01-21213. Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2002 Payment Rates

AGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Proposed rule.

SUMMARY:

This proposed rule would revise the Medicare hospital outpatient prospective payment system to implement applicable statutory requirements, including relevant provisions of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 and changes arising from our continuing experience with this system. In addition, it would describe proposed changes to the amounts and factors used to determine the payment rates for Medicare hospital outpatient services paid under the prospective payment system. These changes would be applicable to services furnished on or after January 1, 2002.

DATES:

We will consider comments if we receive them at the appropriate address, as provided below, no later than 5 p.m. on October 3, 2001.

ADDRESSES:

In commenting, please refer to file code CMS-1159-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. Mail written comments (one original and three copies) to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1159-P, P.O. Box 8017, Baltimore, MD 21244-8017.

To ensure that mailed comments are received in time for us to consider them, please allow for possible delays in delivery.

If you prefer, you may deliver (by hand or courier) your written comments (one original and three copies) to one of the following addresses:

Room 443-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, or

Room C5-16-03, 7500 Security Boulevard, Baltimore, MD 21244-1850.

Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received too late for us to consider them.

For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.

When ordering copies of the Federal Register containing this document, see the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT:

George Morey [phone], for provider-based issues; and Nancy Edwards [phone], for all other issues.

SUPPLEMENTARY INFORMATION:

Inspection of Public Comments

Comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Blvd., Baltimore, MD 21244-1850 on Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, please call [phone] or [phone].

Availability of Copies and Electronic Access

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 [phone] or by faxing to [phone]. The cost for each copy is $9. 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. The Website address is: http://www.access.gpo.gov/​nara/​index.html. To assist readers in referencing sections contained in this document, we are providing the following table of contents.

Outline of Contents

I. Background

A. Authority

B. Summary of Rulemaking

C. Summary of Relevant Provisions of the Benefits Improvement and Protection Act of 2000 (BIPA 2000)

1. Accelerated Reduction of Beneficiary Copayment

2. Revision of Payment Update

3. Process and Standards for Determining Eligibility of Devices for Transitional Pass-Through Payments

4. Application of Transitional Corridor Payments to Certain Hospitals That Did Not Submit A 1996 Cost Report

5. Treatment of Children's Hospitals

6. Transitional Pass-Through Payment for Temperature Monitored Cryoablation

7. Contrast Enhanced Diagnostic Procedures

8. Other Changes

II. Proposed Changes to the Ambulatory Payment Classification (APC) Groups and Relative Weights

A. Recommendations of the Advisory Panel on APC Groups

1. Establishment of the Advisory Panel

2. Specific Recommendations of the Advisory Panel and Our Responses

B. Additional APC Changes Resulting from BIPA Provisions

1. Coverage of Glaucoma Screening

2. APCs for Contrast Enhanced Diagnostic Procedures

C. Other Changes Affecting the APCs

1. Changes in Revenue Code Packaging

2. Special Revenue Code Packaging for Specific Types of Procedures

3. Limit on Variation of Costs of Services Classified Within a Group

4. Observation Services

5. List of Procedures That Will Be Paid Only As Inpatient Procedures

6. Additional New Technology APC Groups

D. Recalibration of APC Weights for CY 2002

III. Wage Index Changes

IV. Copayment Changes

A. BIPA 2000 Coinsurance Limit

B. Impact of BIPA 2000 Payment Rate Increase on Coinsurance

C. Coinsurance and Copayment Changes Resulting from Change in an APC Group

V. Outlier Policy Changes

VI. Other Policy Decisions and Proposed Changes

A. Change in Services Covered Within the Scope of the OPPS

B. Categories of Hospitals Subject To and Excluded from the OPPS

C. Conforming Changes: Additional Payments on a Reasonable Cost Basis

D. Hospital Coding for Evaluation and Management Services

E. Annual Drug Pricing Update

F. Definition of Single-Use Devices

G. Criteria for New Technology APCs

1. Background

2. Proposed Modifications to the Criteria and Process for Assigning Services to New Technology APCs a. Services Paid Under New Technology APCs b. Criteria for Assignment to New Technology APC c. Revision of Application for New Technology Status d. Length of Time in a New Technology APC

VII. Transitional Pass-Through Payment Issues

A. Background

B. Discussion of Pro-Rata Reduction

1. Data and Methodology

2. Drugs and Biologicals

3. Radiopharmaceutical Drugs and Biological Products

4. Medical Devices

5. Projecting to 2002

C. Reducing Transitional Pass-Through Payments to Offset Costs Packaged into APC Groups

1. Background

2. Proposed Reduction for 2002

VIII. Conversion Factor Update for CY 2002

IX. Summary of and Responses to MedPAC Recommendations

X. Provider-Based Issues

A. Background and April 7, 2000 Regulations

B. Provider-Based Issues/Frequently Asked Questions

C. Benefits Improvement and Protection Act of 2000

1. Two-Year “Grandfathering'

2. Geographic Location Criteria

3.Criteria for Temporary Treatment as Provider—Based

D. Proposed Changes to Provider-Based Regulations

1. Clarification of Requirements for Adequate Cost Data and Cost Finding

2. Scope and Definitions

3. BIPA Provisions on Grandfathering and Temporary Treatment as Provider-Based

4. Reporting

5. Geographic Location Criteria

6. Notice to Beneficiaries of Coinsurance Liability

7. Clarification of Protocols for Off-Campus Departments

8. Other Changes

XI. Summary of Proposed Changes

A. Changes Required by BIPA

B. Additional Changes

C. Technical Corrections

XII. Collection of Information Requirements

XIII. Response to Public Comments

XIV. Regulatory Impact Analysis

Regulations Text

Addenda

Addendum A—List of Ambulatory Payment Classifications (APCs) with Status Indicators, Relative Weights, Payment Rates, and Copayment Amounts

Addendum B—Payment Status by HCPCS Code, and Related Information

Addendum C—Hospital Outpatient Payment for Procedures by APC: Displayed on Website Only

Addendum D—Payment Status Indicators for the Hospital Outpatient Prospective Payment System

Addendum E—CPT Codes Which Would Be Paid Only As Inpatient Procedures

Addendum G—Service Mix Indices by Hospital: Displayed on Website only

Addendum H—Wage Index for Urban Areas

Addendum I—Wage Index for Rural Areas

Addendum J—Wage Index for Hospitals That Are Reclassified

Alphabetical List of Acronyms Appearing in the Proposed Rule

APC Ambulatory payment classification

APG Ambulatory patient group

ASC Ambulatory surgical center

AWP Average wholesale price

BBA 1997 Balanced Budget Act of 1997

BIPA 2000 Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

BBRA 1999 Balanced Budget Refinement Act of 1999

CAH Critical access hospital

CAT Computerized axial tomography

CCI Correct Coding Initiative

CCR Cost center specific cost-to-charge ratio

CMHC Community mental health center

CMS Centers for Medicare & Medicaid Services (Formerly known as the Health Care Financing Administration)

CORF Comprehensive outpatient rehabilitation facility

CPI Consumer Price Index

CPT (Physician's) Current Procedural Terminology, Fourth Edition, 2001, copyrighted by the American Medical Association

DME Durable medical equipment

DMEPOS DME, prosthetics (which include prosthetic devices and implants) orthotics, and supplies

DRG Diagnosis-related group

EMTALA Emergency Medical Treatment and Active Labor Act

FDA Food and Drug Administration

FQHC Federally qualified health center

HCPCS Healthcare Common Procedure Coding System

HHA Home health agency

ICD-9-CM International Classification of Diseases, Ninth Edition, Clinical Modification

IME Indirect medical education

JCAHO Joint Commission on Accreditation of Healthcare Organizations

MRI Magnetic resonance imaging

MSA Metropolitan statistical area

NECMA New England County Metropolitan Area

OPPS Hospital outpatient prospective payment system

PPS Prospective payment system

RFA Regulatory Flexibility Act

RHC Rural health clinic

RRC Rural referral center

SCH Sole community hospital

SNF Skilled nursing facility

I. Background

A. Authority

When the Medicare statute was originally enacted, Medicare payment for hospital outpatient services was based on hospital-specific costs. In an effort to ensure that Medicare and its beneficiaries pay appropriately for services and to encourage more efficient delivery of care, the Congress mandated replacement of the cost-based payment methodology with a prospective payment system (PPS). The Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, added section 1833(t) to the Social Security Act (the Act) authorizing implementation of a PPS for hospital outpatient services. The Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113), enacted on November 29, 1999, made major changes that affected the hospital outpatient PPS (OPPS). The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) (Pub. L. 106-554), enacted on December 21, 2000, made further changes in the OPPS. The BIPA provisions that affect the OPPS are summarized below, in section I.C. The OPPS was first implemented for services furnished on or after August 1, 2000.

B. Summary of Rulemaking

• On September 8, 1998, we published a proposed rule (63 FR 47552) to establish in regulations a PPS for hospital outpatient services, to eliminate the formula-driven overpayment for certain hospital outpatient services, and to extend reductions in payment for costs of hospital outpatient services. On June 30, 1999, we published a correction notice (64 FR 35258) to correct a number of technical and typographic errors in the September 1998 proposed rule including the proposed amounts and factors used to determine the payment rates.
• On April 7, 2000, we published a final rule with comment period (65 FR 18438) that addressed the provisions of the PPS for hospital outpatient services scheduled to be effective for services furnished on or after July 1, 2000. Under this system, Medicare payment for hospital outpatient services included in the PPS is made at a predetermined, specific rate. These outpatient services are classified according to a list of ambulatory payment classifications (APCs). The April 7 final rule with comment period also established requirements for provider departments and provider-based entities and prohibited Medicare payment for non-physician services furnished to a hospital outpatient by a provider or supplier other than a hospital unless the services are furnished under arrangement. In addition, this rule extended reductions in payment for costs of hospital outpatient services as required by the BBA of 1997 and amended by the BBRA of 1999. Medicare regulations governing the hospital OPPS are set forth at 42 CFR 419.
• On June 30, 2000, we published a notice (65 FR 40535) announcing a delay in implementation of the OPPS from July 1, 2000 to August 1, 2000.
• On August 3, 2000, we published an interim final rule with comment period (65 FR 47670) that modified criteria that we use to determine which medical devices are eligible for transitional pass-through payments. The August 3, 2000 rule also corrected and clarified certain provider-based provisions included in the April 7, 2000 rule.
• On November 13, 2000, we published an interim final rule with comment period (65 FR 67798). This rule provided for the annual update to the amounts and factors for OPPS payment rates effective for services furnished on or after January 1, 2001. We also responded to public comments on those portions of the April 7, 2000 final rule that implemented related provisions of the BBRA and public comments on the August 3, 2000 rule.

C. Summary of Relevant Provisions of the BIPA

The BIPA, which was enacted on December 21, 2000, made the following changes to the Act relating to OPPS.

1. Accelerated Reduction of Beneficiary Copayment

Section 111 amended section 1833(t)(8)(C) of the Act to limit the national copayment rate for OPPS services to 57 percent of the OPPS payment rate for services furnished in 2001 on or after April 1, 2001; 55 percent for services in 2002 and 2003; 50 percent for services furnished in 2004; 45 percent for services furnished in 2005; and 40 percent for services furnished in 2006 and thereafter.

Section 111 also specifies that nothing in BIPA 2000 or the Act, shall be viewed as preventing a hospital from waiving the amount of any beneficiary coinsurance for outpatient hospital services that may have been increased as a result of implementation of the OPPS.

2. Revision of Payment Update

Section 401 amended section 1833(t)(3)(C) of the Act to provide in 2001 an update equal to the full rate of increase in the market basket index. The 2002 update factor remains as it was under the law before the enactment of BIPA, that is, the market basket index percentage increase minus 1 percentage point.

3. Process and Standards for Determining Eligibility of Devices for Transitional Pass-Through Payments

Section 402 amended section 1833(t)(6) of the Act to require that the determination of eligibility for transitional pass-through payments be based on categories of devices (previously, eligibility was determined on a device-specific basis). The establishment of an initial set of categories was required effective for services furnished on or after April 1, 2001. This provision was implemented on March 22, 2001 in Program Memorandum (PM) No. A-01-41, which set forth a list of 96 initial categories.

Section 402 of the BIPA also provides that the Secretary must establish criteria to use in creating additional device categories. These criteria will be set forth in an interim final rule with comment period that will be published in the Federal Register at a later date.

Related to this issue is the issue of pro rata reductions of transitional pass through payments for new technology. A discussion of this can be found later in this document in Section VII. B.

4. Application of Transitional Corridor Payments to Certain Hospitals That Did Not Submit a 1996 Cost Report

Section 403 amended section 1833(t)(7)(F)(ii)(I) of the Act to allow transitional corridor payments to hospitals subject to the OPPS that did not have a 1996 cost report by authorizing the use of the first available cost reporting period ending after 1996 and before 2001.

5. Treatment of Children's Hospitals

Section 405 amended section 1833(t) of the Act to give children's hospitals the same permanent hold harmless protection as cancer hospitals under the OPPS.

6. Transitional Pass-Through Payment for Temperature Monitored Cryoablation

Section 406 amended section 1833(t)(6)(A)(ii) of the Act to include devices of temperature monitored cryoablation as eligible for transitional pass-through payments. This provision will be included in the interim final rule concerning changes in eligibility of devices for transitional pass-through payments mentioned above.

