[Federal Register Volume 63, Number 113 (Friday, June 12, 1998)]
[Proposed Rules]
[Pages 32290-32521]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-14835]
[[Page 32289]]
_______________________________________________________________________
Part II
Department of Health and Human Services
_______________________________________________________________________
Health Care Financing Administration
_______________________________________________________________________
42 CFR Parts 416 and 488
Medicare Program; Update of Ratesetting Methodology, Payment Rates,
Payment Policies, and the List of Covered Surgical Procedures for
Ambulatory Surgical Centers Effective October 1, 1998; Proposed Rule
Federal Register / Vol. 63, No. 113 / Friday, June 12, 1998 /
Proposed Rules
[[Page 32290]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 416 and 488
[HCFA-1885-P]
RIN 0938-AH81
Medicare Program; Update of Ratesetting Methodology, Payment
Rates, Payment Policies, and the List of Covered Surgical Procedures
for Ambulatory Surgical Centers Effective October 1, 1998
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: In this rule we propose to--
Update the criteria for determining which surgical
procedures can be appropriately and safely performed in an ambulatory
surgical center (ASC);
Make additions to and deletions from the current list of
Medicare covered ASC procedures based on the revised criteria;
Rebase the ASC payment rates using cost, charge, and
utilization data collected by a 1994 survey of ASCs;
Refine the ratesetting methodology that was implemented by
a final notice published on February 8, 1990 in the Federal Register;
Require that ASC payment, coverage, and wage index updates
be implemented annually on January 1 rather than having these updates
occur randomly throughout the year;
Reduce regulatory burden; and
Make several technical policy changes.
This proposed rule implements requirements of section 1833(i)(1)
and (2) of the Social Security Act.
DATES: Comments will be considered if we receive them at the
appropriate address, as provided below, no later than 5 p.m. on August
11, 1998.
ADDRESSES: Mail written comments (1 original and 3 copies) to the
following address: Health Care Financing Administration, Department of
Health and Human Services, Attention: HCFA-1885-P, P.O. Box 26688,
Baltimore, MD 21207-5178.
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.
FOR FURTHER INFORMATION CONTACT: Joan H. Sanow, (410) 786-5723.
SUPPLEMENTARY INFORMATION: Because of staffing and resource
limitations, we cannot accept comments by facsimile (FAX) transmission.
In commenting, please refer to file code HCFA-1885-P. 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).
Copies: To order copies of the Federal Register containing this
document, send your request to: New Orders, Superintendent of
Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date
of the issue requested and enclose a check or money order payable to
the Superintendent of Documents, or enclose your Visa or Master Card
number and expiration date. Credit card orders can also be placed by
calling the order desk at (202) 512-1800 or by faxing to (202) 512-
2250. The cost for each copy is $8. As an alternative, you can view and
photocopy the Federal Register document at most libraries designated as
Federal Depository Libraries and at many other public and academic
libraries throughout the country that receive the Federal Register.
This Federal Register document is also available from the Federal
Register online database through GPO Access, a service of the U.S.
Government Printing Office. Free public access is available on a Wide
Area Information Server (WAIS) through the Internet and via
asynchronous dial-in. Internet users can access the database by using
the World Wide Web; the Superintendent of Documents home page address
is http://www.access.gpo.gov/su__docs/, by using local WAIS client
software, or by telnet to swais.access.gpo.gov, then login as guest (no
password required). Dial-in users should use communications software
and modem to call 202-512-1661; type swais, then login as guest (no
password required).
Table of Contents
I. Background
A. Legislative History
B. Published Changes to ASC List
C. Published Changes to ASC Payment Rates
D. Payment Rate for Extracorporeal Shock Wave Lithotripsy
E. ASC Town Meeting (July 1996)
F. Revisions to the Conditions for Coverage of ASCs
II. Comments
III. Provisions of the Proposed Regulations
A. Basis and Scope (proposed Sec. 416.1)
B. Definitions (Sec. 416.2)
C. Basic requirements (proposed Sec. 416.3 and Sec. 416.4)
D. Additions to/Deletions from the ASC list
1. Revision of 42 CFR 416.65
2. Eliminate Numeric Thresholds
3. Formation of Advisory Group
4. Proposed Additions to the ASC List
a. Additions Suggested by Commenters
b. Proposed Additions Resulting from Changes to CPT
c. Proposed Additions Resulting from Ambulatory Payment
Classification (APC) Groupings
5. Proposed Deletions and Exclusions from the ASC List
a. Procedures Excluded For Reasons of Safety, Reasonableness and
Medical Necessity
b. Unlisted procedures
c. Exclusion of Office-Based Procedures
d. Suggested Additions Not Accepted
e. Procedures Deleted Because of CPT Coding Changes
f. Procedures Recommended by Commenter for Deletion
6. Comments on the ASC List
E. Ratesetting Methodology
1. Current method
2. Proposed ratesetting method--Determine a per-procedure cost
for every reported CPT code at the individual facility level
a. Use 1994 Survey Data
b. Audit Representative Sample of Facilities
c. Adjust Audited Surveys
d. Standardize Unaudited Costs and Charges
e. Calculate Facility-Specific Cost-to-Charge Ratio
5f. Convert Each Procedure Charge to a Procedure Cost
g. Remove Intraocular Lens (IOL) Costs from Four Lens Insertion
Procedures
h. Calculate Facility Specific Portion of Procedure Cost
Attributable to Labor Expenses
i. Deflation by Wage Index Value
j. Adjust Reported Costs for Inflation to Offset Fiscal Year
Differences Among Facilities
3. Proposed ratesetting method:--Determine the median per-
procedure cost, across all facilities, for each reported CPT code
a. Weights
b. Determination of weighted, trimmed median per procedure cost
across all facilities
4. Proposed ratesetting method:--Establish procedure groupings
a. Current Classification System
b. Proposed Ambulatory Payment Classification System
5. Proposed ratesetting methodology:--Determine a standard
payment rate for the procedures within each group
a. Setting rates based on ASC survey data
b. Setting Rates for Procedures with Limited Medicare Volume or
Aberrant Cost Data
[[Page 32291]]
c. Payment rate for CPT code 67027, Implantation of intravitreal
drug delivery system
6. Payment Policy Indicators
7. Comments on proposed ambulatory payment classification
groups, payment policy indicators and payment rates
8. Carrier adjustment of base rates to determine payment amounts
9. Using Resource Costing to Determine Procedure Costs
We are disappointed by our lack of success in the 1994 ASC survey
in gathering usable resource cost data. Our inability to establish
weights and base ASC payment rates on the resource cost data that we
did collect is particularly frustrating in light of the fact that we
expect, beginning January 1, 1999, to make payments to physicians under
the Medicare physicians' fee schedule that are determined in part on
the basis of resource-based practice expense relative units. We have
been closely monitoring the development of the resource-based practice
expense relative value units under the physicians' fee schedule and the
ratesetting method for the hospital outpatient prospective payment
system, which is also scheduled for implementation effective January 1,
1999. When we rebase ASC payment rates following the next ASC survey,
we are committed to reexamining the resource-based practice expense
relative value units established under the Medicare physicians' fee
schedule and the weights developed under the hospital outpatient
prospective payment system for their applicability to ASC ratesetting
in order to advance towards our goal of setting rates in a manner that
is consistent across different sites of service.
F. Scope of ASC Services (Sec. 416.21)
1. ASC Services
2. Venous Access Portals are ASC Facility Services
3. Acquisition of corneal tissue is an ASC service
4. Outside the Scope of ASC Services
G. Basis for Payment (Sec. 416.30)
1. Hospital outpatient department (HOPD)
2. ASCs Operated by a Hospital
3. Medicare approved ASCs
H. Extracorporeal Shock Wave Lithotripsy (ESWL)
1. Background
2. Comments
I. Schedule and Publication of Updates
1. Update of ASC list
2. Update of ASC Payment Rates
J. Technical Changes to 42 CFR Part 416
1. ASC payment rates
2. ASC survey
K. Explanation and Use of Addenda
IV. Collection of Information Requirements
V. Regulatory Impact Analysis
A. Rebased payment rates
1. Impact on ASCs
B. Additions to/Deletions from the ASC list
C. Impact of Technical Changes
D. Impact on Hospitals and Small Rural Hospitals
SUPPLEMENTARY INFORMATION:
I. Background
A. Legislative History
Section 1832(a)(2)(F)(i) of the Social Security Act (the Act)
provides that benefits under the Medicare Supplementary Medical
Insurance program (Part B) include payment for facility services
furnished in connection with surgical procedures specified by the
Secretary and performed in an ambulatory surgical center (ASC).
The Secretary is to review and update the list of ASC procedures
biennially.
To participate in the Medicare program as an ASC, a facility must
meet the standards specified under section 1832(a)(2)(F)(i) of the Act
and 42 CFR 416.25, which sets forth general conditions and requirements
for ASCs.
Generally, there are two primary elements in the total cost of
performing a surgical procedure: the cost of the physician's
professional services for performing the procedure, and the cost of
services furnished by the facility where the procedure is performed
(for example, surgical supplies and equipment and nursing services).
Section 1833(i)(2)(A) of the Act addresses what the ASC facility fee is
intended to represent and how the amount of the Medicare payment for
ASC facility services is to be determined. It requires us to review and
update ASC payment amounts annually.
The ASC payment rate is to be a standard overhead amount
established on the basis of our estimate of a fair fee that takes into
account the costs incurred by ASCs generally in providing facility
services in connection with performing a specific procedure. The Report
of the Conference Committee accompanying section 934 of the Omnibus
Budget Reconciliation Act of 1980 (Public Law 96-499), which enacted
the ASC benefit in December 1980, states, ``This overhead factor is
expected to be calculated on a prospective basis * * * utilizing sample
survey and similar techniques to establish reasonable estimated
overhead allowances for each of the listed procedures which take
account of volume (within reasonable limits).'' (See H.R. Rep. No 1479,
96th Cong., 2nd Sess. 134 (1980).)
In order to estimate the amount of those reasonable allowances, we
are required by section 1833(i)(2)(A)(i) of the Act to survey the
actual audited costs incurred by a representative sample of facilities
in connection with a representative sample of procedures. This survey
is to be conducted every five years, beginning no later than January 1,
1995.
Because payment for ASC facility services is subject to the usual
Medicare Part B deductible and coinsurance requirements, Medicare pays
participating ASCs 80 percent of the prospectively-determined rate,
adjusted for regional wage variations.
Section 1833(i)(2)(A)(ii) requires that the ASC payment rates
result in substantially lower Medicare expenditures than would have
been paid if the same procedure had been performed on an inpatient
basis in a hospital. Section 1833(i)(2)(A)(iii) requires that payment
for insertion of an intraocular lens (IOL) include an allowance for the
IOL that is reasonable and related to the cost of acquiring the class
of lens involved.
Under section 1833(i)(3)(A), the aggregate payment to hospital
outpatient departments for covered ASC procedures is equal to the
lesser of the following amounts:
The amount paid for the same services that would be paid
to the hospital under section 1833(a)(2)(B) (that is, the lower of the
hospital's reasonable costs or customary charges less deductibles and
coinsurance).
The amount determined under section 1833(i)(3)(B)(i) based
on a blend of the lower of the hospital's reasonable costs or customary
charges, less deductibles and coinsurance, and the amount that would be
paid to a free-standing ASC in the same area for the same procedures.
Under section 1833(i)(3)(B)(i), the blend amount for a cost
reporting period is the sum of the hospital cost proportion and the ASC
cost proportion. Under section 1833(i)(3)(B)(ii), the hospital cost
proportion and the ASC cost proportion for portions of cost reporting
periods beginning on or after January 1, 1991 are 42 and 58 percent,
respectively. Section 4521 of the Balanced Budget Act of 1997 (BBA
1997) (Public Law 105-33) amended section 1833(i)(3)(B)(i)(II) of the
Act to eliminate the formula-driven overpayment (FDO) for ASC
procedures.
Section 13531 of the Omnibus Budget Reconciliation Act of 1993
(OBRA 1993) (Public Law 103-66), prohibited the Secretary from
providing for any inflation update in the payment amounts for ASCs
determined under section 1833(i)(2)(A) of the Act for fiscal years
(FYs) 1994 and 1995. Section 13533 of OBRA 1993 established $150 as the
amount of payment allowed for an IOL inserted during or subsequent to
cataract surgery in an ASC on or after
[[Page 32292]]
January 1, 1994, and before January 1, 1999.
Section 141(a)(1) of the Social Security Act Amendments of 1994
(SSAA 1994) (Public Law 103-432) amended section 1833(i)(2)(A)(i) of
the Act to require that a quinquennial survey of ASCs be taken
beginning not later than January 1, 1995.
Section 141(a)(2) of SSAA 1994 added section 1833(i)(2)(C) to the
Act to provide that, beginning with FY 1996, there be an adjustment for
inflation during fiscal years when the Secretary does not update ASC
rates based on actual audited costs determined by surveying a
representative sample of facilities. Section 1833(i)(2)(C) of the Act
provides that ASC payment rates are to increased by the percentage
increase in the consumer price index for urban consumers (CPI-U), as
estimated by the Secretary for the 12-month period ending with the
midpoint of the year involved, beginning with FY 1996.
Section 141(a)(3) of SSAA 1994 amended section 1833(i)(1) of the
Act to require the Secretary to consult with appropriate trade and
professional organizations in specifying the procedures that constitute
the ASC list.
Section 141(b) of SSAA 1994 requires the Secretary to establish a
process for reviewing the appropriateness of the payment amount
provided under section 1833(i)(2)(A)(iii) of the Act for IOLs with
respect to a class of new-technology IOLs. That process is the subject
of a separate notice of proposed rulemaking entitled ``Adjustment in
Payment Amounts for New Technology Intraocular Lenses'' (BPD-831-P)
published in the Federal Register on September 9, 1997 at 62 FR 46698.
Section 4555 of BBA 1997 amended section 1833(i)(2)(C) of the Act
to limit the annual adjustment of ASC payment rates provided for in
that paragraph to the CPI-U increase reduced by 2.0 percentage points
(but not below zero) for fiscal years 1998 through 2002.
B. Published Changes to ASC List
We published a final notice in the Federal Register on February 8,
1990 (55 FR 4526) in which we implemented a new ratesetting methodology
that increased the number of ASC payment groups from four to the
current eight groups. We assigned a new payment rate to each of the
nearly 1500 current procedural technology (CPT) codes on the ASC list
at that time, and we revised the ASC list to be consistent with CPT
coding changes effected by The American Medical Association in 1988 and
1989.
Federal Register notices adding codes to and deleting codes from
the ASC list were subsequently published as follows:
December 31, 1991 notice with comment period (56 FR 67666)
in which we added approximately 900 CPT codes to the ASC list,
including CPT code 50590, Extracorporeal shock wave lithotripsy (ESWL).
January 26, 1995 final notice with comment period (60 FR
5185) in which we updated the ASC list to reflect CPT changes that had
occurred during the interval since publication of the December 31, 1991
notice. We deleted five codes from the ASC list on the basis of
modified quantitative criteria that we adopted to determine whether or
not a procedures should be retained on the list. We added nearly 30
codes that met our numeric criteria of adding to the list procedures
performed at least 20 percent of the time on a hospital inpatient basis
but no more than 50 percent of the time in a physician's office, based
on national claims history data. We solicited public comment on certain
additions to and deletions from the ASC list and the payment rates
assigned to the additions. We respond to those comments in this notice.
C. Published Changes to ASC Payment Rates
In a final notice published in the Federal Register on February 8,
1990 (55 FR 4526), we explained the new ASC ratesetting methodology and
increased the number of ASC payment groups from four to the current
eight groups on the basis of ASC survey data collected in 1986. The
rates that Medicare paid for services furnished on or after March 12,
1990 under the new eight-group payment methodology were published in a
separate notice with comment period in the same February 8, 1990
Federal Register (55 FR 4577). Subsequent updates of the ASC payment
rates are as follows:
July 5, 1990 Federal Register notice with comment period
(55 FR 27690) increased payment rates by a CPI-U factor of 4.21
percent;
December 31, 1991 Federal Register notice with comment
period (56 FR 67666) increased payment rates by a CPI-U factor of 5.1
percent and added a ninth payment group for ESWL;
October 1, 1992 Federal Register notice with comment
period (57 FR 45544) increased payment rates by a CPI-U factor of 3.5
percent;
September 26, 1995 Federal Register notice (60 FR 49619)
increased payment rates by a CPI-U factor of 3.2 percent;
October 1, 1996 Federal Register notice (61 FR 51295)
increased payment rates by a CPI-U factor of 2.6 percent;
February 19, 1998 Federal Register notice (62 FR 8462)
Increased payments rates by 0.6 percent effective for services
furnished on or after October 1,1997. The ASC payment rates implemented
by this notice, which are currently in effect, are:
Group 1--$314............................. Group 5--$678.
Group 2--$422............................. Group 6--$789 (639 + 150 for
IOL).
Group 3--$482............................. Group 7--$941.
Group 4--$595............................. Group 8--$928 (778 + 150 for
IOL).
There is no payment rate shown for group 9 because of the decision
in American Lithotripsy Society v. Sullivan, 785 F. Supp. 1034 (D.D.C.
1992) that prohibits payment for these services under the ASC benefit
at this time. Payment for ESWL as an ASC service is discussed below.
D. Payment Rate for Extracorporeal Shock Wave Lithotripsy
In the Federal Register published December 7, 1990, (55 FR 50590),
we published a notice proposing additions to and deletions from the ASC
list. We solicited comments on our proposal to add CPT code 50590,
Lithotripsy, extracorporeal shock wave, to the ASC list and on the
Group 7 payment rate of $812 that we proposed as the ASC facility fee
for the procedure. We also requested detailed information on facility
charges and costs associated with providing ESWL services to help us
evaluate the appropriateness of the proposed payment rate.
In the final notice with comment period published December 31, 1991
in the Federal Register (56 FR 67666), we established a payment rate
for ESWL as new ASC payment group 9. We set the group 9 rate at $1,150,
effective for services furnished on or after January 30, 1992. On
January 30, 1992, the American Lithotripsy Society filed a complaint
and motion to enjoin enforcement and implementation of the December 31,
1991 notice insofar as it concerned ESWL. In American Lithotripsy
Society v. Louis W. Sullivan, M.D., et al, 785 F. Supp. 1034 (D.D.C.
1992), the American Lithotripsy Society challenged HCFA's determination
that ESWL is a surgical procedure under the ASC benefit and the amount
payable for ESWL services in an ASC. The plaintiff alleged that the
$1,150 rate was not based on an estimate of a ``fair fee'' that took
into account costs incurred by ASCs performing such services as
required by section 1833(i)(2)(A) of the
[[Page 32293]]
Act and that the rate was not supported by the administrative record.
On March 12, 1992, the United States District Court for the
District of Columbia held that HCFA's decision to classify ESWL as a
surgical procedure was rationally justified. However, it remanded the
final notice setting a rate for lithotripsy to the Secretary for
further consideration and stayed the regulation, insofar as it related
to ESWL, pending remand. On remand, the Secretary is required to
publish all material information that is relevant to the setting of the
ESWL rate, receive comments, and publish a final notice in accordance
with the applicable statutes and regulations.
To comply with the court order, Medicare ceased paying an ASC
facility fee for ESWL services furnished in Medicare approved ASCs and
resumed making payment on a reasonable cost basis for ESWL furnished in
a hospital outpatient setting. On October 1, 1993, we published a
proposed notice with comment period in the Federal Register (58 FR
51355) in which we proposed a revised ASC payment rate of $1,000, based
on further consideration of the data and methodology that we used to
determine the rate. We explained in detail in the October 1, 1993
notice how we arrived at the proposed rate, and we solicited
information on ESWL costs, charges, and utilization to enable us to
further evaluate the appropriateness of the assumptions that we used to
develop the proposed rate. The information submitted during the public
comment period persuaded us to defer publication of a final notice and
implementation of an ASC facility fee for ESWL, pending completion of
the 1994 ASC survey that was about to be conducted. In this notice of
proposed rulemaking we respond to the comments that were submitted
timely following publication of the October 1, 1993 notice, and we
propose an ASC payment rate for ESWL services that we have determined
in accordance with the ratesetting methodology that is also proposed in
this notice. In accordance with applicable statutes and regulations,
this notice of proposed rulemaking includes all material information
that is relevant to the setting of ASC payment rates, which includes a
payment rate for ESWL. Publication of this notice of proposed
rulemaking is followed by a 60-day public comment period. When the
comment period closes, and following review of all comments submitted
timely, we shall publish a final notice to implement rebased ASC
payment rates for procedures on the ASC list, including ESWL.
E. ASC Town Meeting (July 1996)
Many of the policy changes proposed in this notice had their
genesis in discussions and comments that emanated from an ASC ``Town
Meeting'' that was held at the central office of the Health Care
Financing Administration on July 25-26, 1996. The purpose of the Town
Meeting was to give representatives of professional and trade
associations and other parties with an interest in ASCs an opportunity
to come together with HCFA staff to exchange information and ideas
regarding Medicare ASC policy. More than 100 people from across the
country attended, including physicians, nurses, ASC administrators, and
representatives of independent and chain facilities, State licensing
and certification agencies, and numerous professional societies and ASC
trade associations. From the Town Meeting, we gained a greater
understanding of some of the immediate and long-term issues and
concerns facing ASC staff and partners, and we received numerous
suggestions and recommendations on ways to strengthen the ASC benefit
on behalf of Medicare beneficiaries.
The first day's meetings focussed on performance outcome measures
for ASCs and conditions for coverage of ASCs. The second day of the
meeting focussed on the criteria HCFA uses to determine which
procedures should be placed on the ASC list and the method HCFA uses to
set ASC payment rates. Following the Town Meeting, we received 79
written comments reiterating concerns and suggestions that were raised
during the meeting itself.
Virtually every commenter submitted a critique of a grouping system
that we presented at the meeting as a possible alternative to the
current eight ASC payment groups. We had distributed to participants a
listing of CPT surgical codes arranged in ``Ambulatory Patient Groups''
(APGs). These groups were developed by 3M Health Information Systems
with the support of HCFA. The list was taken from The Ambulatory
Patient Groups Definitions Manual, Version 2.0. Only groups of CPT
codes were shown; no payment rates or procedure costs were given. We
were primarily interested in whether or not participants found the
groups to be clinically homogeneous as well as consistent in terms of
resource costs. Commenters were unanimous in disagreeing with the
internal consistency of numerous APG groups across most body systems.
The commenters' examples and reasons for taking issue with the
homogeneity of the APGs prompted us to re-examine the groups. We did
so, which resulted in the revision and reclassification of most of the
groups. The product of that exercise is the ambulatory payment
classification (APC) system that we propose in this notice as the basis
for ASC ratesetting.
F. Revisions to the Conditions for Coverage of ASCs
The standards and conditions for coverage of an ASC currently found
in subpart C of 42 CFR part 416 are being revised and are the subject
of a separate notice currently under development.
II. Comments
In the final notice with comment period published January 26, 1995
in the Federal Register (60 FR 5185), we solicited comments on certain
changes to the ASC list that we had not included in the proposed notice
published on December 14, 1993 (58 FR 65357). Specifically, we asked
for comments on our deletion from the ASC list of any codes that had
been deleted in CPT 1994, and we asked for comments about our deletion
from the ASC list of CPT code 36522 Photopheresis, extracorporeal. We
received 9 comments supporting the deletion of CPT code 36522 from the
ASC list and no comments disagreeing with our decision. We received no
comments regarding the other deletions from the ASC list.
We also requested comments on the addition of, and assignment of
payment groups for, certain CPT codes that were not proposed in the
December 14, 1993 Federal Register. We have limited our response to
comments that were submitted timely regarding the specified codes.
We specifically solicited comments on the addition to the ASC list
of certain codes that were added to CPT 1994 as well as the
appropriateness of the payment groups to which we assigned those codes.
No commenters disagreed with adding the codes to the ASC list. However,
commenters indicated that they believed the payment rate assigned to
the following CPT codes was too low:
19125
19126
29804
31235
31238
31239
31248
31249
31251
31266
31269
31271
31280
31281
[[Page 32294]]
31282
31283
31284
31286
31287
31288
43216
43259
44394
45339
56309
56316
56317
56351
56356
64421
66172
Response: As a consequence of the following codes being deleted
from CPT in 1995, we excluded them from the ASC list: 31248, 31249,
31251, 31266, 31269, 31271, 31280, 31281, 31282, 31283, 31284, 31286.
CPT code 64421 is one of the codes that we are proposing in this notice
to delete from the ASC list (section III.D). For all but four of the
remaining codes, consistent with commenters' recommendations, the
payment rates that we propose in this notice using the revised
ratesetting methodology and 1994 survey data are higher than what we
proposed in the January 26, 1995 Federal Register. However, the same
revised ratesetting methodology and 1994 survey data result in payment
rates for CPT codes 19125 (APC 197), 19126 (APC 197), 43259 (APC 449),
and 66172 (APC 652) that are lower than the rates we proposed in the
January 26, 1995 Federal Register, which is at variance with
commenters' recommendations. We welcome comments on the rebased rates
that are proposed as payments for all of these codes, but request that
arguments for changes in payment rates be supported by data regarding
direct costs (supplies, equipment, labor, time) relative to other
procedures in the same APC group that would justify a change in either
the APC group assignment or the payment rate determined for the code.
III. Provisions of the Proposed Regulations
Many of the changes that we are proposing to make in 42 CFR part
416, Ambulatory Surgical Services, were stimulated by our commitment to
assist in the President and Vice President's continuing drive to
reinvent government and government regulations and to reform the
Federal government's regulatory process. The reorganization of 42 CFR
part 416 represents an effort to balance a reduction in regulatory
requirements with adequate assurances that the ambulatory surgical
services that we are purchasing for Medicare beneficiaries are of the
highest quality and consistent with our commitment to work in
partnership with the rest of the health care community to institute
better, more common sense ways of operating that are in the best
interests of Medicare beneficiaries. An outline of the reorganization
that we propose to make to part 416 in this notice follows:
----------------------------------------------------------------------------------------------------------------
Current organization Citation Proposed organization Citation
----------------------------------------------------------------------------------------------------------------
Subpart A--General Provisions Subpart A--Definitions
and Definitions: and General Provisions
and Requirements:
Basis and Scope............ 416.1........................ Basis and Scope...... 416.1
Definitions................ 416.2........................ Definitions.......... 416.2
Subpart B--General Conditions
and Requirements:
Basic requirements......... 416.25....................... Basic requirements..... 416.3
Qualifying for an agreement 416.26
Deemed Compliance...... 416.26(a).................... Currently addressed in 42 CFR 488
42 CFR 488.
Survey of ASCs......... 416.26(b).................... Currently addressed in 42 CFR 488
42 CFR 488.
Acceptance of the ASC.. 416.26(c).................... Replaced by 416.3(h) 416.3(h), (i)
and (i).
Filing of agreement.... 416.26(d).................... Replaced by 416.3(h) 416.3(h), (i)
and (i).
Acceptance; Appeal 416.26(e)-(f)................ Replaced by 416.3 (h) 416.3(h), (i)
Rights. and (i).
Terms of agreement with 416.30(a)-(e)................ Moves to Basic 416.3
HCFA. requirements.
ASC operated by a hospital. 416.30(f).................... Moved to 416.2 & 416.30
``Definitions'' and
``Basis for payment''.
Additional provisions...... 416.30(g).................... Deleted................ N.A.
Termination of agreement... 416.35....................... Termination of 416.4
participation,
including billing
privileges.
Subpart C--Specific Conditions ........................... Subpart D--Specific
for Coverage: Conditions of
Coverage:
Compliance with State 416.40....................... Basic Requirements... 416.3
licensure law.
Conditions for Coverage.... 416.41-416.49................ Proposed Subpart D... 416.41-416.49
Subpart D--Scope of Benefits: Subpart B--Scope of
Benefits:
General rules.............. 416.60....................... General rules........ 416.20
Scope of facility services. 416.61....................... Scope of ASC Services 416.21
Covered surgical procedures 416.65....................... ASC List............. 416.22
Performance of listed 416.75....................... Performance of 416.23
surgical procedures on an procedures on the ASC
inpatient hospital basis. list in a hospital
inpatient setting.
Subpart E--Payment for Facility Subpart C--Payment for
Services: Facility Services:
Basis for payment.......... 416.120...................... Basis for payment.... 416.30
ASC facility services 416.125...................... ASC payment rates.... 416.31
payment rate.
Publication of revised 416.130...................... Publication of 416.32
payment methodologies. revised payment
rates.
Surveys.................... 416.140...................... Surveys.............. 416.33
Beneficiary appeals........ 416.150...................... Beneficiary appeals.. 416.34
----------------------------------------------------------------------------------------------------------------
A. Basis and Scope (Proposed Sec. 416.1)
Most of the changes in this section are of a technical nature. In
Sec. 416.1(a)(1) we propose to revise the description of the ASC
benefit to make it more consistent with section 1832(a)(2)(F)(i) of the
Act. We further propose to add the statutory basis for the conditions
for coverage of ASCs as new Sec. 416.1(a)(2). And, we have deleted the
reference to ``a hospital outpatient department'' in new paragraph
Sec. 416.1(a)(3) because the content of part 416 of the Code of Federal
Regulations pertains exclusively to ASCs under the benefit provided in
section 1832(a)(2)(F)(i) of the Act. The
[[Page 32295]]
current Sec. 416.1(a)(3) would become new Sec. 416.1(a)(4).
In Sec. 416.1(b), which defines the scope of the regulation, we
propose to reorder paragraphs (1), (2), and (3) to parallel the
reorganization of 42 CFR part 416. We are reorganizing the regulations
to make them simpler, more understandable, less prescriptive, less
process-oriented, and more focussed on patient-centered outcomes.
Section 416.1(b)(1) applies to renamed subpart B, which describes the
scope of the ASC benefit, including the scope of ASC services and the
criteria that HCFA uses to determine those procedures for which
Medicare pays an ASC facility fee. Section 416.1(b)(2) applies to new
subpart C, which sets forth the manner in which Medicare determines and
makes payments for ASC services. Section 416.1(b)(3) refers to new
subpart D, to which we propose to move the conditions for coverage of a
Medicare approved ASC. Revisions to the conditions for coverage that an
ASC must meet in order to be certified for participation in Medicare
are the subject of a separate notice of proposed rulemaking currently
under development entitled ``Conditions for Coverage of Ambulatory
Surgical Centers'' (HCFA-1887-P). In the reorganized part 416, there is
no subpart E.
B. Definitions (Sec. 416.2)
We propose to update and clarify the definition of several basic
terms as they are used in 42 CFR part 416. Rather than being generic,
these definitions are specific to Medicare approved ASCs and the
implementation of the Medicare ASC benefit.
When section 934 of the Omnibus Reconciliation Act of 1980 added to
the benefits available under Part B of Medicare facility services
associated with certain surgical procedures provided in an ASC, the Act
did not define an ASC other than to imply that it was a facility that
is different from a hospital outpatient department, a physician's
office, and a rural primary care hospital. Therefore, in order to
implement the benefit, we must identify ASCs in order to be able to
distinguish them from other types of facilities. Otherwise, we would
not know if Medicare payments for ASC facility services under section
1832(a)(2)(F) were being made properly, in accordance with the statute
and with Medicare rules and regulations.
The definition of an ASC that is currently found at Sec. 416.2
became effective following publication on August 5, 1982 of the final
rule (47 FR 34082) that implemented the ASC benefit initially. Since
1982, ASCs as a type of facility have evolved significantly. In 1982
there were approximately 40 ASCs in existence. By the end of 1997, the
number of Medicare-approved ASCs exceeded 2400. We have found the 1982
definition of an ASC to be so broad and general that it is increasingly
difficult for us to make a definitive determination whether a facility
is an ASC for the purposes of Medicare approval. This is especially
true in the health care delivery system of the late 1990s, which is in
a state of dynamic and constant reformation. Therefore, we have revised
the definition of an ASC in Sec. 416.2 to be more specific in
distinguishing ASCs from other categories of facilities.
The first important criterion in distinguishing ASCs is to
recognize that, for Medicare purposes, an ASC is a supplier of health
care services. It is not a Medicare provider, as that term is defined
by statute and regulation.
A second criterion critical to understanding how HCFA defines ASCs
for purposes of entitlement to Medicare payment is that an ASC is an
entity that is separate and must be distinguishable from any other
entity or type of facility. We define ``separate'' as meaning totally
separate with respect to licensure, accreditation, governance,
professional supervision, administrative functions, clinical services,
recordkeeping, financial and accounting systems, and national
identifier or supplier number. The word ``separate'' does not
necessarily refer to the actual physical space the ASC occupies. An ASC
may be physically located within the space of another entity and still
be considered separate for Medicare payment purposes within this
definition.
If a facility that considers itself an ``ASC'' were to bill
Medicare for services using a hospital's identification number,
Medicare could not pay the facility under the benefit established in
the Act at section 1832(a)(2)(F). Though a facility may be called an
``ASC'' and may be located in a separate building or at a site removed
from a hospital's campus, Medicare does not consider the facility to be
an ASC unless the facility has its own license and accreditation,
governing board, system for professional supervision, clinical
services, and administrative functions, and its own Medicare billing
and identification number.
Similarly, Medicare cannot pay an ASC facility fee for procedures
performed in a suite, treatment room, office or clinic unless the site
has been approved by Medicare as an ASC in accordance with the
regulations.
We recognize that this requirement that an ASC be a separate entity
may be onerous to ASCs that are owned by a large health system seeking
to share services or to consolidate with other member entities. The
statutory requirement for setting ASC payment rates is at the heart of
our requirement that an ASC be an entity or facility that is separate
from any other entity or facility and that its administrative, fiscal,
clinical, and patient care services be clearly distinguishable from
those of any other entity or facility in every respect. In order for us
to determine by survey what costs ASCs incur to furnish facility
services in connection with performing a specific surgical procedure,
we at HCFA and the ASC administrators must be able to distinguish costs
and charges as they emanate strictly from the ASC. If costs incurred by
the ASC are commingled with another entity's activities, it will be
difficult for the ASC to isolate the portion of costs properly
attributable only to the ASC, and therefore difficult for us to be
assured that the data we are using to determine payment rates are truly
reflective of ASC costs alone, and not the costs or services of another
entity, such as other hospital outpatient services or the functioning
of a clinic or physician's office.
We have added a definition of ``hospital operated ASC'' to
Sec. 416.2 both to clarify what we mean by ``hospital operated ASC''
and to distinguish a ``hospital operated ASC'' from a hospital
outpatient department that furnishes surgical services.
In order to be considered a Medicare approved ASC, the entity's
function and purpose must be to supply facility services, as opposed to
physician or practitioner services, in connection with performing
certain surgical procedures. We define such services as ASC services,
and under the benefit established at section 1832(a)(2)(F) of the Act,
Medicare pays a prospectively determined fee for ASC services. Section
416.21 of the revised regulation proposed in this notice lists the
types of services that fall within the scope of ASC services. They
include but are not limited to nursing and technician services,
supplies, drugs and biologicals, surgical dressings, housekeeping
services, and use of the facility. We emphasize that the professional
services of physicians and other practitioners do not fall within the
scope of ASC facility services, and the ASC facility fee does not
include payment for the professional services of physicians and other
practitioners.
Medicare pays an ASC facility fee only for procedures on the ASC
list.
[[Page 32296]]
HCFA determines which procedures will constitute the ASC list on the
basis of certain criteria related to the safety, appropriateness, and
effectiveness of performing the procedure in an ASC setting. The
criteria that HCFA used as the standard for determining a procedure's
suitability for the ASC list in this notice are proposed in
Sec. 416.22. The procedures for which a Medicare participating ASC
furnishes services and for which Medicare makes payment of an ASC
facility fee are of a nature that does not require Medicare patients to
be admitted to a hospital as inpatients either to have the procedure
performed or to recover from the procedure. By ``hospital,'' we mean an
institution that meets the definition of ``hospital'' in section
1861(e) of the Act.
Within the framework of the definition of an ASC that we are
proposing in Sec. 416.2, Medicare would not consider an entity devoted
exclusively to furnishing services such as clinical laboratory
services, chemotherapy, radiation treatment, cardiac catheterization,
dialysis services, magnetic resonance imaging, or other diagnostic
tests, to be an ASC because these are not services that are necessary
to enable surgical procedures to be performed. However, an entity that
meets the conditions for coverage as an ASC could also be recognized
and paid by Medicare as a non-physician supplier of radiology services,
as an independent diagnostic testing facility (IDTF), or as a supplier
of durable medical equipment, prosthetics, and orthotics as long as it
supplied these services in accordance with the statute and Medicare
payment rules and regulations.
C. Basic Requirements (Proposed Sec. 416.3 and Sec. 416.4)
We propose to renumber Sec. 416.25 as Sec. 416.3. Paragraph (a)
does not change. We have moved current Sec. 416.40 to become new
paragraph (b) in Sec. 416.3, to reinforce the fundamental importance of
State licensure as a basic requirement for an ASC wanting to qualify
for participation and billing privileges in the Medicare program.
We have also moved Secs. 416.30(a) through 416.30(e) to proposed
Sec. 416.3, Basic Requirements. By incorporating these provisions
directly into the regulations at Sec. 416.3, we emphasize their
significance as binding requirements with which ASCs wishing to
participate and have billing privileges in the Medicare program must
agree to comply.
Section 416.3(h) replaces current Sec. 416.26(a) and Sec. 416.26(b)
by cross-referencing part 488, ``Survey, Certification, and Enforcement
Procedures'' and establishes compliance with the regulations in that
part that pertain to suppliers generally and to ASCs in particular as a
basic requirement for ASCs to participate in Medicare. In order to make
this link, we propose to add ASCs to the definition of ``supplier''
found in Sec. 488.1.
Proposed Sec. 416.3(i) replaces Sec. 416.25(b). An ASC can satisfy
the requirement that it have an agreement to abide by the Medicare laws
and regulations by possessing a Form HCFA-855, ``Medicare Health Care
Provider/Supplier Enrollment Application'' that has been validated by
HCFA.
We are proposing one technical change in Sec. 416.3(g). This change
requires ASCs to accept the Medicare-approved amount as full payment
for all items and services covered under Part B of Medicare that it
furnishes to Medicare beneficiaries. ASCs must agree to accept
assignment for all facility services furnished in connection with
procedures on the ASC list. We are proposing to extend the ASC's
assignment acceptance to include all items and services that the ASC
supplies to a beneficiary, whether those items and services are
considered ASC facility services as listed in Sec. 416.21(a) or are
items and services for which payment may be made under other provisions
of Medicare, Part B, such as those listed in Sec. 416.21(b).
Proposed Sec. 416.4 basically restates the provisions of
Sec. 416.35 yet revises the language to reflect our proposed
substitution of the ``Medicare Health Care Provider/Supplier Enrollment
Application'' (Form HCFA 855) for the ``Health Insurance Benefits
Agreement--(Agreement with Ambulatory Surgical Center Pursuant to
Section 1832(a)(2)(F) of the Social Security Act)'' (Form HCFA 370).
Since May 1996, HCFA has required all ASCs with an interest in
participating and obtaining billing privileges in Medicare to complete
Form HCFA 855. The certification statement that is a part of the Form
HCFA 855 includes a provision that the applicant is familiar with and
agrees to abide by the Medicare laws and regulations that apply to its
provider/supplier type. In 42 CFR part 416, we have expanded the list
of basic requirements for ASCs to include all of the provisions that
are currently listed in the Form HCFA 370. We have also added to
Sec. 416.3 the provision that an ASC, in order to participate and to
have billing privileges in Medicare, must have in effect a Form HCFA
855 that has been validated by HCFA. Given these changes, we propose to
discontinue use of Form HCFA-370 for ASCs seeking to participate and to
obtain billing privileges in Medicare beginning on the effective date
of the final rule that implements the proposals contained in this
notice. For ASCs whose agreement with HCFA consists of a Form HCFA 370
that has been duly executed in accordance with the provisions currently
found in Secs. 416.26 and 416.30, the Form HCFA 370 and the ASC's
agreement with HCFA remain in effect until such time as the ASC
completes a Form HCFA-855 that is validated by HCFA. We invite comments
on our proposal to retire the Form HCFA 370 and replace it with a
validated Form HCFA 855.
Revisions to the ASC conditions for coverage are the subject of a
separate notice entitled ``Conditions for Coverage of Ambulatory
Surgical Centers'' (HCFA-1887-P) that is currently being developed.
Pending publication of that notice of proposed rulemaking, we propose
to move the conditions for coverage found currently in sections
Sec. 416.41 through Sec. 416.49 to subpart D, which we propose to
rename ``Specific Conditions for Coverage.''
D. Additions to/Deletions From the ASC List
Section 934 of the Omnibus Reconciliation Act of 1980 amended
sections 1832(a)(2) and 1833 of the Act to authorize the Secretary to
specify, in consultation with appropriate medical organizations,
surgical procedures that, although appropriately performed in an
inpatient hospital setting, can also be performed safely on an
ambulatory basis in an ASC, a hospital outpatient department, or a
rural primary care hospital. The report accompanying the legislation
explained that the Congress intended procedures currently performed on
an ambulatory basis in a physician's office, which do not generally
require the more elaborate facilities of an ASC, not be included in the
list of covered procedures (H.R. Rep. No. 1167, 96th Cong. 2d Sess.
390, reprinted in the 1980 U.S.C.C.A.N 5526, 5753). In a final rule
published August 5, 1982 in the Federal Register (47 FR 34082), we
established regulations which included criteria for specifying which
surgical procedures were to be included for purposes of implementing
the ASC facility benefit. These criteria are found at 42 CFR 416.65,
and include both general and specific standards. The general standards
in Sec. 416.65(a) define ASC procedures as--
Commonly performed on an inpatient basis but may be safely
performed in an ASC;
Not of a type that are commonly performed or that may be
safely performed in physicians' offices;
[[Page 32297]]
Requiring a dedicated operating room or suite and
generally requiring a post-operative recovery room or short-term (not
overnight) convalescent room; and,
Not otherwise excluded from Medicare coverage.
The specific standards in Sec. 416.65(b) limit ASC procedures to
those that do not generally exceed 90 minutes operating time, a total
of 4 hours recovery or convalescent time, and, if anesthesia is
required, the anesthesia must be local or regional anesthesia or
general anesthesia of not more than 90 minutes duration. Section
416.65(c) excludes from the ASC list procedures that generally result
in extensive blood loss, that require major or prolonged invasion of
body cavities, that directly involve major blood vessels, or that are
generally emergency or life-threatening in nature.
In April 1987, we adopted numerical criteria as a tool for
identifying procedures that were commonly performed either in a
hospital inpatient setting or in a physician's office. Collectively,
commenters responding to a notice published in the Federal Register on
February 16, 1984 (49 FR 6023) had recommended that virtually every
surgical CPT code be included on the ASC list. Consulting with other
specialist physicians and medical organizations as appropriate, our
medical staff reviewed the recommended additions to the list to
determine which code or series of codes were appropriately performed on
an ambulatory basis within the framework of the regulatory criteria in
Sec. 416.65. However, when we arrayed the proposed procedures by the
site where they were most frequently performed according to our claims
payment data files (1984 Part B Medicare Data (BMAD)), we found that
many codes were not commonly performed on an inpatient basis or were
performed in a physician's office a majority of the time, contrary to
our regulations. Therefore, we decided that if a procedure was
performed on an inpatient basis 20 percent of the time or less, or in a
physician's office 50 percent of the time or more, it should be
excluded from the ASC list. (See Federal Register of April 21, 1987,
(52 FR 13176).) At the time, we believed that these utilization
thresholds best reflected the legislative objectives of moving
procedures from the more expensive hospital inpatient setting to the
less expensive ASC setting without encouraging the migration of
procedures from the less expensive physician's office setting to the
ASC. We applied these place of service tests not only to codes proposed
for addition to the ASC list, but also to the codes that were currently
on the list, to delete codes that did not meet the 20/50 site of
service thresholds.
The trend towards performing surgery on an ambulatory or outpatient
basis grew steadily, and by 1995, we discovered that a number of
procedures that were on the ASC list at the time fell short of the 20/
50 threshold even though the procedures were obviously appropriate to
the ASC setting. The most notable of these was cataract extraction with
intraocular lens insertion, very few cases of which were being
performed on an inpatient basis by the early 1990's. We were also
excluding from the ASC list certain newer procedures, such as CPT code
66825, Repositioning of intraocular lens prosthesis, requiring an
incision (separate procedure), that from their inception were almost
never performed on a hospital inpatient basis but that were certainly
appropriate for the ASC setting. And, strict adherence to the same 20/
50 thresholds both to add and remove procedures did not provide
latitude for minor fluctuations in utilization settings or errors that
could occur in the site-of-service data drawn from the National Claims
History File that we were using, replacing BMAD data, for analysis. In
an effort to avoid these anomalies but still retain a relatively
objective standard for determining which procedures should comprise the
ASC list, we adopted in the last revision of the list, which was
published in the Federal Register on January 26, 1995 (60 FR 5185), a
modified standard for deleting procedures already on the ASC list. We
deleted from the list only those procedures whose combined inpatient,
hospital outpatient, and ASC site-of-service volume was less than 46
percent of the procedure's total volume, and that were performed 50
percent of the time or more in a physician's office or 10 percent of
the time or less in an inpatient hospital setting. We retained the 20/
50 standard to determine which procedures should be added to the ASC
list.
The applicability and appropriateness of the standards HCFA uses to
specify procedures that constitute the ASC list were the subject of
lengthy discussion at the July 1996 ASC Town Meeting. The comments of
those attending the Town Meeting, as well as written comments received
following the meeting, repeatedly characterized the 20/50 numerical
thresholds as simplistic, arbitrary, artificial, and outdated and urged
us to ``modernize'' the standards by which we select procedures for the
ASC list. Similarly, most commenters characterized the 90 minute limit
on surgery and the four hour limit on recovery as obsolete, outdated,
arbitrary and without medical significance and blind to the numerous
technical advances in surgery and the development of short-acting
anesthesia which have radically altered surgical practices since the
early 1980's when those criteria were established. Commenters urged us
to supplement or preferably replace quantitative thresholds with
qualitative considerations that recognize the capabilities of modern
ASCs. Some commenters took the position that the list be abandoned
altogether; others recommended leaving the choice of where a surgical
procedure is to be performed to those best able to determine which
setting is most appropriate, namely, the physician, in consultation
with the patient, and the anesthesiologist. Commenters argued that
eliminating the list would allow Medicare beneficiaries who are
medically unstable and for whom an office would not be a safe setting
for even very simple surgery to have access to an ASC as an alternative
to the hospital. Conversely, an ASC could be an appropriate alternative
to the hospital for more complex procedures for beneficiaries who are
healthy. At least one commenter suggested that the ASC list include any
procedure which we would recognize as appropriate in a hospital
outpatient setting.
The statute prevents us from eliminating the ASC list. However, in
response to discussions at the Town Meeting, written comments submitted
after the Town Meeting, and the growing consensus expressed by the ASC
community in comments we received following publication in the Federal
Register of proposed notices on December 7, 1990 (55 FR 50590) and
December 14, 1993 (58 FR 65367), we propose to modify our approach to
selecting the procedures for which Medicare pays an ASC facility fee.
1. Revision of 42 CFR 416.65
The intent of the revision to Sec. 416.65 is to render the
regulation less prescriptive in defining the kinds of procedures that
are appropriate for the ASC list while allowing it to still remain
within the constraints imposed by the statute. The changes to 42 CFR
416.65 that we are proposing are based on certain basic premises.
First, we continue to focus on procedures that fall within the surgical
range (10000 through 69999) of the HCFA Common Procedure Coding System
(HCPCS) or the American Medical Association (AMA) Physicians' Current
Procedural
[[Page 32298]]
Terminology (CPT). (The AMA's CPT terminology and coding is included,
with permission, in the HCPCS system. For surgical procedures, the
codes are the same.) Second, we limit ASC procedures to those surgical
procedures that require the kind of supplies, equipment, physical
environment, staffing, and health and safety protocols that are typical
of a hospital setting and required of an ASC, including a dedicated
operating room or suite or procedure room that is equipped, staffed,
and maintained solely for the performance of surgical procedures, and a
designated recovery room or area that is equipped, staffed, and
maintained solely for the use of post-operative patients. However,
while necessitating the resources and set-up typical of a hospital
surgical department, ASC procedures must not be those for which
patients are expected to be admitted to the hospital on an inpatient
basis due to the severity or risks inherent in the procedure or to the
need for inpatient post-operative care before the patient can be safely
discharged to recuperate at home. Finally, the ASC list must not
include procedures that are excluded from Medicare coverage by statute.
We propose to remove the references to ``commonly performed'' found
in Sec. 416.65(a) and the time limits on operating, anesthesia, and
recovery time that are currently spelled out in Sec. 416.65(b)(1) and
(2). With the ambulatory payment classification (APC) system, we can
rely on clinical homogeneity at least as much as site of service
patterns in determining which procedures are appropriate for the ASC
list. Precisely because the APC groups are clinically coherent, as a
general rule we did not split up APC groups by including some
procedures from an APC group on the ASC list while excluding from the
list other procedures in the same APC group. We either regarded all of
the procedures in an APC as appropriate for the ASC list or none of the
procedures in an APC as appropriate for the ASC list.
We propose to retain the specific standards found at
Sec. 416.65(b)(3), and we shall continue to exclude from the ASC list
procedures that generally result in extensive blood loss, require major
or prolonged invasion of body cavities, directly involve major blood
vessels, or are generally emergent or life-threatening in nature.
Because of the risks inherent in procedures that involve these
characteristics, any of which suggests that the well-being of the
patient could be in jeopardy, we are excluding such procedures from the
ASC list because performing them in an ambulatory setting violates the
statutory safety standard of the Act (1833(i)(1)(A)). One of our
reasons for revising 42 CFR Part 416 is to highlight that procedures
with any of the characteristics listed in proposed Sec. 416.22(b) are,
by their nature, unsafe and inappropriate in an ASC setting and are
therefore not reasonable and not medically necessary when performed in
an ASC setting. Procedures with these characteristics are excluded from
the ASC list and payment of a Medicare ASC facility fee for services
furnished in connection with such procedures is not allowed.
Conversely, we discuss below in greater detail, procedures that do
not satisfy the criteria in proposed Secs. 416.22(a)(1), 416.22(a)(2),
or 416.22(a)(3) are excluded from the ASC list because such procedures
do not require the generally more elaborate and costly services and
resources that characterize Medicare approved ASCs.
We solicit comments on the reasonableness and validity of the
criteria that we are proposing as the basis for excluding procedures
from the ASC list. We solicit comments on the reasonableness and
validity of the changes to Sec. 416.65 of the regulations, which we
propose to incorporate in proposed Sec. 416.22. We also solicit
comments regarding the appropriateness of all the codes on the ASC list
in Addendum B. Specifically, we welcome comments regarding any
procedure in Addendum B that should be excluded from the ASC list
because it is not safe outside a hospital inpatient setting or any
procedure in Addendum B that can be safely and effectively performed in
an office setting without the more elaborate services typical of an
ASC. Comments should be framed within the context of the revised
criteria proposed in proposed Sec. 416.22.
2. Eliminate Numeric Thresholds
Although the 20/50 numeric thresholds for adding procedures to the
ASC list and the 46/10/50 threshold for keeping procedures on the list
were not a part of the regulations, they have been the basis of our
policy for determining whether a procedure belonged on the ASC list.
However, beginning with this notice, we propose to discontinue using
site-of-service as the principal determinant of which procedures to add
to or delete from the ASC list. Instead, we regard site-of-service data
as but one of several factors, such as the criteria proposed in
proposed Sec. 416.22, to be taken into account in determining whether
or not a procedure should be on the ASC list.
By adhering to the principle of keeping APC groups intact, we
included on the ASC list or excluded from the list all of the
procedures in a clinically homogeneous APC, notwithstanding anomalous
site of service data for individual procedures within the groups.
3. Formation of Advisory Group
A number of commenters, both during and subsequent to the ASC Town
Meeting, urged the creation of an advisory committee or council to work
with HCFA on keeping the ASC list up-to-date. One commenter suggested
adding a review of the ASC list to the annual CPT/Relative Value Update
Committee (RUC) process. We are deferring a decision on the creation of
an advisory committee pending implementation of the provisions that are
proposed in this notice and until we can investigate further the
possibility of utilizing an existing group, such as the RUC or the
Medicare Carriers Medical Directors Workgroup, whose members might give
us timely advice regarding procedures that are appropriate in an ASC
setting. In the meantime, we propose to continue relying on
consultations with professional and medical societies and trade
associations; on correspondence and comments from these groups, from
individual members of the ASC community, and from the public generally;
as well as on the judgement of our medical advisors to determine the
appropriateness of procedures for the ASC list both within the context
of the criteria we have proposed in renumbered Sec. 416.22 and the
composition of APC groups.
4. Proposed Additions to the ASC List
We propose to add 422 CPT codes to the ASC list, consistent with
the standards we propose in the new Sec. 416.22. In applying the
principles proposed in Sec. 416.22 for the purpose of specifying
additions to the ASC list, we recognized that an ASC might be
appropriate for some procedures shifting from an inpatient to an
outpatient setting for the patient who is generally healthy and is
capable, but that an ASC would be a questionable setting for those
procedures among the greater Medicare population whose health is more
likely to be compromised by age or disability. Overall, based on the
advice of our medical advisors and on the written comments we have
received from ASC administrators, physicians, professional societies,
and trade associations since the January 26, 1995 update of ASC
procedures, we have determined that the procedure codes we are
proposing to add to the ASC list could be safely performed in an ASC on
the general Medicare
[[Page 32299]]
population in at least a significant number of cases.
One commenter expressed apprehension that expanding the ASC list
could result in edicts from HCFA or other purchasers of health care
that once added to the ASC list, a procedure must be performed in an
ASC, without taking into account the individual patient's condition or
the suitability of an ASC for a particular procedure. We recognize that
for individuals with certain medical conditions, no procedure on the
ASC list may be safely performed except on an inpatient basis.
Therefore, we emphasize that the choice of operating site remains
ultimately a matter for the professional judgement of the patient's
physician, in consultation with the patient and, often, the
anesthesiologist, irrespective of whether a procedure is on the ASC
list. Section 416.23 in the proposed regulations reinforces this point.
All of the proposed additions to the ASC list are designated in
Addendum A, along with the ambulatory payment classification (APC)
group proposed for each. We invite and encourage comments on the
appropriateness of these additions to the ASC list in light of the
criteria in Sec. 416.22.
a. Additions Suggested by Commenters
Of the 422 additions to the ASC list that we are proposing, the
following 52 codes were specifically suggested by the ASC community in
correspondence and comments that we have received since the publication
of the last Federal Register update of the list on January 26, 1995 (60
FR 5185). We invite comments on the appropriateness for the ASC list of
the procedures identified by these CPT codes:
15822............ 43244 56353 67110
15823............ 43249 56355 67145
15824............ 43761 57288 67208
15825............ 45330 62287 67210
15826............ 49568 62298 67228
26608............ 50080 63244 67900
29848............ 50081 65436 68810
33222............ 51715 65855 68811
35875............ 52601 66761 68815
36862............ 52647 66762 68830
37731............ 52648 66825
40720............ 55859 67028
42415............ 57288 67101
43205............ 62287 67105
b. Proposed Additions Resulting From Changes to CPT
The CPT is updated annually, and occasionally new codes added to
CPT affect the ASC list. The following procedures were added to the ASC
list because they were added to the CPT, usually to replace a deleted
code. We are requesting comments on the appropriateness of adding to
the ASC list the codes new to CPT in 1995 that are indicated below,
which we were unable to include in the Federal Register notice
published on January 26, 1995 (60 FR 5185). We are also requesting
comments on the appropriateness of adding to the ASC list codes new to
CPT in 1996, 1997, and 1998, which are indicated below.
New CPT codes added effective January 1, 1995: 31254; 31255; 31256;
31267; 31276; 57522
New CPT codes added effective January 1, 1996: 19290; 19291; 22103;
22328; 43249; 56301; 56302; 56343; 56344; 62350; 62351; 62360; 62361;
62362; 62365; 62367; 62368
New CPT codes effective January 1, 1997: 15756; 15757; 15758; 26551;
26553; 26554; 68810; 68811; 68815
New 1998 CPT codes: We are proposing to add to the ASC list the
following HCPCS codes that were new in 1998: 29860; 29861; 29863;
29891; 29892; 29893; 52282; 53850; 53852; 56318; 56318; 56346; 59871;
67027; G0104; G0105
c. Proposed Additions Resulting From Ambulatory Payment Classification
(APC) Groupings
We have determined that the remaining codes that we are proposing
to add to the ASC list are consistent with the criteria in Sec. 416.22,
and we believe that they would be safe, appropriate, and effective if
performed in an ASC setting.
5. Proposed Deletions and Exclusions From the ASC List
a. Procedures Excluded for Reasons of Safety, Reasonableness and
Medical Necessity
There are a total of 2,361 CPT codes in the surgical range that are
not on the revised ASC list proposed in this notice. Of these 2,361
procedures, 203 are codes that we are proposing to delete from the
current ASC list because they are not safe or otherwise reasonable and
necessary in an ASC setting. The proposed deletions are flagged in
Addendum A.
b. Unlisted Procedures
In most surgical categories, CPT includes codes for unlisted
procedures. Because codes for ``unlisted'' procedures, by definition,
contradict the statutory mandate for an ASC list, and because there is
no way of knowing in advance whether a procedure for which there is no
appropriate description in CPT is consistent with our standards for the
ASC list, we are continuing our policy of excluding those codes from
the ASC list.
c. Exclusion of Office-Based Procedures
Some comments made during and after the ASC Town Meeting supported
expansion of the ASC list to allow Medicare payment of an ASC facility
fee for procedures that are ordinarily performed in an office setting
but that require the more extensive resources typical of an ASC to
accommodate the special health needs of a patient. We considered the
effect of expanding the ASC list to include procedures that are
ordinarily performed safely and appropriately in a physician's office
or a physician's clinic or treatment room. Our 1994 ASC survey did not
capture charge information on office-based procedures, but we had the
benefit of hospital outpatient claims data and practice expense data
compiled for the Medicare physician fee schedule (see the proposed rule
in the Federal Register published June 18, 1997, 62 FR 33158, entitled
``Revisions to Payment Policies Under the Physician Fee Schedule, Other
Part B Payment Policies and Establishment of the Clinical Psychologist
Fee Schedule for Calendar Year 1998''). We theorized that we would not
encourage office-based procedures to migrate to the ASC setting by
paying the ASC instead of the physician the amount allowed for in-
office practice expenses in connection with an office-based procedure
on the few occasions when a patient needed a more intensive level of
support because of individual health considerations. Relating payment
to the costs intrinsic to performing the procedure would also move
closer towards achieving a level playing field where payments are based
on the service, rather than on the site where the service is furnished.
In the final analysis, we have decided that we would not, at this
time, propose to add to the ASC list 340 HCPCS codes that describe
procedures that can be performed safely and effectively in a
physician's office, clinic or treatment room and for which the more
elaborate facility services of an ASC are not required. Further, we
propose to remove 63 codes that are currently on the ASC list which, we
have determined, fail to meet the criteria in Sec. 416.22(a), i.e.
these procedures do not require surgical facilities, they are not
services of the kind that are typically provided in a hospital
inpatient setting, or do they do not require a dedicated operating room
or room for post-operative recovery. Including procedures that are
office-based on the ASC list might be construed as running counter to
Congressional intent expressed in the conference report cited above.
Also, paying ASC facility fees of $5 or $10
[[Page 32300]]
appeared administratively frivolous. Finally, office-based procedures
are readily identifiable precisely because they do not satisfy the ASC-
appropriate standards that we are proposing in Sec. 416.22. Therefore,
we are continuing, at this time, our policy of not including office-
based procedures on the ASC list. However, we do not rule out the
possibility of a future change of policy on this point after we have
had an opportunity to evaluate the impact of incorporating resource-
based practice expense relative value units (PE RVUs) into the Medicare
Physician Fee Schedule and of implementing a prospective payment system
for hospital outpatient surgical services, each of which is scheduled
to occur in 1999.
We have given an ASC payment policy indicator ``5'' to the 403 CPT
codes that we consider to be office-based procedures to indicate that
no payment for expenses incurred to perform these office-based
procedures is allowed other than the Medicare payment to the physician
performing the procedure. An ASC payment policy indicator ``5''
precludes additional payment if these procedures are performed in an
ASC. Refer to section III.E. of this notice for a more detailed
discussion of the ASC payment policy indicators.
d. Suggested Additions Not Accepted
The following procedures have been suggested by the ASC community
for addition to the list since publication of the last Federal Register
update of the list on January 26, 1995 (60 FR 5185), but we propose to
exclude them from the ASC list for the reasons given.
19240--Mastectomy, modified radical. (This procedure can result in
extensive blood loss; admission to a hospital on an inpatient basis to
recover from the procedure is appropriate.)
21356 & 21366--Repair heel bone fracture; 31225-- Removal of upper
jaw; 33212 & 33213--Insertion or replacement of pacemaker pulse
generators; 37201-- Transcatheter therapy, infusion for thrombolysis;
41130-- Partial removal of tongue; 41153--Tongue, mouth, neck surgery;
51840 & 51841--Anterior vesicourethropexies; 51845--Abdomino-vaginal
vesical neck suspension; 54430--Revision of penis; 56308--Laparoscopy,
surgical and vaginal hysterectomy; 63030--Laminotomy (hemilaminectomy),
with decompression of nerve root(s). (These procedures require
admission to a hospital on an inpatient basis in order to have the
procedure performed or in order to recover from the procedure.)
33216, 33217, & 33218--Insertion/replacement of electrodes and
repair of pacemaker electrodes; 35475 & 35476--Transluminal balloon
angioplasties; 56340, 56341 & 56342--Laparoscopy, surgical
cholecystectomies. (These procedures directly involve major blood
vessels, and with respect to the Medicare population in particular, the
latter procedures would necessitate admission to a hospital on an
inpatient basis to perform or to recover from the procedure.) One
professional society takes the position that laparoscopic
cholecystectomy should only be performed in a setting that is equipped
and prepared to switch intra-operatively to an open procedure in the
event problems arise during the laparoscopic procedures.
e. Procedures Deleted Because of CPT Coding Changes
The CPT is updated annually, and occasionally, the deletions affect
the ASC list. The following is a list of procedures that were deleted
from the ASC list because they were deleted from the CPT.
Deleted effective April 1, 1995: 25005; 25317; 25318; 26527; 31245;
31246; 31247; 31248; 31249; 31251; 31261; 31262; 31264; 31266; 31269;
31271; 31280; 31281; 31282; 31283; 31284; 31286; 31659; 36840; 36845;
45180; 52650
Deleted effective March 31, 1996: 28236; 63750; 63780; 67109
Deleted effective April 1, 1997: 15755; 20960; 20971; 25330; 25331;
26522; 26557; 26558; 26559; 42880; 56360; 56361; 68825
None of the procedures deleted from CPT 1998 were on the ASC list.
f. Procedures Recommended by Commenter for Deletion
One correspondent suggested that we remove several codes from the
ASC list because they describe procedures that may not be safely and
effectively performed in the ASC setting. Our medical staff concurs
with the opinion of the correspondent, and the following codes are
among those we are proposing to exclude from the ASC list: 15756;
15757; 15758.
6. Comments on the ASC List
We propose to add 422 procedures to the ASC list and to delete 203
procedures from the ASC list, consistent with the standards discussed
previously in this notice. The net effect of these changes would expand
the ASC list from 2280 CPT codes to 2499 CPT codes.
We solicit comments on whether we have made appropriate
determinations regarding the following:
Procedures that are excluded from the ASC list because
they involve one or more of the criteria in proposed Sec. 416.22(b) and
are not, as a consequence, safely performed in an ASC. (These
procedures are listed in Addendum A with an ASC payment policy
indicator of ``3.'');
Procedures that are not on the ASC list because they do
not satisfy one or more of the criteria in proposed Sec. 416.22(a).
(These procedures are listed in Addendum A with an ASC payment policy
indicator of ``5.'');
Procedures that are prepared as the ASC list for which
Medicare should not be paying an ASC facility fee because the
procedures are not consistent with the criteria in Sec. 416.22. (The
proposed ASC list is presented as Addendum B.)
We also solicit comments on 203 codes that we are proposing to
delete from the current ASC list and the 422 codes that we are
proposing to add to the ASC list. (See Addendum A.) We ask that all
comments regarding the appropriateness of procedures for the ASC list
be framed within the context of the revised criteria proposed in re-
numbered Sec. 416.22.
E. Ratesetting Methodology
1. Current method
There are currently eight payment levels under the Medicare ASC
benefit. Based on its cost, each of the 2280 CPT codes on the ASC list
is paid one of eight prospectively determined payment rates.
Collectively, all of the codes that are paid a particular rate
constitute a payment group. (A ninth payment rate for extracorporeal
shock wave lithotripsy (ESWL) was established in a notice published
December 31, 1991 in the Federal Register (56 FR 67666). Medicare
stopped paying for ESWL as an ASC service beginning in March 1992 under
the provisions of a court stay, which is discussed in section III.H. of
this notice.) The method by which the current eight ASC payment levels
or rates were calculated is explained in the Federal Register that was
published on February 8, 1990 (55 FR 4526). The steps involved in the
1990 ratesetting methodology which based rates on ASC facility overhead
expenses and procedure-specific charges reported in the 1986 ASC Survey
are summarized as follows:
Adjust reported costs and charges on the basis of audit
findings, eliminate incorrectly reported survey data, and adjust costs
that exceed allowable limits;
[[Page 32301]]
Inflate per procedure charges across all facilities using
the consumer price index for all urban consumers (CPI-U);
Using the hospital prospective payment system wage index,
neutralize the effect of regional wage differences across all
facilities by deflating that portion of per-procedure charges
attributable on average to labor costs (34.45 percent);
Identify the median charge for each procedure (CPT code)
across all facilities, weighting individual procedure charges in each
facility by the total number of times the procedure was performed
multiplied by the facility's ratio of Medicare patients to total number
of patients;
Calculate the median Medicare cost-to-charge ratio for
audited facilities and adjust the weighted median charge for each
procedure (CPT code) by the cost-to-charge ratio (0.776) to calculate a
cost value;
Form groups at $75 intervals and set the payment rate for
each group at the weighted median cost of the procedures in the group;
Incorporate as part of the ASC facility fee for
intraocular lens (IOL) insertion procedures an allowance for the lens.
(Section 13533 of the Omnibus Budget Reconciliation Act of 1993 (OBRA
93) (Public Law 103-66), enacted on August 10, 1993, requires that the
payment for an IOL furnished by an ASC be equal to $150 for the period
beginning January 1, 1994 through December 31, 1998).
Both the current and proposed ASC ratesetting methodology consist
of four major components: (I) Determine a per-procedure cost for every
reported CPT code at the individual facility level; (II) Determine a
per-procedure cost for every reported CPT code across all facilities;
(III) Group procedures, and (IV) Determine a standard payment rate that
is generally a fair fee for all the procedures within each group. The
standard payment rate arrived at in the final step becomes the Medicare
ASC facility fee or payment rate.
In developing the payment rates proposed in this notice, we have
retained the same basic methodology that is explained in the final
notice published in the Federal Register on February 8, 1990 (52 FR
4526) and outlined above. We have introduced a few refinements that we
believe enable us to measure more precisely the costs incurred by ASCs
individually and collectively to perform procedures on the ASC list.
The most notable modification of the current ratesetting methodology
that we are proposing affects the third component of the ratesetting
process: We propose to adopt a different approach to grouping
procedures, using an ambulatory payment classification system (APCS),
instead of creating groups based on $75 cost increments. The following
steps explain how we arrived at the ASC payment rates that are proposed
in this notice.
2. Proposed Ratesetting Method
Determine a per-procedure cost for every reported CPT code at the
individual facility level:
a. Use 1994 Survey Data
Data on facility overhead expenses and procedure specific charges
that were collected in 1994 via the Medicare Ambulatory Surgical Center
Payment Rate Survey are the basis for the payment rates proposed in
this notice. Part I of the survey instrument, ``General Information and
Charge Schedules'' (Form HCFA-452A), was mailed in July 1992 to all
ASCs that were Medicare participating at that time (1,396) for the
purpose of gathering demographic data to serve as the frame for
selecting a representative sample of ASCs that would be asked to
complete a more comprehensive cost survey in 1994. One thousand one
hundred forty-three ASCs completed and returned Part I of the ASC
survey. In establishing the sample of facilities to complete Part II of
the ASC survey, we excluded facilities that had been in operation for
less than two years, facilities that performed fewer than 250
procedures during the 12-month survey period, and facilities whose most
recently completed fiscal year exceeded or was less than 12 months. The
remaining 832 ASCs were stratified into four categories based on
reported procedure volume: high, medium, and low procedure volume, and
eye specialty facilities. Eye specialty facilities were defined as any
facility where procedures in the CPT range between 65000 and 68900 (Eye
and Ocular Adnexa) comprised 50 percent or more of total surgical
volume. We used these strata because we found them most likely to
result in a sample of facilities that would be representative of the
universe of Medicare participating ASCs that completed Part I of the
survey in terms of type and volume of procedures typically performed
and costs incurred to furnish facility services in connection with
those procedures.
Available resources for data entry required us to limit the size of
the sample to approximately 300 facilities. In accordance with
generally recognized statistical conventions, 320 facilities were
randomly selected. In March 1994, we mailed the Medicare Ambulatory
Surgical Center Payment Rate Survey, Part II--Facility Overhead and
Procedure Specific Costs (Form HCFA-452B) to the survey sample.
Facilities were initially required to complete Form HCFA-452B by May
31, 1994, but because a large number of facilities experienced
difficulties in meeting the deadline, we complied with most requests to
extend the due date.
Part II of the survey gathered information from each ASC's most
recently completed 12-month fiscal year. Most facilities reported
calendar year 1993 data, with a few facilities reporting data from
other fiscal years. The survey yielded a data set of procedure-specific
information for 1516 of the nearly 2250 CPT codes that were on the ASC
list as of December 31, 1993, including the number of times each
procedure was performed on Medicare and on non-Medicare patients and
the charge billed on average to all patients, both Medicare and non-
Medicare, for each surgical CPT code. The survey also collected data on
operating room time for high volume procedures on the ASC list and
aggregate utilization and charges for procedures performed that were
not on the ASC list. In addition, the survey elicited facility overhead
costs for plant and property, equipment, supplies, contractual labor,
employee labor, owner's compensation, bad debt, and general
administrative costs. We asked ASCs to report the costs they incurred
to procure intraocular lenses and to purchase ``non-routine'' supplies,
e.g., any supply whose net unit cost exceeded $100. Information
regarding any relationship between the ASC and other organizations or
entities and the ASC's financial statement for the fiscal period
reported in the survey were also solicited. Part II of the ASC survey
included a section intended to capture procedure specific statistical
and resource cost data for 29 CPT codes, including time allocations,
staffing patterns and labor costs, supply costs, and medical equipment
costs.
b. Audit Representative Sample of Facilities
In accordance with the statutory requirement at section
1833(i)(2)(A)(i) that we set rates in such a way as to take into
account actual audited facility costs, and in order to validate the
accuracy and reasonableness of survey responses, we conducted a
nationwide audit of a sample of the ASCs that completed Part II of the
survey. One hundred ASCs, 25 from each sampling stratum (high
utilization, medium utilization, low utilization, and eye specialty),
were randomly selected for audit in accordance with standard
[[Page 32302]]
statistical sampling procedures. The nationwide audit was conducted
from November 1994 through January 1995 by Medicare fiscal
intermediaries. Although ASC claims are processed by Medicare carriers,
we believe intermediaries' familiarity and experience with Medicare
audits better equipped them to carry out this task. In addition, the
Office of Inspector General (OIG) conducted an audit of the home
offices of the two principal ASC chain organizations with facilities
included in the sample. We instructed the auditors to determine
reasonable facility costs in accordance with Medicare payment
principles.
Of the 320 facilities randomly selected to complete Part II of the
Medicare ASC survey, 16 were exempted from completing the survey
because of termination of Medicare participation or change in ownership
prior to receipt of the survey form; inability to identify and properly
allocate facility operating costs as a separate and distinct entity;
or, incomplete records due to facility damage. In addition, we excluded
nine other surveys from consideration in setting the rates proposed in
this notice for the following various reasons: The audits revealed four
facilities to have incorrectly reported their charge and utilization
information; one form could not be accounted for and the facility did
not have a copy to resubmit; two facilities reported data for less than
a 12 month period; and, two facilities were unable to capture charge
data from their record keeping systems in the manner requested.
c. Adjust Audited Surveys
We accepted the auditors' findings, which resulted in net
adjustments that reduced reported aggregate costs by 9 percent and
increased reported aggregate charges by 3 percent. The major cost
reductions occurred in the areas of general administrative expenses and
bad debts. We then made two additional adjustments to audited adjusted
wage and administrative cost data, as follows.
After an analysis of audited contractual labor expenses, employee
salaries and fringe benefits, and owner's compensation, we set a
maximum compensation limit for each staffing category to eliminate
unreasonable, and therefore unallowable, labor expenses from our
determination of facility costs. (Because payment for the professional
services of physicians and certified registered nurse anesthetists is
made under other provisions of Medicare, Part B, the cost of these
services is excluded from determining ASC facility costs.)
We calculated the hourly wages for administrative and
medical staff, taking into account fringe benefits and paid leave,
using audited 1994 survey data. In calculating hourly pay rates for
each staff category, we excluded data reported as owner's compensation
because the reported hourly rates of owner's compensation were
excessively high relative to the hourly pay for non-owners in the same
positions.
We selected the 75th percentile as the maximum allowable
hourly wage rate in each staffing category. We considered using higher
levels (80th or 90th percentile) as a cap, but we found the wage rates
above the 75th percentile to be too erratic. We found the wage rates at
the 75th percentile to be consistent and reasonable across all staff
categories.
We adjusted audited hourly wage rates that exceeded the
75th percentile of each staffing category to the maximum allowable
hourly wage rate and recalculated labor costs by multiplying the
adjusted hourly wage rate by the number of reported paid hours.
We believe that this approach is an improvement over the current
methodology because it adjusts unreasonable labor costs for all
categories of staffing, not just administrator and medical director
pay; it takes actual compensated hours into account rather than using
full-time equivalents (FTEs); and, we base the maximum allowable factor
on the 75th percentile of labor costs rather than on an average. Table
1 shows the limits applied to ASC labor expenses.
Table 1.--Hourly Wage Caps at 75th Percentile
----------------------------------------------------------------------------------------------------------------
Approx. 75th Approx.
Staff category Number of Median annual percentile annual
observations hourly wage salary hourly wage salary
----------------------------------------------------------------------------------------------------------------
Administrator................................. 66 35.39 $73,611 45.23 $94,078
Director/Manager.............................. 87 24.13 50,190 31.53 65,582
Supervisors................................... 52 21.41 44,533 26.07 54,226
Clerical...................................... 116 11.33 23,566 13.24 27,539
Nurse......................................... 117 19.53 40,622 23.60 49,088
Medical Technician............................ 92 13.31 27,685 16.60 34,528
Other Medical................................. 49 10.99 22,859 15.61 32,469
Other Non-medical............................. 83 11.94 24,865 15.65 32,552
----------------------------------------------------------------------------------------------------------------
In addition to making adjustments to unreasonable labor costs, we
excluded from our calculation of facility costs those expenses reported
in the 96 audited surveys for services which are not allowable under
Medicare Part B principles of payment. Examples of costs that were not
allowed include expenses for advertising, employee morale, gifts and
memorials, entertainment, and parties.
d. Standardize Unaudited Costs and Charges
For the 96 audited surveys, aggregated audit adjusted expenses,
including our adjustments for unreasonable labor and administrative
costs, were 12 percent lower than reported overhead costs. To
standardize the costs of the 199 unaudited facilities with those of the
96 audited facilities, we adjusted each category of overhead expense
(plant and property, equipment, supplies, IOL, contractual labor,
employee, owner's compensation, bad debts, and other expenses) in the
unaudited surveys by the percent of difference between reported and
audit adjusted data in each category of overhead expense for the 96
audited surveys. To standardize unaudited charges, we determined the
percent of difference between aggregated reported charges and
aggregated audited charges for the 96 audited surveys. We increased
per-procedure charges in each of the 199 unaudited surveys by the 3.07
percent of difference between reported and audit adjusted aggregate
charges.
[[Page 32303]]
e. Calculate Facility-Specific Cost-to-Charge Ratio
When we rebased ASC payment rates using 1986 data, we used a median
cost-to-charge ratio based on data from 90 audited surveys. At that
time, we considered using a facility-specific cost-to-charge ratio that
would have taken into account the differences in the relationship
between charges and cost that exist among facilities, but we elected
not to do so because the data from unaudited 1986 surveys were
seriously deficient. Because most of those earlier deficiencies have
been ameliorated in the 1994 survey database, we are revising our
ratesetting methodology to use a facility-specific cost-to-charge
ratio.
For each of the 295 surveys, we summed costs reported for
plant and property, equipment, supplies, contractual labor, salaries,
owner's compensation, bad debts, and miscellaneous other administrative
expenses to calculate total net adjusted costs. Note that we exclude
costs incurred by ASCs to furnish intraocular lenses (IOLs) from the
calculation of the facility specific cost-to-charge ratio. Otherwise,
the cost of an IOL would be spread across all procedures rather than
being allocated specifically to the four procedures that require IOLs.
We treat IOL costs separately, as we explain below.
For each of the 295 surveys, we calculated total net
adjusted procedure charges, including charges both for procedures on
the ASC list and for procedures performed at the ASC that were not on
the ASC list.
We divided each facility's total net adjusted costs by the
facility's total net adjusted charges to determine the ratio of the
facility's overall costs to its charges.
f. Convert Each Procedure Charge to a Procedure Cost
We multiplied the net adjusted charge reported for each CPT code by
the facility-specific cost-to-charge ratio in order to convert every
net adjusted per-procedure charge to a per-procedure cost value. We
believe that using a facility specific cost-to-charge ratio to arrive
at per-procedure costs is a distinct improvement over the current
methodology of using a median facility cost-to-charge ratio across all
facilities because the facility specific ratio takes into account
facility variations (single vs. multi-specialty, small vs. large,
single vs. multiple ownership, etc.) which may affect the relationship
between facility costs and charges.
g. Remove Intraocular Lens (IOL) Costs From Four Lens Insertion
Procedures
Section 4063(b) of the Omnibus Budget and Reconciliation Act of
1987 (OBRA 1987) (Public Law 100-203) amended section 1833(i)(2)(A) of
the Act to mandate that HCFA include payment for an IOL furnished by an
ASC for insertion during or subsequent to cataract surgery as part of
the ASC facility fee rather than paying for the prosthetic lens
separately, in addition to the facility fee. The payment amount must be
reasonable and related to the cost of acquiring the class of IOL
involved.
Section 4151(c)(3) of the Omnibus Budget Reconciliation Act of 1990
(OBRA 1990) (Public Law 101-508) froze the IOL payment amount at $200
for the period beginning November 5, 1990 and ending December 31, 1992,
and we continued the $200 IOL allowance from January 1, 1993 through
December 31, 1993. Therefore, Medicare payments to ASCs performing IOL
insertion procedures in calendar year 1993, the survey period for most
facilities completing the 1994 ASC survey, included a $200 allowance
for the IOL.
Section 13533 of the Omnibus Budget and Reconciliation Act of 1993
(OBRA 1993) (Public Law 103-66) mandated that, notwithstanding section
1833(i)(2)(A)(iii) of the Act, payment for an IOL furnished by an ASC
must be equal to $150 beginning January 1, 1994 through December 31,
1998.
Although the statute at section 1833(i)(2)(A)(iii) defines IOLs as
an ASC facility service and mandates that the ASC facility fee for lens
insertion procedures include payment for the IOL that is reasonable and
related to the cost of acquiring the class of lens involved, amendments
to the statute have mandated a specific dollar amount that Medicare is
to pay for the IOL, irrespective of the costs incurred by ASCs
generally to furnish the IOL.
Because IOLs are considered a facility service, ASCs do not bill
for them separately. Rather, the charge for an IOL is included within
the procedure charge for CPT codes 66983, 66984, 66985, and 66986.
After we converted procedure charges to procedure costs, we subtracted
the IOL cost from the procedure cost for each of the four lens
insertion codes before we neutralized per-procedure costs for regional
wage variations, adjusted procedure costs for inflation, and grouped
procedures in order to set payment rates. The amount that we subtracted
is a facility-specific mean IOL cost based on data collected in the
1994 survey regarding the quantity and models of IOLs purchased and the
total amount paid for each model net of all discounts, rebates, and
credits. If we did not subtract the IOL cost from the procedure cost of
the lens insertion procedures at this juncture, Medicare would be
recognizing IOL costs twice: once as part of the rebased payment rate
for the procedure, and again through the mandated IOL allowance that is
to be added onto the payment rates set for CPT codes 66983, 66984,
66985, and 66986. Note that the payment rate of $863 determined for CPT
codes 66983, 66984, 66985 and 66986 (APC 668) includes a $150 IOL
allowance.
Rates for lens insertion procedures beginning January 1, 1999. The
1994 survey data reveal that the current IOL allowance of $150 is
neither reasonable nor related to the cost of acquiring the lens, but
rather, represents an overpayment by Medicare and a lost opportunity
for beneficiary and program savings. The 1994 ASC survey data show that
ASCs were acquiring IOLs in 1993 for substantially less than the $200
that Medicare was paying ASCs for IOLs at that time. Based on survey
data reported by 215 ASCs (72 audited and 143 standardized by
increasing IOL costs by 1.93 percent) that purchased 197,289 lenses,
the weighted mean lens cost was $100, and the weighted median cost was
$97 (weighted by frequency). Of the 215 ASCs on which these findings
are based, 76 are eye specialty facilities. For eye specialty ASCs
alone, the weighted mean IOL cost was $82, and the weighted median IOL
cost was $70. Table 2 shows that even inflating 1993 IOL costs to 1998
dollars, ASCs can still acquire IOLs on average well below the $150
allowance mandated by Congress through December 31, 1998.
Table 2.--1994 ASC Survey: Intraocular Lens (IOL) Cost Inflated to 1998
Dollars
------------------------------------------------------------------------
CPI-U
CY 1993 inflation CY 1998
dollars factor dollars
------------------------------------------------------------------------
Mean Cost, weight by frequency... $100 1.14915 $115
Median Cost, weight by frequency. 97 1.14915 108
[[Page 32304]]
Medicare IOL allowance........... 200 NA 150
------------------------------------------------------------------------
(Based on 1994 ASC survey reported by 215 ASCs that purchased 197,289
lenses).
Prior to expiration of the $150 IOL allowance on December 31, 1998,
we shall propose a revised payment rate for the four lens insertion
procedures in APC 668 in order to be consistent with section
1833(i)(2)(A)(iii) of the statute, which states that lens insertion
procedures are to include an IOL allowance that is reasonable and
related to the cost of the lens involved. In rebasing the payment rates
for the four lens insertion procedures, we expect to follow the basic
ratesetting methodology proposed in this notice, with one difference:
We would neutralize the charge-converted per procedure cost determined
for CPT codes 66983, 66984, 66985, and 66986 to offset the effect of
regional wage variations, and then, we would add the facility-specific
mean IOL cost to the procedure cost for these codes. The resulting cost
for the four lens insertion codes would be adjusted for inflation, and
the payment rate for APC 668 would be recalculated. IOL costs would
then be subject to interim year annual adjustments for inflation
because they would be packaged within the facility fee for lens
insertion procedures. Under the current payment method, the fixed add-
on IOL allowance in payment group 6 and payment group 8 is not subject
to an annual adjustment for inflation.
We solicit comments on this approach to rebasing the payment rate
for IOL insertion procedures for services furnished beginning on
January 1, 1999.
h. Calculate Facility Specific Portion of Procedure Cost Attributable
to Labor Expenses
Having converted per procedure charges to cost values and
subtracted IOL costs from CPT codes 66983, 66984, 66985, and 66986, we
determined for the 295 audited and standardized surveys the percentage
of facility costs attributable to labor.
We summed each facility's expenses for contractual
personnel, employee salaries and fringe benefits, and owner's
compensation (labor-related costs);
We summed each facility's net total costs including plant
and property, equipment, supplies, contractual labor, employee salaries
and fringe benefits, owner's compensation, bad debts, and miscellaneous
other administrative expenses.
We divided each facility's total labor-related costs by
its net total costs to determine the percentage of the facility's costs
related to labor.
We multiplied each facility's per-procedure cost by the
facility's percentage of labor-related costs to apportion each
procedure cost into labor-related and non-labor related components.
Under the current ratesetting methodology, as explained in the
final notice published in the Federal Register on February 8, 1990 (55
FR 4526), we use an average of the labor-related percentage for all
facilities based on 1986 survey data to determine the portion of
procedure charges attributable to labor costs. Using 1994 survey data
to determine as precisely as possible costs incurred by a facility to
perform an individual surgical procedure, we reasoned that a facility
specific labor-related percentage would be a more sensitive gauge of
variations in hiring practices, staffing patterns, and employee
expenses that influence ASC procedure costs than a national average
which, by definition, flattens these variations. Therefore, to capture
the influence on per procedure costs of individual facility staffing
patterns and practices, we calculated a facility specific labor-related
percentage preliminary to deflating per procedure costs to offset
variations in labor costs that are the result of broader regional
demographic differences. However, we shall continue the current method
of calculating actual payment amounts for ASC facility services using
an average labor-related factor to adjust rates for regional wage
differences, which is consistent with the Congressional intent that
Medicare pay ASCs a prospectively determined standard overhead fee.
Using 1994 audited survey data, we found that, on average, the
percentage of facility costs attributable to labor expenses
(contractual personnel, employee salaries and fringe benefits, and
owner's compensation) is 37.66 percent, a slight increase over the
34.45 percent labor-related factor based on 1986 data that carriers use
currently to adjust base rates for regional wage differences.
i. Deflation by Wage Index Value
In order to remove variations in ASC per procedure costs that could
be due solely to geographical differences in labor costs, we
neutralized or deflated the portion of each ASC's per procedure costs
attributable to labor expenses.
We calculated a facility-specific percentage of overall
costs attributable to labor expenses as explained in section 2-h,
above.
We multiplied each facility's per-procedure cost (see
section 2-f, above) by the facility's percentage of labor-related costs
to determine the labor-related portion of the procedure cost.
We divided the labor-related portion by the wage index
value applicable to the ASC's location.
We added the deflated labor-related portion of the
procedure's cost to its nonlabor-related portion to arrive at a per
procedure cost that is not influenced by geographic wage variations.
As part of the ratesetting methodology explained in the final
notice published in the February 8, 1990 Federal Register (55 FR 4526),
we state as a matter of policy our intention to use the most recent
Medicare hospital inpatient prospective payment system (PPS) wage index
values both to determine ASC base payment rates and to calculate
payment amounts for individual claims for ASC facility services.
Therefore, the updated ASC base rates published in the February 8, 1990
notice reflect the fiscal year (FY) 1990 hospital inpatient PPS wage
index that was effective for hospital discharges beginning October 1,
1989. We also included wage index values for rural counties deemed
urban under sections 1886(d)(8)(B) and 1886(d)(8)(C) of the Act.
In the Federal Register published December 31, 1991 (56 FR 67666),
we announced that we would continue to use the most recently updated
hospital inpatient PPS wage index values for urban areas and rural
areas to calculate ASC payment amounts; that we would limit recognition
of reclassified wage index values resulting from reclassifications
approved by the Medicare Geographic Classification Review Board (MGCRB)
under section 1886(d)(10) of the Act to rural counties deemed urban
under section 1886(d)(8)(B) of the Act; and, that we would annually
update ASC payment
[[Page 32305]]
rates concurrently with the annual update of the hospital inpatient PPS
wage index.
Use of pre-reclassification wage index values. Both the method of
setting ASC payment rates and the method of calculating payment amounts
for individual claims for ASC facility services proposed in this notice
include a wage index adjustment to offset the effects of geographic
wage differences. In this notice, we propose to continue using the most
recent index that HCFA has determined from hospital wage and salary
data collected from hospital cost reports. However, we propose to use
wage index values that are calculated from wage and salary data before
HCFA makes certain adjustments. That is, the wage index that we propose
to use to adjust ASC payment rates reflects neither the effects of
hospitals being redesignated or reclassified from one area to another
under the provisions of sections 1886(d)(8)(B), 1886(d)(8)(C), and
1886(d)(10) of the Act, nor the requirement stated in sections 4410 (a)
and (b) of the Balanced Budget Act of 1997 (Pub. L. 105-33) that the
wage index for an urban hospital not be lower than the Statewide rural
wage index. We believe this ``pre-classification// pre-floor'' wage
index more directly reflects salary and wage levels for health care
personnel within a given geographic area than does a wage index that is
the result of a series of hospital-specific adjustments.
A description of how HCFA determines the FY 1998 pre-
reclassification//pre-floor wage index values for urban and rural areas
that we used to determine the rebased rates that are proposed in this
notice and that carriers will use to calculate wage-adjusted payments
to individual ASCs is in the Federal Register published on August 29,
1997 (62 FR 45985).
For the same reason that we are using pre-reclassification// pre-
floor wage index values, we propose to eliminate special wage index
designations for ASCs in rural counties deemed urban under section
1886(d)(8)(B) of the Act. The counties affected by this proposed change
of policy are listed in Table 3. We propose to have carriers use the
wage index value for the geographic area in which the facility is
located rather than a reclassified wage index value when they calculate
Medicare facility fees for ASCs in these designated counties. We
solicit comments from ASCs located in these areas if they believe they
will be adversely affected by our no longer providing an ASC-specific
wage index value for counties deemed urban under section 1886(d)(8)(B)
of the Act.
There is precedent for our decision to use pre-reclassification
hospital inpatient PPS wage index values: We use pre-reclassification
wage index values to determine allowable costs and Medicare payment
limits for skilled nursing facilities (SNFs) and home health agencies
(HHAs). We further reason that because the decisions of the MGCRB apply
solely to individual hospitals, and because there is no mechanism by
which we can link ASCs with individual hospitals, pre-reclassification/
/ pre-floor wage index values adequately measure wage and wage-related
costs for short-term, acute care hospitals located within the labor
market areas defined by the Office of Management and Budget (OMB) upon
which we base our definition of geographic areas. OMB updates the
definitions of metropolitan areas (MAs) each June, adding new areas
that qualify as MAs and cities that qualify as central areas for MAs,
keeping the definitions of these geographic areas current. We also
include in our definition of hospital labor market areas the New
England County Metropolitan Areas (NECMAs), as defined by OMB and the
special reclassification of Stanly County, North Carolina (a rural
county) as part of the Charlotte-Gastonia-Rock Hill, North Carolina-
South Carolina MSA ( a large urban area) under section 4408 of the BBA
of 1997.
If the FY 1998 hospital inpatient PPS wage index is updated prior
to publication of the final rule implementing the provisions of this
notice, we shall recalculate all procedure costs and payment rates
accordingly. The final rebased ASC rates may therefore vary somewhat
from the rates proposed in this notice as a result of our using pre-
reclassification//pre-floor hospital inpatient PPS wage index values
that are more current at the time of publication of the final notice.
During the time between implementation of the final rates proposed
in this notice and the next cycle of ratesetting to rebase rates using
newer survey data, we shall freeze the base rates other than to adjust
them for inflation in accordance with section 1833(i)(2)(C) of the Act,
as amended by section 4555 of BBA 1997. That is, we do not intend to
reset the base rates during these interim years to reflect the annual
update of the wage index, although carriers will continue to calculate
payment amounts to facilities using the most currently available wage
index values, as they do currently.
We note that one consequence of our proposal to move all ASC
updates to a calendar year cycle is a three-month delay in applying to
the calculation of ASC facility fees the hospital inpatient PPS wage
index values, which are updated on a fiscal year basis every October 1.
We believe that the advantages of consolidating the updates of ASC
rates, the ASC list, and wage index values to be effective every
January 1, concurrent with the update of the Medicare Physician Fee
Schedule, the Physicians' Current Procedural Terminology, and the
Health Care Financing Administration (HCFA) Common Procedure Coding
System (HCPCS), far outweigh any disadvantages that might result from
delaying for three months implementation of the most recent wage index.
We solicit comments on this point and on the other modifications we
propose to make with respect to our policy for adjusting ASC payment
rates to offset the effects of geographic wage differences.
Table 3.--Counties That Will No Longer be Deemed Urban Under Section
1886(d)(8)(B) of the Act to Calculate ASC Payments
County
Barry, MI
Cass, MI
Caswell, NC
Christian, IL
Harnett, NC
Henry, IN
Indian River, FL
Ionia, MI
Jefferson, KS
Jefferson, WI
Lawrence, PA
Lincoln, WV
Macoupin, IL
Marshall, AL
Mason, IL
Morrow, OH
Owen, IN
Preble, OH
Shiawassee, MI
Tuscola, MI
Van Wert, OH
Walworth, WI
j. Adjust Reported Costs for Inflation to Offset Fiscal Year
Differences Among Facilities
The most recently completed 12-month fiscal period for the majority
of ASCs that submitted the 1994 survey coincided with calendar year
1993, but there were some surveys with data reported for a 12-month
period ending on a date other than December 31, 1993. (The earliest
beginning date for a survey period was January 1, 1992; the latest
ending date for a survey period was June 30, 1994.) Therefore, both to
ensure comparability in our cost assumptions and to express procedure
costs in equivalent dollars, we inflated the cost
[[Page 32306]]
amount established for every procedure at the facility level from the
midpoint of the facility's reporting period to a common end period
using the Consumer Price Index--All Items (Urban). We used July 1,
1998, the midpoint of the calendar year during which the rates in this
notice are proposed for implementation, as the common end period. Table
4 shows the factors we used to express procedure costs in dollar levels
projected for July 1, 1998. The only difference between using the
factors in this table to adjust procedure costs for actual and
projected changes resulting from inflation and the factors that we used
to inflate the 1986 base rates is that the factors used here are
sensitive to quarterly rather than just annual inflationary trends.
Table 4.--Factors to Inflate Ambulatory Surgical Center Per Procedure Costs to July 1, 1998 Dollars Using CPI-
All Items, Urban
----------------------------------------------------------------------------------------------------------------
Factor
needed to
adjust to
Survey year starts Survey mid-point Survey year ends common end
period (7/1/
98)
----------------------------------------------------------------------------------------------------------------
Jan-1-92............................. Jul-1-92..................... Dec-31-92.................... 1.18268
Feb-1-92............................. Aug-1-92..................... Jan-31-93.................... 1.17961
Mar-1-92............................. Sep-1-92..................... Feb-28-93.................... 1.17653
Apr-1-92............................. Oct-1-92..................... Mar-31-93.................... 1.17347
May-1-92............................. Nov-1-92..................... Apr-30-93.................... 1.17043
Jun-1-92............................. Dec-1-92..................... May-31-93.................... 1.16748
Jul-1-92............................. Jan-1-93..................... Jun-30-93.................... 1.16466
Aug-1-92............................. Feb-1-93..................... Jul-31-93.................... 1.16198
Sep-1-92............................. Mar-1-93..................... Aug-31-93.................... 1.15936
Oct-1-92............................. Apr-1-93..................... Sep-30-93.................... 1.15676
Nov-1-92............................. May-1-93..................... Oct-31-93.................... 1.15417
Dec-1-92............................. Jun-1-93..................... Nov-30-93.................... 1.15163
Jan-1-93............................. Jul-1-93..................... Dec-31-93.................... 1.14915
Feb-1-93............................. Aug-1-93..................... Jan-31-94.................... 1.14674
Mar-1-93............................. Sep-1-93..................... Feb-28-94.................... 1.14439
Apr-1-93............................. Oct-1-93..................... Mar-31-94.................... 1.14208
May-1-93............................. Nov-1-93..................... Apr-30-94.................... 1.13982
Jun-1-93............................. Dec-1-93..................... May-31-94.................... 1.13751
Jul-1-93............................. Jan-1-94..................... Jun-30-94.................... 1.13505
----------------------------------------------------------------------------------------------------------------
Source: DRI/McGraw-Hill, 4th Qtr1996;@USSIM/[email protected]/CONTROL964.
3. Proposed Ratesetting Method
Determine the median per-procedure cost, across all facilities, for
each reported CPT code.
a. Weights
In the 1986 ASC survey, we collected data on the total number of
times a specific procedure, as defined by a CPT code, was performed in
the facility. To determine Medicare utilization, the 1986 survey asked
for a total count of Medicare patients served by the ASC during the
survey period. The number of times specific procedures were performed
on Medicare patients was not identified. Therefore, the only way to
weight 1986 survey data by Medicare utilization was to apply a
facility-specific ratio of Medicare patients to all patients served
during the survey period to the total number of times a specific
procedure was performed. As a result, cost data for procedures with
high Medicare utilization, such as cataract extraction, were weighted
the same as cost data for procedures that were performed only rarely
for Medicare beneficiaries.
In the 1994 ASC survey, to obtain a more accurate measure of
Medicare utilization, we not only collected information on how many
times a procedure on the ASC list was performed during the survey
period, but also, how many times the patient was a Medicare beneficiary
when the procedure was performed. Having this utilization information
available for each CPT code enables us to weight 1994 survey data with
greater precision than we could with the 1986 survey data. After we
adjust and then convert per procedure charges to per procedure costs,
we use the procedure's total volume as a weighting factor to determine
the median per procedure cost across all facilities that reported
charge and utilization data for the procedure. Then, as we explain in a
later section, after we assign procedures to payment groups, we use the
procedure's Medicare volume as a weighting factor to determine the
median cost of all the procedures in the group. This final median cost
becomes the payment rate for all the procedures in the group.
b. Determination of Weighted, Trimmed Median Per Procedure Cost Across
All Facilities
To determine the median cost of a procedure across all the
facilities where it was performed, we arrayed each facility's net,
wage-neutral, inflation adjusted cost for the procedure in descending
order of cost, weighted by the number of times the procedure was
performed in the facility for all patients, both Medicare and non-
Medicare. After trimming observations above the 90th and below the 10th
percentile, to remove costs that were aberrant extremes, we determined
the median cost for the procedure code. We repeated this process for
every procedure on the ASC list for which utilization was reported in
the 1994 survey to arrive at a weighted median procedure cost for the
1516 CPT codes in the survey data set.
Because Medicare volume for most procedures is but a fraction of
total utilization, we believe that weighting by total volume gives us a
truer per procedure median cost across all ASCs than weighting by
Medicare volume alone. Weighting by total volume expands our data set
by pulling in
[[Page 32307]]
procedures for which no Medicare volume was reported. Use of the median
rather the mean procedure cost further minimizes the effect of
individual facility cost extremes.
Having established a weighted median procedure cost that represents
costs incurred by ASCs generally to perform the procedure based on
audited and standardized 1994 survey data, we proceed to the final step
in the ratesetting process, which is grouping procedures for the
purpose of calculating prospective ASC payment rates.
4. Proposed Ratesetting Method
Establish procedure groupings.
a. Current Classification System
When we rebased ASC payment rates using 1986 survey data, we
expanded from four to eight payment rates or levels, as explained in
the February 8, 1990 Federal Register (55 FR 4539). (We explain
elsewhere in this notice that a ninth payment level was established
effective January 30, 1992 to accommodate payment for CPT code 50590,
extracorporeal shock wave lithotripsy, but that payments of an ASC
facility fee for this procedure were suspended following the issuance
of a court stay on March 10, 1992.) We currently group codes by
assigning each procedure, depending on its cost, to the appropriate
level within a series of predetermined $75 intervals. The only factor
roughly common to all procedures within the six currently active non-
IOL ASC payment groups is the approximate cost of performing the
procedure based on 1986 survey data and/or our estimate of that cost
when data are lacking.
b. Proposed Ambulatory Payment Classification System
We propose to replace the current method of grouping procedures on
the ASC list with a classification system that takes factors such as
time, type of surgery, and body system into account, in addition to the
costs incurred by facilities in connection with performing the
procedure. Addendum B lists the resulting ambulatory payment
classification system (APCS) groups that are the basis for determining
the payment rates for ASC facility services that we are proposing in
this notice. Although the genesis of these groups was in the ambulatory
patient groups (APGs) that were developed by 3M Health Care under a
HCFA grant, the APC groups are not the same as APGs, and Medicare
regulations and policy governing payments to ASCs using these groups do
not necessarily follow the 3M APG model.1
---------------------------------------------------------------------------
\1\ Health Information Systems, 3M Health Care. The Ambulatory
Patient Groups Definitions Manual, Version 2.0. Wallingford,
Connecticut, 1995.
---------------------------------------------------------------------------
The APC groups are the result of intensive work on the part of HCFA
staff and medical advisors who started with the 3M APGs but then
reorganized the groups on the basis of several factors. First, we had a
data set of 1516 CPT codes with cost and utilization information from
295 ASCs that was collected through the 1994 ASC survey. In addition,
we had comments from 79 correspondents, including ASC administrators,
State agencies, professional organizations and societies, trade
associations, and physicians following the July 1996 Medicare ASC Town
Meeting in Baltimore, that were virtually unanimous in questioning the
internal consistency of a number of the 3M APG groups. (We had
circulated 3M's Version 2.0 significant procedure APGs at the ASC Town
Meeting, without any costs or rates attached, and asked for comments on
the homogeneity of the groups.) A number of commenters suggested
regrouping codes, and they supported their recommendations on the basis
of the time required to perform procedures in the new groups and the
costs associated with supplies and equipment needed to perform the
procedures. Of particular concern were the grouping of gastrointestinal
endoscopies, arthroscopies, a number of urinary tract procedures, and
groups where diagnostic and therapeutic surgical procedures were put in
the same APG. In cases where our data supported a recommendation, we
modified a payment group accordingly. If we did not make a recommended
change, it was because our data did not support the change, or because
the change was inconsistent with our standards for determining
procedures that are safe and appropriate in an ASC. Once we began
shifting codes from one group to another, we found that other groups
were affected, so we ended up reviewing and modifying virtually every
grouping of surgical procedure codes.
To classify procedures with limited or aberrant ASC survey data, we
relied on the medical judgement of our staff physicians in conjunction
with 1993 hospital outpatient department claims data and physician
practice expense relative value units (RVU) from the Medicare physician
fee schedule. We also took into account Medicare utilization patterns
based on 1995 physician claims site-of-service data to aid in
determining levels of procedure complexity.
By adding clinical consistency to cost as a determinant for
classifying surgical procedures for ratesetting purposes, we propose to
expand from eight to 105 the number of ASC payment groups. Our lowest
payment rate would drop to $53 (APC #207, Closed Treatment Fracture
Finger/Toe/Trunk), and our highest payment rate would increase to
$2,107 (APC #527, Lithotripsy). We believe this classification system
rectifies distortions that have developed under the current ASC groups
which have resulted in underpayments for a number of procedures and
overpayments for some others.
Using groups that are characterized by homogeneous clinical
characteristics as well as costs enables us to set rates more
accurately for new procedures that are appropriate and safe in an ASC
but for which we have minimal data or for infrequently performed
procedures for which cost data are questionable or non-existent.
Following the ASC Town Meeting, some commenters urged a ratesetting
method for ASCs that would promote equitable reimbursement for
procedures across all settings. At least one commenter stated that
Medicare payment policy ought to be neutral as to site of service. In
fact, one of the reasons that we have devoted so much attention to
developing the APC surgical groups for ASC ratesetting is in
anticipation of using them as part of the prospective payment system
that is to be implemented on January 1, 1999 for hospital outpatient
department services. It is our intent to keep the APC surgical groups
comparable for ASCs and hospital outpatient departments (HOPDs).
Currently under development is the HOPD prospective payment system,
which contains as one of its elements APC surgical groups that parallel
the APC surgical groups we are proposing for ASCs. In order to keep the
groups comparable in the two settings, we propose to review comments on
the composition of the APC groups that are submitted during the public
comment period following publication of both this ASC notice and the
HOPD notice. We further propose to coordinate any adjustments to the
composition of the APC surgical groups that may result from our
analysis of both sets of comments to ensure that the final APC surgical
groups not only reflect and take into account both sets of comments,
but also remain comparable for ASCs and HOPDs to the maximum extent
possible within the constraints imposed by statutory and regulatory
requirements.
[[Page 32308]]
Every CPT code within the surgical range of 1998 Physicians'
Current Procedural Terminology is accounted for in Addendum A either in
an APC group or in a non-payment category. We propose to expand the
list of Medicare covered procedures from 2280 to 2499, which includes
the addition of 422 procedures and the deletion of 203 procedures
currently on the list, consistent with the standards discussed in
section II.A. of this notice. We move to the final step in determining
prospective payment rates for procedures on the ASC list.
5. Proposed Ratesetting Methodology
Determine a standard payment rate for the procedures within each
group.
a. Setting Rates Based on ASC Survey Data
Having classified procedures that are safe and appropriate in an
ASC setting into 105 payment groups, we arrayed the procedures within
each group in descending order of facility-specific procedure cost,
weighted by each facility's procedure-specific Medicare volume, to
determine the median cost of procedures in that APC. Weighting by the
number of times the procedures were performed on Medicare patients
gives recognition to the relative importance of each facility in
furnishing procedures covered by the Medicare program. The derived
median cost determined the payment rate for the group.
b. Setting Rates for Procedures With Limited Medicare Volume or
Aberrant Cost Data
When we determined individual procedure costs (see section III.E.2,
above), we eliminated information on costs, charges, and utilization
from the ASC survey database for 345 CPT codes that were reported by
fewer than 3 facilities and 199 CPT codes for which there was no
reported Medicare volume. We also lacked 1994 survey data for the 422
proposed additions to the ASC list. After procedures had been assigned
to APC groups (section III.E.4, above), we found 6 surgical APCs
comprised entirely of codes for which we had no reported ASC survey
data. In addition, there were 43 APCs with fewer than 200 Medicare
cases across all procedures in the group. (We determined that using the
median cost of fewer than 200 Medicare cases to set payment rates for
these 43 APCs failed to represent adequately the majority of procedures
within the group and did not result in a reasonable group payment
rate.) We also identified 15 APCs with Medicare volume greater than 200
cases for which we did not rely on reported ASC data to determine a
payment rate because we believed that reported procedure charges for
codes in these groups were based more on historical ASC payment rates
than on the cost of performing the procedure. We also questioned the
reliability of the data reported for procedures within these groups
when we found in the majority of cases that the per procedure costs of
simple procedures were higher than the costs determined for similar but
more complex procedures.
In order to set a payment rate for the 64 APC groups for which we
had little or no Medicare volume or reliable cost data, we calculated a
relative value factor for each of the 41 surgical APC groups for which
we did have reliable data, which we extrapolated as a standard against
which to compare and rank the 64 data deficient APC groups. To
calculate the relative value factors, we divided the payment rate
already set for each of the 41 APCs with adequate ASC survey data (see
section III.E.5.a, above) by 504, the median rate of those 41 groups.
We used the relative value factors as a gauge to compare the data-
deficient groups with the 41 groups with data in terms of the type and
duration of surgery, supply and equipment costs, and clinical labor
requirements characteristic of each group. We reasoned that we could
infer a relative value factor for each of the data-deficient groups on
the basis of these comparisons. Using this analysis, combined with the
expertise of our staff physicians, the comments we received following
the 1996 ASC Town Meeting, and our analysis of other data sources, such
as 1993 hospital outpatient claims data and relative value units
established under the Medicare Physician Fee Schedule, we estimated
relative value factors for the 64 ASC data-deficient APC groups. The
relative value factors for procedures on the ASC list are shown in
Addendum A and Addendum C.
We then multiplied the relative value factor estimated for each
data-deficient group by 504 to determine a payment rate for each of the
64 data-deficient APC groups. We viewed 504 as the most reasonable
value to use as a conversion factor to set ASC payment rates for the
data-deficient APCs because 504 was the median rate of the APC groups
that had the highest ASC Medicare volume and for which we had
substantive 1994 survey data.
Using this approach, we determined payment rates for 1058 CPT codes
(42 percent of the 2499 codes proposed for the ASC list) for which we
had little or no cost data. Of the 43 APCs that had fewer than 200
Medicare cases, nearly half were assigned a higher payment rate than
would have been the case if we had relied on the limited ASC data that
were available as the basis for the payment rate. In the case of two
groups with more than 200 Medicare cases, one of which consisted of
corneal transplant procedures, we increased the payment rate because
the data-referenced costs were too low.
c. Payment Rate for CPT Code 67027, Implantation of Intravitreal Drug
Delivery System
This is a new 1998 CPT code that we are proposing to add to the ASC
list. Because it is new, we have no cost data in connection with this
code. We ask for comments on which of the APC groups proposed for
ophthalmic procedures (APC groups 649, 651, 652, 667, 668, 670, 676,
677, 683, 684, or 690) this procedure code would be most appropriately
assigned both in terms of its clinical characteristics and resource
costs. We request that commenters support their suggestions with
information and data that elucidates the clinical characteristics and
resource costs of this procedure relative to other procedures in the
various APC groups for eye surgery.
6. Payment Policy Indicators
We have developed a set of payment policy indicators to assist ASCs
and fiscal contractors in determining whether Medicare allows payment
to an ASC for a particular procedure, item or service. Addendum A shows
a payment indicator for every 1998 HCPCS code.
ASC payment policy indicators are intended to supplement, not
replace, the correct coding initiative (CCI) edits that carriers
already apply to claims for ASC services. (The CCI edits identify code
pairs which, when billed together, represent either unbundling (the
reporting of a comprehensive procedure and its component procedures) or
mutually exclusive procedures (procedures which by definition cannot
occur during the same operative session.)) The ASC payment policy
indicators are defined as follows:
a. We use ``1'' to designate a procedure for which Medicare pays
Medicare approved ASCs a prospectively determined ASC facility fee for
ASC services. Collectively, the CPT codes with an ASC payment indicator
of ``1'' make up the ASC list. (See Addendum B.) Medicare allows
payment of an ASC facility fee only for codes with an ASC payment
policy indicator of ``1.''
b. We use ``2'' to indicate a procedure, item, or service for which
Medicare
[[Page 32309]]
does not allow a separate payment when the procedure, item, or service
is furnished at a Medicare approved ASC. If the procedure, item, or
service is covered, payment is always packaged into and subsumed within
payment(s) made for other services not specified. Some codes with a
``2'' indicator describe items or services that fall within the scope
of ASC facility services, whose costs are taken into account within the
ASC facility fee. Examples of these include CPT code 36000,
Introduction of needle or intracatheter; or, CPT code 81002,
Urinalysis, by dip stick or tablet reagent; or, alphanumeric HCPCS code
V2632, Posterior chamber intraocular lens. When these services are
furnished at an ASC, payment for them is included as part of the ASC
facility fee.
c. We use ``3'' to indicate a procedure, item or service that is
excluded from the ASC list because it is not reasonable, not necessary,
and not appropriate in an ASC setting. We have assigned an ASC payment
policy indicator of ``3'' to procedures that our medical advisors
consider to be unsafe in an ASC based on the criteria in
Sec. 416.22(b), and to CPT codes that are for unlisted procedures.
d. Codes with an ASC payment policy indicator ``4'' are not valid
for Medicare purposes, although Medicare recognizes a 90-day grace
period during which the code may be used. If Medicare covers the
service, another code is to be used to bill for it. Codes with an ASC
payment policy indicator ``4'' are assigned a procedure status code of
``G'' on the Medicare Physician's Fee Schedule.
e. We use ``5'' to indicate a procedure, item, or service that is
safely and appropriately performed or furnished in a physician's office
or clinic. We consider procedures with an ASC payment policy indicator
``5'' to be office-based because they do not generally require the more
elaborate facility services of an ASC and they do not satisfy the
criteria proposed in Sec. 416.22(a). Procedures with an ASC payment
policy indicator ``5'' are not considered to be on the ASC list.
Medicare takes into account and pays for the costs incurred to
perform these procedures under the Physician Fee Schedule. If a
procedure with an ASC payment policy indicator ``5'' were performed at
an ASC and the ASC billed Medicare for the procedure, payment would be
denied. The denial would be based on two factors: first, the procedure
is not on the ASC list, and secondly, because the procedure is
designated as an office-based procedure, Medicare payment for the
procedure is made in full to the physician as determined by the
physician's fee schedule. Any payment in addition to what Medicare pays
the physician under the Medicare Physician Fee Schedule for procedures
with an ASC payment policy indicator ``5'' is redundant and is not
allowed. After any applicable deductible and copayment amounts are
satisfied, we consider the beneficiary's obligation for a procedure
with an ASC payment policy indicator ``5'' to be met in full by
Medicare's payment to the physician.
If a procedure code with an ASC payment policy indicator ``5'' is
subject to the site-of-service differential under the Medicare
Physician Fee Schedule, the site-of-service practice expense reduction
is not applied if the procedure is performed in an ASC because we do
not consider the procedure to be on the ASC list and because we regard
the ASC as a surrogate physician's office with respect to these
procedures.
f. We use ASC payment policy indicator ``6'' to indicate that a
procedure, item or service either falls outside the scope of ASC
facility services as proposed in Sec. 416.21(b) or that the procedure,
item or service is one to which the concepts of an ASC facility fee or
the ASC benefit are not relevant and do not apply. In the latter case,
the procedure, item or service is outside the realm of ASC facility
services and would never, by definition, be furnished by an ASC, e.g.,
clinical laboratory tests, maternity care and delivery, emergent
procedures, or physician evaluation and management.
In the former case, although the ASC facility fee for a surgical
procedure on the ASC list does not include payment for the cost of
items, procedures, or services that have an ASC payment policy
indicator ``6'', if these procedures, items, or services are covered
and are reasonable and necessary, Medicare could allow a separate
payment under another Part B benefit as long as Medicare recognizes and
approves the entity as a supplier of the item or service. For example,
we do not consider prosthetic implants, except IOLs, to fall within the
scope of ASC facility services. But if an entity that is approved by
Medicare as an ASC is also approved as a supplier of prosthetic
implants, Medicare allows payment to the entity for a prosthetic
implant in accordance with the prosthetic fee schedule in addition to
payment of an ASC facility fee for services furnished by the entity in
connection with a procedure on the ASC list that is performed to insert
the prosthetic implant. See section III.F for further discussion of
items and services that fall outside the scope of ASC services.
g. We use ``7'' to indicate a procedure to which special coverage
instructions apply, such as CPT code 11950, Subcutaneous injection of
``filling'' material, (e.g. collagen); 1 cc or less, about which
carriers must make a determination of reasonableness and medical
necessity. If a surgical procedure with an ASC payment policy indicator
``7'' is performed in a Medicare approved ASC and a claim for ASC
services is submitted, payment depends on whether the carrier
determines that the procedure is reasonable and necessary. If the
carrier determines that the procedure was reasonable and necessary, an
ASC payment rate is given and the procedure would be considered to be
on the ASC list for the purposes of the specific claim. Procedures with
a status indicator ``R'' under the Medicare Physicians' Fee Schedule
automatically receive an ASC payment policy indicator of ``7.''
h. We have reserved payment policy indicator ``8'' for future use.
i. We use ``9'' to indicate a procedure, item or service that is
not covered by Medicare and for which Medicare never makes payment. ASC
payment policy indicator ``9'' corresponds to procedure status codes
``I'', ``N'', and ``E'' under the Medicare Physician Fee Schedule.
(Status code ``I'' is used to indicate codes that are not valid for
Medicare purposes with no grace billing period allowed; status code
``N'' is used to indicate codes that describe a noncovered service;
status code ``E'' is used to indicate codes that are excluded from the
Medicare Physician Fee Schedule by regulation.)
7. Comments on Proposed Ambulatory Payment Classification Groups,
Payment Policy Indicators and Payment Rates
Addendum A lists all 1998 HCPCS codes in numeric order by code and
includes an ASC payment policy indicator for each code and, where
applicable, a notation as to whether or not the code is proposed for
addition to or deletion from the ASC list. Addendum B presents the ASC
list by APC group. Addendum C is a list of 105 surgical APC groups with
their respective titles, ASC relative values, and ASC payment rates. We
solicit comments on the payment rates, APC grouping, and payment policy
indicators proposed in these tables. However, we request that
commenters who question the appropriateness of the rate or APC
assignment proposed for a particular procedure support their argument
with specific details related to intra-operative time, staffing
requirements, and costs incurred by the
[[Page 32310]]
facility to furnish disposable and non-disposable supplies,
pharmaceuticals, instrumentation, and equipment in connection with the
procedure and that procedures more closely related in terms of cost be
identified. We also solicit comments on the changes to the ASC
ratesetting methodology that are proposed in this section.
8. Carrier Adjustment of Base Rates to Determine Payment Amounts
The payment rates proposed in this notice are standard base rates
that have been adjusted to remove the effects of regional wage
variations. When carriers process claims for ASC facility services,
they adjust the base rates to reflect the wage index value applicable
to the area in which the ASC is located. The Medicare payment for ASC
facility services is equal to 80 percent of the wage-adjusted standard
payment rate. Beneficiaries are responsible for a 20 percent copayment
for ASC facility services once their deductible is satisfied. Below are
some examples of how carriers adjust the ASC base rates to calculate
facility fees.
Example 1
The following is an example of how to determine the wage adjusted
payment rate for CPT code 28230, Tenotomy, open, flexor; foot, single
or multiple (separate procedure) performed at an ASC located in Denver,
Colorado. The procedure is in APC group 271, Level I foot
musculoskeletal procedures. The base rate for the procedure is $510.
The ASC wage index value for Denver, Colorado is 1.0386. The labor
related portion of the base rate is $192 ($510 x 37.66 percent); the
non-labor related portion of the base rate is $318 ($510 x 62.34
percent).
Wage Adjusted Rate:
= ($192 x 1.0386) + $318
= $199 + $318
= $517
Example 2
The following is an example of how to determine payment for CPT
code 66984, Extracapsular cataract removal with insertion of
intraocular lens prosthesis (one stage procedure), manual or mechanical
technique (e.g, irrigation and aspiration or phacoemulsification). The
procedure is in APC group 668, Cataract procedures with IOL insert. The
base rate for the procedure is $863, which includes a $150 IOL
allowance. Because IOLs are not subject to adjustment for labor costs,
the IOL allowance ($150) must be subtracted from the composite payment
rate before applying the wage index adjustment. The ASC wage index
value for Denver, Colorado is 1.0386. The labor related portion subject
to wage index adjustment is 37.66 percent of the base rate from which
the IOL allowance has been deducted.
Wage Adjusted Rate:
= [{($863-150) x .3766} x 1.0386] + [{863-150} x .6234]
= [($713 x .3766) x 1.0386] + [$713 x .6234]
= ($269 x 1.0386) + $444
= $279 + $444
= $723
Composite Adjusted Rate:
= $723 + $150
= $873
9. Using Resource Costing to Determine Procedure Costs
Resource costing involves the measurement of all the direct and
indirect costs involved in the performance of a specific procedure.
Direct costs include all activities, materials, and equipment that are
traceable to a specific procedure. Indirect costs, such as rent,
utilities, and insurance, cannot be directly traced to a specific
procedure. Rather, a factor such as units or time is used to allocate
indirect costs uniformly at the individual procedure level.
We introduced the collection of resource cost data in the 1994 ASC
survey primarily in response to industry recommendations that we do so
on the grounds that procedure-specific cost studies measure facility
resource expenditures more accurately and reliably than using a cost-
to-charge ratio to convert procedure charges into a proxy for procedure
costs. Part II of the 1994 ASC survey collected procedure specific
statistical and resource cost data for the following 29 ASC procedures.
1. 14060 Adjacent tissue transfer or rearrangement, eyelids, nose,
ears and/or lips; defect 10 sq cm or less.
2. 19120 Excision of cyst, fibroadenoma, or other benign or
malignant tumor aberrant breast tissue, duct lesion or nipple lesion
(except 19140), male or female, one or more lesions.
3. 28285 Hammertoe operation; one toe (e.g., interphalangeal
fusion, filleting, phalangectomy).
4. 28292 Hallux valgus (bunion) correction, with or without
sesamoidectomy; Keller, McBride or Mayo type procedure.
5. 29881 Arthroscopy, knee, surgical; with meniscectomy (medial or
lateral including any menuiscal shaving).
6. 43235 Upper gastrointestinal endoscopy including esophagus,
stomach, and either the duodenum and/or jejunum as appropriate; complex
diagnostic.
7. 43239 Upper gastrointestinal endoscopy including esophagus,
stomach, and either the duodenum and/or jejunum as appropriate; for
biopsy and/or collection of specimen by brushing or washing.
8. 45378 Colonoscopy, fiberoptic, beyond splenic flexure;
diagnostic procedure.
9. 45380 Colonoscopy, fiberoptic, beyond splenic flexure; for
biopsy and/or collection of specimen by brushing or washing.
10. 45385 Colonoscopy, fiberoptic, beyond splenic flexure; with
removal of polypoid lesion(s).
11. 49505 Repair inguinal hernia, age 5 or over.
12. 50590 Lithotripsy, extracorporeal shock wave.
13. 52000 Cystourethroscopy (separate procedure).
14. 55700 Biopsy, prostate; needle or punch, single or multiple,
any approach.
15. 56350 Hysteroscopy, diagnostic (separate procedure).
16. 58120 Dilation and curettage, diagnostic and/or therapeutic
(nonobstetrical).
17. 62278 Injection of anesthetic substance (including narcotics),
diagnostic or therapeutic; lumbar or caudal epidural, single.
18. 62289 Injection of substance other than anesthetic, contrast,
or neurolytic solutions; lumbar or caudal epidural (separate
procedure).
19. 64721 Neuroplasty and/or transposition; median nerve at carpal
tunnel.
20. 65730 Keratoplasty (corneal transplant); penetrating (except in
aphakia).
21. 66170 Fistulization of sclera for glaucoma; trabeculectomy ab
externo.
22. 66821 Discission of secondary membranous cataract (opacified
posterior lens capsule and/or anterior hyaloid); laser surgery (e.g..
YAG laser) (one or more stages).
23. 66984 Extracapsular cataract removal with insertion of
intraocular lens prosthesis (one stage procedure), manual or
phacoemulsification technique (e.g., irrigation and aspiration or
phacoemulsification).
24. 66985 Insertion of intraocular lens prosthesis (secondary
implant), not associated with concurrent cataract removal.
25. 66986 Exchange of intraocular lens.
26. 67010 Removal of vitreous, anterior approach (open sky
technique or limbal incision); subtotal removal with mechanical
vitrectomy.
[[Page 32311]]
27. 67036 Vitrectomy, mechanical, pars plana approach.
28. 67107 Repair of retinal detachment, one or more sessions;
scleral buckling (such as lamellar excision, imbrication or encircling
procedure), with or without implant, may include procedures 67101,
67105.
29. 67904 Repair of blepharoptosis; (tarso) levator resection or
advancement, external approach.
We selected these procedures because they are either high volume
ASC procedures (such as 66984, 66821, 52000) or they are procedures
that include an unusual cost or service (such as 67036, 65730, 50590).
We asked facilities to report typical resource utilization and cost
information regarding time allocations, staffing patterns and labor
costs, supply costs, and equipment costs on a procedure-specific,
single case basis. In order to calculate an overall per procedure cost
based on the resource cost data reported in the 1994 ASC survey, we
first calculated a facility-specific procedure cost for each of the 29
CPT codes targeted in the 1994 ASC survey. We then determined the
median procedure cost across all facilities, weighted by total volume.
We also looked at weighting by Medicare volume. We used the same wage
index values and inflation factors to adjust resource based cost data
that we used to convert procedure charges to costs, as explained in the
preceding sections.
Step a--To remove the effect of geographical wage differences, we
divided indirect and direct labor-related procedure costs by the pre-
classification/pre-floor hospital inpatient prospective payment system
wage index value applicable to the facility's location.
Step b--We calculated an overhead factor by which to step down
indirect overhead costs to a single procedure level. To determine this
factor, we summed the costs reported by a facility for its plant and
property; office equipment; medical equipment other than procedure
specific equipment; office and housekeeping supplies; wages and fringe
benefits for administrators, directors, managers, supervisors,
clerical, and other non-medical personnel; bad debt; and general
administrative overhead such as taxes, insurance, and interest. We
divided the facility's aggregated overhead expenses by the total number
of procedures performed at the facility during the survey period. The
resulting figure represents the amount of indirect overhead costs
apportioned to each surgical case performed in the ASC.
Step c--We summed the costs incurred by the facility to furnish the
disposable and reusable supplies, pharmaceuticals, equipment, and labor
that it typically furnishes in connection with the procedure (direct
costs).
Step d--We added the facility's procedure-specific direct costs
(Step c) to the facility's indirect cost allocation (Step b).
Step e--We inflated the facility's procedure cost to July 1998
using the appropriate inflation factor.
Step f--To ascertain what it costs ASCs generally to perform the
target procedures, based on audited direct and indirect costs, we
determined the median cost across all facilities, weighted by total
volume.
Analysis of Resource-Based Procedure Cost Methodology: We found
that for 11 of the 29 target procedures for which we collected resource
cost data, the per procedure cost was lower using resource costing than
it was using a cost-to-charge ratio conversion, whereas for 18 of the
29 target procedures, the per procedure cost was higher using resource-
based costing. Variations in procedure costs between the two methods
were extreme, and for only 11 procedures was the resource-based cost
within 20% of the cost-to-charge converted cost.
In seeking an explanation for the lack of consistency between
resource costing and cost-to-charge conversion as a descriptor of
procedure cost, we found resource cost data to be irretrievably flawed.
We attribute the flaws in the resource cost data in part to the fact
that the 1994 survey was our first attempt to capture resource costs.
In spite of our efforts at clarity and several sessions in 1994 during
which we met with ASC representatives to answer questions about the
survey, the data reported indicate that our instructions were either
misinterpreted or misunderstood altogether. In addition, we attribute
the highly variable resource cost data to ASCs' lack of familiarity
with the new survey form and to inconsistencies among ASC recordkeeping
systems.
Our intent was for each facility to furnish a catalog or inventory
of the direct resources it typically expends to perform each of the 29
target procedures. But in many instances the use of disposable and
reusable supplies and pieces of equipment for the same procedure were
reported inconsistently across facilities. Equipment required to
perform a procedure was not listed or information reported about the
useful life of equipment or its purchase price was not given, making it
impossible to prorate the full cost of equipment to a single case. The
unit cost of numerous items and services was omitted altogether or ASCs
misinterpreted unit supply cost as the full cost of a single item or
service, instead of prorating the full cost of an item or service to a
single case. ASCs provided incomplete sets of resource cost data, e.g.,
labor costs for a procedure would be reported without the corresponding
supply costs. Entries were illegible on several forms.
Because of the many problems encountered with reported resource
cost data, we used only the audited data from the 96 facilities to
compute resource cost. However, in many cases even audited surveys
lacked direct resource cost data reported in the manner requested.
Although we did consult resource cost data in our analysis of procedure
costs and in assigning CPT codes to APC groups, we believe that
shortcomings inherent in our resource cost data base and the limitation
of cost data to only 29 codes preclude our relying on resource costing
as a basis for setting payment rates at this time. Therefore, we have
based the rates proposed in this notice on the methodology explained
previously.
We are disappointed by our lack of success in the 1994 ASC survey
in gathering usable resource cost data. Our inability to establish
weights and base ASC payment rates on the resource cost data that we
did collect is particularly frustrating in light of the fact that we
expect, beginning January 1, 1999, to make payments to physicians under
the Medicare physicians' fee schedule that are determined in part on
the basis of resource-based practice expense relative units. We have
been closely monitoring the development of the resource-based practice
expense relative value units under the physicians' fee schedule and the
ratesetting method for the hospital outpatient prospective payment
system, which is also scheduled for implementation effective January 1,
1999. When we rebase ASC payment rates following the next ASC survey,
we are committed to reexamining the resource-based practice expense
relative value units established under the Medicare physicians' fee
schedule and the weights developed under the hospital outpatient
prospective payment system for their applicability to ASC ratesetting
in order to advance towards our goal of setting rates in a manner that
is consistent across different sites of service.
F. Scope of ASC Services (Sec. 416.21)
We are proposing to renumber Sec. 416.61 to become Sec. 416.21, and
to clarify those items and services that we consider to fall within the
scope of facility services for which payment is
[[Page 32312]]
made as part of the ASC facility fee. In addition, this section of the
regulation lists the types of items and services that are considered to
fall outside the scope of ASC facility services, for which payment is
not included in the ASC facility fee but for which payment could be
made under other provisions of Medicare Part B. Recurring questions
have prompted these changes, such as inquiries as to whether or not ASC
facility services include fixation devices and orthopedic pins,
fluoroscopy used to assist the surgeon's field of vision during
surgery, electrocardiograms, the costs of procuring tissue for implant,
and prosthetic implants.
1. ASC Services
We continue to consider the following to be ASC facility services:
the services of nurses, technicians, and other staff involved in
patient care; the patient's use of the facility, including but not
limited to its operating room, recovery room, waiting room, rest rooms,
locker area; administrative, recordkeeping, and housekeeping items and
services that constitute indirect overhead expenses, including but not
limited to employees and contracted services related to scheduling,
admitting, discharging, and billing patients, to maintenance,
utilities, laundry, debt service, plant and property costs, and
insurance; and, intraocular lenses that are defined by the statute
specifically as an ASC facility service. In addition, ASC services
include medical and other health services such as surgical supplies,
medical equipment, drugs, biologicals, and pharmaceuticals; materials
for anesthesia, including the anesthetic itself and any equipment and
supplies necessary to administer and monitor anesthesia; and, splints,
casts, pins, wires, and other supplies used to reduce fractures and
dislocations.
Current section 416.61(a)(4) states that facility services include
``diagnostic or therapeutic services or items directly related to the
provision of a surgical procedure.'' Section 416.61(b)lists as
``excluded services'', among other things, ``X-ray or diagnostic
procedures (other than those directly related to performance of the
surgical procedure). . . .'' We have had a number of inquiries as to
which diagnostic or therapeutic services are considered within the
scope of ASC facility services and which are not. From a payment
perspective the distinction is important, to determine if the
diagnostic and therapeutic services can be paid for separately, in
addition to the facility fee. In an effort to clarify the distinction,
we have revised the regulation, and we propose to adopt the following
policy. We assume that when the descriptor for a CPT code includes
explicit reference to some kind of imaging, guidance, or other
diagnostic test, the cost, and therefore the ASC payment rate that we
have derived for that procedure, include the imaging, guidance, or
other diagnostic test, and those services are considered to be within
the scope of ASC services. An example of such a procedure is CPT code
56362, Laparoscopy with guided transhepatic cholangiography; without
biopsy. In the case of a procedure such as this, because the imaging is
explicitly integral to and inseparable from the surgical procedure, it
is considered within the scope of service and no separate payment is
allowed for the imaging.
When the descriptor for a CPT code specifies ``with or without''
some kind of imaging, guidance, or other diagnostic test, we assume
that the cost, and therefore the ASC payment rate that we have derived
for that procedure, do not include the imaging, guidance, or other
diagnostic test, and those services are considered to fall outside the
scope of ASC facility services. Therefore, the ASC facility fee for the
procedure would not include payment for costs incurred to furnish this
type of monitoring. There are other procedures, such as CPT code 36533,
Insertion of implantable venous access port, with or without
subcutaneous reservoir, where the physician may or may not elect to use
some type of imaging such as a fluoroscope to assist in placing the
device. In such cases, we assume that the cost, and therefore the ASC
payment rate for the procedure, do not include the imaging or guidance.
In the case of these procedures, the imaging, guidance, or other
diagnostic test is considered to fall outside the scope of ASC facility
services, and the ASC facility fee does not include payment for the
costs incurred to furnish these services.
Payment for the costs incurred by an ASC to perform any tests
granted waived status under the Clinical Laboratory Improvement
Amendments of 1988 (CLIA) as part of preparing a patient for surgery on
the day of surgery is included in the ASC facility fee for the surgical
procedure, and no separate payment for these tests is allowed. If an
entity that is approved by Medicare as an ASC also wants to be paid by
Medicare for diagnostic laboratory services, other than tests granted
waived status under CLIA, that entity must meet the laboratory
requirements spelled out in 42 CFR Part 493. In this case, the entity
would be considered a certified laboratory billing Medicare for
certified laboratory services, not as a Medicare approved ASC billing
Medicare for ASC facility services. Classification as a certified
laboratory or classification as a Medicare approved ASC is, for
Medicare billing purposes mutually exclusive.
2. Venous Access Portals Are ASC Facility Services
In 1992 we began receiving communications informing us that the
cost of certain models of implantable venous access ports that ASCs
were furnishing in connection with CPT 36533, Insertion of implantable
venous access port with or without subcutaneous reservoir, exceeded the
total facility fee for the surgical implant procedure. Following a
review of cost data available at the time, we instructed carriers to
pay the acquisition cost of an implantable venous access port (HCPCS
code A4300) as a temporary add-on to the ASC facility fee for CPT code
36533, even though the port is considered a supply, the cost of which
would ordinarily be packaged in the ASC facility fee.
In this notice, we propose to place CPT code 36533 in APC 368. The
payment rate proposed for CPT code 36533 includes an allowance for the
cost incurred by an ASC to furnish A4300, Implantable access catheter
(venous, arterial, epidural, or peritoneal), external access, or A4301,
Implantable access total system; catheter, port/reservoir (venous,
arterial or epidural), percutaneous access. Beginning on the effective
date of the implementation of the rates and ratesetting methodology
proposed in this notice, Medicare will cease to make a separate payment
for implantable access catheters and/or ports furnished in connection
with CPT code 36533 when the procedure is performed in an ASC.
Alphanumeric codes A4300 and A4301 have a payment indicator ``2,''
because the costs incurred to furnish these items, which are considered
supplies, in connection with performing CPT code 36533 are considered
to be within the scope of ASC services for which Medicare makes payment
of an ASC facility fee.
We solicit comments on the adequacy of the payment rate for CPT
code 36533 to offset the costs incurred to furnish the vascular access
portal.
3. Acquisition of Corneal Tissue is an ASC Service
In 1992, ASC administrators and medical staff also pointed out a
growing disparity between the payment amount established for corneal
transplant procedures (CPT codes 65710, 65730, 65750, and 65755) and
the costs ASCs were incurring to furnish corneal tissue, e.g., the
charges imposed by eye banks
[[Page 32313]]
and organ procurement organizations for processing, preserving and
shipping corneal tissue. A review of the data that were the basis for
setting the payment rates for corneal transplant procedures indicated
that corneal tissue procurement costs had either not been reported or
else had been imprecisely identified, and these costs did not appear to
be reflected in the ASC payment rates established for corneal
transplant surgery. Therefore, we instructed carriers to pay corneal
tissue acquisition costs (HCPCS code V2785), subject to the usual
copayment and deductible requirements, as an add-on to either the ASC
facility fee or the supplying physician's fee for corneal transplant
surgery performed in an ASC. The additional payment had to be supported
by an invoice from an eye bank or organ procurement organization
showing the actual cost of acquiring the corneal tissue.
In this notice, we propose to group corneal transplant procedures
in APC 670. The payment rate for the procedures in APC 670 takes into
account the costs of acquiring corneal tissue. Therefore, Medicare will
cease to make a separate payment for corneal tissue procurement costs
incurred in connection with CPT codes 65710, 65730, 65750, and 65755
when these procedures are performed in an ASC, beginning on the
effective date of implementation of the rates and ratesetting
methodology proposed in this notice. Alphanumeric code V2785
(Processing, preserving and transporting corneal tissue) has a payment
indicator ``2,'' because the costs incurred for this service are
considered to be within the scope of ASC services for which payment is
made as part of the ASC facility fee.
We solicit comments on the adequacy of the payment rate for the
procedures in APC 670 to offset the costs incurred to procure corneal
tissue in connection with performing corneal transplant surgery.
4. Outside the Scope of ASC Services
Historically, certain items and services that may be furnished in
connection with surgery performed at an ASC have not been considered to
fall within the scope of ASC services because payment for these items
and services could be made under other provisions of Medicare Part B.
None of the following is considered to be an ASC service, and Medicare
does not include payment for these services in the ASC facility fee:
Physicians' services, the services of certified registered nurse
anesthetists, prosthetic devices and implants, durable medical
equipment and supplies, artificial limbs, or braces.
As discussed above, diagnostic imaging services and other
diagnostic tests are not considered to be ASC services and are not paid
for as part of the ASC facility fee except when they are considered an
integral and inseparable part of a surgical procedure by explicit
reference or by universal agreement that they are standard medical
practice as in the case of amniocentesis.
G. Basis for Payment (Sec. 416.30)
When an ASC furnishes services in connection with a procedure on
the ASC list, Medicare pays a prospectively determined standard fee for
those services. Section 416.22 of the ASC regulations proposed in this
rule pertains to how we determine which procedures are safe, effective,
appropriate, reasonable and necessary in an ASC and are therefore
included in the ASC list. Section 416.21 of the proposed ASC
regulations lists the services that are paid for within the ASC
facility fee as well as describing services that might be furnished in
connection with an ASC procedure but for which payment is not included
in the ASC facility fee. Section 416.30 of the proposed ASC regulation
is intended to delineate the differing bases by which Medicare can make
payment for services furnished in connection with surgical procedures
on the ASC list. Because of the manner in which the statute is written,
the type of setting determines the basis for Medicare payment for
services that are furnished in connection with procedures on the ASC
list.
1. Hospital Outpatient Department (HOPD)
Section 1833(i)(3) of the Act provides that payment for services
furnished in a hospital outpatient department in connection with
procedures on the ASC list is to be based in the aggregate on a
comparison between two amounts. The payment is to be the lesser of the
following:
The amount for services that would be paid to the hospital
under section 1833(a)(2)(B) of the Act (that is, the lower of the
hospital's reasonable costs or customary charges for the services,
reduced by deductibles and coinsurance).
An amount based on a blend of--
The amount that would be paid to the hospital for the services
under section 1833(a)(2)(B) of the Act reduced by deductibles and
coinsurance (called the hospital-specific amount); and
--The amount paid to a Medicare approved ASC for the same procedure in
the same geographic area in accordance with 1833(i)(2)(A) of the Act,
which is equal to 80 percent of the standard overhead amount net of
deductibles (the ASC amount). Under 1833(i)(3)(B)(ii) of the Act, the
hospital specific amount and the ASC amount for portions of cost
reporting periods beginning on or after January 1, 1991 are 42 and 58
percent, respectively.
Section 4523(a) of the Balanced Budget Act of 1997 (Pub. L. 105-33)
requires that, beginning in 1999, the amount of Medicare payment for
covered HOPD services shall be determined in accordance with a
prospective payment system. This HOPD prospective payment system will
replace the blended payment methodology for ASC procedures performed in
an HOPD setting. It is not within the scope of this notice to describe
or discuss the specific provisions of the hospital outpatient
prospective payment system. However, consistent with our commitment to
move toward a more unified, less fragmented approach to Medicare
payment for surgical services performed on an ambulatory basis, we
anticipate that there will be common elements in the Medicare
ratesetting method and payment structure for surgical procedures
performed in either an ASC, or in a hospital outpatient setting under
the HOPD prospective payment system. These common elements include the
principle of packaging payment for a range of services within a single
payment rate; application of a multiple procedure discount; adjustment
of base payment rates to take into account the effects of regional wage
differences; and use of the same system of classifying or grouping
surgical procedures for ratesetting purposes, e.g., the ambulatory
payment classification system (APCS) which we discuss elsewhere in this
notice. (Even though we expect to use a common grouping system to
determine payment rates for both ASCs and hospital outpatient
departments, note that we base ASC payment rates on cost and charge
information taken from the 1994 ASC survey and that we will base
hospital outpatient payment rates on data taken from 1996 Medicare
claims for hospital outpatient services, on the most recently available
hospital Medicare cost report information, and on projected Medicare
expenditures in HOPDS in 1999.)
2. ASCs Operated by a Hospital
Our 1992 ASC survey revealed that hospital operated ASCs comprised
only 3.1 percent of the 1081 ASCs from
[[Page 32314]]
which we received completed surveys.2 We propose to add an
expanded definition of ``hospital-operated ASC'' to Sec. 416.2 to
eliminate some of the confusion in terminology that seems to occur when
distinguishing among ASCs, hospital outpatient departments, hospital
affiliated ASCs, provider-based ASCs, etc. The term ``hospital operated
ASC'' was coined originally simply to identify those ambulatory
surgical centers that were already in existence in 1982 as part of a
hospital and that wanted the option of participating in and being paid
under the new ASC benefit rather than continuing to be paid on a
reasonable cost basis as part of the hospital. In the August 5, 1982
Federal Register, we stated that if a hospital elected to have its ASC
paid for ambulatory surgical services under the ASC benefit, that ASC
would be subject to the same rules and regulations that apply to all
ASCs approved under 42 CFR part 416, in addition to certain other
restrictions directly related to the ASC's being owned and operated by
a hospital. A hospital outpatient department providing ambulatory
surgery would not be eligible to be paid as an ASC. (See 47 FR 34085.)
---------------------------------------------------------------------------
\2\ U.S. Department of Health and Human Services, Health Care
Financing Administration, Medicare Ambulatory Surgical Center
Payment Rate Survey--1992: Part I, General Information Summary of
Data. Baltimore: July 1994.
---------------------------------------------------------------------------
The regulations that apply solely to hospital operated ASCs are
found in Sec. 416.2 and Sec. 416.30 of the revised ASC regulations that
are proposed in this notice. We propose to continue the requirement
that once an ASC operated by a hospital elects to participate in
Medicare as an ASC rather than as a part of the hospital, that ASC will
not have the option of reverting to be a component of the hospital
unless HCFA determines there is good cause for it to do so. Costs for a
hospital-operated ASC must be treated as a non-reimbursable cost center
on the hospital's cost report.
We also propose to delete the requirement that a hospital operated
ASC's agreement to participate as an ASC be made effective on the first
day of the next Medicare cost reporting period of the hospital (42 CFR
416.30(f)(1)). We do not believe this would compromise either the
interests of beneficiaries or the integrity of the Medicare program.
This requirement imposes certain burdens, such as instances where a
hospital's cost reporting period does not begin until many months after
its ASC opens for business. We invite comments on whether this
requirement is superfluous and should therefore be removed from the
regulations.
3. Medicare Approved ASCs
The statute at 1832(a)(2)(f) authorizes Medicare to pay ASCs a
prospectively determined fee for facility services furnished in
connection with surgical procedures on the ASC list. Since 1982, HCFA
has defined facility services as items and services which would
otherwise be covered under Medicare if furnished on an inpatient or
outpatient basis in a hospital in connection with the ASC covered
procedure, excluding items and services for which payment may be made
under other provisions of Medicare Part B. (See the Federal Register
dated August 5, 1982 (47 FR 34097).) It is these items and services,
e.g., the items and services that would be covered under Medicare if
they were furnished on an inpatient or outpatient basis in a hospital
in connection with a surgical procedure, for which we make payment as
part of the ASC facility fee, and any service for which we include
payment in the ASC facility fee is considered an ASC service. As a
matter of policy, we have generally not included, as part of the ASC
facility fee, payment for items and services explicitly identified in
the Act as a Medicare Part B benefit for which separate payment is
made, although we have made a few exceptions. In summary, we exclude
from the Medicare definition of an ASC facility service any item or
service for which payment is not included in the ASC facility fee or
any procedure not on the ASC list, even if the item, service or
procedure is furnished at the ASC in connection with a procedure that
is on the ASC list. Section 416.21 of the proposed ASC regulations
distinguishes between services for which payment is included in the ASC
facility fee and services for which payment is not included in the ASC
facility fee.
We have received numerous inquiries from ASCs asking how Medicare
pays for certain services that they furnish to Medicare beneficiaries
in connection with a procedure on the ASC list when Medicare does not
include payment for those services as part of the ASC facility fee. We
have added Sec. 416.30(d)(2) to emphasize that excluding payment for
certain services and procedures from the ASC facility fee does not
preclude payment to the ASC for those services and procedures,
presupposing they are covered and reasonable and necessary, under other
provisions of Medicare Part B. Examples of the kinds of services
furnished at an ASC in connection with an ASC procedure, for which
payment is not included in the Medicare ASC facility fee, are the
professional services of physicians and certified registered nurse
anesthetists, prosthetic implants, or certain diagnostic X-ray and
imaging services and other diagnostic tests such as ultra sound. ASCs
have asked us how they can recoup the costs they incur to furnish
facility services (e.g., those expenses embodied in the technical
component (TC) established for diagnostic X-ray and other diagnostic
tests under the Medicare physicians' fee schedule) for diagnostic
electrocardiograms or fluoroscopy or ultrasound diagnostic procedures.
As discussed in Section III.F, when diagnostic X-rays, imaging, or
other diagnostic tests are explicitly referenced in a CPT code
descriptor, they are considered integral to the surgery and are
therefore paid for within the ASC facility fee. Otherwise, in order to
be paid separately for services that are furnished in connection with
procedures on the ASC list that are not ASC services, the Medicare
participating ASC must also be recognized and obtain Medicare approval
and billing privileges as a supplier of these other services.
One example of the multiple Medicare payment modalities that could
affect how an ASC is paid by Medicare is the manner in which Medicare
would pay for transperineal ultrasound guided seed implants for
prostate cancer performed at a Medicare approved ASC. There is a
surgical component to this treatment, CPT code 55859, Transperineal
placement of needles or catheters into prostate for interstitial
radioelement application, with or without cystoscopy. We are proposing
to add this procedure to the ASC list in APC group 523. Once the
surgical procedure is added to the ASC list, Medicare would allow
payment to an ASC for facility services furnished in connection with
CPT code 55859. If cystoscopy services were required, and the relevant
cystoscopy codes were on the ASC list, Medicare would allow an ASC
facility fee for the cystoscopy procedure(s), subject to the multiple
procedure payment rules found in proposed Sec. 416.30(d)(4). The other
procedures and services performed to furnish this treatment fall within
the radiology range (70000-79999) of CPT. Since radiology procedures
are not included on the ASC list, there is no basis for Medicare to
make payment to an ASC for brachytherapy services. However, if the
facility were to obtain supplier numbers from its carrier indicating
that the carrier recognizes the facility both as a non-physician
supplier of radiology services and as a freestanding radiation therapy
center, the facility should be able to bill for and
[[Page 32315]]
be paid the technical component for brachytherapy services within the
radiology range under the Medicare physicians' fee schedule.
Similarly, if a Medicare approved ASC were to furnish diagnostic X-
ray and other diagnostic tests in connection with performing a
procedure on the ASC list, such as visualizing the pre-operative
placement of needle localization wires, and if payment for those
services is not otherwise included in the ASC facility fee as signified
by an ASC payment policy indicator ``2,'' the facility could be paid
the technical component provided for those services under the Medicare
physicians' fee schedule as long as it meets the requirements for
independent diagnostic testing facilities (IDTFs). The regulations at
42 CFR 410.32 and 42 CFR 410.33 published in the October 31, 1997
Federal Register (63 FR 59098) and implemented January 1, 1998 explain
the IDTF requirements.
A Medicare approved ASC that is also approved as a supplier of
durable medical equipment (DME), prosthetics, and orthotics can be paid
the allowed Medicare fee schedule amount when it furnishes these items.
We believe that many ASCs are not aware that Medicare payment for
prosthetic implants in particular is separate from the ASC facility
fee. Prosthetics and durable medical equipment are coded using
alphanumeric HCPCS codes; the codes for prosthetic implants begin with
code L8500. Claims for prosthetic implants are processed by local
carriers; claims for orthotics and DME are processed by durable medical
equipment regional carriers (DMERCs). ASCs wishing to be recognized as
a supplier of prosthetics, orthotics, and/or durable medical equipment
should contact the National Supplier Clearinghouse (NSC), Palmetto
Government Benefit Administrators, P.O. Box 100141/300 Arbor Lake
Drive, Columbia, South Carolina 29202-3143, FAX 317-841-4600, to obtain
further information and an application.
As we explained in section III.D above, we propose to establish
that procedures with any of the criteria in Sec. 416.22(b) are not safe
and appropriate in an ASC. We have determined that such procedures are
not reasonable and medically necessary when performed in an ASC.
Therefore, we propose to add Sec. 416.30(d)(3) to the ASC regulations
to clarify that denials for such procedures, designated by ASC payment
policy indicator ``3,'' are based on the exclusion contained in section
1862(a)(1)(A) of the Act, and contained in Sec. 411.15(k)(1); that is,
the services ``are not reasonable and necessary for the diagnosis and
treatment of illness or injury or to improve the functioning of a
malformed body member.'' Beneficiaries are protected from liability for
claims denied on this basis by the limitation on liability provision of
section 1879 of the Act.
If an ASC facility fee is denied for a procedure because the
procedure is not reasonable and necessary in an ASC, logic dictates
that payment be denied for any other services furnished in connection
with that procedure because those other services would also have to be
considered not reasonable and necessary. Therefore, as a matter of
policy, we propose to instruct carriers to deny payment for physicians'
services, including anesthesiologists, or certified registered nurse
anesthetist (CRNA) services, prosthetic implants, imaging services,
etc., when such services are furnished at an ASC in connection with a
surgical procedure that is excluded from the ASC list.
H. Extracorporeal Shock Wave Lithotripsy (ESWL)
1. Background
On December 31, 1991 we published a final notice with comment
period in the Federal Register (56 FR 67666) in which we added CPT code
50590, Lithotripsy, extracorporeal shock wave (ESWL), to the list of
ASC covered procedures. We set the payment rate for ESWL at $1,150 on
the basis of a procedure cost matrix model. A new payment group 9 was
created solely for ESWL. Payment of a facility fee for ESWL as an ASC
covered procedure was effective for services furnished beginning
January 30, 1992.
On January 30, 1992 the American Lithotripsy Society (ALS) filed a
complaint and motion to preliminarily enjoin enforcement and
implementation of the December 31, 1991 notice insofar as it concerned
ESWL. In American Lithotripsy Society v. Louis W. Sullivan, M.D., et
al. 85 F. Supp. 1034 (D.D.C. 1992), the plaintiff challenged HCFA's
determination that ESWL is a surgical procedure under the ASC benefit
and the amount payable for the services in an ASC setting. The
plaintiff alleged that the $1,150 rate was not based on an estimate of
``a fair fee'' which took into account costs incurred by ASCs
performing such services as required by section 1833(i)(2)(a) of the
Act and that the rate was not supported by the administrative record.
On March 12, 1992, the United States District Court for the
District of Columbia held that HCFA's decision to classify ESWL as a
surgical procedure was reasonable. However, it remanded the rate-
setting issue in the December 31, 1991 notice to the Secretary for
further consideration and stayed the regulation, insofar as it related
to lithotripsy, pending remand. On remand, the Secretary is required to
publish all material information that is relevant to the setting of the
ESWL rate, receive comments, and publish a final notice in accordance
with the applicable statutes and regulations.
On March 19, 1992 we asked our regional offices to instruct
carriers and intermediaries to cease payments to Medicare participating
ASCs for ESWL services and to resume calculation of payments for ESWL
services furnished in a hospital outpatient setting on a reasonable
cost basis.
On October 1, 1993, we published a proposed notice in the Federal
Register (58 FR 51355) in which we proposed an ASC payment rate of
$1,000 for ESWL along with the data and the methodology used to
determine that rate, in accordance with the court's remand. The public
comment period that was to end on November 30, 1993 was extended to
December 30, 1993. (See Federal Register (58 FR 62128) dated November
24, 1993.)
We received timely 141 comments about the October 1, 1993 proposed
notice. Commenters included certified renal lithotripsy specialists;
physicians, nurses, administrators, and attorneys representing urology
and lithotripsy specialty clinics and centers; hospitals; physician
clinics and group practices; mobile lithotripsy suppliers; ambulatory
surgical centers; a regional multi-hospital cooperative stone treatment
service; and, professional societies and trade associations. Six
commenters submitted information on ESWL costs, charges, and
utilization following the format that we requested. In addition, ALS
submitted in support of its comments a study entitled Proposed Payment
for Extracorporeal Shock Wave Lithotripsy Services Furnished by
Ambulatory Surgical Centers that was prepared by The Moore Group of
Washington, D.C.
We have been considering the information contained in the comments
that were submitted during the public comment period. Virtually every
commenter objected to our proposed $1,000 ESWL payment rate, the
methodology and cost model that we used to set the rate, and the
assumptions upon which we based the ratesetting methodology and cost
model, stating that we had failed to take into account, as required by
the statute, the costs incurred by facilities to furnish ESWL services.
The comments raised enough question about the appropriateness of
certain of the assumptions upon which
[[Page 32316]]
we had based the payment rate proposed in the October 1, 1993 Federal
Register to cause us to defer setting a final ESWL rate until we had
completed our survey of ASCs that we had already scheduled to begin in
March 1994. That survey, entitled ``The Medicare Ambulatory Surgical
Center Payment Rate Survey--1994, Part II: Facility Overhead and
Procedure Specific Costs,'' is described elsewhere in this notice. We
made a point of including CPT code 50590 in the list of codes for which
we solicited charge, utilization, and resource cost data, even though
payment of a Medicare ASC facility fee for ESWL had been under remand
since March 12, 1992.
The ASC payment rate that we propose in this notice for ESWL (CPT
code 50590) supersedes the rate we proposed in the October 1, 1993
Federal Register. We followed the ratesetting methodology that is the
subject of this notice to determine the ASC payment rate for ESWL. In
addition to reviewing information on ESWL submitted in the 1994 ASC
survey, we also took into consideration the cost data and comments
submitted during the public comment period following publication of the
October 1, 1993 Federal Register. All material information that is
relevant to setting the rate for every ASC covered procedure contained
in this notice, including but not limited to ESWL, is published herein,
with the exception of our 1994 ASC survey data, which we explain how to
obtain separately. Our response to comments received timely and the
final notice published in accordance with applicable statutes and
regulations will therefore address the rate set for ESWL services
within the context of the other proposals contained in this notice.
Below is our response to the comments that were submitted timely
following publication of the October 1, 1993 proposed notice.
2. Comments
Comment: The American Lithotripsy Society (ALS) commented that it
continues to disagree with classifying ESWL as a surgical procedure and
that it believes that ESWL does not belong on the ASC list.
Response: We do not agree with the position taken by ALS on this
point. We believe that ESWL is a procedure that is appropriate for the
ASC list in light of the criteria we are proposing in this notice
(proposed 42 CFR 416.22). We explained our reasoning for considering
ESWL appropriate for the ASC list in the final notice with comment
period published December 31, 1991 in the Federal Register (56 FR
67673), and the federal district court found that we had rationally
justified and properly noticed our decision to classify ESWL as a
surgical procedure (American Lithotripsy Society v. Sullivan, 785 F.
Supp. 1034, 1037 (D.D.C. 1992). We therefore propose to retain ESWL on
the ASC list in APC group 527.
Comment: Every commenter objected to the $1,000 payment rate that
we proposed for ESWL services furnished in a Medicare participating ASC
as being inadequate, unfair, and far below the actual cost of providing
ESWL services. One commenter charged that HCFA was using the rate-
setting process as a device to eliminate what HCFA viewed as
underutilized facilities. Other commenters predicted that Medicare
beneficiaries would be denied access to the ease and convenience of
ESWL treatment of kidney stones if we were to implement a $1,000 ASC
facility fee for ESWL because ESWL suppliers could not afford to treat
Medicare patients for this amount. Another commenter complained that
HCFA's proposed facility fee would deprive lithotripsy facilities of a
substantial portion of the lithotripsy market and adversely affect the
hospitals, physicians, and others who had invested substantially in
ESWL facilities with the expectation that overhead costs would be fully
reimbursed by a Medicare payment rate based on actual costs.
Most commenters also challenged the cost model matrix and the
assumptions underlying the model that we used to calculate the $1,000
payment rate proposed in the October 1, 1993 Federal Register. One
commenter attributed our proposed rate to an ``impractically high
utilization rate'' combined with ``an unrealistically low estimate'' of
the costs involved in performing an ESWL treatment. Commenters claimed
that we ignored information submitted by the actual providers of ESWL
services, relying instead on outdated studies and obsolete information
from 1985, 1986, and 1987 when lithotripsy was first introduced and
furnished primarily on an inpatient basis, or substituting our own
judgment of what the facility fee should be without considering survey
data that revealed the actual costs of performing the procedure, as
required by the statute. In particular, commenters challenged our
assumptions about optimal utilization levels and the number of
procedures that could be performed in one day (too high); capital costs
(understated); fixed costs (attributable to our understatement of the
staff required to provide ESWL services in addition to pre-and post-
treatment care and to be in compliance with state regulatory
requirements); our allowance for supplies (too low, especially for the
disposable electrodes); and, our allowance for indirect overhead costs
(unrealistically low, especially because lithotripsy centers perform
only one procedure, which prevents them from offsetting losses from
ESWL by performing other more lucrative procedures).
Every commenter urged us to review or revise the proposed rate to
bring it more in line with actual expenses, which they asserted ranged
from $1,911 to as much as $3,674, as validated by urologists and actual
providers of ESWL services. Many commenters recommended that we adopt
as the basis for a Medicare payment amount for ESWL services the
findings and data contained in a report prepared by The Moore Group at
the behest of The American Lithotripsy Society (ALS) and its counsel,
Dyer, Ellis, Joseph & Mills. One commenter said the ALS survey and The
Moore Group report would no longer allow HCFA to use the lack of cost
data as a rationale for relying on the cost model contained in the
October 1, 1993 proposed notice. The same commenter said that if HCFA
was unwilling to use the ALS survey data as the basis for setting an
ESWL rate, HCFA should not adopt a payment rate until it conducted its
own survey of providers to determine a fair fee based on the costs
derived from that survey. This commenter urged HCFA, as a last resort,
to hold a formal hearing before implementing its proposed rate if HCFA
would not adopt the ALS survey data or collect its own survey data.
The report prepared by The Moore Group for ALS is entitled
``Proposed Payment for Extracorporeal Shock Wave Lithotripsy Services
Furnished by Ambulatory Surgical Centers'' and is based on the results
of a survey conducted by ALS. (This report was prepared for Dyer,
Ellis, Joseph & Mills, 600 New Hampshire Avenue, NW., Washington, DC
20037, telephone (202) 944-3000 by Lois A. Ehle, The Moore Group, 1212
New York Avenue, Suite 475, Washington DC 20005, telephone (202) 789-
0045.) ALS sent the survey (``American Lithotripsy Society Shock Wave
Lithotripsy Survey'') to its membership. In addition, according to the
introduction to the report, Dornier Medical Systems and Siemens Medical
Systems, lithotripter manufacturers, sent the ALS survey to users of
their equipment. Counsel for ALS collected survey responses and
forwarded them to The Moore Group, which analyzed the responses and
prepared the report. The report is based on information submitted by
105 of the 110 providers that returned a completed survey
[[Page 32317]]
representing approximately one third of the providers that received the
survey. The report is dated December 15, 1993, and it was enclosed with
comments submitted by ALS during the extended public comment period
following publication of the October 1, 1993 proposed notice.
The Moore Group report concluded that HCFA's cost matrix model
understated the capital, fixed, and variable costs associated with ESWL
services with the result that HCFA's proposed payment rate of $1,000
understated by 43 percent the $2,326 average cost incurred by ESWL
providers based on analysis of the ASL survey responses.
Response: The information submitted by commenters to the October 1,
1993 proposed notice has convinced us to defer implementing a $1,000
ASC facility fee for ESWL services. We considered adopting as an
interim payment rate the average cost per treatment arrived at by The
Moore Group ($2,326), but we ultimately decided not to do so for
several reasons. Our principal reservation was related to the fact that
of the 49 fixed lithotripter sites responding to the ALS survey, only
five were actually identified as ``Medicare approved'' ambulatory
surgical centers (ASCs), and only 30 of the 437 mobile sites for which
data were reported were identified as ASCs. Our charge is to set rates
for ambulatory surgical centers, as defined in the statute at Section
1832(a)(2)(F) and in regulations at 42 CFR part 416, and those rates,
as so many commenters pointed out, are to take into account the costs
incurred by ASCs generally in providing services in connection with
procedures on the ASC list. While the ALS survey points to costs
incurred by lithotripsy suppliers generally, including fixed and mobile
sites and hospitals and ``freestanding'' centers, we could not isolate
the ALS survey data as contained in The Moore Group report to costs
incurred solely by ASCs.
One commenter said that if we were unwilling to use the Moore
Survey, we should then, at the very least, conduct our own survey of
providers to determine a fair fee for ESWL rather than implement the
payment rate based on the cost model proposed in the October 1, 1993
Federal Register. As it happened, we had scheduled a survey of ASC
costs, charges, and utilization generally for early 1994, our first
such survey since 1986. Therefore, we decided to follow the commenter's
recommendation, and we included ESWL services as a part of the Medicare
ASC survey that went out in March 1994, the data from which are the
foundation for the rebased payment rates proposed in this notice. We
followed the ratesetting methodology explained in this notice and,
taking into account the comments submitted following publication of the
October 1, 1993 proposed notice as well as information submitted
through our 1994 survey, we determined a payment rate of $2,107 (APC
527) for ESWL services furnished by a Medicare participating ASC.
We believe this is a reasonable payment amount because it
approximates the average per procedure costs reported in comments to
the October 1, 1993 proposed notice, including The Moore Group study of
the ALS survey results, and costs derived from the 1994 Medicare survey
of ASCs; and, it takes into account costs incurred by fixed as well as
mobile lithotripsy delivery systems. It implicitly acknowledges the
utilization levels pronounced as typical by commenters and The Moore
Group and rewards facilities that maintain or exceed those utilization
levels while serving as an incentive to facilities with lower
utilization to improve their volume. Further attesting to the
reasonableness and reliability of the payment rate proposed in this
notice is the fact that it was determined in accordance with a
systematic, data-oriented, comprehensive ratesetting methodology
applied to more than 2400 surgical procedures rather than on the basis
of an interim ratesetting methodology that was developed to fill an
immediate need resulting from a lack in 1991-92 of current, reliable,
disinterested data on lithotripsy costs.
Comment: One commenter wondered why we accepted cost data from ASCs
to revise payment rates in February 1990 (55 FR 4526), and from payers
like Blue Cross/Blue Shield and lithotripter manufacturers to support
the cost model we proposed in the October 1, 1993 Federal Register (58
FR 51355), but refused to consider data submitted by lithotripsy
providers.
Response: We did consider the data submitted by commenters
following publication in the Federal Register of our proposed notice in
October 1, 1993 (58 FR 51355), and our analysis of those comments
resulted in our not implementing the October 1, 1993 proposed rate of
$1,000 pending completion of the 1994 Medicare ASC survey. In some
cases such as the matter of ESWL treatment time and general ESWL
utilization levels, we have reversed our earlier proposals on the basis
of information and data submitted by commenters.
Comment: One commenter stated that, in order to be considered a
``fair fee,'' the average cost of ESWL services reported by The Moore
Group ($2,326) would have to be increased to offset three additional
costs: payment for pre-and post-treatment services provided by a host
hospital or ASC when ESWL is furnished by a mobile lithotripter;
payment to offset bad debt; and, payment to provide a reasonable return
on equity capital.
Response: We disagree. Our reading of the report indicates that the
ALS survey and The Moore Group study took such costs into account in
the calculation of an average per treatment cost. The data reported in
the 1994 Medicare ASC survey would have reflected pre- and post-
operative costs and bad debt. Medicare policy precludes payment
allowances to provide a return on equity capital for facilities paid by
a prospective payment system because it diminishes the incentive for
efficient operation (47 FR 34082, 34089)
Comment: One commenter criticized our use of the CPI-U All Items
Index as a measure of the effect of inflation on health care costs and
our applying that factor to historical data to produce an estimate of
current costs.
Response: We see no compelling argument to depart from the
rationale we gave in the February 8, 1990 Federal Register (55 FR
4537), in which we implemented the eight payment rates that were
rebased using 1986 survey data, for using the consumer price index for
all urban consumers, all items index. The fact that 141(a)(1)(B)of SSAA
1994 mandated that we use the CPI-U to update ASC rates during years
when we do not rebase rates using survey data makes it difficult to
justify switching to a different inflationary adjustment during years
when we rebase rates.
Comment: One conclusion of The Moore Group report is that HCFA's
cost matrix model overstates the maximum amount of time a lithotripter
can be used each year and the number of treatments that can be
reasonably performed each year. Numerous commenters echoed the
sentiment that basing the ESWL payment rate on a utilization level of
performing 1,000 procedures annually or an average of four treatments
per day was unreasonable and impractically high. One commenter noted
that treatment volume is determined more by the number of patients with
kidney stone disease than on the availability of ``efficient''
equipment. Another commenter wrote that most ASCs wishing to provide
lithotripsy services will utilize a mobile lithotripter unit because
few ASCs will ever have the
[[Page 32318]]
volume necessary to keep a lithotripter busy at maximum possible
utilization. Commenters reported annual utilization levels ranging from
as few as 65 treatments to as many as 1,200 treatments, and daily
utilization of no more than two procedures per day to five or six a day
if the ``day'' were extended into the evening hours. The Moore Group
report indicated that an average of seven hours was required from
patient pre-admission until discharge, which was cited by other
commenters as the reason why it was unrealistic to expect more than two
treatments to be performed in one day. The Moore Group study also
indicated that 42 of the 105 providers that returned ALS surveys
performed between 400 and 700 procedures per year, accounting for 44
percent of the total cases reported by respondents to the ASL survey,
with an average annual treatment level of 519. One commenter asserted
that no facility actually does 1,000 cases per year. Another conceded
that while six patients could indeed be treated in the course of a
single day, factors important to quality care might be sacrificed. One
commenter said that five to six treatments could easily be furnished in
a single day, but that the length of the day would have to be extended
beyond eight hours. Most commenters favored approximately 500
treatments annually as a more realistic utilization level based on
their own experience. Two commenters observed that the rapid diffusion
of ESWL in the 1980's had resulted in market saturation so that each
lithotripter has a smaller number of patients to serve, and another
commenter noted that with more than 300 lithotripters in operation,
demand per machine would naturally be lower. The same commenter further
objected to HCFA's basing its utilization standard for ESWL services
that are furnished predominantly in outpatient settings on a 1985 Blue
Cross/Blue Shield study of six investigational lithotripters that were
involved in the FDA approval process and that furnished treatments
strictly on an inpatient basis.
Response: Based on the comments we received and data reported in
the 1994 Medicare survey of ASCs, we agree that in the early 1990's,
most lithotripsy providers were probably performing only half to two-
thirds of the number of treatments we assumed as an efficient annual
utilization level when we proposed a payment rate of $1,000 in the
October 1, 1993 Federal Register. The payment rate that we are
proposing in this notice for APC group 527 is more compatible with
utilization levels reported by commenters and suggested by 1994 ASC
survey data. However, we emphasize that HCFA has a fiduciary
responsibility to the Medicare program and its beneficiaries that
compels us to promote and reinforce the efficient use of shrinking
resources. We cannot condone paying for per treatment costs that are
inflated by idle or underutilized equipment which is the result of
redundancy. We believe that the rate we propose in this notice for ESWL
services is reasonable and that it allows generously for volume levels
declared by the industry to be standard without encouraging further
proliferation of ESWL services in a market that is acknowledged to be
at the saturation level.
Comment: Most commenters indicated that our estimate of 30 or 45
minutes to an hour as the amount of time required to administer ESWL
and disintegrate the stone(s) was too low. While the Moore Group report
shows a mean treatment time of 113 minutes, most other commenters
indicated that 80 to 90 minutes was typically required for the actual
ESWL treatment. Several commenters noted that, contrary to our
supposition, treatments using newer lithotripters actually require more
time than did the older generation of lithotripters because the newer
lithotripters require a greater number of lower voltage shocks to be
administered, depending upon the patient's heart rate.
Response: We agree that the length of time required to administer
an ESWL treatment generally exceeds the 30 to 60 minutes we suggested
in the October 1, 1993 notice. The information submitted by commenters,
further supported by data collected in the 1994 Medicare ASC survey,
indicates a mean treatment time of 82 to 113 minutes with a median
treatment time of 89 to 110 minutes.
Comment: Several commenters stated that HCFA's cost matrix model
does not include the cost of cystoscopy or any stent placements.
Response: We stated in the October 1, 1993 notice that the costs
associated with the cystoscope procedure that frequently accompanies
ESWL (CPT code 52332, Cystourethroscopy, with insertion of indwelling
ureteral stent (e.g., Gibbons or double-J type) were not included in
the cost model for ESWL. When this procedure is performed in
conjunction with ESWL (CPT code 50590), the ASC submits a claim for
both procedures. In accordance with Medicare payment policy when
multiple procedures are performed in an ASC, Medicare pays the full
usual and customary facility fee for the procedure with the highest
payment rate (CPT code 50590 in this case) and 50 percent of the usual
and customary facility fee for the procedure(s) with a lower payment
rate (CPT code 52332 in this case). The payment rate we are proposing
in this notice for CPT code 52332 (APC 523) is $504.
Comment: Several commenters disagreed with our estimate of 16
percent Medicare utilization and suggested annual Medicare procedure
volume ranging between 12 percent and 45 percent, the latter volume
occurring in an area with a high retirement population.
Response: Our 1994 survey data indicate that Medicare beneficiaries
account for 16.5 percent of total volume for ESWL services furnish in
an ASC setting.
Comment: A few commenters wrote that HCFA's study fails to account
for the special staffing, travel, and set-up costs incurred when a
mobile unit is used to furnish ESWL services.
Response: Our October 1, 1993 cost model may not have fully
recognized costs unique to mobile ESWL services. However, based on data
submitted in the 1994 Medicare ASC survey, we believe that the payment
rate we are proposing in this notice does take mobile unit costs into
account.
Comment: One commenter stated that an increase in the number of
mobile ESWL units threatens the continued viability of provider based
facilities. Another commenter wrote that volume at a free-standing
lithotripsy center is expected to decrease due to implementation of a
mobile unit in a neighboring state.
Response: We recognize that an increase in the number of mobile
ESWL units could reduce patient volume at fixed ESWL sites. We do not
have current data to indicate the ratio of mobile to fixed ESWL units
nationally or by state or region nor can we evaluate the extent to
which increased numbers of mobile units represent redundancy in areas
with existing adequate ESWL services or are a response to a demand for
ESWL services in underserved or remote areas.
Comment: One commenter disagreed with our proposal that ASC
facility payment be denied for bilateral ESWL renal treatment,
preferring that the decision be left to the treating urologist who is
in the best position to weigh the risks to his/her patients of
performing one or multiple ESWL treatments in cases where there are
small symptomatic stones in both kidneys.
Response: In the absence of medical evidence arguing otherwise, we
propose to withdraw our October 1, 1993 proposal to deny payment for
bilateral ESWL renal treatment.
[[Page 32319]]
Comment: Three commenters addressed our proposal to enlist the
medical directors for Medicare carriers and intermediaries to develop
procedure protocols and to define the indications for ESWL treatment.
The commenter asserted that indications and contraindications for
treating patients with ESWL are already well established in the
urological and lithotripsy literature. One commenter urged that
experienced urologists who have an established reputation for clinical
expertise in urology and lithotripsy be enlisted if general guidelines
for ESWL are to be developed. One commenter wrote that a five percent
re-treatment rate doesn't suggest abuse of a type that would justify
creation of indicators in the first place.
Response: In the absence of support from the provider community and
having no evidence that ESWL is being performed excessively or is
medically unnecessary for Medicare beneficiaries with kidney stones, we
propose to defer our October 1, 1993 proposal to sponsor the
development of procedure protocols and indicators of ESWL treatment.
Comment: A few commenters said it was not fair to base ESWL costs
on a multi-specialty ASC that can spread overhead costs over many
different procedures whereas ESWL is most often provided in single-
service fixed-site or mobile units. Another commenter noted that the
costs of providing ESWL in a free-standing ambulatory care facility
cannot be deferred to other areas or services as they can in a full
service hospital. Two commenters stated that HCFA, by asking for data
on costs, charges and utilization for ESWL performed on an outpatient
basis, was failing to differentiate between free-standing and hospital-
based facilities, each of which furnishes ESWL services on an
outpatient basis, but each of which may have very different operational
costs. One commenter said that HCFA should consider implementing
different overhead amounts and payment rates for different classes of
centers because costs differ depending on whether ESWL treatment is
furnished at a fixed lithotripsy center site, by a mobile unit, or by a
multi-specialty ASC.
Response: We specifically requested data for outpatient ESWL
services, whether furnished by a hospital, by a freestanding ESWL
facility, by an ASC, or by a mobile unit, to distinguish these from
inpatient ESWL services.
Based on the comments we received, we acknowledge that
``outpatient'' ESWL services can be furnished in a variety of forms.
The rate we propose in this notice does not distinguish among the
various possible types of ESWL service delivery settings partly because
we do not have data to support a correlation between the cost of ESWL
services with the type of site that furnishes those services and partly
because our responsibility is to set a facility payment rate for ESWL
services furnished by Medicare participating ASCs. The statute does not
include a separate benefit for suppliers of ESWL services.
We are not aware of any mobile lithotripters that have been
certified as a Medicare participating ASC. Rather, mobile lithotripters
are, as a rule, contracted by ASCs or by hospitals, clinics, or other
entities to furnish a lithotripter and the actual lithotripsy treatment
by arrangement to a patient of the ``host'' entity. The most efficient
utilization of mobile lithotripters seems to result when pre-operative
patient preparation and post-operative recovery services are furnished
by the host entity, freeing the lithotripter conveyance for the next
patient. The unusual capital costs of ESWL are reflected in its being
assigned to a dedicated APC group, but the fact that ESWL services can
be furnished in virtually any type of setting as a consequence of the
lithotripter's mobility makes it impossible to lump all lithotripsy
suppliers together as a ``class'' of ASCs. Further, in the absence of
data to support that ESWL costs are a direct function of the type of
facility where the treatment is furnished, we believe that our proposed
rate is fair and reasonable and takes into account the costs incurred
by ASCs generally to furnish ESWL services, either directly or by
arrangement.
We believe that the argument can just as well be made that single
specialty ESWL providers, because they focus on only one type of
procedure, can defray costs by increasing volume and by being more
efficient than other providers that furnish ESWL only on an irregular
basis. If sufficient volume cannot be generated due to the increase in
patient access to lithotripsy services, as one commenter observed to be
the case, the supply of lithotripters combined with their mobility may
exceed the demand for single specialty, fixed ESWL suppliers in high
saturation areas. We noted above our determination to avoid
establishing Medicare payment policy that stimulates redundant
services, which in turn typically result in inflated per procedure
costs.
Comment: One commenter asked how payment for CPT code 52337--
Cystourethroscopy, with ureteroscopy and/or pyeloscopy (includes
dilation of the ureter and/or pyeloureteral junction by any method);
with lithotripsy (ureteral catheterization is included) would be
affected by the proposed ESWL payment scheme.
Response: Based on the ratesetting methodology proposed in this
notice, CPT code 52337 is in APC group 524. The payment rate proposed
for that group is $1,131.
Comment: Capital and operating expenses vary significantly from
region to region and cannot be reasonably represented with broad based
adjustment factors. Do HCFA/Medicare geographic adjustment guidelines
take variations in capital and operating expenses into account?
Response: No. The adjustment to ASC payment rates that Medicare
makes to offset geographic differences applies only to differences in
labor costs.
I. Schedule and Publication of Updates
Section 1833(i)(1) of the Act requires that the ASC list be
reviewed and updated at least biennially, and section 1833(i)(2)
requires that ASC payment rates be updated annually. Section
141(a)(1)(B) of SSAA 1994 added paragraph (C) to section 1833(i)(2),
requiring that ASC payment rates be increased by the percentage
increase in the consumer price index for all urban consumers (U.S. city
average) (CPI-U), beginning in fiscal year 1996, during years when the
rates are not updated in accordance with survey data. In the Federal
Register notice published on December 31, 1991 (56 FR 67666), we tied
ASC rate updates with the annual update of the PPS wage index and we
said that we would coordinate rate updates with the ASC list update. In
subsequent years, we have succeeded in implementing ASC rate updates
resulting from a CPI-U adjustment to coincide with implementation of
the annual update of the PPS wage index, but we have been less
successful in coordinating the rate updates with the list updates, in
part because the ASC list updates have tended to be more closely
related to the calendar year revisions of CPT than to PPS wage index
changes.
1. Update of ASC List
There are two ways in which HCFA updates the ASC list. First, we
modify the list to reflect the annual changes made to CPT and
alphanumeric HCPCS codes. For example, if the American Medical
Association (AMA) deletes from CPT a code that has been on the ASC
list, we remove the code from the ASC list. In some cases, AMA modifies
the descriptors of CPT codes or creates a new code to replace a deleted
code. We have always incorporated these changes into the ASC list. In
order to make the CPT changes in as timely a manner as possible, we
have instructed
[[Page 32320]]
carriers directly to modify the ASC list to conform with the CPT
changes without first publishing a notice in the Federal Register to
announce what the changes will be. We have felt justified in by-passing
the Federal Register because the annual CPT changes have been more
editorial than substantive. And we eventually list these changes in the
next Federal Register notice that is published on the subject of the
ASC list.
When we review the ASC list against the standards for determining
whether or not procedures are appropriate for the ASC setting or to
determine if a code describing an altogether new procedure should be
added to the ASC list, we go through the Federal Register notice and
comment process to furnish an opportunity for public comment on
additions to or deletions from the list that we propose to make. We
also incorporate into these notices recommendations for change that we
receive between updates to the list.
We propose to replace Sec. 416.65(c) in the current ASC regulations
with new Sec. 416.22(c). In the revised regulation, we make explicit
our intention not to publish in the Federal Register prior notice of
changes made to the ASC list to reflect the annual changes made to CPT.
We also indicate that we will go through the standard notice and
comment process in the Federal Register when procedures are added to or
deleted from the list in accordance with the standards in paragraphs
(a) and (b) of Sec. 416.22.
We further propose, as a matter of policy, to update the ASC list
on a calendar year basis, to coincide with the annual updates of the
HCPCS and the Medicare physicians' fee schedule.
2. Update of ASC Payment Rates
We propose to replace the current section Sec. 416.130 with revised
Sec. 416.32. We clarify that when ASC payment rates are updated solely
by a CPI-U factor to comply with 1833(i)(2)(C), we intend only to
publish a notice that announces the new CPI-U adjusted rates, without a
formal comment period. When HCFA rebases the ASC payment rates to
reflect data collected through the quinquennial survey of ASCs required
under 1833(i)(2)(A)(i) of the Act, we will go through a full notice and
comment or rulemaking cycle, depending on whether or not changes to the
regulations are to be proposed.
As with the updates of the ASC list, we further propose as a matter
of policy to update the ASC payment rates on a calendar year basis to
coincide with the annual updates of the HCPCS and the Medicare
physicians' fee schedule. This represents a departure from our current
policy of implementing rate updates on October 1 to coincide with the
annual update of the hospital inpatient prospective payment system
(PPS) wage index. We believe that the improved efficiency and reduced
paperwork resulting from coordinating all of the ASC updates--the list,
payment rates, and wage index-- to coincide with the annual CPT update
outweighs any disadvantages that might result from postponing for three
months implementation of revised PPS wage index values.
J. Technical Changes to 42 CFR Part 416
1. ASC Payment Rates
We have rewritten, reorganized, and renumbered Sec. 416.125 to
create new Sec. 416.31. This revised section summarizes the
characteristics of ASC payment rates, e.g., they are prospectively
determined; they take into account the per procedure costs of providing
services by ASCs generally; they are based on audited survey data; they
are updated annually by a CPI-U factor during years when they are not
rebased using survey data; and, they must result in substantially less
being paid by Medicare than would have been paid if the procedures on
the ASC list were performed on a hospital inpatient basis.
2. ASC Survey
The purpose of the ASC survey is to furnish HCFA with data on the
costs incurred by ASCs to furnish facility services in connection with
procedures on the ASC list. HCFA uses these data for the purpose of
setting ASC payment rates. The SSAA 1994 amended section 1833(i)(2)(A)
to require that ASC costs, which are to be the basis of the standard
ASC fees determined by HCFA, be determined by a survey of a
representative sample of procedures and facilities that is taken every
five years. The 1994 Amendments also make it a requirement that these
costs be audited. We have revised Sec. 416.140 to include these new
requirements and we have renumbered this section as Sec. 416.33.
We issued the last ASC survey on March 15, 1994, and the rates that
are proposed in this notice are based on the data reported in that
survey which were subsequently verified by audit. The 1994 survey was
entitled ``Medicare Ambulatory Surgical Center Payment Rate Survey--
1994: II. Facility Overhead and Procedure Specific Costs'' (Form HCFA-
452B, OMB No. 0938-0434, expired March 1997). The next ASC survey must
be taken in 1999. Because the survey form that we used in 1994 has
expired, we have to have HCFA Form 452 reinstated and approved by the
Office of Management and Budget (OMB) before we can survey ASCs in
1999. HCFA Form 452 is being revised, and decisions regarding survey
format and content for the 1999 ASC survey are pending. We expect to
consult representatives of the ASC industry for assistance in revising
HCFA Form 452 before it is submitted to OMB for reinstatement and
approval.
In Sec. 416.33, we propose to extend the time period allowed for
completion of the survey from 60 to 90 days, with the option of an
additional 30-day extension if the facility can demonstrate good cause
for not completing the survey within the allotted 90 days.
K. Explanation and Use of Addenda
The addenda on the following pages present in schematic form the
updated ASC payment rates, additions to and deletions from the ASC
list, payment policy indicators, and ambulatory payment classification
(APC) groups that are proposed in this notice.
Addendum A--Proposed Ambulatory Surgical Center (ASC) Payment
Status by HCPCS Code and Related Information
This addendum is a list of the 1998 HCPCS codes:
1. CPT/HCPCS code. This column is a list of the 1998 CPT and
alphanumeric HCPCS codes. With the exception of the surgical CPT codes,
most of the codes in Addendum A show only a payment policy indicator.
2. Payment Policy Indicator (PPI). This indicator shows whether the
CPT/HCPCS code is on the ASC list and whether it is paid for as part of
the ASC facility fee, or separately payable if the service is covered,
or not payable as an ASC service.
1=Procedure on ASC list. Codes with this indicator are procedures
for which Medicare pays ASCs a prospectively determined facility fee.
The codes with this indicator constitute the list of ASC covered
procedures (ASC list).
2=Bundled service/no separate payment. Payment for covered services
is always bundled into payment for other services not specified.
Medicare does not make separate payment when these services are
furnished in an ASC. Payment is already included within the ASC
facility fee or submitted within payment(s) made for or the services.
3=Excluded from ASC list. Codes with this indicator are for a
procedure, item or service that is excluded from the list of ASC
covered procedures because it is not reasonable, not necessary, not
appropriate or not safe in an ASC
[[Page 32321]]
setting. Medicare does not pay an ASC facility fee for these codes.
4=Invalid code/90-day grace period. Codes with this indicator are
not valid for Medicare purposes. Medicare recognizes a 90-day grace
period following designation of the code as invalid, during which the
code may be used, pending full implementation of the specified
replacement code. ASCs and hospital outpatient departments are to use
another code to bill for these services.
5=Office-based procedure. No payment is allowed for ASC facility
services. If this procedure is performed in an ASC, the ASC is
considered a physician's office, and the physician's fee constitutes
payment in full.
6=Separate payment when furnished by an ASC. Codes with this
indicator are for items or services that fall outside the scope of ASC
facility services or that are unrelated to or do not apply to the ASC
benefit. Medicare does not include payment for the item or service in
the ASC facility fee. However, if this item or service is supplied at
an ASC in connection with a surgical procedure on the ASC list,
Medicare could make separate payment under other sections of Medicare
Part B in accordance with applicable coverage and payment provisions
and requirements.
7=ASC restricted coverage procedure. Special coverage instructions
apply. The APC group shown signifies the payment rate to be paid in the
event the carrier determines that the procedure or service is
reasonable and necessary.
8=Reserved for future use.
9=Medicare does not allow payment for the item or service.
3. Description of Code. This is an abbreviated version of the
narrative description of the code. Note: All CPT codes and descriptors
are copyrighted by the American Medical Association. CPT-4 codes
including both long and short descriptor shall be used in accordance
with the HCFA/AMA agreement. Any other use violates the AMA copyright.
4. Current payment group. If applicable, this column gives the ASC
payment group to which the code is currently assigned.
5. Current Payment Rate. If applicable, this column gives the
current ASC payment rate.
6. Proposed APC group. This is the payment group to which the code
would be assigned under the proposed ambulatory payment classification
(APC) system.
7. Proposed Payment Rate. Where applicable, this is the ASC payment
rate proposed for the code.
8. Relative Value Factor. Indicates the relationship between the
payment rate assigned to the code and the median payment rate ($504)
determined for the 41 surgical APC groups that are priced on the basis
of 1994 ASC survey data.
9. Add/Delete. ``Add'' indicates that the code is proposed for
addition to the ASC list. ``Delete'' indicates that the code is
currently on the ASC list and that we propose to delete it from the ASC
list.
Addendum B--Proposed Ambulatory Surgical Center (ASC) List by
Ambulatory Payment Classification (APC) Groups and Related
Information
This addendum lists CPT codes on the ASC list in order of
ambulatory payment classification (APC) group and gives the long
descriptor of each CPT/HCPC code on the ASC list.
Note: All CPT codes and descriptors are copyrighted by the
American Medical Association. CPT-4 codes including both long and
short descriptor shall be used in accordance with the HCFA/AMA
agreement. Any other use violates the AMA copyright.
Addendum C--List of APC Groups and Related Information
This addendum lists in numeric order the number and title of the
APC groups used as the basis for setting the ASC payment rates proposed
in this notice. The proposed ASC payment rate and relative value factor
for each APC group are shown.
Addendum D--Ambulatory Surgical Center (ASC) Wage Index
IV. Collection of Information Requirements
Under the Paperwork Reduction Act of 1995 (PRA), agencies are
required to provide a 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 PRA 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 information collection requirements and associated burden as
summarized below are subject to the PRA:
Section 416.4 Termination of participation, including billing
privileges
In summary, an ASC that wishes to terminate its participation and
billing privileges in Medicare must send HCFA written notice of its
intent. The notice must state the intended date of termination which
must be the first day of a calendar month. Furthermore, the ASC must
give prompt notice of the date and effect of termination to the public,
through publication in local newspapers, after HCFA has approved or set
a termination date.
The burden for this requirement involves sending the written intent
to terminate notice to HCFA and publishing the required third party
disclosure notice in a local newspaper.
The table below indicates the annual number of responses for the
regulation section in this proposed rule containing information
collection requirements, the average burden per response in minutes or
hours, and the total annual burden hours.
Estimated Annual Burden Chart
----------------------------------------------------------------------------------------------------------------
Annual number Annual burden
CFR sections of responses Average burden per response hours
----------------------------------------------------------------------------------------------------------------
416.4 (written notice)............... 25 10 minutes............................... 4.2
416.4 (publication).................. 25 30 minutes............................... 12.5
---------------
Total Hours...................... .............. ....................................... 17
----------------------------------------------------------------------------------------------------------------
[[Page 32322]]
Section 416.33(b)(1) Surveys
In summary, Sec. 416.33(b)(1) requires ASCs to maintain adequate
financial and facility records to allow accurate completion of the
report specified in subparagarph (b)(2) of this section in the event
they are selected to participate in the quinquennial ASC survey as a
member of the representative sample of facilities.
Under 5 CFR 1320.3(b)(2), the burden associated with the time,
effort and financial resources necessary to comply with a collection of
information that would be incurred by persons in the normal course of
business will be excluded from an information collection. The burden in
connection with such types of collection activities can be disregarded
if it can be demonstrated that such collection activities are usual and
customary. Each of the collection requirements referenced above is of
the type that are usual and customary in the conduct of commercial
business. Thus, we believe the burden to be exempt for these
requirements.
Section 416.33(b)(2) Surveys
In summary, Sec. 416.33(b)(2) requires ASCs to submit within 90
days of a request, from HCFA, ASC survey data. HCFA issued the last ASC
survey in 1994, ``Medicare Ambulatory Surgical Center Payment Rate
Survey--1994: II. Facility Overhead and Procedure Specific Costs,''
Form HCFA-452B, OMB No. 0938-0434, expired March 1997. Form HCFA 452 is
being revised, and decisions regarding survey format and content for
the 1999 ASC survey are pending. We expect to consult representatives
of the ASC industry for assistance in revising Form HCFA 452 before it
is submitted to OMB for approval. In addition, HCFA will publish a
separate Federal Register notice soliciting public comments for the ASC
Survey.
We have submitted a copy of this proposed rule to OMB for its
review of the information collection requirements described above.
These requirements are not effective until they have been approved by
OMB.
If you comment on any of these information collection and
recordkeeping requirements, please mail copies directly to the
following: Office of Information and Regulatory Affairs, Office of
Management and Budget, Room 10235, New Executive Office Building,
Washington, DC 20503, Attn.: Allison Eydt, HCFA Desk Officer.
V. Regulatory Impact Analysis
We have examined the impacts of this proposed rule under Executive
Order (E.O.) 12866, the Unfunded Mandates Act of 1995, and the
Regulatory Flexibility Act. E.O. 12866 directs agencies to assess all
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects; distributive impacts and equity.) A
regulatory impact analysis (RIA) must be prepared for major rules with
economically significant effects ($100 million or more annually). The
Unfunded Mandates Reform Act of 1995 also requires (in section 202)
that agencies prepare an assessment of anticipated costs and benefits
before proposing any rule that may result in an annual expenditure by
State, local, or tribal governments, in the aggregate, or by the
private sector, of $100 million.
The Actuarial and Health Cost Analysis Group of HCFA's Office of
Strategic Planning estimates that the rebased ASC payment rates
proposed in this notice reduce Medicare payments to ASCs by two percent
from current spending levels, in the aggregate. Actuarial estimates of
the modest savings to Medicare that are the result of the regrouping
and repricing of the ASC list proposed in this notice are as follows:
Projected Medicare Savings
[In millions]*
------------------------------------------------------------------------
------------------------------------------------------------------------
FY 1998........................................................ $-20
FY 1999........................................................ -20
FY 2000........................................................ -20
FY 2001........................................................ -20
FY 2002........................................................ -20
FY 2003........................................................ -20
------------------------------------------------------------------------
* Rounded to the nearest $10 million.
The Balanced Budget Act of 1997 is considered in the estimate,
including the prospective payment system for hospital outpatient
services to be implemented on January 1, 1999, the formula-driven
overpayment elimination effective October 1, 1997, and the ASC update
reduced by two percentage points for each of the fiscal years 1998
through 2002.
This proposed rule has no consequential effect on State, local, or
tribal governments, and, based on the actuarial estimates shown above,
we believe the private sector costs of this rule fall below the
economic thresholds established by E.O. 12866 and by the Unfunded
Mandates Act of 1995. Because this notice is not an economically
significant regulatory action under either E.O. 12866 or the Unfunded
Mandates Act of 1995, a regulatory impact analysis is not required.
Consistent with the provisions of the Regulatory Flexibility Act,
we analyze options for regulatory relief for small businesses and other
small entities. We generally prepare a regulatory flexibility analysis
that is consistent with the Regulatory Flexibility Act (RFA) (5 U.S.C.
601 through 612) unless we certify that a notice will not have a
significant economic impact on a substantial number of small entities.
The regulatory flexibility analysis is to include a justification of
why action is being taken, the kinds and number of small entities the
proposed rule will affect, and an explanation of any considered
meaningful options that achieve the objectives and would lessen any
significant adverse economic impact on the small entities. For purposes
of the RFA, we consider ASCs to be small entities. In addition, section
1102(b) of the Social Security Act requires us to prepare a regulatory
impact analysis if a notice may have a significant impact on the
operations of a substantial number of small rural hospitals. For
purposes of section 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.
We believe that the rebased rates proposed in this notice will
affect revenues of most Medicare approved ASCs that furnish services to
Medicare beneficiaries and, to a lesser extent, revenues of hospitals
that perform procedures on the ASC list on an outpatient basis. We have
therefore prepared the following regulatory flexibility analysis which,
together with the rest of this preamble, meets all three assessment
requirements under the RFA. We will have explained the rationale for
and purposes of the rule, analyzed alternatives, and presented the
measures we propose to minimize the burden on small entities.
A. Rebased Payment Rates
This notice implements section 1833(i)(2)(A)(i) of the Act, which
mandates that payment amounts for ASC facility services take into
account costs incurred by ASCs generally to furnish services in
connection with procedures on the ASC list, as determined by a survey
of the actual audited costs incurred by ASCs taken not later than
January 1, 1995 and every five years thereafter.
1. Impact on ASCs
In the aggregate, based on actuarial estimates, we expect the
revised rates
[[Page 32323]]
proposed in this notice to result in a two percent reduction in
Medicare outlays for ASC facility services. Given the negligible
magnitude of this reduction, we can say that the effect of rebasing the
ASC rates and revising the ASC list is virtually budget neutral when
viewed in the aggregate. This outcome is attributable primarily to the
lower payment rate determined for the two procedures with the highest
ASC volume: CPT codes 66984 and 66821. These two procedures alone
account for approximately 46 percent of ASC Medicare volume, which
helps offset the effect of increased expenditures that will result from
higher payment rates for procedures such as hernia repair, hammertoe
and bunion correction surgery, arthoscopic procedures, and from the
addition of extracorporeal shock wave lithotripsy (ESWL) to the ASC
list.
However, the change in payment rate for virtually every procedure
on the ASC list--with some procedures receiving a lower rate and others
receiving a higher rate than they do currently--could affect the
Medicare revenues of individual ASCs, depending on factors such as
patient volume and case mix and the type of procedures performed. Of
the 295 facilities whose 1994 survey responses are the basis for the
rates proposed in this notice, 54 (18 percent) reported that more than
60 percent their total volume in a 12-month period comprised of some
combination of CPT codes in the range between 66820 and 66986 cataract
procedures. For most of those facilities, Medicare utilization exceeded
fifty percent, and for 16 facilities, Medicare utilization exceeded
seventy-five percent. The rates proposed in this CPT range represent,
overall, a drop of about eleven percent from current payment rates for
cataract-related procedures. The rate we propose for CPT code 66984,
the highest volume ASC procedure representing 35 percent of all ASC
Medicare volume in 1996, decreases by 8 percent. The rate for CPT code
66821, the second highest volume ASC procedure representing 11 percent
of all ASC Medicare volume in 1996, decreases by 35 percent. Obviously
facilities that specialize in these two cataract-related procedures are
going to be affected more dramatically by the proposed rebased rates
than are facilities where the volume of these procedures is lower.
The rates that we propose in this notice for certain high volume
gastrointestinal and urinary tract endoscopies are also lower than
current rates for the same procedures, such as CPT code 43239 (22
percent decrease), CPT code 45378 (16 percent decrease) and CPT code
52000 (32 percent decrease). As a group, endoscopies are second only to
CPT codes 66984 and 66821 with respect to Medicare utilization of ASCs.
