     0.991     0.940       1.049 
    01370..           00  Oklahoma.................................................     0.970     0.882       0.481 
    01380..           02  Eugene, et al. (Cities), OR..............................     0.959     0.938       0.637 
    01380..           01  Portland, et al. (Cities), OR............................     0.997     1.000       0.637 
    01380..           99  Rest Of Oregon...........................................     0.962     0.907       0.637 
    01380..           03  Salem, et al. (Cities), OR...............................     0.965     0.929       0.637 
    01380..           12  Sw Cities (City Limits), OR..............................     0.967     0.954       0.637 
    00865..           02  Lg PA Cities.............................................     1.006     1.002       0.936 
    00865..           01  Philly/Pitt Med Shcls/Hosps, PA..........................     1.027     1.040       1.213 
    00865..           04  Rest Of PA...............................................     0.973     0.899       0.719 
    00865..           03  Sm PA Cities.............................................     0.983     0.917       0.736 
    00973..           20  Puerto Rico..............................................     0.883     0.739       0.268 
    00870..           01  Rhode Island.............................................     1.019     1.074       1.569 
    00880..           01  South Carolina...........................................     0.976     0.899       0.361 
    00820..           02  South Dakota.............................................     0.936     0.856       0.443 
    05440..           35  Tennessee................................................     0.976     0.899       0.524 
    00900..           29  Abilene, TX..............................................     0.960     0.851       0.827 
    00900..           26  Amarillo, TX.............................................     0.975     0.883       0.827 
    00900..           31  Austin, TX...............................................     0.987     0.986       0.827 
    00900..           20  Beaumont, TX.............................................     0.993     0.893       1.428 
    00900..           09  Brazoria, TX.............................................     0.993     0.966       1.428 
    00900..           10  Brownsville, TX..........................................     0.955     0.848       0.827 
    
    [[Page 63353]]
                                                                                                                    
    00900..           24  Corpus Christi, TX.......................................     0.983     0.898       0.827 
    00900..           11  Dallas, TX...............................................     1.012     1.012       0.893 
    00900..           12  Denton, TX...............................................     0.968     0.952       0.827 
    00900..           14  El Paso, TX..............................................     0.973     0.893       0.893 
    00900..           28  Fort Worth, TX...........................................     0.989     0.972       0.893 
    00900..           15  Galveston, TX............................................     0.989     0.966       1.428 
    00900..           16  Grayson, TX..............................................     0.959     0.874       0.827 
    00900..           18  Houston, TX..............................................     1.021     1.005       1.428 
    00900..           33  Laredo, TX...............................................     0.957     0.851       0.827 
    00900..           17  Longview, TX.............................................     0.973     0.863       0.827 
    00900..           21  Lubbock, TX..............................................     0.955     0.894       0.827 
    00900..           19  McAllen, TX..............................................     0.961     0.837       0.827 
    00900..           23  Midland, TX..............................................     0.991     0.900       0.827 
    00900..           02  Northeast Rural TX.......................................     0.960     0.857       0.827 
    00900..           13  Odessa, TX...............................................     0.991     0.900       0.827 
    00900..           25  Orange, TX...............................................     0.993     0.893       0.827 
    00900..           30  San Angelo, TX...........................................     0.948     0.844       0.827 
    00900..           07  San Antonio, TX..........................................     0.978     0.926       0.827 
    00900..           03  Southeast Rural TX.......................................     0.963     0.872       0.889 
    00900..           06  Temple, TX...............................................     0.968     0.884       0.827 
    00900..           08  Texarkana, TX............................................     0.955     0.872       0.827 
    00900..           27  Tyler, TX................................................     0.971     0.894       0.827 
    00900..           32  Victoria, TX.............................................     0.983     0.868       0.827 
    00900..           22  Waco, TX.................................................     0.966     0.877       0.827 
    00900..           04  Western TX...............................................     0.956     0.818       0.827 
    00900..           34  Wichita Falls, TX........................................     0.950     0.857       0.827 
    00910..           09  Utah.....................................................     0.978     0.891       0.644 
    00780..           50  Vermont..................................................     0.974     0.988       0.452 
    00973..           50  Virgin Islands...........................................     0.966     0.978       1.023 
    10490..           04  Rest Of VA...............................................     0.976     0.876       0.504 
    10490..           01  Richmond & Charlottesville, VA...........................     1.004     0.991       0.511 
    10490..           03  Sm Town/Industrial VA....................................     0.974     0.897       0.517 
    10490..           02  Tidewater & N VA Cntys...................................     0.990     0.965       0.530 
    01390..           03  E Cntrl & Ne WA..........................................     0.985     0.943       0.748 
    01390..           02  Seattle (King Cnty), WA..................................     1.006     1.077       0.748 
    01390..           01  W & Se WA (Excl Seattle).................................     0.982     0.968       0.748 
    16510..           16  Charleston, WV...........................................     0.980     0.881       1.004 
    16510..           18  Eastern Valley, WV.......................................     0.960     0.899       1.004 
    16510..           19  Ohio River Valley, WV....................................     0.959     0.833       1.004 
    16510..           20  Southern Valley, WV......................................     0.952     0.815       1.004 
    16510..           17  Wheeling, WV.............................................     0.957     0.840       1.004 
    00951..           13  Central WI...............................................     0.959     0.849       1.160 
    00951..           40  Green Bay (Northeast), WI................................     0.976     0.894       1.160 
    00951..           54  Janesville (S Cntrl), WI.................................     0.966     0.895       1.160 
    00951..           19  La Crosse (W Cntrl), WI..................................     0.972     0.879       1.160 
    00951..           15  Madison (Dane Cnty), WI..................................     0.990     1.000       1.160 
    00951..           46  Milwaukee Suburbs (Se), WI...............................     0.990     0.959       1.160 
    00951..           04  Milwaukee, WI............................................     1.001     0.978       1.160 
    00951..           12  Northwest WI.............................................     0.961     0.850       1.160 
    00951..           60  Oshkosh (E Cntrl), WI....................................     0.973     0.886       1.160 
    00951..           14  Southwest WI.............................................     0.959     0.850       1.160 
    00951..           36  Wausau (N Cntrl), WI.....................................     0.962     0.866       1.160 
    00825..           21  Wyoming..................................................     0.968     0.881       0.811 
    ----------------------------------------------------------------------------------------------------------------
    