7. Contrast Enhanced Diagnostic Procedures

Section 430 amended section 1833(t)(2) of the Act to require that procedures that use contrast agents be classified in groups that are separate from those to which procedures not using contrast agents are assigned. We implemented this provision in PM No. A-01-73, issued on June 1, 2001. In addition, section 430 amended section 1861(t)(1) of the Act to expand the definition of drugs to include contrast agents effective for contrast agents furnished on or after July 1, 2001.

8. Other Changes

In addition to the provisions directly related to OPPS, BIPA included the following provisions that will require revision in the services assigned to APCs in the OPPS:

• Section 102 amended section 1861(s)(2) of the Act to allow coverage of glaucoma screening for certain high risk individuals effective for services furnished on or after January 1, 2002.
• Section 104(d)(2) directed the Secretary to determine if HCPCS codes are appropriate to describe mammography that uses new technology. The Secretary has created these codes for 2002.

Throughout this proposed rule, we discuss these various provisions and the changes we are proposing to make in the OPPS for them.

II. Proposed Changes to the APC Groups and Relative Weights

Under the OPPS, we pay for hospital outpatient services on a rate per service basis that varies according to the APC group to which the service is assigned. Each APC weight represents the median hospital cost of the services included in that APC relative to the median hospital cost of the services included in APC 0601, Mid-Level Clinic Visits. As described in the April 7, 2000 final rule (65 FR 18484), the APC weights are scaled to APC 0601 because a mid-level clinic visit is one of the most frequently performed services in the outpatient setting.

Section 1833(t)(9)(A) of the Act requires the Secretary to review the components of the OPPS not less often than annually and to revise the groups and related payment adjustment factors to take into account changes in medical practice, changes in technology, and the addition of the new services, new cost data, and other relevant information. Section 1833(t)(9)(A) of the Act requires the Secretary, beginning in 2001, to consult with an outside panel of experts when annually reviewing and updating the APC groups and the relative weights.

Finally, section 1833(t)(2) of the Act provides that, subject to certain exceptions, the items and services within an APC group cannot be considered comparable with respect to the use of resources if the highest median or mean cost item or service in the group is more than 2 times greater than the lowest median or mean cost item or service within the same group (referred to as the “2 times rule”). We use the median cost of the item or service in implementing this provision. The statute authorizes the Secretary to make exceptions to the 2 times rule “in unusual cases, such as low volume items and services.”

The APC groups that we are proposing in this rule as the basis for payment in 2002 under the OPPS have been analyzed within this statutory framework.

A. Recommendations of the Advisory Panel on APC Groups

1. Establishment of the Advisory Panel

Section 1833(t)(9)(A) of the Act, which requires that we consult with an outside panel of experts when annually reviewing and updating the APC groups and the relative weights, specifies that the panel will act in an advisory capacity. The expert panel, which is to be composed of representatives of providers, is to review and advise us about the clinical integrity of the APC groups and their weights. The panel is not restricted to using our data and may use data collected or developed by organizations outside the Department in conducting its review.

On November 21, 2000, the Secretary signed the charter establishing an “Advisory Panel on APC Groups” (the Panel). The Panel is technical in nature and is governed by the provisions of the Federal Advisory Committee Act (FACA) as amended (Public Law 92-463). To establish the Panel, we solicited members in a notice published in the Federal Register on December 5, 2000 (65 FR 75943). We received applications from more than 115 individuals nominating either themselves or a colleague. After carefully reviewing the applications, CMS chose 15 highly qualified individuals to serve on the panel. The Panel was convened for the first time on February 27, February 28, and March 1, 2001. We published a notice in the Federal Register on February 12, 2001 (66 FR 9857) to announce the location and time of the Panel meeting, a list of agenda items, and that the meeting was open to the public. We also provided additional information through a press release and our website.

2. Specific Recommendations of the Advisory Panel and Our Responses

In this section of the proposed rule, we summarize the issues considered by the Panel, the Panel's APC recommendations, and our subsequent action with regard to the Panel's recommendations. The data used by the Panel in making its recommendation are the 1996 claims that were used to set the APC weights and payment rates for CY 2000 and 2001.

As discussed below, the Panel sometimes declined to recommend a change in an APC even though the APC violated the 2 times rule. In section II.C.3 of this preamble, we discuss our proposals regarding the 2 times rule based on the data we are using to recalibrate the 2002 APC relative weights (that is, claims for services furnished on or after July 1, 1999 and before July 1, 2000). That section also details the criteria we use in deciding to make an exception to the 2 times rule. We asked the Panel to review many of the exceptions we implemented in 2000 and 2001. The exceptions are referred to as “violations of the 2 times” rule in the following discussion.

APC 0016: Level V Debridement & Destruction

APC 0017: Level VI Debridement & Destruction

We asked the Panel to review the current placement of CPT code 56501, Destruction of lesion(s), vulva; simple, any method, in APC 0016 because the APC violates the 2 times rule. Because the procedure is a simple destruction of skin and superficial subcutaneous tissues, we would not expect it to have a median cost of $500. Thus, we believe that the higher costs associated with this code were the result of incorrect coding. To ensure that procedures in APC 0016 comply with the 2 times rule, we asked the Panel to consider one of the following clinical options:

• Move CPT code 56501 to APC 0017.
• Retain CPT code 56501 in APC 0016 but split APC 0016 into three APCs to distinguish simple destruction lesions from extensive destruction lesions.

The Panel rejected the option to split APC 0016 into three different APCs. The members stated that there was no validity in taking that approach because simple versus extensive destruction of lesions had greater significance in relation to physician work than in measuring facility resource use. They believed that many of the procedures assigned to APC 0016 are performed in a procedure room rather than in the operating room. The Panel considered factors such as the use of anesthesia and the method used to destroy the lesions as indicators of differences in facility resource consumption between simple and extensive destruction of lesions. The Panel agreed that the simple destruction of lesions should be assigned to the same APC as the extensive destruction of lesions if a laser is used to remove simple lesions. In this case, the Panel stated that the similarity in resource use is based on the method or technique used to perform the procedure.

The Panel also noted that CPT code 11042, Debridement; skin, subcutaneous tissue, and muscle, is the most frequently performed procedure in APC 0016, accounting for approximately 85 percent of this APC's total volume. The Panel noted that this code had probably been billed incorrectly because of widespread misunderstanding about its definition.

The Panel also reviewed procedures assigned to APCs 0014 (Level III Debridement & Destruction) and 0015 (Level IV Debridement & Destruction) and compared similarities and differences among those procedures and the ones assigned to APCs 0016 and 0017. During this comparative review, the Panel compared CPT code 56501 to the following two CPT codes: 46917, Destruction of lesion(s), anus, simple; laser surgery, which is assigned to APC 0014, and 54055, Destruction of lesion(s), penis, simple; electrodesiccation, which is assigned to APC 0016. In reviewing these three procedures, the Panel questioned whether the resources involved supported their current APC assignments. After considerable discussion, the Panel recommended the following:

• Move CPT code 56501 from APC 0016 to APC 0017.
• Move CPT code 46917 from APC 0014 to APC 0017.

The Panel recommended these changes to achieve clinical coherence and resource similarity among the procedures assigned to these APCs. Because CPT code 46917 is performed using laser equipment and requires anesthesia, the Panel believed it appropriate to move this procedure to APC 0017. Although the Panel considered the reassignment of CPT code 54055 to APC 0017, it did not recommend this change. The Panel's recommended changes would group in APC 0017 simple destruction of lesion procedures that use laser or surgical techniques with extensive destruction of lesion procedures.

We propose to accept the Panel's recommendation regarding CPT code 56501 and to revise the APC accordingly. However, as shown below in Table 3, we are proposing to make additional changes to these APCs because of the 2 times rule.

APC 0024: Level I Skin Repair

APC 0025: Level II Skin Repair

APC 0026: Level III Skin Repair

APC 0027: Level IV Skin Repair

The composition of procedures in APCs 0025 and 0027 results in these APCs violating the 2 times rule. Therefore, we requested the Panel's advice in exploring other clinical options for reconfiguring the four skin repair APCs to achieve clinical and resource homogeneity among the procedures assigned to APCs 0025 and 0027 while retaining clinical and resource homogeneity for APCs 0024 and 0026. We asked the Panel to consider the following clinical options to achieve this result:

• Rearrange the procedures assigned to APCs 0024 through 0027 based on the size or the length of the skin incision.
• Rearrange the procedures assigned to APCs 0024 through 0027 based on the complexity of the repair, such as distinguishing repairs that involve layers of skin, flaps, or grafts from those that do not.

The Panel reviewed the various options presented, which were modeled based on the 1996 claims data used in constructing the current APC groups and payment rates. Using these data, the Panel discussed size and complexity of the various repairs, considered the clinical differences in performing the repairs on different anatomical sites, and the clinical differences involved in making skin repairs using flaps and grafts versus layers of skin. As a result of its review, the Panel stated that they found no compelling clinical advantages in the options presented. The Panel also agreed that more current data would be needed to make appropriate recommendations about the actual merits and benefits of the various options. For these reasons, the Panel recommended the following:

• Make no changes to APCs 0024 and 0027.
• Reevaluate these APCs with new data when the Panel meets in 2002.
• The Panel, in preparation for the 2002 meeting, will discuss with and gather clinical and utilization information from their respective hospitals regarding these procedures.

We propose to accept the Panel's recommendations. However, as shown in Table 3, we are proposing to make changes to these APCs based on the use of new data and application of the 2 times rule.

APC 0058: Level I Strapping and Casting Application

APC 0059: Level II Strapping and Casting Application

APC 0058 (which consists of the simpler casting, splinting, and strapping procedures) violates the 2 times rule. The median costs for high volume procedures in APC 0058 vary widely, ranging from $27 to $83. The median costs associated with presumably more resource-intensive procedures in APC 0059 are fairly uniform, ranging from $69 to $119. To limit the cost variation in APC 0058, we asked the Panel to consider the following options:

• Move the following four codes from APC 0058 to APC 0059: CPT code 29515, Application of short splint (calf to foot); CPT code 29520, Strapping; hip; CPT code 29530, Strapping; knee; and CPT code 29590, Denis-Brown splint strapping.
• Create a new APC to include a third level of strapping and casting application procedures by regrouping all procedures assigned to both APCs 0058 and 0059 based on the following clinical distinctions: Removal/revision, strapping/splinting, and casting.
• Package certain CPT codes assigned to APC 0058 with relevant procedures.

The Panel discussion revealed that codes grouped in APC 0058 are not always appropriately billed by hospitals. The Panel pointed out that code descriptors such as “strapping of the hip” are not commonly understood by hospital staff. The Panel noted that before implementation of OPPS, hospitals billed the items described by these codes as supplies (without a CPT code) when they were billed as anything other than an emergency room visit. They also stated that the use of these codes has been confused with the use of some codes associated with durable medical equipment. For these reasons, the Panel believed that the procedure costs reflected in our data are skewed. As a result, the Panel recommended that we do the following:

• Make no changes to APC 0058.
• Provide appropriate education and guidance to hospitals regarding appropriate use and billing of codes in APC 0058.
• Resubmit APC 0058 to the Panel for reevaluation when later data are available.

We propose to accept the Panel's recommendations except that we propose to move CPT code 29515 to APC 0059 due to the 2 times rule and the newer data we are using for this proposed rule.

APC 0079: Ventilation Initiation and Management

The codes in APC 0079 represent respiratory treatment and support provided in the outpatient setting. The cost variation among the assigned procedures in this APC raises concern about hospital coding practices. The median costs for these procedures range from $40 to $315. We asked the Panel to clarify whether these procedures are performed on outpatients or if they are performed on patients who come to the emergency room and are later admitted to the hospital as inpatients.

The Panel acknowledged that there are major problems associated with appropriately assigning codes to these procedures which results in incorrect billing. The Panel concluded that additional information is necessary to better understand the issues raised. The Panel also advised that CPT code 94660, Continuous positive airway pressure ventilation (CPAP), initiation and management, is a sleep apnea procedure used in the treatment of obesity and is clinically different from all other procedures in APC 0079. For these reasons, the Panel recommended the following:

• Remove CPT code 94660 from APC 0079 and create a new APC for this one procedure.

We propose to accept the Panel's recommendation by creating a new APC 0065, CPAP Initiation.

APC 0094: Resuscitation and Cardioversion

We requested the Panel's assistance in determining whether it is clinically appropriate to remove the cardioversion procedures from APC 0094 because the rest of the procedures assigned to APC 0094 are emergency procedures rather than elective. We proposed that the Panel consider the creation of a new APC for the cardioversion procedures or reassignment of the procedures to another APC that would be more appropriate in terms of clinical coherence and resource similarity. Splitting APC 0094 into two distinct groups, one for resuscitation procedures and the other for internal and external electrical cardioversion procedures, would not result in a significant difference in the APC payment rate for either of the new APCs.

The Panel considered whether it was clinically appropriate to combine internal and external cardioversion procedures (CPT codes 92960 and 92961, respectively) in the same APC. The Panel also questioned the conditions under which internal cardioversion procedures would be performed on an outpatient basis.

The Panel recommended that the only action we should take is to move CPT code 92961, Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure), from APC 0094 to APC 0087, Cardiac Electrophysiology Recording/Mapping.

We propose to accept the APC Panel recommendation.