Of the 295 facilities whose 1994 survey responses are the basis for the
rates proposed in this notice, 17 (6 percent) reported that more than
60 percent of their total volume in a 12-month period comprised some
combination of CPT codes encompassing gastrointestinal endoscopies.
However, in only one of those 17 facilities did Medicare utilization
exceed fifty percent, and for 11 facilities, Medicare utilization was
less than thirty-five percent.
Not all of the rebased rates proposed in this notice are reductions
of current rates. The rebased rates proposed for arthroscopic surgery,
for some gynecological procedures, for certain podiatric procedures,
for carpal tunnel release, for hernia repair, and for certain eye
procedures involving the cornea and the retina are higher than the
current rates for those procedures. Facilities where those procedures
are now being performed will, upon implementation of the rebased rates,
be paid a facility fee that more closely approximates the cost of doing
the surgery and that should allow the facility a reasonable return, as
will facilities performing procedures for which the rebased rates are
lower than current ASC payment.
Some smaller, single specialty ASCs may experience some decrease in
Medicare payment upon implementation of the rebased rates proposed in
this notice, especially if their annual total volume of cases is less
than 1000, if the proportion of Medicare beneficiaries that they serve
greatly exceeds the 34 percent average ASC Medicare volume, or if they
perform a case mix of procedures whose rebased rates are all lower than
current rates. Congress does not provide us with tools such as a
``hold-harmless'' clause or a transition period for implementation of
rebased rates that could serve to deflect some of the adverse effects
of lower payment rates. However, judging from the 1994 survey data,
even though efficient ASCs may experience a fractional reduction in
profits, we do not think that they will suddenly be faced with serious
financial reverses as a result of the rates proposed in this notice.
That is because the rebased rates proposed in this notice are closer to
costs based on verified data reported by ASCs than are the current
rates, which are based on data collected in 1986.
We emphasize that the rates proposed in this notice have been
determined in accordance with audited cost, charge, and utilization
data reported by a representative sample of ASCs, as we explained in
detail earlier in this notice. To summarize the process we used to
establish the payment rates proposed in this notice using audit
adjusted 1994 survey data--
Step 1--We standardized the original reported CPT code charges and
facility overhead costs of the 199 unaudited facilities by the percent
of difference between audited and original reported data of the 96
audited facilities.
Step 2--We determined each facility's cost-to-charge ratio by
dividing the facility's total costs by its total charges.
Step 3--We converted each procedure charge to a procedure cost by
multiplying each facility's procedure charge by the facility's cost-to-
charge ratio.
Step 4--Because the facilities' IOL costs were imbedded in the
calculated procedure cost for IOL insertion procedures (CPT codes
66983, 66984, 66985, and 66986), we reduced those procedure costs by
the facility specific average IOL cost to offset the carrier's addition
of the $150 allowance for the IOL.
Step 5--To remove the effects of area wage differences, we
neutralized the cost of each procedure by dividing the facility-
specific labor-related portion of procedure cost by the hospital
inpatient prospective payment system pre-reclassification//pre-floor
wage index value applicable to the facility's location. We then added
the wage adjusted labor-related portion of procedure cost back to the
nonlabor-related portion.
Step 6--We applied an inflation adjustment based on the CPI-U to
each procedure cost in order to account for historical and projected
price changes occurring between the midpoint of the facility's fiscal
period represented in our data base and the midpoint of the 12-month
period to which the new rates would apply (July 1, 1998).
Step 7--We grouped the procedure codes into APCs based on clinical
and cost similarities.
Step 8--For the 41 APCs with sufficient ASC survey cost data, we
calculated the median procedure cost for all Medicare cases within the
group to determine the group payment rate.
Step 9--We designated the median of the payment rates for the 41
APCs with sufficient ASC survey cost date as a conversion factor 504.
Step 10--We assigned a value to each of the remaining 64 APCs for
which we had inadequate ASC survey data based on an estimate of each
APC group's relative similarity to or deviation from the 41 APCs for
which we had sufficient survey data.
[[Page 32324]]
Step 11--We multiplied the relative value of each of the 64 groups
by a conversion factor of 504 to determine the group payment rate.
By using survey data reported by ASCs that was checked and verified
by audit, we have determined ASC payment rates that are generally lower
than current ASC payment rates. In one sense, the lower proposed
payment rates are a tribute to the efficiency and success of ASCs
generally in holding the line on facility costs. Lower rates reflect
lower costs that are the result of improved technology, efficiency, and
experience. The fact remains that regardless of the method we used to
calculate payment rates, whether we used dollar intervals to group
codes like the current methodology or APC groups or an individual per
procedure fee schedule or weighted or unweighted medians or means, the
relationship of the resulting rates relative to current rates remained
the same: rates for high volume cataract-related procedures and
gastrointestinal endoscopies were lower and rates for less frequently
performed arthroscopies and various other general surgical procedures
went up.
Another explanation for the lower rebased rates could rest with the
fact that the current eight ASC payment rates are based on data that
were collected in 1986, which generally reflected 1984-85 cost and
charge experience. We used 1986 survey data, adjusted for inflation, to
rebase ASC payment rates effective for services furnished beginning on
March 12, 1990. Between March 1990 and October 1996, we adjusted the
ASC payment rates five times resulting in an across the board increase
of approximately 20 percentage points for procedures in groups 1, 2, 3,
4, 5, and 7. (The rates for groups 6 and 8, which are limited to
intraocular lens (IOL) insertion procedures for which the IOL allowance
was prescribed by statute, increased by only 7.5 percent during that
time due to the statutory reduction in the IOL allowance from $200 to
$150 effective January 1, 1994.) We did not rebase the 1990 rates, or
take into account variations in cost resulting from changes in
technology. The current eight ASC rates are therefore the result of
across-the-board flat increases for inflation dating back to 1990 that
do not reflect upward or downward changes in costs associated with
individual procedures over the same period.
B. Additions to/Deletions From the ASC List
The addition of outpatient procedures that were previously kept off
the list will give ASCs an opportunity to increase volume and
utilization as well as expand their revenue sources. The addition of a
payment rate for ESWL will allow payment to ASCs for this procedure and
make it available for Medicare beneficiaries in an ASC setting.
The procedures that are being removed from the ASC list are not
high volume procedures, and we do not expect their deletion from the
ASC list to have any significant impact, negative or positive.
C. Impact of Technical Changes
Most of the technical changes proposed in this notice--extending to
90 days the period for completing the ASC survey; implementing all ASC
updates on a calendar year basis; rearranging and reorganizing part 416
of the Code of Federal Regulations; adding payment policy indicators;
clarifying that procedures excluded from the ASC list are not
reasonable and necessary in an ASC--are intended to streamline the ASC
benefit and reduce ambiguity to the advantage of beneficiaries and ASCs
alike without compromising beneficiary safety and positive surgical
outcomes.
D. Impact on Hospitals and Small Rural Hospitals
Section 1833(i)(3)(A) of the Act mandates the method of determining
payments to hospitals for ASC-approved procedures performed in an
outpatient setting. Congress believed some comparability should exist
in the amount of payment to hospitals and ASCs for similar procedures.
Congress recognized, however, that hospitals have certain overhead
costs that ASCs do not and allowed for those costs by establishing a
blended payment methodology. For ASC procedures performed in an
outpatient setting, hospitals are paid based on the lower of their
aggregate costs, aggregate charges, or a blend of 58 percent of the
applicable wage-adjusted ASC rate and 42 percent of the lower of the
hospital's aggregate costs or charges. According to statistics from the
Office of the Actuary within HCFA, 12 percent of Medicare payments to
hospitals by intermediaries is attributable to services furnished in
conjunction with ASC-covered procedures performed on an outpatient
basis.
While an ASC rate change may not keep pace with actual hospital
cost increases, we would recognize cost increases to the extent that
the blended payment methodology includes aggregate hospital costs. The
weight of the ASC portion of the blended payment amount, which would
reflect the new ASC rates, is offset to a degree when hospital costs
significantly exceed the ASC rate. Another element that could mitigate
the effect of the rebased ASC rates on hospital outpatient payments is
the application of the lowest payment screen in determining payments.
Applying the lowest of costs, charges, or a blend can result in some
hospitals being paid entirely on the basis of a hospital's costs or
charges. In those instances, changes in the ASC rates will have no
effect on hospital payments. The number of Medicare beneficiaries a
hospital serves and its case-mix variation influence the total impact
of the new ASC rates on Medicare payments to hospitals. Based on these
factors, we do not believe that the provisions of this notice will have
a significant impact on a substantial number of small rural hospitals.
Moreover, the impact of rebased ASC rates on hospital outpatient
payments will be eliminated upon implementation of a prospective
payment system for hospital outpatient services in January 1999.
In accordance with the provisions of Executive Order 12866, this
proposed rule was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 416
Health facilities, Kidney diseases, Medicare, Reporting and
recordkeeping requirements.
42 CFR Part 488
Administrative practice and procedure, Health facilities, Medicare,
Reporting and recordkeeping requirements.
42 CFR chapter IV would be amended as set forth below:
PART 416--AMBULATORY SURGICAL SERVICES
A. Part 416 is amended as set forth below:
1. The authority citation for part 416 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. The heading of subpart A is revised and Sec. 416.1 is revised to
read as follows:
Subpart A--Definitions and General Provisions and Requirements
Sec. 416.1 Basis and scope.
(a) Statutory basis. (1) Section 1832(a)(2)(F) of the Act provides
for Medicare Part B payment for facility services furnished by an
ambulatory surgical center (ASC) in connection with surgical procedures
specified by
[[Page 32325]]
the Secretary under section 1833(i)(1)(A) of the Act.
(2) Section 1832(a)(2)(F)(i) of the Act provides that an ASC, in
order to receive Medicare payment, must meet health, safety, and other
standards specified by the Secretary in regulations and must also agree
to accept assignment and to accept as payment in full for facility
services furnished in connection with surgical procedures specified by
the Secretary under section 1883(i)(1)(A) of the Act the payment amount
determined under section 1833(i)(2)(A).
(3) Section 1833(i)(1)(A) of the Act requires the Secretary to
specify the surgical procedures that can be performed safely on an
ambulatory basis in an ASC.
(4) Section 1833(i)(2)(A) and (3) specify the amounts to be paid
for facility services furnished in connection with the specified
surgical procedures when they are performed, respectively, in an ASC or
in a hospital outpatient department.
(b) Scope. This part sets forth--
(1) The scope of ASC facility services and the criteria for
determining the procedures for which Medicare pays ASCs a facility fee;
(2) The manner by which Medicare determines payment amounts for ASC
facility services; and
(3) The conditions that an ASC must meet in order to participate in
the Medicare program.
3. Section 416.2 is revised to read as follows:
416.2 Definitions
As used in this part:
An Ambulatory Surgical Center or ASC means a supplier that--
(1) Has its own National Identifier under Medicare;
(2) Is a separate entity with respect to its licensure,
accreditation, governance, professional supervision, administrative
functions, clinical services, record keeping, and financial and
accounting systems;
(3) Has as its sole purpose the furnishing of services in
connection with surgical procedures that do not require inpatient
hospitalization; and
(4) Meets the conditions and requirements set forth in all subparts
of this part.
ASC list means the list of procedures that HCFA specifies can be
safely and appropriately performed in an ASC, for which Medicare allows
payment of an ASC facility fee in accordance with the provisions of
this part.
ASC services means services that a Medicare approved ASC furnishes
in connection with procedures on the ASC list and for which Medicare
pays a prospectively-determined ASC facility fee.
Hospital-operated ASC means an ASC that is owned and operated by a
hospital but that is a separate entity with respect to its licensure,
accreditation, governance, professional supervision, administrative
functions, clinical services, recordkeeping, and financial and
accounting systems. A hospital-operated ASC must meet all the
conditions and requirements set forth in subparts A, B, C and D of this
part.
4. Section 416.25 is redesignated as Sec. 416.3 and is transferred
to subpart A and is revised to read as follows:
Sec. 416.3 Basic Requirements
Participation as an ASC, including billing privileges, is limited
to facilities that meet the following conditions:
(a) Meet the definition in Sec. 416.2.
(b) Have State licensure in States where licensure is required.
(c) Meet the conditions for coverage specified in subpart D of this
part and report promptly to HCFA any failure to do so.
(d) Charge the beneficiary or any other person on the beneficiary's
behalf only the applicable deductible and coinsurance amounts for
services for which the beneficiary--
(1) Is entitled to have payment made on his or her behalf under
this part; or
(2) Would have been so entitled if the ASC had filed a request for
payment in accordance with Sec. 410.165 of this chapter.
(e) Refund as promptly as possible any money incorrectly collected
from beneficiaries or from someone on their behalf. As used in this
section, money incorrectly collected means sums collected in excess of
those specified in paragraph (d) of this section. It includes amounts
collected for a period of time when the beneficiary was believed not to
be entitled to Medicare benefits if--
(1) The beneficiary is later determined to have been entitled to
Medicare benefits; and
(2) The beneficiary's entitlement period falls within the time the
ASC's agreement with HCFA is in effect.
(f) Furnish to HCFA, if requested, information necessary to
establish payment rates as specified in subpart C, and in the form and
manner that HCFA requires;
(g) Accept assignment for all items and services that it furnishes
to Medicare beneficiaries for which payment may be made under Medicare
Part B in connection with procedures on the ASC list. For purposes of
this section, assignment means an assignment under Sec. 424.55 of this
chapter of the right to receive payment under Medicare Part B and
payment under Sec. 424.64 of this chapter (when an individual dies
before assigning the claim).
(h) Are in compliance with ASC requirements set forth in Part 488--
Survey, Certification, and Enforcement Procedures.
(i) Have in effect a validated Medicare health care provider/
supplier enrollment application.
5. Section 416. 4 is added to subpart A to read as follows:
Sec. 416.4 Termination of participation, including billing privileges.
(a) Termination by the ASC--(1) Notice to HCFA. An ASC that wishes
to terminate its participation and billing privileges in Medicare must
send HCFA written notice of its intent.
(2) Date of termination. The notice must state the intended date of
termination, which must be the first day of a calendar month.
(i) If the notice does not specify a date, or the date is not
acceptable to HCFA, HCFA may set a date that will not be more than 6
months from the date on the ASC's notice of intent.
(ii) HCFA may accept a termination date that is less than 6 months
after the date on the ASC's notice if it determines that to do so would
not unduly disrupt services to the community or otherwise interfere
with the effective and efficient administration of the Medicare
program.
(3) Voluntary termination. If an ASC ceases to furnish services to
the community, that shall be deemed to be a voluntary termination of
the agreement by the ASC, effective on the last day of business with
Medicare beneficiaries.
(b) Termination by HCFA. (1) Cause for termination. HCFA may
terminate an ASC's participation, including its billing privileges, if
it determines that the ASC--
(i) No longer meets the conditions for coverage as specified under
subpart D of this part; or
(ii) Is not in substantial compliance with the provisions and the
requirements of subparts A, B, and C of this part, or other applicable
regulations of subchapter B of this chapter, or any applicable
provisions of title XVIII of the Act.
(2) Notice of termination. HCFA sends notice of termination to the
ASC at least 15 days before the effective date stated in the notice.
(3) Appeal by the ASC. An ASC may appeal the termination of its
participation, including its billing privileges, in accordance with the
provisions set forth in part 498 of this chapter.
[[Page 32326]]
(c) Effect of termination. Payment is not available for ASC
services furnished on or after the effective date of termination.
(d) Notice to the public. Prompt notice of the date and effect of
termination is given to the public, through publication in local
newspapers by--
(1) The ASC, after HCFA has approved or set a termination date; or
(2) HCFA, when it has terminated the ASC's participation, including
its billing privileges.
(e) Conditions for reinstatement after termination by HCFA. When
HCFA terminates an ASC's participation in Medicare, which includes
terminating its billing privileges, the ASC may not file another
application to participate in the Medicare program as an ASC unless
HCFA--
(1) Finds that the reason for the prior termination has been
removed; and
(2) Is assured that the reason for the termination will not recur.
6. Subpart B is revised; subpart D is removed; subpart C is
redesignated as subpart D, and Sec. 416.40 is removed; and subpart E is
redesignated as subpart C and revised. The revised subparts B and C
read as follows:
Subpart B--Scope of Benefits
Sec. 416.20 General rules.
The services for which payment is made under this part are facility
services furnished to Medicare beneficiaries by a participating ASC in
connection with procedures on the ASC list as specified by HCFA in
accordance with Sec. 416.22.
Sec. 416.21 Scope of ASC services.
(a) Included services. ASC services include but are not limited to:
(1) Nursing, technician, and related services.
(2) Use of the facility where the surgical procedures are
performed.
(3) Items and services directly related and integral to the pre-
operative preparation of patients upon their admission to the ASC for
surgery, to the performance of a surgical procedure(s), and to the
post-operative and/or post-anesthesia care of patients prior to their
discharge from the ASC. This includes, but is not limited to, any
laboratory testing performed under a Clinical Laboratory Improvement
Amendments of 1988 (CLIA) certificate of waiver; drugs and biologicals;
medical and surgical supplies and equipment; surgical dressings;
splints, casts and other devices used for reduction of fractures and
dislocations; and, imaging services or other diagnostic tests integral
to a surgical procedure.
(4) Administrative, recordkeeping, and housekeeping items and
services.
(5) Materials, including supplies and equipment, for the
administration and monitoring of anesthesia.
(6) Intra-ocular lenses (IOLs).
(b) Excluded services. ASC services do not include certain items
and services for which payment may be made under other provisions of
this chapter, such as physician services, diagnostic X-ray services and
other diagnostic tests (other than those integral to the performance of
a surgical procedure), diagnostic laboratory tests, X-ray therapy and
other radiation therapy, prosthetic devices (except IOLs), ambulance
services, leg, arm, back and neck braces, artificial limbs, and durable
medical equipment for use in the patient's home. In addition, ASC
services do not include anesthetist services furnished on or after
January 1, 1989.
Sec. 416.22 ASC list.
The ASC list consists of those procedures that HCFA, in
consultation with appropriate trade and professional associations,
specifies as being appropriately and safely performed in an ASC.
Paragraphs (a) and (b) of this section list the criteria HCFA uses to
determine if a procedure is to be placed on the ASC list. Medicare
payment of an ASC facility fee is not allowed for ASC services
furnished in connection with procedures excluded from the ASC list in
accordance with the criteria in paragraph (b) of this section. The ASC
list is published in accordance with paragraph (c) of this section.
(a) Procedures on the ASC list. Procedures on the ASC list are
those surgical and other medical procedures that generally--
(1) Require surgical facilities and services of the kind that are
typically provided in a hospital inpatient setting;
(2) Would not be expected to necessitate admission as an inpatient
to a hospital either to perform the procedure or to recover from the
procedure post-operatively;
(3) Require a dedicated operating room (or suite) or procedure room
and a room for post-operative recovery; and
(4) Are not otherwise excluded under Sec. 411.15 of this chapter,
or paragraph (b) of this section.
(b) Procedures excluded from the ASC list. A procedure with any of
the following characteristics is not considered safe or appropriate in
an ASC setting. A procedure with any of these characteristics is not
reasonable or medically necessary in an ASC setting. Payment of an ASC
facility fee for procedures excluded from the ASC list in accordance
with any of the following characteristics is not allowed. A procedure
is excluded from the ASC list if it--
(1) Generally results in extensive blood loss;
(2) Requires major or prolonged invasion of body cavities;
(3) Directly involves major blood vessels;
(4) Is generally emergent or life-threatening in nature; or
(5) Requires admission to a hospital on an inpatient basis in order
to have the procedure performed or to recover from the procedure.
(c) Publication of ASC list. HCFA publishes the ASC list in the
Federal Register as appropriate.
(1) HCFA automatically revises the ASC list to ensure that it
conforms timely with coding changes resulting from the annual update of
the Health Care Financing Administration Common Procedure Coding System
(HCPCS). The effective date of changes to the ASC list resulting from
HCPCS coding changes are concurrent with the effective date of the
HCPCS revision. HCFA announces these conforming changes in the first
Federal Register notice published thereafter, either in accordance with
paragraph (c)(2) of this section or in accordance with Sec. 416.32.
(2) When HCFA adds procedures to or deletes procedures from the ASC
list in accordance with the criteria in paragraphs (a) and (b) of this
section, HCFA publishes a notice in the Federal Register explaining the
rationale for the proposed changes and soliciting public comments on
both the proposed changes and the payment rates proposed for procedures
under consideration for addition to the list. After reviewing public
comments, HCFA publishes a notice in the Federal Register to establish
the final revisions to the ASC list.
Sec. 416.23 Performance of procedures on the ASC list in a hospital
inpatient setting.
The fact that a procedure is on the ASC list does not preclude its
coverage in a hospital inpatient setting.
Subpart C--Payment for Facility Services
Sec. 416.30 Basis for payment.
The basis for payment for facility services depends upon the type
of entity at which the services are furnished.
(a) Physician's office. Payment is in accordance with part 414 of
this chapter.
(b) Hospital outpatient department. Payment is in accordance with
part 413 of this chapter.
[[Page 32327]]
(c) Hospital-operated ASC. (1) The ASC participates and is paid
only as an ASC without the option of converting to or being paid as a
hospital outpatient department, unless HCFA first determines there is
good cause to do otherwise.
(2) Costs for the ASC are treated as a nonreimbursable cost center
on the hospital's cost report.
(d) ASC--General rule. Payment is based on a prospectively
determined rate.
(1) This rate includes payment for the cost of ASC services such as
supplies, nursing services, equipment, etc., as specified in
Sec. 416.21. The ASC payment rate for insertion of an intraocular lens
(IOL) during or subsequent to cataract removal includes an amount for
the IOL that is reasonable and related to the cost of acquiring the
lens.
(2) The ASC payment rate does not include payment for certain
medical and other health services that are covered but that may be
billed and paid for separately under part 410 of this chapter, such as
physician services, X-ray services or other diagnostic tests not
integral to the performance of a surgical procedure, or prosthetic
implants (other than IOLs).
(3) Because procedures excluded from the ASC list on the basis of
the standards in Sec. 416.22(b) are not ``reasonable and necessary,''
Medicare does not allow payment of an ASC facility fee for those
procedures. (See Sec. 411.15(k)(1) of this chapter.)
(e) Single and multiple surgical procedures. (1) If one procedure
on the ASC list is performed in a single operative session, payment of
the ASC facility fee is based on the prospectively determined rate for
that one procedure.
(2) If more than one surgical procedure is furnished in a single
operative session, payment is based on--
(i) The full rate for the procedure with the highest prospectively
determined rate; and
(ii) One half of the prospectively determined rate for each of the
other procedures.
(f) Deductibles and coinsurance. Part B deductible and coinsurance
amounts apply as specified in Sec. 410.152 (a) and (i) of this chapter.
Sec. 416.31 ASC payment rates.
(a) The payment rate for a procedure on the ASC list is based on a
standard prospectively determined per procedure overhead amount.
(1) The standard overhead amount represents HCFA's estimate of a
fair per-procedure fee that takes into account the costs incurred by an
ASC generally in providing facility services in connection with the
performance of the procedure.
(2) HCFA surveys ASCs as described in Sec. 416.33 to determine the
costs incurred by ASCs generally in providing ASC services in
connection with the performance of procedures on the ASC list.
(3) HCFA conducts an audit of a randomly-selected sample of the
surveys submitted in accordance with the requirements in Sec. 416.33 to
ensure that the costs from which it derives ASC payment rates are
reported accurately and in a manner consistent with Medicare principles
of reasonable cost reimbursement.
(b) The ASC payment rate must result in substantially less being
paid under the program than would have been paid if the procedures had
been performed on an inpatient basis in a hospital.
(c) In setting ASC payment rates, HCFA may adopt reasonable
classifications of facilities and may establish different rates for
different types of surgical procedures.
(d) For the years when HCFA does not rebase ASC payment rates using
survey data collected in accordance with Sec. 416.33, HCFA updates the
existing ASC payment rates by the percentage increase in the consumer
price index for all urban consumers (U.S. city average) as estimated
for the 12-month period ending with the midpoint of the year involved.
Sec. 416.32 Publication of revised payment rates.
Once implemented, ASC payment rates remain in effect until HCFA
publishes a notice in the Federal Register to change the rates.
(a) When HCFA rebases ASC payment rates using survey data collected
in accordance with Sec. 416.33, HCFA publishes a notice in the Federal
Register describing the method it followed to rebase the rates and
soliciting public comments on both the proposed new rates and the
ratesetting method. After reviewing public comments, HCFA publishes a
final notice in the Federal Register to establish the new, rebased
rates.
(b) During years when HCFA updates ASC payment rates using a
consumer price index factor as described in Sec. 416.31(d), HCFA
publishes a notice in the Federal Register to announce the updated
rates.
Sec. 416.33 Surveys.
(a) Timing, purpose, and procedures. (1) Beginning not later than
January 1, 1995 and every 5 years thereafter, HCFA conducts a survey of
ASCs based upon a representative sample of procedures and facilities to
collect data for the purpose of rebasing ASC payment rates.
(2) HCFA notifies ASCs by mail of their selection to participate in
the ASC survey and of the form and content of the report the ASCs must
submit.
(3) If the facility does not submit an adequate report in response
to HCFA's survey request, HCFA may terminate the ASC's Medicare billing
privileges and its participation in the Medicare program.
(4) ASCs have 90 days within which to complete and submit the
survey. HCFA may grant a 30-day postponement of the due date for the
survey report if it determines that the facility has demonstrated good
cause for the delay.
(b) Requirements for ASCs. ASCs must--
(1) Maintain adequate financial and facility records to allow
accurate completion of the report specified in paragraph (b)(2) of this
section in the event they are selected to participate in the
quinquennial ASC survey as a member of the representative sample of
facilities.
(2) Within 90 days of a request from HCFA for survey data submit,
in the form and detail specified by HCFA, a report of--
(i) Their operations, including the allowable costs actually
incurred for the period and the actual number and a list of surgical
procedures performed during the period; and
(ii) Their customary charges for each surgical procedure performed
during the period.
Sec. 416.34 Beneficiary appeals.
A beneficiary (or ASC as his or her assignee) may request a hearing
by a carrier (subject to the limitations and conditions set forth in
part 405, subpart H of this chapter) if the beneficiary or the ASC--
(a) Is dissatisfied with a carrier's denial of a request for
payment made on his or her behalf by an ASC;
(b) Is dissatisfied with the amount of payment; or
(c) Believes the request for payment is not being acted upon with
reasonable promptness.
PART 488--SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
B. Part 488 is amended as set forth below:
1. The authority citation for part 488 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
2. In Sec. 488.1 the definition of ``supplier'' is revised to read
as follows:
[[Page 32328]]
Sec. 488.1 Definitions.
* * * * *
Supplier means any of the following: Independent laboratory;
portable X-ray services; physical therapist in independent practice;
ESRD facility; rural health clinic; Federally qualified health center;
chiropractor; or ambulatory surgical center.
* * * * *
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: March 20, 1998.
Nancy-Ann Min DeParle,
Administrator, Health Care Financing Administration.
Approved: April 28, 1998.
Donna E. Shalala,
Secretary.
Addendum A.--Proposed Ambulatory Surgical Center (ASC) Payment Status by HCPCS Code and Related Information
----------------------------------------------------------------------------------------------------------------
ASC Current Current Proposed Relative
CPT \1\/ payment Description payment payment Proposed payment value Add \2\/
HCPCS indicator group rate APC group rate factor Delete
----------------------------------------------------------------------------------------------------------------
00100.... 2 Anesth, skin ......... ......... ......... ......... ......... ..............
surgery.
00102.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
cleft lip.
00103.... 2 Anesth, ......... ......... ......... ......... ......... ..............
blepharoplasty.
00104.... 2 Anesth for ......... ......... ......... ......... ......... ..............
electroshock.
00120.... 2 Anesthesia for ear ......... ......... ......... ......... ......... ..............
surgery.
00124.... 2 Anesthesia for ear ......... ......... ......... ......... ......... ..............
exam.
00126.... 2 Anesth, tympanotomy ......... ......... ......... ......... ......... ..............
00140.... 2 Anesth, procedures ......... ......... ......... ......... ......... ..............
on eye.
00142.... 2 Anesthesia for lens ......... ......... ......... ......... ......... ..............
surgery.
00144.... 2 Anesth, corneal ......... ......... ......... ......... ......... ..............
transplant.
00145.... 2 Anesth, vitrectomy. ......... ......... ......... ......... ......... ..............
00147.... 2 Anesth, iridectomy. ......... ......... ......... ......... ......... ..............
00148.... 2 Anesthesia for eye ......... ......... ......... ......... ......... ..............
exam.
00160.... 2 Anesth, nose, sinus ......... ......... ......... ......... ......... ..............
surgery.
00162.... 2 Anesth, nose, sinus ......... ......... ......... ......... ......... ..............
surgery.
00164.... 2 Anesth, biopsy of ......... ......... ......... ......... ......... ..............
nose.
00170.... 2 Anesth, procedure ......... ......... ......... ......... ......... ..............
on mouth.
00172.... 2 Anesth, cleft ......... ......... ......... ......... ......... ..............
palate repair.
00174.... 2 Anesth, pharyngeal ......... ......... ......... ......... ......... ..............
surgery.
00176.... 2 Anesth, pharyngeal ......... ......... ......... ......... ......... ..............
surgery.
00190.... 2 Anesth, facial bone ......... ......... ......... ......... ......... ..............
surgery.
00192.... 2 Anesth, facial bone ......... ......... ......... ......... ......... ..............
surgery.
00210.... 2 Anesth, open head ......... ......... ......... ......... ......... ..............
surgery.
00212.... 2 Anesth, skull ......... ......... ......... ......... ......... ..............
drainage.
00214.... 2 Anesth, skull ......... ......... ......... ......... ......... ..............
drainage.
00215.... 2 Anesth, skull ......... ......... ......... ......... ......... ..............
fracture.
00216.... 2 Anesth, head vessel ......... ......... ......... ......... ......... ..............
surgery.
00218.... 2 Anesth, special ......... ......... ......... ......... ......... ..............
head surgery.
00220.... 2 Anesth, spinal ......... ......... ......... ......... ......... ..............
fluid shunt.
00222.... 2 Anesth, head nerve ......... ......... ......... ......... ......... ..............
surgery.
00300.... 2 Anesth, skin ......... ......... ......... ......... ......... ..............
surgery, neck.
00320.... 2 Anesth, neck organ ......... ......... ......... ......... ......... ..............
surgery.
00322.... 2 Anesth, biopsy of ......... ......... ......... ......... ......... ..............
thyroid.
00350.... 2 Anesth, neck vessel ......... ......... ......... ......... ......... ..............
surgery.
00352.... 2 Anesth, neck vessel ......... ......... ......... ......... ......... ..............
surgery.
00400.... 2 Anesth, chest skin ......... ......... ......... ......... ......... ..............
surgery.
00402.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
breast.
00404.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
breast.
00406.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
breast.
00410.... 2 Anesth, correct ......... ......... ......... ......... ......... ..............
heart rhythm.
00420.... 2 Anesth, skin ......... ......... ......... ......... ......... ..............
surgery, back.
00450.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
shoulder.
00452.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
shoulder.
00454.... 2 Anesth, collar bone ......... ......... ......... ......... ......... ..............
biopsy.
00470.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
rib.
00472.... 2 Anesth, chest wall ......... ......... ......... ......... ......... ..............
repair.
00474.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
rib(s).
00500.... 2 Anesth, esophageal ......... ......... ......... ......... ......... ..............
surgery.
00520.... 2 Anesth, chest ......... ......... ......... ......... ......... ..............
procedure.
00522.... 2 Anesth, chest ......... ......... ......... ......... ......... ..............
lining biopsy.
00524.... 2 Anesth, chest ......... ......... ......... ......... ......... ..............
drainage.
00528.... 2 Anesth, chest ......... ......... ......... ......... ......... ..............
partition view.
00530.... 2 Anesth, pacemaker ......... ......... ......... ......... ......... ..............
insertion.
00532.... 2 Anesth, vascular ......... ......... ......... ......... ......... ..............
access.
00534.... 2 Anesth, ......... ......... ......... ......... ......... ..............
cardioverter/defib.
00540.... 2 Anesth, chest ......... ......... ......... ......... ......... ..............
surgery.
00542.... 2 Anesth, release of ......... ......... ......... ......... ......... ..............
lung.
00544.... 2 Anesth, chest ......... ......... ......... ......... ......... ..............
lining removal.
00546.... 2 Anesth, lung, chest ......... ......... ......... ......... ......... ..............
wall surg.
00548.... 2 Anesth, trachea, ......... ......... ......... ......... ......... ..............
bronchi surg.
00560.... 2 Anesth, open heart ......... ......... ......... ......... ......... ..............
surgery.
00562.... 2 Anesth, open heart ......... ......... ......... ......... ......... ..............
surgery.
00580.... 2 Anesth, heart/lung ......... ......... ......... ......... ......... ..............
transplant.
00600.... 2 Anesth, spine, cord ......... ......... ......... ......... ......... ..............
surgery.
[[Page 32329]]
00604.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
vertebra.
00620.... 2 Anesth, spine, cord ......... ......... ......... ......... ......... ..............
surgery.
00622.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
nerves.
00630.... 2 Anesth, spine, cord ......... ......... ......... ......... ......... ..............
surgery.
00632.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
nerves.
00634.... 2 Anesth for ......... ......... ......... ......... ......... ..............
chemonucleolysis.
00670.... 2 Anesth, spine, cord ......... ......... ......... ......... ......... ..............
surgery.
00700.... 2 Anesth, abdominal ......... ......... ......... ......... ......... ..............
wall surg.
00702.... 2 Anesth, for liver ......... ......... ......... ......... ......... ..............
biopsy.
00730.... 2 Anesth, abdominal ......... ......... ......... ......... ......... ..............
wall surg.
00740.... 2 Anesth, gi ......... ......... ......... ......... ......... ..............
visualization.
00750.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
hernia.
00752.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
hernia.
00754.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
hernia.
00756.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
hernia.
00770.... 2 Anesth, blood ......... ......... ......... ......... ......... ..............
vessel repair.
00790.... 2 Anesth, surg upper ......... ......... ......... ......... ......... ..............
abdomen.
00792.... 2 Anesth, part liver ......... ......... ......... ......... ......... ..............
removal.
00794.... 2 Anesth, pancreas ......... ......... ......... ......... ......... ..............
removal.
00796.... 2 Anesth, for liver ......... ......... ......... ......... ......... ..............
transplant.
00800.... 2 Anesth, abdominal ......... ......... ......... ......... ......... ..............
wall surg.
00802.... 2 Anesth, fat layer ......... ......... ......... ......... ......... ..............
removal.
00810.... 2 Anesth, intestine ......... ......... ......... ......... ......... ..............
endoscopy.
00820.... 2 Anesth, abdominal ......... ......... ......... ......... ......... ..............
wall surg.
00830.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
hernia.
00832.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
hernia.
00840.... 2 Anesth, surg lower ......... ......... ......... ......... ......... ..............
abdomen.
00842.... 2 Anesth, ......... ......... ......... ......... ......... ..............
amniocentesis.
00844.... 2 Anesth, pelvis ......... ......... ......... ......... ......... ..............
surgery.
00846.... 2 Anesth, ......... ......... ......... ......... ......... ..............
hysterectomy.
00848.... 2 Anesth, pelvic ......... ......... ......... ......... ......... ..............
organ surg.
00850.... 2 Anesth, cesarean ......... ......... ......... ......... ......... ..............
section.
00855.... 2 Anesth, ......... ......... ......... ......... ......... ..............
hysterectomy.
00857.... 2 Analgesia, labor & ......... ......... ......... ......... ......... ..............
c-section.
00860.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
abdomen.
00862.... 2 Anesth, kidney, ......... ......... ......... ......... ......... ..............
ureter surg.
00864.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
bladder.
00865.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
prostate.
00866.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
adrenal.
00868.... 2 Anesth, kidney ......... ......... ......... ......... ......... ..............
transplant.
00870.... 2 Anesth, bladder ......... ......... ......... ......... ......... ..............
stone surg.
00872.... 2 Anesth, kidney ......... ......... ......... ......... ......... ..............
stone destruct.
00873.... 2 Anesth, kidney ......... ......... ......... ......... ......... ..............
stone destruct.
00880.... 2 Anesth, abdomen ......... ......... ......... ......... ......... ..............
vessel surg.
00882.... 2 Anesth, major vein ......... ......... ......... ......... ......... ..............
ligation.
00884.... 2 Anesth, major vein ......... ......... ......... ......... ......... ..............
revision.
00900.... 2 Anesth, perineal ......... ......... ......... ......... ......... ..............
procedure.
00902.... 2 Anesth, anorectal ......... ......... ......... ......... ......... ..............
surgery.
00904.... 2 Anesth, perineal ......... ......... ......... ......... ......... ..............
surgery.
00906.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
vulva.
00908.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
prostate.
00910.... 2 Anesth, bladder ......... ......... ......... ......... ......... ..............
surgery.
00912.... 2 Anesth, bladder ......... ......... ......... ......... ......... ..............
tumor surg.
00914.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
prostate.
00916.... 2 Anesth, bleeding ......... ......... ......... ......... ......... ..............
control.
00918.... 2 Anesth, stone ......... ......... ......... ......... ......... ..............
removal.
00920.... 2 Anesth, genitalia ......... ......... ......... ......... ......... ..............
surgery.
00922.... 2 Anesth, sperm duct ......... ......... ......... ......... ......... ..............
surgery.
00924.... 2 Anesth, testis ......... ......... ......... ......... ......... ..............
exploration.
00926.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
testis.
00928.... 2 Anesth, removal of ......... ......... ......... ......... ......... ..............
testis.
00930.... 2 Anesth, testis ......... ......... ......... ......... ......... ..............
suspension.
00932.... 2 Anesth, amputation ......... ......... ......... ......... ......... ..............
of penis.
00934.... 2 Anesth, penis, ......... ......... ......... ......... ......... ..............
nodes removal.
00936.... 2 Anesth, penis, ......... ......... ......... ......... ......... ..............
nodes removal.
00938.... 2 Anesth, insert ......... ......... ......... ......... ......... ..............
penis device.
00940.... 2 Anesth, vaginal ......... ......... ......... ......... ......... ..............
procedures.
00942.... 2 Anesth, surgery on ......... ......... ......... ......... ......... ..............
vagina.
00944.... 2 Anesth, vaginal ......... ......... ......... ......... ......... ..............
hysterectomy.
00946.... 2 Anesth, vaginal ......... ......... ......... ......... ......... ..............
delivery.
00948.... 2 Anesth, repair of ......... ......... ......... ......... ......... ..............
cervix.
00950.... 2 Anesth, vaginal ......... ......... ......... ......... ......... ..............
endoscopy.
00952.... 2 Anesth, uterine ......... ......... ......... ......... ......... ..............
endoscopy.
00955.... 2 Analgesia, vaginal ......... ......... ......... ......... ......... ..............
delivery.
[[Page 32330]]
01000.... 2 Anesth, skin ......... ......... ......... ......... ......... ..............
surgery, pelvis.
01110.... 2 Anesth, skin ......... ......... ......... ......... ......... ..............
surgery, pelvis.
01120.... 2 Anesth, pelvis ......... ......... ......... ......... ......... ..............
surgery.
01130.... 2 Anesth, body cast ......... ......... ......... ......... ......... ..............
procedure.
01140.... 2 Anesth, amputation ......... ......... ......... ......... ......... ..............
at pelvis.
01150.... 2 Anesth, pelvic ......... ......... ......... ......... ......... ..............
tumor surgery.
01160.... 2 Anesth, pelvis ......... ......... ......... ......... ......... ..............
procedure.
01170.... 2 Anesth, pelvis ......... ......... ......... ......... ......... ..............
surgery.
01180.... 2 Anesth, pelvis ......... ......... ......... ......... ......... ..............
nerve removal.
01190.... 2 Anesth, pelvis ......... ......... ......... ......... ......... ..............
nerve removal.
01200.... 2 Anesth, hip joint ......... ......... ......... ......... ......... ..............
procedure.
01202.... 2 Anesth, arthroscopy ......... ......... ......... ......... ......... ..............
of hip.
01210.... 2 Anesth, hip joint ......... ......... ......... ......... ......... ..............
surgery.
01212.... 2 Anesth, hip ......... ......... ......... ......... ......... ..............
disarticulation.
01214.... 2 Anesth, replacement ......... ......... ......... ......... ......... ..............
of hip.
01220.... 2 Anesth, procedure ......... ......... ......... ......... ......... ..............
on femur.
01230.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
femur.
01232.... 2 Anesth, amputation ......... ......... ......... ......... ......... ..............
of femur.
01234.... 2 Anesth, radical ......... ......... ......... ......... ......... ..............
femur surg.
01240.... 2 Anesth, upper leg ......... ......... ......... ......... ......... ..............
skin surg.
01250.... 2 Anesth, upper leg ......... ......... ......... ......... ......... ..............
surgery.
01260.... 2 Anesth, upper leg ......... ......... ......... ......... ......... ..............
veins surg.
01270.... 2 Anesth, thigh ......... ......... ......... ......... ......... ..............
arteries surg.
01272.... 2 Anesth, femoral ......... ......... ......... ......... ......... ..............
artery surg.
01274.... 2 Anesth, femoral ......... ......... ......... ......... ......... ..............
embolectomy.
01300.... 2 Anesth, skin ......... ......... ......... ......... ......... ..............
surgery, knee.
01320.... 2 Anesth, knee area ......... ......... ......... ......... ......... ..............
surgery.
01340.... 2 Anesth, knee area ......... ......... ......... ......... ......... ..............
procedure.
01360.... 2 Anesth, knee area ......... ......... ......... ......... ......... ..............
surgery.
01380.... 2 Anesth, knee joint ......... ......... ......... ......... ......... ..............
procedure.
01382.... 2 Anesth, knee ......... ......... ......... ......... ......... ..............
arthroscopy.
01390.... 2 Anesth, knee area ......... ......... ......... ......... ......... ..............
procedure.
01392.... 2 Anesth, knee area ......... ......... ......... ......... ......... ..............
surgery.
01400.... 2 Anesth, knee joint ......... ......... ......... ......... ......... ..............
surgery.
01402.... 2 Anesth, replacement ......... ......... ......... ......... ......... ..............
of knee.
01404.... 2 Anesth, amputation ......... ......... ......... ......... ......... ..............
at knee.
01420.... 2 Anesth, knee joint ......... ......... ......... ......... ......... ..............
casting.
01430.... 2 Anesth, knee veins ......... ......... ......... ......... ......... ..............
surgery.
01432.... 2 Anesth, knee vessel ......... ......... ......... ......... ......... ..............
surg.
01440.... 2 Anesth, knee ......... ......... ......... ......... ......... ..............
arteries surg.
01442.... 2 Anesth, knee artery ......... ......... ......... ......... ......... ..............
surg.
01444.... 2 Anesth, knee artery ......... ......... ......... ......... ......... ..............
repair.
01460.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
skin surg.
01462.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
procedure.
01464.... 2 Anesth, ankle ......... ......... ......... ......... ......... ..............
arthroscopy.
01470.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
surgery.
01472.... 2 Anesth, achilles ......... ......... ......... ......... ......... ..............
tendon surg.
01474.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
surgery.
01480.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
bone surg.
01482.... 2 Anesth, radical leg ......... ......... ......... ......... ......... ..............
surgery.
01484.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
revision.
01486.... 2 Anesth, ankle ......... ......... ......... ......... ......... ..............
replacement.
01490.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
casting.
01500.... 2 Anesth, leg ......... ......... ......... ......... ......... ..............
arteries surg.
01502.... 2 Anesth, lowerleg ......... ......... ......... ......... ......... ..............
embolectomy.
01520.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
vein surg.
01522.... 2 Anesth, lower leg ......... ......... ......... ......... ......... ..............
vein surg.
01600.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
skin surg.
01610.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
shoulder.
01620.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
procedure.
01622.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
arthroscopy.
01630.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
shoulder.
01632.... 2 Anesth, surgery of ......... ......... ......... ......... ......... ..............
shoulder.
01634.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
joint amput.
01636.... 2 Anesth, forequarter ......... ......... ......... ......... ......... ..............
amput.
01638.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
replacement.
01650.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
artery surg.
01652.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
vessel surg.
01654.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
vessel surg.
01656.... 2 Anesth, arm-leg ......... ......... ......... ......... ......... ..............
vessel surg.
01670.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
vein surg.
01680.... 2 Anesth, shoulder ......... ......... ......... ......... ......... ..............
casting.
01682.... 2 Anesth, airplane ......... ......... ......... ......... ......... ..............
cast.
01700.... 2 Anesth, elbow area ......... ......... ......... ......... ......... ..............
skin surg.
[[Page 32331]]
01710.... 2 Anesth, elbow area ......... ......... ......... ......... ......... ..............
surgery.
01712.... 2 Anesth, upperarm ......... ......... ......... ......... ......... ..............
tendon surg.
01714.... 2 Anesth, upperarm ......... ......... ......... ......... ......... ..............
tendon surg.
01716.... 2 Anesth, biceps ......... ......... ......... ......... ......... ..............
tendon repair.
01730.... 2 Anesth, upperarm ......... ......... ......... ......... ......... ..............
procedure.
01732.... 2 Anesth, elbow ......... ......... ......... ......... ......... ..............
arthroscopy.
01740.... 2 Anesth, upper arm ......... ......... ......... ......... ......... ..............
surgery.
01742.... 2 Anesth, humerus ......... ......... ......... ......... ......... ..............
surgery.
01744.... 2 Anesth, humerus ......... ......... ......... ......... ......... ..............
repair.
01756.... 2 Anesth, radical ......... ......... ......... ......... ......... ..............
humerus surg.
01758.... 2 Anesth, humeral ......... ......... ......... ......... ......... ..............
lesion surg.
01760.... 2 Anesth, elbow ......... ......... ......... ......... ......... ..............
replacement.
01770.... 2 Anesth, upperarm ......... ......... ......... ......... ......... ..............
artery surg.
01772.... 2 Anesth, upperarm ......... ......... ......... ......... ......... ..............
embolectomy.
01780.... 2 Anesth, upper arm ......... ......... ......... ......... ......... ..............
vein surg.
01782.... 2 Anesth, upperarm ......... ......... ......... ......... ......... ..............
vein repair.
01784.... 2 Anesth, av fistula ......... ......... ......... ......... ......... ..............
repair.
01800.... 2 Anesth, lower arm ......... ......... ......... ......... ......... ..............
skin surg.
01810.... 2 Anesth, lower arm ......... ......... ......... ......... ......... ..............
surgery.
01820.... 2 Anesth, lower arm ......... ......... ......... ......... ......... ..............
procedure.
01830.... 2 Anesth, lower arm ......... ......... ......... ......... ......... ..............
surgery.
01832.... 2 Anesth, wrist ......... ......... ......... ......... ......... ..............
replacement.
01840.... 2 Anesth, lowerarm ......... ......... ......... ......... ......... ..............
artery surg.
01842.... 2 Anesth, lowerarm ......... ......... ......... ......... ......... ..............
embolectomy.
01844.... 2 Anesth, vascular ......... ......... ......... ......... ......... ..............
shunt surg.
01850.... 2 Anesth, lower arm ......... ......... ......... ......... ......... ..............
vein surg.
01852.... 2 Anesth, lowerarm ......... ......... ......... ......... ......... ..............
vein repair.
01860.... 2 Anesth, lower arm ......... ......... ......... ......... ......... ..............
casting.
01900.... 2 Anesth, uterus/tube ......... ......... ......... ......... ......... ..............
inject.
01902.... 2 Anesth, burr holes, ......... ......... ......... ......... ......... ..............
skull.
01904.... 2 Anesth, skull x-ray ......... ......... ......... ......... ......... ..............
inject.
01906.... 2 Anesth, lumbar ......... ......... ......... ......... ......... ..............
myelography.
01908.... 2 Anesth, cervical ......... ......... ......... ......... ......... ..............
myelography.
01910.... 2 Anesth, skull ......... ......... ......... ......... ......... ..............
myelography.
01912.... 2 Anesth, lumbar ......... ......... ......... ......... ......... ..............
discography.
01914.... 2 Anesth, cervical ......... ......... ......... ......... ......... ..............
discography.
01916.... 2 Anesth, head ......... ......... ......... ......... ......... ..............
arteriogram.
01918.... 2 Anesth, limb ......... ......... ......... ......... ......... ..............
arteriogram.
01920.... 2 Anesth, catheterize ......... ......... ......... ......... ......... ..............
heart.
01921.... 2 Anesth, vessel ......... ......... ......... ......... ......... ..............
surgery.
01922.... 2 Anesth, cat or MRI ......... ......... ......... ......... ......... ..............
scan.
01990.... 6 Support for organ ......... ......... ......... ......... ......... ..............
donor.
01995.... 2 Regional ......... ......... ......... ......... ......... ..............
anesthesia, limb.
01996.... 2 Manage daily drug ......... ......... ......... ......... ......... ..............
therapy.
01999.... 3 Unlisted anesth ......... ......... ......... ......... ......... ..............
procedure.
10040.... 5 Acne surgery of ......... ......... ......... ......... ......... ..............
skin abscess.
10060.... 5 Drainage of skin ......... ......... ......... ......... ......... ..............
abscess.
10061.... 5 Drainage of skin ......... ......... ......... ......... ......... ..............
abscess.
10080.... 5 Drainage of ......... ......... ......... ......... ......... ..............
pilonidal cyst.
10081.... 5 Drainage of ......... ......... ......... ......... ......... ..............
pilonidal cyst.
10120.... 5 Remove foreign body ......... ......... ......... ......... ......... ..............
10121.... 1 Remove foreign body ......... ......... 163 $449 0.89 Add.
10140.... 5 Drainage of ......... ......... ......... ......... ......... ..............
hematoma/fluid.
10160.... 5 Puncture drainage ......... ......... ......... ......... ......... ..............
of lesion.
10180.... 5 Complex drainage, 2 $422 ......... ......... ......... Delete.
wound.
11000.... 5 Debride infected ......... ......... ......... ......... ......... ..............
skin.
11001.... 5 Debride infect skin ......... ......... ......... ......... ......... ..............
add.
11010.... 1 Debride skin, fx... ......... ......... 163 $449 0.89 Add.
11011.... 1 Debride skin/ ......... ......... 163 $449 0.89 Add.
muscle, fx.
11012.... 1 Debride skin/muscle/ ......... ......... 163 $449 0.89 Add.
bone, fx.
11040.... 5 Debride skin ......... ......... ......... ......... ......... ..............
partial.
11041.... 5 Debride skin full.. ......... ......... ......... ......... ......... ..............
11042.... 5 Debride skin/tissue 2 $422 ......... ......... ......... Delete.
11043.... 1 Debride tissue/ 2 $422 162 $187 0.37 ..............
muscle.
11044.... 1 Debride tissue/ 2 $422 162 $187 0.37 ..............
muscle/bone.
11055.... 5 Trim skin lesion... ......... ......... ......... ......... ......... ..............
11056.... 5 Trim 2 to 4 skin ......... ......... ......... ......... ......... ..............
lesions.
11057.... 5 Trim over 4 skin ......... ......... ......... ......... ......... ..............
lesions.
11100.... 5 Biopsy of skin ......... ......... ......... ......... ......... ..............
lesion.
11101.... 5 Biopsy, each added ......... ......... ......... ......... ......... ..............
lesion.
11200.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
tags.
11201.... 5 Removal of added ......... ......... ......... ......... ......... ..............
skin tags.
11300.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11301.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
[[Page 32332]]
11302.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11303.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11305.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11306.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11307.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11308.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11310.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11311.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11312.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11313.... 5 Shave skin lesion.. ......... ......... ......... ......... ......... ..............
11400.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11401.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11402.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11403.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11404.... 1 Removal of skin 1 $314 162 $187 0.37 ..............
lesion.
11406.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11420.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11421.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11422.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11423.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11424.... 1 Removal of skin 2 $422 162 $187 0.37 ..............
lesion.
11426.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11440.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11441.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11442.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11443.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11444.... 1 Removal of skin 1 $314 162 $187 0.37 ..............
lesion.
11446.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11450.... 1 Removal, sweat 2 $422 163 $449 0.89 ..............
gland lesion.
11451.... 1 Removal, sweat 2 $422 163 $449 0.89 ..............
gland lesion.
11462.... 1 Removal, sweat 2 $422 163 $449 0.89 ..............
gland lesion.
11463.... 1 Removal, sweat 2 $422 163 $449 0.89 ..............
gland lesion.
11470.... 1 Removal, sweat 2 $422 163 $449 0.89 ..............
gland lesion.
11471.... 1 Removal, sweat 2 $422 163 $449 0.89 ..............
gland lesion.
11600.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11601.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11602.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11603.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11604.... 1 Removal of skin 2 $422 162 $187 0.37 ..............
lesion.
11606.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11620.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11621.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11622.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11623.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11624.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11626.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11640.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11641.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11642.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11643.... 5 Removal of skin ......... ......... ......... ......... ......... ..............
lesion.
11644.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11646.... 1 Removal of skin 2 $422 163 $449 0.89 ..............
lesion.
11719.... 5 Trim nail(s)....... ......... ......... ......... ......... ......... ..............
11720.... 5 Debride nail, 1-5.. ......... ......... ......... ......... ......... ..............
11721.... 5 Debride nail, 6 or ......... ......... ......... ......... ......... ..............
more.
11730.... 5 Removal of nail ......... ......... ......... ......... ......... ..............
plate.
11731.... 5 Removal of second ......... ......... ......... ......... ......... ..............
nail plate.
11732.... 5 Remove additional ......... ......... ......... ......... ......... ..............
nail plate.
11740.... 5 Drain blood from ......... ......... ......... ......... ......... ..............
under nail.
11750.... 5 Removal of nail bed ......... ......... ......... ......... ......... ..............
11752.... 1 Remove nail bed/ ......... ......... 163 $449 0.89 Add.
finger tip.
11755.... 5 Biopsy, nail unit.. ......... ......... ......... ......... ......... ..............
11760.... 1 Reconstruction of ......... ......... 181 $150 0.30 Add.
nail bed.
11762.... 1 Reconstruction of ......... ......... 181 $150 0.30 Add.
nail bed.
11765.... 5 Excision of nail ......... ......... ......... ......... ......... ..............
fold, toe.
11770.... 1 Removal of 3 $482 162 $187 0.37 ..............
pilonidal lesion.
11771.... 1 Removal of 3 $482 163 $449 0.89 ..............
pilonidal lesion.
11772.... 1 Removal of 3 $482 163 $449 0.89 ..............
pilonidal lesion.
11900.... 5 Injection into skin ......... ......... ......... ......... ......... ..............
lesions.
11901.... 5 Add.ed skin lesions ......... ......... ......... ......... ......... ..............
injection.
11920.... 7 Correct skin color ......... ......... 181 $150 0.30 Add.
defects.
11921.... 7 Correct skin color ......... ......... 181 $150 0.30 Add.
defects.
11922.... 7 Correct skin color ......... ......... 181 $150 0.30 Add.
defects.
11950.... 7 Therapy for contour ......... ......... 181 $150 0.30 Add.
defects.
[[Page 32333]]
11951.... 7 Therapy for contour ......... ......... 181 $150 0.30 Add.
defects.
11952.... 7 Therapy for contour ......... ......... 181 $150 0.30 Add.
defects.
11954.... 7 Therapy for contour ......... ......... 181 $150 0.30 Add.
defects.
11960.... 1 Insert tissue 2 $422 183 $465 0.92 ..............
expander(s).
11970.... 1 Replace tissue 3 $482 183 $465 0.92 ..............
expander.
11971.... 1 Remove tissue 1 $314 163 $449 0.89 ..............
expander(s).
11975.... 9 Insert ......... ......... ......... ......... ......... ..............
contraceptive cap.
11976.... 5 Removal of ......... ......... ......... ......... ......... ..............
contraceptive cap.
11977.... 9 Removal/reinsert ......... ......... ......... ......... ......... ..............
contra cap.
12001.... 1 Repair superficial ......... ......... 181 $150 0.30 Add.
wound(s).
12002.... 1 Repair superficial ......... ......... 181 $150 0.30 Add.
wound(s).
12004.... 1 Repair superficial ......... ......... 181 $150 0.30 Add.
wound(s).
12005.... 1 Repair superficial 2 $422 181 $150 0.30 ..............
wound(s).
12006.... 1 Repair superficial 2 $422 181 $150 0.30 ..............
wound(s).
12007.... 1 Repair superficial 2 $422 181 $150 0.30 ..............
wound(s).
12011.... 1 Repair superficial ......... ......... 181 $150 0.30 Add.
wound(s).
12013.... 1 Repair superficial ......... ......... 181 $150 0.30 Add.
wound(s).
12014.... 1 Repair superficial ......... ......... 181 $150 0.30 Add.
wound(s).
12015.... 1 Repair superficial ......... ......... 181 $150 0.30 Add.
wound(s).
12016.... 1 Repair superficial 2 $422 181 $150 0.30 ..............
wound(s).
12017.... 1 Repair superficial 2 $422 181 $150 0.30 ..............
wound(s).
12018.... 1 Repair superficial 2 $422 181 $150 0.30 ..............
wound(s).
12020.... 1 Closure of split 1 $314 181 $150 0.30 ..............
wound.
12021.... 1 Closure of split 1 $314 181 $150 0.30 ..............
wound.
12031.... 1 Layer closure of ......... ......... 181 $150 0.30 Add.
wound(s).
12032.... 1 Layer closure of ......... ......... 181 $150 0.30 Add.
wound(s).
12034.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12035.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12036.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12037.... 1 Layer closure of 2 $422 183 $465 0.92 ..............
wound(s).
12041.... 1 Layer closure of ......... ......... 181 $150 0.30 Add.
wound(s).
12042.... 1 Layer closure of ......... ......... 181 $150 0.30 Add.
wound(s).
12044.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12045.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12046.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12047.... 1 Layer closure of 2 $422 183 $465 0.92 ..............
wound(s).
12051.... 1 Layer closure of ......... ......... 181 $150 0.30 Add.
wound(s).
12052.... 1 Layer closure of ......... ......... 181 $150 0.30 Add.
wound(s).
12053.... 1 Layer closure of ......... ......... 181 $150 0.30 Add.
wound(s).
12054.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12055.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12056.... 1 Layer closure of 2 $422 181 $150 0.30 ..............
wound(s).
12057.... 1 Layer closure of 2 $422 183 $465 0.92 ..............
wound(s).
13100.... 1 Repair of wound or 2 $422 182 $383 0.76 ..............
lesion.
13101.... 1 Repair of wound or 3 $482 182 $383 0.76 ..............
lesion.
13120.... 1 Repair of wound or 2 $422 182 $383 0.76 ..............
lesion.
13121.... 1 Repair of wound or 3 $482 182 $383 0.76 ..............
lesion.
13131.... 1 Repair of wound or 2 $422 182 $383 0.76 ..............
lesion.
13132.... 1 Repair of wound or 3 $482 182 $383 0.76 ..............
lesion.
13150.... 1 Repair of wound or 3 $482 182 $383 0.76 ..............
lesion.
13151.... 1 Repair of wound or 3 $482 182 $383 0.76 ..............
lesion.
13152.... 1 Repair of wound or 3 $482 182 $383 0.76 ..............
lesion.
13160.... 1 Late closure of 2 $422 182 $383 0.76 ..............
wound.
13300.... 1 Repair of wound or 4 $595 182 $383 0.76 ..............
lesion.
14000.... 1 Skin tissue 2 $422 183 $465 0.92 ..............
rearrangement.
14001.... 1 Skin tissue 3 $482 183 $465 0.92 ..............
rearrangement.
14020.... 1 Skin tissue 3 $482 183 $465 0.92 ..............
rearrangement.
14021.... 1 Skin tissue 3 $482 183 $465 0.92 ..............
rearrangement.
14040.... 1 Skin tissue 2 $422 183 $465 0.92 ..............
rearrangement.
14041.... 1 Skin tissue 3 $482 183 $465 0.92 ..............
rearrangement.
14060.... 1 Skin tissue 3 $482 183 $465 0.92 ..............
rearrangement.
14061.... 1 Skin tissue 3 $482 183 $465 0.92 ..............
rearrangement.
14300.... 1 Skin tissue 4 $595 183 $465 0.92 ..............
rearrangement.
14350.... 1 Skin tissue 3 $482 183 $465 0.92 ..............
rearrangement.
15000.... 1 Skin graft 2 $422 183 $465 0.92 ..............
procedure.
15050.... 1 Skin pinch graft 2 $422 183 $465 0.92 ..............
procedure.
15100.... 1 Skin split graft 2 $422 183 $465 0.92 ..............
procedure.
15101.... 1 Skin split graft 3 $482 183 $465 0.92 ..............
procedure.
15120.... 1 Skin split graft 2 $422 183 $465 0.92 ..............
procedure.
15121.... 1 Skin split graft 3 $482 183 $465 0.92 ..............
procedure.
15200.... 1 Skin full graft 3 $482 183 $465 0.92 ..............
procedure.
15201.... 1 Skin full graft 2 $422 183 $465 0.92 ..............
procedure.
15220.... 1 Skin full graft 2 $422 183 $465 0.92 ..............
procedure.
15221.... 1 Skin full graft 2 $422 183 $465 0.92 ..............
procedure.
[[Page 32334]]
15240.... 1 Skin full graft 3 $482 183 $465 0.92 ..............
procedure.
15241.... 1 Skin full graft 3 $482 183 $465 0.92 ..............
procedure.
15260.... 1 Skin full graft 2 $422 183 $465 0.92 ..............
procedure.
15261.... 1 Skin full graft 2 $422 183 $465 0.92 ..............
procedure.
15350.... 1 Skin homograft 2 $422 183 $465 0.92 ..............
procedure.
15400.... 1 Skin heterograft 2 $422 183 $465 0.92 ..............
procedure.
15570.... 1 Form skin pedicle 3 $482 183 $465 0.92 ..............
flap.
15572.... 1 Form skin pedicle 3 $482 183 $465 0.92 ..............
flap.
15574.... 1 Form skin pedicle 3 $482 183 $465 0.92 ..............
flap.
15576.... 1 Form skin pedicle 3 $482 183 $465 0.92 ..............
flap.
15580.... 1 Attach skin pedicle 3 $482 183 $465 0.92 ..............
graft.
15600.... 1 Skin graft 3 $482 183 $465 0.92 ..............
procedure.
15610.... 1 Skin graft 3 $482 183 $465 0.92 ..............
procedure.
15620.... 1 Skin graft 4 $595 183 $465 0.92 ..............
procedure.
15625.... 1 Skin graft 3 $482 183 $465 0.92 ..............
procedure.
15630.... 1 Skin graft 3 $482 183 $465 0.92 ..............
procedure.
15650.... 1 Transfer skin 5 $678 183 $465 0.92 ..............
pedicle flap.
15732.... 1 Muscle-skin graft, 3 $482 184 $565 1.12 ..............
head/neck.
15734.... 1 Muscle-skin graft, 3 $482 184 $565 1.12 ..............
trunk.
15736.... 1 Muscle-skin graft, 3 $482 184 $565 1.12 ..............
arm.
15738.... 1 Muscle-skin graft, 3 $482 184 $565 1.12 ..............
leg.
15740.... 1 Island pedicle flap 2 $422 184 $565 1.12 ..............
graft.
15750.... 1 Neurovascular 2 $422 184 $565 1.12 ..............
pedicle graft.
15756.... 3 Free muscle flap, 3 $482 ......... ......... ......... Delete.
microvasc.
15757.... 3 Free skin flap, 3 $482 ......... ......... ......... Delete.
microvasc.
15758.... 3 Free fascial flap, 3 $482 ......... ......... ......... Delete.
microvasc.
15760.... 1 Composite skin 2 $422 184 $565 1.12 ..............
graft.
15770.... 1 Derma-fat-fascia 3 $482 184 $565 1.12 ..............
graft.
15775.... 7 Hair transplant ......... ......... 183 $465 0.92 Add.
punch grafts.
15776.... 7 Hair transplant ......... ......... 183 $465 0.92 Add.
punch grafts.
15780.... 1 Abrasion treatment ......... ......... 163 $449 0.89 Add.
of skin.
15781.... 1 Abrasion treatment ......... ......... 163 $449 0.89 Add.
of skin.
15782.... 1 Abrasion treatment ......... ......... 163 $449 0.89 Add.
of skin.
15783.... 5 Abrasion treatment ......... ......... ......... ......... ......... ..............
of skin.
15786.... 5 Abrasion treatment ......... ......... ......... ......... ......... ..............
of lesion.
15787.... 5 Abrasion, added ......... ......... ......... ......... ......... ..............
skin lesions.
15788.... 5 Chemical peel, ......... ......... ......... ......... ......... ..............
face, epiderm.
15789.... 5 Chemical peel, ......... ......... ......... ......... ......... ..............
face, dermal.
15792.... 5 Chemical peel, ......... ......... ......... ......... ......... ..............
nonfacial.
15793.... 5 Chemical peel, ......... ......... ......... ......... ......... ..............
nonfacial.
15810.... 5 Salabrasion........ ......... ......... ......... ......... ......... ..............
15811.... 1 Salabrasion........ ......... ......... 163 $449 0.89 Add.
15819.... 1 Plastic surgery, ......... ......... 183 $465 0.92 Add.
neck.
15820.... 1 Revision of lower ......... ......... 183 $465 0.92 Add.
eyelid.
15821.... 1 Revision of lower ......... ......... 183 $465 0.92 Add.
eyelid.
15822.... 1 Revision of upper ......... ......... 183 $465 0.92 Add.
eyelid.
15823.... 1 Revision of upper ......... ......... 183 $465 0.92 Add.
eyelid.
15824.... 7 Removal of forehead ......... ......... 184 $565 1.12 Add.
wrinkles.
15825.... 7 Removal of neck ......... ......... 183 $465 0.92 Add.
wrinkles.
15826.... 7 Removal of brow ......... ......... 184 $565 1.12 Add.
wrinkles.
15828.... 7 Removal of face ......... ......... 184 $565 1.12 Add.
wrinkles.
15829.... 7 Removal of skin ......... ......... 183 $465 0.92 Add.
wrinkles.
15831.... 1 Excise excessive ......... ......... 184 $565 1.12 Add.
skin tissue.
15832.... 1 Excise excessive ......... ......... 184 $565 1.12 Add.
skin tissue.
15833.... 1 Excise excessive ......... ......... 184 $565 1.12 Add.
skin tissue.
15834.... 1 Excise excessive ......... ......... 184 $565 1.12 Add.
skin tissue.
15835.... 1 Excise excessive ......... ......... 183 $465 0.92 Add.
skin tissue.
15836.... 1 Excise excessive ......... ......... 184 $565 1.12 Add.
skin tissue.
15837.... 1 Excise excessive ......... ......... 184 $565 1.12 Add.
skin tissue.
15838.... 1 Excise excessive ......... ......... 163 $449 0.89 Add.
skin tissue.
15839.... 1 Excise excessive ......... ......... 184 $565 1.12 Add.
skin tissue.
15840.... 1 Graft for face 4 $595 184 $565 1.12 ..............
nerve palsy.
15841.... 1 Graft for face 4 $595 184 $565 1.12 ..............
nerve palsy.
15842.... 1 Graft for face 4 $595 184 $565 1.12 ..............
nerve palsy.
15845.... 1 Skin and muscle 4 $595 184 $565 1.12 ..............
repair, face.
15850.... 5 Removal of sutures. ......... ......... ......... ......... ......... ..............
15851.... 5 Removal of sutures. ......... ......... ......... ......... ......... ..............
15852.... 5 Dressing change,not ......... ......... ......... ......... ......... ..............
for burn.
15860.... 1 Test for blood flow ......... ......... 181 $150 0.30 Add.
in graft.
15876.... 7 Suction assisted ......... ......... 184 $565 1.12 Add.
lipectomy.
15877.... 7 Suction assisted ......... ......... 184 $565 1.12 Add.
lipectomy.
15878.... 7 Suction assisted ......... ......... 184 $565 1.12 Add.
lipectomy.
15879.... 7 Suction assisted ......... ......... 184 $565 1.12 Add.
lipectomy.
15920.... 1 Removal of tail 3 $482 163 $449 0.89 ..............
bone ulcer.
[[Page 32335]]
15922.... 1 Removal of tail 4 $595 184 $565 1.12 ..............
bone ulcer.
15931.... 1 Remove sacrum 3 $482 163 $449 0.89 ..............
pressure sore.
15933.... 1 Remove sacrum 3 $482 163 $449 0.89 ..............
pressure sore.
15934.... 1 Remove sacrum 3 $482 184 $565 1.12 ..............
pressure sore.
15935.... 1 Remove sacrum 4 $595 184 $565 1.12 ..............
pressure sore.
15936.... 1 Remove sacrum 4 $595 184 $565 1.12 ..............
pressure sore.
15937.... 1 Remove sacrum 4 $595 184 $565 1.12 ..............
pressure sore.
15940.... 1 Removal of pressure 3 $482 163 $449 0.89 ..............
sore.
15941.... 1 Removal of pressure 3 $482 163 $449 0.89 ..............
sore.
15944.... 1 Removal of pressure 3 $482 184 $565 1.12 ..............
sore.
15945.... 1 Removal of pressure 4 $595 184 $565 1.12 ..............
sore.
15946.... 1 Removal of pressure 4 $595 184 $565 1.12 ..............
sore.
15950.... 1 Remove thigh 3 $482 163 $449 0.89 ..............
pressure sore.
15951.... 1 Remove thigh 4 $595 163 $449 0.89 ..............
pressure sore.
15952.... 1 Remove thigh 3 $482 184 $565 1.12 ..............
pressure sore.
15953.... 1 Remove thigh 4 $595 184 $565 1.12 ..............
pressure sore.
15956.... 1 Remove thigh 3 $482 184 $565 1.12 ..............
pressure sore.
15958.... 1 Remove thigh 4 $595 184 $565 1.12 ..............
pressure sore.
15999.... 3 Removal of pressure ......... ......... ......... ......... ......... ..............
sore.
16000.... 5 Initial treatment ......... ......... ......... ......... ......... ..............
of burn(s).
16010.... 1 Treatment of ......... ......... 152 $213 0.42 Add.
burn(s).
16015.... 1 Treatment of 2 $422 152 $213 0.42 ..............
burn(s).
16020.... 5 Treatment of ......... ......... ......... ......... ......... ..............
burn(s).
16025.... 5 Treatment of ......... ......... ......... ......... ......... ..............
burn(s).
16030.... 5 Treatment of 1 $314 ......... ......... ......... Delete.
burn(s).
16035.... 1 Incision of burn 2 $422 162 $187 0.37 ..............
scab.
16040.... 1 Burn wound excision ......... ......... 162 $187 0.37 Add.
16041.... 1 Burn wound excision ......... ......... 162 $187 0.37 Add.
16042.... 1 Burn wound excision ......... ......... 162 $187 0.37 Add.
17000.... 5 Destroy benign/ ......... ......... ......... ......... ......... ..............
premal lesion.
17003.... 5 Destroy 2-14 ......... ......... ......... ......... ......... ..............
lesions.
17004.... 5 Destroy 15 & more ......... ......... ......... ......... ......... ..............
lesions.
17106.... 1 Destruction of skin ......... ......... 152 $213 0.42 Add.
lesions.
17107.... 1 Destruction of skin ......... ......... 152 $213 0.42 Add.
lesions.
17108.... 1 Destruction of skin ......... ......... 152 $213 0.42 Add.
lesions.
17110.... 5 Destruct lesion, 1- ......... ......... ......... ......... ......... ..............
14.
17111.... 5 Destruct lesion, 15 ......... ......... ......... ......... ......... ..............
or more.
17250.... 5 Chemical cautery, ......... ......... ......... ......... ......... ..............
tissue.
17260.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17261.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17262.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17263.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17264.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17266.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17270.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17271.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17272.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17273.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17274.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17276.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17280.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17281.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17282.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17283.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17284.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17286.... 5 Destruction of skin ......... ......... ......... ......... ......... ..............
lesions.
17304.... 1 Chemosurgery of ......... ......... 162 $187 0.37 Add.
skin lesion.
17305.... 1 2nd stage ......... ......... 162 $187 0.37 Add.
chemosurgery.
17306.... 1 3rd stage ......... ......... 162 $187 0.37 Add.
chemosurgery.
17307.... 1 Followup skin ......... ......... 162 $187 0.37 Add.
lesion therapy.
17310.... 1 Extensive skin ......... ......... 162 $187 0.37 Add.
chemosurgery.
17340.... 5 Cryotherapy of skin ......... ......... ......... ......... ......... ..............
17360.... 5 Skin peel therapy.. ......... ......... ......... ......... ......... ..............
17380.... 5 Hair removal by ......... ......... ......... ......... ......... ..............
electrolysis.
17999.... 3 Skin tissue ......... ......... ......... ......... ......... ..............
procedure.
19000.... 5 Drainage of breast ......... ......... ......... ......... ......... ..............
lesion.
19001.... 5 Drain added breast ......... ......... ......... ......... ......... ..............
lesion.
19020.... 1 Incision of breast 2 $422 132 $162 0.32 ..............
lesion.
19030.... 2 Injection for ......... ......... ......... ......... ......... ..............
breast x-ray.
19100.... 1 Biopsy of breast... 1 $314 122 $186 0.37 ..............
19101.... 1 Biopsy of breast... 2 $422 197 $411 0.81 ..............
19110.... 1 Nipple exploration. 2 $422 197 $411 0.81 ..............
19112.... 1 Excise breast duct 3 $482 197 $411 0.81 ..............
fistula.
19120.... 1 Removal of breast 3 $482 197 $411 0.81 ..............
lesion.
[[Page 32336]]
19125.... 1 Excision, breast 3 $482 197 $411 0.81 ..............
lesion.
19126.... 1 Excision, add'l 3 $482 197 $411 0.81 ..............
breast lesion.
19140.... 1 Removal of breast 4 $595 197 $411 0.81 ..............
tissue.
19160.... 1 Removal of breast 3 $482 198 $596 1.18 ..............
tissue.
19162.... 1 Remove breast 7 $941 198 $596 1.18 ..............
tissue, nodes.
19180.... 1 Removal of breast.. 4 $595 198 $596 1.18 ..............
19182.... 1 Removal of breast.. 4 $595 198 $596 1.18 ..............
19200.... 3 Removal of breast.. ......... ......... ......... ......... ......... ..............
19220.... 3 Removal of breast.. ......... ......... ......... ......... ......... ..............
19240.... 3 Removal of breast.. ......... ......... ......... ......... ......... ..............
19260.... 3 Removal of chest 5 $678 ......... ......... ......... Delete.
wall lesion.
19271.... 3 Revision of chest ......... ......... ......... ......... ......... ..............
wall.
19272.... 3 Extensive chest ......... ......... ......... ......... ......... ..............
wall surgery.
19290.... 1 Place needle wire, 1 $314 197 $411 0.81 ..............
breast.
19291.... 1 Place needle wire, 1 $314 197 $411 0.81 ..............
breast.
19316.... 1 Suspension of ......... ......... 198 $596 1.18 Add.
breast.
19318.... 1 Reduction of large 4 $595 198 $596 1.18 ..............
breast.
19324.... 1 Enlarge breast..... ......... ......... 198 $596 1.18 Add.
19325.... 1 Enlarge breast with ......... ......... 198 $596 1.18 Add.
implant.
19328.... 1 Removal of breast 1 $314 198 $596 1.18 ..............
implant.
19330.... 1 Removal of implant 1 $314 198 $596 1.18 ..............
material.
19340.... 1 Immediate breast 2 $422 198 $596 1.18 ..............
prosthesis.
19342.... 1 Delayed breast 3 $482 198 $596 1.18 ..............
prosthesis.
19350.... 1 Breast 4 $595 198 $596 1.18 ..............
reconstruction.
19355.... 1 Correct inverted ......... ......... 198 $596 1.18 Add.
nipple(s).
19357.... 1 Breast 5 $678 198 $596 1.18 ..............
reconstruction.
19361.... 3 Breast ......... ......... ......... ......... ......... ..............
reconstruction.
19364.... 3 Breast 5 $678 ......... ......... ......... Delete.
reconstruction.
19366.... 1 Breast 5 $678 198 $596 1.18 ..............
reconstruction.
19367.... 3 Breast ......... ......... ......... ......... ......... ..............
reconstruction.
19368.... 3 Breast ......... ......... ......... ......... ......... ..............
reconstruction.
19369.... 3 Breast ......... ......... ......... ......... ......... ..............
reconstruction.
19370.... 1 Surgery of breast 4 $595 198 $596 1.18 ..............
capsule.
19371.... 1 Removal of breast 4 $595 198 $596 1.18 ..............
capsule.
19380.... 1 Revise breast 5 $678 198 $596 1.18 ..............
reconstruction.
19396.... 1 Design custom ......... ......... 197 $411 0.81 Add.
breast implant.
19499.... 3 Breast surgery ......... ......... ......... ......... ......... ..............
procedure.
20000.... 5 Incision of abscess ......... ......... ......... ......... ......... ..............
20005.... 1 Incision of deep 2 $422 251 $504 1.00 ..............
abscess.
20100.... 3 Explore wound, neck ......... ......... ......... ......... ......... ..............
20101.... 3 Explore wound, ......... ......... ......... ......... ......... ..............
chest.
20102.... 3 Explore wound, ......... ......... ......... ......... ......... ..............
abdomen.
20103.... 3 Explore wound, ......... ......... ......... ......... ......... ..............
extremity.
20150.... 3 Excise epiphyseal ......... ......... ......... ......... ......... ..............
bar.
20200.... 1 Muscle biopsy...... 2 $422 162 $187 0.37 ..............
20205.... 1 Deep muscle biopsy. 3 $482 162 $187 0.37 ..............
20206.... 1 Needle biopsy, 1 $314 122 $186 0.37 ..............
muscle.
20220.... 1 Bone biopsy, trocar/ 1 $314 162 $187 0.37 ..............
needle.
20225.... 1 Bone biopsy, trocar/ 2 $422 162 $187 0.37 ..............
needle.
20240.... 1 Bone biopsy, 2 $422 163 $449 0.89 ..............
excisional.
20245.... 1 Bone biopsy, 3 $482 163 $449 0.89 ..............
excisional.
20250.... 1 Open bone biopsy... 3 $482 251 $504 1.00 ..............
20251.... 1 Open bone biopsy... 3 $482 251 $504 1.00 ..............
20500.... 1 Injection of sinus ......... ......... 181 $150 0.30 Add.
tract.
20501.... 2 Inject sinus tract ......... ......... ......... ......... ......... ..............
for x-ray.
20520.... 5 Removal of foreign ......... ......... ......... ......... ......... ..............
body.
20525.... 1 Removal of foreign 3 $482 163 $449 0.89 ..............
body.
20550.... 5 Inj tendon/ligament/ ......... ......... ......... ......... ......... ..............
cyst.
20600.... 5 Drain/inject joint/ ......... ......... ......... ......... ......... ..............
bursa.
20605.... 5 Drain/inject joint/ ......... ......... ......... ......... ......... ..............
bursa.
20610.... 5 Drain/inject joint/ ......... ......... ......... ......... ......... ..............
bursa.
20615.... 5 Treatment of bone ......... ......... ......... ......... ......... ..............
cyst.
20650.... 1 Insert and remove 3 $482 251 $504 1.00 ..............
bone pin.
20660.... 3 Apply, remove 2 $422 ......... ......... ......... Delete.
fixation device.
20661.... 3 Application of head 3 $482 ......... ......... ......... Delete.
brace.
20662.... 3 Application of 3 $482 ......... ......... ......... Delete.
pelvis brace.
20663.... 3 Application of 3 $482 ......... ......... ......... Delete.
thigh brace.
20664.... 3 Halo brace ......... ......... ......... ......... ......... ..............
application.
20665.... 5 Removal of fixation 1 $314 ......... ......... ......... Delete.
device.
20670.... 1 Removal of support 1 $314 162 $187 0.37 ..............
implant.
20680.... 1 Removal of support 3 $482 163 $449 0.89 ..............
implant.
20690.... 1 Apply bone fixation 2 $422 252 $574 1.14 ..............
device.
20692.... 1 Apply bone fixation ......... ......... 252 $574 1.14 Add.
device.
20693.... 1 Adjust bone ......... ......... 251 $504 1.00 Add.
fixation device.
[[Page 32337]]
20694.... 1 Remove bone 1 $314 251 $504 1.00 ..............
fixation device.
20802.... 3 Replantation, arm, ......... ......... ......... ......... ......... ..............
complete.
20805.... 3 Replant forearm, ......... ......... ......... ......... ......... ..............
complete.
20808.... 3 Replantation, hand, ......... ......... ......... ......... ......... ..............
complete.
20816.... 3 Replantation digit, ......... ......... ......... ......... ......... ..............
complete.
20822.... 3 Replantation digit, ......... ......... ......... ......... ......... ..............
complete.
20824.... 3 Replantation thumb, ......... ......... ......... ......... ......... ..............
complete.
20827.... 3 Replantation thumb, ......... ......... ......... ......... ......... ..............
complete.
20838.... 3 Replantation, foot, ......... ......... ......... ......... ......... ..............
complete.
20900.... 1 Removal of bone for 3 $482 252 $574 1.14 ..............
graft.
20902.... 1 Removal of bone for 4 $595 252 $574 1.14 ..............
graft.
20910.... 1 Remove cartilage 3 $482 183 $465 0.92 ..............
for graft.
20912.... 1 Remove cartilage 3 $482 183 $465 0.92 ..............
for graft.
20920.... 1 Removal of fascia 4 $595 183 $465 0.92 ..............
for graft.
20922.... 1 Removal of fascia 3 $482 183 $465 0.92 ..............
for graft.
20924.... 1 Removal of tendon 4 $595 252 $574 1.14 ..............
for graft.
20926.... 1 Removal of tissue 4 $595 183 $465 0.92 ..............
for graft.
20930.... 3 Spinal bone ......... ......... ......... ......... ......... ..............
allograft.
20931.... 3 Spinal bone ......... ......... ......... ......... ......... ..............
allograft.
20936.... 3 Spinal bone ......... ......... ......... ......... ......... ..............
autograft.
20937.... 3 Spinal bone ......... ......... ......... ......... ......... ..............
autograft.
20938.... 3 Spinal bone ......... ......... ......... ......... ......... ..............
autograft.
20950.... 1 Record fluid ......... ......... 132 $162 0.32 Add.
pressure,muscle.
20955.... 3 Fibula bone graft, 4 $595 ......... ......... ......... Delete.
microvasc.
20956.... 3 Iliac bone graft, ......... ......... ......... ......... ......... ..............
microvasc.
20957.... 3 Mt bone graft, ......... ......... ......... ......... ......... ..............
microvasc.
20962.... 3 Other bone graft, 4 $595 ......... ......... ......... Delete.
microvasc.
20969.... 3 Bone/skin graft, 4 $595 ......... ......... ......... Delete.
microvasc.
20970.... 3 Bone/skin graft, 4 $595 ......... ......... ......... Delete.
iliac crest.
20972.... 3 Bone-skin graft, 4 $595 ......... ......... ......... Delete.
metatarsal.
20973.... 3 Bone-skin graft, 4 $595 ......... ......... ......... Delete.
great toe.
20974.... 6 Electrical bone ......... ......... ......... ......... ......... ..............
stimulation.
20975.... 1 Electrical bone 2 $422 251 $504 1.00 ..............
stimulation.
20999.... 3 Musculoskeletal ......... ......... ......... ......... ......... ..............
surgery.
21010.... 1 Incision of jaw 2 $422 232 $814 1.62 ..............
joint.
21015.... 1 Resection of facial ......... ......... 231 $437 0.87 Add.
tumor.
21025.... 1 Excision of bone, 2 $422 231 $437 0.87 ..............
lower jaw.
21026.... 1 Excision of facial 2 $422 231 $437 0.87 ..............
bone(s).
21029.... 1 Contour of face ......... ......... 231 $437 0.87 Add.
bone lesion.
21030.... 1 Removal of face ......... ......... 231 $437 0.87 Add.
bone lesion.
21031.... 1 Remove exostosis, ......... ......... 231 $437 0.87 Add.
mandible.
21032.... 1 Remove exostosis, ......... ......... 231 $437 0.87 Add.
maxilla.
21034.... 1 Removal of face 3 $482 232 $814 1.62 ..............
bone lesion.
21040.... 1 Removal of jaw bone 2 $422 231 $437 0.87 ..............
lesion.
21041.... 1 Removal of jaw bone 2 $422 231 $437 0.87 ..............
lesion.
21044.... 1 Removal of jaw bone 2 $422 232 $814 1.62 ..............
lesion.
21045.... 3 Extensive jaw ......... ......... ......... ......... ......... ..............
surgery.
21050.... 1 Removal of jaw 3 $482 232 $814 1.62 ..............
joint.
21060.... 1 Remove jaw joint 2 $422 232 $814 1.62 ..............
cartilage.
21070.... 1 Remove coronoid 3 $482 232 $814 1.62 ..............
process.
21076.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21077.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21079.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21080.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21081.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21082.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21083.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21084.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21085.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21086.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21087.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21088.... 6 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21089.... 3 Prepare face/oral ......... ......... ......... ......... ......... ..............
prosthesis.
21100.... 1 Maxillofacial 2 $422 231 $437 0.87 ..............
fixation.
21110.... 1 Interdental ......... ......... 231 $437 0.87 Add.
fixation.
21116.... 2 Injection, jaw ......... ......... ......... ......... ......... ..............
joint x-ray.
21120.... 1 Reconstruction of ......... ......... 231 $437 0.87 Add.
chin.
21121.... 1 Reconstruction of ......... ......... 232 $814 1.62 Add.
chin.
21122.... 1 Reconstruction of ......... ......... 232 $814 1.62 Add.
chin.
21123.... 1 Reconstruction of ......... ......... 232 $814 1.62 Add.
chin.
21125.... 1 Augmentation lower ......... ......... 231 $437 0.87 Add.
jaw bone.
21127.... 1 Augmentation lower ......... ......... 232 $814 1.62 Add.
jaw bone.
21137.... 3 Reduction of ......... ......... ......... ......... ......... ..............
forehead.
21138.... 3 Reduction of ......... ......... ......... ......... ......... ..............
forehead.
[[Page 32338]]
21139.... 3 Reduction of ......... ......... ......... ......... ......... ..............
forehead.
21141.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21142.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21143.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21145.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21146.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21147.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21150.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21151.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21154.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21155.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21159.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21160.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
midface, lefort.
21172.... 3 Reconstruct orbit/ ......... ......... ......... ......... ......... ..............
forehead.
21175.... 3 Reconstruct orbit/ ......... ......... ......... ......... ......... ..............
forehead.
21179.... 3 Reconstruct entire ......... ......... ......... ......... ......... ..............
forehead.
21180.... 3 Reconstruct entire ......... ......... ......... ......... ......... ..............
forehead.
21181.... 1 Contour cranial ......... ......... 232 $814 1.62 Add.
bone lesion.
21182.... 3 Reconstruct cranial ......... ......... ......... ......... ......... ..............
bone.
21183.... 3 Reconstruct cranial ......... ......... ......... ......... ......... ..............
bone.
21184.... 3 Reconstruct cranial ......... ......... ......... ......... ......... ..............
bone.
21188.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
midface.
21193.... 3 Reconstruct lower ......... ......... ......... ......... ......... ..............
jaw bone.
21194.... 3 Reconstruct lower ......... ......... ......... ......... ......... ..............
jaw bone.
21195.... 3 Reconstruct lower ......... ......... ......... ......... ......... ..............
jaw bone.
21196.... 3 Reconstruct lower ......... ......... ......... ......... ......... ..............
jaw bone.
21198.... 3 Reconstruct lower ......... ......... ......... ......... ......... ..............
jaw bone.
21206.... 1 Reconstruct upper 5 $678 232 $814 1.62 ..............
jaw bone.
21208.... 1 Augmentation of 7 $941 232 $814 1.62 ..............
facial bones.
21209.... 1 Reduction of facial 5 $678 232 $814 1.62 ..............
bones.
21210.... 1 Face bone graft.... 7 $941 232 $814 1.62 ..............
21215.... 1 Lower jaw bone 7 $941 232 $814 1.62 ..............
graft.
21230.... 1 Rib cartilage graft 7 $941 232 $814 1.62 ..............
21235.... 1 Ear cartilage graft 7 $941 232 $814 1.62 ..............
21240.... 1 Reconstruction of 4 $595 232 $814 1.62 ..............
jaw joint.
21242.... 1 Reconstruction of 5 $678 232 $814 1.62 ..............
jaw joint.
21243.... 1 Reconstruction of 5 $678 218 $730 1.45 ..............
jaw joint.
21244.... 1 Reconstruction of 7 $941 232 $814 1.62 ..............
lower jaw.
21245.... 1 Reconstruction of 7 $941 232 $814 1.62 ..............
jaw.
21246.... 1 Reconstruction of 7 $941 232 $814 1.62 ..............
jaw.
21247.... 3 Reconstruct lower ......... ......... ......... ......... ......... ..............
jaw bone.
21248.... 1 Reconstruction of 7 $941 232 $814 1.62 ..............
jaw.
21249.... 1 Reconstruction of 7 $941 232 $814 1.62 ..............
jaw.
21255.... 3 Reconstruct lower ......... ......... ......... ......... ......... ..............
jaw bone.
21256.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
orbit.
21260.... 1 Revise eye sockets. ......... ......... 232 $814 1.62 Add.
21261.... 3 Revise eye sockets. ......... ......... ......... ......... ......... ..............
21263.... 3 Revise eye sockets. ......... ......... ......... ......... ......... ..............
21267.... 1 Revise eye sockets. 7 $941 232 $814 1.62 ..............
21268.... 3 Revise eye sockets. ......... ......... ......... ......... ......... ..............
21270.... 1 Augmentation cheek 5 $678 232 $814 1.62 ..............
bone.
21275.... 1 Revision 7 $941 232 $814 1.62 ..............
orbitofacial bones.
21280.... 1 Revision of eyelid. 5 $678 231 $437 0.87 ..............
21282.... 1 Revision of eyelid. 5 $678 231 $437 0.87 ..............
21295.... 1 Revision of jaw ......... ......... 231 $437 0.87 Add.
muscle/bone.
21296.... 1 Revision of jaw ......... ......... 231 $437 0.87 Add.
muscle/bone.
21299.... 3 Cranio/ ......... ......... ......... ......... ......... ..............
maxillofacial
surgery.
21300.... 1 Treatment of skull 2 $422 231 $437 0.87 ..............
fracture.
21310.... 1 Treatment of nose 2 $422 231 $437 0.87 ..............
fracture.
21315.... 1 Treatment of nose 2 $422 231 $437 0.87 ..............
fracture.
21320.... 1 Treatment of nose 2 $422 231 $437 0.87 ..............
fracture.
21325.... 1 Repair of nose 4 $595 231 $437 0.87 ..............
fracture.
21330.... 1 Repair of nose 5 $678 232 $814 1.62 ..............
fracture.
21335.... 1 Repair of nose 7 $941 232 $814 1.62 ..............
fracture.
21336.... 1 Repair nasal septal ......... ......... 216 $580 1.15 Add.
fracture.
21337.... 1 Repair nasal septal 2 $422 231 $437 0.87 ..............
fracture.
21338.... 1 Repair nasoethmoid 4 $595 232 $814 1.62 ..............
fracture.
21339.... 1 Repair nasoethmoid 5 $678 232 $814 1.62 ..............
fracture.
21340.... 1 Repair of nose 4 $595 232 $814 1.62 ..............
fracture.
21343.... 1 Repair of sinus 5 $678 232 $814 1.62 ..............
fracture.
21344.... 3 Repair of sinus ......... ......... ......... ......... ......... ..............
fracture.
21345.... 1 Repair of nose/jaw ......... ......... 232 $814 1.62 Add.
fracture.
21346.... 3 Repair of nose/jaw ......... ......... ......... ......... ......... ..............
fracture.
21347.... 3 Repair of nose/jaw ......... ......... ......... ......... ......... ..............
fracture.
[[Page 32339]]
21348.... 3 Repair of nose/jaw ......... ......... ......... ......... ......... ..............
fracture.
21355.... 1 Repair cheek bone 3 $482 231 $437 0.87 ..............
fracture.
21356.... 3 Repair cheek bone ......... ......... ......... ......... ......... ..............
fracture.
21360.... 3 Repair cheek bone 4 $595 ......... ......... ......... Delete.
fracture.
21365.... 3 Repair cheek bone 5 $678 ......... ......... ......... Delete.
fracture.
21366.... 3 Repair cheek bone ......... ......... ......... ......... ......... ..............
fracture.
21385.... 3 Repair eye socket 5 $678 ......... ......... ......... Delete.
fracture.
21386.... 3 Repair eye socket 5 $678 ......... ......... ......... Delete.
fracture.
21387.... 3 Repair eye socket 5 $678 ......... ......... ......... Delete.
fracture.
21390.... 3 Repair eye socket 7 $941 ......... ......... ......... Delete.
fracture.
21395.... 3 Repair eye socket 7 $941 ......... ......... ......... Delete.
fracture.
21400.... 1 Treat eye socket 2 $422 231 $437 0.87 ..............
fracture.
21401.... 1 Repair eye socket 3 $482 231 $437 0.87 ..............
fracture.
21406.... 3 Repair eye socket 4 $595 ......... ......... ......... Delete.
fracture.
21407.... 3 Repair eye socket 5 $678 ......... ......... ......... Delete.
fracture.
21408.... 3 Repair eye socket ......... ......... ......... ......... ......... ..............
fracture.
21421.... 1 Treat mouth roof 4 $595 232 $814 1.62 ..............
fracture.
21422.... 3 Repair mouth roof 5 $678 ......... ......... ......... Delete.
fracture.
21423.... 3 Repair mouth roof ......... ......... ......... ......... ......... ..............
fracture.
21431.... 3 Treat craniofacial ......... ......... ......... ......... ......... ..............
fracture.
21432.... 3 Repair craniofacial ......... ......... ......... ......... ......... ..............
fracture.
21433.... 3 Repair craniofacial ......... ......... ......... ......... ......... ..............
fracture.
21435.... 3 Repair craniofacial ......... ......... ......... ......... ......... ..............
fracture.
21436.... 3 Repair craniofacial ......... ......... ......... ......... ......... ..............
fracture.
21440.... 1 Repair dental ridge 3 $482 231 $437 0.87 ..............
fracture.
21445.... 1 Repair dental ridge 4 $595 232 $814 1.62 ..............
fracture.
21450.... 1 Treat lower jaw 3 $482 232 $814 1.62 ..............
fracture.
21451.... 1 Treat lower jaw 4 $595 231 $437 0.87 ..............
fracture.
21452.... 1 Treat lower jaw 2 $422 232 $814 1.62 ..............
fracture.
21453.... 1 Treat lower jaw 3 $482 232 $814 1.62 ..............
fracture.
21454.... 1 Treat lower jaw 5 $678 232 $814 1.62 ..............
fracture.
21461.... 1 Repair lower jaw 4 $595 232 $814 1.62 ..............
fracture.
21462.... 1 Repair lower jaw 5 $678 232 $814 1.62 ..............
fracture.
21465.... 1 Repair lower jaw 4 $595 232 $814 1.62 ..............
fracture.
21470.... 3 Repair lower jaw 5 $678 ......... ......... ......... Delete.
fracture.
21480.... 1 Reset dislocated 1 $314 231 $437 0.87 ..............
jaw.
21485.... 1 Reset dislocated 2 $422 231 $437 0.87 ..............
jaw.
21490.... 1 Repair dislocated 3 $482 232 $814 1.62 ..............
jaw.
21493.... 1 Treat hyoid bone 3 $482 231 $437 0.87 ..............
fracture.
21494.... 1 Repair hyoid bone 4 $595 231 $437 0.87 ..............
fracture.
21495.... 3 Repair hyoid bone 4 $595 ......... ......... ......... Delete.
fracture.
21497.... 1 Interdental wiring. 2 $422 231 $437 0.87 ..............
21499.... 3 Head surgery ......... ......... ......... ......... ......... ..............
procedure.
21501.... 1 Drain neck/chest 2 $422 132 $162 0.32 ..............
lesion.
21502.... 1 Drain chest lesion. 2 $422 252 $574 1.14 ..............
21510.... 3 Drainage of bone 3 $482 ......... ......... ......... Delete.
lesion.
21550.... 5 Biopsy of neck/ 1 $314 ......... ......... ......... Delete.
chest.
21555.... 1 Remove lesion neck/ 2 $422 163 $449 0.89 ..............
chest.
21556.... 1 Remove lesion neck/ 2 $422 163 $449 0.89 ..............
chest.
21557.... 3 Remove tumor, neck ......... ......... ......... ......... ......... ..............
or chest.
21600.... 1 Partial removal of 2 $422 252 $574 1.14 ..............
rib.
21610.... 1 Partial removal of 2 $422 252 $574 1.14 ..............
rib.
21615.... 3 Removal of rib..... ......... ......... ......... ......... ......... ..............
21616.... 3 Removal of rib and ......... ......... ......... ......... ......... ..............
nerves.
21620.... 3 Partial removal of 2 $422 ......... ......... ......... Delete.
sternum.
21627.... 3 Sternal debridement ......... ......... ......... ......... ......... ..............
21630.... 3 Extensive sternum ......... ......... ......... ......... ......... ..............
surgery.
21632.... 3 Extensive sternum ......... ......... ......... ......... ......... ..............
surgery.
21700.... 1 Revision of neck 2 $422 132 $162 0.32 ..............
muscle.
21705.... 3 Revision of neck ......... ......... ......... ......... ......... ..............
muscle/rib.
21720.... 1 Revision of neck 3 $482 132 $162 0.32 ..............
muscle.
21725.... 1 Revision of neck 3 $482 132 $162 0.32 ..............
muscle.
21740.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
sternum.
21750.... 3 Repair of sternum ......... ......... ......... ......... ......... ..............
separation.
21800.... 1 Treatment of rib 1 $314 207 $53 0.11 ..............
fracture.
21805.... 1 Treatment of rib 2 $422 216 $580 1.15 ..............
fracture.
21810.... 3 Treatment of rib 2 $422 ......... ......... ......... Delete.
fracture(s).
21820.... 1 Treat sternum 1 $314 207 $53 0.11 ..............
fracture.
21825.... 3 Repair sternum ......... ......... ......... ......... ......... ..............
fracture.
21899.... 3 Neck/chest surgery ......... ......... ......... ......... ......... ..............
procedure.
21920.... 5 Biopsy soft tissue 1 $314 ......... ......... ......... Delete.
of back.
21925.... 1 Biopsy soft tissue 2 $422 163 $449 0.89 ..............
of back.
21930.... 1 Remove lesion, back 2 $422 163 $449 0.89 ..............
or flank.
21935.... 1 Remove tumor of 3 $482 163 $449 0.89 ..............
back.
[[Page 32340]]
22100.... 3 Remove part of neck 3 $482 ......... ......... ......... Delete.
vertebra.
22101.... 3 Remove part, thorax 3 $482 ......... ......... ......... Delete.
vertebra.
22102.... 3 Remove part, lumbar 3 $482 ......... ......... ......... Delete.
vertebra.
22103.... 3 Remove extra spine 3 $482 ......... ......... ......... Delete.
segment.
22110.... 3 Remove part of neck ......... ......... ......... ......... ......... ..............
vertebra.
22112.... 3 Remove part, thorax ......... ......... ......... ......... ......... ..............
vertebra.
22114.... 3 Remove part, lumbar ......... ......... ......... ......... ......... ..............
vertebra.
22116.... 3 Remove extra spine ......... ......... ......... ......... ......... ..............
segment.
22210.... 3 Revision of neck ......... ......... ......... ......... ......... ..............
spine.
22212.... 3 Revision of thorax ......... ......... ......... ......... ......... ..............
spine.
22214.... 3 Revision of lumbar ......... ......... ......... ......... ......... ..............
spine.
22216.... 3 Revise, extra spine ......... ......... ......... ......... ......... ..............
segment.
22220.... 3 Revision of neck ......... ......... ......... ......... ......... ..............
spine.
22222.... 3 Revision of thorax ......... ......... ......... ......... ......... ..............
spine.
22224.... 3 Revision of lumbar ......... ......... ......... ......... ......... ..............
spine.
22226.... 3 Revise, extra spine ......... ......... ......... ......... ......... ..............
segment.
22305.... 1 Treat spine process 1 $314 207 $53 0.11 ..............
fracture.
22310.... 1 Treat spine 1 $314 207 $53 0.11 ..............
fracture.
22315.... 1 Treat spine 2 $422 207 $53 0.11 ..............
fracture.
22325.... 3 Repair of spine 3 $482 ......... ......... ......... Delete.
fracture.
22326.... 3 Repair neck spine 3 $482 ......... ......... ......... Delete.
fracture.
22327.... 3 Repair thorax spine 3 $482 ......... ......... ......... Delete.
fracture.
22328.... 3 Repair each add 3 $482 ......... ......... ......... Delete.
spine fx.
22505.... 1 Manipulation of 2 $422 210 $397 0.79 ..............
spine.
22548.... 3 Neck spine fusion.. ......... ......... ......... ......... ......... ..............
22554.... 3 Neck spine fusion.. ......... ......... ......... ......... ......... ..............
22556.... 3 Thorax spine fusion ......... ......... ......... ......... ......... ..............
22558.... 3 Lumbar spine fusion ......... ......... ......... ......... ......... ..............
22585.... 3 Add.itional spinal ......... ......... ......... ......... ......... ..............
fusion.
22590.... 3 Spine & skull ......... ......... ......... ......... ......... ..............
spinal fusion.
22595.... 3 Neck spinal fusion. ......... ......... ......... ......... ......... ..............
22600.... 3 Neck spine fusion.. ......... ......... ......... ......... ......... ..............
22610.... 3 Thorax spine fusion ......... ......... ......... ......... ......... ..............
22612.... 3 Lumbar spine fusion ......... ......... ......... ......... ......... ..............
22614.... 3 Spine fusion, extra ......... ......... ......... ......... ......... ..............
segment.
22630.... 3 Lumbar spine fusion ......... ......... ......... ......... ......... ..............
22632.... 3 Spine fusion, extra ......... ......... ......... ......... ......... ..............
segment.
22800.... 3 Fusion of spine.... ......... ......... ......... ......... ......... ..............
22802.... 3 Fusion of spine.... ......... ......... ......... ......... ......... ..............
22804.... 3 Fusion of spine.... ......... ......... ......... ......... ......... ..............
22808.... 3 Fusion of spine.... ......... ......... ......... ......... ......... ..............
22810.... 3 Fusion of spine.... ......... ......... ......... ......... ......... ..............
22812.... 3 Fusion of spine.... ......... ......... ......... ......... ......... ..............
22818.... 3 Kyphectomy, 1-2 ......... ......... ......... ......... ......... ..............
segments.
22819.... 3 Kyphectomy, 3 & ......... ......... ......... ......... ......... ..............
more segment.
22830.... 3 Exploration of ......... ......... ......... ......... ......... ..............
spinal fusion.
22840.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22841.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22842.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22843.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22844.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22845.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22846.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22847.... 3 Insert spine ......... ......... ......... ......... ......... ..............
fixation device.
22848.... 3 Insert pelvic ......... ......... ......... ......... ......... ..............
fixationdevice.
22849.... 3 Reinsert spinal ......... ......... ......... ......... ......... ..............
fixation.
22850.... 3 Remove spine ......... ......... ......... ......... ......... ..............
fixation device.
22851.... 3 Apply spine prosth ......... ......... ......... ......... ......... ..............
device.
22852.... 3 Remove spine ......... ......... ......... ......... ......... ..............
fixation device.
22855.... 3 Remove spine ......... ......... ......... ......... ......... ..............
fixation device.
22899.... 3 Spine surgery ......... ......... ......... ......... ......... ..............
procedure.
22900.... 1 Remove abdominal 4 $595 163 $449 0.89 ..............
wall lesion.
22999.... 3 Abdomen surgery ......... ......... ......... ......... ......... ..............
procedure.
23000.... 1 Removal of calcium 2 $422 162 $187 0.37 ..............
deposits.
23020.... 1 Release shoulder 2 $422 253 $775 1.54 ..............
joint.
23030.... 1 Drain shoulder 1 $314 132 $162 0.32 ..............
lesion.
23031.... 1 Drain shoulder ......... ......... 132 $162 0.32 Add.
bursa.
23035.... 3 Drain shoulder bone 3 $482 ......... ......... ......... Delete.
lesion.
23040.... 1 Exploratory 3 $482 252 $574 1.14 ..............
shoulder surgery.
23044.... 1 Exploratory 4 $595 252 $574 1.14 ..............
shoulder surgery.
23065.... 5 Biopsy shoulder 1 $314 ......... ......... ......... Delete.
tissues.
23066.... 1 Biopsy shoulder 2 $422 163 $449 0.89 ..............
tissues.
23075.... 1 Removal of shoulder 2 $422 162 $187 0.37 ..............
lesion.
23076.... 1 Removal of shoulder 2 $422 163 $449 0.89 ..............
lesion.
[[Page 32341]]
23077.... 1 Remove tumor of 3 $482 163 $449 0.89 ..............
shoulder.
23100.... 1 Biopsy of shoulder 2 $422 251 $504 1.00 ..............
joint.
23101.... 1 Shoulder joint 7 $941 252 $574 1.14 ..............
surgery.
23105.... 1 Remove shoulder 4 $595 252 $574 1.14 ..............
joint lining.
23106.... 1 Incision of 4 $595 252 $574 1.14 ..............
collarbone joint.
23107.... 1 Explore, treat 4 $595 252 $574 1.14 ..............
shoulder joint.
23120.... 1 Partial removal, 5 $678 253 $775 1.54 ..............
collar bone.
23125.... 3 Removal of 5 $678 ......... ......... ......... Delete.
collarbone.
23130.... 1 Partial 5 $678 253 $775 1.54 ..............
removal,shoulderbo
ne.
23140.... 1 Removal of bone 4 $595 251 $504 1.00 ..............
lesion.
23145.... 1 Removal of bone 5 $678 252 $574 1.14 ..............
lesion.
23146.... 1 Removal of bone 5 $678 252 $574 1.14 ..............
lesion.
23150.... 1 Removal of humerus 4 $595 252 $574 1.14 ..............
lesion.
23155.... 1 Removal of humerus 5 $678 252 $574 1.14 ..............
lesion.
23156.... 1 Removal of humerus 5 $678 252 $574 1.14 ..............
lesion.
23170.... 1 Remove collarbone 2 $422 252 $574 1.14 ..............
lesion.
23172.... 1 Remove shoulder 2 $422 252 $574 1.14 ..............
blade lesion.
23174.... 1 Remove humerus 2 $422 252 $574 1.14 ..............
lesion.
23180.... 1 Remove collar bone 4 $595 252 $574 1.14 ..............
lesion.
23182.... 1 Remove shoulder 4 $595 252 $574 1.14 ..............
blade lesion.
23184.... 1 Remove humerus 4 $595 252 $574 1.14 ..............
lesion.
23190.... 1 Partial removal of 4 $595 252 $574 1.14 ..............
scapula.
23195.... 3 Removal of head of 5 $678 ......... ......... ......... Delete.
humerus.
23200.... 3 Removal of collar ......... ......... ......... ......... ......... ..............
bone.
23210.... 3 Removal of ......... ......... ......... ......... ......... ..............
shoulderblade.
23220.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
humerus.
23221.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
humerus.
23222.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
humerus.
23330.... 1 Remove shoulder 1 $314 163 $449 0.89 ..............
foreign body.
23331.... 1 Remove shoulder 1 $314 163 $449 0.89 ..............
foreign body.
23332.... 3 Remove shoulder ......... ......... ......... ......... ......... ..............
foreign body.
23350.... 2 Injection for ......... ......... ......... ......... ......... ..............
shoulder x-ray.
23395.... 3 Muscle transfer, 5 $678 ......... ......... ......... Delete.
shoulder/arm.
23397.... 3 Muscle transfers... 7 $941 ......... ......... ......... Delete.
23400.... 3 Fixation of 7 $941 ......... ......... ......... Delete.
shoulder blade.
23405.... 1 Incision of tendon 2 $422 252 $574 1.14 ..............
& muscle.
23406.... 1 Incise tendon(s) & 2 $422 252 $574 1.14 ..............
muscle(s).
23410.... 1 Repair of tendon(s) 5 $678 254 $1,110 2.20 ..............
23412.... 1 Repair of tendon(s) 7 $941 254 $1,110 2.20 ..............
23415.... 1 Release of shoulder 5 $678 253 $775 1.54 ..............
ligament.
23420.... 1 Repair of shoulder. 7 $941 254 $1,110 2.20 ..............
23430.... 1 Repair biceps 4 $595 254 $1,110 2.20 ..............
tendon.
23440.... 3 Removal/transplant 4 $595 ......... ......... ......... Delete.
tendon.
23450.... 1 Repair shoulder 5 $678 254 $1,110 2.20 ..............
capsule.
23455.... 1 Repair shoulder 7 $941 254 $1,110 2.20 ..............
capsule.
23460.... 1 Repair shoulder 5 $678 254 $1,110 2.20 ..............
capsule.
23462.... 1 Repair shoulder 7 $941 254 $1,110 2.20 ..............
capsule.
23465.... 1 Repair shoulder 5 $678 254 $1,110 2.20 ..............
capsule.
23466.... 1 Repair shoulder 7 $941 254 $1,110 2.20 ..............
capsule.
23470.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
shoulder joint.
23472.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
shoulder joint.
23480.... 1 Revision of 4 $595 253 $775 1.54 ..............
collarbone.
23485.... 1 Revision of collar 7 $941 253 $775 1.54 ..............
bone.
23490.... 1 Reinforce clavicle. 3 $482 253 $775 1.54 ..............
23491.... 1 Reinforce shoulder 3 $482 253 $775 1.54 ..............
bones.
23500.... 1 Treat clavicle 1 $314 207 $53 0.11 ..............
fracture.
23505.... 1 Treat clavicle 1 $314 207 $53 0.11 ..............
fracture.
23515.... 1 Repair clavicle 3 $482 216 $580 1.15 ..............
fracture.
23520.... 1 Treat clavicle 1 $314 207 $53 0.11 ..............
dislocation.
23525.... 1 Treat clavicle 1 $314 207 $53 0.11 ..............
dislocation.
23530.... 1 Repair clavicle 3 $482 216 $580 1.15 ..............
dislocation.
23532.... 1 Repair clavicle 4 $595 216 $580 1.15 ..............
dislocation.
23540.... 1 Treat clavicle 1 $314 207 $53 0.11 ..............
dislocation.
23545.... 1 Treat clavicle 1 $314 207 $53 0.11 ..............
dislocation.
23550.... 1 Repair clavicle 3 $482 216 $580 1.15 ..............
dislocation.
23552.... 1 Repair clavicle 4 $595 216 $580 1.15 ..............
dislocation.
23570.... 1 Treat shoulderblade 1 $314 207 $53 0.11 ..............
fracture.
23575.... 1 Treat shoulderblade 1 $314 207 $53 0.11 ..............
fracture.
23585.... 1 Repair scapula 3 $482 216 $580 1.15 ..............
fracture.
23600.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
23605.... 1 Treat humerus 2 $422 209 $71 0.14 ..............
fracture.
23615.... 1 Repair humerus 4 $595 216 $580 1.15 ..............
fracture.
23616.... 1 Repair humerus 4 $595 216 $580 1.15 ..............
fracture.
23620.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
[[Page 32342]]
23625.... 1 Treat humerus 2 $422 209 $71 0.14 ..............
fracture.
23630.... 1 Repair humerus 5 $678 216 $580 1.15 ..............
fracture.
23650.... 1 Treat shoulder 1 $314 207 $53 0.11 ..............
dislocation.
23655.... 1 Treat shoulder 1 $314 210 $397 0.79 ..............
dislocation.
23660.... 1 Repair shoulder 3 $482 216 $580 1.15 ..............
dislocation.
23665.... 1 Treat dislocation/ 2 $422 209 $71 0.14 ..............
fracture.
23670.... 1 Repair dislocation/ 3 $482 216 $580 1.15 ..............
fracture.
23675.... 1 Treat dislocation/ 2 $422 209 $71 0.14 ..............
fracture.
23680.... 1 Repair dislocation/ 3 $482 216 $580 1.15 ..............
fracture.
23700.... 1 Fixation of 1 $314 210 $397 0.79 ..............
shoulder.
23800.... 1 Fusion of shoulder 4 $595 253 $775 1.54 ..............
joint.
23802.... 1 Fusion of shoulder 7 $941 253 $775 1.54 ..............
joint.
23900.... 3 Amputation of arm & ......... ......... ......... ......... ......... ..............
girdle.
23920.... 3 Amputation at ......... ......... ......... ......... ......... ..............
shoulder joint.
23921.... 1 Amputation follow- 3 $482 183 $465 0.92 ..............
up surgery.
23929.... 3 Shoulder surgery ......... ......... ......... ......... ......... ..............
procedure.
23930.... 1 Drainage of arm 1 $314 132 $162 0.32 ..............
lesion.
23931.... 1 Drainage of arm 2 $422 132 $162 0.32 ..............
bursa.
23935.... 1 Drain arm/elbow 2 $422 251 $504 1.00 ..............
bone lesion.
24000.... 1 Exploratory elbow 4 $595 252 $574 1.14 ..............
surgery.
24006.... 1 Release elbow joint ......... ......... 252 $574 1.14 Add.
24065.... 5 Biopsy arm/elbow 1 $314 ......... ......... ......... Delete.
soft tissue.
24066.... 1 Biopsy arm/elbow 2 $422 163 $449 0.89 ..............
soft tissue.
24075.... 1 Remove arm/elbow 2 $422 162 $187 0.37 ..............
lesion.
24076.... 1 Remove arm/elbow 2 $422 163 $449 0.89 ..............
lesion.
24077.... 1 Remove tumor of arm/ 3 $482 163 $449 0.89 ..............
elbow.
24100.... 1 Biopsy elbow joint 1 $314 251 $504 1.00 ..............
lining.
24101.... 1 Explore/treat elbow 4 $595 252 $574 1.14 ..............
joint.
24102.... 1 Remove elbow joint 4 $595 252 $574 1.14 ..............
lining.
24105.... 1 Removal of elbow 3 $482 251 $504 1.00 ..............
bursa.
24110.... 1 Remove humerus 2 $422 251 $504 1.00 ..............
lesion.
24115.... 1 Remove/graft bone 3 $482 252 $574 1.14 ..............
lesion.
24116.... 1 Remove/graft bone 3 $482 252 $574 1.14 ..............
lesion.
24120.... 1 Remove elbow lesion 3 $482 251 $504 1.00 ..............
24125.... 1 Remove/graft bone 3 $482 252 $574 1.14 ..............
lesion.
24126.... 1 Remove/graft bone 3 $482 252 $574 1.14 ..............
lesion.
24130.... 1 Removal of head of 3 $482 252 $574 1.14 ..............
radius.
24134.... 1 Removal of arm bone 2 $422 252 $574 1.14 ..............
lesion.
24136.... 1 Remove radius bone 2 $422 252 $574 1.14 ..............
lesion.
24138.... 1 Remove elbow bone 2 $422 252 $574 1.14 ..............
lesion.
24140.... 1 Partial removal of 3 $482 252 $574 1.14 ..............
arm bone.
24145.... 1 Partial removal of 3 $482 252 $574 1.14 ..............
radius.
24147.... 1 Partial removal of 2 $422 252 $574 1.14 ..............
elbow.
24149.... 3 Radical resection ......... ......... ......... ......... ......... ..............
of elbow.
24150.... 3 Extensive humerus 3 $482 ......... ......... ......... Delete.
surgery.
24151.... 3 Extensive humerus 4 $595 ......... ......... ......... Delete.
surgery.
24152.... 3 Extensive radius 3 $482 ......... ......... ......... Delete.
surgery.
24153.... 3 Extensive radius 4 $595 ......... ......... ......... Delete.
surgery.
24155.... 1 Removal of elbow 3 $482 253 $775 1.54 ..............
joint.
24160.... 1 Remove elbow joint 2 $422 252 $574 1.14 ..............
implant.
24164.... 1 Remove radius head 3 $482 252 $574 1.14 ..............
implant.
24200.... 5 Removal of arm ......... ......... ......... ......... ......... ..............
foreign body.
24201.... 1 Removal of arm 2 $422 163 $449 0.89 ..............
foreign body.
24220.... 2 Injection for elbow ......... ......... ......... ......... ......... ..............
x-ray.
24301.... 1 Muscle/tendon 4 $595 252 $574 1.14 ..............
transfer.
24305.... 1 Arm tendon ......... ......... 252 $574 1.14 Add.
lengthening.
24310.... 1 Revision of arm 3 $482 251 $504 1.00 ..............
tendon.
24320.... 1 Repair of arm 3 $482 253 $775 1.54 ..............
tendon.
24330.... 1 Revision of arm 3 $482 253 $775 1.54 ..............
muscles.
24331.... 1 Revision of arm 3 $482 253 $775 1.54 ..............
muscles.
24340.... 1 Repair of biceps 3 $482 253 $775 1.54 ..............
tendon.
24341.... 1 Repair tendon/ ......... ......... 253 $775 1.54 Add.
muscle arm.
24342.... 1 Repair of ruptured 3 $482 253 $775 1.54 ..............
tendon.
24350.... 1 Repair of tennis 3 $482 252 $574 1.14 ..............
elbow.
24351.... 1 Repair of tennis 3 $482 252 $574 1.14 ..............
elbow.
24352.... 1 Repair of tennis 3 $482 252 $574 1.14 ..............
elbow.
24354.... 1 Repair of tennis 3 $482 252 $574 1.14 ..............
elbow.
24356.... 1 Revision of tennis 3 $482 252 $574 1.14 ..............
elbow.
24360.... 1 Reconstruct elbow 5 $678 217 $695 1.38 ..............
joint.
24361.... 1 Reconstruct elbow 5 $678 218 $730 1.45 ..............
joint.
24362.... 1 Reconstruct elbow 5 $678 218 $730 1.45 ..............
joint.
24363.... 1 Replace elbow joint 7 $941 218 $730 1.45 ..............
24365.... 1 Reconstruct head of 5 $678 217 $695 1.38 ..............
radius.
24366.... 1 Reconstruct head of 5 $678 218 $730 1.45 ..............
radius.
[[Page 32343]]
24400.... 1 Revision of humerus 4 $595 252 $574 1.14 ..............
24410.... 1 Revision of humerus 4 $595 252 $574 1.14 ..............
24420.... 1 Revision of humerus 3 $482 253 $775 1.54 ..............
24430.... 1 Repair of humerus.. 3 $482 253 $775 1.54 ..............
24435.... 1 Repair humerus with 4 $595 253 $775 1.54 ..............
graft.
24470.... 1 Revision of elbow 3 $482 253 $775 1.54 ..............
joint.
24495.... 1 Decompression of 2 $422 252 $574 1.14 ..............
forearm.
24498.... 1 Reinforce humerus.. 3 $482 253 $775 1.54 ..............
24500.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
24505.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
24515.... 1 Repair humerus 4 $595 216 $580 1.15 ..............
fracture.
24516.... 1 Repair humerus 4 $595 216 $580 1.15 ..............
fracture.
24530.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
24535.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
24538.... 1 Treat humerus 2 $422 216 $580 1.15 ..............
fracture.
24545.... 1 Repair humerus 4 $595 216 $580 1.15 ..............
fracture.
24546.... 1 Repair humerus 5 $678 216 $580 1.15 ..............
fracture.
24560.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
24565.... 1 Treat humerus 2 $422 209 $71 0.14 ..............
fracture.
24566.... 1 Treat humerus 2 $422 216 $580 1.15 ..............
fracture.
24575.... 1 Repair humerus 3 $482 216 $580 1.15 ..............
fracture.
24576.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
24577.... 1 Treat humerus 1 $314 209 $71 0.14 ..............
fracture.
24579.... 1 Repair humerus 3 $482 216 $580 1.15 ..............
fracture.
24582.... 1 Treat humerus 2 $422 216 $580 1.15 ..............
fracture.
24586.... 1 Repair elbow 4 $595 216 $580 1.15 ..............
fracture.
24587.... 1 Repair elbow 5 $678 216 $580 1.15 ..............
fracture.
24600.... 1 Treat elbow 1 $314 209 $71 0.14 ..............
dislocation.
24605.... 1 Treat elbow 2 $422 210 $397 0.79 ..............
dislocation.
24615.... 1 Repair elbow 3 $482 216 $580 1.15 ..............
dislocation.
24620.... 1 Treat elbow 2 $422 209 $71 0.14 ..............
fracture.
24635.... 1 Repair elbow 3 $482 216 $580 1.15 ..............
fracture.
24640.... 1 Treat elbow ......... ......... 209 $71 0.14 Add.
dislocation.
24650.... 1 Treat radius ......... ......... 209 $71 0.14 Add.
fracture.
24655.... 1 Treat radius 1 $314 209 $71 0.14 ..............
fracture.
24665.... 1 Repair radius 4 $595 216 $580 1.15 ..............
fracture.
24666.... 1 Repair radius 4 $595 216 $580 1.15 ..............
fracture.
24670.... 1 Treatment of ulna 1 $314 209 $71 0.14 ..............
fracture.
24675.... 1 Treatment of ulna 1 $314 209 $71 0.14 ..............
fracture.
24685.... 1 Repair ulna 3 $482 216 $580 1.15 ..............
fracture.
24800.... 1 Fusion of elbow 4 $595 253 $775 1.54 ..............
joint.
24802.... 1 Fusion/graft of 5 $678 253 $775 1.54 ..............
elbow joint.
24900.... 3 Amputation of upper ......... ......... ......... ......... ......... ..............
arm.
24920.... 3 Amputation of upper ......... ......... ......... ......... ......... ..............
arm.
24925.... 1 Amputation follow- 3 $482 251 $504 1.00 ..............
up surgery.
24930.... 3 Amputation follow- ......... ......... ......... ......... ......... ..............
up surgery.
24931.... 3 Amputate upper arm ......... ......... ......... ......... ......... ..............
& implant.
24935.... 3 Revision of ......... ......... ......... ......... ......... ..............
amputation.
24940.... 3 Revision of upper ......... ......... ......... ......... ......... ..............
arm.
24999.... 3 Upper arm/elbow ......... ......... ......... ......... ......... ..............
surgery.
25000.... 1 Incision of tendon 3 $482 251 $504 1.00 ..............
sheath.
25020.... 1 Decompression of 3 $482 251 $504 1.00 ..............
forearm.
25023.... 1 Decompression of 3 $482 252 $574 1.14 ..............
forearm.
25028.... 1 Drainage of forearm 1 $314 251 $504 1.00 ..............
lesion.
25031.... 1 Drainage of forearm 2 $422 251 $504 1.00 ..............
bursa.
25035.... 1 Treat forearm bone 2 $422 251 $504 1.00 ..............
lesion.
25040.... 1 Explore/treat wrist 5 $678 252 $574 1.14 ..............
joint.
25065.... 5 Biopsy forearm soft 1 $314 ......... ......... ......... Delete.
tissues.
25066.... 1 Biopsy forearm soft 2 $422 163 $449 0.89 ..............
tissues.
25075.... 1 Removal of forearm 2 $422 162 $187 0.37 ..............
lesion.
25076.... 1 Removal of forearm 3 $482 163 $449 0.89 ..............
lesion.
25077.... 1 Remove tumor, 3 $482 163 $449 0.89 ..............
forearm/wrist.
25085.... 1 Incision of wrist 3 $482 251 $504 1.00 ..............
capsule.
25100.... 1 Biopsy of wrist 2 $422 251 $504 1.00 ..............
joint.
25101.... 1 Explore/treat wrist 3 $482 252 $574 1.14 ..............
joint.
25105.... 1 Remove wrist joint 4 $595 252 $574 1.14 ..............
lining.
25107.... 1 Remove wrist joint 3 $482 252 $574 1.14 ..............
cartilage.
25110.... 1 Remove wrist tendon 3 $482 251 $504 1.00 ..............
lesion.
25111.... 1 Remove wrist tendon 3 $482 261 $494 0.98 ..............
lesion.
25112.... 1 Reremove wrist 4 $595 261 $494 0.98 ..............
tendon lesion.
25115.... 1 Remove wrist/ 4 $595 251 $504 1.00 ..............
forearm lesion.
25116.... 1 Remove wrist/ 4 $595 251 $504 1.00 ..............
forearm lesion.
25118.... 1 Excise wrist tendon 2 $422 252 $574 1.14 ..............
sheath.
25119.... 1 Partial removal of 3 $482 252 $574 1.14 ..............
ulna.
[[Page 32344]]
25120.... 1 Removal of forearm 3 $482 252 $574 1.14 ..............
lesion.
25125.... 1 Remove/graft 3 $482 252 $574 1.14 ..............
forearm lesion.
25126.... 1 Remove/graft 3 $482 252 $574 1.14 ..............
forearm lesion.
25130.... 1 Removal of wrist 3 $482 252 $574 1.14 ..............
lesion.
25135.... 1 Remove & graft 3 $482 252 $574 1.14 ..............
wrist lesion.
25136.... 1 Remove & graft 3 $482 252 $574 1.14 ..............
wrist lesion.
25145.... 1 Remove forearm bone 2 $422 252 $574 1.14 ..............
lesion.
25150.... 1 Partial removal of 2 $422 252 $574 1.14 ..............
ulna.
25151.... 1 Partial removal of 2 $422 252 $574 1.14 ..............
radius.
25170.... 3 Extensive forearm 3 $482 ......... ......... ......... Delete.
surgery.
25210.... 1 Removal of wrist 3 $482 262 $543 1.08 ..............
bone.
25215.... 1 Removal of wrist 4 $595 262 $543 1.08 ..............
bones.
25230.... 1 Partial removal of 4 $595 252 $574 1.14 ..............
radius.
25240.... 1 Partial removal of 4 $595 252 $574 1.14 ..............
ulna.
25246.... 2 Injection for wrist ......... ......... ......... ......... ......... ..............
x-ray.
25248.... 1 Remove forearm 2 $422 251 $504 1.00 ..............
foreign body.
25250.... 1 Removal of wrist 1 $314 252 $574 1.14 ..............
prosthesis.
25251.... 1 Removal of wrist 1 $314 252 $574 1.14 ..............
prosthesis.
25260.... 1 Repair forearm 4 $595 252 $574 1.14 ..............
tendon/muscle.
25263.... 1 Repair forearm 2 $422 252 $574 1.14 ..............
tendon/muscle.
25265.... 1 Repair forearm 3 $482 252 $574 1.14 ..............
tendon/muscle.
25270.... 1 Repair forearm 4 $595 252 $574 1.14 ..............
tendon/muscle.
25272.... 1 Repair forearm 3 $482 252 $574 1.14 ..............
tendon/muscle.
25274.... 1 Repair forearm 4 $595 252 $574 1.14 ..............
tendon/muscle.
25280.... 1 Revise wrist/ 4 $595 252 $574 1.14 ..............
forearm tendon.
25290.... 1 Incise wrist/ 3 $482 252 $574 1.14 ..............
forearm tendon.
25295.... 1 Release wrist/ 3 $482 251 $504 1.00 ..............
forearm tendon.
25300.... 1 Fusion of tendons 3 $482 252 $574 1.14 ..............
at wrist.
25301.... 1 Fusion of tendons 3 $482 252 $574 1.14 ..............
at wrist.
25310.... 1 Transplant forearm 3 $482 253 $775 1.54 ..............
tendon.
25312.... 1 Transplant forearm 4 $595 253 $775 1.54 ..............
tendon.
25315.... 1 Revise palsy hand 3 $482 253 $775 1.54 ..............
tendon(s).
25316.... 1 Revise palsy hand 3 $482 253 $775 1.54 ..............
tendon(s).
25320.... 1 Repair/revise wrist 3 $482 253 $775 1.54 ..............
joint.
25332.... 1 Revise wrist joint. 5 $678 217 $695 1.38 ..............
25335.... 1 Realignment of hand 3 $482 253 $775 1.54 ..............
25337.... 1 Reconstruct ulna/ ......... ......... 253 $775 1.54 Add.
radioulnar.
25350.... 1 Revision of radius. 3 $482 253 $775 1.54 ..............
25355.... 1 Revision of radius. 3 $482 253 $775 1.54 ..............
25360.... 1 Revision of ulna... 3 $482 252 $574 1.14 ..............
25365.... 1 Revise radius & 3 $482 252 $574 1.14 ..............
ulna.
25370.... 1 Revise radius or 3 $482 253 $775 1.54 ..............
ulna.
25375.... 1 Revise radius & 4 $595 253 $775 1.54 ..............
ulna.
25390.... 3 Shorten radius/ulna 3 $482 ......... ......... ......... Delete.
25391.... 3 Lengthen radius/ 4 $595 ......... ......... ......... Delete.
ulna.
25392.... 3 Shorten radius & 3 $482 ......... ......... ......... Delete.
ulna.
25393.... 3 Lengthen radius & 4 $595 ......... ......... ......... Delete.
ulna.
25400.... 1 Repair radius or 3 $482 252 $574 1.14 ..............
ulna.
25405.... 3 Repair/graft radius 4 $595 ......... ......... ......... Delete.
or ulna.
25415.... 1 Repair radius & 3 $482 252 $574 1.14 ..............
ulna.
25420.... 3 Repair/graft radius 4 $595 ......... ......... ......... Delete.
& ulna.
25425.... 1 Repair/graft radius 3 $482 253 $775 1.54 ..............
or ulna.
25426.... 1 Repair/graft radius 4 $595 253 $775 1.54 ..............
& ulna.
25440.... 1 Repair/graft wrist 4 $595 253 $775 1.54 ..............
bone.
25441.... 1 Reconstruct wrist 5 $678 218 $730 1.45 ..............
joint.
25442.... 1 Reconstruct wrist 5 $678 218 $730 1.45 ..............
joint.
25443.... 1 Reconstruct wrist 5 $678 218 $730 1.45 ..............
joint.
25444.... 1 Reconstruct wrist 5 $678 218 $730 1.45 ..............
joint.
25445.... 1 Reconstruct wrist 5 $678 218 $730 1.45 ..............
joint.
25446.... 1 Wrist replacement.. 7 $941 218 $730 1.45 ..............
25447.... 1 Repair wrist 5 $678 217 $695 1.38 ..............
joint(s).
25449.... 1 Remove wrist joint 5 $678 217 $695 1.38 ..............
implant.
25450.... 1 Revision of wrist 3 $482 253 $775 1.54 ..............
joint.
25455.... 1 Revision of wrist 3 $482 253 $775 1.54 ..............
joint.
25490.... 1 Reinforce radius... 3 $482 253 $775 1.54 ..............
25491.... 1 Reinforce ulna..... 3 $482 253 $775 1.54 ..............
25492.... 1 Reinforce radius 3 $482 253 $775 1.54 ..............
and ulna.
25500.... 1 Treat fracture of ......... ......... 209 $71 0.14 Add.
radius.
25505.... 1 Treat fracture of 1 $314 209 $71 0.14 ..............
radius.
25515.... 1 Repair fracture of 3 $482 216 $580 1.15 ..............
radius.
25520.... 1 Repair fracture of 1 $314 209 $71 0.14 ..............
radius.
25525.... 1 Repair fracture of 4 $595 216 $580 1.15 ..............
radius.
25526.... 1 Repair fracture of 5 $678 216 $580 1.15 ..............
radius.
25530.... 1 Treat fracture of ......... ......... 209 $71 0.14 Add.
ulna.
[[Page 32345]]
25535.... 1 Treat fracture of 1 $314 209 $71 0.14 ..............
ulna.
25545.... 1 Repair fracture of 3 $482 216 $580 1.15 ..............
ulna.
25560.... 1 Treat fracture ......... ......... 209 $71 0.14 Add.
radius & ulna.
25565.... 1 Treat fracture 2 $422 209 $71 0.14 ..............
radius & ulna.
25574.... 1 Treat fracture 3 $482 216 $580 1.15 ..............
radius & ulna.
25575.... 1 Repair fracture 3 $482 216 $580 1.15 ..............
radius/ulna.
25600.... 1 Treat fracture ......... ......... 209 $71 0.14 Add.
radius/ulna.
25605.... 1 Treat fracture 3 $482 209 $71 0.14 ..............
radius/ulna.
25611.... 1 Repair fracture 3 $482 216 $580 1.15 ..............
radius/ulna.
25620.... 1 Repair fracture 5 $678 216 $580 1.15 ..............
radius/ulna.
25622.... 1 Treat wrist bone ......... ......... 209 $71 0.14 Add.
fracture.
25624.... 1 Treat wrist bone 2 $422 209 $71 0.14 ..............
fracture.
25628.... 1 Repair wrist bone 3 $482 216 $580 1.15 ..............
fracture.
25630.... 1 Treat wrist bone ......... ......... 209 $71 0.14 Add.
fracture.
25635.... 1 Treat wrist bone 1 $314 209 $71 0.14 ..............
fracture.
25645.... 1 Repair wrist bone 3 $482 216 $580 1.15 ..............
fracture.
25650.... 1 Repair wrist bone ......... ......... 209 $71 0.14 Add.
fracture.
25660.... 1 Treat wrist 1 $314 209 $71 0.14 ..............
dislocation.
25670.... 1 Repair wrist 3 $482 216 $580 1.15 ..............
dislocation.
25675.... 1 Treat wrist 1 $314 209 $71 0.14 ..............
dislocation.
25676.... 1 Repair wrist 2 $422 216 $580 1.15 ..............
dislocation.
25680.... 1 Treat wrist 2 $422 209 $71 0.14 ..............
fracture.
25685.... 1 Repair wrist 3 $482 216 $580 1.15 ..............
fracture.
25690.... 1 Treat wrist 1 $314 209 $71 0.14 ..............
dislocation.
25695.... 1 Repair wrist 2 $422 216 $580 1.15 ..............
dislocation.
25800.... 1 Fusion of wrist 4 $595 253 $775 1.54 ..............
joint.
25805.... 1 Fusion/graft of 5 $678 253 $775 1.54 ..............
wrist joint.
25810.... 1 Fusion/graft of 5 $678 253 $775 1.54 ..............
wrist joint.
25820.... 1 Fusion of hand 4 $595 261 $494 0.98 ..............
bones.
25825.... 1 Fusion hand bones 5 $678 262 $543 1.08 ..............
with graft.
25830.... 1 Fusion radioulnar ......... ......... 253 $775 1.54 Add.
jnt/ulna.
25900.... 3 Amputation of ......... ......... ......... ......... ......... ..............
forearm.
25905.... 3 Amputation of ......... ......... ......... ......... ......... ..............
forearm.
25907.... 1 Amputation follow- 3 $482 251 $504 1.00 ..............
up surgery.
25909.... 3 Amputation follow- ......... ......... ......... ......... ......... ..............
up surgery.
25915.... 3 Amputation of ......... ......... ......... ......... ......... ..............
forearm.
25920.... 3 Amputate hand at ......... ......... ......... ......... ......... ..............
wrist.
25922.... 1 Amputate hand at 3 $482 251 $504 1.00 ..............
wrist.
25924.... 3 Amputation follow- ......... ......... ......... ......... ......... ..............
up surgery.
25927.... 3 Amputation of hand. ......... ......... ......... ......... ......... ..............
25929.... 1 Amputation follow- 3 $482 183 $465 0.92 ..............
up surgery.
25931.... 3 Amputation follow- ......... ......... ......... ......... ......... ..............
up surgery.
25999.... 3 Forearm or wrist ......... ......... ......... ......... ......... ..............
surgery.
26010.... 5 Drainage of finger ......... ......... ......... ......... ......... ..............
abscess.
26011.... 5 Drainage of finger 1 $314 ......... ......... ......... Delete.
abscess.
26020.... 1 Drain hand tendon 2 $422 261 $494 0.98 ..............
sheath.
26025.... 1 Drainage of palm 1 $314 261 $494 0.98 ..............
bursa.
26030.... 1 Drainage of palm 2 $422 261 $494 0.98 ..............
bursa(s).
26034.... 1 Treat hand bone 2 $422 261 $494 0.98 ..............
lesion.
26035.... 1 Decompress fingers/ 4 $595 261 $494 0.98 ..............
hand.
26037.... 1 Decompress fingers/ 4 $595 261 $494 0.98 ..............
hand.
26040.... 1 Release palm 4 $595 262 $543 1.08 ..............
contracture.
26045.... 1 Release palm 3 $482 262 $543 1.08 ..............
contracture.
26055.... 1 Incise finger 2 $422 261 $494 0.98 ..............
tendon sheath.
26060.... 1 Incision of finger 2 $422 261 $494 0.98 ..............
tendon.
26070.... 1 Explore/treat hand 2 $422 261 $494 0.98 ..............
joint.
26075.... 1 Explore/treat 4 $595 261 $494 0.98 ..............
finger joint.
26080.... 1 Explore/treat 4 $595 261 $494 0.98 ..............
finger joint.
26100.... 1 Biopsy hand joint 2 $422 261 $494 0.98 ..............
lining.
26105.... 1 Biopsy finger joint 1 $314 261 $494 0.98 ..............
lining.
26110.... 1 Biopsy finger joint 1 $314 261 $494 0.98 ..............
lining.
26115.... 1 Removal of hand 2 $422 163 $449 0.89 ..............
lesion.
26116.... 1 Removal of hand 2 $422 163 $449 0.89 ..............
lesion.
26117.... 1 Remove tumor, hand/ 3 $482 163 $449 0.89 ..............
finger.
26121.... 1 Release palm 4 $595 262 $543 1.08 ..............
contracture.
26123.... 1 Release palm 4 $595 262 $543 1.08 ..............
contracture.
26125.... 1 Release palm 4 $595 262 $543 1.08 ..............
contracture.
26130.... 1 Remove wrist joint 3 $482 261 $494 0.98 ..............
lining.
26135.... 1 Revise finger 4 $595 262 $543 1.08 ..............
joint, each.
26140.... 1 Revise finger 2 $422 261 $494 0.98 ..............
joint, each.
26145.... 1 Tendon excision, 3 $482 261 $494 0.98 ..............
palm/finger.
26160.... 1 Remove tendon 3 $482 261 $494 0.98 ..............
sheath lesion.
26170.... 1 Removal of palm 3 $482 261 $494 0.98 ..............
tendon, each.
26180.... 1 Removal of finger 3 $482 261 $494 0.98 ..............
tendon.
[[Page 32346]]
26185.... 1 Remove finger bone. ......... ......... 261 $494 0.98 Add.
26200.... 1 Remove hand bone 2 $422 261 $494 0.98 ..............
lesion.
26205.... 1 Remove/graft bone 3 $482 262 $543 1.08 ..............
lesion.
26210.... 1 Removal of finger 2 $422 261 $494 0.98 ..............
lesion.
26215.... 1 Remove/graft finger 3 $482 261 $494 0.98 ..............
lesion.
26230.... 1 Partial removal of 7 $941 261 $494 0.98 ..............
hand bone.
26235.... 1 Partial removal, 3 $482 261 $494 0.98 ..............
finger bone.
26236.... 1 Partial removal, 3 $482 261 $494 0.98 ..............
finger bone.
26250.... 1 Extensive hand 3 $482 261 $494 0.98 ..............
surgery.
26255.... 1 Extensive hand 3 $482 262 $543 1.08 ..............
surgery.
26260.... 1 Extensive finger 3 $482 261 $494 0.98 ..............
surgery.
26261.... 1 Extensive finger 3 $482 261 $494 0.98 ..............
surgery.
26262.... 1 Partial removal of 2 $422 261 $494 0.98 ..............
finger.
26320.... 1 Removal of implant 2 $422 163 $449 0.89 ..............
from hand.
26350.... 1 Repair finger/hand 1 $314 262 $543 1.08 ..............
tendon.
26352.... 1 Repair/graft hand 4 $595 262 $543 1.08 ..............
tendon.
26356.... 1 Repair finger/hand 4 $595 262 $543 1.08 ..............
tendon.
26357.... 1 Repair finger/hand 4 $595 262 $543 1.08 ..............
tendon.
26358.... 1 Repair/graft hand 4 $595 262 $543 1.08 ..............
tendon.
26370.... 1 Repair finger/hand 4 $595 262 $543 1.08 ..............
tendon.
26372.... 1 Repair/graft hand 4 $595 262 $543 1.08 ..............
tendon.
26373.... 1 Repair finger/hand 3 $482 262 $543 1.08 ..............
tendon.
26390.... 1 Revise hand/finger 4 $595 262 $543 1.08 ..............
tendon.
26392.... 1 Repair/graft hand 3 $482 262 $543 1.08 ..............
tendon.
26410.... 1 Repair hand tendon. 3 $482 261 $494 0.98 ..............
26412.... 1 Repair/graft hand 3 $482 262 $543 1.08 ..............
tendon.
26415.... 1 Excision, hand/ 4 $595 262 $543 1.08 ..............
finger tendon.
26416.... 1 Graft hand or 3 $482 262 $543 1.08 ..............
finger tendon.
26418.... 1 Repair finger 4 $595 261 $494 0.98 ..............
tendon.
26420.... 1 Repair/graft finger 4 $595 262 $543 1.08 ..............
tendon.
26426.... 1 Repair finger/hand 3 $482 262 $543 1.08 ..............
tendon.
26428.... 1 Repair/graft finger 3 $482 262 $543 1.08 ..............
tendon.
26432.... 1 Repair finger 3 $482 261 $494 0.98 ..............
tendon.
26433.... 1 Repair finger 3 $482 261 $494 0.98 ..............
tendon.
26434.... 1 Repair/graft finger 3 $482 262 $543 1.08 ..............
tendon.
26437.... 1 Realignment of 3 $482 261 $494 0.98 ..............
tendons.
26440.... 1 Release palm/finger 3 $482 261 $494 0.98 ..............
tendon.
26442.... 1 Release palm & 3 $482 262 $543 1.08 ..............
finger tendon.
26445.... 1 Release hand/finger 3 $482 261 $494 0.98 ..............
tendon.
26449.... 1 Release forearm/ 3 $482 262 $543 1.08 ..............
hand tendon.
26450.... 1 Incision of palm 3 $482 261 $494 0.98 ..............
tendon.
26455.... 1 Incision of finger 3 $482 261 $494 0.98 ..............
tendon.
26460.... 1 Incise hand/finger 3 $482 261 $494 0.98 ..............
tendon.
26471.... 1 Fusion of finger 2 $422 261 $494 0.98 ..............
tendons.
26474.... 1 Fusion of finger 2 $422 261 $494 0.98 ..............
tendons.
26476.... 1 Tendon lengthening. 1 $314 261 $494 0.98 ..............
26477.... 1 Tendon shortening.. 1 $314 261 $494 0.98 ..............
26478.... 1 Lengthening of hand 1 $314 261 $494 0.98 ..............
tendon.
26479.... 1 Shortening of hand 1 $314 261 $494 0.98 ..............
tendon.
26480.... 1 Transplant hand 3 $482 262 $543 1.08 ..............
tendon.
26483.... 1 Transplant/graft 3 $482 262 $543 1.08 ..............
hand tendon.
26485.... 1 Transplant palm 2 $422 262 $543 1.08 ..............
tendon.
26489.... 1 Transplant/graft 3 $482 262 $543 1.08 ..............
palm tendon.
26490.... 1 Revise thumb tendon 3 $482 262 $543 1.08 ..............
26492.... 1 Tendon transfer 3 $482 262 $543 1.08 ..............
with graft.
26494.... 1 Hand tendon/muscle 3 $482 262 $543 1.08 ..............
transfer.
26496.... 1 Revise thumb tendon 3 $482 262 $543 1.08 ..............
26497.... 1 Finger tendon 3 $482 262 $543 1.08 ..............
transfer.
26498.... 1 Finger tendon 4 $595 262 $543 1.08 ..............
transfer.
26499.... 1 Revision of finger. 3 $482 262 $543 1.08 ..............
26500.... 1 Hand tendon 4 $595 261 $494 0.98 ..............
reconstruction.
26502.... 1 Hand tendon 4 $595 262 $543 1.08 ..............
reconstruction.
26504.... 1 Hand tendon 4 $595 262 $543 1.08 ..............
reconstruction.
26508.... 1 Release thumb 3 $482 261 $494 0.98 ..............
contracture.
26510.... 1 Thumb tendon 3 $482 262 $543 1.08 ..............
transfer.
26516.... 1 Fusion of knuckle 1 $314 262 $543 1.08 ..............
joint.
26517.... 1 Fusion of knuckle 3 $482 262 $543 1.08 ..............
joints.
26518.... 1 Fusion of knuckle 3 $482 262 $543 1.08 ..............
joints.
26520.... 1 Release knuckle 3 $482 261 $494 0.98 ..............
contracture.
26525.... 1 Release finger 3 $482 261 $494 0.98 ..............
contracture.
26530.... 1 Revise knuckle 3 $482 217 $695 1.38 ..............
joint.
26531.... 1 Revise knuckle with 7 $941 218 $730 1.45 ..............
implant.
26535.... 1 Revise finger joint 5 $678 217 $695 1.38 ..............
26536.... 1 Revise/implant 5 $678 218 $730 1.45 ..............
finger joint.
[[Page 32347]]
26540.... 1 Repair hand joint.. 4 $595 261 $494 0.98 ..............
26541.... 1 Repair hand joint 7 $941 262 $543 1.08 ..............
with graft.
26542.... 1 Repair hand joint 4 $595 261 $494 0.98 ..............
with graft.
26545.... 1 Reconstruct finger 4 $595 262 $543 1.08 ..............
joint.
26546.... 1 Repair non-union ......... ......... 262 $543 1.08 Add.
hand.
26548.... 1 Reconstruct finger 4 $595 262 $543 1.08 ..............
joint.
26550.... 1 Construct thumb 2 $422 262 $543 1.08 ..............
replacement.
26551.... 3 Great toe-hand 4 $595 ......... ......... ......... Delete.
transfer.
26553.... 3 Single toe-hand 2 $422 ......... ......... ......... Delete.
transfer.
26554.... 3 Double toe-hand 2 $422 ......... ......... ......... Delete.
transfer.
26555.... 1 Positional change 3 $482 262 $543 1.08 ..............
of finger.
26556.... 3 Toe joint transfer. ......... ......... ......... ......... ......... ..............
26560.... 1 Repair of web 2 $422 261 $494 0.98 ..............
finger.
26561.... 1 Repair of web 3 $482 262 $543 1.08 ..............
finger.
26562.... 1 Repair of web 4 $595 262 $543 1.08 ..............
finger.
26565.... 1 Correct metacarpal 5 $678 262 $543 1.08 ..............
flaw.
26567.... 1 Correct finger 5 $678 262 $543 1.08 ..............
deformity.
26568.... 1 Lengthen metacarpal/ 3 $482 262 $543 1.08 ..............
finger.
26580.... 1 Repair hand 5 $678 262 $543 1.08 ..............
deformity.
26585.... 1 Repair finger 5 $678 262 $543 1.08 ..............
deformity.
26587.... 1 Reconstruct extra 5 $678 261 $494 0.98 ..............
finger.
26590.... 1 Repair finger 5 $678 262 $543 1.08 ..............
deformity.
26591.... 1 Repair muscles of 3 $482 262 $543 1.08 ..............
hand.
26593.... 1 Release muscles of 3 $482 261 $494 0.98 ..............
hand.
26596.... 1 Excision 2 $422 262 $543 1.08 ..............
constricting
tissue.
26597.... 1 Release of scar 3 $482 262 $543 1.08 ..............
contracture.
26600.... 1 Treat metacarpal ......... ......... 209 $71 0.14 Add.
fracture.
26605.... 1 Treat metacarpal 2 $422 209 $71 0.14 ..............
fracture.
26607.... 1 Treat metacarpal 2 $422 209 $71 0.14 ..............
fracture.
26608.... 1 Treat metacarpal ......... ......... 216 $580 1.15 Add.
fracture.
26615.... 1 Repair metacarpal 4 $595 216 $580 1.15 ..............
fracture.
26641.... 1 Treat thumb ......... ......... 209 $71 0.14 Add.
dislocation.
26645.... 1 Treat thumb 1 $314 209 $71 0.14 ..............
fracture.
26650.... 1 Repair thumb 2 $422 216 $580 1.15 ..............
fracture.
26665.... 1 Repair thumb 4 $595 216 $580 1.15 ..............
fracture.
26670.... 1 Treat hand ......... ......... 209 $71 0.14 Add.
dislocation.
26675.... 1 Treat hand 2 $422 210 $397 0.79 ..............
dislocation.
26676.... 1 Pin hand 2 $422 216 $580 1.15 ..............
dislocation.
26685.... 1 Repair hand 3 $482 216 $580 1.15 ..............
dislocation.
26686.... 1 Repair hand 3 $482 216 $580 1.15 ..............
dislocation.
26700.... 1 Treat knuckle ......... ......... 207 $53 0.11 Add.
dislocation.
26705.... 1 Treat knuckle 2 $422 210 $397 0.79 ..............
dislocation.
26706.... 1 Pin knuckle 2 $422 209 $71 0.14 ..............
dislocation.
26715.... 1 Repair knuckle 4 $595 216 $580 1.15 ..............
dislocation.
26720.... 1 Treat finger ......... ......... 207 $53 0.11 Add.
fracture, each.
26725.... 1 Treat finger ......... ......... 207 $53 0.11 Add.
fracture, each.
26727.... 1 Treat finger 7 $941 216 $580 1.15 ..............
fracture, each.
26735.... 1 Repair finger 4 $595 216 $580 1.15 ..............
fracture, each.
26740.... 1 Treat finger ......... ......... 207 $53 0.11 Add.
fracture, each.
26742.... 1 Treat finger 2 $422 209 $71 0.14 ..............
fracture, each.
26746.... 1 Repair finger 5 $678 216 $580 1.15 ..............
fracture, each.
26750.... 1 Treat finger ......... ......... 207 $53 0.11 Add.
fracture, each.
26755.... 1 Treat finger ......... ......... 207 $53 0.11 Add.
fracture, each.
26756.... 1 Pin finger 2 $422 216 $580 1.15 ..............
fracture, each.
26765.... 1 Repair finger 4 $595 216 $580 1.15 ..............
fracture, each.
26770.... 1 Treat finger ......... ......... 207 $53 0.11 Add.
dislocation.
26775.... 1 Treat finger ......... ......... 210 $397 0.79 Add.
dislocation.
26776.... 1 Pin finger 2 $422 216 $580 1.15 ..............
dislocation.
26785.... 1 Repair finger 2 $422 216 $580 1.15 ..............
dislocation.
26820.... 1 Thumb fusion with 5 $678 262 $543 1.08 ..............
graft.
26841.... 1 Fusion of thumb.... 4 $595 262 $543 1.08 ..............
26842.... 1 Thumb fusion with 4 $595 262 $543 1.08 ..............
graft.
26843.... 1 Fusion of hand 3 $482 262 $543 1.08 ..............
joint.
26844.... 1 Fusion/graft of 3 $482 262 $543 1.08 ..............
hand joint.
26850.... 1 Fusion of knuckle.. 4 $595 262 $543 1.08 ..............
26852.... 1 Fusion of knuckle 4 $595 262 $543 1.08 ..............
with graft.
26860.... 1 Fusion of finger 3 $482 262 $543 1.08 ..............
joint.
26861.... 1 Fusion of finger 2 $422 262 $543 1.08 ..............
joint,added.
26862.... 1 Fusion/graft of 4 $595 262 $543 1.08 ..............
finger joint.
26863.... 1 Fuse/graft added 3 $482 262 $543 1.08 ..............
joint.
26910.... 1 Amputate metacarpal 3 $482 262 $543 1.08 ..............
bone.
26951.... 1 Amputation of 2 $422 261 $494 0.98 ..............
finger/thumb.
26952.... 1 Amputation of 4 $595 261 $494 0.98 ..............
finger/thumb.
26989.... 3 Hand/finger surgery ......... ......... ......... ......... ......... ..............
[[Page 32348]]
26990.... 1 Drainage of pelvis 1 $314 251 $504 1.00 ..............
lesion.
26991.... 1 Drainage of pelvis 1 $314 251 $504 1.00 ..............
bursa.
26992.... 3 Drainage of bone 2 $422 ......... ......... ......... Delete.
lesion.
27000.... 1 Incision of hip 2 $422 251 $504 1.00 ..............
tendon.
27001.... 1 Incision of hip 3 $482 252 $574 1.14 ..............
tendon.
27003.... 1 Incision of hip 3 $482 252 $574 1.14 ..............
tendon.
27005.... 3 Incision of hip ......... ......... ......... ......... ......... ..............
tendon.
27006.... 3 Incision of hip ......... ......... ......... ......... ......... ..............
tendons.
27025.... 3 Incision of hip/ ......... ......... ......... ......... ......... ..............
thigh fascia.
27030.... 3 Drainage of hip 3 $482 ......... ......... ......... Delete.
joint.
27033.... 1 Exploration of hip 3 $482 253 $775 1.54 ..............
joint.
27035.... 3 Denervation of hip 4 $595 ......... ......... ......... Delete.
joint.
27036.... 3 Excision of hip ......... ......... ......... ......... ......... ..............
joint/muscle.
27040.... 1 Biopsy of soft 1 $314 162 $187 0.37 ..............
tissues.
27041.... 1 Biopsy of soft 2 $422 163 $449 0.89 ..............
tissues.
27047.... 1 Remove hip/pelvis 2 $422 163 $449 0.89 ..............
lesion.
27048.... 1 Remove hip/pelvis 3 $482 163 $449 0.89 ..............
lesion.
27049.... 1 Remove tumor, hip/ 3 $482 163 $449 0.89 ..............
pelvis.
27050.... 1 Biopsy of 3 $482 251 $504 1.00 ..............
sacroiliac joint.
27052.... 1 Biopsy of hip joint 3 $482 251 $504 1.00 ..............
27054.... 3 Removal of hip ......... ......... ......... ......... ......... ..............
joint lining.
27060.... 1 Removal of ischial 5 $678 251 $504 1.00 ..............
bursa.
27062.... 1 Remove femur lesion/ 5 $678 251 $504 1.00 ..............
bursa.
27065.... 1 Removal of hip bone 5 $678 251 $504 1.00 ..............
lesion.
27066.... 1 Removal of hip bone 5 $678 252 $574 1.14 ..............
lesion.
27067.... 1 Remove/graft hip ......... ......... 252 $574 1.14 Add.
bone lesion.
27070.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
hip bone.
27071.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
hip bone.
27075.... 3 Extensive hip ......... ......... ......... ......... ......... ..............
surgery.
27076.... 3 Extensive hip ......... ......... ......... ......... ......... ..............
surgery.
27077.... 3 Extensive hip ......... ......... ......... ......... ......... ..............
surgery.
27078.... 3 Extensive hip ......... ......... ......... ......... ......... ..............
surgery.
27079.... 3 Extensive hip ......... ......... ......... ......... ......... ..............
surgery.
27080.... 1 Removal of tail 2 $422 252 $574 1.14 ..............
bone.
27086.... 1 Remove hip foreign 1 $314 251 $504 1.00 ..............
body.
27087.... 1 Remove hip foreign 3 $482 251 $504 1.00 ..............
body.
27090.... 3 Removal of hip ......... ......... ......... ......... ......... ..............
prosthesis.
27091.... 3 Removal of hip ......... ......... ......... ......... ......... ..............
prosthesis.
27093.... 2 Injection for hip x- ......... ......... ......... ......... ......... ..............
ray.
27095.... 2 Injection for hip x- ......... ......... ......... ......... ......... ..............
ray.
27097.... 1 Revision of hip 3 $482 252 $574 1.14 ..............
tendon.
27098.... 1 Transfer tendon to 3 $482 252 $574 1.14 ..............
pelvis.
27100.... 1 Transfer of 4 $595 253 $775 1.54 ..............
abdominal muscle.
27105.... 1 Transfer of spinal 4 $595 253 $775 1.54 ..............
muscle.
27110.... 1 Transfer of 4 $595 253 $775 1.54 ..............
iliopsoas muscle.
27111.... 1 Transfer of 4 $595 253 $775 1.54 ..............
iliopsoas muscle.
27120.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
hip socket.
27122.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
hip socket.
27125.... 3 Partial hip ......... ......... ......... ......... ......... ..............
replacement.
27130.... 3 Total hip ......... ......... ......... ......... ......... ..............
replacement.
27132.... 3 Total hip ......... ......... ......... ......... ......... ..............
replacement.
27134.... 3 Revise hip joint ......... ......... ......... ......... ......... ..............
replacement.
27137.... 3 Revise hip joint ......... ......... ......... ......... ......... ..............
replacement.
27138.... 3 Revise hip joint ......... ......... ......... ......... ......... ..............
replacement.
27140.... 3 Transplant of femur ......... ......... ......... ......... ......... ..............
ridge.
27146.... 3 Incision of hip ......... ......... ......... ......... ......... ..............
bone.
27147.... 3 Revision of hip ......... ......... ......... ......... ......... ..............
bone.
27151.... 3 Incision of hip ......... ......... ......... ......... ......... ..............
bones.
27156.... 3 Revision of hip ......... ......... ......... ......... ......... ..............
bones.
27158.... 3 Revision of pelvis. ......... ......... ......... ......... ......... ..............
27161.... 3 Incision of neck of ......... ......... ......... ......... ......... ..............
femur.
27165.... 3 Incision/fixation ......... ......... ......... ......... ......... ..............
of femur.
27170.... 3 Repair/graft femur ......... ......... ......... ......... ......... ..............
head/neck.
27175.... 3 Treat slipped ......... ......... ......... ......... ......... ..............
epiphysis.
27176.... 3 Treat slipped ......... ......... ......... ......... ......... ..............
epiphysis.
27177.... 3 Repair slipped ......... ......... ......... ......... ......... ..............
epiphysis.
27178.... 3 Repair slipped ......... ......... ......... ......... ......... ..............
epiphysis.
27179.... 3 Revise head/neck of ......... ......... ......... ......... ......... ..............
femur.
27181.... 3 Repair slipped ......... ......... ......... ......... ......... ..............
epiphysis.
27185.... 3 Revision of femur ......... ......... ......... ......... ......... ..............
epiphysis.
27187.... 3 Reinforce hip bones ......... ......... ......... ......... ......... ..............
27193.... 1 Treat pelvic ring 1 $314 209 $71 0.14 ..............
fracture.
27194.... 1 Treat pelvic ring 2 $422 210 $397 0.79 ..............
fracture.
27200.... 1 Treat tail bone ......... ......... 207 $53 0.11 Add.
fracture.
[[Page 32349]]
27202.... 1 Repair tail bone 2 $422 216 $580 1.15 ..............
fracture.
27215.... 3 Pelvic fracture(s) ......... ......... ......... ......... ......... ..............
treatment.
27216.... 3 Treat pelvic ring ......... ......... ......... ......... ......... ..............
fracture.
27217.... 3 Treat pelvic ring ......... ......... ......... ......... ......... ..............
fracture.
27218.... 3 Treat pelvic ring ......... ......... ......... ......... ......... ..............
fracture.
27220.... 1 Treat hip socket ......... ......... 209 $71 0.14 Add.
fracture.
27222.... 3 Treat hip socket ......... ......... ......... ......... ......... ..............
fracture.
27226.... 3 Treat hip wall ......... ......... ......... ......... ......... ..............
fracture.
27227.... 3 Treat hip ......... ......... ......... ......... ......... ..............
fracture(s).
27228.... 3 Treat hip ......... ......... ......... ......... ......... ..............
fracture(s).
27230.... 1 Treat fracture of 1 $314 209 $71 0.14 ..............
thigh.
27232.... 3 Treat fracture of ......... ......... ......... ......... ......... ..............
thigh.
27235.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
fracture.
27236.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
fracture.
27238.... 1 Treatment of thigh 1 $314 209 $71 0.14 ..............
fracture.
27240.... 3 Treatment of thigh ......... ......... ......... ......... ......... ..............
fracture.
27244.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
fracture.
27245.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
fracture.
27246.... 1 Treatment of thigh 1 $314 209 $71 0.14 ..............
fracture.
27248.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
fracture.
27250.... 1 Treat hip 1 $314 209 $71 0.14 ..............
dislocation.
27252.... 1 Treat hip 2 $422 210 $397 0.79 ..............
dislocation.
27253.... 3 Repair of hip ......... ......... ......... ......... ......... ..............
dislocation.
27254.... 3 Repair of hip ......... ......... ......... ......... ......... ..............
dislocation.
27256.... 1 Treatment of hip ......... ......... 209 $71 0.14 Add.
dislocation.
27257.... 1 Treatment of hip ......... ......... 210 $397 0.79 Add.
dislocation.
27258.... 3 Repair of hip ......... ......... ......... ......... ......... ..............
dislocation.
27259.... 3 Repair of hip ......... ......... ......... ......... ......... ..............
dislocation.
27265.... 1 Treatment of hip 1 $314 209 $71 0.14 ..............
dislocation.
27266.... 1 Treatment of hip 2 $422 217 $695 1.38 ..............
dislocation.
27275.... 1 Manipulation of hip 2 $422 210 $397 0.79 ..............
joint.
27280.... 3 Fusion of ......... ......... ......... ......... ......... ..............
sacroiliac joint.
27282.... 3 Fusion of pubic ......... ......... ......... ......... ......... ..............
bones.
27284.... 3 Fusion of hip joint ......... ......... ......... ......... ......... ..............
27286.... 3 Fusion of hip joint ......... ......... ......... ......... ......... ..............
27290.... 3 Amputation of leg ......... ......... ......... ......... ......... ..............
at hip.
27295.... 3 Amputation of leg ......... ......... ......... ......... ......... ..............
at hip.
27299.... 3 Pelvis/hip joint ......... ......... ......... ......... ......... ..............
surgery.
27301.... 1 Drain thigh/knee 3 $482 132 $162 0.32 ..............
lesion.
27303.... 3 Drainage of bone 2 $422 ......... ......... ......... Delete.
lesion.
27305.... 1 Incise thigh tendon 2 $422 251 $504 1.00 ..............
& fascia.
27306.... 1 Incision of thigh 3 $482 251 $504 1.00 ..............
tendon.
27307.... 1 Incision of thigh 3 $482 251 $504 1.00 ..............
tendons.
27310.... 1 Exploration of knee 4 $595 252 $574 1.14 ..............
joint.
27315.... 1 Partial removal, 2 $422 631 $600 1.19 ..............
thigh nerve.
27320.... 1 Partial removal, 2 $422 631 $600 1.19 ..............
thigh nerve.
27323.... 1 Biopsy thigh soft 1 $314 162 $187 0.37 ..............
tissues.
27324.... 1 Biopsy thigh soft 1 $314 163 $449 0.89 ..............
tissues.
27327.... 1 Removal of thigh 2 $422 163 $449 0.89 ..............
lesion.
27328.... 1 Removal of thigh 3 $482 163 $449 0.89 ..............
lesion.
27329.... 1 Remove tumor, thigh/ ......... ......... 163 $449 0.89 Add.
knee.
27330.... 1 Biopsy knee joint 4 $595 252 $574 1.14 ..............
lining.
27331.... 1 Explore/treat knee 4 $595 252 $574 1.14 ..............
joint.
27332.... 1 Removal of knee 4 $595 252 $574 1.14 ..............
cartilage.
27333.... 1 Removal of knee 4 $595 252 $574 1.14 ..............
cartilage.
27334.... 1 Remove knee joint 4 $595 252 $574 1.14 ..............
lining.
27335.... 1 Remove knee joint 4 $595 252 $574 1.14 ..............
lining.
27340.... 1 Removal of kneecap 3 $482 251 $504 1.00 ..............
bursa.
27345.... 1 Removal of knee 4 $595 251 $504 1.00 ..............
cyst.
27350.... 1 Removal of kneecap. 4 $595 252 $574 1.14 ..............
27355.... 1 Remove femur lesion 3 $482 252 $574 1.14 ..............
27356.... 1 Remove femur lesion/ 4 $595 252 $574 1.14 ..............
graft.
27357.... 1 Remove femur lesion/ ......... ......... 252 $574 1.14 Add.
graft.
27358.... 1 Remove femur lesion/ ......... ......... 252 $574 1.14 Add.
fixation.
27360.... 1 Partial removal leg 5 $678 252 $574 1.14 ..............
bone(s).
27365.... 3 Extensive leg ......... ......... ......... ......... ......... ..............
surgery.
27370.... 2 Injection for knee ......... ......... ......... ......... ......... ..............
x-ray.
27372.... 1 Removal of foreign 7 $941 163 $449 0.89 ..............
body.
27380.... 1 Repair of kneecap 1 $314 251 $504 1.00 ..............
tendon.
27381.... 1 Repair/graft 3 $482 251 $504 1.00 ..............
kneecap tendon.
27385.... 1 Repair of thigh 3 $482 251 $504 1.00 ..............
muscle.
27386.... 1 Repair/graft of 3 $482 251 $504 1.00 ..............
thigh muscle.
27390.... 1 Incision of thigh 1 $314 251 $504 1.00 ..............
tendon.
27391.... 1 Incision of thigh 2 $422 251 $504 1.00 ..............
tendons.
[[Page 32350]]
27392.... 1 Incision of thigh 3 $482 251 $504 1.00 ..............
tendons.
27393.... 1 Lengthening of 2 $422 252 $574 1.14 ..............
thigh tendon.
27394.... 1 Lengthening of 3 $482 252 $574 1.14 ..............
thigh tendons.
27395.... 1 Lengthening of 3 $482 253 $775 1.54 ..............
thigh tendons.
27396.... 1 Transplant of thigh 3 $482 252 $574 1.14 ..............
tendon.
27397.... 1 Transplants of 3 $482 253 $775 1.54 ..............
thigh tendons.
27400.... 1 Revise thigh 3 $482 253 $775 1.54 ..............
muscles/tendons.
27403.... 1 Repair of knee 4 $595 252 $574 1.14 ..............
cartilage.
27405.... 1 Repair of knee 4 $595 253 $775 1.54 ..............
ligament.
27407.... 1 Repair of knee 4 $595 253 $775 1.54 ..............
ligament.
27409.... 1 Repair of knee 4 $595 253 $775 1.54 ..............
ligaments.
27418.... 1 Repair degenerated 3 $482 253 $775 1.54 ..............
kneecap.
27420.... 1 Revision of 3 $482 253 $775 1.54 ..............
unstable kneecap.
27422.... 1 Revision of 7 $941 253 $775 1.54 ..............
unstable kneecap.
27424.... 1 Revision/removal of 3 $482 253 $775 1.54 ..............
kneecap.
27425.... 1 Lateral retinacular 7 $941 252 $574 1.14 ..............
release.
27427.... 1 Reconstruction, 3 $482 254 $1,110 2.20 ..............
knee.
27428.... 1 Reconstruction, 4 $595 254 $1,110 2.20 ..............
knee.
27429.... 1 Reconstruction, 4 $595 254 $1,110 2.20 ..............
knee.
27430.... 1 Revision of thigh 4 $595 253 $775 1.54 ..............
muscles.
27435.... 1 Incision of knee 4 $595 253 $775 1.54 ..............
joint.
27437.... 1 Revise kneecap..... 4 $595 217 $695 1.38 ..............
27438.... 1 Revise kneecap with 5 $678 218 $730 1.45 ..............
implant.
27440.... 1 Revision of knee 5 $678 217 $695 1.38 ..............
joint.
27441.... 1 Revision of knee 5 $678 217 $695 1.38 ..............
joint.
27442.... 1 Revision of knee 5 $678 217 $695 1.38 ..............
joint.
27443.... 1 Revision of knee 5 $678 217 $695 1.38 ..............
joint.
27445.... 3 Revision of knee ......... ......... ......... ......... ......... ..............
joint.
27446.... 3 Revision of knee ......... ......... ......... ......... ......... ..............
joint.
27447.... 3 Total knee ......... ......... ......... ......... ......... ..............
replacement.
27448.... 3 Incision of thigh.. ......... ......... ......... ......... ......... ..............
27450.... 3 Incision of thigh.. ......... ......... ......... ......... ......... ..............
27454.... 3 Realignment of ......... ......... ......... ......... ......... ..............
thigh bone.
27455.... 3 Realignment of knee ......... ......... ......... ......... ......... ..............
27457.... 3 Realignment of knee ......... ......... ......... ......... ......... ..............
27465.... 3 Shortening of thigh ......... ......... ......... ......... ......... ..............
bone.
27466.... 3 Lengthening of ......... ......... ......... ......... ......... ..............
thigh bone.
27468.... 3 Shorten/lengthen ......... ......... ......... ......... ......... ..............
thighs.
27470.... 3 Repair of thigh.... ......... ......... ......... ......... ......... ..............
27472.... 3 Repair/graft of ......... ......... ......... ......... ......... ..............
thigh.
27475.... 3 Surgery to stop leg ......... ......... ......... ......... ......... ..............
growth.
27477.... 3 Surgery to stop leg ......... ......... ......... ......... ......... ..............
growth.
27479.... 3 Surgery to stop leg ......... ......... ......... ......... ......... ..............
growth.
27485.... 3 Surgery to stop leg ......... ......... ......... ......... ......... ..............
growth.
27486.... 3 Revise knee joint ......... ......... ......... ......... ......... ..............
replace.
27487.... 3 Revise knee joint ......... ......... ......... ......... ......... ..............
replace.
27488.... 3 Removal of knee ......... ......... ......... ......... ......... ..............
prosthesis.
27495.... 3 Reinforce thigh.... ......... ......... ......... ......... ......... ..............
27496.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
thigh/knee.
27497.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
thigh/knee.
27498.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
thigh/knee.
27499.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
thigh/knee.
27500.... 1 Treatment of thigh 1 $314 209 $71 0.14 ..............
fracture.
27501.... 1 Treatment of thigh 2 $422 209 $71 0.14 ..............
fracture.
27502.... 1 Treatment of thigh 2 $422 209 $71 0.14 ..............
fracture.
27503.... 1 Treatment of thigh 3 $482 209 $71 0.14 ..............
fracture.
27506.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
fracture.
27507.... 3 Treatment of thigh 4 $595 ......... ......... ......... Delete.
fracture.
27508.... 1 Treatment of thigh 1 $314 209 $71 0.14 ..............
fracture.
27509.... 1 Treatment of thigh 3 $482 216 $580 1.15 ..............
fracture.
27510.... 1 Treatment of thigh 1 $314 209 $71 0.14 ..............
fracture.
27511.... 3 Treatment of thigh 4 $595 ......... ......... ......... Delete.
fracture.
27513.... 3 Treatment of thigh 5 $678 ......... ......... ......... Delete.
fracture.
27514.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
fracture.
27516.... 1 Repair of thigh 1 $314 209 $71 0.14 ..............
growth plate.
27517.... 1 Repair of thigh 1 $314 209 $71 0.14 ..............
growth plate.
27519.... 3 Repair of thigh ......... ......... ......... ......... ......... ..............
growth plate.
27520.... 1 Treat kneecap 1 $314 209 $71 0.14 ..............
fracture.
27524.... 3 Repair of kneecap 3 $482 ......... ......... ......... Delete.
fracture.
27530.... 1 Treatment of knee 1 $314 209 $71 0.14 ..............
fracture.
27532.... 1 Treatment of knee 1 $314 209 $71 0.14 ..............
fracture.
27535.... 3 Treatment of knee 3 $482 ......... ......... ......... Delete.
fracture.
27536.... 3 Repair of knee ......... ......... ......... ......... ......... ..............
fracture.
27538.... 1 Treat knee 1 $314 209 $71 0.14 ..............
fracture(s).
[[Page 32351]]
27540.... 3 Repair of knee ......... ......... ......... ......... ......... ..............
fracture.
27550.... 1 Treat knee 1 $314 209 $71 0.14 ..............
dislocation.
27552.... 1 Treat knee 1 $314 210 $397 0.79 ..............
dislocation.
27556.... 1 Repair of knee ......... ......... 216 $580 1.15 Add.
dislocation.
27557.... 3 Repair of knee ......... ......... ......... ......... ......... ..............
dislocation.
27558.... 3 Repair of knee ......... ......... ......... ......... ......... ..............
dislocation.
27560.... 1 Treat kneecap 1 $314 209 $71 0.14 ..............
dislocation.
27562.... 1 Treat kneecap 1 $314 210 $397 0.79 ..............
dislocation.
27566.... 1 Repair kneecap 2 $422 216 $580 1.15 ..............
dislocation.
27570.... 1 Fixation of knee 1 $314 210 $397 0.79 ..............
joint.
27580.... 3 Fusion of knee..... ......... ......... ......... ......... ......... ..............
27590.... 3 Amputate leg at ......... ......... ......... ......... ......... ..............
thigh.
27591.... 3 Amputate leg at ......... ......... ......... ......... ......... ..............
thigh.
27592.... 3 Amputate leg at ......... ......... ......... ......... ......... ..............
thigh.
27594.... 1 Amputation follow- ......... ......... 251 $504 1.00 Add.
up surgery.
27596.... 3 Amputation follow- ......... ......... ......... ......... ......... ..............
up surgery.
27598.... 3 Amputate lower leg ......... ......... ......... ......... ......... ..............
at knee.
27599.... 3 Leg surgery ......... ......... ......... ......... ......... ..............
procedure.
27600.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
lower leg.
27601.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
lower leg.
27602.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
lower leg.
27603.... 1 Drain lower leg 2 $422 132 $162 0.32 ..............
lesion.
27604.... 1 Drain lower leg 2 $422 251 $504 1.00 ..............
bursa.
27605.... 1 Incision of 1 $314 271 $510 1.01 ..............
achilles tendon.
27606.... 1 Incision of 1 $314 251 $504 1.00 ..............
achilles tendon.
27607.... 1 Treat lower leg 2 $422 251 $504 1.00 ..............
bone lesion.
27610.... 1 Explore/treat ankle 2 $422 252 $574 1.14 ..............
joint.
27612.... 1 Exploration of 3 $482 252 $574 1.14 ..............
ankle joint.
27613.... 5 Biopsy lower leg 1 $314 ......... ......... ......... Delete.
soft tissue.
27614.... 1 Biopsy lower leg 2 $422 163 $449 0.89 ..............
soft tissue.
27615.... 1 Remove tumor, lower 3 $482 216 $580 1.15 ..............
leg.
27618.... 1 Remove lower leg 2 $422 163 $449 0.89 ..............
lesion.
27619.... 1 Remove lower leg 3 $482 163 $449 0.89 ..............
lesion.
27620.... 1 Explore, treat 4 $595 252 $574 1.14 ..............
ankle joint.
27625.... 1 Remove ankle joint 4 $595 252 $574 1.14 ..............
lining.
27626.... 1 Remove ankle joint 4 $595 252 $574 1.14 ..............
lining.
27630.... 1 Removal of tendon 3 $482 251 $504 1.00 ..............
lesion.
27635.... 1 Remove lower leg 3 $482 252 $574 1.14 ..............
bone lesion.
27637.... 1 Remove/graft leg 3 $482 252 $574 1.14 ..............
bone lesion.
27638.... 1 Remove/graft leg 3 $482 252 $574 1.14 ..............
bone lesion.
27640.... 1 Partial removal of 2 $422 253 $775 1.54 ..............
tibia.
27641.... 1 Partial removal of 2 $422 252 $574 1.14 ..............
fibula.
27645.... 3 Extensive lower leg ......... ......... ......... ......... ......... ..............
surgery.
27646.... 3 Extensive lower leg ......... ......... ......... ......... ......... ..............
surgery.
27647.... 1 Extensive ankle/ ......... ......... 253 $775 1.54 Add.
heel surgery.
27648.... 2 Injection for ankle ......... ......... ......... ......... ......... ..............
x-ray.
27650.... 1 Repair achilles 3 $482 253 $775 1.54 ..............
tendon.
27652.... 1 Repair/graft 3 $482 253 $775 1.54 ..............
achilles tendon.
27654.... 1 Repair of achilles 3 $482 253 $775 1.54 ..............
tendon.
27656.... 1 Repair leg fascia 2 $422 251 $504 1.00 ..............
defect.
27658.... 1 Repair of leg 1 $314 251 $504 1.00 ..............
tendon, each.
27659.... 1 Repair of leg 2 $422 251 $504 1.00 ..............
tendon, each.
27664.... 1 Repair of leg 2 $422 251 $504 1.00 ..............
tendon, each.
27665.... 1 Repair of leg 2 $422 252 $574 1.14 ..............
tendon, each.
27675.... 1 Repair lower leg 2 $422 251 $504 1.00 ..............
tendons.
27676.... 1 Repair lower leg 3 $482 252 $574 1.14 ..............
tendons.
27680.... 1 Release of lower 3 $482 252 $574 1.14 ..............
leg tendon.
27681.... 1 Release of lower 2 $422 252 $574 1.14 ..............
leg tendons.
27685.... 1 Revision of lower 3 $482 252 $574 1.14 ..............
leg tendon.
27686.... 1 Revise lower leg 3 $482 252 $574 1.14 ..............
tendons.
27687.... 1 Revision of calf 3 $482 252 $574 1.14 ..............
tendon.
27690.... 1 Revise lower leg 4 $595 253 $775 1.54 ..............
tendon.
27691.... 1 Revise lower leg 4 $595 253 $775 1.54 ..............
tendon.
27692.... 1 Revise additional 3 $482 253 $775 1.54 ..............
leg tendon.
27695.... 1 Repair of ankle 2 $422 252 $574 1.14 ..............
ligament.
27696.... 1 Repair of ankle 2 $422 252 $574 1.14 ..............
ligaments.
27698.... 1 Repair of ankle 2 $422 252 $574 1.14 ..............
ligament.
27700.... 1 Revision of ankle 5 $678 217 $695 1.38 ..............
joint.
27702.... 3 Reconstruct ankle ......... ......... ......... ......... ......... ..............
joint.
27703.... 3 Reconstruction, ......... ......... ......... ......... ......... ..............
ankle joint.
27704.... 1 Removal of ankle 2 $422 251 $504 1.00 ..............
implant.
27705.... 1 Incision of tibia.. 2 $422 253 $775 1.54 ..............
27707.... 1 Incision of fibula. 2 $422 251 $504 1.00 ..............
27709.... 1 Incision of tibia & 2 $422 252 $574 1.14 ..............
fibula.
[[Page 32352]]
27712.... 3 Realignment of ......... ......... ......... ......... ......... ..............
lower leg.
27715.... 3 Revision of lower 4 $595 ......... ......... ......... Delete.
leg.
27720.... 3 Repair of tibia.... ......... ......... ......... ......... ......... ..............
27722.... 3 Repair/graft of ......... ......... ......... ......... ......... ..............
tibia.
27724.... 3 Repair/graft of ......... ......... ......... ......... ......... ..............
tibia.
27725.... 3 Repair of lower leg ......... ......... ......... ......... ......... ..............
27727.... 3 Repair of lower leg ......... ......... ......... ......... ......... ..............
27730.... 1 Repair of tibia 2 $422 252 $574 1.14 ..............
epiphysis.
27732.... 1 Repair of fibula 2 $422 252 $574 1.14 ..............
epiphysis.
27734.... 1 Repair lower leg 2 $422 252 $574 1.14 ..............
epiphyses.
27740.... 1 Repair of leg 2 $422 252 $574 1.14 ..............
epiphyses.
27742.... 1 Repair of leg 2 $422 253 $775 1.54 ..............
epiphyses.
27745.... 1 Reinforce tibia.... 3 $482 253 $775 1.54 ..............
27750.... 1 Treatment of tibia 1 $314 209 $71 0.14 ..............
fracture.
27752.... 1 Treatment of tibia 1 $314 209 $71 0.14 ..............
fracture.
27756.... 1 Repair of tibia 3 $482 216 $580 1.15 ..............
fracture.
27758.... 1 Repair of tibia 4 $595 216 $580 1.15 ..............
fracture.
27759.... 1 Repair of tibia 4 $595 216 $580 1.15 ..............
fracture.
27760.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27762.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27766.... 1 Repair of ankle 3 $482 216 $580 1.15 ..............
fracture.
27780.... 1 Treatment of fibula 1 $314 209 $71 0.14 ..............
fracture.
27781.... 1 Treatment of fibula 1 $314 209 $71 0.14 ..............
fracture.
27784.... 1 Repair of fibula 3 $482 216 $580 1.15 ..............
fracture.
27786.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27788.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27792.... 1 Repair of ankle 3 $482 216 $580 1.15 ..............
fracture.
27808.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27810.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27814.... 1 Repair of ankle 3 $482 216 $580 1.15 ..............
fracture.
27816.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27818.... 1 Treatment of ankle 1 $314 209 $71 0.14 ..............
fracture.
27822.... 1 Repair of ankle 3 $482 216 $580 1.15 ..............
fracture.
27823.... 1 Repair of ankle 3 $482 216 $580 1.15 ..............
fracture.
27824.... 1 Treat lower leg 1 $314 209 $71 0.14 ..............
fracture.
27825.... 1 Treat lower leg 2 $422 209 $71 0.14 ..............
fracture.
27826.... 1 Treat lower leg 3 $482 216 $580 1.15 ..............
fracture.
27827.... 1 Treat lower leg 3 $482 216 $580 1.15 ..............
fracture.
27828.... 1 Treat lower leg 4 $595 216 $580 1.15 ..............
fracture.
27829.... 1 Treat lower leg 2 $422 216 $580 1.15 ..............
joint.
27830.... 1 Treat lower leg 1 $314 209 $71 0.14 ..............
dislocation.
27831.... 1 Treat lower leg 1 $314 210 $397 0.79 ..............
dislocation.
27832.... 1 Repair lower leg 2 $422 216 $580 1.15 ..............
dislocation.
27840.... 1 Treat ankle 1 $314 209 $71 0.14 ..............
dislocation.
27842.... 1 Treat ankle 1 $314 210 $397 0.79 ..............
dislocation.
27846.... 1 Repair ankle 3 $482 216 $580 1.15 ..............
dislocation.
27848.... 1 Repair ankle 3 $482 216 $580 1.15 ..............
dislocation.
27860.... 1 Fixation of ankle 1 $314 210 $397 0.79 ..............
joint.
27870.... 1 Fusion of ankle 4 $595 253 $775 1.54 ..............
joint.
27871.... 1 Fusion of 4 $595 253 $775 1.54 ..............
tibiofibular joint.
27880.... 3 Amputation of lower ......... ......... ......... ......... ......... ..............
leg.
27881.... 3 Amputation of lower ......... ......... ......... ......... ......... ..............
leg.
27882.... 3 Amputation of lower ......... ......... ......... ......... ......... ..............
leg.
27884.... 1 Amputation follow- 3 $482 251 $504 1.00 ..............
up surgery.
27886.... 3 Amputation follow- ......... ......... ......... ......... ......... ..............
up surgery.
27888.... 3 Amputation of foot ......... ......... ......... ......... ......... ..............
at ankle.
27889.... 1 Amputation of foot ......... ......... 252 $574 1.14 Add.
at ankle.
27892.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
leg.
27893.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
leg.
27894.... 1 Decompression of ......... ......... 251 $504 1.00 Add.
leg.
27899.... 3 Leg/ankle surgery ......... ......... ......... ......... ......... ..............
procedure.
28001.... 1 Drainage of bursa ......... ......... 132 $162 0.32 Add.
of foot.
28002.... 1 Treatment of foot 3 $482 251 $504 1.00 ..............
infection.
28003.... 1 Treatment of foot 3 $482 251 $504 1.00 ..............
infection.
28005.... 1 Treat foot bone 3 $482 271 $510 1.01 ..............
lesion.
28008.... 1 Incision of foot 3 $482 271 $510 1.01 ..............
fascia.
28010.... 1 Incision of toe ......... ......... 271 $510 1.01 Add.
tendon.
28011.... 1 Incision of toe ......... ......... 271 $510 1.01 Add.
tendons.
28020.... 1 Exploration of a 2 $422 271 $510 1.01 ..............
foot joint.
28022.... 1 Exploration of a ......... ......... 271 $510 1.01 Add.
foot joint.
28024.... 1 Exploration of a ......... ......... 271 $510 1.01 Add.
toe joint.
28030.... 1 Removal of foot 4 $595 631 $600 1.19 ..............
nerve.
28035.... 1 Decompression of 4 $595 631 $600 1.19 ..............
tibia nerve.
28043.... 1 Excision of foot 2 $422 162 $187 0.37 ..............
lesion.
[[Page 32353]]
28045.... 1 Excision of foot 3 $482 271 $510 1.01 ..............
lesion.
28046.... 1 Resection of tumor, 3 $482 271 $510 1.01 ..............
foot.
28050.... 1 Biopsy of foot 2 $422 271 $510 1.01 ..............
joint lining.
28052.... 1 Biopsy of foot ......... ......... 271 $510 1.01 Add.
joint lining.
28054.... 1 Biopsy of toe joint 2 $422 271 $510 1.01 ..............
lining.
28060.... 1 Partial removal 2 $422 272 $546 1.08 ..............
foot fascia.
28062.... 1 Removal of foot 3 $482 272 $546 1.08 ..............
fascia.
28070.... 1 Removal of foot 3 $482 272 $546 1.08 ..............
joint lining.
28072.... 1 Removal of foot 3 $482 272 $546 1.08 ..............
joint lining.
28080.... 1 Removal of foot 3 $482 271 $510 1.01 ..............
lesion.
28086.... 1 Excise foot tendon 2 $422 271 $510 1.01 ..............
sheath.
28088.... 1 Excise foot tendon 2 $422 271 $510 1.01 ..............
sheath.
28090.... 1 Removal of foot 3 $482 271 $510 1.01 ..............
lesion.
28092.... 1 Removal of toe 3 $482 271 $510 1.01 ..............
lesions.
28100.... 1 Removal of ankle/ 2 $422 271 $510 1.01 ..............
heel lesion.
28102.... 1 Remove/graft foot 3 $482 272 $546 1.08 ..............
lesion.
28103.... 1 Remove/graft foot 3 $482 272 $546 1.08 ..............
lesion.
28104.... 1 Removal of foot 2 $422 271 $510 1.01 ..............
lesion.
28106.... 1 Remove/graft foot 3 $482 272 $546 1.08 ..............
lesion.
28107.... 1 Remove/graft foot 3 $482 272 $546 1.08 ..............
lesion.
28108.... 1 Removal of toe ......... ......... 271 $510 1.01 Add.
lesions.
28110.... 1 Part removal of 3 $482 276 $680 1.35 ..............
metatarsal.
28111.... 1 Part removal of 3 $482 271 $510 1.01 ..............
metatarsal.
28112.... 1 Part removal of 3 $482 271 $510 1.01 ..............
metatarsal.
28113.... 1 Part removal of 3 $482 271 $510 1.01 ..............
metatarsal.
28114.... 1 Removal of 3 $482 271 $510 1.01 ..............
metatarsal heads.
28116.... 1 Revision of foot... 3 $482 271 $510 1.01 ..............
28118.... 1 Removal of heel 4 $595 271 $510 1.01 ..............
bone.
28119.... 1 Removal of heel 4 $595 271 $510 1.01 ..............
spur.
28120.... 1 Part removal of 7 $941 271 $510 1.01 ..............
ankle/heel.
28122.... 1 Partial removal of 3 $482 271 $510 1.01 ..............
foot bone.
28124.... 1 Partial removal of ......... ......... 271 $510 1.01 Add.
toe.
28126.... 1 Partial removal of ......... ......... 271 $510 1.01 Add.
toe.
28130.... 1 Removal of ankle 3 $482 271 $510 1.01 ..............
bone.
28140.... 1 Removal of 3 $482 271 $510 1.01 ..............
metatarsal.
28150.... 1 Removal of toe..... 3 $482 271 $510 1.01 ..............
28153.... 1 Partial removal of ......... ......... 271 $510 1.01 Add.
toe.
28160.... 1 Partial removal of ......... ......... 271 $510 1.01 Add.
toe.
28171.... 1 Extensive foot 3 $482 271 $510 1.01 ..............
surgery.
28173.... 1 Extensive foot 3 $482 271 $510 1.01 ..............
surgery.
28175.... 1 Extensive foot 3 $482 271 $510 1.01 ..............
surgery.
28190.... 5 Removal of foot ......... ......... ......... ......... ......... ..............
foreign body.
28192.... 1 Removal of foot 2 $422 163 $449 0.89 ..............
foreign body.
28193.... 1 Removal of foot 4 $595 163 $449 0.89 ..............
foreign body.
28200.... 1 Repair of foot 3 $482 271 $510 1.01 ..............
tendon.
28202.... 1 Repair/graft of 3 $482 272 $546 1.08 ..............
foot tendon.
28208.... 1 Repair of foot 3 $482 271 $510 1.01 ..............
tendon.
28210.... 1 Repair/graft of 3 $482 271 $510 1.01 ..............
foot tendon.
28220.... 1 Release of foot ......... ......... 271 $510 1.01 Add.
tendon.
28222.... 1 Release of foot 1 $314 271 $510 1.01 ..............
tendons.
28225.... 1 Release of foot 1 $314 271 $510 1.01 ..............
tendon.
28226.... 1 Release of foot 1 $314 271 $510 1.01 ..............
tendons.
28230.... 1 Incision of foot ......... ......... 271 $510 1.01 Add.
tendon(s).
28232.... 1 Incision of toe ......... ......... 271 $510 1.01 Add.
tendon.
28234.... 1 Incision of foot ......... ......... 271 $510 1.01 Add.
tendon.
28238.... 1 Revision of foot 3 $482 272 $546 1.08 ..............
tendon.
28240.... 1 Release of big toe. 2 $422 271 $510 1.01 ..............
28250.... 1 Revision of foot 3 $482 272 $546 1.08 ..............
fascia.
28260.... 1 Release of midfoot 3 $482 272 $546 1.08 ..............
joint.
28261.... 1 Revision of foot 3 $482 272 $546 1.08 ..............
tendon.
28262.... 1 Revision of foot 4 $595 272 $546 1.08 ..............
and ankle.
28264.... 1 Release of midfoot 1 $314 272 $546 1.08 ..............
joint.
28270.... 1 Release of foot ......... ......... 271 $510 1.01 Add.
contracture.
28272.... 1 Release of toe ......... ......... 271 $510 1.01 Add.
joint, each.
28280.... 1 Fusion of toes..... 2 $422 271 $510 1.01 ..............
28285.... 1 Repair of hammertoe 3 $482 271 $510 1.01 ..............
28286.... 1 Repair of hammertoe 4 $595 271 $510 1.01 ..............
28288.... 1 Partial removal of 3 $482 272 $546 1.08 ..............
foot bone.
28290.... 1 Correction of 2 $422 276 $680 1.35 ..............
bunion.
28292.... 1 Correction of 2 $422 276 $680 1.35 ..............
bunion.
28293.... 1 Correction of 3 $482 276 $680 1.35 ..............
bunion.
28294.... 1 Correction of 3 $482 276 $680 1.35 ..............
bunion.
28296.... 1 Correction of 3 $482 276 $680 1.35 ..............
bunion.
28297.... 1 Correction of 3 $482 276 $680 1.35 ..............
bunion.
[[Page 32354]]
28298.... 1 Correction of 3 $482 276 $680 1.35 ..............
bunion.
28299.... 1 Correction of 5 $678 276 $680 1.35 ..............
bunion.
28300.... 1 Incision of heel 2 $422 272 $546 1.08 ..............
bone.
28302.... 1 Incision of ankle 2 $422 272 $546 1.08 ..............
bone.
28304.... 1 Incision of midfoot 2 $422 272 $546 1.08 ..............
bones.
28305.... 1 Incise/graft 3 $482 272 $546 1.08 ..............
midfoot bones.
28306.... 1 Incision of 4 $595 272 $546 1.08 ..............
metatarsal.
28307.... 1 Incision of 4 $595 272 $546 1.08 ..............
metatarsal.
28308.... 1 Incision of 2 $422 272 $546 1.08 ..............
metatarsal.
28309.... 1 Incision of 4 $595 272 $546 1.08 ..............
metatarsals.
28310.... 1 Revision of big toe 3 $482 271 $510 1.01 ..............
28312.... 1 Revision of toe.... 3 $482 271 $510 1.01 ..............
28313.... 1 Repair deformity of 2 $422 271 $510 1.01 ..............
toe.
28315.... 1 Removal of sesamoid 4 $595 271 $510 1.01 ..............
bone.
28320.... 1 Repair of foot 4 $595 272 $546 1.08 ..............
bones.
28322.... 1 Repair of 4 $595 272 $546 1.08 ..............
metatarsals.
28340.... 1 Resect enlarged toe 4 $595 271 $510 1.01 ..............
tissue.
28341.... 1 Resect enlarged toe 4 $595 271 $510 1.01 ..............
28344.... 1 Repair extra toe(s) 4 $595 272 $546 1.08 ..............
28345.... 1 Repair webbed 4 $595 272 $546 1.08 ..............
toe(s).
28360.... 1 Reconstruct cleft ......... ......... 272 $546 1.08 Add.
foot.
28400.... 1 Treatment of heel 1 $314 209 $71 0.14 ..............
fracture.
28405.... 1 Treatment of heel 2 $422 209 $71 0.14 ..............
fracture.
28406.... 1 Treatment of heel 2 $422 216 $580 1.15 ..............
fracture.
28415.... 1 Repair of heel 3 $482 216 $580 1.15 ..............
fracture.
28420.... 1 Repair/graft heel 4 $595 216 $580 1.15 ..............
fracture.
28430.... 1 Treatment of ankle ......... ......... 209 $71 0.14 Add.
fracture.
28435.... 1 Treatment of ankle 2 $422 209 $71 0.14 ..............
fracture.
28436.... 1 Treatment of ankle 2 $422 216 $580 1.15 ..............
fracture.
28445.... 1 Repair of ankle 3 $482 216 $580 1.15 ..............
fracture.
28450.... 1 Treat midfoot ......... ......... 209 $71 0.14 Add.
fracture, each.
28455.... 1 Treat midfoot ......... ......... 209 $71 0.14 Add.
fracture, each.
28456.... 1 Repair midfoot 2 $422 216 $580 1.15 ..............
fracture.
28465.... 1 Repair midfoot 3 $482 216 $580 1.15 ..............
fracture,each.
28470.... 1 Treat metatarsal ......... ......... 209 $71 0.14 Add.
fracture.
28475.... 1 Treat metatarsal ......... ......... 209 $71 0.14 Add.
fracture.
28476.... 1 Repair metatarsal 2 $422 216 $580 1.15 ..............
fracture.
28485.... 1 Repair metatarsal 4 $595 216 $580 1.15 ..............
fracture.
28490.... 1 Treat big toe ......... ......... 207 $53 0.11 Add.
fracture.
28495.... 1 Treat big toe ......... ......... 207 $53 0.11 Add.
fracture.
28496.... 1 Repair big toe 2 $422 216 $580 1.15 ..............
fracture.