    
                                                                                                         
    
    
           Addendum E.--Procedure Codes Subject to the Site-of-Service      
                                  Differential                              
    ------------------------------------------------------------------------
      CPT/                                                                  
    HCPCS #                            Description                          
    ------------------------------------------------------------------------
    10040..  Acne surgery.                                                  
    10060..  Drainage of skin abscess.                                      
    10061..  Drainage of skin abscess.                                      
    10080..  Drainage of pilonidal cyst.                                    
    10081..  Drainage of pilonidal cyst.                                    
    10120..  Remove foreign body.                                           
    10121..  Remove foreign body.                                           
    10140..  Drainage of hematoma/fluid.                                    
    10160..  Puncture drainage of lesion.                                   
    11000..  Surgical cleansing of skin.                                    
    11001..  Additional cleansing of skin.                                  
    11040..  Surgical cleansing, abrasion.                                  
    11041..  Surgical cleansing of skin.                                    
    * 11042  Cleansing of skin/tissue.                                      
    11050..  Trim skin lesion.                                              
    
    [[Page 63354]]
                                                                            
    11051..  Trim 2 to 4 skin lesions.                                      
    11052..  Trim over 4 skin lesions.                                      
    11100..  Biopsy of skin lesion.                                         
    11101..  Biopsy, each added lesion.                                     
    11200..  Removal of skin tags.                                          
    11201..  Removal of added skin tags.                                    
    11300..  Shave skin lesion.                                             
    11301..  Shave skin lesion.                                             
    11302..  Shave skin lesion.                                             
    11303..  Shave skin lesion.                                             
    11305..  Shave skin lesion.                                             
    11306..  Shave skin lesion.                                             
    11307..  Shave skin lesion.                                             
    11308..  Shave skin lesion.                                             
    11310..  Shave skin lesion.                                             
    11311..  Shave skin lesion.                                             
    11312..  Shave skin lesion.                                             
    11313..  Shave skin lesion.                                             
    11400..  Removal of skin lesion.                                        
    11401..  Removal of skin lesion.                                        
    11402..  Removal of skin lesion.                                        
    11403..  Removal of skin lesion.                                        
    * 11404  Removal of skin lesion.                                        
    11420..  Removal of skin lesion.                                        
    11421..  Removal of skin lesion.                                        
    11422..  Removal of skin lesion.                                        
    11423..  Removal of skin lesion.                                        
    * 11424  Removal of skin lesion.                                        
    11440..  Removal of skin lesion.                                        
    11441..  Removal of skin lesion.                                        
    11442..  Removal of skin lesion.                                        
    11443..  Removal of skin lesion.                                        
    * 11444  Removal of skin lesion.                                        
    * 11446  Removal of skin lesion.                                        
    11600..  Removal of skin lesion.                                        
    11601..  Removal of skin lesion.                                        
    11602..  Removal of skin lesion.                                        
    11603..  Removal of skin lesion.                                        
    * 11604  Removal of skin lesion.                                        
    11620..  Removal of skin lesion.                                        
    11621..  Removal of skin lesion.                                        
    11622..  Removal of skin lesion.                                        
    11623..  Removal of skin lesion.                                        
    * 11624  Removal of skin lesion.                                        
    11640..  Removal of skin lesion.                                        
    11641..  Removal of skin lesion.                                        
    11642..  Removal of skin lesion.                                        
    11643..  Removal of skin lesion.                                        
    * 11644  Removal of skin lesion.                                        
    11700..  Scraping of 1-5 nails.                                         
    11701..  Scraping of additional nails.                                  
    11710..  Scraping of 1-5 nails.                                         
    11711..  Scraping of additional nails.                                  
    11730..  Removal of nail plate.                                         
    11731..  Removal of second nail plate.                                  
    11732..  Remove additional nail plate.                                  
    11740..  Drain blood from under nail.                                   
    11750..  Removal of nail bed.                                           
    11752..  Remove nail bed/finger tip.                                    
    11760..  Reconstruction of nail bed.                                    
    11762..  Reconstruction of nail bed.                                    
    11765..  Excision of nail fold, toe.                                    
    11900..  Injection into skin lesions.                                   
    11901..  Added skin lesion injections.                                  
    * 12021  Closure of split wound.                                        
    12031..  Layer closure of wound(s).                                     
    12032..  Layer closure of wound(s).                                     
    12041..  Layer closure of wound(s).                                     
    12042..  Layer closure of wound(s).                                     
    12051..  Layer closure of wound(s).                                     
    12052..  Layer closure of wound(s).                                     
    * 13100  Repair of wound or lesion.                                     
    * 13101  Repair of wound or lesion.                                     
    * 13120  Repair of wound or lesion.                                     
    * 13121  Repair of wound or lesion.                                     
    * 13131  Repair of wound or lesion.                                     
    * 13132  Repair of wound or lesion.                                     
    * 13151  Repair of wound or lesion.                                     
    * 13152  Repair of wound or lesion.                                     
    * 14000  Skin tissue rearrangement.                                     
    * 14040  Skin tissue rearrangement.                                     
    * 14041  Skin tissue rearrangement.                                     
    * 14061  Skin tissue rearrangement.                                     
    15780..  Abrasion treatment of skin.                                    
    15781..  Abrasion treatment of skin.                                    
    15782..  Abrasion treatment of skin.                                    