APC 0102: Electronic Analysis of Pacemakers/Other Devices

The neurologic procedures included in APC 0102 (CPT codes 95970 through 95975), are significantly more complex than the routine cardiac pacemaker programming codes also assigned to this APC. Because we believe these codes are clinically different, we asked the Panel to consider the following:

• Create a new APC for the neurologic codes.
• Move the neurologic codes to APC 0215, Level I Nerve and Muscle Tests.

One presenter appearing before the Panel stated that APC 0102 involves clinical functions related to four different categories of devices; that is, pacemakers, defibrillators, infusion pumps, and neurostimulators. The presenter, who represented a device manufacturers' association, contended that these four categories of devices differ clinically. The presenter also stated that patients receiving these devices are clinically different and are even treated by different hospital departments. The presenter recommended the following:

• Split APC 0102 into two APCs: One APC for electronic analysis of pacemakers and other cardiac devices and a separate APC for electronic analysis of infusion pumps and neurostimulators.
• The APC created for electronic analysis of infusion pumps and neurostimulators would include the following CPT codes:

Code	Descriptor
62367	Analyze spine infusion pump.
62368	Analyze spine infusion pump.
95970	Analyze neurostim, no prog.
95971	Analyze neurostim, simple.
95972	Analyze neurostim, complex.
95973	Analyze neurostim, complex.
95974	Cranial neurostim, complex.
95975	Cranial neurostim, complex.

• The APC created for electronic analysis of pacemakers and other cardiac devices would include the following CPT codes:

Code	Descriptor
93727	Analyze ilr system.
93731	Analyze pacemaker system.
93732	Analyze pacemaker system.
93733	Telephone analy, pacemaker.
93734	Analyze pacemaker system.
93735	Analyze pacemaker system.
93736	Telephone analy, pacemaker.
93737	Analyze cardio/defibrillator.
93738	Analyze cardio/defibrillator.
93741	Analyze ht pace device sngl.
93742	Analyze ht pace device single.
93743	Analyze ht pace device dual.
93744	Analyze ht pace device dual.

The presenter stated that reorganizing APC 0102 as recommended would establish groups that are more clinically and resource similar than the current grouping. The presenter believes that APC 0102 as currently configured violates the 2 times rule. The median costs for the 21 procedures currently included in APC 0102 vary from $19 to $145. Other presenters clarified clinical aspects of the procedures, identified which practitioners perform them, the time it takes to perform them, and how they are to be billed. Yet another presenter speaking on behalf of a specialty society noted that the society had previously commented on this APC and requested that we remove CPT codes 93737 and 93738 from APC 0102.

The Panel noted that because most of the codes are new, having been established since 1996 (the base year of data available to the Panel), these newer procedures could not have been included in the data file used to create the current APC payment rates. In the absence of frequency and median cost data for many of these procedures, the Panel was concerned about reorganizing the codes in this APC. Nonetheless, the Panel recommended the following reorganization of APC 0102 to better reflect clinical coherence:

• APC 0102 be split into four new APCs: One APC for analysis and programming of infusion pumps and CSF shunts; a second for analysis and programming of neurostimulators; a third for analysis and programming of pacemakers and internal loop recorders; and a fourth for analysis and programming of cardioverter-defibrillators.

We propose to accept the Panel's recommendations and propose to create four new APCs as follows:

APC 0689: Electronic Analysis of Cardioverter-Defibrillator

APC 0690: Electronic Analysis of Pacemakers and Other Cardiac Devices

APC 0691: Electronic Analysis of Programmable Shunts/Pumps

APC 0692: Electronic Analysis of Neurostimulator Pulse Generators.

APC 0110: Transfusion

APC 0111: Blood Product Exchange

APC 0112: Extracorporeal Photopheresis

The procedures included in APC 0110 are those related only to the services associated with performing the blood transfusion and monitoring the patient during the transfusion; the costs associated with the blood products themselves are not included in APC 0110. We advised the Panel that we were not certain that cost data for blood transfusions excluded the costs of the blood products because the APC 0110 median cost of $289 seemed excessive. We expressed concern about hospital coding and billing practices for blood products, blood processing, storage, and transportation charges as represented in the 1996 data. We asked the Panel to advise us on how to clarify hospital billing and coding practices for blood transfusions; we also asked if the Panel members believe that the median costs for transfusion procedures include the costs for blood products and, if so, how the procedures should be adjusted to eliminate these costs.

A presenter representing a device manufacturers' association noted that these issues were examined extensively by several specialty societies that sent considerable data to us on the actual cost of the transfusion procedures before publication of the April 7, 2000 final rule (65 FR 18434). The presenter stated that the median costs for transfusion procedures that we used in calculating the final payment rate for APC 0110 was somewhat lower than the costs submitted by the specialty societies. The presenter believes that our experience under the APC system is too limited for us to make a judgment concerning the validity of the median costs. The presenter also believes that the payment rate for APC 0110 should have been adjusted to include costs for blood safety tests, such as the hepatitis and HIV look-back tests mandated by the FDA over the past several years, because these costs were not included in the 1996 data used to construct the APC rates. The presenter stated that these tests are expensive and that they increase the hospitals' costs to provide the blood. However, it was unclear whether these tests are separately billable under the lab fee schedule.

In addition, the presenter explained that blood centers do not charge hospitals for blood because it is voluntarily donated, not manufactured. The presenter stated that blood centers charge hospitals what it costs them to provide the blood and that hospitals bill acquisition and processing charges rather than charges for the blood itself. Based on the information provided, the presenter urged the Panel not to revise APC 0110 until more data become available.

For APC 0111, another representative of a specialty society recommended that CPT code 36521, Therapeutic apheresis; with extracorporeal affinity column absorption and plasma reinfusion, be moved from APC 0111 to APC 0112. The presenter stated that CPT code 36521 is more similar clinically and in resource use to 36522, Photopheresis, extracorporeal which is in APC 0112. The presenter stated that a major difference between the procedure represented by CPT codes 36521 and 36520, Therapeutic Apheresis; plasma and/or cell exchange, which is also assigned to APC 0111, and the other procedures codes assigned to APC 0111, is that hospitals can bill separately for blood products such as the plasma or albumin used in performing plasma exchange procedures. The presenter described CPT code 36521 as a “self-contained” procedure not requiring the use of albumin or plasma, because the patient's own blood is processed through a machine and returned to the patient. The presenter stated that the materials and equipment used to perform this procedure make it much more costly than the other procedures assigned to APC 0111. The presenter, citing cost data from two medical centers where CPT code 36521 is frequently performed, stated that the total cost of the procedure, including the cost of the adsorption column, is approximately $2000. At this time, the commenter noted, only one of the adsorption columns (Prosorba) used for this procedure is eligible for transitional pass-through payments, which means that payments for this procedure, which are based upon the APC payment alone, are too low when one of the other columns is used and no additional pass-through payment is made. It was stated that the cost of many of the adsorption columns is over $1000 per column. The presenter concluded that moving CPT code 36521 from APC 0111 to APC 0112 would comply with the statutory requirements for clinical coherence and resource similarity among procedures in the same APC.

The Panel discussed various adsorption devices used in performing CPT code 36521, their eligibility for transitional pass-through payments, as well as the clinical and resource use difference between CPT codes 36520 and 36551. After considerable discussion, the Panel recommended the following:

• Take no action on APC 0110.
• Move CPT code 36521 from APC 0111 to APC 0112 to achieve clinical coherence and resource similarity with photopheresis procedures included in APC 0112. However, the Panel cautioned that the payment for APC 0112 captured the cost of the entire procedure including the cost of the adsorption column. For this reason, any additional payment for the adsorption column through the transitional pass-through payment mechanism would be a duplicate payment. Therefore, the panel asked that CMS address this problem when considering their recommendation.

We propose to accept the Panel's recommendations. We note that effective April 1, 2001, the Prosorba column is no longer eligible for a transitional pass-through payment (see PMA-01-40 issued on March 27, 2001).

APC 0116: Chemotherapy Administration by Other Technique Except Infusion

APC 0117: Chemotherapy Administration by Infusion Only

APC 0118: Chemotherapy Administration by Both Infusion and Other Technique

We had received several comments requesting that oral delivery of chemotherapy and delivery of chemotherapy by infusion pumps and reservoirs be recognized for payment under the OPPS. We asked the Panel to examine this issue.

With regard to oral administration of chemotherapy, the Panel heard several presenters discuss the need for extensive beneficiary education prior to administration of oral anticancer agents. The Panel agreed that the beneficiaries actually self-administer the drug and that beneficiary education was appropriately billed as a clinic visit. The Panel stated that this would be true whether the education involved cancer chemotherapy, diabetes management, or congestive heart failure management. Therefore, the Panel recommended that no new codes be created to specifically recognize oral administration of chemotherapy.

With regard to recognizing chemotherapy administration through infusion pumps and ports, the Panel heard several presentations that this is becoming a common method of administering not only cancer chemotherapy but also for administering other types of pharmaceuticals. It was pointed out that because CPT codes 96520, Refilling and maintenance of portable pump, and 96530, Refilling and maintenance of implantable pump or reservoir, were excluded from the OPPS it was impossible for hospitals to be paid when performing these services. After lengthy discussion, the Panel recommended that refilling and maintenance of pumps and reservoirs be assigned to an APC.

The Panel also discussed the current HCPCS Q codes for chemotherapy administration and concluded that these codes should continue to be recognized in the OPPS. In addition, the Panel discussed whether a new Q code should be developed for extended chemotherapy infusions.

In summary, the Panel recommended the following:

• Hospitals be allowed to bill for patient education under the appropriate clinic codes.
• CPT codes 96520 and 96530 be assigned to a new APC.
• The current HCPCS Level II Q codes for chemotherapy administration should continue to be used.
• There is no need to develop a new HCPCS code for “extended chemotherapy infusions.”
• CMS should consider developing a new HCPCS code for flushing of ports and reservoirs.

We propose to accept all the Panel recommendations except for the recommendation regarding flushing of ports and reservoirs. Flushing is performed in conjunction with either a chemotherapy administration service or an outpatient clinic visit. In the first case, flushing is part of the chemotherapy administration and its costs are adequately captured in the costs of the chemotherapy administration code. In the second case, we believe that the costs of flushing are adequately captured in the costs of the clinic visit and need not be paid separately. We are proposing to create a new APC 0125, Refilling of Infusion Pump.

APC 0123: Bone Marrow Harvesting and Bone Marrow/Stem Cell Transplant

In APC 0123, the 1996 median cost for CPT code 38230, Bone marrow harvesting for transplantation, was only $15. We believe that this cost is lower than the actual cost of the procedure. Further, we do not have sufficient data to determine how often bone marrow and stem cell transplant procedures are performed on an outpatient basis. For these reasons, we requested the Panel's advice in clarifying the resources used in performing the procedures assigned to APC 0123, and the extent to which these procedures are performed on an outpatient basis.

The Panel noted that these transplant and stem cell harvesting procedures are being increasingly performed on an outpatient basis. One presenter representing a specialty society stated that 95 percent of these procedures are performed in the hospital outpatient setting. The presenter shared cost data from the bone marrow transplant unit of an academic medical center that showed the cost to harvest bone marrow to be about $1,800. The presenter observed that this cost is significantly higher than the APC payment rate of about $205 for APC 0123. Another presenter representing a group of hospitals stated that the supply costs alone for bone marrow harvesting are more than the current APC payment for the procedure. The presenter suggested that miscoding may have contributed to the low $15 median cost reflected in our database. After discussion, the Panel recommended the following:

• Make no changes in the procedures assigned to APC 0123 in the absence of sufficient data to support such modifications.
• The two presenters on this APC issue submit cost data for the Panel to use in reevaluating this issue at its 2002 meeting.

We note that our analysis of the more recent claims data we are using to reclassify and recalibrate the APCs in this proposed rule reveals a significant increase in costs for this APC resulting in a proposed payment rate that is double the current rate. However, very few procedures (fewer than 20) were billed on an outpatient basis. We will have the Panel review this APC again at their next meeting.

APC 0142: Small Intestine Endoscopy

APC 0143: Lower GI Endoscopy

APC 0145: Therapeutic Anoscopy

APC 0147: Level II Sigmoidoscopy

APC 0148: Level I Anal/Rectal Procedures

APC 0149: Level II Anal/Rectal Procedures

APC 0150: Level III Anal/Rectal Procedures

We presented these seven APCs to the Panel because of the inconsistencies in the median costs for some procedures included in APCs 0142, 0143, 0145, and 0147. We advised the Panel that our cost data do not show a progression of median costs proportional to increases in clinical complexity as we would expect. For example, the data indicate that a therapeutic anoscopy assigned to APC 0145 costs more than twice as much as a flexible or rigid sigmoidoscopy assigned to APC 0147. We stated our concern that cost disparity could provide incentives to use inappropriate procedures. Because of these concerns, we asked the Panel's advice in determining whether one of the following actions should be taken:

• Divide the codes in APC 0142 into separate APCs representing ileoscopy and small intestine procedures.
• Combine diagnostic anoscopy and Level I sigmoidoscopy.
• Merge APCs 0143, 0145, and 0147 into one APC.

We also asked the Panel whether the costs associated with codes in APC 0145 appeared to be valid.