28505.... 1 Repair big toe 3 $482 216 $580 1.15 ..............
fracture.
28510.... 1 Treatment of toe ......... ......... 207 $53 0.11 Add.
fracture.
28515.... 1 Treatment of toe ......... ......... 207 $53 0.11 Add.
fracture.
28525.... 1 Repair of toe 3 $482 216 $580 1.15 ..............
fracture.
28530.... 1 Treat sesamoid bone ......... ......... 209 $71 0.14 Add.
fracture.
28531.... 1 Treat sesamoid bone ......... ......... 216 $580 1.15 Add.
fracture.
28540.... 1 Treat foot ......... ......... 209 $71 0.14 Add.
dislocation.
28545.... 1 Treat foot 1 $314 210 $397 0.79 ..............
dislocation.
28546.... 1 Treat foot 2 $422 216 $580 1.15 ..............
dislocation.
28555.... 1 Repair foot 2 $422 216 $580 1.15 ..............
dislocation.
28570.... 1 Treat foot ......... ......... 209 $71 0.14 Add.
dislocation.
28575.... 1 Treat foot 1 $314 210 $397 0.79 ..............
dislocation.
28576.... 1 Treat foot 3 $482 216 $580 1.15 ..............
dislocation.
28585.... 1 Repair foot 3 $482 216 $580 1.15 ..............
dislocation.
28600.... 1 Treat foot ......... ......... 209 $71 0.14 Add.
dislocation.
28605.... 1 Treat foot 1 $314 210 $397 0.79 ..............
dislocation.
28606.... 1 Treat foot 2 $422 216 $580 1.15 ..............
dislocation.
28615.... 1 Repair foot 3 $482 216 $580 1.15 ..............
dislocation.
28630.... 1 Treat toe ......... ......... 207 $53 0.11 Add.
dislocation.
28635.... 1 Treat toe 1 $314 210 $397 0.79 ..............
dislocation.
28636.... 1 Treat toe 3 $482 216 $580 1.15 ..............
dislocation.
28645.... 1 Repair toe 3 $482 216 $580 1.15 ..............
dislocation.
28660.... 1 Treat toe ......... ......... 207 $53 0.11 Add.
dislocation.
28665.... 1 Treat toe 1 $314 210 $397 0.79 ..............
dislocation.
28666.... 1 Treat toe 3 $482 216 $580 1.15 ..............
dislocation.
28675.... 1 Repair of toe 3 $482 216 $580 1.15 ..............
dislocation.
28705.... 1 Fusion of foot 4 $595 272 $546 1.08 ..............
bones.
28715.... 1 Fusion of foot 4 $595 272 $546 1.08 ..............
bones.
28725.... 1 Fusion of foot 4 $595 272 $546 1.08 ..............
bones.
28730.... 1 Fusion of foot 4 $595 272 $546 1.08 ..............
bones.
28735.... 1 Fusion of foot 4 $595 272 $546 1.08 ..............
bones.
28737.... 1 Revision of foot 5 $678 271 $510 1.01 ..............
bones.
28740.... 1 Fusion of foot 4 $595 272 $546 1.08 ..............
bones.
[[Page 32355]]
28750.... 1 Fusion of big toe 4 $595 271 $510 1.01 ..............
joint.
28755.... 1 Fusion of big toe 4 $595 271 $510 1.01 ..............
joint.
28760.... 1 Fusion of big toe 4 $595 272 $546 1.08 ..............
joint.
28800.... 3 Amputation of ......... ......... ......... ......... ......... ..............
midfoot.
28805.... 3 Amputation thru ......... ......... ......... ......... ......... ..............
metatarsal.
28810.... 1 Amputation toe & 2 $422 271 $510 1.01 ..............
metatarsal.
28820.... 1 Amputation of toe.. 2 $422 271 $510 1.01 ..............
28825.... 1 Partial amputation 2 $422 271 $510 1.01 ..............
of toe.
28899.... 3 Foot/toes surgery ......... ......... ......... ......... ......... ..............
procedure.
29000.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29010.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29015.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29020.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29025.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29035.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29040.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29044.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29046.... 5 Application of body ......... ......... ......... ......... ......... ..............
cast.
29049.... 5 Application of ......... ......... ......... ......... ......... ..............
figure eight.
29055.... 5 Application of ......... ......... ......... ......... ......... ..............
shoulder cast.
29058.... 5 Application of ......... ......... ......... ......... ......... ..............
shoulder cast.
29065.... 5 Application of long ......... ......... ......... ......... ......... ..............
arm cast.
29075.... 5 Application of ......... ......... ......... ......... ......... ..............
forearm cast.
29085.... 5 Apply hand/wrist ......... ......... ......... ......... ......... ..............
cast.
29105.... 5 Apply long arm ......... ......... ......... ......... ......... ..............
splint.
29125.... 5 Apply forearm ......... ......... ......... ......... ......... ..............
splint.
29126.... 5 Apply forearm ......... ......... ......... ......... ......... ..............
splint.
29130.... 5 Application of ......... ......... ......... ......... ......... ..............
finger splint.
29131.... 5 Application of ......... ......... ......... ......... ......... ..............
finger splint.
29200.... 5 Strapping of chest. ......... ......... ......... ......... ......... ..............
29220.... 5 Strapping of low ......... ......... ......... ......... ......... ..............
back.
29240.... 5 Strapping of ......... ......... ......... ......... ......... ..............
shoulder.
29260.... 5 Strapping of elbow ......... ......... ......... ......... ......... ..............
or wrist.
29280.... 5 Strapping of hand ......... ......... ......... ......... ......... ..............
or finger.
29305.... 5 Application of hip ......... ......... ......... ......... ......... ..............
cast.
29325.... 5 Application of hip ......... ......... ......... ......... ......... ..............
casts.
29345.... 5 Application of long ......... ......... ......... ......... ......... ..............
leg cast.
29355.... 5 Application of long ......... ......... ......... ......... ......... ..............
leg cast.
29358.... 5 Apply long leg cast ......... ......... ......... ......... ......... ..............
brace.
29365.... 5 Application of long ......... ......... ......... ......... ......... ..............
leg cast.
29405.... 5 Apply short leg ......... ......... ......... ......... ......... ..............
cast.
29425.... 5 Apply short leg ......... ......... ......... ......... ......... ..............
cast.
29435.... 5 Apply short leg ......... ......... ......... ......... ......... ..............
cast.
29440.... 5 Add.ition of walker ......... ......... ......... ......... ......... ..............
to cast.
29445.... 5 Apply rigid leg ......... ......... ......... ......... ......... ..............
cast.
29450.... 5 Application of leg ......... ......... ......... ......... ......... ..............
cast.
29505.... 5 Application long ......... ......... ......... ......... ......... ..............
leg splint.
29515.... 5 Application lower ......... ......... ......... ......... ......... ..............
leg splint.
29520.... 5 Strapping of hip... ......... ......... ......... ......... ......... ..............
29530.... 5 Strapping of knee.. ......... ......... ......... ......... ......... ..............
29540.... 5 Strapping of ankle. ......... ......... ......... ......... ......... ..............
29550.... 5 Strapping of toes.. ......... ......... ......... ......... ......... ..............
29580.... 5 Application of ......... ......... ......... ......... ......... ..............
paste boot.
29590.... 5 Application of foot ......... ......... ......... ......... ......... ..............
splint.
29700.... 5 Removal/revision of ......... ......... ......... ......... ......... ..............
cast.
29705.... 5 Removal/revision of ......... ......... ......... ......... ......... ..............
cast.
29710.... 5 Removal/revision of ......... ......... ......... ......... ......... ..............
cast.
29715.... 5 Removal/revision of ......... ......... ......... ......... ......... ..............
cast.
29720.... 5 Repair of body cast ......... ......... ......... ......... ......... ..............
29730.... 5 Windowing of cast.. ......... ......... ......... ......... ......... ..............
29740.... 5 Wedging of cast.... ......... ......... ......... ......... ......... ..............
29750.... 5 Wedging of clubfoot ......... ......... ......... ......... ......... ..............
cast.
29799.... 3 Casting/strapping ......... ......... ......... ......... ......... ..............
procedure.
29800.... 1 Jaw arthroscopy/ ......... ......... 280 $675 1.34 Add.
surgery.
29804.... 1 Jaw arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29815.... 1 Shoulder 3 $482 280 $675 1.34 ..............
arthroscopy.
29819.... 1 Shoulder 3 $482 281 $807 1.60 ..............
arthroscopy/
surgery.
29820.... 1 Shoulder 3 $482 281 $807 1.60 ..............
arthroscopy/
surgery.
29821.... 1 Shoulder 3 $482 281 $807 1.60 ..............
arthroscopy/
surgery.
29822.... 1 Shoulder 3 $482 281 $807 1.60 ..............
arthroscopy/
surgery.
29823.... 1 Shoulder 3 $482 281 $807 1.60 ..............
arthroscopy/
surgery.
29825.... 1 Shoulder 3 $482 281 $807 1.60 ..............
arthroscopy/
surgery.
29826.... 1 Shoulder 3 $482 281 $807 1.60 ..............
arthroscopy/
surgery.
29830.... 1 Elbow arthroscopy.. 3 $482 280 $675 1.34 ..............
[[Page 32356]]
29834.... 1 Elbow arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29835.... 1 Elbow arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29836.... 1 Elbow arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29837.... 1 Elbow arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29838.... 1 Elbow arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29840.... 1 Wrist arthroscopy.. 3 $482 280 $675 1.34 ..............
29843.... 1 Wrist arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29844.... 1 Wrist arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29845.... 1 Wrist arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29846.... 1 Wrist arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29847.... 1 Wrist arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29848.... 1 Wrist arthroscopy/ ......... ......... 281 $807 1.60 Add.
surgery.
29850.... 1 Knee arthroscopy/ 4 $595 286 $1,110 2.20 ..............
surgery.
29851.... 1 Knee arthroscopy/ 4 $595 286 $1,110 2.20 ..............
surgery.
29855.... 1 Tibial arthroscopy/ 4 $595 286 $1,110 2.20 ..............
surgery.
29856.... 1 Tibial arthroscopy/ 4 $595 286 $1,110 2.20 ..............
surgery.
29860.... 1 Hip arthroscopy, dx ......... ......... 281 $807 1.60 Add.
29861.... 1 Hip arthroscopy/ ......... ......... 281 $807 1.60 Add.
surgery.
29862.... 1 Hip arthroscopy/ ......... ......... 281 $807 1.60 Add.
surgery.
29863.... 1 Hip arthroscopy/ ......... ......... 281 $807 1.60 Add.
surgery.
29870.... 1 Knee arthroscopy, 3 $482 280 $675 1.34 ..............
diagnostic.
29871.... 1 Knee arthroscopy/ 3 $482 282 $860 1.71 ..............
drainage.
29874.... 1 Knee arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29875.... 1 Knee arthroscopy/ 4 $595 281 $807 1.60 ..............
surgery.
29876.... 1 Knee arthroscopy/ 4 $595 282 $860 1.71 ..............
surgery.
29877.... 1 Knee arthroscopy/ 4 $595 281 $807 1.60 ..............
surgery.
29879.... 1 Knee arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29880.... 1 Knee arthroscopy/ 4 $595 281 $807 1.60 ..............
surgery.
29881.... 1 Knee arthroscopy/ 4 $595 281 $807 1.60 ..............
surgery.
29882.... 1 Knee arthroscopy/ 3 $482 282 $860 1.71 ..............
surgery.
29883.... 1 Knee arthroscopy/ 3 $482 282 $860 1.71 ..............
surgery.
29884.... 1 Knee arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29885.... 1 Knee arthroscopy/ 3 $482 282 $860 1.71 ..............
surgery.
29886.... 1 Knee arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29887.... 1 Knee arthroscopy/ 3 $482 282 $860 1.71 ..............
surgery.
29888.... 1 Knee arthroscopy/ 3 $482 286 $1,110 2.20 ..............
surgery.
29889.... 1 Knee arthroscopy/ 3 $482 286 $1,110 2.20 ..............
surgery.
29891.... 1 Ankle arthroscopy/ ......... ......... 282 $860 1.71 Add.
surgery.
29892.... 1 Ankle arthroscopy/ ......... ......... 286 $1,110 2.20 Add.
surgery.
29893.... 1 Scope, plantar ......... ......... 271 $510 1.01 Add.
fasciotomy.
29894.... 1 Ankle arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29895.... 1 Ankle arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29897.... 1 Ankle arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29898.... 1 Ankle arthroscopy/ 3 $482 281 $807 1.60 ..............
surgery.
29909.... 3 Arthroscopy of ......... ......... ......... ......... ......... ..............
joint.
30000.... 5 Drainage of nose ......... ......... ......... ......... ......... ..............
lesion.
30020.... 5 Drainage of nose ......... ......... ......... ......... ......... ..............
lesion.
30100.... 5 Intranasal biopsy.. ......... ......... ......... ......... ......... ..............
30110.... 5 Removal of nose ......... ......... ......... ......... ......... ..............
polyp(s).
30115.... 1 Removal of nose 2 $422 313 $537 1.07 ..............
polyp(s).
30117.... 5 Removal of 3 $482 ......... ......... ......... Delete.
intranasal lesion.
30118.... 1 Removal of 3 $482 313 $537 1.07 ..............
intranasal lesion.
30120.... 1 Revision of nose... 1 $314 313 $537 1.07 ..............
30124.... 5 Removal of nose 1 $314 ......... ......... ......... Delete.
lesion.
30125.... 1 Removal of nose 2 $422 313 $537 1.07 ..............
lesion.
30130.... 1 Removal of 3 $482 313 $537 1.07 ..............
turbinate bones.
30140.... 1 Removal of 2 $422 313 $537 1.07 ..............
turbinate bones.
30150.... 1 Partial removal of 3 $482 313 $537 1.07 ..............
nose.
30160.... 1 Removal of nose.... 4 $595 313 $537 1.07 ..............
30200.... 2 Injection treatment ......... ......... ......... ......... ......... ..............
of nose.
30210.... 5 Nasal sinus therapy ......... ......... ......... ......... ......... ..............
30220.... 5 Insert nasal septal ......... ......... ......... ......... ......... ..............
button.
30300.... 5 Remove nasal ......... ......... ......... ......... ......... ..............
foreign body.
30310.... 1 Remove nasal 1 $314 313 $537 1.07 ..............
foreign body.
30320.... 1 Remove nasal 2 $422 313 $537 1.07 ..............
foreign body.
30400.... 7 Reconstruction of 4 $595 314 $946 1.88 ..............
nose.
30410.... 7 Reconstruction of 5 $678 314 $946 1.88 ..............
nose.
30420.... 7 Reconstruction of 5 $678 314 $946 1.88 ..............
nose.
30430.... 7 Revision of nose... 3 $482 313 $537 1.07 ..............
30435.... 7 Revision of nose... 5 $678 314 $946 1.88 ..............
30450.... 7 Revision of nose... 7 $941 314 $946 1.88 ..............
30460.... 1 Revision of nose... ......... ......... 314 $946 1.88 Add.
30462.... 1 Revision of nose... ......... ......... 314 $946 1.88 Add.
30520.... 1 Repair of nasal 4 $595 313 $537 1.07 ..............
septum.
[[Page 32357]]
30540.... 1 Repair nasal defect 5 $678 313 $537 1.07 ..............
30545.... 1 Repair nasal defect ......... ......... 314 $946 1.88 Add.
30560.... 5 Release of nasal 2 $422 ......... ......... ......... Delete.
adhesions.
30580.... 1 Repair upper jaw 4 $595 313 $537 1.07 ..............
fistula.
30600.... 1 Repair mouth/nose 4 $595 313 $537 1.07 ..............
fistula.
30620.... 1 Intranasal 7 $941 313 $537 1.07 ..............
reconstruction.
30630.... 1 Repair nasal septum 7 $941 313 $537 1.07 ..............
defect.
30801.... 1 Cauterization inner 1 $314 312 $233 0.46 ..............
nose.
30802.... 1 Cauterization inner 1 $314 312 $233 0.46 ..............
nose.
30901.... 1 Control of ......... ......... 318 $77 0.15 Add.
nosebleed.
30903.... 1 Control of 1 $314 318 $77 0.15 ..............
nosebleed.
30905.... 1 Control of 1 $314 318 $77 0.15 ..............
nosebleed.
30906.... 1 Repeat control of 1 $314 318 $77 0.15 ..............
nosebleed.
30915.... 1 Ligation nasal 2 $422 367 $682 1.35 ..............
sinus artery.
30920.... 1 Ligation upper jaw 3 $482 367 $682 1.35 ..............
artery.
30930.... 1 Therapy fracture of ......... ......... 312 $233 0.46 Add.
nose.
30999.... 3 Nasal surgery ......... ......... ......... ......... ......... ..............
procedure.
31000.... 5 Irrigation ......... ......... ......... ......... ......... ..............
maxillary sinus.
31002.... 5 Irrigation sphenoid ......... ......... ......... ......... ......... ..............
sinus.
31020.... 1 Exploration 2 $422 313 $537 1.07 ..............
maxillary sinus.
31030.... 1 Exploration 3 $482 313 $537 1.07 ..............
maxillary sinus.
31032.... 1 Explore 4 $595 313 $537 1.07 ..............
sinus,remove
polyps.
31040.... 1 Exploration behind ......... ......... 314 $946 1.88 Add.
upper jaw.
31050.... 1 Exploration 2 $422 313 $537 1.07 ..............
sphenoid sinus.
31051.... 1 Sphenoid sinus 4 $595 313 $537 1.07 ..............
surgery.
31070.... 1 Exploration of 2 $422 313 $537 1.07 ..............
frontal sinus.
31075.... 1 Exploration of 4 $595 314 $946 1.88 ..............
frontal sinus.
31080.... 1 Removal of frontal 4 $595 314 $946 1.88 ..............
sinus.
31081.... 1 Removal of frontal ......... ......... 314 $946 1.88 Add.
sinus.
31084.... 1 Removal of frontal 4 $595 314 $946 1.88 ..............
sinus.
31085.... 1 Removal of frontal ......... ......... 314 $946 1.88 Add.
sinus.
31086.... 1 Removal of frontal 4 $595 314 $946 1.88 ..............
sinus.
31087.... 1 Removal of frontal ......... ......... 314 $946 1.88 Add.
sinus.
31090.... 1 Exploration of 5 $678 314 $946 1.88 ..............
sinuses.
31200.... 1 Removal of ethmoid 2 $422 313 $537 1.07 ..............
sinus.
31201.... 1 Removal of ethmoid 5 $678 314 $946 1.88 ..............
sinus.
31205.... 1 Removal of ethmoid 3 $482 314 $946 1.88 ..............
sinus.
31225.... 3 Removal of upper ......... ......... ......... ......... ......... ..............
jaw.
31230.... 3 Removal of upper ......... ......... ......... ......... ......... ..............
jaw.
31231.... 5 Nasal endoscopy, dx ......... ......... ......... ......... ......... ..............
31233.... 1 Nasal/sinus 2 $422 332 $423 0.84 ..............
endoscopy, dx.
31235.... 1 Nasal/sinus 1 $314 332 $423 0.84 ..............
endoscopy, dx.
31237.... 1 Nasal/sinus 2 $422 332 $423 0.84 ..............
endoscopy, surg.
31238.... 1 Nasal/sinus 1 $314 332 $423 0.84 ..............
endoscopy, surg.
31239.... 1 Nasal/sinus 4 $595 333 $653 1.30 ..............
endoscopy, surg.
31240.... 1 Nasal/sinus 2 $422 332 $423 0.84 ..............
endoscopy, surg.
31254.... 1 Revision of ethmoid 3 $482 333 $653 1.30 ..............
sinus.
31255.... 1 Removal of ethmoid 5 $678 333 $653 1.30 ..............
sinus.
31256.... 1 Exploration 3 $482 333 $653 1.30 ..............
maxillary sinus.
31267.... 1 Endoscopy, 3 $482 333 $653 1.30 ..............
maxillary sinus.
31276.... 1 Sinus surgical 3 $482 333 $653 1.30 ..............
endoscopy.
31287.... 1 Nasal/sinus 3 $482 333 $653 1.30 ..............
endoscopy, surg.
31288.... 1 Nasal/sinus 3 $482 333 $653 1.30 ..............
endoscopy, surg.
31290.... 3 Nasal/sinus ......... ......... ......... ......... ......... ..............
endoscopy, surg.
31291.... 3 Nasal/sinus ......... ......... ......... ......... ......... ..............
endoscopy, surg.
31292.... 3 Nasal/sinus ......... ......... ......... ......... ......... ..............
endoscopy, surg.
31293.... 3 Nasal/sinus ......... ......... ......... ......... ......... ..............
endoscopy, surg.
31294.... 3 Nasal/sinus ......... ......... ......... ......... ......... ..............
endoscopy, surg.
31299.... 3 Sinus surgery ......... ......... ......... ......... ......... ..............
procedure.
31300.... 1 Removal of larynx 5 $678 314 $946 1.88 ..............
lesion.
31320.... 1 Diagnostic incision 2 $422 313 $537 1.07 ..............
larynx.
31360.... 3 Removal of larynx.. ......... ......... ......... ......... ......... ..............
31365.... 3 Removal of larynx.. ......... ......... ......... ......... ......... ..............
31367.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
larynx.
31368.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
larynx.
31370.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
larynx.
31375.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
larynx.
31380.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
larynx.
31382.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
larynx.
31390.... 3 Removal of larynx & ......... ......... ......... ......... ......... ..............
pharynx.
31395.... 3 Reconstruct larynx ......... ......... ......... ......... ......... ..............
& pharynx.
31400.... 1 Revision of larynx. ......... ......... 314 $946 1.88 Add.
31420.... 1 Removal of ......... ......... 314 $946 1.88 Add.
epiglottis.
31500.... 3 Insert emergency ......... ......... ......... ......... ......... ..............
airway.
[[Page 32358]]
31502.... 1 Change of windpipe ......... ......... 470 $119 0.24 Add.
airway.
31505.... 5 Diagnostic ......... ......... ......... ......... ......... ..............
laryngoscopy.
31510.... 1 Laryngoscopy with 2 $422 332 $423 0.84 ..............
biopsy.
31511.... 1 Remove foreign 2 $422 332 $423 0.84 ..............
body, larynx.
31512.... 1 Removal of larynx 2 $422 332 $423 0.84 ..............
lesion.
31513.... 1 Injection into 2 $422 332 $423 0.84 ..............
vocal cord.
31515.... 1 Laryngoscopy for 1 $314 332 $423 0.84 ..............
aspiration.
31520.... 1 Diagnostic ......... ......... 332 $423 0.84 Add.
laryngoscopy.
31525.... 1 Diagnostic 1 $314 332 $423 0.84 ..............
laryngoscopy.
31526.... 1 Diagnostic 2 $422 332 $423 0.84 ..............
laryngoscopy.
31527.... 1 Laryngoscopy for 1 $314 333 $653 1.30 ..............
treatment.
31528.... 1 Laryngoscopy and 2 $422 332 $423 0.84 ..............
dilatation.
31529.... 1 Laryngoscopy and 2 $422 332 $423 0.84 ..............
dilatation.
31530.... 1 Operative 2 $422 333 $653 1.30 ..............
laryngoscopy.
31531.... 1 Operative 3 $482 333 $653 1.30 ..............
laryngoscopy.
31535.... 1 Operative 2 $422 333 $653 1.30 ..............
laryngoscopy.
31536.... 1 Operative 3 $482 333 $653 1.30 ..............
laryngoscopy.
31540.... 1 Operative 3 $482 333 $653 1.30 ..............
laryngoscopy.
31541.... 1 Operative 4 $595 333 $653 1.30 ..............
laryngoscopy.
31560.... 1 Operative 5 $678 333 $653 1.30 ..............
laryngoscopy.
31561.... 1 Operative 5 $678 333 $653 1.30 ..............
laryngoscopy.
31570.... 1 Laryngoscopy with 2 $422 333 $653 1.30 ..............
injection.
31571.... 1 Laryngoscopy with 2 $422 333 $653 1.30 ..............
injection.
31575.... 5 Diagnostic ......... ......... ......... ......... ......... ..............
laryngoscopy.
31576.... 1 Laryngoscopy with 2 $422 332 $423 0.84 ..............
biopsy.
31577.... 1 Remove foreign 2 $422 332 $423 0.84 ..............
body, larynx.
31578.... 1 Removal of larynx 2 $422 332 $423 0.84 ..............
lesion.
31579.... 5 Diagnostic ......... ......... ......... ......... ......... ..............
laryngoscopy.
31580.... 3 Revision of larynx. 5 $678 ......... ......... ......... Delete.
31582.... 3 Revision of larynx. 5 $678 ......... ......... ......... Delete.
31584.... 3 Repair of larynx 4 $595 ......... ......... ......... Delete.
fracture.
31585.... 1 Repair of larynx 1 $314 207 $53 0.11 ..............
fracture.
31586.... 1 Repair of larynx 2 $422 209 $71 0.14 ..............
fracture.
31587.... 3 Revision of larynx. ......... ......... ......... ......... ......... ..............
31588.... 1 Revision of larynx. 5 $678 314 $946 1.88 ..............
31590.... 1 Reinnervate larynx. 5 $678 314 $946 1.88 ..............
31595.... 1 Larynx nerve 2 $422 313 $537 1.07 ..............
surgery.
31599.... 3 Larynx surgery ......... ......... ......... ......... ......... ..............
procedure.
31600.... 3 Incision of 2 $422 ......... ......... ......... Delete.
windpipe.
31601.... 3 Incision of ......... ......... ......... ......... ......... ..............
windpipe.
31603.... 3 Incision of ......... ......... ......... ......... ......... ..............
windpipe.
31605.... 3 Incision of ......... ......... ......... ......... ......... ..............
windpipe.
31610.... 3 Incision of ......... ......... ......... ......... ......... ..............
windpipe.
31611.... 1 Surgery/speech 3 $482 313 $537 1.07 ..............
prosthesis.
31612.... 1 Puncture/clear 1 $314 312 $233 0.46 ..............
windpipe.
31613.... 1 Repair windpipe 2 $422 313 $537 1.07 ..............
opening.
31614.... 1 Repair windpipe 2 $422 313 $537 1.07 ..............
opening.
31615.... 1 Visualization of 1 $314 336 $407 0.81 ..............
windpipe.
31622.... 1 Diagnostic 1 $314 336 $407 0.81 ..............
bronchoscopy.
31625.... 1 Bronchoscopy with 2 $422 336 $407 0.81 ..............
biopsy.
31628.... 1 Bronchoscopy with 2 $422 336 $407 0.81 ..............
biopsy.
31629.... 1 Bronchoscopy with 2 $422 336 $407 0.81 ..............
biopsy.
31630.... 1 Bronchoscopy with 2 $422 336 $407 0.81 ..............
repair.
31631.... 1 Bronchoscopy with 2 $422 336 $407 0.81 ..............
dilation.
31635.... 1 Remove foreign 2 $422 336 $407 0.81 ..............
body, airway.
31640.... 1 Bronchoscopy & 2 $422 336 $407 0.81 ..............
remove lesion.
31641.... 1 Bronchoscopy, treat 2 $422 336 $407 0.81 ..............
blockage.
31645.... 1 Bronchoscopy, clear 1 $314 336 $407 0.81 ..............
airways.
31646.... 1 Bronchoscopy,reclea 1 $314 336 $407 0.81 ..............
r airways.
31656.... 2 Bronchoscopy,inject 1 $314 ......... ......... ......... Delete.
for xray.
31700.... 1 Insertion of airway 1 $314 332 $423 0.84 ..............
catheter.
31708.... 2 Instill airway ......... ......... ......... ......... ......... ..............
contrast dye.
31710.... 2 Insertion of airway 1 $314 ......... ......... ......... Delete.
catheter.
31715.... 2 Injection for 1 $314 ......... ......... ......... Delete.
bronchus x-ray.
31717.... 1 Bronchial brush 1 $314 332 $423 0.84 ..............
biopsy.
31720.... 1 Clearance of 1 $314 332 $423 0.84 ..............
airways.
31725.... 3 Clearance of ......... ......... ......... ......... ......... ..............
airways.
31730.... 1 Intro windpipe wire/ 1 $314 332 $423 0.84 ..............
tube.
31750.... 1 Repair of windpipe. 5 $678 314 $946 1.88 ..............
31755.... 1 Repair of windpipe. 2 $422 314 $946 1.88 ..............
31760.... 3 Repair of windpipe. ......... ......... ......... ......... ......... ..............
31766.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
windpipe.
31770.... 3 Repair/graft of ......... ......... ......... ......... ......... ..............
bronchus.
31775.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
bronchus.
[[Page 32359]]
31780.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
windpipe.
31781.... 3 Reconstruct ......... ......... ......... ......... ......... ..............
windpipe.
31785.... 3 Remove windpipe 4 $595 ......... ......... ......... Delete.
lesion.
31786.... 3 Remove windpipe ......... ......... ......... ......... ......... ..............
lesion.
31800.... 3 Repair of windpipe 2 $422 ......... ......... ......... Delete.
injury.
31805.... 3 Repair of windpipe ......... ......... ......... ......... ......... ..............
injury.
31820.... 1 Closure of windpipe 1 $314 313 $537 1.07 ..............
lesion.
31825.... 1 Repair of windpipe 2 $422 313 $537 1.07 ..............
defect.
31830.... 1 Revise windpipe 2 $422 313 $537 1.07 ..............
scar.
31899.... 3 Airways surgical ......... ......... ......... ......... ......... ..............
procedure.
32000.... 1 Drainage of chest.. 1 $314 320 $126 0.25 ..............
32002.... 3 Treatment of 2 $422 ......... ......... ......... Delete.
collapsed lung.
32005.... 3 Treat lung lining 2 $422 ......... ......... ......... Delete.
chemically.
32020.... 3 Insertion of chest 2 $422 ......... ......... ......... Delete.
tube.
32035.... 3 Exploration of ......... ......... ......... ......... ......... ..............
chest.
32036.... 3 Exploration of ......... ......... ......... ......... ......... ..............
chest.
32095.... 3 Biopsy through ......... ......... ......... ......... ......... ..............
chest wall.
32100.... 3 Exploration/biopsy ......... ......... ......... ......... ......... ..............
of chest.
32110.... 3 Explore/repair ......... ......... ......... ......... ......... ..............
chest.
32120.... 3 Re-exploration of ......... ......... ......... ......... ......... ..............
chest.
32124.... 3 Explore chest, free ......... ......... ......... ......... ......... ..............
adhesions.
32140.... 3 Removal of lung ......... ......... ......... ......... ......... ..............
lesion(s).
32141.... 3 Remove/treat lung ......... ......... ......... ......... ......... ..............
lesions.
32150.... 3 Removal of lung ......... ......... ......... ......... ......... ..............
lesion(s).
32151.... 3 Remove lung foreign ......... ......... ......... ......... ......... ..............
body.
32160.... 3 Open chest heart ......... ......... ......... ......... ......... ..............
massage.
32200.... 3 Open drainage, lung ......... ......... ......... ......... ......... ..............
lesion.
32201.... 3 Percut drainage, ......... ......... ......... ......... ......... ..............
lung lesion.
32215.... 3 Treat chest lining. ......... ......... ......... ......... ......... ..............
32220.... 3 Release of lung.... ......... ......... ......... ......... ......... ..............
32225.... 3 Partial release of ......... ......... ......... ......... ......... ..............
lung.
32310.... 3 Removal of chest ......... ......... ......... ......... ......... ..............
lining.
32320.... 3 Free/remove chest ......... ......... ......... ......... ......... ..............
lining.
32400.... 1 Needle biopsy chest 1 $314 122 $186 0.37 ..............
lining.
32402.... 3 Open biopsy chest ......... ......... ......... ......... ......... ..............
lining.
32405.... 1 Biopsy, lung or 1 $314 122 $186 0.37 ..............
mediastinum.
32420.... 1 Puncture/clear lung 1 $314 320 $126 0.25 ..............
32440.... 3 Removal of lung.... ......... ......... ......... ......... ......... ..............
32442.... 3 Sleeve ......... ......... ......... ......... ......... ..............
pneumonectomy.
32445.... 3 Removal of lung.... ......... ......... ......... ......... ......... ..............
32480.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
lung.
32482.... 3 Bilobectomy........ ......... ......... ......... ......... ......... ..............
32484.... 3 Segmentectomy...... ......... ......... ......... ......... ......... ..............
32486.... 3 Sleeve lobectomy... ......... ......... ......... ......... ......... ..............
32488.... 3 Completion ......... ......... ......... ......... ......... ..............
pneumonectomy.
32491.... 3 Lung volume ......... ......... ......... ......... ......... ..............
reduction.
32500.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
lung.
32501.... 3 Repair bronchus ......... ......... ......... ......... ......... ..............
(add-on).
32520.... 3 Remove lung & ......... ......... ......... ......... ......... ..............
revise chest.
32522.... 3 Remove lung & ......... ......... ......... ......... ......... ..............
revise chest.
32525.... 3 Remove lung & ......... ......... ......... ......... ......... ..............
revise chest.
32540.... 3 Removal of lung ......... ......... ......... ......... ......... ..............
lesion.
32601.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
diagnostic.
32602.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
diagnostic.
32603.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
diagnostic.
32604.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
diagnostic.
32605.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
diagnostic.
32606.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
diagnostic.
32650.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32651.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32652.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32653.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32654.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32655.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32656.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32657.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32658.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32659.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32660.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32661.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32662.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32663.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32664.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
32665.... 3 Thoracoscopy, ......... ......... ......... ......... ......... ..............
surgical.
[[Page 32360]]
32800.... 3 Repair lung hernia. ......... ......... ......... ......... ......... ..............
32810.... 3 Close chest after ......... ......... ......... ......... ......... ..............
drainage.
32815.... 3 Close bronchial ......... ......... ......... ......... ......... ..............
fistula.
32820.... 3 Reconstruct injured ......... ......... ......... ......... ......... ..............
chest.
32850.... 9 Donor pneumonectomy ......... ......... ......... ......... ......... ..............
32851.... 3 Lung transplant, ......... ......... ......... ......... ......... ..............
single.
32852.... 3 Lung transplant w/ ......... ......... ......... ......... ......... ..............
bypass.
32853.... 3 Lung transplant, ......... ......... ......... ......... ......... ..............
double.
32854.... 3 Lung transplant w/ ......... ......... ......... ......... ......... ..............
bypass.
32900.... 3 Removal of rib(s).. ......... ......... ......... ......... ......... ..............
32905.... 3 Revise & repair ......... ......... ......... ......... ......... ..............
chest wall.
32906.... 3 Revise & repair ......... ......... ......... ......... ......... ..............
chest wall.
32940.... 3 Revision of lung... ......... ......... ......... ......... ......... ..............
32960.... 1 Therapeutic ......... ......... 320 $126 0.25 Add.
pneumothorax.
32999.... 3 Chest surgery ......... ......... ......... ......... ......... ..............
procedure.
33010.... 1 Drainage of heart 2 $422 320 $126 0.25 ..............
sac.
33011.... 1 Repeat drainage of 2 $422 320 $126 0.25 ..............
heart sac.
33015.... 3 Incision of heart ......... ......... ......... ......... ......... ..............
sac.
33020.... 3 Incision of heart ......... ......... ......... ......... ......... ..............
sac.
33025.... 3 Incision of heart ......... ......... ......... ......... ......... ..............
sac.
33030.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
heart sac.
33031.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
heart sac.
33050.... 3 Removal of heart ......... ......... ......... ......... ......... ..............
sac lesion.
33120.... 3 Removal of heart ......... ......... ......... ......... ......... ..............
lesion.
33130.... 3 Removal of heart ......... ......... ......... ......... ......... ..............
lesion.
33200.... 3 Insertion of heart ......... ......... ......... ......... ......... ..............
pacemaker.
33201.... 3 Insertion of heart ......... ......... ......... ......... ......... ..............
pacemaker.
33206.... 3 Insertion of heart ......... ......... ......... ......... ......... ..............
pacemaker.
33207.... 3 Insertion of heart ......... ......... ......... ......... ......... ..............
pacemaker.
33208.... 3 Insertion of heart ......... ......... ......... ......... ......... ..............
pacemaker.
33210.... 3 Insertion of heart ......... ......... ......... ......... ......... ..............
electrode.
33211.... 3 Insertion of heart ......... ......... ......... ......... ......... ..............
electrode.
33212.... 3 Insertion of pulse ......... ......... ......... ......... ......... ..............
generator.
33213.... 3 Insertion of pulse ......... ......... ......... ......... ......... ..............
generator.
33214.... 3 Upgrade of ......... ......... ......... ......... ......... ..............
pacemaker system.
33216.... 3 Revision implanted ......... ......... ......... ......... ......... ..............
electrode.
33217.... 3 Insert/revise ......... ......... ......... ......... ......... ..............
electrode.
33218.... 3 Repair pacemaker ......... ......... ......... ......... ......... ..............
electrodes.
33220.... 3 Repair pacemaker ......... ......... ......... ......... ......... ..............
electrode.
33222.... 1 Pacemaker aicd ......... ......... 360 $397 0.79 Add.
pocket.
33223.... 1 Pacemaker aicd ......... ......... 360 $397 0.79 Add.
pocket.
33233.... 3 Removal of ......... ......... ......... ......... ......... ..............
pacemaker system.
33234.... 3 Removal of ......... ......... ......... ......... ......... ..............
pacemaker system.
33235.... 3 Removal pacemaker ......... ......... ......... ......... ......... ..............
electrode.
33236.... 3 Remove electrode/ ......... ......... ......... ......... ......... ..............
thoracotomy.
33237.... 3 Remove electrode/ ......... ......... ......... ......... ......... ..............
thoracotomy.
33238.... 3 Remove electrode/ ......... ......... ......... ......... ......... ..............
thoracotomy.
33240.... 3 Insert/replace ......... ......... ......... ......... ......... ..............
pulse gener.
33241.... 3 Remove pulse ......... ......... ......... ......... ......... ..............
generator only.
33242.... 3 Repair pulse ......... ......... ......... ......... ......... ..............
generator/leads.
33243.... 3 Remove generator/ ......... ......... ......... ......... ......... ..............
thoracotomy.
33244.... 3 Remove generator... ......... ......... ......... ......... ......... ..............
33245.... 3 Implant heart ......... ......... ......... ......... ......... ..............
defibrillator.
33246.... 3 Implant heart ......... ......... ......... ......... ......... ..............
defibrillator.
33247.... 3 Insert/replace ......... ......... ......... ......... ......... ..............
leads.
33249.... 3 Insert/replace ......... ......... ......... ......... ......... ..............
leads/gener.
33250.... 3 Ablate heart ......... ......... ......... ......... ......... ..............
dysrhythm focus.
33251.... 3 Ablate heart ......... ......... ......... ......... ......... ..............
dysrhythm focus.
33253.... 3 Reconstruct atria.. ......... ......... ......... ......... ......... ..............
33261.... 3 Ablate heart ......... ......... ......... ......... ......... ..............
dysrhythm focus.
33300.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
wound.
33305.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
wound.
33310.... 3 Exploratory heart ......... ......... ......... ......... ......... ..............
surgery.
33315.... 3 Exploratory heart ......... ......... ......... ......... ......... ..............
surgery.
33320.... 3 Repair major blood ......... ......... ......... ......... ......... ..............
vessel(s).
33321.... 3 Repair major vessel ......... ......... ......... ......... ......... ..............
33322.... 3 Repair major blood ......... ......... ......... ......... ......... ..............
vessel(s).
33330.... 3 Insert major vessel ......... ......... ......... ......... ......... ..............
graft.
33332.... 3 Insert major vessel ......... ......... ......... ......... ......... ..............
graft.
33335.... 3 Insert major vessel ......... ......... ......... ......... ......... ..............
graft.
33400.... 3 Repair of aortic ......... ......... ......... ......... ......... ..............
valve.
33401.... 3 Valvuloplasty, open ......... ......... ......... ......... ......... ..............
33403.... 3 Valvuloplasty, w/cp ......... ......... ......... ......... ......... ..............
bypass.
33404.... 3 Prepare heart-aorta ......... ......... ......... ......... ......... ..............
conduit.
[[Page 32361]]
33405.... 3 Replacement of ......... ......... ......... ......... ......... ..............
aortic valve.
33406.... 3 Replacement, aortic ......... ......... ......... ......... ......... ..............
valve.
33411.... 3 Replacement of ......... ......... ......... ......... ......... ..............
aortic valve.
33412.... 3 Replacement of ......... ......... ......... ......... ......... ..............
aortic valve.
33413.... 3 Replacement, aortic ......... ......... ......... ......... ......... ..............
valve.
33414.... 3 Repair, aortic ......... ......... ......... ......... ......... ..............
valve.
33415.... 3 Revision, ......... ......... ......... ......... ......... ..............
subvalvular tissue.
33416.... 3 Revise ventricle ......... ......... ......... ......... ......... ..............
muscle.
33417.... 3 Repair of aortic ......... ......... ......... ......... ......... ..............
valve.
33420.... 3 Revision of mitral ......... ......... ......... ......... ......... ..............
valve.
33422.... 3 Revision of mitral ......... ......... ......... ......... ......... ..............
valve.
33425.... 3 Repair of mitral ......... ......... ......... ......... ......... ..............
valve.
33426.... 3 Repair of mitral ......... ......... ......... ......... ......... ..............
valve.
33427.... 3 Repair of mitral ......... ......... ......... ......... ......... ..............
valve.
33430.... 3 Replacement of ......... ......... ......... ......... ......... ..............
mitral valve.
33460.... 3 Revision of ......... ......... ......... ......... ......... ..............
tricuspid valve.
33463.... 3 Valvuloplasty, ......... ......... ......... ......... ......... ..............
tricuspid.
33464.... 3 Valvuloplasty, ......... ......... ......... ......... ......... ..............
tricuspid.
33465.... 3 Replace tricuspid ......... ......... ......... ......... ......... ..............
valve.
33468.... 3 Revision of ......... ......... ......... ......... ......... ..............
tricuspid valve.
33470.... 3 Revision of ......... ......... ......... ......... ......... ..............
pulmonary valve.
33471.... 3 Valvotomy, ......... ......... ......... ......... ......... ..............
pulmonary valve.
33472.... 3 Revision of ......... ......... ......... ......... ......... ..............
pulmonary valve.
33474.... 3 Revision of ......... ......... ......... ......... ......... ..............
pulmonary valve.
33475.... 3 Replacement, ......... ......... ......... ......... ......... ..............
pulmonary valve.
33476.... 3 Revision of heart ......... ......... ......... ......... ......... ..............
chamber.
33478.... 3 Revision of heart ......... ......... ......... ......... ......... ..............
chamber.
33496.... 3 Repair, prosth ......... ......... ......... ......... ......... ..............
valve clot.
33500.... 3 Repair heart vessel ......... ......... ......... ......... ......... ..............
fistula.
33501.... 3 Repair heart vessel ......... ......... ......... ......... ......... ..............
fistula.
33502.... 3 Coronary artery ......... ......... ......... ......... ......... ..............
correction.
33503.... 3 Coronary artery ......... ......... ......... ......... ......... ..............
graft.
33504.... 3 Coronary artery ......... ......... ......... ......... ......... ..............
graft.
33505.... 3 Repair artery w/ ......... ......... ......... ......... ......... ..............
tunnel.
33506.... 3 Repair artery, ......... ......... ......... ......... ......... ..............
translocation.
33510.... 3 CABG, vein, single. ......... ......... ......... ......... ......... ..............
33511.... 3 CABG, vein, two.... ......... ......... ......... ......... ......... ..............
33512.... 3 CABG, vein, three.. ......... ......... ......... ......... ......... ..............
33513.... 3 CABG, vein, four... ......... ......... ......... ......... ......... ..............
33514.... 3 CABG, vein, five... ......... ......... ......... ......... ......... ..............
33516.... 3 CABG, vein, six+... ......... ......... ......... ......... ......... ..............
33517.... 3 CABG, artery-vein, ......... ......... ......... ......... ......... ..............
single.
33518.... 3 CABG, artery-vein, ......... ......... ......... ......... ......... ..............
two.
33519.... 3 CABG, artery-vein, ......... ......... ......... ......... ......... ..............
three.
33521.... 3 CABG, artery-vein, ......... ......... ......... ......... ......... ..............
four.
33522.... 3 CABG, artery-vein, ......... ......... ......... ......... ......... ..............
five.
33523.... 3 CABG, artery-vein, ......... ......... ......... ......... ......... ..............
six+.
33530.... 3 Coronary artery, ......... ......... ......... ......... ......... ..............
bypass/reop.
33533.... 3 CABG, arterial, ......... ......... ......... ......... ......... ..............
single.
33534.... 3 CABG, arterial, two ......... ......... ......... ......... ......... ..............
33535.... 3 CABG, arterial, ......... ......... ......... ......... ......... ..............
three.
33536.... 3 CABG, arterial, ......... ......... ......... ......... ......... ..............
four+.
33542.... 3 Removal of heart ......... ......... ......... ......... ......... ..............
lesion.
33545.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
damage.
33572.... 3 Open coronary ......... ......... ......... ......... ......... ..............
endarterectomy.
33600.... 3 Closure of valve... ......... ......... ......... ......... ......... ..............
33602.... 3 Closure of valve... ......... ......... ......... ......... ......... ..............
33606.... 3 Anastomosis/artery- ......... ......... ......... ......... ......... ..............
aorta.
33608.... 3 Repair anomaly w/ ......... ......... ......... ......... ......... ..............
conduit.
33610.... 3 Repair by ......... ......... ......... ......... ......... ..............
enlargement.
33611.... 3 Repair double ......... ......... ......... ......... ......... ..............
ventricle.
33612.... 3 Repair double ......... ......... ......... ......... ......... ..............
ventricle.
33615.... 3 Repair (simple ......... ......... ......... ......... ......... ..............
fontan).
33617.... 3 Repair by modified ......... ......... ......... ......... ......... ..............
fontan.
33619.... 3 Repair single ......... ......... ......... ......... ......... ..............
ventricle.
33641.... 3 Repair heart septum ......... ......... ......... ......... ......... ..............
defect.
33645.... 3 Revision of heart ......... ......... ......... ......... ......... ..............
veins.
33647.... 3 Repair heart septum ......... ......... ......... ......... ......... ..............
defects.
33660.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defects.
33665.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defects.
33670.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
chambers.
33681.... 3 Repair heart septum ......... ......... ......... ......... ......... ..............
defect.
33684.... 3 Repair heart septum ......... ......... ......... ......... ......... ..............
defect.
33688.... 3 Repair heart septum ......... ......... ......... ......... ......... ..............
defect.
[[Page 32362]]
33690.... 3 Reinforce pulmonary ......... ......... ......... ......... ......... ..............
artery.
33692.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defects.
33694.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defects.
33697.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defects.
33702.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defects.
33710.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defects.
33720.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defect.
33722.... 3 Repair of heart ......... ......... ......... ......... ......... ..............
defect.
33730.... 3 Repair heart-vein ......... ......... ......... ......... ......... ..............
defect(s).
33732.... 3 Repair heart-vein ......... ......... ......... ......... ......... ..............
defect.
33735.... 3 Revision of heart ......... ......... ......... ......... ......... ..............
chamber.
33736.... 3 Revision of heart ......... ......... ......... ......... ......... ..............
chamber.
33737.... 3 Revision of heart ......... ......... ......... ......... ......... ..............
chamber.
33750.... 3 Major vessel shunt. ......... ......... ......... ......... ......... ..............
33755.... 3 Major vessel shunt. ......... ......... ......... ......... ......... ..............
33762.... 3 Major vessel shunt. ......... ......... ......... ......... ......... ..............
33764.... 3 Major vessel shunt ......... ......... ......... ......... ......... ..............
& graft.
33766.... 3 Major vessel shunt. ......... ......... ......... ......... ......... ..............
33767.... 3 Atrial septectomy/ ......... ......... ......... ......... ......... ..............
septostomy.
33770.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33771.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33774.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33775.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33776.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33777.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33778.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33779.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33780.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33781.... 3 Repair great ......... ......... ......... ......... ......... ..............
vessels defect.
33786.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
trunk.
33788.... 3 Revision of ......... ......... ......... ......... ......... ..............
pulmonary artery.
33800.... 3 Aortic suspension.. ......... ......... ......... ......... ......... ..............
33802.... 3 Repair vessel ......... ......... ......... ......... ......... ..............
defect.
33803.... 3 Repair vessel ......... ......... ......... ......... ......... ..............
defect.
33813.... 3 Repair septal ......... ......... ......... ......... ......... ..............
defect.
33814.... 3 Repair septal ......... ......... ......... ......... ......... ..............
defect.
33820.... 3 Revise major vessel ......... ......... ......... ......... ......... ..............
33822.... 3 Revise major vessel ......... ......... ......... ......... ......... ..............
33824.... 3 Revise major vessel ......... ......... ......... ......... ......... ..............
33840.... 3 Remove aorta ......... ......... ......... ......... ......... ..............
constriction.
33845.... 3 Remove aorta ......... ......... ......... ......... ......... ..............
constriction.
33851.... 3 Remove aorta ......... ......... ......... ......... ......... ..............
constriction.
33852.... 3 Repair septal ......... ......... ......... ......... ......... ..............
defect.
33853.... 3 Repair septal ......... ......... ......... ......... ......... ..............
defect.
33860.... 3 Ascending aorta ......... ......... ......... ......... ......... ..............
graft.
33861.... 3 Ascending aorta ......... ......... ......... ......... ......... ..............
graft.
33863.... 3 Ascending aorta ......... ......... ......... ......... ......... ..............
graft.
33870.... 3 Transverse aortic ......... ......... ......... ......... ......... ..............
arch graft.
33875.... 3 Thoracic aorta ......... ......... ......... ......... ......... ..............
graft.
33877.... 3 Thoracoabdominal ......... ......... ......... ......... ......... ..............
graft.
33910.... 3 Remove lung artery ......... ......... ......... ......... ......... ..............
emboli.
33915.... 3 Remove lung artery ......... ......... ......... ......... ......... ..............
emboli.
33916.... 3 Surgery of great ......... ......... ......... ......... ......... ..............
vessel.
33917.... 3 Repair pulmonary ......... ......... ......... ......... ......... ..............
artery.
33918.... 3 Repair pulmonary ......... ......... ......... ......... ......... ..............
atresia.
33919.... 3 Repair pulmonary ......... ......... ......... ......... ......... ..............
atresia.
33920.... 3 Repair pulmonary ......... ......... ......... ......... ......... ..............
atresia.
33922.... 3 Transect pulmonary ......... ......... ......... ......... ......... ..............
artery.
33924.... 3 Remove pulmonary ......... ......... ......... ......... ......... ..............
shunt.
33930.... 9 Removal of donor ......... ......... ......... ......... ......... ..............
heart/lung.
33935.... 3 Transplantation, ......... ......... ......... ......... ......... ..............
heart/lung.
33940.... 9 Removal of donor ......... ......... ......... ......... ......... ..............
heart.
33945.... 3 Transplantation of ......... ......... ......... ......... ......... ..............
heart.
33960.... 3 External ......... ......... ......... ......... ......... ..............
circulation assist.
33961.... 3 External ......... ......... ......... ......... ......... ..............
circulation assist.
33970.... 3 Aortic circulation ......... ......... ......... ......... ......... ..............
assist.
33971.... 3 Aortic circulation ......... ......... ......... ......... ......... ..............
assist.
33973.... 3 Insert balloon ......... ......... ......... ......... ......... ..............
device.
33974.... 3 Remove intra-aortic ......... ......... ......... ......... ......... ..............
balloon.
33975.... 3 Implant ventricular ......... ......... ......... ......... ......... ..............
device.
33976.... 3 Implant ventricular ......... ......... ......... ......... ......... ..............
device.
33977.... 3 Remove ventricular ......... ......... ......... ......... ......... ..............
device.
33978.... 3 Remove ventricular ......... ......... ......... ......... ......... ..............
device.
33999.... 3 Cardiac surgery ......... ......... ......... ......... ......... ..............
procedure.
[[Page 32363]]
34001.... 3 Removal of artery ......... ......... ......... ......... ......... ..............
clot.
34051.... 3 Removal of artery ......... ......... ......... ......... ......... ..............
clot.
34101.... 3 Removal of artery 3 $482 ......... ......... ......... Delete.
clot.
34111.... 3 Removal of arm ......... ......... ......... ......... ......... ..............
artery clot.
34151.... 3 Removal of artery ......... ......... ......... ......... ......... ..............
clot.
34201.... 3 Removal of artery ......... ......... ......... ......... ......... ..............
clot.
34203.... 3 Removal of leg ......... ......... ......... ......... ......... ..............
artery clot.
34401.... 3 Removal of vein ......... ......... ......... ......... ......... ..............
clot.
34421.... 3 Removal of vein ......... ......... ......... ......... ......... ..............
clot.
34451.... 3 Removal of vein ......... ......... ......... ......... ......... ..............
clot.
34471.... 3 Removal of vein ......... ......... ......... ......... ......... ..............
clot.
34490.... 3 Removal of vein ......... ......... ......... ......... ......... ..............
clot.
34501.... 3 Repair valve, ......... ......... ......... ......... ......... ..............
femoral vein.
34502.... 3 Reconstruct, vena ......... ......... ......... ......... ......... ..............
cava.
34510.... 3 Transposition of ......... ......... ......... ......... ......... ..............
vein valve.
34520.... 3 Cross-over vein ......... ......... ......... ......... ......... ..............
graft.
34530.... 3 Leg vein fusion.... ......... ......... ......... ......... ......... ..............
35001.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35002.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, neck.
35005.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35011.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35013.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, arm.
35021.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35022.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, chest.
35045.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
arm artery.
35081.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35082.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, aorta.
35091.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35092.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, aorta.
35102.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35103.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, groin.
35111.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35112.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture,spleen.
35121.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35122.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, belly.
35131.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35132.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, groin.
35141.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35142.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, thigh.
35151.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35152.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture, knee.
35161.... 3 Repair defect of ......... ......... ......... ......... ......... ..............
artery.
35162.... 3 Repair artery ......... ......... ......... ......... ......... ..............
rupture.
35180.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35182.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35184.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35188.... 1 Repair blood vessel ......... ......... 368 $841 1.67 Add.
lesion.
35189.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35190.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35201.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35206.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35207.... 1 Repair blood vessel ......... ......... 368 $841 1.67 Add.
lesion.
35211.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35216.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35221.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35226.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35231.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35236.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35241.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35246.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35251.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35256.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35261.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35266.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35271.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35276.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35281.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35286.... 3 Repair blood vessel ......... ......... ......... ......... ......... ..............
lesion.
35301.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35311.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35321.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35331.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35341.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35351.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
[[Page 32364]]
35355.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35361.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35363.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35371.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35372.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35381.... 3 Rechanneling of ......... ......... ......... ......... ......... ..............
artery.
35390.... 3 Reoperation, ......... ......... ......... ......... ......... ..............
carotid.
35400.... 3 Angioscopy......... ......... ......... ......... ......... ......... ..............
35450.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35452.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35454.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35456.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35458.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35459.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35460.... 3 Repair venous ......... ......... ......... ......... ......... ..............
blockage.
35470.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35471.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35472.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35473.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35474.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35475.... 3 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
35476.... 3 Repair venous ......... ......... ......... ......... ......... ..............
blockage.
35480.... 3 Atherectomy, open.. ......... ......... ......... ......... ......... ..............
35481.... 3 Atherectomy, open.. ......... ......... ......... ......... ......... ..............
35482.... 3 Atherectomy, open.. ......... ......... ......... ......... ......... ..............
35483.... 3 Atherectomy, open.. ......... ......... ......... ......... ......... ..............
35484.... 3 Atherectomy, open.. ......... ......... ......... ......... ......... ..............
35485.... 3 Atherectomy, open.. ......... ......... ......... ......... ......... ..............
35490.... 3 Atherectomy, ......... ......... ......... ......... ......... ..............
percutaneous.
35491.... 3 Atherectomy, ......... ......... ......... ......... ......... ..............
percutaneous.
35492.... 3 Atherectomy, ......... ......... ......... ......... ......... ..............
percutaneous.
35493.... 3 Atherectomy, ......... ......... ......... ......... ......... ..............
percutaneous.
35494.... 3 Atherectomy, ......... ......... ......... ......... ......... ..............
percutaneous.
35495.... 3 Atherectomy, ......... ......... ......... ......... ......... ..............
percutaneous.
35501.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35506.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35507.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35508.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35509.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35511.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35515.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35516.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35518.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35521.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35526.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35531.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35533.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35536.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35541.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35546.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35548.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35549.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35551.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35556.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35558.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35560.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35563.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35565.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35566.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35571.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35582.... 3 Vein bypass graft.. ......... ......... ......... ......... ......... ..............
35583.... 3 Vein bypass graft.. ......... ......... ......... ......... ......... ..............
35585.... 3 Vein bypass graft.. ......... ......... ......... ......... ......... ..............
35587.... 3 Vein bypass graft.. ......... ......... ......... ......... ......... ..............
35601.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35606.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35612.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35616.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35621.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35623.... 3 Bypass graft, not ......... ......... ......... ......... ......... ..............
vein.
35626.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35631.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35636.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35641.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
[[Page 32365]]
35642.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35645.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35646.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35650.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35651.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35654.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35656.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35661.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35663.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35665.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35666.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35671.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35681.... 3 Artery bypass graft ......... ......... ......... ......... ......... ..............
35691.... 3 Arterial ......... ......... ......... ......... ......... ..............
transposition.
35693.... 3 Arterial ......... ......... ......... ......... ......... ..............
transposition.
35694.... 3 Arterial ......... ......... ......... ......... ......... ..............
transposition.
35695.... 3 Arterial ......... ......... ......... ......... ......... ..............
transposition.
35700.... 3 Reoperation, bypass ......... ......... ......... ......... ......... ..............
graft.
35701.... 3 Exploration, ......... ......... ......... ......... ......... ..............
carotid artery.
35721.... 3 Exploration, ......... ......... ......... ......... ......... ..............
femoral artery.
35741.... 3 Exploration ......... ......... ......... ......... ......... ..............
popliteal artery.
35761.... 3 Exploration of ......... ......... ......... ......... ......... ..............
artery/vein.
35800.... 3 Explore neck ......... ......... ......... ......... ......... ..............
vessels.
35820.... 3 Explore chest ......... ......... ......... ......... ......... ..............
vessels.
35840.... 3 Explore abdominal ......... ......... ......... ......... ......... ..............
vessels.
35860.... 3 Explore limb ......... ......... ......... ......... ......... ..............
vessels.
35870.... 3 Repair vessel graft ......... ......... ......... ......... ......... ..............
defect.
35875.... 1 Removal of clot in ......... ......... 368 $841 1.67 Add.
graft.
35876.... 1 Removal of clot in ......... ......... 368 $841 1.67 Add.
graft.
35901.... 3 Excision, graft, ......... ......... ......... ......... ......... ..............
neck.
35903.... 3 Excision, graft, ......... ......... ......... ......... ......... ..............
extremity.
35905.... 3 Excision, graft, ......... ......... ......... ......... ......... ..............
thorax.
35907.... 3 Excision, graft, ......... ......... ......... ......... ......... ..............
abdomen.
36000.... 2 Place needle in ......... ......... ......... ......... ......... ..............
vein.
36005.... 2 Injection, ......... ......... ......... ......... ......... ..............
venography.
36010.... 3 Place catheter in ......... ......... ......... ......... ......... ..............
vein.
36011.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
vein.
36012.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
vein.
36013.... 3 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36014.... 3 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36015.... 3 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36100.... 2 Establish access to ......... ......... ......... ......... ......... ..............
artery.
36120.... 2 Establish access to ......... ......... ......... ......... ......... ..............
artery.
36140.... 2 Establish access to ......... ......... ......... ......... ......... ..............
artery.
36145.... 2 Artery to vein ......... ......... ......... ......... ......... ..............
shunt.
36160.... 2 Establish access to ......... ......... ......... ......... ......... ..............
aorta.
36200.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
aorta.
36215.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36216.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36217.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36218.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36245.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36246.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36247.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36248.... 2 Place catheter in ......... ......... ......... ......... ......... ..............
artery.
36260.... 1 Insertion of ......... ......... 368 $841 1.67 Add.
infusion pump.
36261.... 1 Revision of 2 $422 360 $397 0.79 ..............
infusion pump.
36262.... 1 Removal of infusion 1 $314 360 $397 0.79 ..............
pump.
36299.... 3 Vessel injection ......... ......... ......... ......... ......... ..............
procedure.
36400.... 2 Drawing blood...... ......... ......... ......... ......... ......... ..............
36405.... 2 Drawing blood...... ......... ......... ......... ......... ......... ..............
36406.... 2 Drawing blood...... ......... ......... ......... ......... ......... ..............
36410.... 2 Drawing blood...... ......... ......... ......... ......... ......... ..............
36415.... 9 Drawing blood...... ......... ......... ......... ......... ......... ..............
36420.... 2 Establish access to ......... ......... ......... ......... ......... ..............
vein.
36425.... 2 Establish access to ......... ......... ......... ......... ......... ..............
vein.
36430.... 6 Blood transfusion ......... ......... ......... ......... ......... ..............
service.
36440.... 6 Blood transfusion ......... ......... ......... ......... ......... ..............
service.
36450.... 6 Exchange ......... ......... ......... ......... ......... ..............
transfusion
service.
36455.... 6 Exchange ......... ......... ......... ......... ......... ..............
transfusion
service.
36460.... 6 Transfusion ......... ......... ......... ......... ......... ..............
service, fetal.
36468.... 5 Injection(s); ......... ......... ......... ......... ......... ..............
spider veins.
36469.... 5 Injection(s); ......... ......... ......... ......... ......... ..............
spider veins.
36470.... 5 Injection therapy ......... ......... ......... ......... ......... ..............
of vein.
[[Page 32366]]
36471.... 5 Injection therapy ......... ......... ......... ......... ......... ..............
of veins.
36481.... 2 Insertion of ......... ......... ......... ......... ......... ..............
catheter, vein.
36488.... 1 Insertion of ......... ......... 346 $195 0.39 Add.
catheter, vein.
36489.... 1 Insertion of 1 $314 346 $195 0.39 ..............
catheter, vein.
36490.... 1 Insertion of ......... ......... 346 $195 0.39 Add.
catheter, vein.
36491.... 1 Insertion of 1 $314 346 $195 0.39 ..............
catheter, vein.
36493.... 1 Repositioning of ......... ......... 346 $195 0.39 Add.
cvc.
36500.... 3 Insertion of ......... ......... ......... ......... ......... ..............
catheter, vein.
36510.... 3 Insertion of ......... ......... ......... ......... ......... ..............
catheter, vein.
36520.... 6 Plasma and/or cell ......... ......... ......... ......... ......... ..............
exchange.
36522.... 6 Photopheresis...... ......... ......... ......... ......... ......... ..............
36530.... 7 Insertion of 3 $482 368 $841 1.67 ..............
infusion pump.
36531.... 7 Revision of 2 $422 360 $397 0.79 ..............
infusion pump.
36532.... 7 Removal of infusion 1 $314 360 $397 0.79 ..............
pump.
36533.... 1 Insertion of access 3 $482 368 $841 1.67 ..............
port.
36534.... 1 Revision of access 2 $422 360 $397 0.79 ..............
port.
36535.... 1 Removal of access 1 $314 360 $397 0.79 ..............
port.
36600.... 2 Withdrawal of ......... ......... ......... ......... ......... ..............
arterial blood.
36620.... 3 Insertion catheter, ......... ......... ......... ......... ......... ..............
artery.
36625.... 3 Insertion catheter, ......... ......... ......... ......... ......... ..............
artery.
36640.... 1 Insertion catheter, 1 $314 346 $195 0.39 ..............
artery.
36660.... 3 Insertion catheter, ......... ......... ......... ......... ......... ..............
artery.
36680.... 6 Insert needle, bone ......... ......... ......... ......... ......... ..............
cavity.
36800.... 1 Insertion of 3 $482 368 $841 1.67 ..............
cannula.
36810.... 1 Insertion of 3 $482 368 $841 1.67 ..............
cannula.
36815.... 1 Insertion of 3 $482 368 $841 1.67 ..............
cannula.
36821.... 1 Artery-vein fusion. 3 $482 368 $841 1.67 ..............
36822.... 3 Insertion of ......... ......... ......... ......... ......... ..............
cannula(s).
36825.... 1 Artery-vein graft.. 4 $595 368 $841 1.67 ..............
36830.... 1 Artery-vein graft.. 4 $595 368 $841 1.67 ..............
36832.... 1 Revise artery-vein 4 $595 368 $841 1.67 ..............
fistula.
36834.... 3 Repair A-V aneurysm ......... ......... ......... ......... ......... ..............
36835.... 1 Artery to vein 4 $595 368 $841 1.67 ..............
shunt.
36860.... 1 Cannula declotting. 2 $422 368 $841 1.67 ..............
36861.... 1 Cannula declotting. 3 $482 368 $841 1.67 ..............
37140.... 3 Revision of ......... ......... ......... ......... ......... ..............
circulation.
37145.... 3 Revision of ......... ......... ......... ......... ......... ..............
circulation.
37160.... 3 Revision of ......... ......... ......... ......... ......... ..............
circulation.
37180.... 3 Revision of ......... ......... ......... ......... ......... ..............
circulation.
37181.... 3 Splice spleen/ ......... ......... ......... ......... ......... ..............
kidney veins.
37195.... 3 Thrombolytic ......... ......... ......... ......... ......... ..............
therapy, stroke.
37200.... 3 Transcatheter ......... ......... ......... ......... ......... ..............
biopsy.
37201.... 3 Transcatheter ......... ......... ......... ......... ......... ..............
therapy infuse.
37202.... 3 Transcatheter ......... ......... ......... ......... ......... ..............
therapy infuse.
37203.... 3 Transcatheter ......... ......... ......... ......... ......... ..............
retrieval.
37204.... 3 Transcatheter ......... ......... ......... ......... ......... ..............
occlusion.
37205.... 3 Transcatheter stent ......... ......... ......... ......... ......... ..............
37206.... 3 Transcatheter stent ......... ......... ......... ......... ......... ..............
37207.... 3 Transcatheter stent ......... ......... ......... ......... ......... ..............
37208.... 3 Transcatheter stent ......... ......... ......... ......... ......... ..............
37209.... 3 Exchange arterial ......... ......... ......... ......... ......... ..............
catheter.
37250.... 3 Intravascular us... ......... ......... ......... ......... ......... ..............
37251.... 3 Intravascular us... ......... ......... ......... ......... ......... ..............
37565.... 3 Ligation of neck ......... ......... ......... ......... ......... ..............
vein.
37600.... 3 Ligation of neck ......... ......... ......... ......... ......... ..............
artery.
37605.... 3 Ligation of neck ......... ......... ......... ......... ......... ..............
artery.
37606.... 3 Ligation of neck ......... ......... ......... ......... ......... ..............
artery.
37607.... 1 Ligation of fistula ......... ......... 368 $841 1.67 Add.
37609.... 1 Temporal artery 2 $422 162 $187 0.37 ..............
procedure.
37615.... 3 Ligation of neck ......... ......... ......... ......... ......... ..............
artery.
37616.... 3 Ligation of chest ......... ......... ......... ......... ......... ..............
artery.
37617.... 3 Ligation of abdomen ......... ......... ......... ......... ......... ..............
artery.
37618.... 1 Ligation of ......... ......... 367 $682 1.35 Add.
extremity artery.
37620.... 3 Revision of major ......... ......... ......... ......... ......... ..............
vein.
37650.... 1 Revision of major ......... ......... 367 $682 1.35 Add.
vein.
37660.... 3 Revision of major ......... ......... ......... ......... ......... ..............
vein.
37700.... 1 Revise leg vein.... 2 $422 367 $682 1.35 ..............
37720.... 1 Removal of leg vein 3 $482 367 $682 1.35 ..............
37730.... 1 Removal of leg 3 $482 367 $682 1.35 ..............
veins.
37735.... 1 Removal of leg 3 $482 367 $682 1.35 ..............
veins/lesion.
37760.... 1 Revision of leg 3 $482 367 $682 1.35 ..............
veins.
37780.... 1 Revision of leg 3 $482 367 $682 1.35 ..............
vein.
37785.... 1 Revise secondary 3 $482 367 $682 1.35 ..............
varicosity.
37788.... 3 Revascularization, ......... ......... ......... ......... ......... ..............
penis.
[[Page 32367]]
37790.... 1 Penile venous ......... ......... 537 $1,221 2.42 Add.
occlusion.
37799.... 3 Vascular surgery ......... ......... ......... ......... ......... ..............
procedure.
38100.... 3 Removal of spleen, ......... ......... ......... ......... ......... ..............
total.
38101.... 3 Removal of spleen, ......... ......... ......... ......... ......... ..............
partial.
38102.... 3 Removal of spleen, ......... ......... ......... ......... ......... ..............
total.
38115.... 3 Repair of ruptured ......... ......... ......... ......... ......... ..............
spleen.
38200.... 2 Injection for ......... ......... ......... ......... ......... ..............
spleen x-ray.
38230.... 6 Bone marrow ......... ......... ......... ......... ......... ..............
collection.
38231.... 6 Stem cell ......... ......... ......... ......... ......... ..............
collection.
38240.... 3 Bone marrow/stem ......... ......... ......... ......... ......... ..............
transplant.
38241.... 3 Bone marrow/stem ......... ......... ......... ......... ......... ..............
transplant.
38300.... 1 Drainage lymph node 1 $314 132 $162 0.32 ..............
lesion.
38305.... 1 Drainage lymph node 2 $422 132 $162 0.32 ..............
lesion.
38308.... 1 Incision of lymph 2 $422 396 $440 0.87 ..............
channels.
38380.... 3 Thoracic duct ......... ......... ......... ......... ......... ..............
procedure.
38381.... 3 Thoracic duct ......... ......... ......... ......... ......... ..............
procedure.
38382.... 3 Thoracic duct ......... ......... ......... ......... ......... ..............
procedure.
38500.... 1 Biopsy/removal, 2 $422 396 $440 0.87 ..............
lymph node(s).
38505.... 1 Needle biopsy, 1 $314 122 $186 0.37 ..............
lymph node(s).
38510.... 1 Biopsy/removal, 2 $422 396 $440 0.87 ..............
lymph node(s).
38520.... 1 Biopsy/removal, 2 $422 396 $440 0.87 ..............
lymph node(s).
38525.... 1 Biopsy/removal, 2 $422 396 $440 0.87 ..............
lymph node(s).
38530.... 1 Biopsy/removal, 2 $422 396 $440 0.87 ..............
lymph node(s).
38542.... 1 Explore deep 2 $422 397 $630 1.25 ..............
node(s), neck.
38550.... 1 Removal neck/armpit 3 $482 396 $440 0.87 ..............
lesion.
38555.... 1 Removal neck/armpit 4 $595 397 $630 1.25 ..............
lesion.
38562.... 3 Removal, pelvic ......... ......... ......... ......... ......... ..............
lymph nodes.
38564.... 3 Removal, abdomen ......... ......... ......... ......... ......... ..............
lymph nodes.
38700.... 3 Removal of lymph 2 $422 ......... ......... ......... Delete.
nodes, neck.
38720.... 3 Removal of lymph ......... ......... ......... ......... ......... ..............
nodes, neck.
38724.... 3 Removal of lymph ......... ......... ......... ......... ......... ..............
nodes, neck.
38740.... 1 Remove armpit lymph 2 $422 397 $630 1.25 ..............
nodes.
38745.... 1 Remove armpits 4 $595 397 $630 1.25 ..............
lymph nodes.
38746.... 3 Remove thoracic ......... ......... ......... ......... ......... ..............
lymph nodes.
38747.... 3 Remove abdominal ......... ......... ......... ......... ......... ..............
lymph nodes.
38760.... 1 Remove groin lymph 2 $422 397 $630 1.25 ..............
nodes.
38765.... 3 Remove groin lymph ......... ......... ......... ......... ......... ..............
nodes.
38770.... 3 Remove pelvis lymph ......... ......... ......... ......... ......... ..............
nodes.
38780.... 3 Remove abdomen ......... ......... ......... ......... ......... ..............
lymph nodes.
38790.... 2 Injection for 1 $314 ......... ......... ......... Delete.
lymphatic xray.
38794.... 2 Access thoracic ......... ......... ......... ......... ......... ..............
lymph duct.
38999.... 3 Blood/lymph system ......... ......... ......... ......... ......... ..............
procedure.
39000.... 3 Exploration of ......... ......... ......... ......... ......... ..............
chest.
39010.... 3 Exploration of ......... ......... ......... ......... ......... ..............
chest.
39200.... 3 Removal chest ......... ......... ......... ......... ......... ..............
lesion.
39220.... 3 Removal chest ......... ......... ......... ......... ......... ..............
lesion.
39400.... 3 Visualization of ......... ......... ......... ......... ......... ..............
chest.
39499.... 3 Chest procedure.... ......... ......... ......... ......... ......... ..............
39501.... 3 Repair diaphragm ......... ......... ......... ......... ......... ..............
laceration.
39502.... 3 Repair ......... ......... ......... ......... ......... ..............
paraesophageal
hernia.
39503.... 3 Repair of diaphragm ......... ......... ......... ......... ......... ..............
hernia.
39520.... 3 Repair of diaphragm ......... ......... ......... ......... ......... ..............
hernia.
39530.... 3 Repair of diaphragm ......... ......... ......... ......... ......... ..............
hernia.
39531.... 3 Repair of diaphragm ......... ......... ......... ......... ......... ..............
hernia.
39540.... 3 Repair of diaphragm ......... ......... ......... ......... ......... ..............
hernia.
39541.... 3 Repair of diaphragm ......... ......... ......... ......... ......... ..............
hernia.
39545.... 3 Revision of ......... ......... ......... ......... ......... ..............
diaphragm.
39599.... 3 Diaphragm surgery ......... ......... ......... ......... ......... ..............
procedure.
40490.... 5 Biopsy of lip...... ......... ......... ......... ......... ......... ..............
40500.... 1 Partial excision of 2 $422 313 $537 1.07 ..............
lip.
40510.... 1 Partial excision of 2 $422 313 $537 1.07 ..............
lip.
40520.... 1 Partial excision of 2 $422 313 $537 1.07 ..............
lip.
40525.... 1 Reconstruct lip 2 $422 313 $537 1.07 ..............
with flap.
40527.... 1 Reconstruct lip 2 $422 313 $537 1.07 ..............
with flap.
40530.... 1 Partial removal of 2 $422 313 $537 1.07 ..............
lip.
40650.... 1 Repair lip......... 3 $482 313 $537 1.07 ..............
40652.... 1 Repair lip......... 3 $482 313 $537 1.07 ..............
40654.... 1 Repair lip......... 3 $482 313 $537 1.07 ..............
40700.... 1 Repair cleft lip/ ......... ......... 314 $946 1.88 Add.
nasal.
40701.... 1 Repair cleft lip/ ......... ......... 314 $946 1.88 Add.
nasal.
40702.... 1 Repair cleft lip/ ......... ......... 314 $946 1.88 Add.
nasal.
40720.... 1 Repair cleft lip/ ......... ......... 314 $946 1.88 Add.
nasal.
40761.... 1 Repair cleft lip/ ......... ......... 314 $946 1.88 Add.
nasal.
40799.... 3 Lip surgery ......... ......... ......... ......... ......... ..............
procedure.
[[Page 32368]]
40800.... 5 Drainage of mouth ......... ......... ......... ......... ......... ..............
lesion.
40801.... 5 Drainage of mouth 2 $422 ......... ......... ......... Delete.
lesion.
40804.... 5 Removal foreign ......... ......... ......... ......... ......... ..............
body, mouth.
40805.... 5 Removal foreign 2 $422 ......... ......... ......... Delete.
body, mouth.
40806.... 5 Incision of lip 1 $314 ......... ......... ......... Delete.
fold.
40808.... 5 Biopsy of mouth ......... ......... ......... ......... ......... ..............
lesion.
40810.... 5 Excision of mouth ......... ......... ......... ......... ......... ..............
lesion.
40812.... 5 Excise/repair mouth ......... ......... ......... ......... ......... ..............
lesion.
40814.... 1 Excise/repair mouth 2 $422 313 $537 1.07 ..............
lesion.
40816.... 1 Excision of mouth 2 $422 313 $537 1.07 ..............
lesion.
40818.... 1 Excise oral mucosa 1 $314 313 $537 1.07 ..............
for graft.
40819.... 1 Excise lip or cheek 1 $314 313 $537 1.07 ..............
fold.
40820.... 5 Treatment of mouth 1 $314 ......... ......... ......... Delete.
lesion.
40830.... 1 Repair mouth ......... ......... 312 $233 0.46 Add.
laceration.
40831.... 1 Repair mouth 1 $314 312 $233 0.46 ..............
laceration.
40840.... 7 Reconstruction of 2 $422 313 $537 1.07 ..............
mouth.
40842.... 7 Reconstruction of 3 $482 313 $537 1.07 ..............
mouth.
40843.... 7 Reconstruction of 3 $482 314 $946 1.88 ..............
mouth.
40844.... 7 Reconstruction of 5 $678 314 $946 1.88 ..............
mouth.
40845.... 7 Reconstruction of 5 $678 314 $946 1.88 ..............
mouth.
40899.... 3 Mouth surgery ......... ......... ......... ......... ......... ..............
procedure.
41000.... 5 Drainage of mouth 1 $314 ......... ......... ......... Delete.
lesion.
41005.... 5 Drainage of mouth 1 $314 ......... ......... ......... Delete.
lesion.
41006.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41007.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41008.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41009.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41010.... 1 Incision of tongue 1 $314 313 $537 1.07 ..............
fold.
41015.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41016.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41017.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41018.... 1 Drainage of mouth 1 $314 313 $537 1.07 ..............
lesion.
41100.... 5 Biopsy of tongue... ......... ......... ......... ......... ......... ..............
41105.... 5 Biopsy of tongue... 2 $422 ......... ......... ......... Delete.
41108.... 5 Biopsy of floor of ......... ......... ......... ......... ......... ..............
mouth.
41110.... 5 Excision of tongue 1 $314 ......... ......... ......... Delete.
lesion.
41112.... 1 Excision of tongue 2 $422 313 $537 1.07 ..............
lesion.
41113.... 1 Excision of tongue 2 $422 313 $537 1.07 ..............
lesion.
41114.... 1 Excision of tongue 2 $422 313 $537 1.07 ..............
lesion.
41115.... 5 Excision of tongue 1 $314 ......... ......... ......... Delete.
fold.
41116.... 1 Excision of mouth 1 $314 313 $537 1.07 ..............
lesion.
41120.... 1 Partial removal of 5 $678 313 $537 1.07 ..............
tongue.
41130.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
tongue.
41135.... 3 Tongue and neck ......... ......... ......... ......... ......... ..............
surgery.
41140.... 3 Removal of tongue.. ......... ......... ......... ......... ......... ..............
41145.... 3 Tongue removal; ......... ......... ......... ......... ......... ..............
neck surgery.
41150.... 3 Tongue, mouth, jaw ......... ......... ......... ......... ......... ..............
surgery.
41153.... 3 Tongue, mouth, neck ......... ......... ......... ......... ......... ..............
surgery.
41155.... 3 Tongue, jaw, & neck ......... ......... ......... ......... ......... ..............
surgery.
41250.... 1 Repair tongue 2 $422 312 $233 0.46 ..............
laceration.
41251.... 1 Repair tongue 2 $422 312 $233 0.46 ..............
laceration.
41252.... 1 Repair tongue 2 $422 312 $233 0.46 ..............
laceration.
41500.... 1 Fixation of tongue. 1 $314 312 $233 0.46 ..............
41510.... 1 Tongue to lip 1 $314 312 $233 0.46 ..............
surgery.
41520.... 1 Reconstruction, 2 $422 313 $537 1.07 ..............
tongue fold.
41599.... 3 Tongue and mouth ......... ......... ......... ......... ......... ..............
surgery.
41800.... 1 Drainage of gum 1 $314 312 $233 0.46 ..............
lesion.
41805.... 5 Removal foreign 1 $314 ......... ......... ......... Delete.
body, gum.
41806.... 5 Removal foreign 1 $314 ......... ......... ......... Delete.
body, jawbone.
41820.... 5 Excision, gum, each ......... ......... ......... ......... ......... ..............
quadrant.
41821.... 5 Excision of gum ......... ......... ......... ......... ......... ..............
flap.
41822.... 7 Excision of gum ......... ......... 231 $437 0.87 Add.
lesion.
41823.... 7 Excision of gum ......... ......... 231 $437 0.87 Add.
lesion.
41825.... 5 Excision of gum ......... ......... ......... ......... ......... ..............
lesion.
41826.... 5 Excision of gum ......... ......... ......... ......... ......... ..............
lesion.
41827.... 1 Excision of gum 2 $422 313 $537 1.07 ..............
lesion.
41828.... 5 Excision of gum ......... ......... ......... ......... ......... ..............
lesion.
41830.... 5 Removal of gum ......... ......... ......... ......... ......... ..............
tissue.
41850.... 5 Treatment of gum ......... ......... ......... ......... ......... ..............
lesion.
41870.... 5 Gum graft.......... ......... ......... ......... ......... ......... ..............
41872.... 5 Repair gum......... ......... ......... ......... ......... ......... ..............
41874.... 5 Repair tooth socket ......... ......... ......... ......... ......... ..............
41899.... 3 Dental surgery ......... ......... ......... ......... ......... ..............
procedure.
42000.... 5 Drainage mouth roof 2 $422 ......... ......... ......... Delete.
lesion.
[[Page 32369]]
42100.... 5 Biopsy roof of ......... ......... ......... ......... ......... ..............
mouth.
42104.... 5 Excision lesion, 2 $422 ......... ......... ......... Delete.
mouth roof.
42106.... 5 Excision lesion, 2 $422 ......... ......... ......... Delete.
mouth roof.
42107.... 1 Excision lesion, 2 $422 313 $537 1.07 ..............
mouth roof.
42120.... 1 Remove palate/ 4 $595 313 $537 1.07 ..............
lesion.
42140.... 5 Excision of uvula.. 2 $422 ......... ......... ......... Delete.
42145.... 3 Repair, palate, 5 $678 ......... ......... ......... Delete.
pharynx/uvula.
42160.... 5 Treatment mouth 1 $314 ......... ......... ......... Delete.
roof lesion.
42180.... 1 Repair palate...... 1 $314 313 $537 1.07 ..............
42182.... 1 Repair palate...... 2 $422 313 $537 1.07 ..............
42200.... 1 Reconstruct cleft 5 $678 313 $537 1.07 ..............
palate.
42205.... 1 Reconstruct cleft 5 $678 313 $537 1.07 ..............
palate.
42210.... 1 Reconstruct cleft 5 $678 314 $946 1.88 ..............
palate.
42215.... 1 Reconstruct cleft 7 $941 313 $537 1.07 ..............
palate.
42220.... 1 Reconstruct cleft 5 $678 313 $537 1.07 ..............
palate.
42225.... 1 Reconstruct cleft 5 $678 314 $946 1.88 ..............
palate.
42226.... 1 Lengthening of ......... ......... 314 $946 1.88 Add.
palate.
42227.... 1 Lengthening of ......... ......... 314 $946 1.88 Add.
palate.
42235.... 1 Repair palate...... 5 $678 313 $537 1.07 ..............
42260.... 1 Repair nose to lip 4 $595 313 $537 1.07 ..............
fistula.
42280.... 5 Preparation, palate ......... ......... ......... ......... ......... ..............
mold.
42281.... 5 Insertion, palate 3 $482 ......... ......... ......... Delete.
prosthesis.
42299.... 3 Palate/uvula ......... ......... ......... ......... ......... ..............
surgery.
42300.... 1 Drainage of 1 $314 312 $233 0.46 ..............
salivary gland.
42305.... 1 Drainage of 2 $422 312 $233 0.46 ..............
salivary gland.
42310.... 1 Drainage of 1 $314 312 $233 0.46 ..............
salivary gland.
42320.... 1 Drainage of 1 $314 312 $233 0.46 ..............
salivary gland.
42325.... 1 Create salivary 2 $422 313 $537 1.07 ..............
cyst drain.
42326.... 1 Create salivary ......... ......... 313 $537 1.07 Add.
cyst drain.
42330.... 5 Removal of salivary ......... ......... ......... ......... ......... ..............
stone.
42335.... 5 Removal of salivary 3 $482 ......... ......... ......... Delete.
stone.
42340.... 1 Removal of salivary 2 $422 313 $537 1.07 ..............
stone.
42400.... 1 Biopsy of salivary ......... ......... 122 $186 0.37 Add.
gland.
42405.... 1 Biopsy of salivary 2 $422 312 $233 0.46 ..............
gland.
42408.... 1 Excision of 3 $482 313 $537 1.07 ..............
salivary cyst.
42409.... 1 Drainage of 3 $482 313 $537 1.07 ..............
salivary cyst.
42410.... 1 Excise parotid 3 $482 313 $537 1.07 ..............
gland/lesion.
42415.... 1 Excise parotid ......... ......... 314 $946 1.88 Add.
gland/lesion.
42420.... 1 Excise parotid 7 $941 314 $946 1.88 ..............
gland/lesion.
42425.... 1 Excise parotid 7 $941 314 $946 1.88 ..............
gland/lesion.
42426.... 3 Excise parotid ......... ......... ......... ......... ......... ..............
gland/lesion.
42440.... 1 Excision 3 $482 313 $537 1.07 ..............
submaxillary gland.
42450.... 1 Excision sublingual 2 $422 313 $537 1.07 ..............
gland.
42500.... 1 Repair salivary 3 $482 313 $537 1.07 ..............
duct.
42505.... 1 Repair salivary 4 $595 313 $537 1.07 ..............
duct.
42507.... 1 Parotid duct 3 $482 313 $537 1.07 ..............
diversion.
42508.... 1 Parotid duct 4 $595 313 $537 1.07 ..............
diversion.
42509.... 1 Parotid duct 4 $595 314 $946 1.88 ..............
diversion.
42510.... 1 Parotid duct 4 $595 313 $537 1.07 ..............
diversion.
42550.... 2 Injection for ......... ......... ......... ......... ......... ..............
salivary x-ray.
42600.... 1 Closure of salivary 1 $314 313 $537 1.07 ..............
fistula.
42650.... 5 Dilation of ......... ......... ......... ......... ......... ..............
salivary duct.
42660.... 5 Dilation of ......... ......... ......... ......... ......... ..............
salivary duct.
42665.... 5 Ligation of ......... ......... ......... ......... ......... ..............
salivary duct.
42699.... 3 Salivary surgery ......... ......... ......... ......... ......... ..............
procedure.
42700.... 1 Drainage of tonsil 1 $314 312 $233 0.46 ..............
abscess.
42720.... 1 Drainage of throat 1 $314 312 $233 0.46 ..............
abscess.
42725.... 1 Drainage of throat 2 $422 313 $537 1.07 ..............
abscess.
42800.... 1 Biopsy of throat... ......... ......... 312 $233 0.46 Add.
42802.... 1 Biopsy of throat... 1 $314 312 $233 0.46 ..............
42804.... 1 Biopsy of upper 1 $314 312 $233 0.46 ..............
nose/throat.
42806.... 1 Biopsy of upper 2 $422 312 $233 0.46 ..............
nose/throat.
42808.... 1 Excise pharynx 2 $422 312 $233 0.46 ..............
lesion.
42809.... 5 Remove pharynx ......... ......... ......... ......... ......... ..............
foreign body.
42810.... 1 Excision of neck 3 $482 313 $537 1.07 ..............
cyst.
42815.... 1 Excision of neck 5 $678 313 $537 1.07 ..............
cyst.
42820.... 1 Remove tonsils and ......... ......... 319 $648 1.29 Add.
adenoids.
42821.... 1 Remove tonsils and 5 $678 319 $648 1.29 ..............
adenoids.
42825.... 1 Removal of tonsils. ......... ......... 319 $648 1.29 Add.
42826.... 1 Removal of tonsils. 4 $595 319 $648 1.29 ..............
42830.... 1 Removal of adenoids ......... ......... 319 $648 1.29 Add.
42831.... 1 Removal of adenoids 4 $595 319 $648 1.29 ..............
42835.... 1 Removal of adenoids ......... ......... 319 $648 1.29 Add.
42836.... 1 Removal of adenoids 4 $595 319 $648 1.29 ..............
[[Page 32370]]
42842.... 1 Extensive surgery ......... ......... 314 $946 1.88 Add.
of throat.
42844.... 1 Extensive surgery ......... ......... 314 $946 1.88 Add.
of throat.
42845.... 3 Extensive surgery ......... ......... ......... ......... ......... ..............
of throat.
42860.... 1 Excision of tonsil 3 $482 319 $648 1.29 ..............
tags.
42870.... 1 Excision of lingual 3 $482 319 $648 1.29 ..............
tonsil.
42890.... 1 Partial removal of ......... ......... 314 $946 1.88 Add.
pharynx.
42892.... 1 Revision of ......... ......... 314 $946 1.88 Add.
pharyngeal walls.
42894.... 3 Revision of ......... ......... ......... ......... ......... ..............
pharyngeal walls.
42900.... 1 Repair throat wound 1 $314 313 $537 1.07 ..............
42950.... 1 Reconstruction of 2 $422 313 $537 1.07 ..............
throat.
42953.... 3 Repair throat, ......... ......... ......... ......... ......... ..............
esophagus.
42955.... 1 Surgical opening of 2 $422 313 $537 1.07 ..............
throat.
42960.... 1 Control throat 1 $314 318 $77 0.15 ..............
bleeding.
42961.... 3 Control throat ......... ......... ......... ......... ......... ..............
bleeding.
42962.... 1 Control throat 2 $422 313 $537 1.07 ..............
bleeding.
42970.... 1 Control nose/throat ......... ......... 318 $77 0.15 Add.
bleeding.
42971.... 3 Control nose/throat ......... ......... ......... ......... ......... ..............
bleeding.
42972.... 1 Control nose/throat ......... ......... 313 $537 1.07 Add.
bleeding.
42999.... 3 Throat surgery ......... ......... ......... ......... ......... ..............
procedure.
43020.... 1 Incision of ......... ......... 313 $537 1.07 Add.
esophagus.
43030.... 1 Throat muscle ......... ......... 313 $537 1.07 Add.
surgery.
43045.... 3 Incision of ......... ......... ......... ......... ......... ..............
esophagus.
43100.... 3 Excision of ......... ......... ......... ......... ......... ..............
esophagus lesion.
43101.... 3 Excision of ......... ......... ......... ......... ......... ..............
esophagus lesion.
43107.... 3 Removal of ......... ......... ......... ......... ......... ..............
esophagus.
43108.... 3 Removal of ......... ......... ......... ......... ......... ..............
esophagus.
43112.... 3 Removal of ......... ......... ......... ......... ......... ..............
esophagus.
43113.... 3 Removal of ......... ......... ......... ......... ......... ..............
esophagus.
43116.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
esophagus.
43117.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
esophagus.
43118.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
esophagus.
43121.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
esophagus.
43122.... 3 Parital removal of ......... ......... ......... ......... ......... ..............
esophagus.
43123.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
esophagus.
43124.... 3 Removal of ......... ......... ......... ......... ......... ..............
esophagus.
43130.... 3 Removal of ......... ......... ......... ......... ......... ..............
esophagus pouch.
43135.... 3 Removal of ......... ......... ......... ......... ......... ..............
esophagus pouch.
43200.... 1 Esophagus endoscopy 1 $314 417 $327 0.65 ..............
43202.... 1 Esophagus 1 $314 417 $327 0.65 ..............
endoscopy, biopsy.
43204.... 1 Esophagus endoscopy 1 $314 407 $302 0.60 ..............
& inject.
43205.... 1 Esophagus endoscopy/ ......... ......... 407 $302 0.60 Add.
ligation.
43215.... 1 Esophagus endoscopy 1 $314 407 $302 0.60 ..............
43216.... 1 Esophagus endoscopy/ 1 $314 407 $302 0.60 ..............
lesion.
43217.... 1 Esophagus endoscopy 1 $314 407 $302 0.60 ..............
43219.... 1 Esophagus endoscopy 1 $314 449 $415 0.82 ..............
43220.... 1 Esophagus 1 $314 407 $302 0.60 ..............
endoscopy,
dilation.
43226.... 1 Esophagus 1 $314 407 $302 0.60 ..............
endoscopy,
dilation.
43227.... 1 Esophagus 2 $422 407 $302 0.60 ..............
endoscopy, repair.
43228.... 1 Esophagus 2 $422 449 $415 0.82 ..............
endoscopy,
ablation.
43234.... 1 Upper GI endoscopy, 1 $314 417 $327 0.65 ..............
exam.
43235.... 1 Upper gi endoscopy, 1 $314 417 $327 0.65 ..............
diagnosis.
43239.... 1 Upper GI endoscopy, 2 $422 417 $327 0.65 ..............
biopsy.
43241.... 1 Upper GI endoscopy 2 $422 418 $348 0.69 ..............
with tube.
43243.... 1 Upper GI endoscopy 2 $422 418 $348 0.69 ..............
& inject..
43244.... 1 Upper GI endoscopy/ ......... ......... 418 $348 0.69 Add.
ligation.
43245.... 1 Operative upper GI 2 $422 418 $348 0.69 ..............
endoscopy.
43246.... 1 Place gastrostomy 2 $422 418 $348 0.69 ..............
tube.
43247.... 1 Operative upper GI 2 $422 418 $348 0.69 ..............
endoscopy.
43248.... 1 Upper GI endoscopy/ 2 $422 418 $348 0.69 ..............
guidewire.
43249.... 1 Esophagus 2 $422 418 $348 0.69 ..............
endoscopy,
dilation.
43250.... 1 Upper GI endoscopy/ 2 $422 418 $348 0.69 ..............
tumor.
43251.... 1 Operative upper GI 2 $422 418 $348 0.69 ..............
endoscopy.
43255.... 1 Operative upper GI 2 $422 418 $348 0.69 ..............
endoscopy.
43258.... 1 Operative upper GI 3 $482 449 $415 0.82 ..............
endoscopy.
43259.... 1 Endoscopic 3 $482 449 $415 0.82 ..............
ultrasound exam.
43260.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43261.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43262.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43263.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43264.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43265.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43267.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43268.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43269.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
[[Page 32371]]
43271.... 1 Endoscopy, bile 2 $422 456 $473 0.94 ..............
duct/pancreas.
43272.... 1 Endoscopy, bile 2 $422 449 $415 0.82 ..............
duct/pancreas.
43300.... 3 Repair of esophagus ......... ......... ......... ......... ......... ..............
43305.... 3 Repair esophagus ......... ......... ......... ......... ......... ..............
and fistula.
43310.... 3 Repair of esophagus ......... ......... ......... ......... ......... ..............
43312.... 3 Repair esophagus ......... ......... ......... ......... ......... ..............
and fistula.
43320.... 3 Fuse esophagus & ......... ......... ......... ......... ......... ..............
stomach.
43324.... 3 Revise esophagus & ......... ......... ......... ......... ......... ..............
stomach.
43325.... 3 Revise esophagus & ......... ......... ......... ......... ......... ..............
stomach.
43326.... 3 Revise esophagus & ......... ......... ......... ......... ......... ..............
stomach.
43330.... 3 Repair of esophagus ......... ......... ......... ......... ......... ..............
43331.... 3 Repair of esophagus ......... ......... ......... ......... ......... ..............
43340.... 3 Fuse esophagus & ......... ......... ......... ......... ......... ..............
intestine.
43341.... 3 Fuse esophagus & ......... ......... ......... ......... ......... ..............
intestine.
43350.... 3 Surgical opening, ......... ......... ......... ......... ......... ..............
esophagus.
43351.... 3 Surgical opening, ......... ......... ......... ......... ......... ..............
esophagus.
43352.... 3 Surgical opening, ......... ......... ......... ......... ......... ..............
esophagus.
43360.... 3 Gastrointestinal ......... ......... ......... ......... ......... ..............
repair.
43361.... 3 Gastrointestinal ......... ......... ......... ......... ......... ..............
repair.
43400.... 3 Ligate esophagus ......... ......... ......... ......... ......... ..............
veins.
43401.... 3 Esophagus surgery ......... ......... ......... ......... ......... ..............
for veins.
43405.... 3 Ligate/staple ......... ......... ......... ......... ......... ..............
esophagus.
43410.... 3 Repair esophagus ......... ......... ......... ......... ......... ..............
wound.
43415.... 3 Repair esophagus ......... ......... ......... ......... ......... ..............
wound.
43420.... 3 Repair esophagus ......... ......... ......... ......... ......... ..............
opening.
43425.... 3 Repair esophagus ......... ......... ......... ......... ......... ..............
opening.
43450.... 1 Dilate esophagus... 1 $314 406 $187 0.37 ..............
43453.... 1 Dilate esophagus... 1 $314 406 $187 0.37 ..............
43456.... 1 Dilate esophagus... 2 $422 406 $187 0.37 ..............
43458.... 1 Dilation of 2 $422 406 $187 0.37 ..............
esophagus.
43460.... 3 Pressure treatment ......... ......... ......... ......... ......... ..............
esophagus.
43496.... 3 Free jejunum flap, ......... ......... ......... ......... ......... ..............
microvasc.
43499.... 3 Esophagus surgery ......... ......... ......... ......... ......... ..............
procedure.
43500.... 3 Surgical opening of ......... ......... ......... ......... ......... ..............
stomach.
43501.... 3 Surgical repair of ......... ......... ......... ......... ......... ..............
stomach.
43502.... 3 Surgical repair of ......... ......... ......... ......... ......... ..............
stomach.
43510.... 3 Surgical opening of ......... ......... ......... ......... ......... ..............
stomach.
43520.... 3 Incision of pyloric ......... ......... ......... ......... ......... ..............
muscle.
43600.... 1 Biopsy of stomach.. 1 $314 417 $327 0.65 ..............
43605.... 3 Biopsy of stomach.. ......... ......... ......... ......... ......... ..............
43610.... 3 Excision of stomach ......... ......... ......... ......... ......... ..............
lesion.
43611.... 3 Excision of stomach ......... ......... ......... ......... ......... ..............
lesion.
43620.... 3 Removal of stomach. ......... ......... ......... ......... ......... ..............
43621.... 3 Removal of stomach. ......... ......... ......... ......... ......... ..............
43622.... 3 Removal of stomach. ......... ......... ......... ......... ......... ..............
43631.... 3 Removal of stomach, ......... ......... ......... ......... ......... ..............
partial.
43632.... 3 Removal stomach, ......... ......... ......... ......... ......... ..............
partial.
43633.... 3 Removal stomach, ......... ......... ......... ......... ......... ..............
partial.
43634.... 3 Removal stomach, ......... ......... ......... ......... ......... ..............
partial.
43635.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
stomach.
43638.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
stomach.
43639.... 3 Removal stomach, ......... ......... ......... ......... ......... ..............
partial.
43640.... 3 Vagotomy & pylorus ......... ......... ......... ......... ......... ..............
repair.
43641.... 3 Vagotomy & pylorus ......... ......... ......... ......... ......... ..............
repair.
43750.... 1 Place gastrostomy 2 $422 418 $348 0.69 ..............
tube.
43760.... 1 Change gastrostomy 1 $314 470 $119 0.24 ..............
tube.
43761.... 1 Reposition ......... ......... 470 $119 0.24 Add.
gastrostomy tube.
43800.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
pylorus.
43810.... 3 Fusion of stomach ......... ......... ......... ......... ......... ..............
and bowel.
43820.... 3 Fusion of stomach ......... ......... ......... ......... ......... ..............
and bowel.
43825.... 3 Fusion of stomach ......... ......... ......... ......... ......... ..............
and bowel.
43830.... 3 Place gastrostomy ......... ......... ......... ......... ......... ..............
tube.
43831.... 3 Place gastrostomy ......... ......... ......... ......... ......... ..............
tube.
43832.... 3 Place gastrostomy ......... ......... ......... ......... ......... ..............
tube.
43840.... 3 Repair of stomach ......... ......... ......... ......... ......... ..............
lesion.
43842.... 3 Gastroplasty for ......... ......... ......... ......... ......... ..............
obesity.
43843.... 3 Gastroplasty for ......... ......... ......... ......... ......... ..............
obesity.
43846.... 3 Gastric bypass for ......... ......... ......... ......... ......... ..............
obesity.
43847.... 3 Gastric bypass for ......... ......... ......... ......... ......... ..............
obesity.
43848.... 3 Revision ......... ......... ......... ......... ......... ..............
gastroplasty.
43850.... 3 Revise stomach- ......... ......... ......... ......... ......... ..............
bowel fusion.
43855.... 3 Revise stomach- ......... ......... ......... ......... ......... ..............
bowel fusion.
43860.... 3 Revise stomach- ......... ......... ......... ......... ......... ..............
bowel fusion.
43865.... 3 Revise stomach- ......... ......... ......... ......... ......... ..............
bowel fusion.
[[Page 32372]]
43870.... 1 Repair stomach 1 $314 182 $383 0.76 ..............
opening.
43880.... 3 Repair stomach- ......... ......... ......... ......... ......... ..............
bowel fistula.
43999.... 3 Stomach surgery ......... ......... ......... ......... ......... ..............
procedure.
44005.... 3 Freeing of bowel ......... ......... ......... ......... ......... ..............
adhesion.
44010.... 3 Incision of small ......... ......... ......... ......... ......... ..............
bowel.
44015.... 3 Insert needle ......... ......... ......... ......... ......... ..............
catheter,bowel.
44020.... 3 Exploration of ......... ......... ......... ......... ......... ..............
small bowel.
44021.... 3 Decompress small ......... ......... ......... ......... ......... ..............
bowel.
44025.... 3 Incision of large ......... ......... ......... ......... ......... ..............
bowel.
44050.... 3 Reduce bowel ......... ......... ......... ......... ......... ..............
obstruction.
44055.... 3 Correct malrotation ......... ......... ......... ......... ......... ..............
of bowel.
44100.... 1 Biopsy of bowel.... 1 $314 417 $327 0.65 ..............
44110.... 3 Excision of bowel ......... ......... ......... ......... ......... ..............
lesion(s).
44111.... 3 Excision of bowel ......... ......... ......... ......... ......... ..............
lesion(s).
44120.... 3 Removal of small ......... ......... ......... ......... ......... ..............
intestine.
44121.... 3 Removal of small ......... ......... ......... ......... ......... ..............
intestine.
44125.... 3 Removal of small ......... ......... ......... ......... ......... ..............
intestine.
44130.... 3 Bowel to bowel ......... ......... ......... ......... ......... ..............
fusion.
44139.... 3 Mobilization of ......... ......... ......... ......... ......... ..............
colon.
44140.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
colon.
44141.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
colon.
44143.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
colon.
44144.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
colon.
44145.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
colon.
44146.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
colon.
44147.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
colon.
44150.... 3 Removal of colon... ......... ......... ......... ......... ......... ..............
44151.... 3 Removal of colon/ ......... ......... ......... ......... ......... ..............
ileostomy.
44152.... 3 Removal of colon/ ......... ......... ......... ......... ......... ..............
ileostomy.
44153.... 3 Removal of colon/ ......... ......... ......... ......... ......... ..............
ileostomy.
44155.... 3 Removal of colon... ......... ......... ......... ......... ......... ..............
44156.... 3 Removal of colon/ ......... ......... ......... ......... ......... ..............
ileostomy.
44160.... 3 Removal of colon... ......... ......... ......... ......... ......... ..............
44300.... 3 Open bowel to skin. ......... ......... ......... ......... ......... ..............
44310.... 3 Ileostomy/ ......... ......... ......... ......... ......... ..............
jejunostomy.
44312.... 1 Revision of 1 $314 183 $465 0.92 ..............
ileostomy.
44314.... 3 Revision of ......... ......... ......... ......... ......... ..............
ileostomy.
44316.... 3 Devise bowel pouch. ......... ......... ......... ......... ......... ..............
44320.... 3 Colostomy.......... ......... ......... ......... ......... ......... ..............
44322.... 3 Colostomy with ......... ......... ......... ......... ......... ..............
biopsies.
44340.... 1 Revision of 3 $482 183 $465 0.92 ..............
colostomy.
44345.... 3 Revision of 4 $595 ......... ......... ......... Delete.
colostomy.
44346.... 3 Revision of 4 $595 ......... ......... ......... Delete.
colostomy.
44360.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy.
44361.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy,biopsy.
44363.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy.
44364.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy.
44365.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy.
44366.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy.
44369.... 1 Small bowel 2 $422 449 $415 0.82 ..............
endoscopy.
44372.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy.
44373.... 1 Small bowel 2 $422 419 $364 0.72 ..............
endoscopy.
44376.... 1 Small bowel ......... ......... 419 $364 0.72 Add.
endoscopy.
44377.... 1 Small bowel ......... ......... 419 $364 0.72 Add.
endoscopy.
44378.... 1 Small bowel ......... ......... 419 $364 0.72 Add.
endoscopy.
44380.... 1 Small bowel 1 $314 426 $354 0.70 ..............
endoscopy.
44382.... 1 Small bowel 1 $314 426 $354 0.70 ..............
endoscopy.
44385.... 1 Endoscopy of bowel 1 $314 426 $354 0.70 ..............
pouch.
44386.... 1 Endoscopy,bowel 1 $314 426 $354 0.70 ..............
pouch,biopsy.
44388.... 1 Colon endoscopy.... 1 $314 426 $354 0.70 ..............
44389.... 1 Colonoscopy with 1 $314 426 $354 0.70 ..............
biopsy.
44390.... 1 Colonoscopy for 1 $314 427 $405 0.80 ..............
foreign body.
44391.... 1 Colonoscopy for 1 $314 427 $405 0.80 ..............
bleeding.
44392.... 1 Colonoscopy & 1 $314 427 $405 0.80 ..............
polypectomy.
44393.... 1 Colonoscopy, lesion 1 $314 449 $415 0.82 ..............
removal.
44394.... 1 Colonoscopy w/snare 1 $314 427 $405 0.80 ..............
44500.... 3 Intro, ......... ......... ......... ......... ......... ..............
gastrointestinal
tube.
44602.... 3 Suture, small ......... ......... ......... ......... ......... ..............
intestine.
44603.... 3 Suture, small ......... ......... ......... ......... ......... ..............
intestine.
44604.... 3 Suture, large ......... ......... ......... ......... ......... ..............
intestine.
44605.... 3 Repair of bowel ......... ......... ......... ......... ......... ..............
lesion.
44615.... 3 Intestinal ......... ......... ......... ......... ......... ..............
stricturoplasty.
44620.... 3 Repair bowel ......... ......... ......... ......... ......... ..............
opening.
44625.... 3 Repair bowel ......... ......... ......... ......... ......... ..............
opening.
[[Page 32373]]
44626.... 3 Repair bowel ......... ......... ......... ......... ......... ..............
opening.
44640.... 3 Repair bowel-skin ......... ......... ......... ......... ......... ..............
fistula.
44650.... 3 Repair bowel ......... ......... ......... ......... ......... ..............
fistula.
44660.... 3 Repair bowel- ......... ......... ......... ......... ......... ..............
bladder fistula.
44661.... 3 Repair bowel- ......... ......... ......... ......... ......... ..............
bladder fistula.
44680.... 3 Surgical revision, ......... ......... ......... ......... ......... ..............
intestine.
44700.... 3 Suspend bowel w/ ......... ......... ......... ......... ......... ..............
prosthesis.
44799.... 3 Intestine surgery ......... ......... ......... ......... ......... ..............
procedure.
44800.... 3 Excision of bowel ......... ......... ......... ......... ......... ..............
pouch.
44820.... 3 Excision of ......... ......... ......... ......... ......... ..............
mesentery lesion.
44850.... 3 Repair of mesentery ......... ......... ......... ......... ......... ..............
44899.... 3 Bowel surgery ......... ......... ......... ......... ......... ..............
procedure.
44900.... 3 Drain, app abscess, ......... ......... ......... ......... ......... ..............
open.
44901.... 3 Drain, app abscess, ......... ......... ......... ......... ......... ..............
perc.
44950.... 3 Appendectomy....... ......... ......... ......... ......... ......... ..............
44955.... 3 Appendectomy....... ......... ......... ......... ......... ......... ..............
44960.... 3 Appendectomy....... ......... ......... ......... ......... ......... ..............
45000.... 1 Drainage of pelvic 1 $314 452 $301 0.60 ..............
abscess.
45005.... 1 Drainage of rectal 2 $422 452 $301 0.60 ..............
abscess.
45020.... 1 Drainage of rectal 2 $422 452 $301 0.60 ..............
abscess.
45100.... 1 Biopsy of rectum... 1 $314 452 $301 0.60 ..............
45108.... 1 Removal of 2 $422 453 $631 1.25 ..............
anorectal lesion.
45110.... 3 Removal of rectum.. ......... ......... ......... ......... ......... ..............
45111.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
rectum.
45112.... 3 Removal of rectum.. ......... ......... ......... ......... ......... ..............
45113.... 3 Partial proctectomy ......... ......... ......... ......... ......... ..............
45114.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
rectum.
45116.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
rectum.
45119.... 3 Remove, rectum w/ ......... ......... ......... ......... ......... ..............
reservoir.
45120.... 3 Removal of rectum.. ......... ......... ......... ......... ......... ..............
45121.... 3 Removal of rectum ......... ......... ......... ......... ......... ..............
and colon.
45123.... 3 Partial proctectomy ......... ......... ......... ......... ......... ..............
45130.... 3 Excision of rectal ......... ......... ......... ......... ......... ..............
prolapse.
45135.... 3 Excision of rectal ......... ......... ......... ......... ......... ..............
prolapse.
45150.... 1 Excision of rectal 2 $422 453 $631 1.25 ..............
stricture.
45160.... 1 Excision of rectal ......... ......... 453 $631 1.25 Add.
lesion.
45170.... 1 Excision of rectal 2 $422 453 $631 1.25 ..............
lesion.
45190.... 1 Destruction, rectal ......... ......... 453 $631 1.25 Add.
tumor.
45300.... 1 Proctosigmoidoscopy ......... ......... 446 $175 0.35 Add.
45303.... 1 Proctosigmoidoscopy ......... ......... 447 $210 0.42 Add.
45305.... 1 Proctosigmoidoscopy 1 $314 446 $175 0.35 ..............
; biopsy.
45307.... 1 Proctosigmoidoscopy 1 $314 447 $210 0.42 ..............
45308.... 1 Proctosigmoidoscopy 1 $314 447 $210 0.42 ..............
45309.... 1 Proctosigmoidoscopy 1 $314 447 $210 0.42 ..............
45315.... 1 Proctosigmoidoscopy 1 $314 447 $210 0.42 ..............
45317.... 1 Proctosigmoidoscopy 1 $314 447 $210 0.42 ..............
45320.... 1 Proctosigmoidoscopy 1 $314 447 $210 0.42 ..............
45321.... 1 Proctosigmoidoscopy 1 $314 447 $210 0.42 ..............
45330.... 1 Sigmoidoscopy, ......... ......... 446 $175 0.35 Add.
diagnostic.
45331.... 1 Sigmoidoscopy and 1 $314 446 $175 0.35 ..............
biopsy.
45332.... 1 Sigmoidoscopy...... 1 $314 448 $225 0.45 ..............
45333.... 1 Sigmoidoscopy & 1 $314 448 $225 0.45 ..............
polypectomy.
45334.... 1 Sigmoidoscopy for 1 $314 448 $225 0.45 ..............
bleeding.
45337.... 1 Sigmoidoscopy, 1 $314 448 $225 0.45 ..............
decompression.
45338.... 1 Sigmoidoscopy...... 1 $314 448 $225 0.45 ..............
45339.... 1 Sigmoidoscopy...... 1 $314 449 $415 0.82 ..............
45355.... 1 Surgical 1 $314 427 $405 0.80 ..............
colonoscopy.
45378.... 1 Diagnostic 2 $422 426 $354 0.70 ..............
colonoscopy.
45379.... 1 Colonoscopy........ 2 $422 427 $405 0.80 ..............
45380.... 1 Colonoscopy and 2 $422 426 $354 0.70 ..............
biopsy.
45382.... 1 Colonoscopy,control 2 $422 427 $405 0.80 ..............
bleeding.
45383.... 1 Colonoscopy, lesion 2 $422 449 $415 0.82 ..............
removal.
45384.... 1 Colonoscopy........ 2 $422 427 $405 0.80 ..............
45385.... 1 Colonoscopy, lesion 2 $422 427 $405 0.80 ..............
removal.
45500.... 1 Repair of rectum... 2 $422 453 $631 1.25 ..............
45505.... 1 Repair of rectum... 2 $422 453 $631 1.25 ..............
45520.... 2 Treatment of rectal ......... ......... ......... ......... ......... ..............
prolapse.
45540.... 3 Correct rectal ......... ......... ......... ......... ......... ..............
prolapse.
45541.... 3 Correct rectal ......... ......... ......... ......... ......... ..............
prolapse.
45550.... 3 Repair ......... ......... ......... ......... ......... ..............
rectum;remove
sigmoid.
45560.... 1 Repair of rectocele 2 $422 453 $631 1.25 ..............
45562.... 3 Exploration/repair ......... ......... ......... ......... ......... ..............
of rectum.
45563.... 3 Exploration/repair ......... ......... ......... ......... ......... ..............
of rectum.
45800.... 3 Repair ......... ......... ......... ......... ......... ..............
rectumbladder
fistula.
[[Page 32374]]
45805.... 3 Repair fistula; ......... ......... ......... ......... ......... ..............
colostomy.
45820.... 3 Repair ......... ......... ......... ......... ......... ..............
rectourethral
fistula.
45825.... 3 Repair fistula; ......... ......... ......... ......... ......... ..............
colostomy.
45900.... 1 Reduction of rectal 1 $314 452 $301 0.60 ..............
prolapse.
45905.... 1 Dilation of anal 1 $314 452 $301 0.60 ..............
sphincter.
45910.... 1 Dilation of rectal 1 $314 452 $301 0.60 ..............
narrowing.
45915.... 1 Remove rectal 1 $314 452 $301 0.60 ..............
obstruction.
45999.... 3 Rectum surgery ......... ......... ......... ......... ......... ..............
procedure.
46030.... 1 Removal of rectal 1 $314 452 $301 0.60 ..............
marker.
46040.... 1 Incision of rectal 3 $482 452 $301 0.60 ..............
abscess.
46045.... 1 Incision of rectal 2 $422 453 $631 1.25 ..............
abscess.
46050.... 1 Incision of anal 1 $314 452 $301 0.60 ..............
abscess.
46060.... 1 Incision of rectal 2 $422 453 $631 1.25 ..............
abscess.
46070.... 5 Incision of anal ......... ......... ......... ......... ......... ..............
septum.
46080.... 1 Incision of anal 3 $482 452 $301 0.60 ..............
sphincter.
46083.... 5 Incise external ......... ......... ......... ......... ......... ..............
hemorrhoid.
46200.... 1 Removal of anal 2 $422 453 $631 1.25 ..............
fissure.
46210.... 1 Removal of anal 2 $422 452 $301 0.60 ..............
crypt.
46211.... 1 Removal of anal 2 $422 453 $631 1.25 ..............
crypts.
46220.... 5 Removal of anal tab 1 $314 ......... ......... ......... Delete.
46221.... 5 Ligation of ......... ......... ......... ......... ......... ..............
hemorrhoid(s).
46230.... 5 Removal of anal ......... ......... ......... ......... ......... ..............
tabs.
46250.... 1 Hemorrhoidectomy... 3 $482 453 $631 1.25 ..............
46255.... 1 Hemorrhoidectomy... 3 $482 453 $631 1.25 ..............
46257.... 1 Remove hemorrhoids 3 $482 453 $631 1.25 ..............
& fissure.
46258.... 1 Remove hemorrhoids 3 $482 453 $631 1.25 ..............
& fistula.
46260.... 1 Hemorrhoidectomy... 3 $482 453 $631 1.25 ..............
46261.... 1 Remove hemorrhoids 4 $595 453 $631 1.25 ..............
& fissure.
46262.... 1 Remove hemorrhoids 4 $595 453 $631 1.25 ..............
& fistula.
46270.... 1 Removal of anal 3 $482 453 $631 1.25 ..............
fistula.
46275.... 1 Removal of anal 3 $482 453 $631 1.25 ..............
fistula.
46280.... 1 Removal of anal 4 $595 453 $631 1.25 ..............
fistula.
46285.... 1 Removal of anal 1 $314 453 $631 1.25 ..............
fistula.
46288.... 1 Repair anal fistula ......... ......... 453 $631 1.25 Add.
46320.... 5 Removal of ......... ......... ......... ......... ......... ..............
hemorrhoid clot.
46500.... 5 Injection into ......... ......... ......... ......... ......... ..............
hemorrhoids.
46600.... 5 Diagnostic anoscopy ......... ......... ......... ......... ......... ..............
46604.... 1 Anoscopy and ......... ......... 437 $150 0.30 Add.
dilation.
46606.... 5 Anoscopy and biopsy ......... ......... ......... ......... ......... ..............
46608.... 1 Anoscopy;remove 1 $314 437 $150 0.30 ..............
foreign body.
46610.... 1 Anoscopy; remove 1 $314 437 $150 0.30 ..............
lesion.
46611.... 1 Anoscopy........... 1 $314 437 $150 0.30 ..............
46612.... 1 Anoscopy; remove 1 $314 437 $150 0.30 ..............
lesions.
46614.... 1 Anoscopy; control ......... ......... 437 $150 0.30 Add.
bleeding.
46615.... 1 Anoscopy........... ......... ......... 437 $150 0.30 Add.
46700.... 1 Repair of anal 3 $482 453 $631 1.25 ..............
stricture.
46705.... 3 Repair of anal ......... ......... ......... ......... ......... ..............
stricture.
46715.... 3 Repair of ......... ......... ......... ......... ......... ..............
anovaginal fistula.
46716.... 3 Repair of ......... ......... ......... ......... ......... ..............
anovaginal fistula.
46730.... 3 Construction of ......... ......... ......... ......... ......... ..............
absent anus.
46735.... 3 Construction of ......... ......... ......... ......... ......... ..............
absent anus.
46740.... 3 Construction of ......... ......... ......... ......... ......... ..............
absent anus.
46742.... 3 Repair, ......... ......... ......... ......... ......... ..............
imperforated anus.
46744.... 3 Repair, cloacal ......... ......... ......... ......... ......... ..............
anomaly.
46746.... 3 Repair, cloacal ......... ......... ......... ......... ......... ..............
anomaly.
46748.... 3 Repair, cloacal ......... ......... ......... ......... ......... ..............
anomaly.
46750.... 1 Repair of anal 3 $482 453 $631 1.25 ..............
sphincter.
46751.... 3 Repair of anal ......... ......... ......... ......... ......... ..............
sphincter.
46753.... 1 Reconstruction of 3 $482 453 $631 1.25 ..............
anus.
46754.... 1 Removal of suture 2 $422 452 $301 0.60 ..............
from anus.
46760.... 1 Repair of anal 2 $422 453 $631 1.25 ..............
sphincter.
46761.... 1 Repair of anal ......... ......... 453 $631 1.25 Add.
sphincter.
46762.... 1 Implant artificial ......... ......... 453 $631 1.25 Add.
sphincter.
46900.... 1 Destruction, anal ......... ......... 152 $213 0.42 Add.
lesion(s).
46910.... 1 Destruction, anal ......... ......... 152 $213 0.42 Add.
lesion(s).
46916.... 1 Cryosurgery, anal ......... ......... 152 $213 0.42 Add.
lesion(s).
46917.... 1 Laser surgery, anal ......... ......... 152 $213 0.42 Add.
lesion(s).
46922.... 1 Excision of anal 1 $314 152 $213 0.42 ..............
lesion(s).
46924.... 1 Destruction, anal 1 $314 152 $213 0.42 ..............
lesion(s).
46934.... 5 Destruction of ......... ......... ......... ......... ......... ..............
hemorrhoids.
46935.... 5 Destruction of ......... ......... ......... ......... ......... ..............
hemorrhoids.
46936.... 5 Destruction of ......... ......... ......... ......... ......... ..............
hemorrhoids.
46937.... 1 Cryotherapy of 2 $422 453 $631 1.25 ..............
rectal lesion.
46938.... 1 Cryotherapy of 2 $422 453 $631 1.25 ..............
rectal lesion.
[[Page 32375]]
46940.... 5 Treatment of anal ......... ......... ......... ......... ......... ..............
fissure.
46942.... 5 Treatment of anal ......... ......... ......... ......... ......... ..............
fissure.
46945.... 5 Ligation of ......... ......... ......... ......... ......... ..............
hemorrhoids.
46946.... 5 Ligation of ......... ......... ......... ......... ......... ..............
hemorrhoids.
46999.... 3 Anus surgery ......... ......... ......... ......... ......... ..............
procedure.
47000.... 1 Needle biopsy of 1 $314 122 $186 0.37 ..............
liver.
47001.... 3 Needle biopsy, ......... ......... ......... ......... ......... ..............
liver.
47010.... 3 Open drainage, ......... ......... ......... ......... ......... ..............
liver lesion.
47011.... 3 Percut drain, liver ......... ......... ......... ......... ......... ..............
lesion.
47015.... 3 Inject/aspirate ......... ......... ......... ......... ......... ..............
liver cyst.
47100.... 3 Wedge biopsy of ......... ......... ......... ......... ......... ..............
liver.
47120.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
liver.
47122.... 3 Extensive removal ......... ......... ......... ......... ......... ..............
of liver.
47125.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
liver.
47130.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
liver.
47133.... 9 Removal of donor ......... ......... ......... ......... ......... ..............
liver.
47134.... 3 Partial removal, ......... ......... ......... ......... ......... ..............
donor liver.
47135.... 3 Transplantation of ......... ......... ......... ......... ......... ..............
liver.
47136.... 3 Transplantation of ......... ......... ......... ......... ......... ..............
liver.
47300.... 3 Surgery for liver ......... ......... ......... ......... ......... ..............
lesion.
47350.... 3 Repair liver wound. ......... ......... ......... ......... ......... ..............
47360.... 3 Repair liver wound. ......... ......... ......... ......... ......... ..............
47361.... 3 Repair liver wound. ......... ......... ......... ......... ......... ..............
47362.... 3 Repair liver wound. ......... ......... ......... ......... ......... ..............
47399.... 3 Liver surgery ......... ......... ......... ......... ......... ..............
procedure.
47400.... 3 Incision of liver ......... ......... ......... ......... ......... ..............
duct.
47420.... 3 Incision of bile ......... ......... ......... ......... ......... ..............
duct.
47425.... 3 Incision of bile ......... ......... ......... ......... ......... ..............
duct.
47460.... 3 Incise bile duct ......... ......... ......... ......... ......... ..............
sphincter.
47480.... 3 Incision of ......... ......... ......... ......... ......... ..............
gallbladder.
47490.... 3 Incision of ......... ......... ......... ......... ......... ..............
gallbladder.
47500.... 2 Injection for liver ......... ......... ......... ......... ......... ..............
x-rays.
47505.... 2 Injection for liver ......... ......... ......... ......... ......... ..............
x-rays.
47510.... 1 Insert catheter, 2 $422 458 $473 0.94 ..............
bile duct.
47511.... 1 Insert bile duct ......... ......... 458 $473 0.94 Add.
drain.
47525.... 1 Change bile duct 1 $314 470 $119 0.24 ..............
catheter.
47530.... 1 Revise, reinsert 1 $314 470 $119 0.24 ..............
bile tube.
47550.... 3 Bile duct endoscopy ......... ......... ......... ......... ......... ..............
47552.... 1 Biliary endoscopy, 2 $422 458 $473 0.94 ..............
thru skin.
47553.... 1 Biliary endoscopy, 3 $482 458 $473 0.94 ..............
thru skin.
47554.... 1 Biliary endoscopy, 3 $482 458 $473 0.94 ..............
thru skin.
47555.... 1 Biliary endoscopy, 3 $482 458 $473 0.94 ..............
thru skin.
47556.... 1 Biliary endoscopy, ......... ......... 458 $473 0.94 Add.
thru skin.
47600.... 3 Removal of ......... ......... ......... ......... ......... ..............
gallbladder.
47605.... 3 Removal of ......... ......... ......... ......... ......... ..............
gallbladder.
47610.... 3 Removal of ......... ......... ......... ......... ......... ..............
gallbladder.
47612.... 3 Removal of ......... ......... ......... ......... ......... ..............
gallbladder.
47620.... 3 Removal of ......... ......... ......... ......... ......... ..............
gallbladder.
47630.... 1 Remove bile duct 3 $482 458 $473 0.94 ..............
stone.
47700.... 3 Exploration of bile ......... ......... ......... ......... ......... ..............
ducts.
47701.... 3 Bile duct revision. ......... ......... ......... ......... ......... ..............
47711.... 3 Excision of bile ......... ......... ......... ......... ......... ..............
duct tumor.
47712.... 3 Excision of bile ......... ......... ......... ......... ......... ..............
duct tumor.
47715.... 3 Excision of bile ......... ......... ......... ......... ......... ..............
duct cyst.
47716.... 3 Fusion of bile duct ......... ......... ......... ......... ......... ..............
cyst.
47720.... 3 Fuse gallbladder & ......... ......... ......... ......... ......... ..............
bowel.
47721.... 3 Fuse upper gi ......... ......... ......... ......... ......... ..............
structures.
47740.... 3 Fuse gallbladder & ......... ......... ......... ......... ......... ..............
bowel.
47741.... 3 Fuse gallbladder & ......... ......... ......... ......... ......... ..............
bowel.
47760.... 3 Fuse bile ducts and ......... ......... ......... ......... ......... ..............
bowel.
47765.... 3 Fuse liver ducts & ......... ......... ......... ......... ......... ..............
bowel.
47780.... 3 Fuse bile ducts and ......... ......... ......... ......... ......... ..............
bowel.
47785.... 3 Fuse bile ducts and ......... ......... ......... ......... ......... ..............
bowel.
47800.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
bile ducts.
47801.... 3 Placement, bile ......... ......... ......... ......... ......... ..............
duct support.
47802.... 3 Fuse liver duct & ......... ......... ......... ......... ......... ..............
intestine.
47900.... 3 Suture bile duct ......... ......... ......... ......... ......... ..............
injury.
47999.... 3 Bile tract surgery ......... ......... ......... ......... ......... ..............
procedure.
48000.... 3 Drainage of abdomen ......... ......... ......... ......... ......... ..............
48001.... 3 Placement of drain, ......... ......... ......... ......... ......... ..............
pancreas.
48005.... 3 Resect/debride ......... ......... ......... ......... ......... ..............
pancreas.
48020.... 3 Removal of ......... ......... ......... ......... ......... ..............
pancreatic stone.
48100.... 3 Biopsy of pancreas. ......... ......... ......... ......... ......... ..............
48102.... 1 Needle biopsy, 1 $314 122 $186 0.37 ..............
pancreas.
[[Page 32376]]
48120.... 3 Removal of pancreas ......... ......... ......... ......... ......... ..............
lesion.
48140.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
pancreas.
48145.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
pancreas.
48146.... 3 Pancreatectomy..... ......... ......... ......... ......... ......... ..............
48148.... 3 Removal of ......... ......... ......... ......... ......... ..............
pancreatic duct.
48150.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
pancreas.
48152.... 3 Pancreatectomy..... ......... ......... ......... ......... ......... ..............
48153.... 3 Pancreatectomy..... ......... ......... ......... ......... ......... ..............
48154.... 3 Pancreatectomy..... ......... ......... ......... ......... ......... ..............
48155.... 3 Removal of pancreas ......... ......... ......... ......... ......... ..............
48160.... 9 Pancreas removal, ......... ......... ......... ......... ......... ..............
transplant.
48180.... 3 Fuse pancreas and ......... ......... ......... ......... ......... ..............
bowel.
48400.... 3 Injection, ......... ......... ......... ......... ......... ..............
intraoperative.
48500.... 3 Surgery of pancreas ......... ......... ......... ......... ......... ..............
cyst.
48510.... 3 Drain pancreatic ......... ......... ......... ......... ......... ..............
pseudocyst.
48511.... 3 Drain pancreatic ......... ......... ......... ......... ......... ..............
pseudocyst.
48520.... 3 Fuse pancreas cyst ......... ......... ......... ......... ......... ..............
and bowel.
48540.... 3 Fuse pancreas cyst ......... ......... ......... ......... ......... ..............
and bowel.
48545.... 3 Pancreatorrhaphy... ......... ......... ......... ......... ......... ..............
48547.... 3 Duodenal exclusion. ......... ......... ......... ......... ......... ..............
48550.... 9 Donor ......... ......... ......... ......... ......... ..............
pancreatectomy.
48554.... 9 Transplantallograft ......... ......... ......... ......... ......... ..............
pancreas.
48556.... 3 Removal, allograft ......... ......... ......... ......... ......... ..............
pancreas.
48999.... 3 Pancreas surgery ......... ......... ......... ......... ......... ..............
procedure.
49000.... 3 Exploration of 4 $595 ......... ......... ......... Delete.
abdomen.
49002.... 3 Reopening of ......... ......... ......... ......... ......... ..............
abdomen.
49010.... 3 Exploration behind ......... ......... ......... ......... ......... ..............
abdomen.
49020.... 3 Drain abdominal ......... ......... ......... ......... ......... ..............
abscess.
49021.... 3 Drain abdominal ......... ......... ......... ......... ......... ..............
abscess.
49040.... 3 Open drainage abdom ......... ......... ......... ......... ......... ..............
abscess.
49041.... 3 Percut drain abdom ......... ......... ......... ......... ......... ..............
abscess.
49060.... 3 Open drain retroper ......... ......... ......... ......... ......... ..............
abscess.
49061.... 3 Percutdrain ......... ......... ......... ......... ......... ..............
retroper abscess.
49062.... 3 Drain to peritoneal ......... ......... ......... ......... ......... ..............
cavity.
49080.... 1 Puncture, 2 $422 320 $126 0.25 ..............
peritoneal cavity.
49081.... 1 Removal of 2 $422 320 $126 0.25 ..............
abdominal fluid.
49085.... 1 Remove abdomen 2 $422 459 $611 1.21 ..............
foreign body.
49180.... 1 Biopsy, abdominal 1 $314 122 $186 0.37 ..............
mass.
49200.... 3 Removal of ......... ......... ......... ......... ......... ..............
abdominal lesion.
49201.... 3 Removal of ......... ......... ......... ......... ......... ..............
abdominal lesion.
49215.... 3 Excise sacral spine ......... ......... ......... ......... ......... ..............
tumor.
49220.... 3 Multiple surgery, ......... ......... ......... ......... ......... ..............
abdomen.
49250.... 1 Excision of 4 $595 459 $611 1.21 ..............
umbilicus.
49255.... 3 Removal of omentum. ......... ......... ......... ......... ......... ..............
49400.... 2 Air injection into 1 $314 ......... ......... ......... Delete.
abdomen.
49420.... 1 Insert abdominal 1 $314 459 $611 1.21 ..............
drain.
49421.... 1 Insert abdominal 1 $314 459 $611 1.21 ..............
drain.
49422.... 1 Remove perm cannula/ ......... ......... 470 $119 0.24 Add.
catheter.
49423.... 3 Exchange drainage ......... ......... ......... ......... ......... ..............
cath.
49424.... 2 Assess cyst, ......... ......... ......... ......... ......... ..............
contrast inj.
49425.... 3 Insert abdomen- 2 $422 ......... ......... ......... Delete.
venous drain.
49426.... 1 Revise abdomen- 2 $422 459 $611 1.21 ..............
venous shunt.
49427.... 2 Injection, ......... ......... ......... ......... ......... ..............
abdominal shunt.
49428.... 3 Ligation of shunt.. ......... ......... ......... ......... ......... ..............
49429.... 1 Removal of shunt... ......... ......... 470 $119 0.24 Add.
49495.... 1 Repair inguinal ......... ......... 466 $739 1.47 Add.
hernia, init.
49496.... 1 Repair inguinal ......... ......... 466 $739 1.47 Add.
hernia, init.
49500.... 1 Repair inguinal ......... ......... 466 $739 1.47 Add.
hernia.
49501.... 1 Repair inguinal ......... ......... 466 $739 1.47 Add.
hernia, init.
49505.... 1 Repair inguinal 4 $595 466 $739 1.47 ..............
hernia.
49507.... 1 Repair, inguinal ......... ......... 466 $739 1.47 Add.
hernia.
49520.... 1 Rerepair inguinal 7 $941 466 $739 1.47 ..............
hernia.
49521.... 1 Repair inguinal ......... ......... 466 $739 1.47 Add.
hernia, rec.
49525.... 1 Repair inguinal 4 $595 466 $739 1.47 ..............
hernia.
49540.... 1 Repair lumbar 2 $422 466 $739 1.47 ..............
hernia.
49550.... 1 Repair femoral 5 $678 466 $739 1.47 ..............
hernia.
49553.... 1 Repair femoral ......... ......... 466 $739 1.47 Add.
hernia, init.
49555.... 1 Repair femoral 5 $678 466 $739 1.47 ..............
hernia.
49557.... 1 Repair femoral ......... ......... 466 $739 1.47 Add.
hernia, recur.
49560.... 1 Repair abdominal 4 $595 466 $739 1.47 ..............
hernia.
49561.... 1 Repair incisional ......... ......... 466 $739 1.47 Add.
hernia.
49565.... 1 Rerepair abdominal 4 $595 466 $739 1.47 ..............
hernia.
49566.... 1 Repair incisional ......... ......... 466 $739 1.47 Add.
hernia.
49568.... 1 Hernia repair w/ ......... ......... 466 $739 1.47 Add.
mesh.
[[Page 32377]]
49570.... 1 Repair epigastric 4 $595 466 $739 1.47 ..............
hernia.
49572.... 1 Repair, epigastric ......... ......... 466 $739 1.47 Add.
hernia.
49580.... 1 Repair umbilical ......... ......... 466 $739 1.47 Add.
hernia.
49582.... 1 Repair umbilical ......... ......... 466 $739 1.47 Add.
hernia.
49585.... 1 Repair umbilical 4 $595 466 $739 1.47 ..............
hernia.
49587.... 1 Repair umbilical ......... ......... 466 $739 1.47 Add.
hernia.
49590.... 1 Repair abdominal 3 $482 466 $739 1.47 ..............
hernia.
49600.... 1 Repair umbilical ......... ......... 466 $739 1.47 Add.
lesion.
49605.... 3 Repair umbilical ......... ......... ......... ......... ......... ..............
lesion.
49606.... 3 Repair umbilical ......... ......... ......... ......... ......... ..............
lesion.
49610.... 3 Repair umbilical ......... ......... ......... ......... ......... ..............
lesion.
49611.... 3 Repair umbilical ......... ......... ......... ......... ......... ..............
lesion.
49900.... 3 Repair of abdominal ......... ......... ......... ......... ......... ..............
wall.
49905.... 3 Omental flap....... ......... ......... ......... ......... ......... ..............
49906.... 3 Free omental flap, ......... ......... ......... ......... ......... ..............
microvasc.
49999.... 3 Abdomen surgery ......... ......... ......... ......... ......... ..............
procedure.
50010.... 3 Exploration of ......... ......... ......... ......... ......... ..............
kidney.
50020.... 3 Open drain renal 2 $422 ......... ......... ......... Delete.
abscess.
50021.... 3 Percut drain renal ......... ......... ......... ......... ......... ..............
abscess.
50040.... 3 Drainage of kidney. 3 $482 ......... ......... ......... Delete.
50045.... 3 Exploration of ......... ......... ......... ......... ......... ..............
kidney.
50060.... 3 Removal of kidney ......... ......... ......... ......... ......... ..............
stone.
50065.... 3 Incision of kidney. ......... ......... ......... ......... ......... ..............
50070.... 3 Incision of kidney. ......... ......... ......... ......... ......... ..............
50075.... 3 Removal of kidney ......... ......... ......... ......... ......... ..............
stone.
50080.... 3 Removal of kidney ......... ......... ......... ......... ......... ..............
stone.
50081.... 3 Removal of kidney ......... ......... ......... ......... ......... ..............
stone.
50100.... 3 Revise kidney blood ......... ......... ......... ......... ......... ..............
vessels.
50120.... 3 Exploration of ......... ......... ......... ......... ......... ..............
kidney.
50125.... 3 Explore and drain ......... ......... ......... ......... ......... ..............
kidney.
50130.... 3 Removal of kidney ......... ......... ......... ......... ......... ..............
stone.
50135.... 3 Exploration of ......... ......... ......... ......... ......... ..............
kidney.
50200.... 1 Biopsy of kidney... 1 $314 122 $186 0.37 ..............
50205.... 3 Biopsy of kidney... ......... ......... ......... ......... ......... ..............
50220.... 3 Removal of kidney.. ......... ......... ......... ......... ......... ..............
50225.... 3 Removal of kidney.. ......... ......... ......... ......... ......... ..............
50230.... 3 Removal of kidney.. ......... ......... ......... ......... ......... ..............
50234.... 3 Removal of kidney & ......... ......... ......... ......... ......... ..............
ureter.
50236.... 3 Removal of kidney & ......... ......... ......... ......... ......... ..............
ureter.
50240.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
kidney.
50280.... 3 Removal of kidney ......... ......... ......... ......... ......... ..............
lesion.
50290.... 3 Removal of kidney ......... ......... ......... ......... ......... ..............
lesion.
50300.... 9 Removal of donor ......... ......... ......... ......... ......... ..............
kidney.
50320.... 3 Removal of donor ......... ......... ......... ......... ......... ..............
kidney.
50340.... 3 Removal of kidney.. ......... ......... ......... ......... ......... ..............
50360.... 3 Transplantation of ......... ......... ......... ......... ......... ..............
kidney.
50365.... 3 Transplantation of ......... ......... ......... ......... ......... ..............
kidney.
50370.... 3 Remove transplanted ......... ......... ......... ......... ......... ..............
kidney.
50380.... 3 Reimplantation of ......... ......... ......... ......... ......... ..............
kidney.
50390.... 1 Drainage of kidney 1 $314 122 $186 0.37 ..............
lesion.
50392.... 2 Insert kidney drain 1 $314 ......... ......... ......... Delete.
50393.... 2 Insert ureteral 1 $314 ......... ......... ......... Delete.
tube.
50394.... 2 Injection for ......... ......... ......... ......... ......... ..............
kidney x-ray.
50395.... 2 Create passage to 1 $314 ......... ......... ......... Delete.
kidney.
50396.... 6 Measure kidney 1 $314 ......... ......... ......... Delete.
pressure.
50398.... 1 Change kidney tube. 1 $314 521 $212 0.42 ..............
50400.... 3 Revision of kidney/ ......... ......... ......... ......... ......... ..............
ureter.
50405.... 3 Revision of kidney/ ......... ......... ......... ......... ......... ..............
ureter.
50500.... 3 Repair of kidney ......... ......... ......... ......... ......... ..............
wound.
50520.... 3 Close kidney-skin 1 $314 ......... ......... ......... Delete.
fistula.
50525.... 3 Repair renal- ......... ......... ......... ......... ......... ..............
abdomen fistula.
50526.... 3 Repair renal- ......... ......... ......... ......... ......... ..............
abdomen fistula.
50540.... 3 Revision of ......... ......... ......... ......... ......... ..............
horseshoe kidney.
50551.... 1 Kidney endoscopy... 1 $314 522 $393 0.78 ..............
50553.... 1 Kidney endoscopy... 1 $314 522 $393 0.78 ..............
50555.... 1 Kidney endoscopy & 1 $314 522 $393 0.78 ..............
biopsy.
50557.... 1 Kidney endoscopy & 1 $314 522 $393 0.78 ..............
treatment.
50559.... 1 Renal endoscopy; 1 $314 522 $393 0.78 ..............
radiotracer.
50561.... 1 Kidney endoscopy & 1 $314 522 $393 0.78 ..............
treatment.
50570.... 3 Kidney endoscopy... 1 $314 ......... ......... ......... Delete.
50572.... 3 Kidney endoscopy... 1 $314 ......... ......... ......... Delete.
50574.... 3 Kidney endoscopy & 1 $314 ......... ......... ......... Delete.
biopsy.
50575.... 3 Kidney endoscopy... ......... ......... ......... ......... ......... ..............
50576.... 3 Kidney endoscopy & 1 $314 ......... ......... ......... Delete.
treatment.
[[Page 32378]]
50578.... 3 Renal endoscopy; 1 $314 ......... ......... ......... Delete.
radiotracer.
50580.... 3 Kidney endoscopy & 1 $314 ......... ......... ......... Delete.
treatment.
50590.... 1 Fragmenting of 9 ......... 527 $2,107 4.18 ..............
kidney stone.
50600.... 3 Exploration of ......... ......... ......... ......... ......... ..............
ureter.
50605.... 3 Insert ureteral ......... ......... ......... ......... ......... ..............
support.
50610.... 3 Removal of ureter ......... ......... ......... ......... ......... ..............
stone.
50620.... 3 Removal of ureter ......... ......... ......... ......... ......... ..............
stone.
50630.... 3 Removal of ureter ......... ......... ......... ......... ......... ..............
stone.
50650.... 3 Removal of ureter.. ......... ......... ......... ......... ......... ..............
50660.... 3 Removal of ureter.. ......... ......... ......... ......... ......... ..............
50684.... 2 Injection for 1 $314 ......... ......... ......... Delete.
ureter x-ray.
50686.... 6 Measure ureter ......... ......... ......... ......... ......... ..............
pressure.
50688.... 1 Change of ureter 1 $314 470 $119 0.24 ..............
tube.
50690.... 2 Injection for 1 $314 ......... ......... ......... Delete.
ureter x-ray.
50700.... 3 Revision of ureter. ......... ......... ......... ......... ......... ..............
50715.... 3 Release of ureter.. ......... ......... ......... ......... ......... ..............
50722.... 3 Release of ureter.. ......... ......... ......... ......... ......... ..............
50725.... 3 Release/revise ......... ......... ......... ......... ......... ..............
ureter.
50727.... 3 Revise ureter...... ......... ......... ......... ......... ......... ..............
50728.... 3 Revise ureter...... ......... ......... ......... ......... ......... ..............
50740.... 3 Fusion of ureter & ......... ......... ......... ......... ......... ..............
kidney.
50750.... 3 Fusion of ureter & ......... ......... ......... ......... ......... ..............
kidney.
50760.... 3 Fusion of ureters.. ......... ......... ......... ......... ......... ..............
50770.... 3 Splicing of ureters ......... ......... ......... ......... ......... ..............
50780.... 3 Reimplant ureter in ......... ......... ......... ......... ......... ..............
bladder.
50782.... 3 Reimplant ureter in ......... ......... ......... ......... ......... ..............
bladder.
50783.... 3 Reimplant ureter in ......... ......... ......... ......... ......... ..............
bladder.
50785.... 3 Reimplant ureter in ......... ......... ......... ......... ......... ..............
bladder.
50800.... 3 Implant ureter in ......... ......... ......... ......... ......... ..............
bowel.
50810.... 3 Fusion of ureter & ......... ......... ......... ......... ......... ..............
bowel.
50815.... 3 Urine shunt to ......... ......... ......... ......... ......... ..............
bowel.
50820.... 3 Construct bowel ......... ......... ......... ......... ......... ..............
bladder.
50825.... 3 Construct bowel ......... ......... ......... ......... ......... ..............
bladder.
50830.... 3 Revise urine flow.. ......... ......... ......... ......... ......... ..............
50840.... 3 Replace ureter by ......... ......... ......... ......... ......... ..............
bowel.
50845.... 3 Appendico- ......... ......... ......... ......... ......... ..............
vesicostomy.
50860.... 3 Transplant ureter ......... ......... ......... ......... ......... ..............
to skin.
50900.... 3 Repair of ureter... ......... ......... ......... ......... ......... ..............
50920.... 3 Closure ureter/skin ......... ......... ......... ......... ......... ..............
fistula.
50930.... 3 Closure ureter/ ......... ......... ......... ......... ......... ..............
bowel fistula.
50940.... 3 Release of ureter.. ......... ......... ......... ......... ......... ..............
50951.... 1 Endoscopy of ureter 1 $314 523 $504 1.00 ..............
50953.... 1 Endoscopy of ureter 1 $314 523 $504 1.00 ..............
50955.... 1 Ureter endoscopy & 1 $314 523 $504 1.00 ..............
biopsy.
50957.... 1 Ureter endoscopy & 1 $314 523 $504 1.00 ..............
treatment.
50959.... 1 Ureter endoscopy & 1 $314 523 $504 1.00 ..............
tracer.
50961.... 1 Ureter endoscopy & 1 $314 523 $504 1.00 ..............
treatment.
50970.... 3 Ureter endoscopy... 1 $314 ......... ......... ......... Delete.
50972.... 3 Ureter endoscopy & 1 $314 ......... ......... ......... Delete.
catheter.
50974.... 3 Ureter endoscopy & 1 $314 ......... ......... ......... Delete.
biopsy.
50976.... 3 Ureter endoscopy & 1 $314 ......... ......... ......... Delete.
treatment.
50978.... 3 Ureter endoscopy & 1 $314 ......... ......... ......... Delete.
tracer.
50980.... 3 Ureter endoscopy & 1 $314 ......... ......... ......... Delete.
treatment.
51000.... 5 Drainage of bladder ......... ......... ......... ......... ......... ..............
51005.... 5 Drainage of bladder 1 $314 ......... ......... ......... Delete.
51010.... 5 Drainage of bladder 1 $314 ......... ......... ......... Delete.
51020.... 1 Incise & treat 4 $595 523 $504 1.00 ..............
bladder.
51030.... 1 Incise & treat 4 $595 523 $504 1.00 ..............
bladder.
51040.... 1 Incise & drain 4 $595 523 $504 1.00 ..............
bladder.
51045.... 1 Incise bladder, 4 $595 523 $504 1.00 ..............
drain ureter.
51050.... 1 Removal of bladder ......... ......... 523 $504 1.00 Add.
stone.
51060.... 3 Removal of ureter ......... ......... ......... ......... ......... ..............
stone.
51065.... 1 Removal of ureter ......... ......... 523 $504 1.00 Add.
stone.
51080.... 1 Drainage of bladder ......... ......... 132 $162 0.32 Add.
abscess.
51500.... 1 Removal of bladder 4 $595 466 $739 1.47 ..............
cyst.
51520.... 1 Removal of bladder ......... ......... 523 $504 1.00 Add.
lesion.
51525.... 3 Removal of bladder ......... ......... ......... ......... ......... ..............
lesion.
51530.... 3 Removal of bladder ......... ......... ......... ......... ......... ..............
lesion.
51535.... 3 Repair of ureter ......... ......... ......... ......... ......... ..............
lesion.
51550.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
bladder.
51555.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
bladder.
51565.... 3 Revise bladder & ......... ......... ......... ......... ......... ..............
ureter(s).
51570.... 3 Removal of bladder. ......... ......... ......... ......... ......... ..............
51575.... 3 Removal of bladder ......... ......... ......... ......... ......... ..............
& nodes.
[[Page 32379]]
51580.... 3 Remove bladder; ......... ......... ......... ......... ......... ..............
revise tract.
51585.... 3 Removal of bladder ......... ......... ......... ......... ......... ..............
& nodes.
51590.... 3 Remove bladder; ......... ......... ......... ......... ......... ..............
revise tract.
51595.... 3 Remove bladder; ......... ......... ......... ......... ......... ..............
revise tract.
51596.... 3 Remove bladder, ......... ......... ......... ......... ......... ..............
create pouch.
51597.... 3 Removal of pelvic ......... ......... ......... ......... ......... ..............
structures.
51600.... 2 Injection for 1 $314 ......... ......... ......... Delete.
bladder x-ray.
51605.... 2 Preparation for 1 $314 ......... ......... ......... Delete.
bladder xray.
51610.... 2 Injection for 1 $314 ......... ......... ......... Delete.
bladder x-ray.
51700.... 5 Irrigation of ......... ......... ......... ......... ......... ..............
bladder.
51705.... 1 Change of bladder ......... ......... 470 $119 0.24 Add.
tube.
51710.... 1 Change of bladder 1 $314 470 $119 0.24 ..............
tube.
51715.... 1 Endoscopic ......... ......... 531 $418 0.83 Add.
injection/implant.
51720.... 5 Treatment of ......... ......... ......... ......... ......... ..............
bladder lesion.
51725.... 6 Simple 1 $314 ......... ......... ......... Delete.
cystometrogram.
51726.... 6 Complex 1 $314 ......... ......... ......... Delete.
cystometrogram.
51736.... 6 Urine flow ......... ......... ......... ......... ......... ..............
measurement.
51741.... 6 Electro- ......... ......... ......... ......... ......... ..............
uroflowmetry,
first.
51772.... 6 Urethra pressure 1 $314 ......... ......... ......... Delete.
profile.
51784.... 6 Anal/urinary muscle ......... ......... ......... ......... ......... ..............
study.
51785.... 6 Anal/urinary muscle 1 $314 ......... ......... ......... Delete.
study.
51792.... 6 Urinary reflex ......... ......... ......... ......... ......... ..............
study.
51795.... 6 Urine voiding ......... ......... ......... ......... ......... ..............
pressure study.
51797.... 6 Intraabdominal ......... ......... ......... ......... ......... ..............
pressure test.
51800.... 3 Revision of bladder/ ......... ......... ......... ......... ......... ..............
urethra.
51820.... 3 Revision of urinary ......... ......... ......... ......... ......... ..............
tract.
51840.... 3 Attach bladder/ ......... ......... ......... ......... ......... ..............
urethra.
51841.... 3 Attach bladder/ ......... ......... ......... ......... ......... ..............
urethra.
51845.... 3 Repair bladder neck ......... ......... ......... ......... ......... ..............
51860.... 3 Repair of bladder ......... ......... ......... ......... ......... ..............
wound.
51865.... 3 Repair of bladder 4 $595 ......... ......... ......... Delete.
wound.
51880.... 1 Repair of bladder 1 $314 523 $504 1.00 ..............
opening.
51900.... 3 Repair bladder/ 4 $595 ......... ......... ......... Delete.
vagina lesion.
51920.... 3 Close bladder- 3 $482 ......... ......... ......... Delete.
uterus fistula.
51925.... 3 Hysterectomy/ ......... ......... ......... ......... ......... ..............
bladder repair.
51940.... 3 Correction of ......... ......... ......... ......... ......... ..............
bladder defect.
51960.... 3 Revision of bladder ......... ......... ......... ......... ......... ..............
& bowel.
51980.... 3 Construct bladder ......... ......... ......... ......... ......... ..............
opening.
52000.... 1 Cystoscopy......... 1 $314 521 $212 0.42 ..............
52005.... 1 Cystoscopy & ureter 2 $422 522 $393 0.78 ..............
catheter.
52007.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
biopsy.
52010.... 1 Cystoscopy & duct 2 $422 522 $393 0.78 ..............
catheter.
52204.... 1 Cystoscopy......... 2 $422 522 $393 0.78 ..............
52214.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52224.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52234.... 1 Cystoscopy and 2 $422 523 $504 1.00 ..............
treatment.
52235.... 1 Cystoscopy and 3 $482 523 $504 1.00 ..............
treatment.
52240.... 1 Cystoscopy and 3 $482 523 $504 1.00 ..............
treatment.
52250.... 1 Cystoscopy & 4 $595 523 $504 1.00 ..............
radiotracer.
52260.... 1 Cystoscopy & 2 $422 522 $393 0.78 ..............
treatment.
52265.... 1 Cystoscopy & ......... ......... 521 $212 0.42 Add.
treatment.
52270.... 1 Cystoscopy & revise 2 $422 522 $393 0.78 ..............
urethra.
52275.... 1 Cystoscopy & revise 2 $422 522 $393 0.78 ..............
urethra.
52276.... 1 Cystoscopy and 3 $482 522 $393 0.78 ..............
treatment.
52277.... 1 Cystoscopy and 2 $422 523 $504 1.00 ..............
treatment.
52281.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52282.... 1 Cystoscopy, implant ......... ......... 523 $504 1.00 Add.
stent.
52283.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52285.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52290.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52300.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52301.... 1 Cystoscopy and ......... ......... 522 $393 0.78 Add.
treatment.
52305.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52310.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52315.... 1 Cystoscopy and 2 $422 522 $393 0.78 ..............
treatment.
52317.... 1 Remove bladder 1 $314 523 $504 1.00 ..............
stone.
52318.... 1 Remove bladder 2 $422 523 $504 1.00 ..............
stone.
52320.... 1 Cystoscopy and 5 $678 523 $504 1.00 ..............
treatment.
52325.... 1 Cystoscopy, stone 4 $595 523 $504 1.00 ..............
removal.
52327.... 1 Cystoscopy, inject ......... ......... 522 $393 0.78 Add.
material.
52330.... 1 Cystoscopy and 2 $422 523 $504 1.00 ..............
treatment.
52332.... 1 Cystoscopy and 2 $422 523 $504 1.00 ..............
treatment.
52334.... 1 Create passage to 3 $482 523 $504 1.00 ..............
kidney.
52335.... 1 Endoscopy of 3 $482 523 $504 1.00 ..............
urinary tract.
[[Page 32380]]
52336.... 1 Cystoscopy, stone 4 $595 523 $504 1.00 ..............
removal.
52337.... 1 Cystoscopy, stone 4 $595 524 $1,131 2.24 ..............
removal.
52338.... 1 Cystoscopy and 4 $595 523 $504 1.00 ..............
treatment.
52339.... 1 Cystoscopy and ......... ......... 523 $504 1.00 Add.
treatment.
52340.... 1 Cystoscopy and 3 $482 523 $504 1.00 ..............
treatment.
52450.... 1 Incision of 3 $482 523 $504 1.00 ..............
prostate.
52500.... 1 Revision of bladder 3 $482 523 $504 1.00 ..............
neck.
52510.... 1 Dilation prostatic ......... ......... 522 $393 0.78 Add.
urethra.
52601.... 1 Prostatectomy 4 $595 524 $1,131 2.24 ..............
(TURP).
52606.... 1 Control postop 1 $314 523 $504 1.00 ..............
bleeding.
52612.... 1 Prostatectomy, 2 $422 524 $1,131 2.24 ..............
first stage.
52614.... 1 Prostatectomy, 1 $314 524 $1,131 2.24 ..............
second stage.
52620.... 1 Remove residual 1 $314 524 $1,131 2.24 ..............
prostate.
52630.... 1 Remove prostate 2 $422 524 $1,131 2.24 ..............
regrowth.
52640.... 1 Relieve bladder 2 $422 523 $504 1.00 ..............
contracture.
52647.... 1 Laser surgery of ......... ......... 524 $1,131 2.24 Add.
prostate.
52648.... 1 Laser surgery of ......... ......... 524 $1,131 2.24 Add.
prostate.
52700.... 1 Drainage of 2 $422 523 $504 1.00 ..............
prostate abscess.
53000.... 1 Incision of urethra 1 $314 531 $418 0.83 ..............
53010.... 1 Incision of urethra 1 $314 531 $418 0.83 ..............
53020.... 1 Incision of urethra 1 $314 531 $418 0.83 ..............
53025.... 1 Incision of urethra ......... ......... 531 $418 0.83 Add.
53040.... 1 Drainage of urethra 2 $422 531 $418 0.83 ..............
abscess.
53060.... 1 Drainage of urethra ......... ......... 531 $418 0.83 Add.
abscess.
53080.... 1 Drainage of urinary ......... ......... 531 $418 0.83 Add.
leakage.
53085.... 3 Drainage of urinary ......... ......... ......... ......... ......... ..............
leakage.
53200.... 1 Biopsy of urethra.. 1 $314 531 $418 0.83 ..............
53210.... 1 Removal of urethra. 5 $678 532 $644 1.28 ..............
53215.... 1 Removal of urethra. 5 $678 532 $644 1.28 ..............
53220.... 1 Treatment of 2 $422 532 $644 1.28 ..............
urethra lesion.
53230.... 1 Removal of urethra 2 $422 532 $644 1.28 ..............
lesion.
53235.... 1 Removal of urethra 3 $482 532 $644 1.28 ..............
lesion.
53240.... 1 Surgery for urethra 2 $422 532 $644 1.28 ..............
pouch.
53250.... 1 Removal of urethra 2 $422 531 $418 0.83 ..............
gland.
53260.... 1 Treatment of 2 $422 531 $418 0.83 ..............
urethra lesion.
53265.... 1 Treatment of 2 $422 531 $418 0.83 ..............
urethra lesion.
53270.... 1 Removal of urethra ......... ......... 531 $418 0.83 Add.
gland.
53275.... 1 Repair of urethra 2 $422 531 $418 0.83 ..............
defect.
53400.... 1 Revise urethra, 1st 3 $482 532 $644 1.28 ..............
stage.
53405.... 1 Revise urethra, 2nd 2 $422 532 $644 1.28 ..............
stage.
53410.... 1 Reconstruction of 2 $422 532 $644 1.28 ..............
urethra.
53415.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
urethra.
53420.... 1 Reconstruct 3 $482 532 $644 1.28 ..............
urethra, stage 1.
53425.... 1 Reconstruct 2 $422 532 $644 1.28 ..............
urethra, stage 2.
53430.... 1 Reconstruction of 2 $422 532 $644 1.28 ..............
urethra.
53440.... 1 Correct bladder 2 $422 538 $1,221 2.42 ..............
function.
53442.... 1 Remove perineal 1 $314 531 $418 0.83 ..............
prosthesis.
53443.... 3 Reconstruction of ......... ......... ......... ......... ......... ..............
urethra.
53445.... 1 Correct urine flow ......... ......... 538 $1,221 2.42 Add.
control.
53447.... 1 Remove artificial 1 $314 532 $644 1.28 ..............
sphincter.
53449.... 1 Correct artificial 1 $314 532 $644 1.28 ..............
sphincter.
53450.... 1 Revision of urethra 1 $314 532 $644 1.28 ..............
53460.... 1 Revision of urethra 1 $314 532 $644 1.28 ..............
53502.... 1 Repair of urethra 2 $422 531 $418 0.83 ..............
injury.
53505.... 1 Repair of urethra 2 $422 531 $418 0.83 ..............
injury.
53510.... 1 Repair of urethra 2 $422 531 $418 0.83 ..............
injury.
53515.... 1 Repair of urethra 2 $422 532 $644 1.28 ..............
injury.
53520.... 1 Repair of urethra 2 $422 532 $644 1.28 ..............
defect.
53600.... 5 Dilate urethra ......... ......... ......... ......... ......... ..............
stricture.
53601.... 5 Dilate urethra ......... ......... ......... ......... ......... ..............
stricture.
53605.... 1 Dilate urethra 2 $422 522 $393 0.78 ..............
stricture.
53620.... 5 Dilate urethra ......... ......... ......... ......... ......... ..............
stricture.
53621.... 5 Dilate urethra ......... ......... ......... ......... ......... ..............
stricture.
53660.... 5 Dilation of urethra ......... ......... ......... ......... ......... ..............
53661.... 5 Dilation of urethra ......... ......... ......... ......... ......... ..............
53665.... 1 Dilation of urethra 1 $314 531 $418 0.83 ..............
53670.... 5 Insert urinary ......... ......... ......... ......... ......... ..............
catheter.
53675.... 5 Insert urinary ......... ......... ......... ......... ......... ..............
catheter.
53850.... 1 Prostatic microwave ......... ......... 524 $1,131 2.24 Add.
thermotx.
53852.... 1 Prostatic rf ......... ......... 524 $1,131 2.24 Add.
thermotx.
53899.... 3 Urology surgery ......... ......... ......... ......... ......... ..............
procedure.
54000.... 1 Slitting of prepuce ......... ......... 531 $418 0.83 Add.
54001.... 1 Slitting of prepuce 2 $422 531 $418 0.83 ..............
54015.... 1 Drain penis lesion. 4 $595 132 $162 0.32 ..............
[[Page 32381]]
54050.... 1 Destruction, penis ......... ......... 152 $213 0.42 Add.
lesion(s).
54055.... 1 Destruction, penis ......... ......... 152 $213 0.42 Add.
lesion(s).
54056.... 1 Cryosurgery, penis ......... ......... 152 $213 0.42 Add.
lesion(s).
54057.... 1 Laser surg, penis 1 $314 152 $213 0.42 ..............
lesion(s).
54060.... 1 Excision of penis 1 $314 152 $213 0.42 ..............
lesion(s).
54065.... 1 Destruction, penis 1 $314 152 $213 0.42 ..............
lesion(s).
54100.... 1 Biopsy of penis.... 1 $314 162 $187 0.37 ..............
54105.... 1 Biopsy of penis.... 1 $314 162 $187 0.37 ..............
54110.... 1 Treatment of penis 2 $422 537 $1,221 2.42 ..............
lesion.
54111.... 1 Treat penis lesion, ......... ......... 537 $1,221 2.42 Add.
graft.
54112.... 1 Treat penis lesion, ......... ......... 537 $1,221 2.42 Add.
graft.
54115.... 1 Treatment of penis 1 $314 132 $162 0.32 ..............
lesion.
54120.... 1 Partial removal of 2 $422 537 $1,221 2.42 ..............
penis.
54125.... 3 Removal of penis... 2 $422 ......... ......... ......... Delete.
54130.... 3 Remove penis & ......... ......... ......... ......... ......... ..............
nodes.
54135.... 3 Remove penis & ......... ......... ......... ......... ......... ..............
nodes.
54150.... 1 Circumcision....... ......... ......... 536 $459 0.91 Add.
54152.... 1 Circumcision....... 1 $314 536 $459 0.91 ..............
54160.... 1 Circumcision....... ......... ......... 536 $459 0.91 Add.
54161.... 1 Circumcision....... 2 $422 536 $459 0.91 ..............
54200.... 5 Treatment of penis ......... ......... ......... ......... ......... ..............
lesion.
54205.... 1 Treatment of penis 4 $595 537 $1,221 2.42 ..............
lesion.
54220.... 5 Treatment of penis 1 $314 ......... ......... ......... Delete.
lesion.
54230.... 2 Prepare penis study ......... ......... ......... ......... ......... ..............
54231.... 5 Dynamic ......... ......... ......... ......... ......... ..............
cavernosometry.
54235.... 5 Penile injection... ......... ......... ......... ......... ......... ..............
54240.... 6 Penis study........ ......... ......... ......... ......... ......... ..............
54250.... 6 Penis study........ ......... ......... ......... ......... ......... ..............
54300.... 1 Revision of penis.. 3 $482 537 $1,221 2.42 ..............
54304.... 1 Revision of penis.. ......... ......... 537 $1,221 2.42 Add.
54308.... 1 Reconstruction of ......... ......... 537 $1,221 2.42 Add.
urethra.
54312.... 1 Reconstruction of ......... ......... 537 $1,221 2.42 Add.
urethra.
54316.... 1 Reconstruction of ......... ......... 537 $1,221 2.42 Add.
urethra.
54318.... 1 Reconstruction of ......... ......... 537 $1,221 2.42 Add.
urethra.
54322.... 1 Reconstruction of ......... ......... 537 $1,221 2.42 Add.
urethra.
54324.... 1 Reconstruction of ......... ......... 537 $1,221 2.42 Add.
urethra.
54326.... 1 Reconstruction of ......... ......... 537 $1,221 2.42 Add.
urethra.
54328.... 1 Revise penis, ......... ......... 537 $1,221 2.42 Add.
urethra.
54332.... 3 Revise penis, ......... ......... ......... ......... ......... ..............
urethra.
54336.... 3 Revise penis, ......... ......... ......... ......... ......... ..............
urethra.
54340.... 1 Secondary urethral ......... ......... 537 $1,221 2.42 Add.
surgery.
54344.... 1 Secondary urethral ......... ......... 537 $1,221 2.42 Add.
surgery.
54348.... 1 Secondary urethral ......... ......... 537 $1,221 2.42 Add.
surgery.
54352.... 1 Reconstruct ......... ......... 537 $1,221 2.42 Add.
urethra, penis.
54360.... 1 Penis plastic 3 $482 537 $1,221 2.42 ..............
surgery.
54380.... 1 Repair penis....... ......... ......... 537 $1,221 2.42 Add.
54385.... 1 Repair penis....... ......... ......... 537 $1,221 2.42 Add.
54390.... 3 Repair penis and ......... ......... ......... ......... ......... ..............
bladder.
54400.... 1 Insert semi-rigid ......... ......... 538 $1,221 2.42 Add.
prosthesis.
54401.... 1 Insert self-contd ......... ......... 538 $1,221 2.42 Add.
prosthesis.
54402.... 1 Remove penis ......... ......... 537 $1,221 2.42 Add.
prosthesis.
54405.... 1 Insert multi-comp ......... ......... 538 $1,221 2.42 Add.
prosthesis.
54407.... 1 Remove multi-comp ......... ......... 537 $1,221 2.42 Add.
prosthesis.
54409.... 1 Revise penis ......... ......... 537 $1,221 2.42 Add.
prosthesis.
54420.... 1 Revision of penis.. 4 $595 537 $1,221 2.42 ..............
54430.... 3 Revision of penis.. ......... ......... ......... ......... ......... ..............
54435.... 1 Revision of penis.. 4 $595 537 $1,221 2.42 ..............
54440.... 1 Repair of penis.... 4 $595 537 $1,221 2.42 ..............
54450.... 5 Preputial 1 $314 ......... ......... ......... Delete.
stretching.
54500.... 1 Biopsy of testis... 1 $314 122 $186 0.37 ..............
54505.... 1 Biopsy of testis... 1 $314 546 $523 1.04 ..............
54510.... 1 Removal of testis 2 $422 546 $523 1.04 ..............
lesion.
54520.... 1 Removal of testis.. 3 $482 546 $523 1.04 ..............
54530.... 1 Removal of testis.. 4 $595 546 $523 1.04 ..............
54535.... 3 Extensive testis ......... ......... ......... ......... ......... ..............
surgery.
54550.... 1 Exploration for 4 $595 546 $523 1.04 ..............
testis.
54560.... 3 Exploration for ......... ......... ......... ......... ......... ..............
testis.
54600.... 1 Reduce testis 4 $595 546 $523 1.04 ..............
torsion.
54620.... 1 Suspension of 3 $482 546 $523 1.04 ..............
testis.
54640.... 1 Suspension of 4 $595 546 $523 1.04 ..............
testis.
54650.... 3 Orchiopexy (Fowler- ......... ......... ......... ......... ......... ..............
Stephens).
54660.... 1 Revision of testis. 2 $422 546 $523 1.04 ..............
54670.... 1 Repair testis 3 $482 546 $523 1.04 ..............
injury.
54680.... 1 Relocation of 3 $482 546 $523 1.04 ..............
testis(es).
[[Page 32382]]
54700.... 1 Drainage of scrotum 2 $422 546 $523 1.04 ..............
54800.... 1 Biopsy of 1 $314 122 $186 0.37 ..............
epididymis.
54820.... 1 Exploration of 1 $314 546 $523 1.04 ..............
epididymis.
54830.... 1 Remove epididymis 3 $482 546 $523 1.04 ..............
lesion.
54840.... 1 Remove epididymis 4 $595 546 $523 1.04 ..............
lesion.
54860.... 1 Removal of 3 $482 546 $523 1.04 ..............
epididymis.
54861.... 1 Removal of 4 $595 546 $523 1.04 ..............
epididymis.
54900.... 1 Fusion of spermatic 4 $595 546 $523 1.04 ..............
ducts.
54901.... 1 Fusion of spermatic 4 $595 546 $523 1.04 ..............
ducts.
55000.... 5 Drainage of ......... ......... ......... ......... ......... ..............
hydrocele.
55040.... 1 Removal of 3 $482 466 $739 1.47 ..............
hydrocele.
55041.... 1 Removal of 5 $678 466 $739 1.47 ..............
hydroceles.
55060.... 1 Repair of hydrocele 4 $595 546 $523 1.04 ..............
55100.... 1 Drainage of scrotum 1 $314 132 $162 0.32 ..............
abscess.
55110.... 1 Explore scrotum.... 2 $422 546 $523 1.04 ..............
55120.... 1 Removal of scrotum 2 $422 546 $523 1.04 ..............
lesion.
55150.... 1 Removal of scrotum. 1 $314 546 $523 1.04 ..............
55175.... 1 Revision of scrotum 1 $314 546 $523 1.04 ..............
55180.... 1 Revision of scrotum 2 $422 546 $523 1.04 ..............
55200.... 1 Incision of sperm 2 $422 546 $523 1.04 ..............
duct.
55250.... 1 Removal of sperm ......... ......... 546 $523 1.04 Add.
duct(s).
55300.... 2 Preparation,sperm ......... ......... ......... ......... ......... ..............
duct x-ray.
55400.... 1 Repair of sperm 1 $314 546 $523 1.04 ..............
duct.
55450.... 1 Ligation of sperm ......... ......... 546 $523 1.04 Add.
duct.
55500.... 1 Removal of 3 $482 546 $523 1.04 ..............
hydrocele.
55520.... 1 Removal of sperm 4 $595 546 $523 1.04 ..............
cord lesion.
55530.... 1 Revise spermatic 4 $595 546 $523 1.04 ..............
cord veins.
55535.... 1 Revise spermatic 4 $595 546 $523 1.04 ..............
cord veins.
55540.... 1 Revise hernia & 5 $678 546 $523 1.04 ..............
sperm veins.
55600.... 3 Incise sperm duct 1 $314 ......... ......... ......... Delete.
pouch.
55605.... 3 Incise sperm duct 1 $314 ......... ......... ......... Delete.
pouch.
55650.... 3 Remove sperm duct 1 $314 ......... ......... ......... Delete.
pouch.
55680.... 1 Remove sperm pouch 1 $314 546 $523 1.04 ..............
lesion.
55700.... 1 Biopsy of prostate. 2 $422 547 $265 0.53 ..............
55705.... 1 Biopsy of prostate. 2 $422 547 $265 0.53 ..............
55720.... 1 Drainage of 1 $314 523 $504 1.00 ..............
prostate abscess.
55725.... 1 Drainage of ......... ......... 523 $504 1.00 Add.
prostate abscess.
55801.... 3 Removal of prostate ......... ......... ......... ......... ......... ..............
55810.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55812.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55815.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55821.... 3 Removal of prostate ......... ......... ......... ......... ......... ..............
55831.... 3 Removal of prostate ......... ......... ......... ......... ......... ..............
55840.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55842.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55845.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55859.... 1 Percut/needle ......... ......... 523 $504 1.00 Add.
insert, pros.
55860.... 3 Surgical exposure, ......... ......... ......... ......... ......... ..............
prostate.
55862.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55865.... 3 Extensive prostate ......... ......... ......... ......... ......... ..............
surgery.
55870.... 6 Electroejaculation. ......... ......... ......... ......... ......... ..............
55899.... 3 Genital surgery ......... ......... ......... ......... ......... ..............
procedure.
55970.... 9 Sex transformation, ......... ......... ......... ......... ......... ..............
M to F.
55980.... 9 Sex transformation, ......... ......... ......... ......... ......... ..............
F to M.
56300.... 1 Laparoscopy; 3 $482 551 $831 1.65 ..............
diagnostic.
56301.... 1 Laparoscopy; tubal 3 $482 551 $831 1.65 ..............
cautery.
56302.... 1 Laparoscopy; tubal 3 $482 551 $831 1.65 ..............
block.
56303.... 1 Laparoscopy; excise 5 $678 551 $831 1.65 ..............
lesions.
56304.... 1 Laparoscopy; lysis. 5 $678 551 $831 1.65 ..............
56305.... 1 Laparoscopy; biopsy 4 $595 551 $831 1.65 ..............
56306.... 1 Laparoscopy; 4 $595 551 $831 1.65 ..............
aspiration.
56307.... 1 Laparoscopy; remove 5 $678 552 $1,383 2.74 ..............
adnexa.
56308.... 3 Laparoscopy; ......... ......... ......... ......... ......... ..............
hysterectomy.
56309.... 1 Laparoscopy; remove 5 $678 552 $1,383 2.74 ..............
myoma.
56310.... 3 Laparoscopic ......... ......... ......... ......... ......... ..............
enterolysis.
56311.... 1 Laparoscopic lymph ......... ......... 552 $1,383 2.74 Add.
node biop.
56312.... 1 Laparoscopic ......... ......... 552 $1,383 2.74 Add.
lymphadenectomy.
56313.... 1 Laparoscopic ......... ......... 552 $1,383 2.74 Add.
lymphadenectomy.
56314.... 3 Lapar; drain ......... ......... ......... ......... ......... ..............
lymphocele.
56315.... 3 Laparoscopic ......... ......... ......... ......... ......... ..............
appendectomy.
56316.... 1 Laparoscopic hernia 4 $595 552 $1,383 2.74 ..............
repair.
56317.... 1 Laparoscopic hernia 7 $941 552 $1,383 2.74 ..............
repair.
56318.... 1 Laparoscopic ......... ......... 552 $1,383 2.74 Add.
orchiectomy.
56320.... 1 Laparoscopy, ......... ......... 552 $1,383 2.74 Add.
spermatic veins.
[[Page 32383]]
56322.... 3 Laparoscopy, vagus ......... ......... ......... ......... ......... ..............
nerves.
56323.... 3 Laparoscopy, vagus ......... ......... ......... ......... ......... ..............
nerves.
56324.... 3 Laparoscopy, ......... ......... ......... ......... ......... ..............
cholecystoenter.
56340.... 3 Laparoscopic ......... ......... ......... ......... ......... ..............
cholecystectomy.
56341.... 3 Laparoscopic ......... ......... ......... ......... ......... ..............
cholecystectomy.
56342.... 3 Laparoscopic ......... ......... ......... ......... ......... ..............
cholecystectomy.
56343.... 1 Laparoscopic 5 $678 552 $1,383 2.74 ..............
salpingostomy.
56344.... 1 Laparoscopic 5 $678 552 $1,383 2.74 ..............
fimbrioplasty.
56345.... 3 Laparoscopic ......... ......... ......... ......... ......... ..............
splenectomy.
56346.... 1 Laparoscopic ......... ......... 551 $831 1.65 Add.
gastrostomy.
56347.... 3 Laparoscopic ......... ......... ......... ......... ......... ..............
jejunostomy.
56348.... 3 Laparo; resect ......... ......... ......... ......... ......... ..............
intestine.
56349.... 3 Laparoscopy; ......... ......... ......... ......... ......... ..............
fundoplasty.
56350.... 1 Hysteroscopy; 1 $314 562 $481 0.95 ..............
diagnostic.
56351.... 1 Hysteroscopy; 3 $482 550 $610 1.21 ..............
biopsy.
56352.... 1 Hysteroscopy; lysis 2 $422 550 $610 1.21 ..............
56353.... 1 Hysteroscopy; ......... ......... 550 $610 1.21 Add.
resect septum.
56354.... 1 Hysteroscopy; 3 $482 550 $610 1.21 ..............
remove myoma.
56355.... 1 Hysteroscopy; ......... ......... 550 $610 1.21 Add.
remove impact.
56356.... 1 Hysteroscopy; 4 $595 550 $610 1.21 ..............
ablation.
56362.... 1 Laparoscopy w/ 3 $482 552 $1,383 2.74 ..............
cholangio.
56363.... 1 Laparoscopy w/ 3 $482 552 $1,383 2.74 ..............
biopsy.
56399.... 3 Laparoscopy ......... ......... ......... ......... ......... ..............
procedure.
56405.... 5 I & D of vulva/ 2 $422 ......... ......... ......... Delete.
perineum.
56420.... 5 Drainage of gland ......... ......... ......... ......... ......... ..............
abscess.
56440.... 1 Surgery for vulva 2 $422 562 $481 0.95 ..............
lesion.
56441.... 5 Lysis of labial 1 $314 ......... ......... ......... Delete.
lesion(s).
56501.... 1 Destruction, vulva ......... ......... 152 $213 0.42 Add.
lesion(s).
56515.... 1 Destruction, vulva 3 $482 152 $213 0.42 ..............
lesion(s).
56605.... 5 Biopsy of vulva/ 1 $314 ......... ......... ......... Delete.
perineum.
56606.... 5 Biopsy of vulva/ ......... ......... ......... ......... ......... ..............
perineum.
56620.... 1 Partial removal of 5 $678 563 $601 1.19 ..............
vulva.
56625.... 1 Complete removal of 7 $941 563 $601 1.19 ..............
vulva.
56630.... 3 Extensive vulva ......... ......... ......... ......... ......... ..............
surgery.
56631.... 3 Extensive vulva ......... ......... ......... ......... ......... ..............
surgery.
56632.... 3 Extensive vulva ......... ......... ......... ......... ......... ..............
surgery.
56633.... 3 Extensive vulva ......... ......... ......... ......... ......... ..............
surgery.
56634.... 3 Extensive vulva ......... ......... ......... ......... ......... ..............
surgery.
56637.... 3 Extensive vulva ......... ......... ......... ......... ......... ..............
surgery.
56640.... 3 Extensive vulva ......... ......... ......... ......... ......... ..............
surgery.
56700.... 1 Partial removal of 1 $314 562 $481 0.95 ..............
hymen.
56720.... 1 Incision of hymen.. 1 $314 562 $481 0.95 ..............
56740.... 1 Remove vagina gland 3 $482 562 $481 0.95 ..............
lesion.
56800.... 1 Repair of vagina... 3 $482 562 $481 0.95 ..............
56805.... 3 Repair clitoris.... ......... ......... ......... ......... ......... ..............
56810.... 1 Repair of perineum. 5 $678 562 $481 0.95 ..............
57000.... 1 Exploration of 1 $314 562 $481 0.95 ..............
vagina.
57010.... 1 Drainage of pelvic 2 $422 562 $481 0.95 ..............
abscess.
57020.... 1 Drainage of pelvic 2 $422 562 $481 0.95 ..............
fluid.
57061.... 5 Destruction vagina ......... ......... ......... ......... ......... ..............
lesion(s).
57065.... 1 Destruction vagina 1 $314 562 $481 0.95 ..............
lesion(s).
57100.... 5 Biopsy of vagina... ......... ......... ......... ......... ......... ..............
57105.... 1 Biopsy of vagina... 2 $422 562 $481 0.95 ..............
57108.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
vagina.
57110.... 3 Removal of vagina.. ......... ......... ......... ......... ......... ..............
57120.... 3 Closure of vagina.. ......... ......... ......... ......... ......... ..............
57130.... 1 Remove vagina 2 $422 562 $481 0.95 ..............
lesion.
57135.... 1 Remove vagina 2 $422 562 $481 0.95 ..............
lesion.
57150.... 5 Treat vagina ......... ......... ......... ......... ......... ..............
infection.
57160.... 5 Insertion of ......... ......... ......... ......... ......... ..............
pessary/device.
57170.... 5 Fitting of ......... ......... ......... ......... ......... ..............
diaphragm/cap.
57180.... 5 Treat vaginal 1 $314 ......... ......... ......... Delete.
bleeding.
57200.... 1 Repair of vagina... 1 $314 562 $481 0.95 ..............
57210.... 1 Repair vagina/ 2 $422 562 $481 0.95 ..............
perineum.
57220.... 1 Revision of urethra 3 $482 563 $601 1.19 ..............
57230.... 1 Repair of urethral 3 $482 562 $481 0.95 ..............
lesion.
57240.... 1 Repair bladder & 5 $678 563 $601 1.19 ..............
vagina.
57250.... 1 Repair rectum & 5 $678 563 $601 1.19 ..............
vagina.
57260.... 1 Repair of vagina... 5 $678 563 $601 1.19 ..............
57265.... 1 Extensive repair of 7 $941 563 $601 1.19 ..............
vagina.
57268.... 1 Repair of bowel 3 $482 563 $601 1.19 ..............
bulge.
57270.... 3 Repair of bowel ......... ......... ......... ......... ......... ..............
pouch.
57280.... 3 Suspension of ......... ......... ......... ......... ......... ..............
vagina.
57282.... 3 Repair of vaginal ......... ......... ......... ......... ......... ..............
prolapse.
[[Page 32384]]
57284.... 1 Repair paravaginal ......... ......... 563 $601 1.19 Add.
defect.
57288.... 1 Repair bladder ......... ......... 563 $601 1.19 Add.
defect.
57289.... 1 Repair bladder & ......... ......... 563 $601 1.19 Add.
vagina.
57291.... 1 Construction of ......... ......... 563 $601 1.19 Add.
vagina.
57292.... 3 Construct vagina ......... ......... ......... ......... ......... ..............
with graft.
57300.... 1 Repair rectum- 3 $482 563 $601 1.19 ..............
vagina fistula.
57305.... 3 Repair rectum- ......... ......... ......... ......... ......... ..............
vagina fistula.
57307.... 3 Fistula repair & ......... ......... ......... ......... ......... ..............
colostomy.
57308.... 3 Fistula repair, ......... ......... ......... ......... ......... ..............
transperine.
57310.... 3 Repair 3 $482 ......... ......... ......... Delete.
urethrovaginal
lesion.
57311.... 3 Repair 4 $595 ......... ......... ......... Delete.
urethrovaginal
lesion.
57320.... 3 Repair bladder- 3 $482 ......... ......... ......... Delete.
vagina lesion.
57330.... 3 Repair bladder- ......... ......... ......... ......... ......... ..............
vagina lesion.
57335.... 3 Repair vagina...... ......... ......... ......... ......... ......... ..............
57400.... 1 Dilation of vagina. 2 $422 562 $481 0.95 ..............
57410.... 1 Pelvic examination. 2 $422 562 $481 0.95 ..............
57415.... 1 Removal vaginal ......... ......... 562 $481 0.95 Add.
foreign body.
57452.... 5 Examination of ......... ......... ......... ......... ......... ..............
vagina.
57454.... 5 Vagina examination ......... ......... ......... ......... ......... ..............
& biopsy.
57460.... 1 Cervix excision.... ......... ......... 562 $481 0.95 Add.
57500.... 5 Biopsy of cervix... ......... ......... ......... ......... ......... ..............
57505.... 5 Endocervical ......... ......... ......... ......... ......... ..............
curettage.
57510.... 5 Cauterization of ......... ......... ......... ......... ......... ..............
cervix.
57511.... 5 Cryocautery of ......... ......... ......... ......... ......... ..............
cervix.
57513.... 5 Laser surgery of 2 $422 ......... ......... ......... Delete.
cervix.
57520.... 1 Conization of 2 $422 563 $601 1.19 ..............
cervix.
57522.... 1 Conization of 2 $422 563 $601 1.19 ..............
cervix.
57530.... 1 Removal of cervix.. 3 $482 563 $601 1.19 ..............
57531.... 3 Removal of cervix, ......... ......... ......... ......... ......... ..............
radical.
57540.... 3 Removal of residual ......... ......... ......... ......... ......... ..............
cervix.
57545.... 3 Remove cervix, ......... ......... ......... ......... ......... ..............
repair pelvis.
57550.... 1 Removal of residual 3 $482 563 $601 1.19 ..............
cervix.
57555.... 1 Remove cervix, ......... ......... 563 $601 1.19 Add.
repair vagina.
57556.... 1 Remove cervix, ......... ......... 563 $601 1.19 Add.
repair bowel.
57700.... 1 Revision of cervix. 1 $314 562 $481 0.95 ..............
57720.... 1 Revision of cervix. 3 $482 562 $481 0.95 ..............
57800.... 5 Dilation of 1 $314 ......... ......... ......... Delete.
cervical canal.
57820.... 1 D&c of residual 3 $482 567 $458 0.91 ..............
cervix.
58100.... 5 Biopsy of uterus ......... ......... ......... ......... ......... ..............
lining.
58120.... 1 Dilation and 2 $422 567 $458 0.91 ..............
curettage (D&C).
58140.... 3 Removal of uterus ......... ......... ......... ......... ......... ..............
lesion.
58145.... 1 Removal of uterus 5 $678 563 $601 1.19 ..............
lesion.
58150.... 3 Total hysterectomy. ......... ......... ......... ......... ......... ..............
58152.... 3 Total hysterectomy. ......... ......... ......... ......... ......... ..............
58180.... 3 Partial ......... ......... ......... ......... ......... ..............
hysterectomy.
58200.... 3 Extensive ......... ......... ......... ......... ......... ..............
hysterectomy.
58210.... 3 Extensive ......... ......... ......... ......... ......... ..............
hysterectomy.
58240.... 3 Removal of pelvis ......... ......... ......... ......... ......... ..............
contents.
58260.... 3 Vaginal ......... ......... ......... ......... ......... ..............
hysterectomy.
58262.... 3 Vaginal ......... ......... ......... ......... ......... ..............
hysterectomy.
58263.... 3 Vaginal ......... ......... ......... ......... ......... ..............
hysterectomy.
58267.... 3 Hysterectomy & ......... ......... ......... ......... ......... ..............
vagina repair.
58270.... 3 Hysterectomy & ......... ......... ......... ......... ......... ..............
vagina repair.
58275.... 3 Hysterectomy, ......... ......... ......... ......... ......... ..............
revise vagina.
58280.... 3 Hysterectomy, ......... ......... ......... ......... ......... ..............
revise vagina.
58285.... 3 Extensive ......... ......... ......... ......... ......... ..............
hysterectomy.
58300.... 9 Insert intrauterine ......... ......... ......... ......... ......... ..............
device.
58301.... 5 Remove intrauterine ......... ......... ......... ......... ......... ..............
device.
58321.... 6 Artificial ......... ......... ......... ......... ......... ..............
insemination.
58322.... 6 Artificial ......... ......... ......... ......... ......... ..............
insemination.
58323.... 6 Sperm washing...... ......... ......... ......... ......... ......... ..............
58340.... 2 Catheter for ......... ......... ......... ......... ......... ..............
hysterography.
58345.... 1 Reopen fallopian ......... ......... 562 $481 0.95 Add.
tube.
58350.... 1 Reopen fallopian ......... ......... 562 $481 0.95 Add.
tube.
58400.... 3 Suspension of ......... ......... ......... ......... ......... ..............
uterus.
58410.... 3 Suspension of ......... ......... ......... ......... ......... ..............
uterus.
58520.... 3 Repair of ruptured ......... ......... ......... ......... ......... ..............
uterus.
58540.... 3 Revision of uterus. ......... ......... ......... ......... ......... ..............
58600.... 3 Division of ......... ......... ......... ......... ......... ..............
fallopian tube.
58605.... 3 Division of ......... ......... ......... ......... ......... ..............
fallopian tube.
58611.... 3 Ligate oviduct(s).. ......... ......... ......... ......... ......... ..............
58615.... 3 Occlude fallopian ......... ......... ......... ......... ......... ..............
tube(s).
58700.... 3 Removal of ......... ......... ......... ......... ......... ..............
fallopian tube.
58720.... 3 Removal of ovary/ ......... ......... ......... ......... ......... ..............
tube(s).
[[Page 32385]]
58740.... 3 Revise fallopian ......... ......... ......... ......... ......... ..............
tube(s).
58750.... 3 Repair oviduct..... ......... ......... ......... ......... ......... ..............
58752.... 3 Revise ovarian ......... ......... ......... ......... ......... ..............
tube(s).
58760.... 3 Remove tubal ......... ......... ......... ......... ......... ..............
obstruction.
58770.... 3 Create new tubal ......... ......... ......... ......... ......... ..............
opening.
58800.... 1 Drainage of ovarian 3 $482 563 $601 1.19 ..............
cyst(s).
58805.... 3 Drainage of ovarian ......... ......... ......... ......... ......... ..............
cyst(s).
58820.... 1 Open drain ovary 3 $482 563 $601 1.19 ..............
abscess.
58822.... 3 Percut drain ovary ......... ......... ......... ......... ......... ..............
abscess.
58823.... 3 Percut drain pelvic ......... ......... ......... ......... ......... ..............
abscess.
58825.... 3 Transposition, ......... ......... ......... ......... ......... ..............
ovary(s).
58900.... 3 Biopsy of ovary(s). 3 $482 ......... ......... ......... Delete.
58920.... 3 Partial removal of ......... ......... ......... ......... ......... ..............
ovary(s).
58925.... 3 Removal of ovarian ......... ......... ......... ......... ......... ..............
cyst(s).
58940.... 3 Removal of ovary(s) ......... ......... ......... ......... ......... ..............
58943.... 3 Removal of ovary(s) ......... ......... ......... ......... ......... ..............
58950.... 3 Resect ovarian ......... ......... ......... ......... ......... ..............
malignancy.
58951.... 3 Resect ovarian ......... ......... ......... ......... ......... ..............
malignancy.
58952.... 3 Resect ovarian ......... ......... ......... ......... ......... ..............
malignancy.
58960.... 3 Exploration of ......... ......... ......... ......... ......... ..............
abdomen.
58970.... 1 Retrieval of oocyte ......... ......... 562 $481 0.95 Add.
58974.... 6 Transfer of embryo. ......... ......... ......... ......... ......... ..............
58976.... 6 Transfer of embryo. ......... ......... ......... ......... ......... ..............
58999.... 3 Genital surgery ......... ......... ......... ......... ......... ..............
procedure.
59000.... 6 Amniocentesis...... ......... ......... ......... ......... ......... ..............
59012.... 6 Fetal cord ......... ......... ......... ......... ......... ..............
puncture, prenatal.
59015.... 6 Chorion biopsy..... ......... ......... ......... ......... ......... ..............
59020.... 6 Fetal contract ......... ......... ......... ......... ......... ..............
stress test.
59025.... 6 Fetal non-stress ......... ......... ......... ......... ......... ..............
test.
59030.... 6 Fetal scalp blood ......... ......... ......... ......... ......... ..............
sample.
59050.... 6 Fetal monitor w/ ......... ......... ......... ......... ......... ..............
report.
59051.... 6 Fetal monitor/ ......... ......... ......... ......... ......... ..............
interpret only.
59100.... 3 Remove uterus ......... ......... ......... ......... ......... ..............
lesion.
59120.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59121.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59130.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59135.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59136.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59140.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59150.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59151.... 3 Treat ectopic ......... ......... ......... ......... ......... ..............
pregnancy.
59160.... 1 D&C after delivery. ......... ......... 567 $458 0.91 Add.
59200.... 6 Insert cervical ......... ......... ......... ......... ......... ..............
dilator.
59300.... 1 Episiotomy or ......... ......... 562 $481 0.95 Add.
vaginal repair.
59320.... 1 Revision of cervix. ......... ......... 562 $481 0.95 Add.
59325.... 3 Revision of cervix. ......... ......... ......... ......... ......... ..............
59350.... 3 Repair of uterus... ......... ......... ......... ......... ......... ..............
59400.... 6 Obstetrical care... ......... ......... ......... ......... ......... ..............
59409.... 6 Obstetrical care... ......... ......... ......... ......... ......... ..............
59410.... 6 Obstetrical care... ......... ......... ......... ......... ......... ..............
59412.... 6 Antepartum ......... ......... ......... ......... ......... ..............
manipulation.
59414.... 6 Deliver placenta... ......... ......... ......... ......... ......... ..............
59425.... 6 Antepartum care ......... ......... ......... ......... ......... ..............
only.
59426.... 6 Antepartum care ......... ......... ......... ......... ......... ..............
only.
59430.... 6 Care after delivery ......... ......... ......... ......... ......... ..............
59510.... 6 Cesarean delivery.. ......... ......... ......... ......... ......... ..............
59514.... 3 Cesarean delivery ......... ......... ......... ......... ......... ..............
only.
59515.... 6 Cesarean delivery.. ......... ......... ......... ......... ......... ..............
59525.... 3 Remove uterus after ......... ......... ......... ......... ......... ..............
cesarean.
59610.... 3 Vbac delivery...... ......... ......... ......... ......... ......... ..............
59612.... 6 Vbac delivery only. ......... ......... ......... ......... ......... ..............
59614.... 6 Vbac care after ......... ......... ......... ......... ......... ..............
delivery.
59618.... 6 Attempted vbac ......... ......... ......... ......... ......... ..............
delivery.
59620.... 3 Attempted vbac ......... ......... ......... ......... ......... ..............
delivery only.
59622.... 6 Attempted vbac ......... ......... ......... ......... ......... ..............
after care.
59812.... 1 Treatment of ......... ......... 587 $503 1.00 Add.
miscarriage.
59820.... 1 Care of miscarriage ......... ......... 587 $503 1.00 Add.
59821.... 1 Treatment of ......... ......... 587 $503 1.00 Add.
miscarriage.
59830.... 3 Treat uterus ......... ......... ......... ......... ......... ..............
infection.
59840.... 1 Abortion........... ......... ......... 586 $448 0.89 Add.
59841.... 1 Abortion........... ......... ......... 586 $448 0.89 Add.
59850.... 3 Abortion........... ......... ......... ......... ......... ......... ..............
59851.... 3 Abortion........... ......... ......... ......... ......... ......... ..............
59852.... 3 Abortion........... ......... ......... ......... ......... ......... ..............
[[Page 32386]]
59855.... 3 Abortion........... ......... ......... ......... ......... ......... ..............
59856.... 3 Abortion........... ......... ......... ......... ......... ......... ..............
59857.... 3 Abortion........... ......... ......... ......... ......... ......... ..............
59866.... 3 Abortion........... ......... ......... ......... ......... ......... ..............
59870.... 1 Evacuate mole of ......... ......... 587 $503 1.00 Add.
uterus.
59871.... 1 Remove cerclage ......... ......... 562 $481 0.95 Add.
suture.
59899.... 3 Maternity care ......... ......... ......... ......... ......... ..............
procedure.
60000.... 1 Drain thyroid/ 1 $314 312 $233 0.46 ..............
tongue cyst.
60001.... 5 Aspirate/inject ......... ......... ......... ......... ......... ..............
thyroid cyst.
60100.... 1 Biopsy of thyroid.. ......... ......... 122 $186 0.37 Add.
60200.... 1 Remove thyroid 2 $422 397 $630 1.25 ..............
lesion.
60210.... 1 Partial excision ......... ......... 397 $630 1.25 Add.
thyroid.
60212.... 3 Parital thyroid ......... ......... ......... ......... ......... ..............
excision.
60220.... 1 Partial removal of 2 $422 397 $630 1.25 ..............
thyroid.
60225.... 1 Partial removal of 3 $482 397 $630 1.25 ..............
thyroid.
60240.... 1 Removal of thyroid. ......... ......... 397 $630 1.25 Add.
60252.... 3 Removal of thyroid. ......... ......... ......... ......... ......... ..............
60254.... 3 Extensive thyroid ......... ......... ......... ......... ......... ..............
surgery.
60260.... 3 Repeat thyroid ......... ......... ......... ......... ......... ..............
surgery.
60270.... 3 Removal of thyroid. ......... ......... ......... ......... ......... ..............
60271.... 3 Removal of thyroid. ......... ......... ......... ......... ......... ..............
60280.... 1 Remove thyroid duct 4 $595 397 $630 1.25 ..............
lesion.