    15783..  Abrasion treatment of skin.                                    
    15786..  Abrasion treatment of lesion.                                  
    15787..  Abrasion, added skin lesions.                                  
    15851..  Removal of sutures.                                            
    15852..  Dressing change, not for burn.                                 
    16000..  Initial treatment of burn(s).                                  
    16010..  Treatment of burn(s).                                          
    16020..  Treatment of burn(s).                                          
    16025..  Treatment of burn(s).                                          
    17000..  Destroy benign/premal lesion.                                  
    17001..  Destruction of add'l lesions.                                  
    17002..  Destruction of add'l lesions.                                  
    17010..  Destruction skin lesion(s).                                    
    17100..  Destruction of skin lesion.                                    
    17101..  Destruction of 2nd lesion.                                     
    17102..  Destruction of add'l lesions.                                  
    17104..  Destruction of skin lesions.                                   
    17105..  Destruction of skin lesions.                                   
    17106..  Destruction of skin lesions.                                   
    17107..  Destruction of skin lesions.                                   
    17110..  Destruction of skin lesions.                                   
    17200..  Electrocautery of skin tags.                                   
    17201..  Electrocautery added lesions.                                  
    17250..  Chemical cautery, tissue.                                      
    17260..  Destruction of skin lesions.                                   
    17261..  Destruction of skin lesions.                                   
    17262..  Destruction of skin lesions.                                   
    17263..  Destruction of skin lesions.                                   
    17264..  Destruction of skin lesions.                                   
    17266..  Destruction of skin lesions.                                   
    17270..  Destruction of skin lesions.                                   
    17271..  Destruction of skin lesions.                                   
    17272..  Destruction of skin lesions.                                   
    17273..  Destruction of skin lesions.                                   
    17274..  Destruction of skin lesions.                                   
    17276..  Destruction of skin lesions.                                   
    17280..  Destruction of skin lesions.                                   
    17281..  Destruction of skin lesions.                                   
    17282..  Destruction of skin lesions.                                   
    17283..  Destruction of skin lesions.                                   
    17284..  Destruction of skin lesions.                                   
    17286..  Destruction of skin lesions.                                   
    17304..  Chemosurgery of skin lesion.                                   
    17305..  2nd stage chemosurgery.                                        
    17306..  3rd stage chemosurgery.                                        
    17307..  Followup skin lesion therapy.                                  
    17310..  Extensive skin chemosurgery.                                   
    17340..  Cryotherapy of skin.                                           
    17360..  Skin peel therapy.                                             
    19000..  Drainage of breast lesion.                                     
    19001..  Drain added breast lesion.                                     
    * 19100  Biopsy of breast.                                              
    20000..  Incision of abscess.                                           
    20500..  Injection of sinus tract.                                      
    20520..  Removal of foreign body.                                       
    20550..  Inj tendon/ligament/cyst.                                      
    20600..  Drain/inject joint/bursa.                                      
    20605..  Drain/inject joint/bursa.                                      
    20610..  Drain/inject joint/bursa.                                      
    20615..  Treatment of bone cyst.                                        
    * 20670  Removal of support implant.                                    
    20974..  Electrical bone stimulation.                                   
    * 21025  Excision of bone, lower jaw.                                   
    * 21026  Excision of facial bone(s).                                    
    21029..  Contour of face bone lesion.                                   
    21030..  Removal of face bone lesion.                                   
    21031..  Remove exostosis, mandible.                                    
    21032..  Remove exostosis, maxilla.                                     
    * 21040  Removal of jaw bone lesion.                                    
    * 21041  Removal of jaw bone lesion.                                    
    21079..  Prepare face/oral prosthesis.                                  
    21080..  Prepare face/oral prosthesis.                                  
    21081..  Prepare face/oral prosthesis.                                  
    21082..  Prepare face/oral prosthesis.                                  
    21083..  Prepare face/oral prosthesis.                                  
    21084..  Prepare face/oral prosthesis.                                  
    21085..  Prepare face/oral prosthesis.                                  
    21086..  Prepare face/oral prosthesis.                                  
    21087..  Prepare face/oral prosthesis.                                  
    21088..  Prepare face/oral prosthesis.                                  
    21089..  Prepare face/oral prosthesis.                                  
    21110..  Interdental fixation.                                          
    * 21210  Face bone graft.                                               
    * 21215  Lower jaw bone graft.                                          
    * 21248  Reconstruction of jaw.                                         
    * 21249  Reconstruction of jaw.                                         
    * 21485  Reset dislocated jaw.                                          
    * 21550  Biopsy of neck/chest.                                          
    * 21920  Biopsy soft tissue of back.                                    
    23031..  Drain shoulder bursa.                                          
    * 23330  Remove shoulder foreign body.                                  
    * 23620  Treat humerus fracture.                                        
    * 23931  Drainage of arm bursa.                                         
    * 24065  Biopsy arm/elbow soft tissue.                                  
    24200..  Removal of arm foreign body.                                   
    * 24362  Reconstruct elbow joint.                                       
    24650..  Treat radius fracture.                                         
    * 25065  Biopsy forearm soft tissues.                                   
    25500..  Treat fracture of radius.                                      
    25530..  Treat fracture of ulna.                                        
    25600..  Treat fracture radius/ulna.                                    
    25622..  Treat wrist bone fracture.                                     
    * 25624  Treat wrist bone fracture.                                     
    25630..  Treat wrist bone fracture.                                     
    * 25635  Treat wrist bone fracture.                                     
    25650..  Repair wrist bone fracture.                                    
    26010..  Drainage of finger abscess.                                    
    * 26070  Explore/treat hand joint.                                      
    * 26432  Repair finger tendon.                                          
    