During the Panel discussion, it was noted that the data distributed to the Panel for these APCs indicated that most of the procedures are billed as single procedures only 50 percent of the time. This raised questions as to whether the data include procedures such as flexible sigmoidoscopies that were miscoded as rigid sigmoidoscopies, colonoscopies, and anoscopies. In examining the data, the Panel considered what impact this miscoding would have on the cost data, and discussed the clinical approaches used to perform some of the procedures, what type of practitioners perform them, and other procedures and supplies that would be billed with them. As a result of this discussion, the Panel concluded that the data anomalies were probably attributable to miscoding because hospitals have not received sufficient guidance and information on appropriately coding procedures included in these APCs. The Panel also agreed that it would need more current data before it could consider reconfiguring these APCs. Therefore, the Panel recommended that we do the following:

• Make no changes to APCs 0142, 0143, 0145, and 0147.
• Provide information and guidance to better assist hospitals in understanding how to bill appropriately for services included in APCs 0142, 0143, 0145, and 0147.
• Resubmit these APCs to the Panel for review when newer data are available.

We propose to accept the Panel's recommendations.

APC 0151: Endoscopic Retrograde Cholangio-Pancreatography (ERCP)

We advised the Panel that we have received comments that indicate that it is inappropriate to assign both diagnostic and therapeutic ERCP procedures to the same APC. The commenters allege that virtually every hospital performs diagnostic ERCPs but only teaching hospitals perform therapeutic ERCPs. Based on our current data, if we created two APCs for ERCP procedures, the APC payment rate for therapeutic ERCPs would be lower than that for diagnostic ERCPs (approximately $526 and $535, respectively). Therefore, we requested the Panel's advice to help us determine whether to create separate APCs for diagnostic and therapeutic ERCP procedures.

A presenter speaking on behalf of a specialty society made the following points:

• ERCP is the most complex endoscopy procedure to perform and is usually performed by gastroenterologists.
• ERCP is usually performed at large hospitals.
• The most complex ERCP procedures are usually performed in teaching hospitals.
• Current payments for ERCP are lower than the costs to perform the procedure (based on cost and frequency data gathered from several teaching hospitals).
• Single claims should not be used to calculate an APC payment rate for ERCP services because a single ERCP procedure usually consists of several components, each with its own CPT code (e.g., sphincterotomy and stent placement). Therefore, an ERCP billed as a single CPT code would represent aberrant billing and would not accurately reflect the costs of an ERCP.

The OPPS data distributed to the Panel verified that the vast majority of the ERCP procedures are performed as multiple procedures. The Panel agreed that the use of single claims data could possibly skew the APC payment rate for ERCP services.

The Panel recommended that we do the following:

• Do not reconfigure the ERCP procedures in APC 0151.
• Resubmit this issue to the Panel for review when more recent data are available.
• Explore the feasibility of using multiple claims rather than single claims to calculate appropriate APC payment rates for ERCP procedures.

We propose to accept the Panel's recommendations. We are currently reviewing the potential for using multiple claims data for determining payment rates for ERCP procedures. As a first step in the process, in this proposed rule, we have determined a payment rate for ERCP procedures based on both single claims for ERCP procedures and, because ERCP procedures are typically done under radiologic guidance, on claims that included both an ERCP procedure and a radiologic supervision or guidance procedure in this APC. Using these additional claims has resulted in significantly increasing the number of claims used to determine the payment rate for this APC and in a much higher proposed payment rate (about $825).

APC 0160: Level I Cystourethroscopy and other Genitourinary Procedures

APC 0161: Level II Cystourethroscopy and other Genitourinary Procedures

APC 0162: Level III Cystourethroscopy and other Genitourinary Procedures

APC 0163: Level IV Cystourethroscopy and other Genitourinary Procedures

APC 0169: Lithotripsy

We advised the Panel that we had received a number of comments that advocated moving CPT code 52337, Cystoscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included), from APC 0162 to APC 0163. (We note that CPT code 52337 was deleted for 2001 and replaced with an identical CPT code, 52353. We will use the new code in the following discussion.) Because of these comments, we sought the Panel's advice in examining the clinical and resource distinctions between CPT code 52353 and other procedures assigned to APC 0162. Other information shared with the Panel noted that most of the procedures included in APC 0162 are complicated cystourethroscopies while those assigned to APC 0163 are largely prostate procedures.

One presenter representing a device manufacturer discussed the merits of reassigning CPT code 52353 to either APC 0163 or 0169 (APC 0169 contains a single CPT code, 50590, Lithotripsy, extracorporeal shock wave (ESWL)). The presenter was concerned that our decision to assign the cystourethroscopic procedure to APC 0162 rather to APC 0163 was not explained in our April 7, 2000 final rule.

Furthermore, the presenter noted that this decision resulted in a 40 percent decline in payment for the procedure which will make it difficult for hospitals to provide this service because the capital equipment, probes, and fibers required to perform the procedure are expensive. Moreover, the probes and fibers are ineligible for transitional pass-through payments because they are not single-use items. At the Panel's request, the presenter discussed the clinical differences between CPT codes 52353 and 50590. The presenter stated that code 50590 is a noninvasive procedure that involves breaking up kidney stones using shock waves produced outside the patient while code 52353 is an invasive procedure that requires the urologist to insert different instruments through a cystoscope and a uretheroscope to access stones in the upper urinary tract (the ureter and kidney).

The presenter also compared the cost of performing CPT code 52353 with that for CPT code 52352, which involves the mechanical removal of stones. The presenter asked the Panel to consider the following two options to resolve this issue:

• Reassign CPT code 52353 to APC 0169, Lithotripsy. The presenter believes that this would be the most appropriate assignment clinically and from a cost perspective because both involve lithotripsy and require expensive capital equipment, fibers, and probes. Also, other payers using a similar procedure grouping system, ambulatory procedure groups (APGs), have grouped these procedures together.
• Restore CPT code 52353 to its original APC assignment, APC 0163.

In addition, the presenter expressed concern that the large number of procedures assigned to APC 0162 makes it difficult to achieve clinical homogeneity within the APC. The presenter asked that we work with appropriate groups to reconfigure APC 0162 because, as constituted, it appears to violate the 2 times rule.

The Panel had a lengthy discussion regarding whether to move CPT code 52353 to APC 0163 or to APC 0169. The Panel considered the resources used for procedures in APCs 0163 and 0169 and noted that the lithotriptor used for code 50590 may be purchased or leased and that lease rates for lithotriptors have frequently been inflated. Furthermore, it noted that much of the equipment and resource use required for code 52353 is similar to the resource use of other procedures in APC 0163. In spite of these considerations, the Panel voted eight to seven to recommend moving CPT code 52353 from APC 0162 to APC 0169 because both codes 52353 and 50590 are lithotripsy procedures.

We reviewed the panel discussion very carefully and noted the close vote. After careful consideration, we propose to disagree with the Panel's recommendation and move code 52353 to APC 0163. The 1999-2000 cost data, which contains over 400 single claims for code 52353 and over 6,000 single claims for code 50590, show that the median cost for code 52353 is much more similar to the median cost of other procedures in APC 0163 than it is to the median cost of APC 0169. Although both codes involve lithotripsy, the type of equipment used in the two procedures is very different. Clinically, the surgical approach used for code 52353 and the resources used (e.g., anesthesia and operating room costs) are much more similar to other procedures in APC 0163 than to those for code 50590. Additionally, the median cost for code 50590, which is $700 higher than that of code 52353, is dependent on the widely variable arrangements hospitals make for use of the extracorporeal lithotriptor. Therefore, we believe that placing code 52353 in APC 0163 maintains its clinical coherence and similar use of resources.

APC 0191: Level I Female Reproductive Procedures

APC 0192: Level II Female Reproductive Procedures

APC 0193: Level III Female Reproductive Procedures

APC 0194: Level IV Female Reproductive Procedures

APC 0195: Level V Female Reproductive Procedures

This group of APCs was presented to the Panel because APC 0195 violates the 2 times rule. To facilitate the Panel's review of this issue, we distributed cost data on all the female reproductive procedures assigned to these five APCs. These data showed that the median costs for procedures assigned to APC 0195 ranged from a low of $365 to a high of $1,817. The CPT code 57288, Sling operation for stress incontinence (e.g., fascia or synthetic), which is assigned to APC 0195, has the highest median cost of the procedures in this group. We discussed with the Panel two clinical options for rearranging the procedures assigned to APC 0195 to comply with the 2 times rule. The first option would split APC 0195 into two separate APCs by separating vaginal procedures from abdominal procedures. The second option would split APC 0195 into three distinct APCs by retaining the separate APCs for abdominal and vaginal procedures and further distinguishing vaginal procedures based on whether they are simple or complex.

The Panel discussed the rapid increase in the rate at which CPT code 57288 is performed on an outpatient basis. The Panel stated that this procedure is becoming more routine and replacing many of the older, more complex urinary dysfunctional procedures. Questions were raised about the frequency with which this procedure is performed alone as opposed to being performed as one of several procedures. The Panel was advised that the sling material and the relevant anchors used in performing CPT code 57288 are eligible for transitional pass-through payments.

One presenter, speaking on behalf of a device manufacturer, supported our proposal to divide APC 0195 into different clinical groupings. The presenter's testimony was limited to a discussion of CPT code 57288. The presenter concurred with the Panel's assessment of the current utilization trends for CPT code 57288, emphasized the high costs associated with performing this procedure, and highlighted the wide variation in techniques and devices used to perform it. Because of these factors, the presenter believes that the procedure is underpaid and that the 1996 cost data may not fully reflect the actual costs associated with performing CPT code 57288.

The Panel also closely reviewed the other four APCs for female reproductive procedures to ensure each was clinically homogeneous. As a result of this review, the Panel recommended a number of changes for these APCs. These recommendations and those for APC 0195 are as follows:

• Move CPT codes 56350, Hysteroscopy, diagnostic, and 58555, Hysteroscopy, diagnostic/separate procedure, from APC 0191 to APC 0194 (In 2001, CPT code 56350 was replaced with CPT code 58555.)
• Divide APC 0195 into two APCs to distinguish vaginal procedures from abdominal procedures.
• Retain the following vaginal procedures in APC 0195:

CPT code	Descriptor
57555	Excision of cervical stump, vaginal approach: with anterior and/or posterior repair.
58800	Drainage of ovarian cyst(s), unilateral or bilateral, (separate procedure); vaginal approach.
58820	Drainage of ovarian abscess; vaginal approach, open.
57310	Closure of urethrovaginal fistula.
57320	Closure of vesicovaginal fistula; vaginal approach.
57530	Trachelectomy (cervicectomy), amputation of cervix (separate procedure).
57291	Construction of artificial vagina; without graft.
57220	Plastic operation on urethral sphincter, vaginal approach (e.g., Kelly urethral plication).
57550	Excision of cervical stump, vaginal approach.
57556	Excision of cervical stump, vaginal approach; with repair of enterocele.
57289	Pereyra procedure, including anterior colporrhaphy.
57300	Closure of rectovaginal fistula; vaginal or transanal approach.
57284	Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal prolapse).
57265	Combined anteroposterior colporrhaphy; with enterocele repair.
57268	Repair of enterocele vaginal approach (separate procedure).
56625	Vulvectomy simple; complete.
58145	Myomectomy excision of fibroid tumor of uterus, single or multiple (separate procedure); vaginal approach.
57260	Combined anteroposterior colporrhaphy.
57240	Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele.
57250	Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy.
56620	Vulvectomy simple; partial.
57522	Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision.

• Include the following abdominal procedures in a new APC titled “Level VI Female Reproductive Procedures.”

CPT code	Descriptor
58920	Wedge resection or bisection of ovary, unilateral or bilateral.
58900	Biopsy of ovary, unilateral or bilateral (separate procedure).
58925	Ovarian cystectomy, unilateral or bilateral.
57288	Sling operation for stress incontinence (e.g., fascia or synthetic).
57287	Removal or revision of sling for stress incontinence (e.g., fascia or synthetic).

• Move CPT code 57107 from APC 0194 to APC 0195, Level V Female Reproductive Procedures.
• Move CPT code 57109, Vaginectomy with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lympadenectomy and para-oortic lymph node sampling (biopsy), from APC 0194 to the new APC, Level VI Female Reproductive Procedures.

We propose to accept all of these Panel recommendations. These APCs would be reconfigured and renumbered as APCs 0188 to 0194. We are also proposing to add new APCs for Level VII and Level VIII Female Reproductive Procedures (APCs 0195 and 0202, respectively) based on the 1999-2000 claims data and the 2 times rule.

APC 0210: Spinal Tap

APC 0211: Level I Nervous System Injections

APC 0212: Level II Nervous System Injections

The Panel heard testimony from two presenters regarding the merits of modifying these three APCs. The first presenter, speaking on behalf of a manufacturer, discussed CPT code 64614, Chemodenervation of muscles; extremities and/or trunk muscles (e.g., for dystonia, cerebral palsy, multiple sclerosis). The presenter advised the Panel that although this is a new code for 2001, the procedure is well established and formerly coded using CPT code 64640, Destruction by neurolytic agent; other peripheral nerve or branch. The new code was created to distinguish chemodenervation of limb and trunk muscles from other chemodenervation procedures. The presenter claimed that this code is similar both clinically and in terms of resource use to the other chemodenervation procedures assigned to APC 0211, so it should be assigned to that APC instead of APC 0971, New Technology—Level II, where it is currently assigned.