60281.... 1 Remove thyroid duct 4 $595 397 $630 1.25 ..............
lesion.
60500.... 3 Explore parathyroid ......... ......... ......... ......... ......... ..............
glands.
60502.... 3 Re-explore ......... ......... ......... ......... ......... ..............
parathyroids.
60505.... 3 Explore parathyroid ......... ......... ......... ......... ......... ..............
glands.
60512.... 3 Autotransplant, ......... ......... ......... ......... ......... ..............
parathyroid.
60520.... 3 Removal of thymus ......... ......... ......... ......... ......... ..............
gland.
60521.... 3 Removal of thymus ......... ......... ......... ......... ......... ..............
gland.
60522.... 3 Removal of thymus ......... ......... ......... ......... ......... ..............
gland.
60540.... 3 Explore adrenal ......... ......... ......... ......... ......... ..............
gland.
60545.... 3 Explore adrenal ......... ......... ......... ......... ......... ..............
gland.
60600.... 3 Remove carotid body ......... ......... ......... ......... ......... ..............
lesion.
60605.... 3 Remove carotid body ......... ......... ......... ......... ......... ..............
lesion.
60699.... 3 Endocrine surgery ......... ......... ......... ......... ......... ..............
procedure.
61000.... 1 Remove cranial ......... ......... 602 $241 0.48 Add.
cavity fluid.
61001.... 1 Remove cranial ......... ......... 602 $241 0.48 Add.
cavity fluid.
61020.... 1 Remove brain cavity 1 $314 602 $241 0.48 ..............
fluid.
61026.... 1 Injection into 1 $314 602 $241 0.48 ..............
brain canal.
61050.... 1 Remove brain canal 1 $314 602 $241 0.48 ..............
fluid.
61055.... 1 Injection into 1 $314 602 $241 0.48 ..............
brain canal.
61070.... 1 Brain canal shunt 1 $314 602 $241 0.48 ..............
procedure.
61105.... 3 Drill skull for ......... ......... ......... ......... ......... ..............
examination.
61106.... 3 Drill skull for ......... ......... ......... ......... ......... ..............
exam/surgery.
61107.... 3 Drill skull for ......... ......... ......... ......... ......... ..............
implantation.
61108.... 3 Drill skull for ......... ......... ......... ......... ......... ..............
drainage.
61120.... 3 Pierce skull for ......... ......... ......... ......... ......... ..............
examination.
61130.... 3 Pierce skull, exam/ ......... ......... ......... ......... ......... ..............
surgery.
61140.... 3 Pierce skull for ......... ......... ......... ......... ......... ..............
biopsy.
61150.... 3 Pierce skull for ......... ......... ......... ......... ......... ..............
drainage.
61151.... 3 Pierce skull for ......... ......... ......... ......... ......... ..............
drainage.
61154.... 3 Pierce skull, ......... ......... ......... ......... ......... ..............
remove clot.
61156.... 3 Pierce skull for ......... ......... ......... ......... ......... ..............
drainage.
61210.... 3 Pierce skull; ......... ......... ......... ......... ......... ..............
implant device.
61215.... 1 Insert brain-fluid 3 $482 618 $841 1.67 ..............
device.
61250.... 3 Pierce skull & ......... ......... ......... ......... ......... ..............
explore.
61253.... 3 Pierce skull & ......... ......... ......... ......... ......... ..............
explore.
61304.... 3 Open skull for ......... ......... ......... ......... ......... ..............
exploration.
61305.... 3 Open skull for ......... ......... ......... ......... ......... ..............
exploration.
61312.... 3 Open skull for ......... ......... ......... ......... ......... ..............
drainage.
61313.... 3 Open skull for ......... ......... ......... ......... ......... ..............
drainage.
61314.... 3 Open skull for ......... ......... ......... ......... ......... ..............
drainage.
61315.... 3 Open skull for ......... ......... ......... ......... ......... ..............
drainage.
61320.... 3 Open skull for ......... ......... ......... ......... ......... ..............
drainage.
61321.... 3 Open skull for ......... ......... ......... ......... ......... ..............
drainage.
61330.... 3 Decompress eye ......... ......... ......... ......... ......... ..............
socket.
61332.... 3 Explore/biopsy eye ......... ......... ......... ......... ......... ..............
socket.
61333.... 3 Explore orbit; ......... ......... ......... ......... ......... ..............
remove lesion.
61334.... 3 Explore orbit; ......... ......... ......... ......... ......... ..............
remove object.
61340.... 3 Relieve cranial ......... ......... ......... ......... ......... ..............
pressure.
61343.... 3 Incise skull, ......... ......... ......... ......... ......... ..............
pressure relief.
61345.... 3 Relieve cranial ......... ......... ......... ......... ......... ..............
pressure.
61440.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
surgery.
61450.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
surgery.
[[Page 32387]]
61458.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
brain wound.
61460.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
surgery.
61470.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
surgery.
61480.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
surgery.
61490.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
surgery.
61500.... 3 Removal of skull ......... ......... ......... ......... ......... ..............
lesion.
61501.... 3 Remove infected ......... ......... ......... ......... ......... ..............
skull bone.
61510.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61512.... 3 Remove brain lining ......... ......... ......... ......... ......... ..............
lesion.
61514.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
abscess.
61516.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61518.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61519.... 3 Remove brain lining ......... ......... ......... ......... ......... ..............
lesion.
61520.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61521.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61522.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
abscess.
61524.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61526.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61530.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61531.... 3 Implant brain ......... ......... ......... ......... ......... ..............
electrodes.
61533.... 3 Implant brain ......... ......... ......... ......... ......... ..............
electrodes.
61534.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61535.... 3 Remove brain ......... ......... ......... ......... ......... ..............
electrodes.
61536.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
lesion.
61538.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
tissue.
61539.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
tissue.
61541.... 3 Incision of brain ......... ......... ......... ......... ......... ..............
tissue.
61542.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
tissue.
61543.... 3 Removal of brain ......... ......... ......... ......... ......... ..............
tissue.
61544.... 3 Remove & treat ......... ......... ......... ......... ......... ..............
brain lesion.
61545.... 3 Excision of brain ......... ......... ......... ......... ......... ..............
tumor.
61546.... 3 Removal of ......... ......... ......... ......... ......... ..............
pituitary gland.
61548.... 3 Removal of ......... ......... ......... ......... ......... ..............
pituitary gland.
61550.... 3 Release of skull ......... ......... ......... ......... ......... ..............
seams.
61552.... 3 Release of skull ......... ......... ......... ......... ......... ..............
seams.
61556.... 3 Incise skull/ ......... ......... ......... ......... ......... ..............
sutures.
61557.... 3 Incise skull/ ......... ......... ......... ......... ......... ..............
sutures.
61558.... 3 Excision of skull/ ......... ......... ......... ......... ......... ..............
sutures.
61559.... 3 Excision of skull/ ......... ......... ......... ......... ......... ..............
sutures.
61563.... 3 Excision of skull ......... ......... ......... ......... ......... ..............
tumor.
61564.... 3 Excision of skull ......... ......... ......... ......... ......... ..............
tumor.
61570.... 3 Remove brain ......... ......... ......... ......... ......... ..............
foreign body.
61571.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
brain wound.
61575.... 3 Skull base/ ......... ......... ......... ......... ......... ..............
brainstem surgery.
61576.... 3 Skull base/ ......... ......... ......... ......... ......... ..............
brainstem surgery.
61580.... 3 Craniofacial ......... ......... ......... ......... ......... ..............
approach, skull.
61581.... 3 Craniofacial ......... ......... ......... ......... ......... ..............
approach, skull.
61582.... 3 Craniofacial ......... ......... ......... ......... ......... ..............
approach, skull.
61583.... 3 Craniofacial ......... ......... ......... ......... ......... ..............
approach, skull.
61584.... 3 Orbitocranial ......... ......... ......... ......... ......... ..............
approach/skull.
61585.... 3 Orbitocranial ......... ......... ......... ......... ......... ..............
approach/skull.
61586.... 3 Resect nasopharnyx, ......... ......... ......... ......... ......... ..............
skull.
61590.... 3 Infratemporal ......... ......... ......... ......... ......... ..............
approach/skull.
61591.... 3 Infratemporal ......... ......... ......... ......... ......... ..............
approach/skull.
61592.... 3 Orbitocranial ......... ......... ......... ......... ......... ..............
approach/skull.
61595.... 3 Transtemporal ......... ......... ......... ......... ......... ..............
approach/skull.
61596.... 3 Transcochlear ......... ......... ......... ......... ......... ..............
approach/skull.
61597.... 3 Transcondylar ......... ......... ......... ......... ......... ..............
approach/skull.
61598.... 3 Transpetrosal ......... ......... ......... ......... ......... ..............
approach/skull.
61600.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
cranial lesion.
61601.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
cranial lesion.
61605.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
cranial lesion.
61606.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
cranial lesion.
61607.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
cranial lesion.
61608.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
cranial lesion.
61609.... 3 Transect, artery, ......... ......... ......... ......... ......... ..............
sinus.
61610.... 3 Transect, artery, ......... ......... ......... ......... ......... ..............
sinus.
61611.... 3 Transect, artery, ......... ......... ......... ......... ......... ..............
sinus.
61612.... 3 Transect, artery, ......... ......... ......... ......... ......... ..............
sinus.
61613.... 3 Remove aneurysm, ......... ......... ......... ......... ......... ..............
sinus.
61615.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
lesion, skull.
61616.... 3 Resect/excise ......... ......... ......... ......... ......... ..............
lesion, skull.
61618.... 3 Repair dura........ ......... ......... ......... ......... ......... ..............
61619.... 3 Repair dura........ ......... ......... ......... ......... ......... ..............
[[Page 32388]]
61624.... 3 Occlusion/ ......... ......... ......... ......... ......... ..............
embolization cath.
61626.... 3 Occlusion/ ......... ......... ......... ......... ......... ..............
embolization cath.
61680.... 3 Intracranial vessel ......... ......... ......... ......... ......... ..............
surgery.
61682.... 3 Intracranial vessel ......... ......... ......... ......... ......... ..............
surgery.
61684.... 3 Intracranial vessel ......... ......... ......... ......... ......... ..............
surgery.
61686.... 3 Intracranial vessel ......... ......... ......... ......... ......... ..............
surgery.
61690.... 3 Intracranial vessel ......... ......... ......... ......... ......... ..............
surgery.
61692.... 3 Intracranial vessel ......... ......... ......... ......... ......... ..............
surgery.
61700.... 3 Inner skull vessel ......... ......... ......... ......... ......... ..............
surgery.
61702.... 3 Inner skull vessel ......... ......... ......... ......... ......... ..............
surgery.
61703.... 3 Clamp neck artery.. ......... ......... ......... ......... ......... ..............
61705.... 3 Revise circulation ......... ......... ......... ......... ......... ..............
to head.
61708.... 3 Revise circulation ......... ......... ......... ......... ......... ..............
to head.
61710.... 3 Revise circulation ......... ......... ......... ......... ......... ..............
to head.
61711.... 3 Fusion of skull ......... ......... ......... ......... ......... ..............
arteries.
61712.... 3 Skull or spine ......... ......... ......... ......... ......... ..............
microsurgery.
61720.... 3 Incise skull/brain ......... ......... ......... ......... ......... ..............
surgery.
61735.... 3 Incise skull/brain ......... ......... ......... ......... ......... ..............
surgery.
61750.... 3 Incise skull; brain ......... ......... ......... ......... ......... ..............
biopsy.
61751.... 3 Brain biopsy with ......... ......... ......... ......... ......... ..............
cat scan.
61760.... 3 Implant brain ......... ......... ......... ......... ......... ..............
electrodes.
61770.... 3 Incise skull for ......... ......... ......... ......... ......... ..............
treatment.
61790.... 1 Treat trigeminal 3 $482 631 $600 1.19 ..............
nerve.
61791.... 3 Treat trigeminal 3 $482 ......... ......... ......... Delete.
tract.
61793.... 3 Focus radiation ......... ......... ......... ......... ......... ..............
beam.
61795.... 3 Brain surgery using ......... ......... ......... ......... ......... ..............
computer.
61850.... 3 Implant ......... ......... ......... ......... ......... ..............
neuroelectrodes.
61855.... 3 Implant ......... ......... ......... ......... ......... ..............
neuroelectrodes.
61860.... 3 Implant ......... ......... ......... ......... ......... ..............
neuroelectrodes.
61865.... 3 Implant ......... ......... ......... ......... ......... ..............
neuroelectrodes.
61870.... 3 Implant ......... ......... ......... ......... ......... ..............
neuroelectrodes.
61875.... 3 Implant ......... ......... ......... ......... ......... ..............
neuroelectrodes.
61880.... 3 Revise/remove ......... ......... ......... ......... ......... ..............
neuroelectrode.
61885.... 1 Implant 2 $422 618 $841 1.67 ..............
neuroreceiver.
61888.... 3 Revise/remove 1 $314 ......... ......... ......... Delete.
neuroreceiver.
62000.... 3 Repair of skull ......... ......... ......... ......... ......... ..............
fracture.
62005.... 3 Repair of skull ......... ......... ......... ......... ......... ..............
fracture.
62010.... 3 Treatment of head ......... ......... ......... ......... ......... ..............
injury.
62100.... 3 Repair brain fluid ......... ......... ......... ......... ......... ..............
leakage.
62115.... 3 Reduction of skull ......... ......... ......... ......... ......... ..............
defect.
62116.... 3 Reduction of skull ......... ......... ......... ......... ......... ..............
defect.
62117.... 3 Reduction of skull ......... ......... ......... ......... ......... ..............
defect.
62120.... 3 Repair skull cavity ......... ......... ......... ......... ......... ..............
lesion.
62121.... 3 Incise skull repair ......... ......... ......... ......... ......... ..............
62140.... 3 Repair of skull ......... ......... ......... ......... ......... ..............
defect.
62141.... 3 Repair of skull ......... ......... ......... ......... ......... ..............
defect.
62142.... 3 Remove skull plate/ ......... ......... ......... ......... ......... ..............
flap.
62143.... 3 Replace skull plate/ ......... ......... ......... ......... ......... ..............
flap.
62145.... 3 Repair of skull & ......... ......... ......... ......... ......... ..............
brain.
62146.... 3 Repair of skull ......... ......... ......... ......... ......... ..............
with graft.
62147.... 3 Repair of skull ......... ......... ......... ......... ......... ..............
with graft.
62180.... 3 Establish brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62190.... 3 Establish brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62192.... 3 Establish brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62194.... 1 Replace/irrigate 1 $314 602 $241 0.48 ..............
catheter.
62200.... 3 Establish brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62201.... 3 Establish brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62220.... 3 Establish brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62223.... 3 Establish brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62225.... 1 Replace/irrigate 1 $314 602 $241 0.48 ..............
catheter.
62230.... 1 Replace/revise 2 $422 617 $391 0.78 ..............
brain shunt.
62256.... 3 Remove brain cavity 2 $422 ......... ......... ......... Delete.
shunt.
62258.... 3 Replace brain ......... ......... ......... ......... ......... ..............
cavity shunt.
62268.... 1 Drain spinal cord 1 $314 602 $241 0.48 ..............
cyst.
62269.... 1 Needle biopsy 1 $314 122 $186 0.37 ..............
spinal cord.
62270.... 1 Spinal fluid tap, 1 $314 600 $101 0.20 ..............
diagnostic.
62272.... 1 Drain spinal fluid. 1 $314 600 $101 0.20 ..............
62273.... 1 Treat lumbar spine 1 $314 602 $241 0.48 ..............
lesion.
62274.... 1 Inject spinal 1 $314 602 $241 0.48 ..............
anesthetic.
62275.... 1 Inject spinal 1 $314 602 $241 0.48 ..............
anesthetic.
62276.... 1 Inject spinal 1 $314 602 $241 0.48 ..............
anesthetic.
62277.... 1 Inject spinal 1 $314 602 $241 0.48 ..............
anesthetic.
62278.... 1 Inject spinal 1 $314 602 $241 0.48 ..............
anesthetic.
62279.... 1 Inject spinal 1 $314 602 $241 0.48 ..............
anesthetic.
[[Page 32389]]
62280.... 1 Treat spinal cord 1 $314 602 $241 0.48 ..............
lesion.
62281.... 1 Treat spinal cord ......... ......... 602 $241 0.48 Add.
lesion.
62282.... 1 Treat spinal canal 1 $314 602 $241 0.48 ..............
lesion.
62284.... 2 Injection for ......... ......... ......... ......... ......... ..............
myelogram.
62287.... 1 Percutaneous ......... ......... 631 $600 1.19 Add.
diskectomy.
62288.... 1 Injection into 1 $314 602 $241 0.48 ..............
spinal canal.
62289.... 1 Injection into 1 $314 602 $241 0.48 ..............
spinal canal.
62290.... 2 Inject for spine ......... ......... ......... ......... ......... ..............
disk x-ray.
62291.... 2 Inject for spine ......... ......... ......... ......... ......... ..............
disk x-ray.
62292.... 1 Injection into disk ......... ......... 602 $241 0.48 Add.
lesion.
62294.... 1 Injection into 3 $482 602 $241 0.48 ..............
spinal artery.
62298.... 1 Injection into ......... ......... 602 $241 0.48 Add.
spinal canal.
62350.... 1 Implant spinal 2 $422 617 $391 0.78 ..............
catheter.
62351.... 3 Implant spinal 2 $422 ......... ......... ......... Delete.
catheter.
62355.... 1 Remove spinal canal ......... ......... 617 $391 0.78 Add.
catheter.
62360.... 1 Insert spine 2 $422 618 $841 1.67 ..............
infusion device.
62361.... 1 Implant spine 2 $422 618 $841 1.67 ..............
infusion pump.
62362.... 1 Implant spine 2 $422 618 $841 1.67 ..............
infusion pump.
62365.... 1 Remove spine 2 $422 617 $391 0.78 ..............
infusion device.
62367.... 6 Analyze spine 2 $422 ......... ......... ......... Delete.
infusion pump.
62368.... 6 Analyze spine 2 $422 ......... ......... ......... Delete.
infusion pump.
63001.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63003.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63005.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63011.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63012.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63015.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63016.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63017.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63020.... 3 Neck spine disk ......... ......... ......... ......... ......... ..............
surgery.
63030.... 3 Low back disk ......... ......... ......... ......... ......... ..............
surgery.
63035.... 3 Added spinal disk ......... ......... ......... ......... ......... ..............
surgery.
63040.... 3 Neck spine disk ......... ......... ......... ......... ......... ..............
surgery.
63042.... 3 Low back disk ......... ......... ......... ......... ......... ..............
surgery.
63045.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63046.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63047.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63048.... 3 Removal of spinal ......... ......... ......... ......... ......... ..............
lamina.
63055.... 3 Decompress spinal ......... ......... ......... ......... ......... ..............
cord.
63056.... 3 Decompress spinal ......... ......... ......... ......... ......... ..............
cord.
63057.... 3 Decompress spinal ......... ......... ......... ......... ......... ..............
cord.
63064.... 3 Decompress spinal ......... ......... ......... ......... ......... ..............
cord.
63066.... 3 Decompress spinal ......... ......... ......... ......... ......... ..............
cord.
63075.... 3 Neck spine disk ......... ......... ......... ......... ......... ..............
surgery.
63076.... 3 Neck spine disk ......... ......... ......... ......... ......... ..............
surgery.
63077.... 3 Spine disk surgery, ......... ......... ......... ......... ......... ..............
thorax.
63078.... 3 Spine disk surgery, ......... ......... ......... ......... ......... ..............
thorax.
63081.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63082.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63085.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63086.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63087.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63088.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63090.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63091.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63170.... 3 Incise spinal cord ......... ......... ......... ......... ......... ..............
tract(s).
63172.... 3 Drainage of spinal ......... ......... ......... ......... ......... ..............
cyst.
63173.... 3 Drainage of spinal ......... ......... ......... ......... ......... ..............
cyst.
63180.... 3 Revise spinal cord ......... ......... ......... ......... ......... ..............
ligaments.
63182.... 3 Revise spinal cord ......... ......... ......... ......... ......... ..............
ligaments.
63185.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column/nerves.
63190.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column/nerves.
63191.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column/nerves.
63194.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column & cord.
63195.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column & cord.
63196.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column & cord.
63197.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column & cord.
63198.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column & cord.
63199.... 3 Incise spinal ......... ......... ......... ......... ......... ..............
column & cord.
63200.... 3 Release of spinal ......... ......... ......... ......... ......... ..............
cord.
63250.... 3 Revise spinal cord ......... ......... ......... ......... ......... ..............
vessels.
63251.... 3 Revise spinal cord ......... ......... ......... ......... ......... ..............
vessels.
63252.... 3 Revise spinal cord ......... ......... ......... ......... ......... ..............
vessels.
63265.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
[[Page 32390]]
63266.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
63267.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
63268.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
63270.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
63271.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
63272.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
63273.... 3 Excise intraspinal ......... ......... ......... ......... ......... ..............
lesion.
63275.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63276.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63277.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63278.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63280.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63281.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63282.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63283.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63285.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63286.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63287.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63290.... 3 Biopsy/excise ......... ......... ......... ......... ......... ..............
spinal tumor.
63300.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63301.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63302.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63303.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63304.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63305.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63306.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63307.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63308.... 3 Removal of ......... ......... ......... ......... ......... ..............
vertebral body.
63600.... 1 Remove spinal cord 2 $422 631 $600 1.19 ..............
lesion.
63610.... 1 Stimulation of 1 $314 631 $600 1.19 ..............
spinal cord.
63615.... 1 Remove lesion of ......... ......... 631 $600 1.19 Add.
spinal cord.
63650.... 1 Implant 2 $422 616 $391 0.78 ..............
neuroelectrodes.
63655.... 3 Implant ......... ......... ......... ......... ......... ..............
neuroelectrodes.
63660.... 1 Revise/remove 1 $314 617 $391 0.78 ..............
neuroelectrode.
63685.... 1 Implant 2 $422 618 $841 1.67 ..............
neuroreceiver.
63688.... 1 Revise/remove 1 $314 617 $391 0.78 ..............
neuroreceiver.
63690.... 6 Analysis of ......... ......... ......... ......... ......... ..............
neuroreceiver.
63691.... 6 Analysis of ......... ......... ......... ......... ......... ..............
neuroreceiver.
63700.... 3 Repair of spinal ......... ......... ......... ......... ......... ..............
herniation.
63702.... 3 Repair of spinal ......... ......... ......... ......... ......... ..............
herniation.
63704.... 3 Repair of spinal ......... ......... ......... ......... ......... ..............
herniation.
63706.... 3 Repair of spinal ......... ......... ......... ......... ......... ..............
herniation.
63707.... 3 Repair spinal fluid ......... ......... ......... ......... ......... ..............
leakage.
63709.... 3 Repair spinal fluid ......... ......... ......... ......... ......... ..............
leakage.
63710.... 3 Graft repair of ......... ......... ......... ......... ......... ..............
spine defect.
63740.... 3 Install spinal ......... ......... ......... ......... ......... ..............
shunt.
63741.... 3 Install spinal ......... ......... ......... ......... ......... ..............
shunt.
63744.... 1 Revision of spinal 3 $482 617 $391 0.78 ..............
shunt.
63746.... 1 Removal of spinal 2 $422 617 $391 0.78 ..............
shunt.
64400.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64402.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64405.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64408.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64410.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64412.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64413.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64415.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64417.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64418.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64420.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64421.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64425.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64430.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64435.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64440.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64441.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64442.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64443.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64445.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64450.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64505.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64508.... 5 Injection for nerve ......... ......... ......... ......... ......... ..............
block.
64510.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64520.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
[[Page 32391]]
64530.... 5 Injection for nerve 1 $314 ......... ......... ......... Delete.
block.
64550.... 6 Apply ......... ......... ......... ......... ......... ..............
neurostimulator.
64553.... 1 Implant ......... ......... 616 $391 0.78 Add.
neuroelectrodes.
64555.... 1 Implant ......... ......... 616 $391 0.78 Add.
neuroelectrodes.
64560.... 1 Implant ......... ......... 616 $391 0.78 Add.
neuroelectrodes.
64565.... 1 Implant ......... ......... 616 $391 0.78 Add.
neuroelectrodes.
64573.... 1 Implant ......... ......... 616 $391 0.78 Add.
neuroelectrodes.
64575.... 1 Implant 1 $314 616 $391 0.78 ..............
neuroelectrodes.
64577.... 1 Implant ......... ......... 616 $391 0.78 Add.
neuroelectrodes.
64580.... 1 Implant ......... ......... 616 $391 0.78 Add.
neuroelectrodes.
64585.... 1 Revise/remove ......... ......... 617 $391 0.78 Add.
neuroelectrode.
64590.... 1 Implant 2 $422 618 $841 1.67 ..............
neuroreceiver.
64595.... 1 Revise/remove 1 $314 617 $391 0.78 ..............
neuroreceiver.
64600.... 5 Injection treatment 1 $314 ......... ......... ......... Delete.
of nerve.
64605.... 5 Injection treatment 1 $314 ......... ......... ......... Delete.
of nerve.
64610.... 5 Injection treatment 1 $314 ......... ......... ......... Delete.
of nerve.
64612.... 5 Destroy nerve, face ......... ......... ......... ......... ......... ..............
muscle.
64613.... 5 Destroy nerve, ......... ......... ......... ......... ......... ..............
spine muscle.
64620.... 5 Injection treatment 1 $314 ......... ......... ......... Delete.
of nerve.
64622.... 5 Injection treatment 1 $314 ......... ......... ......... Delete.
of nerve.
64623.... 5 Injection treatment 1 $314 ......... ......... ......... Delete.
of nerve.
64630.... 5 Injection treatment 2 $422 ......... ......... ......... Delete.
of nerve.
64640.... 5 Injection treatment ......... ......... ......... ......... ......... ..............
of nerve.
64680.... 5 Injection treatment 2 $422 ......... ......... ......... Delete.
of nerve.
64702.... 1 Revise finger/toe 1 $314 631 $600 1.19 ..............
nerve.
64704.... 1 Revise hand/foot 1 $314 631 $600 1.19 ..............
nerve.
64708.... 1 Revise arm/leg 2 $422 631 $600 1.19 ..............
nerve.
64712.... 1 Revision of sciatic 2 $422 631 $600 1.19 ..............
nerve.
64713.... 1 Revision of arm 2 $422 631 $600 1.19 ..............
nerve(s).
64714.... 1 Revise low back 2 $422 631 $600 1.19 ..............
nerve(s).
64716.... 1 Revision of cranial 3 $482 631 $600 1.19 ..............
nerve.
64718.... 1 Revise ulnar nerve 2 $422 631 $600 1.19 ..............
at elbow.
64719.... 1 Revise ulnar nerve 2 $422 631 $600 1.19 ..............
at wrist.
64721.... 1 Carpal tunnel 2 $422 631 $600 1.19 ..............
surgery.
64722.... 1 Relieve pressure on 1 $314 631 $600 1.19 ..............
nerve(s).
64726.... 1 Release foot/toe 1 $314 631 $600 1.19 ..............
nerve.
64727.... 1 Internal nerve 1 $314 631 $600 1.19 ..............
revision.
64732.... 1 Incision of brow 2 $422 631 $600 1.19 ..............
nerve.
64734.... 1 Incision of cheek 2 $422 631 $600 1.19 ..............
nerve.
64736.... 1 Incision of chin 2 $422 631 $600 1.19 ..............
nerve.
64738.... 1 Incision of jaw 2 $422 631 $600 1.19 ..............
nerve.
64740.... 1 Incision of tongue 2 $422 631 $600 1.19 ..............
nerve.
64742.... 1 Incision of facial 2 $422 631 $600 1.19 ..............
nerve.
64744.... 1 Incise nerve, back 2 $422 631 $600 1.19 ..............
of head.
64746.... 1 Incise diaphragm 2 $422 631 $600 1.19 ..............
nerve.
64752.... 3 Incision of vagus ......... ......... ......... ......... ......... ..............
nerve.
64755.... 3 Incision of stomach ......... ......... ......... ......... ......... ..............
nerves.
64760.... 3 Incision of vagus ......... ......... ......... ......... ......... ..............
nerve.
64761.... 1 Incision of pelvis ......... ......... 631 $600 1.19 Add.
nerve.
64763.... 3 Incise hip/thigh ......... ......... ......... ......... ......... ..............
nerve.
64766.... 3 Incise hip/thigh ......... ......... ......... ......... ......... ..............
nerve.
64771.... 1 Sever cranial nerve 2 $422 631 $600 1.19 ..............
64772.... 1 Incision of spinal 2 $422 631 $600 1.19 ..............
nerve.
64774.... 1 Remove skin nerve 2 $422 631 $600 1.19 ..............
lesion.
64776.... 1 Remove digit nerve 3 $482 631 $600 1.19 ..............
lesion.
64778.... 1 Add.ed digit nerve 2 $422 631 $600 1.19 ..............
surgery.
64782.... 1 Remove limb nerve 3 $482 631 $600 1.19 ..............
lesion.
64783.... 1 Add.ed limb nerve 2 $422 631 $600 1.19 ..............
surgery.
64784.... 1 Remove nerve lesion 3 $482 631 $600 1.19 ..............
64786.... 1 Remove sciatic 3 $482 632 $666 1.32 ..............
nerve lesion.
64787.... 1 Implant nerve end.. 2 $422 631 $600 1.19 ..............
64788.... 1 Remove skin nerve 3 $482 631 $600 1.19 ..............
lesion.
64790.... 1 Removal of nerve 3 $482 631 $600 1.19 ..............
lesion.
64792.... 1 Removal of nerve 3 $482 632 $666 1.32 ..............
lesion.
64795.... 1 Biopsy of nerve.... 2 $422 631 $600 1.19 ..............
64802.... 3 Remove sympathetic 2 $422 ......... ......... ......... Delete.
nerves.
64804.... 3 Remove sympathetic ......... ......... ......... ......... ......... ..............
nerves.
64809.... 3 Remove sympathetic ......... ......... ......... ......... ......... ..............
nerves.
64818.... 3 Remove sympathetic ......... ......... ......... ......... ......... ..............
nerves.
64820.... 3 Remove sympathetic ......... ......... ......... ......... ......... ..............
nerves.
64830.... 1 Microrepair of 5 $678 631 $600 1.19 ..............
nerve.
64831.... 1 Repair of digit 4 $595 632 $666 1.32 ..............
nerve.
64832.... 1 Repair additional 1 $314 632 $666 1.32 ..............
nerve.
64834.... 1 Repair of hand or 2 $422 632 $666 1.32 ..............
foot nerve.
[[Page 32392]]
64835.... 1 Repair of hand or 3 $482 632 $666 1.32 ..............
foot nerve.
64836.... 1 Repair of hand or 3 $482 632 $666 1.32 ..............
foot nerve.
64837.... 1 Repair additional 1 $314 632 $666 1.32 ..............
nerve.
64840.... 1 Repair of leg nerve 2 $422 632 $666 1.32 ..............
64856.... 1 Repair/transpose 2 $422 632 $666 1.32 ..............
nerve.
64857.... 1 Repair arm/leg 2 $422 632 $666 1.32 ..............
nerve.
64858.... 1 Repair sciatic 2 $422 632 $666 1.32 ..............
nerve.
64859.... 1 Add.itional nerve 1 $314 632 $666 1.32 ..............
surgery.
64861.... 1 Repair of arm 3 $482 632 $666 1.32 ..............
nerves.
64862.... 1 Repair of low back 3 $482 632 $666 1.32 ..............
nerves.
64864.... 1 Repair of facial 3 $482 632 $666 1.32 ..............
nerve.
64865.... 1 Repair of facial 4 $595 632 $666 1.32 ..............
nerve.
64866.... 3 Fusion of facial/ ......... ......... ......... ......... ......... ..............
other nerve.
64868.... 3 Fusion of facial/ ......... ......... ......... ......... ......... ..............
other nerve.
64870.... 1 Fusion of facial/ 4 $595 632 $666 1.32 ..............
other nerve.
64872.... 1 Subsequent repair 2 $422 632 $666 1.32 ..............
of nerve.
64874.... 1 Repair & revise 3 $482 632 $666 1.32 ..............
nerve.
64876.... 1 Repair nerve; 3 $482 632 $666 1.32 ..............
shorten bone.
64885.... 1 Nerve graft, head ......... ......... 632 $666 1.32 Add.
or neck.
64886.... 1 Nerve graft, head ......... ......... 632 $666 1.32 Add.
or neck.
64890.... 1 Nerve graft, hand 2 $422 632 $666 1.32 ..............
or foot.
64891.... 1 Nerve graft, hand 2 $422 632 $666 1.32 ..............
or foot.
64892.... 1 Nerve graft, arm or 2 $422 632 $666 1.32 ..............
leg.
64893.... 1 Nerve graft, arm or 2 $422 632 $666 1.32 ..............
leg.
64895.... 1 Nerve graft, hand 3 $482 632 $666 1.32 ..............
or foot.
64896.... 1 Nerve graft, hand 3 $482 632 $666 1.32 ..............
or foot.
64897.... 1 Nerve graft, arm or 3 $482 632 $666 1.32 ..............
leg.
64898.... 1 Nerve graft, arm or 3 $482 632 $666 1.32 ..............
leg.
64901.... 1 Add.itional nerve 2 $422 632 $666 1.32 ..............
graft.
64902.... 1 Add.itional nerve 2 $422 632 $666 1.32 ..............
graft.
64905.... 1 Nerve pedicle 2 $422 632 $666 1.32 ..............
transfer.
64907.... 1 Nerve pedicle 1 $314 632 $666 1.32 ..............
transfer.
64999.... 3 Nervous system ......... ......... ......... ......... ......... ..............
surgery.
65091.... 1 Revise eye......... 3 $482 684 $491 0.97 ..............
65093.... 1 Revise eye with 3 $482 684 $491 0.97 ..............
implant.
65101.... 1 Removal of eye..... 3 $482 684 $491 0.97 ..............
65103.... 1 Remove eye/insert 3 $482 684 $491 0.97 ..............
implant.
65105.... 1 Remove eye/attach 4 $595 684 $491 0.97 ..............
implant.
65110.... 3 Removal of eye..... 5 $678 ......... ......... ......... Delete.
65112.... 3 Remove eye, revise 7 $941 ......... ......... ......... Delete.
socket.
65114.... 3 Remove eye, revise 7 $941 ......... ......... ......... Delete.
socket.
65125.... 5 Revise ocular ......... ......... ......... ......... ......... ..............
implant.
65130.... 1 Insert ocular 3 $482 684 $491 0.97 ..............
implant.
65135.... 1 Insert ocular 2 $422 684 $491 0.97 ..............
implant.
65140.... 1 Attach ocular 3 $482 684 $491 0.97 ..............
implant.
65150.... 1 Revise ocular 2 $422 684 $491 0.97 ..............
implant.
65155.... 1 Reinsert ocular 3 $482 684 $491 0.97 ..............
implant.
65175.... 1 Removal of ocular 1 $314 683 $317 0.63 ..............
implant.
65205.... 5 Remove foreign body ......... ......... ......... ......... ......... ..............
from eye.
65210.... 5 Remove foreign body ......... ......... ......... ......... ......... ..............
from eye.
65220.... 5 Remove foreign body ......... ......... ......... ......... ......... ..............
from eye.
65222.... 5 Remove foreign body ......... ......... ......... ......... ......... ..............
from eye.
65235.... 1 Remove foreign body 2 $422 652 $415 0.82 ..............
from eye.
65260.... 1 Remove foreign body 3 $482 676 $336 0.67 ..............
from eye.
65265.... 1 Remove foreign body 4 $595 676 $336 0.67 ..............
from eye.
65270.... 1 Repair of eye wound 2 $422 183 $465 0.92 ..............
65272.... 1 Repair of eye wound 2 $422 651 $297 0.59 ..............
65273.... 3 Repair of eye wound ......... ......... ......... ......... ......... ..............
65275.... 1 Repair of eye wound 4 $595 651 $297 0.59 ..............
65280.... 1 Repair of eye wound 4 $595 652 $415 0.82 ..............
65285.... 1 Repair of eye wound 4 $595 652 $415 0.82 ..............
65286.... 1 Repair of eye wound ......... ......... 651 $297 0.59 Add.
65290.... 1 Repair of eye 3 $482 677 $523 1.04 ..............
socket wound.
65400.... 1 Removal of eye 1 $314 652 $415 0.82 ..............
lesion.
65410.... 1 Biopsy of cornea... 2 $422 683 $317 0.63 ..............
65420.... 1 Removal of eye 2 $422 651 $297 0.59 ..............
lesion.
65426.... 1 Removal of eye 5 $678 652 $415 0.82 ..............
lesion.
65430.... 5 Corneal smear...... ......... ......... ......... ......... ......... ..............
65435.... 5 Curette/treat ......... ......... ......... ......... ......... ..............
cornea.
65436.... 1 Curette/treat ......... ......... 651 $297 0.59 Add.
cornea.
65450.... 1 Treatment of ......... ......... 651 $297 0.59 Add.
corneal lesion.
65600.... 5 Revision of cornea. ......... ......... ......... ......... ......... ..............
65710.... 1 Corneal transplant. 7 $941 670 $1,648 3.27 ..............
65730.... 1 Corneal transplant. 7 $941 670 $1,648 3.27 ..............
[[Page 32393]]
65750.... 1 Corneal transplant. 7 $941 670 $1,648 3.27 ..............
65755.... 1 Corneal transplant. 7 $941 670 $1,648 3.27 ..............
65760.... 9 Revision of cornea. ......... ......... ......... ......... ......... ..............
65765.... 9 Revision of cornea. ......... ......... ......... ......... ......... ..............
65767.... 9 Corneal tissue ......... ......... ......... ......... ......... ..............
transplant.
65770.... 1 Revise cornea with 7 $941 652 $415 0.82 ..............
implant.
65771.... 9 Radial keratotomy.. ......... ......... ......... ......... ......... ..............
65772.... 1 Correction of ......... ......... 651 $297 0.59 Add.
astigmatism.
65775.... 1 Correction of ......... ......... 652 $415 0.82 Add.
astigmatism.
65800.... 1 Drainage of eye.... 1 $314 683 $317 0.63 ..............
65805.... 1 Drainage of eye.... 1 $314 683 $317 0.63 ..............
65810.... 1 Drainage of eye.... 3 $482 651 $297 0.59 ..............
65815.... 1 Drainage of eye.... 2 $422 651 $297 0.59 ..............
65820.... 1 Relieve inner eye ......... ......... 651 $297 0.59 Add.
pressure.
65850.... 1 Incision of eye.... 4 $595 652 $415 0.82 ..............
65855.... 1 Laser surgery of ......... ......... 649 $274 0.54 Add.
eye.
65860.... 1 Incise inner eye ......... ......... 649 $274 0.54 Add.
adhesions.
65865.... 1 Incise inner eye 1 $314 652 $415 0.82 ..............
adhesions.
65870.... 1 Incise inner eye 4 $595 652 $415 0.82 ..............
adhesions.
65875.... 1 Incise inner eye 4 $595 652 $415 0.82 ..............
adhesions.
65880.... 1 Incise inner eye 4 $595 652 $415 0.82 ..............
adhesions.
65900.... 1 Remove eye lesion.. 5 $678 652 $415 0.82 ..............
65920.... 1 Remove implant from 7 $941 652 $415 0.82 ..............
eye.
65930.... 1 Remove blood clot 5 $678 652 $415 0.82 ..............
from eye.
66020.... 1 Injection treatment 1 $314 683 $317 0.63 ..............
of eye.
66030.... 1 Injection treatment 1 $314 683 $317 0.63 ..............
of eye.
66130.... 1 Remove eye lesion.. 7 $941 651 $297 0.59 ..............
66150.... 1 Glaucoma surgery... 4 $595 652 $415 0.82 ..............
66155.... 1 Glaucoma surgery... 4 $595 652 $415 0.82 ..............
66160.... 1 Glaucoma surgery... 2 $422 652 $415 0.82 ..............
66165.... 1 Glaucoma surgery... 4 $595 652 $415 0.82 ..............
66170.... 1 Glaucoma surgery... 4 $595 652 $415 0.82 ..............
66172.... 1 Incision of eye.... 4 $595 652 $415 0.82 ..............
66180.... 1 Implant eye shunt.. 5 $678 652 $415 0.82 ..............
66185.... 1 Revise eye shunt... 2 $422 652 $415 0.82 ..............
66220.... 1 Repair eye lesion.. 3 $482 676 $336 0.67 ..............
66225.... 1 Repair/graft eye 4 $595 652 $415 0.82 ..............
lesion.
66250.... 1 Follow-up surgery 2 $422 652 $415 0.82 ..............
of eye.
66500.... 1 Incision of iris... 1 $314 651 $297 0.59 ..............
66505.... 1 Incision of iris... 1 $314 651 $297 0.59 ..............
66600.... 1 Remove iris and 3 $482 651 $297 0.59 ..............
lesion.
66605.... 1 Removal of iris.... 3 $482 652 $415 0.82 ..............
66625.... 1 Removal of iris.... 3 $482 651 $297 0.59 ..............
66630.... 1 Removal of iris.... 3 $482 651 $297 0.59 ..............
66635.... 1 Removal of iris.... 3 $482 652 $415 0.82 ..............
66680.... 1 Repair iris & 3 $482 652 $415 0.82 ..............
ciliary body.
66682.... 1 Repair iris and 2 $422 652 $415 0.82 ..............
ciliary body.
66700.... 1 Destruction, 2 $422 651 $297 0.59 ..............
ciliary body.
66710.... 1 Destruction, 2 $422 651 $297 0.59 ..............
ciliary body.
66720.... 1 Destruction, 2 $422 651 $297 0.59 ..............
ciliary body.
66740.... 1 Destruction, 2 $422 652 $415 0.82 ..............
ciliary body.
66761.... 1 Revision of iris... ......... ......... 649 $274 0.54 Add.
66762.... 1 Revision of iris... ......... ......... 649 $274 0.54 Add.
66770.... 1 Removal of inner ......... ......... 649 $274 0.54 Add.
eye lesion.
66820.... 1 Incision, secondary ......... ......... 651 $297 0.59 Add.
cataract.
66821.... 1 After cataract 2 $422 649 $274 0.54 ..............
laser surgery.
66825.... 1 Reposition ......... ......... 651 $297 0.59 Add.
intraocular lens.
66830.... 1 Removal of lens 4 $595 652 $415 0.82 ..............
lesion.
66840.... 1 Removal of lens 4 $595 667 $661 1.31 ..............
material.
66850.... 1 Removal of lens 7 $941 667 $661 1.31 ..............
material.
66852.... 1 Removal of lens 4 $595 667 $661 1.31 ..............
material.
66920.... 1 Extraction of lens. 4 $595 667 $661 1.31 ..............
66930.... 1 Extraction of lens. 5 $678 667 $661 1.31 ..............
66940.... 1 Extraction of lens. 5 $678 667 $661 1.31 ..............
66983.... 1 Remove cataract, 8 $928 668 $863 1.71 ..............
insert lens.
66984.... 1 Remove cataract, 8 $928 668 $863 1.71 ..............
insert lens.
66985.... 1 Insert lens 6 $789 668 $863 1.71 ..............
prosthesis.
66986.... 1 Exchange lens 6 $789 668 $863 1.71 ..............
prosthesis.
66999.... 3 Eye surgery ......... ......... ......... ......... ......... ..............
procedure.
67005.... 1 Partial removal of 4 $595 676 $336 0.67 ..............
eye fluid.
67010.... 1 Partial removal of 4 $595 676 $336 0.67 ..............
eye fluid.
67015.... 1 Release of eye 1 $314 676 $336 0.67 ..............
fluid.
67025.... 1 Replace eye fluid.. 1 $314 683 $317 0.63 ..............
67027.... 1 Implant eye drug ......... ......... ......... ......... ......... Add.
system.
[[Page 32394]]
67028.... 5 Injection eye drug. ......... ......... ......... ......... ......... ..............
67030.... 1 Incise inner eye 1 $314 676 $336 0.67 ..............
strands.
67031.... 1 Laser surgery, eye 2 $422 649 $274 0.54 ..............
strands.
67036.... 1 Removal of inner 4 $595 690 $983 1.95 ..............
eye fluid.
67038.... 1 Strip retinal 5 $678 690 $983 1.95 ..............
membrane.
67039.... 1 Laser treatment of 7 $941 690 $983 1.95 ..............
retina.
67040.... 1 Laser treatment of 7 $941 690 $983 1.95 ..............
retina.
67101.... 1 Repair, detached ......... ......... 676 $336 0.67 Add.
retina.
67105.... 5 Repair, detached ......... ......... ......... ......... ......... ..............
retina.
67107.... 1 Repair detached 5 $678 690 $983 1.95 ..............
retina.
67108.... 1 Repair detached 7 $941 690 $983 1.95 ..............
retina.
67110.... 1 Repair detached ......... ......... 676 $336 0.67 Add.
retina.
67112.... 1 Re-repair detached 7 $941 690 $983 1.95 ..............
retina.
67115.... 1 Release, encircling 2 $422 676 $336 0.67 ..............
material.
67120.... 1 Remove eye implant 2 $422 676 $336 0.67 ..............
material.
67121.... 1 Remove eye implant 2 $422 676 $336 0.67 ..............
material.
67141.... 1 Treatment of retina 2 $422 676 $336 0.67 ..............
67145.... 5 Treatment of retina ......... ......... ......... ......... ......... ..............
67208.... 1 Treatment of ......... ......... 676 $336 0.67 Add.
retinal lesion.
67210.... 5 Treatment of ......... ......... ......... ......... ......... ..............
retinal lesion.
67218.... 1 Treatment of 5 $678 676 $336 0.67 ..............
retinal lesion.
67227.... 1 Treatment of 1 $314 676 $336 0.67 ..............
retinal lesion.
67228.... 5 Treatment of ......... ......... ......... ......... ......... ..............
retinal lesion.
67250.... 1 Reinforce eye wall. 3 $482 684 $491 0.97 ..............
67255.... 1 Reinforce/graft eye 3 $482 684 $491 0.97 ..............
wall.
67299.... 3 Eye surgery ......... ......... ......... ......... ......... ..............
procedure.
67311.... 1 Revise eye muscle.. 3 $482 677 $523 1.04 ..............
67312.... 1 Revise two eye 4 $595 677 $523 1.04 ..............
muscles.
67314.... 1 Revise eye muscle.. 4 $595 677 $523 1.04 ..............
67316.... 1 Revise two eye 4 $595 677 $523 1.04 ..............
muscles.
67318.... 1 Revise eye 4 $595 677 $523 1.04 ..............
muscle(s).
67320.... 1 Revise eye 4 $595 677 $523 1.04 ..............
muscle(s).
67331.... 1 Eye surgery follow- 4 $595 677 $523 1.04 ..............
up.
67332.... 1 Rerevise eye 4 $595 677 $523 1.04 ..............
muscles.
67334.... 1 Revise eye muscle w/ ......... ......... 677 $523 1.04 Add.
suture.
67335.... 1 Eye suture during ......... ......... 677 $523 1.04 Add.
surgery.
67340.... 1 Revise eye muscle.. 4 $595 677 $523 1.04 ..............
67343.... 1 Release eye tissue. ......... ......... 677 $523 1.04 Add.
67345.... 5 Destroy nerve of ......... ......... ......... ......... ......... ..............
eye muscle.
67350.... 1 Biopsy eye muscle.. 1 $314 162 $187 0.37 ..............
67399.... 3 Eye muscle surgery ......... ......... ......... ......... ......... ..............
procedure.
67400.... 1 Explore/biopsy eye 3 $482 684 $491 0.97 ..............
socket.
67405.... 1 Explore/drain eye 4 $595 684 $491 0.97 ..............
socket.
67412.... 1 Explore/treat eye 5 $678 684 $491 0.97 ..............
socket.
67413.... 1 Explore/treat eye 5 $678 684 $491 0.97 ..............
socket.
67414.... 3 Explore/decompress ......... ......... ......... ......... ......... ..............
eye socke.
67415.... 1 Aspiration orbital 1 $314 122 $186 0.37 ..............
contents.
67420.... 1 Explore/treat eye 5 $678 232 $814 1.62 ..............
socket.
67430.... 1 Explore/treat eye 5 $678 232 $814 1.62 ..............
socket.
67440.... 1 Explore/drain eye 5 $678 232 $814 1.62 ..............
socket.
67445.... 3 Explore/decompress ......... ......... ......... ......... ......... ..............
eye socke.
67450.... 1 Explore/biopsy eye 5 $678 232 $814 1.62 ..............
socket.
67500.... 5 Inject/treat eye ......... ......... ......... ......... ......... ..............
socket.
67505.... 5 Inject/treat eye ......... ......... ......... ......... ......... ..............
socket.
67515.... 5 Inject/treat eye ......... ......... ......... ......... ......... ..............
socket.
67550.... 1 Insert eye socket 4 $595 684 $491 0.97 ..............
implant.
67560.... 1 Revise eye socket 2 $422 684 $491 0.97 ..............
implant.
67570.... 3 Decompress optic ......... ......... ......... ......... ......... ..............
nerve.
67599.... 3 Orbit surgery ......... ......... ......... ......... ......... ..............
procedure.
67700.... 5 Drainage of eyelid ......... ......... ......... ......... ......... ..............
abscess.
67710.... 5 Incision of eyelid. ......... ......... ......... ......... ......... ..............
67715.... 1 Incision of eyelid 1 $314 683 $317 0.63 ..............
fold.
67800.... 5 Remove eyelid ......... ......... ......... ......... ......... ..............
lesion.
67801.... 5 Remove eyelid ......... ......... ......... ......... ......... ..............
lesions.
67805.... 5 Remove eyelid ......... ......... ......... ......... ......... ..............
lesions.
67808.... 1 Remove eyelid 2 $422 684 $491 0.97 ..............
lesion(s).
67810.... 5 Biopsy of eyelid... ......... ......... ......... ......... ......... ..............
67820.... 5 Revise eyelashes... ......... ......... ......... ......... ......... ..............
67825.... 5 Revise eyelashes... ......... ......... ......... ......... ......... ..............
67830.... 1 Revise eyelashes... 2 $422 683 $317 0.63 ..............
67835.... 1 Revise eyelashes... 2 $422 684 $491 0.97 ..............
67840.... 5 Remove eyelid ......... ......... ......... ......... ......... ..............
lesion.
67850.... 5 Treat eyelid lesion ......... ......... ......... ......... ......... ..............
67875.... 5 Closure of eyelid ......... ......... ......... ......... ......... ..............
by suture.
[[Page 32395]]
67880.... 1 Revision of eyelid. 3 $482 683 $317 0.63 ..............
67882.... 1 Revision of eyelid. 3 $482 684 $491 0.97 ..............
67900.... 1 Repair brow defect. ......... ......... 684 $491 0.97 Add.
67901.... 1 Repair eyelid 5 $678 684 $491 0.97 ..............
defect.
67902.... 1 Repair eyelid 5 $678 684 $491 0.97 ..............
defect.
67903.... 1 Repair eyelid 4 $595 684 $491 0.97 ..............
defect.
67904.... 1 Repair eyelid 4 $595 684 $491 0.97 ..............
defect.
67906.... 1 Repair eyelid 5 $678 684 $491 0.97 ..............
defect.
67908.... 1 Repair eyelid 4 $595 684 $491 0.97 ..............
defect.
67909.... 1 Revise eyelid 4 $595 684 $491 0.97 ..............
defect.
67911.... 1 Revise eyelid 3 $482 684 $491 0.97 ..............
defect.
67914.... 1 Repair eyelid 3 $482 684 $491 0.97 ..............
defect.
67915.... 5 Repair eyelid ......... ......... ......... ......... ......... ..............
defect.
67916.... 1 Repair eyelid 4 $595 684 $491 0.97 ..............
defect.
67917.... 1 Repair eyelid 4 $595 684 $491 0.97 ..............
defect.
67921.... 1 Repair eyelid 3 $482 684 $491 0.97 ..............
defect.
67922.... 5 Repair eyelid ......... ......... ......... ......... ......... ..............
defect.
67923.... 1 Repair eyelid 4 $595 684 $491 0.97 ..............
defect.
67924.... 1 Repair eyelid 4 $595 684 $491 0.97 ..............
defect.
67930.... 5 Repair eyelid wound ......... ......... ......... ......... ......... ..............
67935.... 1 Repair eyelid wound 2 $422 683 $317 0.63 ..............
67938.... 5 Remove eyelid ......... ......... ......... ......... ......... ..............
foreign body.
67950.... 1 Revision of eyelid. 2 $422 684 $491 0.97 ..............
67961.... 1 Revision of eyelid. 3 $482 684 $491 0.97 ..............
67966.... 1 Revision of eyelid. 3 $482 684 $491 0.97 ..............
67971.... 1 Reconstruction of 3 $482 684 $491 0.97 ..............
eyelid.
67973.... 1 Reconstruction of 3 $482 684 $491 0.97 ..............
eyelid.
67974.... 1 Reconstruction of 3 $482 684 $491 0.97 ..............
eyelid.
67975.... 1 Reconstruction of 3 $482 684 $491 0.97 ..............
eyelid.
67999.... 3 Revision of eyelid. ......... ......... ......... ......... ......... ..............
68020.... 5 Incise/drain eyelid ......... ......... ......... ......... ......... ..............
lining.
68040.... 5 Treatment of eyelid ......... ......... ......... ......... ......... ..............
lesions.
68100.... 1 Biopsy of eyelid ......... ......... 162 $187 0.37 Add.
lining.
68110.... 1 Remove eyelid ......... ......... 162 $187 0.37 Add.
lining lesion.
68115.... 1 Remove eyelid ......... ......... 162 $187 0.37 Add.
lining lesion.
68130.... 1 Remove eyelid 2 $422 652 $415 0.82 ..............
lining lesion.
68135.... 1 Remove eyelid ......... ......... 162 $187 0.37 Add.
lining lesion.
68200.... 5 Treat eyelid by ......... ......... ......... ......... ......... ..............
injection.
68320.... 1 Revise/graft eyelid 4 $595 684 $491 0.97 ..............
lining.
68325.... 1 Revise/graft eyelid 4 $595 684 $491 0.97 ..............
lining.
68326.... 1 Revise/graft eyelid 4 $595 684 $491 0.97 ..............
lining.
68328.... 1 Revise/graft eyelid 4 $595 684 $491 0.97 ..............
lining.
68330.... 1 Revise eyelid 4 $595 652 $415 0.82 ..............
lining.
68335.... 1 Revise/graft eyelid 4 $595 684 $491 0.97 ..............
lining.
68340.... 1 Separate eyelid 4 $595 684 $491 0.97 ..............
adhesions.
68360.... 1 Revise eyelid 2 $422 652 $415 0.82 ..............
lining.
68362.... 1 Revise eyelid 2 $422 652 $415 0.82 ..............
lining.
68399.... 3 Eyelid lining ......... ......... ......... ......... ......... ..............
surgery.
68400.... 5 Incise/drain tear ......... ......... ......... ......... ......... ..............
gland.
68420.... 5 Incise/drain tear ......... ......... ......... ......... ......... ..............
sac.
68440.... 5 Incise tear duct ......... ......... ......... ......... ......... ..............
opening.
68500.... 1 Removal of tear 3 $482 684 $491 0.97 ..............
gland.
68505.... 1 Partial removal 3 $482 684 $491 0.97 ..............
tear gland.
68510.... 1 Biopsy of tear 1 $314 683 $317 0.63 ..............
gland.
68520.... 1 Removal of tear sac 3 $482 684 $491 0.97 ..............
68525.... 1 Biopsy of tear sac. 1 $314 683 $317 0.63 ..............
68530.... 5 Clearance of tear ......... ......... ......... ......... ......... ..............
duct.
68540.... 1 Remove tear gland 3 $482 684 $491 0.97 ..............
lesion.
68550.... 1 Remove tear gland 3 $482 684 $491 0.97 ..............
lesion.
68700.... 1 Repair tear ducts.. 2 $422 684 $491 0.97 ..............
68705.... 5 Revise tear duct ......... ......... ......... ......... ......... ..............
opening.
68720.... 1 Create tear sac 4 $595 684 $491 0.97 ..............
drain.
68745.... 1 Create tear duct 4 $595 684 $491 0.97 ..............
drain.
68750.... 1 Create tear duct 4 $595 684 $491 0.97 ..............
drain.
68760.... 5 Close tear duct ......... ......... ......... ......... ......... ..............
opening.
68761.... 5 Close tear duct ......... ......... ......... ......... ......... ..............
opening.
68770.... 1 Close tear system ......... ......... 684 $491 0.97 Add.
fistula.
68801.... 5 Dilate tear duct ......... ......... ......... ......... ......... ..............
opening.
68810.... 1 Probe nasolacrimal 1 $314 683 $317 0.63 ..............
duct.
68811.... 1 Probe nasolacrimal 2 $422 684 $491 0.97 ..............
duct.
68815.... 1 Probe nasolacrimal 2 $422 684 $491 0.97 ..............
duct.
68840.... 5 Explore/irrigate ......... ......... ......... ......... ......... ..............
tear ducts.
68850.... 2 Injection for tear ......... ......... ......... ......... ......... ..............
sac x-ray.
68899.... 3 Tear duct system ......... ......... ......... ......... ......... ..............
surgery.
[[Page 32396]]
69000.... 5 Drain external ear ......... ......... ......... ......... ......... ..............
lesion.
69005.... 5 Drain external ear ......... ......... ......... ......... ......... ..............
lesion.
69020.... 5 Drain outer ear ......... ......... ......... ......... ......... ..............
canal lesion.
69090.... 9 Pierce earlobes.... ......... ......... ......... ......... ......... ..............
69100.... 5 Biopsy of external ......... ......... ......... ......... ......... ..............
ear.
69105.... 5 Biopsy of external ......... ......... ......... ......... ......... ..............
ear canal.
69110.... 1 Partial removal 1 $314 163 $449 0.89 ..............
external ear.
69120.... 1 Removal of external 2 $422 313 $537 1.07 ..............
ear.
69140.... 1 Remove ear canal 2 $422 313 $537 1.07 ..............
lesion(s).
69145.... 1 Remove ear canal 2 $422 163 $449 0.89 ..............
lesion(s).
69150.... 1 Extensive ear canal 3 $482 314 $946 1.88 ..............
surgery.
69155.... 3 Extensive ear/neck ......... ......... ......... ......... ......... ..............
surgery.
69200.... 5 Clear outer ear ......... ......... ......... ......... ......... ..............
canal.
69205.... 1 Clear outer ear 1 $314 163 $449 0.89 ..............
canal.
69210.... 5 Remove impacted ear ......... ......... ......... ......... ......... ..............
wax.
69220.... 5 Clean out mastoid ......... ......... ......... ......... ......... ..............
cavity.
69222.... 5 Clean out mastoid ......... ......... ......... ......... ......... ..............
cavity.
69300.... 7 Revise external ear ......... ......... 313 $537 1.07 Add.
69310.... 1 Rebuild outer ear 3 $482 314 $946 1.88 ..............
canal.
69320.... 1 Rebuild outer ear 7 $941 314 $946 1.88 ..............
canal.
69399.... 3 Outer ear surgery ......... ......... ......... ......... ......... ..............
procedure.
69400.... 5 Inflate middle ear ......... ......... ......... ......... ......... ..............
canal.
69401.... 5 Inflate middle ear ......... ......... ......... ......... ......... ..............
canal.
69405.... 5 Catheterize middle ......... ......... ......... ......... ......... ..............
ear canal.
69410.... 5 Inset middle ear ......... ......... ......... ......... ......... ..............
baffle.
69420.... 5 Incision of eardrum ......... ......... ......... ......... ......... ..............
69421.... 1 Incision of eardrum 3 $482 312 $233 0.46 ..............
69424.... 5 Remove ventilating 1 $314 ......... ......... ......... Delete.
tube.
69433.... 1 Create eardrum ......... ......... 312 $233 0.46 Add.
opening.
69436.... 1 Create eardrum 3 $482 312 $233 0.46 ..............
opening.
69440.... 1 Exploration of 3 $482 313 $537 1.07 ..............
middle ear.
69450.... 1 Eardrum revision... 1 $314 313 $537 1.07 ..............
69501.... 1 Mastoidectomy...... 7 $941 314 $946 1.88 ..............
69502.... 1 Mastoidectomy...... 7 $941 314 $946 1.88 ..............
69505.... 1 Remove mastoid 7 $941 314 $946 1.88 ..............
structures.
69511.... 1 Extensive mastoid 7 $941 314 $946 1.88 ..............
surgery.
69530.... 1 Extensive mastoid 7 $941 314 $946 1.88 ..............
surgery.
69535.... 3 Remove part of ......... ......... ......... ......... ......... ..............
temporal bone.
69540.... 5 Remove ear lesion.. ......... ......... ......... ......... ......... ..............
69550.... 1 Remove ear lesion.. 5 $678 314 $946 1.88 ..............
69552.... 1 Remove ear lesion.. 7 $941 314 $946 1.88 ..............
69554.... 3 Remove ear lesion.. ......... ......... ......... ......... ......... ..............
69601.... 1 Mastoid surgery 7 $941 314 $946 1.88 ..............
revision.
69602.... 1 Mastoid surgery 7 $941 314 $946 1.88 ..............
revision.
69603.... 1 Mastoid surgery 7 $941 314 $946 1.88 ..............
revision.
69604.... 1 Mastoid surgery 7 $941 314 $946 1.88 ..............
revision.
69605.... 1 Mastoid surgery 7 $941 314 $946 1.88 ..............
revision.
69610.... 5 Repair of eardrum.. ......... ......... ......... ......... ......... ..............
69620.... 1 Repair of eardrum.. 2 $422 313 $537 1.07 ..............
69631.... 1 Repair eardrum 5 $678 314 $946 1.88 ..............
structures.
69632.... 1 Rebuild eardrum 5 $678 314 $946 1.88 ..............
structures.
69633.... 1 Rebuild eardrum 5 $678 314 $946 1.88 ..............
structures.
69635.... 1 Repair eardrum 7 $941 314 $946 1.88 ..............
structures.
69636.... 1 Rebuild eardrum 7 $941 314 $946 1.88 ..............
structures.
69637.... 1 Rebuild eardrum 7 $941 314 $946 1.88 ..............
structures.
69641.... 1 Revise middle ear & 7 $941 314 $946 1.88 ..............
mastoid.
69642.... 1 Revise middle ear & 7 $941 314 $946 1.88 ..............
mastoid.
69643.... 1 Revise middle ear & 7 $941 314 $946 1.88 ..............
mastoid.
69644.... 1 Revise middle ear & 7 $941 314 $946 1.88 ..............
mastoid.
69645.... 1 Revise middle ear & 7 $941 314 $946 1.88 ..............
mastoid.
69646.... 1 Revise middle ear & 7 $941 314 $946 1.88 ..............
mastoid.
69650.... 1 Release middle ear 7 $941 314 $946 1.88 ..............
bone.
69660.... 1 Revise middle ear 5 $678 314 $946 1.88 ..............
bone.
69661.... 1 Revise middle ear 5 $678 314 $946 1.88 ..............
bone.
69662.... 1 Revise middle ear 5 $678 314 $946 1.88 ..............
bone.
69666.... 1 Repair middle ear 4 $595 314 $946 1.88 ..............
structures.
69667.... 1 Repair middle ear 4 $595 314 $946 1.88 ..............
structures.
69670.... 1 Remove mastoid air 3 $482 314 $946 1.88 ..............
cells.
69676.... 1 Remove middle ear 3 $482 314 $946 1.88 ..............
nerve.
69700.... 1 Close mastoid 3 $482 314 $946 1.88 ..............
fistula.
69710.... 9 Implant/replace 3 $482 ......... ......... ......... Delete.
hearing aid.
69711.... 1 Remove/repair 1 $314 314 $946 1.88 ..............
hearing aid.
69720.... 1 Release facial 5 $678 314 $946 1.88 ..............
nerve.
69725.... 1 Release facial 5 $678 314 $946 1.88 ..............
nerve.
[[Page 32397]]
69740.... 1 Repair facial nerve 5 $678 314 $946 1.88 ..............
69745.... 1 Repair facial nerve 5 $678 314 $946 1.88 ..............
69799.... 3 Middle ear surgery ......... ......... ......... ......... ......... ..............
procedure.
69801.... 1 Incise inner ear... 5 $678 314 $946 1.88 ..............
69802.... 1 Incise inner ear... 7 $941 314 $946 1.88 ..............
69805.... 1 Explore inner ear.. 7 $941 314 $946 1.88 ..............
69806.... 1 Explore inner ear.. 7 $941 314 $946 1.88 ..............
69820.... 1 Establish inner ear 5 $678 314 $946 1.88 ..............
window.
69840.... 1 Revise inner ear 5 $678 314 $946 1.88 ..............
window.
69905.... 1 Remove inner ear... 7 $941 314 $946 1.88 ..............
69910.... 1 Remove inner ear & 7 $941 314 $946 1.88 ..............
mastoid.
69915.... 1 Incise inner ear 7 $941 314 $946 1.88 ..............
nerve.
69930.... 1 Implant cochlear 7 $941 317 $962 1.91 ..............
device.
69949.... 3 Inner ear surgery ......... ......... ......... ......... ......... ..............
procedure.
69950.... 3 Incise inner ear ......... ......... ......... ......... ......... ..............
nerve.
69955.... 3 Release facial ......... ......... ......... ......... ......... ..............
nerve.
69960.... 3 Release inner ear ......... ......... ......... ......... ......... ..............
canal.
69970.... 3 Remove inner ear ......... ......... ......... ......... ......... ..............
lesion.
69979.... 3 Temporal bone ......... ......... ......... ......... ......... ..............
surgery.
70010.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
brain.
70015.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
brain.
70030.... 6 X-ray eye for ......... ......... ......... ......... ......... ..............
foreign body.
70100.... 6 X-ray exam of jaw.. ......... ......... ......... ......... ......... ..............
70110.... 6 X-ray exam of jaw.. ......... ......... ......... ......... ......... ..............
70120.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
mastoids.
70130.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
mastoids.
70134.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
middle ear.
70140.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
facial bones.
70150.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
facial bones.
70160.... 6 X-ray exam of nasal ......... ......... ......... ......... ......... ..............
bones.
70170.... 6 X-ray exam of tear ......... ......... ......... ......... ......... ..............
duct.
70190.... 6 X-ray exam of eye ......... ......... ......... ......... ......... ..............
sockets.
70200.... 6 X-ray exam of eye ......... ......... ......... ......... ......... ..............
sockets.
70210.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
sinuses.
70220.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
sinuses.
70240.... 6 X-ray exam ......... ......... ......... ......... ......... ..............
pituitary saddle.
70250.... 6 X-ray exam of skull ......... ......... ......... ......... ......... ..............
70260.... 6 X-ray exam of skull ......... ......... ......... ......... ......... ..............
70300.... 6 X-ray exam of teeth ......... ......... ......... ......... ......... ..............
70310.... 6 X-ray exam of teeth ......... ......... ......... ......... ......... ..............
70320.... 6 Full mouth x-ray of ......... ......... ......... ......... ......... ..............
teeth.
70328.... 6 X-ray exam of jaw ......... ......... ......... ......... ......... ..............
joint.
70330.... 6 X-ray exam of jaw ......... ......... ......... ......... ......... ..............
joints.
70332.... 6 X-ray exam of jaw ......... ......... ......... ......... ......... ..............
joint.
70336.... 6 Magnetic image jaw ......... ......... ......... ......... ......... ..............
joint.
70350.... 6 X-ray head for ......... ......... ......... ......... ......... ..............
orthodontia.
70355.... 6 Panoramic x-ray of ......... ......... ......... ......... ......... ..............
jaws.
70360.... 6 X-ray exam of neck. ......... ......... ......... ......... ......... ..............
70370.... 6 Throat x-ray & ......... ......... ......... ......... ......... ..............
fluoroscopy.
70371.... 6 Speech evaluation, ......... ......... ......... ......... ......... ..............
complex.
70373.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
larynx.
70380.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
salivary gland.
70390.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
salivary duct.
70450.... 6 CAT scan of head or ......... ......... ......... ......... ......... ..............
brain.
70460.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of head.
70470.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of head.
70480.... 6 CAT scan of skull.. ......... ......... ......... ......... ......... ..............
70481.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of skull.
70482.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of skull.
70486.... 6 CAT scan of face, ......... ......... ......... ......... ......... ..............
jaw.
70487.... 6 Contrast CAT scan, ......... ......... ......... ......... ......... ..............
face/jaw.
70488.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
face/jaw.
70490.... 6 CAT scan of neck ......... ......... ......... ......... ......... ..............
tissue.
70491.... 6 Contrast CAT of ......... ......... ......... ......... ......... ..............
neck tissue.
70492.... 6 Contrast CAT of ......... ......... ......... ......... ......... ..............
neck tissue.
70540.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
face, neck.
70541.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
head (MRA).
70551.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
brain (MRI).
70552.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
brain (MRI).
70553.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
brain.
71010.... 6 Chest x-ray........ ......... ......... ......... ......... ......... ..............
71015.... 6 X-ray exam of chest ......... ......... ......... ......... ......... ..............
71020.... 6 Chest x-ray........ ......... ......... ......... ......... ......... ..............
71021.... 6 Chest x-ray........ ......... ......... ......... ......... ......... ..............
[[Page 32398]]
71022.... 6 Chest x-ray........ ......... ......... ......... ......... ......... ..............
71023.... 6 Chest x-ray and ......... ......... ......... ......... ......... ..............
fluoroscopy.
71030.... 6 Chest x-ray........ ......... ......... ......... ......... ......... ..............
71034.... 6 Chest x-ray & ......... ......... ......... ......... ......... ..............
fluoroscopy.
71035.... 6 Chest x-ray........ ......... ......... ......... ......... ......... ..............
71036.... 6 X-ray guidance for ......... ......... ......... ......... ......... ..............
biopsy.
71038.... 6 X-ray guidance for ......... ......... ......... ......... ......... ..............
biopsy.
71040.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
bronchi.
71060.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
bronchi.
71090.... 6 X-ray & pacemaker ......... ......... ......... ......... ......... ..............
insertion.
71100.... 6 X-ray exam of ribs. ......... ......... ......... ......... ......... ..............
71101.... 6 X-ray exam of ribs, ......... ......... ......... ......... ......... ..............
chest.
71110.... 6 X-ray exam of ribs. ......... ......... ......... ......... ......... ..............
71111.... 6 X-ray exam of ribs, ......... ......... ......... ......... ......... ..............
chest.
71120.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
breastbone.
71130.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
breastbone.
71250.... 6 Cat scan of chest.. ......... ......... ......... ......... ......... ..............
71260.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of chest.
71270.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of chest.
71550.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
chest.
71555.... 9 Magnetic imaging/ ......... ......... ......... ......... ......... ..............
chest (MRA).
72010.... 6 X-ray exam of spine ......... ......... ......... ......... ......... ..............
72020.... 6 X-ray exam of spine ......... ......... ......... ......... ......... ..............
72040.... 6 X-ray exam of neck ......... ......... ......... ......... ......... ..............
spine.
72050.... 6 X-ray exam of neck ......... ......... ......... ......... ......... ..............
spine.
72052.... 6 X-ray exam of neck ......... ......... ......... ......... ......... ..............
spine.
72069.... 6 X-ray exam of trunk ......... ......... ......... ......... ......... ..............
spine.
72070.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
thorax spine.
72072.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
thoracic spine.
72074.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
thoracic spine.
72080.... 6 X-ray exam of trunk ......... ......... ......... ......... ......... ..............
spine.
72090.... 6 X-ray exam of trunk ......... ......... ......... ......... ......... ..............
spine.
72100.... 6 X-ray exam of lower ......... ......... ......... ......... ......... ..............
spine.
72110.... 6 X-ray exam of lower ......... ......... ......... ......... ......... ..............
spine.
72114.... 6 X-ray exam of lower ......... ......... ......... ......... ......... ..............
spine.
72120.... 6 X-ray exam of lower ......... ......... ......... ......... ......... ..............
spine.
72125.... 6 CAT scan of neck ......... ......... ......... ......... ......... ..............
spine.
72126.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of neck.
72127.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of neck.
72128.... 6 CAT scan of thorax ......... ......... ......... ......... ......... ..............
spine.
72129.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of thorax.
72130.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of thorax.
72131.... 6 CAT scan of lower ......... ......... ......... ......... ......... ..............
spine.
72132.... 6 Contrast CAT of ......... ......... ......... ......... ......... ..............
lower spine.
72133.... 6 Contrast CAT scans, ......... ......... ......... ......... ......... ..............
low spine.
72141.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
neck spine.
72142.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
neck spine.
72146.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
chest spine.
72147.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
chest spine.
72148.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
lumbar spine.
72149.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
lumbar spine.
72156.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
neck spine.
72157.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
chest spine.
72158.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
lumbar spine.
72159.... 9 Magnetic imaging/ ......... ......... ......... ......... ......... ..............
spine (MRA).
72170.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
pelvis.
72190.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
pelvis.
72192.... 6 CAT scan of pelvis. ......... ......... ......... ......... ......... ..............
72193.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of pelvis.
72194.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of pelvis.
72196.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
pelvis.
72198.... 9 Magnetic imaging/ ......... ......... ......... ......... ......... ..............
pelvis(MRA).
72200.... 6 X-ray exam ......... ......... ......... ......... ......... ..............
sacroiliac joints.
72202.... 6 X-ray exam ......... ......... ......... ......... ......... ..............
sacroiliac joints.
72220.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
tailbone.
72240.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
neck spine.
72255.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
thorax spine.
72265.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
lower spine.
72270.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
spine.
72285.... 6 X-ray of neck spine ......... ......... ......... ......... ......... ..............
disk.
72295.... 6 X-ray of lower ......... ......... ......... ......... ......... ..............
spine disk.
73000.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
collarbone.
73010.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
shoulder blade.
73020.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
shoulder.
[[Page 32399]]
73030.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
shoulder.
73040.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
shoulder.
73050.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
shoulders.
73060.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
humerus.
73070.... 6 X-ray exam of elbow ......... ......... ......... ......... ......... ..............
73080.... 6 X-ray exam of elbow ......... ......... ......... ......... ......... ..............
73085.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
elbow.
73090.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
forearm.
73092.... 6 X-ray exam of arm, ......... ......... ......... ......... ......... ..............
infant.
73100.... 6 X-ray exam of wrist ......... ......... ......... ......... ......... ..............
73110.... 6 X-ray exam of wrist ......... ......... ......... ......... ......... ..............
73115.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
wrist.
73120.... 6 X-ray exam of hand. ......... ......... ......... ......... ......... ..............
73130.... 6 X-ray exam of hand. ......... ......... ......... ......... ......... ..............
73140.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
finger(s).
73200.... 6 CAT scan of arm.... ......... ......... ......... ......... ......... ..............
73201.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of arm.
73202.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of arm.
73220.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
arm, hand.
73221.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
joint of arm.
73225.... 9 Magnetic imaging/ ......... ......... ......... ......... ......... ..............
upper (MRA).
73500.... 6 X-ray exam of hip.. ......... ......... ......... ......... ......... ..............
73510.... 6 X-ray exam of hip.. ......... ......... ......... ......... ......... ..............
73520.... 6 X-ray exam of hips. ......... ......... ......... ......... ......... ..............
73525.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
hip.
73530.... 6 X-ray exam of hip.. ......... ......... ......... ......... ......... ..............
73540.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
pelvis & hips.
73550.... 6 X-ray exam of thigh ......... ......... ......... ......... ......... ..............
73560.... 6 X-ray exam of knee. ......... ......... ......... ......... ......... ..............
73562.... 6 X-ray exam of knee. ......... ......... ......... ......... ......... ..............
73564.... 6 X-ray exam of knee. ......... ......... ......... ......... ......... ..............
73565.... 6 X-ray exam of knee. ......... ......... ......... ......... ......... ..............
73580.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
knee joint.
73590.... 6 X-ray exam of lower ......... ......... ......... ......... ......... ..............
leg.
73592.... 6 X-ray exam of leg, ......... ......... ......... ......... ......... ..............
infant.
73600.... 6 X-ray exam of ankle ......... ......... ......... ......... ......... ..............
73610.... 6 X-ray exam of ankle ......... ......... ......... ......... ......... ..............
73615.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
ankle.
73620.... 6 X-ray exam of foot. ......... ......... ......... ......... ......... ..............
73630.... 6 X-ray exam of foot. ......... ......... ......... ......... ......... ..............
73650.... 6 X-ray exam of heel. ......... ......... ......... ......... ......... ..............
73660.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
toe(s).
73700.... 6 CAT scan of leg.... ......... ......... ......... ......... ......... ..............
73701.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of leg.
73702.... 6 Contrast CAT scans ......... ......... ......... ......... ......... ..............
of leg.
73720.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
leg, foot.
73721.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
joint of leg.
73725.... 6 Magnetic imaging/ ......... ......... ......... ......... ......... ..............
lower (MRA).
74000.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
abdomen.
74010.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
abdomen.
74020.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
abdomen.
74022.... 6 X-ray exam series, ......... ......... ......... ......... ......... ..............
abdomen.
74150.... 6 CAT scan of abdomen ......... ......... ......... ......... ......... ..............
74160.... 6 Contrast CAT scan ......... ......... ......... ......... ......... ..............
of abdomen.
74170.... 6 Contrast CAT scans, ......... ......... ......... ......... ......... ..............
abdomen.
74181.... 6 Magnetic ......... ......... ......... ......... ......... ..............
image,abdomen
(MRI).
74185.... 9 Magnetic image/ ......... ......... ......... ......... ......... ..............
abdomen (MRA).
74190.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
peritoneum.
74210.... 6 Contrast xray exam ......... ......... ......... ......... ......... ..............
of throat.
74220.... 6 Contrast xray exam, ......... ......... ......... ......... ......... ..............
esophagus.
74230.... 6 Cinema xray throat/ ......... ......... ......... ......... ......... ..............
esophagus.
74235.... 6 Remove esophagus ......... ......... ......... ......... ......... ..............
obstruction.
74240.... 6 X-ray exam upper GI ......... ......... ......... ......... ......... ..............
tract.
74241.... 6 X-ray exam upper GI ......... ......... ......... ......... ......... ..............
tract.
74245.... 6 X-ray exam upper GI ......... ......... ......... ......... ......... ..............
tract.
74246.... 6 Contrast xray upper ......... ......... ......... ......... ......... ..............
GI tract.
74247.... 6 Contrast xray upper ......... ......... ......... ......... ......... ..............
GI tract.
74249.... 6 Contrast xray upper ......... ......... ......... ......... ......... ..............
GI tract.
74250.... 6 X-ray exam of small ......... ......... ......... ......... ......... ..............
bowel.
74251.... 6 X-ray exam of small ......... ......... ......... ......... ......... ..............
bowel.
74260.... 6 X-ray exam of small ......... ......... ......... ......... ......... ..............
bowel.
74270.... 6 Contrast x-ray exam ......... ......... ......... ......... ......... ..............
of colon.
74280.... 6 Contrast x-ray exam ......... ......... ......... ......... ......... ..............
of colon.
74283.... 6 Contrast x-ray exam ......... ......... ......... ......... ......... ..............
of colon.
[[Page 32400]]
74290.... 6 Contrast x-ray, ......... ......... ......... ......... ......... ..............
gallbladder.
74291.... 6 Contrast x-rays, ......... ......... ......... ......... ......... ..............
gallbladder.
74300.... 6 X-ray bile ducts, ......... ......... ......... ......... ......... ..............
pancreas.
74301.... 6 Add.itional x-rays ......... ......... ......... ......... ......... ..............
at surgery.
74305.... 6 X-ray bile ducts, ......... ......... ......... ......... ......... ..............
pancreas.
74320.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
bile ducts.
74327.... 6 X-ray for bile ......... ......... ......... ......... ......... ..............
stone removal.
74328.... 6 Xray for bile duct ......... ......... ......... ......... ......... ..............
endoscopy.
74329.... 6 X-ray for pancreas ......... ......... ......... ......... ......... ..............
endoscopy.
74330.... 6 Xray,bile/pancreas ......... ......... ......... ......... ......... ..............
endoscopy.
74340.... 6 X-ray guide for GI ......... ......... ......... ......... ......... ..............
tube.
74350.... 6 X-ray guide, ......... ......... ......... ......... ......... ..............
stomach tube.
74355.... 6 X-ray guide, ......... ......... ......... ......... ......... ..............
intestinal tube.
74360.... 6 X-ray guide, GI ......... ......... ......... ......... ......... ..............
dilation.
74363.... 6 X-ray, bile duct ......... ......... ......... ......... ......... ..............
dilation.
74400.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
urinary tract.
74405.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
urinary tract.
74410.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
urinary tract.
74415.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
urinary tract.
74420.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
urinary tract.
74425.... 6 Contrast x-ray ......... ......... ......... ......... ......... ..............
urinary tract.
74430.... 6 Contrast x-ray of ......... ......... ......... ......... ......... ..............
bladder.
74440.... 6 Xray exam male ......... ......... ......... ......... ......... ..............
genital tract.
74445.... 6 X-ray exam of penis ......... ......... ......... ......... ......... ..............
74450.... 6 X-ray exam urethra/ ......... ......... ......... ......... ......... ..............
bladder.
74455.... 6 X-ray exam urethra/ ......... ......... ......... ......... ......... ..............
bladder.
74470.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
kidney lesion.
74475.... 6 Xray control ......... ......... ......... ......... ......... ..............
catheter insert.
74480.... 6 Xray control ......... ......... ......... ......... ......... ..............
catheter insert.
74485.... 6 X-ray guide, GU ......... ......... ......... ......... ......... ..............
dilation.
74710.... 6 X-ray measurement ......... ......... ......... ......... ......... ..............
of pelvis.
74740.... 6 X-ray female ......... ......... ......... ......... ......... ..............
genital tract.
74742.... 6 X-ray fallopian ......... ......... ......... ......... ......... ..............
tube.
74775.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
perineum.
75552.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
myocardium.
75553.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
myocardium.
75554.... 6 Cardiac MRI/ ......... ......... ......... ......... ......... ..............
function.
75555.... 6 Cardiac MRI/limited ......... ......... ......... ......... ......... ..............
study.
75556.... 9 Cardiac MRI/flow ......... ......... ......... ......... ......... ..............
mapping.
75600.... 6 Contrast x-ray exam ......... ......... ......... ......... ......... ..............
of aorta.
75605.... 6 Contrast x-ray exam ......... ......... ......... ......... ......... ..............
of aorta.
75625.... 6 Contrast x-ray exam ......... ......... ......... ......... ......... ..............
of aorta.
75630.... 6 X-ray aorta, leg ......... ......... ......... ......... ......... ..............
arteries.
75650.... 6 Artery x-rays, head ......... ......... ......... ......... ......... ..............
& neck.
75658.... 6 X-ray exam of arm ......... ......... ......... ......... ......... ..............
arteries.
75660.... 6 Artery x-rays, head ......... ......... ......... ......... ......... ..............
& neck.
75662.... 6 Artery x-rays, head ......... ......... ......... ......... ......... ..............
& neck.
75665.... 6 Artery x-rays, head ......... ......... ......... ......... ......... ..............
& neck.
75671.... 6 Artery x-rays, head ......... ......... ......... ......... ......... ..............
& neck.
5676..... 6 Artery x-rays, neck ......... ......... ......... ......... ......... ..............
75680.... 6 Artery x-rays, neck ......... ......... ......... ......... ......... ..............
75685.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
spine.
75705.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
spine.
75710.... 6 Artery x-rays, arm/ ......... ......... ......... ......... ......... ..............
leg.
75716.... 6 Artery x-rays, arms/ ......... ......... ......... ......... ......... ..............
legs.
75722.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
kidney.
75724.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
kidneys.
75726.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
abdomen.
75731.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
adrenal gland.
75733.... 6 Artery x- ......... ......... ......... ......... ......... ..............
rays,adrenal
glands.
75736.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
pelvis.
75741.... 6 Artery x-rays, lung ......... ......... ......... ......... ......... ..............
75743.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
lungs.
75746.... 6 Artery x-rays, lung ......... ......... ......... ......... ......... ..............
75756.... 6 Artery x-rays, ......... ......... ......... ......... ......... ..............
chest.
75774.... 6 Artery x-ray, each ......... ......... ......... ......... ......... ..............
vessel.
75790.... 6 Visualize A-V shunt ......... ......... ......... ......... ......... ..............
75801.... 6 Lymph vessel x-ray, ......... ......... ......... ......... ......... ..............
arm/leg.
75803.... 6 Lymph vessel x-ray, ......... ......... ......... ......... ......... ..............
arms/legs.
75805.... 6 Lymph vessel x-ray, ......... ......... ......... ......... ......... ..............
trunk.
75807.... 6 Lymph vessel x-ray, ......... ......... ......... ......... ......... ..............
trunk.
75809.... 6 Nonvascular shunt, ......... ......... ......... ......... ......... ..............
x-ray.
75810.... 6 Vein x-ray, spleen/ ......... ......... ......... ......... ......... ..............
liver.
75820.... 6 Vein x-ray, arm/leg ......... ......... ......... ......... ......... ..............
[[Page 32401]]
75822.... 6 Vein x-ray, arms/ ......... ......... ......... ......... ......... ..............
legs.
75825.... 6 Vein x-ray, trunk.. ......... ......... ......... ......... ......... ..............
75827.... 6 Vein x-ray, chest.. ......... ......... ......... ......... ......... ..............
75831.... 6 Vein x-ray, kidney. ......... ......... ......... ......... ......... ..............
75833.... 6 Vein x-ray, kidneys ......... ......... ......... ......... ......... ..............
75840.... 6 Vein x-ray, adrenal ......... ......... ......... ......... ......... ..............
gland.
75842.... 6 Vein x-ray, adrenal ......... ......... ......... ......... ......... ..............
glands.
75860.... 6 Vein x-ray, neck... ......... ......... ......... ......... ......... ..............
75870.... 6 Vein x-ray, skull.. ......... ......... ......... ......... ......... ..............
75872.... 6 Vein x-ray, skull.. ......... ......... ......... ......... ......... ..............
75880.... 6 Vein x-ray, eye ......... ......... ......... ......... ......... ..............
socket.
75885.... 6 Vein x-ray, liver.. ......... ......... ......... ......... ......... ..............
75887.... 6 Vein x-ray, liver.. ......... ......... ......... ......... ......... ..............
75889.... 6 Vein x-ray, liver.. ......... ......... ......... ......... ......... ..............
75891.... 6 Vein x-ray, liver.. ......... ......... ......... ......... ......... ..............
75893.... 6 Venous sampling by ......... ......... ......... ......... ......... ..............
catheter.
75894.... 6 Xrays, ......... ......... ......... ......... ......... ..............
transcatheter
therapy.
75896.... 6 Xrays, ......... ......... ......... ......... ......... ..............
transcatheter
therapy.
75898.... 6 Follow-up angiogram ......... ......... ......... ......... ......... ..............
75900.... 6 Arterial catheter ......... ......... ......... ......... ......... ..............
exchange.
75940.... 6 X-ray placement, ......... ......... ......... ......... ......... ..............
vein filter.
75945.... 6 Intravascular us... ......... ......... ......... ......... ......... ..............
75946.... 6 Intravascular us... ......... ......... ......... ......... ......... ..............
75960.... 6 Transcatheter ......... ......... ......... ......... ......... ..............
intro, stent.
75961.... 6 Retrieval, broken ......... ......... ......... ......... ......... ..............
catheter.
75962.... 6 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
75964.... 6 Repair artery ......... ......... ......... ......... ......... ..............
blockage, each.
75966.... 6 Repair arterial ......... ......... ......... ......... ......... ..............
blockage.
75968.... 6 Repair artery ......... ......... ......... ......... ......... ..............
blockage, each.
75970.... 6 Vascular biopsy.... ......... ......... ......... ......... ......... ..............
75978.... 6 Repair venous ......... ......... ......... ......... ......... ..............
blockage.
75980.... 6 Contrast xray exam ......... ......... ......... ......... ......... ..............
bile duct.
75982.... 6 Contrast xray exam ......... ......... ......... ......... ......... ..............
bile duct.
75984.... 6 Xray control ......... ......... ......... ......... ......... ..............
catheter change.
75989.... 6 Abscess drainage ......... ......... ......... ......... ......... ..............
under x-ray.
75992.... 6 Atherectomy, x-ray ......... ......... ......... ......... ......... ..............
exam.
75993.... 6 Atherectomy, x-ray ......... ......... ......... ......... ......... ..............
exam.
75994.... 6 Atherectomy, x-ray ......... ......... ......... ......... ......... ..............
exam.
75995.... 6 Atherectomy, x-ray ......... ......... ......... ......... ......... ..............
exam.
75996.... 6 Atherectomy, x-ray ......... ......... ......... ......... ......... ..............
exam.
76000.... 6 Fluoroscope ......... ......... ......... ......... ......... ..............
examination.
76001.... 6 Fluoroscope exam, ......... ......... ......... ......... ......... ..............
extensive.
76003.... 6 Needle localization ......... ......... ......... ......... ......... ..............
by x-ray.
76010.... 6 X-ray, nose to ......... ......... ......... ......... ......... ..............
rectum.
76020.... 6 X-rays for bone age ......... ......... ......... ......... ......... ..............
76040.... 6 X-rays, bone ......... ......... ......... ......... ......... ..............
evaluation.
76061.... 6 X-rays, bone survey ......... ......... ......... ......... ......... ..............
76062.... 6 X-rays, bone survey ......... ......... ......... ......... ......... ..............
76065.... 6 X-rays, bone ......... ......... ......... ......... ......... ..............
evaluation.
76066.... 6 Joint(s) survey, ......... ......... ......... ......... ......... ..............
single film.
76070.... 6 CT scan, bone ......... ......... ......... ......... ......... ..............
density study.
76075.... 6 Dual energy x-ray ......... ......... ......... ......... ......... ..............
study.
76076.... 6 Dual energy x-ray ......... ......... ......... ......... ......... ..............
study.
76078.... 6 Photodensitometry.. ......... ......... ......... ......... ......... ..............
76080.... 6 X-ray exam of ......... ......... ......... ......... ......... ..............
fistula.
76086.... 6 X-ray of mammary ......... ......... ......... ......... ......... ..............
duct.
76088.... 6 X-ray of mammary ......... ......... ......... ......... ......... ..............
ducts.
76090.... 6 Mammogram, one ......... ......... ......... ......... ......... ..............
breast.
76091.... 6 Mammogram, both ......... ......... ......... ......... ......... ..............
breasts.
76092.... 9 Mamm0gram, ......... ......... ......... ......... ......... ..............
screening.
76093.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
breast.
76094.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
both breasts.
76095.... 6 Stereotactic breast ......... ......... ......... ......... ......... ..............
biopsy.
76096.... 6 X-ray of needle ......... ......... ......... ......... ......... ..............
wire, breast.
76098.... 6 X-ray exam, breast ......... ......... ......... ......... ......... ..............
specimen.
76100.... 6 X-ray exam of body ......... ......... ......... ......... ......... ..............
section.
76101.... 6 Complex body ......... ......... ......... ......... ......... ..............
section x-ray.
76102.... 6 Complex body ......... ......... ......... ......... ......... ..............
section x-rays.
76120.... 6 Cinematic x-rays... ......... ......... ......... ......... ......... ..............
76125.... 6 Cinematic x-rays... ......... ......... ......... ......... ......... ..............
76140.... 9 X-ray consultation. ......... ......... ......... ......... ......... ..............
76150.... 6 X-ray exam, dry ......... ......... ......... ......... ......... ..............
process.
76350.... 6 Special x-ray ......... ......... ......... ......... ......... ..............
contrast study.
76355.... 6 CAT scan for ......... ......... ......... ......... ......... ..............
localization.
[[Page 32402]]
76360.... 6 CAT scan for needle ......... ......... ......... ......... ......... ..............
biopsy.
76365.... 6 CAT scan for cyst ......... ......... ......... ......... ......... ..............
aspiration.
76370.... 6 CAT scan for ......... ......... ......... ......... ......... ..............
therapy guide.
76375.... 6 3d/holograph ......... ......... ......... ......... ......... ..............
reconstr add-on.
76380.... 6 CAT scan follow-up ......... ......... ......... ......... ......... ..............
study.
76390.... 6 Mr spectroscopy.... ......... ......... ......... ......... ......... ..............
76400.... 6 Magnetic image, ......... ......... ......... ......... ......... ..............
bone marrow.
76499.... 6 Radiographic ......... ......... ......... ......... ......... ..............
procedure.
76506.... 6 Echo exam of head.. ......... ......... ......... ......... ......... ..............
76511.... 6 Echo exam of eye... ......... ......... ......... ......... ......... ..............
76512.... 6 Echo exam of eye... ......... ......... ......... ......... ......... ..............
76513.... 6 Echo exam of eye, ......... ......... ......... ......... ......... ..............
water bath.
76516.... 6 Echo exam of eye... ......... ......... ......... ......... ......... ..............
76519.... 6 Echo exam of eye... ......... ......... ......... ......... ......... ..............
76529.... 6 Echo exam of eye... ......... ......... ......... ......... ......... ..............
76536.... 6 Echo exam of head ......... ......... ......... ......... ......... ..............
and neck.
76604.... 6 Echo exam of chest. ......... ......... ......... ......... ......... ..............
76645.... 6 Echo exam of breast ......... ......... ......... ......... ......... ..............
76700.... 6 Echo exam of ......... ......... ......... ......... ......... ..............
abdomen.
76705.... 6 Echo exam of ......... ......... ......... ......... ......... ..............
abdomen.
76770.... 6 Echo exam abdomen ......... ......... ......... ......... ......... ..............
back wall.
76775.... 6 Echo exam abdomen ......... ......... ......... ......... ......... ..............
back wall.
76778.... 6 Echo exam kidney ......... ......... ......... ......... ......... ..............
transplant.
76800.... 6 Echo exam spinal ......... ......... ......... ......... ......... ..............
canal.
76805.... 6 Echo exam of ......... ......... ......... ......... ......... ..............
pregnant uterus.
76810.... 6 Echo exam of ......... ......... ......... ......... ......... ..............
pregnant uterus.
76815.... 6 Echo exam of ......... ......... ......... ......... ......... ..............
pregnant uterus.
76816.... 6 Echo exam followup ......... ......... ......... ......... ......... ..............
or repeat.
76818.... 6 Fetal biophysical ......... ......... ......... ......... ......... ..............
profile.
76825.... 6 Echo exam of fetal ......... ......... ......... ......... ......... ..............
heart.
76826.... 6 Echo exam of fetal ......... ......... ......... ......... ......... ..............
heart.
76827.... 6 Echo exam of fetal ......... ......... ......... ......... ......... ..............
heart.
76828.... 6 Echo exam of fetal ......... ......... ......... ......... ......... ..............
heart.
76830.... 6 Echo exam, ......... ......... ......... ......... ......... ..............
transvaginal.
76831.... 6 Echo exam, uterus.. ......... ......... ......... ......... ......... ..............
76856.... 6 Echo exam of pelvis ......... ......... ......... ......... ......... ..............
76857.... 6 Echo exam of pelvis ......... ......... ......... ......... ......... ..............
76870.... 6 Echo exam of ......... ......... ......... ......... ......... ..............
scrotum.
76872.... 6 Echo exam, ......... ......... ......... ......... ......... ..............
transrectal.
76880.... 6 Echo exam of ......... ......... ......... ......... ......... ..............
extremity.
76885.... 6 Echo exam, infant ......... ......... ......... ......... ......... ..............
hips.
76886.... 6 Echo exam, infant ......... ......... ......... ......... ......... ..............
hips.
76930.... 6 Echo guide for ......... ......... ......... ......... ......... ..............
heart sac tap.
76932.... 6 Echo guide for ......... ......... ......... ......... ......... ..............
heart biopsy.
76934.... 6 Echo guide for ......... ......... ......... ......... ......... ..............
chest tap.
76936.... 6 Echo guide for ......... ......... ......... ......... ......... ..............
artery repair.
76938.... 6 Echo exam for ......... ......... ......... ......... ......... ..............
drainage.
76941.... 6 Echo guide for ......... ......... ......... ......... ......... ..............
transfusion.
76942.... 6 Echo guide for ......... ......... ......... ......... ......... ..............
biopsy.
76945.... 6 Echo guide, villus ......... ......... ......... ......... ......... ..............
sampling.
76946.... 6 Echo guide for ......... ......... ......... ......... ......... ..............
amniocentesis.
76948.... 6 Echo guide, ova ......... ......... ......... ......... ......... ..............
aspiration.
76950.... 6 Echo guidance ......... ......... ......... ......... ......... ..............
radiotherapy.
76960.... 6 Echo guidance ......... ......... ......... ......... ......... ..............
radiotherapy.
76965.... 6 Echo guidance ......... ......... ......... ......... ......... ..............
radiotherapy.
76970.... 6 Ultrasound exam ......... ......... ......... ......... ......... ..............
follow-up.
76975.... 6 GI endoscopic ......... ......... ......... ......... ......... ..............
ultrasound.
76986.... 6 Echo exam at ......... ......... ......... ......... ......... ..............
surgery.
76999.... 6 Echo examination ......... ......... ......... ......... ......... ..............
procedure.
77261.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
planning.
77262.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
planning.
77263.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
planning.
77280.... 6 Set radiation ......... ......... ......... ......... ......... ..............
therapy field.
77285.... 6 Set radiation ......... ......... ......... ......... ......... ..............
therapy field.
77290.... 6 Set radiation ......... ......... ......... ......... ......... ..............
therapy field.
77295.... 6 Set radiation ......... ......... ......... ......... ......... ..............
therapy field.
77299.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
planning.
77300.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
dose plan.
77305.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
dose plan.
77310.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
dose plan.
77315.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
dose plan.
77321.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
port plan.
77326.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
dose plan.
77327.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
dose plan.
[[Page 32403]]
77328.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
dose plan.
77331.... 6 Special radiation ......... ......... ......... ......... ......... ..............
dosimetry.
77332.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
aid(s).
77333.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
aid(s).
77334.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
aid(s).
77336.... 6 Radiation physics ......... ......... ......... ......... ......... ..............
consu.
77370.... 6 Radiation physics ......... ......... ......... ......... ......... ..............
consult.
77399.... 6 External radiation ......... ......... ......... ......... ......... ..............
dosimetry.
77401.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77402.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77403.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77404.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77406.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77407.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77408.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77409.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77411.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77412.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77413.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77414.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77416.... 6 Radiation treatment ......... ......... ......... ......... ......... ..............
delivery.
77417.... 6 Radiology port ......... ......... ......... ......... ......... ..............
film(s).
77419.... 6 Weekly radiation ......... ......... ......... ......... ......... ..............
therapy.
77420.... 6 Weekly radiation ......... ......... ......... ......... ......... ..............
therapy.
77425.... 6 Weekly radiation ......... ......... ......... ......... ......... ..............
therapy.
77430.... 6 Weekly radiation ......... ......... ......... ......... ......... ..............
therapy.
77431.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
management.
77432.... 6 Stereotactic ......... ......... ......... ......... ......... ..............
radiation trmt.
77470.... 6 Special radiation ......... ......... ......... ......... ......... ..............
treatment.
77499.... 6 Radiation therapy ......... ......... ......... ......... ......... ..............
management.
77600.... 6 Hyperthermia ......... ......... ......... ......... ......... ..............
treatment.
77605.... 6 Hyperthermia ......... ......... ......... ......... ......... ..............
treatment.
77610.... 6 Hyperthermia ......... ......... ......... ......... ......... ..............
treatment.
77615.... 6 Hyperthermia ......... ......... ......... ......... ......... ..............
treatment.
77620.... 6 Hyperthermia ......... ......... ......... ......... ......... ..............
treatment.
77750.... 6 Infuse radioactive ......... ......... ......... ......... ......... ..............
materials.
77761.... 6 Radioelement ......... ......... ......... ......... ......... ..............
application.
77762.... 6 Radioelement ......... ......... ......... ......... ......... ..............
application.
77763.... 6 Radioelement ......... ......... ......... ......... ......... ..............
application.
77776.... 6 Radioelement ......... ......... ......... ......... ......... ..............
application.
77777.... 6 Radioelement ......... ......... ......... ......... ......... ..............
application.
77778.... 6 Radioelement ......... ......... ......... ......... ......... ..............
application.
77781.... 6 High intensity ......... ......... ......... ......... ......... ..............
brachytherapy.
77782.... 6 High intensity ......... ......... ......... ......... ......... ..............
brachytherapy.
77783.... 6 High intensity ......... ......... ......... ......... ......... ..............
brachytherapy.
77784.... 6 High intensity ......... ......... ......... ......... ......... ..............
brachytherapy.
77789.... 6 Radioelement ......... ......... ......... ......... ......... ..............
application.
77790.... 6 Radioelement ......... ......... ......... ......... ......... ..............
handling.
77799.... 6 Radium/radioisotope ......... ......... ......... ......... ......... ..............
therapy.
78000.... 6 Thyroid, single ......... ......... ......... ......... ......... ..............
uptake.
78001.... 6 Thyroid, multiple ......... ......... ......... ......... ......... ..............
uptakes.
78003.... 6 Thyroid suppress/ ......... ......... ......... ......... ......... ..............
stimul.
78006.... 6 Thyroid, imaging ......... ......... ......... ......... ......... ..............
with uptake.
78007.... 6 Thyroid, image, ......... ......... ......... ......... ......... ..............
mult uptakes.
78010.... 6 Thyroid imaging.... ......... ......... ......... ......... ......... ..............
78011.... 6 Thyroid imaging ......... ......... ......... ......... ......... ..............
with flow.
78015.... 6 Thyroid met imaging ......... ......... ......... ......... ......... ..............
78016.... 6 Thyroid met imaging/ ......... ......... ......... ......... ......... ..............
studies.
78017.... 6 Thyroid met ......... ......... ......... ......... ......... ..............
imaging, mult.
78018.... 6 Thyroid, met ......... ......... ......... ......... ......... ..............
imaging, body.
78070.... 6 Parathyroid nuclear ......... ......... ......... ......... ......... ..............
imaging.
78075.... 6 Adrenal nuclear ......... ......... ......... ......... ......... ..............
imaging.
78099.... 6 Endocrine nuclear ......... ......... ......... ......... ......... ..............
procedure.
78102.... 6 Bone marrow ......... ......... ......... ......... ......... ..............
imaging, ltd.
78103.... 6 Bone marrow ......... ......... ......... ......... ......... ..............
imaging, mult.
78104.... 6 Bone marrow ......... ......... ......... ......... ......... ..............
imaging, body.
78110.... 6 Plasma volume, ......... ......... ......... ......... ......... ..............
single.
78111.... 6 Plasma volume, ......... ......... ......... ......... ......... ..............
multiple.
78120.... 6 Red cell mass, ......... ......... ......... ......... ......... ..............
single.
78121.... 6 Red cell mass, ......... ......... ......... ......... ......... ..............
multiple.
78122.... 6 Blood volume....... ......... ......... ......... ......... ......... ..............
78130.... 6 Red cell survival ......... ......... ......... ......... ......... ..............
study.
78135.... 6 Red cell survival ......... ......... ......... ......... ......... ..............
kinetics.
78140.... 6 Red cell ......... ......... ......... ......... ......... ..............
sequestration.
[[Page 32404]]
78160.... 6 Plasma iron ......... ......... ......... ......... ......... ..............
turnover.
78162.... 6 Iron absorption ......... ......... ......... ......... ......... ..............
exam.
78170.... 6 Red cell iron ......... ......... ......... ......... ......... ..............
utilization.
78172.... 6 Total body iron ......... ......... ......... ......... ......... ..............
estimation.
78185.... 6 Spleen imaging..... ......... ......... ......... ......... ......... ..............
78190.... 6 Platelet survival, ......... ......... ......... ......... ......... ..............
kinetics.
78191.... 6 Platelet survival.. ......... ......... ......... ......... ......... ..............
78195.... 6 Lymph system ......... ......... ......... ......... ......... ..............
imaging.
78199.... 6 Blood/lymph nuclear ......... ......... ......... ......... ......... ..............
exam.
78201.... 6 Liver imaging...... ......... ......... ......... ......... ......... ..............
78202.... 6 Liver imaging with ......... ......... ......... ......... ......... ..............
flow.
78205.... 6 Liver imaging (3D). ......... ......... ......... ......... ......... ..............
78215.... 6 Liver and spleen ......... ......... ......... ......... ......... ..............
imaging.
78216.... 6 Liver & spleen ......... ......... ......... ......... ......... ..............
image, flow.
78220.... 6 Liver function ......... ......... ......... ......... ......... ..............
study.
78223.... 6 Hepatobiliary ......... ......... ......... ......... ......... ..............
imaging.
78230.... 6 Salivary gland ......... ......... ......... ......... ......... ..............
imaging.
78231.... 6 Serial salivary ......... ......... ......... ......... ......... ..............
imaging.
78232.... 6 Salivary gland ......... ......... ......... ......... ......... ..............
function exam.
78258.... 6 Esophageal motility ......... ......... ......... ......... ......... ..............
study.
78261.... 6 Gastric mucosa ......... ......... ......... ......... ......... ..............
imaging.
78262.... 6 Gastroesophageal ......... ......... ......... ......... ......... ..............
reflux exam.
78264.... 6 Gastric emptying ......... ......... ......... ......... ......... ..............
study.
78270.... 6 Vit B-12 absorption ......... ......... ......... ......... ......... ..............
exam.
78271.... 6 Vit B-12 absorp ......... ......... ......... ......... ......... ..............
exam, IF.
78272.... 6 Vit B-12 absorp, ......... ......... ......... ......... ......... ..............
combined.
78278.... 6 Acute GI blood loss ......... ......... ......... ......... ......... ..............
imaging.
78282.... 6 GI protein loss ......... ......... ......... ......... ......... ..............
exam.
78290.... 6 Meckel's divert ......... ......... ......... ......... ......... ..............
exam.
78291.... 6 Leveen/shunt ......... ......... ......... ......... ......... ..............
patency exam.
78299.... 6 GI nuclear ......... ......... ......... ......... ......... ..............
procedure.
78300.... 6 Bone imaging, ......... ......... ......... ......... ......... ..............
limited area.
78305.... 6 Bone imaging, ......... ......... ......... ......... ......... ..............
multiple areas.
78306.... 6 Bone imaging, whole ......... ......... ......... ......... ......... ..............
body.
78315.... 6 Bone imaging, 3 ......... ......... ......... ......... ......... ..............
phase.
78320.... 6 Bone imaging (3D).. ......... ......... ......... ......... ......... ..............
78350.... 6 Bone mineral, ......... ......... ......... ......... ......... ..............
single photon.
78351.... 9 Bone mineral, dual ......... ......... ......... ......... ......... ..............
photon.
78399.... 6 Musculoskeletal ......... ......... ......... ......... ......... ..............
nuclear exam.
78414.... 6 Non-imaging heart ......... ......... ......... ......... ......... ..............
function.
78428.... 6 Cardiac shunt ......... ......... ......... ......... ......... ..............
imaging.
78445.... 6 Vascular flow ......... ......... ......... ......... ......... ..............
imaging.
78455.... 6 Venous thrombosis ......... ......... ......... ......... ......... ..............
study.
78457.... 6 Venous thrombosis ......... ......... ......... ......... ......... ..............
imaging.
78458.... 6 Ven thrombosis ......... ......... ......... ......... ......... ..............
images, bilat.
78459.... 9 Heart muscle ......... ......... ......... ......... ......... ..............
imaging (PET).
78460.... 6 Heart muscle blood ......... ......... ......... ......... ......... ..............
single.
78461.... 6 Heart muscle blood ......... ......... ......... ......... ......... ..............
multiple.
78464.... 6 Heart image (3D) ......... ......... ......... ......... ......... ..............
single.
78465.... 6 Heart image (3D) ......... ......... ......... ......... ......... ..............
multiple.
78466.... 6 Heart infarct image ......... ......... ......... ......... ......... ..............
78468.... 6 Heart infarct ......... ......... ......... ......... ......... ..............
image, EF.
78469.... 6 Heart infarct image ......... ......... ......... ......... ......... ..............
(3D).
78472.... 6 Gated heart, ......... ......... ......... ......... ......... ..............
resting.
78473.... 6 Gated heart, ......... ......... ......... ......... ......... ..............
multiple.
78478.... 6 Heart wall motion ......... ......... ......... ......... ......... ..............
(add-on).
78480.... 6 Heart function, ......... ......... ......... ......... ......... ..............
(add-on).
78481.... 6 Heart first pass ......... ......... ......... ......... ......... ..............
single.
78483.... 6 Heart first pass ......... ......... ......... ......... ......... ..............
multiple.
78491.... 9 Heart image (pet) ......... ......... ......... ......... ......... ..............
single.
78492.... 9 Heart image (pet) ......... ......... ......... ......... ......... ..............
multiple.
78499.... 6 Cardiovascular ......... ......... ......... ......... ......... ..............
nuclear exam.
78580.... 6 Lung perfusion ......... ......... ......... ......... ......... ..............
imaging.
78584.... 6 Lung V/Q image ......... ......... ......... ......... ......... ..............
single breath.
78585.... 6 Lung V/Q imaging... ......... ......... ......... ......... ......... ..............
78586.... 6 Aerosol lung image, ......... ......... ......... ......... ......... ..............
single.
78587.... 6 Aerosol lung image, ......... ......... ......... ......... ......... ..............
multiple.
78591.... 6 Vent image, 1 ......... ......... ......... ......... ......... ..............
breath, 1 proj.
78593.... 6 Vent image, 1 proj, ......... ......... ......... ......... ......... ..............
gas.
78594.... 6 Vent image, mult ......... ......... ......... ......... ......... ..............
proj, gas.
78596.... 6 Lung differential ......... ......... ......... ......... ......... ..............
function.
78599.... 6 Respiratory nuclear ......... ......... ......... ......... ......... ..............
exam.
78600.... 6 Brain imaging, ltd ......... ......... ......... ......... ......... ..............
static.
78601.... 6 Brain ltd imaging & ......... ......... ......... ......... ......... ..............
flow.
[[Page 32405]]
78605.... 6 Brain imaging, ......... ......... ......... ......... ......... ..............
complete.
78606.... 6 Brain imaging comp ......... ......... ......... ......... ......... ..............
& flow.
78607.... 6 Brain imaging (3D). ......... ......... ......... ......... ......... ..............
78608.... 9 Brain imaging (PET) ......... ......... ......... ......... ......... ..............
78609.... 9 Brain imaging (PET) ......... ......... ......... ......... ......... ..............
78610.... 6 Brain flow imaging ......... ......... ......... ......... ......... ..............
only.
78615.... 6 Cerebral blood flow ......... ......... ......... ......... ......... ..............
imaging.
78630.... 6 Cerebrospinal fluid ......... ......... ......... ......... ......... ..............
scan.
78635.... 6 CSF ......... ......... ......... ......... ......... ..............
ventriculography.
78645.... 6 CSF shunt ......... ......... ......... ......... ......... ..............
evaluation.
78647.... 6 Cerebrospinal fluid ......... ......... ......... ......... ......... ..............
scan.
78650.... 6 CSF leakage imaging ......... ......... ......... ......... ......... ..............
78660.... 6 Nuclear exam of ......... ......... ......... ......... ......... ..............
tear flow.
78699.... 6 Nervous system ......... ......... ......... ......... ......... ..............
nuclear exam.
78700.... 6 Kidney imaging, ......... ......... ......... ......... ......... ..............
static.
78701.... 6 Kidney imaging with ......... ......... ......... ......... ......... ..............
flow.
78704.... 6 Imaging renogram... ......... ......... ......... ......... ......... ..............
78707.... 6 Kidney flow & ......... ......... ......... ......... ......... ..............
function image.
78708.... 6 Kidney flow & ......... ......... ......... ......... ......... ..............
function image.
78709.... 6 Kidney flow & ......... ......... ......... ......... ......... ..............
function image.
78710.... 6 Kidney imaging (3D) ......... ......... ......... ......... ......... ..............
78715.... 6 Renal vascular flow ......... ......... ......... ......... ......... ..............
exam.
78725.... 6 Kidney function ......... ......... ......... ......... ......... ..............
study.
78730.... 6 Urinary bladder ......... ......... ......... ......... ......... ..............
retention.
78740.... 6 Ureteral reflux ......... ......... ......... ......... ......... ..............
study.
78760.... 6 Testicular imaging. ......... ......... ......... ......... ......... ..............
78761.... 6 Testicular imaging ......... ......... ......... ......... ......... ..............
& flow.
78799.... 6 Genitourinary ......... ......... ......... ......... ......... ..............
nuclear exam.
78800.... 6 Tumor imaging, ......... ......... ......... ......... ......... ..............
limited area.
78801.... 6 Tumor imaging, mult ......... ......... ......... ......... ......... ..............
areas.
78802.... 6 Tumor imaging, ......... ......... ......... ......... ......... ..............
whole body.
78803.... 6 Tumor imaging (3D). ......... ......... ......... ......... ......... ..............
78805.... 6 Abscess imaging, ......... ......... ......... ......... ......... ..............
ltd area.
78806.... 6 Abscess imaging, ......... ......... ......... ......... ......... ..............
whole body.
78807.... 6 Nuclear ......... ......... ......... ......... ......... ..............
localization/
abscess.
78810.... 9 Tumor imaging (PET) ......... ......... ......... ......... ......... ..............
78890.... 6 Nuclear medicine ......... ......... ......... ......... ......... ..............
data proc.
78891.... 6 Nuclear med data ......... ......... ......... ......... ......... ..............
proc.
78990.... 9 Provide diag ......... ......... ......... ......... ......... ..............
radionuclide(s).
78999.... 6 Nuclear diagnostic ......... ......... ......... ......... ......... ..............
exam.
79000.... 6 Intial hyperthyroid ......... ......... ......... ......... ......... ..............
therapy.
79001.... 6 Repeat hyperthyroid ......... ......... ......... ......... ......... ..............
therapy.
79020.... 6 Thyroid ablation... ......... ......... ......... ......... ......... ..............
79030.... 6 Thyroid ablation, ......... ......... ......... ......... ......... ..............
carcinoma.
79035.... 6 Thyroid metastatic ......... ......... ......... ......... ......... ..............
therapy.
79100.... 6 Hematopoetic ......... ......... ......... ......... ......... ..............
nuclear therapy.
79200.... 6 Intracavitary nuc ......... ......... ......... ......... ......... ..............
treatment.
79300.... 6 Interstitial ......... ......... ......... ......... ......... ..............
nuclear therapy.
79400.... 6 Nonhemato nuclear ......... ......... ......... ......... ......... ..............
therapy.
79420.... 6 Intravascular nuc ......... ......... ......... ......... ......... ..............
therapy.
79440.... 6 Nuclear joint ......... ......... ......... ......... ......... ..............
therapy.
79900.... 6 Provide ther ......... ......... ......... ......... ......... ..............
radiopharm(s).
79999.... 6 Nuclear medicine ......... ......... ......... ......... ......... ..............
therapy.
80049.... 6 Metabolic panel, ......... ......... ......... ......... ......... ..............
basic.
80050.... 9 General health ......... ......... ......... ......... ......... ..............
panel.
80051.... 6 Electrolyte panel.. ......... ......... ......... ......... ......... ..............
80054.... 6 Comprehen metabolic ......... ......... ......... ......... ......... ..............
panel.
80055.... 9 Obstetric panel.... ......... ......... ......... ......... ......... ..............
80058.... 6 Hepatic function ......... ......... ......... ......... ......... ..............
panel.
80059.... 6 Hepatitis panel.... ......... ......... ......... ......... ......... ..............
80061.... 2 Lipid panel........ ......... ......... ......... ......... ......... ..............
80072.... 6 Arthritis panel.... ......... ......... ......... ......... ......... ..............
80090.... 6 Torch antibody ......... ......... ......... ......... ......... ..............
panel.
80091.... 6 Thyroid panel...... ......... ......... ......... ......... ......... ..............
80092.... 6 Thyroid panel w/TSH ......... ......... ......... ......... ......... ..............
80100.... 6 Drug screen........ ......... ......... ......... ......... ......... ..............
80101.... 6 Drug screen........ ......... ......... ......... ......... ......... ..............
80102.... 6 Drug confirmation.. ......... ......... ......... ......... ......... ..............
80103.... 6 Drug analysis, ......... ......... ......... ......... ......... ..............
tissue prep.
80150.... 6 Assay of amikacin.. ......... ......... ......... ......... ......... ..............
80152.... 6 Assay of ......... ......... ......... ......... ......... ..............
amitriptyline.
80154.... 6 Assay of ......... ......... ......... ......... ......... ..............
benzodiazepines.
80156.... 6 Assay carbamazepine ......... ......... ......... ......... ......... ..............
80158.... 6 Assay of ......... ......... ......... ......... ......... ..............
cyclosporine.
[[Page 32406]]
80160.... 6 Assay of ......... ......... ......... ......... ......... ..............
desipramine.
80162.... 6 Assay for digoxin.. ......... ......... ......... ......... ......... ..............
80164.... 6 Assay, ......... ......... ......... ......... ......... ..............
dipropylacetic
acid.
80166.... 6 Assay of doxepin... ......... ......... ......... ......... ......... ..............
80168.... 6 Assay of ......... ......... ......... ......... ......... ..............
ethosuximide.
80170.... 6 Gentamicin......... ......... ......... ......... ......... ......... ..............
80172.... 6 Assay for gold..... ......... ......... ......... ......... ......... ..............
80174.... 6 Assay of imipramine ......... ......... ......... ......... ......... ..............
80176.... 6 Assay for lidocaine ......... ......... ......... ......... ......... ..............
80178.... 6 Assay for lithium.. ......... ......... ......... ......... ......... ..............
80182.... 6 Assay for ......... ......... ......... ......... ......... ..............
nortriptyline.
80184.... 6 Assay for ......... ......... ......... ......... ......... ..............
phenobarbital.
80185.... 6 Assay for phenytoin ......... ......... ......... ......... ......... ..............
80186.... 6 Assay for ......... ......... ......... ......... ......... ..............
phenytoin, free.
80188.... 6 Assay for primidone ......... ......... ......... ......... ......... ..............
80190.... 6 Assay for ......... ......... ......... ......... ......... ..............
procainamide.
80192.... 6 Assay for ......... ......... ......... ......... ......... ..............
procainamide.
80194.... 6 Assay for quinidine ......... ......... ......... ......... ......... ..............
80196.... 6 Assay for ......... ......... ......... ......... ......... ..............
salicylate.
80197.... 6 Assay for ......... ......... ......... ......... ......... ..............
tacrolimus.
80198.... 6 Assay for ......... ......... ......... ......... ......... ..............
theophylline.
80200.... 6 Assay for ......... ......... ......... ......... ......... ..............
tobramycin.
80201.... 6 Assay for ......... ......... ......... ......... ......... ..............
topiramate.
80202.... 6 Assay for ......... ......... ......... ......... ......... ..............
vancomycin.
80299.... 6 Quantitative assay, ......... ......... ......... ......... ......... ..............
drug.
80400.... 6 Acth stimulation ......... ......... ......... ......... ......... ..............
panel.
80402.... 6 Acth stimulation ......... ......... ......... ......... ......... ..............
panel.
80406.... 6 Acth stimulation ......... ......... ......... ......... ......... ..............
panel.
80408.... 6 Aldosterone ......... ......... ......... ......... ......... ..............
suppression eval.
80410.... 6 Calcitonin stimul ......... ......... ......... ......... ......... ..............
panel.
80412.... 6 CRH stimulation ......... ......... ......... ......... ......... ..............
panel.
80414.... 6 Testosterone ......... ......... ......... ......... ......... ..............
response.
80415.... 6 Estradiol response ......... ......... ......... ......... ......... ..............
panel.
80416.... 6 Renin stimulation ......... ......... ......... ......... ......... ..............
panel.
80417.... 6 Renin stimulation ......... ......... ......... ......... ......... ..............
panel.
80418.... 6 Pituitary ......... ......... ......... ......... ......... ..............
evaluation panel.
80420.... 6 Dexamethasone panel ......... ......... ......... ......... ......... ..............
80422.... 6 Glucagon tolerance ......... ......... ......... ......... ......... ..............
panel.
80424.... 6 Glucagon tolerance ......... ......... ......... ......... ......... ..............
panel.
80426.... 6 Gonadotropin ......... ......... ......... ......... ......... ..............
hormone panel.
80428.... 6 Growth hormone ......... ......... ......... ......... ......... ..............
panel.
80430.... 6 Growth hormone ......... ......... ......... ......... ......... ..............
panel.
80432.... 6 Insulin suppression ......... ......... ......... ......... ......... ..............
panel.
80434.... 6 Insulin tolerance ......... ......... ......... ......... ......... ..............
panel.
80435.... 6 Insulin tolerance ......... ......... ......... ......... ......... ..............
panel.
80436.... 6 Metyrapone panel... ......... ......... ......... ......... ......... ..............
80438.... 6 TRH stimulation ......... ......... ......... ......... ......... ..............
panel.
80439.... 6 TRH stimulation ......... ......... ......... ......... ......... ..............
panel.
80440.... 6 TRH stimulation ......... ......... ......... ......... ......... ..............
panel.
80500.... 6 Lab pathology ......... ......... ......... ......... ......... ..............
consultation.
80502.... 6 Lab pathology ......... ......... ......... ......... ......... ..............
consultation.
81000.... 6 Urinalysis, ......... ......... ......... ......... ......... ..............
nonauto, w/scope.
81001.... 6 Urinalysis, auto, w/ ......... ......... ......... ......... ......... ..............
scope.
81002.... 2 Urinalysis nonauto ......... ......... ......... ......... ......... ..............
w/o scope.
81003.... 6 Urinalysis, auto, w/ ......... ......... ......... ......... ......... ..............
o scope.
81005.... 6 Urinalysis......... ......... ......... ......... ......... ......... ..............
81007.... 6 Urine screen for ......... ......... ......... ......... ......... ..............
bacteria.
81015.... 6 Microscopic exam of ......... ......... ......... ......... ......... ..............
urine.
81020.... 6 Urinalysis, glass ......... ......... ......... ......... ......... ..............
test.
81025.... 2 Urine pregnancy ......... ......... ......... ......... ......... ..............
test.
81050.... 6 Urinalysis, volume ......... ......... ......... ......... ......... ..............
measure.
81099.... 6 Urinalysis test ......... ......... ......... ......... ......... ..............
procedure.
82000.... 6 Assay blood ......... ......... ......... ......... ......... ..............
acetaldehyde.
82003.... 6 Assay acetaminophen ......... ......... ......... ......... ......... ..............
82009.... 6 Test for acetone/ ......... ......... ......... ......... ......... ..............
ketones.
82010.... 6 Acetone assay...... ......... ......... ......... ......... ......... ..............
82013.... 6 Acetylcholinesteras ......... ......... ......... ......... ......... ..............
e assay.
82024.... 6 ACTH............... ......... ......... ......... ......... ......... ..............
82030.... 6 ADP & AMP.......... ......... ......... ......... ......... ......... ..............
82040.... 6 Assay serum albumin ......... ......... ......... ......... ......... ..............
82042.... 6 Assay urine albumin ......... ......... ......... ......... ......... ..............
82043.... 6 Microalbumin, ......... ......... ......... ......... ......... ..............
quantitative.
82044.... 2 Microalbumin, ......... ......... ......... ......... ......... ..............
semiquant.
82055.... 6 Assay ethanol...... ......... ......... ......... ......... ......... ..............
[[Page 32407]]
82075.... 6 Assay breath ......... ......... ......... ......... ......... ..............
ethanol.
82085.... 6 Assay of aldolase.. ......... ......... ......... ......... ......... ..............
82088.... 6 Aldosterone........ ......... ......... ......... ......... ......... ..............
82101.... 6 Assay of urine ......... ......... ......... ......... ......... ..............
alkaloids.
82103.... 6 Alpha-1- ......... ......... ......... ......... ......... ..............
antitrypsin, total.
82104.... 6 Alpha-1- ......... ......... ......... ......... ......... ..............
antitrypsin, pheno.
82105.... 6 Alpha-fetoprotein, ......... ......... ......... ......... ......... ..............
serum.
82106.... 6 Alpha-fetoprotein; ......... ......... ......... ......... ......... ..............
amniotic.
82108.... 6 Assay, aluminum.... ......... ......... ......... ......... ......... ..............
82128.... 6 Test for amino ......... ......... ......... ......... ......... ..............
acids.
82130.... 6 Amino acids ......... ......... ......... ......... ......... ..............
analysis.
82131.... 6 Amino acids........ ......... ......... ......... ......... ......... ..............
82135.... 6 Assay, ......... ......... ......... ......... ......... ..............
aminolevulinic
acid.
82140.... 6 Assay of ammonia... ......... ......... ......... ......... ......... ..............
82143.... 6 Amniotic fluid scan ......... ......... ......... ......... ......... ..............
82145.... 6 Assay of ......... ......... ......... ......... ......... ..............
amphetamines.
82150.... 6 Assay of amylase... ......... ......... ......... ......... ......... ..............
82154.... 6 Androstanediol ......... ......... ......... ......... ......... ..............
glucuronide.
82157.... 6 Assay of ......... ......... ......... ......... ......... ..............
androstenedione.
82160.... 6 Androsterone assay. ......... ......... ......... ......... ......... ..............
82163.... 6 Assay of ......... ......... ......... ......... ......... ..............
angiotensin II.
82164.... 6 Angiotensin I ......... ......... ......... ......... ......... ..............
enzyme test.
82172.... 6 Apolipoprotein..... ......... ......... ......... ......... ......... ..............
82175.... 6 Assay of arsenic... ......... ......... ......... ......... ......... ..............
82180.... 6 Assay of ascorbic ......... ......... ......... ......... ......... ..............
acid.
82190.... 6 Atomic absorption.. ......... ......... ......... ......... ......... ..............
82205.... 6 Assay of ......... ......... ......... ......... ......... ..............
barbiturates.
82232.... 6 Beta-2 protein..... ......... ......... ......... ......... ......... ..............
82239.... 6 Bile acids, total.. ......... ......... ......... ......... ......... ..............
82240.... 6 Bile acids, ......... ......... ......... ......... ......... ..............
cholylglycine.
82250.... 6 Assay bilirubin.... ......... ......... ......... ......... ......... ..............
82251.... 6 Assay bilirubin.... ......... ......... ......... ......... ......... ..............
82252.... 6 Fecal bilirubin ......... ......... ......... ......... ......... ..............
test.
82270.... 2 Test feces for ......... ......... ......... ......... ......... ..............
blood.
82273.... 2 Test for blood, ......... ......... ......... ......... ......... ..............
other source.
82286.... 6 Assay of bradykinin ......... ......... ......... ......... ......... ..............
82300.... 6 Assay cadmium...... ......... ......... ......... ......... ......... ..............
82306.... 6 Assay of vitamin D. ......... ......... ......... ......... ......... ..............
82307.... 6 Assay of vitamin D. ......... ......... ......... ......... ......... ..............
82308.... 6 Assay of calcitonin ......... ......... ......... ......... ......... ..............
82310.... 6 Assay calcium...... ......... ......... ......... ......... ......... ..............
82330.... 6 Assay calcium...... ......... ......... ......... ......... ......... ..............
82331.... 6 Calcium infusion ......... ......... ......... ......... ......... ..............
test.
82340.... 6 Assay calcium in ......... ......... ......... ......... ......... ..............
urine.
82355.... 6 Calculus (stone) ......... ......... ......... ......... ......... ..............
analysis.
82360.... 6 Calculus (stone) ......... ......... ......... ......... ......... ..............
assay.
82365.... 6 Calculus (stone) ......... ......... ......... ......... ......... ..............
assay.
82370.... 6 X-ray assay, ......... ......... ......... ......... ......... ..............
calculus (stone).
82374.... 6 Assay blood carbon ......... ......... ......... ......... ......... ..............
dioxide.
82375.... 6 Assay blood carbon ......... ......... ......... ......... ......... ..............
monoxide.
82376.... 6 Test for carbon ......... ......... ......... ......... ......... ..............
monoxide.
82378.... 6 Carcinoembryonic ......... ......... ......... ......... ......... ..............
antigen.
82380.... 6 Assay carotene..... ......... ......... ......... ......... ......... ..............
82382.... 6 Assay urine ......... ......... ......... ......... ......... ..............
catecholamines.
82383.... 6 Assay blood ......... ......... ......... ......... ......... ..............
catecholamines.
82384.... 6 Assay three ......... ......... ......... ......... ......... ..............
catecholamines.
82387.... 6 Cathepsin-D........ ......... ......... ......... ......... ......... ..............
82390.... 6 Assay ceruloplasmin ......... ......... ......... ......... ......... ..............
82397.... 6 Chemiluminescent ......... ......... ......... ......... ......... ..............
assay.
82415.... 6 Assay ......... ......... ......... ......... ......... ..............
chloramphenicol.
82435.... 6 Assay blood ......... ......... ......... ......... ......... ..............
chloride.
82436.... 6 Assay urine ......... ......... ......... ......... ......... ..............
chloride.
82438.... 6 Assay other fluid ......... ......... ......... ......... ......... ..............
chlorides.
82441.... 6 Test for ......... ......... ......... ......... ......... ..............
chlorohydrocarbons.
82465.... 2 Assay serum ......... ......... ......... ......... ......... ..............
cholesterol.
82480.... 6 Assay serum ......... ......... ......... ......... ......... ..............
cholinesterase.
82482.... 6 Assay rbc ......... ......... ......... ......... ......... ..............
cholinesterase.
82485.... 6 Assay chondroitin ......... ......... ......... ......... ......... ..............
sulfate.
82486.... 6 Gas/liquid ......... ......... ......... ......... ......... ..............
chromatography.
82487.... 6 Paper ......... ......... ......... ......... ......... ..............
chromatography.
82488.... 6 Paper ......... ......... ......... ......... ......... ..............
chromatography.
82489.... 6 Thin layer ......... ......... ......... ......... ......... ..............
chromatography.
82491.... 6 Chromotography, ......... ......... ......... ......... ......... ..............
quantitative.
82495.... 6 Assay chromium..... ......... ......... ......... ......... ......... ..............
[[Page 32408]]
82507.... 6 Assay citrate...... ......... ......... ......... ......... ......... ..............
82520.... 6 Assay for cocaine.. ......... ......... ......... ......... ......... ..............
82523.... 6 Collagen crosslinks ......... ......... ......... ......... ......... ..............
82525.... 6 Assay copper....... ......... ......... ......... ......... ......... ..............
82528.... 6 Assay ......... ......... ......... ......... ......... ..............
corticosterone.
82530.... 6 Cortisol, free..... ......... ......... ......... ......... ......... ..............
82533.... 6 Total cortisol..... ......... ......... ......... ......... ......... ..............
82540.... 6 Assay creatine..... ......... ......... ......... ......... ......... ..............
82550.... 6 Assay CK (CPK)..... ......... ......... ......... ......... ......... ..............
82552.... 6 Assay CPK in blood. ......... ......... ......... ......... ......... ..............
82553.... 6 Creatine, MB ......... ......... ......... ......... ......... ..............
fraction.
82554.... 6 Creatine, isoforms. ......... ......... ......... ......... ......... ..............
82565.... 6 Assay creatinine... ......... ......... ......... ......... ......... ..............
82570.... 6 Assay urine ......... ......... ......... ......... ......... ..............
creatinine.
82575.... 6 Creatinine ......... ......... ......... ......... ......... ..............
clearance test.
82585.... 6 Assay ......... ......... ......... ......... ......... ..............
cryofibrinogen.
82595.... 6 Assay cryoglobulin. ......... ......... ......... ......... ......... ..............
82600.... 6 Assay cyanide...... ......... ......... ......... ......... ......... ..............
82607.... 6 Vitamin B-12....... ......... ......... ......... ......... ......... ..............
82608.... 6 B-12 binding ......... ......... ......... ......... ......... ..............
capacity.
82615.... 6 Test for urine ......... ......... ......... ......... ......... ..............
cystines.
82626.... 6 Dehydroepiandroster ......... ......... ......... ......... ......... ..............
one.
82627.... 6 Dehydroepiandroster ......... ......... ......... ......... ......... ..............
one.
82633.... 6 Desoxycorticosteron ......... ......... ......... ......... ......... ..............
e.
82634.... 6 Deoxycortisol...... ......... ......... ......... ......... ......... ..............
82638.... 6 Assay dibucaine ......... ......... ......... ......... ......... ..............
number.
82646.... 6 Assay of ......... ......... ......... ......... ......... ..............
dihydrocodeinone.
82649.... 6 Assay of ......... ......... ......... ......... ......... ..............
dihydromorphinone.
82651.... 6 Dihydrotestosterone ......... ......... ......... ......... ......... ..............
assay.
82652.... 6 Assay, ......... ......... ......... ......... ......... ..............
dihydroxyvitamin D.
82654.... 6 Assay of ......... ......... ......... ......... ......... ..............
dimethadione.
82664.... 6 Electrophoretic ......... ......... ......... ......... ......... ..............
test.
82666.... 6 Epiandrosterone ......... ......... ......... ......... ......... ..............
assay.
82668.... 6 Erythropoietin..... ......... ......... ......... ......... ......... ..............
82670.... 6 Estradiol.......... ......... ......... ......... ......... ......... ..............
82671.... 6 Estrogens assay.... ......... ......... ......... ......... ......... ..............
82672.... 6 Estrogen assay..... ......... ......... ......... ......... ......... ..............
82677.... 6 Estriol............ ......... ......... ......... ......... ......... ..............
82679.... 6 Estrone............ ......... ......... ......... ......... ......... ..............
82690.... 6 Ethchlorvynol...... ......... ......... ......... ......... ......... ..............
82693.... 6 Ethylene glycol.... ......... ......... ......... ......... ......... ..............
82696.... 6 Etiocholanolone.... ......... ......... ......... ......... ......... ..............
82705.... 6 Fats/lipids, feces, ......... ......... ......... ......... ......... ..............
qualitativ.
82710.... 6 Fats/lipids, feces, ......... ......... ......... ......... ......... ..............
quantitati.
82715.... 6 Fecal fat assay.... ......... ......... ......... ......... ......... ..............
82725.... 6 Assay blood fatty ......... ......... ......... ......... ......... ..............
acids.
82728.... 6 Assay ferritin..... ......... ......... ......... ......... ......... ..............
82735.... 6 Assay fluoride..... ......... ......... ......... ......... ......... ..............
82742.... 6 Assay of flurazepam ......... ......... ......... ......... ......... ..............
82746.... 6 Blood folic acid ......... ......... ......... ......... ......... ..............
serum.
82747.... 6 Folic acid, RBC.... ......... ......... ......... ......... ......... ..............
82757.... 6 Assay semen ......... ......... ......... ......... ......... ..............
fructose.
82759.... 6 RBC galactokinase ......... ......... ......... ......... ......... ..............
assay.
82760.... 6 Assay galactose.... ......... ......... ......... ......... ......... ..............
82775.... 6 Assay galactose ......... ......... ......... ......... ......... ..............
transferase.
82776.... 6 Galactose ......... ......... ......... ......... ......... ..............
transferase test.
82784.... 6 Assay gammaglobulin ......... ......... ......... ......... ......... ..............
IgM.
82785.... 6 Assay, ......... ......... ......... ......... ......... ..............
gammaglobulin IgE.
82787.... 6 IgG1, 2, 3 and 4... ......... ......... ......... ......... ......... ..............
82800.... 6 Blood pH........... ......... ......... ......... ......... ......... ..............
82803.... 6 Blood gases: pH, ......... ......... ......... ......... ......... ..............
pO2 & pCO2.
82805.... 6 Blood gases W/02 ......... ......... ......... ......... ......... ..............
saturation.
82810.... 6 Blood gases, O2 sat ......... ......... ......... ......... ......... ..............
only.
82820.... 6 Hemoglobin-oxygen ......... ......... ......... ......... ......... ..............
affinity.
82926.... 6 Assay gastric acid. ......... ......... ......... ......... ......... ..............
82928.... 6 Assay gastric acid. ......... ......... ......... ......... ......... ..............
82938.... 6 Gastrin test....... ......... ......... ......... ......... ......... ..............
82941.... 6 Assay of gastrin... ......... ......... ......... ......... ......... ..............
82943.... 6 Assay of glucagon.. ......... ......... ......... ......... ......... ..............
82946.... 6 Glucagon tolerance ......... ......... ......... ......... ......... ..............
test.
82947.... 2 Assay quantitative, ......... ......... ......... ......... ......... ..............
glucose.
82948.... 6 Reagent strip/blood ......... ......... ......... ......... ......... ..............
glucose.
82950.... 2 Glucose test....... ......... ......... ......... ......... ......... ..............
82951.... 2 Glucose tolerance ......... ......... ......... ......... ......... ..............
test (GTT).
[[Page 32409]]
82952.... 2 GTT-added samples.. ......... ......... ......... ......... ......... ..............
82953.... 6 Glucose-tolbutamide ......... ......... ......... ......... ......... ..............
test.
82955.... 6 Assay G6PD enzyme.. ......... ......... ......... ......... ......... ..............
82960.... 6 Test for G6PD ......... ......... ......... ......... ......... ..............
enzyme.
82962.... 2 Glucose blood test. ......... ......... ......... ......... ......... ..............
82963.... 6 Glucosidase assay.. ......... ......... ......... ......... ......... ..............
82965.... 6 Assay GDH enzyme... ......... ......... ......... ......... ......... ..............
82975.... 6 Assay glutamine.... ......... ......... ......... ......... ......... ..............
82977.... 6 Assay of GGT....... ......... ......... ......... ......... ......... ..............
82978.... 6 Glutathione assay.. ......... ......... ......... ......... ......... ..............
82979.... 6 Assay RBC ......... ......... ......... ......... ......... ..............
glutathione enzyme.
82980.... 6 Assay of ......... ......... ......... ......... ......... ..............
glutethimide.
82985.... 6 Glycated protein... ......... ......... ......... ......... ......... ..............
83001.... 6 Gonadotropin (FSH). ......... ......... ......... ......... ......... ..............
83002.... 6 Gonadotropin (LH).. ......... ......... ......... ......... ......... ..............
83003.... 6 Assay growth ......... ......... ......... ......... ......... ..............
hormone (HGH).
83008.... 6 Assay guanosine.... ......... ......... ......... ......... ......... ..............
83010.... 6 Quant assay ......... ......... ......... ......... ......... ..............
haptoglobin.
83012.... 6 Assay haptoglobins. ......... ......... ......... ......... ......... ..............
83015.... 6 Heavy metal screen. ......... ......... ......... ......... ......... ..............
83018.... 6 Quantitative ......... ......... ......... ......... ......... ..............
screen, metals.
83019.... 6 Breath isotope test ......... ......... ......... ......... ......... ..............
83020.... 6 Assay hemoglobin... ......... ......... ......... ......... ......... ..............
83026.... 2 Hemoglobin, copper ......... ......... ......... ......... ......... ..............
sulfate.
83030.... 6 Fetal hemoglobin ......... ......... ......... ......... ......... ..............
assay.
83033.... 6 Fetal fecal ......... ......... ......... ......... ......... ..............
hemoglobin assay.
83036.... 6 Glycated hemoglobin ......... ......... ......... ......... ......... ..............
test.
83045.... 6 Blood methemoglobin ......... ......... ......... ......... ......... ..............
test.
83050.... 6 Blood methemoglobin ......... ......... ......... ......... ......... ..............
assay.
83051.... 6 Assay plasma ......... ......... ......... ......... ......... ..............
hemoglobin.
83055.... 6 Blood ......... ......... ......... ......... ......... ..............
sulfhemoglobin
test.
83060.... 6 Blood ......... ......... ......... ......... ......... ..............
sulfhemoglobin
assay.
83065.... 6 Hemoglobin heat ......... ......... ......... ......... ......... ..............
assay.
83068.... 6 Hemoglobin ......... ......... ......... ......... ......... ..............
stability screen.
83069.... 6 Assay urine ......... ......... ......... ......... ......... ..............
hemoglobin.
83070.... 6 Qualt assay ......... ......... ......... ......... ......... ..............
hemosiderin.
83071.... 6 Quant assay of ......... ......... ......... ......... ......... ..............
hemosiderin.
83088.... 6 Assay histamine.... ......... ......... ......... ......... ......... ..............
83150.... 6 Assay for HVA...... ......... ......... ......... ......... ......... ..............
83491.... 6 Assay of ......... ......... ......... ......... ......... ..............
corticosteroids.
83497.... 6 Assay 5-HIAA....... ......... ......... ......... ......... ......... ..............
83498.... 6 Assay of ......... ......... ......... ......... ......... ..............
progesterone.
83499.... 6 Assay of ......... ......... ......... ......... ......... ..............
progesterone.
83500.... 6 Assay free ......... ......... ......... ......... ......... ..............
hydroxyproline.
83505.... 6 Assay total ......... ......... ......... ......... ......... ..............
hydroxyproline.
83516.... 6 Immunoassay, non ......... ......... ......... ......... ......... ..............
antibody.
83518.... 6 Immunoassay, ......... ......... ......... ......... ......... ..............
dipstick.
83519.... 6 Immunoassay ......... ......... ......... ......... ......... ..............
nonantibody.
83520.... 6 Immunoassay, RIA... ......... ......... ......... ......... ......... ..............
83525.... 6 Assay of insulin... ......... ......... ......... ......... ......... ..............
83527.... 6 Assay of insulin... ......... ......... ......... ......... ......... ..............
83528.... 6 Assay intrinsic ......... ......... ......... ......... ......... ..............
factor.
83540.... 6 Assay iron......... ......... ......... ......... ......... ......... ..............
83550.... 6 Iron binding test.. ......... ......... ......... ......... ......... ..............
83570.... 6 Assay IDH enzyme... ......... ......... ......... ......... ......... ..............
83582.... 6 Assay ketogenic ......... ......... ......... ......... ......... ..............
steroids.
83586.... 6 Assay 17-(17- ......... ......... ......... ......... ......... ..............
KS)ketosteroids.
83593.... 6 Fractionation ......... ......... ......... ......... ......... ..............
ketosteroids.
83605.... 6 Lactic acid assay.. ......... ......... ......... ......... ......... ..............
83615.... 6 Lactate (LD) (LDH) ......... ......... ......... ......... ......... ..............
enzyme.
83625.... 6 Assay LDH enzymes.. ......... ......... ......... ......... ......... ..............
83632.... 6 Placental lactogen. ......... ......... ......... ......... ......... ..............
83633.... 6 Test urine for ......... ......... ......... ......... ......... ..............
lactose.
83634.... 6 Assay urine for ......... ......... ......... ......... ......... ..............
lactose.
83655.... 6 Assay for lead..... ......... ......... ......... ......... ......... ..............
83661.... 6 Assay L/S ratio.... ......... ......... ......... ......... ......... ..............
83662.... 6 L/S ratio, foam ......... ......... ......... ......... ......... ..............
stability.
83670.... 6 Assay LAP enzyme... ......... ......... ......... ......... ......... ..............
83690.... 6 Assay lipase....... ......... ......... ......... ......... ......... ..............
83715.... 6 Assay blood ......... ......... ......... ......... ......... ..............
lipoproteins.
83717.... 6 Assay blood ......... ......... ......... ......... ......... ..............
lipoproteins.
83718.... 2 Blood lipoprotein ......... ......... ......... ......... ......... ..............
assay.
83719.... 6 Blood lipoprotein ......... ......... ......... ......... ......... ..............
assay.
83721.... 6 Blood lipoprotein ......... ......... ......... ......... ......... ..............
assay.
[[Page 32410]]
83727.... 6 LRH hormone assay.. ......... ......... ......... ......... ......... ..............
83735.... 6 Assay magnesium.... ......... ......... ......... ......... ......... ..............
83775.... 6 Assay of md enzyme. ......... ......... ......... ......... ......... ..............
83785.... 6 Assay of manganese. ......... ......... ......... ......... ......... ..............
83805.... 6 Assay of ......... ......... ......... ......... ......... ..............
meprobamate.
83825.... 6 Assay mercury...... ......... ......... ......... ......... ......... ..............
83835.... 6 Assay metanephrines ......... ......... ......... ......... ......... ..............
83840.... 6 Assay methadone.... ......... ......... ......... ......... ......... ..............
83857.... 6 Assay methemalbumin ......... ......... ......... ......... ......... ..............
83858.... 6 Assay methsuximide. ......... ......... ......... ......... ......... ..............
83864.... 6 Mucopolysaccharides ......... ......... ......... ......... ......... ..............
83866.... 6 Mucopolysaccharides ......... ......... ......... ......... ......... ..............
screen.
83872.... 6 Assay synovial ......... ......... ......... ......... ......... ..............
fluid mucin.
83873.... 6 Assay, CSF protein. ......... ......... ......... ......... ......... ..............
83874.... 6 Myoglobin.......... ......... ......... ......... ......... ......... ..............
83883.... 6 Nephelometry, not ......... ......... ......... ......... ......... ..............
specified.
83885.... 6 Assay for nickel... ......... ......... ......... ......... ......... ..............
83887.... 6 Assay nicotine..... ......... ......... ......... ......... ......... ..............
83890.... 6 Molecular ......... ......... ......... ......... ......... ..............
diagnostics.
83892.... 6 Molecular ......... ......... ......... ......... ......... ..............
diagnostics.
83894.... 6 Molecular ......... ......... ......... ......... ......... ..............
diagnostics.
83896.... 6 Molecular ......... ......... ......... ......... ......... ..............
diagnostics.
83898.... 6 Molecular ......... ......... ......... ......... ......... ..............
diagnostics.
83902.... 6 Molecular ......... ......... ......... ......... ......... ..............
diagnostics.
83912.... 6 Genetic examination ......... ......... ......... ......... ......... ..............
83915.... 6 Assay nucleotidase. ......... ......... ......... ......... ......... ..............
83916.... 6 Oligoclonal bands.. ......... ......... ......... ......... ......... ..............
83918.... 6 Assay organic acids ......... ......... ......... ......... ......... ..............
83925.... 6 Opiates............ ......... ......... ......... ......... ......... ..............
83930.... 6 Assay blood ......... ......... ......... ......... ......... ..............
osmolality.
83935.... 6 Assay urine ......... ......... ......... ......... ......... ..............
osmolality.
83937.... 6 Assay for ......... ......... ......... ......... ......... ..............
osteocalcin.
83945.... 6 Assay oxalate...... ......... ......... ......... ......... ......... ..............
83970.... 6 Assay of ......... ......... ......... ......... ......... ..............
parathormone.
83986.... 2 Assay body fluid ......... ......... ......... ......... ......... ..............
acidity.
83992.... 6 Assay for ......... ......... ......... ......... ......... ..............
phencyclidine.
84022.... 6 Assay of ......... ......... ......... ......... ......... ..............
phenothiazine.
84030.... 6 Assay blood PKU.... ......... ......... ......... ......... ......... ..............
84035.... 6 Assay phenylketones ......... ......... ......... ......... ......... ..............
84060.... 6 Assay acid ......... ......... ......... ......... ......... ..............
phosphatase.
84061.... 6 Phosphatase, ......... ......... ......... ......... ......... ..............
forensic exam.
84066.... 6 Assay prostate ......... ......... ......... ......... ......... ..............
phosphatase.
84075.... 6 Assay alkaline ......... ......... ......... ......... ......... ..............
phosphatase.
84078.... 6 Assay alkaline ......... ......... ......... ......... ......... ..............
phosphatase.
84080.... 6 Assay alkaline ......... ......... ......... ......... ......... ..............
phosphatases.
84081.... 6 Amniotic fluid ......... ......... ......... ......... ......... ..............
enzyme test.
84085.... 6 Assay RBC PG6D ......... ......... ......... ......... ......... ..............
enzyme.
84087.... 6 Assay phosphohexose ......... ......... ......... ......... ......... ..............
enzymes.
84100.... 6 Assay phosphorus... ......... ......... ......... ......... ......... ..............
84105.... 6 Assay urine ......... ......... ......... ......... ......... ..............
phosphorus.
84106.... 6 Test for ......... ......... ......... ......... ......... ..............
porphobilinogen.
84110.... 6 Assay ......... ......... ......... ......... ......... ..............
porphobilinogen.
84119.... 6 Test urine for ......... ......... ......... ......... ......... ..............
porphyrins.
84120.... 6 Assay urine ......... ......... ......... ......... ......... ..............
porphyrins.
84126.... 6 Assay feces ......... ......... ......... ......... ......... ..............
porphyrins.
84127.... 6 Porphyrins, feces.. ......... ......... ......... ......... ......... ..............
84132.... 6 Assay serum ......... ......... ......... ......... ......... ..............
potassium.
84133.... 6 Assay urine ......... ......... ......... ......... ......... ..............
potassium.
84134.... 6 Prealbumin......... ......... ......... ......... ......... ......... ..............
84135.... 6 Assay pregnanediol. ......... ......... ......... ......... ......... ..............
84138.... 6 Assay pregnanetriol ......... ......... ......... ......... ......... ..............
84140.... 6 Assay for ......... ......... ......... ......... ......... ..............
pregnenolone.
84143.... 6 Assay/17- ......... ......... ......... ......... ......... ..............
hydroxypregnenolon
e.
84144.... 6 Assay progesterone. ......... ......... ......... ......... ......... ..............
84146.... 6 Assay for prolactin ......... ......... ......... ......... ......... ..............
84150.... 6 Assay of ......... ......... ......... ......... ......... ..............
prostaglandin.
84153.... 6 Prostate specific ......... ......... ......... ......... ......... ..............
antigen.
84155.... 6 Assay protein...... ......... ......... ......... ......... ......... ..............
84160.... 6 Assay serum protein ......... ......... ......... ......... ......... ..............
84165.... 6 Assay serum ......... ......... ......... ......... ......... ..............
proteins.
84181.... 6 Western blot test.. ......... ......... ......... ......... ......... ..............
84182.... 6 Protein, western ......... ......... ......... ......... ......... ..............
blot test.
84202.... 6 Assay RBC ......... ......... ......... ......... ......... ..............
protoporphyrin.
84203.... 6 Test RBC ......... ......... ......... ......... ......... ..............
protoporphyrin.
[[Page 32411]]
84206.... 6 Assay of proinsulin ......... ......... ......... ......... ......... ..............
84207.... 6 Assay vitamin B-6.. ......... ......... ......... ......... ......... ..............
84210.... 6 Assay pyruvate..... ......... ......... ......... ......... ......... ..............
84220.... 6 Assay pyruvate ......... ......... ......... ......... ......... ..............
kinase.
84228.... 6 Assay quinine...... ......... ......... ......... ......... ......... ..............
84233.... 6 Assay estrogen..... ......... ......... ......... ......... ......... ..............
84234.... 6 Assay progesterone. ......... ......... ......... ......... ......... ..............
84235.... 6 Assay endocrine ......... ......... ......... ......... ......... ..............
hormone.
84238.... 6 Assay non-endocrine ......... ......... ......... ......... ......... ..............
receptor.
84244.... 6 Assay of renin..... ......... ......... ......... ......... ......... ..............
84252.... 6 Assay vitamin B-2.. ......... ......... ......... ......... ......... ..............
84255.... 6 Assay selenium..... ......... ......... ......... ......... ......... ..............
84260.... 6 Assay serotonin.... ......... ......... ......... ......... ......... ..............
84270.... 6 Sex hormone ......... ......... ......... ......... ......... ..............
globulin (SHBG).
84275.... 6 Assay sialic acid.. ......... ......... ......... ......... ......... ..............
84285.... 6 Assay silica....... ......... ......... ......... ......... ......... ..............
84295.... 6 Assay serum sodium. ......... ......... ......... ......... ......... ..............
84300.... 6 Assay urine sodium. ......... ......... ......... ......... ......... ..............
84305.... 6 Somatomedin........ ......... ......... ......... ......... ......... ..............
84307.... 6 Somatostatin....... ......... ......... ......... ......... ......... ..............
84311.... 6 Spectrophotometry.. ......... ......... ......... ......... ......... ..............
84315.... 6 Body fluid specific ......... ......... ......... ......... ......... ..............
gravity.
84375.... 6 Chromatogram assay, ......... ......... ......... ......... ......... ..............
sugars.
84392.... 6 Assay urine sulfate ......... ......... ......... ......... ......... ..............
84402.... 6 Testosterone....... ......... ......... ......... ......... ......... ..............
84403.... 6 Assay total ......... ......... ......... ......... ......... ..............
testosterone.
84425.... 6 Assay vitamin B-1.. ......... ......... ......... ......... ......... ..............
84430.... 6 Assay thiocyanate.. ......... ......... ......... ......... ......... ..............
84432.... 6 Thyroglobulin...... ......... ......... ......... ......... ......... ..............
84436.... 6 Assay, total ......... ......... ......... ......... ......... ..............
thyroxine.
84437.... 6 Assay neonatal ......... ......... ......... ......... ......... ..............
thyroxine.
84439.... 6 Assay, free ......... ......... ......... ......... ......... ..............
thyroxine.
84442.... 6 Thyroid activity ......... ......... ......... ......... ......... ..............
(TBG) assay.
84443.... 6 Assay thyroid stim ......... ......... ......... ......... ......... ..............
hormone.
84445.... 6 Thyroid ......... ......... ......... ......... ......... ..............
immunoglobulins
TSI.
84446.... 6 Assay vitamin E.... ......... ......... ......... ......... ......... ..............
84449.... 6 Assay for ......... ......... ......... ......... ......... ..............
transcortin.
84450.... 6 Transferase (AST) ......... ......... ......... ......... ......... ..............
(SGOT).
84460.... 6 Alanine amino (ALT) ......... ......... ......... ......... ......... ..............
(SGPT).
84466.... 6 Transferrin........ ......... ......... ......... ......... ......... ..............
84478.... 2 Assay triglycerides ......... ......... ......... ......... ......... ..............
84479.... 6 Assay thyroid (t-3 ......... ......... ......... ......... ......... ..............
or t-4).
84480.... 6 Assay ......... ......... ......... ......... ......... ..............
triiodothyronine
(t-3).
84481.... 6 Free assay (FT-3).. ......... ......... ......... ......... ......... ..............
84482.... 6 T3 reverse......... ......... ......... ......... ......... ......... ..............
84484.... 6 Troponin, quant.... ......... ......... ......... ......... ......... ..............
84485.... 6 Assay duodenal ......... ......... ......... ......... ......... ..............
fluid trypsin.
84488.... 6 Test feces for ......... ......... ......... ......... ......... ..............
trypsin.
84490.... 6 Assay feces for ......... ......... ......... ......... ......... ..............
trypsin.
84510.... 6 Assay tyrosine..... ......... ......... ......... ......... ......... ..............
84512.... 6 Troponin, qual..... ......... ......... ......... ......... ......... ..............
84520.... 6 Assay urea nitrogen ......... ......... ......... ......... ......... ..............
84525.... 6 Urea nitrogen semi- ......... ......... ......... ......... ......... ..............
quant.
84540.... 6 Assay urine urea-N. ......... ......... ......... ......... ......... ..............
84545.... 6 Urea-N clearance ......... ......... ......... ......... ......... ..............
test.
84550.... 6 Assay blood uric ......... ......... ......... ......... ......... ..............
acid.
84560.... 6 Assay urine uric ......... ......... ......... ......... ......... ..............
acid.
84577.... 6 Assay feces ......... ......... ......... ......... ......... ..............
urobilinogen.
84578.... 6 Test urine ......... ......... ......... ......... ......... ..............
urobilinogen.
84580.... 6 Assay urine ......... ......... ......... ......... ......... ..............
urobilinogen.
84583.... 6 Assay urine ......... ......... ......... ......... ......... ..............
urobilinogen.
84585.... 6 Assay urine VMA.... ......... ......... ......... ......... ......... ..............
84586.... 6 VIP assay.......... ......... ......... ......... ......... ......... ..............
84588.... 6 Assay vasopressin.. ......... ......... ......... ......... ......... ..............
84590.... 6 Assay vitamin-A.... ......... ......... ......... ......... ......... ..............
84597.... 6 Assay vitamin-K.... ......... ......... ......... ......... ......... ..............
84600.... 6 Assay for volatiles ......... ......... ......... ......... ......... ..............
84620.... 6 Xylose tolerance ......... ......... ......... ......... ......... ..............
test.
84630.... 6 Assay zinc......... ......... ......... ......... ......... ......... ..............
84681.... 6 Assay C-peptide.... ......... ......... ......... ......... ......... ..............
84702.... 6 Chorionic ......... ......... ......... ......... ......... ..............
gonadotropin test.
84703.... 6 Chorionic ......... ......... ......... ......... ......... ..............
gonadotropin assay.
84830.... 2 Ovulation tests.... ......... ......... ......... ......... ......... ..............
84999.... 6 Clinical chemistry ......... ......... ......... ......... ......... ..............
test.
[[Page 32412]]
85002.... 6 Bleeding time test. ......... ......... ......... ......... ......... ..............
85007.... 6 Differential WBC ......... ......... ......... ......... ......... ..............
count.
85008.... 6 Nondifferential WBC ......... ......... ......... ......... ......... ..............
count.
85009.... 6 Differential WBC ......... ......... ......... ......... ......... ..............
count.
85013.... 2 Hematocrit......... ......... ......... ......... ......... ......... ..............
85014.... 2 Hematocrit......... ......... ......... ......... ......... ......... ..............
85018.... 2 Hemoglobin......... ......... ......... ......... ......... ......... ..............
85021.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85022.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85023.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85024.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85025.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85027.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85029.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85030.... 6 Automated hemogram. ......... ......... ......... ......... ......... ..............
85031.... 6 Manual hemogram, ......... ......... ......... ......... ......... ..............
complete cbc.
85041.... 6 Red blood cell ......... ......... ......... ......... ......... ..............
(RBC) count.
85044.... 6 Reticulocyte count. ......... ......... ......... ......... ......... ..............
85045.... 6 Reticulocyte count. ......... ......... ......... ......... ......... ..............
85048.... 6 White blood cell ......... ......... ......... ......... ......... ..............
(WBC) count.
85060.... 6 Blood smear ......... ......... ......... ......... ......... ..............
interpretation.
85095.... 6 Bone marrow ......... ......... ......... ......... ......... ..............
aspiration.
85097.... 6 Bone marrow ......... ......... ......... ......... ......... ..............
interpretation.
85102.... 6 Bone marrow biopsy. ......... ......... ......... ......... ......... ..............
85130.... 6 Chromogenic ......... ......... ......... ......... ......... ..............
substrate assay.
85170.... 6 Blood clot ......... ......... ......... ......... ......... ..............
retraction.
85175.... 6 Blood clot lysis ......... ......... ......... ......... ......... ..............
time.
85210.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
II test.
85220.... 6 Blood clot factor V ......... ......... ......... ......... ......... ..............
test.
85230.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
VII test.
85240.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
VIII test.
85244.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
VIII test.
85245.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
VIII test.
85246.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
VIII test.
85247.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
VIII test.
85250.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
IX test.
85260.... 6 Blood clot factor X ......... ......... ......... ......... ......... ..............
test.
85270.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
XI test.
85280.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
XII test.
85290.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
XIII test.
85291.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
XIII test.
85292.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
assay.
85293.... 6 Blood clot factor ......... ......... ......... ......... ......... ..............
assay.
85300.... 6 Antithrombin III ......... ......... ......... ......... ......... ..............
test.
85301.... 6 Antithrombin III ......... ......... ......... ......... ......... ..............
test.
85302.... 6 Blood clot ......... ......... ......... ......... ......... ..............
inhibitor antigen.
85303.... 6 Blood clot ......... ......... ......... ......... ......... ..............
inhibitor test.
85305.... 6 Blood clot ......... ......... ......... ......... ......... ..............
inhibitor assay.
85306.... 6 Blood clot ......... ......... ......... ......... ......... ..............
inhibitor test.
85335.... 6 Factor inhibitor ......... ......... ......... ......... ......... ..............
test.
85337.... 6 Thrombomodulin..... ......... ......... ......... ......... ......... ..............
85345.... 6 Coagulation time... ......... ......... ......... ......... ......... ..............
85347.... 6 Coagulation time... ......... ......... ......... ......... ......... ..............
85348.... 6 Coagulation time... ......... ......... ......... ......... ......... ..............
85360.... 6 Euglobulin lysis... ......... ......... ......... ......... ......... ..............
85362.... 6 Fibrin degradation ......... ......... ......... ......... ......... ..............
products.
85366.... 6 Fibrinogen test.... ......... ......... ......... ......... ......... ..............
85370.... 6 Fibrinogen test.... ......... ......... ......... ......... ......... ..............
85378.... 6 Fibrin degradation. ......... ......... ......... ......... ......... ..............
85379.... 6 Fibrin degradation. ......... ......... ......... ......... ......... ..............
85384.... 6 Fibrinogen......... ......... ......... ......... ......... ......... ..............
85385.... 6 Fibrinogen......... ......... ......... ......... ......... ......... ..............
85390.... 6 Fibrinolysins ......... ......... ......... ......... ......... ..............
screen.
85400.... 6 Fibrinolytic ......... ......... ......... ......... ......... ..............
plasmin.
85410.... 6 Fibrinolytic ......... ......... ......... ......... ......... ..............
antiplasmin.
85415.... 6 Fibrinolytic ......... ......... ......... ......... ......... ..............
plasminogen.
85420.... 6 Fibrinolytic ......... ......... ......... ......... ......... ..............
plasminogen.
85421.... 6 Fibrinolytic ......... ......... ......... ......... ......... ..............
plasminogen.
85441.... 6 Heinz bodies; ......... ......... ......... ......... ......... ..............
direct.
85445.... 6 Heinz bodies; ......... ......... ......... ......... ......... ..............
induced.
85460.... 6 Hemoglobin, fetal.. ......... ......... ......... ......... ......... ..............
85461.... 6 Hemoglobin, fetal.. ......... ......... ......... ......... ......... ..............
85475.... 6 Hemolysin.......... ......... ......... ......... ......... ......... ..............
85520.... 6 Heparin assay...... ......... ......... ......... ......... ......... ..............
[[Page 32413]]
85525.... 6 Heparin............ ......... ......... ......... ......... ......... ..............
85530.... 6 Heparin-protamine ......... ......... ......... ......... ......... ..............
tolerance.
85535.... 6 Iron stain, blood ......... ......... ......... ......... ......... ..............
cells.
85540.... 6 Wbc alkaline ......... ......... ......... ......... ......... ..............
phosphatase.
85547.... 6 RBC mechanical ......... ......... ......... ......... ......... ..............
fragility.
85549.... 6 Muramidase......... ......... ......... ......... ......... ......... ..............
85555.... 6 RBC osmotic ......... ......... ......... ......... ......... ..............
fragility.
85557.... 6 RBC osmotic ......... ......... ......... ......... ......... ..............
fragility.
85576.... 6 Blood platelet ......... ......... ......... ......... ......... ..............
aggregation.
85585.... 6 Blood platelet ......... ......... ......... ......... ......... ..............
estimation.
85590.... 6 Platelet manual ......... ......... ......... ......... ......... ..............
count.
85595.... 6 Platelet count, ......... ......... ......... ......... ......... ..............
automated.
85597.... 6 Platelet ......... ......... ......... ......... ......... ..............
neutralization.
85610.... 6 Prothrombin time... ......... ......... ......... ......... ......... ..............
85611.... 6 Prothrombin test... ......... ......... ......... ......... ......... ..............
85612.... 6 Viper venom ......... ......... ......... ......... ......... ..............
prothrombin time.
85613.... 6 Russell viper ......... ......... ......... ......... ......... ..............
venom, diluted.
85635.... 6 Reptilase test..... ......... ......... ......... ......... ......... ..............
85651.... 2 Rbc sed rate, ......... ......... ......... ......... ......... ..............
nonauto.
85652.... 6 Rbc sed rate, auto. ......... ......... ......... ......... ......... ..............
85660.... 6 RBC sickle cell ......... ......... ......... ......... ......... ..............
test.
85670.... 6 Thrombin time, ......... ......... ......... ......... ......... ..............
plasma.
85675.... 6 Thrombin time, ......... ......... ......... ......... ......... ..............
titer.
85705.... 6 Thromboplastin ......... ......... ......... ......... ......... ..............
inhibition.
85730.... 6 Thromboplastin ......... ......... ......... ......... ......... ..............
time, partial.
85732.... 6 Thromboplastin ......... ......... ......... ......... ......... ..............
time, partial.
85810.... 6 Blood viscosity ......... ......... ......... ......... ......... ..............
examination.
85999.... 6 Hematology ......... ......... ......... ......... ......... ..............
procedure.
86000.... 6 Agglutinins; ......... ......... ......... ......... ......... ..............
febrile.
86003.... 6 Allergen specific ......... ......... ......... ......... ......... ..............
IgE.
86005.... 6 Allergen specific ......... ......... ......... ......... ......... ..............
IgE.
86021.... 6 WBC antibody ......... ......... ......... ......... ......... ..............
identification.
86022.... 6 Platelet antibodies ......... ......... ......... ......... ......... ..............
86023.... 6 Immunoglobulin ......... ......... ......... ......... ......... ..............
assay.
86038.... 6 Antinuclear ......... ......... ......... ......... ......... ..............
antibodies.
86039.... 6 Antinuclear ......... ......... ......... ......... ......... ..............
antibodies (ANA).
86060.... 6 Antistreptolysin O ......... ......... ......... ......... ......... ..............
titer.
86063.... 6 Antistreptolysin O ......... ......... ......... ......... ......... ..............
screen.
86077.... 6 Physician blood ......... ......... ......... ......... ......... ..............
bank service.
86078.... 6 Physician blood ......... ......... ......... ......... ......... ..............
bank service.
86079.... 6 Physician blood ......... ......... ......... ......... ......... ..............
bank service.
86140.... 6 C-reactive protein. ......... ......... ......... ......... ......... ..............
86147.... 6 Cardiolipin ......... ......... ......... ......... ......... ..............
antibody.
86148.... 6 Phospholipid ......... ......... ......... ......... ......... ..............
antibody.
86155.... 6 Chemotaxis assay... ......... ......... ......... ......... ......... ..............
86156.... 6 Cold agglutinin ......... ......... ......... ......... ......... ..............
screen.
86157.... 6 Cold agglutinin, ......... ......... ......... ......... ......... ..............
titer.
86160.... 6 Complement, antigen ......... ......... ......... ......... ......... ..............
86161.... 6 Complement/function ......... ......... ......... ......... ......... ..............
activity.
86162.... 6 Complement, total ......... ......... ......... ......... ......... ..............
(CH50).
86171.... 6 Complement ......... ......... ......... ......... ......... ..............
fixation, each.
86185.... 6 Counterimmunoelectr ......... ......... ......... ......... ......... ..............
ophoresis.
86215.... 6 Deoxyribonuclease, ......... ......... ......... ......... ......... ..............
antibody.
86225.... 6 DNA antibody....... ......... ......... ......... ......... ......... ..............
86226.... 6 DNA antibody, ......... ......... ......... ......... ......... ..............
single strand.
86235.... 6 Nuclear antigen ......... ......... ......... ......... ......... ..............
antibody.
86243.... 6 Fc receptor........ ......... ......... ......... ......... ......... ..............
86255.... 6 Fluorescent ......... ......... ......... ......... ......... ..............
antibody; screen.
86256.... 6 Fluorescent ......... ......... ......... ......... ......... ..............
antibody; titer.
86277.... 6 Growth hormone ......... ......... ......... ......... ......... ..............
antibody.
86280.... 6 Hemagglutination ......... ......... ......... ......... ......... ..............
inhibition.
86308.... 6 Heterophile ......... ......... ......... ......... ......... ..............
antibodies.
86309.... 6 Heterophile ......... ......... ......... ......... ......... ..............
antibodies.
86310.... 6 Heterophile ......... ......... ......... ......... ......... ..............
antibodies.
86316.... 6 Immunoassay, tumor ......... ......... ......... ......... ......... ..............
antigen.
86317.... 6 Immunoassay, ......... ......... ......... ......... ......... ..............
infectious agent.
86318.... 2 Immunoassay, ......... ......... ......... ......... ......... ..............
infectious agent.
86320.... 6 Serum ......... ......... ......... ......... ......... ..............
immunoelectrophore
sis.
86325.... 6 Other ......... ......... ......... ......... ......... ..............
immunoelectrophore
sis.
86327.... 6 Immunoelectrophores ......... ......... ......... ......... ......... ..............
is assay.
86329.... 6 Immunodiffusion.... ......... ......... ......... ......... ......... ..............
86331.... 6 Immunodiffusion ......... ......... ......... ......... ......... ..............
ouchterlony.
86332.... 6 Immune complex ......... ......... ......... ......... ......... ..............
assay.
86334.... 6 Immunofixation ......... ......... ......... ......... ......... ..............
procedure.
[[Page 32414]]
86337.... 6 Insulin antibodies. ......... ......... ......... ......... ......... ..............
86340.... 6 Intrinsic factor ......... ......... ......... ......... ......... ..............
antibody.
86341.... 6 Islet cell antibody ......... ......... ......... ......... ......... ..............
86343.... 6 Leukocyte histamine ......... ......... ......... ......... ......... ..............
release.
86344.... 6 Leukocyte ......... ......... ......... ......... ......... ..............
phagocytosis.
86353.... 6 Lymphocyte ......... ......... ......... ......... ......... ..............
transformation.
86359.... 6 T cells, total ......... ......... ......... ......... ......... ..............
count.
86360.... 6 T cell absolute ......... ......... ......... ......... ......... ..............
count/ratio.
86361.... 6 T cell absolute ......... ......... ......... ......... ......... ..............
count.
86376.... 6 Microsomal antibody ......... ......... ......... ......... ......... ..............
86378.... 6 Migration ......... ......... ......... ......... ......... ..............
inhibitory factor.
86382.... 6 Neutralization ......... ......... ......... ......... ......... ..............
test, viral.
86384.... 6 Nitroblue ......... ......... ......... ......... ......... ..............
tetrazolium dye.
86403.... 6 Particle ......... ......... ......... ......... ......... ..............
agglutination test.
86406.... 6 Particle ......... ......... ......... ......... ......... ..............
agglutination test.
86430.... 6 Rheumatoid factor ......... ......... ......... ......... ......... ..............
test.
86431.... 6 Rheumatoid factor, ......... ......... ......... ......... ......... ..............
quant.
86485.... 6 Skin test, candida. ......... ......... ......... ......... ......... ..............
86490.... 6 Coccidioidomycosis ......... ......... ......... ......... ......... ..............
skin test.
86510.... 6 Histoplasmosis skin ......... ......... ......... ......... ......... ..............
test.
86580.... 6 TB intradermal test ......... ......... ......... ......... ......... ..............
86585.... 6 TB tine test....... ......... ......... ......... ......... ......... ..............
86586.... 6 Skin test, unlisted ......... ......... ......... ......... ......... ..............
86588.... 2 Streptocollus, ......... ......... ......... ......... ......... ..............
direct screen.
86590.... 6 Streptokinase, ......... ......... ......... ......... ......... ..............
antibody.
86592.... 6 Blood serology, ......... ......... ......... ......... ......... ..............
qualitative.
86593.... 6 Blood serology, ......... ......... ......... ......... ......... ..............
quantitative.
86602.... 6 Antinomyces ......... ......... ......... ......... ......... ..............
antibody.
86603.... 6 Adenovirus, ......... ......... ......... ......... ......... ..............
antibody.
86606.... 6 Aspergillus ......... ......... ......... ......... ......... ..............
antibody.
86609.... 6 Bacterium, antibody ......... ......... ......... ......... ......... ..............
86612.... 6 Blastomyces, ......... ......... ......... ......... ......... ..............
antibody.
86615.... 6 Bordetella antibody ......... ......... ......... ......... ......... ..............
86617.... 6 Lyme disease ......... ......... ......... ......... ......... ..............
antibody.
86618.... 6 Lyme disease ......... ......... ......... ......... ......... ..............
antibody.
86619.... 6 Borrelia antibody.. ......... ......... ......... ......... ......... ..............
86622.... 6 Brucella, antibody. ......... ......... ......... ......... ......... ..............
86625.... 6 Campylobacter, ......... ......... ......... ......... ......... ..............
antibody.
86628.... 6 Candida, antibody.. ......... ......... ......... ......... ......... ..............
86631.... 6 Chlamydia, antibody ......... ......... ......... ......... ......... ..............
86632.... 6 Chlamydia, IgM, ......... ......... ......... ......... ......... ..............
antibody.
86635.... 6 Coccidioides, ......... ......... ......... ......... ......... ..............
antibody.
86638.... 6 Q fever antibody... ......... ......... ......... ......... ......... ..............
86641.... 6 Cryptococcus ......... ......... ......... ......... ......... ..............
antibody.
86644.... 6 CMV antibody....... ......... ......... ......... ......... ......... ..............
86645.... 6 CMV antibody, IgM.. ......... ......... ......... ......... ......... ..............
86648.... 6 Diphtheria antibody ......... ......... ......... ......... ......... ..............
86651.... 6 Encephalitis ......... ......... ......... ......... ......... ..............
antibody.
86652.... 6 Encephalitis ......... ......... ......... ......... ......... ..............
antibody.
86653.... 6 Encephalitis, ......... ......... ......... ......... ......... ..............
antibody.
86654.... 6 Encephalitis, ......... ......... ......... ......... ......... ..............
antibody.
86658.... 6 Enterovirus, ......... ......... ......... ......... ......... ..............
antibody.
86663.... 6 Epstein-barr ......... ......... ......... ......... ......... ..............
antibody.
86664.... 6 Epstein-barr ......... ......... ......... ......... ......... ..............
antibody.
86665.... 6 Epstein-barr, ......... ......... ......... ......... ......... ..............
antibody.
86668.... 6 Francisella ......... ......... ......... ......... ......... ..............
tularensis.
86671.... 6 Fungus, antibody... ......... ......... ......... ......... ......... ..............
86674.... 6 Giardia lamblia.... ......... ......... ......... ......... ......... ..............
86677.... 6 Helicobacter pylori ......... ......... ......... ......... ......... ..............
86682.... 6 Helminth, antibody. ......... ......... ......... ......... ......... ..............
86684.... 6 Hemophilus ......... ......... ......... ......... ......... ..............
influenza.
86687.... 6 HTLV-I............. ......... ......... ......... ......... ......... ..............
86688.... 6 HTLV-II............ ......... ......... ......... ......... ......... ..............
86689.... 6 HTLV/HIV ......... ......... ......... ......... ......... ..............
confirmatory test.
86692.... 6 Hepatitis, delta ......... ......... ......... ......... ......... ..............
agent.
86694.... 6 Herpes simplex test ......... ......... ......... ......... ......... ..............
86695.... 6 Herpes simplex test ......... ......... ......... ......... ......... ..............
86698.... 6 Histoplasma........ ......... ......... ......... ......... ......... ..............
86701.... 6 HIV-1.............. ......... ......... ......... ......... ......... ..............
86702.... 6 HIV-2.............. ......... ......... ......... ......... ......... ..............
86703.... 6 HIV-1/HIV-2, single ......... ......... ......... ......... ......... ..............
assay.
86704.... 6 Hep b core ab test, ......... ......... ......... ......... ......... ..............
igg & m.
86705.... 6 Hep b core ab test, ......... ......... ......... ......... ......... ..............
igm.
86706.... 6 Hepatitis b surface ......... ......... ......... ......... ......... ..............
ab test.
[[Page 32415]]
86707.... 6 Hepatitis be ab ......... ......... ......... ......... ......... ..............
test.
86708.... 6 Hep a ab test, igg ......... ......... ......... ......... ......... ..............
& m.
86709.... 6 Hep a ab test, igm. ......... ......... ......... ......... ......... ..............
86710.... 6 Influenza virus.... ......... ......... ......... ......... ......... ..............
86713.... 6 Legionella......... ......... ......... ......... ......... ......... ..............
86717.... 6 Leishmania......... ......... ......... ......... ......... ......... ..............
86720.... 6 Leptospira......... ......... ......... ......... ......... ......... ..............
86723.... 6 Listeria ......... ......... ......... ......... ......... ..............
monocytogenes.
86727.... 6 Lymph ......... ......... ......... ......... ......... ..............
choriomeningitis.
86729.... 6 Lympho venereum.... ......... ......... ......... ......... ......... ..............
86732.... 6 Mucormycosis....... ......... ......... ......... ......... ......... ..............
86735.... 6 Mumps.............. ......... ......... ......... ......... ......... ..............
86738.... 6 Mycoplasma......... ......... ......... ......... ......... ......... ..............
86741.... 6 Neisseria ......... ......... ......... ......... ......... ..............
meningitidis.
86744.... 6 Nocardia........... ......... ......... ......... ......... ......... ..............
86747.... 6 Parvovirus......... ......... ......... ......... ......... ......... ..............
86750.... 6 Malaria............ ......... ......... ......... ......... ......... ..............
86753.... 6 Protozoa, not ......... ......... ......... ......... ......... ..............
elsewhere.
86756.... 6 Respiratory virus.. ......... ......... ......... ......... ......... ..............
86759.... 6 Rotavirus.......... ......... ......... ......... ......... ......... ..............
86762.... 6 Rubella............ ......... ......... ......... ......... ......... ..............
86765.... 6 Rubeola............ ......... ......... ......... ......... ......... ..............
86768.... 6 Salmonella......... ......... ......... ......... ......... ......... ..............
86771.... 6 Shigella........... ......... ......... ......... ......... ......... ..............
86774.... 6 Tetanus............ ......... ......... ......... ......... ......... ..............
86777.... 6 Toxoplasma......... ......... ......... ......... ......... ......... ..............
86778.... 6 Toxoplasma, IgM.... ......... ......... ......... ......... ......... ..............
86781.... 6 Treponema pallidum ......... ......... ......... ......... ......... ..............
confirm.
86784.... 6 Trichinella........ ......... ......... ......... ......... ......... ..............
86787.... 6 Varicella-zoster... ......... ......... ......... ......... ......... ..............
86790.... 6 Virus, not ......... ......... ......... ......... ......... ..............
specified.
86793.... 6 Yersinia........... ......... ......... ......... ......... ......... ..............
86800.... 6 Thyroglobulin ......... ......... ......... ......... ......... ..............
antibody.
86803.... 6 Hepatitis c ab test ......... ......... ......... ......... ......... ..............
86804.... 6 Hep c ab test, ......... ......... ......... ......... ......... ..............
confirm.
86805.... 6 Lymphocytotoxicity ......... ......... ......... ......... ......... ..............
assay.
86806.... 6 Lymphocytotoxicity ......... ......... ......... ......... ......... ..............
assay.
86807.... 6 Cytotoxic antibody ......... ......... ......... ......... ......... ..............
screening.
86808.... 6 Cytotoxic antibody ......... ......... ......... ......... ......... ..............
screening.
86812.... 6 HLA typing, A, B, ......... ......... ......... ......... ......... ..............
or C.
86813.... 6 HLA typing, A, B, ......... ......... ......... ......... ......... ..............
or C.
86816.... 6 HLA typing, DR/DQ.. ......... ......... ......... ......... ......... ..............
86817.... 6 HLA typing, DR/DQ.. ......... ......... ......... ......... ......... ..............
86821.... 6 Lymphocyte culture, ......... ......... ......... ......... ......... ..............
mixed.
86822.... 6 Lymphocyte culture, ......... ......... ......... ......... ......... ..............
primed.
86849.... 6 Immunology ......... ......... ......... ......... ......... ..............
procedure.
86850.... 6 RBC antibody screen ......... ......... ......... ......... ......... ..............
86860.... 6 RBC antibody ......... ......... ......... ......... ......... ..............
elution.
86870.... 6 RBC antibody ......... ......... ......... ......... ......... ..............
identification.
86880.... 6 Coombs test........ ......... ......... ......... ......... ......... ..............
86885.... 6 Coombs test........ ......... ......... ......... ......... ......... ..............
86886.... 6 Coombs test........ ......... ......... ......... ......... ......... ..............
86890.... 6 Autologous blood ......... ......... ......... ......... ......... ..............
process.
86891.... 6 Autologous blood, ......... ......... ......... ......... ......... ..............
op salvage.
86900.... 6 Blood typing, ABO.. ......... ......... ......... ......... ......... ..............
86901.... 6 Blood typing, Rh ......... ......... ......... ......... ......... ..............
(D).
86903.... 6 Blood typing, ......... ......... ......... ......... ......... ..............
antigen screen.
86904.... 6 Blood typing, ......... ......... ......... ......... ......... ..............
patient serum.
86905.... 6 Blood typing, RBC ......... ......... ......... ......... ......... ..............
antigens.
86906.... 6 Blood typing, Rh ......... ......... ......... ......... ......... ..............
phenotype.
86910.... 9 Blood typing, ......... ......... ......... ......... ......... ..............
paternity test.
86911.... 9 Blood typing, ......... ......... ......... ......... ......... ..............
antigen system.
86915.... 6 Bone marrow........ ......... ......... ......... ......... ......... ..............
86920.... 6 Compatibility test. ......... ......... ......... ......... ......... ..............
86921.... 6 Compatibility test. ......... ......... ......... ......... ......... ..............
86922.... 6 Compatibility test. ......... ......... ......... ......... ......... ..............
86927.... 6 Plasma, fresh ......... ......... ......... ......... ......... ..............
frozen.
86930.... 6 Frozen blood prep.. ......... ......... ......... ......... ......... ..............
86931.... 6 Frozen blood thaw.. ......... ......... ......... ......... ......... ..............
86932.... 6 Frozen blood, ......... ......... ......... ......... ......... ..............
freeze/thaw.
86940.... 6 Hemolysins/ ......... ......... ......... ......... ......... ..............
agglutinins auto.
86941.... 6 Hemolysins/ ......... ......... ......... ......... ......... ..............
agglutinins.
86945.... 6 Blood product/ ......... ......... ......... ......... ......... ..............
irradiation.
86950.... 6 Leukacyte ......... ......... ......... ......... ......... ..............
transfusion.
[[Page 32416]]
86965.... 6 Pooling blood ......... ......... ......... ......... ......... ..............
platelets.
86970.... 6 RBC pretreatment... ......... ......... ......... ......... ......... ..............
86971.... 6 RBC pretreatment... ......... ......... ......... ......... ......... ..............
86972.... 6 RBC pretreatment... ......... ......... ......... ......... ......... ..............
86975.... 6 RBC pretreatment, ......... ......... ......... ......... ......... ..............
serum.
86976.... 6 RBC pretreatment, ......... ......... ......... ......... ......... ..............
serum.
86977.... 6 RBC pretreatment, ......... ......... ......... ......... ......... ..............
serum.
86978.... 6 RBC pretreatment, ......... ......... ......... ......... ......... ..............
serum.
86985.... 6 Split blood or ......... ......... ......... ......... ......... ..............
products.
86999.... 6 Transfusion ......... ......... ......... ......... ......... ..............
procedure.
87001.... 6 Small animal ......... ......... ......... ......... ......... ..............
inoculation.
87003.... 6 Small animal ......... ......... ......... ......... ......... ..............
inoculation.
87015.... 6 Specimen ......... ......... ......... ......... ......... ..............
concentration.
87040.... 6 Blood culture for ......... ......... ......... ......... ......... ..............
bacteria.
87045.... 6 Stool culture for ......... ......... ......... ......... ......... ..............
bacteria.
87060.... 6 Nose/throat ......... ......... ......... ......... ......... ..............
culture,bacteria.
87070.... 6 Culture specimen, ......... ......... ......... ......... ......... ..............
bacteria.
87072.... 2 Culture of specimen ......... ......... ......... ......... ......... ..............
by kit.
87075.... 6 Culture specimen, ......... ......... ......... ......... ......... ..............
bacteria.
87076.... 6 Bacteria ......... ......... ......... ......... ......... ..............
identification.
87081.... 6 Bacteria culture ......... ......... ......... ......... ......... ..............
screen.
87082.... 6 Culture of specimen ......... ......... ......... ......... ......... ..............
by kit.
87083.... 6 Culture of specimen ......... ......... ......... ......... ......... ..............
by kit.
87084.... 6 Culture of specimen ......... ......... ......... ......... ......... ..............
by kit.
87085.... 6 Culture of specimen ......... ......... ......... ......... ......... ..............
by kit.
87086.... 6 Urine culture, ......... ......... ......... ......... ......... ..............
colony count.
87087.... 6 Urine bacteria ......... ......... ......... ......... ......... ..............
culture.
87088.... 6 Urine bacteria ......... ......... ......... ......... ......... ..............
culture.
87101.... 6 Skin fungus culture ......... ......... ......... ......... ......... ..............
87102.... 6 Fungus isolation ......... ......... ......... ......... ......... ..............
culture.
87103.... 6 Blood fungus ......... ......... ......... ......... ......... ..............
culture.
87106.... 6 Fungus ......... ......... ......... ......... ......... ..............
identification.
87109.... 6 Mycoplasma culture. ......... ......... ......... ......... ......... ..............
87110.... 6 Culture, chlamydia. ......... ......... ......... ......... ......... ..............
87116.... 6 Mycobacteria ......... ......... ......... ......... ......... ..............
culture.
87117.... 6 Mycobacteria ......... ......... ......... ......... ......... ..............
culture.
87118.... 6 Mycobacteria ......... ......... ......... ......... ......... ..............
identification.
87140.... 6 Culture typing, ......... ......... ......... ......... ......... ..............
fluorescent.
87143.... 6 Culture typing, GLC ......... ......... ......... ......... ......... ..............
method.
87145.... 6 Culture typing, ......... ......... ......... ......... ......... ..............
phage method.
87147.... 6 Culture typing, ......... ......... ......... ......... ......... ..............
serologic.
87151.... 6 Culture typing, ......... ......... ......... ......... ......... ..............
serologic.
87155.... 6 Culture typing, ......... ......... ......... ......... ......... ..............
precipitin.
87158.... 6 Culture typing, ......... ......... ......... ......... ......... ..............
added method.
87163.... 6 Special ......... ......... ......... ......... ......... ..............
microbiology
culture.
87164.... 6 Dark field ......... ......... ......... ......... ......... ..............
examination.
87166.... 6 Dark field ......... ......... ......... ......... ......... ..............
examination.
87174.... 6 Endotoxin, ......... ......... ......... ......... ......... ..............
bacterial.
87175.... 6 Assay, endotoxin, ......... ......... ......... ......... ......... ..............
bacterial.
87176.... 6 Endotoxin, ......... ......... ......... ......... ......... ..............
bacterial.
87177.... 6 Ova and parasites ......... ......... ......... ......... ......... ..............
smears.
87181.... 6 Antibiotic ......... ......... ......... ......... ......... ..............
sensitivity, each.
87184.... 6 Antibiotic ......... ......... ......... ......... ......... ..............
sensitivity, each.
87186.... 6 Antibiotic ......... ......... ......... ......... ......... ..............
sensitivity, MIC.
87187.... 6 Antibiotic ......... ......... ......... ......... ......... ..............
sensitivity, MBC.
87188.... 6 Antibiotic ......... ......... ......... ......... ......... ..............
sensitivity, each.
87190.... 6 TB antibiotic ......... ......... ......... ......... ......... ..............
sensitivity.
87192.... 6 Antibiotic ......... ......... ......... ......... ......... ..............
sensitivity, each.
87197.... 6 Bactericidal level, ......... ......... ......... ......... ......... ..............
serum.
87205.... 6 Smear, stain & ......... ......... ......... ......... ......... ..............
interpret.
87206.... 6 Smear, stain & ......... ......... ......... ......... ......... ..............
interpret.
87207.... 6 Smear, stain & ......... ......... ......... ......... ......... ..............
interpret.
87208.... 6 Smear, stain & ......... ......... ......... ......... ......... ..............
interpret.
87210.... 6 Smear, stain & ......... ......... ......... ......... ......... ..............
interpret.
87211.... 6 Smear, stain & ......... ......... ......... ......... ......... ..............
interpret.
87220.... 6 Tissue exam for ......... ......... ......... ......... ......... ..............
fungi.
87230.... 6 Assay, toxin or ......... ......... ......... ......... ......... ..............
antitoxin.
87250.... 6 Virus inoculation ......... ......... ......... ......... ......... ..............
for test.
87252.... 6 Virus inoculation ......... ......... ......... ......... ......... ..............
for test.
87253.... 6 Virus inoculation ......... ......... ......... ......... ......... ..............
for test.
87260.... 6 Adenovirus ag, dfa. ......... ......... ......... ......... ......... ..............
87265.... 6 Pertussis ag, dfa.. ......... ......... ......... ......... ......... ..............
87270.... 6 Chylmd trach ag, ......... ......... ......... ......... ......... ..............
dfa.
87272.... 6 Cryptosporidum ag, ......... ......... ......... ......... ......... ..............
dfa.
[[Page 32417]]
87274.... 6 Herpes simplex ag, ......... ......... ......... ......... ......... ..............
dfa.
87276.... 6 Influenza ag, dfa.. ......... ......... ......... ......... ......... ..............
87278.... 6 Legion pneumo ag, ......... ......... ......... ......... ......... ..............
dfa.
87280.... 6 Resp syncytial ag, ......... ......... ......... ......... ......... ..............
dfa.
87285.... 6 Trepon pallidum ag, ......... ......... ......... ......... ......... ..............
dfa.
87290.... 6 Varicella ag, dfa.. ......... ......... ......... ......... ......... ..............
87299.... 6 Ag detection nos, ......... ......... ......... ......... ......... ..............
dfa.
87301.... 6 Adenovirus ag, eia. ......... ......... ......... ......... ......... ..............
87320.... 6 Chylmd trach ag, ......... ......... ......... ......... ......... ..............
eia.
87324.... 6 Clostridium ag, eia ......... ......... ......... ......... ......... ..............
87328.... 6 Cryptospor ag, eia. ......... ......... ......... ......... ......... ..............
87332.... 6 Cytomegalovirus ag, ......... ......... ......... ......... ......... ..............
eia.
87335.... 6 E coli 0157 ag, eia ......... ......... ......... ......... ......... ..............
87340.... 6 Hepatitis b surface ......... ......... ......... ......... ......... ..............
ag, eia.
87350.... 6 Hepatitis b ag, eia ......... ......... ......... ......... ......... ..............
87380.... 6 Hepatitis delta ag, ......... ......... ......... ......... ......... ..............
eia.
87385.... 6 Histoplasma capsul ......... ......... ......... ......... ......... ..............
ag, eia.
87390.... 6 Hiv-1 ag, eia...... ......... ......... ......... ......... ......... ..............
87391.... 6 Hiv-2 ag, eia...... ......... ......... ......... ......... ......... ..............
87420.... 6 Resp syncytial ag, ......... ......... ......... ......... ......... ..............
eia.
87425.... 6 Rotavirus ag, eia.. ......... ......... ......... ......... ......... ..............
87430.... 6 Strep a ag, eia.... ......... ......... ......... ......... ......... ..............
87449.... 6 Ag detect nos, eia, ......... ......... ......... ......... ......... ..............
mult.
87450.... 6 Ag detect nos, eia, ......... ......... ......... ......... ......... ..............
single.
87470.... 6 Bartonella, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87471.... 6 Bartonella, dna, ......... ......... ......... ......... ......... ..............
amp probe.
87472.... 6 Bartonella, dna, ......... ......... ......... ......... ......... ..............
quant.
87475.... 6 Lyme dis, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87476.... 6 Lyme dis, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87477.... 6 Lyme dis, dna, ......... ......... ......... ......... ......... ..............
quant.
87480.... 6 Candida, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87481.... 6 Candida, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87482.... 6 Candida, dna, quant ......... ......... ......... ......... ......... ..............
87485.... 6 Chylmd pneum, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87486.... 6 Chylmd pneum, dna, ......... ......... ......... ......... ......... ..............
amp probe.
87487.... 6 Chylmd pneum, dna, ......... ......... ......... ......... ......... ..............
quant.
87490.... 6 Chylmd trach, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87491.... 6 Chylmd trach, dna, ......... ......... ......... ......... ......... ..............
amp probe.
87492.... 6 Chylmd trach, dna, ......... ......... ......... ......... ......... ..............
quant.
87495.... 6 Cytomeg, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87496.... 6 Cytomeg, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87497.... 6 Cytomeg, dna, quant ......... ......... ......... ......... ......... ..............
87510.... 6 Gardner vag, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87511.... 6 Gardner vag, dna, ......... ......... ......... ......... ......... ..............
amp probe.
87512.... 6 Gardner vag, dna, ......... ......... ......... ......... ......... ..............
quant.
87515.... 6 Hepatitis b, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87516.... 6 Hepatitis b, dna, ......... ......... ......... ......... ......... ..............
amp probe.
87517.... 6 Hepatitis b, dna, ......... ......... ......... ......... ......... ..............
quant.
87520.... 6 Hepatitis c, rna, ......... ......... ......... ......... ......... ..............
dir probe.
87521.... 6 Hepatitis c, rna, ......... ......... ......... ......... ......... ..............
amp probe.
87522.... 6 Hepatitis c, rna, ......... ......... ......... ......... ......... ..............
quant.
87525.... 6 Hepatitis g, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87526.... 6 Hepatitis g, dna, ......... ......... ......... ......... ......... ..............
amp probe.
87527.... 6 Hepatitis g, dna, ......... ......... ......... ......... ......... ..............
quant.
87528.... 6 Hsv, dna, dir probe ......... ......... ......... ......... ......... ..............
87529.... 6 Hsv, dna, amp probe ......... ......... ......... ......... ......... ..............
87530.... 6 Hsv, dna, quant.... ......... ......... ......... ......... ......... ..............
87531.... 6 Hhv-6, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87532.... 6 Hhv-6, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87533.... 6 Hhv-6, dna, quant.. ......... ......... ......... ......... ......... ..............
87534.... 6 Hiv-1, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87535.... 6 Hiv-1, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87536.... 6 Hiv-1, dna, quant.. ......... ......... ......... ......... ......... ..............
87537.... 6 Hiv-2, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87538.... 6 Hiv-2, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87539.... 6 Hiv-2, dna, quant.. ......... ......... ......... ......... ......... ..............
87540.... 6 Legion pneumo, dna, ......... ......... ......... ......... ......... ..............
dir prob.
87541.... 6 Legion pneumo, dna, ......... ......... ......... ......... ......... ..............
amp prob.
87542.... 6 Legion pneumo, dna, ......... ......... ......... ......... ......... ..............
quant.
87550.... 6 Mycobacteria, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87551.... 6 Mycobacteria, dna, ......... ......... ......... ......... ......... ..............
amp probe.
87552.... 6 Mycobacteria, dna, ......... ......... ......... ......... ......... ..............
quant.
87555.... 6 M.tuberculo, dna, ......... ......... ......... ......... ......... ..............
dir probe.
87556.... 6 M.tuberculo, dna, ......... ......... ......... ......... ......... ..............
amp probe.
[[Page 32418]]
87557.... 6 M.tuberculo, dna, ......... ......... ......... ......... ......... ..............
quant.