    [[Page 63355]]
                                                                            
    26600..  Treat metacarpal fracture.                                     
    * 26605  Treat metacarpal fracture.                                     
    26720..  Treat finger fracture, each.                                   
    26725..  Treat finger fracture, each.                                   
    26740..  Treat finger fracture, each.                                   
    * 27086  Remove hip foreign body.                                       
    * 27323  Biopsy thigh soft tissues.                                     
    * 27520  Treat kneecap fracture.                                        
    * 27604  Drain lower leg bursa.                                         
    * 27613  Biopsy lower leg soft tissue.                                  
    * 27760  Treatment of ankle fracture.                                   
    * 27780  Treatment of fibula fracture.                                  
    * 27786  Treatment of ankle fracture.                                   
    * 27788  Treatment of ankle fracture.                                   
    28001..  Drainage of bursa of foot.                                     
    * 28003  Treatment of foot infection.                                   
    28010..  Incision of toe tendon.                                        
    28011..  Incision of toe tendons.                                       
    28022..  Exploration of a foot joint.                                   
    28024..  Exploration of a toe joint.                                    
    28052..  Biopsy of foot joint lining.                                   
    28108..  Removal of toe lesions.                                        
    28124..  Partial removal of toe.                                        
    28126..  Partial removal of toe.                                        
    28153..  Partial removal of toe.                                        
    28160..  Partial removal of toe.                                        
    28190..  Removal of foot foreign body.                                  
    28220..  Release of foot tendon.                                        
    * 28222  Release of foot tendons.                                       
    28230..  Incision of foot tendon(s).                                    
    28232..  Incision of toe tendon.                                        
    28234..  Incision of foot tendon.                                       
    28270..  Release of foot contracture.                                   
    28272..  Release of toe joint, each.                                    
    * 28313  Repair of demormity of toe.                                    
    * 28400  Treatment of heal fracture.                                    
    28430..  Treatment of ankle fracture.                                   
    28450..  Treat midfoot fracture, each.                                  
    28455..  Treat midfoot fracture, each.                                  
    28470..  Treat metatarsal fracture.                                     
    28475..  Treat metatarsal fracture.                                     
    28490..  Treat big toe fracture.                                        
    28495..  Treat big toe fracture.                                        
    28510..  Treatment of toe fracture.                                     
    28515..  Treatment of toe fracture.                                     
    28530..  Treat sesamoid bone fracture.                                  
    28540..  Treat foot dislocation.                                        
    28570..  Treat foot dislocation.                                        
    28600..  Treat foot dislocation.                                        
    28630..  Treat toe dislocation.                                         
    * 28635  Treat toe dislocation.                                         
    * 28665  Treat toe dislocation.                                         
    29015..  Application of body cast.                                      
    29020..  Application of body cast.                                      
    29025..  Application of body cast.                                      
    29035..  Application of body cast.                                      
    29049..  Application of shoulder cast.                                  
    29065..  Application of long arm cast.                                  
    29075..  Application of forearm cast.                                   
    29085..  Apply hand/wrist cast.                                         
    29105..  Apply long arm splint.                                         
    29125..  Apply forearm splint.                                          
    29126..  Apply forearm splint.                                          
    29130..  Application of finger splint.                                  
    29131..  Application of finger splint.                                  
    29200..  Strapping of chest.                                            
    29220..  Strapping of low back.                                         
    29260..  Strapping of elbow or wrist.                                   
    29280..  Strapping of hand or finger.                                   
    29345..  Application of long leg cast.                                  
    29355..  Application of long leg cast.                                  
    29358..  Apply long leg cast brace.                                     
    29365..  Application of long leg cast.                                  
    29405..  Apply short leg cast.                                          
    29425..  Apply short leg cast.                                          
    29435..  Apply short leg cast.                                          
    29440..  Addition of walker to cast.                                    
    29450..  Application of leg cast.                                       
    29515..  Application of lower leg splint.                               
    29520..  Strapping of hip.                                              
    29530..  Strapping of knee.                                             
    29540..  Strapping of ankle.                                            
    29550..  Strapping of toes.                                             
    29580..  Application of paste boot.                                     
    29590..  Application of foot splint.                                    
    29700..  Removal/revision of cast.                                      
    29705..  Removal/revision of cast.                                      
    29710..  Removal/revision of cast.                                      
    29715..  Removal/revision of cast.                                      
    29720..  Repair of body cast.                                           
    29730..  Windowing of cast.                                             
    29740..  Wedging of cast.                                               
    29750..  Wedging of clubfoot cast.                                      
    29850..  Knee arthroscopy/surgery.                                      
    30000..  Drainage of nose lesion.                                       
    30020..  Drainage of nose lesion.                                       
    30100..  Intranasal biopsy.                                             