The second presenter, representing a specialty society, proposed regrouping the procedures assigned to APCs 0210, 0211, and 0212 based on similar levels of complexity and median costs. The presenter's proposal also included reassignment to these APCs of interventional pain procedures currently assigned to APCs 040, Arthrocenteris and Ligament/Tendon Injection, 0105, Revision/Removal of Pacemakers, AICD, or Vascular Device, and 0971. The presenter contended that it was essential to reconfigure these APCs because of disparity in resource use among procedures currently assigned to the same APC. The presenter also claimed that many of these procedures are being underpaid in their current APC and, for that reason, a number of hospitals have chosen not to perform them in the outpatient setting. The presenter proposed establishing the following five levels of interventional pain procedures by regrouping the procedures into new APCs as stated below:

• Level I Nerve Injections (to include Trigger Point, Joint, Other Injections, and Lower Complexity Nerve Blocks):

CPT code	Reassigned from APC
20550	040
20600	040
20605	040
20610	040
64612	0211
64613	0211
64614	0971
64400-64418	0211
64425	0211
64430	0211
64435	0211
64445	0211
64450	0211
64505	0211
64508	0211

• Level II Nerve Injections (to include Moderate Complexity Nerve Blocks and Epidurals):

CPT code	Reassigned from APC
27096	0210
62270	0210
62272	0210
62273	0212
62310-62319	0212

Level III Nerve Injections (to include Moderately High Complexity Epidurals, Facet Blocks, and Disk Injections):

CPT code	Reassigned from APC
62280-62282	0212
62290	Currently Packaged.
62291	Currently Packaged.
64420-64421	0211
64470	0211
64472	0211
64475-64476	0211
64479	0211
64480	0211
64483-64484	0211
64510	0211
64520	0211
64530	0211
64630	0211
64640	0211

• Level IV Nerve Injections (to include High Complexity Lysis of Adhesions, Neurolytic Procedures, Removal of Implantable Pumps and Stimulators):

CPT code	Reassigned from APC
62263	0212
64600	0211
64605	0211
64610	0211
64620	0211
64622-64623	0211
64626-64627	0211
64680	0211
62355	0105
62365	0105

• Level V Nerve Injections (to include Highest Complexity Disk and Spinal Endoscopies): CPT code 62287, Aspiration or decompression procedure, percutaneous, of nucleus pulposus of invertebral disk, any method, single or multiple levels, lumbar (e.g., manual or automated percutaneous diskectomy, percutaneous laser diskectomy), reassigned from APC 0220, Level I Nerve Procedures.

The Panel recommended reassignment of CPT code 64614 from APC 0971 to APC 0211.

Concerning the suggested regrouping of interventional pain procedures, the Panel agreed that the recommended division of these procedures by clinical complexity would reflect resource use and was a reasonable approach to take. It was pointed out to the Panel that the costs for CPT codes 62290, Injection procedure for diskography, each level; lumbar, and 62291, Injection procedure for diskography, each level; cervical or thoracic, were packaged into the procedures with which they were billed. Therefore, the Panel concurred with the regrouping of procedures to establish Levels I, II, III, and IV with the following exceptions:

• The Panel recommended that CPT codes 62290 and 62291 not be included in Level III because they are packaged injections and should not be unpackaged and paid separately.
• The Panel opposed moving CPT codes 62355, Removal of previously implanted intrathecal or epidural catheter, and 62365, Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion, from APC 0105 to Level IV Nerve Injections because they were neither clinically similar nor similar in resource use to the other codes assigned to this proposed APC.
• The Panel opposed the creation of Level V Nerve Tests as it included only one code and recommended that CPT code 62287 remain in APC 220.

We propose to accept the Panel's recommendations for these services. We propose to create new APCs 0203, 0204, 0206, and 0207 to accommodate these proposed changes.

APC 0215: Level I Nerve and Muscle Tests

APC 0216: Level II Nerve and Muscle Tests

APC 0217: Level III Nerve and Muscle Tests

We advised the Panel that we had received a comment contending that assignment of CPT code 95863, Needle electromyography, three extremities with or without related paraspinal areas, to APC 0216 created an inappropriate incentive to perform tests on three extremities rather than two or four extremities. The payment of about $144 for APC 0216 is greater than the payment of about $58 for the same tests when performed on one, two, or four extremities. This is due to the fact that CPT codes 95860, 95861, and 95864, Needle electromyography, one, two, and four extremities with or without related paraspinal areas, respectively, are assigned to APC 0215. We distributed data to the Panel that showed a median cost of about $141 for CPT code 95863, which is more than 3 times that of the median cost of $41 for CPT code 95864. We asked the Panel to consider the reassignment of CPT code 95863 from APC 0216 to APC 0215 and advised the Panel that, based on cost data available at the time of our meeting, this change could potentially reduce the payment for APC 0216. It was also noted that this change could result in a payment increase for APC 0215.

The Panel reviewed the cost data for APCs 0215 and 0216 and noted that the median costs for both CPT codes 95863 and 95864 appeared aberrant. Based on the information presented, the Panel recommended that we move CPT code 95863 from APC 0216 to APC 0215.

We propose to accept the Panel's recommendation with one exception. We are proposing to revise these APCs based on the 1999-2000 cost data and the 2 times rule, and CPT code 95863 would be assigned to a reconfigured APC for Level II Nerve and Muscle Tests (APC 0218).

APC 0237: Level III Posterior Segment Eye Procedures

We advised the Panel that procedures assigned to APC 0237 are high volume procedures and rank among the top outpatient procedures billed under Medicare. We have received a number of comments disagreeing with the assignment of CPT code 67027, Implantation of intravitreal drug delivery system (e.g., ganciclovoir implant), which includes concomitant removal of vitreous, to APC 0237. This procedure was added to the CPT coding system after 1996 and, therefore, was not included in the 1996 data. We advised the Panel that ganciclovoir, the drug implanted during this procedure, is paid separately as a transitional pass-through item. Because the drug is paid separately, it should not be included in determining whether the resources associated with the surgical procedure are similar to the resources required to perform the other procedures assigned to APC 0237. We advised the Panel that, of the procedures assigned to APC 0237, we believe that CPT code 67027 is related to codes 65260, 65265, and 67005, all of which involve removal of foreign bodies and vitreous from the eye. To ensure that CPT code 67027 is assigned to the appropriate APC, we asked the Panel to consider creation of a new APC, Level IV Posterior Segment Eye Procedures, for CPT codes 65260, 65265, 67005, and 67027. Based on the APC rates effective January 1, 2001, the suggested change could lower the APC rate for the four procedures by $400.

The Panel reviewed the data and did not believe it was sufficient to support the creation of a new APC for these four procedures. Therefore, the Panel recommended that APC 0237 remain intact and that more recent claims data be analyzed to determine whether CPT code 67027 is similar to the other procedures assigned to APC 0237.

Based on the 1999-2000 claims data, we have determined that the resources used for code 67027 are similar to other procedures in APC 0237. However, we will present APCs 0235, 0236, and 0237 to the Panel at their next meeting to determine whether any further changes should be made. We are proposing to make various other changes to these APCs based on the new data and the 2 times rule.

APC 0251: Level I ENT Procedures

This APC violates the 2 times rule because it consists of a wide variety of minor ENT procedures, many of which are low volume services or codes for nonspecific procedures. In order to correct this problem, we proposed to the Panel that this APC be split by surgical site (e.g., nasal and oral). After reviewing cost data, the Panel agreed that the APC should be split but that current data were insufficient to determine how that split should be made. Therefore, the Panel asked that this APC, along with more recent cost data, be placed on the agenda at the next meeting.

We agree that this APC should be reviewed by the Panel at its next meeting. However, our review of the more recent cost data indicates that significant violations of the 2 times rule still exist. In order to correct this problem, but keep the APC as intact as possible, we propose to move CPT codes 30300, Remove foreign body, intranasal; office type procedure, 40804, Removal of embedded foreign body, vestiblue of mouth; simple, and 42809, Removal of foreign body from pharynx, to APC 0340, Minor Ancillary Procedures. This APC consists of procedures such as removal of earwax that require similar resources.

APC 0264: Level II Miscellaneous Radiology Procedures

We asked the panel to review this APC because it violated the 2 times rule and consisted of a wide variety of unrelated procedures. Specifically, we believe that the costs associated with CPT codes 74740, Hysterosalpingography, radiological supervision and interpretation, and 76102, Radiologic examination, complex motion (e.g., hypercycloidal) body section (e.g., mastoid polytomography), other than with urography; bilateral, were aberrant and that we would significantly underpay these procedures if we moved them into a lower paying APC. We also asked the Panel to determine whether this APC and APC 0263, Level I Miscellaneous Radiology Procedures, should be reconfigured by body system. After considerable discussion, the Panel agreed that the procedures in these APCs were not clinically homogeneous; however, it recommended that we leave these APCs intact because the data do not support any more coherent reorganization. The Panel requested that this APC be placed on the agenda for the 2002 meeting.

We agree with the Panel with the following revisions. First, BIPA requires us to assign procedures requiring contrast into different APCs from procedures not requiring contrast. This required changes to a number of radiologic APCs including APCs 0263 and 0264. In addition, in this proposed rule, we would move CPT code 75940, Percutaneous Placement of IVC filter, radiologic supervision and interpretation, to a new APC 0187, Placement/Reposition Miscellaneous Catheters, because its costs were significantly higher than the costs of the procedures remaining in APC 0264.

APC 0269: Echocardiogram except Transesophageal

APC 0270: Transesophageal Echocardiogram

We asked the Panel to consider splitting these APCs based on whether or not 2D imaging is employed. After review of the data, the Panel recommended that we leave these APCs intact.

We propose to leave APC 0270 intact except for the addition of two new codes for transesophageal echocardiography. We also propose to split APC 0269 into two APCs, APC 0269, Level I Echocardiogram Except Transesophageal and APC 0697, Level II Echocardiogram Except Transesophageal. One APC (0697) would include comprehensive echocardiograms and the other APC (0269) would include limited/follow-up echocardiograms and doppler add-on procedures.

APC 0274: Myelography

We advised the Panel that APC 0274 is clinically homogeneous but that it violates the 2 times rule. Procedures assigned to this APC include radiological supervision and interpretation of diagnostic studies of central nervous system structures (e.g., spinal cord and spinal nerves) performed after injection of contrast material. We shared data with the Panel that showed the median costs for the procedures assigned to this APC ranged from a low of about $109 to a high of about $295. We asked the Panel's recommendation for reconfiguring APC 0274 to comply with the 2 times rule.

We informed the Panel members that we packaged the costs associated with radiologic injection codes into the radiological supervision and interpretation codes with which they were reported. The reason for doing this is that hospitals incur expenses for providing both services and they typically perform both an injection and a supervision and interpretation procedure on the same patient. Therefore, since neither an injection code nor a supervision and interpretation code should be billed alone, it would not be appropriate for us to use single claims data to determine the costs of performing these procedures. However, we are using single claims data in order to accurately determine the costs of performing procedures. Therefore, in order to accurately determine the costs of a complete radiologic procedure, we had to package the costs of the injection component into the cost of the supervision and interpretation component with which it was billed. The Panel believed that, in 1996, hospitals generally did not bill the injection code when performing myelography. Furthermore, in 1996, some hospitals kept patients overnight after a myelogram. More recently, postmyelogram recovery time has decreased to about 6 hours. For these reasons, the Panel believed that the median costs of $109 and $174 probably do not represent the actual resources used for CPT codes 70010, Myelography, posterior fossa, radiological supervision and interpretation, and 70015, Cisternography, positive contrast, radiological supervision and interpretation. Therefore, the Panel recommended the following:

• Make no changes to APC 0274.
• Review new cost data to determine whether payment would increase for APC 0274.

We propose to accept the Panel's recommendations.

APC 0279: Level I Diagnostic Angiography and Venography

APC 0280: Level II Diagnostic Angiography and Venography

We presented these codes to the Panel for several reasons. APC 0279 fails the 2 times rule, there are numerous codes in these APCs with no cost data, there are numerous “add on” codes in these APCs, and many of these procedures were performed infrequently in the outpatient setting in 1996.

The Panel reviewed the clinical coherence of both APCs as well as the resources required to perform all these procedures. The Panel believed that it would be unusual for many of these procedures to be performed separately and that we would need to look at multiple claims to get accurate data. The Panel recommended the following:

• Create a new APC (APC 0287, Complex Venography) with the following CPT codes: 75831, 75840, 75842, 75860, 75870, 75872, and 75880.
• Move CPT codes 75960, 75961, 75964, 75968, 75970, 75978, 75992, and 75995 from APC 0279 to APC 0280.

We propose to accept the Panel's recommendations. We note that, as proposed, APC 0279 violates the 2 times rule because of the low cost data for CPT code 75660, Angiography, external carotid, unilateral selective, radiological supervision and interpretation. We believe that, for these procedures, these cost data are aberrant. This code is clinically similar to the other codes in APC 0279 and moving code 75660 to an APC with a lower weight could be an inappropriate APC assignment. Therefore, we believe that an exception to the 2 times rule is warranted.