87560.... 6 M.avium-intra, dna, ......... ......... ......... ......... ......... ..............
dir prob.
87561.... 6 M.avium-intra, dna, ......... ......... ......... ......... ......... ..............
amp prob.
87562.... 6 M.avium-intra, dna, ......... ......... ......... ......... ......... ..............
quant.
87580.... 6 M.pneumon, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87581.... 6 M.pneumon, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87582.... 6 M.pneumon, dna, ......... ......... ......... ......... ......... ..............
quant.
87590.... 6 N.gonorrhoeae, dna, ......... ......... ......... ......... ......... ..............
dir prob.
87591.... 6 N.gonorrhoeae, dna, ......... ......... ......... ......... ......... ..............
amp prob.
87592.... 6 N.gonorrhoeae, dna, ......... ......... ......... ......... ......... ..............
quant.
87620.... 6 Hpv, dna, dir probe ......... ......... ......... ......... ......... ..............
87621.... 6 Hpv, dna, amp probe ......... ......... ......... ......... ......... ..............
87622.... 6 Hpv, dna, quant.... ......... ......... ......... ......... ......... ..............
87650.... 6 Strep a, dna, dir ......... ......... ......... ......... ......... ..............
probe.
87651.... 6 Strep a, dna, amp ......... ......... ......... ......... ......... ..............
probe.
87652.... 6 Strep a, dna, quant ......... ......... ......... ......... ......... ..............
87797.... 6 Detect agent nos, ......... ......... ......... ......... ......... ..............
dna, dir.
87798.... 6 Detect agent nos, ......... ......... ......... ......... ......... ..............
dna, amp.
87799.... 6 Detect agent nos, ......... ......... ......... ......... ......... ..............
dna, quant.
87810.... 6 Chylmd trach assay ......... ......... ......... ......... ......... ..............
w/optic.
87850.... 6 N. gonorrhoeae ......... ......... ......... ......... ......... ..............
assay w/optic.
87880.... 6 Strep a assay w/ ......... ......... ......... ......... ......... ..............
optic.
87899.... 6 Agent nos assay w/ ......... ......... ......... ......... ......... ..............
optic.
87999.... 6 Microbiology ......... ......... ......... ......... ......... ..............
procedure.
88000.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
gross.
88005.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
gross.
88007.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
gross.
88012.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
gross.
88014.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
gross.
88016.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
gross.
88020.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
complete.
88025.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
complete.
88027.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
complete.
88028.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
complete.
88029.... 9 Autopsy (necropsy), ......... ......... ......... ......... ......... ..............
complete.
88036.... 9 Limited autopsy.... ......... ......... ......... ......... ......... ..............
88037.... 9 Limited autopsy.... ......... ......... ......... ......... ......... ..............
88040.... 9 Forensic autopsy ......... ......... ......... ......... ......... ..............
(necropsy).
88045.... 9 Coroner's autopsy ......... ......... ......... ......... ......... ..............
(necropsy).
88099.... 9 Necropsy (autopsy) ......... ......... ......... ......... ......... ..............
procedure.
88104.... 6 Cytopathology, ......... ......... ......... ......... ......... ..............
fluids.
88106.... 6 Cytopathology, ......... ......... ......... ......... ......... ..............
fluids.
88107.... 6 Cytopathology, ......... ......... ......... ......... ......... ..............
fluids.
88108.... 6 Cytopath, ......... ......... ......... ......... ......... ..............
concentrate tech.
88125.... 6 Forensic ......... ......... ......... ......... ......... ..............
cytopathology.
88130.... 6 Sex chromatin ......... ......... ......... ......... ......... ..............
identification.
88140.... 6 Sex chromatin ......... ......... ......... ......... ......... ..............
identification.
88141.... 6 Cytopath cerv/vag ......... ......... ......... ......... ......... ..............
interpret.
88142.... 6 Cytopath cerv/vag ......... ......... ......... ......... ......... ..............
thin layer.
88150.... 6 Cytopath cerv/vag.. ......... ......... ......... ......... ......... ..............
88152.... 6 Cytopath cerv/vag ......... ......... ......... ......... ......... ..............
auto.
88155.... 6 Cytopath cerv/vag ......... ......... ......... ......... ......... ..............
index.
88156.... 6 Cytopath cerv/vag ......... ......... ......... ......... ......... ..............
tbs.
88158.... 6 Cytopath cerv/vag ......... ......... ......... ......... ......... ..............
tbs auto.
88160.... 6 Cytopath smear, ......... ......... ......... ......... ......... ..............
other source.
88161.... 6 Cytopath smear, ......... ......... ......... ......... ......... ..............
other source.
88162.... 6 Cytopath smear, ......... ......... ......... ......... ......... ..............
other source.
88170.... 6 Fine needle ......... ......... ......... ......... ......... ..............
aspiration.
88171.... 6 Fine needle ......... ......... ......... ......... ......... ..............
aspiration.
88172.... 6 Evaluation of smear ......... ......... ......... ......... ......... ..............
88173.... 6 Interpretation of ......... ......... ......... ......... ......... ..............
smear.
88180.... 6 Cell marker study.. ......... ......... ......... ......... ......... ..............
88182.... 6 Cell marker study.. ......... ......... ......... ......... ......... ..............
88199.... 6 Cytopathology ......... ......... ......... ......... ......... ..............
procedure.
88230.... 6 Tissue culture, ......... ......... ......... ......... ......... ..............
lymphocyte.
88233.... 6 Tissue culture, ......... ......... ......... ......... ......... ..............
skin/biopsy.
88235.... 6 Tissue culture, ......... ......... ......... ......... ......... ..............
placenta.
88237.... 6 Tissue culture, ......... ......... ......... ......... ......... ..............
bone marrow.
88239.... 6 Tissue culture, ......... ......... ......... ......... ......... ..............
other.
88245.... 6 Chromosome analysis ......... ......... ......... ......... ......... ..............
88248.... 6 Chromosome analysis ......... ......... ......... ......... ......... ..............
88250.... 6 Chromosome analysis ......... ......... ......... ......... ......... ..............
88260.... 6 Chromosome ......... ......... ......... ......... ......... ..............
analysis: 5 cells.
88261.... 6 Chromosome ......... ......... ......... ......... ......... ..............
analysis: 5 cells.
[[Page 32419]]
88262.... 6 Chromosome count: ......... ......... ......... ......... ......... ..............
15-20 cells.
88263.... 6 Chromosome ......... ......... ......... ......... ......... ..............
analysis: 45 cells.
88267.... 6 Chromosome ......... ......... ......... ......... ......... ..............
analysis: placenta.
88269.... 6 Chromosome ......... ......... ......... ......... ......... ..............
analysis: amniotic.
88280.... 6 Chromosome ......... ......... ......... ......... ......... ..............
karyotype study.
88283.... 6 Chromosome banding ......... ......... ......... ......... ......... ..............
study.
88285.... 6 Chromosome count: ......... ......... ......... ......... ......... ..............
additional.
88289.... 6 Chromosome study: ......... ......... ......... ......... ......... ..............
additional.
88299.... 6 Cytogenetic study.. ......... ......... ......... ......... ......... ..............
88300.... 6 Surg path, gross... ......... ......... ......... ......... ......... ..............
88302.... 6 Tissue exam by ......... ......... ......... ......... ......... ..............
pathologist.
88304.... 6 Tissue exam by ......... ......... ......... ......... ......... ..............
pathologist.
88305.... 6 Tissue exam by ......... ......... ......... ......... ......... ..............
pathologist.
88307.... 6 Tissue exam by ......... ......... ......... ......... ......... ..............
pathologist.
88309.... 6 Tissue exam by ......... ......... ......... ......... ......... ..............
pathologist.
88311.... 6 Decalcify tissue... ......... ......... ......... ......... ......... ..............
88312.... 6 Special stains..... ......... ......... ......... ......... ......... ..............
88313.... 6 Special stains..... ......... ......... ......... ......... ......... ..............
88314.... 6 Histochemical stain ......... ......... ......... ......... ......... ..............
88318.... 6 Chemical ......... ......... ......... ......... ......... ..............
histochemistry.
88319.... 6 Enzyme ......... ......... ......... ......... ......... ..............
histochemistry.
88321.... 6 Microslide ......... ......... ......... ......... ......... ..............
consultation.
88323.... 6 Microslide ......... ......... ......... ......... ......... ..............
consultation.
88325.... 6 Comprehensive ......... ......... ......... ......... ......... ..............
review of data.
88329.... 6 Pathology consult ......... ......... ......... ......... ......... ..............
in surgery.
88331.... 6 Pathology consult ......... ......... ......... ......... ......... ..............
in surgery.
88332.... 6 Pathology consult ......... ......... ......... ......... ......... ..............
in surgery.
88342.... 6 Immunocytochemistry ......... ......... ......... ......... ......... ..............
88346.... 6 Immunofluorescent ......... ......... ......... ......... ......... ..............
study.
88347.... 6 Immunofluorescent ......... ......... ......... ......... ......... ..............
study.
88348.... 6 Electron microscopy ......... ......... ......... ......... ......... ..............
88349.... 6 Scanning electron ......... ......... ......... ......... ......... ..............
microscopy.
88355.... 6 Analysis, skeletal ......... ......... ......... ......... ......... ..............
muscle.
88356.... 6 Analysis, nerve.... ......... ......... ......... ......... ......... ..............
88358.... 6 Analysis, tumor.... ......... ......... ......... ......... ......... ..............
88362.... 6 Nerve teasing ......... ......... ......... ......... ......... ..............
preparations.
88365.... 6 Tissue ......... ......... ......... ......... ......... ..............
hybridization.
88371.... 6 Protein, western ......... ......... ......... ......... ......... ..............
blot tissue.
88372.... 6 Protein analysis w/ ......... ......... ......... ......... ......... ..............
probe.
88399.... 6 Surgical pathology ......... ......... ......... ......... ......... ..............
procedure.
89050.... 6 Body fluid cell ......... ......... ......... ......... ......... ..............
count.
89051.... 6 Body fluid cell ......... ......... ......... ......... ......... ..............
count.
89060.... 6 Exam, synovial ......... ......... ......... ......... ......... ..............
fluid crystals.
89100.... 6 Sample intestinal ......... ......... ......... ......... ......... ..............
contents.
89105.... 6 Sample intestinal ......... ......... ......... ......... ......... ..............
contents.
89125.... 6 Specimen fat stain. ......... ......... ......... ......... ......... ..............
89130.... 6 Sample stomach ......... ......... ......... ......... ......... ..............
contents.
89132.... 6 Sample stomach ......... ......... ......... ......... ......... ..............
contents.
89135.... 6 Sample stomach ......... ......... ......... ......... ......... ..............
contents.
89136.... 6 Sample stomach ......... ......... ......... ......... ......... ..............
contents.
89140.... 6 Sample stomach ......... ......... ......... ......... ......... ..............
contents.
89141.... 6 Sample stomach ......... ......... ......... ......... ......... ..............
contents.
89160.... 6 Exam feces for meat ......... ......... ......... ......... ......... ..............
fibers.
89190.... 6 Nasal smear for ......... ......... ......... ......... ......... ..............
eosinophils.
89250.... 6 Fertilization of ......... ......... ......... ......... ......... ..............
oocyte.
89251.... 6 Culture oocyte w/ ......... ......... ......... ......... ......... ..............
embryos.
89252.... 6 Assist oocyte ......... ......... ......... ......... ......... ..............
fertilization.
89253.... 6 Embryo hatching.... ......... ......... ......... ......... ......... ..............
89254.... 6 Oocyte ......... ......... ......... ......... ......... ..............
identification.
89255.... 6 Prepare embryo for ......... ......... ......... ......... ......... ..............
transfer.
89256.... 6 Prepare ......... ......... ......... ......... ......... ..............
cryopreserved
embryo.
89257.... 6 Sperm ......... ......... ......... ......... ......... ..............
identification.
89258.... 6 Cryopreservation, ......... ......... ......... ......... ......... ..............
embryo.
89259.... 6 Cryopreservation, ......... ......... ......... ......... ......... ..............
sperm.
89260.... 6 Sperm isolation, ......... ......... ......... ......... ......... ..............
simple.
89261.... 6 Sperm isolation, ......... ......... ......... ......... ......... ..............
complex.
89300.... 6 Semen analysis..... ......... ......... ......... ......... ......... ..............
89310.... 6 Semen analysis..... ......... ......... ......... ......... ......... ..............
89320.... 6 Semen analysis..... ......... ......... ......... ......... ......... ..............
89325.... 6 Sperm antibody test ......... ......... ......... ......... ......... ..............
89329.... 6 Sperm evaluation ......... ......... ......... ......... ......... ..............
test.
89330.... 6 Evaluation, ......... ......... ......... ......... ......... ..............
cervical mucus.
89350.... 6 Sputum specimen ......... ......... ......... ......... ......... ..............
collection.
89355.... 6 Exam feces for ......... ......... ......... ......... ......... ..............
starch.
[[Page 32420]]
89360.... 6 Collect sweat for ......... ......... ......... ......... ......... ..............
test.
89365.... 6 Water load test.... ......... ......... ......... ......... ......... ..............
89399.... 6 Pathology lab ......... ......... ......... ......... ......... ..............
procedure.
90700.... 9 DTaP immunization.. ......... ......... ......... ......... ......... ..............
90701.... 9 DTP immunization... ......... ......... ......... ......... ......... ..............
90702.... 9 DT immunization.... ......... ......... ......... ......... ......... ..............
90703.... 9 Tetanus ......... ......... ......... ......... ......... ..............
immunization.
90704.... 9 Mumps immunization. ......... ......... ......... ......... ......... ..............
90705.... 9 Measles ......... ......... ......... ......... ......... ..............
immunization.
90706.... 9 Rubella ......... ......... ......... ......... ......... ..............
immunization.
90707.... 9 MMR virus ......... ......... ......... ......... ......... ..............
immunization.
90708.... 9 Measles-rubella ......... ......... ......... ......... ......... ..............
immunization.
90709.... 9 Rubella & mumps ......... ......... ......... ......... ......... ..............
immunization.
90710.... 9 Combined vaccine... ......... ......... ......... ......... ......... ..............
90711.... 9 Combined vaccine... ......... ......... ......... ......... ......... ..............
90712.... 9 Oral poliovirus ......... ......... ......... ......... ......... ..............
immunization.
90713.... 9 Poliomyelitis ......... ......... ......... ......... ......... ..............
immunization.
90714.... 9 Typhoid ......... ......... ......... ......... ......... ..............
immunization.
90716.... 9 Chicken pox vaccine ......... ......... ......... ......... ......... ..............
90717.... 9 Yellow fever ......... ......... ......... ......... ......... ..............
immunization.
90718.... 9 Td immunization.... ......... ......... ......... ......... ......... ..............
90719.... 9 Diphtheria ......... ......... ......... ......... ......... ..............
immunization.
90720.... 9 DTP/HIB vaccine.... ......... ......... ......... ......... ......... ..............
90721.... 9 Dtap/hib vaccine... ......... ......... ......... ......... ......... ..............
90724.... 6 Influenza ......... ......... ......... ......... ......... ..............
immunization.
90725.... 9 Cholera ......... ......... ......... ......... ......... ..............
immunization.
90726.... 9 Rabies immunization ......... ......... ......... ......... ......... ..............
90727.... 9 Plague immunization ......... ......... ......... ......... ......... ..............
90728.... 9 BCG immunization... ......... ......... ......... ......... ......... ..............
90730.... 9 Hepatitis A vaccine ......... ......... ......... ......... ......... ..............
90732.... 6 Pneumococcal ......... ......... ......... ......... ......... ..............
immunization.
90733.... 9 Meningococcal ......... ......... ......... ......... ......... ..............
immunization.
90735.... 9 Encephalitis virus ......... ......... ......... ......... ......... ..............
vaccine.
90737.... 9 Influenza B ......... ......... ......... ......... ......... ..............
immunization.
90741.... 9 Passive ......... ......... ......... ......... ......... ..............
immunization, ISG.
90742.... 9 Special passive ......... ......... ......... ......... ......... ..............
immunization.
90744.... 6 Hepatitis B ......... ......... ......... ......... ......... ..............
vaccine, under 11.
90745.... 6 Hepatitis B ......... ......... ......... ......... ......... ..............
vaccine, 11-19.
90746.... 6 Hepatitis B ......... ......... ......... ......... ......... ..............
vaccine, over 20.
90747.... 6 Hepatitis B ......... ......... ......... ......... ......... ..............
vaccine, ill pat.
90748.... 6 Hepatitis b/hib ......... ......... ......... ......... ......... ..............
vaccine.
90749.... 6 Immunization ......... ......... ......... ......... ......... ..............
procedure.
90780.... 6 IV infusion ......... ......... ......... ......... ......... ..............
therapy, 1 hour.
90781.... 6 IV infusion, ......... ......... ......... ......... ......... ..............
additional hour.
90782.... 6 Injection (SC)/(IM) ......... ......... ......... ......... ......... ..............
90783.... 6 Injection (IA)..... ......... ......... ......... ......... ......... ..............
90784.... 6 Injection (IV)..... ......... ......... ......... ......... ......... ..............
90788.... 6 Injection of ......... ......... ......... ......... ......... ..............
antibiotic.
90799.... 6 Therapeutic/diag ......... ......... ......... ......... ......... ..............
injection.
90801.... 6 Psy dx interview... ......... ......... ......... ......... ......... ..............
90802.... 6 Intac psy dx ......... ......... ......... ......... ......... ..............
interview.
90804.... 6 Psytx, office (20- ......... ......... ......... ......... ......... ..............
30).
90805.... 6 Psytx, office (20- ......... ......... ......... ......... ......... ..............
30) w/e&m.
90806.... 6 Psytx, office (45- ......... ......... ......... ......... ......... ..............
50).
90807.... 6 Psytx, office (45- ......... ......... ......... ......... ......... ..............
50) w/e&m.
90808.... 6 Psytx, office (75- ......... ......... ......... ......... ......... ..............
80).
90809.... 6 Psytx, office (75- ......... ......... ......... ......... ......... ..............
80) w/e&m.
90810.... 6 Intac psytx, office ......... ......... ......... ......... ......... ..............
(20-30).
90811.... 6 Intac psytx, off 20- ......... ......... ......... ......... ......... ..............
30 w/e&m.
90812.... 6 Intac psytx, office ......... ......... ......... ......... ......... ..............
(45-50).
90813.... 6 Intac psytx, off 45- ......... ......... ......... ......... ......... ..............
50 w/e&m.
90814.... 6 Intac psytx, office ......... ......... ......... ......... ......... ..............
(75-80).
90815.... 6 Intac psytx, off 75- ......... ......... ......... ......... ......... ..............
80 w/e&m.
90816.... 6 Psytx, hosp (20-30) ......... ......... ......... ......... ......... ..............
90817.... 6 Psytx, hosp (20-30) ......... ......... ......... ......... ......... ..............
w/e&m.
90818.... 6 Psytx, hosp (45-50) ......... ......... ......... ......... ......... ..............
90819.... 6 Psytx, hosp (45-50) ......... ......... ......... ......... ......... ..............
w/e&m.
90821.... 6 Psytx, hosp (75-80) ......... ......... ......... ......... ......... ..............
90822.... 6 Psytx, hosp (75-80) ......... ......... ......... ......... ......... ..............
w/e&m.
90823.... 6 Intac psytx, hosp ......... ......... ......... ......... ......... ..............
(20-30).
90824.... 6 Intac psytx, hsp 20- ......... ......... ......... ......... ......... ..............
30 w/e&m.
90826.... 6 Intac psytx, hosp ......... ......... ......... ......... ......... ..............
(45-50).
90827.... 6 Intac psytx, hsp 45- ......... ......... ......... ......... ......... ..............
50 w/e&m.
90828.... 6 Intac psytx, hosp ......... ......... ......... ......... ......... ..............
(75-80).
[[Page 32421]]
90829.... 6 Intac psytx, hsp 75- ......... ......... ......... ......... ......... ..............
80 w/e&m.
90845.... 6 Psychoanalysis..... ......... ......... ......... ......... ......... ..............
90846.... 6 Family psytx w/o ......... ......... ......... ......... ......... ..............
patient.
90847.... 6 Family psytx w/ ......... ......... ......... ......... ......... ..............
patient.
90849.... 6 Multiple family ......... ......... ......... ......... ......... ..............
group psytx.
90853.... 6 Group psychotherapy ......... ......... ......... ......... ......... ..............
90857.... 6 Intac group psytx.. ......... ......... ......... ......... ......... ..............
90862.... 6 Medication ......... ......... ......... ......... ......... ..............
management.
90865.... 6 Narcosynthesis..... ......... ......... ......... ......... ......... ..............
90870.... 6 Electroconvulsive ......... ......... ......... ......... ......... ..............
therapy.
90871.... 6 Electroconvulsive ......... ......... ......... ......... ......... ..............
therapy.
90875.... 9 Psychophysiological ......... ......... ......... ......... ......... ..............
therapy.
90876.... 9 Psychophysiological ......... ......... ......... ......... ......... ..............
therapy.
90880.... 6 Hypnotherapy....... ......... ......... ......... ......... ......... ..............
90882.... 9 Environmental ......... ......... ......... ......... ......... ..............
manipulation.
90885.... 6 Psy evaluation of ......... ......... ......... ......... ......... ..............
records.
90887.... 6 Consultation with ......... ......... ......... ......... ......... ..............
family.
90889.... 6 Preparation of ......... ......... ......... ......... ......... ..............
report.
90899.... 6 Psychiatric service/ ......... ......... ......... ......... ......... ..............
therapy.
90901.... 6 Biofeedback, any ......... ......... ......... ......... ......... ..............
method.
90911.... 6 Biofeedback peri/ ......... ......... ......... ......... ......... ..............
uro/rectal.
90918.... 6 ESRD related ......... ......... ......... ......... ......... ..............
services, month.
90919.... 6 ESRD related ......... ......... ......... ......... ......... ..............
services, month.
90920.... 6 ESRD related ......... ......... ......... ......... ......... ..............
services, month.
90921.... 6 ESRD related ......... ......... ......... ......... ......... ..............
services, month.
90922.... 6 ESRD related ......... ......... ......... ......... ......... ..............
services, day.
90923.... 6 Esrd related ......... ......... ......... ......... ......... ..............
services, day.
90924.... 6 Esrd related ......... ......... ......... ......... ......... ..............
services, day.
90925.... 6 Esrd related ......... ......... ......... ......... ......... ..............
services, day.
90935.... 6 Hemodialysis, one ......... ......... ......... ......... ......... ..............
evaluation.
90937.... 6 Hemodialysis, ......... ......... ......... ......... ......... ..............
repeated eval..
90945.... 6 Dialysis, one ......... ......... ......... ......... ......... ..............
evaluation.
90947.... 6 Dialysis, repeated ......... ......... ......... ......... ......... ..............
eval..
90989.... 6 Dialysis training/ ......... ......... ......... ......... ......... ..............
complete.
90993.... 6 Dialysis training/ ......... ......... ......... ......... ......... ..............
incomplete.
90997.... 6 Hemoperfusion...... ......... ......... ......... ......... ......... ..............
90999.... 6 Dialysis procedure. ......... ......... ......... ......... ......... ..............
91000.... 6 Esophageal ......... ......... ......... ......... ......... ..............
intubation.
91010.... 6 Esophagus motility ......... ......... ......... ......... ......... ..............
study.
91011.... 6 Esophagus motility ......... ......... ......... ......... ......... ..............
study.
91012.... 6 Esophagus motility ......... ......... ......... ......... ......... ..............
study.
91020.... 6 Gastric motility... ......... ......... ......... ......... ......... ..............
91030.... 6 Acid perfusion of ......... ......... ......... ......... ......... ..............
esophagus.
91032.... 6 Esophagus, acid ......... ......... ......... ......... ......... ..............
reflux test.
91033.... 6 Prolonged acid ......... ......... ......... ......... ......... ..............
reflux test.
91052.... 6 Gastric analysis ......... ......... ......... ......... ......... ..............
test.
91055.... 6 Gastric intubation ......... ......... ......... ......... ......... ..............
for smear.
91060.... 6 Gastric saline load ......... ......... ......... ......... ......... ..............
test.
91065.... 6 Breath hydrogen ......... ......... ......... ......... ......... ..............
test.
91100.... 6 Pass intestine ......... ......... ......... ......... ......... ..............
bleeding tube.
91105.... 6 Gastric intubation ......... ......... ......... ......... ......... ..............
treatment.
91122.... 6 Anal pressure ......... ......... ......... ......... ......... ..............
record.
91299.... 6 Gastroenterology ......... ......... ......... ......... ......... ..............
procedure.
92002.... 6 Eye exam, new ......... ......... ......... ......... ......... ..............
patient.
92004.... 6 Eye exam, new ......... ......... ......... ......... ......... ..............
patient.
92012.... 6 Eye exam ......... ......... ......... ......... ......... ..............
established pt.
92014.... 6 Eye exam & ......... ......... ......... ......... ......... ..............
treatment.
92015.... 9 Refraction......... ......... ......... ......... ......... ......... ..............
92018.... 6 New eye exam & ......... ......... ......... ......... ......... ..............
treatment.
92019.... 6 Eye exam & ......... ......... ......... ......... ......... ..............
treatment.
92020.... 6 Special eye ......... ......... ......... ......... ......... ..............
evaluation.
92060.... 6 Special eye ......... ......... ......... ......... ......... ..............
evaluation.
92065.... 6 Orthoptic/pleoptic ......... ......... ......... ......... ......... ..............
training.
92070.... 6 Fitting of contact ......... ......... ......... ......... ......... ..............
lens.
92081.... 6 Visual field ......... ......... ......... ......... ......... ..............
examination(s).
92082.... 6 Visual field ......... ......... ......... ......... ......... ..............
examination(s).
92083.... 6 Visual field ......... ......... ......... ......... ......... ..............
examination(s).
92100.... 6 Serial tonometry ......... ......... ......... ......... ......... ..............
exam(s).
92120.... 6 Tonography & eye ......... ......... ......... ......... ......... ..............
evaluation.
92130.... 6 Water provocation ......... ......... ......... ......... ......... ..............
tonography.
92140.... 6 Glaucoma ......... ......... ......... ......... ......... ..............
provocative tests.
92225.... 6 Special eye exam, ......... ......... ......... ......... ......... ..............
initial.
92226.... 6 Special eye exam, ......... ......... ......... ......... ......... ..............
subsequent.
92230.... 6 Eye exam with ......... ......... ......... ......... ......... ..............
photos.
[[Page 32422]]
92235.... 6 Eye exam with ......... ......... ......... ......... ......... ..............
photos.
92240.... 6 Icg angiography.... ......... ......... ......... ......... ......... ..............
92250.... 6 Eye exam with ......... ......... ......... ......... ......... ..............
photos.
92260.... 6 Ophthalmoscopy/ ......... ......... ......... ......... ......... ..............
dynamometry.
92265.... 6 Eye muscle ......... ......... ......... ......... ......... ..............
evaluation.
92270.... 6 Electro-oculography ......... ......... ......... ......... ......... ..............
92275.... 6 Electroretinography ......... ......... ......... ......... ......... ..............
92283.... 6 Color vision ......... ......... ......... ......... ......... ..............
examination.
92284.... 6 Dark adaptation eye ......... ......... ......... ......... ......... ..............
exam.
92285.... 6 Eye photography.... ......... ......... ......... ......... ......... ..............
92286.... 6 Internal eye ......... ......... ......... ......... ......... ..............
photography.
92287.... 6 Internal eye ......... ......... ......... ......... ......... ..............
photography.
92310.... 9 Contact lens ......... ......... ......... ......... ......... ..............
fitting.
92311.... 6 Contact lens ......... ......... ......... ......... ......... ..............
fitting.
92312.... 6 Contact lens ......... ......... ......... ......... ......... ..............
fitting.
92313.... 6 Contact lens ......... ......... ......... ......... ......... ..............
fitting.
92314.... 9 Prescription of ......... ......... ......... ......... ......... ..............
contact lens.
92315.... 6 Prescription of ......... ......... ......... ......... ......... ..............
contact lens.
92316.... 6 Prescription of ......... ......... ......... ......... ......... ..............
contact lens.
92317.... 6 Prescription of ......... ......... ......... ......... ......... ..............
contact lens.
92325.... 6 Modification of ......... ......... ......... ......... ......... ..............
contact lens.
92326.... 6 Replacement of ......... ......... ......... ......... ......... ..............
contact lens.
92330.... 6 Fitting of ......... ......... ......... ......... ......... ..............
artificial eye.
92335.... 6 Fitting of ......... ......... ......... ......... ......... ..............
artificial eye.
92340.... 9 Fitting of ......... ......... ......... ......... ......... ..............
spectacles.
92341.... 9 Fitting of ......... ......... ......... ......... ......... ..............
spectacles.
92342.... 9 Fitting of ......... ......... ......... ......... ......... ..............
spectacles.
92352.... 6 Special spectacles ......... ......... ......... ......... ......... ..............
fitting.
92353.... 6 Special spectacles ......... ......... ......... ......... ......... ..............
fitting.
92354.... 6 Special spectacles ......... ......... ......... ......... ......... ..............
fitting.
92355.... 6 Special spectacles ......... ......... ......... ......... ......... ..............
fitting.
92358.... 6 Eye prosthesis ......... ......... ......... ......... ......... ..............
service.
92370.... 9 Repair & adjust ......... ......... ......... ......... ......... ..............
spectacles.
92371.... 6 Repair & adjust ......... ......... ......... ......... ......... ..............
spectacles.
92390.... 9 Supply of ......... ......... ......... ......... ......... ..............
spectacles.
92391.... 9 Supply of contact ......... ......... ......... ......... ......... ..............
lenses.
92392.... 9 Supply of low ......... ......... ......... ......... ......... ..............
vision aids.
92393.... 9 Supply of ......... ......... ......... ......... ......... ..............
artificial eye.
92395.... 9 Supply of ......... ......... ......... ......... ......... ..............
spectacles.
92396.... 9 Supply of contact ......... ......... ......... ......... ......... ..............
lenses.
92499.... 6 Eye service or ......... ......... ......... ......... ......... ..............
procedure.
92502.... 6 Ear and throat ......... ......... ......... ......... ......... ..............
examination.
92504.... 6 Ear microscopy ......... ......... ......... ......... ......... ..............
examination.
92506.... 6 Speech & hearing ......... ......... ......... ......... ......... ..............
evaluation.
92507.... 6 Speech/hearing ......... ......... ......... ......... ......... ..............
therapy.
92508.... 6 Speech/hearing ......... ......... ......... ......... ......... ..............
therapy.
92510.... 6 Rehab for ear ......... ......... ......... ......... ......... ..............
implant.
92511.... 6 Nasopharyngoscopy.. ......... ......... ......... ......... ......... ..............
92512.... 6 Nasal function ......... ......... ......... ......... ......... ..............
studies.
92516.... 6 Facial nerve ......... ......... ......... ......... ......... ..............
function test.
92520.... 6 Laryngeal function ......... ......... ......... ......... ......... ..............
studies.
92525.... 6 Oral function ......... ......... ......... ......... ......... ..............
evaluation.
92526.... 6 Oral function ......... ......... ......... ......... ......... ..............
therapy.
92531.... 6 Spontaneous ......... ......... ......... ......... ......... ..............
nystagmus study.
92532.... 6 Positional ......... ......... ......... ......... ......... ..............
nystagmus study.
92533.... 6 Caloric vestibular ......... ......... ......... ......... ......... ..............
test.
92534.... 6 Optokinetic ......... ......... ......... ......... ......... ..............
nystagmus.
92541.... 6 Spontaneous ......... ......... ......... ......... ......... ..............
nystagmus test.
92542.... 6 Positional ......... ......... ......... ......... ......... ..............
nystagmus test.
92543.... 6 Caloric vestibular ......... ......... ......... ......... ......... ..............
test.
92544.... 6 Optokinetic ......... ......... ......... ......... ......... ..............
nystagmus test.
92545.... 6 Oscillating ......... ......... ......... ......... ......... ..............
tracking test.
92546.... 6 Sinusoidal ......... ......... ......... ......... ......... ..............
rotational test.
92547.... 6 Supplemental ......... ......... ......... ......... ......... ..............
electrical test.
92548.... 6 Posturography...... ......... ......... ......... ......... ......... ..............
92551.... 9 Pure tone hearing ......... ......... ......... ......... ......... ..............
test, air.
92552.... 6 Pure tone ......... ......... ......... ......... ......... ..............
audiometry, air.
92553.... 6 Audiometry, air & ......... ......... ......... ......... ......... ..............
bone.
92555.... 6 Speech threshold ......... ......... ......... ......... ......... ..............
audiometry.
92556.... 6 Speech audiometry, ......... ......... ......... ......... ......... ..............
complete.
92557.... 6 Comprehensive ......... ......... ......... ......... ......... ..............
hearing test.
92559.... 9 Group audiometric ......... ......... ......... ......... ......... ..............
testing.
92560.... 9 Bekesy audiometry, ......... ......... ......... ......... ......... ..............
screen.
92561.... 6 Bekesy audiometry, ......... ......... ......... ......... ......... ..............
diagnosis.
[[Page 32423]]
92562.... 6 Loudness balance ......... ......... ......... ......... ......... ..............
test.
92563.... 6 Tone decay hearing ......... ......... ......... ......... ......... ..............
test.
92564.... 6 Sisi hearing test.. ......... ......... ......... ......... ......... ..............
92565.... 6 Stenger test, pure ......... ......... ......... ......... ......... ..............
tone.
92567.... 6 Tympanometry....... ......... ......... ......... ......... ......... ..............
92568.... 6 Acoustic reflex ......... ......... ......... ......... ......... ..............
testing.
92569.... 6 Acoustic reflex ......... ......... ......... ......... ......... ..............
decay test.
92571.... 6 Filtered speech ......... ......... ......... ......... ......... ..............
hearing test.
92572.... 6 Staggered spondaic ......... ......... ......... ......... ......... ..............
word test.
92573.... 6 Lombard test....... ......... ......... ......... ......... ......... ..............
92575.... 6 Sensorineural ......... ......... ......... ......... ......... ..............
acuity test.
92576.... 6 Synthetic sentence ......... ......... ......... ......... ......... ..............
test.
92577.... 6 Stenger test, ......... ......... ......... ......... ......... ..............
speech.
92579.... 6 Visual audiometry ......... ......... ......... ......... ......... ..............
(vra).
92582.... 6 Conditioning play ......... ......... ......... ......... ......... ..............
audiometry.
92583.... 6 Select picture ......... ......... ......... ......... ......... ..............
audiometry.
92584.... 6 Electrocochleograph ......... ......... ......... ......... ......... ..............
y.
92585.... 6 Auditory evoked ......... ......... ......... ......... ......... ..............
potential.
92587.... 6 Evoked auditory ......... ......... ......... ......... ......... ..............
test.
92588.... 6 Evoked auditory ......... ......... ......... ......... ......... ..............
test.
92589.... 6 Auditory function ......... ......... ......... ......... ......... ..............
test(s).
92590.... 9 Hearing aid exam, ......... ......... ......... ......... ......... ..............
one ear.
92591.... 9 Hearing aid exam, ......... ......... ......... ......... ......... ..............
both ears.
92592.... 9 Hearing aid check, ......... ......... ......... ......... ......... ..............
one ear.
92593.... 9 Hearing aid check, ......... ......... ......... ......... ......... ..............
both ears.
92594.... 9 Electro hearing aid ......... ......... ......... ......... ......... ..............
test,one.
92595.... 9 Electro hearingaid ......... ......... ......... ......... ......... ..............
test,both.
92596.... 6 Ear protector ......... ......... ......... ......... ......... ..............
evaluation.
92597.... 6 Oral speech device ......... ......... ......... ......... ......... ..............
eval.
92598.... 6 Modify oral speech ......... ......... ......... ......... ......... ..............
device.
92599.... 6 ENT procedure/ ......... ......... ......... ......... ......... ..............
service.
92950.... 6 Heart/lung ......... ......... ......... ......... ......... ..............
resuscitation(CPR.
92953.... 6 Temporary external ......... ......... ......... ......... ......... ..............
pacing.
92960.... 6 Heart ......... ......... ......... ......... ......... ..............
electroconversion.
92970.... 6 Cardioassist, ......... ......... ......... ......... ......... ..............
internal.
92971.... 6 Cardioassist, ......... ......... ......... ......... ......... ..............
external.
92975.... 6 Dissolve clot, ......... ......... ......... ......... ......... ..............
heart vessel.
92977.... 6 Dissolve clot, ......... ......... ......... ......... ......... ..............
heart vessel.
92978.... 6 Intravas us, heart ......... ......... ......... ......... ......... ..............
(add-on).
92979.... 6 Intravas us, heart ......... ......... ......... ......... ......... ..............
(add-on).
92980.... 6 Insert ......... ......... ......... ......... ......... ..............
intracoronary
stent.
92981.... 6 Insert ......... ......... ......... ......... ......... ..............
intracoronary
stent.
92982.... 6 Coronary artery ......... ......... ......... ......... ......... ..............
dilation.
92984.... 6 Coronary artery ......... ......... ......... ......... ......... ..............
dilation.
92986.... 6 Revision of aortic ......... ......... ......... ......... ......... ..............
valve.
92987.... 6 Revision of mitral ......... ......... ......... ......... ......... ..............
valve.
92990.... 6 Revision of ......... ......... ......... ......... ......... ..............
pulmonary valve.
92992.... 6 Revision of heart ......... ......... ......... ......... ......... ..............
chamber.
92993.... 6 Revision of heart ......... ......... ......... ......... ......... ..............
chamber.
92995.... 6 Coronary ......... ......... ......... ......... ......... ..............
atherectomy.
92996.... 6 Coronary ......... ......... ......... ......... ......... ..............
atherectomy.
92997.... 6 Pul art balloon ......... ......... ......... ......... ......... ..............
repair, perc.
92998.... 6 Pul art balloon ......... ......... ......... ......... ......... ..............
repair, perc.
93000.... 6 Electrocardiogram, ......... ......... ......... ......... ......... ..............
complete.
93005.... 6 Electrocardiogram, ......... ......... ......... ......... ......... ..............
tracing.
93010.... 6 Electrocardiogram ......... ......... ......... ......... ......... ..............
report.
93012.... 6 Transmission of ecg ......... ......... ......... ......... ......... ..............
93014.... 6 Report on ......... ......... ......... ......... ......... ..............
transmitted ecg.
93015.... 6 Cardiovascular ......... ......... ......... ......... ......... ..............
stress test.
93016.... 6 Cardiovascular ......... ......... ......... ......... ......... ..............
stress test.
93017.... 6 Cardiovascular ......... ......... ......... ......... ......... ..............
stress test.
93018.... 6 Cardiovascular ......... ......... ......... ......... ......... ..............
stress test.
93024.... 6 Cardiac drug stress ......... ......... ......... ......... ......... ..............
test.
93040.... 6 Rhythm ECG with ......... ......... ......... ......... ......... ..............
report.
93041.... 6 Rhythm ECG, tracing ......... ......... ......... ......... ......... ..............
93042.... 6 Rhythm ECG, report. ......... ......... ......... ......... ......... ..............
93224.... 6 ECG monitor/report, ......... ......... ......... ......... ......... ..............
24 hrs.
93225.... 6 ECG monitor/record, ......... ......... ......... ......... ......... ..............
24 hrs.
93226.... 6 ECG monitor/report, ......... ......... ......... ......... ......... ..............
24 hrs.
93227.... 6 ECG monitor/review, ......... ......... ......... ......... ......... ..............
24 hrs.
93230.... 6 ECG monitor/report, ......... ......... ......... ......... ......... ..............
24 hrs.
93231.... 6 Ecg monitor/record, ......... ......... ......... ......... ......... ..............
24 hrs.
93232.... 6 ECG monitor/report, ......... ......... ......... ......... ......... ..............
24 hrs.
93233.... 6 ECG monitor/review, ......... ......... ......... ......... ......... ..............
24 hrs.
[[Page 32424]]
93235.... 6 ECG monitor/report, ......... ......... ......... ......... ......... ..............
24 hrs.
93236.... 6 ECG monitor/report, ......... ......... ......... ......... ......... ..............
24 hrs.
93237.... 6 ECG monitor/review, ......... ......... ......... ......... ......... ..............
24 hrs.
93268.... 6 ECG record/review.. ......... ......... ......... ......... ......... ..............
93270.... 6 ECG recording...... ......... ......... ......... ......... ......... ..............
93271.... 6 Ecg/monitoring and ......... ......... ......... ......... ......... ..............
anaylysis.
93272.... 6 Ecg/review, ......... ......... ......... ......... ......... ..............
interpret only.
93278.... 6 ECG/signal-averaged ......... ......... ......... ......... ......... ..............
93303.... 6 Echo transthoracic. ......... ......... ......... ......... ......... ..............
93304.... 6 Echo transthoracic. ......... ......... ......... ......... ......... ..............
93307.... 6 Echo exam of heart. ......... ......... ......... ......... ......... ..............
93308.... 6 Echo exam of heart. ......... ......... ......... ......... ......... ..............
93312.... 6 Echo ......... ......... ......... ......... ......... ..............
transesophageal.
93313.... 6 Echo ......... ......... ......... ......... ......... ..............
transesophageal.
93314.... 6 Echo ......... ......... ......... ......... ......... ..............
transesophageal.
93315.... 6 Echo ......... ......... ......... ......... ......... ..............
transesophageal.
93316.... 6 Echo ......... ......... ......... ......... ......... ..............
transesophageal.
93317.... 6 Echo ......... ......... ......... ......... ......... ..............
transesophageal.
93320.... 6 Doppler echo exam, ......... ......... ......... ......... ......... ..............
heart.
93321.... 6 Doppler echo exam, ......... ......... ......... ......... ......... ..............
heart.
93325.... 6 Doppler color flow. ......... ......... ......... ......... ......... ..............
93350.... 6 Echo transthoracic. ......... ......... ......... ......... ......... ..............
93501.... 6 Right heart ......... ......... ......... ......... ......... ..............
catheterization.
93503.... 6 Insert/place heart ......... ......... ......... ......... ......... ..............
catheter.
93505.... 6 Biopsy of heart ......... ......... ......... ......... ......... ..............
lining.
93508.... 6 Cath placement, ......... ......... ......... ......... ......... ..............
angiography.
93510.... 6 Left heart ......... ......... ......... ......... ......... ..............
catheterization.
93511.... 6 Left heart ......... ......... ......... ......... ......... ..............
catheterization.
93514.... 6 Left heart ......... ......... ......... ......... ......... ..............
catheterization.
93524.... 6 Left heart ......... ......... ......... ......... ......... ..............
catheterization.
93526.... 6 Rt & Lt heart ......... ......... ......... ......... ......... ..............
catheters.
93527.... 6 Rt & Lt heart ......... ......... ......... ......... ......... ..............
catheters.
93528.... 6 Rt & Lt heart ......... ......... ......... ......... ......... ..............
catheters.
93529.... 6 Rt, Lt heart ......... ......... ......... ......... ......... ..............
catheterization.
93530.... 6 Rt heart cath, ......... ......... ......... ......... ......... ..............
congenital.
93531.... 6 R & l heart cath, ......... ......... ......... ......... ......... ..............
congenital.
93532.... 6 R & l heart cath, ......... ......... ......... ......... ......... ..............
congenital.
93533.... 6 R & l heart cath, ......... ......... ......... ......... ......... ..............
congenital.
93536.... 6 Insert circulation ......... ......... ......... ......... ......... ..............
assi.
93539.... 6 Injection, cardiac ......... ......... ......... ......... ......... ..............
cath.
93540.... 6 Injection, cardiac ......... ......... ......... ......... ......... ..............
cath.
93541.... 6 Injection for lung ......... ......... ......... ......... ......... ..............
angiogram.
93542.... 6 Injection for heart ......... ......... ......... ......... ......... ..............
x-rays.
93543.... 6 Injection for heart ......... ......... ......... ......... ......... ..............
x-rays.
93544.... 6 Injection for ......... ......... ......... ......... ......... ..............
aortography.
93545.... 6 Injection for ......... ......... ......... ......... ......... ..............
coronary xrays.
93555.... 6 Imaging, cardiac ......... ......... ......... ......... ......... ..............
cath.
93556.... 6 Imaging, cardiac ......... ......... ......... ......... ......... ..............
cath.
93561.... 6 Cardiac output ......... ......... ......... ......... ......... ..............
measurement.
93562.... 6 Cardiac output ......... ......... ......... ......... ......... ..............
measurement.
93600.... 6 Bundle of His ......... ......... ......... ......... ......... ..............
recording.
93602.... 6 Intra-atrial ......... ......... ......... ......... ......... ..............
recording.
93603.... 6 Right ventricular ......... ......... ......... ......... ......... ..............
recording.
93607.... 6 Right ventricular ......... ......... ......... ......... ......... ..............
recording.
93609.... 6 Mapping of ......... ......... ......... ......... ......... ..............
tachycardia.
93610.... 6 Intra-atrial pacing ......... ......... ......... ......... ......... ..............
93612.... 6 Intraventricular ......... ......... ......... ......... ......... ..............
pacing.
93615.... 6 Esophageal ......... ......... ......... ......... ......... ..............
recording.
93616.... 6 Esophageal ......... ......... ......... ......... ......... ..............
recording.
93618.... 6 Heart rhythm pacing ......... ......... ......... ......... ......... ..............
93619.... 6 Electrophysiology ......... ......... ......... ......... ......... ..............
evaluation.
93620.... 6 Electrophysiology ......... ......... ......... ......... ......... ..............
evaluation.
93621.... 6 Electrophysiology ......... ......... ......... ......... ......... ..............
evaluation.
93622.... 6 Electrophysiology ......... ......... ......... ......... ......... ..............
evaluation.
93623.... 6 Stimulation, pacing ......... ......... ......... ......... ......... ..............
heart.
93624.... 6 Electrophysiologic ......... ......... ......... ......... ......... ..............
study.
93631.... 6 Heart pacing, ......... ......... ......... ......... ......... ..............
mapping.
93640.... 6 Evaluation heart ......... ......... ......... ......... ......... ..............
device.
93641.... 6 Electrophysiology ......... ......... ......... ......... ......... ..............
evaluation.
93642.... 6 Electrophysiology ......... ......... ......... ......... ......... ..............
evaluation.
93650.... 6 Ablate heart ......... ......... ......... ......... ......... ..............
dysrhythm focus.
93651.... 6 Ablate heart ......... ......... ......... ......... ......... ..............
dysrhythm focus.
93652.... 6 Ablate heart ......... ......... ......... ......... ......... ..............
dysrhythm focus.
93660.... 6 Tilt table ......... ......... ......... ......... ......... ..............
evaluation.
[[Page 32425]]
93720.... 6 Total body ......... ......... ......... ......... ......... ..............
plethysmography.
93721.... 6 Plethysmography ......... ......... ......... ......... ......... ..............
tracing.
93722.... 6 Plethysmography ......... ......... ......... ......... ......... ..............
report.
93724.... 6 Analyze pacemaker ......... ......... ......... ......... ......... ..............
system.
93731.... 6 Analyze pacemaker ......... ......... ......... ......... ......... ..............
system.
93732.... 6 Analyze pacemaker ......... ......... ......... ......... ......... ..............
system.
93733.... 6 Telephone analysis, ......... ......... ......... ......... ......... ..............
pacemaker.
93734.... 6 Analyze pacemaker ......... ......... ......... ......... ......... ..............
system.
93735.... 6 Analyze pacemaker ......... ......... ......... ......... ......... ..............
system.
93736.... 6 Telephone analysis, ......... ......... ......... ......... ......... ..............
pacemaker.
93737.... 6 Analyze cardio/ ......... ......... ......... ......... ......... ..............
defibrillator.
93738.... 6 Analyze cardio/ ......... ......... ......... ......... ......... ..............
defibrillator.
93740.... 6 Temperature ......... ......... ......... ......... ......... ..............
gradient studies.
93760.... 9 Cephalic thermogram ......... ......... ......... ......... ......... ..............
93762.... 9 Peripheral ......... ......... ......... ......... ......... ..............
thermogram.
93770.... 6 Measure venous ......... ......... ......... ......... ......... ..............
pressure.
93784.... 9 Ambulatory BP ......... ......... ......... ......... ......... ..............
monitoring.
93786.... 9 Ambulatory BP ......... ......... ......... ......... ......... ..............
recording.
93788.... 9 Ambulatory BP ......... ......... ......... ......... ......... ..............
analysis.
93790.... 9 Review/report BP ......... ......... ......... ......... ......... ..............
recording.
93797.... 6 Cardiac rehab...... ......... ......... ......... ......... ......... ..............
93798.... 6 Cardiac rehab/ ......... ......... ......... ......... ......... ..............
monitor.
93799.... 6 Cardiovascular ......... ......... ......... ......... ......... ..............
procedure.
93875.... 6 Extracranial study. ......... ......... ......... ......... ......... ..............
93880.... 6 Extracranial study. ......... ......... ......... ......... ......... ..............
93882.... 6 Extracranial study. ......... ......... ......... ......... ......... ..............
93886.... 6 Intracranial study. ......... ......... ......... ......... ......... ..............
93888.... 6 Intracranial study. ......... ......... ......... ......... ......... ..............
93922.... 6 Extremity study.... ......... ......... ......... ......... ......... ..............
93923.... 6 Extremity study.... ......... ......... ......... ......... ......... ..............
93924.... 6 Extremity study.... ......... ......... ......... ......... ......... ..............
93925.... 6 Lower extremity ......... ......... ......... ......... ......... ..............
study.
93926.... 6 Lower extremity ......... ......... ......... ......... ......... ..............
study.
93930.... 6 Upper extremity ......... ......... ......... ......... ......... ..............
study.
93931.... 6 Upper extremity ......... ......... ......... ......... ......... ..............
study.
93965.... 6 Extremity study.... ......... ......... ......... ......... ......... ..............
93970.... 6 Extremity study.... ......... ......... ......... ......... ......... ..............
93971.... 6 Extremity study.... ......... ......... ......... ......... ......... ..............
93975.... 6 Vascular study..... ......... ......... ......... ......... ......... ..............
93976.... 6 Vascular study..... ......... ......... ......... ......... ......... ..............
93978.... 6 Vascular study..... ......... ......... ......... ......... ......... ..............
93979.... 6 Vascular study..... ......... ......... ......... ......... ......... ..............
93980.... 6 Penile vascular ......... ......... ......... ......... ......... ..............
study.
93981.... 6 Penile vascular ......... ......... ......... ......... ......... ..............
study.
93990.... 6 Doppler flow ......... ......... ......... ......... ......... ..............
testing.
94010.... 6 Breathing capacity ......... ......... ......... ......... ......... ..............
test.
94060.... 6 Evaluation of ......... ......... ......... ......... ......... ..............
wheezing.
94070.... 6 Evaluation of ......... ......... ......... ......... ......... ..............
wheezing.
94150.... 6 Vital capacity test ......... ......... ......... ......... ......... ..............
94200.... 6 Lung function test ......... ......... ......... ......... ......... ..............
(MBC/MVV).
94240.... 6 Residual lung ......... ......... ......... ......... ......... ..............
capacity.
94250.... 6 Expired gas ......... ......... ......... ......... ......... ..............
collection.
94260.... 6 Thoracic gas volume ......... ......... ......... ......... ......... ..............
94350.... 6 Lung nitrogen ......... ......... ......... ......... ......... ..............
washout curve.
94360.... 6 Measure airflow ......... ......... ......... ......... ......... ..............
resistance.
94370.... 6 Breath airway ......... ......... ......... ......... ......... ..............
closing volume.
94375.... 6 Respiratory flow ......... ......... ......... ......... ......... ..............
volume loop.
94400.... 6 CO2 breathing ......... ......... ......... ......... ......... ..............
response curve.
94450.... 6 Hypoxia response ......... ......... ......... ......... ......... ..............
curve.
94620.... 6 Pulmonary stress ......... ......... ......... ......... ......... ..............
testing.
94640.... 6 Airway inhalation ......... ......... ......... ......... ......... ..............
treatment.
94642.... 6 Aerosol inhalation ......... ......... ......... ......... ......... ..............
treatment.
94650.... 6 Pressure breathing ......... ......... ......... ......... ......... ..............
(IPPB).
94651.... 6 Pressure breathing ......... ......... ......... ......... ......... ..............
(IPPB).
94652.... 6 Pressure breathing ......... ......... ......... ......... ......... ..............
(IPPB).
94656.... 6 Initial ventilator ......... ......... ......... ......... ......... ..............
mgmt.
94657.... 6 Cont. ventilator... ......... ......... ......... ......... ......... ..............
94660.... 6 Pos airway ......... ......... ......... ......... ......... ..............
pressure, CPAP.
94662.... 6 Neg pressure ......... ......... ......... ......... ......... ..............
ventilation,cnp.
94664.... 6 Aerosol or vapor ......... ......... ......... ......... ......... ..............
inhalations.
94665.... 6 Aerosol or vapor ......... ......... ......... ......... ......... ..............
inhalations.
94667.... 6 Chest wall ......... ......... ......... ......... ......... ..............
manipulation.
94668.... 6 Chest wall ......... ......... ......... ......... ......... ..............
manipulation.
94680.... 6 Exhaled air ......... ......... ......... ......... ......... ..............
analysis: O2.
[[Page 32426]]
94681.... 6 Exhaled air ......... ......... ......... ......... ......... ..............
analysis: O2,CO2.
94690.... 6 Exhaled air ......... ......... ......... ......... ......... ..............
analysis.
94720.... 6 Monoxide diffusing ......... ......... ......... ......... ......... ..............
capacity.
94725.... 6 Membrane diffusion ......... ......... ......... ......... ......... ..............
capacity.
94750.... 6 Pulmonary ......... ......... ......... ......... ......... ..............
compliance study.
94760.... 6 Measure blood ......... ......... ......... ......... ......... ..............
oxygen level.
94761.... 6 Measure blood ......... ......... ......... ......... ......... ..............
oxygen level.
94762.... 6 Measure blood ......... ......... ......... ......... ......... ..............
oxygen level.
94770.... 6 Exhaled carbon ......... ......... ......... ......... ......... ..............
dioxide test.
94772.... 6 Breath recording, ......... ......... ......... ......... ......... ..............
infant.
94799.... 6 Pulmonary service/ ......... ......... ......... ......... ......... ..............
procedure.
95004.... 6 Allergy skin tests. ......... ......... ......... ......... ......... ..............
95010.... 6 Sensitivity skin ......... ......... ......... ......... ......... ..............
tests.
95015.... 6 Sensitivity skin ......... ......... ......... ......... ......... ..............
tests.
95024.... 6 Allergy skin tests. ......... ......... ......... ......... ......... ..............
95027.... 6 Skin end point ......... ......... ......... ......... ......... ..............
titration.
95028.... 6 Allergy skin tests. ......... ......... ......... ......... ......... ..............
95044.... 6 Allergy patch tests ......... ......... ......... ......... ......... ..............
95052.... 6 Photo patch test... ......... ......... ......... ......... ......... ..............
95056.... 6 Photosensitivity ......... ......... ......... ......... ......... ..............
tests.
95060.... 6 Eye allergy tests.. ......... ......... ......... ......... ......... ..............
95065.... 6 Nose allergy test.. ......... ......... ......... ......... ......... ..............
95070.... 6 Bronchial allergy ......... ......... ......... ......... ......... ..............
tests.
95071.... 6 Bronchial allergy ......... ......... ......... ......... ......... ..............
tests.
95075.... 6 Ingestion challenge ......... ......... ......... ......... ......... ..............
test.
95078.... 6 Provocative testing ......... ......... ......... ......... ......... ..............
95115.... 6 Immunotherapy, one ......... ......... ......... ......... ......... ..............
injection.
95117.... 6 Immunotherapy ......... ......... ......... ......... ......... ..............
injections.
95120.... 9 Immunotherapy, one ......... ......... ......... ......... ......... ..............
injection.
95125.... 9 Immunotherapy, many ......... ......... ......... ......... ......... ..............
antigens.
95130.... 9 Immunotherapy, ......... ......... ......... ......... ......... ..............
insect venom.
95131.... 9 Immunotherapy, ......... ......... ......... ......... ......... ..............
insect venoms.
95132.... 9 Immunotherapy, ......... ......... ......... ......... ......... ..............
insect venoms.
95133.... 9 Immunotherapy, ......... ......... ......... ......... ......... ..............
insect venoms.
95134.... 9 Immunotherapy, ......... ......... ......... ......... ......... ..............
insect venoms.
95144.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95145.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95146.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95147.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95148.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95149.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95165.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95170.... 6 Antigen therapy ......... ......... ......... ......... ......... ..............
services.
95180.... 6 Rapid ......... ......... ......... ......... ......... ..............
desensitization.
95199.... 6 Allergy immunology ......... ......... ......... ......... ......... ..............
services.
95805.... 6 Multiple sleep ......... ......... ......... ......... ......... ..............
latency test.
95806.... 6 Sleep study, ......... ......... ......... ......... ......... ..............
unattended.
95807.... 6 Sleep study, ......... ......... ......... ......... ......... ..............
attended.
95808.... 6 Polysomnography, 1- ......... ......... ......... ......... ......... ..............
3.
95810.... 6 Polysomnography, 4 ......... ......... ......... ......... ......... ..............
or more.
95811.... 6 Polysomnography w/ ......... ......... ......... ......... ......... ..............
cpap.
95812.... 6 Electroencephalogra ......... ......... ......... ......... ......... ..............
m (EEG).
95813.... 6 Electroencephalogra ......... ......... ......... ......... ......... ..............
m (EEG).
95816.... 6 Electroencephalogra ......... ......... ......... ......... ......... ..............
m (EEG).
95819.... 6 Electroencephalogra ......... ......... ......... ......... ......... ..............
m (EEG).
95822.... 6 Sleep ......... ......... ......... ......... ......... ..............
electroencephalogr
am.
95824.... 6 Electroencephalogra ......... ......... ......... ......... ......... ..............
phy.
95827.... 6 Night ......... ......... ......... ......... ......... ..............
electroencephalogr
am.
95829.... 6 Surgery ......... ......... ......... ......... ......... ..............
electrocorticogram.
95830.... 6 Insert electrodes ......... ......... ......... ......... ......... ..............
for EEG.
95831.... 6 Limb muscle ......... ......... ......... ......... ......... ..............
testing, manual.
95832.... 6 Hand muscle ......... ......... ......... ......... ......... ..............
testing, manual.
95833.... 6 Body muscle ......... ......... ......... ......... ......... ..............
testing, manual.
95834.... 6 Body muscle ......... ......... ......... ......... ......... ..............
testing, manual.
95851.... 6 Range of motion ......... ......... ......... ......... ......... ..............
measurements.
95852.... 6 Range of motion ......... ......... ......... ......... ......... ..............
measurements.
95857.... 6 Tensilon test...... ......... ......... ......... ......... ......... ..............
95858.... 6 Tensilon test & ......... ......... ......... ......... ......... ..............
myogram.
95860.... 6 Muscle test, one ......... ......... ......... ......... ......... ..............
limb.
95861.... 6 Muscle test, two ......... ......... ......... ......... ......... ..............
limbs.
95863.... 6 Muscle test, 3 ......... ......... ......... ......... ......... ..............
limbs.
95864.... 6 Muscle test, 4 ......... ......... ......... ......... ......... ..............
limbs.
95867.... 6 Muscle test, head ......... ......... ......... ......... ......... ..............
or neck.
95868.... 6 Muscle test, head ......... ......... ......... ......... ......... ..............
or neck.
[[Page 32427]]
95869.... 6 Muscle test, thor ......... ......... ......... ......... ......... ..............
paraspinal.
95870.... 6 Muscle test, non- ......... ......... ......... ......... ......... ..............
paraspinal.
95872.... 6 Muscle test, one ......... ......... ......... ......... ......... ..............
fiber.
95875.... 6 Limb exercise test. ......... ......... ......... ......... ......... ..............
95900.... 6 Motor nerve ......... ......... ......... ......... ......... ..............
conduction test.
95903.... 6 Motor nerve ......... ......... ......... ......... ......... ..............
conduction test.
95904.... 6 Sense nerve ......... ......... ......... ......... ......... ..............
conduction test.
95920.... 6 Intraoperative ......... ......... ......... ......... ......... ..............
nerve testing.
95921.... 6 Autonomic nervous ......... ......... ......... ......... ......... ..............
func test.
95922.... 6 Autonomic nervous ......... ......... ......... ......... ......... ..............
func test.
95923.... 6 Autonomic nervous ......... ......... ......... ......... ......... ..............
func test.
95925.... 6 Somatosensory ......... ......... ......... ......... ......... ..............
testing.
95926.... 6 Somatosensory ......... ......... ......... ......... ......... ..............
testing.
95927.... 6 Somatosensory ......... ......... ......... ......... ......... ..............
testing.
95930.... 6 Visual evoked ......... ......... ......... ......... ......... ..............
potential test.
95933.... 6 Blink reflex test.. ......... ......... ......... ......... ......... ..............
95934.... 6 `h' reflex test.... ......... ......... ......... ......... ......... ..............
95936.... 6 `h' reflex test.... ......... ......... ......... ......... ......... ..............
95937.... 6 Neuromuscular ......... ......... ......... ......... ......... ..............
junction test.
95950.... 6 Ambulatory eeg ......... ......... ......... ......... ......... ..............
monitoring.
95951.... 6 EEG monitoring/ ......... ......... ......... ......... ......... ..............
videorecord.
95953.... 6 EEG monitoring/ ......... ......... ......... ......... ......... ..............
computer.
95954.... 6 EEG monitoring/ ......... ......... ......... ......... ......... ..............
giving drugs.
95955.... 6 EEG during surgery. ......... ......... ......... ......... ......... ..............
95956.... 6 EEG monitoring/ ......... ......... ......... ......... ......... ..............
cable/radio.
95957.... 6 EEG digital ......... ......... ......... ......... ......... ..............
analysis.
95958.... 6 EEG monitoring/ ......... ......... ......... ......... ......... ..............
function test.
95961.... 6 Electrode ......... ......... ......... ......... ......... ..............
stimulation, brain.
95962.... 6 Electrode ......... ......... ......... ......... ......... ..............
stimulation, brain.
95999.... 6 Neurological ......... ......... ......... ......... ......... ..............
procedure.
96100.... 6 Psychological ......... ......... ......... ......... ......... ..............
testing.
96105.... 6 Assessment of ......... ......... ......... ......... ......... ..............
aphasia.
96110.... 6 Developmental test, ......... ......... ......... ......... ......... ..............
lim.
96111.... 6 Developmental test, ......... ......... ......... ......... ......... ..............
extend.
96115.... 6 Neurobehavior ......... ......... ......... ......... ......... ..............
status exam.
96117.... 6 Neuropsych test ......... ......... ......... ......... ......... ..............
battery.
96400.... 6 Chemotherapy, (SC)/ ......... ......... ......... ......... ......... ..............
(IM).
96405.... 6 Intralesional chemo ......... ......... ......... ......... ......... ..............
admin.
96406.... 6 Intralesional chemo ......... ......... ......... ......... ......... ..............
admin.
96408.... 6 Chemotherapy, push ......... ......... ......... ......... ......... ..............
technique.
96410.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
infusion method.
96412.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
infusion method.
96414.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
infusion method.
96420.... 6 Chemotherapy, push ......... ......... ......... ......... ......... ..............
technique.
96422.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
infusion method.
96423.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
infusion method.
96425.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
infusion method.
96440.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
intracavitary.
96445.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
intracavitary.
96450.... 6 Chemotherapy, into ......... ......... ......... ......... ......... ..............
CNS.
96520.... 6 Pump refilling, ......... ......... ......... ......... ......... ..............
maintenance.
96530.... 6 Pump refilling, ......... ......... ......... ......... ......... ..............
maintenance.
96542.... 6 Chemotherapy ......... ......... ......... ......... ......... ..............
injection.
96545.... 6 Provide ......... ......... ......... ......... ......... ..............
chemotherapy agent.
96549.... 6 Chemotherapy, ......... ......... ......... ......... ......... ..............
unspecified.
96900.... 6 Ultraviolet light ......... ......... ......... ......... ......... ..............
therapy.
96902.... 6 Trichogram......... ......... ......... ......... ......... ......... ..............
96910.... 6 Photochemotherapy ......... ......... ......... ......... ......... ..............
with UV-B.
96912.... 6 Photochemotherapy ......... ......... ......... ......... ......... ..............
with UV-A.
96913.... 6 Photochemotherapy, ......... ......... ......... ......... ......... ..............
UV-A or B.
96999.... 6 Dermatological ......... ......... ......... ......... ......... ..............
procedure.
97001.... 6 Pt evaluation...... ......... ......... ......... ......... ......... ..............
97002.... 6 Pt re-evaluation... ......... ......... ......... ......... ......... ..............
97003.... 6 Ot evaluation...... ......... ......... ......... ......... ......... ..............
97004.... 6 Ot re-evaluation... ......... ......... ......... ......... ......... ..............
97010.... 6 Hot or cold packs ......... ......... ......... ......... ......... ..............
therapy.
97012.... 6 Mechanical traction ......... ......... ......... ......... ......... ..............
therapy.
97014.... 6 Electric ......... ......... ......... ......... ......... ..............
stimulation
therapy.
97016.... 6 Vasopneumatic ......... ......... ......... ......... ......... ..............
device therapy.
97018.... 6 Paraffin bath ......... ......... ......... ......... ......... ..............
therapy.
97020.... 6 Microwave therapy.. ......... ......... ......... ......... ......... ..............
97022.... 6 Whirlpool therapy.. ......... ......... ......... ......... ......... ..............
97024.... 6 Diathermy treatment ......... ......... ......... ......... ......... ..............
97026.... 6 Infrared therapy... ......... ......... ......... ......... ......... ..............
[[Page 32428]]
97028.... 6 Ultraviolet therapy ......... ......... ......... ......... ......... ..............
97032.... 6 Electrical ......... ......... ......... ......... ......... ..............
stimulation.
97033.... 6 Electric current ......... ......... ......... ......... ......... ..............
therapy.
97034.... 6 Contrast bath ......... ......... ......... ......... ......... ..............
therapy.
97035.... 6 Ultrasound therapy. ......... ......... ......... ......... ......... ..............
97036.... 6 Hydrotherapy....... ......... ......... ......... ......... ......... ..............
97039.... 6 Physical therapy ......... ......... ......... ......... ......... ..............
treatment.
97110.... 6 Therapeutic ......... ......... ......... ......... ......... ..............
exercises.
97112.... 6 Neuromuscular ......... ......... ......... ......... ......... ..............
reeducation.
97113.... 6 Aquatic therapy/ ......... ......... ......... ......... ......... ..............
exercises.
97116.... 6 Gait training ......... ......... ......... ......... ......... ..............
therapy.
97122.... 6 Manual traction ......... ......... ......... ......... ......... ..............
therapy.
97124.... 6 Massage therapy.... ......... ......... ......... ......... ......... ..............
97139.... 6 Physical medicine ......... ......... ......... ......... ......... ..............
procedure.
97150.... 6 Group therapeutic ......... ......... ......... ......... ......... ..............
procedures.
97250.... 6 Myofascial release. ......... ......... ......... ......... ......... ..............
97260.... 6 Regional ......... ......... ......... ......... ......... ..............
manipulation.
97261.... 6 Supplemental ......... ......... ......... ......... ......... ..............
manipulations.
97265.... 6 Joint mobilization. ......... ......... ......... ......... ......... ..............
97504.... 6 Orthotic training.. ......... ......... ......... ......... ......... ..............
97520.... 6 Prosthetic training ......... ......... ......... ......... ......... ..............
97530.... 6 Therapeutic ......... ......... ......... ......... ......... ..............
activities.
97535.... 6 Self care mngment ......... ......... ......... ......... ......... ..............
training.
97537.... 6 Community/work ......... ......... ......... ......... ......... ..............
reintegration.
97542.... 6 Wheelchair mngement ......... ......... ......... ......... ......... ..............
training.
97545.... 6 Work hardening..... ......... ......... ......... ......... ......... ..............
97546.... 6 Work hardening..... ......... ......... ......... ......... ......... ..............
97703.... 6 Prosthetic checkout ......... ......... ......... ......... ......... ..............
97750.... 6 Physical ......... ......... ......... ......... ......... ..............
performance test.
97770.... 6 Cognitive skills ......... ......... ......... ......... ......... ..............
development.
97780.... 9 Acupuncture w/o ......... ......... ......... ......... ......... ..............
stim.
97781.... 9 Acupuncture w/stim. ......... ......... ......... ......... ......... ..............
97799.... 6 Physical medicine ......... ......... ......... ......... ......... ..............
procedure.
98925.... 6 Osteopathic ......... ......... ......... ......... ......... ..............
manipulation.
98926.... 6 Osteopathic ......... ......... ......... ......... ......... ..............
manipulation.
98927.... 6 Osteopathic ......... ......... ......... ......... ......... ..............
manipulation.
98928.... 6 Osteopathic ......... ......... ......... ......... ......... ..............
manipulation.
98929.... 6 Osteopathic ......... ......... ......... ......... ......... ..............
manipulation.
98940.... 6 Chiropractic ......... ......... ......... ......... ......... ..............
manipulation.
98941.... 6 Chiropractic ......... ......... ......... ......... ......... ..............
manipulation.
98942.... 6 Chiropractic ......... ......... ......... ......... ......... ..............
manipulation.
98943.... 9 Chiropractic ......... ......... ......... ......... ......... ..............
manipulation.
99000.... 6 Specimen handling.. ......... ......... ......... ......... ......... ..............
99001.... 6 Specimen handling.. ......... ......... ......... ......... ......... ..............
99002.... 6 Device handling.... ......... ......... ......... ......... ......... ..............
99024.... 6 Post-op follow-up ......... ......... ......... ......... ......... ..............
visit.
99025.... 6 Initial surgical ......... ......... ......... ......... ......... ..............
evaluation.
99050.... 6 Medical services ......... ......... ......... ......... ......... ..............
after hrs.
99052.... 6 Medical services at ......... ......... ......... ......... ......... ..............
night.
99054.... 6 Medical ......... ......... ......... ......... ......... ..............
services,unusual
hrs.
99056.... 6 Non-office medical ......... ......... ......... ......... ......... ..............
services.
99058.... 6 Office emergency ......... ......... ......... ......... ......... ..............
care.
99070.... 6 Special supplies... ......... ......... ......... ......... ......... ..............
99071.... 6 Patient education ......... ......... ......... ......... ......... ..............
materials.
99075.... 9 Medical testimony.. ......... ......... ......... ......... ......... ..............
99078.... 6 Group health ......... ......... ......... ......... ......... ..............
education.
99080.... 6 Special reports or ......... ......... ......... ......... ......... ..............
forms.
99082.... 6 Unusual physician ......... ......... ......... ......... ......... ..............
travel.
99090.... 6 Computer data ......... ......... ......... ......... ......... ..............
analysis.
99100.... 6 Special anesthesia ......... ......... ......... ......... ......... ..............
service.
99116.... 6 Anesthesia with ......... ......... ......... ......... ......... ..............
hypothermia.
99135.... 6 Special anesthesia ......... ......... ......... ......... ......... ..............
procedure.
99140.... 6 Emergency ......... ......... ......... ......... ......... ..............
anesthesia.
99141.... 6 Sedation, iv/im or ......... ......... ......... ......... ......... ..............
inhalant.
99142.... 6 Sedation, oral/ ......... ......... ......... ......... ......... ..............
rectal/nasal.
99175.... 6 Induction of ......... ......... ......... ......... ......... ..............
vomiting.
99183.... 6 Hyperbaric oxygen ......... ......... ......... ......... ......... ..............
therapy.
99185.... 6 Regional ......... ......... ......... ......... ......... ..............
hypothermia.
99186.... 6 Total body ......... ......... ......... ......... ......... ..............
hypothermia.
99190.... 6 Special pump ......... ......... ......... ......... ......... ..............
services.
99191.... 6 Special pump ......... ......... ......... ......... ......... ..............
services.
99192.... 6 Special pump ......... ......... ......... ......... ......... ..............
services.
99195.... 6 Phlebotomy......... ......... ......... ......... ......... ......... ..............
99199.... 6 Special service or ......... ......... ......... ......... ......... ..............
report.
[[Page 32429]]
99201.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, new.
99202.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, new.
99203.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, new.
99204.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, new.
99205.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, new.
99211.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, est.
99212.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, est.
99213.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, est.
99214.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, est.
99215.... 6 Office/outpatient ......... ......... ......... ......... ......... ..............
visit, est.
99217.... 6 Observation care ......... ......... ......... ......... ......... ..............
discharge.
99218.... 6 Observation care... ......... ......... ......... ......... ......... ..............
99219.... 6 Observation care... ......... ......... ......... ......... ......... ..............
99220.... 6 Observation care... ......... ......... ......... ......... ......... ..............
99221.... 6 Initial hospital ......... ......... ......... ......... ......... ..............
care.
99222.... 6 Initial hospital ......... ......... ......... ......... ......... ..............
care.
99223.... 6 Initial hospital ......... ......... ......... ......... ......... ..............
care.
99231.... 6 Subsequent hospital ......... ......... ......... ......... ......... ..............
care.
99232.... 6 Subsequent hospital ......... ......... ......... ......... ......... ..............
care.
99233.... 6 Subsequent hospital ......... ......... ......... ......... ......... ..............
care.
99234.... 6 Observ/hosp same ......... ......... ......... ......... ......... ..............
date.
99235.... 6 Observ/hosp same ......... ......... ......... ......... ......... ..............
date.
99236.... 6 Observ/hosp same ......... ......... ......... ......... ......... ..............
date.
99238.... 6 Hospital discharge ......... ......... ......... ......... ......... ..............
day.
99239.... 6 Hospital discharge ......... ......... ......... ......... ......... ..............
day.
99241.... 6 Office consultation ......... ......... ......... ......... ......... ..............
99242.... 6 Office consultation ......... ......... ......... ......... ......... ..............
99243.... 6 Office consultation ......... ......... ......... ......... ......... ..............
99244.... 6 Office consultation ......... ......... ......... ......... ......... ..............
99245.... 6 Office consultation ......... ......... ......... ......... ......... ..............
99251.... 6 Initial inpatient ......... ......... ......... ......... ......... ..............
consult.
99252.... 6 Initial inpatient ......... ......... ......... ......... ......... ..............
consult.
99253.... 6 Initial inpatient ......... ......... ......... ......... ......... ..............
consult.
99254.... 6 Initial inpatient ......... ......... ......... ......... ......... ..............
consult.
99255.... 6 Initial inpatient ......... ......... ......... ......... ......... ..............
consult.
99261.... 6 Follow-up inpatient ......... ......... ......... ......... ......... ..............
consult.
99262.... 6 Follow-up inpatient ......... ......... ......... ......... ......... ..............
consult.
99263.... 6 Follow-up inpatient ......... ......... ......... ......... ......... ..............
consult.
99271.... 6 Confirmatory ......... ......... ......... ......... ......... ..............
consultation.
99272.... 6 Confirmatory ......... ......... ......... ......... ......... ..............
consultation.
99273.... 6 Confirmatory ......... ......... ......... ......... ......... ..............
consultation.
99274.... 6 Confirmatory ......... ......... ......... ......... ......... ..............
consultation.
99275.... 6 Confirmatory ......... ......... ......... ......... ......... ..............
consultation.
99281.... 6 Emergency dept ......... ......... ......... ......... ......... ..............
visit.
99282.... 6 Emergency dept ......... ......... ......... ......... ......... ..............
visit.
99283.... 6 Emergency dept ......... ......... ......... ......... ......... ..............
visit.
99284.... 6 Emergency dept ......... ......... ......... ......... ......... ..............
visit.
99285.... 6 Emergency dept ......... ......... ......... ......... ......... ..............
visit.
99288.... 6 Direct advanced ......... ......... ......... ......... ......... ..............
life support.
99291.... 6 Critical care, ......... ......... ......... ......... ......... ..............
first hour.
99292.... 6 Critical care, addl ......... ......... ......... ......... ......... ..............
30 min.
99295.... 6 Neonatal critical ......... ......... ......... ......... ......... ..............
care.
99296.... 6 Neonatal critical ......... ......... ......... ......... ......... ..............
care.
99297.... 6 Neonatal critical ......... ......... ......... ......... ......... ..............
care.
99301.... 6 Nursing facility ......... ......... ......... ......... ......... ..............
care.
99302.... 6 Nursing facility ......... ......... ......... ......... ......... ..............
care.
99303.... 6 Nursing facility ......... ......... ......... ......... ......... ..............
care.
99311.... 6 Nursing facility ......... ......... ......... ......... ......... ..............
care, subseq.
99312.... 6 Nursing facility ......... ......... ......... ......... ......... ..............
care, subseq.
99313.... 6 Nursing facility ......... ......... ......... ......... ......... ..............
care, subseq.
99315.... 6 Nursing fac ......... ......... ......... ......... ......... ..............
discharge day.
99316.... 6 Nursing fac ......... ......... ......... ......... ......... ..............
discharge day.
99321.... 6 Rest home visit, ......... ......... ......... ......... ......... ..............
new patient.
99322.... 6 Rest home visit, ......... ......... ......... ......... ......... ..............
new patient.
99323.... 6 Rest home visit, ......... ......... ......... ......... ......... ..............
new patient.
99331.... 6 Rest home visit, ......... ......... ......... ......... ......... ..............
estab pat.
99332.... 6 Rest home visit, ......... ......... ......... ......... ......... ..............
estab pat.
99333.... 6 Rest home visit, ......... ......... ......... ......... ......... ..............
estab pat.
99341.... 6 Home visit, new ......... ......... ......... ......... ......... ..............
patient.
99342.... 6 Home visit, new ......... ......... ......... ......... ......... ..............
patient.
99343.... 6 Home visit, new ......... ......... ......... ......... ......... ..............
patient.
99344.... 6 Home visit, new ......... ......... ......... ......... ......... ..............
patient.
99345.... 6 Home visit, new ......... ......... ......... ......... ......... ..............
patient.
99347.... 6 Home visit, estab ......... ......... ......... ......... ......... ..............
patient.
[[Page 32430]]
99348.... 6 Home visit, estab ......... ......... ......... ......... ......... ..............
patient.
99349.... 6 Home visit, estab ......... ......... ......... ......... ......... ..............
patient.
99350.... 6 Home visit, estab ......... ......... ......... ......... ......... ..............
patient.
99354.... 6 Prolonged service, ......... ......... ......... ......... ......... ..............
office.
99355.... 6 Prolonged service, ......... ......... ......... ......... ......... ..............
office.
99356.... 6 Prolonged service, ......... ......... ......... ......... ......... ..............
inpatient.
99357.... 6 Prolonged service, ......... ......... ......... ......... ......... ..............
inpatient.
99358.... 6 Prolonged serv, w/o ......... ......... ......... ......... ......... ..............
contact.
99359.... 6 Prolonged serv, w/o ......... ......... ......... ......... ......... ..............
contact.
99360.... 6 Physician standby ......... ......... ......... ......... ......... ..............
services.
99361.... 6 Physician/team ......... ......... ......... ......... ......... ..............
conference.
99362.... 6 Physician/team ......... ......... ......... ......... ......... ..............
conference.
99371.... 6 Physician phone ......... ......... ......... ......... ......... ..............
consultation.
99372.... 6 Physician phone ......... ......... ......... ......... ......... ..............
consultation.
99373.... 6 Physician phone ......... ......... ......... ......... ......... ..............
consultation.
99374.... 6 Home health care ......... ......... ......... ......... ......... ..............
supervision.
99375.... 6 Home health care ......... ......... ......... ......... ......... ..............
supervision.
99377.... 6 Hospice care ......... ......... ......... ......... ......... ..............
supervision.
99378.... 6 Hospice care ......... ......... ......... ......... ......... ..............
supervision.
99379.... 6 Nursing fac care ......... ......... ......... ......... ......... ..............
supervision.
99380.... 6 Nursing fac care ......... ......... ......... ......... ......... ..............
supervision.
99381.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
new, infant.
99382.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
new, age 1-4.
99383.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
new, age 5-11.
99384.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
new, 12-17.
99385.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
new, 18-39.
99386.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
new, 40-64.
99387.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
new, 65 & over.
99391.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
est, infant.
99392.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
est, age 1-4.
99393.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
est, age 5-11.
99394.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
est, 12-17.
99395.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
est, 18-39.
99396.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
est, 40-64.
99397.... 9 Preventive visit, ......... ......... ......... ......... ......... ..............
est, 65 & over.
99401.... 9 Preventive ......... ......... ......... ......... ......... ..............
counseling, indiv.
99402.... 9 Preventive ......... ......... ......... ......... ......... ..............
counseling, indiv.
99403.... 9 Preventive ......... ......... ......... ......... ......... ..............
counseling, indiv.
99404.... 9 Preventive ......... ......... ......... ......... ......... ..............
counseling, indiv.
99411.... 9 Preventive ......... ......... ......... ......... ......... ..............
counseling, group.
99412.... 9 Preventive ......... ......... ......... ......... ......... ..............
counseling, group.
99420.... 9 Health risk ......... ......... ......... ......... ......... ..............
assessment test.
99429.... 9 Unlisted preventive ......... ......... ......... ......... ......... ..............
service.
99431.... 6 Initial care, ......... ......... ......... ......... ......... ..............
normal newborn.
99432.... 6 Newborn care not in ......... ......... ......... ......... ......... ..............
hospital.
99433.... 6 Normal newborn ......... ......... ......... ......... ......... ..............
care,hospital.
99435.... 6 Hospital NB ......... ......... ......... ......... ......... ..............
discharge day.
99436.... 6 Attendance, birth.. ......... ......... ......... ......... ......... ..............
99440.... 6 Newborn ......... ......... ......... ......... ......... ..............
resuscitation.
99450.... 9 Life/disability ......... ......... ......... ......... ......... ..............
evaluation.
99455.... 6 Disability ......... ......... ......... ......... ......... ..............
examination.
99456.... 6 Disability ......... ......... ......... ......... ......... ..............
examination.
99499.... 6 Unlisted E/M ......... ......... ......... ......... ......... ..............
service.
A0021.... 9 Outside state ......... ......... ......... ......... ......... ..............
ambulance serv.
A0030.... 6 Air ambulance ......... ......... ......... ......... ......... ..............
service.
A0040.... 6 Helicopter ......... ......... ......... ......... ......... ..............
ambulance service.
A0050.... 6 Water amb service ......... ......... ......... ......... ......... ..............
emergency.
A0080.... 9 Noninterest escort ......... ......... ......... ......... ......... ..............
in non er.
A0090.... 9 Interest escort in ......... ......... ......... ......... ......... ..............
non er.
A0100.... 9 Nonemergency ......... ......... ......... ......... ......... ..............
transport taxi.
A0110.... 9 Nonemergency ......... ......... ......... ......... ......... ..............
transport bus.
A0120.... 9 Noner transport ......... ......... ......... ......... ......... ..............
mini-bus.
A0130.... 9 Noner transport ......... ......... ......... ......... ......... ..............
wheelch van.
A0140.... 9 Nonemergency ......... ......... ......... ......... ......... ..............
transport air.
A0160.... 9 Noner transport ......... ......... ......... ......... ......... ..............
case worker.
A0170.... 9 Noner transport ......... ......... ......... ......... ......... ..............
parking fees.
A0180.... 9 Noner transport ......... ......... ......... ......... ......... ..............
lodgng recip.
A0190.... 9 Noner transport ......... ......... ......... ......... ......... ..............
meals recip.
A0200.... 9 Noner transport ......... ......... ......... ......... ......... ..............
lodgng escrt.
A0210.... 9 Noner transport ......... ......... ......... ......... ......... ..............
meals escort.
A0225.... 6 Neonatal emergency ......... ......... ......... ......... ......... ..............
transport.
A0300.... 6 Ambulance basic non- ......... ......... ......... ......... ......... ..............
emer all.
A0302.... 6 Ambulance basic ......... ......... ......... ......... ......... ..............
emergeny all.
A0304.... 6 Amb adv non-er no ......... ......... ......... ......... ......... ..............
serv all.
[[Page 32431]]
A0306.... 6 Amb adv non-er spec ......... ......... ......... ......... ......... ..............
serv all.
A0308.... 6 Amb adv er no spec ......... ......... ......... ......... ......... ..............
serv all.
A0310.... 6 Amb adv er spec ......... ......... ......... ......... ......... ..............
serv all.
A0320.... 6 Amb basic non-er + ......... ......... ......... ......... ......... ..............
supplies.
A0322.... 6 Amb basic emerg + ......... ......... ......... ......... ......... ..............
supplies.
A0324.... 6 Adv non-er serv sep ......... ......... ......... ......... ......... ..............
mileage.
A0326.... 6 Adv non-er no serv ......... ......... ......... ......... ......... ..............
sep mile.
A0328.... 6 Adv er no serv sep ......... ......... ......... ......... ......... ..............
mileage.
A0330.... 6 Adv er spec serv ......... ......... ......... ......... ......... ..............
sep mile.
A0340.... 6 Amb basic non-er + ......... ......... ......... ......... ......... ..............
mileage.
A0342.... 6 Ambul basic emer + ......... ......... ......... ......... ......... ..............
mileage.
A0344.... 6 Amb adv non-er no ......... ......... ......... ......... ......... ..............
serv +mile.
A0346.... 6 Amb adv non-er serv ......... ......... ......... ......... ......... ..............
+ mile.
A0348.... 6 Adv emer no spec ......... ......... ......... ......... ......... ..............
serv + mile.
A0350.... 6 Adv emer spec serv ......... ......... ......... ......... ......... ..............
+ mileage.
A0360.... 6 Basic non-er sep ......... ......... ......... ......... ......... ..............
mile & supp.
A0362.... 6 Basic emer sep mile ......... ......... ......... ......... ......... ..............
& supply.
A0364.... 6 Adv non-er no serv ......... ......... ......... ......... ......... ..............
sep mi&su.
A0366.... 6 Adv non-er serv sep ......... ......... ......... ......... ......... ..............
mil&supp.
A0368.... 6 Adv er no serv sep ......... ......... ......... ......... ......... ..............
mile&supp.
A0370.... 6 Adv er spec serv ......... ......... ......... ......... ......... ..............
sep mi&supp.
A0380.... 6 Basic life support ......... ......... ......... ......... ......... ..............
mileage.
A0382.... 6 Basic support ......... ......... ......... ......... ......... ..............
routine suppls.
A0384.... 6 Bls defibrillation ......... ......... ......... ......... ......... ..............
supplies.
A0390.... 6 Advanced life ......... ......... ......... ......... ......... ..............
support mileag.
A0392.... 6 Als defibrillation ......... ......... ......... ......... ......... ..............
supplies.
A0394.... 6 Als IV drug therapy ......... ......... ......... ......... ......... ..............
supplies.
A0396.... 6 Als esophageal ......... ......... ......... ......... ......... ..............
intub suppls.
A0398.... 6 Als routine ......... ......... ......... ......... ......... ..............
disposble suppls.
A0420.... 6 Ambulance waiting ......... ......... ......... ......... ......... ..............
\1/2\ hr.
A0422.... 6 Ambulance 02 life ......... ......... ......... ......... ......... ..............
sustaining.
A0424.... 6 Extra ambulance ......... ......... ......... ......... ......... ..............
attendant.
A0888.... 9 Noncovered ......... ......... ......... ......... ......... ..............
ambulance mileage.
A0999.... 6 Unlisted ambulance ......... ......... ......... ......... ......... ..............
service.
A4206.... 2 1 CC sterile ......... ......... ......... ......... ......... ..............
syringe&needle.
A4207.... 2 2 CC sterile ......... ......... ......... ......... ......... ..............
syringe&needle.
A4208.... 2 3 CC sterile ......... ......... ......... ......... ......... ..............
syringe&needle.
A4209.... 2 5+ CC sterile ......... ......... ......... ......... ......... ..............
syringe&needle.
A4210.... 9 Nonneedle injection ......... ......... ......... ......... ......... ..............
device.
A4211.... 2 Supp for self-adm ......... ......... ......... ......... ......... ..............
injections.
A4212.... 2 Non coring needle ......... ......... ......... ......... ......... ..............
or stylet.
A4213.... 2 20+ CC syringe only ......... ......... ......... ......... ......... ..............
A4214.... 2 30 CC sterile water/ ......... ......... ......... ......... ......... ..............
saline.
A4215.... 2 Sterile needle..... ......... ......... ......... ......... ......... ..............
A4220.... 2 Infusion pump ......... ......... ......... ......... ......... ..............
refill kit.
A4221.... 2 Maint drug infus ......... ......... ......... ......... ......... ..............
cath per wk.
A4222.... 2 Drug infusion pump ......... ......... ......... ......... ......... ..............
supplies.
A4230.... 9 Infus insulin pump ......... ......... ......... ......... ......... ..............
non needl.
A4231.... 9 Infusion insulin ......... ......... ......... ......... ......... ..............
pump needle.
A4232.... 9 Syringe w/needle ......... ......... ......... ......... ......... ..............
insulin 3cc.
A4244.... 2 Alcohol or peroxide ......... ......... ......... ......... ......... ..............
per pint.
A4245.... 2 Alcohol wipes per ......... ......... ......... ......... ......... ..............
box.
A4246.... 2 Betadine/phisohex ......... ......... ......... ......... ......... ..............
solution.
A4247.... 2 Betadine/iodine ......... ......... ......... ......... ......... ..............
swabs/wipes.
A4250.... 9 Urine reagent ......... ......... ......... ......... ......... ..............
strips/tablets.
A4253.... 2 Blood glucose/ ......... ......... ......... ......... ......... ..............
reagent strips.
A4254.... 2 Battery for glucose ......... ......... ......... ......... ......... ..............
monitor.
A4255.... 2 Glucose monitor ......... ......... ......... ......... ......... ..............
platforms.
A4256.... 2 Calibrator solution/ ......... ......... ......... ......... ......... ..............
chips.
A4258.... 2 Lancet device each. ......... ......... ......... ......... ......... ..............
A4259.... 2 Lancets per box.... ......... ......... ......... ......... ......... ..............
A4260.... 9 Levonorgestrel ......... ......... ......... ......... ......... ..............
implant.
A4262.... 2 Temporary tear duct ......... ......... ......... ......... ......... ..............
plug.
A4263.... 2 Permanent tear duct ......... ......... ......... ......... ......... ..............
plug.
A4265.... 2 Paraffin........... ......... ......... ......... ......... ......... ..............
A4270.... 2 Disposable ......... ......... ......... ......... ......... ..............
endoscope sheath.
A4300.... 2 Cath impl vasc ......... ......... ......... ......... ......... ..............
access portal.
A4301.... 2 Implantable access ......... ......... ......... ......... ......... ..............
syst perc.
A4305.... 2 Drug delivery ......... ......... ......... ......... ......... ..............
system >=50 ML.
A4306.... 2 Drug delivery ......... ......... ......... ......... ......... ..............
system <=5 ml.="" a4310....="" 6="" insert="" tray="" w/o="" bag/="" .........="" .........="" .........="" .........="" .........="" ..............="" cath.="" a4311....="" 6="" catheter="" w/o="" bag="" 2-="" .........="" .........="" .........="" .........="" .........="" ..............="" way="" latex.="" a4312....="" 6="" cath="" w/o="" bag="" 2-way="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone.="" a4313....="" 6="" catheter="" w/bag="" 3-="" .........="" .........="" .........="" .........="" .........="" ..............="" way.="" [[page="" 32432]]="" a4314....="" 6="" cath="" w/drainage="" 2-="" .........="" .........="" .........="" .........="" .........="" ..............="" way="" latex.="" a4315....="" 6="" cath="" w/drainage="" 2-="" .........="" .........="" .........="" .........="" .........="" ..............="" way="" silcne.="" a4316....="" 6="" cath="" w/drainage="" 3-="" .........="" .........="" .........="" .........="" .........="" ..............="" way.="" a4320....="" 6="" irrigation="" tray....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4321....="" 6="" cath="" therapeutic="" .........="" .........="" .........="" .........="" .........="" ..............="" irrig="" agent.="" a4322....="" 6="" irrigation="" syringe.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4323....="" 6="" saline="" irrigation="" .........="" .........="" .........="" .........="" .........="" ..............="" solution.="" a4326....="" 6="" male="" external="" .........="" .........="" .........="" .........="" .........="" ..............="" catheter.="" a4327....="" 6="" fem="" urinary="" collect="" .........="" .........="" .........="" .........="" .........="" ..............="" dev="" cup.="" a4328....="" 6="" fem="" urinary="" collect="" .........="" .........="" .........="" .........="" .........="" ..............="" pouch.="" a4329....="" 6="" external="" catheter="" .........="" .........="" .........="" .........="" .........="" ..............="" start="" set.="" a4330....="" 6="" stool="" collection="" .........="" .........="" .........="" .........="" .........="" ..............="" pouch.="" a4335....="" 6="" incontinence="" supply="" .........="" .........="" .........="" .........="" .........="" ..............="" a4338....="" 6="" indwelling="" catheter="" .........="" .........="" .........="" .........="" .........="" ..............="" latex.="" a4340....="" 6="" indwelling="" catheter="" .........="" .........="" .........="" .........="" .........="" ..............="" special.="" a4344....="" 6="" cath="" indw="" foley="" 2="" .........="" .........="" .........="" .........="" .........="" ..............="" way="" silicn.="" a4346....="" 6="" cath="" indw="" foley="" 3="" .........="" .........="" .........="" .........="" .........="" ..............="" way.="" a4347....="" 6="" male="" external="" .........="" .........="" .........="" .........="" .........="" ..............="" catheter.="" a4351....="" 6="" straight="" tip="" urine="" .........="" .........="" .........="" .........="" .........="" ..............="" catheter.="" a4352....="" 6="" coude="" tip="" urinary="" .........="" .........="" .........="" .........="" .........="" ..............="" catheter.="" a4353....="" 6="" intermittent="" .........="" .........="" .........="" .........="" .........="" ..............="" urinary="" cath.="" a4354....="" 6="" cath="" insertion="" tray="" .........="" .........="" .........="" .........="" .........="" ..............="" w/bag.="" a4355....="" 6="" bladder="" irrigation="" .........="" .........="" .........="" .........="" .........="" ..............="" tubing.="" a4356....="" 6="" ext="" ureth="" clmp="" or="" .........="" .........="" .........="" .........="" .........="" ..............="" compr="" dvc.="" a4357....="" 6="" bedside="" drainage="" .........="" .........="" .........="" .........="" .........="" ..............="" bag.="" a4358....="" 6="" urinary="" leg="" bag....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4359....="" 6="" urinary="" suspensory="" .........="" .........="" .........="" .........="" .........="" ..............="" w/o="" leg="" b.="" a4361....="" 6="" ostomy="" face="" plate..="" .........="" .........="" .........="" .........="" .........="" ..............="" a4362....="" 6="" solid="" skin="" barrier.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4363....="" 6="" liquid="" skin="" barrier="" .........="" .........="" .........="" .........="" .........="" ..............="" a4364....="" 6="" ostomy/cath="" .........="" .........="" .........="" .........="" .........="" ..............="" adhesive.="" a4365....="" 6="" ostomy="" adhesive="" .........="" .........="" .........="" .........="" .........="" ..............="" remover="" wipe.="" a4367....="" 6="" ostomy="" belt........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4368....="" 6="" ostomy="" filter......="" .........="" .........="" .........="" .........="" .........="" ..............="" a4397....="" 6="" irrigation="" supply="" .........="" .........="" .........="" .........="" .........="" ..............="" sleeve.="" a4398....="" 6="" ostomy="" irrigation="" .........="" .........="" .........="" .........="" .........="" ..............="" bag.="" a4399....="" 6="" ostomy="" irrig="" cone/="" .........="" .........="" .........="" .........="" .........="" ..............="" cath="" w="" brs.="" a4400....="" 6="" ostomy="" irrigation="" .........="" .........="" .........="" .........="" .........="" ..............="" set.="" a4402....="" 6="" lubricant="" per="" ounce="" .........="" .........="" .........="" .........="" .........="" ..............="" a4404....="" 6="" ostomy="" ring="" each...="" .........="" .........="" .........="" .........="" .........="" ..............="" a4421....="" 6="" ostomy="" supply="" misc.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4454....="" 6="" tape="" all="" types="" all="" .........="" .........="" .........="" .........="" .........="" ..............="" sizes.="" a4455....="" 6="" adhesive="" remover="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" ounce.="" a4460....="" 6="" elastic="" compression="" .........="" .........="" .........="" .........="" .........="" ..............="" bandage.="" a4462....="" 6="" abdmnl="" drssng="" .........="" .........="" .........="" .........="" .........="" ..............="" holder/binder.="" a4465....="" 6="" non-elastic="" .........="" .........="" .........="" .........="" .........="" ..............="" extremity="" binder.="" a4470....="" 6="" gravlee="" jet="" washer.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4480....="" 6="" vabra="" aspirator....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4481....="" 6="" tracheostoma="" filter="" .........="" .........="" .........="" .........="" .........="" ..............="" a4490....="" 9="" above="" knee="" surgical="" .........="" .........="" .........="" .........="" .........="" ..............="" stocking.="" a4495....="" 9="" thigh="" length="" surg="" .........="" .........="" .........="" .........="" .........="" ..............="" stocking.="" a4500....="" 9="" below="" knee="" surgical="" .........="" .........="" .........="" .........="" .........="" ..............="" stocking.="" a4510....="" 9="" full="" length="" surg="" .........="" .........="" .........="" .........="" .........="" ..............="" stocking.="" a4550....="" 2="" surgical="" trays.....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4554....="" 9="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" underpads.="" a4556....="" 2="" electrodes.........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4557....="" 2="" lead="" wires.........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4558....="" 2="" conductive="" paste="" or="" .........="" .........="" .........="" .........="" .........="" ..............="" gel.="" a4560....="" 2="" pessary............="" .........="" .........="" .........="" .........="" .........="" ..............="" a4565....="" 2="" slings.............="" .........="" .........="" .........="" .........="" .........="" ..............="" a4570....="" 2="" splint.............="" .........="" .........="" .........="" .........="" .........="" ..............="" a4572....="" 2="" rib="" belt...........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4575....="" 9="" hyperbaric="" o2="" .........="" .........="" .........="" .........="" .........="" ..............="" chamber="" disps.="" a4580....="" 2="" cast="" supplies="" .........="" .........="" .........="" .........="" .........="" ..............="" (plaster).="" a4590....="" 2="" special="" casting="" .........="" .........="" .........="" .........="" .........="" ..............="" material.="" a4595....="" 6="" tens="" suppl="" 2="" lead="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" month.="" a4611....="" 6="" heavy="" duty="" battery.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4612....="" 6="" battery="" cables.....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4613....="" 6="" battery="" charger....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4615....="" 2="" cannula="" nasal......="" .........="" .........="" .........="" .........="" .........="" ..............="" a4616....="" 2="" tubing="" (oxygen)="" per="" .........="" .........="" .........="" .........="" .........="" ..............="" foot.="" a4617....="" 2="" mouth="" piece........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4618....="" 2="" breathing="" circuits.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4619....="" 2="" face="" tent..........="" .........="" .........="" .........="" .........="" .........="" ..............="" [[page="" 32433]]="" a4620....="" 2="" variable="" .........="" .........="" .........="" .........="" .........="" ..............="" concentration="" mask.="" a4621....="" 2="" tracheotomy="" mask="" or="" .........="" .........="" .........="" .........="" .........="" ..............="" collar.="" a4622....="" 2="" tracheostomy="" or="" .........="" .........="" .........="" .........="" .........="" ..............="" larngectomy.="" a4623....="" 2="" tracheostomy="" inner="" .........="" .........="" .........="" .........="" .........="" ..............="" cannula.="" a4624....="" 2="" tracheal="" suction="" .........="" .........="" .........="" .........="" .........="" ..............="" tube.="" a4625....="" 2="" trach="" care="" kit="" for="" .........="" .........="" .........="" .........="" .........="" ..............="" new="" trach.="" a4626....="" 2="" tracheostomy="" .........="" .........="" .........="" .........="" .........="" ..............="" cleaning="" brush.="" a4627....="" 9="" spacer="" bag/="" .........="" .........="" .........="" .........="" .........="" ..............="" reservoir.="" a4628....="" 2="" oropharyngeal="" .........="" .........="" .........="" .........="" .........="" ..............="" suction="" cath.="" a4629....="" 2="" tracheostomy="" care="" .........="" .........="" .........="" .........="" .........="" ..............="" kit.="" a4630....="" 6="" repl="" bat="" t.e.n.s.="" .........="" .........="" .........="" .........="" .........="" ..............="" own="" by="" pt.="" a4631....="" 6="" wheelchair="" battery.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4635....="" 6="" underarm="" crutch="" pad="" .........="" .........="" .........="" .........="" .........="" ..............="" a4636....="" 6="" handgrip="" for="" cane="" .........="" .........="" .........="" .........="" .........="" ..............="" etc.="" a4637....="" 6="" repl="" tip="" cane/="" .........="" .........="" .........="" .........="" .........="" ..............="" crutch/walker.="" a4640....="" 6="" alternating="" .........="" .........="" .........="" .........="" .........="" ..............="" pressure="" pad.="" a4641....="" 9="" diagnostic="" imaging="" .........="" .........="" .........="" .........="" .........="" ..............="" agent.="" a4642....="" 9="" satumomab="" pendetide="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" dose.="" a4643....="" 9="" high="" dose="" contrast="" .........="" .........="" .........="" .........="" .........="" ..............="" mri.="" a4644....="" 9="" contrast="" 100-199="" .........="" .........="" .........="" .........="" .........="" ..............="" mgs="" iodine.="" a4645....="" 9="" contrast="" 200-299="" .........="" .........="" .........="" .........="" .........="" ..............="" mgs="" iodine.="" a4646....="" 9="" contrast="" 300-399="" .........="" .........="" .........="" .........="" .........="" ..............="" mgs="" iodine.="" a4647....="" 2="" supp-="" paramagnetic="" .........="" .........="" .........="" .........="" .........="" ..............="" contr="" mat.="" a4649....="" 2="" surgical="" supplies..="" .........="" .........="" .........="" .........="" .........="" ..............="" a4650....="" 2="" supp="" esrd="" .........="" .........="" .........="" .........="" .........="" ..............="" centrifuge.="" a4655....="" 6="" esrd="" syringe/needle="" .........="" .........="" .........="" .........="" .........="" ..............="" a4660....="" 6="" esrd="" blood="" pressure="" .........="" .........="" .........="" .........="" .........="" ..............="" device.="" a4663....="" 6="" esrd="" blood="" pressure="" .........="" .........="" .........="" .........="" .........="" ..............="" cuff.="" a4670....="" 9="" auto="" blood="" pressure="" .........="" .........="" .........="" .........="" .........="" ..............="" monitor.="" a4680....="" 6="" activated="" carbon="" .........="" .........="" .........="" .........="" .........="" ..............="" filters.="" a4690....="" 6="" dialyzers..........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4700....="" 6="" standard="" dialysate="" .........="" .........="" .........="" .........="" .........="" ..............="" solution.="" a4705....="" 6="" bicarb="" dialysate="" .........="" .........="" .........="" .........="" .........="" ..............="" solution.="" a4712....="" 6="" sterile="" water......="" .........="" .........="" .........="" .........="" .........="" ..............="" a4714....="" 6="" treated="" water="" for="" .........="" .........="" .........="" .........="" .........="" ..............="" dialysis.="" a4730....="" 6="" fistula="" cannulation="" .........="" .........="" .........="" .........="" .........="" ..............="" set="" dial.="" a4735....="" 6="" local/topical="" .........="" .........="" .........="" .........="" .........="" ..............="" anesthetics.="" a4740....="" 6="" esrd="" shunt="" .........="" .........="" .........="" .........="" .........="" ..............="" accessory.="" a4750....="" 2="" arterial="" or="" venous="" .........="" .........="" .........="" .........="" .........="" ..............="" tubing.="" a4755....="" 2="" arterial="" and="" venous="" .........="" .........="" .........="" .........="" .........="" ..............="" tubing.="" a4760....="" 6="" standard="" testing="" .........="" .........="" .........="" .........="" .........="" ..............="" solution.="" a4765....="" 6="" dialysate="" .........="" .........="" .........="" .........="" .........="" ..............="" concentrate.="" a4770....="" 2="" blood="" testing="" .........="" .........="" .........="" .........="" .........="" ..............="" supplies.="" a4771....="" 2="" blood="" clotting="" time="" .........="" .........="" .........="" .........="" .........="" ..............="" tube.="" a4772....="" 2="" dextrostick/glucose="" .........="" .........="" .........="" .........="" .........="" ..............="" strips.="" a4773....="" 2="" hemostix...........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4774....="" 2="" ammonia="" test="" paper.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4780....="" 6="" esrd="" sterilizing="" .........="" .........="" .........="" .........="" .........="" ..............="" agent.="" a4790....="" 6="" esrd="" cleansing="" .........="" .........="" .........="" .........="" .........="" ..............="" agents.="" a4800....="" 6="" heparin/antidote="" .........="" .........="" .........="" .........="" .........="" ..............="" dialysis.="" a4820....="" 6="" supplies="" .........="" .........="" .........="" .........="" .........="" ..............="" hemodialysis="" kit.="" a4850....="" 6="" rubber="" tipped="" .........="" .........="" .........="" .........="" .........="" ..............="" hemostats.="" a4860....="" 2="" disposable="" catheter="" .........="" .........="" .........="" .........="" .........="" ..............="" caps.="" a4870....="" 6="" plumbing/electrical="" .........="" .........="" .........="" .........="" .........="" ..............="" work.="" a4880....="" 6="" water="" storage="" tanks="" .........="" .........="" .........="" .........="" .........="" ..............="" a4890....="" 6="" contracts/repair/="" .........="" .........="" .........="" .........="" .........="" ..............="" maintenance.="" a4900....="" 6="" capd="" supply="" kit....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4901....="" 6="" ccpd="" supply="" kit....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4905....="" 6="" ipd="" supply="" kit.....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4910....="" 6="" esrd="" nonmedical="" .........="" .........="" .........="" .........="" .........="" ..............="" supplies.="" a4912....="" 2="" gomco="" drain="" bottle.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4913....="" 6="" esrd="" supply........="" .........="" .........="" .........="" .........="" .........="" ..............="" a4914....="" 2="" preparation="" kit....="" .........="" .........="" .........="" .........="" .........="" ..............="" a4918....="" 2="" venous="" pressure="" .........="" .........="" .........="" .........="" .........="" ..............="" clamp.="" a4919....="" 6="" supp="" dialysis="" .........="" .........="" .........="" .........="" .........="" ..............="" dialyzer="" holde.="" a4920....="" 2="" harvard="" pressure="" .........="" .........="" .........="" .........="" .........="" ..............="" clamp.="" a4921....="" 2="" measuring="" cylinder.="" .........="" .........="" .........="" .........="" .........="" ..............="" a4927....="" 2="" gloves.............="" .........="" .........="" .........="" .........="" .........="" ..............="" a5051....="" 6="" pouch="" clsd="" w="" barr="" .........="" .........="" .........="" .........="" .........="" ..............="" attached.="" a5052....="" 6="" clsd="" ostomy="" pouch="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" o="" barr.="" a5053....="" 6="" clsd="" ostomy="" pouch="" .........="" .........="" .........="" .........="" .........="" ..............="" faceplate.="" a5054....="" 6="" clsd="" ostomy="" pouch="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" flange.="" a5055....="" 6="" stoma="" cap..........="" .........="" .........="" .........="" .........="" .........="" ..............="" a5061....="" 6="" pouch="" drainable="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" barrier="" at.="" [[page="" 32434]]="" a5062....="" 6="" drnble="" ostomy="" pouch="" .........="" .........="" .........="" .........="" .........="" ..............="" w/o="" barr.="" a5063....="" 6="" drain="" ostomy="" pouch="" .........="" .........="" .........="" .........="" .........="" ..............="" w/flange.="" a5064....="" 9="" drain="" ostomy="" pouch="" .........="" .........="" .........="" .........="" .........="" ..............="" w/fceplte.="" a5065....="" 9="" drain="" ostomy="" pouch="" .........="" .........="" .........="" .........="" .........="" ..............="" on="" fcplte.="" a5071....="" 6="" urinary="" pouch="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" barrier.="" a5072....="" 6="" urinary="" pouch="" w/o="" .........="" .........="" .........="" .........="" .........="" ..............="" barrier.="" a5073....="" 6="" urinary="" pouch="" on="" .........="" .........="" .........="" .........="" .........="" ..............="" barr="" w/flng.="" a5074....="" 9="" urinary="" pouch="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" faceplate.="" a5075....="" 9="" urinary="" pouch="" on="" .........="" .........="" .........="" .........="" .........="" ..............="" faceplate.="" a5081....="" 6="" continent="" stoma="" .........="" .........="" .........="" .........="" .........="" ..............="" plug.="" a5082....="" 6="" continent="" stoma="" .........="" .........="" .........="" .........="" .........="" ..............="" catheter.="" a5093....="" 6="" ostomy="" accessory="" .........="" .........="" .........="" .........="" .........="" ..............="" convex="" inse.="" a5102....="" 6="" bedside="" drain="" btl="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" wo="" tube.="" a5105....="" 6="" urinary="" suspensory.="" .........="" .........="" .........="" .........="" .........="" ..............="" a5112....="" 6="" urinary="" leg="" bag....="" .........="" .........="" .........="" .........="" .........="" ..............="" a5113....="" 6="" latex="" leg="" strap....="" .........="" .........="" .........="" .........="" .........="" ..............="" a5114....="" 6="" foam/fabric="" leg="" .........="" .........="" .........="" .........="" .........="" ..............="" strap.="" a5119....="" 2="" skin="" barrier="" wipes="" .........="" .........="" .........="" .........="" .........="" ..............="" box="" pr="" 50.="" a5121....="" 2="" solid="" skin="" barrier="" .........="" .........="" .........="" .........="" .........="" ..............="" 6x6.="" a5122....="" 2="" solid="" skin="" barrier="" .........="" .........="" .........="" .........="" .........="" ..............="" 8x8.="" a5123....="" 2="" skin="" barrier="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" flange.="" a5126....="" 2="" adhesive="" disc/foam="" .........="" .........="" .........="" .........="" .........="" ..............="" pad.="" a5131....="" 2="" appliance="" cleaner..="" .........="" .........="" .........="" .........="" .........="" ..............="" a5149....="" 2="" incontinence/ostomy="" .........="" .........="" .........="" .........="" .........="" ..............="" supply.="" a5500....="" 6="" diab="" shoe="" for="" .........="" .........="" .........="" .........="" .........="" ..............="" density="" insert.="" a5501....="" 6="" diabetic="" custom="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" shoe.="" a5502....="" 6="" diabetic="" shoe="" .........="" .........="" .........="" .........="" .........="" ..............="" density="" insert.="" a5503....="" 6="" diabetic="" shoe="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" roller/rockr.="" a5504....="" 6="" diabetic="" shoe="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" wedge.="" a5505....="" 6="" diab="" shoe="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" metatarsal="" bar.="" a5506....="" 6="" diabetic="" shoe="" w/off="" .........="" .........="" .........="" .........="" .........="" ..............="" set="" heel.="" a5507....="" 6="" modification="" .........="" .........="" .........="" .........="" .........="" ..............="" diabetic="" shoe.="" a6020....="" 2="" collagen="" dressing="" .........="" .........="" .........="" .........="" .........="" ..............="" cover="" ea.="" a6025....="" 9="" silicone="" gel="" sheet,="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" a6154....="" 2="" wound="" pouch="" each...="" .........="" .........="" .........="" .........="" .........="" ..............="" a6196....="" 2="" alginate="" dressing="" .........="" .........="" .........="" .........="" .........="" ..............=""><=16 sq="" in.="" a6197....="" 2="" alginate="" drsg="">16 ......... ......... ......... ......... ......... ..............
<=48 sq="" in.="" a6198....="" 2="" alginate="" dressing="" .........="" .........="" .........="" .........="" .........="" ..............="">48 sq in.
A6199.... 2 Alginate drsg wound ......... ......... ......... ......... ......... ..............
filler.
A6203.... 2 Composite drsg <= .........="" .........="" .........="" .........="" .........="" ..............="" 16="" sq="" in.="" a6204....="" 2="" composite="" drsg="">16 ......... ......... ......... ......... ......... ..............
<=48 sq="" in.="" a6205....="" 2="" composite="" drsg=""> 48 ......... ......... ......... ......... ......... ..............
sq in.
A6206.... 2 Contact layer <= 16="" .........="" .........="" .........="" .........="" .........="" ..............="" sq="" in.="" a6207....="" 2="" contact="" layer="">16<= .........="" .........="" .........="" .........="" .........="" ..............="" 48="" sq="" in.="" a6208....="" 2="" contact="" layer=""> 48 ......... ......... ......... ......... ......... ..............
sq in.
A6209.... 2 Foam drsg <=16 sq="" .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/o="" bdr.="" a6210....="" 2="" foam="" drg="">16<=48 sq="" .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/o="" b.="" a6211....="" 2="" foam="" drg=""> 48 sq in ......... ......... ......... ......... ......... ..............
w/o brdr.
A6212.... 2 Foam drg <=16 sq="" in="" .........="" .........="" .........="" .........="" .........="" ..............="" w/border.="" a6213....="" 2="" foam="" drg="">16<=48 sq="" in="" w/="" bdr.="" a6214....="" 2="" foam="" drg=""> 48 sq in w/
border.
A6215.... 2 Foam dressing wound ......... ......... ......... ......... ......... ..............
filler.
A6216.... 2 Non-sterile ......... ......... ......... ......... ......... ..............
gauze<=16 sq="" in.="" a6217....="" 2="" non-sterile="" .........="" .........="" .........="" .........="" .........="" ..............="" gauze="">16<=48 sq.="" a6218....="" 2="" non-sterile="" gauze=""> ......... ......... ......... ......... ......... ..............
48 sq in.
A6219.... 2 Gauze >= 16 sq in w/ ......... ......... ......... ......... ......... ..............
border.
A6220.... 2 Gauze >16 <=48 sq="" .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/bordr.="" a6221....="" 2="" gauze=""> 48 sq in w/ ......... ......... ......... ......... ......... ..............
border.
A6222.... 2 Gauze <=16 in="" no="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" sal="" w/o="" b.="" a6223....="" 2="" gauze="">16<=48 no="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" sal="" w/o="" b.="" a6224....="" 2="" gauze=""> 48 in no w/ ......... ......... ......... ......... ......... ..............
sal w/o b.
A6228.... 2 Gauze <= 16="" sq="" in="" .........="" .........="" .........="" .........="" .........="" ..............="" water/sal.="" a6229....="" 2="" gauze="">16 <=48 sq="" .........="" .........="" .........="" .........="" .........="" ..............="" in="" watr/sal.="" a6230....="" 2="" gauze=""> ......... ......... ......... ......... ......... ..............
48 sq in water/
salne.
A6234.... 2 Hydrocolld drg =16 w/o bdr.
A6235.... 2 Hydrocolld drg >16 ......... ......... ......... ......... ......... ..............
=48 w/o
b.
A6236.... 2 Hydrocolld drg > 48 ......... ......... ......... ......... ......... ..............
in w/o b.
A6237.... 2 Hydrocolld drg <=16 .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/bdr.="" a6238....="" 2="" hydrocolld="" drg="">16 ......... ......... ......... ......... ......... ..............
<=48 w/bdr.="" a6239....="" 2="" hydrocolld="" drg=""> 48 ......... ......... ......... ......... ......... ..............
in w/bdr.
A6240.... 2 Hydrocolld drg ......... ......... ......... ......... ......... ..............
filler paste.
A6241.... 2 Hydrocolloid drg ......... ......... ......... ......... ......... ..............
filler dry.
A6242.... 2 Hydrogel drg <=16 .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/o="" bdr.="" a6243....="" 2="" hydrogel="" drg="" .........="" .........="" .........="" .........="" .........="" ..............="">16<=48 w/o="" bdr.="" [[page="" 32435]]="" a6244....="" 2="" hydrogel="" drg="">48 in ......... ......... ......... ......... ......... ..............
w/o bdr.
A6245.... 2 Hydrogel drg <= 16="" .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/bdr.="" a6246....="" 2="" hydrogel="" drg="" .........="" .........="" .........="" .........="" .........="" ..............="">16<=48 in="" w/b.="" a6247....="" 2="" hydrogel="" drg=""> 48 ......... ......... ......... ......... ......... ..............
sq in w/b.
A6248.... 2 Hydrogel drsg gel ......... ......... ......... ......... ......... ..............
filler.
A6250.... 2 Skin seal protect ......... ......... ......... ......... ......... ..............
moisturizr.
A6251.... 2 Absorpt drg <=16 sq="" .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/o="" b.="" a6252....="" 2="" absorpt="" drg="">16 ......... ......... ......... ......... ......... ..............
<=48 w/o="" bdr.="" a6253....="" 2="" absorpt="" drg=""> 48 sq ......... ......... ......... ......... ......... ..............
in w/o b.
A6254.... 2 Absorpt drg <=16 sq="" .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/bdr.="" a6255....="" 2="" absorpt="" drg="">16<=48 .........="" .........="" .........="" .........="" .........="" ..............="" in="" w/bdr.="" a6256....="" 2="" absorpt="" drg=""> 48 sq ......... ......... ......... ......... ......... ..............
in w/bdr.
A6257.... 2 Transparent film <= .........="" .........="" .........="" .........="" .........="" ..............="" 16="" sq="" in.="" a6258....="" 2="" transparent="" film="" .........="" .........="" .........="" .........="" .........="" ..............="">16<=48 in.="" a6259....="" 2="" transparent="" film=""> ......... ......... ......... ......... ......... ..............
48 sq in.
A6260.... 2 Wound cleanser any ......... ......... ......... ......... ......... ..............
type/size.
A6261.... 2 Wound filler gel/ ......... ......... ......... ......... ......... ..............
paste /oz.
A6262.... 2 Wound filler dry ......... ......... ......... ......... ......... ..............
form / gram.
A6263.... 2 Non-sterile elastic ......... ......... ......... ......... ......... ..............
gauze/yd.
A6264.... 2 Non-sterile no ......... ......... ......... ......... ......... ..............
elastic gauze.
A6265.... 2 Tape per 18 sq ......... ......... ......... ......... ......... ..............
inches.
A6266.... 2 Impreg gauze no h20/ ......... ......... ......... ......... ......... ..............
sal/yard.
A6402.... 2 Sterile gauze <= 16="" .........="" .........="" .........="" .........="" .........="" ..............="" sq="" in.="" a6403....="" 2="" sterile="" gauze="">16 ......... ......... ......... ......... ......... ..............
<= 48="" sq="" in.="" a6404....="" 2="" sterile="" gauze=""> 48 ......... ......... ......... ......... ......... ..............
sq in.
A6405.... 2 Sterile elastic ......... ......... ......... ......... ......... ..............
gauze /yd.
A6406.... 2 Sterile non-elastic ......... ......... ......... ......... ......... ..............
gauze/yd.
A9150.... 9 Misc/exper non- ......... ......... ......... ......... ......... ..............
prescript dru.
A9160.... 9 Podiatrist non- ......... ......... ......... ......... ......... ..............
covered servi.
A9170.... 9 Chiropractor non- ......... ......... ......... ......... ......... ..............
covered ser.
A9190.... 9 Misc/expe personal ......... ......... ......... ......... ......... ..............
comfort i.
A9270.... 9 Non-covered item or ......... ......... ......... ......... ......... ..............
service.
A9300.... 9 Exercise equipment. ......... ......... ......... ......... ......... ..............
A9500.... 9 Technetium TC 99m ......... ......... ......... ......... ......... ..............
sestamibi.
A9502.... 6 Technetium TC99M ......... ......... ......... ......... ......... ..............
tetrofosmin.
A9503.... 9 Technetium TC 99m ......... ......... ......... ......... ......... ..............
medronate.
A9505.... 9 Thallous chloride ......... ......... ......... ......... ......... ..............
TL 201/mci.
A9600.... 6 Strontium-89 ......... ......... ......... ......... ......... ..............
chloride.
B4034.... 6 Enter feed supkit ......... ......... ......... ......... ......... ..............
syr by day.
B4035.... 6 Enteral feed supp ......... ......... ......... ......... ......... ..............
pump per d.
B4036.... 6 Enteral feed sup ......... ......... ......... ......... ......... ..............
kit grav by.
B4081.... 6 Enteral ng tubing w/ ......... ......... ......... ......... ......... ..............
stylet.
B4082.... 6 Enteral ng tubing w/ ......... ......... ......... ......... ......... ..............
o stylet.
B4083.... 6 Enteral stomach ......... ......... ......... ......... ......... ..............
tube levine.
B4084.... 6 Gastrostomy/ ......... ......... ......... ......... ......... ..............
jejunostomy tubi.
B4085.... 6 Gastrostomy tube w/ ......... ......... ......... ......... ......... ..............
ring each.
B4150.... 6 Enteral formulae ......... ......... ......... ......... ......... ..............
category i.
B4151.... 6 Enteral formulae ......... ......... ......... ......... ......... ..............
category i-.
B4152.... 6 Enteral formulae ......... ......... ......... ......... ......... ..............
category ii.
B4153.... 6 Enteral formulae ......... ......... ......... ......... ......... ..............
category ii.
B4154.... 6 Enteral formulae ......... ......... ......... ......... ......... ..............
category IV.
B4155.... 6 Enteral formulae ......... ......... ......... ......... ......... ..............
category v.
B4156.... 6 Enteral formulae ......... ......... ......... ......... ......... ..............
category vi.
B4164.... 6 Parenteral 50% ......... ......... ......... ......... ......... ..............
dextrose solu.
B4168.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
amino acid 3..
B4172.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
amino acid 5..
B4176.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
amino acid 7-.
B4178.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
amino acid >.
B4180.... 6 Parenteral sol carb ......... ......... ......... ......... ......... ..............
> 50%.
B4184.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
lipids 10%.
B4186.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
lipids 20%.
B4189.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
amino acid &.
B4193.... 6 Parenteral sol 52- ......... ......... ......... ......... ......... ..............
73 gm prot.
B4197.... 6 Parenteral sol 74- ......... ......... ......... ......... ......... ..............
100 gm pro.
B4199.... 6 Parenteral sol 100gm
prote.
B4216.... 6 Parenteral ......... ......... ......... ......... ......... ..............
nutrition additiv.
B4220.... 6 Parenteral supply ......... ......... ......... ......... ......... ..............
kit premix.
B4222.... 6 Parenteral supply ......... ......... ......... ......... ......... ..............
kit homemi.
B4224.... 6 Parenteral ......... ......... ......... ......... ......... ..............
administration ki.
B5000.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
renal-amirosy.
B5100.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
hepatic-fream.
B5200.... 6 Parenteral sol ......... ......... ......... ......... ......... ..............
stres-brnch c.
B9000.... 6 Enter infusion pump ......... ......... ......... ......... ......... ..............
w/o alrm.
B9002.... 6 Enteral infusion ......... ......... ......... ......... ......... ..............
pump w/ ala.
[[Page 32436]]
B9004.... 6 Parenteral infus ......... ......... ......... ......... ......... ..............
pump portab.
B9006.... 6 Parenteral infus ......... ......... ......... ......... ......... ..............
pump statio.
B9998.... 6 Enteral supp not ......... ......... ......... ......... ......... ..............
otherwise c.
B9999.... 6 Parenteral supp not ......... ......... ......... ......... ......... ..............
othrws c.
D0120.... 9 Periodic oral ......... ......... ......... ......... ......... ..............
evaluation.
D0140.... 9 Limit oral eval ......... ......... ......... ......... ......... ..............
problm focus.
D0150.... 6 Comprehensve oral ......... ......... ......... ......... ......... ..............
evaluation.
D0160.... 9 Extensv oral eval ......... ......... ......... ......... ......... ..............
prob focus.
D0210.... 9 Intraor complete ......... ......... ......... ......... ......... ..............
film series.
D0220.... 9 Intraoral ......... ......... ......... ......... ......... ..............
periapical first f.
D0230.... 9 Intraoral ......... ......... ......... ......... ......... ..............
periapical ea add.
D0240.... 6 Intraoral occlusal ......... ......... ......... ......... ......... ..............
film.
D0250.... 6 Extraoral first ......... ......... ......... ......... ......... ..............
film.
D0260.... 6 Extraoral ea ......... ......... ......... ......... ......... ..............
additional film.
D0270.... 6 Dental bitewing ......... ......... ......... ......... ......... ..............
single film.
D0272.... 6 Dental bitewings ......... ......... ......... ......... ......... ..............
two films.
D0274.... 6 Dental bitewings ......... ......... ......... ......... ......... ..............
four films.
D0290.... 9 Dental film skull/ ......... ......... ......... ......... ......... ..............
facial bon.
D0310.... 9 Dental saliography. ......... ......... ......... ......... ......... ..............
D0320.... 9 Dental tmj ......... ......... ......... ......... ......... ..............
arthrogram incl i.
D0321.... 9 Dental other tmj ......... ......... ......... ......... ......... ..............
films.
D0322.... 9 Dental tomographic ......... ......... ......... ......... ......... ..............
survey.
D0330.... 9 Dental panoramic ......... ......... ......... ......... ......... ..............
film.
D0340.... 9 Dental ......... ......... ......... ......... ......... ..............
cephalometric film.
D0415.... 9 Bacteriologic study ......... ......... ......... ......... ......... ..............
D0425.... 9 Caries ......... ......... ......... ......... ......... ..............
susceptibility
test.
D0460.... 6 Pulp vitality test. ......... ......... ......... ......... ......... ..............
D0470.... 9 Diagnostic casts... ......... ......... ......... ......... ......... ..............
D0471.... 6 Diagnostic ......... ......... ......... ......... ......... ..............
photographs.
D0501.... 6 Histopathologic ......... ......... ......... ......... ......... ..............
examinations.
D0502.... 6 Other oral ......... ......... ......... ......... ......... ..............
pathology procedu.
D0999.... 6 Unspecified ......... ......... ......... ......... ......... ..............
diagnostic proce.
D1110.... 9 Dental prophylaxis ......... ......... ......... ......... ......... ..............
adult.
D1120.... 9 Dental prophylaxis ......... ......... ......... ......... ......... ..............
child.
D1201.... 9 Topical fluor w ......... ......... ......... ......... ......... ..............
prophy child.
D1203.... 9 Topical fluor w/o ......... ......... ......... ......... ......... ..............
prophy chi.
D1204.... 9 Topical fluor w/o ......... ......... ......... ......... ......... ..............
prophy adu.
D1205.... 9 Topical fluoride w/ ......... ......... ......... ......... ......... ..............
prophy a.
D1310.... 9 Nutri counsel- ......... ......... ......... ......... ......... ..............
control caries.
D1320.... 9 Tobacco counseling. ......... ......... ......... ......... ......... ..............
D1330.... 9 Oral hygiene ......... ......... ......... ......... ......... ..............
instruction.
D1351.... 9 Dental sealant per ......... ......... ......... ......... ......... ..............
tooth.
D1510.... 6 Space maintainer ......... ......... ......... ......... ......... ..............
fxd unilat.
D1515.... 6 Fixed bilat space ......... ......... ......... ......... ......... ..............
maintainer.
D1520.... 6 Remove unilat space ......... ......... ......... ......... ......... ..............
maintain.
D1525.... 6 Remove bilat space ......... ......... ......... ......... ......... ..............
maintain.
D1550.... 6 Recement space ......... ......... ......... ......... ......... ..............
maintainer.
D2110.... 9 Amalgam one surface ......... ......... ......... ......... ......... ..............
primary.
D2120.... 9 Amalgam two ......... ......... ......... ......... ......... ..............
surfaces primary.
D2130.... 9 Amalgam three ......... ......... ......... ......... ......... ..............
surfaces prima.
D2131.... 9 Amalgam four/more ......... ......... ......... ......... ......... ..............
surf prima.
D2140.... 9 Amalgam one surface ......... ......... ......... ......... ......... ..............
permanen.
D2150.... 9 Amalgam two ......... ......... ......... ......... ......... ..............
surfaces permane.
D2160.... 9 Amalgam three ......... ......... ......... ......... ......... ..............
surfaces perma.
D2161.... 9 Amalgam 4 or surfaces
perm.
D2210.... 9 Silcate cement per ......... ......... ......... ......... ......... ..............
restorat.
D2330.... 9 Resin one surface- ......... ......... ......... ......... ......... ..............
anterior.
D2331.... 9 Resin two surfaces- ......... ......... ......... ......... ......... ..............
anterior.
D2332.... 9 Resin three ......... ......... ......... ......... ......... ..............
surfaces-anterio.
D2335.... 9 Resin 4/ ......... ......... ......... ......... ......... ..............
surf or w incis an.
D2336.... 9 Composite resin ......... ......... ......... ......... ......... ..............
crown.
D2380.... 9 Resin one surf ......... ......... ......... ......... ......... ..............
poster primar.
D2381.... 9 Resin two surf ......... ......... ......... ......... ......... ..............
poster primar.
D2382.... 9 Resin three/more ......... ......... ......... ......... ......... ..............
surf post p.
D2385.... 9 Resin one surf ......... ......... ......... ......... ......... ..............
poster perman.
D2386.... 9 Resin two surf ......... ......... ......... ......... ......... ..............
poster perman.
D2387.... 9 Resin three/more ......... ......... ......... ......... ......... ..............
surf post p.
D2410.... 9 Dental gold foil ......... ......... ......... ......... ......... ..............
one surface.
D2420.... 9 Dental gold foil ......... ......... ......... ......... ......... ..............
two surface.
D2430.... 9 Dental gold foil ......... ......... ......... ......... ......... ..............
three surfa.
D2510.... 9 Dental inlay ......... ......... ......... ......... ......... ..............
metalic 1 surf.
D2520.... 9 Dental inlay ......... ......... ......... ......... ......... ..............
metallic 2 surf.
D2530.... 9 Dental inlay metl 3/ ......... ......... ......... ......... ......... ..............
more sur.
D2543.... 9 Dental onlay ......... ......... ......... ......... ......... ..............
metallic 3 surf.
[[Page 32437]]
D2544.... 9 Dental onlay metl 4/ ......... ......... ......... ......... ......... ..............
more sur.
D2610.... 9 Inlay porcelain/ ......... ......... ......... ......... ......... ..............
ceramic 1 su.
D2620.... 9 Inlay porcelain/ ......... ......... ......... ......... ......... ..............
ceramic 2 su.
D2630.... 9 Dental onlay porc 3/ ......... ......... ......... ......... ......... ..............
more sur.
D2642.... 9 Dental onlay ......... ......... ......... ......... ......... ..............
porcelin 2 surf.
D2643.... 9 Dental onlay ......... ......... ......... ......... ......... ..............
porcelin 3 surf.
D2644.... 9 Dental onlay porc 4/ ......... ......... ......... ......... ......... ..............
more sur.
D2650.... 9 Inlay composite/ ......... ......... ......... ......... ......... ..............
resin one su.
D2651.... 9 Inlay composite/ ......... ......... ......... ......... ......... ..............
resin two su.
D2652.... 9 Dental inlay resin ......... ......... ......... ......... ......... ..............
3/mre sur.
D2662.... 9 Dental onlay resin ......... ......... ......... ......... ......... ..............
2 surface.
D2663.... 9 Dental onlay resin ......... ......... ......... ......... ......... ..............
3 surface.
D2664.... 9 Dental onlay resin ......... ......... ......... ......... ......... ..............
4/mre sur.
D2710.... 9 Crown resin ......... ......... ......... ......... ......... ..............
laboratory.
D2720.... 9 Crown resin w/high ......... ......... ......... ......... ......... ..............
noble me.
D2721.... 9 Crown resin w/base ......... ......... ......... ......... ......... ..............
metal.
D2722.... 9 Crown resin w/noble ......... ......... ......... ......... ......... ..............
metal.
D2740.... 9 Crown porcelain/ ......... ......... ......... ......... ......... ..............
ceramic subs.
D2750.... 9 Crown porcelain w/h ......... ......... ......... ......... ......... ..............
noble m.
D2751.... 9 Crown porcelain ......... ......... ......... ......... ......... ..............
fused base m.
D2752.... 9 Crown porcelain w/ ......... ......... ......... ......... ......... ..............
noble met.
D2790.... 9 Crown full cast ......... ......... ......... ......... ......... ..............
high noble m.
D2791.... 9 Crown full cast ......... ......... ......... ......... ......... ..............
base metal.
D2792.... 9 Crown full cast ......... ......... ......... ......... ......... ..............
noble metal.
D2810.... 9 Crown \3/4\ cast ......... ......... ......... ......... ......... ..............
metallic.
D2910.... 9 Dental recement ......... ......... ......... ......... ......... ..............
inlay.
D2920.... 9 Dental recement ......... ......... ......... ......... ......... ..............
crown.
D2930.... 9 Prefab stnlss steel ......... ......... ......... ......... ......... ..............
crwn pri.
D2931.... 9 Prefab stnlss steel ......... ......... ......... ......... ......... ..............
crown pe.
D2932.... 9 Prefabricated resin ......... ......... ......... ......... ......... ..............
crown.
D2933.... 9 Prefab stainless ......... ......... ......... ......... ......... ..............
steel crown.
D2940.... 9 Dental sedative ......... ......... ......... ......... ......... ..............
filling.
D2950.... 9 Core build-up incl ......... ......... ......... ......... ......... ..............
any pins.
D2951.... 9 Tooth pin retention ......... ......... ......... ......... ......... ..............
D2952.... 9 Post and core cast ......... ......... ......... ......... ......... ..............
+ crown.
D2954.... 9 Prefab post/core + ......... ......... ......... ......... ......... ..............
crown.
D2955.... 9 Post removal....... ......... ......... ......... ......... ......... ..............
D2960.... 9 Laminate labial ......... ......... ......... ......... ......... ..............
veneer.
D2961.... 9 Lab labial veneer ......... ......... ......... ......... ......... ..............
resin.
D2962.... 9 Lab labial veneer ......... ......... ......... ......... ......... ..............
porcelain.
D2970.... 6 Temporary-fractured ......... ......... ......... ......... ......... ..............
tooth.
D2980.... 9 Crown repair....... ......... ......... ......... ......... ......... ..............
D2999.... 6 Dental unspec ......... ......... ......... ......... ......... ..............
restorative pr.
D3110.... 9 Pulp cap direct.... ......... ......... ......... ......... ......... ..............
D3120.... 9 Pulp cap indirect.. ......... ......... ......... ......... ......... ..............
D3220.... 9 Therapeutic ......... ......... ......... ......... ......... ..............
pulpotomy.
D3230.... 9 Pulpal therapy ......... ......... ......... ......... ......... ..............
anterior prim.
D3240.... 9 Pulpal therapy ......... ......... ......... ......... ......... ..............
posterior pri.
D3310.... 9 Anterior........... ......... ......... ......... ......... ......... ..............
D3320.... 9 Root canal therapy ......... ......... ......... ......... ......... ..............
2 canals.
D3330.... 9 Root canal therapy ......... ......... ......... ......... ......... ..............
3 canals.
D3346.... 9 Retreat root canal ......... ......... ......... ......... ......... ..............
anterior.
D3347.... 9 Retreat root canal ......... ......... ......... ......... ......... ..............
bicuspid.
D3348.... 9 Retreat root canal ......... ......... ......... ......... ......... ..............
molar.
D3351.... 9 Apexification/ ......... ......... ......... ......... ......... ..............
recalc initial.
D3352.... 9 Apexification/ ......... ......... ......... ......... ......... ..............
recalc interim.
D3353.... 9 Apexification/ ......... ......... ......... ......... ......... ..............
recalc final.
D3410.... 9 Apicoect/perirad ......... ......... ......... ......... ......... ..............
surg anter.
D3421.... 9 Root surgery ......... ......... ......... ......... ......... ..............
bicuspid.
D3425.... 9 Root surgery molar. ......... ......... ......... ......... ......... ..............
D3426.... 9 Root surgery ea add ......... ......... ......... ......... ......... ..............
root.
D3430.... 9 Retrograde filling. ......... ......... ......... ......... ......... ..............
D3450.... 9 Root amputation.... ......... ......... ......... ......... ......... ..............
D3460.... 6 Endodontic ......... ......... ......... ......... ......... ..............
endosseous implan.
D3470.... 9 Intentional ......... ......... ......... ......... ......... ..............
replantation.
D3910.... 9 Isolation-tooth w ......... ......... ......... ......... ......... ..............
rubb dam.
D3920.... 9 Tooth splitting.... ......... ......... ......... ......... ......... ..............
D3950.... 9 Canal prep/fitting ......... ......... ......... ......... ......... ..............
of dowel.
D3960.... 9 Bleaching of ......... ......... ......... ......... ......... ..............
discolored tooth.
D3999.... 6 Endodontic ......... ......... ......... ......... ......... ..............
procedure.
D4210.... 9 Gingivectomy/plasty ......... ......... ......... ......... ......... ..............
per quad.
D4211.... 9 Gingivectomy/plasty ......... ......... ......... ......... ......... ..............
per tooth.
D4220.... 9 Gingival curettage ......... ......... ......... ......... ......... ..............
per quadr.
D4240.... 9 Gingival flap proc ......... ......... ......... ......... ......... ..............
w/planin.
[[Page 32438]]
D4249.... 9 Crown lengthen hard ......... ......... ......... ......... ......... ..............
tissue.
D4250.... 6 Mucogingival surg ......... ......... ......... ......... ......... ..............
per quadra.
D4260.... 6 Osseous surgery per ......... ......... ......... ......... ......... ..............
quadrant.
D4263.... 6 Bone replce graft ......... ......... ......... ......... ......... ..............
first site.
D4264.... 6 Bone replce graft ......... ......... ......... ......... ......... ..............
each add.
D4266.... 9 Guided tiss regen ......... ......... ......... ......... ......... ..............
resorble.
D4267.... 9 Guided tiss regen ......... ......... ......... ......... ......... ..............
nonresorb.
D4270.... 6 Pedicle soft tissue ......... ......... ......... ......... ......... ..............
graft pr.
D4271.... 6 Free soft tissue ......... ......... ......... ......... ......... ..............
graft proc.
D4273.... 6 Subepithelial ......... ......... ......... ......... ......... ..............
tissue graft.
D4274.... 9 Distal/proximal ......... ......... ......... ......... ......... ..............
wedge proc.
D4320.... 9 Provision splnt ......... ......... ......... ......... ......... ..............
intracoronal.
D4321.... 9 Provisional splint ......... ......... ......... ......... ......... ..............
extracoro.
D4341.... 9 Periodontal scaling ......... ......... ......... ......... ......... ..............
& root.
D4355.... 6 Full mouth ......... ......... ......... ......... ......... ..............
debridement.
D4381.... 6 Localized chemo ......... ......... ......... ......... ......... ..............
delivery.
D4910.... 9 Periodontal maint ......... ......... ......... ......... ......... ..............
procedures.
D4920.... 9 Unscheduled ......... ......... ......... ......... ......... ..............
dressing change.
D4999.... 9 Unspecified ......... ......... ......... ......... ......... ..............
periodontal proc.
D5110.... 9 Dentures complete ......... ......... ......... ......... ......... ..............
maxillary.
D5120.... 9 Dentures complete ......... ......... ......... ......... ......... ..............
mandible.
D5130.... 9 Dentures immediat ......... ......... ......... ......... ......... ..............
maxillary.
D5140.... 9 Dentures immediat ......... ......... ......... ......... ......... ..............
mandible.
D5211.... 9 Dentures maxill ......... ......... ......... ......... ......... ..............
part resin.
D5212.... 9 Dentures mand part ......... ......... ......... ......... ......... ..............
resin.
D5213.... 9 Dentures maxill ......... ......... ......... ......... ......... ..............
part metal.
D5214.... 9 Dentures mandibl ......... ......... ......... ......... ......... ..............
part metal.
D5281.... 9 Removable partial ......... ......... ......... ......... ......... ..............
denture.
D5410.... 9 Dentures adjust ......... ......... ......... ......... ......... ..............
cmplt maxil.
D5411.... 9 Dentures adjust ......... ......... ......... ......... ......... ..............
cmplt mand.
D5421.... 9 Dentures adjust ......... ......... ......... ......... ......... ..............
part maxill.
D5422.... 9 Dentures adjust ......... ......... ......... ......... ......... ..............
part mandbl.
D5510.... 9 Dentur repr broken ......... ......... ......... ......... ......... ..............
compl bas.
D5520.... 9 Replace denture ......... ......... ......... ......... ......... ..............
teeth complt.
D5610.... 9 Dentures repair ......... ......... ......... ......... ......... ..............
resin base.
D5620.... 9 Rep part denture ......... ......... ......... ......... ......... ..............
cast frame.
D5630.... 9 Rep partial denture ......... ......... ......... ......... ......... ..............
clasp.
D5640.... 9 Replace part ......... ......... ......... ......... ......... ..............
denture teeth.
D5650.... 9 Add. tooth to ......... ......... ......... ......... ......... ..............
partial denture.
D5660.... 9 Add. clasp to ......... ......... ......... ......... ......... ..............
partial denture.
D5710.... 9 Dentures rebase ......... ......... ......... ......... ......... ..............
cmplt maxil.
D5711.... 9 Dentures rebase ......... ......... ......... ......... ......... ..............
cmplt mand.
D5720.... 9 Dentures rebase ......... ......... ......... ......... ......... ..............
part maxill.
D5721.... 9 Dentures rebase ......... ......... ......... ......... ......... ..............
part mandbl.
D5730.... 9 Denture reln cmplt ......... ......... ......... ......... ......... ..............
maxil ch.
D5731.... 9 Denture reln cmplt ......... ......... ......... ......... ......... ..............
mand chr.
D5740.... 9 Denture reln part ......... ......... ......... ......... ......... ..............
maxil chr.
D5741.... 9 Denture reln part ......... ......... ......... ......... ......... ..............
mand chr.
D5750.... 9 Denture reln cmplt ......... ......... ......... ......... ......... ..............
max lab.
D5751.... 9 Denture reln cmplt ......... ......... ......... ......... ......... ..............
mand lab.
D5760.... 9 Denture reln part ......... ......... ......... ......... ......... ..............
maxil lab.
D5761.... 9 Denture reln part ......... ......... ......... ......... ......... ..............
mand lab.
D5810.... 9 Denture interm ......... ......... ......... ......... ......... ..............
cmplt maxill.
D5811.... 9 Denture interm ......... ......... ......... ......... ......... ..............
cmplt mandbl.
D5820.... 9 Denture interm part ......... ......... ......... ......... ......... ..............
maxill.
D5821.... 9 Denture interm part ......... ......... ......... ......... ......... ..............
mandbl.
D5850.... 9 Denture tiss ......... ......... ......... ......... ......... ..............
conditn maxill.
D5851.... 9 Denture tiss ......... ......... ......... ......... ......... ..............
condtin mandbl.
D5860.... 9 Overdenture ......... ......... ......... ......... ......... ..............
complete.
D5861.... 9 Overdenture partial ......... ......... ......... ......... ......... ..............
D5862.... 9 Precision ......... ......... ......... ......... ......... ..............
attachment.
D5899.... 9 Removable ......... ......... ......... ......... ......... ..............
prosthodontic proc.
D5911.... 6 Facial moulage ......... ......... ......... ......... ......... ..............
sectional.
D5912.... 6 Facial moulage ......... ......... ......... ......... ......... ..............
complete.
D5913.... 9 Nasal prosthesis... ......... ......... ......... ......... ......... ..............
D5914.... 9 Auricular ......... ......... ......... ......... ......... ..............
prosthesis.
D5915.... 9 Orbital prosthesis. ......... ......... ......... ......... ......... ..............
D5916.... 9 Ocular prosthesis.. ......... ......... ......... ......... ......... ..............
D5919.... 9 Facial prosthesis.. ......... ......... ......... ......... ......... ..............
D5922.... 9 Nasal septal ......... ......... ......... ......... ......... ..............
prosthesis.
D5923.... 9 Ocular prosthesis ......... ......... ......... ......... ......... ..............
interim.
D5924.... 9 Cranial prosthesis. ......... ......... ......... ......... ......... ..............
D5925.... 9 Facial augmentation ......... ......... ......... ......... ......... ..............
implant.
D5926.... 9 Replacement nasal ......... ......... ......... ......... ......... ..............
prosthesis.
[[Page 32439]]
D5927.... 9 Auricular ......... ......... ......... ......... ......... ..............
replacement.
D5928.... 9 Orbital replacement ......... ......... ......... ......... ......... ..............
D5929.... 9 Facial replacement. ......... ......... ......... ......... ......... ..............
D5931.... 9 Surgical obturator. ......... ......... ......... ......... ......... ..............
D5932.... 9 Postsurgical ......... ......... ......... ......... ......... ..............
obturator.
D5933.... 9 Refitting of ......... ......... ......... ......... ......... ..............
obturator.
D5934.... 9 Mandibular flange ......... ......... ......... ......... ......... ..............
prosthesis.
D5935.... 9 Mandibular denture ......... ......... ......... ......... ......... ..............
prosth.
D5936.... 9 Temp obturator ......... ......... ......... ......... ......... ..............
prosthesis.
D5937.... 9 Trismus appliance.. ......... ......... ......... ......... ......... ..............
D5951.... 6 Feeding aid........ ......... ......... ......... ......... ......... ..............
D5952.... 9 Pediatric speech ......... ......... ......... ......... ......... ..............
aid.
D5953.... 9 Adult speech aid... ......... ......... ......... ......... ......... ..............
D5954.... 9 Superimposed ......... ......... ......... ......... ......... ..............
prosthesis.
D5955.... 9 Palatal lift ......... ......... ......... ......... ......... ..............
prosthesis.
D5958.... 9 Intraoral con def ......... ......... ......... ......... ......... ..............
inter plt.
D5959.... 9 Intraoral con def ......... ......... ......... ......... ......... ..............
mod palat.
D5960.... 9 Modify speech aid ......... ......... ......... ......... ......... ..............
prosthesis.
D5982.... 9 Surgical stent..... ......... ......... ......... ......... ......... ..............
D5983.... 6 Radiation ......... ......... ......... ......... ......... ..............
applicator.
D5984.... 6 Radiation shield... ......... ......... ......... ......... ......... ..............
D5985.... 6 Radiation cone ......... ......... ......... ......... ......... ..............
locator.
D5986.... 9 Fluoride applicator ......... ......... ......... ......... ......... ..............
D5987.... 6 Commissure splint.. ......... ......... ......... ......... ......... ..............
D5988.... 9 Surgical splint.... ......... ......... ......... ......... ......... ..............
D5999.... 9 Maxillofacial ......... ......... ......... ......... ......... ..............
prosthesis.
D6010.... 9 Odontics endosteal ......... ......... ......... ......... ......... ..............
implant.
D6020.... 9 Odontics abutment ......... ......... ......... ......... ......... ..............
placement.
D6040.... 9 Odontics eposteal ......... ......... ......... ......... ......... ..............
implant.
D6050.... 9 Odontics ......... ......... ......... ......... ......... ..............
transosteal implnt.
D6055.... 9 Implant connecting ......... ......... ......... ......... ......... ..............
bar.
D6080.... 9 Implant maintenance ......... ......... ......... ......... ......... ..............
D6090.... 9 Repair implant..... ......... ......... ......... ......... ......... ..............
D6095.... 9 Odontics repr ......... ......... ......... ......... ......... ..............
abutment.
D6100.... 9 Removal of implant. ......... ......... ......... ......... ......... ..............
D6199.... 9 Implant procedure.. ......... ......... ......... ......... ......... ..............
D6210.... 9 Prosthodont high ......... ......... ......... ......... ......... ..............
noble metal.
D6211.... 9 Bridge base metal ......... ......... ......... ......... ......... ..............
cast.
D6212.... 9 Bridge noble metal ......... ......... ......... ......... ......... ..............
cast.
D6240.... 9 Bridge porcelain ......... ......... ......... ......... ......... ..............
high noble.
D6241.... 9 Bridge porcelain ......... ......... ......... ......... ......... ..............
base metal.
D6242.... 9 Bridge porcelain ......... ......... ......... ......... ......... ..............
nobel metal.
D6250.... 9 Bridge resin w/high ......... ......... ......... ......... ......... ..............
noble.
D6251.... 9 Bridge resin base ......... ......... ......... ......... ......... ..............
metal.
D6252.... 9 Bridge resin w/ ......... ......... ......... ......... ......... ..............
noble metal.
D6520.... 9 Dental retainer two ......... ......... ......... ......... ......... ..............
surfaces.
D6530.... 9 Retainer metallic ......... ......... ......... ......... ......... ..............
3+ surface.
D6543.... 9 Dental retainr ......... ......... ......... ......... ......... ..............
onlay 3 surf.
D6544.... 9 Dental retainr ......... ......... ......... ......... ......... ..............
onlay 4/more.
D6545.... 9 Dental retainr cast ......... ......... ......... ......... ......... ..............
metl.
D6720.... 9 Retain crown resin ......... ......... ......... ......... ......... ..............
w hi nble.
D6721.... 9 Crown resin w/base ......... ......... ......... ......... ......... ..............
metal.
D6722.... 9 Crown resin w/noble ......... ......... ......... ......... ......... ..............
metal.
D6750.... 9 Crown porcelain ......... ......... ......... ......... ......... ..............
high noble.
D6751.... 9 Crown porcelain ......... ......... ......... ......... ......... ..............
base metal.
D6752.... 9 Crown porcelain ......... ......... ......... ......... ......... ..............
noble metal.
D6780.... 9 Crown \3/4\ high ......... ......... ......... ......... ......... ..............
noble metal.
D6790.... 9 Crown full high ......... ......... ......... ......... ......... ..............
noble metal.
D6791.... 9 Crown full base ......... ......... ......... ......... ......... ..............
metal cast.
D6792.... 9 Crown full noble ......... ......... ......... ......... ......... ..............
metal cast.
D6920.... 6 Dental connector ......... ......... ......... ......... ......... ..............
bar.
D6930.... 9 Dental recement ......... ......... ......... ......... ......... ..............
bridge.
D6940.... 9 Stress breaker..... ......... ......... ......... ......... ......... ..............
D6950.... 9 Precision ......... ......... ......... ......... ......... ..............
attachment.
D6970.... 9 Post & core plus ......... ......... ......... ......... ......... ..............
retainer.
D6971.... 9 Cast post bridge ......... ......... ......... ......... ......... ..............
retainer.
D6972.... 9 Prefab post & core ......... ......... ......... ......... ......... ..............
plus reta.
D6973.... 9 Core build up for ......... ......... ......... ......... ......... ..............
retainer.
D6975.... 9 Coping metal....... ......... ......... ......... ......... ......... ..............
D6980.... 9 Bridge repair...... ......... ......... ......... ......... ......... ..............
D6999.... 9 Fixed prosthodontic ......... ......... ......... ......... ......... ..............
proc.
D7110.... 6 Oral surgery single ......... ......... ......... ......... ......... ..............
tooth.
D7120.... 6 Each add tooth ......... ......... ......... ......... ......... ..............
extraction.
D7130.... 6 Tooth root removal. ......... ......... ......... ......... ......... ..............
[[Page 32440]]
D7210.... 6 Rem imp tooth w ......... ......... ......... ......... ......... ..............
mucoper flp.
D7220.... 6 Impact tooth remov ......... ......... ......... ......... ......... ..............
soft tiss.
D7230.... 6 Impact tooth remov ......... ......... ......... ......... ......... ..............
part bony.
D7240.... 6 Impact tooth remov ......... ......... ......... ......... ......... ..............
comp bony.
D7241.... 6 Impact tooth rem ......... ......... ......... ......... ......... ..............
bony w/comp.
D7250.... 6 Tooth root removal. ......... ......... ......... ......... ......... ..............
D7260.... 6 Oral antral fistula ......... ......... ......... ......... ......... ..............
closure.
D7270.... 9 Tooth ......... ......... ......... ......... ......... ..............
reimplantation.
D7272.... 9 Tooth ......... ......... ......... ......... ......... ..............
transplantation.
D7280.... 9 Exposure impact ......... ......... ......... ......... ......... ..............
tooth orthod.
D7281.... 9 Exposure tooth aid ......... ......... ......... ......... ......... ..............
eruption.
D7285.... 9 Biopsy of oral ......... ......... ......... ......... ......... ..............
tissue hard.
D7286.... 9 Biopsy of oral ......... ......... ......... ......... ......... ..............
tissue soft.
D7290.... 9 Repositioning of ......... ......... ......... ......... ......... ..............
teeth.
D7291.... 6 Transseptal ......... ......... ......... ......... ......... ..............
fiberotomy.
D7310.... 9 Alveoplasty w/ ......... ......... ......... ......... ......... ..............
extraction.
D7320.... 9 Alveoplasty w/o ......... ......... ......... ......... ......... ..............
extraction.
D7340.... 9 Vestibuloplasty ......... ......... ......... ......... ......... ..............
ridge extens.
D7350.... 9 Vestibuloplasty ......... ......... ......... ......... ......... ..............
exten graft.
D7410.... 9 Rad exc lesion up ......... ......... ......... ......... ......... ..............
to 1.25 cm.
D7420.... 9 Lesion > 1.25 cm... ......... ......... ......... ......... ......... ..............
D7430.... 9 Exc benign tumor to ......... ......... ......... ......... ......... ..............
1.25 cm.
D7431.... 9 Benign tumor exc > ......... ......... ......... ......... ......... ..............
1.25 cm.
D7440.... 9 Malig tumor exc to ......... ......... ......... ......... ......... ..............
1.25 cm.
D7441.... 9 Malig tumor > 1.25 ......... ......... ......... ......... ......... ..............
cm.
D7450.... 9 Rem odontogen cyst ......... ......... ......... ......... ......... ..............
to 1.25cm.
D7451.... 9 Rem odontogen cyst ......... ......... ......... ......... ......... ..............
> 1.25 cm.
D7460.... 9 Rem nonodonto cyst ......... ......... ......... ......... ......... ..............
to 1.25cm.
D7461.... 9 Rem nonodonto cyst ......... ......... ......... ......... ......... ..............
> 1.25 cm.
D7465.... 9 Lesion destruction. ......... ......... ......... ......... ......... ..............
D7470.... 9 Rem exostosis ......... ......... ......... ......... ......... ..............
maxilla/mandib.
D7480.... 9 Partial ostectomy.. ......... ......... ......... ......... ......... ..............
D7490.... 9 Mandible resection. ......... ......... ......... ......... ......... ..............
D7510.... 9 I&d absc intraoral ......... ......... ......... ......... ......... ..............
soft tiss.
D7520.... 9 I&d abscess ......... ......... ......... ......... ......... ..............
extraoral.
D7530.... 9 Removal fb skin/ ......... ......... ......... ......... ......... ..............
areolar tiss.
D7540.... 9 Removal of fb ......... ......... ......... ......... ......... ..............
reaction.
D7550.... 9 Removal of sloughed ......... ......... ......... ......... ......... ..............
off bone.
D7560.... 9 Maxillary ......... ......... ......... ......... ......... ..............
sinusotomy.
D7610.... 9 Maxilla open reduct ......... ......... ......... ......... ......... ..............
simple.
D7620.... 9 Clsd reduct simpl ......... ......... ......... ......... ......... ..............
maxilla fx.
D7630.... 9 Open red simpl ......... ......... ......... ......... ......... ..............
mandible fx.
D7640.... 9 Clsd red simpl ......... ......... ......... ......... ......... ..............
mandible fx.
D7650.... 9 Open red simp malar/ ......... ......... ......... ......... ......... ..............
zygom fx.
D7660.... 9 Clsd red simp malar/ ......... ......... ......... ......... ......... ..............
zygom fx.
D7670.... 9 Open red simple ......... ......... ......... ......... ......... ..............
alveolus fx.
D7680.... 9 Reduct simple ......... ......... ......... ......... ......... ..............
facial bone fx.
D7710.... 9 Maxilla open reduct ......... ......... ......... ......... ......... ..............
compound.
D7720.... 9 Clsd reduct compd ......... ......... ......... ......... ......... ..............
maxilla fx.
D7730.... 9 Open reduct compd ......... ......... ......... ......... ......... ..............
mandble fx.
D7740.... 9 Clsd reduct compd ......... ......... ......... ......... ......... ..............
mandble fx.
D7750.... 9 Open red comp malar/ ......... ......... ......... ......... ......... ..............
zygma fx.
D7760.... 9 Clsd red comp malar/ ......... ......... ......... ......... ......... ..............
zygma fx.
D7770.... 9 Open reduc compd ......... ......... ......... ......... ......... ..............
alveolus fx.
D7780.... 9 Reduct compnd ......... ......... ......... ......... ......... ..............
facial bone fx.
D7810.... 9 Tmj open reduct- ......... ......... ......... ......... ......... ..............
dislocation.
D7820.... 9 Closed tmp ......... ......... ......... ......... ......... ..............
manipulation.
D7830.... 9 Tmj manipulation ......... ......... ......... ......... ......... ..............
under anest.
D7840.... 9 Removal of tmj ......... ......... ......... ......... ......... ..............
condyle.
D7850.... 9 Tmj meniscectomy... ......... ......... ......... ......... ......... ..............
D7852.... 9 Tmj repair of joint ......... ......... ......... ......... ......... ..............
disc.
D7854.... 9 Tmj excisn of joint ......... ......... ......... ......... ......... ..............
membrane.
D7856.... 9 Tmj cutting of a ......... ......... ......... ......... ......... ..............
muscle.
D7858.... 9 Tmj reconstruction. ......... ......... ......... ......... ......... ..............
D7860.... 9 Tmj cutting into ......... ......... ......... ......... ......... ..............
joint.
D7865.... 9 Tmj reshaping ......... ......... ......... ......... ......... ..............
components.
D7870.... 9 Tmj aspiration ......... ......... ......... ......... ......... ..............
joint fluid.
D7872.... 9 Tmj diagnostic ......... ......... ......... ......... ......... ..............
arthroscopy.
D7873.... 9 Tmj arthroscopy ......... ......... ......... ......... ......... ..............
lysis adhesn.
D7874.... 9 Tmj arthroscopy ......... ......... ......... ......... ......... ..............
disc reposit.
D7875.... 9 Tmj arthroscopy ......... ......... ......... ......... ......... ..............
synovectomy.
D7876.... 9 Tmj arthroscopy ......... ......... ......... ......... ......... ..............
discectomy.
D7877.... 9 Tmj arthroscopy ......... ......... ......... ......... ......... ..............
debridement.
D7880.... 9 Occlusal orthotic ......... ......... ......... ......... ......... ..............
appliance.
[[Page 32441]]
D7899.... 9 Tmj unspecified ......... ......... ......... ......... ......... ..............
therapy.
D7910.... 9 Dent sutur recent ......... ......... ......... ......... ......... ..............
wnd to 5cm.
D7911.... 9 Dental suture wound ......... ......... ......... ......... ......... ..............
to 5 cm.
D7912.... 9 Suture complicate ......... ......... ......... ......... ......... ..............
wnd > 5 cm.
D7920.... 9 Dental skin graft.. ......... ......... ......... ......... ......... ..............
D7940.... 6 Reshaping bone ......... ......... ......... ......... ......... ..............
orthognathic.
D7941.... 9 Bone cutting ramus ......... ......... ......... ......... ......... ..............
closed.
D7942.... 9 Bone cutting ramus ......... ......... ......... ......... ......... ..............
open.
D7943.... 9 Cutting ramus open ......... ......... ......... ......... ......... ..............
w/graft.
D7944.... 9 Bone cutting ......... ......... ......... ......... ......... ..............
segmented.
D7945.... 9 Bone cutting body ......... ......... ......... ......... ......... ..............
mandible.
D7946.... 9 Reconstruction ......... ......... ......... ......... ......... ..............
maxilla total.
D7947.... 9 Reconstruct maxilla ......... ......... ......... ......... ......... ..............
segment.
D7948.... 9 Reconstruct midface ......... ......... ......... ......... ......... ..............
no graft.
D7949.... 9 Reconstruct midface ......... ......... ......... ......... ......... ..............
w/graft.
D7950.... 9 Mandible graft..... ......... ......... ......... ......... ......... ..............
D7955.... 9 Repair ......... ......... ......... ......... ......... ..............
maxillofacial
defects.
D7960.... 9 Frenulectomy/ ......... ......... ......... ......... ......... ..............
frenulotomy.
D7970.... 9 Excision ......... ......... ......... ......... ......... ..............
hyperplastic
tissue.
D7971.... 9 Excision ......... ......... ......... ......... ......... ..............
pericoronal
gingiva.
D7980.... 9 Sialolithotomy..... ......... ......... ......... ......... ......... ..............
D7981.... 9 Excision of ......... ......... ......... ......... ......... ..............
salivary gland.
D7982.... 9 Sialodochoplasty... ......... ......... ......... ......... ......... ..............
D7983.... 9 Closure of salivary ......... ......... ......... ......... ......... ..............
fistula.
D7990.... 9 Emergency ......... ......... ......... ......... ......... ..............
tracheotomy.
D7991.... 9 Dental ......... ......... ......... ......... ......... ..............
coronoidectomy.
D7995.... 9 Synthetic graft ......... ......... ......... ......... ......... ..............
facial bones.
D7996.... 9 Implant mandible ......... ......... ......... ......... ......... ..............
for augment.
D7999.... 9 Oral surgery ......... ......... ......... ......... ......... ..............
procedure.
D8010.... 9 Limited dental tx ......... ......... ......... ......... ......... ..............
primary.
D8020.... 9 Limited dental tx ......... ......... ......... ......... ......... ..............
transition.
D8030.... 9 Limited dental tx ......... ......... ......... ......... ......... ..............
adolescent.
D8040.... 9 Limited dental tx ......... ......... ......... ......... ......... ..............
adult.
D8050.... 9 Intercep dental tx ......... ......... ......... ......... ......... ..............
primary.
D8060.... 9 Intercep dental tx ......... ......... ......... ......... ......... ..............
transitn.
D8070.... 9 Compre dental tx ......... ......... ......... ......... ......... ..............
transition.
D8080.... 9 Compre dental tx ......... ......... ......... ......... ......... ..............
adolescent.
D8090.... 9 Compre dental tx ......... ......... ......... ......... ......... ..............
adult.
D8210.... 9 Orthodontic rem ......... ......... ......... ......... ......... ..............
appliance tx.
D8220.... 9 Fixed appliance ......... ......... ......... ......... ......... ..............
therapy habt.
D8660.... 9 Preorthodontic tx ......... ......... ......... ......... ......... ..............
visit.
D8670.... 9 Periodic orthodontc ......... ......... ......... ......... ......... ..............
tx visit.
D8680.... 9 Orthodontic ......... ......... ......... ......... ......... ..............
retention.
D8690.... 9 Orthodontic ......... ......... ......... ......... ......... ..............
treatment.
D8999.... 9 Orthodontic ......... ......... ......... ......... ......... ..............
procedure.
D9110.... 6 Tx dental pain ......... ......... ......... ......... ......... ..............
minor proc.
D9210.... 9 Dent anesthesia w/o ......... ......... ......... ......... ......... ..............
surgery.
D9211.... 9 Regional block ......... ......... ......... ......... ......... ..............
anesthesia.
D9212.... 9 Trigeminal block ......... ......... ......... ......... ......... ..............
anesthesia.
D9215.... 9 Local anesthesia... ......... ......... ......... ......... ......... ..............
D9220.... 9 General anesthesia. ......... ......... ......... ......... ......... ..............
D9221.... 9 General anesthesia ......... ......... ......... ......... ......... ..............
ea ad 15m.
D9230.... 6 Analgesia.......... ......... ......... ......... ......... ......... ..............
D9240.... 9 Intravenous ......... ......... ......... ......... ......... ..............
sedation.
D9310.... 9 Dental consultation ......... ......... ......... ......... ......... ..............
D9410.... 9 Dental house call.. ......... ......... ......... ......... ......... ..............
D9420.... 9 Hospital call...... ......... ......... ......... ......... ......... ..............
D9430.... 9 Office visit during ......... ......... ......... ......... ......... ..............
hours.
D9440.... 9 Office visit after ......... ......... ......... ......... ......... ..............
hours.
D9610.... 9 Dent therapeutic ......... ......... ......... ......... ......... ..............
drug inject.
D9630.... 6 Other drugs/ ......... ......... ......... ......... ......... ..............
medicaments.
D9910.... 9 Dent appl ......... ......... ......... ......... ......... ..............
desensitizing med.
D9920.... 9 Behavior management ......... ......... ......... ......... ......... ..............
D9930.... 6 Treatment of ......... ......... ......... ......... ......... ..............
complications.
D9940.... 6 Dental occlusal ......... ......... ......... ......... ......... ..............
guard.
D9941.... 9 Fabrication ......... ......... ......... ......... ......... ..............
athletic guard.
D9950.... 6 Occlusion analysis. ......... ......... ......... ......... ......... ..............
D9951.... 6 Limited occlusal ......... ......... ......... ......... ......... ..............
adjustment.
D9952.... 6 Complete occlusal ......... ......... ......... ......... ......... ..............
adjustment.
D9970.... 9 Enamel ......... ......... ......... ......... ......... ..............
microabrasion.
D9999.... 9 Adjunctive ......... ......... ......... ......... ......... ..............
procedure.
E0100.... 6 Cane adjust/fixed ......... ......... ......... ......... ......... ..............
with tip.
E0105.... 6 Cane adjust/fixed ......... ......... ......... ......... ......... ..............
quad/3 pro.
E0110.... 6 Crutch forearm pair ......... ......... ......... ......... ......... ..............
[[Page 32442]]
E0111.... 6 Crutch forearm each ......... ......... ......... ......... ......... ..............
E0112.... 6 Crutch underarm ......... ......... ......... ......... ......... ..............
pair wood.
E0113.... 6 Crutch underarm ......... ......... ......... ......... ......... ..............
each wood.
E0114.... 6 Crutch underarm ......... ......... ......... ......... ......... ..............
pair no wood.
E0116.... 6 Crutch underarm ......... ......... ......... ......... ......... ..............
each no wood.
E0130.... 6 Walker rigid adjust/ ......... ......... ......... ......... ......... ..............
fixed ht.
E0135.... 6 Walker folding ......... ......... ......... ......... ......... ..............
adjust/fixed.
E0141.... 6 Rigid walker ......... ......... ......... ......... ......... ..............
wheeled wo seat.
E0142.... 6 Walker rigid ......... ......... ......... ......... ......... ..............
wheeled with se.
E0143.... 6 Walker folding ......... ......... ......... ......... ......... ..............
wheeled w/o s.
E0145.... 6 Walker whled seat/ ......... ......... ......... ......... ......... ..............
crutch att.
E0146.... 6 Folding walker ......... ......... ......... ......... ......... ..............
wheels w seat.
E0147.... 6 Walker variable ......... ......... ......... ......... ......... ..............
wheel resist.
E0153.... 6 Forearm crutch ......... ......... ......... ......... ......... ..............
platform atta.
E0154.... 6 Walker platform ......... ......... ......... ......... ......... ..............
attachment.
E0155.... 6 Walker rigd pick-up/ ......... ......... ......... ......... ......... ..............
wheel at.
E0156.... 6 Walker seat ......... ......... ......... ......... ......... ..............
attachment.
E0157.... 6 Walker crutch ......... ......... ......... ......... ......... ..............
attachment.
E0158.... 6 Walker leg ......... ......... ......... ......... ......... ..............
extensions.
E0159.... 6 Brake for wheeled ......... ......... ......... ......... ......... ..............
walker.
E0160.... 6 Sitz type bath or ......... ......... ......... ......... ......... ..............
equipment.
E0161.... 6 Sitz bath/equipment ......... ......... ......... ......... ......... ..............
w/faucet.
E0162.... 6 Sitz bath chair.... ......... ......... ......... ......... ......... ..............
E0163.... 6 Commode chair ......... ......... ......... ......... ......... ..............
stationry fxd.
E0164.... 6 Commode chair ......... ......... ......... ......... ......... ..............
mobile fixed a.
E0165.... 6 Commode chair ......... ......... ......... ......... ......... ..............
stationry det.
E0166.... 6 Commode chair ......... ......... ......... ......... ......... ..............
mobile detach.
E0167.... 6 Commode chair pail ......... ......... ......... ......... ......... ..............
or pan.
E0175.... 6 Commode chair foot ......... ......... ......... ......... ......... ..............
rest.
E0176.... 6 Air pressre pad/ ......... ......... ......... ......... ......... ..............
cushion nonp.
E0177.... 6 Water press pad/ ......... ......... ......... ......... ......... ..............
cushion nonp.
E0178.... 6 Gel pressre pad/ ......... ......... ......... ......... ......... ..............
cushion nonp.
E0179.... 6 Dry pressre pad/ ......... ......... ......... ......... ......... ..............
cushion nonp.
E0180.... 6 Press pad ......... ......... ......... ......... ......... ..............
alternating w pump.
E0181.... 6 Press pad ......... ......... ......... ......... ......... ..............
alternating w/ pum.
E0182.... 6 Pressure pad ......... ......... ......... ......... ......... ..............
alternating pum.
E0184.... 6 Dry pressure ......... ......... ......... ......... ......... ..............
mattress.
E0185.... 6 Gel pressure ......... ......... ......... ......... ......... ..............
mattress pad.
E0186.... 6 Air pressure ......... ......... ......... ......... ......... ..............
mattress.
E0187.... 6 Water pressure ......... ......... ......... ......... ......... ..............
mattress.
E0188.... 6 Synthetic sheepskin ......... ......... ......... ......... ......... ..............
pad.
E0189.... 6 Lambswool sheepskin ......... ......... ......... ......... ......... ..............
pad.
E0191.... 6 Protector heel or ......... ......... ......... ......... ......... ..............
elbow.
E0192.... 6 Pad wheelchr low ......... ......... ......... ......... ......... ..............
press/posit.
E0193.... 6 Powered air ......... ......... ......... ......... ......... ..............
flotation bed.
E0194.... 6 Air fluidized bed.. ......... ......... ......... ......... ......... ..............
E0196.... 6 Gel pressure ......... ......... ......... ......... ......... ..............
mattress.
E0197.... 6 Air pressure pad ......... ......... ......... ......... ......... ..............
for mattres.
E0198.... 6 Water pressure pad ......... ......... ......... ......... ......... ..............
for mattr.
E0199.... 6 Dry pressure pad ......... ......... ......... ......... ......... ..............
for mattres.
E0200.... 6 Heat lamp without ......... ......... ......... ......... ......... ..............
stand.
E0202.... 6 Phototherapy light ......... ......... ......... ......... ......... ..............
w/ photom.
E0205.... 6 Heat lamp with ......... ......... ......... ......... ......... ..............
stand.
E0210.... 6 Electric heat pad ......... ......... ......... ......... ......... ..............
standard.
E0215.... 6 Electric heat pad ......... ......... ......... ......... ......... ..............
moist.
E0217.... 6 Water circ heat pad ......... ......... ......... ......... ......... ..............
w pump.
E0218.... 6 Water circ cold pad ......... ......... ......... ......... ......... ..............
w pump.
E0220.... 6 Hot water bottle... ......... ......... ......... ......... ......... ..............
E0225.... 6 Hydrocollator unit. ......... ......... ......... ......... ......... ..............
E0230.... 6 Ice cap or collar.. ......... ......... ......... ......... ......... ..............
E0235.... 6 Paraffin bath unit ......... ......... ......... ......... ......... ..............
portable.
E0236.... 6 Pump for water ......... ......... ......... ......... ......... ..............
circulating p.
E0238.... 6 Heat pad non- ......... ......... ......... ......... ......... ..............
electric moist.
E0239.... 6 Hydrocollator unit ......... ......... ......... ......... ......... ..............
portable.
E0241.... 6 Bath tub wall rail. ......... ......... ......... ......... ......... ..............
E0242.... 6 Bath tub rail floor ......... ......... ......... ......... ......... ..............
E0243.... 6 Toilet rail........ ......... ......... ......... ......... ......... ..............
E0244.... 6 Toilet seat raised. ......... ......... ......... ......... ......... ..............
E0245.... 6 Tub stool or bench. ......... ......... ......... ......... ......... ..............
E0246.... 6 Transfer tub rail ......... ......... ......... ......... ......... ..............
attachment.
E0249.... 6 Pad water ......... ......... ......... ......... ......... ..............
circulating heat u.
E0250.... 6 Hosp bed fixed ht w/ ......... ......... ......... ......... ......... ..............
mattres.
E0251.... 6 Hosp bed fixd ht w/ ......... ......... ......... ......... ......... ..............
o mattres.
E0255.... 6 Hospital bed var ht ......... ......... ......... ......... ......... ..............
w/ mattr.
[[Page 32443]]
E0256.... 6 Hospital bed var ht ......... ......... ......... ......... ......... ..............
w/o matt.
E0260.... 6 Hosp bed semi- ......... ......... ......... ......... ......... ..............
electr w/ matt.
E0261.... 6 Hosp bed semi- ......... ......... ......... ......... ......... ..............
electr w/o mat.
E0265.... 6 Hosp bed total ......... ......... ......... ......... ......... ..............
electr w/ mat.
E0266.... 6 Hosp bed total elec ......... ......... ......... ......... ......... ..............
w/o matt.
E0270.... 6 Hospital bed ......... ......... ......... ......... ......... ..............
institutional t.
E0271.... 6 Mattress ......... ......... ......... ......... ......... ..............
innerspring.
E0272.... 6 Mattress foam ......... ......... ......... ......... ......... ..............
rubber.
E0273.... 6 Bed board.......... ......... ......... ......... ......... ......... ..............
E0274.... 6 Over-bed table..... ......... ......... ......... ......... ......... ..............
E0275.... 6 Bed pan standard... ......... ......... ......... ......... ......... ..............
E0276.... 6 Bed pan fracture... ......... ......... ......... ......... ......... ..............
E0277.... 6 Powered pres-redu ......... ......... ......... ......... ......... ..............
air mattrs.
E0280.... 6 Bed cradle......... ......... ......... ......... ......... ......... ..............
E0290.... 6 Hosp bed fx ht w/o ......... ......... ......... ......... ......... ..............
rails w/m.
E0291.... 6 Hosp bed fx ht w/o ......... ......... ......... ......... ......... ..............
rail w/o.
E0292.... 6 Hosp bed var ht w/o ......... ......... ......... ......... ......... ..............
rail w/o.
E0293.... 6 Hosp bed var ht w/o ......... ......... ......... ......... ......... ..............
rail w/.
E0294.... 6 Hosp bed semi-elect ......... ......... ......... ......... ......... ..............
w/ mattr.
E0295.... 6 Hosp bed semi-elect ......... ......... ......... ......... ......... ..............
w/o matt.
E0296.... 6 Hosp bed total ......... ......... ......... ......... ......... ..............
elect w/ matt.
E0297.... 6 Hosp bed total ......... ......... ......... ......... ......... ..............
elect w/o mat.
E0305.... 6 Rails bed side half ......... ......... ......... ......... ......... ..............
length.
E0310.... 6 Rails bed side full ......... ......... ......... ......... ......... ..............
length.
E0315.... 6 Bed accessory brd/ ......... ......... ......... ......... ......... ..............
tbl/supprt.
E0325.... 6 Urinal male jug- ......... ......... ......... ......... ......... ..............
type.
E0326.... 6 Urinal female jug- ......... ......... ......... ......... ......... ..............
type.
E0350.... 6 Control unit bowel ......... ......... ......... ......... ......... ..............
system.
E0352.... 6 Disposable pack w/ ......... ......... ......... ......... ......... ..............
bowel syst.
E0370.... 6 Air elevator for ......... ......... ......... ......... ......... ..............
heel.
E0371.... 6 Nonpower mattress ......... ......... ......... ......... ......... ..............
overlay.
E0372.... 6 Powered air ......... ......... ......... ......... ......... ..............
mattress overlay.
E0373.... 6 Nonpowered pressure ......... ......... ......... ......... ......... ..............
mattress.
E0424.... 6 Stationary ......... ......... ......... ......... ......... ..............
compressed gas 02.
E0425.... 6 Gas system ......... ......... ......... ......... ......... ..............
stationary compre.
E0430.... 6 Oxygen system gas ......... ......... ......... ......... ......... ..............
portable.
E0431.... 6 Portable gaseous 02 ......... ......... ......... ......... ......... ..............
E0434.... 6 Portable liquid 02. ......... ......... ......... ......... ......... ..............
E0435.... 6 Oxygen system ......... ......... ......... ......... ......... ..............
liquid portabl.
E0439.... 6 Stationary liquid ......... ......... ......... ......... ......... ..............
02.
E0440.... 6 Oxygen system ......... ......... ......... ......... ......... ..............
liquid station.
E0441.... 6 Oxygen contents gas ......... ......... ......... ......... ......... ..............
per/unit.
E0442.... 6 Oxygen contents liq ......... ......... ......... ......... ......... ..............
per/unit.
E0443.... 6 Port 02 contents ......... ......... ......... ......... ......... ..............
gas/unit.
E0444.... 6 Port 02 contents ......... ......... ......... ......... ......... ..............
liq/unit.
E0450.... 6 Volume vent ......... ......... ......... ......... ......... ..............
stationary/porta.
E0452.... 6 Intermit assis ......... ......... ......... ......... ......... ..............
device w cpap.
E0453.... 6 Ventilator 12 hrs/ ......... ......... ......... ......... ......... ..............
less per d.
E0455.... 6 Oxygen tent excl ......... ......... ......... ......... ......... ..............
croup/ped t.
E0457.... 6 Chest shell........ ......... ......... ......... ......... ......... ..............
E0459.... 6 Chest wrap......... ......... ......... ......... ......... ......... ..............
E0460.... 6 Neg press vent ......... ......... ......... ......... ......... ..............
portabl/statn.
E0462.... 6 Rocking bed w/ or w/ ......... ......... ......... ......... ......... ..............
o side r.
E0480.... 6 Percussor elect/ ......... ......... ......... ......... ......... ..............
pneum home m.
E0500.... 6 Ippb all types..... ......... ......... ......... ......... ......... ..............
E0550.... 6 Humidif extens ......... ......... ......... ......... ......... ..............
supple w ippb.
E0555.... 6 Humidifier for use ......... ......... ......... ......... ......... ..............
w/ regula.
E0560.... 6 Humidifier ......... ......... ......... ......... ......... ..............
supplemental w/ i.
E0565.... 6 Compressor air ......... ......... ......... ......... ......... ..............
power source.
E0570.... 6 Nebulizer with ......... ......... ......... ......... ......... ..............
compression.
E0575.... 6 Nebulizer ......... ......... ......... ......... ......... ..............
ultrasonic.
E0580.... 6 Nebulizer for use w/ ......... ......... ......... ......... ......... ..............
regulat.
E0585.... 6 Nebulizer w/ ......... ......... ......... ......... ......... ..............
compressor & he.
E0600.... 6 Suction pump portab ......... ......... ......... ......... ......... ..............
hom modl.
E0601.... 6 Cont airway ......... ......... ......... ......... ......... ..............
pressure device.
E0605.... 6 Vaporizer room type ......... ......... ......... ......... ......... ..............
E0606.... 6 Drainage board ......... ......... ......... ......... ......... ..............
postural.
E0607.... 6 Blood glucose ......... ......... ......... ......... ......... ..............
monitor home.
E0608.... 6 Apnea monitor...... ......... ......... ......... ......... ......... ..............
E0609.... 6 Blood gluc mon w/ ......... ......... ......... ......... ......... ..............
special fea.
E0610.... 6 Pacemaker monitr ......... ......... ......... ......... ......... ..............
audible/vis.
E0615.... 6 Pacemaker monitr ......... ......... ......... ......... ......... ..............
digital/vis.
E0621.... 6 Patient lift sling ......... ......... ......... ......... ......... ..............
or seat.
E0625.... 6 Patient lift ......... ......... ......... ......... ......... ..............
bathroom or toi.
[[Page 32444]]
E0627.... 6 Seat lift incorp ......... ......... ......... ......... ......... ..............
lift-chair.
E0628.... 6 Seat lift for pt ......... ......... ......... ......... ......... ..............
furn-electr.
E0629.... 6 Seat lift for pt ......... ......... ......... ......... ......... ..............
furn-non-el.
E0630.... 6 Patient lift ......... ......... ......... ......... ......... ..............
hydraulic.
E0635.... 6 Patient lift ......... ......... ......... ......... ......... ..............
electric.
E0650.... 6 Pneuma compresor ......... ......... ......... ......... ......... ..............
non-segment.
E0651.... 6 Pneum compressor ......... ......... ......... ......... ......... ..............
segmental.
E0652.... 6 Pneum compres w/cal ......... ......... ......... ......... ......... ..............
pressure.
E0655.... 6 Pneumatic appliance ......... ......... ......... ......... ......... ..............
half arm.
E0660.... 6 Pneumatic appliance ......... ......... ......... ......... ......... ..............
full leg.
E0665.... 6 Pneumatic appliance ......... ......... ......... ......... ......... ..............
full arm.
E0666.... 6 Pneumatic appliance ......... ......... ......... ......... ......... ..............
half leg.
E0667.... 6 Seg pneumatic appl ......... ......... ......... ......... ......... ..............
full leg.
E0668.... 6 Seg pneumatic appl ......... ......... ......... ......... ......... ..............
full arm.
E0669.... 6 Seg pneumatic appli ......... ......... ......... ......... ......... ..............
half leg.
E0671.... 6 Pressure pneum appl ......... ......... ......... ......... ......... ..............
full leg.
E0672.... 6 Pressure pneum appl ......... ......... ......... ......... ......... ..............
full arm.
E0673.... 6 Pressure pneum appl ......... ......... ......... ......... ......... ..............
half leg.
E0690.... 6 Ultraviolet cabinet ......... ......... ......... ......... ......... ..............
E0700.... 6 Safety equipment... ......... ......... ......... ......... ......... ..............
E0710.... 6 Restraints any type ......... ......... ......... ......... ......... ..............
E0720.... 6 Tens two lead...... ......... ......... ......... ......... ......... ..............
E0730.... 6 Tens four lead..... ......... ......... ......... ......... ......... ..............
E0731.... 6 Conductive garment ......... ......... ......... ......... ......... ..............
for tens/.
E0740.... 6 Incontinence ......... ......... ......... ......... ......... ..............
treatment systm.
E0744.... 6 Neuromuscular stim ......... ......... ......... ......... ......... ..............
for scoli.
E0745.... 6 Neuromuscular stim ......... ......... ......... ......... ......... ..............
for shock.
E0746.... 6 Electromyograph ......... ......... ......... ......... ......... ..............
biofeedback.
E0747.... 6 Elec osteogen stim ......... ......... ......... ......... ......... ..............
not spine.
E0748.... 6 Elec osteogen stim ......... ......... ......... ......... ......... ..............
spinal.
E0749.... 6 Elec osteogen stim ......... ......... ......... ......... ......... ..............
implanted.
E0751.... 6 Pulse generator or ......... ......... ......... ......... ......... ..............
receiver.
E0753.... 6 Neurostimul ......... ......... ......... ......... ......... ..............
electrodes/leads.
E0755.... 6 Electronic salivary ......... ......... ......... ......... ......... ..............
reflex s.
E0760.... 6 Osteogen ultrasound ......... ......... ......... ......... ......... ..............
stimltor.
E0776.... 6 Iv pole............ ......... ......... ......... ......... ......... ..............
E0781.... 6 External ambulatory ......... ......... ......... ......... ......... ..............
infus pu.
E0782.... 6 Non-programble ......... ......... ......... ......... ......... ..............
infusion pump.
E0783.... 6 Programmable ......... ......... ......... ......... ......... ..............
infusion pump.
E0784.... 6 Ext amb infusn pump ......... ......... ......... ......... ......... ..............
insulin.
E0791.... 6 Parenteral infusion ......... ......... ......... ......... ......... ..............
pump sta.
E0840.... 6 Tract frame attach ......... ......... ......... ......... ......... ..............
headboard.
E0850.... 6 Traction stand free ......... ......... ......... ......... ......... ..............
standing.
E0855.... 6 Cervical traction ......... ......... ......... ......... ......... ..............
equipment.
E0860.... 6 Tract equip ......... ......... ......... ......... ......... ..............
cervical tract.
E0870.... 6 Tract frame attach ......... ......... ......... ......... ......... ..............
footboard.
E0880.... 6 Trac stand free ......... ......... ......... ......... ......... ..............
stand extrem.
E0890.... 6 Traction frame ......... ......... ......... ......... ......... ..............
attach pelvic.
E0900.... 6 Trac stand free ......... ......... ......... ......... ......... ..............
stand pelvic.
E0910.... 6 Trapeze bar ......... ......... ......... ......... ......... ..............
attached to bed.
E0920.... 6 Fracture frame ......... ......... ......... ......... ......... ..............
attached to b.
E0930.... 6 Fracture frame free ......... ......... ......... ......... ......... ..............
standing.
E0935.... 6 Exercise device ......... ......... ......... ......... ......... ..............
passive moti.
E0940.... 6 Trapeze bar free ......... ......... ......... ......... ......... ..............
standing.
E0941.... 6 Gravity assisted ......... ......... ......... ......... ......... ..............
traction de.
E0942.... 6 Cervical head ......... ......... ......... ......... ......... ..............
harness/halter.
E0943.... 6 Cervical pillow.... ......... ......... ......... ......... ......... ..............
E0944.... 6 Pelvic belt/harness/ ......... ......... ......... ......... ......... ..............
boot.
E0945.... 6 Belt/harness ......... ......... ......... ......... ......... ..............
extremity.
E0946.... 6 Fracture frame dual ......... ......... ......... ......... ......... ..............
w cross.
E0947.... 6 Fracture frame ......... ......... ......... ......... ......... ..............
attachmnts pe.
E0948.... 6 Fracture frame ......... ......... ......... ......... ......... ..............
attachmnts ce.
E0950.... 6 Tray............... ......... ......... ......... ......... ......... ..............
E0951.... 6 Loop heel.......... ......... ......... ......... ......... ......... ..............
E0952.... 6 Loop tie........... ......... ......... ......... ......... ......... ..............
E0953.... 6 Pneumatic tire..... ......... ......... ......... ......... ......... ..............
E0954.... 6 Wheelchair semi- ......... ......... ......... ......... ......... ..............
pneumatic ca.
E0958.... 6 Whlchr att- conv 1 ......... ......... ......... ......... ......... ..............
arm drive.
E0959.... 6 Amputee adapter.... ......... ......... ......... ......... ......... ..............
E0961.... 6 Wheelchair brake ......... ......... ......... ......... ......... ..............
extension.
E0962.... 6 Wheelchair 1 inch ......... ......... ......... ......... ......... ..............
cushion.
E0963.... 6 Wheelchair 2 inch ......... ......... ......... ......... ......... ..............
cushion.
E0964.... 6 Wheelchair 3 inch ......... ......... ......... ......... ......... ..............
cushion.
E0965.... 6 Wheelchair 4 inch ......... ......... ......... ......... ......... ..............
cushion.
[[Page 32445]]
E0966.... 6 Wheelchair head ......... ......... ......... ......... ......... ..............
rest extensi.
E0967.... 6 Wheelchair hand ......... ......... ......... ......... ......... ..............
rims.
E0968.... 6 Wheelchair commode ......... ......... ......... ......... ......... ..............
seat.
E0969.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
narrowing device.
E0970.... 6 Wheelchair no. 2 ......... ......... ......... ......... ......... ..............
footplates.
E0971.... 6 Wheelchair anti- ......... ......... ......... ......... ......... ..............
tipping devi.
E0972.... 6 Transfer board or ......... ......... ......... ......... ......... ..............
device.
E0973.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
adjustabl height.
E0974.... 6 Wheelchair grade- ......... ......... ......... ......... ......... ..............
aid.
E0975.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
reinforced seat u.
E0976.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
reinforced back u.
E0977.... 6 Wheelchair wedge ......... ......... ......... ......... ......... ..............
cushion.
E0978.... 6 Wheelchair belt w/ ......... ......... ......... ......... ......... ..............
airplane b.
E0979.... 6 Wheelchair belt ......... ......... ......... ......... ......... ..............
with velcro.
E0980.... 6 Wheelchair safety ......... ......... ......... ......... ......... ..............
vest.
E0990.... 6 Whellchair ......... ......... ......... ......... ......... ..............
elevating leg res.
E0991.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
upholstry seat.
E0992.... 6 Wheelchair solid ......... ......... ......... ......... ......... ..............
seat insert.
E0993.... 6 Wheelchair back ......... ......... ......... ......... ......... ..............
upholstery.
E0994.... 6 Wheelchair arm rest ......... ......... ......... ......... ......... ..............
E0995.... 6 Wheelchair calf ......... ......... ......... ......... ......... ..............
rest.
E0996.... 6 Wheelchair tire ......... ......... ......... ......... ......... ..............
solid.
E0997.... 6 Wheelchair caster w/ ......... ......... ......... ......... ......... ..............
a fork.
E0998.... 6 Wheelchair caster w/ ......... ......... ......... ......... ......... ..............
o a fork.
E0999.... 6 Wheelchr pneumatic ......... ......... ......... ......... ......... ..............
tire w/wh.
E1000.... 6 Wheelchair tire ......... ......... ......... ......... ......... ..............
pneumatic ca.
E1001.... 6 Wheelchair wheel... ......... ......... ......... ......... ......... ..............
E1031.... 6 Rollabout chair ......... ......... ......... ......... ......... ..............
with casters.
E1050.... 6 Whelchr fxd full ......... ......... ......... ......... ......... ..............
length arms.
E1060.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
detachable arms.
E1065.... 6 Wheelchair power ......... ......... ......... ......... ......... ..............
attachment.
E1066.... 6 Wheelchair battery ......... ......... ......... ......... ......... ..............
charger.
E1069.... 6 Wheelchair deep ......... ......... ......... ......... ......... ..............
cycle batter.
E1070.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
detachable foot r.
E1083.... 6 Hemi-wheelchair ......... ......... ......... ......... ......... ..............
fixed arms.
E1084.... 6 Hemi-wheelchair ......... ......... ......... ......... ......... ..............
detachable a.
E1085.... 6 Hemi-wheelchair ......... ......... ......... ......... ......... ..............
fixed arms.
E1086.... 6 Hemi-wheelchair ......... ......... ......... ......... ......... ..............
detachable a.
E1087.... 6 Wheelchair lightwt ......... ......... ......... ......... ......... ..............
fixed arm.
E1088.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
lightweight det a.
E1089.... 6 Wheelchair lightwt ......... ......... ......... ......... ......... ..............
fixed arm.
E1090.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
lightweight det a.
E1091.... 6 Wheelchair youth... ......... ......... ......... ......... ......... ..............
E1092.... 6 Wheelchair wide w/ ......... ......... ......... ......... ......... ..............
leg rests.
E1093.... 6 Wheelchair wide w/ ......... ......... ......... ......... ......... ..............
foot rest.
E1100.... 6 Whchr s-recl fxd ......... ......... ......... ......... ......... ..............
arm leg res.
E1110.... 6 Wheelchair semi- ......... ......... ......... ......... ......... ..............
recl detach.
E1130.... 6 Whlchr stand fxd ......... ......... ......... ......... ......... ..............
arm ft rest.
E1140.... 6 Wheelchair standard ......... ......... ......... ......... ......... ..............
detach a.
E1150.... 6 Wheelchair standard ......... ......... ......... ......... ......... ..............
w/ leg r.
E1160.... 6 Wheelchair fixed ......... ......... ......... ......... ......... ..............
arms.
E1170.... 6 Whlchr ampu fxd arm ......... ......... ......... ......... ......... ..............
leg rest.
E1171.... 6 Wheelchair amputee ......... ......... ......... ......... ......... ..............
w/o leg r.
E1172.... 6 Wheelchair amputee ......... ......... ......... ......... ......... ..............
detach ar.
E1180.... 6 Wheelchair amputee ......... ......... ......... ......... ......... ..............
w/ foot r.
E1190.... 6 Wheelchair amputee ......... ......... ......... ......... ......... ..............
w/ leg re.
E1195.... 6 Wheelchair amputee ......... ......... ......... ......... ......... ..............
heavy dut.
E1200.... 6 Wheelchair amputee ......... ......... ......... ......... ......... ..............
fixed arm.
E1210.... 6 Whlchr moto ful arm ......... ......... ......... ......... ......... ..............
leg rest.
E1211.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
motorized w/ det.
E1212.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
motorized w full.
E1213.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
motorized w/ det.
E1220.... 6 Whlchr special size/ ......... ......... ......... ......... ......... ..............
constrc.
E1221.... 6 Wheelchair spec ......... ......... ......... ......... ......... ..............
size w foot.
E1222.... 6 Wheelchair spec ......... ......... ......... ......... ......... ..............
size w/ leg.
E1223.... 6 Wheelchair spec ......... ......... ......... ......... ......... ..............
size w foot.
E1224.... 6 Wheelchair spec ......... ......... ......... ......... ......... ..............
size w/ leg.
E1225.... 6 Wheelchair spec sz ......... ......... ......... ......... ......... ..............
semi-recl.
E1226.... 6 Wheelchair spec sz ......... ......... ......... ......... ......... ..............
full-recl.
E1227.... 6 Wheelchair spec sz ......... ......... ......... ......... ......... ..............
spec ht a.
E1228.... 6 Wheelchair spec sz ......... ......... ......... ......... ......... ..............
spec ht b.
E1230.... 6 Power operated ......... ......... ......... ......... ......... ..............
vehicle.
E1240.... 6 Whchr litwt det arm ......... ......... ......... ......... ......... ..............
leg rest.
E1250.... 6 Wheelchair lightwt ......... ......... ......... ......... ......... ..............
fixed arm.
[[Page 32446]]
E1260.... 6 Wheelchair lightwt ......... ......... ......... ......... ......... ..............
foot rest.
E1270.... 6 Wheelchair ......... ......... ......... ......... ......... ..............
lightweight leg r.
E1280.... 6 Whchr h-duty det ......... ......... ......... ......... ......... ..............
arm leg res.
E1285.... 6 Wheelchair heavy ......... ......... ......... ......... ......... ..............
duty fixed.
E1290.... 6 Wheelchair hvy duty ......... ......... ......... ......... ......... ..............
detach a.
E1295.... 6 Wheelchair heavy ......... ......... ......... ......... ......... ..............
duty fixed.
E1296.... 6 Wheelchair special ......... ......... ......... ......... ......... ..............
seat heig.
E1297.... 6 Wheelchair special ......... ......... ......... ......... ......... ..............
seat dept.
E1298.... 6 Wheelchair spec ......... ......... ......... ......... ......... ..............
seat depth/w.
E1300.... 6 Whirlpool portable. ......... ......... ......... ......... ......... ..............
E1310.... 6 Whirlpool non- ......... ......... ......... ......... ......... ..............
portable.
E1340.... 6 Repair for DME, per ......... ......... ......... ......... ......... ..............
15 min.