    30110..  Removal of nose polyp(s).                                      
    * 30124  Removal of nose lesion.                                        
    30200..  Injection treatment of nose.                                   
    30210..  Nasal sinus therapy.                                           
    30220..  Insert nasal septal button.                                    
    30300..  Remove nasal foreign body.                                     
    * 30560  Release of nasal adhesions.                                    
    * 30580  Repair upper jaw fistula.                                      
    * 30801  Cauterization inner nose.                                      
    30901..  Control of nosebleed.                                          
    31000..  Irrigation maxillary sinus.                                    
    31002..  Irrigation sphenoid sinus.                                     
    * 31233  Nasal/sinus endoscopy, dx.                                     
    * 31235  Nasal/sinus endoscopy, dx.                                     
    * 31237  Nasal/sinus endoscopy, surg.                                   
    * 31238  Nasal/sinus endoscopy, surg.                                   
    31505..  Diagnostic laryngoscopy.                                       
    * 31525  Diagnostic laryngoscopy.                                       
    * 31570  Laryngoscopy with injection.                                   
    31575..  Diagnostic laryngoscopy.                                       
    31579..  Diagnostic laryngoscopy.                                       
    * 33011  Repeat drainage of heart sac.                                  
    36000..  Place needle in vein.                                          
    36400..  Drawing blood.                                                 
    36405..  Drawing blood.                                                 
    36406..  Drawing blood.                                                 
    36410..  Drawing blood.                                                 
    36430..  Blood transfusion service.                                     
    36450..  Exchange transfusion service.                                  
    36470..  Injection therapy of vein.                                     
    36471..  Injection therapy of veins.                                    
    36510..  Insertion of catheter, vein.                                   
    * 38300  Drainage lymph node lesion.                                    
    * 38505  Needle biopsy, lymph node(s).                                  
    40490..  Biopsy of lip.                                                 
    40800..  Drainage of mouth lesion.                                      
    * 40801  Drainage of mouth lesion.                                      
    40804..  Removal foreign body, mouth.                                   
    40808..  Biopsy of mouth lesion.                                        
    40810..  Excision of mouth lesion.                                      
    40812..  Excise/repair mouth lesion.                                    
    * 40814  Excise/repair mouth lesion.                                    
    * 40816  Excision of mouth lesion.                                      
    * 40819  Excise lip or cheek fold.                                      
    * 40820  Treatment of mouth lesion.                                     
    * 41000  Drainage of mouth lesion.                                      
    * 41008  Drainage of mouth lesion.                                      
    41100..  Biopsy of tongue.                                              
    * 41105  Biopsy of tongue.                                              
    41108..  Biopsy of floor of mouth.                                      
    * 41110  Excision of tongue lesion.                                     
    * 41112  Excision of tongue lesion.                                     
    * 41113  Excision of tongue lesion.                                     
    * 41800  Drainage of gum lesion.                                        
    * 41806  Removal of foreign body, jawbone.                              
    41825..  Excision of gum lesion.                                        
    41826..  Excision of gum lesion.                                        
    * 41827  Excision of gum lesion.                                        
    * 42000  Drainage mouth roof lesion.                                    
    42100..  Biopsy roof of mouth.                                          
    * 42104  Excision lesion, mouth roof.                                   
    * 42106  Excision lesion, mouth roof.                                   
    * 42107  Excision lesion, mouth roof.                                   
    * 42160  Treatment mouth roof lesion.                                   
    * 42300  Drainage of salivary gland.                                    
    * 42310  Drainage of salivary gland.                                    
    42330..  Removal of salivary stone.                                     
    * 42335  Removal of salivary stone.                                     
    * 42340  Removal of salivary stone.                                     
    42400..  Biopsy of salivary gland.                                      
    * 42405  Biopsy of salivary gland.                                      
    42650..  Dilation of salivary duct.                                     
    42660..  Dilation of salivary duct.                                     
    * 42700  Drainage of tonsil abscess.                                    
    42800..  Biopsy of throat.                                              
    45300..  Proctosigmoidoscopy.                                           
    45303..  Proctosigmoidoscopy.                                           
    * 45305  Proctosigmoidoscopy; biopsy.                                   
    * 45308  Proctosigmoidoscopy.                                           
    * 45309  Proctosigmoidoscopy.                                           
    45330..  Sigmoidoscopy, diagnostic.                                     
    45520..  Treatment of rectal prolapse.                                  
    * 46050  Incision of anal abscess.                                      
    46083..  Incise external hemorrhoid.                                    
    46221..  Ligation of hemorrhoid(s).                                     
    46230..  Removal of anal tabs.                                          
    46320..  Removal of hemorrhoid clot.                                    
    46500..  Injection into hemorrhoids.                                    
    46600..  Diagnostic anoscopy.                                           
    46604..  Anoscopy and dilation.                                         
    46606..  Anoscopy and biopsy.                                           
    * 46611  Anoscopy.                                                      
    46614..  Anoscopy; control bleeding.                                    
    46615..  Anoscopy.                                                      
    46900..  Destruction, anal lesion(s).                                   
    46910..  Destruction, anal lesion(s).                                   
    46916..  Cryosurgery, anal lesion(s).                                   
    46917..  Laser surgery, anal lesion(s).                                 
    