APC 0300: Level I Radiation Therapy

APC 0302: Level III Radiation Therapy

We presented this APC to the Panel because we received comments that the assignment of CPT code 61793, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator), one or more sessions, to APC 0302 would result in inappropriate payment of this service. Many commenters wrote that stereotactic radiosurgery and intensity modulated radiation therapy (IMRT) required significantly more staff time, treatment time, and resources than other types of radiation therapy. Other commenters disagreed with our decision, effective January 1, 2001, to discontinue recognizing CPT code 61793, and to create two HCPCS level 2 codes, G0173, Stereotactic radiosurgery, complete course of therapy in one session, and G0174 Intensity modulated radiation therapy (IMRT) plan, per session, to report both stereotactic radiosurgery and IMRT.

We reported to the Panel that the APC assignment of these G codes and their payment rate was based on our understanding that stereotactic radiosurgery was generally performed on an inpatient basis and delivered a complete course of treatment in a single session, while IMRT was performed on an outpatient basis and required several sessions to deliver a complete course of treatment. We also explained to the Panel that it was our understanding that multiple CPT codes were billed for each session of stereotactic radiosurgery and IMRT. Therefore, we believed that the payment for APC 0302 was only a fraction of the total payment a hospital received for performing stereotactic radiosurgery or IMRT on an outpatient basis.

Radiosurgery equipment manufacturers, physician groups, and patient advocacy groups have both submitted comments to us and provided testimony to the APC Panel on these issues. These comments have convinced us that we did not clearly understand either the relationship of IMRT to stereotactic radiosurgery or the various types of equipment used to perform these services.

We are proposing to set forth a proposed new coding structure that more accurately reflects the clinical use of these services and the resources required to perform them. Our understanding of these services, based on review of the comments, the testimony before the Panel, the Panel discussion and recommendations, and meetings with knowledgeable stakeholders, is described below.

Recent developments in the field of radiation oncology include the ability to deliver high doses of radiation to abnormal tissues (e.g., tumors) while minimizing delivery of radiation to adjacent normal tissues. Collectively, these procedures are called stereotactic radiosurgery and IMRT.

Clinically, there are essentially two services required to deliver stereotactic radiosurgery and IMRT. First, there is “treatment planning,” which includes such activities as determining the location of all normal and abnormal tissues, determining the amount of radiation to be delivered to the abnormal tissue, determining the dose tolerances of normal tissues, and determining how to deliver the required dose to abnormal tissue while delivering a dose to adjacent normal tissues within their range of tolerance. These activities include the ability to manufacture various treatment devices for protection of normal tissue as well as the ability to ensure that the plan will deliver the intended doses to normal and abnormal tissue by simulating the treatment. Second, there is “treatment delivery,” which is the actual delivery of radiation to the patient in accordance with the treatment plan. Treatment delivery includes such activities as adjusting the collimator (a device that filters the radiation beams), doing setup and verification images, treating one or more areas, and performing quality control.

Treatment planning requires specialized equipment including a duplicate of the actual equipment used to deliver the treatment, the ability to perform a CT scan, various disposable supplies, and involvement of various staff such as the physician, the physicist, the dosimetrist, and the radiation technologist. Treatment delivery requires specialized equipment to deliver the treatment and the involvement of the radiation technologist. The physician and physicist provide general oversight of this process.

Although there are several types of equipment, produced by several manufacturers, used to accomplish this treatment, it is the consensus of the commenters and the Panel that the most useful way to categorize stereotactic radiosurgery and IMRT is by the source of radiation used for the treatment and not by the type of equipment used. One reason for this is that the clinical indications for stereotactic radiosurgery and IMRT overlap. Therefore, a single disease process can be treated by either modality but the cost of treatment varies by source of radiation used for the treatment. Second, while both stereotactic radiosurgery and IMRT can deliver a complete course of treatment in either one or multiple sessions, the cost of treatment delivery per session is relatively fixed, and is closely related to the source of radiation used for the treatment. Therefore, we believe that appropriate APC assignment and payment can be made by creating a small number of HCPCS codes to describe these services. The proposed codes are as follows:

• GXXX1 Multi-source photon stereotactic radiosurgery (Cobalt 60 multi-source converging beams) plan, including dose volume histograms for target and critical structure tolerances, plan optimization performed for highly conformal distributions, plan positional accuracy and dose verification, all lesions treated, per course of treatment.
• GXXX2 Multi-source photon stereotactic radiosurgery, delivery including collimator changes and custom plugging, complete course of treatment, per lesion.
• G0174 Intensity modulated radiation therapy (IMRT) delivery to one or more treatment areas, multiple couch angles/fields/arcs custom collimated pencil-beams with treatment setup and verification images, complete course of therapy requiring more than one session, per session.
• G0178 Intensity modulated radiation therapy (IMRT) plan, including dose volume histograms for target and critical structure partial tolerances, inverse plan optimization performed for highly conformal distributions, plan positional accuracy and dose verification, per course of treatment.

We propose that HCPCS codes GXXX1, G0174, and G0178 have status indicators of S, while GXXX2 have a status indicator of T. We believe these are the correct status indicators because G0178 has a “per session” designation, while GXXX2 has a “per lesion” designation. Furthermore, it is our understanding that GXXX1 would not be billed on a “per lesion” basis as the planning process would take into account all lesions being treated and it would be extremely difficult to determine resource utilization for planning on a “per lesion” basis. Because the costs of performing GXXX1 will vary based on the number of lesions treated, payment would reflect a weighted average.

It is our understanding that single-source photon stereotactic radiosurgery (or LINAC) planning and delivery are similar to IMRT planning and delivery in terms of clinical use and resource requirements. Therefore, we propose to require coding for single-source photon stereotactic radiosurgery under HCPCS codes G0174 and G0178.

Further, we are aware that the AMA is establishing codes for IMRT planning and treatment delivery for 2002 and we propose to retire G0174 and G0178 (with the usual 90-day phase out) and recognize the applicable CPT codes when they are established in January 2002.

We believe that all activities required to perform stereotactic radiosurgery and IMRT are included in the codes described above. In order to avoid confusion and to optimize tracking of these services in terms of both utilization and cost, we propose to discontinue the use of any other radiation therapy codes for activities involved with planning and delivery of stereotactic radiosurgery and IMRT for purposes of hospital billing in OPPS. Thus, we would continue to not recognize CPT code 61793 for hospital billing purposes.

We believe the coding requirements set forth above not only simplify the reporting process for hospitals, but appropriately recognize the clinical practice and resource requirements for stereotactic radiosurgery and IMRT.

We seek comments on our proposal, including the code titles, descriptors, and coding requirements discussed above. We also request information regarding appropriate APC assignment and payment rates to inform our decision-making. In particular, we would like information regarding the costs of treatment delivery including any differences between the cost of a complete treatment in single versus multiple sessions.

We also note that several commenters requested placement of the stereotactic delivery codes in surgical APCs and we request clarification and support for these comments within the context of our coding proposal. Specifically, we are concerned that appropriate payment be made for GXXX2, which has a “per lesion” descriptor.

We believe that while the APC Panel did not make any specific recommendations regarding these codes, the concerns expressed by the Panel are addressed by our proposal.

APC 0311: Radiation Physics Services

APC 0312: Radio Element Application

APC 0313: Brachytherapy

We presented APC 0311 to the Panel because we believed our cost data for CPT codes 77336, Continuing medical physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy; 77370, Special medical radiation physics consultation; and 77399, Unlisted procedure, medical radiation physics, dosimetry, and treatment devices, and special services, were inaccurate. We were concerned that these procedures, particularly code 77370, were not being paid appropriately in APC 0311.

Presenters pointed out that, as with all radiation oncology services, the usual practice is to bill multiple CPT codes on the same date of service. Therefore, single claims were likely to be inaccurate bills and did not represent the true costs of the procedure. For this reason, presenters believe that using single claims to set payment rates for radiation oncology procedures was inappropriate and that we needed to develop a methodology that allowed the use of multiple claims data to set payment rates for these services.

With regard to radiation physics consultation, presenters stated that the staff costs associated with CPT code 77370 were significantly greater than the costs of CPT codes 77336 and 77399. Therefore, they recommended that CPT codes 77336 and 77399 be moved from APC 0311 to APC 0304, Level I Therapeutic Radiation Treatment Preparation, and CPT code 77370 be moved from APC 0311 to APC 0305, Level II Therapeutic Radiation Treatment Preparation. The Panel agreed with this recommendation and we propose to accept the Panel's recommendation. We also agree that we should review the use of single claims to set payment rates for radiation oncology services. We plan to present this issue again at the 2002 Panel meeting.

We presented APCs 0312 and 0313 to the Panel because commenters were concerned that the payment rates were too low for the procedures assigned to the APCs and that there were insufficient data to set payment rates for these APCs. The Panel agreed that the issue regarding the use of single claim data affected the payment rates for these services. However, there were insufficient data for the Panel to make any recommendations regarding these APCs. The Panel did request to look at the issue of radiation oncology at its 2002 meeting.

Therefore, we are proposing to make no changes to APCs 0312 and 0313 but will address radiation oncology issues at the Panel's 2002 meeting. We note that our updated claims data show very few single claims for procedures in these APCs. However, moving any of these procedures into other radiation oncology APCs would lower their payment rates.

APC 0371: Allergy Injections

We presented this APC to the Panel because it violates the 2 times rule. The median costs for CPT codes 95115, Professional Services for allergen immunotherapy not including provision of allergenic extracts; single injection, and 95117, Professional Services for allergen immunotherapy not including provision of allergenic extracts; two or more injections, were lower than the median costs for the other services in this APC.

The Panel agreed that because codes 95115 and 95117 included administration of an injection only, the resource utilization for these services was lower than for the other services. The other services involve preparation of antigen and require more staff time and hospital resources to perform.

In order to create clinical and resource homogeneity, the Panel recommended that we create a new APC for codes 95115 and 95117 and that we leave the other services in APC 0371. We propose to accept the Panel recommendation and create a new APC 0353, Level II Allergy Injections, and revise the title of APC 0371 to Level I Allergy Injections.

Observation Services

See the discussion on observation services in section II.C.4 of this preamble for a summary of the Panel discussion and recommendations and our proposal.

Inpatient Procedure List

See the discussion of the inpatient procedures list in section II.C.5 of this preamble for a summary of the Panel discussion and recommendations and our proposal.

B. Additional APC Changes Resulting from BIPA Provisions

1. Coverage of Glaucoma Screening

Section 102 of the BIPA amended section 1861(s)(2) of the Act to provide payment for glaucoma screening for eligible Medicare beneficiaries, specifically, those with diabetes mellitus or a family history of glaucoma, and certain other individuals found to be at high risk for glaucoma as specified by our rulemaking. The implementation of this provision is discussed in detail in a separate proposed rule concerning the revisions in the physician payment policy for CY 2002.

In order to implement section 102 of BIPA, we have established two new HCPCS codes for glaucoma screening:

G0117—Glaucoma screening for high risk patients furnished by an ophthalmologist or optometrist.

G0118—Glaucoma screening for high risk patients furnished under the direct supervision of an ophthalmologist or optometrist.

We are proposing to assign the glaucoma screening codes to APC 0230, Level I Eye Tests. We further propose to instruct our fiscal intermediaries to make payment for glaucoma screening only if it is the sole ophthalmologic service for which the hospital submits a bill for a visit. That is, the services included in glaucoma screening (a dilated eye examination with an intraocular pressure measurement and direct opthalmoscopy or slit-lamp biomicroscopy) would generally be performed during the delivery of another opthalmologic service that is furnished on the same day. If the beneficiary receives only a screening service, however, we would pay for it under APC 0230.

2. APCs for Contrast Enhanced Diagnostic Procedures

Section 430 of the BIPA amended section 1833(t)(2) of the Act to require the Secretary to create additional APC groups to classify procedures that utilize contrast agents separately from those that do not, effective for items and services furnished on or after July 1, 2001. On June 1, 2001, we issued a Program Memorandum, Transmittal A-01-73, in which we made numerous coding and grouping changes to implement this provision. (This transmittal can be found at www.hcfa.gov/​pubforms/​transmit/​AO173.pdf) We removed the radiological procedures whose descriptors included either “without contrast material” or “without contrast material followed by contrast material” from APC groups 0282, Level I, Computerized Axial Tomography; APC 0283, Level II, Computerized Axial Tomography; and APC 0284, Magnetic Resonance Imaging. As a result, APCs 0283 and 0284 now include only imaging procedures that are performed with contrast materials. Additionally, reconfigured APC 0282 no longer includes radiological procedures that use contrast agents.

Effective for items or services furnished on or after July 1, 2001, we created six new APC groups for the procedures removed from APCs 0282, 0283, and 0284, as shown below. (Effective October 1, 2001, we will eliminate APC 0338. Refer to Transmittal A-01-73 for a detailed description of this change.) For services furnished on or after July 1, 2001 and before January 1, 2002, the payment rates for the new imaging APCs are the same as those associated with the APCs from which the procedures were moved. In this proposed rule, the weights for the new APCs are recalibrated based on the data we are using to set the weights for 2002.

Table 1.—APC Groups Reconfigured to Separate Imaging Procedures That Use Contrast Material From Procedures That Do Not Use Contrast Material

APC	SI	APC title
0282	S	Miscellaneous Computerized Axial Tomography.
0283	S	Computerized Axial Tomography with Contrast.
0284	S	Magnetic Resonance Imaging and Angiography with Contrast.
0332	S	Computerized Axial Tomography w/o Contrast.
0333	S	CT Angio and Computerized Axial Tomography w/o Contrast followed by with Contrast.
0335	S	Magnetic Resonance Imaging, Temporomandibular Joint.
0336	S	Magnetic Resonance Angiography and Imaging without Contrast.
0337	S	Magnetic Resonance Imaging and Angiography w/o Contrast followed by with Contrast.
0338	S	Magnetic Resonance Angiography, Chest and Abdomen with or w/o Contrast.