E1353.... 6 Oxygen supplies ......... ......... ......... ......... ......... ..............
regulator.
E1355.... 6 Oxygen supplies ......... ......... ......... ......... ......... ..............
stand/rack.
E1372.... 6 Oxy suppl heater ......... ......... ......... ......... ......... ..............
for nebuliz.
E1375.... 6 Oxygen suppl ......... ......... ......... ......... ......... ..............
nebulizer porta.
E1377.... 6 Oxygen concentrator ......... ......... ......... ......... ......... ..............
to 244 c.
E1378.... 6 Oxygen concentrator ......... ......... ......... ......... ......... ..............
to 488 c.
E1379.... 6 Oxygen concentrator ......... ......... ......... ......... ......... ..............
to 732 c.
E1380.... 6 Oxygen concentrator ......... ......... ......... ......... ......... ..............
to 976 c.
E1381.... 6 Oxygen concentrat ......... ......... ......... ......... ......... ..............
to 1220 cu.
E1382.... 6 Oxygen concentrat ......... ......... ......... ......... ......... ..............
to 1464 cu.
E1383.... 6 Oxygen concentrat ......... ......... ......... ......... ......... ..............
to 1708 cu.
E1384.... 6 Oxygen concentrat ......... ......... ......... ......... ......... ..............
to 1952 cu.
E1385.... 6 Oxygen concentrator ......... ......... ......... ......... ......... ..............
>1952 c.
E1399.... 6 Durable medical ......... ......... ......... ......... ......... ..............
equipment mi.
E1400.... 6 Oxygen concentrator ......... ......... ......... ......... ......... ..............
< 2="" lite.="" e1401....="" 6="" oxygen="" concentrator="" .........="" .........="" .........="" .........="" .........="" ..............="" 2-3="" lite.="" e1402....="" 6="" oxygen="" concentrator="" .........="" .........="" .........="" .........="" .........="" ..............="" 3-4="" lite.="" e1403....="" 6="" oxygen="" concentrator="" .........="" .........="" .........="" .........="" .........="" ..............="" 4-5="" lite.="" e1404....="" 6="" oxygen="" concentrator="" .........="" .........="" .........="" .........="" .........="" ..............="">5 lite.
E1405.... 6 O2/water vapor ......... ......... ......... ......... ......... ..............
enrich w/heat.
E1406.... 6 O2/water vapor ......... ......... ......... ......... ......... ..............
enrich w/o he.
E1510.... 6 Kidney dialysate ......... ......... ......... ......... ......... ..............
delivry sys.
E1520.... 6 Heparin infusion ......... ......... ......... ......... ......... ..............
pump for di.
E1530.... 6 Air bubble detector ......... ......... ......... ......... ......... ..............
for dial.
E1540.... 6 Pressure alarm for ......... ......... ......... ......... ......... ..............
dialysis.
E1550.... 6 Bath conductivity ......... ......... ......... ......... ......... ..............
meter.
E1560.... 6 Blood leak detector ......... ......... ......... ......... ......... ..............
for dial.
E1570.... 6 Adjustable chair ......... ......... ......... ......... ......... ..............
for esrd pt.
E1575.... 6 Transducer ......... ......... ......... ......... ......... ..............
protector/fluid b.
E1580.... 6 Unipuncture control ......... ......... ......... ......... ......... ..............
system.
E1590.... 6 Hemodialysis ......... ......... ......... ......... ......... ..............
machine.
E1592.... 6 Auto interm ......... ......... ......... ......... ......... ..............
peritoneal dialy.
E1594.... 6 Cycler dialysis ......... ......... ......... ......... ......... ..............
machine.
E1600.... 6 Deliv/install equip ......... ......... ......... ......... ......... ..............
for dial.
E1610.... 6 Reverse osmosis ......... ......... ......... ......... ......... ..............
water purifi.
E1615.... 6 Deionizer water ......... ......... ......... ......... ......... ..............
purification.
E1620.... 6 Blood pump for ......... ......... ......... ......... ......... ..............
dialysis.
E1625.... 6 Water softening ......... ......... ......... ......... ......... ..............
system.
E1630.... 6 Reciprocating ......... ......... ......... ......... ......... ..............
peritoneal dia.
E1632.... 6 Wearable artificial ......... ......... ......... ......... ......... ..............
kidney.
E1635.... 6 Compact travel ......... ......... ......... ......... ......... ..............
hemodialyzer.
E1636.... 6 Sorbent cartridges ......... ......... ......... ......... ......... ..............
for dialy.
E1640.... 6 Replacement ......... ......... ......... ......... ......... ..............
components for d.
E1699.... 6 Dialysis equipment ......... ......... ......... ......... ......... ..............
unspecifi.
E1700.... 6 Jaw motion rehab ......... ......... ......... ......... ......... ..............
system.
E1701.... 6 Repl cushions for ......... ......... ......... ......... ......... ..............
jaw motion.
E1702.... 6 Repl measr scales ......... ......... ......... ......... ......... ..............
jaw motion.
E1800.... 6 Adjust elbow ext/ ......... ......... ......... ......... ......... ..............
flex device.
E1805.... 6 Adjust wrist ext/ ......... ......... ......... ......... ......... ..............
flex device.
E1810.... 6 Adjust knee ext/ ......... ......... ......... ......... ......... ..............
flex device.
E1815.... 6 Adjust ankle ext/ ......... ......... ......... ......... ......... ..............
flex device.
E1820.... 6 Soft interface ......... ......... ......... ......... ......... ..............
material.
E1825.... 6 Adjust finger ext/ ......... ......... ......... ......... ......... ..............
flex devc.
E1830.... 6 Adjust toe ext/flex ......... ......... ......... ......... ......... ..............
device.
G0001.... 2 Drawing blood for ......... ......... ......... ......... ......... ..............
specimen.
G0002.... 2 Temporary urinary ......... ......... ......... ......... ......... ..............
catheter.
G0004.... 2 ECG transm phys ......... ......... ......... ......... ......... ..............
review & int.
G0005.... 2 ECG 24 hour ......... ......... ......... ......... ......... ..............
recording.
G0006.... 2 ECG transmission & ......... ......... ......... ......... ......... ..............
analysis.
G0007.... 2 ECG phy review & ......... ......... ......... ......... ......... ..............
interpret.
G0008.... 6 Admin influenza ......... ......... ......... ......... ......... ..............
virus vac.
G0009.... 6 Admin pneumococcal ......... ......... ......... ......... ......... ..............
vaccine.
[[Page 32447]]
G0010.... 6 Admin hepatitis b ......... ......... ......... ......... ......... ..............
vaccine.
G0015.... 2 Post symptom ECG ......... ......... ......... ......... ......... ..............
tracing.
G0016.... 2 Post symptom ECG md ......... ......... ......... ......... ......... ..............
review.
G0025.... 2 Collagen skin test ......... ......... ......... ......... ......... ..............
kit.
G0026.... 6 Fecal leukocyte ......... ......... ......... ......... ......... ..............
examination.
G0027.... 6 Semen analysis..... ......... ......... ......... ......... ......... ..............
G0030.... 6 PET imaging prev ......... ......... ......... ......... ......... ..............
PET single.
G0031.... 6 PET imaging prev ......... ......... ......... ......... ......... ..............
PET multple.
G0032.... 6 PET follow SPECT ......... ......... ......... ......... ......... ..............
78464 singl.
G0033.... 6 PET follow SPECT ......... ......... ......... ......... ......... ..............
78464 mult.
G0034.... 6 PET follow SPECT ......... ......... ......... ......... ......... ..............
76865 singl.
G0035.... 6 PET follow SPECT ......... ......... ......... ......... ......... ..............
78465 mult.
G0036.... 6 PET follow cornry ......... ......... ......... ......... ......... ..............
angio sing.
G0037.... 6 PET follow cornry ......... ......... ......... ......... ......... ..............
angio mult.
G0038.... 6 PET follow myocard ......... ......... ......... ......... ......... ..............
perf sing.
G0039.... 6 PET follow myocard ......... ......... ......... ......... ......... ..............
perf mult.
G0040.... 6 PET follow stress ......... ......... ......... ......... ......... ..............
echo singl.
G0041.... 6 PET follow stress ......... ......... ......... ......... ......... ..............
echo mult.
G0042.... 6 PET follow ......... ......... ......... ......... ......... ..............
ventriculogm sing.
G0043.... 6 PET follow ......... ......... ......... ......... ......... ..............
ventriculogm mult.
G0044.... 6 PET following rest ......... ......... ......... ......... ......... ..............
ECG singl.
G0045.... 6 PET following rest ......... ......... ......... ......... ......... ..............
ECG mult.
G0046.... 6 PET follow stress ......... ......... ......... ......... ......... ..............
ECG singl.
G0047.... 6 PET follow stress ......... ......... ......... ......... ......... ..............
ECG mult.
G0050.... 6 Residual urine by ......... ......... ......... ......... ......... ..............
ultrasound.
G0101.... 6 CA screen; pelvic/ ......... ......... ......... ......... ......... ..............
breast exam.
G0104.... 1 CA screen; flexi ......... ......... 446 $175 0.35 Add.
sigmoidscope.
G0105.... 1 Colorectal scrn; hi ......... ......... 426 $354 0.70 Add.
risk ind.
G0106.... 6 Colon CA screen; ......... ......... ......... ......... ......... ..............
barium enema.
G0107.... 6 CA screen; fecal ......... ......... ......... ......... ......... ..............
blood test.
G0110.... 6 Nett pulm-rehab ......... ......... ......... ......... ......... ..............
educ; ind.
G0111.... 6 Nett pulm-rehab ......... ......... ......... ......... ......... ..............
educ; group.
G0112.... 6 Nett; nutrition ......... ......... ......... ......... ......... ..............
guid, initial.
G0113.... 6 Nett; nutrition ......... ......... ......... ......... ......... ..............
guid,subseqnt.
G0114.... 6 Nett; psychosocial ......... ......... ......... ......... ......... ..............
consult.
G0115.... 6 Nett; psychological ......... ......... ......... ......... ......... ..............
testing.
G0116.... 6 Nett; psychosocial ......... ......... ......... ......... ......... ..............
counsel.
G0120.... 6 Colon ca scrn; ......... ......... ......... ......... ......... ..............
barium enema.
G0121.... 9 Colon ca scrn; ......... ......... ......... ......... ......... ..............
barium enema.
G0122.... 9 Colon ca scrn; ......... ......... ......... ......... ......... ..............
barium enema.
J0120.... 9 Tetracyclin ......... ......... ......... ......... ......... ..............
injection.
J0150.... 9 Injection adenosine ......... ......... ......... ......... ......... ..............
6 MG.
J0170.... 9 Adrenalin ......... ......... ......... ......... ......... ..............
epinephrin inject.
J0190.... 9 Inj biperiden ......... ......... ......... ......... ......... ..............
lactate/5 mg.
J0205.... 9 Alglucerase ......... ......... ......... ......... ......... ..............
injection.
J0207.... 9 Amifostine......... ......... ......... ......... ......... ......... ..............
J0210.... 9 Methyldopate hcl ......... ......... ......... ......... ......... ..............
injection.
J0256.... 9 Alpha 1-proteinase ......... ......... ......... ......... ......... ..............
500 MG.
J0270.... 9 Alprostadil for ......... ......... ......... ......... ......... ..............
injection.
J0280.... 9 Aminophyllin 250 MG ......... ......... ......... ......... ......... ..............
inj.
J0290.... 9 Ampicillin 500 MG ......... ......... ......... ......... ......... ..............
inj.
J0295.... 9 Ampicillin sodium ......... ......... ......... ......... ......... ..............
per 1.5 gm.
J0300.... 9 Amobarbital 125 MG ......... ......... ......... ......... ......... ..............
inj.
J0330.... 9 Succinycholine ......... ......... ......... ......... ......... ..............
chloride inj.
J0340.... 9 Nandrolon ......... ......... ......... ......... ......... ..............
phenpropionate inj.
J0350.... 9 Injection ......... ......... ......... ......... ......... ..............
anistreplase 30 u.
J0360.... 9 Hydralazine hcl ......... ......... ......... ......... ......... ..............
injection.
J0380.... 9 Inj metaraminol ......... ......... ......... ......... ......... ..............
bitartrate.
J0390.... 9 Chloroquine ......... ......... ......... ......... ......... ..............
injection.
J0400.... 9 Inj trimethaphan ......... ......... ......... ......... ......... ..............
camsylate.
J0460.... 9 Atropine sulfate ......... ......... ......... ......... ......... ..............
injection.
J0470.... 9 Dimecaprol ......... ......... ......... ......... ......... ..............
injection.
J0475.... 9 Baclofen 10 MG ......... ......... ......... ......... ......... ..............
injection.
J0500.... 9 Dicyclomine ......... ......... ......... ......... ......... ..............
injection.
J0510.... 9 Benzquinamide ......... ......... ......... ......... ......... ..............
injection.
J0515.... 9 Inj benztropine ......... ......... ......... ......... ......... ..............
mesylate.
J0520.... 9 Bethanechol ......... ......... ......... ......... ......... ..............
chloride inject.
J0530.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
benzathine inj.
J0540.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
benzathine inj.
J0550.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
benzathine inj.
J0560.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
benzathine inj.
J0570.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
benzathine inj.
J0580.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
benzathine inj.
J0585.... 9 Botulinum toxin a ......... ......... ......... ......... ......... ..............
per unit.
[[Page 32448]]
J0590.... 9 Ethylnorepinephrine ......... ......... ......... ......... ......... ..............
hcl inj.
J0600.... 9 Edetate calcium ......... ......... ......... ......... ......... ..............
disodium inj.
J0610.... 9 Calcium gluconate ......... ......... ......... ......... ......... ..............
injection.
J0620.... 9 Calcium glycer & ......... ......... ......... ......... ......... ..............
lact/10 ML.
J0630.... 9 Calcitonin salmon ......... ......... ......... ......... ......... ..............
injection.
J0635.... 9 Calcitriol ......... ......... ......... ......... ......... ..............
injection.
J0640.... 9 Leucovorin calcium ......... ......... ......... ......... ......... ..............
injection.
J0670.... 9 Inj mepivacaine HCL/ ......... ......... ......... ......... ......... ..............
10 ml.
J0690.... 9 Cefazolin sodium ......... ......... ......... ......... ......... ..............
injection.
J0694.... 9 Cefoxitin sodium ......... ......... ......... ......... ......... ..............
injection.
J0695.... 9 Cefonocid sodium ......... ......... ......... ......... ......... ..............
injection.
J0696.... 9 Ceftriaxone sodium ......... ......... ......... ......... ......... ..............
injection.
J0697.... 9 Sterile cefuroxime ......... ......... ......... ......... ......... ..............
injection.
J0698.... 9 Cefotaxime sodium ......... ......... ......... ......... ......... ..............
injection.
J0702.... 9 Betamethasone ......... ......... ......... ......... ......... ..............
acet&sod phosp.
J0704.... 9 Betamethasone sod ......... ......... ......... ......... ......... ..............
phosp/4 MG.
J0710.... 9 Cephapirin sodium ......... ......... ......... ......... ......... ..............
injection.
J0713.... 9 Inj ceftazidime per ......... ......... ......... ......... ......... ..............
500 mg.
J0715.... 9 Ceftizoxime sodium / ......... ......... ......... ......... ......... ..............
500 MG.
J0720.... 9 Chloramphenicol ......... ......... ......... ......... ......... ..............
sodium injec.
J0725.... 9 Chorionic ......... ......... ......... ......... ......... ..............
gonadotropin/1000u.
J0730.... 9 Chlorpheniramin ......... ......... ......... ......... ......... ..............
maleate inj.
J0735.... 9 Clonidine ......... ......... ......... ......... ......... ..............
hydrochloride.
J0740.... 9 Cidofovir injection ......... ......... ......... ......... ......... ..............
J0743.... 9 Cilastatin sodium ......... ......... ......... ......... ......... ..............
injection.
J0745.... 9 Inj codeine ......... ......... ......... ......... ......... ..............
phosphate /30 MG.
J0760.... 9 Colchicine ......... ......... ......... ......... ......... ..............
injection.
J0770.... 9 Colistimethate ......... ......... ......... ......... ......... ..............
sodium inj.
J0780.... 9 Prochlorperazine ......... ......... ......... ......... ......... ..............
injection.
J0800.... 9 Corticotropin ......... ......... ......... ......... ......... ..............
injection.
J0810.... 9 Cortisone injection ......... ......... ......... ......... ......... ..............
J0835.... 9 Inj cosyntropin per ......... ......... ......... ......... ......... ..............
0.25 MG.
J0850.... 9 Cytomegalovirus imm ......... ......... ......... ......... ......... ..............
IV /vial.
J0895.... 9 Deferoxamine ......... ......... ......... ......... ......... ..............
mesylate inj.
J0900.... 9 Testosterone ......... ......... ......... ......... ......... ..............
enanthate inj.
J0945.... 9 Brompheniramine ......... ......... ......... ......... ......... ..............
maleate inj.
J0970.... 9 Estradiol valerate ......... ......... ......... ......... ......... ..............
injection.
J1000.... 9 Depo-estradiol ......... ......... ......... ......... ......... ..............
cypionate inj.
J1020.... 9 Methylprednisolone ......... ......... ......... ......... ......... ..............
20 MG inj.
J1030.... 9 Methylprednisolone ......... ......... ......... ......... ......... ..............
40 MG inj.
J1040.... 9 Methylprednisolone ......... ......... ......... ......... ......... ..............
80 MG inj.
J1050.... 9 Medroxyprogesterone ......... ......... ......... ......... ......... ..............
inj.
J1055.... 9 Medrxyprogester ......... ......... ......... ......... ......... ..............
acetate inj.
J1060.... 9 Testosterone ......... ......... ......... ......... ......... ..............
cypionate 1 ML.
J1070.... 9 Testosterone ......... ......... ......... ......... ......... ..............
cypionat 100 MG.
J1080.... 9 Testosterone ......... ......... ......... ......... ......... ..............
cypionat 200 MG.
J1090.... 9 Testosterone ......... ......... ......... ......... ......... ..............
cypionate 50 MG.
J1095.... 9 Inj dexamethasone ......... ......... ......... ......... ......... ..............
acetate.
J1100.... 9 Dexamethosone ......... ......... ......... ......... ......... ..............
sodium phos.
J1110.... 9 Inj ......... ......... ......... ......... ......... ..............
dihydroergotamine
mesylt.
J1120.... 9 Acetazolamid sodium ......... ......... ......... ......... ......... ..............
injectio.
J1160.... 9 Digoxin injection.. ......... ......... ......... ......... ......... ..............
J1165.... 9 Phenytoin sodium ......... ......... ......... ......... ......... ..............
injection.
J1170.... 9 Hydromorphone ......... ......... ......... ......... ......... ..............
injection.
J1180.... 9 Dyphylline ......... ......... ......... ......... ......... ..............
injection.
J1190.... 9 Dexrazoxane HCl ......... ......... ......... ......... ......... ..............
injection.
J1200.... 9 Diphenhydramine hcl ......... ......... ......... ......... ......... ..............
injectio.
J1205.... 9 Chlorothiazide ......... ......... ......... ......... ......... ..............
sodium inj.
J1212.... 9 Dimethyl sulfoxide ......... ......... ......... ......... ......... ..............
50% 50 ML.
J1230.... 9 Methadone injection ......... ......... ......... ......... ......... ..............
J1240.... 9 Dimenhydrinate ......... ......... ......... ......... ......... ..............
injection.
J1245.... 9 Dipyridamole ......... ......... ......... ......... ......... ..............
injection.
J1250.... 9 Inj dobutamine HCL/ ......... ......... ......... ......... ......... ..............
250 mg.
J1320.... 9 Amitriptyline ......... ......... ......... ......... ......... ..............
injection.
J1325.... 9 Epoprostenol ......... ......... ......... ......... ......... ..............
injection.
J1330.... 9 Ergonovine maleate ......... ......... ......... ......... ......... ..............
injection.
J1362.... 9 Erythromycin glucep ......... ......... ......... ......... ......... ..............
/ 250 MG.
J1364.... 9 Erythro ......... ......... ......... ......... ......... ..............
lactobionate /500
MG.
J1380.... 9 Estradiol valerate ......... ......... ......... ......... ......... ..............
10 MG inj.
J1390.... 9 Estradiol valerate ......... ......... ......... ......... ......... ..............
20 MG inj.
J1410.... 9 Inj estrogen ......... ......... ......... ......... ......... ..............
conjugate 25 MG.
J1435.... 9 Injection estrone ......... ......... ......... ......... ......... ..............
per 1 MG.
J1436.... 9 Etidronate disodium ......... ......... ......... ......... ......... ..............
inj.
J1440.... 9 Filgrastim 300 mcg ......... ......... ......... ......... ......... ..............
injeciton.
[[Page 32449]]
J1441.... 9 Filgrastim 480 mcg ......... ......... ......... ......... ......... ..............
injection.
J1455.... 9 Foscarnet sodium ......... ......... ......... ......... ......... ..............
injection.
J1460.... 9 Gamma globulin 1 CC ......... ......... ......... ......... ......... ..............
inj.
J1470.... 9 Gamma globulin 2 CC ......... ......... ......... ......... ......... ..............
inj.
J1480.... 9 Gamma globulin 3 CC ......... ......... ......... ......... ......... ..............
inj.
J1490.... 9 Gamma globulin 4 CC ......... ......... ......... ......... ......... ..............
inj.
J1500.... 9 Gamma globulin 5 CC ......... ......... ......... ......... ......... ..............
inj.
J1510.... 9 Gamma globulin 6 CC ......... ......... ......... ......... ......... ..............
inj.
J1520.... 9 Gamma globulin 7 CC ......... ......... ......... ......... ......... ..............
inj.
J1530.... 9 Gamma globulin 8 CC ......... ......... ......... ......... ......... ..............
inj.
J1540.... 9 Gamma globulin 9 CC ......... ......... ......... ......... ......... ..............
inj.
J1550.... 9 Gamma globulin 10 ......... ......... ......... ......... ......... ..............
CC inj.
J1560.... 9 Gamma globulin >10 ......... ......... ......... ......... ......... ..............
CC inj.
J1561.... 9 Immune globulin 500 ......... ......... ......... ......... ......... ..............
mg.
J1562.... 9 Immune globulin 5 ......... ......... ......... ......... ......... ..............
gms.
J1565.... 9 RSV-ivig........... ......... ......... ......... ......... ......... ..............
J1570.... 9 Ganciclovir sodium ......... ......... ......... ......... ......... ..............
injection.
J1580.... 9 Garamycin ......... ......... ......... ......... ......... ..............
gentamicin inj.
J1600.... 9 Gold sodium ......... ......... ......... ......... ......... ..............
thiomaleate inj.
J1610.... 9 Glucagon ......... ......... ......... ......... ......... ..............
hydrochloride/1 MG.
J1620.... 9 Gonadorelin hydroch/ ......... ......... ......... ......... ......... ..............
100 mcg.
J1626.... 9 Granisetron HCl ......... ......... ......... ......... ......... ..............
injection.
J1630.... 9 Haloperidol ......... ......... ......... ......... ......... ..............
injection.
J1631.... 9 Haloperidol ......... ......... ......... ......... ......... ..............
decanoate inj.
J1642.... 9 Inj heparin sodium ......... ......... ......... ......... ......... ..............
per 10 u.
J1644.... 9 Inj heparin sodium ......... ......... ......... ......... ......... ..............
per 1000u.
J1645.... 9 Dalteparin sodium.. ......... ......... ......... ......... ......... ..............
J1650.... 9 Inj enoxaparin ......... ......... ......... ......... ......... ..............
sodium 30 mg.
J1670.... 9 Tetanus immune ......... ......... ......... ......... ......... ..............
globulin inj.
J1690.... 9 Prednisolone ......... ......... ......... ......... ......... ..............
tebutate inj.
J1700.... 9 Hydrocortisone ......... ......... ......... ......... ......... ..............
acetate inj.
J1710.... 9 Hydrocortisone ......... ......... ......... ......... ......... ..............
sodium ph inj.
J1720.... 9 Hydrocortisone ......... ......... ......... ......... ......... ..............
sodium succ i.
J1730.... 9 Diazoxide injection ......... ......... ......... ......... ......... ..............
J1739.... 9 Hydroxyprogesterone ......... ......... ......... ......... ......... ..............
cap 125.
J1741.... 9 Hydroxyprogesterone ......... ......... ......... ......... ......... ..............
cap 250.
J1742.... 9 Ibutilide fumarate ......... ......... ......... ......... ......... ..............
injection.
J1760.... 9 Iron dextran 2 CC ......... ......... ......... ......... ......... ..............
inj.
J1770.... 9 Iron dextran 5 CC ......... ......... ......... ......... ......... ..............
inj.
J1780.... 9 Iron dextran 10 CC ......... ......... ......... ......... ......... ..............
inj.
J1785.... 9 Injection ......... ......... ......... ......... ......... ..............
imiglucerase /unit.
J1790.... 9 Droperidol ......... ......... ......... ......... ......... ..............
injection.
J1800.... 9 Propranolol ......... ......... ......... ......... ......... ..............
injection.
J1810.... 9 Droperidol/fentanyl ......... ......... ......... ......... ......... ..............
inj.
J1820.... 9 Insulin injection.. ......... ......... ......... ......... ......... ..............
J1825.... 9 Interferon beta-1a. ......... ......... ......... ......... ......... ..............
J1830.... 9 Interferon beta-1b / ......... ......... ......... ......... ......... ..............
.25 MG.
J1840.... 9 Kanamycin sulfate ......... ......... ......... ......... ......... ..............
500 MG inj.
J1850.... 9 Kanamycin sulfate ......... ......... ......... ......... ......... ..............
75 MG inj.
J1885.... 9 Ketorolac ......... ......... ......... ......... ......... ..............
tromethamine inj.
J1890.... 9 Cephalothin sodium ......... ......... ......... ......... ......... ..............
injection.
J1910.... 9 Kutapressin ......... ......... ......... ......... ......... ..............
injection.
J1930.... 9 Propiomazine ......... ......... ......... ......... ......... ..............
injection.
J1940.... 9 Furosemide ......... ......... ......... ......... ......... ..............
injection.
J1950.... 9 Leuprolide acetate / ......... ......... ......... ......... ......... ..............
3.75 MG.
J1955.... 9 Inj levocarnitine ......... ......... ......... ......... ......... ..............
per 1 gm.
J1960.... 9 Levorphanol ......... ......... ......... ......... ......... ..............
tartrate inj.
J1970.... 9 Methotrimeprazine ......... ......... ......... ......... ......... ..............
injection.
J1980.... 9 Hyoscyamine sulfate ......... ......... ......... ......... ......... ..............
inj.
J1990.... 9 Chlordiazepoxide ......... ......... ......... ......... ......... ..............
injection.
J2000.... 9 Lidocaine injection ......... ......... ......... ......... ......... ..............
J2010.... 9 Lincomycin ......... ......... ......... ......... ......... ..............
injection.
J2060.... 9 Lorazepam injection ......... ......... ......... ......... ......... ..............
J2150.... 9 Mannitol injection. ......... ......... ......... ......... ......... ..............
J2175.... 9 Meperidine hydrochl ......... ......... ......... ......... ......... ..............
/100 MG.
J2180.... 9 Meperidine/ ......... ......... ......... ......... ......... ..............
promethazine inj.
J2210.... 9 Methylergonovin ......... ......... ......... ......... ......... ..............
maleate inj.
J2240.... 9 Metocurine iodide ......... ......... ......... ......... ......... ..............
injection.
J2250.... 9 Inj midazolam ......... ......... ......... ......... ......... ..............
hydrochloride.
J2260.... 9 Inj milrinone ......... ......... ......... ......... ......... ..............
lactate/5 ML.
J2270.... 9 Morphine sulfate ......... ......... ......... ......... ......... ..............
injection.
J2275.... 9 Morphine sulfate ......... ......... ......... ......... ......... ..............
injection.
J2300.... 9 Inj nalbuphine ......... ......... ......... ......... ......... ..............
hydrochloride.
J2310.... 9 Inj naloxone ......... ......... ......... ......... ......... ..............
hydrochloride.
[[Page 32450]]
J2320.... 9 Nandrolone ......... ......... ......... ......... ......... ..............
decanoate 50 MG.
J2321.... 9 Nandrolone ......... ......... ......... ......... ......... ..............
decanoate 100 MG.
J2322.... 9 Nandrolone ......... ......... ......... ......... ......... ..............
decanoate 200 MG.
J2330.... 9 Thiothixene ......... ......... ......... ......... ......... ..............
injection.
J2350.... 9 Niacinamide/niacin ......... ......... ......... ......... ......... ..............
injection.
J2360.... 9 Orphenadrine ......... ......... ......... ......... ......... ..............
injection.
J2370.... 9 Phenylephrine hcl ......... ......... ......... ......... ......... ..............
injection.
J2400.... 9 Chloroprocaine hcl ......... ......... ......... ......... ......... ..............
injection.
J2405.... 9 Ondansetron hcl ......... ......... ......... ......... ......... ..............
injection.
J2410.... 9 Oxymorphone hcl ......... ......... ......... ......... ......... ..............
injection.
J2430.... 9 Pamidronate ......... ......... ......... ......... ......... ..............
disodium /30 MG.
J2440.... 9 Papaverin hcl ......... ......... ......... ......... ......... ..............
injection.
J2460.... 9 Oxytetracycline ......... ......... ......... ......... ......... ..............
injection.
J2480.... 9 Hydrochlorides of ......... ......... ......... ......... ......... ..............
opium inj.
J2510.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
procaine inj.
J2512.... 9 Inj pentagastrin ......... ......... ......... ......... ......... ..............
per 2 ML.
J2515.... 9 Pentobarbital ......... ......... ......... ......... ......... ..............
sodium inj.
J2540.... 9 Penicillin g ......... ......... ......... ......... ......... ..............
potassium inj.
J2545.... 9 Pentamidine ......... ......... ......... ......... ......... ..............
isethionte/300mg.
J2550.... 9 Promethazine hcl ......... ......... ......... ......... ......... ..............
injection.
J2560.... 9 Phenobarbital ......... ......... ......... ......... ......... ..............
sodium inj.
J2590.... 9 Oxytocin injection. ......... ......... ......... ......... ......... ..............
J2597.... 9 Inj desmopressin ......... ......... ......... ......... ......... ..............
acetate.
J2640.... 9 Prednisolone sodium ......... ......... ......... ......... ......... ..............
ph inj.
J2650.... 9 Prednisolone ......... ......... ......... ......... ......... ..............
acetate inj.
J2670.... 9 Totazoline hcl ......... ......... ......... ......... ......... ..............
injection.
J2675.... 9 Inj progesterone ......... ......... ......... ......... ......... ..............
per 50 MG.
J2680.... 9 Fluphenazine ......... ......... ......... ......... ......... ..............
decanoate 25 MG.
J2690.... 9 Procainamide hcl ......... ......... ......... ......... ......... ..............
injection.
J2700.... 9 Oxacillin sodium ......... ......... ......... ......... ......... ..............
injection.
J2710.... 9 Neostigmine ......... ......... ......... ......... ......... ..............
methylslfte inj.
J2720.... 9 Inj protamine ......... ......... ......... ......... ......... ..............
sulfate/10 MG.
J2725.... 9 Inj protirelin per ......... ......... ......... ......... ......... ..............
250 mcg.
J2730.... 9 Pralidoxime ......... ......... ......... ......... ......... ..............
chloride inj.
J2760.... 9 Phentolaine ......... ......... ......... ......... ......... ..............
mesylate inj.
J2765.... 9 Metoclopramide hcl ......... ......... ......... ......... ......... ..............
injection.
J2790.... 9 Rho d immune ......... ......... ......... ......... ......... ..............
globulin inj.
J2800.... 9 Methocarbamol ......... ......... ......... ......... ......... ..............
injection.
J2810.... 9 Inj theophylline ......... ......... ......... ......... ......... ..............
per 40 MG.
J2820.... 9 Sargramostim ......... ......... ......... ......... ......... ..............
injection.
J2860.... 9 Secobarbital sodium ......... ......... ......... ......... ......... ..............
inj.
J2910.... 9 Aurothioglucose ......... ......... ......... ......... ......... ..............
injection.
J2912.... 9 Sodium chloride ......... ......... ......... ......... ......... ..............
injection.
J2920.... 9 Methylprednisolone ......... ......... ......... ......... ......... ..............
injection.
J2930.... 9 Methylprednisolone ......... ......... ......... ......... ......... ..............
injection.
J2950.... 9 Promazine hcl ......... ......... ......... ......... ......... ..............
injection.
J2970.... 9 Methicillin sodium ......... ......... ......... ......... ......... ..............
injection.
J2995.... 9 Inj streptokinase / ......... ......... ......... ......... ......... ..............
250000 IU.
J2996.... 9 Alteplase ......... ......... ......... ......... ......... ..............
recombinant inj.
J3000.... 9 Streptomycin ......... ......... ......... ......... ......... ..............
injection.
J3010.... 9 Fentanyl citrate ......... ......... ......... ......... ......... ..............
injection.
J3030.... 9 Sumatriptan ......... ......... ......... ......... ......... ..............
succinate / 6 MG.
J3070.... 9 Pentazocine hcl ......... ......... ......... ......... ......... ..............
injection.
J3080.... 9 Chlorprothixene ......... ......... ......... ......... ......... ..............
injection.
J3105.... 9 Terbutaline sulfate ......... ......... ......... ......... ......... ..............
inj.
J3120.... 9 Testosterone ......... ......... ......... ......... ......... ..............
enanthate inj.
J3130.... 9 Testosterone ......... ......... ......... ......... ......... ..............
enanthate inj.
J3140.... 9 Testosterone ......... ......... ......... ......... ......... ..............
suspension inj.
J3150.... 9 Testosteron ......... ......... ......... ......... ......... ..............
propionate inj.
J3230.... 9 Chlorpromazine hcl ......... ......... ......... ......... ......... ..............
injection.
J3240.... 9 Thyrotropin ......... ......... ......... ......... ......... ..............
injection.
J3250.... 9 Trimethobenzamide ......... ......... ......... ......... ......... ..............
hcl inj.
J3260.... 9 Tobramycin sulfate ......... ......... ......... ......... ......... ..............
injection.
J3265.... 9 Injection torsemide ......... ......... ......... ......... ......... ..............
10 mg/ml.
J3270.... 9 Imipramine hcl ......... ......... ......... ......... ......... ..............
injection.
J3280.... 9 Thiethylperazine ......... ......... ......... ......... ......... ..............
maleate inj.
J3301.... 9 Triamcinolone ......... ......... ......... ......... ......... ..............
acetonide inj.
J3302.... 9 Triamcinolone ......... ......... ......... ......... ......... ..............
diacetate inj.
J3303.... 9 Triamcinolone ......... ......... ......... ......... ......... ..............
hexacetonl inj.
J3305.... 9 Inj trimetrexate ......... ......... ......... ......... ......... ..............
glucoronate.
J3310.... 9 Perphenazine ......... ......... ......... ......... ......... ..............
injection.
J3320.... 9 Spectinomycn di-hcl ......... ......... ......... ......... ......... ..............
inj.
J3350.... 9 Urea injection..... ......... ......... ......... ......... ......... ..............
J3360.... 9 Diazepam injection. ......... ......... ......... ......... ......... ..............
[[Page 32451]]
J3364.... 9 Urokinase 5000 IU ......... ......... ......... ......... ......... ..............
injection.
J3365.... 9 Urokinase 250,000 ......... ......... ......... ......... ......... ..............
IU inj.
J3370.... 2 Vancomycin hcl ......... ......... ......... ......... ......... ..............
injection.
J3390.... 9 Methoxamine ......... ......... ......... ......... ......... ..............
injection.
J3400.... 9 Triflupromazine hcl ......... ......... ......... ......... ......... ..............
inj.
J3410.... 9 Hydroxyzine hcl ......... ......... ......... ......... ......... ..............
injection.
J3420.... 9 Vitamin b12 ......... ......... ......... ......... ......... ..............
injection.
J3430.... 9 Vitamin k ......... ......... ......... ......... ......... ..............
phytonadione inj.
J3450.... 9 Mephentermine ......... ......... ......... ......... ......... ..............
sulfate inj.
J3470.... 9 Hyaluronidase ......... ......... ......... ......... ......... ..............
injection.
J3475.... 9 Inj magnesium ......... ......... ......... ......... ......... ..............
sulfate.
J3480.... 9 Inj potassium ......... ......... ......... ......... ......... ..............
chloride.
J3490.... 9 Drugs unclassified ......... ......... ......... ......... ......... ..............
injection.
J3520.... 9 Edetate disodium ......... ......... ......... ......... ......... ..............
per 150 mg.
J3530.... 9 Nasal vaccine ......... ......... ......... ......... ......... ..............
inhalation.
J3535.... 9 Metered dose ......... ......... ......... ......... ......... ..............
inhaler drug.
J3570.... 9 Laetrile amygdalin ......... ......... ......... ......... ......... ..............
vit B17.
J7030.... 9 Normal saline ......... ......... ......... ......... ......... ..............
solution infus.
J7040.... 9 Normal saline ......... ......... ......... ......... ......... ..............
solution infus.
J7042.... 9 5% dextrose/normal ......... ......... ......... ......... ......... ..............
saline.
J7050.... 9 Normal saline ......... ......... ......... ......... ......... ..............
solution infus.
J7051.... 9 Sterile saline/ ......... ......... ......... ......... ......... ..............
water.
J7060.... 9 5% dextrose/water.. ......... ......... ......... ......... ......... ..............
J7070.... 9 D5w infusion....... ......... ......... ......... ......... ......... ..............
J7100.... 9 Dextran 40 infusion ......... ......... ......... ......... ......... ..............
J7110.... 9 Dextran 75 infusion ......... ......... ......... ......... ......... ..............
J7120.... 9 Ringers lactate ......... ......... ......... ......... ......... ..............
infusion.
J7130.... 9 Hypertonic saline ......... ......... ......... ......... ......... ..............
solution.
J7190.... 6 Factor viii........ ......... ......... ......... ......... ......... ..............
J7191.... 6 Factor VIII ......... ......... ......... ......... ......... ..............
(porcine).
J7192.... 6 Factor viii ......... ......... ......... ......... ......... ..............
recombinant.
J7194.... 6 Factor ix complex.. ......... ......... ......... ......... ......... ..............
J7196.... 6 Othr hemophilia ......... ......... ......... ......... ......... ..............
clot factors.
J7197.... 6 Antithrombin iii ......... ......... ......... ......... ......... ..............
injection.
J7300.... 9 Intraut copper ......... ......... ......... ......... ......... ..............
contraceptive.
J7310.... 9 Ganciclovir long ......... ......... ......... ......... ......... ..............
act implant.
J7500.... 6 Azathiop po tab ......... ......... ......... ......... ......... ..............
50mg 100s ea.
J7501.... 6 Azathioprine ......... ......... ......... ......... ......... ..............
parenteral.
J7503.... 6 Cyclosporine ......... ......... ......... ......... ......... ..............
parenteral.
J7504.... 6 Lymphocyte immune ......... ......... ......... ......... ......... ..............
globulin.
J7505.... 6 Monoclonal ......... ......... ......... ......... ......... ..............
antibodies.
J7506.... 6 Prednisone oral.... ......... ......... ......... ......... ......... ..............
J7507.... 9 Tacrolimus oral per ......... ......... ......... ......... ......... ..............
1 MG.
J7508.... 9 Tacrolimus oral per ......... ......... ......... ......... ......... ..............
5 MG.
J7509.... 6 Methylprednisolone ......... ......... ......... ......... ......... ..............
oral.
J7510.... 6 Prednisolone oral ......... ......... ......... ......... ......... ..............
per 5 mg.
J7599.... 6 Immunosuppressive ......... ......... ......... ......... ......... ..............
drug noc.
J7610.... 9 Acetylcysteine 10% ......... ......... ......... ......... ......... ..............
injection.
J7615.... 9 Acetylcysteine 20% ......... ......... ......... ......... ......... ..............
injection.
J7620.... 9 Albuterol sulfate ......... ......... ......... ......... ......... ..............
.083%/ml.
J7625.... 9 Albuterol sulfate ......... ......... ......... ......... ......... ..............
.5% inj.
J7627.... 9 Bitolterolmesylate ......... ......... ......... ......... ......... ..............
inhal sol.
J7630.... 9 Cromolyn sodium ......... ......... ......... ......... ......... ..............
injection.
J7640.... 9 Epinephrine ......... ......... ......... ......... ......... ..............
injection.
J7645.... 9 Ipratropium bromide ......... ......... ......... ......... ......... ..............
.02%/ml.
J7650.... 9 Isoetharine hcl .1% ......... ......... ......... ......... ......... ..............
inj.
J7651.... 9 Isoetharine hcl ......... ......... ......... ......... ......... ..............
.125% inj.
J7652.... 9 Isoetharine hcl ......... ......... ......... ......... ......... ..............
.167% inj.
J7653.... 9 Isoetharine hcl .2%/ ......... ......... ......... ......... ......... ..............
inj.
J7654.... 9 Isoetharine hcl ......... ......... ......... ......... ......... ..............
.25% inj.
J7655.... 9 Isoetharine hcl 1% ......... ......... ......... ......... ......... ..............
inj.
J7660.... 9 Isoproterenol hcl ......... ......... ......... ......... ......... ..............
.5% inj.
J7665.... 9 Isoproterenol hcl ......... ......... ......... ......... ......... ..............
1% inj.
J7670.... 9 Metaproterenol ......... ......... ......... ......... ......... ..............
sulfate .4%.
J7672.... 9 Metaproterenol ......... ......... ......... ......... ......... ..............
sulfate .6%.
J7675.... 9 Metaproterenol ......... ......... ......... ......... ......... ..............
sulfate 5%.
J7699.... 9 Inhalation solution ......... ......... ......... ......... ......... ..............
for DME.
J7799.... 9 Non-inhalation drug ......... ......... ......... ......... ......... ..............
for DME.
J8499.... 9 Oral prescrip drug ......... ......... ......... ......... ......... ..............
non chemo.
J8530.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
oral 25 MG.
J8560.... 9 Etoposide oral 50 ......... ......... ......... ......... ......... ..............
MG.
J8600.... 9 Melphalan oral 2 MG ......... ......... ......... ......... ......... ..............
J8610.... 9 Methotrexate oral ......... ......... ......... ......... ......... ..............
2.5 MG.
J8999.... 9 Oral prescription ......... ......... ......... ......... ......... ..............
drug chemo.
[[Page 32452]]
J9000.... 9 Doxorubic hcl 10 MG ......... ......... ......... ......... ......... ..............
vl chemo.
J9015.... 9 Aldesleukin/single ......... ......... ......... ......... ......... ..............
use vial.
J9020.... 9 Asparaginase ......... ......... ......... ......... ......... ..............
injection.
J9031.... 9 Bcg live ......... ......... ......... ......... ......... ..............
intravesical vac.
J9040.... 9 Bleomycin sulfate ......... ......... ......... ......... ......... ..............
injection.
J9045.... 9 Carboplatin ......... ......... ......... ......... ......... ..............
injection.
J9050.... 9 Carmus bischl nitro ......... ......... ......... ......... ......... ..............
inj.
J9060.... 9 Cisplatin 10 MG ......... ......... ......... ......... ......... ..............
injection.
J9062.... 9 Cisplatin 50 MG ......... ......... ......... ......... ......... ..............
injection.
J9065.... 9 Inj cladribine per ......... ......... ......... ......... ......... ..............
1 MG.
J9070.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
100 MG inj.
J9080.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
200 MG inj.
J9090.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
500 MG inj.
J9091.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
1.0 grm inj.
J9092.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
2.0 grm inj.
J9093.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
lyophilized.
J9094.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
lyophilized.
J9095.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
lyophilized.
J9096.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
lyophilized.
J9097.... 9 Cyclophosphamide ......... ......... ......... ......... ......... ..............
lyophilized.
J9100.... 9 Cytarabine hcl 100 ......... ......... ......... ......... ......... ..............
MG inj.
J9110.... 9 Cytarabine hcl 500 ......... ......... ......... ......... ......... ..............
MG inj.
J9120.... 9 Dactinomycin ......... ......... ......... ......... ......... ..............
actinomycin d.
J9130.... 9 Dacarbazine 10 MG ......... ......... ......... ......... ......... ..............
inj.
J9140.... 9 Dacarbazine 200 MG ......... ......... ......... ......... ......... ..............
inj.
J9150.... 9 Daunorubicin....... ......... ......... ......... ......... ......... ..............
J9165.... 9 Diethylstilbestrol ......... ......... ......... ......... ......... ..............
injection.
J9170.... 9 Docetaxel.......... ......... ......... ......... ......... ......... ..............
J9181.... 9 Etoposide 10 MG inj ......... ......... ......... ......... ......... ..............
J9182.... 9 Etoposide 100 MG ......... ......... ......... ......... ......... ..............
inj.
J9185.... 9 Fludarabine ......... ......... ......... ......... ......... ..............
phosphate inj.
J9190.... 9 Fluorouracil ......... ......... ......... ......... ......... ..............
injection.
J9200.... 9 Floxuridine ......... ......... ......... ......... ......... ..............
injection.
J9201.... 9 Gemcitabine HCl.... ......... ......... ......... ......... ......... ..............
J9202.... 9 Goserelin acetate ......... ......... ......... ......... ......... ..............
implant.
J9206.... 9 Irinotecan ......... ......... ......... ......... ......... ..............
injection.
J9208.... 9 Ifosfomide ......... ......... ......... ......... ......... ..............
injection.
J9209.... 9 Mesna injection.... ......... ......... ......... ......... ......... ..............
J9211.... 9 Idarubicin hcl ......... ......... ......... ......... ......... ..............
injection.
J9213.... 9 Interferon alfa-2a ......... ......... ......... ......... ......... ..............
inj.
J9214.... 9 Interferon alfa-2b ......... ......... ......... ......... ......... ..............
inj.
J9215.... 9 Interferon alfa-n3 ......... ......... ......... ......... ......... ..............
inj.
J9216.... 9 Interferon gamma 1- ......... ......... ......... ......... ......... ..............
b inj.
J9217.... 9 Leuprolide acetate ......... ......... ......... ......... ......... ..............
suspnsion.
J9218.... 9 Leuprolide acetate ......... ......... ......... ......... ......... ..............
injection.
J9230.... 9 Mechlorethamine hcl ......... ......... ......... ......... ......... ..............
inj.
J9245.... 9 Inj melphalan ......... ......... ......... ......... ......... ..............
hydrochl 50 MG.
J9250.... 9 Methotrexate sodium ......... ......... ......... ......... ......... ..............
inj.
J9260.... 9 Methotrexate sodium ......... ......... ......... ......... ......... ..............
inj.
J9265.... 9 Paclitaxel ......... ......... ......... ......... ......... ..............
injection.
J9266.... 9 Pegaspargase/singl ......... ......... ......... ......... ......... ..............
dose vial.
J9268.... 9 Pentostatin ......... ......... ......... ......... ......... ..............
injection.
J9270.... 9 Plicamycin ......... ......... ......... ......... ......... ..............
(mithramycin) inj.
J9280.... 9 Mitomycin 5 MG inj. ......... ......... ......... ......... ......... ..............
J9290.... 9 Mitomycin 20 MG inj ......... ......... ......... ......... ......... ..............
J9291.... 9 Mitomycin 40 MG inj ......... ......... ......... ......... ......... ..............
J9293.... 9 Mitoxantrone ......... ......... ......... ......... ......... ..............
hydrochl / 5 MG.
J9320.... 9 Streptozocin ......... ......... ......... ......... ......... ..............
injection.
J9340.... 9 Thiotepa injection. ......... ......... ......... ......... ......... ..............
J9350.... 9 Topotecan.......... ......... ......... ......... ......... ......... ..............
J9360.... 9 Vinblastine sulfate ......... ......... ......... ......... ......... ..............
inj.
J9370.... 9 Vincristine sulfate ......... ......... ......... ......... ......... ..............
1 MG inj.
J9375.... 9 Vincristine sulfate ......... ......... ......... ......... ......... ..............
2 MG inj.
J9380.... 9 Vincristine sulfate ......... ......... ......... ......... ......... ..............
5 MG inj.
J9390.... 9 Vinorelbine ......... ......... ......... ......... ......... ..............
tartrate/10 mg.
J9600.... 9 Porfimer sodium.... ......... ......... ......... ......... ......... ..............
J9999.... 9 Chemotherapy drug.. ......... ......... ......... ......... ......... ..............
K0001.... 6 Standard wheelchair ......... ......... ......... ......... ......... ..............
K0002.... 6 Stnd hemi (low ......... ......... ......... ......... ......... ..............
seat) whlchr.
K0003.... 6 Lightweight ......... ......... ......... ......... ......... ..............
wheelchair.
K0004.... 6 High strength ltwt ......... ......... ......... ......... ......... ..............
whlchr.
K0005.... 6 Ultralightweight ......... ......... ......... ......... ......... ..............
wheelchair.
K0006.... 6 Heavy duty ......... ......... ......... ......... ......... ..............
wheelchair.
K0007.... 6 Extra heavy duty ......... ......... ......... ......... ......... ..............
wheelchair.
[[Page 32453]]
K0008.... 6 Cstm manual ......... ......... ......... ......... ......... ..............
wheelchair/base.
K0009.... 6 Other manual ......... ......... ......... ......... ......... ..............
wheelchair/base.
K0010.... 6 Stnd wt frame power ......... ......... ......... ......... ......... ..............
whlchr.
K0011.... 6 Stnd wt pwr whlchr ......... ......... ......... ......... ......... ..............
w control.
K0012.... 6 Ltwt portbl power ......... ......... ......... ......... ......... ..............
whlchr.
K0013.... 6 Custom power whlchr ......... ......... ......... ......... ......... ..............
base.
K0014.... 6 Other power whlchr ......... ......... ......... ......... ......... ..............
base.
K0015.... 6 Detach non-adjus ......... ......... ......... ......... ......... ..............
hght armrst.
K0016.... 6 Detach adjust ......... ......... ......... ......... ......... ..............
armrst cmplete.
K0017.... 6 Detach adjust ......... ......... ......... ......... ......... ..............
armrest base.
K0018.... 6 Detach adjust ......... ......... ......... ......... ......... ..............
armrst upper.
K0019.... 6 Arm pad each....... ......... ......... ......... ......... ......... ..............
K0020.... 6 Fixed adjust ......... ......... ......... ......... ......... ..............
armrest pair.
K0021.... 6 Anti-tipping device ......... ......... ......... ......... ......... ..............
each.
K0022.... 6 Reinforced back ......... ......... ......... ......... ......... ..............
upholstery.
K0023.... 6 Planr back insrt ......... ......... ......... ......... ......... ..............
foam w/strp.
K0024.... 6 Plnr back insrt ......... ......... ......... ......... ......... ..............
foam w/hrdwr.
K0025.... 6 Hook-on headrest ......... ......... ......... ......... ......... ..............
extension.
K0026.... 6 Back upholst lgtwt ......... ......... ......... ......... ......... ..............
whlchr.
K0027.... 6 Back upholst other ......... ......... ......... ......... ......... ..............
whlchr.
K0028.... 6 Fully reclining ......... ......... ......... ......... ......... ..............
back.
K0029.... 6 Reinforced seat ......... ......... ......... ......... ......... ..............
upholstery.
K0030.... 6 Solid plnr seat ......... ......... ......... ......... ......... ..............
sngl dnsfoam.
K0031.... 6 Safety belt/pelvic ......... ......... ......... ......... ......... ..............
strap.
K0032.... 6 Seat uphols lgtwt ......... ......... ......... ......... ......... ..............
whlchr.
K0033.... 6 Seat upholstery ......... ......... ......... ......... ......... ..............
other whlchr.
K0034.... 6 Heel loop each..... ......... ......... ......... ......... ......... ..............
K0035.... 6 Heel loop with ......... ......... ......... ......... ......... ..............
ankle strap.
K0036.... 6 Toe loop each...... ......... ......... ......... ......... ......... ..............
K0037.... 6 High mount flip-up ......... ......... ......... ......... ......... ..............
footrest.
K0038.... 6 Leg strap each..... ......... ......... ......... ......... ......... ..............
K0039.... 6 Leg strap h style ......... ......... ......... ......... ......... ..............
each.
K0040.... 6 Adjustable angle ......... ......... ......... ......... ......... ..............
footplate.
K0041.... 6 Large size ......... ......... ......... ......... ......... ..............
footplate each.
K0042.... 6 Standard size ......... ......... ......... ......... ......... ..............
footplate each.
K0043.... 6 Ftrst lower ......... ......... ......... ......... ......... ..............
extension tube.
K0044.... 6 Ftrst upper hanger ......... ......... ......... ......... ......... ..............
bracket.
K0045.... 6 Footrest complete ......... ......... ......... ......... ......... ..............
assembly.
K0046.... 6 Elevat legrst low ......... ......... ......... ......... ......... ..............
extension.
K0047.... 6 Elevat legrst up ......... ......... ......... ......... ......... ..............
hangr brack.
K0048.... 6 Elevate legrest ......... ......... ......... ......... ......... ..............
complete.
K0049.... 6 Calf pad each...... ......... ......... ......... ......... ......... ..............
K0050.... 6 Ratchet assembly... ......... ......... ......... ......... ......... ..............
K0051.... 6 Cam relese assem ......... ......... ......... ......... ......... ..............
ftrst/lgrst.
K0052.... 6 Swingaway detach ......... ......... ......... ......... ......... ..............
footrest.
K0053.... 6 Elevate footrest ......... ......... ......... ......... ......... ..............
articulate.
K0054.... 6 Seat wdth 10-12/15/ ......... ......... ......... ......... ......... ..............
17/20 wc.
K0055.... 6 Seat dpth 15/17/18 ......... ......... ......... ......... ......... ..............
ltwt wc.
K0056.... 6 Seat ht <17 or=""><=21 .........="" .........="" .........="" .........="" .........="" ..............="" ltwt="" wc.="" k0057....="" 6="" seat="" wdth="" 19/20="" hvy="" .........="" .........="" .........="" .........="" .........="" ..............="" dty="" wc.="" k0058....="" 6="" seat="" dpth="" 17/18="" .........="" .........="" .........="" .........="" .........="" ..............="" power="" wc.="" k0059....="" 6="" plastic="" coated="" .........="" .........="" .........="" .........="" .........="" ..............="" handrim="" each.="" k0060....="" 6="" steel="" handrim="" each.="" .........="" .........="" .........="" .........="" .........="" ..............="" k0061....="" 6="" aluminum="" handrim="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" k0062....="" 6="" handrim="" 8-10="" vert/="" .........="" .........="" .........="" .........="" .........="" ..............="" obliq="" proj.="" k0063....="" 6="" hndrm="" 12-16="" vert/="" .........="" .........="" .........="" .........="" .........="" ..............="" obliq="" proj.="" k0064....="" 6="" zero="" pressure="" tube="" .........="" .........="" .........="" .........="" .........="" ..............="" flat="" free.="" k0065....="" 6="" spoke="" protectors...="" .........="" .........="" .........="" .........="" .........="" ..............="" k0066....="" 6="" solid="" tire="" any="" size="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" k0067....="" 6="" pneumatic="" tire="" any="" .........="" .........="" .........="" .........="" .........="" ..............="" size="" each.="" k0068....="" 6="" pneumatic="" tire="" tube="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" k0069....="" 6="" rear="" whl="" complete="" .........="" .........="" .........="" .........="" .........="" ..............="" solid="" tire.="" k0070....="" 6="" rear="" whl="" compl="" .........="" .........="" .........="" .........="" .........="" ..............="" pneum="" tire.="" k0071....="" 6="" front="" castr="" compl="" .........="" .........="" .........="" .........="" .........="" ..............="" pneum="" tire.="" k0072....="" 6="" frnt="" cstr="" cmpl="" sem-="" .........="" .........="" .........="" .........="" .........="" ..............="" pneum="" tir.="" k0073....="" 6="" caster="" pin="" lock="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" k0074....="" 6="" pneumatic="" caster="" .........="" .........="" .........="" .........="" .........="" ..............="" tire="" each.="" k0075....="" 6="" semi-pneumatic="" .........="" .........="" .........="" .........="" .........="" ..............="" caster="" tire.="" k0076....="" 6="" solid="" caster="" tire="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" k0077....="" 6="" front="" caster="" assem="" .........="" .........="" .........="" .........="" .........="" ..............="" complete.="" k0078....="" 6="" pneumatic="" caster="" .........="" .........="" .........="" .........="" .........="" ..............="" tire="" tube.="" k0079....="" 6="" wheel="" lock="" .........="" .........="" .........="" .........="" .........="" ..............="" extension="" pair.="" k0080....="" 6="" anti-rollback="" .........="" .........="" .........="" .........="" .........="" ..............="" device="" pair.="" k0081....="" 6="" wheel="" lock="" assembly="" .........="" .........="" .........="" .........="" .........="" ..............="" complete.="" [[page="" 32454]]="" k0082....="" 6="" 22="" nf="" deep="" cycl="" .........="" .........="" .........="" .........="" .........="" ..............="" acid="" battery.="" k0083....="" 6="" 22="" nf="" gel="" cell="" .........="" .........="" .........="" .........="" .........="" ..............="" battery="" each.="" k0084....="" 6="" grp="" 24="" deep="" cycl="" .........="" .........="" .........="" .........="" .........="" ..............="" acid="" battry.="" k0085....="" 6="" group="" 24="" gel="" cell="" .........="" .........="" .........="" .........="" .........="" ..............="" battery.="" k0086....="" 6="" u-1="" lead="" acid="" .........="" .........="" .........="" .........="" .........="" ..............="" battery="" each.="" k0087....="" 6="" u-1="" gel="" cell="" .........="" .........="" .........="" .........="" .........="" ..............="" battery="" each.="" k0088....="" 6="" battry="" chrgr="" acid/="" .........="" .........="" .........="" .........="" .........="" ..............="" gel="" cell.="" k0089....="" 6="" battery="" charger="" .........="" .........="" .........="" .........="" .........="" ..............="" dual="" mode.="" k0090....="" 6="" rear="" tire="" power="" .........="" .........="" .........="" .........="" .........="" ..............="" wheelchair.="" k0091....="" 6="" rear="" tire="" tube="" .........="" .........="" .........="" .........="" .........="" ..............="" power="" whlchr.="" k0092....="" 6="" rear="" assem="" cmplt="" .........="" .........="" .........="" .........="" .........="" ..............="" powr="" whlchr.="" k0093....="" 6="" rear="" zero="" pressure="" .........="" .........="" .........="" .........="" .........="" ..............="" tire="" tube.="" k0094....="" 6="" wheel="" tire="" for="" .........="" .........="" .........="" .........="" .........="" ..............="" power="" base.="" k0095....="" 6="" wheel="" tire="" tube="" .........="" .........="" .........="" .........="" .........="" ..............="" each="" base.="" k0096....="" 6="" wheel="" assem="" powr="" .........="" .........="" .........="" .........="" .........="" ..............="" base="" complt.="" k0097....="" 6="" wheel="" zero="" presure="" .........="" .........="" .........="" .........="" .........="" ..............="" tire="" tube.="" k0098....="" 6="" drive="" belt="" power="" .........="" .........="" .........="" .........="" .........="" ..............="" wheelchair.="" k0099....="" 6="" front="" caster="" power="" .........="" .........="" .........="" .........="" .........="" ..............="" whelchair.="" k0100....="" 6="" amputee="" adapter="" .........="" .........="" .........="" .........="" .........="" ..............="" pair.="" k0101....="" 6="" one-arm="" drive="" .........="" .........="" .........="" .........="" .........="" ..............="" attachment.="" k0102....="" 6="" crutch="" and="" cane="" .........="" .........="" .........="" .........="" .........="" ..............="" holder.="" k0103....="" 6="" transfer="" board="">< .........="" .........="" .........="" .........="" .........="" ..............="" 25''.="" k0104....="" 6="" cylinder="" tank="" .........="" .........="" .........="" .........="" .........="" ..............="" carrier.="" k0105....="" 6="" iv="" hanger..........="" .........="" .........="" .........="" .........="" .........="" ..............="" k0106....="" 6="" arm="" trough="" each....="" .........="" .........="" .........="" .........="" .........="" ..............="" k0107....="" 6="" wheelchair="" tray....="" .........="" .........="" .........="" .........="" .........="" ..............="" k0108....="" 6="" other="" accessories..="" .........="" .........="" .........="" .........="" .........="" ..............="" k0109....="" 6="" customize="" whlchr="" .........="" .........="" .........="" .........="" .........="" ..............="" base="" frame.="" k0112....="" 6="" trunk="" vest="" supprt="" .........="" .........="" .........="" .........="" .........="" ..............="" innr="" frame.="" k0113....="" 6="" trunk="" vest="" suprt="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" o="" inr="" frm.="" k0114....="" 6="" whlchr="" back="" suprt="" .........="" .........="" .........="" .........="" .........="" ..............="" inr="" frame.="" k0115....="" 6="" back="" module="" .........="" .........="" .........="" .........="" .........="" ..............="" orthotic="" system.="" k0116....="" 6="" back="" &="" seat="" modul="" .........="" .........="" .........="" .........="" .........="" ..............="" orthot="" sys.="" k0119....="" 6="" azathioprine="" oral="" .........="" .........="" .........="" .........="" .........="" ..............="" tab="" 50="" mg.="" k0120....="" 6="" azathioprine="" .........="" .........="" .........="" .........="" .........="" ..............="" prentrl="" 100="" mg.="" k0121....="" 6="" cyclosporine="" oral="" .........="" .........="" .........="" .........="" .........="" ..............="" 25="" mg.="" k0122....="" 6="" cyclosporine="" .........="" .........="" .........="" .........="" .........="" ..............="" prentrl="" 250="" mg.="" k0123....="" 6="" imun/antitymocyt="" .........="" .........="" .........="" .........="" .........="" ..............="" glob="" 250="" mg.="" k0137....="" 6="" skin="" barrier="" liquid="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" oz.="" k0138....="" 6="" skin="" barrier="" paste="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" oz.="" k0139....="" 6="" skin="" barrier="" powder="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" oz.="" k0168....="" 6="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer="" set.="" k0169....="" 6="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer="" small.="" k0170....="" 6="" non="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer="" set.="" k0171....="" 6="" filtered="" nebulizer="" .........="" .........="" .........="" .........="" .........="" ..............="" set.="" k0172....="" 6="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer="" unfill.="" k0173....="" 6="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer="" prefill.="" k0174....="" 6="" reservoir="" bottle="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer.="" k0175....="" 6="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" corrugated="" tubing.="" k0176....="" 6="" non="" dispos="" .........="" .........="" .........="" .........="" .........="" ..............="" corrugated="" tubing.="" k0177....="" 6="" water="" collec="" dev="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer.="" k0178....="" 6="" disposbl="" filter="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" compressor.="" k0179....="" 6="" non-dispos="" filter="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" compress.="" k0180....="" 6="" aerosol="" mask="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer.="" k0181....="" 6="" dome="" &="" mouthpiece="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" nebuliz.="" k0182....="" 6="" water="" distilled="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" nebulizer.="" k0183....="" 6="" nasal="" application="" .........="" .........="" .........="" .........="" .........="" ..............="" with="" cpap.="" k0184....="" 6="" nasal="" pillows/seals="" .........="" .........="" .........="" .........="" .........="" ..............="" pair.="" k0185....="" 6="" headgear="" with="" cpap="" .........="" .........="" .........="" .........="" .........="" ..............="" device.="" k0186....="" 6="" chin="" strap="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" cpap="" device.="" k0187....="" 6="" tubing="" with="" cpap="" .........="" .........="" .........="" .........="" .........="" ..............="" device.="" k0188....="" 6="" filter="" disposable="" .........="" .........="" .........="" .........="" .........="" ..............="" with="" cpap.="" k0189....="" 6="" filter="" non-="" .........="" .........="" .........="" .........="" .........="" ..............="" disposable="" w/cpap.="" k0190....="" 6="" disposable="" canister="" .........="" .........="" .........="" .........="" .........="" ..............="" w/pump.="" k0191....="" 6="" non-disposbl="" .........="" .........="" .........="" .........="" .........="" ..............="" canister="" w/pump.="" k0192....="" 6="" tubing="" used="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" suction="" pump.="" k0193....="" 6="" airway="" pressure="" dev/="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" hmdfer.="" k0194....="" 6="" assist="" device="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" humidifier.="" k0195....="" 6="" elevating="" whlchair="" .........="" .........="" .........="" .........="" .........="" ..............="" leg="" rests.="" k0268....="" 6="" humidifier="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" cpap="" device.="" k0269....="" 6="" aerosol="" compressor="" .........="" .........="" .........="" .........="" .........="" ..............="" cpap="" dev.="" k0270....="" 6="" ultrasonic="" .........="" .........="" .........="" .........="" .........="" ..............="" generator="" w="" nebul.="" k0277....="" 6="" skin="" barrier="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" 4x4="" equiv.="" k0278....="" 6="" skin="" barrier="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" flange.="" [[page="" 32455]]="" k0279....="" 6="" skin="" barrier="" .........="" .........="" .........="" .........="" .........="" ..............="" extended="" wear.="" k0280....="" 6="" extension="" drainage="" .........="" .........="" .........="" .........="" .........="" ..............="" tubing.="" k0281....="" 6="" lubricant="" catheter="" .........="" .........="" .........="" .........="" .........="" ..............="" insertion.="" k0283....="" 6="" saline="" solution="" .........="" .........="" .........="" .........="" .........="" ..............="" dispenser.="" k0284....="" 6="" external="" infusion="" .........="" .........="" .........="" .........="" .........="" ..............="" pump="" reuse.="" k0400....="" 6="" skin="" support="" .........="" .........="" .........="" .........="" .........="" ..............="" attachment="" each.="" k0401....="" 6="" diabetic="" deluxe="" .........="" .........="" .........="" .........="" .........="" ..............="" shoe.="" k0407....="" 6="" urinary="" cath="" skin="" .........="" .........="" .........="" .........="" .........="" ..............="" attachment.="" k0408....="" 6="" urinary="" cath="" leg="" .........="" .........="" .........="" .........="" .........="" ..............="" strap.="" k0409....="" 6="" sterile="" h2o="" .........="" .........="" .........="" .........="" .........="" ..............="" irrigation="" solut.="" k0410....="" 6="" male="" ext="" cath="" w/adh="" .........="" .........="" .........="" .........="" .........="" ..............="" coating.="" k0411....="" 6="" male="" ext="" cath="" w/adh="" .........="" .........="" .........="" .........="" .........="" ..............="" strip.="" k0412....="" 6="" mycophenolate="" .........="" .........="" .........="" .........="" .........="" ..............="" mofetil="" 25o="" mg.="" k0415....="" 6="" rx="" antiemetic="" drg,="" .........="" .........="" .........="" .........="" .........="" ..............="" oral="" nos.="" k0416....="" 6="" rx="" antiemetic="" drg,="" .........="" .........="" .........="" .........="" .........="" ..............="" rectal="" nos.="" k0417....="" 6="" mech="" infus="" pump="" sht="" .........="" .........="" .........="" .........="" .........="" ..............="" trm="" drug.="" k0418....="" 6="" oral="" cyclosporin...="" .........="" .........="" .........="" .........="" .........="" ..............="" k0419....="" 6="" drainable="" plstic="" .........="" .........="" .........="" .........="" .........="" ..............="" pch="" w="" fcplt.="" k0420....="" 6="" drainable="" rubber="" .........="" .........="" .........="" .........="" .........="" ..............="" pch="" w="" fcplt.="" k0421....="" 6="" drainable="" plstic="" .........="" .........="" .........="" .........="" .........="" ..............="" pch="" w/o="" fp.="" k0422....="" 6="" drainable="" rubber="" .........="" .........="" .........="" .........="" .........="" ..............="" pch="" w/o="" fp.="" k0423....="" 6="" urinary="" plstic="" .........="" .........="" .........="" .........="" .........="" ..............="" pouch="" w="" fcplt.="" k0424....="" 6="" urinary="" rubber="" .........="" .........="" .........="" .........="" .........="" ..............="" pouch="" w="" fcplt.="" k0425....="" 6="" urinary="" plstic="" .........="" .........="" .........="" .........="" .........="" ..............="" pouch="" w/o="" fp.="" k0426....="" 6="" urinary="" hvy="" plstc="" .........="" .........="" .........="" .........="" .........="" ..............="" pch="" w/o="" fp.="" k0427....="" 6="" urinary="" rubber="" .........="" .........="" .........="" .........="" .........="" ..............="" pouch="" w/o="" fp.="" k0428....="" 6="" ostomy="" faceplt/="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone="" ring.="" k0429....="" 6="" skin="" barrier="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" ext="" wear.="" k0430....="" 6="" skin="" barrier="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" flang="" ex="" wear.="" k0431....="" 6="" closed="" pouch="" w="" st="" .........="" .........="" .........="" .........="" .........="" ..............="" wear="" bar.="" k0432....="" 6="" drainable="" pch="" w="" ex="" .........="" .........="" .........="" .........="" .........="" ..............="" wear="" bar.="" k0433....="" 6="" drainable="" pch="" w="" st="" .........="" .........="" .........="" .........="" .........="" ..............="" wear="" bar.="" k0434....="" 6="" drainable="" pch="" ex="" .........="" .........="" .........="" .........="" .........="" ..............="" wear="" convex.="" k0435....="" 6="" urinary="" pouch="" w="" ex="" .........="" .........="" .........="" .........="" .........="" ..............="" wear="" bar.="" k0436....="" 6="" urinary="" pouch="" w="" st="" .........="" .........="" .........="" .........="" .........="" ..............="" wear="" bar.="" k0437....="" 6="" urine="" pch="" w="" ex="" wear="" .........="" .........="" .........="" .........="" .........="" ..............="" bar="" conv.="" k0438....="" 6="" ostomy="" pouch="" liq="" .........="" .........="" .........="" .........="" .........="" ..............="" deodorant.="" k0439....="" 6="" ostomy="" pouch="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" deodorant.="" k0440....="" 6="" nasal="" prosthesis...="" .........="" .........="" .........="" .........="" .........="" ..............="" k0441....="" 6="" midfacial="" .........="" .........="" .........="" .........="" .........="" ..............="" prosthesis.="" k0442....="" 6="" orbital="" prosthesis.="" .........="" .........="" .........="" .........="" .........="" ..............="" k0443....="" 6="" upper="" facial="" .........="" .........="" .........="" .........="" .........="" ..............="" prosthesis.="" k0444....="" 6="" hemi-facial="" .........="" .........="" .........="" .........="" .........="" ..............="" prosthesis.="" k0445....="" 6="" auricular="" .........="" .........="" .........="" .........="" .........="" ..............="" prosthesis.="" k0446....="" 6="" partial="" facial="" .........="" .........="" .........="" .........="" .........="" ..............="" prosthesis.="" k0447....="" 6="" nasal="" septal="" .........="" .........="" .........="" .........="" .........="" ..............="" prosthesis.="" k0448....="" 6="" unspec="" .........="" .........="" .........="" .........="" .........="" ..............="" maxillofacial="" prosth.="" k0449....="" 6="" repair="" .........="" .........="" .........="" .........="" .........="" ..............="" maxillofacial="" prosth.="" k0450....="" 6="" liq="" adhes="" for="" .........="" .........="" .........="" .........="" .........="" ..............="" facial="" prosth.="" k0451....="" 6="" adhesive="" remover="" .........="" .........="" .........="" .........="" .........="" ..............="" wipes.="" k0452....="" 6="" wheelchair="" bearings="" .........="" .........="" .........="" .........="" .........="" ..............="" k0453....="" 6="" amphotericin="" b.....="" .........="" .........="" .........="" .........="" .........="" ..............="" k0455....="" 6="" pump="" uninterrupted="" .........="" .........="" .........="" .........="" .........="" ..............="" infusion.="" k0501....="" 6="" aerosol="" compressor="" .........="" .........="" .........="" .........="" .........="" ..............="" for="" svneb.="" k0503....="" 6="" acetylcysteine="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0504....="" 6="" albuterol="" inh="" sol="" .........="" .........="" .........="" .........="" .........="" ..............="" con.="" k0505....="" 6="" albuterol="" inh="" sol="" u="" .........="" .........="" .........="" .........="" .........="" ..............="" d.="" k0506....="" 6="" atropine="" inh="" sol="" .........="" .........="" .........="" .........="" .........="" ..............="" con.="" k0507....="" 6="" atropine="" inh="" sol="" u="" .........="" .........="" .........="" .........="" .........="" ..............="" d.="" k0508....="" 6="" bitolterol="" mes="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" con.="" k0509....="" 6="" bitolterol="" mes="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0511....="" 6="" cromolyn="" sodium="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0512....="" 6="" dexamethasone="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" con.="" k0513....="" 6="" dexamethasone="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0514....="" 6="" domase="" alpha="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0515....="" 6="" glycopyrrolate="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" con.="" k0516....="" 6="" glycopyrrolate="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0518....="" 6="" ipratropium="" brom="" .........="" .........="" .........="" .........="" .........="" ..............="" inh="" sol="" u="" d.="" k0519....="" 6="" isoetharine="" hcl="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" con.="" k0520....="" 6="" isoetharine="" hcl="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0521....="" 6="" isoproterenolhcl="" .........="" .........="" .........="" .........="" .........="" ..............="" inh="" sol="" con.="" k0522....="" 6="" isoproterenolhcl="" .........="" .........="" .........="" .........="" .........="" ..............="" inh="" sol="" u="" d.="" k0523....="" 6="" metaproterenol="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" con.="" k0524....="" 6="" metaproterenol="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" [[page="" 32456]]="" k0525....="" 6="" terbutaline="" so4="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" con.="" k0526....="" 6="" terbutaline="" so4="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0527....="" 6="" triamcinolone="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" con.="" k0528....="" 6="" triamcinolone="" inh="" .........="" .........="" .........="" .........="" .........="" ..............="" sol="" u="" d.="" k0529....="" 6="" sterile="" h20="" or="" nss="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" lv="" neb.="" k0530....="" 6="" nebulizer="" not="" used="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" oxygen.="" l0100....="" 6="" cerv="" craniosten="" .........="" .........="" .........="" .........="" .........="" ..............="" helmet="" mold.="" l0110....="" 6="" cerv="" craniostenosis="" .........="" .........="" .........="" .........="" .........="" ..............="" hel="" non-.="" l0120....="" 6="" cerv="" flexible="" non-="" .........="" .........="" .........="" .........="" .........="" ..............="" adjustable.="" l0130....="" 6="" flex="" thermoplastic="" .........="" .........="" .........="" .........="" .........="" ..............="" collar="" mo.="" l0140....="" 6="" cervical="" semi-rigid="" .........="" .........="" .........="" .........="" .........="" ..............="" adjustab.="" l0150....="" 6="" cerv="" semi-rig="" adj="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" chn.="" l0160....="" 6="" cerv="" semi-rig="" wire="" .........="" .........="" .........="" .........="" .........="" ..............="" occ/mand.="" l0170....="" 6="" cervical="" collar="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" to="" pt.="" l0172....="" 6="" cerv="" col="" thermplas="" .........="" .........="" .........="" .........="" .........="" ..............="" foam="" 2="" pi.="" l0174....="" 6="" cerv="" col="" foam="" 2="" .........="" .........="" .........="" .........="" .........="" ..............="" piece="" w="" thor.="" l0180....="" 6="" cer="" post="" col="" occ/="" .........="" .........="" .........="" .........="" .........="" ..............="" man="" sup="" adj.="" l0190....="" 6="" cerv="" collar="" supp="" .........="" .........="" .........="" .........="" .........="" ..............="" adj="" cerv="" ba.="" l0200....="" 6="" cerv="" col="" supp="" adj="" .........="" .........="" .........="" .........="" .........="" ..............="" bar="" &="" thor.="" l0210....="" 6="" thoracic="" rib="" belt..="" .........="" .........="" .........="" .........="" .........="" ..............="" l0220....="" 6="" thor="" rib="" belt="" .........="" .........="" .........="" .........="" .........="" ..............="" custom="" fabrica.="" l0300....="" 6="" tlso="" flex="" surgical="" .........="" .........="" .........="" .........="" .........="" ..............="" support.="" l0310....="" 6="" tlso="" flexible="" .........="" .........="" .........="" .........="" .........="" ..............="" custom="" fabrica.="" l0315....="" 6="" tlso="" flex="" elas="" .........="" .........="" .........="" .........="" .........="" ..............="" rigid="" post="" pa.="" l0317....="" 6="" tlso="" flex="" hypext="" .........="" .........="" .........="" .........="" .........="" ..............="" elas="" post="" p.="" l0320....="" 6="" tlso="" a-p="" contrl="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" apron="" frnt.="" l0330....="" 6="" tlso="" ant-pos-="" .........="" .........="" .........="" .........="" .........="" ..............="" lateral="" control.="" l0340....="" 6="" tlso="" a-p-l-rotary="" .........="" .........="" .........="" .........="" .........="" ..............="" with="" apron.="" l0350....="" 6="" tlso="" flex="" compress="" .........="" .........="" .........="" .........="" .........="" ..............="" jacket="" cu.="" l0360....="" 6="" tlso="" flex="" compress="" .........="" .........="" .........="" .........="" .........="" ..............="" jacket="" mo.="" l0370....="" 6="" tlso="" a-p-l-rotary="" .........="" .........="" .........="" .........="" .........="" ..............="" hyperexten.="" l0380....="" 6="" tlso="" a-p-l-rot="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" pos="" extens.="" l0390....="" 6="" tlso="" a-p-l="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" molded.="" l0400....="" 6="" tlso="" a-p-l="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" interface="" mater.="" l0410....="" 6="" tlso="" a-p-l="" two="" .........="" .........="" .........="" .........="" .........="" ..............="" piece="" constr.="" l0420....="" 6="" tlso="" a-p-l="" 2="" piece="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" interfa.="" l0430....="" 6="" tlso="" a-p-l="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" interface="" custm.="" l0440....="" 6="" tlso="" a-p-l="" overlap="" .........="" .........="" .........="" .........="" .........="" ..............="" frnt="" cust.="" l0500....="" 6="" lso="" flex="" surgical="" .........="" .........="" .........="" .........="" .........="" ..............="" support.="" l0510....="" 6="" lso="" flexible="" custom="" .........="" .........="" .........="" .........="" .........="" ..............="" fabricat.="" l0515....="" 6="" lso="" flex="" elas="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" rig="" post="" pa.="" l0520....="" 6="" lso="" a-p-l="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" with="" apron.="" l0530....="" 6="" lso="" ant-pos="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" apron.="" l0540....="" 6="" lso="" lumbar="" flexion="" .........="" .........="" .........="" .........="" .........="" ..............="" a-p-l.="" l0550....="" 6="" lso="" a-p-l="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" molded.="" l0560....="" 6="" lso="" a-p-l="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" interface.="" l0565....="" 6="" lso="" a-p-l="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" custom.="" l0600....="" 6="" sacroiliac="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" surg="" support.="" l0610....="" 6="" sacroiliac="" flexible="" .........="" .........="" .........="" .........="" .........="" ..............="" custm="" fa.="" l0620....="" 6="" sacroiliac="" semi-rig="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" apron.="" l0700....="" 6="" ctlso="" a-p-l="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" molded.="" l0710....="" 6="" ctlso="" a-p-l="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" w/="" inter.="" l0810....="" 6="" halo="" cervical="" into="" .........="" .........="" .........="" .........="" .........="" ..............="" jckt="" vest.="" l0820....="" 6="" halo="" cervical="" into="" .........="" .........="" .........="" .........="" .........="" ..............="" body="" jack.="" l0830....="" 6="" halo="" cerv="" into="" .........="" .........="" .........="" .........="" .........="" ..............="" milwaukee="" typ.="" l0860....="" 6="" magnetic="" resonanc="" .........="" .........="" .........="" .........="" .........="" ..............="" image="" comp.="" l0900....="" 6="" torso/ptosis="" .........="" .........="" .........="" .........="" .........="" ..............="" support.="" l0910....="" 6="" torso="" &="" ptosis="" supp="" .........="" .........="" .........="" .........="" .........="" ..............="" custm="" fa.="" l0920....="" 6="" torso/pendulous="" abd="" .........="" .........="" .........="" .........="" .........="" ..............="" support.="" l0930....="" 6="" pendulous="" abdomen="" .........="" .........="" .........="" .........="" .........="" ..............="" supp="" custm.="" l0940....="" 6="" torso/postsurgical="" .........="" .........="" .........="" .........="" .........="" ..............="" support.="" l0950....="" 6="" post="" surg="" support="" .........="" .........="" .........="" .........="" .........="" ..............="" custom="" fab.="" l0960....="" 6="" post="" surgical="" .........="" .........="" .........="" .........="" .........="" ..............="" support="" pads.="" l0970....="" 6="" tlso="" corset="" front..="" .........="" .........="" .........="" .........="" .........="" ..............="" l0972....="" 6="" lso="" corset="" front...="" .........="" .........="" .........="" .........="" .........="" ..............="" l0974....="" 6="" tlso="" full="" corset...="" .........="" .........="" .........="" .........="" .........="" ..............="" l0976....="" 6="" lso="" full="" corset....="" .........="" .........="" .........="" .........="" .........="" ..............="" l0978....="" 6="" axillary="" crutch="" .........="" .........="" .........="" .........="" .........="" ..............="" extension.="" l0980....="" 6="" peroneal="" straps="" .........="" .........="" .........="" .........="" .........="" ..............="" pair.="" l0982....="" 6="" stocking="" supp="" grips="" .........="" .........="" .........="" .........="" .........="" ..............="" set="" of="" f.="" l0984....="" 6="" protective="" body="" .........="" .........="" .........="" .........="" .........="" ..............="" sock="" each.="" l0999....="" 6="" add="" to="" spinal="" .........="" .........="" .........="" .........="" .........="" ..............="" orthosis="" nos.="" l1000....="" 6="" ctlso="" milwauke="" .........="" .........="" .........="" .........="" .........="" ..............="" initial="" model.="" l1010....="" 6="" ctlso="" axilla="" sling.="" .........="" .........="" .........="" .........="" .........="" ..............="" [[page="" 32457]]="" l1020....="" 6="" kyphosis="" pad.......="" .........="" .........="" .........="" .........="" .........="" ..............="" l1025....="" 6="" kyphosis="" pad="" .........="" .........="" .........="" .........="" .........="" ..............="" floating.="" l1030....="" 6="" lumbar="" bolster="" pad.="" .........="" .........="" .........="" .........="" .........="" ..............="" l1040....="" 6="" lumbar="" or="" lumbar="" .........="" .........="" .........="" .........="" .........="" ..............="" rib="" pad.="" l1050....="" 6="" sternal="" pad........="" .........="" .........="" .........="" .........="" .........="" ..............="" l1060....="" 6="" thoracic="" pad.......="" .........="" .........="" .........="" .........="" .........="" ..............="" l1070....="" 6="" trapezius="" sling....="" .........="" .........="" .........="" .........="" .........="" ..............="" l1080....="" 6="" outrigger..........="" .........="" .........="" .........="" .........="" .........="" ..............="" l1085....="" 6="" outrigger="" bil="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" vert="" extens.="" l1090....="" 6="" lumbar="" sling.......="" .........="" .........="" .........="" .........="" .........="" ..............="" l1100....="" 6="" ring="" flange="" plastic/="" .........="" .........="" .........="" .........="" .........="" ..............="" leather.="" l1110....="" 6="" ring="" flange="" plas/="" .........="" .........="" .........="" .........="" .........="" ..............="" leather="" mol.="" l1120....="" 6="" covers="" for="" upright="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" l1200....="" 6="" furnsh="" initial="" .........="" .........="" .........="" .........="" .........="" ..............="" orthosis="" only.="" l1210....="" 6="" lateral="" thoracic="" .........="" .........="" .........="" .........="" .........="" ..............="" extension.="" l1220....="" 6="" anterior="" thoracic="" .........="" .........="" .........="" .........="" .........="" ..............="" extension.="" l1230....="" 6="" milwaukee="" type="" .........="" .........="" .........="" .........="" .........="" ..............="" superstructur.="" l1240....="" 6="" lumbar="" derotation="" .........="" .........="" .........="" .........="" .........="" ..............="" pad.="" l1250....="" 6="" anterior="" asis="" pad..="" .........="" .........="" .........="" .........="" .........="" ..............="" l1260....="" 6="" anterior="" thoracic="" .........="" .........="" .........="" .........="" .........="" ..............="" derotation.="" l1270....="" 6="" abdominal="" pad......="" .........="" .........="" .........="" .........="" .........="" ..............="" l1280....="" 6="" rib="" gusset="" .........="" .........="" .........="" .........="" .........="" ..............="" (elastic)="" each.="" l1290....="" 6="" lateral="" .........="" .........="" .........="" .........="" .........="" ..............="" trochanteric="" pad.="" l1300....="" 6="" body="" jacket="" mold="" to="" .........="" .........="" .........="" .........="" .........="" ..............="" patient.="" l1310....="" 6="" post-operative="" body="" .........="" .........="" .........="" .........="" .........="" ..............="" jacket.="" l1499....="" 6="" spinal="" orthosis="" nos="" .........="" .........="" .........="" .........="" .........="" ..............="" l1500....="" 6="" thkao="" mobility="" .........="" .........="" .........="" .........="" .........="" ..............="" frame.="" l1510....="" 6="" thkao="" standing="" .........="" .........="" .........="" .........="" .........="" ..............="" frame.="" l1520....="" 6="" thkao="" swivel="" walker="" .........="" .........="" .........="" .........="" .........="" ..............="" l1600....="" 6="" abduct="" hip="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" frejka="" w="" cvr.="" l1610....="" 6="" abduct="" hip="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" frejka="" covr.="" l1620....="" 6="" abduct="" hip="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" pavlik="" harne.="" l1630....="" 6="" abduct="" control="" hip="" .........="" .........="" .........="" .........="" .........="" ..............="" semi-flex.="" l1640....="" 6="" pelv="" band/spread="" .........="" .........="" .........="" .........="" .........="" ..............="" bar="" thigh="" c.="" l1650....="" 6="" ho="" abduction="" hip="" .........="" .........="" .........="" .........="" .........="" ..............="" adjustable.="" l1660....="" 6="" ho="" abduction="" static="" .........="" .........="" .........="" .........="" .........="" ..............="" plastic.="" l1680....="" 6="" pelvic="" &="" hip="" .........="" .........="" .........="" .........="" .........="" ..............="" control="" thigh="" c.="" l1685....="" 6="" post-op="" hip="" abduct="" .........="" .........="" .........="" .........="" .........="" ..............="" custom="" fa.="" l1686....="" 6="" ho="" post-op="" hip="" .........="" .........="" .........="" .........="" .........="" ..............="" abduction.="" l1700....="" 6="" leg="" perthes="" orth="" .........="" .........="" .........="" .........="" .........="" ..............="" toronto="" typ.="" l1710....="" 6="" legg="" perthes="" orth="" .........="" .........="" .........="" .........="" .........="" ..............="" newington.="" l1720....="" 6="" legg="" perthes="" .........="" .........="" .........="" .........="" .........="" ..............="" orthosis="" trilat.="" l1730....="" 6="" legg="" perthes="" orth="" .........="" .........="" .........="" .........="" .........="" ..............="" scottish="" r.="" l1750....="" 6="" legg="" perthes="" sling.="" .........="" .........="" .........="" .........="" .........="" ..............="" l1755....="" 6="" legg="" perthes="" patten="" .........="" .........="" .........="" .........="" .........="" ..............="" bottom="" t.="" l1800....="" 6="" knee="" orthoses="" elas="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" stays.="" l1810....="" 6="" ko="" elastic="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" joints.="" l1815....="" 6="" elastic="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" condylar="" pads.="" l1820....="" 6="" ko="" elas="" w/="" condyle="" .........="" .........="" .........="" .........="" .........="" ..............="" pads="" &="" jo.="" l1825....="" 6="" ko="" elastic="" knee="" cap="" .........="" .........="" .........="" .........="" .........="" ..............="" l1830....="" 6="" ko="" immobilizer="" .........="" .........="" .........="" .........="" .........="" ..............="" canvas="" longit.="" l1832....="" 6="" ko="" adj="" jnt="" pos="" .........="" .........="" .........="" .........="" .........="" ..............="" rigid="" support.="" l1834....="" 6="" ko="" w/0="" joint="" rigid="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" to.="" l1840....="" 6="" ko="" derot="" ant="" .........="" .........="" .........="" .........="" .........="" ..............="" cruciate="" custom.="" l1843....="" 6="" ko="" single="" upright="" .........="" .........="" .........="" .........="" .........="" ..............="" custom="" fit.="" l1844....="" 6="" ko="" w/adj="" jt="" rot="" .........="" .........="" .........="" .........="" .........="" ..............="" cntrl="" molded.="" l1845....="" 6="" ko="" w/="" adj="" flex/ext="" .........="" .........="" .........="" .........="" .........="" ..............="" rotat="" cus.="" l1846....="" 6="" ko="" w="" adj="" flex/ext="" .........="" .........="" .........="" .........="" .........="" ..............="" rotat="" mold.="" l1850....="" 6="" ko="" swedish="" type....="" .........="" .........="" .........="" .........="" .........="" ..............="" l1855....="" 6="" ko="" plas="" doub="" .........="" .........="" .........="" .........="" .........="" ..............="" upright="" jnt="" mol.="" l1858....="" 6="" ko="" polycentric="" .........="" .........="" .........="" .........="" .........="" ..............="" pneumatic="" pad.="" l1860....="" 6="" ko="" supracondylar="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" mold.="" l1870....="" 6="" ko="" doub="" upright="" .........="" .........="" .........="" .........="" .........="" ..............="" lacers="" molde.="" l1880....="" 6="" ko="" doub="" upright="" .........="" .........="" .........="" .........="" .........="" ..............="" cuffs/lacers.="" l1885....="" 6="" knee="" upright="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" resistance.="" l1900....="" 6="" afo="" sprng="" wir="" .........="" .........="" .........="" .........="" .........="" ..............="" drsflx="" calf="" bd.="" l1902....="" 6="" afo="" ankle="" gauntlet.="" .........="" .........="" .........="" .........="" .........="" ..............="" l1904....="" 6="" afo="" molded="" ankle="" .........="" .........="" .........="" .........="" .........="" ..............="" gauntlet.="" l1906....="" 6="" afo="" multiligamentus="" .........="" .........="" .........="" .........="" .........="" ..............="" ankle="" su.="" l1910....="" 6="" afo="" sing="" bar="" clasp="" .........="" .........="" .........="" .........="" .........="" ..............="" attach="" sh.="" l1920....="" 6="" afo="" sing="" upright="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" adjust="" s.="" l1930....="" 6="" afo="" plastic........="" .........="" .........="" .........="" .........="" .........="" ..............="" l1940....="" 6="" afo="" molded="" to="" .........="" .........="" .........="" .........="" .........="" ..............="" patient="" plasti.="" l1945....="" 6="" afo="" molded="" plas="" rig="" .........="" .........="" .........="" .........="" .........="" ..............="" ant="" tib.="" [[page="" 32458]]="" l1950....="" 6="" afo="" spiral="" molded="" .........="" .........="" .........="" .........="" .........="" ..............="" to="" pt="" plas.="" l1960....="" 6="" afo="" pos="" solid="" ank="" .........="" .........="" .........="" .........="" .........="" ..............="" plastic="" mo.="" l1970....="" 6="" afo="" plastic="" molded="" .........="" .........="" .........="" .........="" .........="" ..............="" w/ankle="" j.="" l1980....="" 6="" afo="" sing="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" calf.="" l1990....="" 6="" afo="" doub="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" calf.="" l2000....="" 6="" kafo="" sing="" fre="" stirr="" .........="" .........="" .........="" .........="" .........="" ..............="" thi/calf.="" l2010....="" 6="" kafo="" sng="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" w/o="" j.="" l2020....="" 6="" kafo="" dbl="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" band/.="" l2030....="" 6="" kafo="" dbl="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" w/o="" j.="" l2035....="" 6="" kafo="" plastic="" .........="" .........="" .........="" .........="" .........="" ..............="" pediatric="" size.="" l2036....="" 6="" kafo="" plas="" doub="" free="" .........="" .........="" .........="" .........="" .........="" ..............="" knee="" mol.="" l2037....="" 6="" kafo="" plas="" sing="" free="" .........="" .........="" .........="" .........="" .........="" ..............="" knee="" mol.="" l2038....="" 6="" kafo="" w/o="" joint="" .........="" .........="" .........="" .........="" .........="" ..............="" multi-axis="" an.="" l2039....="" 6="" kafo,="" plstic,="" .........="" .........="" .........="" .........="" .........="" ..............="" medlat="" rotat="" con.="" l2040....="" 6="" hkafo="" torsion="" bil="" .........="" .........="" .........="" .........="" .........="" ..............="" rot="" straps.="" l2050....="" 6="" hkafo="" torsion="" cable="" .........="" .........="" .........="" .........="" .........="" ..............="" hip="" pelv.="" l2060....="" 6="" hkafo="" torsion="" ball="" .........="" .........="" .........="" .........="" .........="" ..............="" bearing="" j.="" l2070....="" 6="" hkafo="" torsion="" .........="" .........="" .........="" .........="" .........="" ..............="" unilat="" rot="" str.="" l2080....="" 6="" hkafo="" unilat="" .........="" .........="" .........="" .........="" .........="" ..............="" torsion="" cable.="" l2090....="" 6="" hkafo="" unilat="" .........="" .........="" .........="" .........="" .........="" ..............="" torsion="" ball="" br.="" l2102....="" 6="" afo="" tibial="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" plstr="" mol.="" l2104....="" 6="" afo="" tib="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" synthetic="" mo.="" l2106....="" 6="" afo="" tib="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" plaster="" mold.="" l2108....="" 6="" afo="" tib="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" to="" pt.="" l2112....="" 6="" afo="" tibial="" fracture="" .........="" .........="" .........="" .........="" .........="" ..............="" soft.="" l2114....="" 6="" afo="" tib="" fx="" semi-="" .........="" .........="" .........="" .........="" .........="" ..............="" rigid.="" l2116....="" 6="" afo="" tibial="" fracture="" .........="" .........="" .........="" .........="" .........="" ..............="" rigid.="" l2122....="" 6="" kafo="" fem="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" plaster="" mol.="" l2124....="" 6="" kafo="" fem="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" synthet="" mol.="" l2126....="" 6="" kafo="" fem="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" thermoplas.="" l2128....="" 6="" kafo="" fem="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" to="" p.="" l2132....="" 6="" kafo="" femoral="" fx="" .........="" .........="" .........="" .........="" .........="" ..............="" cast="" soft.="" l2134....="" 6="" kafo="" fem="" fx="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" semi-rigid.="" l2136....="" 6="" kafo="" femoral="" fx="" .........="" .........="" .........="" .........="" .........="" ..............="" cast="" rigid.="" l2180....="" 6="" plas="" shoe="" insert="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" ank="" joint.="" l2182....="" 6="" drop="" lock="" knee.....="" .........="" .........="" .........="" .........="" .........="" ..............="" l2184....="" 6="" limited="" motion="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" joint.="" l2186....="" 6="" adj="" motion="" knee="" jnt="" .........="" .........="" .........="" .........="" .........="" ..............="" lerman="" t.="" l2188....="" 6="" quadrilateral="" brim.="" .........="" .........="" .........="" .........="" .........="" ..............="" l2190....="" 6="" waist="" belt.........="" .........="" .........="" .........="" .........="" .........="" ..............="" l2192....="" 6="" pelvic="" band="" &="" belt="" .........="" .........="" .........="" .........="" .........="" ..............="" thigh="" fla.="" l2200....="" 6="" limited="" ankle="" .........="" .........="" .........="" .........="" .........="" ..............="" motion="" ea="" jnt.="" l2210....="" 6="" dorsiflexion="" assist="" .........="" .........="" .........="" .........="" .........="" ..............="" each="" joi.="" l2220....="" 6="" dorsi="" &="" plantar="" .........="" .........="" .........="" .........="" .........="" ..............="" flex="" ass/res.="" l2230....="" 6="" split="" flat="" caliper="" .........="" .........="" .........="" .........="" .........="" ..............="" stirr="" &="" p.="" l2240....="" 6="" round="" caliper="" and="" .........="" .........="" .........="" .........="" .........="" ..............="" plate="" atta.="" l2250....="" 6="" foot="" plate="" molded="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" at.="" l2260....="" 6="" reinforced="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup.="" l2265....="" 6="" long="" tongue="" stirrup="" .........="" .........="" .........="" .........="" .........="" ..............="" l2270....="" 6="" varus/valgus="" strap="" .........="" .........="" .........="" .........="" .........="" ..............="" padded/li.="" l2275....="" 6="" plastic="" mod="" low="" ext="" .........="" .........="" .........="" .........="" .........="" ..............="" pad/line.="" l2280....="" 6="" molded="" inner="" boot..="" .........="" .........="" .........="" .........="" .........="" ..............="" l2300....="" 6="" abduction="" bar="" .........="" .........="" .........="" .........="" .........="" ..............="" jointed="" adjust.="" l2310....="" 6="" abduction="" bar-="" .........="" .........="" .........="" .........="" .........="" ..............="" straight.="" l2320....="" 6="" non-molded="" lacer...="" .........="" .........="" .........="" .........="" .........="" ..............="" l2330....="" 6="" lacer="" molded="" to="" .........="" .........="" .........="" .........="" .........="" ..............="" patient="" mode.="" l2335....="" 6="" anterior="" swing="" band="" .........="" .........="" .........="" .........="" .........="" ..............="" l2340....="" 6="" pre-tibial="" shell="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" to="" p.="" l2350....="" 6="" prosthetic="" type="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" molde.="" l2360....="" 6="" extended="" steel="" .........="" .........="" .........="" .........="" .........="" ..............="" shank.="" l2370....="" 6="" patten="" bottom......="" .........="" .........="" .........="" .........="" .........="" ..............="" l2375....="" 6="" torsion="" ank="" &="" half="" .........="" .........="" .........="" .........="" .........="" ..............="" solid="" sti.="" l2380....="" 6="" torsion="" straight="" .........="" .........="" .........="" .........="" .........="" ..............="" knee="" joint.="" l2385....="" 6="" straight="" knee="" joint="" .........="" .........="" .........="" .........="" .........="" ..............="" heavy="" du.="" l2390....="" 6="" offset="" knee="" joint="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" l2395....="" 6="" offset="" knee="" joint="" .........="" .........="" .........="" .........="" .........="" ..............="" heavy="" duty.="" l2397....="" 6="" suspension="" sleeve="" .........="" .........="" .........="" .........="" .........="" ..............="" lower="" ext.="" l2405....="" 6="" knee="" joint="" drop="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" ea="" jnt.="" l2415....="" 6="" knee="" joint="" cam="" lock="" .........="" .........="" .........="" .........="" .........="" ..............="" each="" joi.="" l2425....="" 6="" knee="" disc/dial="" lock/="" .........="" .........="" .........="" .........="" .........="" ..............="" adj="" flex.="" l2430....="" 6="" knee="" jnt="" ratchet="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" ea="" jnt.="" l2435....="" 6="" knee="" joint="" .........="" .........="" .........="" .........="" .........="" ..............="" polycentric="" joint.="" l2492....="" 6="" knee="" lift="" loop="" drop="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" rin.="" l2500....="" 6="" thi/glut/ischia="" wgt="" .........="" .........="" .........="" .........="" .........="" ..............="" bearing.="" [[page="" 32459]]="" l2510....="" 6="" th/wght="" bear="" quad-="" .........="" .........="" .........="" .........="" .........="" ..............="" lat="" brim="" m.="" l2520....="" 6="" th/wght="" bear="" quad-="" .........="" .........="" .........="" .........="" .........="" ..............="" lat="" brim="" c.="" l2525....="" 6="" th/wght="" bear="" nar="" m-="" .........="" .........="" .........="" .........="" .........="" ..............="" l="" brim="" mo.="" l2526....="" 6="" th/wght="" bear="" nar="" m-="" .........="" .........="" .........="" .........="" .........="" ..............="" l="" brim="" cu.="" l2530....="" 6="" thigh/wght="" bear="" .........="" .........="" .........="" .........="" .........="" ..............="" lacer="" non-mo.="" l2540....="" 6="" thigh/wght="" bear="" .........="" .........="" .........="" .........="" .........="" ..............="" lacer="" molded.="" l2550....="" 6="" thigh/wght="" bear="" .........="" .........="" .........="" .........="" .........="" ..............="" high="" roll="" cu.="" l2570....="" 6="" hip="" clevis="" type="" 2="" .........="" .........="" .........="" .........="" .........="" ..............="" posit="" jnt.="" l2580....="" 6="" pelvic="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" pelvic="" sling.="" l2600....="" 6="" hip="" clevis/thrust="" .........="" .........="" .........="" .........="" .........="" ..............="" bearing="" fr.="" l2610....="" 6="" hip="" clevis/thrust="" .........="" .........="" .........="" .........="" .........="" ..............="" bearing="" lo.="" l2620....="" 6="" pelvic="" control="" hip="" .........="" .........="" .........="" .........="" .........="" ..............="" heavy="" dut.="" l2622....="" 6="" hip="" joint="" .........="" .........="" .........="" .........="" .........="" ..............="" adjustable="" flexion.="" l2624....="" 6="" hip="" adj="" flex="" ext="" .........="" .........="" .........="" .........="" .........="" ..............="" abduct="" cont.="" l2627....="" 6="" plastic="" mold="" .........="" .........="" .........="" .........="" .........="" ..............="" recipro="" hip="" &="" c.="" l2628....="" 6="" metal="" frame="" recipro="" .........="" .........="" .........="" .........="" .........="" ..............="" hip="" &="" ca.="" l2630....="" 6="" pelvic="" control="" band="" .........="" .........="" .........="" .........="" .........="" ..............="" &="" belt="" u.="" l2640....="" 6="" pelvic="" control="" band="" .........="" .........="" .........="" .........="" .........="" ..............="" &="" belt="" b.="" l2650....="" 6="" pelv="" &="" thor="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" gluteal.="" l2660....="" 6="" thoracic="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" thoracic="" ba.="" l2670....="" 6="" thorac="" cont="" .........="" .........="" .........="" .........="" .........="" ..............="" paraspinal="" uprig.="" l2680....="" 6="" thorac="" cont="" lat="" .........="" .........="" .........="" .........="" .........="" ..............="" support="" upri.="" l2750....="" 6="" plating="" chrome/="" .........="" .........="" .........="" .........="" .........="" ..............="" nickel="" pr="" bar.="" l2755....="" 6="" carbon="" graphite="" .........="" .........="" .........="" .........="" .........="" ..............="" lamination.="" l2760....="" 6="" extension="" per="" .........="" .........="" .........="" .........="" .........="" ..............="" extension="" per.="" l2770....="" 6="" low="" ext="" orthosis="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" bar/jnt.="" l2780....="" 6="" non-corrosive="" .........="" .........="" .........="" .........="" .........="" ..............="" finish.="" l2785....="" 6="" drop="" lock="" retainer="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" l2795....="" 6="" knee="" control="" full="" .........="" .........="" .........="" .........="" .........="" ..............="" kneecap.="" l2800....="" 6="" knee="" cap="" medial="" or="" .........="" .........="" .........="" .........="" .........="" ..............="" lateral="" p.="" l2810....="" 6="" knee="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" condylar="" pad.="" l2820....="" 6="" soft="" interface="" .........="" .........="" .........="" .........="" .........="" ..............="" below="" knee="" se.="" l2830....="" 6="" soft="" interface="" .........="" .........="" .........="" .........="" .........="" ..............="" above="" knee="" se.="" l2840....="" 6="" tibial="" length="" sock="" .........="" .........="" .........="" .........="" .........="" ..............="" fx="" or="" equ.="" l2850....="" 6="" femoral="" lgth="" sock="" .........="" .........="" .........="" .........="" .........="" ..............="" fx="" or="" equa.="" l2860....="" 6="" torsion="" mechanism="" .........="" .........="" .........="" .........="" .........="" ..............="" knee/ankle.="" l2999....="" 6="" lower="" extremity="" .........="" .........="" .........="" .........="" .........="" ..............="" orthosis="" nos.="" l3000....="" 6="" ft="" insert="" ucb="" .........="" .........="" .........="" .........="" .........="" ..............="" berkeley="" shell.="" l3001....="" 6="" foot="" insert="" remov="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" spe.="" l3002....="" 6="" foot="" insert="" .........="" .........="" .........="" .........="" .........="" ..............="" plastazote="" or="" eq.="" l3003....="" 6="" foot="" insert="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone="" gel="" eac.="" l3010....="" 6="" foot="" longitudinal="" .........="" .........="" .........="" .........="" .........="" ..............="" arch="" suppo.="" l3020....="" 6="" foot="" longitud/="" .........="" .........="" .........="" .........="" .........="" ..............="" metatarsal="" sup.="" l3030....="" 6="" foot="" arch="" support="" .........="" .........="" .........="" .........="" .........="" ..............="" remov="" prem.="" l3040....="" 6="" ft="" arch="" suprt="" .........="" .........="" .........="" .........="" .........="" ..............="" premold="" longit.="" l3050....="" 6="" foot="" arch="" supp="" .........="" .........="" .........="" .........="" .........="" ..............="" premold="" metat.="" l3060....="" 6="" foot="" arch="" supp="" .........="" .........="" .........="" .........="" .........="" ..............="" longitud/meta.="" l3070....="" 6="" arch="" suprt="" att="" to="" .........="" .........="" .........="" .........="" .........="" ..............="" sho="" longit.="" l3080....="" 6="" arch="" supp="" att="" to="" .........="" .........="" .........="" .........="" .........="" ..............="" shoe="" metata.="" l3090....="" 6="" arch="" supp="" att="" to="" .........="" .........="" .........="" .........="" .........="" ..............="" shoe="" long/m.="" l3100....="" 6="" hallus-valgus="" nght="" .........="" .........="" .........="" .........="" .........="" ..............="" dynamic="" s.="" l3140....="" 6="" abduction="" rotation="" .........="" .........="" .........="" .........="" .........="" ..............="" bar="" shoe.="" l3150....="" 6="" abduct="" rotation="" bar="" .........="" .........="" .........="" .........="" .........="" ..............="" w/o="" shoe.="" l3160....="" 6="" shoe="" styled="" .........="" .........="" .........="" .........="" .........="" ..............="" positioning="" dev.="" l3170....="" 6="" foot="" plastic="" heel="" .........="" .........="" .........="" .........="" .........="" ..............="" stabilizer.="" l3201....="" 6="" oxford="" w="" supinat/="" .........="" .........="" .........="" .........="" .........="" ..............="" pronat="" inf.="" l3202....="" 6="" oxford="" w/="" supinat/="" .........="" .........="" .........="" .........="" .........="" ..............="" pronator="" c.="" l3203....="" 6="" oxford="" w/="" supinator/="" .........="" .........="" .........="" .........="" .........="" ..............="" pronator.="" l3204....="" 6="" hightop="" w/="" supp/="" .........="" .........="" .........="" .........="" .........="" ..............="" pronator="" inf.="" l3206....="" 6="" hightop="" w/="" supp/="" .........="" .........="" .........="" .........="" .........="" ..............="" pronator="" chi.="" l3207....="" 6="" hightop="" w/="" supp/="" .........="" .........="" .........="" .........="" .........="" ..............="" pronator="" jun.="" l3208....="" 6="" surgical="" boot="" each="" .........="" .........="" .........="" .........="" .........="" ..............="" infant.="" l3209....="" 6="" surgical="" boot="" each="" .........="" .........="" .........="" .........="" .........="" ..............="" child.="" l3211....="" 6="" surgical="" boot="" each="" .........="" .........="" .........="" .........="" .........="" ..............="" junior.="" l3212....="" 6="" benesch="" boot="" pair="" .........="" .........="" .........="" .........="" .........="" ..............="" infant.="" l3213....="" 6="" benesch="" boot="" pair="" .........="" .........="" .........="" .........="" .........="" ..............="" child.="" l3214....="" 6="" benesch="" boot="" pair="" .........="" .........="" .........="" .........="" .........="" ..............="" junior.="" l3215....="" 6="" orthopedic="" ftwear="" .........="" .........="" .........="" .........="" .........="" ..............="" ladies="" oxf.="" l3216....="" 6="" orthoped="" ladies="" .........="" .........="" .........="" .........="" .........="" ..............="" shoes="" dpth="" i.="" l3217....="" 6="" ladies="" shoes="" .........="" .........="" .........="" .........="" .........="" ..............="" hightop="" depth="" i.="" l3218....="" 6="" ladies="" surgical="" .........="" .........="" .........="" .........="" .........="" ..............="" boot="" each.="" l3219....="" 6="" orthopedic="" mens="" .........="" .........="" .........="" .........="" .........="" ..............="" shoes="" oxford.="" l3221....="" 6="" orthopedic="" mens="" .........="" .........="" .........="" .........="" .........="" ..............="" shoes="" dpth="" i.="" l3222....="" 6="" mens="" shoes="" hightop="" .........="" .........="" .........="" .........="" .........="" ..............="" depth="" inl.="" [[page="" 32460]]="" l3223....="" 6="" mens="" surgical="" boot="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" l3224....="" 6="" woman's="" shoe="" oxford="" .........="" .........="" .........="" .........="" .........="" ..............="" brace.="" l3225....="" 6="" man's="" shoe="" oxford="" .........="" .........="" .........="" .........="" .........="" ..............="" brace.="" l3230....="" 6="" custom="" shoes="" depth="" .........="" .........="" .........="" .........="" .........="" ..............="" inlay.="" l3250....="" 6="" custom="" mold="" shoe="" .........="" .........="" .........="" .........="" .........="" ..............="" remov="" prost.="" l3251....="" 6="" shoe="" molded="" to="" pt="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone="" s.="" l3252....="" 6="" shoe="" molded="" .........="" .........="" .........="" .........="" .........="" ..............="" plastazote="" cust.="" l3253....="" 6="" shoe="" molded="" .........="" .........="" .........="" .........="" .........="" ..............="" plastazote="" cust.="" l3254....="" 6="" orth="" foot="" non-="" .........="" .........="" .........="" .........="" .........="" ..............="" stndard="" size/w.="" l3255....="" 6="" orth="" foot="" non-="" .........="" .........="" .........="" .........="" .........="" ..............="" standard="" size/.="" l3257....="" 6="" orth="" foot="" add="" .........="" .........="" .........="" .........="" .........="" ..............="" charge="" split="" s.="" l3260....="" 6="" ambulatory="" surgical="" .........="" .........="" .........="" .........="" .........="" ..............="" boot="" eac.="" l3265....="" 6="" plastazote="" sandal="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" l3300....="" 6="" sho="" lift="" taper="" to="" .........="" .........="" .........="" .........="" .........="" ..............="" metatarsal.="" l3310....="" 6="" shoe="" lift="" elev="" heel/="" .........="" .........="" .........="" .........="" .........="" ..............="" sole="" neo.="" l3320....="" 6="" shoe="" lift="" elev="" heel/="" .........="" .........="" .........="" .........="" .........="" ..............="" sole="" cor.="" l3330....="" 6="" lifts="" elevation="" .........="" .........="" .........="" .........="" .........="" ..............="" metal="" extens.="" l3332....="" 6="" shoe="" lifts="" tapered="" .........="" .........="" .........="" .........="" .........="" ..............="" to="" one-ha.="" l3334....="" 6="" shoe="" lifts="" .........="" .........="" .........="" .........="" .........="" ..............="" elevation="" heel="" .="" l3340....="" 6="" shoe="" wedge="" sach....="" .........="" .........="" .........="" .........="" .........="" ..............="" l3350....="" 6="" shoe="" heel="" wedge....="" .........="" .........="" .........="" .........="" .........="" ..............="" l3360....="" 6="" shoe="" sole="" wedge="" .........="" .........="" .........="" .........="" .........="" ..............="" outside="" sole.="" l3370....="" 6="" shoe="" sole="" wedge="" .........="" .........="" .........="" .........="" .........="" ..............="" between="" sole.="" l3380....="" 6="" shoe="" clubfoot="" wedge="" .........="" .........="" .........="" .........="" .........="" ..............="" l3390....="" 6="" shoe="" outflare="" wedge="" .........="" .........="" .........="" .........="" .........="" ..............="" l3400....="" 6="" shoe="" metatarsal="" bar="" .........="" .........="" .........="" .........="" .........="" ..............="" wedge="" ro.="" l3410....="" 6="" shoe="" metatarsal="" bar="" .........="" .........="" .........="" .........="" .........="" ..............="" between.="" l3420....="" 6="" full="" sole/heel="" .........="" .........="" .........="" .........="" .........="" ..............="" wedge="" btween.="" l3430....="" 6="" sho="" heel="" count="" .........="" .........="" .........="" .........="" .........="" ..............="" plast="" reinfor.="" l3440....="" 6="" heel="" leather="" .........="" .........="" .........="" .........="" .........="" ..............="" reinforced.="" l3450....="" 6="" shoe="" heel="" sach="" .........="" .........="" .........="" .........="" .........="" ..............="" cushion="" type.="" l3455....="" 6="" shoe="" heel="" new="" .........="" .........="" .........="" .........="" .........="" ..............="" leather="" standa.="" l3460....="" 6="" shoe="" heel="" new="" .........="" .........="" .........="" .........="" .........="" ..............="" rubber="" standar.="" l3465....="" 6="" shoe="" heel="" thomas="" .........="" .........="" .........="" .........="" .........="" ..............="" with="" wedge.="" l3470....="" 6="" shoe="" heel="" thomas="" .........="" .........="" .........="" .........="" .........="" ..............="" extend="" to="" b.="" l3480....="" 6="" shoe="" heel="" pad="" &="" .........="" .........="" .........="" .........="" .........="" ..............="" depress="" for.="" l3485....="" 6="" shoe="" heel="" pad="" .........="" .........="" .........="" .........="" .........="" ..............="" removable="" for.="" l3500....="" 6="" shoe="" misc="" add="" .........="" .........="" .........="" .........="" .........="" ..............="" insole="" leather.="" l3510....="" 6="" shoe="" misc="" addition="" .........="" .........="" .........="" .........="" .........="" ..............="" insole="" ru.="" l3520....="" 6="" shoe="" insole="" felt="" .........="" .........="" .........="" .........="" .........="" ..............="" cver="" w/="" lea.="" l3530....="" 6="" shoe="" misc="" additions="" .........="" .........="" .........="" .........="" .........="" ..............="" sole="" hal.="" l3540....="" 6="" shoe="" misc="" additions="" .........="" .........="" .........="" .........="" .........="" ..............="" sole="" ful.="" l3550....="" 6="" shoe="" misc="" add="" toe="" .........="" .........="" .........="" .........="" .........="" ..............="" tap="" standa.="" l3560....="" 6="" shoe="" misc="" add="" toe="" .........="" .........="" .........="" .........="" .........="" ..............="" tap="" horses.="" l3570....="" 6="" shoe="" special="" .........="" .........="" .........="" .........="" .........="" ..............="" extension="" to="" in.="" l3580....="" 6="" shoe="" convert="" instep="" .........="" .........="" .........="" .........="" .........="" ..............="" velcro="" c.="" l3590....="" 6="" shoe="" convert="" firm="" .........="" .........="" .........="" .........="" .........="" ..............="" to="" soft="" cn.="" l3595....="" 6="" shoe="" misc="" additions="" .........="" .........="" .........="" .........="" .........="" ..............="" march="" ba.="" l3600....="" 6="" trans="" shoe="" calip="" .........="" .........="" .........="" .........="" .........="" ..............="" plate="" exist.="" l3610....="" 6="" trans="" shoe="" caliper="" .........="" .........="" .........="" .........="" .........="" ..............="" plate="" new.="" l3620....="" 6="" trans="" shoe="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" exi.="" l3630....="" 6="" trans="" shoe="" solid="" .........="" .........="" .........="" .........="" .........="" ..............="" stirrup="" new.="" l3640....="" 6="" shoe="" dennis="" browne="" .........="" .........="" .........="" .........="" .........="" ..............="" splint="" bo.="" l3649....="" 6="" unlist="" proc="" orth="" .........="" .........="" .........="" .........="" .........="" ..............="" shoe="" modif/.="" l3650....="" 6="" shlder="" fig="" 8="" abduct="" .........="" .........="" .........="" .........="" .........="" ..............="" restrain.="" l3660....="" 6="" abduct="" restrainer="" .........="" .........="" .........="" .........="" .........="" ..............="" canvas&web.="" l3670....="" 6="" acromio/clavicular="" .........="" .........="" .........="" .........="" .........="" ..............="" canvas&we.="" l3700....="" 6="" elbow="" orthoses="" elas="" .........="" .........="" .........="" .........="" .........="" ..............="" w="" stays.="" l3710....="" 6="" elbow="" elastic="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" metal="" joi.="" l3720....="" 6="" forearm/arm="" cuffs="" .........="" .........="" .........="" .........="" .........="" ..............="" free="" motio.="" l3730....="" 6="" forearm/arm="" cuffs="" .........="" .........="" .........="" .........="" .........="" ..............="" ext/flex="" a.="" l3740....="" 6="" cuffs="" adj="" lock="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" active="" con.="" l3800....="" 6="" whfo="" short="" opponen="" .........="" .........="" .........="" .........="" .........="" ..............="" no="" attach.="" l3805....="" 6="" whfo="" long="" opponens="" .........="" .........="" .........="" .........="" .........="" ..............="" no="" attach.="" l3810....="" 6="" whfo="" thumb="" .........="" .........="" .........="" .........="" .........="" ..............="" abduction="" bar.="" l3815....="" 6="" whfo="" second="" m.p.="" .........="" .........="" .........="" .........="" .........="" ..............="" abduction="" a.="" l3820....="" 6="" whfo="" ip="" ext="" asst="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" mp="" ext="" s.="" l3825....="" 6="" whfo="" m.p.="" extension="" .........="" .........="" .........="" .........="" .........="" ..............="" stop.="" l3830....="" 6="" whfo="" m.p.="" extension="" .........="" .........="" .........="" .........="" .........="" ..............="" assist.="" l3835....="" 6="" whfo="" m.p.="" spring="" .........="" .........="" .........="" .........="" .........="" ..............="" extension="" a.="" l3840....="" 6="" whfo="" spring="" swivel="" .........="" .........="" .........="" .........="" .........="" ..............="" thumb.="" l3845....="" 6="" whfo="" thumb="" ip="" ext="" .........="" .........="" .........="" .........="" .........="" ..............="" ass="" w/="" mp.="" l3850....="" 6="" action="" wrist="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" dorsiflex="" as.="" l3855....="" 6="" whfo="" adj="" m.p.="" .........="" .........="" .........="" .........="" .........="" ..............="" flexion="" contro.="" [[page="" 32461]]="" l3860....="" 6="" whfo="" adj="" m.p.="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" ctrl="" &="" i..="" l3890....="" 6="" torsion="" mechanism="" .........="" .........="" .........="" .........="" .........="" ..............="" wrist/elbo.="" l3900....="" 6="" hinge="" extension/="" .........="" .........="" .........="" .........="" .........="" ..............="" flex="" wrist/f.="" l3901....="" 6="" hinge="" ext/flex="" .........="" .........="" .........="" .........="" .........="" ..............="" wrist="" finger.="" l3902....="" 6="" whfo="" ext="" power="" .........="" .........="" .........="" .........="" .........="" ..............="" compress="" gas.="" l3904....="" 6="" whfo="" electric="" .........="" .........="" .........="" .........="" .........="" ..............="" custom="" fitted.="" l3906....="" 6="" wrist="" gauntlet="" .........="" .........="" .........="" .........="" .........="" ..............="" molded="" to="" pt.="" l3907....="" 6="" whfo="" wrst="" gauntlt="" .........="" .........="" .........="" .........="" .........="" ..............="" thmb="" spica.="" l3908....="" 6="" wrist="" cock-up="" non-="" .........="" .........="" .........="" .........="" .........="" ..............="" molded.="" l3910....="" 6="" whfo="" swanson="" design="" .........="" .........="" .........="" .........="" .........="" ..............="" l3912....="" 6="" flex="" glove="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" elastic="" finger.="" l3914....="" 6="" who="" wrist="" extension="" .........="" .........="" .........="" .........="" .........="" ..............="" cock-up.="" l3916....="" 6="" whfo="" wrist="" extens="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" outrigg.="" l3918....="" 6="" hfo="" knuckle="" bender.="" .........="" .........="" .........="" .........="" .........="" ..............="" l3920....="" 6="" knuckle="" bender="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" outrigge.="" l3922....="" 6="" knuckle="" bend="" 2="" seg="" .........="" .........="" .........="" .........="" .........="" ..............="" to="" flex="" j.="" l3924....="" 6="" oppenheimer........="" .........="" .........="" .........="" .........="" .........="" ..............="" l3926....="" 6="" thomas="" suspension..="" .........="" .........="" .........="" .........="" .........="" ..............="" l3928....="" 6="" finger="" extension="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" clock="" sp.="" l3930....="" 6="" finger="" extension="" .........="" .........="" .........="" .........="" .........="" ..............="" with="" wrist.="" l3932....="" 6="" safety="" pin="" spring="" .........="" .........="" .........="" .........="" .........="" ..............="" wire.="" l3934....="" 6="" safety="" pin="" modified="" .........="" .........="" .........="" .........="" .........="" ..............="" l3936....="" 6="" palmer.............="" .........="" .........="" .........="" .........="" .........="" ..............="" l3938....="" 6="" dorsal="" wrist.......="" .........="" .........="" .........="" .........="" .........="" ..............="" l3940....="" 6="" dorsal="" wrist="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" outrigger="" at.="" l3942....="" 6="" reverse="" knuckle="" .........="" .........="" .........="" .........="" .........="" ..............="" bender.="" l3944....="" 6="" reverse="" knuckle="" .........="" .........="" .........="" .........="" .........="" ..............="" bend="" w/="" outr.="" l3946....="" 6="" hfo="" composite="" .........="" .........="" .........="" .........="" .........="" ..............="" elastic.="" l3948....="" 6="" finger="" knuckle="" .........="" .........="" .........="" .........="" .........="" ..............="" bender.="" l3950....="" 6="" oppenheimer="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" knuckle="" bend.="" l3952....="" 6="" oppenheimer="" w/="" rev="" .........="" .........="" .........="" .........="" .........="" ..............="" knuckle="" 2.="" l3954....="" 6="" spreading="" hand.....="" .........="" .........="" .........="" .........="" .........="" ..............="" l3956....="" 6="" add.="" joint="" upper="" .........="" .........="" .........="" .........="" .........="" ..............="" ext="" orthosis.="" l3960....="" 6="" sewho="" airplan="" desig="" .........="" .........="" .........="" .........="" .........="" ..............="" abdu="" pos.="" l3962....="" 6="" sewho="" erbs="" palsey="" .........="" .........="" .........="" .........="" .........="" ..............="" design="" abd.="" l3963....="" 6="" molded="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" articulating="" elbow.="" l3964....="" 6="" seo="" mobile="" arm="" sup="" .........="" .........="" .........="" .........="" .........="" ..............="" att="" to="" wc.="" l3965....="" 6="" arm="" supp="" att="" to="" wc="" .........="" .........="" .........="" .........="" .........="" ..............="" rancho="" ty.="" l3966....="" 6="" mobile="" arm="" supports="" .........="" .........="" .........="" .........="" .........="" ..............="" reclinin.="" l3968....="" 6="" friction="" dampening="" .........="" .........="" .........="" .........="" .........="" ..............="" arm="" supp.="" l3969....="" 6="" monosuspension="" arm/="" .........="" .........="" .........="" .........="" .........="" ..............="" hand="" supp.="" l3970....="" 6="" elevat="" proximal="" arm="" .........="" .........="" .........="" .........="" .........="" ..............="" support.="" l3972....="" 6="" offset/lat="" rocker="" .........="" .........="" .........="" .........="" .........="" ..............="" arm="" w/="" ela.="" l3974....="" 6="" mobile="" arm="" support="" .........="" .........="" .........="" .........="" .........="" ..............="" supinator.="" l3980....="" 6="" upp="" ext="" fx="" orthosis="" .........="" .........="" .........="" .........="" .........="" ..............="" humeral.="" l3982....="" 6="" upper="" ext="" fx="" .........="" .........="" .........="" .........="" .........="" ..............="" orthosis="" rad/ul.="" l3984....="" 6="" upper="" ext="" fx="" .........="" .........="" .........="" .........="" .........="" ..............="" orthosis="" wrist.="" l3985....="" 6="" forearm="" hand="" fx="" .........="" .........="" .........="" .........="" .........="" ..............="" orth="" w/="" wr="" h.="" l3986....="" 6="" humeral="" rad/ulna="" .........="" .........="" .........="" .........="" .........="" ..............="" wrist="" fx="" or.="" l3995....="" 6="" sock="" fracture="" or="" .........="" .........="" .........="" .........="" .........="" ..............="" equal="" each.="" l3999....="" 6="" upper="" limb="" orthosis="" .........="" .........="" .........="" .........="" .........="" ..............="" nos.="" l4000....="" 6="" repl="" girdle="" .........="" .........="" .........="" .........="" .........="" ..............="" milwaukee="" orth.="" l4010....="" 6="" replace="" trilateral="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" br.="" l4020....="" 6="" replace="" quadlat="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" brim.="" l4030....="" 6="" replace="" socket="" brim="" .........="" .........="" .........="" .........="" .........="" ..............="" cust="" fit.="" l4040....="" 6="" replace="" molded="" .........="" .........="" .........="" .........="" .........="" ..............="" thigh="" lacer.="" l4045....="" 6="" replace="" non-molded="" .........="" .........="" .........="" .........="" .........="" ..............="" thigh="" lac.="" l4050....="" 6="" replace="" molded="" calf="" .........="" .........="" .........="" .........="" .........="" ..............="" lacer.="" l4055....="" 6="" replace="" non-molded="" .........="" .........="" .........="" .........="" .........="" ..............="" calf="" lace.="" l4060....="" 6="" replace="" high="" roll="" .........="" .........="" .........="" .........="" .........="" ..............="" cuff.="" l4070....="" 6="" replace="" prox="" &="" dist="" .........="" .........="" .........="" .........="" .........="" ..............="" upright.="" l4080....="" 6="" repl="" met="" band="" kafo-="" .........="" .........="" .........="" .........="" .........="" ..............="" afo="" prox.="" l4090....="" 6="" repl="" met="" band="" kafo-="" .........="" .........="" .........="" .........="" .........="" ..............="" afo="" calf/.="" l4100....="" 6="" repl="" leath="" cuff="" .........="" .........="" .........="" .........="" .........="" ..............="" kafo="" prox="" th.="" l4110....="" 6="" repl="" leath="" cuff="" .........="" .........="" .........="" .........="" .........="" ..............="" kafo-afo="" cal.="" l4130....="" 6="" replace="" pretibial="" .........="" .........="" .........="" .........="" .........="" ..............="" shell.="" l4205....="" 6="" ortho="" dvc="" repair="" .........="" .........="" .........="" .........="" .........="" ..............="" per="" 15="" min.="" l4210....="" 6="" orth="" dev="" repair/="" .........="" .........="" .........="" .........="" .........="" ..............="" repl="" minor="" p.="" l4310....="" 6="" mult-podus/eq="" orth="" .........="" .........="" .........="" .........="" .........="" ..............="" prep="" mgmt.="" l4320....="" 6="" low="" ext="" mgmt="" sys="" ft="" .........="" .........="" .........="" .........="" .........="" ..............="" pos="" afo.="" l4350....="" 6="" pneumatic="" ankle="" .........="" .........="" .........="" .........="" .........="" ..............="" cntrl="" splint.="" l4360....="" 6="" pneumatic="" walking="" .........="" .........="" .........="" .........="" .........="" ..............="" splint.="" l4370....="" 6="" pneumatic="" full="" leg="" .........="" .........="" .........="" .........="" .........="" ..............="" splint.="" l4380....="" 6="" pneumatic="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" splint.="" [[page="" 32462]]="" l4390....="" 6="" replace="" multi-podus="" .........="" .........="" .........="" .........="" .........="" ..............="" splint.="" l4392....="" 6="" replace="" ankle="" .........="" .........="" .........="" .........="" .........="" ..............="" contrac="" splint.="" l4394....="" 6="" replace="" foot="" drop="" .........="" .........="" .........="" .........="" .........="" ..............="" splint.="" l4396....="" 6="" ankle="" contracture="" .........="" .........="" .........="" .........="" .........="" ..............="" splint.="" l4398....="" 6="" foot="" drop="" splint="" .........="" .........="" .........="" .........="" .........="" ..............="" recumbent.="" l5000....="" 6="" sho="" insert="" w="" arch="" .........="" .........="" .........="" .........="" .........="" ..............="" toe="" filler.="" l5010....="" 6="" mold="" socket="" ank="" hgt="" .........="" .........="" .........="" .........="" .........="" ..............="" w/="" toe="" f.="" l5020....="" 6="" tibial="" tubercle="" hgt="" .........="" .........="" .........="" .........="" .........="" ..............="" w/="" toe="" f.="" l5050....="" 6="" ank="" symes="" mold="" sckt="" .........="" .........="" .........="" .........="" .........="" ..............="" sach="" ft.="" l5060....="" 6="" symes="" met="" fr="" leath="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" ar.="" l5100....="" 6="" molded="" socket="" shin="" .........="" .........="" .........="" .........="" .........="" ..............="" sach="" foot.="" l5105....="" 6="" plast="" socket="" jts/="" .........="" .........="" .........="" .........="" .........="" ..............="" thgh="" lacer.="" l5150....="" 6="" mold="" sckt="" ext="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" shin="" sach.="" l5160....="" 6="" mold="" socket="" bent="" .........="" .........="" .........="" .........="" .........="" ..............="" knee="" shin="" s.="" l5200....="" 6="" kne="" sing="" axis="" fric="" .........="" .........="" .........="" .........="" .........="" ..............="" shin="" sach.="" l5210....="" 6="" no="" knee/ankle="" .........="" .........="" .........="" .........="" .........="" ..............="" joints="" w/="" ft="" b.="" l5220....="" 6="" no="" knee="" joint="" with="" .........="" .........="" .........="" .........="" .........="" ..............="" artic="" ali.="" l5230....="" 6="" fem="" focal="" defic="" .........="" .........="" .........="" .........="" .........="" ..............="" constant="" fri.="" l5250....="" 6="" hip="" canad="" sing="" axi="" .........="" .........="" .........="" .........="" .........="" ..............="" cons="" fric.="" l5270....="" 6="" tilt="" table="" locking="" .........="" .........="" .........="" .........="" .........="" ..............="" hip="" sing.="" l5280....="" 6="" hemipelvect="" canad="" .........="" .........="" .........="" .........="" .........="" ..............="" sing="" axis.="" l5300....="" 6="" bk="" sach="" soft="" cover="" .........="" .........="" .........="" .........="" .........="" ..............="" &="" finish.="" l5310....="" 6="" knee="" disart="" sach="" .........="" .........="" .........="" .........="" .........="" ..............="" soft="" cv/fin.="" l5320....="" 6="" ak="" open="" end="" sach="" .........="" .........="" .........="" .........="" .........="" ..............="" soft="" cv/fin.="" l5330....="" 6="" hip="" canadian="" sach="" .........="" .........="" .........="" .........="" .........="" ..............="" sft="" cv/fin.="" l5340....="" 6="" hemipelvectomy="" .........="" .........="" .........="" .........="" .........="" ..............="" canad="" cv/fin.="" l5400....="" 6="" postop="" dress="" &="" 1="" .........="" .........="" .........="" .........="" .........="" ..............="" cast="" chg="" bk.="" l5410....="" 6="" postop="" dsg="" bk="" ea="" .........="" .........="" .........="" .........="" .........="" ..............="" add="" cast="" ch.="" l5420....="" 6="" postop="" dsg="" &="" 1="" cast="" .........="" .........="" .........="" .........="" .........="" ..............="" chg="" ak/d.="" l5430....="" 6="" postop="" dsg="" ak="" ea="" .........="" .........="" .........="" .........="" .........="" ..............="" add="" cast="" ch.="" l5450....="" 6="" postop="" app="" non-wgt="" .........="" .........="" .........="" .........="" .........="" ..............="" bear="" dsg.="" l5460....="" 6="" postop="" app="" non-wgt="" .........="" .........="" .........="" .........="" .........="" ..............="" bear="" dsg.="" l5500....="" 6="" init="" bk="" ptb="" plaster="" .........="" .........="" .........="" .........="" .........="" ..............="" direct.="" l5505....="" 6="" init="" ak="" ischal="" .........="" .........="" .........="" .........="" .........="" ..............="" plstr="" direct.="" l5510....="" 6="" prep="" bk="" ptb="" plaster="" .........="" .........="" .........="" .........="" .........="" ..............="" molded.="" l5520....="" 6="" perp="" bk="" ptb="" .........="" .........="" .........="" .........="" .........="" ..............="" thermopls="" direct.="" l5530....="" 6="" prep="" bk="" ptb="" .........="" .........="" .........="" .........="" .........="" ..............="" thermopls="" molded.="" l5535....="" 6="" prep="" bk="" ptb="" open="" .........="" .........="" .........="" .........="" .........="" ..............="" end="" socket.="" l5540....="" 6="" prep="" bk="" ptb="" .........="" .........="" .........="" .........="" .........="" ..............="" laminated="" socket.="" l5560....="" 6="" prep="" ak="" ischial="" .........="" .........="" .........="" .........="" .........="" ..............="" plast="" molded.="" l5570....="" 6="" prep="" ak="" ischial="" .........="" .........="" .........="" .........="" .........="" ..............="" direct="" form.="" l5580....="" 6="" prep="" ak="" ischial="" .........="" .........="" .........="" .........="" .........="" ..............="" thermo="" mold.="" l5585....="" 6="" prep="" ak="" ischial="" .........="" .........="" .........="" .........="" .........="" ..............="" open="" end.="" l5590....="" 6="" prep="" ak="" ischial="" .........="" .........="" .........="" .........="" .........="" ..............="" laminated.="" l5595....="" 6="" hip="" disartic="" sach="" .........="" .........="" .........="" .........="" .........="" ..............="" thermopls.="" l5600....="" 6="" hip="" disart="" sach="" .........="" .........="" .........="" .........="" .........="" ..............="" laminat="" mold.="" l5610....="" 6="" above="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" hydracadence.="" l5611....="" 6="" ak="" 4="" bar="" link="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" fric="" swing.="" l5613....="" 6="" ak="" 4="" bar="" ling="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" hydraul="" swig.="" l5614....="" 6="" 4-bar="" link="" above="" .........="" .........="" .........="" .........="" .........="" ..............="" knee="" w/swng.="" l5616....="" 6="" ak="" univ="" multiplex="" .........="" .........="" .........="" .........="" .........="" ..............="" sys="" frict.="" l5617....="" 6="" ak/bk="" self-aligning="" .........="" .........="" .........="" .........="" .........="" ..............="" unit="" ea.="" l5618....="" 6="" test="" socket="" symes..="" .........="" .........="" .........="" .........="" .........="" ..............="" l5620....="" 6="" test="" socket="" below="" .........="" .........="" .........="" .........="" .........="" ..............="" knee.="" l5622....="" 6="" test="" socket="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" disarticula.="" l5624....="" 6="" test="" socket="" above="" .........="" .........="" .........="" .........="" .........="" ..............="" knee.="" l5626....="" 6="" test="" socket="" hip="" .........="" .........="" .........="" .........="" .........="" ..............="" disarticulat.="" l5628....="" 6="" test="" socket="" .........="" .........="" .........="" .........="" .........="" ..............="" hemipelvectomy.="" l5629....="" 6="" below="" knee="" acrylic="" .........="" .........="" .........="" .........="" .........="" ..............="" socket.="" l5630....="" 6="" syme="" typ="" expandabl="" .........="" .........="" .........="" .........="" .........="" ..............="" wall="" sckt.="" l5631....="" 6="" ak/knee="" disartic="" .........="" .........="" .........="" .........="" .........="" ..............="" acrylic="" soc.="" l5632....="" 6="" symes="" type="" ptb="" brim="" .........="" .........="" .........="" .........="" .........="" ..............="" design="" s.="" l5634....="" 6="" symes="" type="" poster="" .........="" .........="" .........="" .........="" .........="" ..............="" opening="" so.="" l5636....="" 6="" symes="" type="" medial="" .........="" .........="" .........="" .........="" .........="" ..............="" opening="" so.="" l5637....="" 6="" below="" knee="" total="" .........="" .........="" .........="" .........="" .........="" ..............="" contact.="" l5638....="" 6="" below="" knee="" leather="" .........="" .........="" .........="" .........="" .........="" ..............="" socket.="" l5639....="" 6="" below="" knee="" wood="" .........="" .........="" .........="" .........="" .........="" ..............="" socket.="" l5640....="" 6="" knee="" disarticulat="" .........="" .........="" .........="" .........="" .........="" ..............="" leather="" so.="" l5642....="" 6="" above="" knee="" leather="" .........="" .........="" .........="" .........="" .........="" ..............="" socket.="" l5643....="" 6="" hip="" flex="" inner="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" ext="" fr.="" l5644....="" 6="" above="" knee="" wood="" .........="" .........="" .........="" .........="" .........="" ..............="" socket.="" l5645....="" 6="" ak="" flexibl="" inner="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" ext.="" l5646....="" 6="" below="" knee="" air="" .........="" .........="" .........="" .........="" .........="" ..............="" cushion="" socke.="" l5647....="" 6="" below="" knee="" suction="" .........="" .........="" .........="" .........="" .........="" ..............="" socket.="" [[page="" 32463]]="" l5648....="" 6="" above="" knee="" air="" .........="" .........="" .........="" .........="" .........="" ..............="" cushion="" socke.="" l5649....="" 6="" isch="" containmt/="" .........="" .........="" .........="" .........="" .........="" ..............="" narrow="" m-l="" so.="" l5650....="" 6="" tot="" contact="" ak/knee="" .........="" .........="" .........="" .........="" .........="" ..............="" disart="" s.="" l5651....="" 6="" ak="" flex="" inner="" .........="" .........="" .........="" .........="" .........="" ..............="" socket="" ext="" fra.="" l5652....="" 6="" suction="" susp="" ak/="" .........="" .........="" .........="" .........="" .........="" ..............="" knee="" disart.="" l5653....="" 6="" knee="" disart="" expand="" .........="" .........="" .........="" .........="" .........="" ..............="" wall="" sock.="" l5654....="" 6="" socket="" insert="" symes="" .........="" .........="" .........="" .........="" .........="" ..............="" l5655....="" 6="" socket="" insert="" below="" .........="" .........="" .........="" .........="" .........="" ..............="" knee.="" l5656....="" 6="" socket="" insert="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" articulat.="" l5658....="" 6="" socket="" insert="" above="" .........="" .........="" .........="" .........="" .........="" ..............="" knee.="" l5660....="" 6="" sock="" insrt="" syme="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone="" gel.="" l5661....="" 6="" multi-durometer="" .........="" .........="" .........="" .........="" .........="" ..............="" symes.="" l5662....="" 6="" socket="" insert="" bk="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone="" ge.="" l5663....="" 6="" sock="" knee="" disartic="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone.="" l5664....="" 6="" socket="" insert="" ak="" .........="" .........="" .........="" .........="" .........="" ..............="" silicone="" ge.="" l5665....="" 6="" multi-durometer="" .........="" .........="" .........="" .........="" .........="" ..............="" below="" knee.="" l5666....="" 6="" below="" knee="" cuff="" .........="" .........="" .........="" .........="" .........="" ..............="" suspension.="" l5667....="" 6="" socket="" insert="" w="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" lower.="" l5668....="" 6="" socket="" insert="" w/o="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" lower.="" l5669....="" 6="" below="" knee="" socket="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" o="" lock.="" l5670....="" 6="" bk="" molded="" .........="" .........="" .........="" .........="" .........="" ..............="" supracondylar="" susp.="" l5672....="" 6="" bk="" removable="" medial="" .........="" .........="" .........="" .........="" .........="" ..............="" brim="" sus.="" l5674....="" 6="" bk="" latex="" sleeve="" .........="" .........="" .........="" .........="" .........="" ..............="" suspension/e.="" l5675....="" 6="" bk="" latex="" sleeve="" .........="" .........="" .........="" .........="" .........="" ..............="" susp/eq="" hvy.="" l5676....="" 6="" bk="" knee="" joints="" .........="" .........="" .........="" .........="" .........="" ..............="" single="" axis="" p.="" l5677....="" 6="" bk="" knee="" joints="" .........="" .........="" .........="" .........="" .........="" ..............="" polycentric="" p.="" l5678....="" 6="" bk="" joint="" covers="" .........="" .........="" .........="" .........="" .........="" ..............="" pair.="" l5680....="" 6="" bk="" thigh="" lacer="" non-="" .........="" .........="" .........="" .........="" .........="" ..............="" molded.="" l5682....="" 6="" bk="" thigh="" lacer="" glut/="" .........="" .........="" .........="" .........="" .........="" ..............="" ischia="" m.="" l5684....="" 6="" bk="" fork="" strap......="" .........="" .........="" .........="" .........="" .........="" ..............="" l5686....="" 6="" bk="" back="" check......="" .........="" .........="" .........="" .........="" .........="" ..............="" l5688....="" 6="" bk="" waist="" belt="" .........="" .........="" .........="" .........="" .........="" ..............="" webbing.="" l5690....="" 6="" bk="" waist="" belt="" .........="" .........="" .........="" .........="" .........="" ..............="" padded="" and="" lin.="" l5692....="" 6="" ak="" pelvic="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" belt="" light.="" l5694....="" 6="" ak="" pelvic="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" belt="" pad/l.="" l5695....="" 6="" ak="" sleeve="" susp="" .........="" .........="" .........="" .........="" .........="" ..............="" neoprene/equa.="" l5696....="" 6="" ak/knee="" disartic="" .........="" .........="" .........="" .........="" .........="" ..............="" pelvic="" join.="" l5697....="" 6="" ak/knee="" disartic="" .........="" .........="" .........="" .........="" .........="" ..............="" pelvic="" band.="" l5698....="" 6="" ak/knee="" disartic="" .........="" .........="" .........="" .........="" .........="" ..............="" silesian="" ba.="" l5699....="" 6="" shoulder="" harness...="" .........="" .........="" .........="" .........="" .........="" ..............="" l5700....="" 6="" replace="" socket="" .........="" .........="" .........="" .........="" .........="" ..............="" below="" knee.="" l5701....="" 6="" replace="" socket="" .........="" .........="" .........="" .........="" .........="" ..............="" above="" knee.="" l5702....="" 6="" replace="" socket="" hip.="" .........="" .........="" .........="" .........="" .........="" ..............="" l5704....="" 6="" custom="" shape="" covr="" .........="" .........="" .........="" .........="" .........="" ..............="" below="" knee.="" l5705....="" 6="" custm="" shape="" cover="" .........="" .........="" .........="" .........="" .........="" ..............="" above="" knee.="" l5706....="" 6="" custm="" shape="" cvr="" .........="" .........="" .........="" .........="" .........="" ..............="" knee="" disart.="" l5707....="" 6="" custm="" shape="" cover="" .........="" .........="" .........="" .........="" .........="" ..............="" hip="" disart.="" l5710....="" 6="" kne-shin="" exo="" sng="" .........="" .........="" .........="" .........="" .........="" ..............="" axi="" mnl="" loc.="" l5711....="" 6="" knee-shin="" exo="" mnl="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" ultra.="" l5712....="" 6="" knee-shin="" exo="" frict="" .........="" .........="" .........="" .........="" .........="" ..............="" swg="" &="" st.="" l5714....="" 6="" knee-shin="" exo="" .........="" .........="" .........="" .........="" .........="" ..............="" variable="" frict.="" l5716....="" 6="" knee-shin="" exo="" mech="" .........="" .........="" .........="" .........="" .........="" ..............="" stance="" ph.="" l5718....="" 6="" knee-shin="" exo="" frct="" .........="" .........="" .........="" .........="" .........="" ..............="" swg="" &="" sta.="" l5722....="" 6="" knee-shin="" pneum="" swg="" .........="" .........="" .........="" .........="" .........="" ..............="" frct="" exo.="" l5724....="" 6="" knee-shin="" exo="" fluid="" .........="" .........="" .........="" .........="" .........="" ..............="" swing="" ph.="" l5726....="" 6="" knee-shin="" ext="" jnts="" .........="" .........="" .........="" .........="" .........="" ..............="" fld="" swg="" e.="" l5728....="" 6="" knee-shin="" fluid="" swg="" .........="" .........="" .........="" .........="" .........="" ..............="" &="" stance.="" l5780....="" 6="" knee-shin="" pneum/="" .........="" .........="" .........="" .........="" .........="" ..............="" hydra="" pneum.="" l5785....="" 6="" exoskeletal="" bk="" .........="" .........="" .........="" .........="" .........="" ..............="" ultralt="" mater.="" l5790....="" 6="" exoskeletal="" ak="" .........="" .........="" .........="" .........="" .........="" ..............="" ultra-light="" m.="" l5795....="" 6="" exoskel="" hip="" ultra-="" .........="" .........="" .........="" .........="" .........="" ..............="" light="" mate.="" l5810....="" 6="" endoskel="" knee-shin="" .........="" .........="" .........="" .........="" .........="" ..............="" mnl="" lock.="" l5811....="" 6="" endo="" knee-shin="" mnl="" .........="" .........="" .........="" .........="" .........="" ..............="" lck="" ultra.="" l5812....="" 6="" endo="" knee-shin="" frct="" .........="" .........="" .........="" .........="" .........="" ..............="" swg="" &="" st.="" l5814....="" 6="" endo="" knee-shin="" .........="" .........="" .........="" .........="" .........="" ..............="" hydral="" swg="" ph.="" l5816....="" 6="" endo="" knee-shin="" .........="" .........="" .........="" .........="" .........="" ..............="" polyc="" mch="" sta.="" l5818....="" 6="" endo="" knee-shin="" frct="" .........="" .........="" .........="" .........="" .........="" ..............="" swg="" &="" st.="" l5822....="" 6="" endo="" knee-shin="" .........="" .........="" .........="" .........="" .........="" ..............="" pneum="" swg="" frc.="" l5824....="" 6="" endo="" knee-shin="" .........="" .........="" .........="" .........="" .........="" ..............="" fluid="" swing="" p.="" l5826....="" 6="" pediatric="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" joint.="" l5828....="" 6="" endo="" knee-shin="" .........="" .........="" .........="" .........="" .........="" ..............="" fluid="" swg/sta.="" l5830....="" 6="" endo="" knee-shin="" .........="" .........="" .........="" .........="" .........="" ..............="" pneum/swg="" pha.="" l5840....="" 6="" multi-axial="" knee/="" .........="" .........="" .........="" .........="" .........="" ..............="" shin="" system.="" l5845....="" 6="" knee-shin="" sys="" .........="" .........="" .........="" .........="" .........="" ..............="" stance="" flexion.="" [[page="" 32464]]="" l5846....="" 6="" knee-shin="" sys="" .........="" .........="" .........="" .........="" .........="" ..............="" microprocessor.="" l5850....="" 6="" endo="" ak/hip="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" extens="" assi.="" l5855....="" 6="" mech="" hip="" extension="" .........="" .........="" .........="" .........="" .........="" ..............="" assist.="" l5910....="" 6="" endo="" below="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" alignable="" sy.="" l5920....="" 6="" endo="" ak/hip="" .........="" .........="" .........="" .........="" .........="" ..............="" alignable="" system.="" l5925....="" 6="" above="" knee="" manual="" .........="" .........="" .........="" .........="" .........="" ..............="" lock.="" l5930....="" 6="" high="" activity="" knee="" .........="" .........="" .........="" .........="" .........="" ..............="" frame.="" l5940....="" 6="" endo="" bk="" ultra-light="" .........="" .........="" .........="" .........="" .........="" ..............="" material.="" l5950....="" 6="" endo="" ak="" ultra-light="" .........="" .........="" .........="" .........="" .........="" ..............="" material.="" l5960....="" 6="" endo="" hip="" ultra-="" .........="" .........="" .........="" .........="" .........="" ..............="" light="" materia.="" l5962....="" 6="" below="" knee="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" cover="" system.="" l5964....="" 6="" above="" knee="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" cover="" system.="" l5966....="" 6="" hip="" flexible="" cover="" .........="" .........="" .........="" .........="" .........="" ..............="" system.="" l5970....="" 6="" foot="" external="" keel="" .........="" .........="" .........="" .........="" .........="" ..............="" sach="" foot.="" l5972....="" 6="" flexible="" keel="" foot.="" .........="" .........="" .........="" .........="" .........="" ..............="" l5974....="" 6="" foot="" single="" axis="" .........="" .........="" .........="" .........="" .........="" ..............="" ankle/foot.="" l5976....="" 6="" energy="" storing="" foot="" .........="" .........="" .........="" .........="" .........="" ..............="" l5978....="" 6="" ft="" prosth="" .........="" .........="" .........="" .........="" .........="" ..............="" multiaxial="" ankl/ft.="" l5979....="" 6="" multi-axial="" ankle/="" .........="" .........="" .........="" .........="" .........="" ..............="" ft="" prosth.="" l5980....="" 6="" flex="" foot="" system...="" .........="" .........="" .........="" .........="" .........="" ..............="" l5981....="" 6="" flex-walk="" sys="" low="" .........="" .........="" .........="" .........="" .........="" ..............="" ext="" prosth.="" l5982....="" 6="" exoskeletal="" axial="" .........="" .........="" .........="" .........="" .........="" ..............="" rotation="" u.="" l5984....="" 6="" endoskeletal="" axial="" .........="" .........="" .........="" .........="" .........="" ..............="" rotation.="" l5985....="" 6="" lwr="" ext="" dynamic="" .........="" .........="" .........="" .........="" .........="" ..............="" prosth="" pylon.="" l5986....="" 6="" multi-axial="" .........="" .........="" .........="" .........="" .........="" ..............="" rotation="" unit.="" l5987....="" 6="" shank="" ft="" w="" vert="" .........="" .........="" .........="" .........="" .........="" ..............="" load="" pylon.="" l5999....="" 6="" lowr="" extremity="" .........="" .........="" .........="" .........="" .........="" ..............="" prosthes="" nos.="" l6000....="" 6="" par="" hand="" robin-aids="" .........="" .........="" .........="" .........="" .........="" ..............="" thum="" rem.="" l6010....="" 6="" hand="" robin-aids="" .........="" .........="" .........="" .........="" .........="" ..............="" little/ring.="" l6020....="" 6="" part="" hand="" robin-="" .........="" .........="" .........="" .........="" .........="" ..............="" aids="" no="" fing.="" l6050....="" 6="" wrst="" mld="" sck="" flx="" .........="" .........="" .........="" .........="" .........="" ..............="" hng="" tri="" pad.="" l6055....="" 6="" wrst="" mold="" sock="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" exp="" interfa.="" l6100....="" 6="" elb="" mold="" sock="" flex="" .........="" .........="" .........="" .........="" .........="" ..............="" hinge="" pad.="" l6110....="" 6="" elbow="" mold="" sock="" .........="" .........="" .........="" .........="" .........="" ..............="" suspension="" t.="" l6120....="" 6="" elbow="" mold="" doub="" .........="" .........="" .........="" .........="" .........="" ..............="" splt="" soc="" ste.="" l6130....="" 6="" elbow="" stump="" .........="" .........="" .........="" .........="" .........="" ..............="" activated="" lock="" h.="" l6200....="" 6="" elbow="" mold="" outsid="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" hinge.="" l6205....="" 6="" elbow="" molded="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" expand="" inter.="" l6250....="" 6="" elbow="" inter="" loc="" .........="" .........="" .........="" .........="" .........="" ..............="" elbow="" forarm.="" l6300....="" 6="" shlder="" disart="" int="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" elbow.="" l6310....="" 6="" shoulder="" passive="" .........="" .........="" .........="" .........="" .........="" ..............="" restor="" comp.="" l6320....="" 6="" shoulder="" passive="" .........="" .........="" .........="" .........="" .........="" ..............="" restor="" cap.="" l6350....="" 6="" thoracic="" intern="" .........="" .........="" .........="" .........="" .........="" ..............="" lock="" elbow.="" l6360....="" 6="" thoracic="" passive="" .........="" .........="" .........="" .........="" .........="" ..............="" restor="" comp.="" l6370....="" 6="" thoracic="" passive="" .........="" .........="" .........="" .........="" .........="" ..............="" restor="" cap.="" l6380....="" 6="" postop="" dsg="" cast="" chg="" .........="" .........="" .........="" .........="" .........="" ..............="" wrst/elb.="" l6382....="" 6="" postop="" dsg="" cast="" chg="" .........="" .........="" .........="" .........="" .........="" ..............="" elb="" dis/.="" l6384....="" 6="" postop="" dsg="" cast="" chg="" .........="" .........="" .........="" .........="" .........="" ..............="" shlder/t.="" l6386....="" 6="" postop="" ea="" cast="" chg="" .........="" .........="" .........="" .........="" .........="" ..............="" &="" realign.="" l6388....="" 6="" postop="" applicat="" .........="" .........="" .........="" .........="" .........="" ..............="" rigid="" dsg="" on.="" l6400....="" 6="" below="" elbow="" prosth="" .........="" .........="" .........="" .........="" .........="" ..............="" tiss="" shap.="" l6450....="" 6="" elb="" disart="" prosth="" .........="" .........="" .........="" .........="" .........="" ..............="" tiss="" shap.="" l6500....="" 6="" above="" elbow="" prosth="" .........="" .........="" .........="" .........="" .........="" ..............="" tiss="" shap.="" l6550....="" 6="" shldr="" disar="" prosth="" .........="" .........="" .........="" .........="" .........="" ..............="" tiss="" shap.="" l6570....="" 6="" scap="" thorac="" prosth="" .........="" .........="" .........="" .........="" .........="" ..............="" tiss="" shap.="" l6580....="" 6="" wrist/elbow="" bowden="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" mol.="" l6582....="" 6="" wrist/elbow="" bowden="" .........="" .........="" .........="" .........="" .........="" ..............="" cbl="" dir="" f.="" l6584....="" 6="" elbow="" fair="" lead="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" molded.="" l6586....="" 6="" elbow="" fair="" lead="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" dir="" fo.="" l6588....="" 6="" shdr="" fair="" lead="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" molded.="" l6590....="" 6="" shdr="" fair="" lead="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" direct.="" l6600....="" 6="" polycentric="" hinge="" .........="" .........="" .........="" .........="" .........="" ..............="" pair.="" l6605....="" 6="" single="" pivot="" hinge="" .........="" .........="" .........="" .........="" .........="" ..............="" pair.="" l6610....="" 6="" flexible="" metal="" .........="" .........="" .........="" .........="" .........="" ..............="" hinge="" pair.="" l6615....="" 6="" disconnect="" locking="" .........="" .........="" .........="" .........="" .........="" ..............="" wrist="" uni.="" l6616....="" 6="" disconnect="" insert="" .........="" .........="" .........="" .........="" .........="" ..............="" locking="" wr.="" l6620....="" 6="" flexion-friction="" .........="" .........="" .........="" .........="" .........="" ..............="" wrist="" unit.="" l6623....="" 6="" spring-ass="" rot="" wrst="" .........="" .........="" .........="" .........="" .........="" ..............="" w/="" latch.="" l6625....="" 6="" rotation="" wrst="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" lock.="" l6628....="" 6="" quick="" disconn="" hook="" .........="" .........="" .........="" .........="" .........="" ..............="" adapter="" o.="" l6629....="" 6="" lamination="" collar="" w/="" .........="" .........="" .........="" .........="" .........="" ..............="" couplin.="" l6630....="" 6="" stainless="" steel="" any="" .........="" .........="" .........="" .........="" .........="" ..............="" wrist.="" l6632....="" 6="" latex="" suspension="" .........="" .........="" .........="" .........="" .........="" ..............="" sleeve="" each.="" l6635....="" 6="" lift="" assist="" for="" .........="" .........="" .........="" .........="" .........="" ..............="" elbow.="" [[page="" 32465]]="" l6637....="" 6="" nudge="" control="" elbow="" .........="" .........="" .........="" .........="" .........="" ..............="" lock.="" l6640....="" 6="" shoulder="" abduction="" .........="" .........="" .........="" .........="" .........="" ..............="" joint="" pai.="" l6641....="" 6="" excursion="" amplifier="" .........="" .........="" .........="" .........="" .........="" ..............="" pulley="" t.="" l6642....="" 6="" excursion="" amplifier="" .........="" .........="" .........="" .........="" .........="" ..............="" lever="" ty.="" l6645....="" 6="" shoulder="" flexion-="" .........="" .........="" .........="" .........="" .........="" ..............="" abduction="" j.="" l6650....="" 6="" shoulder="" universal="" .........="" .........="" .........="" .........="" .........="" ..............="" joint.="" l6655....="" 6="" standard="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" extra.="" l6660....="" 6="" heavy="" duty="" control="" .........="" .........="" .........="" .........="" .........="" ..............="" cable.="" l6665....="" 6="" teflon="" or="" equal="" .........="" .........="" .........="" .........="" .........="" ..............="" cable="" lining.="" l6670....="" 6="" hook="" to="" hand="" cable="" .........="" .........="" .........="" .........="" .........="" ..............="" adapter.="" l6672....="" 6="" harness="" chest/="" .........="" .........="" .........="" .........="" .........="" ..............="" shlder="" saddle.="" l6675....="" 6="" harness="" figure="" of="" 8="" .........="" .........="" .........="" .........="" .........="" ..............="" sing="" con.="" l6676....="" 6="" harness="" figure="" of="" 8="" .........="" .........="" .........="" .........="" .........="" ..............="" dual="" con.="" l6680....="" 6="" test="" sock="" wrist="" .........="" .........="" .........="" .........="" .........="" ..............="" disart/bel="" e.="" l6682....="" 6="" test="" sock="" elbw="" .........="" .........="" .........="" .........="" .........="" ..............="" disart/above.="" l6684....="" 6="" test="" socket="" shldr="" .........="" .........="" .........="" .........="" .........="" ..............="" disart/tho.="" l6686....="" 6="" suction="" socket.....="" .........="" .........="" .........="" .........="" .........="" ..............="" l6687....="" 6="" frame="" typ="" socket="" .........="" .........="" .........="" .........="" .........="" ..............="" bel="" elbow/w.="" l6688....="" 6="" frame="" typ="" sock="" .........="" .........="" .........="" .........="" .........="" ..............="" above="" elb/dis.="" l6689....="" 6="" frame="" typ="" socket="" .........="" .........="" .........="" .........="" .........="" ..............="" shoulder="" di.="" l6690....="" 6="" frame="" typ="" sock="" .........="" .........="" .........="" .........="" .........="" ..............="" interscap-tho.="" l6691....="" 6="" removable="" insert="" .........="" .........="" .........="" .........="" .........="" ..............="" each.="" l6692....="" 6="" silicone="" gel="" insert="" .........="" .........="" .........="" .........="" .........="" ..............="" or="" equal.="" l6700....="" 6="" terminal="" device="">... ......... ......... ......... ......... ..............
model #3.
L6705.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #5.
L6710.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #5x.
L6715.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #5xa.
L6720.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #6.
L6725.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #7.
L6730.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #7lo.
L6735.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #8.
L6740.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #8x.
L6745.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #88x.
L6750.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #10p.
L6755.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #10x.
L6765.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #12p.
L6770.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #99x.
L6775.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #555.
L6780.... 6 Terminal device ......... ......... ......... ......... ......... ..............
model #ss555.
L6790.... 6 Hooks-accu hook or ......... ......... ......... ......... ......... ..............
equal.
L6795.... 6 Hooks-2 load or ......... ......... ......... ......... ......... ..............
equal.
L6800.... 6 Hooks-aprl vc or ......... ......... ......... ......... ......... ..............
equal.
L6805.... 6 Modifier wrist ......... ......... ......... ......... ......... ..............
flexion unit.
L6806.... 6 Trs grip vc or ......... ......... ......... ......... ......... ..............
equal.
L6807.... 6 Term device grip \1/ ......... ......... ......... ......... ......... ..............
2\ or equal.
L6808.... 6 Term device infant ......... ......... ......... ......... ......... ..............
or child.
L6809.... 6 Trs super sport ......... ......... ......... ......... ......... ..............
passive.
L6810.... 6 Pincher tool otto ......... ......... ......... ......... ......... ..............
bock or eq.
L6825.... 6 Hands dorrance vo.. ......... ......... ......... ......... ......... ..............
L6830.... 6 Hand aprl vc....... ......... ......... ......... ......... ......... ..............
L6835.... 6 Hand sierra vo..... ......... ......... ......... ......... ......... ..............
L6840.... 6 Hand becker ......... ......... ......... ......... ......... ..............
imperial.
L6845.... 6 Hand becker lock ......... ......... ......... ......... ......... ..............
grip.
L6850.... 6 Term dvc-hand ......... ......... ......... ......... ......... ..............
becker plylite.
L6855.... 6 Hand robin-aids vo. ......... ......... ......... ......... ......... ..............
L6860.... 6 Hand robin-aids vo ......... ......... ......... ......... ......... ..............
soft.
L6865.... 6 Hand passive hand.. ......... ......... ......... ......... ......... ..............
L6867.... 6 Hand detroit infant ......... ......... ......... ......... ......... ..............
hand.
L6868.... 6 Passive inf hand ......... ......... ......... ......... ......... ..............
steeper/hos.
L6870.... 6 Hand child mitt.... ......... ......... ......... ......... ......... ..............
L6872.... 6 Hand nyu child hand ......... ......... ......... ......... ......... ..............
L6873.... 6 Hand mech inf ......... ......... ......... ......... ......... ..............
steeper or equ.
L6875.... 6 Hand bock vc....... ......... ......... ......... ......... ......... ..............
L6880.... 6 Hand bock vo....... ......... ......... ......... ......... ......... ..............
L6890.... 6 Production glove... ......... ......... ......... ......... ......... ..............
L6895.... 6 Custom glove....... ......... ......... ......... ......... ......... ..............
L6900.... 6 Hand restorat thumb/ ......... ......... ......... ......... ......... ..............
1 finger.
L6905.... 6 Hand restoration ......... ......... ......... ......... ......... ..............
multiple fi.
L6910.... 6 Hand restoration no ......... ......... ......... ......... ......... ..............
fingers.
L6915.... 6 Hand restoration ......... ......... ......... ......... ......... ..............
replacmnt g.
L6920.... 6 Wrist disarticul ......... ......... ......... ......... ......... ..............
switch ctrl.
L6925.... 6 Wrist disart ......... ......... ......... ......... ......... ..............
myoelectronic c.
L6930.... 6 Below elbow switch ......... ......... ......... ......... ......... ..............
control.
L6935.... 6 Below elbow ......... ......... ......... ......... ......... ..............
myoelectronic ct.
[[Page 32466]]
L6940.... 6 Elbow ......... ......... ......... ......... ......... ..............
disarticulation
switch.
L6945.... 6 Elbow disart ......... ......... ......... ......... ......... ..............
myoelectronic c.
L6950.... 6 Above elbow switch ......... ......... ......... ......... ......... ..............
control.
L6955.... 6 Above elbow ......... ......... ......... ......... ......... ..............
myoelectronic ct.
L6960.... 6 Shldr disartic ......... ......... ......... ......... ......... ..............
switch contro.
L6965.... 6 Shldr disartic ......... ......... ......... ......... ......... ..............
myoelectronic.
L6970.... 6 Interscapular-thor ......... ......... ......... ......... ......... ..............
switch ct.
L6975.... 6 Interscap-thor ......... ......... ......... ......... ......... ..............
myoelectronic.
L7010.... 6 Hand otto back ......... ......... ......... ......... ......... ..............
steeper/eq sw.
L7015.... 6 Hand sys teknik ......... ......... ......... ......... ......... ..............
village swit.
L7020.... 6 Electronic greifer ......... ......... ......... ......... ......... ..............
switch ct.
L7025.... 6 Electron hand ......... ......... ......... ......... ......... ..............
myoelectronic.
L7030.... 6 Hand sys teknik ......... ......... ......... ......... ......... ..............
vill myoelec.
L7035.... 6 Electron greifer ......... ......... ......... ......... ......... ..............
myoelectro.
L7040.... 6 Prehensile actuator ......... ......... ......... ......... ......... ..............
hosmer s.
L7045.... 6 Electron hook child ......... ......... ......... ......... ......... ..............
michigan.
L7170.... 6 Electronic elbow ......... ......... ......... ......... ......... ..............
hosmer swit.
L7180.... 6 Electronic elbow ......... ......... ......... ......... ......... ..............
utah myoele.
L7185.... 6 Electron elbow ......... ......... ......... ......... ......... ..............
adolescent sw.
L7186.... 6 Electron elbow ......... ......... ......... ......... ......... ..............
child switch.
L7190.... 6 Elbow adolescent ......... ......... ......... ......... ......... ..............
myoelectron.
L7191.... 6 Elbow child ......... ......... ......... ......... ......... ..............
myoelectronic ct.
L7260.... 6 Electron wrist ......... ......... ......... ......... ......... ..............
rotator otto.
L7261.... 6 Electron wrist ......... ......... ......... ......... ......... ..............
rotator utah.
L7266.... 6 Servo control ......... ......... ......... ......... ......... ..............
steeper or equ.
L7272.... 6 Analogue control ......... ......... ......... ......... ......... ..............
unb or equa.
L7274.... 6 Proportional ctl 12 ......... ......... ......... ......... ......... ..............
volt uta.
L7360.... 6 Six volt bat otto ......... ......... ......... ......... ......... ..............
bock/eq ea.
L7362.... 6 Battery chrgr six ......... ......... ......... ......... ......... ..............
volt otto.
L7364.... 6 Twelve volt battery ......... ......... ......... ......... ......... ..............
utah/equ.
L7366.... 6 Battery chrgr 12 ......... ......... ......... ......... ......... ..............
volt utah/e.
L7499.... 6 Upper extremity ......... ......... ......... ......... ......... ..............
prosthes NOS.
L7500.... 6 Prosthetic dvc ......... ......... ......... ......... ......... ..............
repair hourly.
L7510.... 6 Prosthetic device ......... ......... ......... ......... ......... ..............
repair rep.
L7520.... 6 Repair prosthesis ......... ......... ......... ......... ......... ..............
per 15 min.
L7900.... 6 Vacuum erection ......... ......... ......... ......... ......... ..............
system.
L8000.... 6 Mastectomy bra..... ......... ......... ......... ......... ......... ..............
L8010.... 6 Mastectomy sleeve.. ......... ......... ......... ......... ......... ..............
L8020.... 6 Mastectomy form.... ......... ......... ......... ......... ......... ..............
L8030.... 6 Breast prosthesis ......... ......... ......... ......... ......... ..............
silicone/e.
L8039.... 6 Breast prosthesis ......... ......... ......... ......... ......... ..............
NOS.
L8100.... 6 Elas suprt stock bk ......... ......... ......... ......... ......... ..............
med wgt.
L8110.... 6 Elastic supp ......... ......... ......... ......... ......... ..............
stocking bk hvy.
L8120.... 6 Elastic supp ......... ......... ......... ......... ......... ..............
stockng bk surg.
L8130.... 6 Elastic supp ......... ......... ......... ......... ......... ..............
stocking ak med.
L8140.... 6 Elastic supp ......... ......... ......... ......... ......... ..............
stocking ak hvy.
L8150.... 6 Elastic supp ......... ......... ......... ......... ......... ..............
stockng ak surg.
L8160.... 6 Supp stocking full ......... ......... ......... ......... ......... ..............
lgth med.
L8170.... 6 Supp stocking full ......... ......... ......... ......... ......... ..............
lgth hvy.
L8180.... 6 Supp stocking heavy ......... ......... ......... ......... ......... ..............
surg wei.
L8190.... 6 Elas stocking ......... ......... ......... ......... ......... ..............
leotards med w.
L8200.... 6 Elas stocking ......... ......... ......... ......... ......... ..............
leotards surg.
L8210.... 6 Elastic stocking ......... ......... ......... ......... ......... ..............
custom made.
L8220.... 6 Elastic stocking ......... ......... ......... ......... ......... ..............
lymphedema.
L8230.... 6 Elastic stocking ......... ......... ......... ......... ......... ..............
garter belt.
L8239.... 6 Elastic support NOS ......... ......... ......... ......... ......... ..............
L8300.... 6 Truss single w/ ......... ......... ......... ......... ......... ..............
standard pad.
L8310.... 6 Truss double w/ ......... ......... ......... ......... ......... ..............
standard pad.
L8320.... 6 Truss addition to ......... ......... ......... ......... ......... ..............
std pad wa.
L8330.... 6 Truss add to std ......... ......... ......... ......... ......... ..............
pad scrotal.
L8400.... 6 Sheath below knee.. ......... ......... ......... ......... ......... ..............
L8410.... 6 Sheath above knee.. ......... ......... ......... ......... ......... ..............
L8415.... 6 Sheath upper limb.. ......... ......... ......... ......... ......... ..............
L8417.... 6 Pros sheath/sock w ......... ......... ......... ......... ......... ..............
gel cushn.
L8420.... 6 Sock wool below ......... ......... ......... ......... ......... ..............
knee.
L8430.... 6 Sock wool above ......... ......... ......... ......... ......... ..............
knee.
L8435.... 6 Sock wool upper ......... ......... ......... ......... ......... ..............
limb.
L8440.... 6 Shrinker below knee ......... ......... ......... ......... ......... ..............
L8460.... 6 Shrinker above knee ......... ......... ......... ......... ......... ..............
L8465.... 6 Shrinker upper limb ......... ......... ......... ......... ......... ..............
L8470.... 6 Stump sock single ......... ......... ......... ......... ......... ..............
below knee.
L8480.... 6 Stump sock single ......... ......... ......... ......... ......... ..............
above knee.
L8485.... 6 Stump sock fitting ......... ......... ......... ......... ......... ..............
uppr limb.
L8490.... 6 Air seal suction ......... ......... ......... ......... ......... ..............
reten systm.
[[Page 32467]]
L8499.... 6 Unlisted misc ......... ......... ......... ......... ......... ..............
prosthetic ser.
L8500.... 6 Artificial larynx.. ......... ......... ......... ......... ......... ..............
L8501.... 6 Tracheostomy ......... ......... ......... ......... ......... ..............
speaking valve.
L8600.... 6 Implant breast ......... ......... ......... ......... ......... ..............
silicone/eq.
L8603.... 6 Collagen imp ......... ......... ......... ......... ......... ..............
urinary 2.5 CC.
L8610.... 6 Ocular implant..... ......... ......... ......... ......... ......... ..............
L8612.... 6 Aqueous shunt ......... ......... ......... ......... ......... ..............
prosthesis.
L8613.... 6 Ossicular implant.. ......... ......... ......... ......... ......... ..............
L8614.... 6 Cochlear device/ ......... ......... ......... ......... ......... ..............
system.
L8619.... 6 Replace cochlear ......... ......... ......... ......... ......... ..............
processor.
L8630.... 6 Metacarpophalangeal ......... ......... ......... ......... ......... ..............
implant.
L8641.... 6 Metatarsal joint ......... ......... ......... ......... ......... ..............
implant.
L8642.... 6 Hallux implant..... ......... ......... ......... ......... ......... ..............
L8658.... 6 Interphalangeal ......... ......... ......... ......... ......... ..............
joint implnt.
L8670.... 6 Vascular graft, ......... ......... ......... ......... ......... ..............
synthetic.
L8699.... 6 Prosthetic implant ......... ......... ......... ......... ......... ..............
NOS.
M0064.... 6 Visit for drug ......... ......... ......... ......... ......... ..............
monitoring.
M0075.... 9 Cellular therapy... ......... ......... ......... ......... ......... ..............
M0076.... 9 Prolotherapy....... ......... ......... ......... ......... ......... ..............
M0100.... 9 Intragastric ......... ......... ......... ......... ......... ..............
hypothermia.
M0101.... 4 Foot care hygienic/ ......... ......... ......... ......... ......... ..............
pm.
M0300.... 9 IV chelationtherapy ......... ......... ......... ......... ......... ..............
M0301.... 9 Fabric wrapping of ......... ......... ......... ......... ......... ..............
aneurysm.
M0302.... 9 Assessment of ......... ......... ......... ......... ......... ..............
cardiac output.
P2028.... 6 Cephalin ......... ......... ......... ......... ......... ..............
floculation test.
P2029.... 6 Congo red blood ......... ......... ......... ......... ......... ..............
test.
P2031.... 9 Hair analysis...... ......... ......... ......... ......... ......... ..............
P2033.... 6 Blood thymol ......... ......... ......... ......... ......... ..............
turbidity.
P2038.... 6 Blood mucoprotein.. ......... ......... ......... ......... ......... ..............
P3000.... 6 Screen pap by tech ......... ......... ......... ......... ......... ..............
w md supv.
P3001.... 6 Screening pap smear ......... ......... ......... ......... ......... ..............
by phys.
P7001.... 9 Culture bacterial ......... ......... ......... ......... ......... ..............
urine.
P9010.... 9 Whole blood for ......... ......... ......... ......... ......... ..............
transfusion.
P9011.... 9 Blood split unit... ......... ......... ......... ......... ......... ..............
P9012.... 9 Cryoprecipitate ......... ......... ......... ......... ......... ..............
each unit.
P9013.... 9 Unit/s blood ......... ......... ......... ......... ......... ..............
fibrinogen.
P9014.... 9 Gamma globulin 1 ML ......... ......... ......... ......... ......... ..............
P9015.... 9 Rh immune globulin ......... ......... ......... ......... ......... ..............
1 ML.
P9016.... 9 Leukocyte poor ......... ......... ......... ......... ......... ..............
blood, unit.
P9017.... 9 One donor fresh ......... ......... ......... ......... ......... ..............
frozn plasma.
P9018.... 9 Plasma protein ......... ......... ......... ......... ......... ..............
fract, unit.
P9019.... 9 Platelet ......... ......... ......... ......... ......... ..............
concentrate unit.
P9020.... 9 Plaelet rich plasma ......... ......... ......... ......... ......... ..............
unit.
P9021.... 9 Red blood cells ......... ......... ......... ......... ......... ..............
unit.
P9022.... 9 Washed red blood ......... ......... ......... ......... ......... ..............
cells unit.
P9603.... 6 One-way allow ......... ......... ......... ......... ......... ..............
prorated miles.
P9604.... 6 One-way allow ......... ......... ......... ......... ......... ..............
prorated trip.
P9610.... 6 Urine specimen ......... ......... ......... ......... ......... ..............
collect singl.
P9615.... 6 Urine specimen ......... ......... ......... ......... ......... ..............
collect mult.
Q0034.... 6 Admin of influenza ......... ......... ......... ......... ......... ..............
vaccine.
Q0035.... 6 Cardiokymography... ......... ......... ......... ......... ......... ..............
Q0068.... 6 Extracorpeal ......... ......... ......... ......... ......... ..............
plasmapheresis.
Q0081.... 6 Infusion ther other ......... ......... ......... ......... ......... ..............
than che.
Q0082.... 6 Activity therapy w/ ......... ......... ......... ......... ......... ..............
partial h.
Q0083.... 6 Chemo by other than ......... ......... ......... ......... ......... ..............
infusion.
Q0084.... 6 Chemotherapy by ......... ......... ......... ......... ......... ..............
infusion.
Q0085.... 6 Chemo by both ......... ......... ......... ......... ......... ..............
infusion and o.
Q0086.... 6 Physical therapy ......... ......... ......... ......... ......... ..............
evaluation/.
Q0091.... 6 Obtaining screen ......... ......... ......... ......... ......... ..............
pap smear.
Q0092.... 6 Set up port xray ......... ......... ......... ......... ......... ..............
equipment.
Q0111.... 6 Wet mounts/ w ......... ......... ......... ......... ......... ..............
preparations.
Q0112.... 6 Potassium hydroxide ......... ......... ......... ......... ......... ..............
preps.
Q0113.... 6 Pinworm ......... ......... ......... ......... ......... ..............
examinations.
Q0114.... 6 Fern test.......... ......... ......... ......... ......... ......... ..............
Q0115.... 6 Post-coital mucous ......... ......... ......... ......... ......... ..............
exam.
Q0132.... 6 Dispensing fee DME ......... ......... ......... ......... ......... ..............
neb drug.
Q0136.... 6 Non esrd epoetin ......... ......... ......... ......... ......... ..............
alpha inj.
Q0144.... 9 Azithromycin ......... ......... ......... ......... ......... ..............
dihydrate, oral.
Q0156.... 6 Human albumin 5%... ......... ......... ......... ......... ......... ..............
Q0157.... 6 Human albumin 25%.. ......... ......... ......... ......... ......... ..............
Q9920.... 9 Epoetin with hct <= .........="" .........="" .........="" .........="" .........="" ..............="" 20.="" q9921....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 21.="" q9922....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 22.="" q9923....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 23.="" [[page="" 32468]]="" q9924....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 24.="" q9925....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 25.="" q9926....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 26.="" q9927....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 27.="" q9928....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 28.="" q9929....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 29.="" q9930....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 30.="" q9931....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 31.="" q9932....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 32.="" q9933....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 33.="" q9934....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 34.="" q9935....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 35.="" q9936....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 36.="" q9937....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 37.="" q9938....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 38.="" q9939....="" 9="" epoetin="" with="" hct="........." .........="" .........="" .........="" .........="" ..............="" 39.="" q9940....="" 9="" epoetin="" with="" hct="" .........="" .........="" .........="" .........="" .........="" ..............="">= 40.
R0070.... 6 Transport portable ......... ......... ......... ......... ......... ..............
x-ray.
R0075.... 6 Transport port x- ......... ......... ......... ......... ......... ..............
ray multipl.
R0076.... 6 Transport portable ......... ......... ......... ......... ......... ..............
EKG.
V2020.... 6 Vision svcs frames ......... ......... ......... ......... ......... ..............
purchases.
V2025.... 9 Eyeglasses delux ......... ......... ......... ......... ......... ..............
frames.
V2100.... 6 Lens spher single ......... ......... ......... ......... ......... ..............
plano 4.00.
V2101.... 6 Single visn sphere ......... ......... ......... ......... ......... ..............
4.12-7.00.
V2102.... 6 Singl visn sphere ......... ......... ......... ......... ......... ..............
7.12-20.00.
V2103.... 6 Spherocylindr 4.00d/ ......... ......... ......... ......... ......... ..............
12-2.00d.
V2104.... 6 Spherocylindr 4.00d/ ......... ......... ......... ......... ......... ..............
2.12-4d.
V2105.... 6 Spherocylinder ......... ......... ......... ......... ......... ..............
4.00d/4.25-6d.
V2106.... 6 Spherocylinder ......... ......... ......... ......... ......... ..............
4.00d/>6.00d.
V2107.... 6 Spherocylinder ......... ......... ......... ......... ......... ..............
4.25d/12-2d.
V2108.... 6 Spherocylinder ......... ......... ......... ......... ......... ..............
4.25d/2.12-4d.
V2109.... 6 Spherocylinder ......... ......... ......... ......... ......... ..............
4.25d/4.25-6d.
V2110.... 6 Spherocylinder ......... ......... ......... ......... ......... ..............
4.25d/over 6d.
V2111.... 6 Spherocylindr 7.25d/ ......... ......... ......... ......... ......... ..............
.25-2.25.
V2112.... 6 Spherocylindr 7.25d/ ......... ......... ......... ......... ......... ..............
2.25-4d.
V2113.... 6 Spherocylindr 7.25d/ ......... ......... ......... ......... ......... ..............
4.25-6d.
V2114.... 6 Spherocylinder over ......... ......... ......... ......... ......... ..............
12.00d.
V2115.... 6 Lens lenticular ......... ......... ......... ......... ......... ..............
bifocal.
V2116.... 6 Nonaspheric lens ......... ......... ......... ......... ......... ..............
bifocal.
V2117.... 6 Aspheric lens ......... ......... ......... ......... ......... ..............
bifocal.
V2118.... 6 Lens aniseikonic ......... ......... ......... ......... ......... ..............
single.
V2199.... 6 Lens single vision ......... ......... ......... ......... ......... ..............
not oth c.
V2200.... 6 Lens spher bifoc ......... ......... ......... ......... ......... ..............
plano 4.00d.
V2201.... 6 Lens sphere bifocal ......... ......... ......... ......... ......... ..............
4.12-7.0.
V2202.... 6 Lens sphere bifocal ......... ......... ......... ......... ......... ..............
7.12-20..
V2203.... 6 Lens sphcyl bifocal ......... ......... ......... ......... ......... ..............
4.00d/.1.
V2204.... 6 Lens sphcy bifocal ......... ......... ......... ......... ......... ..............
4.00d/2.1.
V2205.... 6 Lens sphcy bifocal ......... ......... ......... ......... ......... ..............
4.00d/4.2.
V2206.... 6 Lens sphcy bifocal ......... ......... ......... ......... ......... ..............
4.00d/ove.
V2207.... 6 Lens sphcy bifocal ......... ......... ......... ......... ......... ..............
4.25-7d/..
V2208.... 6 Lens sphcy bifocal ......... ......... ......... ......... ......... ..............
4.25-7/2..
V2209.... 6 Lens sphcy bifocal ......... ......... ......... ......... ......... ..............
4.25-7/4..
V2210.... 6 Lens sphcy bifocal ......... ......... ......... ......... ......... ..............
4.25-7/ov.
V2211.... 6 Lens sphcy bifo ......... ......... ......... ......... ......... ..............
7.25-12/.25-.
V2212.... 6 Lens sphcyl bifo ......... ......... ......... ......... ......... ..............
7.25-12/2.2.
V2213.... 6 Lens sphcyl bifo ......... ......... ......... ......... ......... ..............
7.25-12/4.2.
V2214.... 6 Lens sphcyl bifocal ......... ......... ......... ......... ......... ..............
over 12..
V2215.... 6 Lens lenticular ......... ......... ......... ......... ......... ..............
bifocal.
V2216.... 6 Lens lenticular ......... ......... ......... ......... ......... ..............
nonaspheric.
V2217.... 6 Lens lenticular ......... ......... ......... ......... ......... ..............
aspheric bif.
V2218.... 6 Lens aniseikonic ......... ......... ......... ......... ......... ..............
bifocal.
V2219.... 6 Lens bifocal seg ......... ......... ......... ......... ......... ..............
width over.
V2220.... 6 Lens bifocal add ......... ......... ......... ......... ......... ..............
over 3.25d.
V2299.... 6 Lens bifocal ......... ......... ......... ......... ......... ..............
speciality.
V2300.... 6 Lens sphere ......... ......... ......... ......... ......... ..............
trifocal 4.00d.
V2301.... 6 Lens sphere ......... ......... ......... ......... ......... ..............
trifocal 4.12-7..
V2302.... 6 Lens sphere ......... ......... ......... ......... ......... ..............
trifocal 7.12-20.
V2303.... 6 Lens sphcy trifocal ......... ......... ......... ......... ......... ..............
4.0/.12-.
V2304.... 6 Lens sphcy trifocal ......... ......... ......... ......... ......... ..............
4.0/2.25.
V2305.... 6 Lens sphcy trifocal ......... ......... ......... ......... ......... ..............
4.0/4.25.
V2306.... 6 Lens sphcyl ......... ......... ......... ......... ......... ..............
trifocal 4.00/>6.
V2307.... 6 Lens sphcy trifocal ......... ......... ......... ......... ......... ..............
4.25-7/..
V2308.... 6 Lens sphc trifocal ......... ......... ......... ......... ......... ..............
4.25-7/2..
V2309.... 6 Lens sphc trifocal ......... ......... ......... ......... ......... ..............
4.25-7/4..
[[Page 32469]]
V2310.... 6 Lens sphc trifocal ......... ......... ......... ......... ......... ..............
4.25-7/>6.
V2311.... 6 Lens sphc trifo ......... ......... ......... ......... ......... ..............
7.25-12/.25-.
V2312.... 6 Lens sphc trifo ......... ......... ......... ......... ......... ..............
7.25-12/2.25.
V2313.... 6 Lens sphc trifo ......... ......... ......... ......... ......... ..............
7.25-12/4.25.
V2314.... 6 Lens sphcyl ......... ......... ......... ......... ......... ..............
trifocal over 12.
V2315.... 6 Lens lenticular ......... ......... ......... ......... ......... ..............
trifocal.
V2316.... 6 Lens lenticular ......... ......... ......... ......... ......... ..............
nonaspheric.
V2317.... 6 Lens lenticular ......... ......... ......... ......... ......... ..............
aspheric tri.
V2318.... 6 Lens aniseikonic ......... ......... ......... ......... ......... ..............
trifocal.
V2319.... 6 Lens trifocal seg ......... ......... ......... ......... ......... ..............
width > 28.
V2320.... 6 Lens trifocal add ......... ......... ......... ......... ......... ..............
over 3.25d.
V2399.... 6 Lens trifocal ......... ......... ......... ......... ......... ..............
speciality.
V2410.... 6 Lens variab ......... ......... ......... ......... ......... ..............
asphericity sing.
V2430.... 6 Lens variable ......... ......... ......... ......... ......... ..............
asphericity bi.
V2499.... 6 Variable ......... ......... ......... ......... ......... ..............
asphericity lens.
V2500.... 6 Contact lens pmma ......... ......... ......... ......... ......... ..............
spherical.
V2501.... 6 Cntct lens pmma- ......... ......... ......... ......... ......... ..............
toric/prism.
V2502.... 6 Contact lens pmma ......... ......... ......... ......... ......... ..............
bifocal.
V2503.... 6 Cntct lens pmma ......... ......... ......... ......... ......... ..............
color vision.
V2510.... 6 Cntct gas permeable ......... ......... ......... ......... ......... ..............
sphericl.
V2511.... 6 Cntct toric prism ......... ......... ......... ......... ......... ..............
ballast.
V2512.... 6 Cntct lens gas ......... ......... ......... ......... ......... ..............
permbl bifocl.
V2513.... 6 Contact lens ......... ......... ......... ......... ......... ..............
extended wear.
V2520.... 6 Contact lens ......... ......... ......... ......... ......... ..............
hydrophilic.
V2521.... 6 Cntct lens ......... ......... ......... ......... ......... ..............
hydrophilic toric.
V2522.... 6 Cntct lens ......... ......... ......... ......... ......... ..............
hydrophil bifocl.
V2523.... 6 Cntct lens ......... ......... ......... ......... ......... ..............
hydrophil extend.
V2530.... 6 Contact lens gas ......... ......... ......... ......... ......... ..............
impermeable.
V2531.... 6 Contact lens gas ......... ......... ......... ......... ......... ..............
permeable.
V2599.... 6 Contact lens/es ......... ......... ......... ......... ......... ..............
other type.
V2600.... 6 Hand held low ......... ......... ......... ......... ......... ..............
vision aids.
V2610.... 6 Single lens ......... ......... ......... ......... ......... ..............
spectacle mount.
V2615.... 6 Telescop/othr ......... ......... ......... ......... ......... ..............
compound lens.
V2623.... 6 Plastic eye prosth ......... ......... ......... ......... ......... ..............
custom.
V2624.... 6 Polishing artifical ......... ......... ......... ......... ......... ..............
eye.
V2625.... 6 Enlargemnt of eye ......... ......... ......... ......... ......... ..............
prosthesis.
V2626.... 6 Reduction of eye ......... ......... ......... ......... ......... ..............
prosthesis.
V2627.... 6 Scleral cover shell ......... ......... ......... ......... ......... ..............
V2628.... 6 Fabrication & ......... ......... ......... ......... ......... ..............
fitting.
V2629.... 6 Prosthetic eye ......... ......... ......... ......... ......... ..............
other type.
V2630.... 2 Anter chamber ......... ......... ......... ......... ......... ..............
intraocul lens.
V2631.... 2 Iris support ......... ......... ......... ......... ......... ..............
intraoclr lens.
V2632.... 2 Post chmbr ......... ......... ......... ......... ......... ..............
intraocular lens.
V2700.... 6 Balance lens....... ......... ......... ......... ......... ......... ..............
V2710.... 6 Glass/plastic slab ......... ......... ......... ......... ......... ..............
off prism.
V2715.... 6 Prism lens/es...... ......... ......... ......... ......... ......... ..............
V2718.... 6 Fresnell prism ......... ......... ......... ......... ......... ..............
press-on lens.
V2730.... 6 Special base curve. ......... ......... ......... ......... ......... ..............
V2740.... 6 Rose tint plastic.. ......... ......... ......... ......... ......... ..............
V2741.... 6 Non-rose tint ......... ......... ......... ......... ......... ..............
plastic.
V2742.... 6 Rose tint glass.... ......... ......... ......... ......... ......... ..............
V2743.... 6 Non-rose tint glass ......... ......... ......... ......... ......... ..............
V2744.... 6 Tint photochromatic ......... ......... ......... ......... ......... ..............
lens/es.
V2750.... 6 Anti-reflective ......... ......... ......... ......... ......... ..............
coating.
V2755.... 6 UV lens/es......... ......... ......... ......... ......... ......... ..............
V2760.... 6 Scratch resistant ......... ......... ......... ......... ......... ..............
coating.
V2770.... 6 Occluder lens/es... ......... ......... ......... ......... ......... ..............
V2780.... 6 Oversize lens/es... ......... ......... ......... ......... ......... ..............
V2781.... 6 Progressive lens ......... ......... ......... ......... ......... ..............
per lens.
V2785.... 2 Corneal tissue ......... ......... ......... ......... ......... ..............
processing.
V2799.... 6 Miscellaneous ......... ......... ......... ......... ......... ..............
vision service.
V5008.... 9 Hearing screening.. ......... ......... ......... ......... ......... ..............
V5010.... 9 Assessment for ......... ......... ......... ......... ......... ..............
hearing aid.
V5011.... 9 Hearing aid fitting/ ......... ......... ......... ......... ......... ..............
checking.
V5014.... 9 Hearing aid repair/ ......... ......... ......... ......... ......... ..............
modifying.
V5020.... 9 Conformity ......... ......... ......... ......... ......... ..............
evaluation.
V5030.... 9 Body-worn hearing ......... ......... ......... ......... ......... ..............
aid air.
V5040.... 9 Body-worn hearing ......... ......... ......... ......... ......... ..............
aid bone.
V5050.... 9 Body-worn hearing ......... ......... ......... ......... ......... ..............
aid in ear.
V5060.... 9 Behind ear hearing ......... ......... ......... ......... ......... ..............
aid.
V5070.... 9 Glasses air ......... ......... ......... ......... ......... ..............
conduction.
V5080.... 9 Glasses bone ......... ......... ......... ......... ......... ..............
conduction.
V5090.... 9 Hearing aid ......... ......... ......... ......... ......... ..............
dispensing fee.
V5100.... 9 Body-worn bilat ......... ......... ......... ......... ......... ..............
hearing aid.
[[Page 32470]]
V5110.... 9 Hearing aid ......... ......... ......... ......... ......... ..............
dispensing fee.
V5120.... 9 Body-worn binaur ......... ......... ......... ......... ......... ..............
hearing aid.
V5130.... 9 In ear binaural ......... ......... ......... ......... ......... ..............
hearing aid.
V5140.... 9 Behind ear binaur ......... ......... ......... ......... ......... ..............
hearing ai.
V5150.... 9 Glasses binaural ......... ......... ......... ......... ......... ..............
hearing aid.
V5160.... 9 Dispensing fee ......... ......... ......... ......... ......... ..............
binaural.
V5170.... 9 Within ear cros ......... ......... ......... ......... ......... ..............
hearing aid.
V5180.... 9 Behind ear cros ......... ......... ......... ......... ......... ..............
hearing aid.
V5190.... 9 Glasses cros ......... ......... ......... ......... ......... ..............
hearing aid.
V5200.... 9 Cros hearing aid ......... ......... ......... ......... ......... ..............
dispens fee.
V5210.... 9 In ear bicros ......... ......... ......... ......... ......... ..............
hearing aid.
V5220.... 9 Behind ear bicros ......... ......... ......... ......... ......... ..............
hearing ai.
V5230.... 9 Glasses bicros ......... ......... ......... ......... ......... ..............
hearing aid.
V5240.... 9 Dispensing fee ......... ......... ......... ......... ......... ..............
bicros.
V5299.... 6 Hearing service.... ......... ......... ......... ......... ......... ..............
V5336.... 9 Repair ......... ......... ......... ......... ......... ..............
communication
device.
V5362.... 6 Speech screening... ......... ......... ......... ......... ......... ..............
V5363.... 6 Language screening. ......... ......... ......... ......... ......... ..............
V5364.... 6 Dysphagia screening ......... ......... ......... ......... ......... ..............