    [[Page 63356]]
                                                                            
    46934..  Destruction of hemorrhoids.                                    
    46935..  Destruction of hemorrhoids.                                    
    46936..  Destruction of hemorrhoids.                                    
    46940..  Treatment of anal fissure.                                     
    46942..  Treatment of anal fissure.                                     
    46945..  Ligation of hemorrhoids.                                       
    46946..  Ligation of hemorrhoids.                                       
    51700..  Irrigation of bladder.                                         
    51705..  Change of bladder tube.                                        
    * 51710  Change of bladder tube.                                        
    51720..  Treatment of bladder lesion.                                   
    * 52000  Cystoscopy.                                                    
    * 52010  Cystoscopy & duct catheter.                                    
    52265..  Cystoscopy & treatment.                                        
    * 52281  Cystoscopy & treatment.                                        
    * 52285  Cystoscopy & treatment.                                        
    53270..  Removal of urethra gland.                                      
    * 53420  Reconstruct urethra, stage 1.                                  
    53600..  Dilate urethra stricture.                                      
    53601..  Dilate urethra stricture.                                      
    53620..  Dilate urethra stricture.                                      
    53621..  Dilate urethra stricture.                                      
    53660..  Dilation of urethra.                                           
    53661..  Dilation of urethra.                                           
    53670..  Insert urinary catheter.                                       
    54050..  Destruction, penis lesion(s).                                  
    54055..  Destruction, penis lesion(s).                                  
    54056..  Cryosurgery, penis lesion(s).                                  
    * 54065  Destruction, penis lesion(s).                                  
    54200..  Treatment of penis lesion.                                     
    54230..  Prepare penis study.                                           
    54235..  Penile injection.                                              
    55000..  Drainage of hydrocele.                                         
    55250..  Removal of sperm duct(s).                                      
    * 55700  Biopsy of prostate.                                            
    * 56405  I & D of vulva/perineum.                                       
    56420..  Drainage of gland abscess.                                     
    56501..  Destruction, vulva lesion(s).                                  
    * 56605  Biopsy of vulva/perineum.                                      
    56606..  Biopsy of vulva/perineum.                                      
    57061..  Destruction vagina lesion(s).                                  
    57100..  Biopsy of vagina.                                              
    57150..  Treat vagina infection.                                        
    57160..  Insertion of pessary.                                          
    57170..  Fitting of diaphragm/cap.                                      
    * 57180  Treat vaginal bleeding.                                        
    57452..  Examination of vagina.                                         
    57454..  Vagina examination & biopsy.                                   
    57460..  Leep procedure.                                                
    57500..  Biopsy of cervix.                                              
    57505..  Endocervical curettage.                                        
    57510..  Cauterization of cervix.                                       
    57511..  Cryocautery of cervix.                                         
    * 57800  Dilation of cervical canal.                                    
    58100..  Biopsy of uterus lining.                                       
    58301..  Remove intrauterine device.                                    
    59200..  Insert cervical dilator.                                       
    59300..  Episiotomy or vaginal repair.                                  
    59425..  Antepartum care only.                                          
    59426..  Antepartum care only.                                          
    59430..  Care after delivery.                                           
    * 60000  Drain thyroid/tongue cyst.                                     
    60100..  Biopsy of thyroid.                                             
    61001..  Remove cranial cavity fluid.                                   
    * 61070  Brain canal shunt procedure.                                   
    63690..  Analysis of neuroreceiver.                                     
    63691..  Analysis of neuroreceiver.                                     
    64400..  Injection for nerve block.                                     
    64405..  Injection for nerve block.                                     
    64408..  Injection for nerve block.                                     
    64412..  Injection for nerve block.                                     
    64413..  Injection for nerve block.                                     
    64418..  Injection for nerve block.                                     
    64435..  Injection for nerve block.                                     
    64440..  Injection for nerve block.                                     
    64441..  Injection for nerve block.                                     
    64445..  Injection for nerve block.                                     
    64450..  Injection for nerve block.                                     
    64505..  Injection for nerve block.                                     
    64508..  Injection for nerve block.                                     
    64550..  Apply neurostimulator.                                         
    64553..  Implant neuroelectrodes.                                       
    64555..  Implant neuroelectrodes.                                       
    64560..  Implant neuroelectrodes.                                       
    64565..  Implant neuroelectrodes.                                       
    64612..  Destroy nerve, face muscle.                                    
    64613..  Destroy nerve, spine muscle.                                   
    65205..  Remove foreign body from eye.                                  
    65210..  Remove foreign body from eye.                                  
    65220..  Remove foreign body from eye.                                  
    65222..  Remove foreign body from eye.                                  
    65286..  Repair of eye wound.                                           
    65430..  Corneal smear.                                                 
    65435..  Curette/treat cornea.                                          
    65436..  Curette/treat cornea.                                          
    65600..  Revision of cornea.                                            
    65772..  Correction of astigmatism.                                     