The HCPCS codes that are reassigned to the new imaging APCs in this proposed rule are as follows:

APC	HCPCS	SI	Short descriptor
0282	76370	S	CAT scan for therapy guide.
	76375	S	3d/holograph reconstr add-on.
	76380	S	CAT scan for follow-up study.
	G0131	S	Ct scan, bone density study.
	G0132	S	Ct scan, bone density study.
0283	70460	S	Ct head/brain w/dye.
	70481	S	Ct orbit/ear/fossa w/dye.
	70487	S	Ct maxillofacial w/dye.
	70491	S	Ct soft tissue neck w/dye.
	71260	S	Ct thorax w/dye.
	72126	S	Ct neck spine w/dye.
	72129	S	Ct chest spine w/dye.
	72132	S	Ct lumbar spine w/dye.
	72193	S	Ct pelvis w/dye.
	73201	S	Ct upper extremity w/dye.
	73701	S	Ct lower extremity w/dye.
	74160	S	Ct abdomen w/dye.
	76355	S	CAT scan for localization.
	76360	S	CAT scan for needle biopsy.
0284	70542	S	MRI orbit/face/neck w/dye.
	70545	S	Mr angiography head w/dye.
	70548	S	Mr angiography neck w/dye.
	70552	S	MRI brain w/dye.
	71551	S	MRI chest w/dye.
	72142	S	MRI neck spine w/dye.
	72147	S	MRI chest spine w/dye.
	72149	S	MRI lumbar spine w/dye.
	72196	S	MRI pelvis w/dye.
	73219	S	MRI upper extremity w/dye.
	73222	S	MRI joint upr extrem w/dye.
	73719	S	MRI lower extremity w/dye.
	73722	S	MRI joint of lwr extr w/dye.
	74182	S	MRI abdomen w/dye.
	75553	S	Heart MRI for morph w/dye.
	C8900	S	MRA w/cont, abd.
	C8903	S	MRI w/cont, breast, uni.
	C8906	S	MRI w/cont, breast, bi.
	C8909	S	MRA w/cont, chest.
	C8912	S	MRA w/cont, lwr ext.
0332	70450	S	CAT scan of head or brain.
	70480	S	Ct orbit/ear/fossa w/o dye.
	70486	S	Ct maxillofacial w/o dye.
	70490	S	Ct soft tissue neck w/o dye.
	71250	S	Ct thorax w/o dye.
	72125	S	Ct neck spine w/o dye.
	72128	S	Ct chest spine w/o dye.
	72131	S	Ct lumbar spine w/o dye.
	72192	S	Ct pelvis w/o dye.
	73200	S	Ct upper extremity w/o dye.
	73700	S	Ct lower extremity w/o dye.
	74150	S	Ct abdomen w/o dye.
0333	70470	S	Ct head/brain w/o&w dye.
	70482	S	Ct orbit/ear/fossa w/o&w dye.
	70488	S	Ct maxillofacial w/o&w dye.
	70492	S	Ct sft tsue nck w/o & w/dye.
	70496	S	Ct angiography, head.
	70498	S	Ct angiography, neck.
	71270	S	Ct thorax w/o&w dye.
	71275	S	Ct angiography, chest.
	72127	S	Ct neck spine w/o&w dye.
	72130	S	Ct chest spine w/o&w dye.
	72133	S	Ct lumbar spine w/o&w dye.
	72191	S	Ct angiograph pelv w/o&w dye.
	72194	S	Ct pelvis w/o&w dye.
	73202	S	Ct uppr extremity w/o&w dye.
	73206	S	Ct angio upr extrm w/o&w dye.
	73702	S	Ct lwr extremity w/o&w dye.
	73706	S	Ct angio lwr extr w/o&w dye.
	74170	S	Ct abdomen w/o&w dye.
	74175	S	Ct angio abdom w/o&w dye.
	75635	S	Ct angio abdominal arteries.
0335	70336	S	Magnetic image, jaw joint.
	75554	S	Cardiac mri/function.
	75555	S	Cardiac mri/limited study.
	76390	S	Mr spectroscopy.
	76400	S	Magnetic image, bone marrow.
0336	70540	S	MRI orbit/face/neck w/o dye.
	70544	S	Mr angiography head w/o dye.
	70547	S	Mr angiography neck w/o dye.
	70551	S	MRI brain w/o dye.
	71550	S	MRI chest w/o dye.
	72141	S	MRI neck spine w/o dye.
	72146	S	MRI chest spine w/o dye.
	72148	S	MRI lumbar spine w/o dye.
	72195	S	MRI pelvis w/o dye.
	73218	S	MRI upper extremity w/o dye.
	73221	S	MRI joint upr extrem w/o dye.
	73718	S	MRI lower extremity w/o dye.
	73721	S	MRI joint of lwr extre w/o dye.
	74181	S	MRI abdomen w/o dye.
	75552	S	Heart MRI for morph w/o dye.
	C8901	S	MRA w/o cont, abd.
	C8904	S	MRI w/o cont, breast, uni.
	C8910	S	MRA w/o cont, chest.
	C8913	S	MRA w/o cont, lwr ext.
0337	70543	S	MRI orbt/fac/nck w/o&w dye.
	70546	S	Mr angiograph head w/o&w dye.
	70549	S	Mr angiograph neck w/o&w dye.
	70553	S	MRI brain w/o&w dye.
	71552	S	MRI chest w/o&w dye.
	72156	S	MRI neck spine w/o&w dye.
	72157	S	MRI chest spine w/o&w dye.
	72158	S	MRI lumbar spine w/o&w dye.
	72197	S	MRI pelvis w/o&w dye.
	73220	S	MRI uppr extremity w/o&w dye.
	73223	S	MRI joint upr extr w/o&w dye.
	73720	S	MRI lwr extremity w/o&w dye.
	73723	S	MRI joint lwr extr w/o&w dye.
	74183	S	MRI abdomen w/o&w dye.
	C8902	S	MRA w/o fol w/cont, abd.
	C8905	S	MRI w/o fol w/cont, brst, uni.
	C8908	S	MRI w/o fol w/cont, breast, bi.
	C8911	S	MRA w/o fol w/cont, chest.
	C8914	S	MRA w/o fol w/cont, lwr ext.

Refer to Addendum A or Addendum B for the updated weights, payment rates, national unadjusted copayment, and minimum unadjusted copayment that we are proposing for all of the procedures listed above.

C. Other Changes Affecting the APCs

1. Changes in Revenue Code Packaging

In the April 7, 2000 final rule, we described how, in calculating the per procedure and per visit costs to determine the median cost of an APC (and therefore its relative weight), we used the charges billed using the revenue codes that contained items that were integral to performing the procedure or visit (65 FR 18483). For example, in calculating the cost of a surgical procedure, we included charges for revenue codes such as operating room, treatment rooms, recovery, observation, medical and surgical supplies, pharmacy, anesthesia, casts and splints, and donor tissue, bone, and organ. For medical visit costs, we included charges for items such as medical and surgical supplies, drugs, and observation. The complete list of the revenue centers by type of APC group was printed in the April 7, 2000 rule (65 FR 18484).

In the November 13, 2000 interim final rule, we made some changes to the list of revenue codes to reflect the charges associated with implantable devices (65 FR 67806 and 67825). As we stated in that rule, charges included in revenue codes 274 (prosthetic/orthotic devices), 275 (pacemaker), and 278 (other implants) were not included in the initial APC payment rates because, before enactment of BBRA, we were proposing to pay these devices outside of the OPPS, and, after the enactment of the BBRA, it was not feasible to revise our database to include these revenue codes in developing the April 7, 2000 final rule. As discussed in the November 13, 2000 interim final rule, we were later able to incorporate these revenue codes in our database, and effective January 1, 2001, we updated the APC payment rates to reflect inclusion of this information.

We have continued to review and revise the list of revenue codes to be included in the database and we are proposing several changes to the list of revenue codes that are packaged with the costs used to calculate the proposed APC rates. Some of these changes reflect the addition of revenue codes and others are a further refinement of our methodology. The following are the specific changes we are proposing to make:

• Package additional revenue centers that may be used to bill for implantable devices (including durable medical equipment (DME) and brachytherapy seeds) with surgical procedures. These additional centers are revenue codes 280 (oncology), 289 (other oncology), 290 (DME), and 624 (investigational devices).
• Package revenue codes 280, 289, and 624 with other diagnostic and radiology services.
• Package the revenue codes for medical social services, 560 (medical social services) and 569 (other medical social services). These services are not paid separately in the hospital outpatient setting but often constitute discharge-planning services if provided with an outpatient service.
• Package revenue code 637 (self-administered drug (insulin administered in an emergency diabetic coma)) with medical visits. Although this is a self-administrable drug, it is covered when administered as described.
• Remove revenue code 723 (circumcision) from the list of packaged revenue codes because circumcision is a payable procedure under OPPS and should not be packaged.
• Package revenue code 942 (education/training) with medical visits and the category of “All Other APC Groups.” Patient training and education are generally not paid as a separate service under Medicare, but may be included as part of an otherwise payable service such as a medical visit. We believe that training and education services generally occur as part of a medical visit or psychiatric service.
• Remove the revenue codes in the range of 890 through 899 (donor bank), as these are no longer valid revenue codes.

2. Special Revenue Code Packaging for Specific Types of Procedures

We are proposing that the same packaging used for surgical procedures be used for corneal tissue implant procedures in APC 0244, Corneal Transplant, except that organ acquisition revenue codes and the revenue codes used to bill implantable devices are not packaged with corneal implants.

There are certain other diagnostic procedures with CPT codes that are similar to surgical procedures. The cost of these procedures (HCPCS codes 92980-92996, 93501-93505, and 93510-93536) reflects both the revenue code packaging for ambulatory surgical center (ASC) and other surgery, as well as the revenue code packaging for other diagnostic services.

A complete listing of the revenue codes that we are proposing in this rule and that we used for purposes of calculating median costs of services are shown below in Table 2.