----------------------------------------------------------------------------------------------------------------
Addendum B.--Proposed Ambulatory Surgical Center (ASC) List by
Ambulatory Payment Classification (APC) Groups and Related Information
------------------------------------------------------------------------
CPT \1\/
APC group HCPCS Description
------------------------------------------------------------------------
122............ 19100 BIOPSY OF BREAST; NEEDLE CORE (SEPARATE
PROCEDURE)
122............ 20206 BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE
122............ 32400 BIOPSY, PLEURA; PERCUTANEOUS NEEDLE
122............ 32405 BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS
NEEDLE
122............ 38505 BIOPSY OR EXCISION OF LYMPH NODE(S); BY
NEEDLE, SUPERFICIAL (EG, CERVICAL,
INGUINAL, AXILLARY)
122............ 42400 BIOPSY OF SALIVARY GLAND; NEEDLE
122............ 47000 BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS
122............ 48102 BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE
122............ 49180 BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS,
PERCUTANEOUS NEEDLE
122............ 50200 RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR
NEEDLE
122............ 50390 ASPIRATION AND/OR INJECTION OF RENAL CYST
OR PELVIS BY NEEDLE, PERCUTANEOUS
122............ 54500 BIOPSY OF TESTIS, NEEDLE (SEPARATE
PROCEDURE)
122............ 54800 BIOPSY OF EPIDIDYMIS, NEEDLE
122............ 60100 BIOPSY THYROID, PERCUTANEOUS CORE NEEDLE
122............ 62269 BIOPSY OF SPINAL CORD, PERCUTANEOUS NEEDLE
122............ 67415 FINE NEEDLE ASPIRATION OF ORBITAL CONTENTS
132............ 19020 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF
ABSCESS, DEEP
132............ 20950 MONITORING OF INTERSTITIAL FLUID PRESSURE
(INCLUDES INSERTION OF DEVICE, EG, WICK
CATHETER TECHNIQUE, NEEDLE MANOMETER
TECHNIQUE) IN DETECTION OF MUSCLE
COMPARTMENT SYNDROME
132............ 21501 INCISION AND DRAINAGE, DEEP ABSCESS OR
HEMATOMA, SOFT TISSUES OF NECK OR THORAX;
132............ 21700 DIVISION OF SCALENUS ANTICUS; WITHOUT
RESECTION OF CERVICAL RIB
132............ 21720 DIVISION OF STERNOCLEIDOMASTOID FOR
TORTICOLLIS, OPEN OPERATION; WITHOUT CAST
APPLICATION
132............ 21725 DIVISION OF STERNOCLEIDOMASTOID FOR
TORTICOLLIS, OPEN OPERATION; WITH CAST
APPLICATION
132............ 23030 INCISION AND DRAINAGE, SHOULDER AREA; DEEP
ABSCESS OR HEMATOMA
132............ 23031 INCISION AND DRAINAGE, SHOULDER AREA;
INFECTED BURSA
132............ 23930 INCISION AND DRAINAGE, UPPER ARM OR ELBOW
AREA; DEEP ABSCESS OR HEMATOMA
132............ 23931 INCISION AND DRAINAGE, UPPER ARM OR ELBOW
AREA; INFECTED BURSA
132............ 27301 INCISION AND DRAINAGE OF DEEP ABSCESS,
INFECTED BURSA, OR HEMATOMA, THIGH OR KNEE
REGION
132............ 27603 INCISION AND DRAINAGE, LEG OR ANKLE; DEEP
ABSCESS OR HEMATOMA
132............ 28001 INCISION AND DRAINAGE, INFECTED BURSA, FOOT
132............ 38300 DRAINAGE OF LYMPH NODE ABSCESS OR
LYMPHADENITIS; SIMPLE
132............ 38305 DRAINAGE OF LYMPH NODE ABSCESS OR
LYMPHADENITIS; EXTENSIVE
132............ 51080 DRAINAGE OF PERIVESICAL OR PREVESICAL SPACE
ABSCESS
132............ 54015 INCISION AND DRAINAGE OF PENIS, DEEP
132............ 54115 REMOVAL FOREIGN BODY FROM DEEP PENILE
TISSUE (EG, PLASTIC IMPLANT)
132............ 55100 DRAINAGE OF SCROTAL WALL ABSCESS
152............ 16010 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR
SUBSEQUENT; UNDER ANESTHESIA, SMALL
152............ 16015 DRESSINGS AND/OR DEBRIDEMENT, INITIAL OR
SUBSEQUENT; UNDER ANESTHESIA, MEDIUM OR
LARGE, OR WITH MAJOR DEBRIDEMENT
152............ 17106 DESTRUCTION OF CUTANEOUS VASCULAR
PROLIFERATIVE LESIONS (EG, LASER
TECHNIQUE); LESS THAN 10 SQ CM
152............ 17107 DESTRUCTION OF CUTANEOUS VASCULAR
PROLIFERATIVE LESIONS (EG, LASER
TECHNIQUE); 10.0-50.0 SQ CM
152............ 17108 DESTRUCTION OF CUTANEOUS VASCULAR
PROLIFERATIVE LESIONS (EG, LASER
TECHNIQUE); OVER 50.0 SQ CM
152............ 46900 DESTRUCTION OF LESION(S), ANUS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
CHEMICAL
152............ 46910 DESTRUCTION OF LESION(S), ANUS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
ELECTRODESICCATION
[[Page 32471]]
152............ 46916 DESTRUCTION OF LESION(S), ANUS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
CRYOSURGERY
152............ 46917 DESTRUCTION OF LESION(S), ANUS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
LASER SURGERY
152............ 46922 DESTRUCTION OF LESION(S), ANUS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
SURGICAL EXCISION
152............ 46924 DESTRUCTION OF LESION(S), ANUS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE,
ANY METHOD
152............ 54050 DESTRUCTION OF LESION(S), PENIS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
CHEMICAL
152............ 54055 DESTRUCTION OF LESION(S), PENIS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
ELECTRODESICCATION
152............ 54056 DESTRUCTION OF LESION(S), PENIS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
CRYOSURGERY
152............ 54057 DESTRUCTION OF LESION(S), PENIS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
LASER SURGERY
152............ 54060 DESTRUCTION OF LESION(S), PENIS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), SIMPLE;
SURGICAL EXCISION
152............ 54065 DESTRUCTION OF LESION(S), PENIS (EG,
CONDYLOMA, PAPILLOMA, MOLLUSCUM
CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE,
ANY METHOD
152............ 56501 DESTRUCTION OF LESION(S), VULVA; SIMPLE,
ANY METHOD
152............ 56515 DESTRUCTION OF LESION(S), VULVA; EXTENSIVE,
ANY METHOD
162............ 11043 DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE, AND
MUSCLE
162............ 11044 DEBRIDEMENT; SKIN, SUBCUTANEOUS TISSUE,
MUSCLE, AND BONE
162............ 11404 EXCISION, BENIGN LESION, EXCEPT SKIN TAG
(UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR
LEGS; LESION DIAMETER 3.1 TO 4.0 CM
162............ 11424 EXCISION, BENIGN LESION, EXCEPT SKIN TAG
(UNLESS LISTED ELSEWHERE), SCALP, NECK,
HANDS, FEET, GENITALIA; LESION DIAMETER
3.1 TO 4.0 CM
162............ 11444 EXCISION, OTHER BENIGN LESION (UNLESS
LISTED ELSEWHERE), FACE, EARS, EYELIDS,
NOSE, LIPS, MUCOUS MEMBRANE; LESION
DIAMETER 3.1 TO 4.0 CM
162............ 11604 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR
LEGS; LESION DIAMETER 3.1 TO 4.0 CM
162............ 11770 EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE
162............ 16035 ESCHAROTOMY
162............ 16040 EXCISION BURN WOUND, WITHOUT SKIN GRAFTING,
EMPLOYING ALLOPLASTIC DRESSING (EG,
SYNTHETIC MESH), ANY ANATOMIC SITE; UP TO
ONE PERCENT TOTAL BODY SURFACE AREA
162............ 16041 EXCISION BURN WOUND, WITHOUT SKIN GRAFTING,
EMPLOYING ALLOPLASTIC DRESSING (EG,
SYNTHETIC MESH), ANY ANATOMIC SITE;
GREATER THAN ONE PERCENT AND UP TO NINE
PERCENT TOTAL BODY SURFACE AREA
162............ 16042 EXCISION BURN WOUND, WITHOUT SKIN GRAFTING,
EMPLOYING ALLOPLASTIC DRESSING (EG,
SYNTHETIC MESH), ANY ANATOMIC SITE; EACH
ADDITIONAL NINE PERCENT TOTAL BODY SURFACE
AREA, OR PART THEREOF
162............ 17304 CHEMOSURGERY (MOHS' MICROGRAPHIC
TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
TUMOR, SURGICAL EXCISION OF TISSUE
SPECIMENS, MAPPING, COLOR CODING OF
SPECIMENS, MICROSCOPIC EXAMINATION OF
SPECIMENS BY THE SURGEON, AND COMPLETE
HISTOPATHOLOGIC PREPARATION; FIRST STAGE,
FRESH TISSUE TECHNIQUE, UP TO 5 SPECIMENS
162............ 17305 CHEMOSURGERY (MOHS' MICROGRAPHIC
TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
TUMOR, SURGICAL EXCISION OF TISSUE
SPECIMENS, MAPPING, COLOR CODING OF
SPECIMENS, MICROSCOPIC EXAMINATION OF
SPECIMENS BY THE SURGEON, AND COMPLETE
HISTOPATHOLOGIC PREPARATION; SECOND STAGE,
FIXED OR FRESH TISSUE, UP TO 5 SPECIMENS
162............ 17306 CHEMOSURGERY (MOHS' MICROGRAPHIC
TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
TUMOR, SURGICAL EXCISION OF TISSUE
SPECIMENS, MAPPING, COLOR CODING OF
SPECIMENS, MICROSCOPIC EXAMINATION OF
SPECIMENS BY THE SURGEON, AND COMPLETE
HISTOPATHOLOGIC PREPARATION; THIRD STAGE,
FIXED OR FRESH TISSUE, UP TO 5 SPECIMENS
162............ 17307 CHEMOSURGERY (MOHS' MICROGRAPHIC
TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
TUMOR, SURGICAL EXCISION OF TISSUE
SPECIMENS, MAPPING, COLOR CODING OF
SPECIMENS, MICROSCOPIC EXAMINATION OF
SPECIMENS BY THE SURGEON, AND COMPLETE
HISTOPATHOLOGIC PREPARATION; ADDITIONAL
STAGE(S), UP TO 5 SPECIMENS, EACH STAGE
162............ 17310 CHEMOSURGERY (MOHS' MICROGRAPHIC
TECHNIQUE), INCLUDING REMOVAL OF ALL GROSS
TUMOR, SURGICAL EXCISION OF TISSUE
SPECIMENS, MAPPING, COLOR CODING OF
SPECIMENS, MICROSCOPIC EXAMINATION OF
SPECIMENS BY THE SURGEON, AND COMPLETE
HISTOPATHOLOGIC PREPARATION; MORE THAN 5
SPECIMENS, FIXED OR FRESH TISSUE, ANY
STAGE
162............ 20200 BIOPSY, MUSCLE; SUPERFICIAL
162............ 20205 BIOPSY, MUSCLE; DEEP
162............ 20220 BIOPSY, BONE, TROCAR, OR NEEDLE;
SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS
PROCESS, RIBS)
162............ 20225 BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP
(VERTEBRAL BODY, FEMUR)
162............ 20670 REMOVAL OF IMPLANT; SUPERFICIAL, (EG,
BURIED WIRE, PIN OR ROD) (SEPARATE
PROCEDURE)
162............ 23000 REMOVAL OF SUBDELTOID (OR INTRATENDINOUS)
CALCAREOUS DEPOSITS, OPEN METHOD
162............ 23075 EXCISION, TUMOR, SHOULDER AREA;
SUBCUTANEOUS
162............ 24075 EXCISION, TUMOR, UPPER ARM OR ELBOW AREA;
SUBCUTANEOUS
162............ 25075 EXCISION, TUMOR, FOREARM AND/OR WRIST AREA;
SUBCUTANEOUS
162............ 27040 BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA;
SUPERFICIAL
162............ 27323 BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA;
SUPERFICIAL
162............ 28043 EXCISION, TUMOR, FOOT; SUBCUTANEOUS
162............ 37609 LIGATION OR BIOPSY, TEMPORAL ARTERY
162............ 54100 BIOPSY OF PENIS; CUTANEOUS (SEPARATE
PROCEDURE)
162............ 54105 BIOPSY OF PENIS; DEEP STRUCTURES
162............ 67350 BIOPSY OF EXTRAOCULAR MUSCLE
162............ 68100 BIOPSY OF CONJUNCTIVA
[[Page 32472]]
162............ 68110 EXCISION OF LESION, CONJUNCTIVA; UP TO 1 CM
162............ 68115 EXCISION OF LESION, CONJUNCTIVA; OVER 1 CM
162............ 68135 DESTRUCTION OF LESION, CONJUNCTIVA
163............ 10121 INCISION AND REMOVAL OF FOREIGN BODY,
SUBCUTANEOUS TISSUES; COMPLICATED
163............ 11010 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN
MATERIAL ASSOCIATED WITH OPEN FRACTURE(S)
AND/OR DISLOCATION(S); SKIN AND
SUBCUTANEOUS TISSUES
163............ 11011 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN
MATERIAL ASSOCIATED WITH OPEN FRACTURE(S)
AND/OR DISLOCATION(S); SKIN, SUBCUTANEOUS
TISSUE, MUSCLE FASCIA, AND MUSCLE
163............ 11012 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN
MATERIAL ASSOCIATED WITH OPEN FRACTURE(S)
AND/OR DISLOCATION(S); SKIN, SUBCUTANEOUS
TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE
163............ 11406 EXCISION, BENIGN LESION, EXCEPT SKIN TAG
(UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR
LEGS; LESION DIAMETER OVER 4.0 CM
163............ 11426 EXCISION, BENIGN LESION, EXCEPT SKIN TAG
(UNLESS LISTED ELSEWHERE), SCALP, NECK,
HANDS, FEET, GENITALIA; LESION DIAMETER
OVER 4.0 CM
163............ 11446 EXCISION, OTHER BENIGN LESION (UNLESS
LISTED ELSEWHERE), FACE, EARS, EYELIDS,
NOSE, LIPS, MUCOUS MEMBRANE; LESION
DIAMETER OVER 4.0 CM
163............ 11450 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE
FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR
INTERMEDIATE REPAIR
163............ 11451 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE
FOR HIDRADENITIS, AXILLARY; WITH COMPLEX
REPAIR
163............ 11462 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE
FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR
INTERMEDIATE REPAIR
163............ 11463 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE
FOR HIDRADENITIS, INGUINAL; WITH COMPLEX
REPAIR
163............ 11470 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE
FOR HIDRADENITIS, PERIANAL, PERINEAL, OR
UMBILICAL; WITH SIMPLE OR INTERMEDIATE
REPAIR
163............ 11471 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE
FOR HIDRADENITIS, PERIANAL, PERINEAL, OR
UMBILICAL; WITH COMPLEX REPAIR
163............ 11606 EXCISION, MALIGNANT LESION, TRUNK, ARMS, OR
LEGS; LESION DIAMETER OVER 4.0 CM
163............ 11624 EXCISION, MALIGNANT LESION, SCALP, NECK,
HANDS, FEET, GENITALIA; LESION DIAMETER
3.1 TO 4.0 CM
163............ 11626 EXCISION, MALIGNANT LESION, SCALP, NECK,
HANDS, FEET, GENITALIA; LESION DIAMETER
OVER 4.0 CM
163............ 11644 EXCISION, MALIGNANT LESION, FACE, EARS,
EYELIDS, NOSE, LIPS; LESION DIAMETER 3.1
TO 4.0 CM
163............ 11646 EXCISION, MALIGNANT LESION, FACE, EARS,
EYELIDS, NOSE, LIPS; LESION DIAMETER OVER
4.0 CM
163............ 11752 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL
OR COMPLETE, (EG, INGROWN OR DEFORMED
NAIL) FOR PERMANENT REMOVAL; WITH
AMPUTATION OF TUFT OF DISTAL PHALANX
163............ 11771 EXCISION OF PILONIDAL CYST OR SINUS;
EXTENSIVE
163............ 11772 EXCISION OF PILONIDAL CYST OR SINUS;
COMPLICATED
163............ 11971 REMOVAL OF TISSUE EXPANDER(S) WITHOUT
INSERTION OF PROSTHESIS
163............ 15780 DERMABRASION; TOTAL FACE (EG, FOR ACNE
SCARRING, FINE WRINKLING, RHYTIDS, GENERAL
KERATOSIS)
163............ 15781 DERMABRASION; SEGMENTAL, FACE
163............ 15782 DERMABRASION; REGIONAL, OTHER THAN FACE
163............ 15811 SALABRASION; OVER 20 SQ CM
163............ 15838 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); SUBMENTAL
FAT PAD
163............ 15920 EXCISION, COCCYGEAL PRESSURE ULCER, WITH
COCCYGECTOMY; WITH PRIMARY SUTURE
163............ 15931 EXCISION, SACRAL PRESSURE ULCER, WITH
PRIMARY SUTURE;
163............ 15933 EXCISION, SACRAL PRESSURE ULCER, WITH
PRIMARY SUTURE; WITH OSTECTOMY
163............ 15940 EXCISION, ISCHIAL PRESSURE ULCER, WITH
PRIMARY SUTURE;
163............ 15941 EXCISION, ISCHIAL PRESSURE ULCER, WITH
PRIMARY SUTURE; WITH OSTECTOMY
(ISCHIECTOMY)
163............ 15950 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
PRIMARY SUTURE;
163............ 15951 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
PRIMARY SUTURE; WITH OSTECTOMY
163............ 20240 BIOPSY, EXCISIONAL; SUPERFICIAL (EG, ILIUM,
STERNUM, SPINOUS PROCESS, RIBS, TROCHANTER
OF FEMUR)
163............ 20245 BIOPSY, EXCISIONAL; DEEP (EG, HUMERUS,
ISCHIUM, FEMUR)
163............ 20525 REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON
SHEATH; DEEP OR COMPLICATED
163............ 20680 REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE,
PIN, SCREW, METAL BAND, NAIL, ROD OR
PLATE)
163............ 21555 EXCISION TUMOR, SOFT TISSUE OF NECK OR
THORAX; SUBCUTANEOUS
163............ 21556 EXCISION TUMOR, SOFT TISSUE OF NECK OR
THORAX; DEEP, SUBFASCIAL, INTRAMUSCULAR
163............ 21925 BIOPSY, SOFT TISSUE OF BACK OR FLANK; DEEP
163............ 21930 EXCISION, TUMOR, SOFT TISSUE OF BACK OR
FLANK
163............ 21935 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF BACK OR FLANK
163............ 22900 EXCISION, ABDOMINAL WALL TUMOR, SUBFASCIAL
(EG, DESMOID)
163............ 23066 BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP
163............ 23076 EXCISION, TUMOR, SHOULDER AREA; DEEP,
SUBFASCIAL, OR INTRAMUSCULAR
163............ 23077 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF SHOULDER AREA
163............ 23330 REMOVAL OF FOREIGN BODY, SHOULDER;
SUBCUTANEOUS
163............ 23331 REMOVAL OF FOREIGN BODY, SHOULDER; DEEP
(EG, NEER PROSTHESIS REMOVAL)
163............ 24066 BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW
AREA; DEEP
163............ 24076 EXCISION, TUMOR, UPPER ARM OR ELBOW AREA;
DEEP, SUBFASCIAL OR INTRAMUSCULAR
163............ 24077 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF UPPER ARM OR
ELBOW AREA
163............ 24201 REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW
AREA; DEEP
163............ 25066 BIOPSY, SOFT TISSUE OF FOREARM AND/OR
WRIST; DEEP
163............ 25076 EXCISION, TUMOR, FOREARM AND/OR WRIST AREA;
DEEP, SUBFASCIAL OR INTRAMUSCULAR
163............ 25077 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF FOREARM AND/OR
WRIST AREA
163............ 26115 EXCISION, TUMOR OR VASCULAR MALFORMATION,
HAND OR FINGER; SUBCUTANEOUS
163............ 26116 EXCISION, TUMOR OR VASCULAR MALFORMATION,
HAND OR FINGER; DEEP, SUBFASCIAL,
INTRAMUSCULAR
163............ 26117 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF HAND OR FINGER
163............ 26320 REMOVAL OF IMPLANT FROM FINGER OR HAND
163............ 27041 BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA;
DEEP
163............ 27047 EXCISION, TUMOR, PELVIS AND HIP AREA;
SUBCUTANEOUS
163............ 27048 EXCISION, TUMOR, PELVIS AND HIP AREA; DEEP,
SUBFASCIAL, INTRAMUSCULAR
[[Page 32473]]
163............ 27049 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF PELVIS AND HIP
AREA
163............ 27324 BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA;
DEEP
163............ 27327 EXCISION, TUMOR, THIGH OR KNEE AREA;
SUBCUTANEOUS
163............ 27328 EXCISION, TUMOR, THIGH OR KNEE AREA; DEEP,
SUBFASCIAL, OR INTRAMUSCULAR
163............ 27329 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF THIGH OR KNEE
AREA
163............ 27372 REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION
OR KNEE AREA
163............ 27614 BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA;
DEEP
163............ 27618 EXCISION, TUMOR, LEG OR ANKLE AREA;
SUBCUTANEOUS
163............ 27619 EXCISION, TUMOR, LEG OR ANKLE AREA; DEEP,
SUBFASCIAL OR INTRAMUSCULAR
163............ 28192 REMOVAL OF FOREIGN BODY, FOOT; DEEP
163............ 28193 REMOVAL OF FOREIGN BODY, FOOT; COMPLICATED
163............ 69110 EXCISION EXTERNAL EAR; PARTIAL, SIMPLE
REPAIR
163............ 69145 EXCISION SOFT TISSUE LESION, EXTERNAL
AUDITORY CANAL
163............ 69205 REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY
CANAL; WITH GENERAL ANESTHESIA
181............ 11760 REPAIR OF NAIL BED
181............ 11762 RECONSTRUCTION OF NAIL BED WITH GRAFT
181............ 11920 TATTOOING, INTRADERMAL INTRODUCTION OF
INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR
DEFECTS OF SKIN, INCLUDING
MICROPIGMENTATION; 6.0 SQ CM OR LESS
181............ 11921 TATTOOING, INTRADERMAL INTRODUCTION OF
INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR
DEFECTS OF SKIN, INCLUDING
MICROPIGMENTATION; 6.1 TO 20.0 SQ CM
181............ 11922 TATTOOING, INTRADERMAL INTRODUCTION OF
INSOLUBLE OPAQUE PIGMENTS TO CORRECT COLOR
DEFECTS OF SKIN, INCLUDING
MICROPIGMENTATION; EACH ADDITIONAL 20.0 SQ
CM
181............ 11950 SUBCUTANEOUS INJECTION OF ``FILLING''
MATERIAL (EG, COLLAGEN); 1 CC OR LESS
181............ 11951 SUBCUTANEOUS INJECTION OF ``FILLING''
MATERIAL (EG, COLLAGEN); 1.1 TO 5.0 CC
181............ 11952 SUBCUTANEOUS INJECTION OF ``FILLING''
MATERIAL (EG, COLLAGEN); 5.1 TO 10.0 CC
181............ 11954 SUBCUTANEOUS INJECTION OF ``FILLING''
MATERIAL (EG, COLLAGEN); OVER 10.0 CC
181............ 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
SCALP, NECK, AXILLAE, EXTERNAL GENITALIA,
TRUNK AND/OR EXTREMITIES (INCLUDING HANDS
AND FEET); 2.5 CM OR LESS
181............ 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
SCALP, NECK, AXILLAE, EXTERNAL GENITALIA,
TRUNK AND/OR EXTREMITIES (INCLUDING HANDS
AND FEET); 2.6 CM TO 7.5 CM
181............ 12004 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
SCALP, NECK, AXILLAE, EXTERNAL GENITALIA,
TRUNK AND/OR EXTREMITIES (INCLUDING HANDS
AND FEET); 7.6 CM TO 12.5 CM
181............ 12005 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
SCALP, NECK, AXILLAE, EXTERNAL GENITALIA,
TRUNK AND/OR EXTREMITIES (INCLUDING HANDS
AND FEET); 12.6 CM TO 20.0 CM
181............ 12006 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
SCALP, NECK, AXILLAE, EXTERNAL GENITALIA,
TRUNK AND/OR EXTREMITIES (INCLUDING HANDS
AND FEET); 20.1 CM TO 30.0 CM
181............ 12007 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
SCALP, NECK, AXILLAE, EXTERNAL GENITALIA,
TRUNK AND/OR EXTREMITIES (INCLUDING HANDS
AND FEET); OVER 30.0 CM
181............ 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
MUCOUS MEMBRANES; 2.5 CM OR LESS
181............ 12013 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
MUCOUS MEMBRANES; 2.6 CM TO 5.0 CM
181............ 12014 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
MUCOUS MEMBRANES; 5.1 CM TO 7.5 CM
181............ 12015 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
MUCOUS MEMBRANES; 7.6 CM TO 12.5 CM
181............ 12016 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
MUCOUS MEMBRANES; 12.6 CM TO 20.0 CM
181............ 12017 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
MUCOUS MEMBRANES; 20.1 CM TO 30.0 CM
181............ 12018 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF
FACE, EARS, EYELIDS, NOSE, LIPS AND/OR
MUCOUS MEMBRANES; OVER 30.0 CM
181............ 12020 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE;
SIMPLE CLOSURE
181............ 12021 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE;
WITH PACKING
181............ 12031 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE,
TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS
AND FEET); 2.5 CM OR LESS
181............ 12032 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE,
TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS
AND FEET); 2.6 CM TO 7.5 CM
181............ 12034 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE,
TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS
AND FEET); 7.6 CM TO 12.5 CM
181............ 12035 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE,
TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS
AND FEET); 12.6 CM TO 20.0 CM
181............ 12036 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE,
TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS
AND FEET); 20.1 CM TO 30.0 CM
181............ 12041 LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
FEET AND/OR EXTERNAL GENITALIA; 2.5 CM OR
LESS
181............ 12042 LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
FEET AND/OR EXTERNAL GENITALIA; 2.6 CM TO
7.5 CM
181............ 12044 LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO
12.5 CM
181............ 12045 LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
FEET AND/OR EXTERNAL GENITALIA; 12.6 CM TO
20.0 CM
181............ 12046 LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
FEET AND/OR EXTERNAL GENITALIA; 20.1 CM TO
30.0 CM
181............ 12051 LAYER CLOSURE OF WOUNDS OF FACE, EARS,
EYELIDS, NOSE, LIPS AND/OR MUCOUS
MEMBRANES; 2.5 CM OR LESS
181............ 12052 LAYER CLOSURE OF WOUNDS OF FACE, EARS,
EYELIDS, NOSE, LIPS AND/OR MUCOUS
MEMBRANES; 2.6 CM TO 5.0 CM
181............ 12053 LAYER CLOSURE OF WOUNDS OF FACE, EARS,
EYELIDS, NOSE, LIPS AND/OR MUCOUS
MEMBRANES; 5.1 CM TO 7.5 CM
181............ 12054 LAYER CLOSURE OF WOUNDS OF FACE, EARS,
EYELIDS, NOSE, LIPS AND/OR MUCOUS
MEMBRANES; 7.6 CM TO 12.5 CM
181............ 12055 LAYER CLOSURE OF WOUNDS OF FACE, EARS,
EYELIDS, NOSE, LIPS AND/OR MUCOUS
MEMBRANES; 12.6 CM TO 20.0 CM
181............ 12056 LAYER CLOSURE OF WOUNDS OF FACE, EARS,
EYELIDS, NOSE, LIPS AND/OR MUCOUS
MEMBRANES; 20.1 CM TO 30.0 CM
[[Page 32474]]
181............ 15860 INTRAVENOUS INJECTION OF AGENT (EG,
FLUORESCEIN) TO TEST BLOOD FLOW IN FLAP OR
GRAFT
181............ 20500 INJECTION OF SINUS TRACT; THERAPEUTIC
(SEPARATE PROCEDURE)
182............ 13100 REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM
182............ 13101 REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM
182............ 13120 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS;
1.1 CM TO 2.5 CM
182............ 13121 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS;
2.6 CM TO 7.5 CM
182............ 13131 REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN,
MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/
OR FEET; 1.1 CM TO 2.5 CM
182............ 13132 REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN,
MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/
OR FEET; 2.6 CM TO 7.5 CM
182............ 13150 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR
LIPS; 1.0 CM OR LESS
182............ 13151 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR
LIPS; 1.1 CM TO 2.5 CM
182............ 13152 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR
LIPS; 2.6 CM TO 7.5 CM
182............ 13160 SECONDARY CLOSURE OF SURGICAL WOUND OR
DEHISCENCE, EXTENSIVE OR COMPLICATED
182............ 13300 REPAIR, UNUSUAL, COMPLICATED, OVER 7.5 CM,
ANY AREA
182............ 43870 CLOSURE OF GASTROSTOMY, SURGICAL
183............ 11960 INSERTION OF TISSUE EXPANDER(S) FOR OTHER
THAN BREAST, INCLUDING SUBSEQUENT
EXPANSION
183............ 11970 REPLACEMENT OF TISSUE EXPANDER WITH
PERMANENT PROSTHESIS
183............ 12037 LAYER CLOSURE OF WOUNDS OF SCALP, AXILLAE,
TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS
AND FEET); OVER 30.0 CM
183............ 12047 LAYER CLOSURE OF WOUNDS OF NECK, HANDS,
FEET AND/OR EXTERNAL GENITALIA; OVER 30.0
CM
183............ 12057 LAYER CLOSURE OF WOUNDS OF FACE, EARS,
EYELIDS, NOSE, LIPS AND/OR MUCOUS
MEMBRANES; OVER 30.0 CM
183............ 14000 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
TRUNK; DEFECT 10 SQ CM OR LESS
183............ 14001 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM
183............ 14020 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
SCALP, ARMS AND/ OR LEGS; DEFECT 10 SQ CM
OR LESS
183............ 14021 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
SCALP, ARMS AND/ OR LEGS; DEFECT 10.1 SQ
CM TO 30.0 SQ CM
183............ 14040 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
FOREHEAD, CHEEKS, CHIN, MOUTH, NECK,
AXILLAE, GENITALIA, HANDS AND/OR FEET;
DEFECT 10 SQ CM OR LESS
183............ 14041 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
FOREHEAD, CHEEKS, CHIN, MOUTH, NECK,
AXILLAE, GENITALIA, HANDS AND/OR FEET;
DEFECT 10.1 SQ CM TO 30.0 SQ CM
183............ 14060 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10
SQ CM OR LESS
183............ 14061 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT
10.1 SQ CM TO 30.0 SQ CM
183............ 14300 ADJACENT TISSUE TRANSFER OR REARRANGEMENT,
MORE THAN 30 SQ CM, UNUSUAL OR
COMPLICATED, ANY AREA
183............ 14350 FILLETED FINGER OR TOE FLAP, INCLUDING
PREPARATION OF RECIPIENT SITE
183............ 15000 EXCISIONAL PREPARATION OR CREATION OF
RECIPIENT SITE BY EXCISION OF ESSENTIALLY
INTACT SKIN (INCLUDING SUBCUTANEOUS
TISSUES), SCAR, OR OTHER LESION PRIOR TO
REPAIR WITH FREE SKIN GRAFT (LIST AS
SEPARATE SERVICE IN ADDITION TO SKIN
GRAFT)
183............ 15050 PINCH GRAFT, SINGLE OR MULTIPLE, TO COVER
SMALL ULCER, TIP OF DIGIT, OR OTHER
MINIMAL OPEN AREA (EXCEPT ON FACE), UP TO
DEFECT SIZE 2 CM DIAMETER
183............ 15100 SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS,
HANDS, AND/OR FEET (EXCEPT MULTIPLE
DIGITS); 100 SQ CM OR LESS, OR EACH ONE
PERCENT OF BODY AREA OF INFANTS AND
CHILDREN (EXCEPT 15050)
183............ 15101 SPLIT GRAFT, TRUNK, SCALP, ARMS, LEGS,
HANDS, AND/OR FEET (EXCEPT MULTIPLE
DIGITS); EACH ADDITIONAL 100 SQ CM, OR
EACH ONE PERCENT OF BODY AREA OF INFANTS
AND CHILDREN, OR PART THEREOF
183............ 15120 SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK,
EARS, ORBITS, GENITALIA, AND/OR MULTIPLE
DIGITS; 100 SQ CM OR LESS, OR EACH ONE
PERCENT OF BODY AREA OF INFANTS AND
CHILDREN (EXCEPT 15050)
183............ 15121 SPLIT GRAFT, FACE, EYELIDS, MOUTH, NECK,
EARS, ORBITS, GENITALIA, AND/OR MULTIPLE
DIGITS; EACH ADDITIONAL 100 SQ CM, OR EACH
ONE PERCENT OF BODY AREA OF INFANTS AND
CHILDREN, OR PART THEREOF
183............ 15200 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ
CM OR LESS
183............ 15201 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH
ADDITIONAL 20 SQ CM
183............ 15220 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS,
AND/OR LEGS; 20 SQ CM OR LESS
183............ 15221 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS,
AND/OR LEGS; EACH ADDITIONAL 20 SQ CM
183............ 15240 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, FOREHEAD,
CHEEKS, CHIN, MOUTH, NECK, AXILLAE,
GENITALIA, HANDS, AND/OR FEET; 20 SQ CM OR
LESS
183............ 15241 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, FOREHEAD,
CHEEKS, CHIN, MOUTH, NECK, AXILLAE,
GENITALIA, HANDS, AND/OR FEET; EACH
ADDITIONAL 20 SQ CM
183............ 15260 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, NOSE, EARS,
EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS
183............ 15261 FULL THICKNESS GRAFT, FREE, INCLUDING
DIRECT CLOSURE OF DONOR SITE, NOSE, EARS,
EYELIDS, AND/OR LIPS; EACH ADDITIONAL 20
SQ CM
183............ 15350 APPLICATION OF ALLOGRAFT, SKIN
183............ 15400 APPLICATION OF XENOGRAFT, SKIN
183............ 15570 FORMATION OF DIRECT OR TUBED PEDICLE, WITH
OR WITHOUT TRANSFER; TRUNK
183............ 15572 FORMATION OF DIRECT OR TUBED PEDICLE, WITH
OR WITHOUT TRANSFER; SCALP, ARMS, OR LEGS
183............ 15574 FORMATION OF DIRECT OR TUBED PEDICLE, WITH
OR WITHOUT TRANSFER; FOREHEAD, CHEEKS,
CHIN, MOUTH, NECK, AXILLAE, GENITALIA,
HANDS OR FEET
183............ 15576 FORMATION OF DIRECT OR TUBED PEDICLE, WITH
OR WITHOUT TRANSFER; EYELIDS, NOSE, EARS,
LIPS, OR INTRAORAL
183............ 15580 CROSS FINGER FLAP, INCLUDING FREE GRAFT TO
DONOR SITE
183............ 15600 DELAY OF FLAP OR SECTIONING OF FLAP
(DIVISION AND INSET); AT TRUNK
183............ 15610 DELAY OF FLAP OR SECTIONING OF FLAP
(DIVISION AND INSET); AT SCALP, ARMS, OR
LEGS
183............ 15620 DELAY OF FLAP OR SECTIONING OF FLAP
(DIVISION AND INSET); AT FOREHEAD, CHEEKS,
CHIN, NECK, AXILLAE, GENITALIA, HANDS
(EXCEPT 15625), OR FEET
183............ 15625 DELAY OF FLAP OR SECTIONING OF FLAP
(DIVISION AND INSET); SECTION PEDICLE OF
CROSS FINGER FLAP
[[Page 32475]]
183............ 15630 DELAY OF FLAP OR SECTIONING OF FLAP
(DIVISION AND INSET); AT EYELIDS, NOSE,
EARS, OR LIPS
183............ 15650 TRANSFER, INTERMEDIATE, OF ANY PEDICLE FLAP
(EG, ABDOMEN TO WRIST, ``WALKING'' TUBE),
ANY LOCATION
183............ 15775 PUNCH GRAFT FOR HAIR TRANSPLANT; 1 TO 15
PUNCH GRAFTS
183............ 15776 PUNCH GRAFT FOR HAIR TRANSPLANT; MORE THAN
15 PUNCH GRAFTS
183............ 15819 CERVICOPLASTY
183............ 15820 BLEPHAROPLASTY, LOWER EYELID;
183............ 15821 BLEPHAROPLASTY, LOWER EYELID; WITH
EXTENSIVE HERNIATED FAT PAD
183............ 15822 BLEPHAROPLASTY, UPPER EYELID;
183............ 15823 BLEPHAROPLASTY, UPPER EYELID; WITH
EXCESSIVE SKIN WEIGHTING DOWN LID
183............ 15825 RHYTIDECTOMY; NECK WITH PLATYSMAL
TIGHTENING (PLATYSMAL FLAP, ``P-FLAP'')
183............ 15829 RHYTIDECTOMY; SUPERFICIAL
MUSCULOAPONEUROTIC SYSTEM (SMAS) FLAP
183............ 15835 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); BUTTOCK
183............ 20910 CARTILAGE GRAFT; COSTOCHONDRAL
183............ 20912 CARTILAGE GRAFT; NASAL SEPTUM
183............ 20920 FASCIA LATA GRAFT; BY STRIPPER
183............ 20922 FASCIA LATA GRAFT; BY INCISION AND AREA
EXPOSURE, COMPLEX OR SHEET
183............ 20926 TISSUE GRAFTS, OTHER (EG, PARATENON, FAT,
DERMIS)
183............ 23921 DISARTICULATION OF SHOULDER; SECONDARY
CLOSURE OR SCAR REVISION
183............ 25929 TRANSMETACARPAL AMPUTATION; SECONDARY
CLOSURE OR SCAR REVISION
183............ 44312 REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF
SUPERFICIAL SCAR) (SEPARATE PROCEDURE)
183............ 44340 REVISION OF COLOSTOMY; SIMPLE (RELEASE OF
SUPERFICIAL SCAR) (SEPARATE PROCEDURE)
183............ 65270 REPAIR OF LACERATION; CONJUNCTIVA, WITH OR
WITHOUT NONPERFORATING LACERATION SCLERA,
DIRECT CLOSURE
184............ 15732 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS
FLAP; HEAD AND NECK (EG, TEMPORALIS,
MASSETER, STERNOCLEIDOMASTOID, LEVATOR
SCAPULAE)
184............ 15734 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS
FLAP; TRUNK
184............ 15736 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS
FLAP; UPPER EXTREMITY
184............ 15738 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS
FLAP; LOWER EXTREMITY
184............ 15740 FLAP; ISLAND PEDICLE
184............ 15750 FLAP; NEUROVASCULAR PEDICLE
184............ 15760 GRAFT; COMPOSITE (EG, FULL THICKNESS OF
EXTERNAL EAR OR NASAL ALA), INCLUDING
PRIMARY CLOSURE, DONOR AREA
184............ 15770 GRAFT; DERMA-FAT-FASCIA
184............ 15824 RHYTIDECTOMY; FOREHEAD
184............ 15826 RHYTIDECTOMY; GLABELLAR FROWN LINES
184............ 15828 RHYTIDECTOMY; CHEEK, CHIN, AND NECK
184............ 15831 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); ABDOMEN
(ABDOMINOPLASTY)
184............ 15832 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); THIGH
184............ 15833 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); LEG
184............ 15834 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); HIP
184............ 15836 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); ARM
184............ 15837 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); FOREARM OR
HAND
184............ 15839 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS
TISSUE (INCLUDING LIPECTOMY); OTHER AREA
184............ 15840 GRAFT FOR FACIAL NERVE PARALYSIS; FREE
FASCIA GRAFT (INCLUDING OBTAINING FASCIA)
184............ 15841 GRAFT FOR FACIAL NERVE PARALYSIS; FREE
MUSCLE GRAFT (INCLUDING OBTAINING GRAFT)
184............ 15842 GRAFT FOR FACIAL NERVE PARALYSIS; FREE
MUSCLE GRAFT BY MICROSURGICAL TECHNIQUE
184............ 15845 GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL
MUSCLE TRANSFER
184............ 15876 SUCTION ASSISTED LIPECTOMY; HEAD AND NECK
184............ 15877 SUCTION ASSISTED LIPECTOMY; TRUNK
184............ 15878 SUCTION ASSISTED LIPECTOMY; UPPER EXTREMITY
184............ 15879 SUCTION ASSISTED LIPECTOMY; LOWER EXTREMITY
184............ 15922 EXCISION, COCCYGEAL PRESSURE ULCER, WITH
COCCYGECTOMY; WITH FLAP CLOSURE
184............ 15934 EXCISION, SACRAL PRESSURE ULCER, WITH SKIN
FLAP CLOSURE;
184............ 15935 EXCISION, SACRAL PRESSURE ULCER, WITH SKIN
FLAP CLOSURE; WITH OSTECTOMY
184............ 15936 EXCISION, SACRAL PRESSURE ULCER, WITH
MUSCLE OR MYOCUTANEOUS FLAP CLOSURE;
184............ 15937 EXCISION, SACRAL PRESSURE ULCER, WITH
MUSCLE OR MYOCUTANEOUS FLAP CLOSURE; WITH
OSTECTOMY
184............ 15944 EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN
FLAP CLOSURE;
184............ 15945 EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN
FLAP CLOSURE; WITH OSTECTOMY
184............ 15946 EXCISION, ISCHIAL PRESSURE ULCER, WITH
OSTECTOMY, WITH MUSCLE OR MYOCUTANEOUS
FLAP CLOSURE
184............ 15952 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
SKIN FLAP CLOSURE;
184............ 15953 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
SKIN FLAP CLOSURE; WITH OSTECTOMY
184............ 15956 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
MUSCLE OR MYOCUTANEOUS FLAP CLOSURE;
184............ 15958 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH
MUSCLE OR MYOCUTANEOUS FLAP CLOSURE; WITH
OSTECTOMY
197............ 19101 BIOPSY OF BREAST; INCISIONAL
197............ 19110 NIPPLE EXPLORATION, WITH OR WITHOUT
EXCISION OF A SOLITARY LACTIFEROUS DUCT OR
A PAPILLOMA LACTIFEROUS DUCT
197............ 19112 EXCISION OF LACTIFEROUS DUCT FISTULA
197............ 19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER
BENIGN OR MALIGNANT TUMOR ABERRANT BREAST
TISSUE, DUCT LESION, NIPPLE OR AREOLAR
LESION (EXCEPT 19140), MALE OR FEMALE, ONE
OR MORE LESIONS
197............ 19125 EXCISION OF BREAST LESION IDENTIFIED BY
PREOPERATIVE PLACEMENT OF RADIOLOGICAL
MARKER; SINGLE LESION
197............ 19126 EXCISION OF BREAST LESION IDENTIFIED BY
PREOPERATIVE PLACEMENT OF RADIOLOGICAL
MARKER; EACH ADDITIONAL LESION SEPARATELY
IDENTIFIED BY A RADIOLOGICAL MARKER
197............ 19140 MASTECTOMY FOR GYNECOMASTIA
197............ 19290 PREOPERATIVE PLACEMENT OF NEEDLE
LOCALIZATION WIRE, BREAST;
197............ 19291 PREOPERATIVE PLACEMENT OF NEEDLE
LOCALIZATION WIRE, BREAST; EACH ADDITIONAL
LESION
197............ 19396 PREPARATION OF MOULAGE FOR CUSTOM BREAST
IMPLANT
[[Page 32476]]
198............ 19160 MASTECTOMY, PARTIAL;
198............ 19162 MASTECTOMY, PARTIAL; WITH AXILLARY
LYMPHADENECTOMY
198............ 19180 MASTECTOMY, SIMPLE, COMPLETE
198............ 19182 MASTECTOMY, SUBCUTANEOUS
198............ 19316 MASTOPEXY
198............ 19318 REDUCTION MAMMAPLASTY
198............ 19324 MAMMAPLASTY, AUGMENTATION; WITHOUT
PROSTHETIC IMPLANT
198............ 19325 MAMMAPLASTY, AUGMENTATION; WITH PROSTHETIC
IMPLANT
198............ 19328 REMOVAL OF INTACT MAMMARY IMPLANT
198............ 19330 REMOVAL OF MAMMARY IMPLANT MATERIAL
198............ 19340 IMMEDIATE INSERTION OF BREAST PROSTHESIS
FOLLOWING MASTOPEXY, MASTECTOMY OR IN
RECONSTRUCTION
198............ 19342 DELAYED INSERTION OF BREAST PROSTHESIS
FOLLOWING MASTOPEXY, MASTECTOMY OR IN
RECONSTRUCTION
198............ 19350 NIPPLE/AREOLA RECONSTRUCTION
198............ 19355 CORRECTION OF INVERTED NIPPLES
198............ 19357 BREAST RECONSTRUCTION, IMMEDIATE OR
DELAYED, WITH TISSUE EXPANDER, INCLUDING
SUBSEQUENT EXPANSION
198............ 19366 BREAST RECONSTRUCTION WITH OTHER TECHNIQUE
198............ 19370 OPEN PERIPROSTHETIC CAPSULOTOMY, BREAST
198............ 19371 PERIPROSTHETIC CAPSULECTOMY, BREAST
198............ 19380 REVISION OF RECONSTRUCTED BREAST
207............ 21800 CLOSED TREATMENT OF RIB FRACTURE,
UNCOMPLICATED, EACH
207............ 21820 CLOSED TREATMENT OF STERNUM FRACTURE
207............ 22305 CLOSED TREATMENT OF VERTEBRAL PROCESS
FRACTURE(S)
207............ 22310 CLOSED TREATMENT OF VERTEBRAL BODY
FRACTURE(S), WITHOUT MANIPULATION,
REQUIRING AND INCLUDING CASTING OR BRACING
207............ 22315 CLOSED TREATMENT OF VERTEBRAL FRACTURE(S)
AND/OR DISLOCATION(S) REQUIRING CASTING OR
BRACING, WITH AND INCLUDING CASTING AND/
OR BRACING, WITH OR WITHOUT ANESTHESIA, BY
MANIPULATION OR TRACTION
207............ 23500 CLOSED TREATMENT OF CLAVICULAR FRACTURE;
WITHOUT MANIPULATION
207............ 23505 CLOSED TREATMENT OF CLAVICULAR FRACTURE;
WITH MANIPULATION
207............ 23520 CLOSED TREATMENT OF STERNOCLAVICULAR
DISLOCATION; WITHOUT MANIPULATION
207............ 23525 CLOSED TREATMENT OF STERNOCLAVICULAR
DISLOCATION; WITH MANIPULATION
207............ 23540 CLOSED TREATMENT OF ACROMIOCLAVICULAR
DISLOCATION; WITHOUT MANIPULATION
207............ 23545 CLOSED TREATMENT OF ACROMIOCLAVICULAR
DISLOCATION; WITH MANIPULATION
207............ 23570 CLOSED TREATMENT OF SCAPULAR FRACTURE;
WITHOUT MANIPULATION
207............ 23575 CLOSED TREATMENT OF SCAPULAR FRACTURE; WITH
MANIPULATION, WITH OR WITHOUT SKELETAL
TRACTION (WITH OR WITHOUT SHOULDER JOINT
INVOLVEMENT)
207............ 23650 CLOSED TREATMENT OF SHOULDER DISLOCATION,
WITH MANIPULATION; WITHOUT ANESTHESIA
207............ 26700 CLOSED TREATMENT OF METACARPOPHALANGEAL
DISLOCATION, SINGLE, WITH MANIPULATION;
WITHOUT ANESTHESIA
207............ 26720 CLOSED TREATMENT OF PHALANGEAL SHAFT
FRACTURE, PROXIMAL OR MIDDLE PHALANX,
FINGER OR THUMB; WITHOUT MANIPULATION,
EACH
207............ 26725 CLOSED TREATMENT OF PHALANGEAL SHAFT
FRACTURE, PROXIMAL OR MIDDLE PHALANX,
FINGER OR THUMB; WITH MANIPULATION, WITH
OR WITHOUT SKIN OR SKELETAL TRACTION, EACH
207............ 26740 CLOSED TREATMENT OF ARTICULAR FRACTURE,
INVOLVING METACARPOPHALANGEAL OR
INTERPHALANGEAL JOINT; WITHOUT
MANIPULATION, EACH
207............ 26750 CLOSED TREATMENT OF DISTAL PHALANGEAL
FRACTURE, FINGER OR THUMB; WITHOUT
MANIPULATION, EACH
207............ 26755 CLOSED TREATMENT OF DISTAL PHALANGEAL
FRACTURE, FINGER OR THUMB; WITH
MANIPULATION, EACH
207............ 26770 CLOSED TREATMENT OF INTERPHALANGEAL JOINT
DISLOCATION, SINGLE, WITH MANIPULATION;
WITHOUT ANESTHESIA
207............ 27200 CLOSED TREATMENT OF COCCYGEAL FRACTURE
207............ 28490 CLOSED TREATMENT OF FRACTURE GREAT TOE,
PHALANX OR PHALANGES; WITHOUT MANIPULATION
207............ 28495 CLOSED TREATMENT OF FRACTURE GREAT TOE,
PHALANX OR PHALANGES; WITH MANIPULATION
207............ 28510 CLOSED TREATMENT OF FRACTURE, PHALANX OR
PHALANGES, OTHER THAN GREAT TOE; WITHOUT
MANIPULATION, EACH
207............ 28515 CLOSED TREATMENT OF FRACTURE, PHALANX OR
PHALANGES, OTHER THAN GREAT TOE; WITH
MANIPULATION, EACH
207............ 28630 CLOSED TREATMENT OF METATARSOPHALANGEAL
JOINT DISLOCATION; WITHOUT ANESTHESIA
207............ 28660 CLOSED TREATMENT OF INTERPHALANGEAL JOINT
DISLOCATION; WITHOUT ANESTHESIA
207............ 31585 TREATMENT OF CLOSED LARYNGEAL FRACTURE;
WITHOUT MANIPULATION
209............ 23600 CLOSED TREATMENT OF PROXIMAL HUMERAL
(SURGICAL OR ANATOMICAL NECK) FRACTURE;
WITHOUT MANIPULATION
209............ 23605 CLOSED TREATMENT OF PROXIMAL HUMERAL
(SURGICAL OR ANATOMICAL NECK) FRACTURE;
WITH MANIPULATION, WITH OR WITHOUT
SKELETAL TRACTION
209............ 23620 CLOSED TREATMENT OF GREATER TUBEROSITY
FRACTURE; WITHOUT MANIPULATION
209............ 23625 CLOSED TREATMENT OF GREATER TUBEROSITY
FRACTURE; WITH MANIPULATION
209............ 23665 CLOSED TREATMENT OF SHOULDER DISLOCATION,
WITH FRACTURE OF GREATER TUBEROSITY, WITH
MANIPULATION
209............ 23675 CLOSED TREATMENT OF SHOULDER DISLOCATION,
WITH SURGICAL OR ANATOMICAL NECK FRACTURE,
WITH MANIPULATION
209............ 24500 CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE;
WITHOUT MANIPULATION
209............ 24505 CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE;
WITH MANIPULATION, WITH OR WITHOUT
SKELETAL TRACTION
209............ 24530 CLOSED TREATMENT OF SUPRACONDYLAR OR
TRANSCONDYLAR HUMERAL FRACTURE, WITH OR
WITHOUT INTERCONDYLAR EXTENSION; WITHOUT
MANIPULATION
209............ 24535 CLOSED TREATMENT OF SUPRACONDYLAR OR
TRANSCONDYLAR HUMERAL FRACTURE, WITH OR
WITHOUT INTERCONDYLAR EXTENSION; WITH
MANIPULATION, WITH OR WITHOUT SKIN OR
SKELETAL TRACTION
209............ 24560 CLOSED TREATMENT OF HUMERAL EPICONDYLAR
FRACTURE, MEDIAL OR LATERAL; WITHOUT
MANIPULATION
209............ 24565 CLOSED TREATMENT OF HUMERAL EPICONDYLAR
FRACTURE, MEDIAL OR LATERAL; WITH
MANIPULATION
209............ 24576 CLOSED TREATMENT OF HUMERAL CONDYLAR
FRACTURE, MEDIAL OR LATERAL; WITHOUT
MANIPULATION
209............ 24577 CLOSED TREATMENT OF HUMERAL CONDYLAR
FRACTURE, MEDIAL OR LATERAL; WITH
MANIPULATION
209............ 24600 TREATMENT OF CLOSED ELBOW DISLOCATION;
WITHOUT ANESTHESIA
209............ 24620 CLOSED TREATMENT OF MONTEGGIA TYPE OF
FRACTURE DISLOCATION AT ELBOW (FRACTURE
PROXIMAL END OF ULNA WITH DISLOCATION OF
RADIAL HEAD), WITH MANIPULATION
[[Page 32477]]
209............ 24640 CLOSED TREATMENT OF RADIAL HEAD SUBLUXATION
IN CHILD, ``NURSEMAID ELBOW'', WITH
MANIPULATION
209............ 24650 CLOSED TREATMENT OF RADIAL HEAD OR NECK
FRACTURE; WITHOUT MANIPULATION
209............ 24655 CLOSED TREATMENT OF RADIAL HEAD OR NECK
FRACTURE; WITH MANIPULATION
209............ 24670 CLOSED TREATMENT OF ULNAR FRACTURE,
PROXIMAL END (OLECRANON PROCESS); WITHOUT
MANIPULATION
209............ 24675 CLOSED TREATMENT OF ULNAR FRACTURE,
PROXIMAL END (OLECRANON PROCESS); WITH
MANIPULATION
209............ 25500 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE;
WITHOUT MANIPULATION
209............ 25505 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE;
WITH MANIPULATION
209............ 25520 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE,
WITH DISLOCATION OF DISTAL RADIO-ULNAR
JOINT (GALEAZZI FRACTURE/DISLOCATION)
209............ 25530 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE;
WITHOUT MANIPULATION
209............ 25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE;
WITH MANIPULATION
209............ 25560 CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT
FRACTURES; WITHOUT MANIPULATION
209............ 25565 CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT
FRACTURES; WITH MANIPULATION
209............ 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE
(EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL
SEPARATION, WITH OR WITHOUT FRACTURE OF
ULNAR STYLOID; WITHOUT MANIPULATION
209............ 25605 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE
(EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL
SEPARATION, WITH OR WITHOUT FRACTURE OF
ULNAR STYLOID; WITH MANIPULATION
209............ 25622 CLOSED TREATMENT OF CARPAL SCAPHOID
(NAVICULAR) FRACTURE; WITHOUT MANIPULATION
209............ 25624 CLOSED TREATMENT OF CARPAL SCAPHOID
(NAVICULAR) FRACTURE; WITH MANIPULATION
209............ 25630 CLOSED TREATMENT OF CARPAL BONE FRACTURE
(EXCLUDING CARPAL SCAPHOID (NAVICULAR));
WITHOUT MANIPULATION, EACH BONE
209............ 25635 CLOSED TREATMENT OF CARPAL BONE FRACTURE
(EXCLUDING CARPAL SCAPHOID (NAVICULAR));
WITH MANIPULATION, EACH BONE
209............ 25650 CLOSED TREATMENT OF ULNAR STYLOID FRACTURE
209............ 25660 CLOSED TREATMENT OF RADIOCARPAL OR
INTERCARPAL DISLOCATION, ONE OR MORE
BONES, WITH MANIPULATION
209............ 25675 CLOSED TREATMENT OF DISTAL RADIOULNAR
DISLOCATION WITH MANIPULATION
209............ 25680 CLOSED TREATMENT OF TRANS-SCAPHOPERILUNAR
TYPE OF FRACTURE DISLOCATION, WITH
MANIPULATION
209............ 25690 CLOSED TREATMENT OF LUNATE DISLOCATION,
WITH MANIPULATION
209............ 26600 CLOSED TREATMENT OF METACARPAL FRACTURE,
SINGLE; WITHOUT MANIPULATION, EACH BONE
209............ 26605 CLOSED TREATMENT OF METACARPAL FRACTURE,
SINGLE; WITH MANIPULATION, EACH BONE
209............ 26607 CLOSED TREATMENT OF METACARPAL FRACTURE,
WITH MANIPULATION, WITH INTERNAL OR
EXTERNAL FIXATION, EACH BONE
209............ 26641 CLOSED TREATMENT OF CARPOMETACARPAL
DISLOCATION, THUMB, WITH MANIPULATION
209............ 26645 CLOSED TREATMENT OF CARPOMETACARPAL
FRACTURE DISLOCATION, THUMB (BENNETT
FRACTURE), WITH MANIPULATION
209............ 26670 CLOSED TREATMENT OF CARPOMETACARPAL
DISLOCATION, OTHER THAN THUMB (BENNETT
FRACTURE), SINGLE, WITH MANIPULATION;
WITHOUT ANESTHESIA
209............ 26706 PERCUTANEOUS SKELETAL FIXATION OF
METACARPOPHALANGEAL DISLOCATION, SINGLE,
WITH MANIPULATION
209............ 26742 CLOSED TREATMENT OF ARTICULAR FRACTURE,
INVOLVING METACARPOPHALANGEAL OR
INTERPHALANGEAL JOINT; WITH MANIPULATION,
EACH
209............ 27193 CLOSED TREATMENT OF PELVIC RING FRACTURE,
DISLOCATION, DIASTASIS OR SUBLUXATION;
WITHOUT MANIPULATION
209............ 27220 CLOSED TREATMENT OF ACETABULUM (HIP SOCKET)
FRACTURE(S); WITHOUT MANIPULATION
209............ 27230 CLOSED TREATMENT OF FEMORAL FRACTURE,
PROXIMAL END, NECK; WITHOUT MANIPULATION
209............ 27238 CLOSED TREATMENT OF INTERTROCHANTERIC,
PERTROCHANTERIC, OR SUBTROCHANTERIC
FEMORAL FRACTURE; WITHOUT MANIPULATION
209............ 27246 CLOSED TREATMENT OF GREATER TROCHANTERIC
FRACTURE, WITHOUT MANIPULATION
209............ 27250 CLOSED TREATMENT OF HIP DISLOCATION,
TRAUMATIC; WITHOUT ANESTHESIA
209............ 27256 TREATMENT OF SPONTANEOUS HIP DISLOCATION
(DEVELOPMENTAL, INCLUDING CONGENITAL OR
PATHOLOGICAL), BY ABDUCTION, SPLINT OR
TRACTION; WITHOUT ANESTHESIA, WITHOUT
MANIPULATION
209............ 27265 CLOSED TREATMENT OF POST HIP ARTHROPLASTY
DISLOCATION; WITHOUT ANESTHESIA
209............ 27500 CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE,
WITHOUT MANIPULATION
209............ 27501 CLOSED TREATMENT OF SUPRACONDYLAR OR
TRANSCONDYLAR FEMORAL FRACTURE WITH OR
WITHOUT INTERCONDYLAR EXTENSION, WITHOUT
MANIPULATION
209............ 27502 CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE,
WITH MANIPULATION, WITH OR WITHOUT SKIN OR
SKELETAL TRACTION
209............ 27503 CLOSED TREATMENT OF SUPRACONDYLAR OR
TRANSCONDYLAR FEMORAL FRACTURE WITH OR
WITHOUT INTERCONDYLAR EXTENSION, WITH
MANIPULATION, WITH OR WITHOUT SKIN OR
SKELETAL TRACTION
209............ 27508 CLOSED TREATMENT OF FEMORAL FRACTURE,
DISTAL END, MEDIAL OR LATERAL CONDYLE,
WITHOUT MANIPULATION
209............ 27510 CLOSED TREATMENT OF FEMORAL FRACTURE,
DISTAL END, MEDIAL OR LATERAL CONDYLE,
WITH MANIPULATION
209............ 27516 CLOSED TREATMENT OF DISTAL FEMORAL
EPIPHYSEAL SEPARATION; WITHOUT
MANIPULATION
209............ 27517 CLOSED TREATMENT OF DISTAL FEMORAL
EPIPHYSEAL SEPARATION; WITH MANIPULATION,
WITH OR WITHOUT SKIN OR SKELETAL TRACTION
209............ 27520 CLOSED TREATMENT OF PATELLAR FRACTURE,
WITHOUT MANIPULATION
209............ 27530 CLOSED TREATMENT OF TIBIAL FRACTURE,
PROXIMAL (PLATEAU); WITHOUT MANIPULATION
209............ 27532 CLOSED TREATMENT OF TIBIAL FRACTURE,
PROXIMAL (PLATEAU); WITH OR WITHOUT
MANIPULATION, WITH SKELETAL TRACTION
209............ 27538 CLOSED TREATMENT OF INTERCONDYLAR SPINE(S)
AND/OR TUBEROSITY FRACTURE(S) OF KNEE,
WITH OR WITHOUT MANIPULATION
209............ 27550 CLOSED TREATMENT OF KNEE DISLOCATION;
WITHOUT ANESTHESIA
209............ 27560 CLOSED TREATMENT OF PATELLAR DISLOCATION;
WITHOUT ANESTHESIA
209............ 27750 CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE
(WITH OR WITHOUT FIBULAR FRACTURE);
WITHOUT MANIPULATION
209............ 27752 CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE
(WITH OR WITHOUT FIBULAR FRACTURE); WITH
MANIPULATION, WITH OR WITHOUT SKELETAL
TRACTION
209............ 27760 CLOSED TREATMENT OF MEDIAL MALLEOLUS
FRACTURE; WITHOUT MANIPULATION
209............ 27762 CLOSED TREATMENT OF MEDIAL MALLEOLUS
FRACTURE; WITH MANIPULATION, WITH OR
WITHOUT SKIN OR SKELETAL TRACTION
[[Page 32478]]
209............ 27780 CLOSED TREATMENT OF PROXIMAL FIBULA OR
SHAFT FRACTURE; WITHOUT MANIPULATION
209............ 27781 CLOSED TREATMENT OF PROXIMAL FIBULA OR
SHAFT FRACTURE; WITH MANIPULATION
209............ 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE
(LATERAL MALLEOLUS); WITHOUT MANIPULATION
209............ 27788 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE
(LATERAL MALLEOLUS); WITH MANIPULATION
209............ 27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE
FRACTURE, (INCLUDING POTTS); WITHOUT
MANIPULATION
209............ 27810 CLOSED TREATMENT OF BIMALLEOLAR ANKLE
FRACTURE, (INCLUDING POTTS); WITH
MANIPULATION
209............ 27816 CLOSED TREATMENT OF TRIMALLEOLAR ANKLE
FRACTURE; WITHOUT MANIPULATION
209............ 27818 CLOSED TREATMENT OF TRIMALLEOLAR ANKLE
FRACTURE; WITH MANIPULATION
209............ 27824 CLOSED TREATMENT OF FRACTURE OF WEIGHT
BEARING ARTICULAR PORTION OF DISTAL TIBIA
(EG, PILON OR TIBIAL PLAFOND), WITH OR
WITHOUT ANESTHESIA; WITHOUT MANIPULATION
209............ 27825 CLOSED TREATMENT OF FRACTURE OF WEIGHT
BEARING ARTICULAR PORTION OF DISTAL TIBIA
(EG, PILON OR TIBIAL PLAFOND), WITH OR
WITHOUT ANESTHESIA; WITH SKELETAL TRACTION
AND/OR REQUIRING MANIPULATION
209............ 27830 CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR
JOINT DISLOCATION; WITHOUT ANESTHESIA
209............ 27840 CLOSED TREATMENT OF ANKLE DISLOCATION;
WITHOUT ANESTHESIA
209............ 28400 CLOSED TREATMENT OF CALCANEAL FRACTURE;
WITHOUT MANIPULATION
209............ 28405 CLOSED TREATMENT OF CALCANEAL FRACTURE;
WITH MANIPULATION
209............ 28430 CLOSED TREATMENT OF TALUS FRACTURE; WITHOUT
MANIPULATION
209............ 28435 CLOSED TREATMENT OF TALUS FRACTURE; WITH
MANIPULATION
209............ 28450 TREATMENT OF TARSAL BONE FRACTURE (EXCEPT
TALUS AND CALCANEUS); WITHOUT
MANIPULATION, EACH
209............ 28455 TREATMENT OF TARSAL BONE FRACTURE (EXCEPT
TALUS AND CALCANEUS); WITH MANIPULATION,
EACH
209............ 28470 CLOSED TREATMENT OF METATARSAL FRACTURE;
WITHOUT MANIPULATION, EACH
209............ 28475 CLOSED TREATMENT OF METATARSAL FRACTURE;
WITH MANIPULATION, EACH
209............ 28530 CLOSED TREATMENT OF SESAMOID FRACTURE
209............ 28540 CLOSED TREATMENT OF TARSAL BONE
DISLOCATION, OTHER THAN TALOTARSAL;
WITHOUT ANESTHESIA
209............ 28570 CLOSED TREATMENT OF TALOTARSAL JOINT
DISLOCATION; WITHOUT ANESTHESIA
209............ 28600 CLOSED TREATMENT OF TARSOMETATARSAL JOINT
DISLOCATION; WITHOUT ANESTHESIA
209............ 31586 TREATMENT OF CLOSED LARYNGEAL FRACTURE;
WITH CLOSED MANIPULATIVE REDUCTION
210............ 22505 MANIPULATION OF SPINE REQUIRING ANESTHESIA,
ANY REGION
210............ 23655 CLOSED TREATMENT OF SHOULDER DISLOCATION,
WITH MANIPULATION; REQUIRING ANESTHESIA
210............ 23700 MANIPULATION UNDER ANESTHESIA, SHOULDER
JOINT, INCLUDING APPLICATION OF FIXATION
APPARATUS (DISLOCATION EXCLUDED)
210............ 24605 TREATMENT OF CLOSED ELBOW DISLOCATION;
REQUIRING ANESTHESIA
210............ 26675 CLOSED TREATMENT OF CARPOMETACARPAL
DISLOCATION, OTHER THAN THUMB (BENNETT
FRACTURE), SINGLE, WITH MANIPULATION;
REQUIRING ANESTHESIA
210............ 26705 CLOSED TREATMENT OF METACARPOPHALANGEAL
DISLOCATION, SINGLE, WITH MANIPULATION;
REQUIRING ANESTHESIA
210............ 26775 CLOSED TREATMENT OF INTERPHALANGEAL JOINT
DISLOCATION, SINGLE, WITH MANIPULATION;
REQUIRING ANESTHESIA
210............ 27194 CLOSED TREATMENT OF PELVIC RING FRACTURE,
DISLOCATION, DIASTASIS OR SUBLUXATION;
WITH MANIPULATION, REQUIRING MORE THAN
LOCAL ANESTHESIA
210............ 27252 CLOSED TREATMENT OF HIP DISLOCATION,
TRAUMATIC; REQUIRING ANESTHESIA
210............ 27257 TREATMENT OF SPONTANEOUS HIP DISLOCATION
(DEVELOPMENTAL, INCLUDING CONGENITAL OR
PATHOLOGICAL), BY ABDUCTION, SPLINT OR
TRACTION; WITH MANIPULATION, REQUIRING
ANESTHESIA
210............ 27275 MANIPULATION, HIP JOINT, REQUIRING GENERAL
ANESTHESIA
210............ 27552 CLOSED TREATMENT OF KNEE DISLOCATION;
REQUIRING ANESTHESIA
210............ 27562 CLOSED TREATMENT OF PATELLAR DISLOCATION;
REQUIRING ANESTHESIA
210............ 27570 MANIPULATION OF KNEE JOINT UNDER GENERAL
ANESTHESIA (INCLUDES APPLICATION OF
TRACTION OR OTHER FIXATION DEVICES)
210............ 27831 CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR
JOINT DISLOCATION; REQUIRING ANESTHESIA
210............ 27842 CLOSED TREATMENT OF ANKLE DISLOCATION;
REQUIRING ANESTHESIA, WITH OR WITHOUT
PERCUTANEOUS SKELETAL FIXATION
210............ 27860 MANIPULATION OF ANKLE UNDER GENERAL
ANESTHESIA (INCLUDES APPLICATION OF
TRACTION OR OTHER FIXATION APPARATUS)
210............ 28545 CLOSED TREATMENT OF TARSAL BONE
DISLOCATION, OTHER THAN TALOTARSAL;
REQUIRING ANESTHESIA
210............ 28575 CLOSED TREATMENT OF TALOTARSAL JOINT
DISLOCATION; REQUIRING ANESTHESIA
210............ 28605 CLOSED TREATMENT OF TARSOMETATARSAL JOINT
DISLOCATION; REQUIRING ANESTHESIA
210............ 28635 CLOSED TREATMENT OF METATARSOPHALANGEAL
JOINT DISLOCATION; REQUIRING ANESTHESIA
210............ 28665 CLOSED TREATMENT OF INTERPHALANGEAL JOINT
DISLOCATION; REQUIRING ANESTHESIA
216............ 21336 OPEN TREATMENT OF NASAL SEPTAL FRACTURE,
WITH OR WITHOUT STABILIZATION
216............ 21805 OPEN TREATMENT OF RIB FRACTURE WITHOUT
FIXATION, EACH
216............ 23515 OPEN TREATMENT OF CLAVICULAR FRACTURE, WITH
OR WITHOUT INTERNAL OR EXTERNAL FIXATION
216............ 23530 OPEN TREATMENT OF STERNOCLAVICULAR
DISLOCATION, ACUTE OR CHRONIC;
216............ 23532 OPEN TREATMENT OF STERNOCLAVICULAR
DISLOCATION, ACUTE OR CHRONIC; WITH
FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)
216............ 23550 OPEN TREATMENT OF ACROMIOCLAVICULAR
DISLOCATION, ACUTE OR CHRONIC;
216............ 23552 OPEN TREATMENT OF ACROMIOCLAVICULAR
DISLOCATION, ACUTE OR CHRONIC; WITH
FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)
216............ 23585 OPEN TREATMENT OF SCAPULAR FRACTURE (BODY,
GLENOID OR ACROMION) WITH OR WITHOUT
INTERNAL FIXATION
216............ 23615 OPEN TREATMENT OF PROXIMAL HUMERAL
(SURGICAL OR ANATOMICAL NECK) FRACTURE,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION, WITH OR WITHOUT REPAIR OF
TUBEROSITY(-IES);
216............ 23616 OPEN TREATMENT OF PROXIMAL HUMERAL
(SURGICAL OR ANATOMICAL NECK) FRACTURE,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION, WITH OR WITHOUT REPAIR OF
TUBEROSITY(-IES); WITH PROXIMAL HUMERAL
PROSTHETIC REPLACEMENT
216............ 23630 OPEN TREATMENT OF GREATER TUBEROSITY
FRACTURE, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 23660 OPEN TREATMENT OF ACUTE SHOULDER
DISLOCATION
216............ 23670 OPEN TREATMENT OF SHOULDER DISLOCATION,
WITH FRACTURE OF GREATER TUBEROSITY, WITH
OR WITHOUT INTERNAL OR EXTERNAL FIXATION
[[Page 32479]]
216............ 23680 OPEN TREATMENT OF SHOULDER DISLOCATION,
WITH SURGICAL OR ANATOMICAL NECK FRACTURE,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION
216............ 24515 OPEN TREATMENT OF HUMERAL SHAFT FRACTURE
WITH PLATE/SCREWS, WITH OR WITHOUT
CERCLAGE
216............ 24516 OPEN TREATMENT OF HUMERAL SHAFT FRACTURE,
WITH INSERTION OF INTRAMEDULLARY IMPLANT,
WITH OR WITHOUT CERCLAGE AND/OR LOCKING
SCREWS
216............ 24538 PERCUTANEOUS SKELETAL FIXATION OF
SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL
FRACTURE, WITH OR WITHOUT INTERCONDYLAR
EXTENSION
216............ 24545 OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR
TRANSCONDYLAR FRACTURE, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION; WITHOUT
INTERCONDYLAR EXTENSION
216............ 24546 OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR
TRANSCONDYLAR FRACTURE, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION; WITH
INTERCONDYLAR EXTENSION
216............ 24566 PERCUTANEOUS SKELETAL FIXATION OF HUMERAL
EPICONDYLAR FRACTURE, MEDIAL OR LATERAL,
WITH MANIPULATION
216............ 24575 OPEN TREATMENT OF HUMERAL EPICONDYLAR
FRACTURE, MEDIAL OR LATERAL, WITH OR
WITHOUT INTERNAL OR EXTERNAL FIXATION
216............ 24579 OPEN TREATMENT OF HUMERAL CONDYLAR
FRACTURE, MEDIAL OR LATERAL, WITH OR
WITHOUT INTERNAL OR EXTERNAL FIXATION
216............ 24582 PERCUTANEOUS SKELETAL FIXATION OF HUMERAL
CONDYLAR FRACTURE, MEDIAL OR LATERAL, WITH
MANIPULATION
216............ 24586 OPEN TREATMENT OF PERIARTICULAR FRACTURE
AND/OR DISLOCATION OF THE ELBOW (FRACTURE
DISTAL HUMERUS AND PROXIMAL ULNA AND/ OR
PROXIMAL RADIUS);
216............ 24587 OPEN TREATMENT OF PERIARTICULAR FRACTURE
AND/OR DISLOCATION OF THE ELBOW (FRACTURE
DISTAL HUMERUS AND PROXIMAL ULNA AND/ OR
PROXIMAL RADIUS); WITH IMPLANT
ARTHROPLASTY
216............ 24615 OPEN TREATMENT OF ACUTE OR CHRONIC ELBOW
DISLOCATION
216............ 24635 OPEN TREATMENT OF MONTEGGIA TYPE OF
FRACTURE DISLOCATION AT ELBOW (FRACTURE
PROXIMAL END OF ULNA WITH DISLOCATION OF
RADIAL HEAD), WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 24665 OPEN TREATMENT OF RADIAL HEAD OR NECK
FRACTURE, WITH OR WITHOUT INTERNAL
FIXATION OR RADIAL HEAD EXCISION;
216............ 24666 OPEN TREATMENT OF RADIAL HEAD OR NECK
FRACTURE, WITH OR WITHOUT INTERNAL
FIXATION OR RADIAL HEAD EXCISION; WITH
RADIAL HEAD PROSTHETIC REPLACEMENT
216............ 24685 OPEN TREATMENT OF ULNAR FRACTURE PROXIMAL
END (OLECRANON PROCESS), WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION
216............ 25515 OPEN TREATMENT OF RADIAL SHAFT FRACTURE,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION
216............ 25525 OPEN TREATMENT OF RADIAL SHAFT FRACTURE,
WITH INTERNAL AND/ OR EXTERNAL FIXATION
AND CLOSED TREATMENT OF DISLOCATION OF
DISTAL RADIO-ULNAR JOINT (GALEAZZI
FRACTURE/DISLOCATION), WITH OR WITHOUT
PERCUTANEOUS SKELETAL FIXATION
216............ 25526 OPEN TREATMENT OF RADIAL SHAFT FRACTURE,
WITH INTERNAL AND/ OR EXTERNAL FIXATION
AND OPEN TREATMENT, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION OF DISTAL
RADIO-ULNAR JOINT (GALEAZZI FRACTURE/
DISLOCATION), INCLUDES REPAIR OF
TRIANGULAR CARTILAGE
216............ 25545 OPEN TREATMENT OF ULNAR SHAFT FRACTURE,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION
216............ 25574 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT
FRACTURES, WITH INTERNAL OR EXTERNAL
FIXATION; OF RADIUS OR ULNA
216............ 25575 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT
FRACTURES, WITH INTERNAL OR EXTERNAL
FIXATION; OF RADIUS AND ULNA
216............ 25611 PERCUTANEOUS SKELETAL FIXATION OF DISTAL
RADIAL FRACTURE (EG, COLLES OR SMITH TYPE)
OR EPIPHYSEAL SEPARATION, WITH OR WITHOUT
FRACTURE OF ULNAR STYLOID, REQUIRING
MANIPULATION, WITH OR WITHOUT EXTERNAL
FIXATION
216............ 25620 OPEN TREATMENT OF DISTAL RADIAL FRACTURE
(EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL
SEPARATION, WITH OR WITHOUT FRACTURE OF
ULNAR STYLOID, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 25628 OPEN TREATMENT OF CARPAL SCAPHOID
(NAVICULAR) FRACTURE, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION
216............ 25645 OPEN TREATMENT OF CARPAL BONE FRACTURE
(EXCLUDING CARPAL SCAPHOID (NAVICULAR)),
EACH BONE
216............ 25670 OPEN TREATMENT OF RADIOCARPAL OR
INTERCARPAL DISLOCATION, ONE OR MORE BONES
216............ 25676 OPEN TREATMENT OF DISTAL RADIOULNAR
DISLOCATION, ACUTE OR CHRONIC
216............ 25685 OPEN TREATMENT OF TRANS-SCAPHOPERILUNAR
TYPE OF FRACTURE DISLOCATION
216............ 25695 OPEN TREATMENT OF LUNATE DISLOCATION
216............ 26608 PERCUTANEOUS SKELETAL FIXATION OF
METACARPAL FRACTURE, EACH BONE
216............ 26615 OPEN TREATMENT OF METACARPAL FRACTURE,
SINGLE, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION, EACH BONE
216............ 26650 PERCUTANEOUS SKELETAL FIXATION OF
CARPOMETACARPAL FRACTURE DISLOCATION,
THUMB (BENNETT FRACTURE), WITH
MANIPULATION, WITH OR WITHOUT EXTERNAL
FIXATION
216............ 26665 OPEN TREATMENT OF CARPOMETACARPAL FRACTURE
DISLOCATION, THUMB (BENNETT FRACTURE),
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION
216............ 26676 PERCUTANEOUS SKELETAL FIXATION OF
CARPOMETACARPAL DISLOCATION, OTHER THAN
THUMB (BENNETT FRACTURE), SINGLE, WITH
MANIPULATION
216............ 26685 OPEN TREATMENT OF CARPOMETACARPAL
DISLOCATION, OTHER THAN THUMB (BENNETT
FRACTURE); SINGLE, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION
216............ 26686 OPEN TREATMENT OF CARPOMETACARPAL
DISLOCATION, OTHER THAN THUMB (BENNETT
FRACTURE); COMPLEX, MULTIPLE OR DELAYED
REDUCTION
216............ 26715 OPEN TREATMENT OF METACARPOPHALANGEAL
DISLOCATION, SINGLE, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION
216............ 26727 PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE
PHALANGEAL SHAFT FRACTURE, PROXIMAL OR
MIDDLE PHALANX, FINGER OR THUMB, WITH
MANIPULATION, EACH
216............ 26735 OPEN TREATMENT OF PHALANGEAL SHAFT
FRACTURE, PROXIMAL OR MIDDLE PHALANX,
FINGER OR THUMB, WITH OR WITHOUT INTERNAL
OR EXTERNAL FIXATION, EACH
216............ 26746 OPEN TREATMENT OF ARTICULAR FRACTURE,
INVOLVING METACARPOPHALANGEAL OR
INTERPHALANGEAL JOINT, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION, EACH
216............ 26756 PERCUTANEOUS SKELETAL FIXATION OF DISTAL
PHALANGEAL FRACTURE, FINGER OR THUMB, EACH
[[Page 32480]]
216............ 26765 OPEN TREATMENT OF DISTAL PHALANGEAL
FRACTURE, FINGER OR THUMB, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION, EACH
216............ 26776 PERCUTANEOUS SKELETAL FIXATION OF
INTERPHALANGEAL JOINT DISLOCATION, SINGLE,
WITH MANIPULATION
216............ 26785 OPEN TREATMENT OF INTERPHALANGEAL JOINT
DISLOCATION, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION, SINGLE
216............ 27202 OPEN TREATMENT OF COCCYGEAL FRACTURE
216............ 27509 PERCUTANEOUS SKELETAL FIXATION OF FEMORAL
FRACTURE, DISTAL END, MEDIAL OR LATERAL
CONDYLE, OR SUPRACONDYLAR OR
TRANSCONDYLAR, WITH OR WITHOUT
INTERCONDYLAR EXTENSION, OR DISTAL FEMORAL
EPIPHYSEAL SEPARATION
216............ 27556 OPEN TREATMENT OF KNEE DISLOCATION, WITH OR
WITHOUT INTERNAL OR EXTERNAL FIXATION;
WITHOUT PRIMARY LIGAMENTOUS REPAIR OR
AUGMENTATION/RECONSTRUCTION
216............ 27566 OPEN TREATMENT OF PATELLAR DISLOCATION,
WITH OR WITHOUT PARTIAL OR TOTAL
PATELLECTOMY
216............ 27615 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF LEG OR ANKLE
AREA
216............ 27756 PERCUTANEOUS SKELETAL FIXATION OF TIBIAL
SHAFT FRACTURE (WITH OR WITHOUT FIBULAR
FRACTURE) (EG, PINS OR SCREWS)
216............ 27758 OPEN TREATMENT OF TIBIAL SHAFT FRACTURE,
(WITH OR WITHOUT FIBULAR FRACTURE) WITH
PLATE/SCREWS, WITH OR WITHOUT CERCLAGE
216............ 27759 OPEN TREATMENT OF TIBIAL SHAFT FRACTURE
(WITH OR WITHOUT FIBULAR FRACTURE) BY
INTRAMEDULLARY IMPLANT, WITH OR WITHOUT
INTERLOCKING SCREWS AND/OR CERCLAGE
216............ 27766 OPEN TREATMENT OF MEDIAL MALLEOLUS
FRACTURE, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 27784 OPEN TREATMENT OF PROXIMAL FIBULA OR SHAFT
FRACTURE, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 27792 OPEN TREATMENT OF DISTAL FIBULAR FRACTURE
(LATERAL MALLEOLUS), WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION
216............ 27814 OPEN TREATMENT OF BIMALLEOLAR ANKLE
FRACTURE, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 27822 OPEN TREATMENT OF TRIMALLEOLAR ANKLE
FRACTURE, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION, MEDIAL AND/OR LATERAL
MALLEOLUS; WITHOUT FIXATION OF POSTERIOR
LIP
216............ 27823 OPEN TREATMENT OF TRIMALLEOLAR ANKLE
FRACTURE, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION, MEDIAL AND/OR LATERAL
MALLEOLUS; WITH FIXATION OF POSTERIOR LIP
216............ 27826 OPEN TREATMENT OF FRACTURE OF WEIGHT
BEARING ARTICULAR SURFACE/ PORTION OF
DISTAL TIBIA (EG, PILON OR TIBIAL
PLAFOND), WITH INTERNAL OR EXTERNAL
FIXATION; OF FIBULA ONLY
216............ 27827 OPEN TREATMENT OF FRACTURE OF WEIGHT
BEARING ARTICULAR SURFACE/ PORTION OF
DISTAL TIBIA (EG, PILON OR TIBIAL
PLAFOND), WITH INTERNAL OR EXTERNAL
FIXATION; OF TIBIA ONLY
216............ 27828 OPEN TREATMENT OF FRACTURE OF WEIGHT
BEARING ARTICULAR SURFACE/ PORTION OF
DISTAL TIBIA (EG, PILON OR TIBIAL
PLAFOND), WITH INTERNAL OR EXTERNAL
FIXATION; OF BOTH TIBIA AND FIBULA
216............ 27829 OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT
(SYNDESMOSIS) DISRUPTION, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION
216............ 27832 OPEN TREATMENT OF PROXIMAL TIBIOFIBULAR
JOINT DISLOCATION, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION, OR WITH
EXCISION OF PROXIMAL FIBULA
216............ 27846 OPEN TREATMENT OF ANKLE DISLOCATION, WITH
OR WITHOUT PERCUTANEOUS SKELETAL FIXATION;
WITHOUT REPAIR OR INTERNAL FIXATION
216............ 27848 OPEN TREATMENT OF ANKLE DISLOCATION, WITH
OR WITHOUT PERCUTANEOUS SKELETAL FIXATION;
WITH REPAIR OR INTERNAL OR EXTERNAL
FIXATION
216............ 28406 PERCUTANEOUS SKELETAL FIXATION OF CALCANEAL
FRACTURE, WITH MANIPULATION
216............ 28415 OPEN TREATMENT OF CALCANEAL FRACTURE, WITH
OR WITHOUT INTERNAL OR EXTERNAL FIXATION;
216............ 28420 OPEN TREATMENT OF CALCANEAL FRACTURE, WITH
OR WITHOUT INTERNAL OR EXTERNAL FIXATION;
WITH PRIMARY ILIAC OR OTHER AUTOGENOUS
BONE GRAFT (INCLUDES OBTAINING GRAFT)
216............ 28436 PERCUTANEOUS SKELETAL FIXATION OF TALUS
FRACTURE, WITH MANIPULATION
216............ 28445 OPEN TREATMENT OF TALUS FRACTURE, WITH OR
WITHOUT INTERNAL OR EXTERNAL FIXATION
216............ 28456 PERCUTANEOUS SKELETAL FIXATION OF TARSAL
BONE FRACTURE (EXCEPT TALUS AND
CALCANEUS), WITH MANIPULATION, EACH
216............ 28465 OPEN TREATMENT OF TARSAL BONE FRACTURE
(EXCEPT TALUS AND CALCANEUS), WITH OR
WITHOUT INTERNAL OR EXTERNAL FIXATION,
EACH
216............ 28476 PERCUTANEOUS SKELETAL FIXATION OF
METATARSAL FRACTURE, WITH MANIPULATION,
EACH
216............ 28485 OPEN TREATMENT OF METATARSAL FRACTURE, WITH
OR WITHOUT INTERNAL OR EXTERNAL FIXATION,
EACH
216............ 28496 PERCUTANEOUS SKELETAL FIXATION OF FRACTURE
GREAT TOE, PHALANX OR PHALANGES, WITH
MANIPULATION
216............ 28505 OPEN TREATMENT OF FRACTURE GREAT TOE,
PHALANX OR PHALANGES, WITH OR WITHOUT
INTERNAL OR EXTERNAL FIXATION
216............ 28525 OPEN TREATMENT OF FRACTURE, PHALANX OR
PHALANGES, OTHER THAN GREAT TOE, WITH OR
WITHOUT INTERNAL OR EXTERNAL FIXATION,
EACH
216............ 28531 OPEN TREATMENT OF SESAMOID FRACTURE, WITH
OR WITHOUT INTERNAL FIXATION
216............ 28546 PERCUTANEOUS SKELETAL FIXATION OF TARSAL
BONE DISLOCATION, OTHER THAN TALOTARSAL,
WITH MANIPULATION
216............ 28555 OPEN TREATMENT OF TARSAL BONE DISLOCATION,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION
216............ 28576 PERCUTANEOUS SKELETAL FIXATION OF
TALOTARSAL JOINT DISLOCATION, WITH
MANIPULATION
216............ 28585 OPEN TREATMENT OF TALOTARSAL JOINT
DISLOCATION, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 28606 PERCUTANEOUS SKELETAL FIXATION OF
TARSOMETATARSAL JOINT DISLOCATION, WITH
MANIPULATION
216............ 28615 OPEN TREATMENT OF TARSOMETATARSAL JOINT
DISLOCATION, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 28636 PERCUTANEOUS SKELETAL FIXATION OF
METATARSOPHALANGEAL JOINT DISLOCATION,
WITH MANIPULATION
216............ 28645 OPEN TREATMENT OF METATARSOPHALANGEAL JOINT
DISLOCATION, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
216............ 28666 PERCUTANEOUS SKELETAL FIXATION OF
INTERPHALANGEAL JOINT DISLOCATION, WITH
MANIPULATION
216............ 28675 OPEN TREATMENT OF INTERPHALANGEAL JOINT
DISLOCATION, WITH OR WITHOUT INTERNAL OR
EXTERNAL FIXATION
217............ 24360 ARTHROPLASTY, ELBOW; WITH MEMBRANE
217............ 24365 ARTHROPLASTY, RADIAL HEAD;
217............ 25332 ARTHROPLASTY, WRIST, WITH OR WITHOUT
INTERPOSITION, WITH OR WITHOUT EXTERNAL OR
INTERNAL FIXATION
217............ 25447 INTERPOSITION ARTHROPLASTY, INTERCARPAL OR
CARPOMETACARPAL JOINTS
[[Page 32481]]
217............ 25449 REVISION OF ARTHROPLASTY, INCLUDING REMOVAL
OF IMPLANT, WRIST JOINT
217............ 26530 ARTHROPLASTY, METACARPOPHALANGEAL JOINT;
SINGLE, EACH
217............ 26535 ARTHROPLASTY INTERPHALANGEAL JOINT; SINGLE,
EACH
217............ 27266 CLOSED TREATMENT OF POST HIP ARTHROPLASTY
DISLOCATION; REQUIRING REGIONAL OR GENERAL
ANESTHESIA
217............ 27437 ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS
217............ 27440 ARTHROPLASTY, KNEE, TIBIAL PLATEAU;
217............ 27441 ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH
DEBRIDEMENT AND PARTIAL SYNOVECTOMY
217............ 27442 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR
TIBIAL PLATEAUS;
217............ 27443 ARTHROPLASTY, KNEE, FEMORAL CONDYLES OR
TIBIAL PLATEAUS; WITH DEBRIDEMENT AND
PARTIAL SYNOVECTOMY
217............ 27700 ARTHROPLASTY, ANKLE;
218............ 21243 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH
PROSTHETIC JOINT REPLACEMENT
218............ 24361 ARTHROPLASTY, ELBOW; WITH DISTAL HUMERAL
PROSTHETIC REPLACEMENT
218............ 24362 ARTHROPLASTY, ELBOW; WITH IMPLANT AND
FASCIA LATA LIGAMENT RECONSTRUCTION
218............ 24363 ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS
AND PROXIMAL ULNAR PROSTHETIC REPLACEMENT
(``TOTAL ELBOW'')
218............ 24366 ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT
218............ 25441 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;
DISTAL RADIUS
218............ 25442 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;
DISTAL ULNA
218............ 25443 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;
SCAPHOID (NAVICULAR)
218............ 25444 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;
LUNATE
218............ 25445 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;
TRAPEZIUM
218............ 25446 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT;
DISTAL RADIUS AND PARTIAL OR ENTIRE CARPUS
(``TOTAL WRIST'')
218............ 26531 ARTHROPLASTY, METACARPOPHALANGEAL JOINT;
WITH PROSTHETIC IMPLANT, SINGLE, EACH
218............ 26536 ARTHROPLASTY INTERPHALANGEAL JOINT; WITH
PROSTHETIC IMPLANT, SINGLE, EACH
218............ 27438 ARTHROPLASTY, PATELLA; WITH PROSTHESIS
231............ 21015 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF FACE OR SCALP
231............ 21025 EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS); MANDIBLE
231............ 21026 EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS); FACIAL BONE(S)
231............ 21029 REMOVAL BY CONTOURING OF BENIGN TUMOR OF
FACIAL BONE (EG, FIBROUS DYSPLASIA)
231............ 21030 EXCISION OF BENIGN TUMOR OR CYST OF FACIAL
BONE OTHER THAN MANDIBLE
231............ 21031 EXCISION OF TORUS MANDIBULARIS
231............ 21032 EXCISION OF MAXILLARY TORUS PALATINUS
231............ 21040 EXCISION OF BENIGN CYST OR TUMOR OF
MANDIBLE; SIMPLE
231............ 21041 EXCISION OF BENIGN CYST OR TUMOR OF
MANDIBLE; COMPLEX
231............ 21100 APPLICATION OF HALO TYPE APPLIANCE FOR
MAXILLOFACIAL FIXATION, INCLUDES REMOVAL
(SEPARATE PROCEDURE)
231............ 21110 APPLICATION OF INTERDENTAL FIXATION DEVICE
FOR CONDITIONS OTHER THAN FRACTURE OR
DISLOCATION, INCLUDES REMOVAL
231............ 21120 GENIOPLASTY; AUGMENTATION (AUTOGRAFT,
ALLOGRAFT, PROSTHETIC MATERIAL)
231............ 21125 AUGMENTATION, MANDIBULAR BODY OR ANGLE;
PROSTHETIC MATERIAL
231............ 21280 MEDIAL CANTHOPEXY (SEPARATE PROCEDURE)
231............ 21282 LATERAL CANTHOPEXY
231............ 21295 REDUCTION OF MASSETER MUSCLE AND BONE (EG,
FOR TREATMENT OF BENIGN MASSETERIC
HYPERTROPHY); EXTRAORAL APPROACH
231............ 21296 REDUCTION OF MASSETER MUSCLE AND BONE (EG,
FOR TREATMENT OF BENIGN MASSETERIC
HYPERTROPHY); INTRAORAL APPROACH
231............ 21300 CLOSED TREATMENT OF SKULL FRACTURE WITHOUT
OPERATION
231............ 21310 CLOSED TREATMENT OF NASAL BONE FRACTURE
WITHOUT MANIPULATION
231............ 21315 CLOSED TREATMENT OF NASAL BONE FRACTURE;
WITHOUT STABILIZATION
231............ 21320 CLOSED TREATMENT OF NASAL BONE FRACTURE;
WITH STABILIZATION
231............ 21325 OPEN TREATMENT OF NASAL FRACTURE;
UNCOMPLICATED
231............ 21337 CLOSED TREATMENT OF NASAL SEPTAL FRACTURE,
WITH OR WITHOUT STABILIZATION
231............ 21355 PERCUTANEOUS TREATMENT OF FRACTURE OF MALAR
AREA, INCLUDING ZYGOMATIC ARCH AND MALAR
TRIPOD, WITH MANIPULATION
231............ 21400 CLOSED TREATMENT OF FRACTURE OF ORBIT,
EXCEPT ``BLOWOUT''; WITHOUT MANIPULATION
231............ 21401 CLOSED TREATMENT OF FRACTURE OF ORBIT,
EXCEPT ``BLOWOUT''; WITH MANIPULATION
231............ 21440 CLOSED TREATMENT OF MANDIBULAR OR MAXILLARY
ALVEOLAR RIDGE FRACTURE (SEPARATE
PROCEDURE)
231............ 21451 CLOSED TREATMENT OF MANDIBULAR FRACTURE;
WITH MANIPULATION
231............ 21480 CLOSED TREATMENT OF TEMPOROMANDIBULAR
DISLOCATION; INITIAL OR SUBSEQUENT
231............ 21485 CLOSED TREATMENT OF TEMPOROMANDIBULAR
DISLOCATION; COMPLICATED (EG, RECURRENT
REQUIRING INTERMAXILLARY FIXATION OR
SPLINTING), INITIAL OR SUBSEQUENT
231............ 21493 CLOSED TREATMENT OF HYOID FRACTURE; WITHOUT
MANIPULATION
231............ 21494 CLOSED TREATMENT OF HYOID FRACTURE; WITH
MANIPULATION
231............ 21497 INTERDENTAL WIRING, FOR CONDITION OTHER
THAN FRACTURE
231............ 41822 EXCISION OF FIBROUS TUBEROSITIES,
DENTOALVEOLAR STRUCTURES
231............ 41823 EXCISION OF OSSEOUS TUBEROSITIES,
DENTOALVEOLAR STRUCTURES
232............ 21010 ARTHROTOMY, TEMPOROMANDIBULAR JOINT
232............ 21034 EXCISION OF MALIGNANT TUMOR OF FACIAL BONE
OTHER THAN MANDIBLE
232............ 21044 EXCISION OF MALIGNANT TUMOR OF MANDIBLE;
232............ 21050 CONDYLECTOMY, TEMPOROMANDIBULAR JOINT
(SEPARATE PROCEDURE)
232............ 21060 MENISCECTOMY, PARTIAL OR COMPLETE,
TEMPOROMANDIBULAR JOINT (SEPARATE
PROCEDURE)
232............ 21070 CORONOIDECTOMY (SEPARATE PROCEDURE)
232............ 21121 GENIOPLASTY; SLIDING OSTEOTOMY, SINGLE
PIECE
232............ 21122 GENIOPLASTY; SLIDING OSTEOTOMIES, TWO OR
MORE OSTEOTOMIES (EG, WEDGE EXCISION OR
BONE WEDGE REVERSAL FOR ASYMMETRICAL CHIN)
232............ 21123 GENIOPLASTY; SLIDING, AUGMENTATION WITH
INTERPOSITIONAL BONE GRAFTS (INCLUDES
OBTAINING AUTOGRAFTS)
232............ 21127 AUGMENTATION, MANDIBULAR BODY OR ANGLE;
WITH BONE GRAFT, ONLAY OR INTERPOSITIONAL
(INCLUDES OBTAINING AUTOGRAFT)
[[Page 32482]]
232............ 21181 RECONSTRUCTION BY CONTOURING OF BENIGN
TUMOR OF CRANIAL BONES (EG, FIBROUS
DYSPLASIA), EXTRACRANIAL
232............ 21206 OSTEOTOMY, MAXILLA, SEGMENTAL (EG, WASSMUND
OR SCHUCHARD)
232............ 21208 OSTEOPLASTY, FACIAL BONES; AUGMENTATION
(AUTOGRAFT, ALLOGRAFT, OR PROSTHETIC
IMPLANT)
232............ 21209 OSTEOPLASTY, FACIAL BONES; REDUCTION
232............ 21210 GRAFT, BONE; NASAL, MAXILLARY OR MALAR
AREAS (INCLUDES OBTAINING GRAFT)
232............ 21215 GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING
GRAFT)
232............ 21230 GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE,
CHIN, NOSE OR EAR (INCLUDES OBTAINING
GRAFT)
232............ 21235 GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE
OR EAR (INCLUDES OBTAINING GRAFT)
232............ 21240 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH
OR WITHOUT AUTOGRAFT (INCLUDES OBTAINING
GRAFT)
232............ 21242 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH
ALLOGRAFT
232............ 21244 RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH
TRANSOSTEAL BONE PLATE (EG, MANDIBULAR
STAPLE BONE PLATE)
232............ 21245 RECONSTRUCTION OF MANDIBLE OR MAXILLA,
SUBPERIOSTEAL IMPLANT; PARTIAL
232............ 21246 RECONSTRUCTION OF MANDIBLE OR MAXILLA,
SUBPERIOSTEAL IMPLANT; COMPLETE
232............ 21248 RECONSTRUCTION OF MANDIBLE OR MAXILLA,
ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER);
PARTIAL
232............ 21249 RECONSTRUCTION OF MANDIBLE OR MAXILLA,
ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER);
COMPLETE
232............ 21260 PERIORBITAL OSTEOTOMIES FOR ORBITAL
HYPERTELORISM, WITH BONE GRAFTS;
EXTRACRANIAL APPROACH
232............ 21267 ORBITAL REPOSITIONING, PERIORBITAL
OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS;
EXTRACRANIAL APPROACH
232............ 21270 MALAR AUGMENTATION, PROSTHETIC MATERIAL
232............ 21275 SECONDARY REVISION OF ORBITOCRANIOFACIAL
RECONSTRUCTION
232............ 21330 OPEN TREATMENT OF NASAL FRACTURE;
COMPLICATED, WITH INTERNAL AND/OR EXTERNAL
SKELETAL FIXATION
232............ 21335 OPEN TREATMENT OF NASAL FRACTURE; WITH
CONCOMITANT OPEN TREATMENT OF FRACTURED
SEPTUM
232............ 21338 OPEN TREATMENT OF NASOETHMOID FRACTURE;
WITHOUT EXTERNAL FIXATION
232............ 21339 OPEN TREATMENT OF NASOETHMOID FRACTURE;
WITH EXTERNAL FIXATION
232............ 21340 PERCUTANEOUS TREATMENT OF NASOETHMOID
COMPLEX FRACTURE, WITH SPLINT, WIRE OR
HEADCAP FIXATION, INCLUDING REPAIR OF
CANTHAL LIGAMENTS AND/OR THE NASOLACRIMAL
APPARATUS
232............ 21343 OPEN TREATMENT OF DEPRESSED FRONTAL SINUS
FRACTURE
232............ 21345 CLOSED TREATMENT OF NASOMAXILLARY COMPLEX
FRACTURE (LEFORT II TYPE), WITH
INTERDENTAL WIRE FIXATION OR FIXATION OF
DENTURE OR SPLINT
232............ 21421 CLOSED TREATMENT OF PALATAL OR MAXILLARY
FRACTURE (LEFORT I TYPE), WITH INTERDENTAL
WIRE FIXATION OR FIXATION OF DENTURE OR
SPLINT 5116
232............ 21445 OPEN TREATMENT OF MANDIBULAR OR MAXILLARY
ALVEOLAR RIDGE FRACTURE (SEPARATE
PROCEDURE)
232............ 21450 CLOSED TREATMENT OF MANDIBULAR FRACTURE;
WITHOUT MANIPULATION
232............ 21452 PERCUTANEOUS TREATMENT OF MANDIBULAR
FRACTURE, WITH EXTERNAL FIXATION
232............ 21453 CLOSED TREATMENT OF MANDIBULAR FRACTURE
WITH INTERDENTAL FIXATION
232............ 21454 OPEN TREATMENT OF MANDIBULAR FRACTURE WITH
EXTERNAL FIXATION
232............ 21461 OPEN TREATMENT OF MANDIBULAR FRACTURE;
WITHOUT INTERDENTAL FIXATION
232............ 21462 OPEN TREATMENT OF MANDIBULAR FRACTURE; WITH
INTERDENTAL FIXATION
232............ 21465 OPEN TREATMENT OF MANDIBULAR CONDYLAR
FRACTURE
232............ 21490 OPEN TREATMENT OF TEMPOROMANDIBULAR
DISLOCATION
232............ 67420 ORBITOTOMY WITH BONE FLAP OR WINDOW,
LATERAL APPROACH (EG, KROENLEIN); WITH
REMOVAL OF LESION
232............ 67430 ORBITOTOMY WITH BONE FLAP OR WINDOW,
LATERAL APPROACH (EG, KROENLEIN); WITH
REMOVAL OF FOREIGN BODY
232............ 67440 ORBITOTOMY WITH BONE FLAP OR WINDOW,
LATERAL APPROACH (EG, KROENLEIN); WITH
DRAINAGE
232............ 67450 ORBITOTOMY WITH BONE FLAP OR WINDOW,
LATERAL APPROACH (EG, KROENLEIN); FOR
EXPLORATION, WITH OR WITHOUT BIOPSY
251............ 20005 INCISION OF SOFT TISSUE ABSCESS (EG,
SECONDARY TO OSTEOMYELITIS); DEEP OR
COMPLICATED
251............ 20250 BIOPSY, VERTEBRAL BODY, OPEN; THORACIC
251............ 20251 BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR
CERVICAL
251............ 20650 INSERTION OF WIRE OR PIN WITH APPLICATION
OF SKELETAL TRACTION, INCLUDING REMOVAL
(SEPARATE PROCEDURE)
251............ 20693 ADJUSTMENT OR REVISION OF EXTERNAL FIXATION
SYSTEM REQUIRING ANESTHESIA (EG, NEW
PIN(S) OR WIRE(S) AND/OR NEW RING(S) OR
BAR(S))
251............ 20694 REMOVAL, UNDER ANESTHESIA, OF EXTERNAL
FIXATION SYSTEM
251............ 20975 ELECTRICAL STIMULATION TO AID BONE HEALING;
INVASIVE (OPERATIVE)
251............ 23100 ARTHROTOMY WITH BIOPSY, GLENOHUMERAL JOINT
251............ 23140 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF CLAVICLE OR SCAPULA;
251............ 23935 INCISION, DEEP, WITH OPENING OF BONE CORTEX
(EG, FOR OSTEOMYELITIS OR BONE ABSCESS),
HUMERUS OR ELBOW
251............ 24100 ARTHROTOMY, ELBOW; WITH SYNOVIAL BIOPSY
ONLY
251............ 24105 EXCISION, OLECRANON BURSA
251............ 24110 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, HUMERUS;
251............ 24120 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR
OLECRANON PROCESS;
251............ 24310 TENOTOMY, OPEN, ELBOW TO SHOULDER, SINGLE,
EACH
251............ 24925 AMPUTATION, ARM THROUGH HUMERUS; SECONDARY
CLOSURE OR SCAR REVISION
251............ 25000 TENDON SHEATH INCISION; AT RADIAL STYLOID
(EG, FOR DEQUERVAIN'S DISEASE)
251............ 25020 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR
WRIST; FLEXOR OR EXTENSOR COMPARTMENT
251............ 25028 INCISION AND DRAINAGE, FOREARM AND/OR
WRIST; DEEP ABSCESS OR HEMATOMA
251............ 25031 INCISION AND DRAINAGE, FOREARM AND/OR
WRIST; INFECTED BURSA
251............ 25035 INCISION, DEEP, WITH OPENING OF BONE CORTEX
(EG, FOR OSTEOMYELITIS OR BONE ABSCESS),
FOREARM AND/OR WRIST
251............ 25085 CAPSULOTOMY, WRIST (EG, FOR CONTRACTURE)
251............ 25100 ARTHROTOMY, WRIST JOINT; WITH BIOPSY
251............ 25110 EXCISION, LESION OF TENDON SHEATH, FOREARM
AND/OR WRIST
251............ 25115 RADICAL EXCISION OF BURSA, SYNOVIA OF
WRIST, OR FOREARM TENDON SHEATHS (EG,
TENOSYNOVITIS, FUNGUS, TBC, OR OTHER
GRANULOMAS, RHEUMATOID ARTHRITIS); FLEXORS
251............ 25116 RADICAL EXCISION OF BURSA, SYNOVIA OF
WRIST, OR FOREARM TENDON SHEATHS (EG,
TENOSYNOVITIS, FUNGUS, TBC, OR OTHER
GRANULOMAS, RHEUMATOID ARTHRITIS);
EXTENSORS, WITH OR WITHOUT TRANSPOSITION
OF DORSAL RETINACULUM
[[Page 32483]]
251............ 25248 EXPLORATION WITH REMOVAL OF DEEP FOREIGN
BODY, FOREARM OR WRIST
251............ 25295 TENOLYSIS, FLEXOR OR EXTENSOR TENDON,
FOREARM AND/OR WRIST, SINGLE, EACH TENDON
251............ 25907 AMPUTATION, FOREARM, THROUGH RADIUS AND
ULNA; SECONDARY CLOSURE OR SCAR REVISION
251............ 25922 DISARTICULATION THROUGH WRIST; SECONDARY
CLOSURE OR SCAR REVISION
251............ 26990 INCISION AND DRAINAGE, PELVIS OR HIP JOINT
AREA; DEEP ABSCESS OR HEMATOMA
251............ 26991 INCISION AND DRAINAGE, PELVIS OR HIP JOINT
AREA; INFECTED BURSA
251............ 27000 TENOTOMY, ADDUCTOR OF HIP, SUBCUTANEOUS,
CLOSED (SEPARATE PROCEDURE)
251............ 27050 ARTHROTOMY, WITH BIOPSY; SACROILIAC JOINT
251............ 27052 ARTHROTOMY, WITH BIOPSY; HIP JOINT
251............ 27060 EXCISION; ISCHIAL BURSA
251............ 27062 EXCISION; TROCHANTERIC BURSA OR
CALCIFICATION
251............ 27065 EXCISION OF BONE CYST OR BENIGN TUMOR;
SUPERFICIAL (WING OF ILIUM, SYMPHYSIS
PUBIS, OR GREATER TROCHANTER OF FEMUR)
WITH OR WITHOUT AUTOGRAFT
251............ 27086 REMOVAL OF FOREIGN BODY, PELVIS OR HIP;
SUBCUTANEOUS TISSUE
251............ 27087 REMOVAL OF FOREIGN BODY, PELVIS OR HIP;
DEEP
251............ 27305 FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN
251............ 27306 TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR
HAMSTRING, (SEPARATE PROCEDURE); SINGLE
251............ 27307 TENOTOMY, SUBCUTANEOUS, CLOSED, ADDUCTOR OR
HAMSTRING, (SEPARATE PROCEDURE); MULTIPLE
251............ 27340 EXCISION, PREPATELLAR BURSA
251............ 27345 EXCISION OF SYNOVIAL CYST OF POPLITEAL
SPACE (BAKER'S CYST)
251............ 27380 SUTURE OF INFRAPATELLAR TENDON; PRIMARY
251............ 27381 SUTURE OF INFRAPATELLAR TENDON; SECONDARY
RECONSTRUCTION, INCLUDING FASCIAL OR
TENDON GRAFT
251............ 27385 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE
RUPTURE; PRIMARY
251............ 27386 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE
RUPTURE; SECONDARY RECONSTRUCTION,
INCLUDING FASCIAL OR TENDON GRAFT
251............ 27390 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP;
SINGLE
251............ 27391 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP;
MULTIPLE, ONE LEG
251............ 27392 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP;
MULTIPLE, BILATERAL
251............ 27496 DECOMPRESSION FASCIOTOMY, THIGH AND/OR
KNEE, ONE COMPARTMENT (FLEXOR OR EXTENSOR
OR ADDUCTOR);
251............ 27497 DECOMPRESSION FASCIOTOMY, THIGH AND/OR
KNEE, ONE COMPARTMENT (FLEXOR OR EXTENSOR
OR ADDUCTOR); WITH DEBRIDEMENT OF
NONVIABLE MUSCLE AND/OR NERVE
251............ 27498 DECOMPRESSION FASCIOTOMY, THIGH AND/OR
KNEE, MULTIPLE COMPARTMENTS;
251............ 27499 DECOMPRESSION FASCIOTOMY, THIGH AND/OR
KNEE, MULTIPLE COMPARTMENTS; WITH
DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR
NERVE
251............ 27594 AMPUTATION, THIGH, THROUGH FEMUR, ANY
LEVEL; SECONDARY CLOSURE OR SCAR REVISION
251............ 27600 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
OR LATERAL COMPARTMENTS ONLY
251............ 27601 DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR
COMPARTMENT(S) ONLY
251............ 27602 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
OR LATERAL, AND POSTERIOR COMPARTMENT(S)
251............ 27604 INCISION AND DRAINAGE, LEG OR ANKLE;
INFECTED BURSA
251............ 27606 TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS
(SEPARATE PROCEDURE); GENERAL ANESTHESIA
251............ 27607 INCISION, DEEP, WITH OPENING OF BONE CORTEX
(EG, FOR OSTEOMYELITIS OR BONE ABSCESS),
LEG OR ANKLE
251............ 27630 EXCISION OF LESION OF TENDON SHEATH OR
CAPSULE (EG, CYST OR GANGLION), LEG AND/OR
ANKLE
251............ 27656 REPAIR, FASCIAL DEFECT OF LEG
251............ 27658 REPAIR OR SUTURE OF FLEXOR TENDON OF LEG;
PRIMARY, WITHOUT GRAFT, SINGLE, EACH
251............ 27659 REPAIR OR SUTURE OF FLEXOR TENDON OF LEG;
SECONDARY WITH OR WITHOUT GRAFT, SINGLE
TENDON, EACH
251............ 27664 REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG;
PRIMARY, WITHOUT GRAFT, SINGLE, EACH
251............ 27675 REPAIR FOR DISLOCATING PERONEAL TENDONS;
WITHOUT FIBULAR OSTEOTOMY
251............ 27704 REMOVAL OF ANKLE IMPLANT
251............ 27707 OSTEOTOMY; FIBULA
251............ 27884 AMPUTATION, LEG, THROUGH TIBIA AND FIBULA;
SECONDARY CLOSURE OR SCAR REVISION
251............ 27892 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
OR LATERAL COMPARTMENTS ONLY, WITH
DEBRIDEMENT OF NONVIABLE MUSCLE AND/OR
NERVE
251............ 27893 DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR
COMPARTMENT(S) ONLY, WITH DEBRIDEMENT OF
NONVIABLE MUSCLE AND/OR NERVE
251............ 27894 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/
OR LATERAL, AND POSTERIOR COMPARTMENT(S),
WITH DEBRIDEMENT OF NONVIABLE MUSCLE AND/
OR NERVE
251............ 28002 DEEP DISSECTION BELOW FASCIA, FOR DEEP
INFECTION OF FOOT, WITH OR WITHOUT TENDON
SHEATH INVOLVEMENT; SINGLE BURSAL SPACE,
SPECIFY
251............ 28003 DEEP DISSECTION BELOW FASCIA, FOR DEEP
INFECTION OF FOOT, WITH OR WITHOUT TENDON
SHEATH INVOLVEMENT; MULTIPLE AREAS
252............ 20690 APPLICATION OF A UNIPLANE (PINS OR WIRES IN
ONE PLANE), UNILATERAL, EXTERNAL FIXATION
SYSTEM
252............ 20692 APPLICATION OF A MULTIPLANE (PINS OR WIRES
IN MORE THAN ONE PLANE), UNILATERAL,
EXTERNAL FIXATION SYSTEM (EG, ILIZAROV,
MONTICELLI TYPE)
252............ 20900 BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL
(EG, DOWEL OR BUTTON)
252............ 20902 BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE
252............ 20924 TENDON GRAFT, FROM A DISTANCE (EG,
PALMARIS, TOE EXTENSOR, PLANTARIS)
252............ 21502 INCISION AND DRAINAGE, DEEP ABSCESS OR
HEMATOMA, SOFT TISSUES OF NECK OR THORAX;
WITH PARTIAL RIB OSTECTOMY
252............ 21600 EXCISION OF RIB, PARTIAL
252............ 21610 COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE)
252............ 23040 ARTHROTOMY, GLENOHUMERAL JOINT, FOR
INFECTION, WITH EXPLORATION, DRAINAGE, OR
REMOVAL OF FOREIGN BODY
252............ 23044 ARTHROTOMY, ACROMIOCLAVICULAR,
STERNOCLAVICULAR JOINT, FOR INFECTION,
WITH EXPLORATION, DRAINAGE, OR REMOVAL OF
FOREIGN BODY
252............ 23101 ARTHROTOMY WITH BIOPSY, OR WITH EXCISION OF
TORN CARTILAGE, ACROMIOCLAVICULAR,
STERNOCLAVICULAR JOINT
252............ 23105 ARTHROTOMY WITH SYNOVECTOMY; GLENOHUMERAL
JOINT
[[Page 32484]]
252............ 23106 ARTHROTOMY WITH SYNOVECTOMY;
STERNOCLAVICULAR JOINT
252............ 23107 ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT
EXPLORATION, WITH OR WITHOUT REMOVAL OF
LOOSE OR FOREIGN BODY
252............ 23145 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH
AUTOGRAFT (INCLUDES OBTAINING GRAFT)
252............ 23146 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH
ALLOGRAFT
252............ 23150 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF PROXIMAL HUMERUS;
252............ 23155 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF PROXIMAL HUMERUS; WITH
AUTOGRAFT (INCLUDES OBTAINING GRAFT)
252............ 23156 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF PROXIMAL HUMERUS; WITH
ALLOGRAFT
252............ 23170 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS), CLAVICLE
252............ 23172 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS), SCAPULA
252............ 23174 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS), HUMERAL HEAD TO SURGICAL
NECK
252............ 23180 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS), CLAVICLE
252............ 23182 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS), SCAPULA
252............ 23184 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS), PROXIMAL HUMERUS
252............ 23190 OSTECTOMY OF SCAPULA, PARTIAL (EG, SUPERIOR
MEDIAL ANGLE)
252............ 23405 TENOMYOTOMY, SHOULDER AREA; SINGLE
252............ 23406 TENOMYOTOMY, SHOULDER AREA; MULTIPLE
THROUGH SAME INCISION
252............ 24000 ARTHROTOMY, ELBOW, FOR INFECTION, WITH
EXPLORATION, DRAINAGE OR REMOVAL OF
FOREIGN BODY
252............ 24006 ARTHROTOMY OF THE ELBOW, WITH CAPSULAR
EXCISION FOR CAPSULAR RELEASE (SEPARATE
PROCEDURE)
252............ 24101 ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION,
WITH OR WITHOUT BIOPSY, WITH OR WITHOUT
REMOVAL OF LOOSE OR FOREIGN BODY
252............ 24102 ARTHROTOMY, ELBOW; WITH SYNOVECTOMY
252............ 24115 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, HUMERUS; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT)
252............ 24116 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, HUMERUS; WITH ALLOGRAFT
252............ 24125 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR
OLECRANON PROCESS; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT)
252............ 24126 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR
OLECRANON PROCESS; WITH ALLOGRAFT
252............ 24130 EXCISION, RADIAL HEAD
252............ 24134 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS), SHAFT OR DISTAL HUMERUS
252............ 24136 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS), RADIAL HEAD OR NECK
252............ 24138 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS), OLECRANON PROCESS
252............ 24140 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS), HUMERUS
252............ 24145 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS), RADIAL HEAD OR
NECK
252............ 24147 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS), OLECRANON PROCESS
252............ 24160 IMPLANT REMOVAL; ELBOW JOINT
252............ 24164 IMPLANT REMOVAL; RADIAL HEAD
252............ 24301 MUSCLE OR TENDON TRANSFER, ANY TYPE, UPPER
ARM OR ELBOW, SINGLE (EXCLUDING 24320-
24331)
252............ 24305 TENDON LENGTHENING, UPPER ARM OR ELBOW,
SINGLE, EACH
252............ 24350 FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
ELBOW'' OR EPICONDYLITIS);
252............ 24351 FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
ELBOW'' OR EPICONDYLITIS); WITH EXTENSOR
ORIGIN DETACHMENT
252............ 24352 FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
ELBOW'' OR EPICONDYLITIS); WITH ANNULAR
LIGAMENT RESECTION
252............ 24354 FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
ELBOW'' OR EPICONDYLITIS); WITH STRIPPING
252............ 24356 FASCIOTOMY, LATERAL OR MEDIAL (EG, ``TENNIS
ELBOW'' OR EPICONDYLITIS); WITH PARTIAL
OSTECTOMY
252............ 24400 OSTEOTOMY, HUMERUS, WITH OR WITHOUT
INTERNAL FIXATION
252............ 24410 MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON
INTRAMEDULLARY ROD, HUMERAL SHAFT (SOFIELD
TYPE PROCEDURE)
252............ 24495 DECOMPRESSION FASCIOTOMY, FOREARM, WITH
BRACHIAL ARTERY EXPLORATION
252............ 25023 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR
WRIST; WITH DEBRIDEMENT OF NONVIABLE
MUSCLE AND/OR NERVE
252............ 25040 ARTHROTOMY, RADIOCARPAL OR MIDCARPAL JOINT,
WITH EXPLORATION, DRAINAGE, OR REMOVAL OF
FOREIGN BODY
252............ 25101 ARTHROTOMY, WRIST JOINT; WITH JOINT
EXPLORATION, WITH OR WITHOUT BIOPSY, WITH
OR WITHOUT REMOVAL OF LOOSE OR FOREIGN
BODY
252............ 25105 ARTHROTOMY, WRIST JOINT; WITH SYNOVECTOMY
252............ 25107 ARTHROTOMY, DISTAL RADIOULNAR JOINT FOR
REPAIR OF TRIANGULAR CARTILAGE COMPLEX
252............ 25118 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST,
SINGLE COMPARTMENT;
252............ 25119 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST,
SINGLE COMPARTMENT; WITH RESECTION OF
DISTAL ULNA
252............ 25120 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING
HEAD OR NECK OF RADIUS AND OLECRANON
PROCESS);
252............ 25125 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING
HEAD OR NECK OF RADIUS AND OLECRANON
PROCESS); WITH AUTOGRAFT (INCLUDES
OBTAINING GRAFT)
252............ 25126 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING
HEAD OR NECK OF RADIUS AND OLECRANON
PROCESS); WITH ALLOGRAFT
252............ 25130 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF CARPAL BONES;
252............ 25135 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF CARPAL BONES; WITH
AUTOGRAFT (INCLUDES OBTAINING GRAFT)
252............ 25136 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF CARPAL BONES; WITH
ALLOGRAFT
252............ 25145 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR
BONE ABSCESS), FOREARM AND/OR WRIST
[[Page 32485]]
252............ 25150 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS); ULNA
252............ 25151 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS); RADIUS
252............ 25230 RADIAL STYLOIDECTOMY (SEPARATE PROCEDURE)
252............ 25240 EXCISION DISTAL ULNA PARTIAL OR COMPLETE
(EG, DARRACH TYPE OR MATCHED RESECTION)
252............ 25250 REMOVAL OF WRIST PROSTHESIS; (SEPARATE
PROCEDURE)
252............ 25251 REMOVAL OF WRIST PROSTHESIS; COMPLICATED,
INCLUDING ``TOTAL WRIST''
252............ 25260 REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM
AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON
OR MUSCLE
252............ 25263 REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM
AND/OR WRIST; SECONDARY, SINGLE, EACH
TENDON OR MUSCLE
252............ 25265 REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM
AND/OR WRIST; SECONDARY, WITH FREE GRAFT
(INCLUDES OBTAINING GRAFT), EACH TENDON OR
MUSCLE
252............ 25270 REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM
AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON
OR MUSCLE
252............ 25272 REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM
AND/OR WRIST; SECONDARY, SINGLE, EACH
TENDON OR MUSCLE
252............ 25274 REPAIR, TENDON OR MUSCLE, EXTENSOR,
SECONDARY, WITH TENDON GRAFT (INCLUDES
OBTAINING GRAFT), FOREARM AND/OR WRIST,
EACH TENDON OR MUSCLE
252............ 25280 LENGTHENING OR SHORTENING OF FLEXOR OR
EXTENSOR TENDON, FOREARM AND/OR WRIST,
SINGLE, EACH TENDON
252............ 25290 TENOTOMY, OPEN, FLEXOR OR EXTENSOR TENDON,
FOREARM AND/OR WRIST, SINGLE, EACH TENDON
252............ 25300 TENODESIS AT WRIST; FLEXORS OF FINGERS
252............ 25301 TENODESIS AT WRIST; EXTENSORS OF FINGERS
252............ 25360 OSTEOTOMY; ULNA
252............ 25365 OSTEOTOMY; RADIUS AND ULNA
252............ 25400 REPAIR OF NONUNION OR MALUNION, RADIUS OR
ULNA; WITHOUT GRAFT (EG, COMPRESSION
TECHNIQUE)
252............ 25415 REPAIR OF NONUNION OR MALUNION, RADIUS AND
ULNA; WITHOUT GRAFT (EG, COMPRESSION
TECHNIQUE)
252............ 27001 TENOTOMY, ADDUCTOR OF HIP, SUBCUTANEOUS,
OPEN
252............ 27003 TENOTOMY, ADDUCTOR, SUBCUTANEOUS, OPEN,
WITH OBTURATOR NEURECTOMY
252............ 27066 EXCISION OF BONE CYST OR BENIGN TUMOR;
DEEP, WITH OR WITHOUT AUTOGRAFT
252............ 27067 EXCISION OF BONE CYST OR BENIGN TUMOR; WITH
AUTOGRAFT REQUIRING SEPARATE INCISION
252............ 27080 COCCYGECTOMY, PRIMARY
252............ 27097 HAMSTRING RECESSION, PROXIMAL
252............ 27098 ADDUCTOR TRANSFER TO ISCHIUM
252............ 27310 ARTHROTOMY, KNEE, FOR INFECTION, WITH
EXPLORATION, DRAINAGE OR REMOVAL OF
FOREIGN BODY
252............ 27330 ARTHROTOMY, KNEE; WITH SYNOVIAL BIOPSY ONLY
252............ 27331 ARTHROTOMY, KNEE; WITH JOINT EXPLORATION,
WITH OR WITHOUT BIOPSY, WITH OR WITHOUT
REMOVAL OF LOOSE OR FOREIGN BODIES
252............ 27332 ARTHROTOMY, KNEE, WITH EXCISION OF
SEMILUNAR CARTILAGE (MENISCECTOMY); MEDIAL
OR LATERAL
252............ 27333 ARTHROTOMY, KNEE, WITH EXCISION OF
SEMILUNAR CARTILAGE (MENISCECTOMY); MEDIAL
AND LATERAL
252............ 27334 ARTHROTOMY, KNEE, WITH SYNOVECTOMY;
ANTERIOR OR POSTERIOR
252............ 27335 ARTHROTOMY, KNEE, WITH SYNOVECTOMY;
ANTERIOR AND POSTERIOR INCLUDING POPLITEAL
AREA
252............ 27350 PATELLECTOMY OR HEMIPATELLECTOMY
252............ 27355 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF FEMUR;
252............ 27356 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF FEMUR; WITH ALLOGRAFT
252............ 27357 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF FEMUR; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT)
252............ 27358 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF FEMUR; WITH INTERNAL
FIXATION (LIST IN ADDITION TO 27355,
27356, OR 27357)
252............ 27360 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS), FEMUR, PROXIMAL
TIBIA AND/ OR FIBULA
252............ 27393 LENGTHENING OF HAMSTRING TENDON; SINGLE
252............ 27394 LENGTHENING OF HAMSTRING TENDON; MULTIPLE,
ONE LEG
252............ 27396 TRANSPLANT, HAMSTRING TENDON TO PATELLA;
SINGLE
252............ 27403 ARTHROTOMY WITH OPEN MENISCUS REPAIR
252............ 27425 LATERAL RETINACULAR RELEASE (ANY METHOD)
252............ 27610 ARTHROTOMY, ANKLE, FOR INFECTION, WITH
EXPLORATION, DRAINAGE, OR REMOVAL OF
FOREIGN BODY
252............ 27612 ARTHROTOMY, ANKLE, POSTERIOR CAPSULAR
RELEASE, WITH OR WITHOUT ACHILLES TENDON
LENGTHENING
252............ 27620 ARTHROTOMY, ANKLE, WITH JOINT EXPLORATION,
WITH OR WITHOUT BIOPSY, WITH OR WITHOUT
REMOVAL OF LOOSE OR FOREIGN BODY
252............ 27625 ARTHROTOMY, ANKLE, WITH SYNOVECTOMY;
252............ 27626 ARTHROTOMY, ANKLE, WITH SYNOVECTOMY;
INCLUDING TENOSYNOVECTOMY
252............ 27635 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TIBIA OR FIBULA;
252............ 27637 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TIBIA OR FIBULA; WITH
AUTOGRAFT (INCLUDES OBTAINING GRAFT)
252............ 27638 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TIBIA OR FIBULA; WITH
ALLOGRAFT
252............ 27641 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS OR EXOSTOSIS);
FIBULA
252............ 27665 REPAIR OR SUTURE OF EXTENSOR TENDON OF LEG;
SECONDARY WITH OR WITHOUT GRAFT, SINGLE
TENDON, EACH
252............ 27676 REPAIR FOR DISLOCATING PERONEAL TENDONS;
WITH FIBULAR OSTEOTOMY
252............ 27680 TENOLYSIS, INCLUDING TIBIA, FIBULA, AND
ANKLE FLEXOR; SINGLE
252............ 27681 TENOLYSIS, INCLUDING TIBIA, FIBULA, AND
ANKLE FLEXOR; MULTIPLE (THROUGH SAME
INCISION), EACH
252............ 27685 LENGTHENING OR SHORTENING OF TENDON, LEG OR
ANKLE; SINGLE (SEPARATE PROCEDURE)
252............ 27686 LENGTHENING OR SHORTENING OF TENDON, LEG OR
ANKLE; MULTIPLE (THROUGH SAME INCISION),
EACH
252............ 27687 GASTROCNEMIUS RECESSION (EG, STRAYER
PROCEDURE)
252............ 27695 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED
LIGAMENT, ANKLE; COLLATERAL
252............ 27696 SUTURE, PRIMARY, TORN, RUPTURED OR SEVERED
LIGAMENT, ANKLE; BOTH COLLATERAL LIGAMENTS
252............ 27698 SUTURE, SECONDARY REPAIR, TORN, RUPTURED OR
SEVERED LIGAMENT, ANKLE, COLLATERAL (EG,
WATSON-JONES PROCEDURE)
252............ 27709 OSTEOTOMY; TIBIA AND FIBULA
[[Page 32486]]
252............ 27730 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR
STAPLING; DISTAL TIBIA
252............ 27732 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR
STAPLING; DISTAL FIBULA
252............ 27734 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR
STAPLING; DISTAL TIBIA AND FIBULA
252............ 27740 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR
STAPLING, COMBINED, PROXIMAL AND DISTAL
TIBIA AND FIBULA;
252............ 27889 ANKLE DISARTICULATION
253............ 23020 CAPSULAR CONTRACTURE RELEASE (SEVER TYPE
PROCEDURE)
253............ 23120 CLAVICULECTOMY; PARTIAL
253............ 23130 ACROMIOPLASTY OR ACROMIONECTOMY, PARTIAL
253............ 23415 CORACOACROMIAL LIGAMENT RELEASE, WITH OR
WITHOUT ACROMIOPLASTY
253............ 23480 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT
INTERNAL FIXATION;
253............ 23485 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT
INTERNAL FIXATION; WITH BONE GRAFT FOR
NONUNION OR MALUNION (INCLUDES OBTAINING
GRAFT AND/OR NECESSARY FIXATION)
253............ 23490 PROPHYLACTIC TREATMENT (NAILING, PINNING,
PLATING OR WIRING) WITH OR WITHOUT
METHYLMETHACRYLATE; CLAVICLE
253............ 23491 PROPHYLACTIC TREATMENT (NAILING, PINNING,
PLATING OR WIRING) WITH OR WITHOUT
METHYLMETHACRYLATE; PROXIMAL HUMERUS AND
HUMERAL HEAD
253............ 23800 ARTHRODESIS, SHOULDER JOINT; WITH OR
WITHOUT LOCAL BONE GRAFT
253............ 23802 ARTHRODESIS, SHOULDER JOINT; WITH PRIMARY
AUTOGENOUS GRAFT (INCLUDES OBTAINING
GRAFT)
253............ 24155 RESECTION OF ELBOW JOINT (ARTHRECTOMY)
253............ 24320 TENOPLASTY, WITH MUSCLE TRANSFER, WITH OR
WITHOUT FREE GRAFT, ELBOW TO SHOULDER,
SINGLE (SEDDON-BROOKES TYPE PROCEDURE)
253............ 24330 FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE
ADVANCEMENT);
253............ 24331 FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE
ADVANCEMENT); WITH EXTENSOR ADVANCEMENT
253............ 24340 TENODESIS OF BICEPS TENDON AT ELBOW
(SEPARATE PROCEDURE)
253............ 24341 REPAIR, TENDON OR MUSCLE, UPPER ARM OR
ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR
SECONDARY (EXCLUDES ROTATOR CUFF)
253............ 24342 REINSERTION OF RUPTURED BICEPS OR TRICEPS
TENDON, DISTAL, WITH OR WITHOUT TENDON
GRAFT
253............ 24420 OSTEOPLASTY, HUMERUS (EG, SHORTENING OR
LENGTHENING) (EXCLUDING 64876)
253............ 24430 REPAIR OF NONUNION OR MALUNION, HUMERUS;
WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)
253............ 24435 REPAIR OF NONUNION OR MALUNION, HUMERUS;
WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES
OBTAINING GRAFT)
253............ 24470 HEMIEPIPHYSEAL ARREST (EG, FOR CUBITUS
VARUS OR VALGUS, DISTAL HUMERUS)
253............ 24498 PROPHYLACTIC TREATMENT (NAILING, PINNING,
PLATING OR WIRING), WITH OR WITHOUT
METHYLMETHACRYLATE, HUMERUS
253............ 24800 ARTHRODESIS, ELBOW JOINT; WITH OR WITHOUT
LOCAL AUTOGRAFT OR ALLOGRAFT
253............ 24802 ARTHRODESIS, ELBOW JOINT; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT OTHER THAN
LOCALLY OBTAINED)
253............ 25310 TENDON TRANSPLANTATION OR TRANSFER, FLEXOR
OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE;
EACH TENDON
253............ 25312 TENDON TRANSPLANTATION OR TRANSFER, FLEXOR
OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE;
WITH TENDON GRAFT(S) (INCLUDES OBTAINING
GRAFT), EACH TENDON
253............ 25315 FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL
PALSY, VOLKMANN CONTRACTURE), FOREARM AND/
OR WRIST;
253............ 25316 FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL
PALSY, VOLKMANN CONTRACTURE), FOREARM AND/
OR WRIST; WITH TENDON(S) TRANSFER
253............ 25320 CAPSULORRHAPHY OR RECONSTRUCTION, WRIST,
ANY METHOD (EG, CAPSULODESIS, LIGAMENT
REPAIR, TENDON TRANSFER OR GRAFT)
(INCLUDES SYNOVECTOMY, CAPSULOTOMY AND
OPEN REDUCTION) FOR CARPAL INSTABILITY
253............ 25335 CENTRALIZATION OF WRIST ON ULNA (EG, RADIAL
CLUB HAND)
253............ 25337 RECONSTRUCTION FOR STABILIZATION OF
UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR
JOINT, SECONDARY BY SOFT TISSUE
STABILIZATION (EG, TENDON TRANSFER, TENDON
GRAFT OR WEAVE, OR TENODESIS) WITH OR
WITHOUT OPEN REDUCTION OF DISTAL
RADIOULNAR JOINT
253............ 25350 OSTEOTOMY, RADIUS; DISTAL THIRD
253............ 25355 OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD
253............ 25370 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON
INTRAMEDULLARY ROD (SOFIELD TYPE
PROCEDURE); RADIUS OR ULNA
253............ 25375 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON
INTRAMEDULLARY ROD (SOFIELD TYPE
PROCEDURE); RADIUS AND ULNA
253............ 25425 REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS OR
ULNA
253............ 25426 REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS AND
ULNA
253............ 25440 REPAIR OF NONUNION, SCAPHOID (NAVICULAR)
BONE, WITH OR WITHOUT RADIAL STYLOIDECTOMY
(INCLUDES OBTAINING GRAFT AND NECESSARY
FIXATION)
253............ 25450 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR
STAPLING; DISTAL RADIUS OR ULNA
253............ 25455 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR
STAPLING; DISTAL RADIUS AND ULNA
253............ 25490 PROPHYLACTIC TREATMENT (NAILING, PINNING,
PLATING OR WIRING) WITH OR WITHOUT
METHYLMETHACRYLATE; RADIUS
253............ 25491 PROPHYLACTIC TREATMENT (NAILING, PINNING,
PLATING OR WIRING) WITH OR WITHOUT
METHYLMETHACRYLATE; ULNA
253............ 25492 PROPHYLACTIC TREATMENT (NAILING, PINNING,
PLATING OR WIRING) WITH OR WITHOUT
METHYLMETHACRYLATE; RADIUS AND ULNA
253............ 25800 ARTHRODESIS, WRIST JOINT (INCLUDING
RADIOCARPAL AND/OR ULNOCARPAL FUSION);
WITHOUT BONE GRAFT
253............ 25805 ARTHRODESIS, WRIST JOINT (INCLUDING
RADIOCARPAL AND/OR ULNOCARPAL FUSION);
WITH SLIDING GRAFT
253............ 25810 ARTHRODESIS, WRIST JOINT (INCLUDING
RADIOCARPAL AND/OR ULNOCARPAL FUSION);
WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES
OBTAINING GRAFT)
253............ 25830 DISTAL RADIOULNAR JOINT ARTHRODESIS AND
SEGMENTAL RESECTION OF ULNA (EG, SAUVE-
KAPANDJI PROCEDURE), WITH OR WITHOUT BONE
GRAFT
253............ 27033 ARTHROTOMY, HIP, WITH EXPLORATION OR
REMOVAL OF LOOSE OR FOREIGN BODY
253............ 27100 TRANSFER EXTERNAL OBLIQUE MUSCLE TO GREATER
TROCHANTER INCLUDING FASCIAL OR TENDON
EXTENSION (GRAFT)
253............ 27105 TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES
FASCIAL OR TENDON EXTENSION GRAFT)
253............ 27110 TRANSFER ILIOPSOAS; TO GREATER TROCHANTER
253............ 27111 TRANSFER ILIOPSOAS; TO FEMORAL NECK
253............ 27395 LENGTHENING OF HAMSTRING TENDON; MULTIPLE,
BILATERAL
253............ 27397 TRANSPLANT, HAMSTRING TENDON TO PATELLA;
MULTIPLE
[[Page 32487]]
253............ 27400 TENDON OR MUSCLE TRANSFER, HAMSTRINGS TO
FEMUR (EGGERS TYPE PROCEDURE)
253............ 27405 REPAIR, PRIMARY, TORN LIGAMENT AND/OR
CAPSULE, KNEE; COLLATERAL
253............ 27407 REPAIR, PRIMARY, TORN LIGAMENT AND/OR
CAPSULE, KNEE; CRUCIATE
253............ 27409 REPAIR, PRIMARY, TORN LIGAMENT AND/OR
CAPSULE, KNEE; COLLATERAL AND CRUCIATE
LIGAMENTS
253............ 27418 ANTERIOR TIBIAL TUBERCLEPLASTY (EG, FOR
CHONDROMALACIA PATELLAE)
253............ 27420 RECONSTRUCTION FOR RECURRENT DISLOCATING
PATELLA; (HAUSER TYPE PROCEDURE)
253............ 27422 RECONSTRUCTION FOR RECURRENT DISLOCATING
PATELLA; WITH EXTENSOR REALIGNMENT AND/OR
MUSCLE ADVANCEMENT OR RELEASE (CAMPBELL,
GOLDWAITE TYPE PROCEDURE)
253............ 27424 RECONSTRUCTION FOR RECURRENT DISLOCATING
PATELLA; WITH PATELLECTOMY
253............ 27430 QUADRICEPSPLASTY (BENNETT OR THOMPSON TYPE)
253............ 27435 CAPSULOTOMY, KNEE, POSTERIOR CAPSULAR
RELEASE
253............ 27640 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS OR EXOSTOSIS);
TIBIA
253............ 27647 RADICAL RESECTION OF TUMOR, BONE; TALUS OR
CALCANEUS
253............ 27650 REPAIR, PRIMARY, OPEN OR PERCUTANEOUS,
RUPTURED ACHILLES TENDON;
253............ 27652 REPAIR, PRIMARY, OPEN OR PERCUTANEOUS,
RUPTURED ACHILLES TENDON; WITH GRAFT
(INCLUDES OBTAINING GRAFT)
253............ 27654 REPAIR, SECONDARY, RUPTURED ACHILLES
TENDON, WITH OR WITHOUT GRAFT
253............ 27690 TRANSFER OR TRANSPLANT OF SINGLE TENDON
(WITH MUSCLE REDIRECTION OR REROUTING);
SUPERFICIAL (EG, ANTERIOR TIBIAL EXTENSORS
INTO MIDFOOT)
253............ 27691 TRANSFER OR TRANSPLANT OF SINGLE TENDON
(WITH MUSCLE REDIRECTION OR REROUTING);
DEEP (EG, ANTERIOR TIBIAL OR POSTERIOR
TIBIAL THROUGH INTEROSSEOUS SPACE, FLEXOR
DIGITORUM LONGUS, FLEXOR HALLUCIS LONGUS,
OR PERONEAL TENDON TO MIDFOOT OR HINDFOOT)
253............ 27692 TRANSFER OR TRANSPLANT OF SINGLE TENDON
(WITH MUSCLE REDIRECTION OR REROUTING);
EACH ADDITIONAL TENDON
253............ 27705 OSTEOTOMY; TIBIA
253............ 27742 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR
STAPLING, COMBINED, PROXIMAL AND DISTAL
TIBIA AND FIBULA; AND DISTAL FEMUR
253............ 27745 PROPHYLACTIC TREATMENT (NAILING, PINNING,
PLATING OR WIRING) WITH OR WITHOUT
METHYLMETHACRYLATE, TIBIA
253............ 27870 ARTHRODESIS, ANKLE, ANY METHOD
253............ 27871 ARTHRODESIS, TIBIOFIBULAR JOINT, PROXIMAL
OR DISTAL
254............ 23410 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF
(EG, ROTATOR CUFF); ACUTE
254............ 23412 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF
(EG, ROTATOR CUFF); CHRONIC
254............ 23420 REPAIR OF COMPLETE SHOULDER (ROTATOR) CUFF
AVULSION, CHRONIC (INCLUDES ACROMIOPLASTY)
254............ 23430 TENODESIS OF LONG TENDON OF BICEPS
254............ 23450 CAPSULORRHAPHY, ANTERIOR; PUTTI-PLATT
PROCEDURE OR MAGNUSON TYPE OPERATION
254............ 23455 CAPSULORRHAPHY, ANTERIOR; BANKART TYPE
OPERATION WITH OR WITHOUT STAPLING
254............ 23460 CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH
BONE BLOCK
254............ 23462 CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH
CORACOID PROCESS TRANSFER
254............ 23465 CAPSULORRHAPHY FOR RECURRENT DISLOCATION,
POSTERIOR, WITH OR WITHOUT BONE BLOCK
254............ 23466 CAPSULORRHAPHY WITH ANY TYPE MULTI-
DIRECTIONAL INSTABILITY
254............ 27427 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION),
KNEE; EXTRA-ARTICULAR
254............ 27428 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION),
KNEE; INTRA-ARTICULAR (OPEN)
254............ 27429 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION),
KNEE; INTRA-ARTICULAR (OPEN) AND EXTRA-
ARTICULAR
261............ 25111 EXCISION OF GANGLION, WRIST (DORSAL OR
VOLAR); PRIMARY
261............ 25112 EXCISION OF GANGLION, WRIST (DORSAL OR
VOLAR); RECURRENT
261............ 25820 INTERCARPAL FUSION; WITHOUT BONE GRAFT
261............ 26020 DRAINAGE OF TENDON SHEATH, ONE DIGIT AND/OR
PALM
261............ 26025 DRAINAGE OF PALMAR BURSA; SINGLE, ULNAR OR
RADIAL
261............ 26030 DRAINAGE OF PALMAR BURSA; MULTIPLE OR
COMPLICATED
261............ 26034 INCISION, DEEP, WITH OPENING OF BONE CORTEX
(EG, FOR OSTEOMYELITIS OR BONE ABSCESS),
HAND OR FINGER
261............ 26035 DECOMPRESSION FINGERS AND/OR HAND,
INJECTION INJURY (EG, GREASE GUN)
261............ 26037 DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES
26035)
261............ 26055 TENDON SHEATH INCISION (EG, FOR TRIGGER
FINGER)
261............ 26060 TENOTOMY, PERCUTANEOUS, SINGLE, EACH DIGIT
261............ 26070 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR
REMOVAL OF FOREIGN BODY; CARPOMETACARPAL
JOINT
261............ 26075 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR
REMOVAL OF FOREIGN BODY;
METACARPOPHALANGEAL JOINT
261............ 26080 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR
REMOVAL OF FOREIGN BODY; INTERPHALANGEAL
JOINT, EACH
261............ 26100 ARTHROTOMY WITH SYNOVIAL BIOPSY;
CARPOMETACARPAL JOINT
261............ 26105 ARTHROTOMY WITH SYNOVIAL BIOPSY;
METACARPOPHALANGEAL JOINT
261............ 26110 ARTHROTOMY WITH SYNOVIAL BIOPSY;
INTERPHALANGEAL JOINT, EACH
261............ 26130 SYNOVECTOMY, CARPOMETACARPAL JOINT
261............ 26140 SYNOVECTOMY, PROXIMAL INTERPHALANGEAL
JOINT, INCLUDING EXTENSOR RECONSTRUCTION,
EACH INTERPHALANGEAL JOINT
261............ 26145 SYNOVECTOMY TENDON SHEATH, RADICAL
(TENOSYNOVECTOMY), FLEXOR, PALM OR FINGER,
SINGLE, EACH DIGIT
261............ 26160 EXCISION OF LESION OF TENDON SHEATH OR
CAPSULE (EG, CYST, MUCOUS CYST, OR
GANGLION), HAND OR FINGER
261............ 26170 EXCISION OF TENDON, PALM, FLEXOR, SINGLE
(SEPARATE PROCEDURE), EACH
261............ 26180 EXCISION OF TENDON, FINGER, FLEXOR
(SEPARATE PROCEDURE)
261............ 26185 SESAMOIDECTOMY, THUMB OR FINGER (SEPARATE
PROCEDURE)
261............ 26200 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF METACARPAL;
261............ 26210 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF PROXIMAL, MIDDLE, OR
DISTAL PHALANX OF FINGER;
261............ 26215 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF PROXIMAL, MIDDLE, OR
DISTAL PHALANX OF FINGER; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT)
261............ 26230 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS); METACARPAL
261............ 26235 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS); PROXIMAL OR
MIDDLE PHALANX OF FINGER
[[Page 32488]]
261............ 26236 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS); DISTAL PHALANX OF
FINGER
261............ 26250 RADICAL RESECTION (OSTECTOMY) FOR TUMOR,
METACARPAL;
261............ 26260 RADICAL RESECTION (OSTECTOMY) FOR TUMOR,
PROXIMAL OR MIDDLE PHALANX OF FINGER;
261............ 26261 RADICAL RESECTION (OSTECTOMY) FOR TUMOR,
PROXIMAL OR MIDDLE PHALANX OF FINGER; WITH
AUTOGRAFT (INCLUDES OBTAINING GRAFT)
261............ 26262 RADICAL RESECTION (OSTECTOMY) FOR TUMOR,
DISTAL PHALANX OF FINGER
261............ 26410 EXTENSOR TENDON REPAIR, DORSUM OF HAND,
SINGLE, PRIMARY OR SECONDARY; WITHOUT FREE
GRAFT, EACH TENDON
261............ 26418 EXTENSOR TENDON REPAIR, DORSUM OF FINGER,
SINGLE, PRIMARY OR SECONDARY; WITHOUT FREE
GRAFT, EACH TENDON
261............ 26432 EXTENSOR TENDON REPAIR, DISTAL INSERTION
(''MALLET FINGER''), CLOSED, SPLINTING
WITH OR WITHOUT PERCUTANEOUS PINNING
261............ 26433 EXTENSOR TENDON REPAIR, DISTAL INSERTION
(''MALLET FINGER''), OPEN, PRIMARY OR
SECONDARY REPAIR; WITHOUT GRAFT
261............ 26437 EXTENSOR TENDON REALIGNMENT, HAND
261............ 26440 TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM OR
FINGER, SINGLE, EACH TENDON
261............ 26445 TENOLYSIS, EXTENSOR TENDON, DORSUM OF HAND
OR FINGER; EACH TENDON
261............ 26450 TENOTOMY, FLEXOR, SINGLE, PALM, OPEN, EACH
261............ 26455 TENOTOMY, FLEXOR, SINGLE, FINGER, OPEN,
EACH
261............ 26460 TENOTOMY, EXTENSOR, HAND OR FINGER, SINGLE,
OPEN, EACH
261............ 26471 TENODESIS; FOR PROXIMAL INTERPHALANGEAL
JOINT STABILIZATION
261............ 26474 TENODESIS; FOR DISTAL JOINT STABILIZATION
261............ 26476 TENDON LENGTHENING, EXTENSOR, HAND OR
FINGER, SINGLE, EACH
261............ 26477 TENDON SHORTENING, EXTENSOR, HAND OR
FINGER, SINGLE, EACH
261............ 26478 TENDON LENGTHENING, FLEXOR, HAND OR FINGER,
SINGLE, EACH
261............ 26479 TENDON SHORTENING, FLEXOR, HAND OR FINGER,
SINGLE, EACH
261............ 26500 TENDON PULLEY RECONSTRUCTION; WITH LOCAL
TISSUES (SEPARATE PROCEDURE)
261............ 26508 THENAR MUSCLE RELEASE FOR THUMB CONTRACTURE
261............ 26520 CAPSULECTOMY OR CAPSULOTOMY FOR
CONTRACTURE; METACARPOPHALANGEAL JOINT,
SINGLE, EACH
261............ 26525 CAPSULECTOMY OR CAPSULOTOMY FOR
CONTRACTURE; INTERPHALANGEAL JOINT,
SINGLE, EACH
261............ 26540 REPAIR OF COLLATERAL LIGAMENT,
METACARPOPHALANGEAL OR INTERPHALANGEAL
JOINT
261............ 26542 RECONSTRUCTION, COLLATERAL LIGAMENT,
METACARPOPHALANGEAL JOINT, SINGLE; WITH
LOCAL TISSUE (EG, ADDUCTOR ADVANCEMENT)
261............ 26560 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB
SPACE; WITH SKIN FLAPS
261............ 26587 RECONSTRUCTION OF SUPERNUMERARY DIGIT, SOFT
TISSUE AND BONE
261............ 26593 RELEASE, INTRINSIC MUSCLES OF HAND
(SPECIFY)
261............ 26951 AMPUTATION, FINGER OR THUMB, PRIMARY OR
SECONDARY, ANY JOINT OR PHALANX, SINGLE,
INCLUDING NEURECTOMIES; WITH DIRECT
CLOSURE
261............ 26952 AMPUTATION, FINGER OR THUMB, PRIMARY OR
SECONDARY, ANY JOINT OR PHALANX, SINGLE,
INCLUDING NEURECTOMIES; WITH LOCAL
ADVANCEMENT FLAPS (V-Y, HOOD)
262............ 25210 CARPECTOMY; ONE BONE
262............ 25215 CARPECTOMY; ALL BONES OF PROXIMAL ROW
262............ 25825 INTERCARPAL FUSION; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT)
262............ 26040 FASCIOTOMY, PALMAR, FOR DUPUYTREN'S
CONTRACTURE; PERCUTANEOUS
262............ 26045 FASCIOTOMY, PALMAR, FOR DUPUYTREN'S
CONTRACTURE; OPEN, PARTIAL
262............ 26121 FASCIECTOMY, PALM ONLY, WITH OR WITHOUT Z-
PLASTY, OTHER LOCAL TISSUE REARRANGEMENT,
OR SKIN GRAFTING (INCLUDES OBTAINING
GRAFT)
262............ 26123 FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF
SINGLE DIGIT INCLUDING PROXIMAL
INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-
PLASTY, OTHER LOCAL TISSUE REARRANGEMENT,
OR SKIN GRAFTING (INCLUDES OBTAINING
GRAFT);
262............ 26125 FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF
SINGLE DIGIT INCLUDING PROXIMAL
INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-
PLASTY, OTHER LOCAL TISSUE REARRANGEMENT,
OR SKIN GRAFTING (INCLUDES OBTAINING
GRAFT); EACH ADDITIONAL DIGIT (LIST
SEPARATELY IN ADDITION TO CODE FOR PRIMARY
PROCEDURE)
262............ 26135 SYNOVECTOMY, METACARPOPHALANGEAL JOINT
INCLUDING INTRINSIC RELEASE AND EXTENSOR
HOOD RECONSTRUCTION, EACH DIGIT
262............ 26205 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR OF METACARPAL; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT)
262............ 26255 RADICAL RESECTION (OSTECTOMY) FOR TUMOR,
METACARPAL; WITH AUTOGRAFT (INCLUDES
OBTAINING GRAFT)
262............ 26350 FLEXOR TENDON REPAIR OR ADVANCEMENT,
SINGLE, NOT IN ''NO MAN'S LAND''; PRIMARY
OR SECONDARY WITHOUT FREE GRAFT, EACH
TENDON
262............ 26352 FLEXOR TENDON REPAIR OR ADVANCEMENT,
SINGLE, NOT IN ''NO MAN'S LAND'';
SECONDARY WITH FREE GRAFT (INCLUDES
OBTAINING GRAFT), EACH TENDON
262............ 26356 FLEXOR TENDON REPAIR OR ADVANCEMENT,
SINGLE, IN ''NO MAN'S LAND''; PRIMARY,
EACH TENDON
262............ 26357 FLEXOR TENDON REPAIR OR ADVANCEMENT,
SINGLE, IN ''NO MAN'S LAND''; SECONDARY,
EACH TENDON
262............ 26358 FLEXOR TENDON REPAIR OR ADVANCEMENT,
SINGLE, IN ''NO MAN'S LAND''; SECONDARY
WITH FREE GRAFT (INCLUDES OBTAINING
GRAFT), EACH TENDON
262............ 26370 PROFUNDUS TENDON REPAIR OR ADVANCEMENT,
WITH INTACT SUBLIMIS; PRIMARY
262............ 26372 PROFUNDUS TENDON REPAIR OR ADVANCEMENT,
WITH INTACT SUBLIMIS; SECONDARY WITH FREE
GRAFT (INCLUDES OBTAINING GRAFT)
262............ 26373 PROFUNDUS TENDON REPAIR OR ADVANCEMENT,
WITH INTACT SUBLIMIS; SECONDARY WITHOUT
FREE GRAFT
262............ 26390 FLEXOR TENDON EXCISION, IMPLANTATION OF
PLASTIC TUBE OR ROD FOR DELAYED TENDON
GRAFT, HAND OR FINGER
62............. 26392 REMOVAL OF TUBE OR ROD AND INSERTION OF
FLEXOR TENDON GRAFT (INCLUDES OBTAINING
GRAFT), HAND OR FINGER
262............ 26412 EXTENSOR TENDON REPAIR, DORSUM OF HAND,
SINGLE, PRIMARY OR SECONDARY; WITH FREE
GRAFT (INCLUDES OBTAINING GRAFT), EACH
TENDON
262............ 26415 EXTENSOR TENDON EXCISION, IMPLANTATION OF
PLASTIC TUBE OR ROD FOR DELAYED EXTENSOR
TENDON GRAFT, HAND OR FINGER
[[Page 32489]]
262............ 26416 REMOVAL OF TUBE OR ROD AND INSERTION OF
EXTENSOR TENDON GRAFT (INCLUDES OBTAINING
GRAFT), HAND OR FINGER
262............ 26420 EXTENSOR TENDON REPAIR, DORSUM OF FINGER,
SINGLE, PRIMARY OR SECONDARY; WITH FREE
GRAFT (INCLUDES OBTAINING GRAFT) EACH
TENDON
262............ 26426 EXTENSOR TENDON REPAIR, CENTRAL SLIP
REPAIR, SECONDARY (BOUTONNIERE DEFORMITY);
USING LOCAL TISSUES
262............ 26428 EXTENSOR TENDON REPAIR, CENTRAL SLIP
REPAIR, SECONDARY (BOUTONNIERE DEFORMITY);
WITH FREE GRAFT (INCLUDES OBTAINING GRAFT)
262............ 26434 EXTENSOR TENDON REPAIR, DISTAL INSERTION
(''MALLET FINGER''), OPEN, PRIMARY OR
SECONDARY REPAIR; WITH FREE GRAFT
(INCLUDES OBTAINING GRAFT)
262............ 26442 TENOLYSIS, SIMPLE, FLEXOR TENDON; PALM AND
FINGER, EACH TENDON
262............ 26449 TENOLYSIS, COMPLEX, EXTENSOR TENDON, DORSUM
OF HAND OR FINGER, INCLUDING HAND AND
FOREARM
262............ 26480 TENDON TRANSFER OR TRANSPLANT,
CARPOMETACARPAL AREA OR DORSUM OF HAND,
SINGLE; WITHOUT FREE GRAFT, EACH
262............ 26483 TENDON TRANSFER OR TRANSPLANT,
CARPOMETACARPAL AREA OR DORSUM OF HAND,
SINGLE; WITH FREE TENDON GRAFT (INCLUDES
OBTAINING GRAFT), EACH TENDON
262............ 26485 TENDON TRANSFER OR TRANSPLANT, PALMAR,
SINGLE, EACH TENDON; WITHOUT FREE TENDON
GRAFT
262............ 26489 TENDON TRANSFER OR TRANSPLANT, PALMAR,
SINGLE, EACH TENDON; WITH FREE TENDON
GRAFT (INCLUDES OBTAINING GRAFT), EACH
TENDON
262............ 26490 OPPONENSPLASTY; SUBLIMIS TENDON TRANSFER
TYPE
262............ 26492 OPPONENSPLASTY; TENDON TRANSFER WITH GRAFT
(INCLUDES OBTAINING GRAFT)
262............ 26494 OPPONENSPLASTY; HYPOTHENAR MUSCLE TRANSFER
262............ 26496 OPPONENSPLASTY; OTHER METHODS
262............ 26497 TENDON TRANSFER TO RESTORE INTRINSIC
FUNCTION; RING AND SMALL FINGER
262............ 26498 TENDON TRANSFER TO RESTORE INTRINSIC
FUNCTION; ALL FOUR FINGERS
262............ 26499 CORRECTION CLAW FINGER, OTHER METHODS
262............ 26502 TENDON PULLEY RECONSTRUCTION; WITH TENDON
OR FASCIAL GRAFT (INCLUDES OBTAINING
GRAFT) (SEPARATE PROCEDURE)
262............ 26504 TENDON PULLEY RECONSTRUCTION; WITH TENDON
PROSTHESIS (SEPARATE PROCEDURE)
262............ 26510 CROSS INTRINSIC TRANSFER
262............ 26516 CAPSULODESIS FOR M-P JOINT STABILIZATION;
SINGLE DIGIT
262............ 26517 CAPSULODESIS FOR M-P JOINT STABILIZATION;
TWO DIGITS
262............ 26518 CAPSULODESIS FOR M-P JOINT STABILIZATION;
THREE OR FOUR DIGITS
262............ 26541 RECONSTRUCTION, COLLATERAL LIGAMENT,
METACARPOPHALANGEAL JOINT, SINGLE; WITH
TENDON OR FASCIAL GRAFT (INCLUDES
OBTAINING GRAFT)
262............ 26545 RECONSTRUCTION, COLLATERAL LIGAMENT,
INTERPHALANGEAL JOINT, SINGLE, INCLUDING
GRAFT, EACH JOINT
262............ 26546 REPAIR NON-UNION, METACARPAL OR PHALANX,
(INCLUDES OBTAINING BONE GRAFT WITH OR
WITHOUT EXTERNAL OR INTERNAL FIXATION)
262............ 26548 REPAIR AND RECONSTRUCTION, FINGER, VOLAR
PLATE, INTERPHALANGEAL JOINT
262............ 26550 POLLICIZATION OF A DIGIT
262............ 26555 POSITIONAL CHANGE OF OTHER FINGER
262............ 26561 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB
SPACE; WITH SKIN FLAPS AND GRAFTS
262............ 26562 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB
SPACE; COMPLEX (EG, INVOLVING BONE, NAILS)
262............ 26565 OSTEOTOMY FOR CORRECTION OF DEFORMITY;
METACARPAL
262............ 26567 OSTEOTOMY FOR CORRECTION OF DEFORMITY;
PHALANX OF FINGER
262............ 26568 OSTEOPLASTY FOR LENGTHENING OF METACARPAL
OR PHALANX
262............ 26580 REPAIR CLEFT HAND
262............ 26585 REPAIR BIFID DIGIT
262............ 26590 REPAIR MACRODACTYLIA
262............ 26591 REPAIR, INTRINSIC MUSCLES OF HAND (SPECIFY)
262............ 26596 EXCISION OF CONSTRICTING RING OF FINGER,
WITH MULTIPLE Z-PLASTIES
262............ 26597 RELEASE OF SCAR CONTRACTURE, FLEXOR OR
EXTENSOR, WITH SKIN GRAFTS, REARRANGEMENT
FLAPS, OR Z-PLASTIES, HAND AND/OR FINGER
262............ 26820 FUSION IN OPPOSITION, THUMB, WITH
AUTOGENOUS GRAFT (INCLUDES OBTAINING
GRAFT)
262............ 26841 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB,
WITH OR WITHOUT INTERNAL FIXATION;
262............ 26842 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB,
WITH OR WITHOUT INTERNAL FIXATION; WITH
AUTOGRAFT (INCLUDES OBTAINING GRAFT)
262............ 26843 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS,
OTHER THAN THUMB;
262............ 26844 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGITS,
OTHER THAN THUMB; WITH AUTOGRAFT (INCLUDES
OBTAINING GRAFT)
262............ 26850 ARTHRODESIS, METACARPOPHALANGEAL JOINT,
WITH OR WITHOUT INTERNAL FIXATION;
262............ 26852 ARTHRODESIS, METACARPOPHALANGEAL JOINT,
WITH OR WITHOUT INTERNAL FIXATION; WITH
AUTOGRAFT (INCLUDES OBTAINING GRAFT)
262............ 26860 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
WITHOUT INTERNAL FIXATION;
262............ 26861 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
WITHOUT INTERNAL FIXATION; EACH ADDITIONAL
INTERPHALANGEAL JOINT
262............ 26862 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT)
262............ 26863 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR
WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT), EACH
ADDITIONAL JOINT
262............ 26910 AMPUTATION, METACARPAL, WITH FINGER OR
THUMB (RAY AMPUTATION), SINGLE, WITH OR
WITHOUT INTEROSSEOUS TRANSFER
271............ 27605 TENOTOMY, ACHILLES TENDON, SUBCUTANEOUS
(SEPARATE PROCEDURE); *LOCAL ANESTHESIA
271............ 28005 INCISION, DEEP, WITH OPENING OF BONE CORTEX
(EG, FOR OSTEOMYELITIS OR BONE ABSCESS),
FOOT
271............ 28008 FASCIOTOMY, FOOT AND/OR TOE
271............ 28010 TENOTOMY, SUBCUTANEOUS, TOE; SINGLE
271............ 28011 TENOTOMY, SUBCUTANEOUS, TOE; MULTIPLE
[[Page 32490]]
271............ 28020 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR
REMOVAL OF LOOSE OR FOREIGN BODY;
INTERTARSAL OR TARSOMETATARSAL JOINT
271............ 28022 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR
REMOVAL OF LOOSE OR FOREIGN BODY;
METATARSOPHALANGEAL JOINT
271............ 28024 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR
REMOVAL OF LOOSE OR FOREIGN BODY;
INTERPHALANGEAL JOINT
271............ 28045 EXCISION, TUMOR, FOOT; DEEP, SUBFASCIAL,
INTRAMUSCULAR
271............ 28046 RADICAL RESECTION OF TUMOR (EG, MALIGNANT
NEOPLASM), SOFT TISSUE OF FOOT
271............ 28050 ARTHROTOMY FOR SYNOVIAL BIOPSY; INTERTARSAL
OR TARSOMETATARSAL JOINT
271............ 28052 ARTHROTOMY FOR SYNOVIAL BIOPSY;
METATARSOPHALANGEAL JOINT
271............ 28054 ARTHROTOMY FOR SYNOVIAL BIOPSY;
INTERPHALANGEAL JOINT
271............ 28080 EXCISION OF INTERDIGITAL (MORTON) NEUROMA,
SINGLE, EACH
271............ 28086 SYNOVECTOMY, TENDON SHEATH, FOOT; FLEXOR
271............ 28088 SYNOVECTOMY, TENDON SHEATH, FOOT; EXTENSOR
271............ 28090 EXCISION OF LESION OF TENDON OR FIBROUS
SHEATH OR CAPSULE (INCLUDING SYNOVECTOMY)
(CYST OR GANGLION); FOOT
271............ 28092 EXCISION OF LESION OF TENDON OR FIBROUS
SHEATH OR CAPSULE (INCLUDING SYNOVECTOMY)
(CYST OR GANGLION); TOES
271............ 28100 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TALUS OR CALCANEUS;
271............ 28104 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TARSAL OR METATARSAL BONES,
EXCEPT TALUS OR CALCANEUS;
271............ 28108 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, PHALANGES OF FOOT
271............ 28111 OSTECTOMY, COMPLETE EXCISION; FIRST
METATARSAL HEAD
271............ 28112 OSTECTOMY, COMPLETE EXCISION; OTHER
METATARSAL HEAD (SECOND, THIRD OR FOURTH)
271............ 28113 OSTECTOMY, COMPLETE EXCISION; FIFTH
METATARSAL HEAD
271............ 28114 OSTECTOMY, COMPLETE EXCISION; ALL
METATARSAL HEADS, WITH PARTIAL PROXIMAL
PHALANGECTOMY, EXCLUDING FIRST METATARSAL
(CLAYTON TYPE PROCEDURE)
271............ 28116 OSTECTOMY, EXCISION OF TARSAL COALITION
271............ 28118 OSTECTOMY, CALCANEUS;
271............ 28119 OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR
WITHOUT PLANTAR FASCIAL RELEASE
271............ 28120 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, SEQUESTRECTOMY, OR
DIAPHYSECTOMY) OF BONE (EG, FOR
OSTEOMYELITIS OR TALAR BOSSING), TALUS OR
CALCANEUS
271............ 28122 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS OR TARSAL BOSSING),
TARSAL OR METATARSAL BONE, EXCEPT TALUS OR
CALCANEUS
271............ 28124 PARTIAL EXCISION (CRATERIZATION,
SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE
(EG, FOR OSTEOMYELITIS OR DORSAL BOSSING),
PHALANX OF TOE
271............ 28126 RESECTION, PARTIAL OR COMPLETE, PHALANGEAL
BASE, SINGLE TOE, EACH
271............ 28130 TALECTOMY (ASTRAGALECTOMY)
271............ 28140 METATARSECTOMY
271............ 28150 PHALANGECTOMY OF TOE, SINGLE, EACH
271............ 28153 RESECTION, HEAD OF PHALANX, TOE
271............ 28160 HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT
EXCISION, TOE, SINGLE, EACH
271............ 28171 RADICAL RESECTION OF TUMOR, BONE; TARSAL
(EXCEPT TALUS OR CALCANEUS)
271............ 28173 RADICAL RESECTION OF TUMOR, BONE;
METATARSAL
271............ 28175 RADICAL RESECTION OF TUMOR, BONE; PHALANX
OF TOE
271............ 28200 REPAIR OR SUTURE OF TENDON, FOOT, FLEXOR,
SINGLE; PRIMARY OR SECONDARY, WITHOUT FREE
GRAFT, EACH TENDON
271............ 28208 REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR,
SINGLE; PRIMARY OR SECONDARY, EACH TENDON
271............ 28210 REPAIR OR SUTURE OF TENDON, FOOT, EXTENSOR,
SINGLE; SECONDARY WITH FREE GRAFT, EACH
TENDON (INCLUDES OBTAINING GRAFT)
271............ 28220 TENOLYSIS, FLEXOR, FOOT; SINGLE
271............ 28222 TENOLYSIS, FLEXOR, FOOT; MULTIPLE (THROUGH
SAME INCISION)
271............ 28225 TENOLYSIS, EXTENSOR, FOOT; SINGLE
271............ 28226 TENOLYSIS, EXTENSOR, FOOT; MULTIPLE
(THROUGH SAME INCISION)
271............ 28230 TENOTOMY, OPEN, FLEXOR; FOOT, SINGLE OR
MULTIPLE (SEPARATE PROCEDURE)
271............ 28232 TENOTOMY, OPEN, FLEXOR; TOE, SINGLE
(SEPARATE PROCEDURE)
271............ 28234 TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE
271............ 28240 TENOTOMY, LENGTHENING, OR RELEASE, ABDUCTOR
HALLUCIS MUSCLE
271............ 28270 CAPSULOTOMY; METATARSOPHALANGEAL JOINT,
WITH OR WITHOUT TENORRHAPHY, SINGLE, EACH
JOINT (SEPARATE PROCEDURE)
271............ 28272 CAPSULOTOMY; INTERPHALANGEAL JOINT, SINGLE,
EACH JOINT (SEPARATE PROCEDURE)
271............ 28280 WEBBING OPERATION (CREATE SYNDACTYLISM OF
TOES) (KELIKIAN TYPE PROCEDURE)
271............ 28285 HAMMERTOE OPERATION, ONE TOE (EG,
INTERPHALANGEAL FUSION, FILLETING,
PHALANGECTOMY)
271............ 28286 COCK-UP FIFTH TOE OPERATION WITH PLASTIC
SKIN CLOSURE (RUIZ-MORA TYPE PROCEDURE)
271............ 28310 OSTEOTOMY FOR SHORTENING, ANGULAR OR
ROTATIONAL CORRECTION; PROXIMAL PHALANX,
FIRST TOE (SEPARATE PROCEDURE)
271............ 28312 OSTEOTOMY FOR SHORTENING, ANGULAR OR
ROTATIONAL CORRECTION; OTHER PHALANGES,
ANY TOE
271............ 28313 RECONSTRUCTION, ANGULAR DEFORMITY OF TOE
(OVERLAPPING SECOND TOE, FIFTH TOE, CURLY
TOES), SOFT TISSUE PROCEDURES ONLY
271............ 28315 SESAMOIDECTOMY, FIRST TOE (SEPARATE
PROCEDURE)
271............ 28340 RECONSTRUCTION, TOE, MACRODACTYLY; SOFT
TISSUE RESECTION
271............ 28341 RECONSTRUCTION, TOE, MACRODACTYLY;
REQUIRING BONE RESECTION
271............ 28737 ARTHRODESIS, MIDTARSAL NAVICULAR-CUNEIFORM,
WITH TENDON LENGTHENING AND ADVANCEMENT
(MILLER TYPE PROCEDURE)
271............ 28750 ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL
JOINT
271............ 28755 ARTHRODESIS, GREAT TOE; INTERPHALANGEAL
JOINT
[[Page 32491]]
271............ 28810 AMPUTATION, METATARSAL, WITH TOE, SINGLE
271............ 28820 AMPUTATION, TOE; METATARSOPHALANGEAL JOINT
271............ 28825 AMPUTATION, TOE; INTERPHALANGEAL JOINT
271............ 29893 ENDOSCOPIC PLANTAR FASCIOTOMY
272............ 28060 FASCIECTOMY, EXCISION OF PLANTAR FASCIA;
PARTIAL (SEPARATE PROCEDURE)
272............ 28062 FASCIECTOMY, EXCISION OF PLANTAR FASCIA;
RADICAL (SEPARATE PROCEDURE)
272............ 28070 SYNOVECTOMY; INTERTARSAL OR TARSOMETATARSAL
JOINT, EACH
272............ 28072 SYNOVECTOMY; METATARSOPHALANGEAL JOINT,
EACH
272............ 28102 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TALUS OR CALCANEUS; WITH
ILIAC OR OTHER AUTOGRAFT (INCLUDES
OBTAINING GRAFT)
272............ 28103 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TALUS OR CALCANEUS; WITH
ALLOGRAFT
272............ 28106 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TARSAL OR METATARSAL BONES,
EXCEPT TALUS OR CALCANEUS; WITH ILIAC OR
OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)
272............ 28107 EXCISION OR CURETTAGE OF BONE CYST OR
BENIGN TUMOR, TARSAL OR METATARSAL BONES,
EXCEPT TALUS OR CALCANEUS; WITH ALLOGRAFT
272............ 28202 REPAIR OR SUTURE OF TENDON, FOOT, FLEXOR,
SINGLE; SECONDARY WITH FREE GRAFT, EACH
TENDON (INCLUDES OBTAINING GRAFT)
272............ 28238 ADVANCEMENT OF POSTERIOR TIBIAL TENDON WITH
EXCISION OF ACCESSORY NAVICULAR BONE
(KIDNER TYPE PROCEDURE)
272............ 28250 DIVISION OF PLANTAR FASCIA AND MUSCLE
(``STEINDLER STRIPPING'') (SEPARATE
PROCEDURE)
272............ 28260 CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY
(SEPARATE PROCEDURE)
272............ 28261 CAPSULOTOMY, MIDFOOT; WITH TENDON
LENGTHENING
272............ 28262 CAPSULOTOMY, MIDFOOT; EXTENSIVE, INCLUDING
POSTERIOR TALOTIBIAL CAPSULOTOMY AND
TENDON(S) LENGTHENING AS FOR RESISTANT
CLUBFOOT DEFORMITY
272............ 28264 CAPSULOTOMY, MIDTARSAL (HEYMAN TYPE
PROCEDURE)
272............ 28288 OSTECTOMY, PARTIAL, EXOSTECTOMY OR
CONDYLECTOMY, SINGLE, METATARSAL HEAD,
FIRST THROUGH FIFTH, EACH METATARSAL HEAD
272............ 28300 OSTEOTOMY; CALCANEUS (DWYER OR CHAMBERS
TYPE PROCEDURE), WITH OR WITHOUT INTERNAL
FIXATION
272............ 28302 OSTEOTOMY; TALUS
272............ 28304 OSTEOTOMY, MIDTARSAL BONES, OTHER THAN
CALCANEUS OR TALUS;
272............ 28305 OSTEOTOMY, MIDTARSAL BONES, OTHER THAN
CALCANEUS OR TALUS; WITH AUTOGRAFT
(INCLUDES OBTAINING GRAFT) (FOWLER TYPE)
272............ 28306 OSTEOTOMY, METATARSAL, BASE OR SHAFT,
SINGLE, WITH OR WITHOUT LENGTHENING, FOR
SHORTENING OR ANGULAR CORRECTION; FIRST
METATARSAL
272............ 28307 OSTEOTOMY, METATARSAL, BASE OR SHAFT,
SINGLE, WITH OR WITHOUT LENGTHENING, FOR
SHORTENING OR ANGULAR CORRECTION; FIRST
METATARSAL WITH AUTOGRAFT
272............ 28308 OSTEOTOMY, METATARSAL, BASE OR SHAFT,
SINGLE, WITH OR WITHOUT LENGTHENING, FOR
SHORTENING OR ANGULAR CORRECTION; OTHER
THAN FIRST METATARSAL
272............ 28309 OSTEOTOMY, METATARSALS, MULTIPLE, FOR CAVUS
FOOT (SWANSON TYPE PROCEDURE)
272............ 28320 REPAIR OF NONUNION OR MALUNION; TARSAL
BONES (EG, CALCANEUS, TALUS)
272............ 28322 REPAIR OF NONUNION OR MALUNION; METATARSAL,
WITH OR WITHOUT BONE GRAFT (INCLUDES
OBTAINING GRAFT)
272............ 28344 RECONSTRUCTION, TOE(S); POLYDACTYLY
272............ 28345 RECONSTRUCTION, TOE(S); SYNDACTYLY, WITH OR
WITHOUT SKIN GRAFT(S), EACH WEB
272............ 28360 RECONSTRUCTION, CLEFT FOOT
272............ 28705 PANTALAR ARTHRODESIS
272............ 28715 TRIPLE ARTHRODESIS
272............ 28725 SUBTALAR ARTHRODESIS
272............ 28730 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL,
MULTIPLE OR TRANSVERSE
272............ 28735 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL,
MULTIPLE OR TRANSVERSE; WITH OSTEOTOMY AS
FOR FLATFOOT CORRECTION
272............ 28740 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL,
SINGLE JOINT
272............ 28760 ARTHRODESIS, GREAT TOE, INTERPHALANGEAL
JOINT, WITH EXTENSOR HALLUCIS LONGUS
TRANSFER TO FIRST METATARSAL NECK (JONES
TYPE PROCEDURE)
276............ 28110 OSTECTOMY, PARTIAL EXCISION, FIFTH
METATARSAL HEAD (BUNIONETTE) (SEPARATE
PROCEDURE)
276............ 28290 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; SIMPLE EXOSTECTOMY
(SILVER TYPE PROCEDURE)
276............ 28292 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; KELLER, MCBRIDE,
OR MAYO TYPE PROCEDURE
276............ 28293 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; RESECTION OF JOINT
WITH IMPLANT
276............ 28294 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; WITH TENDON
TRANSPLANTS (JOPLIN TYPE PROCEDURE)
276............ 28296 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; WITH METATARSAL
OSTEOTOMY (EG, MITCHELL, CHEVRON, OR
CONCENTRIC TYPE PROCEDURES)
276............ 28297 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; LAPIDUS TYPE
PROCEDURE
276............ 28298 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; BY PHALANX
OSTEOTOMY
276............ 28299 HALLUX VALGUS (BUNION) CORRECTION, WITH OR
WITHOUT SESAMOIDECTOMY; BY OTHER METHODS
(EG, DOUBLE OSTEOTOMY)
280............ 29800 ARTHROSCOPY, TEMPOROMANDIBULAR JOINT,
DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL
BIOPSY (SEPARATE PROCEDURE)
280............ 29815 ARTHROSCOPY, SHOULDER, DIAGNOSTIC, WITH OR
WITHOUT SYNOVIAL BIOPSY (SEPARATE
PROCEDURE)
280............ 29830 ARTHROSCOPY, ELBOW, DIAGNOSTIC, WITH OR
WITHOUT SYNOVIAL BIOPSY (SEPARATE
PROCEDURE)
280............ 29840 ARTHROSCOPY, WRIST, DIAGNOSTIC, WITH OR
WITHOUT SYNOVIAL BIOPSY (SEPARATE
PROCEDURE)
280............ 29870 ARTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR
WITHOUT SYNOVIAL BIOPSY (SEPARATE
PROCEDURE)
281............ 29804 ARTHROSCOPY, TEMPOROMANDIBULAR JOINT,
SURGICAL
281............ 29819 ARTHROSCOPY, SHOULDER, SURGICAL; WITH
REMOVAL OF LOOSE BODY OR FOREIGN BODY
[[Page 32492]]
281............ 29820 ARTHROSCOPY, SHOULDER, SURGICAL;
SYNOVECTOMY, PARTIAL
281............ 29821 ARTHROSCOPY, SHOULDER, SURGICAL;
SYNOVECTOMY, COMPLETE
281............ 29822 ARTHROSCOPY, SHOULDER, SURGICAL;
DEBRIDEMENT, LIMITED
281............ 29823 ARTHROSCOPY, SHOULDER, SURGICAL;
DEBRIDEMENT, EXTENSIVE
281............ 29825 ARTHROSCOPY, SHOULDER, SURGICAL; WITH LYSIS
AND RESECTION OF ADHESIONS, WITH OR
WITHOUT MANIPULATION
281............ 29826 ARTHROSCOPY, SHOULDER, SURGICAL;
DECOMPRESSION OF SUBACROMIAL SPACE WITH
PARTIAL ACROMIOPLASTY, WITH OR WITHOUT
CORACOACROMIAL RELEASE
281............ 29834 ARTHROSCOPY, ELBOW, SURGICAL; WITH REMOVAL
OF LOOSE BODY OR FOREIGN BODY
281............ 29835 ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY,
PARTIAL
281............ 29836 ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY,
COMPLETE
281............ 29837 ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT,
LIMITED
281............ 29838 ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT,
EXTENSIVE
281............ 29843 ARTHROSCOPY, WRIST, SURGICAL; FOR
INFECTION, LAVAGE AND DRAINAGE
281............ 29844 ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY,
PARTIAL
281............ 29845 ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY,
COMPLETE
281............ 29846 ARTHROSCOPY, WRIST, SURGICAL; EXCISION AND/
OR REPAIR OF TRIANGULAR FIBROCARTILAGE AND/
OR JOINT DEBRIDEMENT
281............ 29847 ARTHROSCOPY, WRIST, SURGICAL; INTERNAL
FIXATION FOR FRACTURE OR INSTABILITY
281............ 29848 ARTHROSCOPY, WRIST, SURGICAL; WITH RELEASE
OF TRANSVERSE CARPAL LIGAMENT
281............ 29860 ARTHROSCOPY, HIP, DIAGNOSTIC WITH OR
WITHOUT SYNOVIAL BIOPSY (SEPARATE
PROCEDURE)
281............ 29861 ARTHROSCOPY, HIP, SURGICAL; WITH REMOVAL OF
LOOSE BODY OR FOREIGN BODY
281............ 29862 ARTHROSCOPY, HIP, SURGICAL; WITH
DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE
(CHONDROPLASTY), ABRASION ARTHROPLASTY,
AND/OR RESECTION OF LABRUM
281............ 29863 ARTHROSCOPY, HIP, SURGICAL; WITH
SYNOVECTOMY
281............ 29874 ARTHROSCOPY, KNEE, SURGICAL; FOR REMOVAL OF
LOOSE BODY OR FOREIGN BODY (EG,
OSTEOCHONDRITIS DISSECANS FRAGMENTATION,
CHONDRAL FRAGMENTATION)
281............ 29875 ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY,
LIMITED (EG, PLICA OR SHELF RESECTION)
(SEPARATE PROCEDURE)
281............ 29877 ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/
SHAVING OF ARTICULAR CARTILAGE
(CHONDROPLASTY)
281............ 29879 ARTHROSCOPY, KNEE, SURGICAL; ABRASION
ARTHROPLASTY (INCLUDES CHONDROPLASTY WHERE
NECESSARY) OR MULTIPLE DRILLING
281............ 29880 ARTHROSCOPY, KNEE, SURGICAL; WITH
MENISCECTOMY (MEDIAL AND LATERAL,
INCLUDING ANY MENISCAL SHAVING)
281............ 29881 ARTHROSCOPY, KNEE, SURGICAL; WITH
MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING
ANY MENISCAL SHAVING)
281............ 29884 ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF
ADHESIONS, WITH OR WITHOUT MANIPULATION
(SEPARATE PROCEDURE)
281............ 29886 ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR
INTACT OSTEOCHONDRITIS DISSECANS LESION
281............ 29894 ARTHROSCOPY, ANKLE (TIBIOTALAR AND
FIBULOTALAR JOINTS), SURGICAL; WITH
REMOVAL OF LOOSE BODY OR FOREIGN BODY
281............ 29895 ARTHROSCOPY, ANKLE (TIBIOTALAR AND
FIBULOTALAR JOINTS), SURGICAL;
SYNOVECTOMY, PARTIAL
281............ 29897 ARTHROSCOPY, ANKLE (TIBIOTALAR AND
FIBULOTALAR JOINTS), SURGICAL;
DEBRIDEMENT, LIMITED
281............ 29898 ARTHROSCOPY, ANKLE (TIBIOTALAR AND
FIBULOTALAR JOINTS), SURGICAL;
DEBRIDEMENT, EXTENSIVE
282............ 29871 ARTHROSCOPY, KNEE, SURGICAL; FOR INFECTION,
LAVAGE AND DRAINAGE
282............ 29876 ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY,
MAJOR, TWO OR MORE COMPARTMENTS (EG,
MEDIAL OR LATERAL)
282............ 29882 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS
REPAIR (MEDIAL OR LATERAL)
282............ 29883 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS
REPAIR (MEDIAL AND LATERAL)
282............ 29885 ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR
OSTEOCHONDRITIS DISSECANS WITH BONE
GRAFTING, WITH OR WITHOUT INTERNAL
FIXATION (INCLUDING DEBRIDEMENT OF BASE OF
LESION)
282............ 29887 ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR
INTACT OSTEOCHONDRITIS DISSECANS LESION
WITH INTERNAL FIXATION
282............ 29891 ARTHROSCOPY, ANKLE, SURGICAL; EXCISION OF
OSTEOCHONDRAL DEFECT OF TALUS AND/OR
TIBIA, INCLUDING DRILLING OF THE DEFECT
286............ 29850 ARTHROSCOPICALLY AIDED TREATMENT OF
INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY
FRACTURE(S) OF THE KNEE, WITH OR WITHOUT
MANIPULATION; WITHOUT INTERNAL OR EXTERNAL
FIXATION (INCLUDES ARTHROSCOPY)
286............ 29851 ARTHROSCOPICALLY AIDED TREATMENT OF
INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY
FRACTURE(S) OF THE KNEE, WITH OR WITHOUT
MANIPULATION; WITH INTERNAL OR EXTERNAL
FIXATION (INCLUDES ARTHROSCOPY)
286............ 29855 ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL
FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION (INCLUDES ARTHROSCOPY)
286............ 29856 ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL
FRACTURE, PROXIMAL (PLATEAU); BICONDYLAR,
WITH OR WITHOUT INTERNAL OR EXTERNAL
FIXATION (INCLUDES ARTHROSCOPY)
286............ 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE
LIGAMENT REPAIR/AUGMENTATION OR
RECONSTRUCTION
286............ 29889 ARTHROSCOPICALLY AIDED POSTERIOR CRUCIATE
LIGAMENT REPAIR/ AUGMENTATION OR
RECONSTRUCTION
286............ 29892 ARTHROSCOPICALLY AIDED REPAIR OF LARGE
OSTEOCHONDRITIS DISSECANS LESION, TALAR
DOME FRACTURE, OR TIBIAL PLAFOND FRACTURE,
WITH OR WITHOUT INTERNAL FIXATION
(INCLUDES ARTHROSCOPY)
312............ 30801 CAUTERIZATION AND/OR ABLATION, MUCOSA OF
TURBINATES, UNILATERAL OR BILATERAL, ANY
METHOD, (SEPARATE PROCEDURE); SUPERFICIAL
312............ 30802 CAUTERIZATION AND/OR ABLATION, MUCOSA OF
TURBINATES, UNILATERAL OR BILATERAL, ANY
METHOD, (SEPARATE PROCEDURE); INTRAMURAL
312............ 30930 FRACTURE NASAL TURBINATE(S), THERAPEUTIC
312............ 31612 TRACHEAL PUNCTURE, PERCUTANEOUS WITH
TRANSTRACHEAL ASPIRATION AND/OR INJECTION
312............ 40830 CLOSURE OF LACERATION, VESTIBULE OF MOUTH;
2.5 CM OR LESS
312............ 40831 CLOSURE OF LACERATION, VESTIBULE OF MOUTH;
OVER 2.5 CM OR COMPLEX
312............ 41250 REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR
OF MOUTH AND/OR ANTERIOR TWO-THIRDS OF
TONGUE
312............ 41251 REPAIR OF LACERATION 2.5 CM OR LESS;
POSTERIOR ONE-THIRD OF TONGUE
312............ 41252 REPAIR OF LACERATION OF TONGUE, FLOOR OF
MOUTH, OVER 2.6 CM OR COMPLEX
312............ 41500 FIXATION OF TONGUE, MECHANICAL, OTHER THAN
SUTURE (EG, K-WIRE)
312............ 41510 SUTURE OF TONGUE TO LIP FOR MICROGNATHIA
(DOUGLAS TYPE PROCEDURE)
312............ 41800 DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM
DENTOALVEOLAR STRUCTURES
[[Page 32493]]
312............ 42300 DRAINAGE OF ABSCESS; PAROTID, SIMPLE
312............ 42305 DRAINAGE OF ABSCESS; PAROTID, COMPLICATED
312............ 42310 DRAINAGE OF ABSCESS; SUBMAXILLARY OR
SUBLINGUAL, INTRAORAL
312............ 42320 DRAINAGE OF ABSCESS; SUBMAXILLARY, EXTERNAL
312............ 42405 BIOPSY OF SALIVARY GLAND; INCISIONAL
312............ 42700 INCISION AND DRAINAGE ABSCESS;
PERITONSILLAR
312............ 42720 INCISION AND DRAINAGE ABSCESS;
RETROPHARYNGEAL OR PARAPHARYNGEAL,
INTRAORAL APPROACH
312............ 42800 BIOPSY; OROPHARYNX
312............ 42802 BIOPSY; HYPOPHARYNX
312............ 42804 BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE
312............ 42806 BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN
PRIMARY LESION
312............ 42808 EXCISION OR DESTRUCTION OF LESION OF
PHARYNX, ANY METHOD
312............ 60000 INCISION AND DRAINAGE OF THYROGLOSSAL CYST,
INFECTED
312............ 69421 MYRINGOTOMY INCLUDING ASPIRATION AND/OR
EUSTACHIAN TUBE INFLATION REQUIRING
GENERAL ANESTHESIA
312............ 69433 TYMPANOSTOMY (REQUIRING INSERTION OF
VENTILATING TUBE), LOCAL OR TOPICAL
ANESTHESIA
312............ 69436 TYMPANOSTOMY (REQUIRING INSERTION OF
VENTILATING TUBE), GENERAL ANESTHESIA
313............ 30115 EXCISION, NASAL POLYP(S), EXTENSIVE
313............ 30118 EXCISION OR DESTRUCTION, ANY METHOD
(INCLUDING LASER), INTRANASAL LESION;
EXTERNAL APPROACH (LATERAL RHINOTOMY)
313............ 30120 EXCISION OR SURGICAL PLANING OF SKIN OF
NOSE FOR RHINOPHYMA
313............ 30125 EXCISION DERMOID CYST, NOSE; COMPLEX, UNDER
BONE OR CARTILAGE
313............ 30130 EXCISION TURBINATE, PARTIAL OR COMPLETE
313............ 30140 SUBMUCOUS RESECTION TURBINATE, PARTIAL OR
COMPLETE
313............ 30150 RHINECTOMY; PARTIAL
313............ 30160 RHINECTOMY; TOTAL
313............ 30310 REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING
GENERAL ANESTHESIA
313............ 30320 REMOVAL FOREIGN BODY, INTRANASAL; BY
LATERAL RHINOTOMY
313............ 30430 RHINOPLASTY, SECONDARY; MINOR REVISION
(SMALL AMOUNT OF NASAL TIP WORK)
313............ 30520 SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH OR
WITHOUT CARTILAGE SCORING, CONTOURING OR
REPLACEMENT WITH GRAFT
313............ 30540 REPAIR CHOANAL ATRESIA; INTRANASAL
313............ 30580 REPAIR FISTULA; OROMAXILLARY (COMBINE WITH
31030 IF ANTROTOMY IS INCLUDED)
313............ 30600 REPAIR FISTULA; ORONASAL
313............ 30620 SEPTAL OR OTHER INTRANASAL DERMATOPLASTY
(DOES NOT INCLUDE OBTAINING GRAFT)
313............ 30630 REPAIR NASAL SEPTAL PERFORATIONS
313............ 31020 SINUSOTOMY, MAXILLARY (ANTROTOMY);
INTRANASAL
313............ 31030 SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL
(CALDWELL-LUC) WITHOUT REMOVAL OF
ANTROCHOANAL POLYPS
313............ 31032 SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL
(CALDWELL-LUC) WITH REMOVAL OF
ANTROCHOANAL POLYPS
313............ 31050 SINUSOTOMY, SPHENOID, WITH OR WITHOUT
BIOPSY;
313............ 31051 SINUSOTOMY, SPHENOID, WITH OR WITHOUT
BIOPSY; WITH MUCOSAL STRIPPING OR REMOVAL
OF POLYP(S)
313............ 31070 SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE
(TREPHINE OPERATION)
313............ 31200 ETHMOIDECTOMY; INTRANASAL, ANTERIOR
313............ 31320 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE);
DIAGNOSTIC
313............ 31595 SECTION RECURRENT LARYNGEAL NERVE,
THERAPEUTIC (SEPARATE PROCEDURE),
UNILATERAL
313............ 31611 CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA
AND SUBSEQUENT INSERTION OF AN ALARYNGEAL
SPEECH PROSTHESIS (EG, VOICE BUTTON, BLOM-
SINGER PROSTHESIS)
313............ 31613 TRACHEOSTOMA REVISION; SIMPLE, WITHOUT FLAP
ROTATION
313............ 31614 TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP
ROTATION
313............ 31820 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA;
WITHOUT PLASTIC REPAIR
313............ 31825 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA;
WITH PLASTIC REPAIR
313............ 31830 REVISION OF TRACHEOSTOMY SCAR
313............ 40500 VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL
ADVANCEMENT
313............ 40510 EXCISION OF LIP; TRANSVERSE WEDGE EXCISION
WITH PRIMARY CLOSURE
313............ 40520 EXCISION OF LIP; V-EXCISION WITH PRIMARY
DIRECT LINEAR CLOSURE
313............ 40525 EXCISION OF LIP; FULL THICKNESS,
RECONSTRUCTION WITH LOCAL FLAP (EG,
ESTLANDER OR FAN)
313............ 40527 EXCISION OF LIP; FULL THICKNESS,
RECONSTRUCTION WITH CROSS LIP FLAP (ABBE-
ESTLANDER)
313............ 40530 RESECTION OF LIP, MORE THAN ONE-FOURTH,
WITHOUT RECONSTRUCTION
313............ 40650 REPAIR LIP, FULL THICKNESS; VERMILION ONLY
313............ 40652 REPAIR LIP, FULL THICKNESS; UP TO HALF
VERTICAL HEIGHT
313............ 40654 REPAIR LIP, FULL THICKNESS; OVER ONE-HALF
VERTICAL HEIGHT, OR COMPLEX
313............ 40814 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA,
VESTIBULE OF MOUTH; WITH COMPLEX REPAIR
313............ 40816 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA,
VESTIBULE OF MOUTH; COMPLEX, WITH EXCISION
OF UNDERLYING MUSCLE
313............ 40818 EXCISION OF MUCOSA OF VESTIBULE OF MOUTH AS
DONOR GRAFT
313............ 40819 EXCISION OF FRENUM, LABIAL OR BUCCAL
(FRENUMECTOMY, FRENULECTOMY, FRENECTOMY)
313............ 40840 VESTIBULOPLASTY; ANTERIOR
313............ 40842 VESTIBULOPLASTY; POSTERIOR, UNILATERAL
313............ 41006 INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF TONGUE OR FLOOR OF
MOUTH; SUBLINGUAL, DEEP, SUPRAMYLOHYOID
313............ 41007 INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF TONGUE OR FLOOR OF
MOUTH; SUBMENTAL SPACE
313............ 41008 INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF TONGUE OR FLOOR OF
MOUTH; SUBMANDIBULAR SPACE
313............ 41009 INTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF TONGUE OR FLOOR OF
MOUTH; MASTICATOR SPACE
[[Page 32494]]
313............ 41010 INCISION OF LINGUAL FRENUM (FRENOTOMY)
313............ 41015 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF FLOOR OF MOUTH;
SUBLINGUAL
313............ 41016 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF FLOOR OF MOUTH;
SUBMENTAL
313............ 41017 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF FLOOR OF MOUTH;
SUBMANDIBULAR
313............ 41018 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS,
CYST, OR HEMATOMA OF FLOOR OF MOUTH;
MASTICATOR SPACE
313............ 41112 EXCISION OF LESION OF TONGUE WITH CLOSURE;
ANTERIOR TWO-THIRDS
313............ 41113 EXCISION OF LESION OF TONGUE WITH CLOSURE;
POSTERIOR ONE-THIRD
313............ 41114 EXCISION OF LESION OF TONGUE WITH CLOSURE;
WITH LOCAL TONGUE FLAP
313............ 41116 EXCISION, LESION OF FLOOR OF MOUTH
313............ 41120 GLOSSECTOMY; LESS THAN ONE-HALF TONGUE
313............ 41520 FRENOPLASTY (SURGICAL REVISION OF FRENUM,
EG, WITH Z-PLASTY)
313............ 41827 EXCISION OF LESION OR TUMOR (EXCEPT LISTED
ABOVE), DENTOALVEOLAR STRUCTURES; WITH
COMPLEX REPAIR
313............ 42107 EXCISION, LESION OF PALATE, UVULA; WITH
LOCAL FLAP CLOSURE
313............ 42120 RESECTION OF PALATE OR EXTENSIVE RESECTION
OF LESION
313............ 42180 REPAIR, LACERATION OF PALATE; UP TO 2 CM
313............ 42182 REPAIR, LACERATION OF PALATE; OVER 2 CM OR
COMPLEX
313............ 42200 PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR
HARD PALATE ONLY
313............ 42205 PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE
OF ALVEOLAR RIDGE; SOFT TISSUE ONLY
313............ 42215 PALATOPLASTY FOR CLEFT PALATE; MAJOR
REVISION
313............ 42220 PALATOPLASTY FOR CLEFT PALATE; SECONDARY
LENGTHENING PROCEDURE
313............ 42235 REPAIR OF ANTERIOR PALATE, INCLUDING VOMER
FLAP
313............ 42260 REPAIR OF NASOLABIAL FISTULA
313............ 42325 FISTULIZATION OF SUBLINGUAL SALIVARY CYST
(RANULA);
313............ 42326 FISTULIZATION OF SUBLINGUAL SALIVARY CYST
(RANULA); WITH PROSTHESIS
313............ 42340 SIALOLITHOTOMY; PAROTID, EXTRAORAL OR
COMPLICATED INTRAORAL
313............ 42408 EXCISION OF SUBLINGUAL SALIVARY CYST
(RANULA)
313............ 42409 MARSUPIALIZATION OF SUBLINGUAL SALIVARY
CYST (RANULA)
313............ 42410 EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
LATERAL LOBE, WITHOUT NERVE DISSECTION
313............ 42440 EXCISION OF SUBMANDIBULAR (SUBMAXILLARY)
GLAND
313............ 42450 EXCISION OF SUBLINGUAL GLAND
313............ 42500 PLASTIC REPAIR OF SALIVARY DUCT,
SIALODOCHOPLASTY; PRIMARY OR SIMPLE
313............ 42505 PLASTIC REPAIR OF SALIVARY DUCT,
SIALODOCHOPLASTY; SECONDARY OR COMPLICATED
313............ 42507 PAROTID DUCT DIVERSION, BILATERAL (WILKE
TYPE PROCEDURE);
313............ 42508 PAROTID DUCT DIVERSION, BILATERAL (WILKE
TYPE PROCEDURE); WITH EXCISION OF ONE
SUBMANDIBULAR GLAND
313............ 42510 PAROTID DUCT DIVERSION, BILATERAL (WILKE
TYPE PROCEDURE); WITH LIGATION OF BOTH
SUBMANDIBULAR (WHARTON'S) DUCTS
313............ 42600 CLOSURE SALIVARY FISTULA
313............ 42725 INCISION AND DRAINAGE ABSCESS;
RETROPHARYNGEAL OR PARAPHARYNGEAL,
EXTERNAL APPROACH
313............ 42810 EXCISION BRANCHIAL CLEFT CYST OR VESTIGE,
CONFINED TO SKIN AND SUBCUTANEOUS TISSUES
313............ 42815 EXCISION BRANCHIAL CLEFT CYST, VESTIGE, OR
FISTULA, EXTENDING BENEATH SUBCUTANEOUS
TISSUES AND/OR INTO PHARYNX
313............ 42900 SUTURE PHARYNX FOR WOUND OR INJURY
313............ 42950 PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE
OPERATION ON PHARYNX)
313............ 42955 PHARYNGOSTOMY (FISTULIZATION OF PHARYNX,
EXTERNAL FOR FEEDING)
313............ 42962 CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY
OR SECONDARY (EG, POST-TONSILLECTOMY);
WITH SECONDARY SURGICAL INTERVENTION
313............ 42972 CONTROL OF NASOPHARYNGEAL HEMORRHAGE,
PRIMARY OR SECONDARY (EG,
POSTADENOIDECTOMY); WITH SECONDARY
SURGICAL INTERVENTION
313............ 43020 ESOPHAGOTOMY, CERVICAL APPROACH, WITH
REMOVAL OF FOREIGN BODY
313............ 43030 CRICOPHARYNGEAL MYOTOMY
313............ 69120 EXCISION EXTERNAL EAR; COMPLETE AMPUTATION
313............ 69140 EXCISION EXOSTOSIS(ES), EXTERNAL AUDITORY
CANAL
313............ 69300 OTOPLASTY, PROTRUDING EAR, WITH OR WITHOUT
SIZE REDUCTION
313............ 69440 MIDDLE EAR EXPLORATION THROUGH
POSTAURICULAR OR EAR CANAL INCISION
313............ 69450 TYMPANOLYSIS, TRANSCANAL
313............ 69620 MYRINGOPLASTY (SURGERY CONFINED TO DRUMHEAD
AND DONOR AREA)
314............ 30400 RHINOPLASTY, PRIMARY; LATERAL AND ALAR
CARTILAGES AND/OR ELEVATION OF NASAL TIP
314............ 30410 RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL
PARTS INCLUDING BONY PYRAMID, LATERAL AND
ALAR CARTILAGES, AND/OR ELEVATION OF NASAL
TIP
314............ 30420 RHINOPLASTY, PRIMARY; INCLUDING MAJOR
SEPTAL REPAIR
314............ 30435 RHINOPLASTY, SECONDARY; INTERMEDIATE
REVISION (BONY WORK WITH OSTEOTOMIES)
314............ 30450 RHINOPLASTY, SECONDARY; MAJOR REVISION
(NASAL TIP WORK AND OSTEOTOMIES)
314............ 30460 RHINOPLASTY FOR NASAL DEFORMITY SECONDARY
TO CONGENITAL CLEFT LIP AND/OR PALATE,
INCLUDING COLUMELLAR LENGTHENING; TIP ONLY
314............ 30462 RHINOPLASTY FOR NASAL DEFORMITY SECONDARY
TO CONGENITAL CLEFT LIP AND/OR PALATE,
INCLUDING COLUMELLAR LENGTHENING; TIP,
SEPTUM, OSTEOTOMIES
314............ 30545 REPAIR CHOANAL ATRESIA; TRANSPALATINE
314............ 31040 PTERYGOMAXILLARY FOSSA SURGERY, ANY
APPROACH
314............ 31075 SINUSOTOMY FRONTAL; TRANSORBITAL,
UNILATERAL (FOR MUCOCELE OR OSTEOMA, LYNCH
TYPE)
314............ 31080 SINUSOTOMY FRONTAL; OBLITERATIVE WITHOUT
OSTEOPLASTIC FLAP, BROW INCISION (INCLUDES
ABLATION)
314............ 31081 SINUSOTOMY FRONTAL; OBLITERATIVE, WITHOUT
OSTEOPLASTIC FLAP, CORONAL INCISION
(INCLUDES ABLATION)
314............ 31084 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH
OSTEOPLASTIC FLAP, BROW INCISION
314............ 31085 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH
OSTEOPLASTIC FLAP, CORONAL INCISION
314............ 31086 SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH
OSTEOPLASTIC FLAP, BROW INCISION
314............ 31087 SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH
OSTEOPLASTIC FLAP, CORONAL INCISION
[[Page 32495]]
314............ 31090 SINUSOTOMY COMBINED, THREE OR MORE SINUSES
(UNILATERAL)
314............ 31201 ETHMOIDECTOMY; INTRANASAL, TOTAL
314............ 31205 ETHMOIDECTOMY; EXTRANASAL, TOTAL
314............ 31300 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE);
WITH REMOVAL OF TUMOR OR LARYNGOCELE,
CORDECTOMY
314............ 31400 ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL
APPROACH
314............ 31420 EPIGLOTTIDECTOMY
314............ 31588 LARYNGOPLASTY, NOT OTHERWISE SPECIFIED (EG,
FOR BURNS, RECONSTRUCTION AFTER PARTIAL
LARYNGECTOMY)
314............ 31590 LARYNGEAL REINNERVATION BY NEUROMUSCULAR
PEDICLE
314............ 31750 TRACHEOPLASTY; CERVICAL
314............ 31755 TRACHEOPLASTY; TRACHEOPHARYNGEAL
FISTULIZATION, EACH STAGE
314............ 40700 PLASTIC REPAIR OF CLEFT LIP/NASAL
DEFORMITY; PRIMARY, PARTIAL OR COMPLETE,
UNILATERAL
314............ 40701 PLASTIC REPAIR OF CLEFT LIP/NASAL
DEFORMITY; PRIMARY BILATERAL, ONE STAGE
PROCEDURE
314............ 40702 PLASTIC REPAIR OF CLEFT LIP/NASAL
DEFORMITY; PRIMARY BILATERAL, ONE OF TWO
STAGES
314............ 40720 PLASTIC REPAIR OF CLEFT LIP/NASAL
DEFORMITY; SECONDARY, BY RECREATION OF
DEFECT AND RECLOSURE
314............ 40761 PLASTIC REPAIR OF CLEFT LIP/NASAL
DEFORMITY; WITH CROSS LIP PEDICLE FLAP
(ABBE-ESTLANDER TYPE), INCLUDING
SECTIONING AND INSERTING OF PEDICLE
314............ 40843 VESTIBULOPLASTY; POSTERIOR, BILATERAL
314............ 40844 VESTIBULOPLASTY; ENTIRE ARCH
314............ 40845 VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE
EXTENSION, MUSCLE REPOSITIONING)
314............ 42210 PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE
OF ALVEOLAR RIDGE; WITH BONE GRAFT TO
ALVEOLAR RIDGE (INCLUDES OBTAINING GRAFT)
314............ 42225 PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT
PHARYNGEAL FLAP
314............ 42226 LENGTHENING OF PALATE, AND PHARYNGEAL FLAP
314............ 42227 LENGTHENING OF PALATE, WITH ISLAND FLAP
314............ 42415 EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
LATERAL LOBE, WITH DISSECTION AND
PRESERVATION OF FACIAL NERVE
314............ 42420 EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
TOTAL, WITH DISSECTION AND PRESERVATION OF
FACIAL NERVE
314............ 42425 EXCISION OF PAROTID TUMOR OR PAROTID GLAND;
TOTAL, EN BLOC REMOVAL WITH SACRIFICE OF
FACIAL NERVE
314............ 42509 PAROTID DUCT DIVERSION, BILATERAL (WILKE
TYPE PROCEDURE); WITH EXCISION OF BOTH
SUBMANDIBULAR GLANDS
314............ 42842 RADICAL RESECTION OF TONSIL, TONSILLAR
PILLARS, AND/OR RETROMOLAR TRIGONE;
WITHOUT CLOSURE
314............ 42844 RADICAL RESECTION OF TONSIL, TONSILLAR
PILLARS, AND/OR RETROMOLAR TRIGONE;
CLOSURE WITH LOCAL FLAP (EG, TONGUE,
BUCCAL)
314............ 42890 LIMITED PHARYNGECTOMY
314............ 42892 RESECTION OF LATERAL PHARYNGEAL WALL OR
PYRIFORM SINUS, DIRECT CLOSURE BY
ADVANCEMENT OF LATERAL AND POSTERIOR
PHARYNGEAL WALLS
314............ 69150 RADICAL EXCISION EXTERNAL AUDITORY CANAL
LESION; WITHOUT NECK DISSECTION
314............ 69310 RECONSTRUCTION OF EXTERNAL AUDITORY CANAL
(MEATOPLASTY) (EG, FOR STENOSIS DUE TO
TRAUMA, INFECTION) (SEPARATE PROCEDURE)
314............ 69320 RECONSTRUCTION EXTERNAL AUDITORY CANAL FOR
CONGENITAL ATRESIA, SINGLE STAGE
314............ 69501 TRANSMASTOID ANTROTOMY (``SIMPLE''
MASTOIDECTOMY)
314............ 69502 MASTOIDECTOMY; COMPLETE
314............ 69505 MASTOIDECTOMY; MODIFIED RADICAL
314............ 69511 MASTOIDECTOMY; RADICAL
314............ 69530 PETROUS APICECTOMY INCLUDING RADICAL
MASTOIDECTOMY
314............ 69550 EXCISION AURAL GLOMUS TUMOR; TRANSCANAL
314............ 69552 EXCISION AURAL GLOMUS TUMOR; TRANSMASTOID
314............ 69601 REVISION MASTOIDECTOMY; RESULTING IN
COMPLETE MASTOIDECTOMY
314............ 69602 REVISION MASTOIDECTOMY; RESULTING IN
MODIFIED RADICAL MASTOIDECTOMY
314............ 69603 REVISION MASTOIDECTOMY; RESULTING IN
RADICAL MASTOIDECTOMY
314............ 69604 REVISION MASTOIDECTOMY; RESULTING IN
TYMPANOPLASTY
314............ 69605 REVISION MASTOIDECTOMY; WITH APICECTOMY
314............ 69631 TYMPANOPLASTY WITHOUT MASTOIDECTOMY
(INCLUDING CANALPLASTY, ATTICOTOMY AND/OR
MIDDLE EAR SURGERY), INITIAL OR REVISION;
WITHOUT OSSICULAR CHAIN RECONSTRUCTION
314............ 69632 TYMPANOPLASTY WITHOUT MASTOIDECTOMY
(INCLUDING CANALPLASTY, ATTICOTOMY AND/OR
MIDDLE EAR SURGERY), INITIAL OR REVISION;
WITH OSSICULAR CHAIN RECONSTRUCTION (EG,
POSTFENESTRATION)
314............ 69633 TYMPANOPLASTY WITHOUT MASTOIDECTOMY
(INCLUDING CANALPLASTY, ATTICOTOMY AND/OR
MIDDLE EAR SURGERY), INITIAL OR REVISION;
WITH OSSICULAR CHAIN RECONSTRUCTION AND
SYNTHETIC PROSTHESIS (EG, PARTIAL
OSSICULAR REPLACEMENT PROSTHESIS (PORP),
TOTAL OSSICULAR REPLACEMENT PROSTHESIS
(TORP))
314............ 69635 TYMPANOPLASTY WITH ANTROTOMY OR
MASTOIDOTOMY (INCLUDING CANALPLASTY,
ATTICOTOMY, MIDDLE EAR SURGERY, AND/OR
TYMPANIC MEMBRANE REPAIR); WITHOUT
OSSICULAR CHAIN RECONSTRUCTION
314............ 69636 TYMPANOPLASTY WITH ANTROTOMY OR
MASTOIDOTOMY (INCLUDING CANALPLASTY,
ATTICOTOMY, MIDDLE EAR SURGERY, AND/OR
TYMPANIC MEMBRANE REPAIR); WITH OSSICULAR
CHAIN RECONSTRUCTION
314............ 69637 TYMPANOPLASTY WITH ANTROTOMY OR
MASTOIDOTOMY (INCLUDING CANALPLASTY,
ATTICOTOMY, MIDDLE EAR SURGERY, AND/OR
TYMPANIC MEMBRANE REPAIR); WITH OSSICULAR
CHAIN RECONSTRUCTION AND SYNTHETIC
PROSTHESIS (EG, PARTIAL OSSICULAR
REPLACEMENT PROSTHESIS (PORP), TOTAL
OSSICULAR REPLACEMENT PROSTHESIS (TORP))
314............ 69641 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC
MEMBRANE REPAIR); WITHOUT OSSICULAR CHAIN
RECONSTRUCTION
314............ 69642 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC
MEMBRANE REPAIR); WITH OSSICULAR CHAIN
RECONSTRUCTION
314............ 69643 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC
MEMBRANE REPAIR); WITH INTACT OR
RECONSTRUCTED WALL, WITHOUT OSSICULAR
CHAIN RECONSTRUCTION
314............ 69644 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC
MEMBRANE REPAIR); WITH INTACT OR
RECONSTRUCTED CANAL WALL, WITH OSSICULAR
CHAIN RECONSTRUCTION
314............ 69645 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC
MEMBRANE REPAIR); RADICAL OR COMPLETE,
WITHOUT OSSICULAR CHAIN RECONSTRUCTION
[[Page 32496]]
314............ 69646 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING
CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC
MEMBRANE REPAIR); RADICAL OR COMPLETE,
WITH OSSICULAR CHAIN RECONSTRUCTION
314............ 69650 STAPES MOBILIZATION
314............ 69660 STAPEDECTOMY OR STAPEDOTOMY WITH
REESTABLISHMENT OF OSSICULAR CONTINUITY,
WITH OR WITHOUT USE OF FOREIGN MATERIAL;
314............ 69661 STAPEDECTOMY OR STAPEDOTOMY WITH
REESTABLISHMENT OF OSSICULAR CONTINUITY,
WITH OR WITHOUT USE OF FOREIGN MATERIAL;
WITH FOOTPLATE DRILL OUT
314............ 69662 REVISION OF STAPEDECTOMY OR STAPEDOTOMY
314............ 69666 REPAIR OVAL WINDOW FISTULA
314............ 69667 REPAIR ROUND WINDOW FISTULA
314............ 69670 MASTOID OBLITERATION (SEPARATE PROCEDURE)
314............ 69676 TYMPANIC NEURECTOMY
314............ 69700 CLOSURE POSTAURICULAR FISTULA, MASTOID
(SEPARATE PROCEDURE)
314............ 69711 REMOVAL OR REPAIR OF ELECTROMAGNETIC BONE
CONDUCTION HEARING DEVICE IN TEMPORAL BONE
314............ 69720 DECOMPRESSION FACIAL NERVE, INTRATEMPORAL;
LATERAL TO GENICULATE GANGLION
314............ 69725 DECOMPRESSION FACIAL NERVE, INTRATEMPORAL;
INCLUDING MEDIAL TO GENICULATE GANGLION
314............ 69740 SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR
WITHOUT GRAFT OR DECOMPRESSION; LATERAL TO
GENICULATE GANGLION
314............ 69745 SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR
WITHOUT GRAFT OR DECOMPRESSION; INCLUDING
MEDIAL TO GENICULATE GANGLION
314............ 69801 LABYRINTHOTOMY, WITH OR WITHOUT CRYOSURGERY
INCLUDING OTHER NONEXCISIONAL DESTRUCTIVE
PROCEDURES OR PERFUSION OF VESTIBULOACTIVE
DRUGS (SINGLE OR MULTIPLE PERFUSIONS);
TRANSCANAL
314............ 69802 LABYRINTHOTOMY, WITH OR WITHOUT CRYOSURGERY
INCLUDING OTHER NONEXCISIONAL DESTRUCTIVE
PROCEDURES OR PERFUSION OF VESTIBULOACTIVE
DRUGS (SINGLE OR MULTIPLE PERFUSIONS);
WITH MASTOIDECTOMY
314............ 69805 ENDOLYMPHATIC SAC OPERATION; WITHOUT SHUNT
314............ 69806 ENDOLYMPHATIC SAC OPERATION; WITH SHUNT
314............ 69820 FENESTRATION SEMICIRCULAR CANAL
314............ 69840 REVISION FENESTRATION OPERATION
314............ 69905 LABYRINTHECTOMY; TRANSCANAL
314............ 69910 LABYRINTHECTOMY; WITH MASTOIDECTOMY
314............ 69915 VESTIBULAR NERVE SECTION, TRANSLABYRINTHINE
APPROACH
317............ 69930 COCHLEAR DEVICE IMPLANTATION, WITH OR
WITHOUT MASTOIDECTOMY
318............ 30901 CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE
(LIMITED CAUTERY AND/OR PACKING) ANY
METHOD
318............ 30903 CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX
(EXTENSIVE CAUTERY AND/OR PACKING) ANY
METHOD
318............ 30905 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH
POSTERIOR NASAL PACKS AND/OR
CAUTERIZATION, ANY METHOD; INITIAL
318............ 30906 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH
POSTERIOR NASAL PACKS AND/OR
CAUTERIZATION, ANY METHOD; SUBSEQUENT
318............ 42960 CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY
OR SECONDARY (EG, POST-TONSILLECTOMY);
SIMPLE
318............ 42970 CONTROL OF NASOPHARYNGEAL HEMORRHAGE,
PRIMARY OR SECONDARY (EG,
POSTADENOIDECTOMY); SIMPLE, WITH POSTERIOR
NASAL PACKS, WITH OR WITHOUT ANTERIOR
PACKS AND/OR CAUTERIZATION
319............ 42820 TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE
12
319............ 42821 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR
OVER
319............ 42825 TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER
AGE 12
319............ 42826 TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12
OR OVER
319............ 42830 ADENOIDECTOMY, PRIMARY; UNDER AGE 12
319............ 42831 ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER
319............ 42835 ADENOIDECTOMY, SECONDARY; UNDER AGE 12
319............ 42836 ADENOIDECTOMY, SECONDARY; AGE 12 OR OVER
319............ 42860 EXCISION OF TONSIL TAGS
319............ 42870 EXCISION OR DESTRUCTION LINGUAL TONSIL, ANY
METHOD (SEPARATE PROCEDURE)
320............ 32000 THORACENTESIS, PUNCTURE OF PLEURAL CAVITY
FOR ASPIRATION, INITIAL OR SUBSEQUENT
320............ 32420 PNEUMONOCENTESIS, PUNCTURE OF LUNG FOR
ASPIRATION
320............ 32960 PNEUMOTHORAX, THERAPEUTIC, INTRAPLEURAL
INJECTION OF AIR
320............ 33010 PERICARDIOCENTESIS; INITIAL
320............ 33011 PERICARDIOCENTESIS; SUBSEQUENT
320............ 49080 PERITONEOCENTESIS, ABDOMINAL PARACENTESIS,
OR PERITONEAL LAVAGE (DIAGNOSTIC OR
THERAPEUTIC); INITIAL
320............ 49081 PERITONEOCENTESIS, ABDOMINAL PARACENTESIS,
OR PERITONEAL LAVAGE (DIAGNOSTIC OR
THERAPEUTIC); SUBSEQUENT
332............ 31233 NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH
MAXILLARY SINUSOSCOPY (VIA INFERIOR MEATUS
OR CANINE FOSSA PUNCTURE)
332............ 31235 NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH
SPHENOID SINUSOSCOPY (VIA PUNCTURE OF
SPHENOIDAL FACE OR CANNULATION OF OSTIUM)
332............ 31237 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH
BIOPSY, POLYPECTOMY OR DEBRIDEMENT
(SEPARATE PROCEDURE)
332............ 31238 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH
CONTROL OF EPISTAXIS
332............ 31240 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH
CONCHA BULLOSA RESECTION
332............ 31510 LARYNGOSCOPY, INDIRECT (SEPARATE
PROCEDURE); WITH BIOPSY
332............ 31511 LARYNGOSCOPY, INDIRECT (SEPARATE
PROCEDURE); WITH REMOVAL OF FOREIGN BODY
332............ 31512 LARYNGOSCOPY, INDIRECT (SEPARATE
PROCEDURE); WITH REMOVAL OF LESION
332............ 31513 LARYNGOSCOPY, INDIRECT (SEPARATE
PROCEDURE); WITH VOCAL CORD INJECTION
332............ 31515 LARYNGOSCOPY DIRECT, WITH OR WITHOUT
TRACHEOSCOPY; FOR ASPIRATION
332............ 31520 LARYNGOSCOPY DIRECT, WITH OR WITHOUT
TRACHEOSCOPY; DIAGNOSTIC, NEWBORN
332............ 31525 LARYNGOSCOPY DIRECT, WITH OR WITHOUT
TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN
332............ 31526 LARYNGOSCOPY DIRECT, WITH OR WITHOUT
TRACHEOSCOPY; DIAGNOSTIC, WITH OPERATING
MICROSCOPE
332............ 31528 LARYNGOSCOPY DIRECT, WITH OR WITHOUT
TRACHEOSCOPY; WITH DILATATION, INITIAL
[[Page 32497]]
332............ 31529 LARYNGOSCOPY DIRECT, WITH OR WITHOUT
TRACHEOSCOPY; WITH DILATATION, SUBSEQUENT
332............ 31576 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH
BIOPSY
332............ 31577 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH
REMOVAL OF FOREIGN BODY
332............ 31578 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH
REMOVAL OF LESION
332............ 31700 CATHETERIZATION, TRANSGLOTTIC (SEPARATE
PROCEDURE)
332............ 31717 CATHETERIZATION WITH BRONCHIAL BRUSH BIOPSY
332............ 31720 CATHETER ASPIRATION (SEPARATE PROCEDURE);
NASOTRACHEAL
332............ 31730 TRANSTRACHEAL (PERCUTANEOUS) INTRODUCTION
OF NEEDLE WIRE DILATOR/ STENT OR
INDWELLING TUBE FOR OXYGEN THERAPY
333............ 31239 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH
DACRYOCYSTORHINOSTOMY
333............ 31254 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH
ETHMOIDECTOMY, PARTIAL (ANTERIOR)
333............ 31255 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH
ETHMOIDECTOMY, TOTAL (ANTERIOR AND
POSTERIOR)
333............ 31256 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH
MAXILLARY ANTROSTOMY
333............ 31267 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH
MAXILLARY ANTROSTOMY; WITH REMOVAL OF
TISSUE FROM MAXILLARY SINUS
333............ 31276 NASAL/SINUS ENDOSCOPY, SURGICAL WITH
FRONTAL SINUS EXPLORATION, WITH OR WITHOUT
REMOVAL OF TISSUE FROM FRONTAL SINUS
333............ 31287 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH
SPHENOIDOTOMY
333............ 31288 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH
SPHENOIDOTOMY; WITH REMOVAL OF TISSUE FROM
THE SPHENOID SINUS
333............ 31527 LARYNGOSCOPY DIRECT, WITH OR WITHOUT
TRACHEOSCOPY; WITH INSERTION OF OBTURATOR
333............ 31530 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
FOREIGN BODY REMOVAL
333............ 31531 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
FOREIGN BODY REMOVAL; WITH OPERATING
MICROSCOPE
333............ 31535 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
BIOPSY
333............ 31536 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
BIOPSY; WITH OPERATING MICROSCOPE
333............ 31540 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
EXCISION OF TUMOR AND/ OR STRIPPING OF
VOCAL CORDS OR EPIGLOTTIS
333............ 31541 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
EXCISION OF TUMOR AND/ OR STRIPPING OF
VOCAL CORDS OR EPIGLOTTIS; WITH OPERATING
MICROSCOPE
333............ 31560 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
ARYTENOIDECTOMY
333............ 31561 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH
ARYTENOIDECTOMY; WITH OPERATING MICROSCOPE
333............ 31570 LARYNGOSCOPY, DIRECT, WITH INJECTION INTO
VOCAL CORD(S), THERAPEUTIC
333............ 31571 LARYNGOSCOPY, DIRECT, WITH INJECTION INTO
VOCAL CORD(S), THERAPEUTIC; WITH OPERATING
MICROSCOPE
336............ 31615 TRACHEOBRONCHOSCOPY THROUGH ESTABLISHED
TRACHEOSTOMY INCISION
336............ 31622 BRONCHOSCOPY; DIAGNOSTIC, (FLEXIBLE OR
RIGID), WITH OR WITHOUT CELL WASHING OR
BRUSHING
336............ 31625 BRONCHOSCOPY; WITH BIOPSY
336............ 31628 BRONCHOSCOPY; WITH TRANSBRONCHIAL LUNG
BIOPSY, WITH OR WITHOUT FLUOROSCOPIC
GUIDANCE
336............ 31629 BRONCHOSCOPY; WITH TRANSBRONCHIAL NEEDLE
ASPIRATION BIOPSY
336............ 31630 BRONCHOSCOPY; WITH TRACHEAL OR BRONCHIAL
DILATION OR CLOSED REDUCTION OF FRACTURE
336............ 31631 BRONCHOSCOPY; WITH TRACHEAL DILATION AND
PLACEMENT OF TRACHEAL STENT
336............ 31635 BRONCHOSCOPY; WITH REMOVAL OF FOREIGN BODY
336............ 31640 BRONCHOSCOPY; WITH EXCISION OF TUMOR
336............ 31641 BRONCHOSCOPY; WITH DESTRUCTION OF TUMOR OR
RELIEF OF STENOSIS BY ANY METHOD OTHER
THAN EXCISION (EG, LASER)
336............ 31645 BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION
OF TRACHEOBRONCHIAL TREE, INITIAL (EG,
DRAINAGE OF LUNG ABSCESS)
336............ 31646 BRONCHOSCOPY; WITH THERAPEUTIC ASPIRATION
OF TRACHEOBRONCHIAL TREE, SUBSEQUENT
346............ 36488 PLACEMENT OF CENTRAL VENOUS CATHETER
(SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG,
FOR CENTRAL VENOUS PRESSURE,
HYPERALIMENTATION, HEMODIALYSIS, OR
CHEMOTHERAPY); PERCUTANEOUS, AGE 2 YEARS
OR UNDER
346............ 36489 PLACEMENT OF CENTRAL VENOUS CATHETER
(SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG,
FOR CENTRAL VENOUS PRESSURE,
HYPERALIMENTATION, HEMODIALYSIS, OR
CHEMOTHERAPY); PERCUTANEOUS, OVER AGE 2
346............ 36490 PLACEMENT OF CENTRAL VENOUS CATHETER
(SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG,
FOR CENTRAL VENOUS PRESSURE,
HYPERALIMENTATION, HEMODIALYSIS, OR
CHEMOTHERAPY); CUTDOWN, AGE 2 YEARS OR
UNDER
346............ 36491 PLACEMENT OF CENTRAL VENOUS CATHETER
(SUBCLAVIAN, JUGULAR, OR OTHER VEIN) (EG,
FOR CENTRAL VENOUS PRESSURE,
HYPERALIMENTATION, HEMODIALYSIS, OR
CHEMOTHERAPY); CUTDOWN, OVER AGE 2
346............ 36493 REPOSITIONING OF PREVIOUSLY PLACED CENTRAL
VENOUS CATHETER UNDER FLUOROSCOPIC
GUIDANCE
346............ 36640 ARTERIAL CATHETERIZATION FOR PROLONGED
INFUSION THERAPY (CHEMOTHERAPY), CUTDOWN
360............ 33222 REVISION OR RELOCATION OF SKIN POCKET FOR
PACEMAKER
360............ 33223 REVISION OR RELOCATION OF SKIN POCKET FOR
IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR
360............ 36261 REVISION OF IMPLANTED INTRA-ARTERIAL
INFUSION PUMP
360............ 36262 REMOVAL OF IMPLANTED INTRA-ARTERIAL
INFUSION PUMP
360............ 36531 REVISION OF IMPLANTABLE INTRAVENOUS
INFUSION PUMP
360............ 36532 REMOVAL OF IMPLANTABLE INTRAVENOUS INFUSION
PUMP
360............ 36534 REVISION OF IMPLANTABLE VENOUS ACCESS PORT
AND/OR SUBCUTANEOUS RESERVOIR
360............ 36535 REMOVAL OF IMPLANTABLE VENOUS ACCESS PORT
AND/OR SUBCUTANEOUS RESERVOIR
367............ 30915 LIGATION ARTERIES; ETHMOIDAL
367............ 30920 LIGATION ARTERIES; INTERNAL MAXILLARY
ARTERY, TRANSANTRAL
367............ 37618 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC,
RUPTURE); EXTREMITY
367............ 37650 LIGATION OF FEMORAL VEIN
367............ 37700 LIGATION AND DIVISION OF LONG SAPHENOUS
VEIN AT SAPHENOFEMORAL JUNCTION, OR DISTAL
INTERRUPTIONS
367............ 37720 LIGATION AND DIVISION AND COMPLETE
STRIPPING OF LONG OR SHORT SAPHENOUS VEINS
367............ 37730 LIGATION AND DIVISION AND COMPLETE
STRIPPING OF LONG AND SHORT SAPHENOUS
VEINS
367............ 37735 LIGATION AND DIVISION AND COMPLETE
STRIPPING OF LONG OR SHORT SAPHENOUS VEINS
WITH RADICAL EXCISION OF ULCER AND SKIN
GRAFT AND/OR INTERRUPTION OF COMMUNICATING
VEINS OF LOWER LEG, WITH EXCISION OF DEEP
FASCIA
367............ 37760 LIGATION OF PERFORATORS, SUBFASCIAL,
RADICAL (LINTON TYPE), WITH OR WITHOUT
SKIN GRAFT
367............ 37780 LIGATION AND DIVISION OF SHORT SAPHENOUS
VEIN AT SAPHENOPOPLITEAL JUNCTION
(SEPARATE PROCEDURE)
[[Page 32498]]
367............ 37785 LIGATION, DIVISION, AND/OR EXCISION OF
RECURRENT OR SECONDARY VARICOSE VEINS
(CLUSTERS), ONE LEG
368............ 35188 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS
FISTULA; HEAD AND NECK
368............ 35207 REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER
368............ 35875 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT;
368............ 35876 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT;
WITH REVISION OF ARTERIAL OR VENOUS GRAFT
368............ 36260 INSERTION OF IMPLANTABLE INTRA-ARTERIAL
INFUSION PUMP (EG, FOR CHEMOTHERAPY OF
LIVER)
368............ 36530 INSERTION OF IMPLANTABLE INTRAVENOUS
INFUSION PUMP
368............ 36533 INSERTION OF IMPLANTABLE VENOUS ACCESS
PORT, WITH OR WITHOUT SUBCUTANEOUS
RESERVOIR
368............ 36800 INSERTION OF CANNULA FOR HEMODIALYSIS,
OTHER PURPOSE (SEPARATE PROCEDURE); VEIN
TO VEIN
368............ 36810 INSERTION OF CANNULA FOR HEMODIALYSIS,
OTHER PURPOSE (SEPARATE PROCEDURE);
ARTERIOVENOUS, EXTERNAL (SCRIBNER TYPE)
368............ 36815 INSERTION OF CANNULA FOR HEMODIALYSIS,
OTHER PURPOSE (SEPARATE PROCEDURE);
ARTERIOVENOUS, EXTERNAL REVISION, OR
CLOSURE
368............ 36821 ARTERIOVENOUS ANASTOMOSIS, DIRECT, ANY SITE
(EG, CIMINO TYPE) (SEPARATE PROCEDURE)
368............ 36825 CREATION OF ARTERIOVENOUS FISTULA BY OTHER
THAN DIRECT ARTERIOVENOUS ANASTOMOSIS
(SEPARATE PROCEDURE); AUTOGENOUS GRAFT
368............ 36830 CREATION OF ARTERIOVENOUS FISTULA BY OTHER
THAN DIRECT ARTERIOVENOUS ANASTOMOSIS
(SEPARATE PROCEDURE); NONAUTOGENOUS GRAFT
368............ 36832 REVISION OF AN ARTERIOVENOUS FISTULA, WITH
OR WITHOUT THROMBECTOMY, AUTOGENOUS OR
NONAUTOGENOUS GRAFT (SEPARATE PROCEDURE)
368............ 36835 INSERTION OF THOMAS SHUNT (SEPARATE
PROCEDURE)
368............ 36860 CANNULA DECLOTTING (SEPARATE PROCEDURE);
WITHOUT BALLOON CATHETER
368............ 36861 CANNULA DECLOTTING (SEPARATE PROCEDURE);
WITH BALLOON CATHETER
368............ 37607 LIGATION OR BANDING OF ANGIOACCESS
ARTERIOVENOUS FISTULA
396............ 38308 LYMPHANGIOTOMY OR OTHER OPERATIONS ON
LYMPHATIC CHANNELS
396............ 38500 BIOPSY OR EXCISION OF LYMPH NODE(S);
SUPERFICIAL (SEPARATE PROCEDURE)
396............ 38510 BIOPSY OR EXCISION OF LYMPH NODE(S); DEEP
CERVICAL NODE(S)
396............ 38520 BIOPSY OR EXCISION OF LYMPH NODE(S); DEEP
CERVICAL NODE(S) WITH EXCISION SCALENE FAT
PAD
396............ 38525 BIOPSY OR EXCISION OF LYMPH NODE(S); DEEP
AXILLARY NODE(S)
396............ 38530 BIOPSY OR EXCISION OF LYMPH NODE(S);
INTERNAL MAMMARY NODE(S) (SEPARATE
PROCEDURE)
396............ 38550 EXCISION OF CYSTIC HYGROMA, AXILLARY OR
CERVICAL; WITHOUT DEEP NEUROVASCULAR
DISSECTION
397............ 38542 DISSECTION, DEEP JUGULAR NODE(S)
397............ 38555 EXCISION OF CYSTIC HYGROMA, AXILLARY OR
CERVICAL; WITH DEEP NEUROVASCULAR
DISSECTION
397............ 38740 AXILLARY LYMPHADENECTOMY; SUPERFICIAL
397............ 38745 AXILLARY LYMPHADENECTOMY; COMPLETE
397............ 38760 INGUINOFEMORAL LYMPHADENECTOMY,
SUPERFICIAL, INCLUDING CLOQUET'S NODE
(SEPARATE PROCEDURE)
397............ 60200 EXCISION OF CYST OR ADENOMA OF THYROID, OR
TRANSECTION OF ISTHMUS
397............ 60210 PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH
OR WITHOUT ISTHMUSECTOMY
397............ 60220 TOTAL THYROID LOBECTOMY, UNILATERAL; WITH
OR WITHOUT ISTHMUSECTOMY
397............ 60225 TOTAL THYROID LOBECTOMY, UNILATERAL; WITH
CONTRALATERAL SUBTOTAL LOBECTOMY,
INCLUDING ISTHMUSECTOMY
397............ 60240 THYROIDECTOMY, TOTAL OR COMPLETE
397............ 60280 EXCISION OF THYROGLOSSAL DUCT CYST OR
SINUS;
397............ 60281 EXCISION OF THYROGLOSSAL DUCT CYST OR
SINUS; RECURRENT
406............ 43450 DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR
BOUGIE, SINGLE OR MULTIPLE PASSES
406............ 43453 DILATION OF ESOPHAGUS, OVER GUIDE WIRE
406............ 43456 DILATION OF ESOPHAGUS, BY BALLOON OR
DILATOR, RETROGRADE
406............ 43458 DILATION OF ESOPHAGUS WITH BALLOON (30 MM
DIAMETER OR LARGER) FOR ACHALASIA
407............ 43204 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
INJECTION SCLEROSIS OF ESOPHAGEAL VARICES
407............ 43205 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BAND
LIGATION OF ESOPHAGEAL VARICES
407............ 43215 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
REMOVAL OF FOREIGN BODY
407............ 43216 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
REMOVAL OF TUMOR(S), POLYP(S), OR OTHER
LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR
CAUTERY
407............ 43217 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
REMOVAL OF TUMOR(S), POLYP(S), OR OTHER
LESION(S) BY SNARE TECHNIQUE
407............ 43220 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
BALLOON DILATION (LESS THAN 30 MM
DIAMETER)
407............ 43226 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
INSERTION OF GUIDE WIRE FOLLOWED BY
DILATION OVER GUIDE WIRE
407............ 43227 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
CONTROL OF BLEEDING, ANY METHOD
417............ 43200 ESOPHAGOSCOPY, RIGID OR FLEXIBLE;
DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF
SPECIMEN(S) BY BRUSHING OR WASHING
(SEPARATE PROCEDURE)
417............ 43202 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
BIOPSY, SINGLE OR MULTIPLE
417............ 43234 UPPER GASTROINTESTINAL ENDOSCOPY, SIMPLE
PRIMARY EXAMINATION (EG, WITH SMALL
DIAMETER FLEXIBLE ENDOSCOPE) (SEPARATE
PROCEDURE)
417............ 43235 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF
SPECIMEN(S) BY BRUSHING OR WASHING
(SEPARATE PROCEDURE)
417............ 43239 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH BIOPSY, SINGLE OR MULTIPLE
417............ 43600 BIOPSY OF STOMACH; BY CAPSULE, TUBE,
PERORAL (ONE OR MORE SPECIMENS)
417............ 44100 BIOPSY OF INTESTINE BY CAPSULE, TUBE,
PERORAL (ONE OR MORE SPECIMENS)
418............ 43241 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH TRANSENDOSCOPIC TUBE OR CATHETER
PLACEMENT
418............ 43243 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH INJECTION SCLEROSIS OF ESOPHAGEAL AND/
OR GASTRIC VARICES
418............ 43244 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH BAND LIGATION OF ESOPHAGEAL AND/OR
GASTRIC VARICES
[[Page 32499]]
418............ 43245 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH DILATION OF GASTRIC OUTLET FOR
OBSTRUCTION, ANY METHOD
418............ 43246 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH DIRECTED PLACEMENT OF PERCUTANEOUS
GASTROSTOMY TUBE
418............ 43247 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH REMOVAL OF FOREIGN BODY
418............ 43248 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH INSERTION OF GUIDE WIRE FOLLOWED BY
DILATION OF ESOPHAGUS OVER GUIDE WIRE
418............ 43249 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH BALLOON DILATION OF ESOPHAGUS (LESS
THAN 30 MM DIAMETER)
418............ 43250 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH REMOVAL OF TUMOR(S), POLYP(S), OR
OTHER LESION(S) BY HOT BIOPSY FORCEPS OR
BIPOLAR CAUTERY
418............ 43251 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH REMOVAL OF TUMOR(S), POLYP(S), OR
OTHER LESION(S) BY SNARE TECHNIQUE
418............ 43255 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH CONTROL OF BLEEDING, ANY METHOD
418............ 43750 PERCUTANEOUS PLACEMENT OF GASTROSTOMY TUBE
419............ 44360 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; DIAGNOSTIC, WITH OR
WITHOUT COLLECTION OF SPECIMEN(S) BY
BRUSHING OR WASHING (SEPARATE PROCEDURE)
419............ 44361 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH BIOPSY, SINGLE OR
MULTIPLE
419............ 44363 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH REMOVAL OF FOREIGN
BODY
419............ 44364 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S),
POLYP(S), OR OTHER LESION(S) BY SNARE
TECHNIQUE
419............ 44365 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S),
POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY
FORCEPS OR BIPOLAR CAUTERY
419............ 44366 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH CONTROL OF BLEEDING,
ANY METHOD
419............ 44372 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH PLACEMENT OF
PERCUTANEOUS JEJUNOSTOMY TUBE
419............ 44373 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH CONVERSION OF
PERCUTANEOUS GASTROSTOMY TUBE TO
PERCUTANEOUS JEJUNOSTOMY TUBE
419............ 44376 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM,
INCLUDING ILEUM; DIAGNOSTIC, WITH OR
WITHOUT COLLECTION OF SPECIMEN(S) BY
BRUSHING OR WASHING (SEPARATE PROCEDURE)
419............ 44377 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM,
INCLUDING ILEUM; WITH BIOPSY, SINGLE OR
MULTIPLE
419............ 44378 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM,
INCLUDING ILEUM; WITH CONTROL OF BLEEDING,
ANY METHOD
426............ 44380 ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, WITH
OR WITHOUT COLLECTION OF SPECIMEN(S) BY
BRUSHING OR WASHING (SEPARATE PROCEDURE)
426............ 44382 ILEOSCOPY, THROUGH STOMA; WITH BIOPSY,
SINGLE OR MULTIPLE
426............ 44385 ENDOSCOPIC EVALUATION OF SMALL INTESTINAL
(ABDOMINAL OR PELVIC) POUCH; DIAGNOSTIC,
WITH OR WITHOUT COLLECTION OF SPECIMEN(S)
BY BRUSHING OR WASHING (SEPARATE
PROCEDURE)
426............ 44386 ENDOSCOPIC EVALUATION OF SMALL INTESTINAL
(ABDOMINAL OR PELVIC) POUCH; WITH BIOPSY,
SINGLE OR MULTIPLE
426............ 44388 COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, WITH
OR WITHOUT COLLECTION OF SPECIMEN(S) BY
BRUSHING OR WASHING (SEPARATE PROCEDURE)
426............ 44389 COLONOSCOPY THROUGH STOMA; WITH BIOPSY,
SINGLE OR MULTIPLE
426............ 45378 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC
FLEXURE; DIAGNOSTIC, WITH OR WITHOUT
COLLECTION OF SPECIMEN(S) BY BRUSHING OR
WASHING, WITH OR WITHOUT COLON
DECOMPRESSION (SEPARATE PROCEDURE)
426............ 45380 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC
FLEXURE; WITH BIOPSY, SINGLE OR MULTIPLE
426............ G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON
INDIVIDUAL AT HIGH RISK
427............ 44390 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF
FOREIGN BODY
427............ 44391 COLONOSCOPY THROUGH STOMA; WITH CONTROL OF
BLEEDING, ANY METHOD
427............ 44392 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF
TUMOR(S), POLYP(S), OR OTHER LESION(S) BY
HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY
427............ 44394 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF
TUMOR(S), POLYP(S), OR OTHER LESION(S) BY
SNARE TECHNIQUE
427............ 45355 COLONOSCOPY, RIGID OR FLEXIBLE,
TRANSABDOMINAL VIA COLOTOMY, SINGLE OR
MULTIPLE
427............ 45379 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC
FLEXURE; WITH REMOVAL OF FOREIGN BODY
427............ 45382 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC
FLEXURE; WITH CONTROL OF BLEEDING, ANY
METHOD
427............ 45384 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC
FLEXURE; WITH REMOVAL OF TUMOR(S),
POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY
FORCEPS OR BIPOLAR CAUTERY
427............ 45385 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC
FLEXURE; WITH REMOVAL OF TUMOR(S),
POLYP(S), OR OTHER LESION(S) BY SNARE
TECHNIQUE
437............ 46604 ANOSCOPY; WITH DILATION, ANY METHOD
437............ 46608 ANOSCOPY; WITH REMOVAL OF FOREIGN BODY
437............ 46610 ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR,
POLYP, OR OTHER LESION BY HOT BIOPSY
FORCEPS OR BIPOLAR CAUTERY
437............ 46611 ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR,
POLYP, OR OTHER LESION BY SNARE TECHNIQUE
437............ 46612 ANOSCOPY; WITH REMOVAL OF MULTIPLE TUMORS,
POLYPS, OR OTHER LESIONS BY HOT BIOPSY
FORCEPS, BIPOLAR CAUTERY OR SNARE
TECHNIQUE
437............ 46614 ANOSCOPY; WITH CONTROL OF BLEEDING, ANY
METHOD
437............ 46615 ANOSCOPY; WITH ABLATION OF TUMOR(S),
POLYP(S), OR OTHER LESION(S) NOT AMENABLE
TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR
CAUTERY OR SNARE TECHNIQUE
[[Page 32500]]
446............ 45300 PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC,
WITH OR WITHOUT COLLECTION OF SPECIMEN(S)
BY BRUSHING OR WASHING (SEPARATE
PROCEDURE)
446............ 45305 PROCTOSIGMOIDOSCOPY, RIGID; WITH BIOPSY,
SINGLE OR MULTIPLE
446............ 45330 SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, WITH
OR WITHOUT COLLECTION OF SPECIMEN(S) BY
BRUSHING OR WASHING (SEPARATE PROCEDURE)
446............ 45331 SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY,
SINGLE OR MULTIPLE
446............ G0104 COLORECTAL CANCER SCREENING; FLEXIBLE
SIGMOIDOSCOPY
447............ 45303 PROCTOSIGMOIDOSCOPY, RIGID; WITH DILATION,
ANY METHOD
447............ 45307 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
FOREIGN BODY
447............ 45308 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
SINGLE TUMOR, POLYP, OR OTHER LESION BY
HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY
447............ 45309 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
SINGLE TUMOR, POLYP, OR OTHER LESION BY
SNARE TECHNIQUE
447............ 45315 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF
MULTIPLE TUMORS, POLYPS, OR OTHER LESIONS
BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR
SNARE TECHNIQUE
447............ 45317 PROCTOSIGMOIDOSCOPY, RIGID; WITH CONTROL OF
BLEEDING, ANY METHOD
447............ 45320 PROCTOSIGMOIDOSCOPY, RIGID; WITH ABLATION
OF TUMOR(S), POLYP(S), OR OTHER LESION(S)
NOT AMENABLE TO REMOVAL BY HOT BIOPSY
FORCEPS, BIPOLAR CAUTERY OR SNARE
TECHNIQUE (EG, LASER)
447............ 45321 PROCTOSIGMOIDOSCOPY, RIGID; WITH
DECOMPRESSION OF VOLVULUS
448............ 45332 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF
FOREIGN BODY
448............ 45333 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF
TUMOR(S), POLYP(S), OR OTHER LESION(S) BY
HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY
448............ 45334 SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF
BLEEDING, ANY METHOD
448............ 45337 SIGMOIDOSCOPY, FLEXIBLE; WITH DECOMPRESSION
OF VOLVULUS, ANY METHOD
448............ 45338 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF
TUMOR(S), POLYP(S), OR OTHER LESION(S) BY
SNARE TECHNIQUE
449............ 43219 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
INSERTION OF PLASTIC TUBE OR STENT
449............ 43228 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH
ABLATION OF TUMOR(S), POLYP(S), OR OTHER
LESION(S), NOT AMENABLE TO REMOVAL BY HOT
BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE
TECHNIQUE
449............ 43258 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH ABLATION OF TUMOR(S), POLYP(S), OR
OTHER LESION(S) NOT AMENABLE TO REMOVAL BY
HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR
SNARE TECHNIQUE
449............ 43259 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING
ESOPHAGUS, STOMACH, AND EITHER THE
DUODENUM AND/OR JEJUNUM AS APPROPRIATE;
WITH ENDOSCOPIC ULTRASOUND EXAMINATION
449............ 43272 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
ABLATION OF TUMOR(S), POLYP(S), OR OTHER
LESION(S) NOT AMENABLE TO REMOVAL BY HOT
BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE
TECHNIQUE
449............ 44369 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY
BEYOND SECOND PORTION OF DUODENUM, NOT
INCLUDING ILEUM; WITH ABLATION OF
TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT
AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
BIPOLAR CAUTERY OR SNARE TECHNIQUE
449............ 44393 COLONOSCOPY THROUGH STOMA; WITH ABLATION OF
TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT
AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
BIPOLAR CAUTERY OR SNARE TECHNIQUE
449............ 45339 SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF
TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT
AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS,
BIPOLAR CAUTERY OR SNARE TECHNIQUE
449............ 45383 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC
FLEXURE; WITH ABLATION OF TUMOR(S),
POLYP(S), OR OTHER LESION(S) NOT AMENABLE
TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR
CAUTERY OR SNARE TECHNIQUE
452............ 45000 TRANSRECTAL DRAINAGE OF PELVIC ABSCESS
452............ 45005 INCISION AND DRAINAGE OF SUBMUCOSAL
ABSCESS, RECTUM
452............ 45020 INCISION AND DRAINAGE OF DEEP SUPRALEVATOR,
PELVIRECTAL, OR RETRORECTAL ABSCESS
452............ 45100 BIOPSY OF ANORECTAL WALL, ANAL APPROACH
(EG, CONGENITAL MEGACOLON)
452............ 45900 REDUCTION OF PROCIDENTIA (SEPARATE
PROCEDURE) UNDER ANESTHESIA
452............ 45905 DILATION OF ANAL SPHINCTER (SEPARATE
PROCEDURE) UNDER ANESTHESIA OTHER THAN
LOCAL
452............ 45910 DILATION OF RECTAL STRICTURE (SEPARATE
PROCEDURE) UNDER ANESTHESIA OTHER THAN
LOCAL
452............ 45915 REMOVAL OF FECAL IMPACTION OR FOREIGN BODY
(SEPARATE PROCEDURE) UNDER ANESTHESIA
452............ 46030 REMOVAL OF ANAL SETON, OTHER MARKER
452............ 46040 INCISION AND DRAINAGE OF ISCHIORECTAL AND/
OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE)
452............ 46050 INCISION AND DRAINAGE, PERIANAL ABSCESS,
SUPERFICIAL
452............ 46080 SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER
(SEPARATE PROCEDURE)
452............ 46210 CRYPTECTOMY; SINGLE
452............ 46754 REMOVAL OF THIERSCH WIRE OR SUTURE, ANAL
CANAL
453............ 45108 ANORECTAL MYOMECTOMY
453............ 45150 DIVISION OF STRICTURE OF RECTUM
453............ 45160 EXCISION OF RECTAL TUMOR BY PROCTOTOMY,
TRANSSACRAL OR TRANSCOCCYGEAL APPROACH
453............ 45170 EXCISION OF RECTAL TUMOR, TRANSANAL
APPROACH
453............ 45190 DESTRUCTION OF RECTAL TUMOR, ANY METHOD
(EG, ELECTRODESICCATION) TRANSANAL
APPROACH
453............ 45500 PROCTOPLASTY; FOR STENOSIS
453............ 45505 PROCTOPLASTY; FOR PROLAPSE OF MUCOUS
MEMBRANE
453............ 45560 REPAIR OF RECTOCELE (SEPARATE PROCEDURE)
453............ 46045 INCISION AND DRAINAGE OF INTRAMURAL,
INTRAMUSCULAR, OR SUBMUCOSAL ABSCESS,
TRANSANAL, UNDER ANESTHESIA
453............ 46060 INCISION AND DRAINAGE OF ISCHIORECTAL OR
INTRAMURAL ABSCESS, WITH FISTULECTOMY OR
FISTULOTOMY, SUBMUSCULAR, WITH OR WITHOUT
PLACEMENT OF SETON
453............ 46200 FISSURECTOMY, WITH OR WITHOUT
SPHINCTEROTOMY
453............ 46211 CRYPTECTOMY; MULTIPLE (SEPARATE PROCEDURE)
453............ 46250 HEMORRHOIDECTOMY, EXTERNAL, COMPLETE
453............ 46255 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,
SIMPLE
453............ 46257 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,
SIMPLE; WITH FISSURECTOMY
453............ 46258 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,
SIMPLE; WITH FISTULECTOMY, WITH OR WITHOUT
FISSURECTOMY
[[Page 32501]]
453............ 46260 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,
COMPLEX OR EXTENSIVE
453............ 46261 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,
COMPLEX OR EXTENSIVE; WITH FISSURECTOMY
453............ 46262 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL,
COMPLEX OR EXTENSIVE; WITH FISTULECTOMY,
WITH OR WITHOUT FISSURECTOMY
453............ 46270 SURGICAL TREATMENT OF ANAL FISTULA
(FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS
453............ 46275 SURGICAL TREATMENT OF ANAL FISTULA
(FISTULECTOMY/FISTULOTOMY); SUBMUSCULAR
453............ 46280 SURGICAL TREATMENT OF ANAL FISTULA
(FISTULECTOMY/FISTULOTOMY); COMPLEX OR
MULTIPLE, WITH OR WITHOUT PLACEMENT OF
SETON
453............ 46285 SURGICAL TREATMENT OF ANAL FISTULA
(FISTULECTOMY/FISTULOTOMY); SECOND STAGE
453............ 46288 CLOSURE OF ANAL FISTULA WITH RECTAL
ADVANCEMENT FLAP
453............ 46700 ANOPLASTY, PLASTIC OPERATION FOR STRICTURE;
ADULT
453............ 46750 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR
PROLAPSE; ADULT
453............ 46753 GRAFT (THIERSCH OPERATION) FOR RECTAL
INCONTINENCE AND/OR PROLAPSE
453............ 46760 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE,
ADULT; MUSCLE TRANSPLANT
453............ 46761 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE,
ADULT; LEVATOR MUSCLE IMBRICATION (PARK
POSTERIOR ANAL REPAIR)
453............ 46762 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE,
ADULT; IMPLANTATION ARTIFICIAL SPHINCTER
453............ 46937 CRYOSURGERY OF RECTAL TUMOR; BENIGN
453............ 46938 CRYOSURGERY OF RECTAL TUMOR; MALIGNANT
456............ 43260 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP);
DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF
SPECIMEN(S) BY BRUSHING OR WASHING
(SEPARATE PROCEDURE)
456............ 43261 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
BIOPSY, SINGLE OR MULTIPLE
456............ 43262 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
SPHINCTEROTOMY/PAPILLOTOMY
456............ 43263 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
PRESSURE MEASUREMENT OF SPHINCTER OF ODDI
(PANCREATIC DUCT OR COMMON BILE DUCT)
456............ 43264 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
ENDOSCOPIC RETROGRADE REMOVAL OF STONE(S)
FROM BILIARY AND/OR PANCREATIC DUCTS
456............ 43265 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
ENDOSCOPIC RETROGRADE DESTRUCTION,
LITHOTRIPSY OF STONE(S), ANY METHOD
456............ 43267 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
ENDOSCOPIC RETROGRADE INSERTION OF
NASOBILIARY OR NASOPANCREATIC DRAINAGE
TUBE
456............ 43268 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
ENDOSCOPIC RETROGRADE INSERTION OF TUBE OR
STENT INTO BILE OR PANCREATIC DUCT
456............ 43269 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
ENDOSCOPIC RETROGRADE REMOVAL OF FOREIGN
BODY AND/OR CHANGE OF TUBE OR STENT
456............ 43271 ENDOSCOPIC RETROGRADE
CHOLANGIOPANCREATOGRAPHY (ERCP); WITH
ENDOSCOPIC RETROGRADE BALLOON DILATION OF
AMPULLA, BILIARY AND/OR PANCREATIC DUCT(S)
458............ 47510 INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC
CATHETER FOR BILIARY DRAINAGE
458............ 47511 INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC
STENT FOR INTERNAL AND EXTERNAL BILIARY
DRAINAGE
458............ 47552 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE
OR OTHER TRACT; DIAGNOSTIC, WITH OR
WITHOUT COLLECTION OF SPECIMEN(S) BY
BRUSHING AND/OR WASHING (SEPARATE
PROCEDURE)
458............ 47553 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE
OR OTHER TRACT; WITH BIOPSY, SINGLE OR
MULTIPLE
458............ 47554 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE
OR OTHER TRACT; WITH REMOVAL OF STONE(S)
458............ 47555 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE
OR OTHER TRACT; WITH DILATION OF BILIARY
DUCT STRICTURE(S) WITHOUT STENT
458............ 47556 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE
OR OTHER TRACT; WITH DILATION OF BILIARY
DUCT STRICTURE(S) WITH STENT
458............ 47630 BILIARY DUCT STONE EXTRACTION, PERCUTANEOUS
VIA T-TUBE TRACT, BASKET, OR SNARE (EG,
BURHENNE TECHNIQUE)
459............ 49085 REMOVAL OF PERITONEAL FOREIGN BODY FROM
PERITONEAL CAVITY
459............ 49250 UMBILECTOMY, OMPHALECTOMY, EXCISION OF
UMBILICUS (SEPARATE PROCEDURE)
459............ 49420 INSERTION OF INTRAPERITONEAL CANNULA OR
CATHETER FOR DRAINAGE OR DIALYSIS;
TEMPORARY
459............ 49421 INSERTION OF INTRAPERITONEAL CANNULA OR
CATHETER FOR DRAINAGE OR DIALYSIS;
PERMANENT
459............ 49426 REVISION OF PERITONEAL-VENOUS SHUNT
466............ 49495 REPAIR INITIAL INGUINAL HERNIA, UNDER AGE 6
MONTHS, WITH OR WITHOUT HYDROCELECTOMY;
REDUCIBLE
466............ 49496 REPAIR INITIAL INGUINAL HERNIA, UNDER AGE 6
MONTHS, WITH OR WITHOUT HYDROCELECTOMY;
INCARCERATED OR STRANGULATED
466............ 49500 REPAIR INITIAL INGUINAL HERNIA, AGE 6
MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT
HYDROCELECTOMY; REDUCIBLE
466............ 49501 REPAIR INITIAL INGUINAL HERNIA, AGE 6
MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT
HYDROCELECTOMY; INCARCERATED OR
STRANGULATED
466............ 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS
OR OVER; REDUCIBLE
466............ 49507 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS
OR OVER; INCARCERATED OR STRANGULATED
466............ 49520 REPAIR RECURRENT INGUINAL HERNIA, ANY AGE;
REDUCIBLE
466............ 49521 REPAIR RECURRENT INGUINAL HERNIA, ANY AGE;
INCARCERATED OR STRANGULATED
466............ 49525 REPAIR INGUINAL HERNIA, SLIDING, ANY AGE
466............ 49540 REPAIR LUMBAR HERNIA
466............ 49550 REPAIR INITIAL FEMORAL HERNIA, ANY AGE,
REDUCIBLE;
466............ 49553 REPAIR INITIAL FEMORAL HERNIA, ANY AGE,
REDUCIBLE; INCARCERATED OR STRANGULATED
466............ 49555 REPAIR RECURRENT FEMORAL HERNIA; REDUCIBLE
466............ 49557 REPAIR RECURRENT FEMORAL HERNIA;
INCARCERATED OR STRANGULATED
466............ 49560 REPAIR INITIAL INCISIONAL OR VENTRAL
HERNIA; REDUCIBLE
466............ 49561 REPAIR INITIAL INCISIONAL OR VENTRAL
HERNIA; INCARCERATED OR STRANGULATED
466............ 49565 REPAIR RECURRENT INCISIONAL OR VENTRAL
HERNIA; REDUCIBLE
466............ 49566 REPAIR RECURRENT INCISIONAL OR VENTRAL
HERNIA; INCARCERATED OR STRANGULATED
466............ 49568 IMPLANTATION OF MESH OR OTHER PROSTHESIS
FOR INCISIONAL OR VENTRAL HERNIA REPAIR
(LIST SEPARATELY IN ADDITION TO CODE FOR
THE INCISIONAL OR VENTRAL HERNIA REPAIR)
[[Page 32502]]
466............ 49570 REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL
FAT); REDUCIBLE (SEPARATE PROCEDURE)
466............ 49572 REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL
FAT); INCARCERATED OR STRANGULATED
466............ 49580 REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS;
REDUCIBLE
466............ 49582 REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS;
INCARCERATED OR STRANGULATED
466............ 49585 REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR
OVER; REDUCIBLE
466............ 49587 REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR
OVER; INCARCERATED OR STRANGULATED
466............ 49590 REPAIR SPIGELIAN HERNIA
466............ 49600 REPAIR OF SMALL OMPHALOCELE, WITH PRIMARY
CLOSURE
466............ 51500 EXCISION OF URACHAL CYST OR SINUS, WITH OR
WITHOUT UMBILICAL HERNIA REPAIR
466............ 55040 EXCISION OF HYDROCELE; UNILATERAL
466............ 55041 EXCISION OF HYDROCELE; BILATERAL
470............ 31502 TRACHEOTOMY TUBE CHANGE PRIOR TO
ESTABLISHMENT OF FISTULA TRACT
470............ 43760 CHANGE OF GASTROSTOMY TUBE
470............ 43761 REPOSITIONING OF THE GASTRIC FEEDING TUBE
THROUGH THE DUODENUM FOR ENTERIC NUTRITION
470............ 47525 CHANGE OF PERCUTANEOUS BILIARY DRAINAGE
CATHETER
470............ 47530 REVISION AND/OR REINSERTION OF TRANSHEPATIC
TUBE
470............ 49422 REMOVAL OF PERMANENT INTRAPERITONEAL
CANNULA OR CATHETER
470............ 49429 REMOVAL OF PERITONEAL-VENOUS SHUNT
470............ 50688 CHANGE OF URETEROSTOMY TUBE
470............ 51705 CHANGE OF CYSTOSTOMY TUBE; SIMPLE
470............ 51710 CHANGE OF CYSTOSTOMY TUBE; COMPLICATED
521............ 50398 CHANGE OF NEPHROSTOMY OR PYELOSTOMY TUBE
521............ 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)
521............ 52265 CYSTOURETHROSCOPY, WITH DILATION OF BLADDER
FOR INTERSTITIAL CYSTITIS; LOCAL
ANESTHESIA
522............ 50551 RENAL ENDOSCOPY THROUGH ESTABLISHED
NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE;
522............ 50553 RENAL ENDOSCOPY THROUGH ESTABLISHED
NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE; WITH URETERAL
CATHETERIZATION, WITH OR WITHOUT DILATION
OF URETER
522............ 50555 RENAL ENDOSCOPY THROUGH ESTABLISHED
NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE; WITH BIOPSY
522............ 50557 RENAL ENDOSCOPY THROUGH ESTABLISHED
NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE; WITH FULGURATION AND/
OR INCISION, WITH OR WITHOUT BIOPSY
522............ 50559 RENAL ENDOSCOPY THROUGH ESTABLISHED
NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE; WITH INSERTION OF
RADIOACTIVE SUBSTANCE WITH OR WITHOUT
BIOPSY AND/OR FULGURATION
522............ 50561 RENAL ENDOSCOPY THROUGH ESTABLISHED
NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE; WITH REMOVAL OF
FOREIGN BODY OR CALCULUS
522............ 52005 CYSTOURETHROSCOPY, WITH URETERAL
CATHETERIZATION, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE;
522............ 52007 CYSTOURETHROSCOPY, WITH URETERAL
CATHETERIZATION, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR
URETEROPYELOGRAPHY, EXCLUSIVE OF
RADIOLOGIC SERVICE; WITH BRUSH BIOPSY OF
URETER AND/OR RENAL PELVIS
522............ 52010 CYSTOURETHROSCOPY, WITH EJACULATORY DUCT
CATHETERIZATION, WITH OR WITHOUT
IRRIGATION, INSTILLATION, OR DUCT
RADIOGRAPHY, EXCLUSIVE OF RADIOLOGIC
SERVICE
522............ 52204 CYSTOURETHROSCOPY, WITH BIOPSY
522............ 52214 CYSTOURETHROSCOPY, WITH FULGURATION
(INCLUDING CRYOSURGERY OR LASER SURGERY)
OF TRIGONE, BLADDER NECK, PROSTATIC FOSSA,
URETHRA, OR PERIURETHRAL GLANDS
522............ 52224 CYSTOURETHROSCOPY, WITH FULGURATION
(INCLUDING CRYOSURGERY OR LASER SURGERY)
OR TREATMENT OF MINOR (LESS THAN 0.5 CM)
LESION(S) WITH OR WITHOUT BIOPSY
522............ 52260 CYSTOURETHROSCOPY, WITH DILATION OF BLADDER
FOR INTERSTITIAL CYSTITIS; GENERAL OR
CONDUCTION (SPINAL) ANESTHESIA
522............ 52270 CYSTOURETHROSCOPY, WITH INTERNAL
URETHROTOMY; FEMALE
522............ 52275 CYSTOURETHROSCOPY, WITH INTERNAL
URETHROTOMY; MALE
522............ 52276 CYSTOURETHROSCOPY WITH DIRECT VISION
INTERNAL URETHROTOMY
522............ 52281 CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR
DILATION OF URETHRAL STRICTURE OR
STENOSIS, WITH OR WITHOUT MEATOTOMY, WITH
OR WITHOUT INJECTION PROCEDURE FOR
CYSTOGRAPHY, MALE OR FEMALE
522............ 52283 CYSTOURETHROSCOPY, WITH STEROID INJECTION
INTO STRICTURE
522............ 52285 CYSTOURETHROSCOPY FOR TREATMENT OF THE
FEMALE URETHRAL SYNDROME WITH ANY OR ALL
OF THE FOLLOWING: URETHRAL MEATOTOMY,
URETHRAL DILATION, INTERNAL URETHROTOMY,
LYSIS OF URETHROVAGINAL SEPTAL FIBROSIS,
LATERAL INCISIONS OF THE BLADDER NECK, AND
FULGURATION OF POLYP(S) OF URETHRA,
BLADDER NECK, AND/OR TRIGONE
522............ 52290 CYSTOURETHROSCOPY; WITH URETERAL MEATOTOMY,
UNILATERAL OR BILATERAL
522............ 52300 CYSTOURETHROSCOPY; WITH RESECTION OR
FULGURATION OF ORTHOTOPIC URETEROCELE(S),
UNILATERAL OR BILATERAL
522............ 52301 CYSTOURETHROSCOPY; WITH RESECTION OR
FULGURATION OF ECTOPIC URETEROCELE(S),
UNILATERAL OR BILATERAL
522............ 52305 CYSTOURETHROSCOPY; WITH INCISION OR
RESECTION OF ORIFICE OF BLADDER
DIVERTICULUM, SINGLE OR MULTIPLE
522............ 52310 CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN
BODY, CALCULUS, OR URETERAL STENT FROM
URETHRA OR BLADDER (SEPARATE PROCEDURE);
SIMPLE
522............ 52315 CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN
BODY, CALCULUS, OR URETERAL STENT FROM
URETHRA OR BLADDER (SEPARATE PROCEDURE);
COMPLICATED
522............ 52327 CYSTOURETHROSCOPY (INCLUDING URETERAL
CATHETERIZATION); WITH SUBURETERIC
INJECTION OF IMPLANT MATERIAL
522............ 52510 TRANSURETHRAL BALLOON DILATION OF THE
PROSTATIC URETHRA, ANY METHOD
522............ 53605 DILATION OF URETHRAL STRICTURE OR VESICAL
NECK BY PASSAGE OF SOUND OR URETHRAL
DILATOR, MALE, GENERAL OR CONDUCTION
(SPINAL) ANESTHESIA
[[Page 32503]]
523............ 50951 URETERAL ENDOSCOPY THROUGH ESTABLISHED
URETEROSTOMY, WITH OR WITHOUT IRRIGATION,
INSTILLATION, OR URETEROPYELOGRAPHY,
EXCLUSIVE OF RADIOLOGIC SERVICE;
523............ 50953 URETERAL ENDOSCOPY THROUGH ESTABLISHED
URETEROSTOMY, WITH OR WITHOUT IRRIGATION,
INSTILLATION, OR URETEROPYELOGRAPHY,
EXCLUSIVE OF RADIOLOGIC SERVICE; WITH
URETERAL CATHETERIZATION, WITH OR WITHOUT
DILATION OF URETER
523............ 50955 URETERAL ENDOSCOPY THROUGH ESTABLISHED
URETEROSTOMY, WITH OR WITHOUT IRRIGATION,
INSTILLATION, OR URETEROPYELOGRAPHY,
EXCLUSIVE OF RADIOLOGIC SERVICE; WITH
BIOPSY
523............ 50957 URETERAL ENDOSCOPY THROUGH ESTABLISHED
URETEROSTOMY, WITH OR WITHOUT IRRIGATION,
INSTILLATION, OR URETEROPYELOGRAPHY,
EXCLUSIVE OF RADIOLOGIC SERVICE; WITH
FULGURATION AND/OR INCISION, WITH OR
WITHOUT BIOPSY
523............ 50959 URETERAL ENDOSCOPY THROUGH ESTABLISHED
URETEROSTOMY, WITH OR WITHOUT IRRIGATION,
INSTILLATION, OR URETEROPYELOGRAPHY,
EXCLUSIVE OF RADIOLOGIC SERVICE; WITH
INSERTION OF RADIOACTIVE SUBSTANCE, WITH
OR WITHOUT BIOPSY AND/OR FULGURATION (NOT
INCLUDING PROVISION OF MATERIAL)
523............ 50961 URETERAL ENDOSCOPY THROUGH ESTABLISHED
URETEROSTOMY, WITH OR WITHOUT IRRIGATION,
INSTILLATION, OR URETEROPYELOGRAPHY,
EXCLUSIVE OF RADIOLOGIC SERVICE; WITH
REMOVAL OF FOREIGN BODY OR CALCULUS
523............ 51020 CYSTOTOMY OR CYSTOSTOMY; WITH FULGURATION
AND/OR INSERTION OF RADIOACTIVE MATERIAL
523............ 51030 CYSTOTOMY OR CYSTOSTOMY; WITH CRYOSURGICAL
DESTRUCTION OF INTRAVESICAL LESION
523............ 51040 CYSTOSTOMY, CYSTOTOMY WITH DRAINAGE
523............ 51045 CYSTOTOMY, WITH INSERTION OF URETERAL
CATHETER OR STENT (SEPARATE PROCEDURE)
523............ 51050 CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF
CALCULUS, WITHOUT VESICAL NECK RESECTION
523............ 51065 CYSTOTOMY, WITH STONE BASKET EXTRACTION AND/
OR ULTRASONIC OR ELECTROHYDRAULIC
FRAGMENTATION OF URETERAL CALCULUS
523............ 51520 CYSTOTOMY; FOR SIMPLE EXCISION OF VESICAL
NECK (SEPARATE PROCEDURE)
523............ 51880 CLOSURE OF CYSTOSTOMY (SEPARATE PROCEDURE)
523............ 52234 CYSTOURETHROSCOPY, WITH FULGURATION
(INCLUDING CRYOSURGERY OR LASER SURGERY)
AND/OR RESECTION OF; SMALL BLADDER
TUMOR(S) (0.5 TO 2.0 CM)
523............ 52235 CYSTOURETHROSCOPY, WITH FULGURATION
(INCLUDING CRYOSURGERY OR LASER SURGERY)
AND/OR RESECTION OF; MEDIUM BLADDER
TUMOR(S) (2.0 TO 5.0 CM)
523............ 52240 CYSTOURETHROSCOPY, WITH FULGURATION
(INCLUDING CRYOSURGERY OR LASER SURGERY)
AND/OR RESECTION OF; LARGE BLADDER
TUMOR(S)
523............ 52250 CYSTOURETHROSCOPY WITH INSERTION OF
RADIOACTIVE SUBSTANCE, WITH OR WITHOUT
BIOPSY OR FULGURATION
523............ 52277 CYSTOURETHROSCOPY, WITH RESECTION OF
EXTERNAL SPHINCTER (SPHINCTEROTOMY)
523............ 52282 CYSTOURETHROSCOPY, WITH INSERTION OF
URETHRAL STENT
523............ 52317 LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF
CALCULUS BY ANY MEANS IN BLADDER AND
REMOVAL OF FRAGMENTS; SIMPLE OR SMALL
(LESS THAN 2.5 CM)
523............ 52318 LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF
CALCULUS BY ANY MEANS IN BLADDER AND
REMOVAL OF FRAGMENTS; COMPLICATED OR LARGE
(OVER 2.5 CM)
523............ 52320 CYSTOURETHROSCOPY (INCLUDING URETERAL
CATHETERIZATION); WITH REMOVAL OF URETERAL
CALCULUS
523............ 52325 CYSTOURETHROSCOPY (INCLUDING URETERAL
CATHETERIZATION); WITH FRAGMENTATION OF
URETERAL CALCULUS (EG, ULTRASONIC OR
ELECTRO-HYDRAULIC TECHNIQUE)
523............ 52330 CYSTOURETHROSCOPY (INCLUDING URETERAL
CATHETERIZATION); WITH MANIPULATION,
WITHOUT REMOVAL OF URETERAL CALCULUS
523............ 52332 CYSTOURETHROSCOPY, WITH INSERTION OF
INDWELLING URETERAL STENT (EG, GIBBONS OR
DOUBLE-J TYPE)
523............ 52334 CYSTOURETHROSCOPY WITH INSERTION OF
URETERAL GUIDE WIRE THROUGH KIDNEY TO
ESTABLISH A PERCUTANEOUS NEPHROSTOMY,
RETROGRADE
523............ 52335 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
PYELOSCOPY (INCLUDES DILATION OF THE
URETER AND/OR PYELOURETERAL JUNCTION BY
ANY METHOD);
523............ 52336 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
PYELOSCOPY (INCLUDES DILATION OF THE
URETER AND/OR PYELOURETERAL JUNCTION BY
ANY METHOD); WITH REMOVAL OR MANIPULATION
OF CALCULUS (URETERAL CATHETERIZATION IS
INCLUDED)
523............ 52338 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
PYELOSCOPY (INCLUDES DILATION OF THE
URETER AND/OR PYELOURETERAL JUNCTION BY
ANY METHOD); WITH BIOPSY AND/OR
FULGURATION OF LESION
523............ 52339 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
PYELOSCOPY (INCLUDES DILATION OF THE
URETER AND/OR PYELOURETERAL JUNCTION BY
ANY METHOD); WITH RESECTION OF TUMOR
523............ 52340 CYSTOURETHROSCOPY WITH INCISION,
FULGURATION, OR RESECTION OF CONGENITAL
POSTERIOR URETHRAL VALVES, OR CONGENITAL
OBSTRUCTIVE HYPERTROPHIC MUCOSAL FOLDS
523............ 52450 TRANSURETHRAL INCISION OF PROSTATE
523............ 52500 TRANSURETHRAL RESECTION OF BLADDER NECK
(SEPARATE PROCEDURE)
523............ 52606 TRANSURETHRAL FULGURATION FOR POSTOPERATIVE
BLEEDING OCCURRING AFTER THE USUAL FOLLOW-
UP TIME
523............ 52640 TRANSURETHRAL RESECTION; OF POSTOPERATIVE
BLADDER NECK CONTRACTURE
523............ 52700 TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS
523............ 55720 PROSTATOTOMY, EXTERNAL DRAINAGE OF
PROSTATIC ABSCESS, ANY APPROACH; SIMPLE
523............ 55725 PROSTATOTOMY, EXTERNAL DRAINAGE OF
PROSTATIC ABSCESS, ANY APPROACH;
COMPLICATED
523............ 55859 TRANSPERINEAL PLACEMENT OF NEEDLES OR
CATHETERS INTO PROSTATE FOR INTERSTITIAL
RADIOELEMENT APPLICATION, WITH OR WITHOUT
CYSTOSCOPY
524............ 52337 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR
PYELOSCOPY (INCLUDES DILATION OF THE
URETER AND/OR PYELOURETERAL JUNCTION BY
ANY METHOD); WITH LITHOTRIPSY (URETERAL
CATHETERIZATION IS INCLUDED)
524............ 52601 TRANSURETHRAL ELECTROSURGICAL RESECTION OF
PROSTATE, INCLUDING CONTROL OF
POSTOPERATIVE BLEEDING, COMPLETE
(VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY,
URETHRAL CALIBRATION AND/OR DILATION, AND
INTERNAL URETHROTOMY ARE INCLUDED)
524............ 52612 TRANSURETHRAL RESECTION OF PROSTATE; FIRST
STAGE OF TWO-STAGE RESECTION (PARTIAL
RESECTION)
524............ 52614 TRANSURETHRAL RESECTION OF PROSTATE; SECOND
STAGE OF TWO-STAGE RESECTION (RESECTION
COMPLETED)
524............ 52620 TRANSURETHRAL RESECTION; OF RESIDUAL
OBSTRUCTIVE TISSUE AFTER 90 DAYS
POSTOPERATIVE
524............ 52630 TRANSURETHRAL RESECTION; OF REGROWTH OF
OBSTRUCTIVE TISSUE LONGER THAN ONE YEAR
POSTOPERATIVE
[[Page 32504]]
524............ 52647 NON-CONTACT LASER COAGULATION OF PROSTATE,
INCLUDING CONTROL OF POSTOPERATIVE
BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY,
CYSTOURETHROSCOPY, URETHRAL CALIBRATION
AND/OR DILATION, AND INTERNAL URETHROTOMY
ARE INCLUDED)
524............ 52648 CONTACT LASER VAPORIZATION WITH OR WITHOUT
TRANSURETHRAL RESECTION OF PROSTATE,
INCLUDING CONTROL OF POSTOPERATIVE
BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY,
CYSTOURETHROSCOPY, URETHRAL CALIBRATION
AND/OR DILATION, AND INTERNAL URETHROTOMY
ARE INCLUDED)
524............ 53850 TRANSURETHRAL DESTRUCTION OF PROSTATE
TISSUE; BY MICROWAVE THERMOTHERAPY
524............ 53852 TRANSURETHRAL DESTRUCTION OF PROSTATE
TISSUE; BY RADIOFREQUENCY THERMOTHERAPY
527............ 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE
531............ 51715 ENDOSCOPIC INJECTION OF IMPLANT MATERIAL
INTO THE SUBMUCOSAL TISSUES OF THE URETHRA
AND/OR BLADDER NECK
531............ 53000 URETHROTOMY OR URETHROSTOMY, EXTERNAL
(SEPARATE PROCEDURE); PENDULOUS URETHRA
531............ 53010 URETHROTOMY OR URETHROSTOMY, EXTERNAL
(SEPARATE PROCEDURE); PERINEAL URETHRA,
EXTERNAL
531............ 53020 MEATOTOMY, CUTTING OF MEATUS (SEPARATE
PROCEDURE); EXCEPT INFANT
531............ 53025 MEATOTOMY, CUTTING OF MEATUS (SEPARATE
PROCEDURE); INFANT
531............ 53040 DRAINAGE OF DEEP PERIURETHRAL ABSCESS
531............ 53060 DRAINAGE OF SKENE'S GLAND ABSCESS OR CYST
531............ 53080 DRAINAGE OF PERINEAL URINARY EXTRAVASATION;
UNCOMPLICATED (SEPARATE PROCEDURE)
531............ 53200 BIOPSY OF URETHRA
531............ 53250 EXCISION OF BULBOURETHRAL GLAND (COWPER'S
GLAND)
531............ 53260 EXCISION OR FULGURATION; URETHRAL POLYP(S),
DISTAL URETHRA
531............ 53265 EXCISION OR FULGURATION; URETHRAL CARUNCLE
531............ 53270 EXCISION OR FULGURATION; SKENE'S GLANDS
531............ 53275 EXCISION OR FULGURATION; URETHRAL PROLAPSE
531............ 53442 REMOVAL OF PERINEAL PROSTHESIS INTRODUCED
FOR CONTINENCE
531............ 53502 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
INJURY, FEMALE
531............ 53505 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
INJURY; PENILE
531............ 53510 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
INJURY; PERINEAL
531............ 53665 DILATION OF FEMALE URETHRA, GENERAL OR
CONDUCTION (SPINAL) ANESTHESIA
531............ 54000 SLITTING OF PREPUCE, DORSAL OR LATERAL
(SEPARATE PROCEDURE); NEWBORN
531............ 54001 SLITTING OF PREPUCE, DORSAL OR LATERAL
(SEPARATE PROCEDURE); EXCEPT NEWBORN
532............ 53210 URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY;
FEMALE
532............ 53215 URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY;
MALE
532............ 53220 EXCISION OR FULGURATION OF CARCINOMA OF
URETHRA
532............ 53230 EXCISION OF URETHRAL DIVERTICULUM (SEPARATE
PROCEDURE); FEMALE
532............ 53235 EXCISION OF URETHRAL DIVERTICULUM (SEPARATE
PROCEDURE); MALE
532............ 53240 MARSUPIALIZATION OF URETHRAL DIVERTICULUM,
MALE OR FEMALE
532............ 53400 URETHROPLASTY; FIRST STAGE, FOR FISTULA,
DIVERTICULUM, OR STRICTURE (EG, JOHANNSEN
TYPE)
532............ 53405 URETHROPLASTY; SECOND STAGE (FORMATION OF
URETHRA), INCLUDING URINARY DIVERSION
532............ 53410 URETHROPLASTY, ONE-STAGE RECONSTRUCTION OF
MALE ANTERIOR URETHRA
532............ 53420 URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR
REPAIR OF PROSTATIC OR MEMBRANOUS URETHRA;
FIRST STAGE
532............ 53425 URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR
REPAIR OF PROSTATIC OR MEMBRANOUS URETHRA;
SECOND STAGE
532............ 53430 URETHROPLASTY, RECONSTRUCTION OF FEMALE
URETHRA
532............ 53447 REMOVAL, REPAIR, OR REPLACEMENT OF
INFLATABLE SPHINCTER INCLUDING PUMP AND/OR
RESERVOIR AND/OR CUFF
532............ 53449 SURGICAL CORRECTION OF HYDRAULIC
ABNORMALITY OF INFLATABLE SPHINCTER DEVICE
532............ 53450 URETHROMEATOPLASTY, WITH MUCOSAL
ADVANCEMENT
532............ 53460 URETHROMEATOPLASTY, WITH PARTIAL EXCISION
OF DISTAL URETHRAL SEGMENT (RICHARDSON
TYPE PROCEDURE)
532............ 53515 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR
INJURY; PROSTATOMEMBRANOUS
532............ 53520 CLOSURE OF URETHROSTOMY OR URETHROCUTANEOUS
FISTULA, MALE (SEPARATE PROCEDURE)
536............ 54150 CIRCUMCISION, USING CLAMP OR OTHER DEVICE;
NEWBORN
536............ 54152 CIRCUMCISION, USING CLAMP OR OTHER DEVICE;
EXCEPT NEWBORN
536............ 54160 CIRCUMCISION, SURGICAL EXCISION OTHER THAN
CLAMP, DEVICE OR DORSAL SLIT; NEWBORN
536............ 54161 CIRCUMCISION, SURGICAL EXCISION OTHER THAN
CLAMP, DEVICE OR DORSAL SLIT; EXCEPT
NEWBORN
537............ 37790 PENILE VENOUS OCCLUSIVE PROCEDURE
537............ 54110 EXCISION OF PENILE PLAQUE (PEYRONIE
DISEASE);
537............ 54111 EXCISION OF PENILE PLAQUE (PEYRONIE
DISEASE); WITH GRAFT TO 5 CM IN LENGTH
537............ 54112 EXCISION OF PENILE PLAQUE (PEYRONIE
DISEASE); WITH GRAFT GREATER THAN 5 CM IN
LENGTH
537............ 54120 AMPUTATION OF PENIS; PARTIAL
537............ 54205 INJECTION PROCEDURE FOR PEYRONIE DISEASE;
WITH SURGICAL EXPOSURE OF PLAQUE
537............ 54300 PLASTIC OPERATION OF PENIS FOR
STRAIGHTENING OF CHORDEE (EG,
HYPOSPADIAS), WITH OR WITHOUT MOBILIZATION
OF URETHRA
537............ 54304 PLASTIC OPERATION ON PENIS FOR CORRECTION
OF CHORDEE OR FOR FIRST STAGE HYPOSPADIAS
REPAIR WITH OR WITHOUT TRANSPLANTATION OF
PREPUCE AND/OR SKIN FLAPS
537............ 54308 URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS
REPAIR (INCLUDING URINARY DIVERSION); LESS
THAN 3 CM
537............ 54312 URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS
REPAIR (INCLUDING URINARY DIVERSION);
GREATER THAN 3 CM
537............ 54316 URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS
REPAIR (INCLUDING URINARY DIVERSION) WITH
FREE SKIN GRAFT OBTAINED FROM SITE OTHER
THAN GENITALIA
537............ 54318 URETHROPLASTY FOR THIRD STAGE HYPOSPADIAS
REPAIR TO RELEASE PENIS FROM SCROTUM (EG,
THIRD STAGE CECIL REPAIR)
537............ 54322 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH
OR WITHOUT CHORDEE OR CIRCUMCISION); WITH
SIMPLE MEATAL ADVANCEMENT (EG, MAGPI, V-
FLAP)
537............ 54324 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH
OR WITHOUT CHORDEE OR CIRCUMCISION); WITH
URETHROPLASTY BY LOCAL SKIN FLAPS (EG,
FLIP-FLAP, PREPUCIAL FLAP)
537............ 54326 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH
OR WITHOUT CHORDEE OR CIRCUMCISION); WITH
URETHROPLASTY BY LOCAL SKIN FLAPS AND
MOBILIZATION OF URETHRA
[[Page 32505]]
537............ 54328 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH
OR WITHOUT CHORDEE OR CIRCUMCISION); WITH
EXTENSIVE DISSECTION TO CORRECT CHORDEE
AND URETHROPLASTY WITH LOCAL SKIN FLAPS,
SKIN GRAFT PATCH, AND/OR ISLAND FLAP
537............ 54340 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE,
FISTULA, STRICTURE, DIVERTICULA); BY
CLOSURE, INCISION, OR EXCISION, SIMPLE
537............ 54344 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE,
FISTULA, STRICTURE, DIVERTICULA);
REQUIRING MOBILIZATION OF SKIN FLAPS AND
URETHROPLASTY WITH FLAP OR PATCH GRAFT
537............ 54348 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE,
FISTULA, STRICTURE, DIVERTICULA);
REQUIRING EXTENSIVE DISSECTION AND
URETHROPLASTY WITH FLAP, PATCH OR TUBED
GRAFT (INCLUDES URINARY DIVERSION)
537............ 54352 REPAIR OF HYPOSPADIAS CRIPPLE REQUIRING
EXTENSIVE DISSECTION AND EXCISION OF
PREVIOUSLY CONSTRUCTED STRUCTURES
INCLUDING RE-RELEASE OF CHORDEE AND
RECONSTRUCTION OF URETHRA AND PENIS BY USE
OF LOCAL SKIN AS GRAFTS AND ISLAND FLAPS
AND SKIN BROUGHT IN AS FLAPS OR GRAFTS
537............ 54360 PLASTIC OPERATION ON PENIS TO CORRECT
ANGULATION
537............ 54380 PLASTIC OPERATION ON PENIS FOR EPISPADIAS
DISTAL TO EXTERNAL SPHINCTER;
537............ 54385 PLASTIC OPERATION ON PENIS FOR EPISPADIAS
DISTAL TO EXTERNAL SPHINCTER; WITH
INCONTINENCE
537............ 54402 REMOVAL OR REPLACEMENT OF NON-INFLATABLE
(SEMI-RIGID) OR INFLATABLE (SELF-
CONTAINED) PENILE PROSTHESIS
537............ 54407 REMOVAL, REPAIR, OR REPLACEMENT OF
INFLATABLE (MULTI-COMPONENT) PENILE
PROSTHESIS, INCLUDING PUMP AND/OR
RESERVOIR AND/OR CYLINDERS
537............ 54409 SURGICAL CORRECTION OF HYDRAULIC
ABNORMALITY OF INFLATABLE (MULTI-
COMPONENT) PROSTHESIS INCLUDING PUMP AND/
OR RESERVOIR AND/OR CYLINDERS
537............ 54420 CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT
(PRIAPISM OPERATION), UNILATERAL OR
BILATERAL
537............ 54435 CORPORA CAVERNOSA-GLANS PENIS FISTULIZATION
(EG, BIOPSY NEEDLE, WINTER PROCEDURE,
RONGEUR, OR PUNCH) FOR PRIAPISM
537............ 54440 PLASTIC OPERATION OF PENIS FOR INJURY
538............ 53440 OPERATION FOR CORRECTION OF MALE URINARY
INCONTINENCE, WITH OR WITHOUT INTRODUCTION
OF PROSTHESIS
538............ 53445 OPERATION FOR CORRECTION OF URINARY
INCONTINENCE WITH PLACEMENT OF INFLATABLE
URETHRAL OR BLADDER NECK SPHINCTER,
INCLUDING PLACEMENT OF PUMP AND/OR
RESERVOIR
538............ 54400 INSERTION OF PENILE PROSTHESIS; NON-
INFLATABLE (SEMI-RIGID)
538............ 54401 INSERTION OF PENILE PROSTHESIS; INFLATABLE
(SELF-CONTAINED)
538............ 54405 INSERTION OF INFLATABLE (MULTI-COMPONENT)
PENILE PROSTHESIS, INCLUDING PLACEMENT OF
PUMP, CYLINDERS, AND/OR RESERVOIR
546............ 54505 BIOPSY OF TESTIS, INCISIONAL (SEPARATE
PROCEDURE)
546............ 54510 EXCISION OF LOCAL LESION OF TESTIS
546............ 54520 ORCHIECTOMY, SIMPLE (INCLUDING
SUBCAPSULAR), WITH OR WITHOUT TESTICULAR
PROSTHESIS, SCROTAL OR INGUINAL APPROACH
546............ 54530 ORCHIECTOMY, RADICAL, FOR TUMOR; INGUINAL
APPROACH
546............ 54550 EXPLORATION FOR UNDESCENDED TESTIS
(INGUINAL OR SCROTAL AREA)
546............ 54600 REDUCTION OF TORSION OF TESTIS, SURGICAL,
WITH OR WITHOUT FIXATION OF CONTRALATERAL
TESTIS
546............ 54620 FIXATION OF CONTRALATERAL TESTIS (SEPARATE
PROCEDURE)
546............ 54640 ORCHIOPEXY, INGUINAL APPROACH, WITH OR
WITHOUT HERNIA REPAIR
546............ 54660 INSERTION OF TESTICULAR PROSTHESIS
(SEPARATE PROCEDURE)
546............ 54670 SUTURE OR REPAIR OF TESTICULAR INJURY
546............ 54680 TRANSPLANTATION OF TESTIS(ES) TO THIGH
(BECAUSE OF SCROTAL DESTRUCTION)
546............ 54700 INCISION AND DRAINAGE OF EPIDIDYMIS, TESTIS
AND/OR SCROTAL SPACE (EG, ABSCESS OR
HEMATOMA)
546............ 54820 EXPLORATION OF EPIDIDYMIS, WITH OR WITHOUT
BIOPSY
546............ 54830 EXCISION OF LOCAL LESION OF EPIDIDYMIS
546............ 54840 EXCISION OF SPERMATOCELE, WITH OR WITHOUT
EPIDIDYMECTOMY
546............ 54860 EPIDIDYMECTOMY; UNILATERAL
546............ 54861 EPIDIDYMECTOMY; BILATERAL
546............ 54900 EPIDIDYMOVASOSTOMY, ANASTOMOSIS OF
EPIDIDYMIS TO VAS DEFERENS; UNILATERAL
546............ 54901 EPIDIDYMOVASOSTOMY, ANASTOMOSIS OF
EPIDIDYMIS TO VAS DEFERENS; BILATERAL
546............ 55060 REPAIR OF TUNICA VAGINALIS HYDROCELE
(BOTTLE TYPE)
546............ 55110 SCROTAL EXPLORATION
546............ 55120 REMOVAL OF FOREIGN BODY IN SCROTUM
546............ 55150 RESECTION OF SCROTUM
546............ 55175 SCROTOPLASTY; SIMPLE
546............ 55180 SCROTOPLASTY; COMPLICATED
546............ 55200 VASOTOMY, CANNULIZATION WITH OR WITHOUT
INCISION OF VAS, UNILATERAL OR BILATERAL
(SEPARATE PROCEDURE)
546............ 55250 VASECTOMY, UNILATERAL OR BILATERAL
(SEPARATE PROCEDURE), INCLUDING
POSTOPERATIVE SEMEN EXAMINATION(S)
546............ 55400 VASOVASOSTOMY, VASOVASORRHAPHY
546............ 55450 LIGATION (PERCUTANEOUS) OF VAS DEFERENS,
UNILATERAL OR BILATERAL (SEPARATE
PROCEDURE)
546............ 55500 EXCISION OF HYDROCELE OF SPERMATIC CORD,
UNILATERAL (SEPARATE PROCEDURE)
546............ 55520 EXCISION OF LESION OF SPERMATIC CORD
(SEPARATE PROCEDURE)
546............ 55530 EXCISION OF VARICOCELE OR LIGATION OF
SPERMATIC VEINS FOR VARICOCELE; (SEPARATE
PROCEDURE)
546............ 55535 EXCISION OF VARICOCELE OR LIGATION OF
SPERMATIC VEINS FOR VARICOCELE; ABDOMINAL
APPROACH
546............ 55540 EXCISION OF VARICOCELE OR LIGATION OF
SPERMATIC VEINS FOR VARICOCELE; WITH
HERNIA REPAIR
546............ 55680 EXCISION OF MULLERIAN DUCT CYST
547............ 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE
OR MULTIPLE, ANY APPROACH
547............ 55705 BIOPSY, PROSTATE; INCISIONAL, ANY APPROACH
550............ 56351 HYSTEROSCOPY, SURGICAL; WITH SAMPLING
(BIOPSY) OF ENDOMETRIUM AND/OR
POLYPECTOMY, WITH OR WITHOUT D & C
550............ 56352 HYSTEROSCOPY, SURGICAL; WITH LYSIS OF
INTRAUTERINE ADHESIONS (ANY METHOD)
550............ 56353 HYSTEROSCOPY, SURGICAL; WITH DIVISION OR
RESECTION OF INTRAUTERINE SEPTUM (ANY
METHOD)
550............ 56354 HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF
LEIOMYOMATA
550............ 56355 HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF
IMPACTED FOREIGN BODY
550............ 56356 HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL
ABLATION (ANY METHOD)
[[Page 32506]]
551............ 56300 LAPAROSCOPY (PERITONEOSCOPY), DIAGNOSTIC;
(SEPARATE PROCEDURE)
551............ 56301 LAPAROSCOPY, SURGICAL; WITH FULGURATION OF
OVIDUCTS (WITH OR WITHOUT TRANSECTION)
551............ 56302 LAPAROSCOPY, SURGICAL; WITH OCCLUSION OF
OVIDUCTS BY DEVICE (EG, BAND, CLIP, OR
FALOPE RING)
551............ 56303 LAPAROSCOPY, SURGICAL; WITH FULGURATION OR
EXCISION OF LESIONS OF THE OVARY, PELVIC
VISCERA, OR PERITONEAL SURFACE BY ANY
METHOD
551............ 56304 LAPAROSCOPY, SURGICAL; WITH LYSIS OF
ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS)
(SEPARATE PROCEDURE)
551............ 56305 LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE
OR MULTIPLE)
551............ 56306 LAPAROSCOPY, SURGICAL; WITH ASPIRATION
(SINGLE OR MULTIPLE)
551............ 56346 LAPAROSCOPY, SURGICAL; GASTROSTOMY,
TEMPORARY (TUBE OR RUBBER OR PLASTIC)
(SEPARATE PROCEDURE)
552............ 56307 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF
ADNEXAL STRUCTURES (PARTIAL OR TOTAL
OOPHORECTOMY AND/OR SALPINGECTOMY)
552............ 56309 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF
LEIOMYOMATA (SINGLE OR MULTIPLE)
552............ 56311 LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL
LYMPH NODE SAMPLING (BIOPSY), SINGLE OR
MULTIPLE
552............ 56312 LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL
PELVIC LYMPHADENECTOMY
552............ 56313 LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL
PELVIC LYMPHADENECTOMY AND PERI-AORTIC
LYMPH NODE SAMPLING (BIOPSY), SINGLE OR
MULTIPLE
552............ 56316 LAPAROSCOPY, SURGICAL; REPAIR OF INITIAL
INGUINAL HERNIA
552............ 56317 LAPAROSCOPY, SURGICAL; REPAIR OF RECURRENT
INGUINAL HERNIA
552............ 56318 LAPAROSCOPY, SURGICAL; ORCHIECTOMY
552............ 56320 LAPAROSCOPY, SURGICAL; WITH LIGATION OF
SPERMATIC VEINS FOR VARICOCELE
552............ 56343 LAPAROSCOPY, SURGICAL; WITH SALPINGOSTOMY
(SALPINGONEOSTOMY)
552............ 56344 LAPAROSCOPY, SURGICAL; WITH FIMBRIOPLASTY
552............ 56362 LAPAROSCOPY WITH GUIDED TRANSHEPATIC
CHOLANGIOGRAPHY; WITHOUT BIOPSY
552............ 56363 LAPAROSCOPY WITH GUIDED TRANSHEPATIC
CHOLANGIOGRAPHY; WITH BIOPSY
562............ 56350 HYSTEROSCOPY, DIAGNOSTIC (SEPARATE
PROCEDURE)
562............ 56440 MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST
562............ 56700 PARTIAL HYMENECTOMY OR REVISION OF HYMENAL
RING
562............ 56720 HYMENOTOMY, SIMPLE INCISION
562............ 56740 EXCISION OF BARTHOLIN'S GLAND OR CYST
562............ 56800 PLASTIC REPAIR OF INTROITUS
562............ 56810 PERINEOPLASTY, REPAIR OF PERINEUM,
NONOBSTETRICAL (SEPARATE PROCEDURE)
562............ 57000 COLPOTOMY; WITH EXPLORATION
562............ 57010 COLPOTOMY; WITH DRAINAGE OF PELVIC ABSCESS
562............ 57020 COLPOCENTESIS (SEPARATE PROCEDURE)
562............ 57065 DESTRUCTION OF VAGINAL LESION(S);
EXTENSIVE, ANY METHOD
562............ 57105 BIOPSY OF VAGINAL MUCOSA; EXTENSIVE,
REQUIRING SUTURE (INCLUDING CYSTS)
562............ 57130 EXCISION OF VAGINAL SEPTUM
562............ 57135 EXCISION OF VAGINAL CYST OR TUMOR
562............ 57200 COLPORRHAPHY, SUTURE OF INJURY OF VAGINA
(NONOBSTETRICAL)
562............ 57210 COLPOPERINEORRHAPHY, SUTURE OF INJURY OF
VAGINA AND/OR PERINEUM (NONOBSTETRICAL)
562............ 57230 PLASTIC REPAIR OF URETHROCELE
562............ 57400 DILATION OF VAGINA UNDER ANESTHESIA
562............ 57410 PELVIC EXAMINATION UNDER ANESTHESIA
562............ 57415 REMOVAL OF IMPACTED VAGINAL FOREIGN BODY
(SEPARATE PROCEDURE) UNDER ANESTHESIA
562............ 57460 COLPOSCOPY (VAGINOSCOPY); WITH LOOP
ELECTRODE EXCISION PROCEDURE OF THE CERVIX
562............ 57700 CERCLAGE OF UTERINE CERVIX, NONOBSTETRICAL
562............ 57720 TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE
CERVIX, VAGINAL APPROACH
562............ 58345 TRANSCERVICAL INTRODUCTION OF FALLOPIAN
TUBE CATHETER FOR DIAGNOSIS AND/OR RE-
ESTABLISHING PATENCY (ANY METHOD), WITH OR
WITHOUT HYSTEROSALPINGOGRAPHY
562............ 58350 CHROMOTUBATION OF OVIDUCT, INCLUDING
MATERIALS
562............ 58970 FOLLICLE PUNCTURE FOR OOCYTE RETRIEVAL, ANY
METHOD
562............ 59300 EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN
ATTENDING PHYSICIAN
562............ 59320 CERCLAGE OF CERVIX, DURING PREGNANCY;
VAGINAL
562............ 59871 REMOVAL OF CERCLAGE SUTURE UNDER ANESTHESIA
(OTHER THAN LOCAL)
563............ 56620 VULVECTOMY SIMPLE; PARTIAL
563............ 56625 VULVECTOMY SIMPLE; COMPLETE
563............ 57220 PLASTIC OPERATION ON URETHRAL SPHINCTER,
VAGINAL APPROACH (EG, KELLY URETHRAL
PLICATION)
563............ 57240 ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE
WITH OR WITHOUT REPAIR OF URETHROCELE
563............ 57250 POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE
WITH OR WITHOUT PERINEORRHAPHY
563............ 57260 COMBINED ANTEROPOSTERIOR COLPORRHAPHY;
563............ 57265 COMBINED ANTEROPOSTERIOR COLPORRHAPHY; WITH
ENTEROCELE REPAIR
563............ 57268 REPAIR OF ENTEROCELE, VAGINAL APPROACH
(SEPARATE PROCEDURE)
563............ 57284 PARAVAGINAL DEFECT REPAIR (INCLUDING REPAIR
OF CYSTOCELE, STRESS URINARY INCONTINENCE,
AND/OR INCOMPLETE VAGINAL PROLAPSE)
563............ 57288 SLING OPERATION FOR STRESS INCONTINENCE
(EG, FASCIA OR SYNTHETIC)
563............ 57289 PEREYRA PROCEDURE, INCLUDING ANTERIOR
COLPORRHAPHY
563............ 57291 CONSTRUCTION OF ARTIFICIAL VAGINA; WITHOUT
GRAFT
563............ 57300 CLOSURE OF RECTOVAGINAL FISTULA; VAGINAL OR
TRANSANAL APPROACH
563............ 57520 CONIZATION OF CERVIX, WITH OR WITHOUT
FULGURATION, WITH OR WITHOUT DILATION AND
CURETTAGE, WITH OR WITHOUT REPAIR; COLD
KNIFE OR LASER
563............ 57522 CONIZATION OF CERVIX, WITH OR WITHOUT
FULGURATION, WITH OR WITHOUT DILATION AND
CURETTAGE, WITH OR WITHOUT REPAIR; LOOP
ELECTRODE EXCISION
563............ 57530 TRACHELECTOMY (CERVICECTOMY), AMPUTATION OF
CERVIX (SEPARATE PROCEDURE)
563............ 57550 EXCISION OF CERVICAL STUMP, VAGINAL
APPROACH;
563............ 57555 EXCISION OF CERVICAL STUMP, VAGINAL
APPROACH; WITH ANTERIOR AND/OR POSTERIOR
REPAIR
[[Page 32507]]
563............ 57556 EXCISION OF CERVICAL STUMP, VAGINAL
APPROACH; WITH REPAIR OF ENTEROCELE
563............ 58145 MYOMECTOMY, EXCISION OF FIBROID TUMOR OF
UTERUS, SINGLE OR MULTIPLE (SEPARATE
PROCEDURE); VAGINAL APPROACH
563............ 58800 DRAINAGE OF OVARIAN CYST(S), UNILATERAL OR
BILATERAL, (SEPARATE PROCEDURE); VAGINAL
APPROACH
563............ 58820 DRAINAGE OF OVARIAN ABSCESS; VAGINAL
APPROACH, OPEN
567............ 57820 DILATION AND CURETTAGE OF CERVICAL STUMP
567............ 58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/OR
THERAPEUTIC (NONOBSTETRICAL)
567............ 59160 CURRETTAGE, POSTPARTUM
586............ 59840 INDUCED ABORTION, BY DILATION AND CURETTAGE
586............ 59841 INDUCED ABORTION, BY DILATION AND
EVACUATION
587............ 59812 TREATMENT OF INCOMPLETE ABORTION, ANY
TRIMESTER, COMPLETED SURGICALLY
587............ 59820 TREATMENT OF MISSED ABORTION, COMPLETED
SURGICALLY; FIRST TRIMESTER
587............ 59821 TREATMENT OF MISSED ABORTION, COMPLETED
SURGICALLY; SECOND TRIMESTER
587............ 59870 UTERINE EVACUATION AND CURETTAGE FOR
HYDATIDIFORM MOLE
600............ 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC
600............ 62272 SPINAL PUNCTURE, THERAPEUTIC, FOR DRAINAGE
OF SPINAL FLUID (BY NEEDLE OR CATHETER)
602............ 61000 SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE,
INFANT, UNILATERAL OR BILATERAL; INITIAL
602............ 61001 SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE,
INFANT, UNILATERAL OR BILATERAL;
SUBSEQUENT TAPS
602............ 61020 VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR
HOLE, FONTANELLE, SUTURE, OR IMPLANTED
VENTRICULAR CATHETER/RESERVOIR; WITHOUT
INJECTION
602............ 61026 VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR
HOLE, FONTANELLE, SUTURE, OR IMPLANTED
VENTRICULAR CATHETER/RESERVOIR; WITH
INJECTION OF DRUG OR OTHER SUBSTANCE FOR
DIAGNOSIS OR TREATMENT
602............ 61050 CISTERNAL OR LATERAL CERVICAL (C1-C2)
PUNCTURE; WITHOUT INJECTION (SEPARATE
PROCEDURE)
602............ 61055 CISTERNAL OR LATERAL CERVICAL (C1-C2)
PUNCTURE; WITH INJECTION OF DRUG OR OTHER
SUBSTANCE FOR DIAGNOSIS OR TREATMENT (EG,
C1-C2)
602............ 61070 PUNCTURE OF SHUNT TUBING OR RESERVOIR FOR
ASPIRATION OR INJECTION PROCEDURE
602............ 62194 REPLACEMENT OR IRRIGATION, SUBARACHNOID/
SUBDURAL CATHETER
602............ 62225 REPLACEMENT OR IRRIGATION, VENTRICULAR
CATHETER
602............ 62268 PERCUTANEOUS ASPIRATION, SPINAL CORD CYST
OR SYRINX
602............ 62273 INJECTION, LUMBAR EPIDURAL, OF BLOOD OR
CLOT PATCH
602............ 62274 INJECTION OF DIAGNOSTIC OR THERAPEUTIC
ANESTHETIC OR ANTISPASMODIC SUBSTANCE
(INCLUDING NARCOTICS); SUBARACHNOID OR
SUBDURAL, SINGLE
602............ 62275 INJECTION OF DIAGNOSTIC OR THERAPEUTIC
ANESTHETIC OR ANTISPASMODIC SUBSTANCE
(INCLUDING NARCOTICS); EPIDURAL, CERVICAL
OR THORACIC, SINGLE
602............ 62276 INJECTION OF DIAGNOSTIC OR THERAPEUTIC
ANESTHETIC OR ANTISPASMODIC SUBSTANCE
(INCLUDING NARCOTICS); SUBARACHNOID OR
SUBDURAL, DIFFERENTIAL
602............ 62277 INJECTION OF DIAGNOSTIC OR THERAPEUTIC
ANESTHETIC OR ANTISPASMODIC SUBSTANCE
(INCLUDING NARCOTICS); SUBARACHNOID OR
SUBDURAL, CONTINUOUS
602............ 62278 INJECTION OF DIAGNOSTIC OR THERAPEUTIC
ANESTHETIC OR ANTISPASMODIC SUBSTANCE
(INCLUDING NARCOTICS); EPIDURAL, LUMBAR OR
CAUDAL, SINGLE
602............ 62279 INJECTION OF DIAGNOSTIC OR THERAPEUTIC
ANESTHETIC OR ANTISPASMODIC SUBSTANCE
(INCLUDING NARCOTICS); EPIDURAL, LUMBAR OR
CAUDAL, CONTINUOUS
602............ 62280 INJECTION OF NEUROLYTIC SUBSTANCE (EG,
ALCOHOL, PHENOL, ICED SALINE SOLUTIONS);
SUBARACHNOID
602............ 62281 INJECTION OF NEUROLYTIC SUBSTANCE (EG,
ALCOHOL, PHENOL, ICED SALINE SOLUTIONS);
EPIDURAL, CERVICAL OR THORACIC
602............ 62282 INJECTION OF NEUROLYTIC SUBSTANCE (EG,
ALCOHOL, PHENOL, ICED SALINE SOLUTIONS);
EPIDURAL, LUMBAR OR CAUDAL
602............ 62288 INJECTION OF SUBSTANCE OTHER THAN
ANESTHETIC, ANTISPASMODIC, CONTRAST, OR
NEUROLYTIC SOLUTIONS; SUBARACHNOID
(SEPARATE PROCEDURE)
602............ 62289 INJECTION OF SUBSTANCE OTHER THAN
ANESTHETIC, ANTISPASMODIC, CONTRAST, OR
NEUROLYTIC SOLUTIONS; LUMBAR OR CAUDAL
EPIDURAL (SEPARATE PROCEDURE)
602............ 62292 INJECTION PROCEDURE FOR CHEMONUCLEOLYSIS,
INCLUDING DISKOGRAPHY, INTERVERTEBRAL
DISK, SINGLE OR MULTIPLE LEVELS, LUMBAR
602............ 62294 INJECTION PROCEDURE, ARTERIAL, FOR
OCCLUSION OF ARTERIOVENOUS MALFORMATION,
SPINAL
602............ 62298 INJECTION OF SUBSTANCE OTHER THAN
ANESTHETIC, CONTRAST, OR NEUROLYTIC
SOLUTIONS, EPIDURAL, CERVICAL OR THORACIC
(SEPARATE PROCEDURE)
616............ 63650 PERCUTANEOUS IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; EPIDURAL
616............ 64553 PERCUTANEOUS IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; CRANIAL NERVE
616............ 64555 PERCUTANEOUS IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; PERIPHERAL
NERVE
616............ 64560 PERCUTANEOUS IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; AUTONOMIC
NERVE
616............ 64565 PERCUTANEOUS IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR
616............ 64573 INCISION FOR IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; CRANIAL NERVE
616............ 64575 INCISION FOR IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; PERIPHERAL
NERVE
616............ 64577 INCISION FOR IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; AUTONOMIC
NERVE
616............ 64580 INCISION FOR IMPLANTATION OF
NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR
617............ 62230 REPLACEMENT OR REVISION OF CSF SHUNT,
OBSTRUCTED VALVE, OR DISTAL CATHETER IN
SHUNT SYSTEM
617............ 62350 IMPLANTATION, REVISION OR REPOSITIONING OF
INTRATHECAL OR EPIDURAL CATHETER, FOR
IMPLANTABLE RESERVOIR OR IMPLANTABLE
INFUSION PUMP; WITHOUT LAMINECTOMY
617............ 62355 REMOVAL OF PREVIOUSLY IMPLANTED INTRATHECAL
OR EPIDURAL CATHETER
617............ 62365 REMOVAL OF SUBCUTANEOUS RESERVOIR OR PUMP,
PREVIOUSLY IMPLANTED FOR INTRATHECAL OR
EPIDURAL INFUSION
617............ 63660 REVISION OR REMOVAL OF SPINAL
NEUROSTIMULATOR ELECTRODES
617............ 63688 REVISION OR REMOVAL OF IMPLANTED SPINAL
NEUROSTIMULATOR PULSE GENERATOR OR
RECEIVER
617............ 63744 REPLACEMENT, IRRIGATION OR REVISION OF
LUMBOSUBARACHNOID SHUNT
617............ 63746 REMOVAL OF ENTIRE LUMBOSUBARACHNOID SHUNT
SYSTEM WITHOUT REPLACEMENT
617............ 64585 REVISION OR REMOVAL OF PERIPHERAL
NEUROSTIMULATOR ELECTRODES
[[Page 32508]]
617............ 64595 REVISION OR REMOVAL OF PERIPHERAL
NEUROSTIMULATOR PULSE GENERATOR OR
RECEIVER
618............ 61215 INSERTION OF SUBCUTANEOUS RESERVOIR, PUMP
OR CONTINUOUS INFUSION SYSTEM FOR
CONNECTION TO VENTRICULAR CATHETER
618............ 61885 INCISION AND SUBCUTANEOUS PLACEMENT OF
CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR
RECEIVER, DIRECT OR INDUCTIVE COUPLING
618............ 62360 IMPLANTATION OR REPLACEMENT OF DEVICE FOR
INTRATHECAL OR EPIDURAL DRUG INFUSION;
SUBCUTANEOUS RESERVOIR
618............ 62361 IMPLANTATION OR REPLACEMENT OF DEVICE FOR
INTRATHECAL OR EPIDURAL DRUG INFUSION; NON-
PROGRAMMABLE PUMP
618............ 62362 IMPLANTATION OR REPLACEMENT OF DEVICE FOR
INTRATHECAL OR EPIDURAL DRUG INFUSION;
PROGRAMMABLE PUMP, INCLUDING PREPARATION
OF PUMP, WITH OR WITHOUT PROGRAMMING
618............ 63685 INCISION AND SUBCUTANEOUS PLACEMENT OF
SPINAL NEUROSTIMULATOR PULSE GENERATOR OR
RECEIVER, DIRECT OR INDUCTIVE COUPLING
618............ 64590 INCISION AND SUBCUTANEOUS PLACEMENT OF
PERIPHERAL NEUROSTIMULATOR PULSE GENERATOR
OR RECEIVER, DIRECT OR INDUCTIVE COUPLING
631............ 27315 NEURECTOMY, HAMSTRING MUSCLE
631............ 27320 NEURECTOMY, POPLITEAL (GASTROCNEMIUS)
631............ 28030 NEURECTOMY OF INTRINSIC MUSCULATURE OF FOOT
631............ 28035 TARSAL TUNNEL RELEASE (POSTERIOR TIBIAL
NERVE DECOMPRESSION)
631............ 61790 CREATION OF LESION BY STEREOTACTIC METHOD,
PERCUTANEOUS, BY NEUROLYTIC AGENT (EG,
ALCOHOL, THERMAL, ELECTRICAL,
RADIOFREQUENCY); GASSERIAN GANGLION
631............ 62287 ASPIRATION PROCEDURE, PERCUTANEOUS, OF
NUCLEUS PULPOSUS OF INTERVERTEBRAL DISK,
ANY METHOD, SINGLE OR MULTIPLE LEVELS,
LUMBAR
631............ 63600 CREATION OF LESION OF SPINAL CORD BY
STEREOTACTIC METHOD, PERCUTANEOUS, ANY
MODALITY (INCLUDING STIMULATION AND/OR
RECORDING)
631............ 63610 STEREOTACTIC STIMULATION OF SPINAL CORD,
PERCUTANEOUS, SEPARATE PROCEDURE NOT
FOLLOWED BY OTHER SURGERY
631............ 63615 STEREOTACTIC BIOPSY, ASPIRATION, OR
EXCISION OF LESION, SPINAL CORD
631............ 64702 NEUROPLASTY; DIGITAL, ONE OR BOTH, SAME
DIGIT
631............ 64704 NEUROPLASTY; NERVE OF HAND OR FOOT
631............ 64708 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
LEG; OTHER THAN SPECIFIED
631............ 64712 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
LEG; SCIATIC NERVE
631............ 64713 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
LEG; BRACHIAL PLEXUS
631............ 64714 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR
LEG; LUMBAR PLEXUS
631............ 64716 NEUROPLASTY AND/OR TRANSPOSITION; CRANIAL
NERVE (SPECIFY)
631............ 64718 NEUROPLASTY AND/OR TRANSPOSITION; ULNAR
NERVE AT ELBOW
631............ 64719 NEUROPLASTY AND/OR TRANSPOSITION; ULNAR
NERVE AT WRIST
631............ 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN
NERVE AT CARPAL TUNNEL
631............ 64722 DECOMPRESSION; UNSPECIFIED NERVE(S)
(SPECIFY)
631............ 64726 DECOMPRESSION; PLANTAR DIGITAL NERVE
631............ 64727 INTERNAL NEUROLYSIS, REQUIRING USE OF
OPERATING MICROSCOPE (LIST SEPARATELY IN
ADDITION TO CODE FOR NEUROPLASTY)
(NEUROPLASTY INCLUDES EXTERNAL NEUROLYSIS)
631............ 64732 TRANSECTION OR AVULSION OF; SUPRAORBITAL
NERVE
631............ 64734 TRANSECTION OR AVULSION OF; INFRAORBITAL
NERVE
631............ 64736 TRANSECTION OR AVULSION OF; MENTAL NERVE
631............ 64738 TRANSECTION OR AVULSION OF; INFERIOR
ALVEOLAR NERVE BY OSTEOTOMY
631............ 64740 TRANSECTION OR AVULSION OF; LINGUAL NERVE
631............ 64742 TRANSECTION OR AVULSION OF; FACIAL NERVE,
DIFFERENTIAL OR COMPLETE
631............ 64744 TRANSECTION OR AVULSION OF; GREATER
OCCIPITAL NERVE
631............ 64746 TRANSECTION OR AVULSION OF; PHRENIC NERVE
631............ 64761 TRANSECTION OR AVULSION OF; PUDENDAL NERVE
631............ 64771 TRANSECTION OR AVULSION OF OTHER CRANIAL
NERVE, EXTRADURAL
631............ 64772 TRANSECTION OR AVULSION OF OTHER SPINAL
NERVE, EXTRADURAL
631............ 64774 EXCISION OF NEUROMA; CUTANEOUS NERVE,
SURGICALLY IDENTIFIABLE
631............ 64776 EXCISION OF NEUROMA; DIGITAL NERVE, ONE OR
BOTH, SAME DIGIT
631............ 64778 EXCISION OF NEUROMA; DIGITAL NERVE, EACH
ADDITIONAL DIGIT (LIST SEPARATELY BY THIS
NUMBER)
631............ 64782 EXCISION OF NEUROMA; HAND OR FOOT, EXCEPT
DIGITAL NERVE
631............ 64783 EXCISION OF NEUROMA; HAND OR FOOT, EACH
ADDITIONAL NERVE, EXCEPT SAME DIGIT (LIST
SEPARATELY BY THIS NUMBER)
631............ 64784 EXCISION OF NEUROMA; MAJOR PERIPHERAL
NERVE, EXCEPT SCIATIC
631............ 64787 IMPLANTATION OF NERVE END INTO BONE OR
MUSCLE (LIST SEPARATELY IN ADDITION TO
NEUROMA EXCISION)
631............ 64788 EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA;
CUTANEOUS NERVE
631............ 64790 EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA;
MAJOR PERIPHERAL NERVE
631............ 64795 BIOPSY OF NERVE
631............ 64830 MICRODISSECTION AND/OR MICROREPAIR OF NERVE
(LIST SEPARATELY IN ADDITION TO CODE FOR
NERVE REPAIR)
632............ 64786 EXCISION OF NEUROMA; SCIATIC NERVE
632............ 64792 EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA;
EXTENSIVE (INCLUDING MALIGNANT TYPE)
632............ 64831 SUTURE OF DIGITAL NERVE, HAND OR FOOT; ONE
NERVE
632............ 64832 SUTURE OF DIGITAL NERVE, HAND OR FOOT; EACH
ADDITIONAL DIGITAL NERVE
632............ 64834 SUTURE OF ONE NERVE, HAND OR FOOT; COMMON
SENSORY NERVE
632............ 64835 SUTURE OF ONE NERVE, HAND OR FOOT; MEDIAN
MOTOR THENAR
632............ 64836 SUTURE OF ONE NERVE, HAND OR FOOT; ULNAR
MOTOR
632............ 64837 SUTURE OF EACH ADDITIONAL NERVE, HAND OR
FOOT
632............ 64840 SUTURE OF POSTERIOR TIBIAL NERVE
632............ 64856 SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR
LEG, EXCEPT SCIATIC; INCLUDING
TRANSPOSITION
[[Page 32509]]
632............ 64857 SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR
LEG, EXCEPT SCIATIC; WITHOUT TRANSPOSITION
632............ 64858 SUTURE OF SCIATIC NERVE
632............ 64859 SUTURE OF EACH ADDITIONAL MAJOR PERIPHERAL
NERVE
632............ 64861 SUTURE OF; BRACHIAL PLEXUS
632............ 64862 SUTURE OF; LUMBAR PLEXUS
632............ 64864 SUTURE OF FACIAL NERVE; EXTRACRANIAL
632............ 64865 SUTURE OF FACIAL NERVE; INFRATEMPORAL, WITH
OR WITHOUT GRAFTING
632............ 64870 ANASTOMOSIS; FACIAL-PHRENIC
632............ 64872 SUTURE OF NERVE; REQUIRING SECONDARY OR
DELAYED SUTURE (LIST SEPARATELY IN
ADDITION TO CODE FOR PRIMARY NEURORRHAPHY)
632............ 64874 SUTURE OF NERVE; REQUIRING EXTENSIVE
MOBILIZATION, OR TRANSPOSITION OF NERVE
(LIST SEPARATELY IN ADDITION TO CODE FOR
NERVE SUTURE)
632............ 64876 SUTURE OF NERVE; REQUIRING SHORTENING OF
BONE OF EXTREMITY (LIST SEPARATELY IN
ADDITION TO CODE FOR NERVE SUTURE)
632............ 64885 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
HEAD OR NECK; UP TO 4 CM IN LENGTH
632............ 64886 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
HEAD OR NECK; MORE THAN 4 CM LENGTH
632............ 64890 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
SINGLE STRAND, HAND OR FOOT; UP TO 4 CM
LENGTH
632............ 64891 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
SINGLE STRAND, HAND OR FOOT; MORE THAN 4
CM LENGTH
632............ 64892 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
SINGLE STRAND, ARM OR LEG; UP TO 4 CM
LENGTH
632............ 64893 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
SINGLE STRAND, ARM OR LEG; MORE THAN 4 CM
LENGTH
632............ 64895 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
MULTIPLE STRANDS (CABLE), HAND OR FOOT; UP
TO 4 CM LENGTH
632............ 64896 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
MULTIPLE STRANDS (CABLE), HAND OR FOOT;
MORE THAN 4 CM LENGTH
632............ 64897 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
MULTIPLE STRANDS (CABLE), ARM OR LEG; UP
TO 4 CM LENGTH
632............ 64898 NERVE GRAFT (INCLUDES OBTAINING GRAFT),
MULTIPLE STRANDS (CABLE), ARM OR LEG; MORE
THAN 4 CM LENGTH
632............ 64901 NERVE GRAFT, EACH ADDITIONAL NERVE; SINGLE
STRAND
632............ 64902 NERVE GRAFT, EACH ADDITIONAL NERVE;
MULTIPLE STRANDS (CABLE)
632............ 64905 NERVE PEDICLE TRANSFER; FIRST STAGE
632............ 64907 NERVE PEDICLE TRANSFER; SECOND STAGE
649............ 65855 TRABECULOPLASTY BY LASER SURGERY, ONE OR
MORE SESSIONS (DEFINED TREATMENT SERIES)
649............ 65860 SEVERING ADHESIONS OF ANTERIOR SEGMENT,
LASER TECHNIQUE (SEPARATE PROCEDURE)
649............ 66761 IRIDOTOMY/IRIDECTOMY BY LASER SURGERY (EG,
FOR GLAUCOMA) (ONE OR MORE SESSIONS)
649............ 66762 IRIDOPLASTY BY PHOTOCOAGULATION (ONE OR
MORE SESSIONS) (EG, FOR IMPROVEMENT OF
VISION, FOR WIDENING OF ANTERIOR CHAMBER
ANGLE)
649............ 66770 DESTRUCTION OF CYST OR LESION IRIS OR
CILIARY BODY (NONEXCISIONAL PROCEDURE)
649............ 66821 DISCISSION OF SECONDARY MEMBRANOUS CATARACT
(OPACIFIED POSTERIOR LENS CAPSULE AND/OR
ANTERIOR HYALOID); LASER SURGERY (EG, YAG
LASER) (ONE OR MORE STAGES)
649............ 67031 SEVERING OF VITREOUS STRANDS, VITREOUS FACE
ADHESIONS, SHEETS, MEMBRANES OR OPACITIES,
LASER SURGERY (ONE OR MORE STAGES)
651............ 65272 REPAIR OF LACERATION; CONJUNCTIVA, BY
MOBILIZATION AND REARRANGEMENT, WITHOUT
HOSPITALIZATION
651............ 65275 REPAIR OF LACERATION; CORNEA,
NONPERFORATING, WITH OR WITHOUT REMOVAL
FOREIGN BODY
651............ 65286 REPAIR OF LACERATION; APPLICATION OF TISSUE
GLUE, WOUNDS OF CORNEA AND/OR SCLERA
651............ 65420 EXCISION OR TRANSPOSITION OF PTERYGIUM;
WITHOUT GRAFT
651............ 65436 REMOVAL OF CORNEAL EPITHELIUM; WITH
APPLICATION OF CHELATING AGENT (EG, EDTA)
651............ 65450 DESTRUCTION OF LESION OF CORNEA BY
CRYOTHERAPY, PHOTOCOAGULATION OR
THERMOCAUTERIZATION
651............ 65772 CORNEAL RELAXING INCISION FOR CORRECTION OF
SURGICALLY INDUCED ASTIGMATISM
651............ 65810 PARACENTESIS OF ANTERIOR CHAMBER OF EYE
(SEPARATE PROCEDURE); WITH REMOVAL OF
VITREOUS AND/OR DISCISSION OF ANTERIOR
HYALOID MEMBRANE, WITH OR WITHOUT AIR
INJECTION
651............ 65815 PARACENTESIS OF ANTERIOR CHAMBER OF EYE
(SEPARATE PROCEDURE); WITH REMOVAL OF
BLOOD, WITH OR WITHOUT IRRIGATION AND/OR
AIR INJECTION
651............ 65820 GONIOTOMY
651............ 66130 EXCISION OF LESION, SCLERA
651............ 66500 IRIDOTOMY BY STAB INCISION (SEPARATE
PROCEDURE); EXCEPT TRANSFIXION
651............ 66505 IRIDOTOMY BY STAB INCISION (SEPARATE
PROCEDURE); WITH TRANSFIXION AS FOR IRIS
BOMBE
651............ 66600 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL
SECTION; FOR REMOVAL OF LESION
651............ 66625 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL
SECTION; PERIPHERAL FOR GLAUCOMA (SEPARATE
PROCEDURE)
651............ 66630 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL
SECTION; SECTOR FOR GLAUCOMA (SEPARATE
PROCEDURE)
651............ 66700 CILIARY BODY DESTRUCTION; DIATHERMY
651............ 66710 CILIARY BODY DESTRUCTION;
CYCLOPHOTOCOAGULATION
651............ 66720 CILIARY BODY DESTRUCTION; CRYOTHERAPY
651............ 66820 DISCISSION OF SECONDARY MEMBRANOUS CATARACT
(OPACIFIED POSTERIOR LENS CAPSULE AND/OR
ANTERIOR HYALOID); STAB INCISION TECHNIQUE
(ZIEGLER OR WHEELER KNIFE)
651............ 66825 REPOSITIONING OF INTRAOCULAR LENS
PROSTHESIS, REQUIRING AN INCISION
(SEPARATE PROCEDURE)
652............ 65235 REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM
ANTERIOR CHAMBER OR LENS
652............ 65280 REPAIR OF LACERATION; CORNEA AND/OR SCLERA,
PERFORATING, NOT INVOLVING UVEAL TISSUE
652............ 65285 REPAIR OF LACERATION; CORNEA AND/OR SCLERA,
PERFORATING, WITH REPOSITION OR RESECTION
OF UVEAL TISSUE
652............ 65400 EXCISION OF LESION, CORNEA (KERATECTOMY,
LAMELLAR, PARTIAL), EXCEPT PTERYGIUM
652............ 65426 EXCISION OR TRANSPOSITION OF PTERYGIUM;
WITH GRAFT
652............ 65770 KERATOPROSTHESIS
652............ 65775 CORNEAL WEDGE RESECTION FOR CORRECTION OF
SURGICALLY INDUCED ASTIGMATISM
652............ 65850 TRABECULOTOMY AB EXTERNO
652............ 65865 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF
EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
INJECTION OF AIR OR LIQUID) (SEPARATE
PROCEDURE); GONIOSYNECHIAE
652............ 65870 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF
EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
INJECTION OF AIR OR LIQUID) (SEPARATE
PROCEDURE); ANTERIOR SYNECHIAE, EXCEPT
GONIOSYNECHIAE
652............ 65875 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF
EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
INJECTION OF AIR OR LIQUID) (SEPARATE
PROCEDURE); POSTERIOR SYNECHIAE
[[Page 32510]]
652............ 65880 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF
EYE, INCISIONAL TECHNIQUE (WITH OR WITHOUT
INJECTION OF AIR OR LIQUID) (SEPARATE
PROCEDURE); CORNEOVITREAL ADHESIONS
652............ 65900 REMOVAL OF EPITHELIAL DOWNGROWTH, ANTERIOR
CHAMBER EYE
652............ 65920 REMOVAL OF IMPLANTED MATERIAL, ANTERIOR
SEGMENT EYE
652............ 65930 REMOVAL OF BLOOD CLOT, ANTERIOR SEGMENT EYE
652............ 66150 FISTULIZATION OF SCLERA FOR GLAUCOMA;
TREPHINATION WITH IRIDECTOMY
652............ 66155 FISTULIZATION OF SCLERA FOR GLAUCOMA;
THERMOCAUTERIZATION WITH IRIDECTOMY
652............ 66160 FISTULIZATION OF SCLERA FOR GLAUCOMA;
SCLERECTOMY WITH PUNCH OR SCISSORS, WITH
IRIDECTOMY
652............ 66165 FISTULIZATION OF SCLERA FOR GLAUCOMA;
IRIDENCLEISIS OR IRIDOTASIS
652............ 66170 FISTULIZATION OF SCLERA FOR GLAUCOMA;
TRABECULECTOMY AB EXTERNO IN ABSENCE OF
PREVIOUS SURGERY
652............ 66172 FISTULIZATION OF SCLERA FOR GLAUCOMA;
TRABECULECTOMY AB EXTERNO WITH SCARRING
FROM PREVIOUS OCULAR SURGERY OR TRAUMA
(INCLUDES INJECTION OF ANTIFIBROTIC
AGENTS)
652............ 66180 AQUEOUS SHUNT TO EXTRAOCULAR RESERVOIR (EG,
MOLTENO, SCHOCKET, DENVER-KRUPIN)
652............ 66185 REVISION OF AQUEOUS SHUNT TO EXTRAOCULAR
RESERVOIR
652............ 66225 REPAIR OF SCLERAL STAPHYLOMA; WITH GRAFT
652............ 66250 REVISION OR REPAIR OF OPERATIVE WOUND OF
ANTERIOR SEGMENT, ANY TYPE, EARLY OR LATE,
MAJOR OR MINOR PROCEDURE
652............ 66605 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL
SECTION; WITH CYCLECTOMY
652............ 66635 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL
SECTION; OPTICAL (SEPARATE PROCEDURE)
652............ 66680 REPAIR OF IRIS, CILIARY BODY (AS FOR
IRIDODIALYSIS)
652............ 66682 SUTURE OF IRIS, CILIARY BODY (SEPARATE
PROCEDURE) WITH RETRIEVAL OF SUTURE
THROUGH SMALL INCISION (EG, MCCANNEL
SUTURE)
652............ 66740 CILIARY BODY DESTRUCTION; CYCLODIALYSIS
652............ 66830 REMOVAL OF SECONDARY MEMBRANOUS CATARACT
(OPACIFIED POSTERIOR LENS CAPSULE AND/OR
ANTERIOR HYALOID) WITH CORNEO-SCLERAL
SECTION, WITH OR WITHOUT IRIDECTOMY
(IRIDOCAPSULOTOMY, IRIDOCAPSULECTOMY)
652............ 68130 EXCISION OF LESION, CONJUNCTIVA; WITH
ADJACENT SCLERA
652............ 68330 REPAIR OF SYMBLEPHARON; CONJUNCTIVOPLASTY,
WITHOUT GRAFT
652............ 68360 CONJUNCTIVAL FLAP; BRIDGE OR PARTIAL
(SEPARATE PROCEDURE)
652............ 68362 CONJUNCTIVAL FLAP; TOTAL (SUCH AS GUNDERSON
THIN FLAP OR PURSE STRING FLAP)
667............ 66840 REMOVAL OF LENS MATERIAL; ASPIRATION
TECHNIQUE, ONE OR MORE STAGES
667............ 66850 REMOVAL OF LENS MATERIAL;
PHACOFRAGMENTATION TECHNIQUE (MECHANICAL
OR ULTRASONIC) (EG, PHACOEMULSIFICATION),
WITH ASPIRATION
667............ 66852 REMOVAL OF LENS MATERIAL; PARS PLANA
APPROACH, WITH OR WITHOUT VITRECTOMY
667............ 66920 REMOVAL OF LENS MATERIAL; INTRACAPSULAR
667............ 66930 REMOVAL OF LENS MATERIAL; INTRACAPSULAR,
FOR DISLOCATED LENS
667............ 66940 REMOVAL OF LENS MATERIAL; EXTRACAPSULAR
(OTHER THAN 66840, 66850, 66852)
668............ 66983 INTRACAPSULAR CATARACT EXTRACTION WITH
INSERTION OF INTRAOCULAR LENS PROSTHESIS
(ONE STAGE PROCEDURE)
668............ 66984 EXTRACAPSULAR CATARACT REMOVAL WITH
INSERTION OF INTRAOCULAR LENS PROSTHESIS
(ONE STAGE PROCEDURE), MANUAL OR
MECHANICAL TECHNIQUE (EG, IRRIGATION AND
ASPIRATION OR PHACOEMULSIFICATION)
668............ 66985 INSERTION OF INTRAOCULAR LENS PROSTHESIS
(SECONDARY IMPLANT), NOT ASSOCIATED WITH
CONCURRENT CATARACT REMOVAL
668............ 66986 EXCHANGE OF INTRAOCULAR LENS
670............ 65710 KERATOPLASTY (CORNEAL TRANSPLANT); LAMELLAR
670............ 65730 KERATOPLASTY (CORNEAL TRANSPLANT);
PENETRATING (EXCEPT IN APHAKIA)
670............ 65750 KERATOPLASTY (CORNEAL TRANSPLANT);
PENETRATING (IN APHAKIA)
670............ 65755 KERATOPLASTY (CORNEAL TRANSPLANT);
PENETRATING (IN PSEUDOPHAKIA)
676............ 65260 REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM
POSTERIOR SEGMENT, MAGNETIC EXTRACTION,
ANTERIOR OR POSTERIOR ROUTE
676............ 65265 REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM
POSTERIOR SEGMENT, NONMAGNETIC EXTRACTION
676............ 66220 REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT
676............ 67005 REMOVAL OF VITREOUS, ANTERIOR APPROACH
(OPEN SKY TECHNIQUE OR LIMBAL INCISION);
PARTIAL REMOVAL
676............ 67010 REMOVAL OF VITREOUS, ANTERIOR APPROACH
(OPEN SKY TECHNIQUE OR LIMBAL INCISION);
SUBTOTAL REMOVAL WITH MECHANICAL
VITRECTOMY
676............ 67015 ASPIRATION OR RELEASE OF VITREOUS,
SUBRETINAL OR CHOROIDAL FLUID, PARS PLANA
APPROACH (POSTERIOR SCLEROTOMY)
676............ 67030 DISCISSION OF VITREOUS STRANDS (WITHOUT
REMOVAL), PARS PLANA APPROACH
676............ 67101 REPAIR OF RETINAL DETACHMENT, ONE OR MORE
SESSIONS; CRYOTHERAPY OR DIATHERMY, WITH
OR WITHOUT DRAINAGE OF SUBRETINAL FLUID
676............ 67110 REPAIR OF RETINAL DETACHMENT; BY INJECTION
OF AIR OR OTHER GAS (EG, PNEUMATIC
RETINOPEXY)
676............ 67115 RELEASE OF ENCIRCLING MATERIAL (POSTERIOR
SEGMENT)
676............ 67120 REMOVAL OF IMPLANTED MATERIAL, POSTERIOR
SEGMENT; EXTRAOCULAR
676............ 67121 REMOVAL OF IMPLANTED MATERIAL, POSTERIOR
SEGMENT; INTRAOCULAR
676............ 67141 PROPHYLAXIS OF RETINAL DETACHMENT (EG,
RETINAL BREAK, LATTICE DEGENERATION)
WITHOUT DRAINAGE, ONE OR MORE SESSIONS;
CRYOTHERAPY, DIATHERMY
676............ 67208 DESTRUCTION OF LOCALIZED LESION OF RETINA
(EG, MACULOPATHY, CHOROIDOPATHY, SMALL
TUMORS), ONE OR MORE SESSIONS;
CRYOTHERAPY, DIATHERMY
676............ 67218 DESTRUCTION OF LOCALIZED LESION OF RETINA
(EG, MACULOPATHY, CHOROIDOPATHY, SMALL
TUMORS), ONE OR MORE SESSIONS; RADIATION
BY IMPLANTATION OF SOURCE (INCLUDES
REMOVAL OF SOURCE)
676............ 67227 DESTRUCTION OF EXTENSIVE OR PROGRESSIVE
RETINOPATHY (EG, DIABETIC RETINOPATHY),
ONE OR MORE SESSIONS; CRYOTHERAPY,
DIATHERMY
677............ 65290 REPAIR OF WOUND, EXTRAOCULAR MUSCLE, TENDON
AND/OR TENON'S CAPSULE
677............ 67311 STRABISMUS SURGERY, RECESSION OR RESECTION
PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
ON); ONE HORIZONTAL MUSCLE
677............ 67312 STRABISMUS SURGERY, RECESSION OR RESECTION
PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
ON); TWO HORIZONTAL MUSCLES
[[Page 32511]]
677............ 67314 STRABISMUS SURGERY, RECESSION OR RESECTION
PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
ON); ONE VERTICAL MUSCLE (EXCLUDING
SUPERIOR OBLIQUE)
677............ 67316 STRABISMUS SURGERY, RECESSION OR RESECTION
PROCEDURE (PATIENT NOT PREVIOUSLY OPERATED
ON); TWO OR MORE VERTICAL MUSCLES
(EXCLUDING SUPERIOR OBLIQUE)
677............ 67318 STRABISMUS SURGERY, ANY PROCEDURE (PATIENT
NOT PREVIOUSLY OPERATED ON), SUPERIOR
OBLIQUE MUSCLE
677............ 67320 TRANSPOSITION PROCEDURE (EG, FOR PARETIC
EXTRAOCULAR MUSCLE), ANY EXTRAOCULAR
MUSCLE (SPECIFY)
677............ 67331 STRABISMUS SURGERY ON PATIENT WITH PREVIOUS
EYE SURGERY OR INJURY THAT DID NOT INVOLVE
THE EXTRAOCULAR MUSCLES
677............ 67332 STRABISMUS SURGERY ON PATIENT WITH SCARRING
OF EXTRAOCULAR MUSCLES (EG, PRIOR OCULAR
INJURY, STRABISMUS OR RETINAL DETACHMENT
SURGERY) OR RESTRICTIVE MYOPATHY (EG,
DYSTHYROID OPHTHALMOPATHY)
677............ 67334 STRABISMUS SURGERY BY POSTERIOR FIXATION
SUTURE TECHNIQUE, WITH OR WITHOUT MUSCLE
RECESSION
677............ 67335 PLACEMENT OF ADJUSTABLE SUTURE(S) DURING
STRABISMUS SURGERY, INCLUDING
POSTOPERATIVE ADJUSTMENT(S) OF SUTURE(S)
(REPORT IN ADDITION TO CODE FOR SPECIFIC
STRABISMUS SURGERY)
677............ 67340 STRABISMUS SURGERY INVOLVING EXPLORATION
AND/OR REPAIR OF DETACHED EXTRAOCULAR
MUSCLE(S)
677............ 67343 RELEASE OF EXTENSIVE SCAR TISSUE WITHOUT
DETACHING EXTRAOCULAR MUSCLE (SEPARATE
PROCEDURE)
683............ 65175 REMOVAL OF OCULAR IMPLANT
683............ 65410 BIOPSY OF CORNEA
683............ 65800 PARACENTESIS OF ANTERIOR CHAMBER OF EYE
(SEPARATE PROCEDURE); WITH DIAGNOSTIC
ASPIRATION OF AQUEOUS
683............ 65805 PARACENTESIS OF ANTERIOR CHAMBER OF EYE
(SEPARATE PROCEDURE); WITH THERAPEUTIC
RELEASE OF AQUEOUS
683............ 66020 INJECTION, ANTERIOR CHAMBER (SEPARATE
PROCEDURE); AIR OR LIQUID
683............ 66030 INJECTION, ANTERIOR CHAMBER (SEPARATE
PROCEDURE); MEDICATION
683............ 67025 INJECTION OF VITREOUS SUBSTITUTE, PARS
PLANA OR LIMBAL APPROACH, (FLUID-GAS
EXCHANGE), WITH OR WITHOUT ASPIRATION
(SEPARATE PROCEDURE)
683............ 67715 CANTHOTOMY (SEPARATE PROCEDURE)
683............ 67830 CORRECTION OF TRICHIASIS; INCISION OF LID
MARGIN
683............ 67880 CONSTRUCTION OF INTERMARGINAL ADHESIONS,
MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY;
683............ 67935 SUTURE OF RECENT WOUND, EYELID, INVOLVING
LID MARGIN, TARSUS, AND/OR PALPEBRAL
CONJUNCTIVA DIRECT CLOSURE; FULL THICKNESS
683............ 68510 BIOPSY OF LACRIMAL GLAND
683............ 68525 BIOPSY OF LACRIMAL SAC
683............ 68810 PROBING OF NASOLACRIMAL DUCT, WITH OR
WITHOUT IRRIGATION;
684............ 65091 EVISCERATION OF OCULAR CONTENTS; WITHOUT
IMPLANT
684............ 65093 EVISCERATION OF OCULAR CONTENTS; WITH
IMPLANT
684............ 65101 ENUCLEATION OF EYE; WITHOUT IMPLANT
684............ 65103 ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES
NOT ATTACHED TO IMPLANT
684............ 65105 ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES
ATTACHED TO IMPLANT
684............ 65130 INSERTION OF OCULAR IMPLANT SECONDARY;
AFTER EVISCERATION, IN SCLERAL SHELL
684............ 65135 INSERTION OF OCULAR IMPLANT SECONDARY;
AFTER ENUCLEATION, MUSCLES NOT ATTACHED TO
IMPLANT
684............ 65140 INSERTION OF OCULAR IMPLANT SECONDARY;
AFTER ENUCLEATION, MUSCLES ATTACHED TO
IMPLANT
684............ 65150 REINSERTION OF OCULAR IMPLANT; WITH OR
WITHOUT CONJUNCTIVAL GRAFT
684............ 65155 REINSERTION OF OCULAR IMPLANT; WITH USE OF
FOREIGN MATERIAL FOR REINFORCEMENT AND/OR
ATTACHMENT OF MUSCLES TO IMPLANT
684............ 67250 SCLERAL REINFORCEMENT (SEPARATE PROCEDURE);
WITHOUT GRAFT
684............ 67255 SCLERAL REINFORCEMENT (SEPARATE PROCEDURE);
WITH GRAFT
684............ 67400 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR
TRANSCONJUNCTIVAL APPROACH); FOR
EXPLORATION, WITH OR WITHOUT BIOPSY
684............ 67405 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR
TRANSCONJUNCTIVAL APPROACH); WITH DRAINAGE
ONLY
684............ 67412 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR
TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL
OF LESION
684............ 67413 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR
TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL
OF FOREIGN BODY
684............ 67550 ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE
CONE); INSERTION
684............ 67560 ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE
CONE); REMOVAL OR REVISION
684............ 67808 EXCISION OF CHALAZION; UNDER GENERAL
ANESTHESIA AND/OR REQUIRING
HOSPITALIZATION, SINGLE OR MULTIPLE
684............ 67835 CORRECTION OF TRICHIASIS; INCISION OF LID
MARGIN, WITH FREE MUCOUS MEMBRANE GRAFT
684............ 67882 CONSTRUCTION OF INTERMARGINAL ADHESIONS,
MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY;
WITH TRANSPOSITION OF TARSAL PLATE
684............ 67900 REPAIR OF BROW PTOSIS (SUPRACILIARY, MID-
FOREHEAD OR CORONAL APPROACH)
684............ 67901 REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE
TECHNIQUE WITH SUTURE OR OTHER MATERIAL
684............ 67902 REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE
TECHNIQUE WITH FASCIAL SLING (INCLUDES
OBTAINING FASCIA)
684............ 67903 REPAIR OF BLEPHAROPTOSIS; (TARSO)LEVATOR
RESECTION OR ADVANCEMENT, INTERNAL
APPROACH
684............ 67904 REPAIR OF BLEPHAROPTOSIS; (TARSO)LEVATOR
RESECTION OR ADVANCEMENT, EXTERNAL
APPROACH
684............ 67906 REPAIR OF BLEPHAROPTOSIS; SUPERIOR RECTUS
TECHNIQUE WITH FASCIAL SLING (INCLUDES
OBTAINING FASCIA)
684............ 67908 REPAIR OF BLEPHAROPTOSIS; CONJUNCTIVO-TARSO-
MULLER'S MUSCLE-LEVATOR RESECTION (EG,
FASANELLA-SERVAT TYPE)
684............ 67909 REDUCTION OF OVERCORRECTION OF PTOSIS
684............ 67911 CORRECTION OF LID RETRACTION
684............ 67914 REPAIR OF ECTROPION; SUTURE
684............ 67916 REPAIR OF ECTROPION; BLEPHAROPLASTY,
EXCISION TARSAL WEDGE
684............ 67917 REPAIR OF ECTROPION; BLEPHAROPLASTY,
EXTENSIVE (EG, KUHNT-SZYMANOWSKI OR TARSAL
STRIP OPERATIONS)
684............ 67921 REPAIR OF ENTROPION; SUTURE
684............ 67923 REPAIR OF ENTROPION; BLEPHAROPLASTY,
EXCISION TARSAL WEDGE
684............ 67924 REPAIR OF ENTROPION; BLEPHAROPLASTY,
EXTENSIVE (EG, WHEELER OPERATION)
684............ 67950 CANTHOPLASTY (RECONSTRUCTION OF CANTHUS)
684............ 67961 EXCISION AND REPAIR OF EYELID, INVOLVING
LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS,
OR FULL THICKNESS, MAY INCLUDE PREPARATION
FOR SKIN GRAFT OR PEDICLE FLAP WITH
ADJACENT TISSUE TRANSFER OR REARRANGEMENT;
UP TO ONE-FOURTH OF LID MARGIN
[[Page 32512]]
684............ 67966 EXCISION AND REPAIR OF EYELID, INVOLVING
LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS,
OR FULL THICKNESS, MAY INCLUDE PREPARATION
FOR SKIN GRAFT OR PEDICLE FLAP WITH
ADJACENT TISSUE TRANSFER OR REARRANGEMENT;
OVER ONE-FOURTH OF LID MARGIN
684............ 67971 RECONSTRUCTION OF EYELID, FULL THICKNESS BY
TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM
OPPOSING EYELID; UP TO TWO-THIRDS OF
EYELID, ONE STAGE OR FIRST STAGE
684............ 67973 RECONSTRUCTION OF EYELID, FULL THICKNESS BY
TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM
OPPOSING EYELID; TOTAL EYELID, LOWER, ONE
STAGE OR FIRST STAGE
684............ 67974 RECONSTRUCTION OF EYELID, FULL THICKNESS BY
TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM
OPPOSING EYELID; TOTAL EYELID, UPPER, ONE
STAGE OR FIRST STAGE
684............ 67975 RECONSTRUCTION OF EYELID, FULL THICKNESS BY
TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM
OPPOSING EYELID; SECOND STAGE
684............ 68320 CONJUNCTIVOPLASTY; WITH CONJUNCTIVAL GRAFT
OR EXTENSIVE REARRANGEMENT
684............ 68325 CONJUNCTIVOPLASTY; WITH BUCCAL MUCOUS
MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT)
684............ 68326 CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-
SAC; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE
REARRANGEMENT
684............ 68328 CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-
SAC; WITH BUCCAL MUCOUS MEMBRANE GRAFT
(INCLUDES OBTAINING GRAFT)
684............ 68335 REPAIR OF SYMBLEPHARON; WITH FREE GRAFT
CONJUNCTIVA OR BUCCAL MUCOUS MEMBRANE
(INCLUDES OBTAINING GRAFT)
684............ 68340 REPAIR OF SYMBLEPHARON; DIVISION OF
SYMBLEPHARON, WITH OR WITHOUT INSERTION OF
CONFORMER OR CONTACT LENS
684............ 68500 EXCISION OF LACRIMAL GLAND
(DACRYOADENECTOMY), EXCEPT FOR TUMOR;
TOTAL
684............ 68505 EXCISION OF LACRIMAL GLAND
(DACRYOADENECTOMY), EXCEPT FOR TUMOR;
PARTIAL
684............ 68520 EXCISION OF LACRIMAL SAC (DACRYOCYSTECTOMY)
684............ 68540 EXCISION OF LACRIMAL GLAND TUMOR; FRONTAL
APPROACH
684............ 68550 EXCISION OF LACRIMAL GLAND TUMOR; INVOLVING
OSTEOTOMY
684............ 68700 PLASTIC REPAIR OF CANALICULI
684............ 68720 DACRYOCYSTORHINOSTOMY (FISTULIZATION OF
LACRIMAL SAC TO NASAL CAVITY)
684............ 68745 CONJUNCTIVORHINOSTOMY (FISTULIZATION OF
CONJUNCTIVA TO NASAL CAVITY); WITHOUT TUBE
684............ 68750 CONJUNCTIVORHINOSTOMY (FISTULIZATION OF
CONJUNCTIVA TO NASAL CAVITY); WITH
INSERTION OF TUBE OR STENT
684............ 68770 CLOSURE OF LACRIMAL FISTULA (SEPARATE
PROCEDURE)
684............ 68811 PROBING OF NASOLACRIMAL DUCT, WITH OR
WITHOUT IRRIGATION; REQUIRING GENERAL
ANESTHESIA
684............ 68815 PROBING OF NASOLACRIMAL DUCT, WITH OR
WITHOUT IRRIGATION; WITH INSERTION OF TUBE
OR STENT
690............ 67036 VITRECTOMY, MECHANICAL, PARS PLANA
APPROACH;
690............ 67038 VITRECTOMY, MECHANICAL, PARS PLANA
APPROACH; WITH EPIRETINAL MEMBRANE
STRIPPING
690............ 67039 VITRECTOMY, MECHANICAL, PARS PLANA
APPROACH; WITH FOCAL ENDOLASER
PHOTOCOAGULATION
690............ 67040 VITRECTOMY, MECHANICAL, PARS PLANA
APPROACH; WITH ENDOLASER PANRETINAL
PHOTOCOAGULATION
690............ 67107 REPAIR OF RETINAL DETACHMENT; SCLERAL
BUCKLING (SUCH AS LAMELLAR SCLERAL
DISSECTION, IMBRICATION OR ENCIRCLING
PROCEDURE), WITH OR WITHOUT IMPLANT, WITH
OR WITHOUT CRYOTHERAPY, PHOTOCOAGULATION,
AND DRAINAGE OF SUBRETINAL FLUID
690............ 67108 REPAIR OF RETINAL DETACHMENT; WITH
VITRECTOMY, ANY METHOD, WITH OR WITHOUT
AIR OR GAS TAMPONADE, FOCAL ENDOLASER
PHOTOCOAGULATION, CRYOTHERAPY, DRAINAGE OF
SUBRETINAL FLUID, SCLERAL BUCKLING, AND/OR
REMOVAL OF LENS BY SAME TECHNIQUE
690............ 67112 REPAIR OF RETINAL DETACHMENT; BY SCLERAL
BUCKLING OR VITRECTOMY, ON PATIENT HAVING
PREVIOUS IPSILATERAL RETINAL DETACHMENT
REPAIR(S) USING SCLERAL BUCKLING OR
VITRECTOMY TECHNIQUES
------------------------------------------------------------------------
Addendum C.--List of APC Groups and Related Information
------------------------------------------------------------------------
Proposed ASC
APC group Group title Proposed ASC relative value
payment rate factor
------------------------------------------------------------------------
122............ level II needle $186 0.37
biopsy.aspiration.
132............ level II incision & $162 0.32
drainage.
152............ level II debridement/ $213 0.42
destruction.
162............ level II excision/ $187 0.37
biopsy.
163............ level III excision/ $449 0.89
biopsy.
181............ level I skin repair.... $150 0.30
182............ level II skin repair... $383 0.76
183............ level III skin repair.. $465 0.92
184............ level IV skin repair... $565 1.12
197............ incision/excision $411 0.81
breast.
198............ breast reconstruction/ $596 1.18
mastectomy.
207............ closed treatment $53 0.11
fracture finger/toe/
trunk.
209............ closed treatment $71 0.14
fracture/dislocation/
except finger/toe/
trunk.
210............ bone/joint manipulation $397 0.79
under anesthesia.
216............ open/percutaneous $580 1.15
treatment fracture or
dislocation.
217............ arthroplasty........... $695 1.38
218............ arthroplasty with $730 1.45
prosthesis.
231............ level I skull and $437 0.87
facial bone procedures.
232............ level II skull and $814 1.62
facial bone procedures.
251............ level I musculoskeletal $504 1.00
procedures.
[[Page 32513]]
252............ level II $574 1.14
musculoskeletal
procedures.
253............ level III $775 1.54
musculoskeletal
procedures.
254............ level IV $1,110 2.20
musculoskeletal
procedures.
261............ level I hand $494 0.98
musculoskeletal
procedures.
262............ level II hand $543 1.08
musculoskeletal
procedures.
271............ level I foot $510 1.01
musculoskeletal
procedures.
272............ level II foot $546 1.08
musculoskeletal
procedures.
279............ bunion procedures...... $680 1.35
280............ diagnostic arthroscopy. $675 1.34
281............ level I surgical $807 1.60
arthroscopy.
282............ level II surgical $860 1.71
arthroscopy.
286............ arthroscopy aided $1,110 2.20
procedures.
312............ level II ENT procedures $233 0.46
313............ level III ENT $537 1.07
procedures.
314............ level IV ENT procedures $946 1.88
317............ implantaton of cochlear $962 1.91
device.
318............ nasal cauterization/ $77 0.15
packing.
319............ tonsil/adenoid $648 1.29
procedures.
320............ thoracentesis/lavage $126 0.25
procedures.
332............ level II endoscopy $423 0.84
upper airway.
333............ level III endoscropy $653 1.30
upper airway.
336............ endoscopy lower airway. $407 0.81
346............ placement transvenous $195 0.39
caths/cutdown.
360............ removal/revision $397 0.79
pacemaker/vascular
device.
367............ vascular ligation...... $682 1.35
368............ vascular repair/fistula $841 1.67
construction.
396............ lymph node excisions... $440 0.87
397............ thyroid/lymphadenectomy $630 1.25
procedures.
406............ esophageal dilation $187 0.37
without endoscopy.
407............ esophagoscopy.......... $302 0.60
417............ diagnostic upper GI $327 0.65
endoscopy.
418............ therapeutic upper GI $348 0.69
endoscopy.
419............ small intestine $364 0.72
endoscopy.
426............ diagnostic lower GI $354 0.70
endoscopy.
427............ therapeutic lower GI $405 0.80
endoscopy.
437............ therapeutic anoscopy... $150 0.30
446............ diagnostic $175 0.35
sigmoidoscopy.
447............ therapeutic $210 0.42
proctosigmoidoscopy.
448............ therapeutic flexible $225 0.45
sigmoidoscopy.
449............ complex GI endoscopy... $415 0.82
452............ level II anal/rectal $301 0.60
procedures.
453............ level III anal/rectal $631 1.25
procedures.
456............ endoscopic retrograde $473 0.94
cholangio-
pancreatography (ERCP).
458............ percutaneous bilary $473 0.94
endoscopic procedures.
459............ pentoneal and abdominal $611 1.21
procedures.
466............ hemia/hydrocele $739 1.47
procedures.
470............ tube procedures........ $119 0.24
521............ level I $212 0.42
cystourethroscopy and
other genitourinary
procedures.
522............ level II $393 0.78
cystourethroscopy and
other genitourinary
procedures.
523............ level III $504 1.00
cystourethroscopy and
other genitourinary
procedures.
524............ level IV $1,131 2.24
cystourethroscopy and
other genitourinary
procedures.
527............ lithotripsy............ $2,107 4.18
531............ level I urethral $418 0.83
procedures.
532............ level II urethral $644 1.28
procedures.
536............ circumcision........... $459 0.91
537............ penile procedures...... $1,221 2.42
538............ insertion of penile $1,221 2.42
prosthesis B94.
546............ testes/epididymis $523 1.04
procedures.
547............ prostate biopsy........ $265 0.53
550............ surgical hysteroscopy.. $610 1.21
551............ level I laparoscopy.... $831 1.65
552............ level II laparoscopy... $1,383 2.74
562............ level II female $481 0.95
reproductive
procedures.
563............ level III female $601 1.19
reproductive
procedures.
567............ D & C.................. $458 0.91
586............ therapeutic abortion... $448 0.89
587............ spontaneous abortion... $503 1.00
[[Page 32514]]
600............ spinal tap............. $101 0.20
602............ level II nervous system $241 0.48
injections.
616............ implantation of $391 0.78
neurostimulator
electrodes.
617............ revision/removal $391 0.78
neurological device.
618............ implantation $841 1.67
neurological devices.
631............ level I nerve $600 1.19
procedures.
632............ level II nerve $666 1.32
procedures.
649............ laser eye procedures $274 0.54
except retinal.
651............ level I anterior $297 0.59
segment eye procedures.
652............ level II anterior $415 0.82
segment eye procedures.
667............ cataract procedures.... $661 1.31
668............ cataract procedures $863 1.71
with IOL insert.
670............ corneal transplant B117 $1,648 3.27
676............ posterior segment eye $336 0.67
procedures.
677............ strabismus/muscle $523 1.04
procedures.
683............ level III eye procedure $317 0.63
684............ level IV eye procedure. $491 0.97
690............ vitrectomy............. $983 1.95
------------------------------------------------------------------------
Addendum D.--Wage Index for Urban Areas
------------------------------------------------------------------------
Wage
Urban area (Constituent counties or county equivalents) index
------------------------------------------------------------------------
0040 Abilene, TX............................................. 0.8287
Taylor, TX
0060 Aguadilla, PR........................................... 0.4188
Aguada, PR
Aguadilla, PR
Moca, PR
0080 Akron, OH............................................... 0.9772
Portage, OH
Summit, OH
0120 Albany, GA.............................................. 0.7914
Dougherty, GA
Lee, GA
0160 Albany-Schenectady-Troy, NY............................. 0.8480
Albany, NY
Montgomery, NY
Rensselaer, NY
Saratoga, NY
Schenectady, NY
Schoharie, NY
0200 Albuquerque, NM......................................... 0.9309
Bernalillo, NM
Sandoval, NM
Valencia, NM
0220 Alexandria, LA.......................................... 0.8162
Rapides, LA
0240 Allentown-Bethlehem-Easton, PA.......................... 1.0086
Carbon, PA
Lehigh, PA
Northampton, PA
0280 Altoona, PA............................................. 0.9137
Blair, PA
0320 Amarillo, TX............................................ 0.9425
Potter, TX
Randall, TX
0380 AK Anchorage, AK........................................ 1.2842
Anchorage,
0440 Ann Arbor, MI........................................... 1.1785
Lenawee, MI
Livingston, MI
Washtenaw, MI
0450 Anniston, AL............................................ 0.8266
Calhoun, AL
0460 Appleton-Oshkosh-Neenah, WI............................. 0.8996
Calumet, WI
Outagamie, WI
Winnebago, WI
0470 Arecibo, PR............................................. 0.4218
Arecibo, PR
Camuy, PR
Hatillo, PR
0480 Asheville, NC........................................... 0.9072
Buncombe, NC
Madison, NC
0500 Athens, GA.............................................. 0.9087
Clarke, GA
Madison, GA
Oconee, GA
0520 *Atlanta, GA............................................ 0.9823
Barrow, GA
Bartow, GA
Carroll, GA
Cherokee, GA
Clayton, GA
Cobb, GA
Coweta, GA
DeKalb, GA
Douglas, GA
Fayette, GA
Forsyth, GA
Fulton, GA
Gwinnett, GA
Henry, GA
Newton, GA
Paulding, GA
Pickens, GA
Rockdale, GA
Spalding, GA
Walton, GA
0560 Atlantic City-Cape May, NJ.............................. 1.1155
Atlantic City, NJ
Cape May, NJ
0600 Augusta-Aiken, GA-SC.................................... 0.9333
Columbia, GA
McDuffie, GA
Richmond, GA
Aiken, SC
Edgefield, SC
0640 Austin-San Marcos, TX................................... 0.9133
Bastrop, TX
Caldwell, TX
Hays, TX
Travis, TX
Williamson, TX
0680 Bakersfield, CA......................................... 1.0014
Kern, CA
0720 *Baltimore, MD.......................................... 0.9689
Anne Arundel, MD
Baltimore, MD
Baltimore City, MD
Carroll, MD
Harford, MD
Howard, MD
Queen Annes, MD
0733 Bangor, ME.............................................. 0.9478
Penobscot, ME
0743 Barnstable-Yarmouth, MA................................. 1.4291
Barnstable, MA
0760 Baton Rouge, LA......................................... 0.8382
Ascension, LA
East Baton Rouge, LA
Livingston, LA
West Baton Rouge, LA
0840 Beaumont-Port Arthur, TX................................ 0.8593
Hardin, TX
Jefferson, TX
Orange, TX
0860 Bellingham, WA.......................................... 1.1221
[[Page 32515]]
Whatcom, WA
0870 Benton Harbor, MI....................................... 0.8634
Berrien, MI
0875 *Bergen-Passaic, NJ..................................... 1.2156
Bergen, NJ
Passaic, NJ
0880 Billings, MT............................................ 0.9783
Yellowstone, MT
0920 Biloxi-Gulfport-Pascagoula, MS.......................... 0.8415
Hancock, MS
Harrison, MS
Jackson, MS
0960 Binghamton, NY.......................................... 0.8914
Broome, NY
Tioga, NY
1000 Birmingham, AL.......................................... 0.9005
Blount, AL
Jefferson, AL
St. Clair, AL
Shelby, AL
1010 Bismarck, ND............................................ 0.7695
Burleigh, ND
Morton, ND
1020 Bloomington, IN......................................... 0.9128
Monroe, IN
1040 Bloomington-Normal, IL.................................. 0.8733
McLean, IL
1080 Boise City, ID.......................................... 0.8856
Ada, ID
Canyon, ID
1123 *Boston-Worcester Lawrence-Lowell-Brockton, MA-NH....... 1.1506
Bristol, MA
Essex, MA
Middlesex, MA
Norfolk, MA
Plymouth, MA
Suffolk, MA
Worcester, MA
Hillsborough, NH
Merrimack, NH
Rockingham, NH
Strafford, NH
1125 Boulder-Longmont, CO.................................... 1.0015
Boulder, CO
1145 Brazoria, TX............................................ 0.9341
Brazoria, TX
1150 Bremerton, WA........................................... 1.0999
Kitsap, WA
1240 Brownsville-Harlingen-San Benito, TX.................... 0.8740
Cameron, TX
1260 Bryan-College Station, TX............................... 0.8571
Brazos, TX
1280 *Buffalo-Niagara Falls, NY.............................. 0.9272
Erie, NY
Niagara, NY
1303 Burlington, VT.......................................... 1.0142
Chittenden, VT
Franklin, VT
Grand Isle, VT
1310 Caguas, PR.............................................. 0.4459
Caguas, PR
Cayey, PR
Cidra, PR
Gurabo, PR
San Lorenzo, PR
1320 Canton-Massillon, OH.................................... 0.8961
Carroll, OH
Stark, OH
1350 Casper, WY.............................................. 0.9013
Natrona, WY
1360 Cedar Rapids, IA........................................ 0.8529
Linn, IA
1400 Champaign-Urbana, IL.................................... 0.8824
Champaign, IL
1440 Charleston-North Charleston, SC......................... 0.8807
Berkeley, SC
Charleston, SC
Dorchester, SC
1480 Charleston, WV.......................................... 0.9142
Kanawha, WV
Putnam, WV
1520 *Charlotte-Gastonia-Rock Hill, NC-SC.................... 0.9710
Cabarrus, NC
Gaston, NC
Lincoln, NC
Mecklenburg, NC
Rowan, NC
Union, NC
York, SC
1540 Charlottesville, VA..................................... 0.9051
Albemarle, VA
Charlottesville City, VA
Fluvanna, VA
Greene, VA
1560 Chattanooga, TN-GA...................................... 0.8658
Catoosa, GA
Dade, GA
Walker, GA
Hamilton, TN
Marion, TN
1580 Cheyenne, WY............................................ 0.7555
Laramie, WY
1600 *Chicago, IL............................................ 1.0860
Cook, IL
DeKalb, IL
DuPage, IL
Grundy, IL
Kane, IL
Kendall, IL
Lake, IL
McHenry, IL
Will, IL
1620 Chico-Paradise, CA...................................... 1.0429
Butte, CA
1640 *Cincinnati, OH-KY-IN................................... 0.9474
Dearborn, IN
Ohio, IN
Boone, KY
Campbell, KY
Gallatin, KY
Grant, KY
Kenton, KY
Pendleton, KY
Brown, OH
Clermont, OH
Hamilton, OH
Warren, OH
1660 Clarksville-Hopkinsville, TN-KY......................... 0.7852
Christian, KY
Montgomery, TN
1680 *Cleveland-Lorain-Elyria, OH............................ 0.9804
Ashtabula, OH
Cuyahoga, OH
Geauga, OH
Lake, OH
Lorain, OH
Medina, OH
1720 Colorado Springs, CO.................................... 0.9316
El Paso, CO
1740 Columbia, MO............................................ 0.9001
Boone, MO
1760 Columbia, SC............................................ 0.9192
Lexington, SC
Richland, SC
1800 Columbus, GA-AL......................................... 0.8288
Russell, AL
Chattanoochee, GA
Harris, GA
Muscogee, GA
1840 *Columbus, OH........................................... 0.9793
Delaware, OH
Fairfield, OH
Franklin, OH
Licking, OH
Madison, OH
Pickaway, OH
1880 Corpus Christi, TX...................................... 0.8945
Nueces, TX
San Patricio, TX
1900 Cumberland, MD-WV....................................... 0.8822
Allegany, MD
Mineral, WV
1920 *Dallas, TX............................................. 0.9703
Collin, TX
Dallas, TX
Denton, TX
Ellis, TX
Henderson, TX
Hunt, TX
Kaufman, TX
Rockwall, TX
1950 Danville, VA............................................ 0.8146
Danville City, VA
Pittsylvania, VA
1960 Davenport-Rock Island-Moline, IA-IL..................... 0.8405
Scott, IA
Henry, IL
Rock Island, IL
2000 Dayton-Springfield, OH.................................. 0.9584
Clark, OH
Greene, OH
Miami, OH
Montgomery, OH
2020 Daytona Beach, FL....................................... 0.8375
Flagler, FL
Volusia, FL
2030 Decatur, AL............................................. 0.8286
Lawrence, AL
Morgan, AL
2040 Decatur, IL............................................. 0.7915
[[Page 32516]]
Macon, IL
2080 *Denver, CO............................................. 1.0386
Adams, CO
Arapahoe, CO
Denver, CO
Douglas, CO
Jefferson, CO
2120 Des Moines, IA.......................................... 0.8837
Dallas, IA
Polk, IA
Warren, IA
2160 *Detroit, MI............................................ 1.0825
Lapeer, MI
Macomb, MI
Monroe, MI
Oakland, MI
St. Clair, MI
Wayne, MI
2180 Dothan, AL.............................................. 0.8070
Dale, AL
Houston, AL
2190 Dover, DE............................................... 0.9303
Kent, DE
2200 Dubuque, IA............................................. 0.8088
Dubuque, IA
2240 Duluth-Superior, MN-WI.................................. 0.9779
St. Louis, MN
Douglas, WI
2281 Dutchess County, NY..................................... 1.0632
Dutchess, NY
2290 Eau Claire, WI.......................................... 0.8764
Chippewa, WI
Eau Claire, WI
2320 El Paso, TX............................................. 1.0123
El Paso, TX
2330 Elkhart-Goshen, IN...................................... 0.9081
Elkhart, IN
2335 Elmira, NY.............................................. 0.8247
Chemung, NY
2340 Enid, OK................................................ 0.7962
Garfield, OK
2360 Erie, PA................................................ 0.8862
Erie, PA
2400 Eugene-Springfield, OR.................................. 1.1435
Lane, OR
2440 Evansville-Henderson, IN-KY............................. 0.8641
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2520 Fargo-Moorhead, ND-MN................................... 0.8837
Clay, MN
Cass, ND
2560 Fayetteville, NC........................................ 0.8734
Cumberland, NC
2580 Fayetteville-Springdale-Rogers, AR...................... 0.7461
Benton, AR
Washington, AR
2620 Flagstaff, AZ-UT........................................ 0.9115
Coconino, AZ
Kane, UT
2640 Flint, MI............................................... 1.1171
Genesee, MI
2650 Florence, AL............................................ 0.7551
Colbert, AL
Lauderdale, AL
2655 Florence, SC............................................ 0.8711
Florence, SC
2670 Fort Collins-Loveland, CO............................... 1.0248
Larimer, CO
2680 *Ft. Lauderdale, FL..................................... 1.0448
Broward, FL
2700 Fort Myers-Cape Coral, FL............................... 0.8788
Lee, FL
2710 Fort Pierce-Port St. Lucie, FL.......................... 1.0257
Martin, FL
St. Lucie, FL
2720 Fort Smith, AR-OK....................................... 0.7769
Crawford, AR
Sebastian, AR
Sequoyah, OK
2750 Fort Walton Beach, FL................................... 0.8765
Okaloosa, FL
2760 Fort Wayne, IN.......................................... 0.8901
Adams, IN
Allen, IN
DeKalb, IN
Huntington, IN
Wells, IN
Whitley, IN
2800 *Forth Worth-Arlington, TX.............................. 0.9979
Hood, TX
Johnson, TX
Parker, TX
Tarrant, TX
2840 Fresno, CA.............................................. 1.0607
Fresno, CA
Madera, CA
2880 Gadsden, AL............................................. 0.8815
Etowah, AL
2900 Gainesville, FL......................................... 0.9616
Alachua, FL
2920 Galveston-Texas City, TX................................ 1.0564
Galveston, TX
2960 Gary, IN................................................ 0.9633
Lake, IN
Porter, IN
2975 Glens Falls, NY......................................... 0.8386
Warren, NY
Washington, NY
2980 Goldsboro, NC........................................... 0.8443
Wayne, NC
2985 Grand Forks, ND-MN...................................... 0.8745
Polk, MN
Grand Forks, ND
2995 Grand Junction, CO...................................... 0.9090
Mesa, CO
3000 Grand Rapids-Muskegon-Holland, MI....................... 1.0147
Allegan, MI
Kent, MI
Muskegon, MI
Ottawa, MI
3040 Great Falls, MT......................................... 0.8803
Cascade, MT
3060 Greeley, CO............................................. 1.0097
Weld, CO
3080 Green Bay, WI........................................... 0.9097
Brown, WI
3120 *Greensboro-Winston-Salem-High Point, NC................ 0.9351
Alamance, NC
Davidson, NC
Davie, NC
Forsyth, NC
Guilford, NC
Randolph, NC
Stokes, NC
Yadkin, NC
3150 Greenville, NC.......................................... 0.9064
Pitt, NC
3160 Greenville-Spartanburg-Anderson, SC..................... 0.9059
Anderson, SC
Cherokee, SC
Greenville, SC
Pickens, SC
Spartanburg, SC
3180 Hagerstown, MD.......................................... 0.9681
Washington, MD
3200 Hamilton-Middletown, OH................................. 0.8767
Butler, OH
3240 Harrisburg-Lebanon-Carlisle, PA......................... 1.0187
Cumberland, PA
Dauphin, PA
Lebanon, PA
Perry, PA
3283 *Hartford, CT........................................... 1.2562
Hartford, CT
Litchfield, CT
Middlesex, CT
Tolland, CT
3285 Hattiesburg, MS......................................... 0.7192
Forrest, MS
Lamar, MS
3290 Hickory-Morganton-Lenoir, NC............................ 0.8686
Alexander, NC
Burke, NC
Caldwell, NC
Catawba, NC
3320 Honolulu, HI............................................ 1.1816
Honolulu, HI
3350 Houma, LA............................................... 0.7854
Lafourche, LA
Terrebonne, LA
3360 *Houston, TX............................................ 0.9855
Chambers, TX
Fort Bend, TX
Harris, TX
Liberty, TX
Montgomery, TX
Waller, TX
3400 Huntington-Ashland, WV-KY-OH............................ 0.9160
Boyd, KY
Carter, KY
Greenup, KY
Lawrence, OH
Cabell, WV
Wayne, WV
3440 Huntsville, AL.......................................... 0.8485
Limestone, AL
Madison, AL
[[Page 32517]]
3480 *Indianapolis, IN....................................... 0.9848
Boone, IN
Hamilton, IN
Hancock, IN
Hendricks, IN
Johnson, IN
Madison, IN
Marion, IN
Morgan, IN
Shelby, IN
3500 Iowa City, IA........................................... 0.9413
Johnson, IA
3520 Jackson, MI............................................. 0.9052
Jackson, MI
3560 Jackson, MS............................................. 0.7760
Hinds, MS
Madison, MS
Rankin, MS
3580 Jackson, TN............................................. 0.8522
Madison, TN
Chester, TN
3600 Jacksonville, FL........................................ 0.8969
Clay, FL
Duval, FL
Nassau, FL
St. Johns, FL
3605 Jacksonville, NC........................................ 0.6973
Onslow, NC
3610 Jamestown, NY........................................... 0.7552
Chautaqua, NY
3620 Janesville-Beloit, WI................................... 0.8824
Rock, WI
3640 Jersey City, NJ......................................... 1.1412
Hudson, NJ
3660 Johnson City-Kingsport-Bristol, TN-VA................... 0.9114
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3680 Johnstown, PA........................................... 0.8378
Cambria, PA
Somerset, PA
3700 Jonesboro, AR........................................... 0.7443
Craighead, AR
3710 Joplin, MO.............................................. 0.7510
Jasper, MO
Newton, MO
3720 Kalamazoo-Battlecreek, MI............................... 1.0668
Calhoun, MI
Kalamazoo, MI
Van Buren, MI
3740 Kankakee, IL............................................ 0.8653
Kankakee, IL
3760 *Kansas City, KS-MO..................................... 0.9564
Johnson, KS
Leavenworth, KS
Miami, KS
Wyandotte, KS
Cass, MO
Clay, MO
Clinton, MO
Jackson, MO
Lafayette, MO
Platte, MO
Ray, MO
3800 Kenosha, WI............................................. 0.9196
Kenosha, WI
3810 Killeen-Temple, TX...................................... 1.0252
Bell, TX
Coryell, TX
3840 Knoxville, TN........................................... 0.8831
Anderson, TN
Blount, TN
Knox, TN
Loudon, TN
Sevier, TN
Union, TN
3850 Kokomo, IN.............................................. 0.8416
Howard, IN
Tipton, IN
3870 La Crosse, WI-MN........................................ 0.8749
Houston, MN
La Crosse, WI
3880 Lafayette, LA........................................... 0.8206
Acadia, LA
Lafayette, LA
St. Landry, LA
St. Martin, LA
3920 Lafayette, IN........................................... 0.9174
Clinton, IN
Tippecanoe, IN
3960 Lake Charles, LA........................................ 0.7776
Calcasieu, LA
3980 Lakeland-Winter Haven, FL............................... 0.8806
Polk, FL
4000 Lancaster, PA........................................... 0.9481
Lancaster, PA
4040 Lansing-East Lansing, MI................................ 1.0088
Clinton, MI
Eaton, MI
Ingham, MI
4080 Laredo, TX.............................................. 0.7325
Webb, TX
4100 Las Cruces, NM.......................................... 0.8646
Dona Ana, NM
4120 *Las Vegas, NV-AZ....................................... 1.0592
Mohave, AZ
Clark, NV
Nye, NV
4150 Lawrence, KS............................................ 0.8608
Douglas, KS
4200 Lawton, OK.............................................. 0.9045
Comanche, OK
4243 Lewiston-Auburn, ME..................................... 0.9536
Androscoggin, ME
4280 Lexington, KY........................................... 0.8390
Bourbon, KY
Clark, KY
Fayette, KY
Jessamine, KY
Madison, KY
Scott, KY
Woodford, KY
4320 Lima, OH................................................ 0.9185
Allen, OH
Eagles, OH
4360 Lincoln, NE............................................. 0.9231
Lancaster, NE
4400 Little Rock-North Little Rock, AR....................... 0.8490
Faulkner, AR
Laennec, AR
Pulaski, AR
Saline, AR
4420 Longview-Marshall, TX................................... 0.8613
Gregg, TX
Harrison, TX
Upshur, TX
4480 *Los Angeles-Long Beach, CA............................. 1.2232
Los Angeles, CA
4520 Louisville, KY-IN....................................... 0.9507
Clark, IN
Floyd, IN
Harrison, IN
Scott, IN
Bullitt, KY
Jefferson, KY
Oldham, KY
4600 Lubbock, TX............................................. 0.8400
Lubbock, TX
4640 Lynchburg, VA........................................... 0.8228
Amherst, VA
Bedford, VA
Bedford City, VA
Campbell, VA
Lynchburg City, VA
4680 Macon, GA............................................... 0.9227
Bibb, GA
Houston, GA
Jones, GA
Peach, GA
Twiggs, GA
4720 Madison, WI............................................. 1.0055
Dane, WI
4800 Mansfield, OH........................................... 0.8639
Crawford, OH
Richland, OH
4840 Mayaguez, PR............................................ 0.4475
Anasco, PR
Cabo Rojo, PR
Hormigueros, PR
Mayaguez, PR
Sabana Grande, PR
San German, PR
4880 McAllen-Edinburg-Mission, TX............................ 0.8371
Hidalgo, TX
4890 Medford-Ashland, OR..................................... 1.0354
Jackson, OR
4900 Melbourne-Titusville-Palm Bay, FL....................... 0.8819
Brevard, FL
4920 *Memphis, TN-AR-MS...................................... 0.8589
Crittenden, AR
DeSoto, MS
Fayette, TN
Shelby, TN
Tipton, TN
4940 Merced, CA.............................................. 1.0947
Merced, CA
5000 *Miami, FL..............................................
Dade, FL 0.9859
[[Page 32518]]
5015 *Middlesex-Somerset-Hunterdon, NJ....................... 1.1059
Hunterdon, NJ
Middlesex, NJ
Somerset, NJ
5080 *Milwaukee-Waukesha, WI................................. 0.9819
Milwaukee, WI
Ozaukee, WI
Washington, WI
Waukesha, WI
5120 *Minneapolis-St. Paul, MN-WI............................ 1.0733
Anoka, MN
Carver, MN
Chisago, MN
Dakota, MN
Hennepin, MN
Isanti, MN
Ramsey, MN
Scott, MN
Sherburne, MN
Washington, MN
Wright, MN
Pierce, WI
St. Croix, WI
5160 Mobile, AL.............................................. 0.8455
Baldwin, AL
Mobile, AL
5170 Modesto, CA............................................. 1.0794
Stanislaus, CA
5190 *Monmouth-Ocean, NJ..................................... 1.0934
Monmouth, NJ
Ocean, NJ
5200 Monroe, LA.............................................. 0.8414
Ouachita, LA
5240 Montgomery, AL.......................................... 0.7671
Autauga, AL
Elmore, AL
Montgomery, AL
5280 Muncie, IN.............................................. 0.9173
Delaware, IN
5330 Myrtle Beach, SC........................................ 0.8072
Horry, SC
5345 Naples, FL.............................................. 1.0109
Collier, FL
5360 *Nashville, TN.......................................... 0.9182
Cheatham, TN
Davidson, TN
Dickson, TN
Robertson, TN
Rutherford TN
Sumner, TN
Williamson, TN
Wilson, TN
5380 *Nassau-Suffolk, NY..................................... 1.3807
Nassau, NY
Suffolk, NY
5483 *New Haven-Bridgeport-Stamford-Danbury-Waterbury, CT....
Fairfield, CT 1.2618
New Haven, CT
5523 New London-Norwich, CT.................................. 1.2013
New London, CT
5560 *New Orleans, LA........................................ 0.9566
Jefferson, LA
Orleans, LA
Plaquemines, LA
St. Bernard, LA
St. Charles, LA
St. James, LA
St. John Baptist, LA
St. Tammany, LA
5600 *New York, NY........................................... 1.4449
Bronx, NY
Kings, NY
New York, NY
Putnam, NY
Queens, NY
Richmond, NY
Rockland, NY
Westchester, NY
5640 *Newark, NJ............................................. 1.1980
Essex, NJ
Morris, NJ
Sussex, NJ
Union, NJ
Warren, NJ
5660 Newburgh, NY-PA......................................... 1.1283
Orange, NY
Pike, PA
5720 *Norfolk-Virginia Beach-Newport News, VA-NC............. 0.8316
Currituck, NC
Chesapeake City, VA
Gloucester, VA
Hampton City, VA
Isle of Wight, VA
James City, VA
Mathews, VA
Newport News City, VA
Norfolk City, VA
Poquoson City, VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City, VA
Williamsburg City, VA
York, VA
5775 *Oakland, CA............................................ 1.5068
Alameda, CA
Contra Costa, CA
5790 Ocala, FL............................................... 0.9032
Marion, FL
5800 Odessa-Midland, TX...................................... 0.8660
Ector, TX
Midland, TX
5880 *Oklahoma City, OK...................................... 0.8481
Canadian, OK
Cleveland, OK
Logan, OK
McClain, OK
Oklahoma, OK
Pottawatomie, OK
5910 Olympia, WA............................................. 1.0901
Thurston, WA
5920 Omaha, NE-IA............................................ 0.9421
Pottawattamie, IA
Cass, NE
Douglas, NE
Sarpy, NE
Washington, NE
5945 *Orange County, CA...................................... 1.1605
Orange, CA
5960 *Orlando, FL............................................ 0.9397
Lake, FL
Orange, FL
Osceola, FL
Seminole, FL
5990 Owensboro, KY........................................... 0.7480
Daviess, KY
6015 Panama City, FL......................................... 0.8337
Bay, FL
6020 Parkersburg-Marietta, WV-OH............................. 0.8046
Washington, OH
Wood, WV
6080 Pensacola, FL........................................... 0.8193
Escambia, FL
Santa Rosa, FL
6120 Peoria-Pekin, IL........................................ 0.8571
Peoria, IL
Tazewell, IL
Woodford, IL
6160 *Philadelphia, PA-NJ.................................... 1.1398
Burlington, NJ
Camden, NJ
Gloucester, NJ
Salem, NJ
Bucks, PA
Chester, PA
Delaware, PA
Montgomery, PA
Philadelphia, PA
6200 *Phoenix-Mesa, AZ....................................... 0.9606
Maricopa, AZ
Pinal, AZ
6240 Pine Bluff, AR.......................................... 0.7826
Jefferson, AR
6280 *Pittsburgh, PA......................................... 0.9725
Allegheny, PA
Beaver, PA
Butler, PA
Fayette, PA
Washington, PA
Westmoreland, PA
6323 Pittsfield, MA.......................................... 1.0960
Berkshire, MA
6340 Pocatello, ID........................................... 0.9586
Bannock, ID
6360 Ponce, PR............................................... 0.4589
Guayanilla, PR
Juana Diaz, PR
Penuelas, PR
Ponce, PR
Villalba, PR
Yauco, PR
6403 Portland, ME............................................ 0.9627
Cumberland, ME
Sagadahoc, ME
York, ME
6440 *Portland-Vancouver, OR-WA.............................. 1.1344
Clackamas, OR
Columbia, OR
Multnomah, OR
Washington, OR
Yamhill, OR
Clark, WA
[[Page 32519]]
6483 Providence-Warwick-Pawtucket, RI........................ 1.1049
Bristol, RI
Kent, RI
Newport, RI
Providence, RI
Washington, RI
Statewide, RI
6520 Provo-Orem, UT.......................................... 1.0073
Utah, UT
6560 Pueblo, CO.............................................. 0.8450
Pueblo, CO
6580 Punta Gorda, FL......................................... 0.8725
Charlotte, FL
6600 Racine, WI.............................................. 0.8934
Racine, WI
6640 Raleigh-Durham-Chapel Hill, NC.......................... 0.9818
Chatham, NC
Durham, NC
Franklin, NC
Johnston, NC
Orange, NC
Wake, NC
6660 Rapid City, SD.......................................... 0.8345
Pennington, SD
6680 Reading, PA............................................. 0.9516
Berks, PA
6690 Redding, CA............................................. 1.1790
Shasta, CA
6720 Reno, NV................................................ 1.0768
Washoe, NV
6740 Richland-Kennewick-Pasco, WA............................ 0.9918
Benton, WA
Franklin, WA
6760 Richmond-Petersburg, VA................................. 0.9152
Charles City County, VA
Chesterfield, VA
Colonial Heights City, VA
Dinwiddie, VA
Goochland, VA
Hanover, VA
Henrico, VA
Hopewell City, VA
New Kent, VA
Petersburg City, VA
Powhatan, VA
Prince George, VA
Richmond City, VA
6780 *Riverside-San Bernardino, CA........................... 1.1307
Riverside, CA
San Bernardino, CA
6800 Roanoke, VA............................................. 0.8402
Botetourt, VA
Roanoke, VA
Roanoke City, VA
Salem City, VA
6820 Rochester, MN........................................... 1.0502
Olmsted, MN
6840 *Rochester, NY.......................................... 0.9524
Genesee, NY
Livingston, NY
Monroe, NY
Ontario, NY
Orleans, NY
Wayne, NY
6880 Rockford, IL............................................ 0.9081
Boone, IL
Ogle, IL
Winnebago, IL
6895 Rocky Mount, NC......................................... 0.9029
Edgecombe, NC
Nash, NC
6920 *Sacramento, CA......................................... 1.2202
El Dorado, CA
Placer, CA
Sacramento, CA
6960 Saginaw-Bay City-Midland, MI............................ 0.9564
Bay, MI
Midland, MI
Saginaw, MI
6980 St. Cloud, MN........................................... 0.9544
Benton, MN
Stearns, MN
7000 St. Joseph, MO.......................................... 0.8366
Andrews, MO
Buchanan, MO
7040 *St. Louis, MO-IL....................................... 0.9130
Clinton, IL
Jersey, IL
Madison, IL
Monroe, IL
St. Clair, IL
Franklin, MO
Jefferson, MO
Lincoln, MO
St. Charles, MO
St. Louis, MO
St. Louis City, MO
Warren, MO
7080 Salem, OR............................................... 0.9965
Marion, OR
Polk, OR
7120 Salinas, CA............................................. 1.4513
Monterey, CA
7160 *Salt Lake City-Ogden, UT............................... 0.9857
Davis, UT
Salt Lake, UT
Weber, UT
7200 San Angelo, TX.......................................... 0.7780
Tom Green, TX
7240 *San Antonio, TX........................................ 0.8499
Bexar, TX
Comal, TX
Guadalupe, TX
Wilson, TX
7320 *San Diego, CA.......................................... 1.2193
San Diego, CA
7360 *San Francisco, CA...................................... 1.4180
Marin, CA
San Francisco, CA
San Mateo, CA
7400 *San Jose, CA........................................... 1.4332
Santa Clara, CA
7440 *San Juan-Bayamon, PR................................... 0.4625
Aguas Buenas, PR
Barceloneta, PR
Bayamon, PR
Canovanas, PR
Carolina, PR
Catano, PR
Ceiba, PR
Comerio, PR
Corozal, PR
Dorado, PR
Fajardo, PR
Florida, PR
Guaynabo, PR
Humacao, PR
Juncos, PR
Los Piedras, PR
Loiza, PR
Luguillo, PR
Manati, PR
Morovis, PR
Naguabo, PR
Naranjito, PR
Rio Grande, PR
San Juan, PR
Toa Alta, PR
Toa Baja, PR
Trujillo Alto, PR
Vega Alta, PR
Vega Baja, PR
Yabucoa, PR
7460 San Luis Obispo-Atascadero-Paso Robles, CA.............. 1.1374
San Luis Obispo, CA
7480 Santa Barbara-Santa Maria-Lompoc, CA.................... 1.0688
Santa Barbara, CA
7485 Santa Cruz-Watsonville, CA.............................. 1.4187
Santa Cruz, CA
7490 Santa Fe, NM............................................ 1.0332
Los Alamos, NM
Santa Fe, NM
7500 Santa Rosa, CA.......................................... 1.2815
Sonoma, CA
7510 Sarasota-Bradenton, FL.................................. 0.9757
Manatee, FL
Sarasota, FL
7520 Savannah, GA............................................ 0.8638
Bryan, GA
Chatham, GA
Effingham, GA
7560 Scranton-Wilkes-Barre-Hazleton, PA...................... 0.8539
Columbia, PA
Lackawanna, PA
Luzerne, PA
Wyoming, PA
7600 *Seattle-Bellevue-Everett, WA........................... 1.1339
Island, WA
King, WA
Snohomish, WA
7610 Sharon, PA.............................................. 0.8783
Mercer, PA
7620 Sheboygan, WI........................................... 0.7862
Sheboygan, WI
7640 Sherman-Denison, TX..................................... 0.8499
Grayson, TX
7680 Shreveport-Bossier City, LA............................. 0.9381
Bossier, LA
Caddo, LA
[[Page 32520]]
Webster, LA
7720 Sioux City, IA-NE....................................... 0.8031
Woodbury, IA
Dakota, NE
7760 Sioux Falls, SD......................................... 0.8712
Lincoln, SD
Minnehaha, SD
7800 South Bend, IN.......................................... 0.9868
St. Joseph, IN
7840 Spokane, WA............................................. 1.0486
Spokane, WA
7880 Springfield, IL......................................... 0.8713
Menard, IL
Sangamon, IL
7920 Springfield, MO......................................... 0.7989
Christian, MO
Greene, MO
Webster, MO
8003 Springfield, MA......................................... 1.0740
Hampden, MA
Hampshire, MA
8050 State College, PA....................................... 0.9635
Centre, PA
8080 Steubenville-Weirton, OH-WV............................. 0.8645
Jefferson, OH
Brooke, WV
Hancock, WV
8120 Stockton-Lodi, CA....................................... 1.1496
San Joaquin, CA
8140 Sumter, SC.............................................. 0.7842
Sumter, SC
8160 Syracuse, NY............................................ 0.9464
Cayuga, NY
Madison, NY
Onondaga, NY
Oswego, NY
8200 Tacoma, WA.............................................. 1.1016
Pierce, WA
8240 Tallahassee, FL......................................... 0.8332
Gadsden, FL
Leon, FL
8280 *Tampa-St. Petersburg-Clearwater, FL.................... 0.9103
Hernando, FL
Hillsborough, FL
Pasco, FL
Pinellas, FL
8320 Terre Haute, IN......................................... 0.8614
Clay, IN
Vermillion, IN
Vigo, IN
8360 Texarkana, AR-Texarkana, TX............................. 0.8664
Miller, AR
Bowie, TX
8400 Toledo, OH.............................................. 1.0390
Fulton, OH
Lucas, OH
Wood, OH
8440 Topeka, KS.............................................. 0.9438
Shawnee, KS
8480 Trenton, NJ............................................. 1.0380
Mercer, NJ
8520 Tucson, AZ.............................................. 0.9180
Pima, AZ
8560 Tulsa, OK............................................... 0.8074
Creek, OK
Osage, OK
Rogers, OK
Tulsa, OK
Wagoner, OK
8600 Tuscaloosa, AL.......................................... 0.8187
Tuscaloosa, AL
8640 Tyler, TX............................................... 0.9567
Smith, TX
8680 Utica-Rome, NY.......................................... 0.8398
Herkimer, NY
Oneida, NY
8720 Vallejo-Fairfield-Napa, CA.............................. 1.3754
Napa, CA
Solano, CA
8735 Ventura, CA............................................. 1.0946
Ventura, CA
8750 Victoria, TX............................................ 0.8474
Victoria, TX
8760 Vineland-Millville-Bridgeton, NJ........................ 1.0110
Cumberland, NJ
8780 Visalia-Tulare-Porterville, CA.......................... 0.9924
Tulare, CA
8800 Waco, TX................................................ 0.7696
McLennan, TX
8840 *Washington, DC-MD-VA-WV................................ 1.0911
District of Columbia, DC
Calvert, MD
Charles, MD
Frederick, MD
Montgomery, MD
Prince Georges, MD
Alexandria City, VA
Arlington, VA
Clarke, VA
Culpepper, VA
Fairfax, VA
Fairfax City, VA
Falls Church City, VA
Fauquier, VA
Fredericksburg City, VA
King George, VA
Loudoun, VA
Manassas City, VA
Manassas Park City, VA
Prince William, VA
Spotsylvania, VA
Stafford, VA
Warren, VA
Berkeley, WV
Jefferson, WV
8920 Waterloo-Cedar Falls, IA................................ 0.8640
Black Hawk, IA
8940 Wausau, WI.............................................. 1.0545
Marathon, WI
8960 West Palm Beach-Boca Raton, FL.......................... 1.0372
Palm Beach, FL
9000 Wheeling, OH-WV......................................... 0.7707
Belmont, OH
Marshall, WV
Ohio, WV
9040 Wichita, KS............................................. 0.9403
Butler, KS
Harvey, KS
Sedgwick, KS
9080 Wichita Falls, TX....................................... 0.7646
Archer, TX
Wichita, TX
9140 Williamsport, PA........................................ 0.8548
Lycoming, PA
9160 Wilmington-Newark, DE-MD................................ 1.1538
New Castle, DE
Cecil, MD
9200 Wilmington, NC.......................................... 0.9322
New Hanover, NC
Brunswick, NC
9260 Yakima, WA.............................................. 1.0102
Yakima, WA
9270 Yolo, CA................................................ 1.1431
Yolo, CA
9280 York, PA................................................ 0.9415
York, PA
9320 Youngstown-Warren, OH................................... 0.9937
Columbiana, OH
Mahoning, OH
Trumbull, OH
9340 Yuba City, CA........................................... 1.0324
Sutter, CA
Yuba, CA
9360 Yuma, AZ................................................ 0.9732
Yuma, AZ
------------------------------------------------------------------------
*Large Urban Area
Wage Index For Rural Areas
------------------------------------------------------------------------
Wage
Nonurban area index
------------------------------------------------------------------------
Alabama....................................................... 0.7260
Alaska........................................................ 1.2302
Arizona....................................................... 0.7989
Arkansas...................................................... 0.6995
California.................................................... 0.9977
Colorado...................................................... 0.8129
Connecticut................................................... 1.2617
Delaware...................................................... 0.8925
Florida....................................................... 0.8838
Georgia....................................................... 0.7761
Hawaii........................................................ 1.0229
Idaho......................................................... 0.8221
Illinois...................................................... 0.7644
Indiana....................................................... 0.8161
Iowa.......................................................... 0.7391
Kansas........................................................ 0.7203
Kentucky...................................................... 0.7772
Louisiana..................................................... 0.7383
Maine......................................................... 0.8468
Maryland...................................................... 0.8617
Massachusetts................................................. 1.0718
Michigan...................................................... 0.8923
Minnesota..................................................... 0.8179
Mississippi................................................... 0.6911
Missouri...................................................... 0.7205
Montana....................................................... 0.8302
Nebraska...................................................... 0.7401
Nevada........................................................ 0.8914
[[Page 32521]]
New Hampshire................................................. 0.9717
New Jersey \1\................................................ ........
New Mexico.................................................... 0.8070
New York...................................................... 0.8401
North Carolina................................................ 0.7937
North Dakota.................................................. 0.7360
Ohio.......................................................... 0.8434
Oklahoma...................................................... 0.7072
Oregon........................................................ 0.9975
Pennsylvania.................................................. 0.8421
Puerto Rico................................................... 0.3939
Rhode Island \1\.............................................. ........
South Carolina................................................ 0.7921
South Dakota.................................................. 0.6983
Tennessee..................................................... 0.7353
Texas......................................................... 0.7404
Utah.......................................................... 0.8926
Vermont....................................................... 0.9314
Virginia...................................................... 0.7782
Washington.................................................... 1.0221
West Virginia................................................. 0.7938
Wisconsin..................................................... 0.8471
Wyoming....................................................... 0.8247
------------------------------------------------------------------------
\1\ All counties within the State are classified urban.
[FR Doc. 98-14835 Filed 6-11-98; 8:45 am]
BILLING CODE 4120-01-P