    * 65805  Drainage of eye.                                               
    65855..  Laser surgery of eye.                                          
    65860..  Incise inner eye adhesions.                                    
    * 66030  Injection treatment of eye.                                    
    66761..  Revision of iris.                                              
    * 66762  Revision of iris.                                              
    66770..  Removal of inner eye lesion.                                   
    * 67031  Laser surgery, eye strands.                                    
    * 67101  Repair detached retina.                                        
    * 67105  Repair detached retina.                                        
    * 67141  Treatment of retina.                                           
    67145..  Treatment of retina.                                           
    * 67208  Treatment of retinal lesion.                                   
    67210..  Treatment of retinal lesion.                                   
    67228..  Treatment of retinal lesion.                                   
    67345..  Destroy nerve of eye muscle.                                   
    67505..  Inject/treat eye socket.                                       
    67515..  Inject/treat eye socket.                                       
    67700..  Drainage of eyelid abscess.                                    
    67710..  Incision of eyelid.                                            
    67800..  Remove eyelid lesion.                                          
    67801..  Remove eyelid lesions.                                         
    67805..  Remove eyelid lesions.                                         
    67810..  Biopsy of eyelid.                                              
    67820..  Revise eyelashes.                                              
    67825..  Revise eyelashes.                                              
    67840..  Remove eyelid lesion.                                          
    67850..  Treat eyelid lesion.                                           
    67915..  Repair eyelid defect.                                          
    67922..  Repair eyelid defect.                                          
    67930..  Repair eyelid wound.                                           
    67938..  Remove eyelid foreign body.                                    
    68020..  Incise/drain eyelid lining.                                    
    68040..  Treatment of eyelid lesions.                                   
    68100..  Biopsy of eyelid lining.                                       
    68110..  Remove eyelid lining lesion.                                   
    68135..  Remove eyelid lining lesion.                                   
    68200..  Treat eyelid by injection.                                     
    68400..  Incise/drain tear gland.                                       
    68420..  Incise/drain tear sac.                                         
    68440..  Incise tear duct opening.                                      
    68530..  Clearance of tear duct.                                        
    68705..  Revise tear duct opening.                                      
    68760..  Close tear duct opening.                                       
    68761..  Close tear duct opening.                                       
    68770..  Close tear system fistula.                                     
    68800..  Dilate tear duct opening(s).                                   
    68820..  Explore tear duct system.                                      
    68830..  Reopen tear duct channel.                                      
    68840..  Explore/irrigate tear ducts.                                   
    69000..  Drain external ear lesion.                                     
    69005..  Drain external ear lesion.                                     
    69020..  Drain outer ear canal lesion.                                  
    69100..  Biopsy of external ear.                                        
    69105..  Biopsy of external ear canal.                                  
    69200..  Clear outer ear canal.                                         
    69210..  Remove impacted ear wax.                                       
    69220..  Clean out mastoid cavity.                                      
    69222..  Clean out mastoid cavity.                                      
    69400..  Inflate middle ear canal.                                      
    69401..  Inflate middle ear canal.                                      
    69405..  Catheterize middle ear canal.                                  
    69410..  Inset middle ear baffle.                                       
    69420..  Incision of eardrum.                                           
    * 69424  Remove ventilating tube.                                       
    69433..  Create eardrum opening.                                        
    69540..  Remove ear lesion.                                             
    69610..  Repair of eardrum.                                             
    92002..  Eye exam, new patient.                                         
    92004..  Eye exam, new patient.                                         
    92012..  Eye exam established pt.                                       
    92014..  Eye exam & treatment.                                          
    92019..  Eye exam & treatment.                                          
    92020..  Special eye evaluation.                                        
    92070..  Fitting of contact lens.                                       
    92100..  Serial tonometry exam(s).                                      
    92120..  Tonography & eye evaluation.                                   
    92130..  Water provocation tonography.                                  
    92140..  Glaucoma provocative tests.                                    
    92225..  Special eye exam, initial.                                     
    92226..  Special eye exam, subsequent.                                  
    92230..  Eye exam with photos.                                          
    92260..  Ophthalmoscopy/dynamometry.                                    
    92287..  Internal eye photography.                                      
    92311..  Contact lens fitting.                                          
    92312..  Contact lens fitting.                                          
    92313..  Contact lens fitting.                                          
    92315..  Prescription of contact lens.                                  
    92316..  Prescription of contact lens.                                  
    92317..  Prescription of contact lens.                                  
    92330..  Fitting of artificial eye.                                     
    92335..  Fitting of artificial eye.                                     
    92352..  Special spectacles fitting.                                    
    92353..  Special spectacles fitting.                                    
    92354..  Special spectacles fitting.                                    
    92371..  Repair & adjust spectacles.                                    
    92504..  Ear microscopy examination.                                    
    92506..  Speech & hearing evaluation.                                   
    
    [[Page 63357]]
                                                                            
    92507..  Speech/hearing therapy.                                        
    92508..  Speech/hearing therapy.                                        
    92511..  Nasopharyngoscopy.                                             
    92512..  Nasal function studies.                                        
    92516..  Facial nerve function test.                                    
    92520..  Laryngeal function studies.                                    
    92565..  Stenger test, pure tone.                                       
    92571..  Filtered speech hearing test.                                  
    92575..  Sensorineural acuity test.                                     
    92576..  Synthetic sentence test.                                       
    92577..  Stenger test, speech.                                          
    92582..  Conditioning play audiometry.                                  
    93205..  Special phonocardiogram.                                       
    93221..  Vectorcardiogram tracing.                                      
    93721..  Plethysmography tracing.                                       
    93797..  Cardiac rehab.                                                 
    93798..  Cardiac rehab/monitor.                                         
    95010..  Sensitivity skin tests.                                        
    95015..  Sensitivity skin tests.                                        
    95056..  Photosensitivity tests.                                        
    95065..  Nose allergy test.                                             
    95075..  Ingestion challenge test.                                      
    95144..  Antigen therapy services.                                      
    95145..  Antigen therapy services.                                      
    95146..  Antigen therapy services.                                      
    95147..  Antigen therapy services.                                      
    95148..  Antigen therapy services.                                      
    95149..  Antigen therapy services.                                      
    95165..  Antigen therapy services.                                      
    95170..  Antigen therapy services.                                      
    95180..  Rapid desensitization.                                         
    95831..  Limb muscle testing, manual.                                   
    95832..  Hand muscle testing, manual.                                   
    95833..  Body muscle testing, manual.                                   
    95834..  Body muscle testing, manual.                                   
    95851..  Range of motion measurements.                                  
    95852..  Range of motion measurements.                                  
    95857..  Tensilon test.                                                 
    96405..  Intralesional chemo admin.                                     
    96406..  Intralesional chemo admin.                                     
    96445..  Chemotherapy, intracavitary.                                   
    96450..  Chemotherapy, into cns.                                        
    96542..  Chemotherapy injection.                                        
    99201..  Office/outpatient visit, new.                                  
    99202..  Office/outpatient visit, new.                                  
    99203..  Office/outpatient visit, new.                                  
    99204..  Office/outpatient visit, new.                                  
    99205..  Office/outpatient visit, new.                                  
    99211..  Office/outpatient visit, est.                                  
    99212..  Office/outpatient visit, est.                                  
    99213..  Office/outpatient visit, est.                                  
    99214..  Office/outpatient visit, est.                                  
    99215..  Office/outpatient visit, est.                                  
    99241..  Office consultation.                                           
    99242..  Office consultation.                                           
    99243..  Office consultation.                                           
    99244..  Office consultation.                                           
    99245..  Office consultation.                                           
    99271..  Confirmatory consultation.                                     
    99272..  Confirmatory consultation.                                     
    99273..  Confirmatory consultation.                                     
    99274..  Confirmatory consultation.                                     
    99354..  Prolonged service, office.                                     
    99355..  Prolonged service, office.                                     
    A2000..  Chiropractor manip of spine.                                   
    G0020..  Prepare face/oral prosthesis.                                  
    G0021..  Prepare face/oral prosthesis.                                  
    H5300..  Occupational therapy.                                          
    M0101..  Cutting/remove corns/calluses.                                 
    ------------------------------------------------------------------------
    
    
    

Document Information

Published:
12/08/1995
Department:
Health Care Finance Administration
Entry Type:
Rule
Action:
Final rule with comment period.
Document Number:
X95-11208
Pages:
63124-63357 (234 pages)
Docket Numbers:
BPD-827-FC
RINs:
0938-AG96: Medicare Program: Revisions to Payment Policies and Adjustments to the Relative Value Units (RVUs) Under the Physician Fee Schedule for Calendar Year 1996 (BPD-827-FC)
RIN Links:
https://www.federalregister.gov/regulations/0938-AG96/medicare-program-revisions-to-payment-policies-and-adjustments-to-the-relative-value-units-rvus-unde
PDF File:
x95-11208.pdf
CFR: (79)
42 CFR 415.55)
42 CFR 415.190''
42 CFR 415.160)
42 CFR 415.102(a)
42 CFR 405.554(a)
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