Table 2.—Packaged Services by Revenue Code

Surgery

250 PHARMACY

251 GENERIC

252 NONGENERIC

257 NONPRESCRIPTION DRUGS

258 IV SOLUTIONS

259 OTHER PHARMACY

260 IV THERAPY, GENERAL CLASS

262 IV THERAPY/PHARMACY SERVICES

263 IV THERAPY/DRUG SUPPLY/DELIVERY

264 IV THERAPY/SUPPLIES

269 OTHER IV THERAPY

270 M&S SUPPLIES

271 NONSTERILE SUPPLIES

272 STERILE SUPPLIES

274 PROSTHETIC/ORTHOTIC DEVICES

275 PACEMAKER DRUG

276 INTRAOCULAR LENS SOURCE DRUG

278 OTHER IMPLANTS

279 OTHER M&S SUPPLIES

280 ONCOLOGY

289 OTHER ONCOLOGY

290 DURABLE MEDICAL EQUIPMENT

370 ANESTHESIA

379 OTHER ANESTHESIA

390 BLOOD STORAGE AND PROCESSING

399 OTHER BLOOD STORAGE AND PROCESSING

560 MEDICAL SOCIAL SERVICES

569 OTHER MEDICAL SOCIAL SERVICES

624 INVESTIGATIONAL DEVICE (IDE)

630 DRUGS REQUIRING SPECIFIC IDENTIFICATION, GENERAL CLASS

631 SINGLE SOURCE

632 MULTIPLE

633 RESTRICTIVE PRESCRIPTION

700 CAST ROOM

709 OTHER CAST ROOM

710 RECOVERY ROOM

719 OTHER RECOVERY ROOM

720 LABOR ROOM

721 LABOR

762 OBSERVATION ROOM

810 ORGAN AQUISITION

819 OTHER ORGAN ACQUISITION

Medical Visit

250 PHARMACY

251 GENERIC

252 NONGENERIC

257 NONPRESCRIPTION DRUGS

258 IV SOLUTIONS

259 OTHER PHARMACY

270 M&S SUPPLIES

271 NONSTERILE SUPPLIES

272 STERILE SUPPLIES

279 OTHER M&S SUPPLIES

560 MEDICAL SOCIAL SERVICES

569 OTHER MEDICAL SOCIAL SERVICES

630 DRUGS REQUIRING SPECIFIC IDENTIFICATION, GENERAL CLASS

631 SINGLE SOURCE DRUG

632 MULTIPLE SOURCE DRUG

633 RESTRICTIVE PRESCRIPTION

637 SELF-ADMINISTERED DRUG (INSULIN ADMIN. IN EMERGENCY DIABETIC COMA)

700 CAST ROOM

709 OTHER CAST ROOM

762 OBSERVATION ROOM

942 EDUCATION/TRAINING

Other Diagnostic

254 PHARMACY INCIDENT TO OTHER DIAGNOSTIC

280 ONCOLOGY

289 OTHER ONCOLOGY

372 ANESTHESIA INCIDENT TO OTHER DIAGNOSTIC

560 MEDICAL SOCIAL SERVICES

569 OTHER MEDICAL SOCIAL SERVICES

622 SUPPLIES INCIDENT TO OTHER DIAGNOSTIC

624 INVESTIGATIONAL DEVICE (IDE)

710 RECOVERY ROOM

719 OTHER RECOVERY ROOM

762 OBSERVATION ROOM

Radiology

255 PHARMACY INCIDENT TO RADIOLOGY

280 ONCOLOGY

289 OTHER ONCOLOGY

371 ANESTHESIA INCIDENT TO RADIOLOGY

560 MEDICAL SOCIAL SERVICES

710 RECOVERY ROOM

719 OTHER RECOVERY ROOM

569 OTHER MEDICAL SOCIAL SERVICES

621 SUPPLIES INCIDENT TO RADIOLOGY

624 INVESTIGATIONAL DEVICE (IDE)

762 OBSERVATION ROOM

All Other APC Groups

250 PHARMACY

251 GENERIC

252 NONGENERIC

257 NONPRESCRIPTION DRUGS

258 IV SOLUTIONS

259 OTHER PHARMACY

260 IV THERAPY, GENERAL CLASS

262 IV THERAPY PHARMACY SERVICES

263 IV THERAPY/DRUG/SUPPLY/DELIVERY

264 IV THERAPY SUPPLIES

269 OTHER IV THERAPY

270 M&S SUPPLIES

271 NONSTERILE SUPPLIES

272 STERILE SUPPLIES

279 OTHER M&S SUPPLIES

560 MEDICAL SOCIAL SERVICES

569 OTHER MEDICAL SOCIAL SERVICES

630 DRUG REQUIRING SPECIFIC IDENTIFICATION, GENERAL CLASS

631 SINGLE SOURCE DRUG

632 MULTIPLE SOURCE DRUG

633 RESTRICTIVE PRESCRIPTION

762 OBSERVATION ROOM

942 EDUCATION/TRAINING

3. Limit on Variation of Costs of Services Classified Within a Group

Section 1833(t)(2) of the Act provides that the items and services within an APC group cannot be considered comparable with respect to the use of resources if the highest cost item or service within a group is more than 2 times greater than the lowest cost item or service within the same group, but the Secretary may make exceptions to this limit on the variation of costs within each group in unusual cases such as low volume items and services. No exception may be made, however, in the case of a drug or biological that has been designated as an orphan drug under section 526 of the Federal Food, Drug, and Cosmetic Act.

Based on the proposed APC changes discussed above in this section of this preamble and the use of more current data to calculate the median cost of procedures classified to APCs, we reviewed all the APCs to determine which of them would not meet the 2 times limit. We use the following criteria when deciding whether to make exceptions to the 2 times rule for affected APCs:

• Resource homogeneity.
• Clinical homogeneity.
• Hospital concentration.
• Frequency of service (volume).
• Opportunity for upcoding and code fragmentation.

For a detailed discussion of these criteria, refer to the April 7, 2000 final rule (65 FR 18457).

The following list contains APCs that we propose to except from the 2 times rule based on the criteria cited above. In cases in which compliance with the 2 times rule appeared to conflict with a recommendation of the APC Advisory Panel, we generally accepted the Panel recommendation. This was because Panel recommendations were based on explicit consideration of resource use, clinical homogeneity, hospital specialization, and the quality of the data used to determine payment rates.

0001 Photochemotherapy

0041 Arthroscopy

0044 Closed Treatment Fracture/Dislocation Except Finger/Toe/Trunk

0047 Arthroplasty without Prosthesis

0058 Level I Strapping and Cast Application

0077 Level I Pulmonary Treatment

0093 Vascular Repair/Fistula Construction

0096 Noninvasive Vascular Studies

0097 Cardiac Monitoring for 30 days

0115 Cannula/Access Device Procedures

0121 Level I Tube Changes and Repositioning

0140 Esophageal Dilation without Endoscopy

0147 Level II Sigmoidoscopy

0164 Level I Urinary and Anal Procedures

0165 Level II Urinary and Anal Procedures

0182 Insertion of Penile Prosthesis

0198 Pregnancy and Neonatal Care Procedures

0203 Level V Nerve Injections

0204 Level VI Nerve Injections

0207 Level IV Nerve Injections

0213 Extended EEG Studies and Sleep Studies

0215 Level I Nerve and Muscle Tests

0231 Level II Eye Tests

0238 Level I Repair and Plastic Eye Procedures

0251 Level I ENT Procedures

0260 Level I Plain Film Except Teeth

0265 Level I Diagnostic Ultrasound Except Vascular

0279 Level I Angiography and Venography except Extremity

0285 Positron Emission Tomography (PET)

0305 Level II Therapeutic Radiation Preparation

0322 Brief Individual Psychotherapy

0345 Level I Transfusion Lab Procedures

0349 Miscellaneous Lab Procedures

0354 Administration of Influenza/Pneumonia Vaccine

0356 Level II Immunizations

0363 Otorhinolaryngologic Function Tests

0364 Level I Audiometry

0373 Neuropsychological Testing

0602 High Level Clinic Visits

0694 Level III Excision/Biopsy

0697 Level II Transesophageal Procedures

4. Observation Services

Observation services have a long intertwined clinical and payment history. For many years, beneficiaries have been placed in “observation status” in order to receive treatment or be monitored before making a decision concerning their next placement (that is, admit to the hospital or discharge to home). This occurs most frequently after surgery or a visit to the emergency department. Typically, beneficiaries placed in observation have failed to respond to initial emergency department treatment for their condition (for example, exacerbation of asthma), have symptoms placing them at significant risk for mortality (for example, chest pains with the possibility of myocardial infarction), or have received anesthesia for a surgical procedure and need to be monitored postoperatively. Clinically, most beneficiaries do not require more than 24 hours of observation before a decision concerning admission or discharge can be made. Therefore, it is rare that it is clinically justifiable to keep a patient in observation for more than 24 to 48 hours. The location where observation services are provided is facility-specific, and sometimes individual-specific. It is not uncommon for beneficiaries to be observed in the emergency department, in a designated unit near the emergency department, or in an intensive care or other unit in the facility.

After implementation of the Medicare hospital inpatient PPS in 1983, peer review organizations (PROs) began to review inpatient admissions to determine whether the admission and the length of stay were appropriate. Because “observation care” is considered to be an outpatient service, facilities began using “observation” as an administrative mechanism to care for beneficiaries who, if admitted as inpatients, might have their admission questioned by the PRO. Moreover, before the implementation of the OPPS, the payment for observation care was on a reasonable cost basis, which frequently gave hospitals a financial incentive to keep beneficiaries in “observation status” even though they were clinically being treated as inpatients. Occasionally, beneficiaries were kept in observation for days and weeks resulting in both excessive payments from the Medicare program and excessive copayments from the beneficiary. In response to this practice, Medicare revised its manuals in November 1996, limiting covered observation services to no more than 48 hours (section 456 of the Hospital Manual and section 3663 of the Intermediary Manual).

The costs for all observation services provided in the outpatient setting, even those provided in excess of 48 hours, were included in the initial APC payment rates. Currently, observation services are not paid separately, that is, they are not assigned to a separate APC. Instead, costs for observation services are packaged into payments for services with which the observation was billed in 1996. Observation was most frequently billed with emergency department visits, clinic visits, and surgical procedures. The payments for all APCs include the costs of observation to the extent that it was billed in 1996. In the 1996 data, we identified and packaged a total of $392 million from revenue codes 760, 761, 762, and 769, which represented observation services.

In the April 7, 2000 final rule (65 FR 18448), we responded to numerous comments concerning observation services. Even though commenters acknowledged that being paid separately for observation services following a surgical procedure was unnecessary, many commenters requested that we pay separately for observation services following emergency department visits. Among those commenters requesting separate payment for observation, some requested separate payment for specific medical conditions, and others requested payment for all medical conditions. Some commenters provided articles and books containing clinical research on the value and cost effectiveness of observation for certain patients. Although we did not decide to create a separate APC for observation services, we did include this topic in the agenda for our APC Panel, which met from February 27 to March 1, 2001. While individual Panel members agreed that use of observation services had been abused in the past by hospitals seeking to maximize payment, the Panel also agreed that observation services following clinic and emergency room visits should be paid separately. In addition, the Panel believed that observation following surgery should be packaged into the payment for the surgical procedure. The Panel did not dispute that the vast majority of patients are admitted to the hospital or discharged home from observation in less than 24 hours, and Panel members judged that a rule limiting separate payment to 24 hours of observation would be reasonable. The Panel also noted that because Medicare currently allows hospitals to report observation services up to 48 hours, hospital staff and coders would have to be educated were we to change the current standard.

Since the Panel meeting, we have reviewed all comments we have received on this issue. In determining whether we should pay separately for observation services, our primary concern is to ensure that Medicare beneficiaries have access to medically necessary observation care. We also want to ensure that payment be made only for beneficiaries actually receiving observation care, and that payment be restricted to clinically appropriate observation care. We paid particular attention to the Qualcare criteria (severity of illness and intensity of service criteria used by some insurance plans to determine whether it is appropriate for a patient to receive observation care) for observation services and to those comments providing medical evidence on the value and cost effectiveness of observation care. We also carefully considered logistical and administrative issues related to delivering observation care such as whether payment for emergency services should be bundled into observation services, the potential for overuse of the services, and the need for treatment guidelines. We also considered how to most appropriately define the starting time, discharge time, and minimum length of stay for observation care.

Finally, in considering whether to make a separate payment for observation care, we had to balance the issues of access, medical necessity, potential for abuse, and need to ensure appropriate payment. As a threshold requirement for candidate medical conditions, we sought published criteria regarding the following:

• Risk stratification of patients to determine which patient sub-populations benefit from observation care.
• Which patients should be admitted to observation.
• Which patients should be discharged home from observation.
• When patients should be admitted to the hospital from observation.
• Patient management.

We found that these criteria were met for chest pain, asthma, and congestive heart failure.

The fulfillment of these criteria ensured that, for these conditions, observation care avoided significant morbidity and mortality from inappropriate discharge to home while at the same time avoiding unnecessary inpatient admissions. For example, the use of observation for selected patients with asthma and congestive heart failure can reduce the rate of return emergency visits and subsequent admission. The literature clearly shows that for these patients, observation care requires prolonged physiologic monitoring and intensive treatment to result in the beneficial outcomes.

After careful consideration, we are proposing—

• To continue to package observation services into surgical procedures; and
• To create a single APC, APC 0339, Observation, to make separate payment for observation services for three medical conditions, chest pain, asthma, and congestive heart failure, when certain criteria (as described below) are met.

We are further proposing to instruct hospitals that payment under APC 0339 for observation services would be subject to the following billing requirements and conditions:

• An emergency department visit (APC 0610, 0611, or 0612) or a clinic visit (APC 0600, 0601, or 0602) is billed in conjunction with each bill for observation services.
• Observation care is billed hourly for a minimum of 8 hours up to a maximum of 48 hours. We would not pay separately for any hours a beneficiary spends in observation over 24 hours, but all costs beyond 24 hours would be packaged into the APC payment for observation services.
• Observation time begins at the clock time appearing on the nurse's observation admission note. (We note that this coincides with the initiation of observation care or with the time of the patient's arrival in the observation unit.)
• Observation time ends at the clock time documented in the physician's discharge orders, or, in the absence of such a documented time, the clock time when the nurse or other appropriate person signs off on the physician's discharge order. (This time coincides with the end of the patient's period of monitoring or treatment in observation.)
• The beneficiary is under the care of a physician during the period of observation, as documented in the medical record by admission, discharge, and other appropriate progress notes, timed, written, and signed by the physician.
• The medical record includes documentation that the physician used risk stratification criteria to determine that the beneficiary would benefit from observation care. (These criteria may be either published generally accepted medical standards or established hospital-specific standards.)
• The hospital furnishes certain other diagnostic services along with observation services to ensure that separate payment is made only for those beneficiaries truly requiring observation care. We believe that these tests are typically performed on beneficiaries requiring observation care for the three specified conditions and they are medically necessary to determine whether a beneficiary will benefit from being admitted to observation care and the appropriate disposition of a patient in observation care. The diagnostic tests are as follows:
• For chest pain, at least two sets of cardiac enzymes and two sequential electrocardiograms.
• For asthma, a peak expiratory flow rate (PEFR) (CPT code 94010) and nebulizer treatments.
• For congestive heart failure, a chest x-ray, an electrocardiogram, and pulse oximetry.

We are proposing to make payment for APC 0339 only if the tests described above are billed on the same claim as the observation service.

(We are not proposing to require telemetry and other ongoing monitoring services as criteria to make separate payment for observation services. Although these services are often medically necessary to ensure prompt diagnosis of cardiac arrhythmias and other disorders, we do not believe they are necessary to support separate payment for observation services.)

We propose to require that, in order to receive payment for APC 0339, the hospital must include one of the ICD-9-CM diagnosis codes listed below in the diagnosis field of the bill. We propose the following diagnosis codes to indicate a symptom or condition that would require observation:

For Chest Pain

411.1 Intermediate coronary syndrome

411.81 Coronary occlusion without myocardial infarction

411.0 Postmyocardial infarction syndrome

411.89 Other acute ischemic heart disease

413.0 Angina decubitus

413.1 Prinzmetal angina

413.9 Other and unspecified angina pectoris

786.05 Shortness of breath

786.50 Chest pain, unspecified

786.51 Precordial pain

786.52 Painful respiration

786.59 Other chest pain

For Asthma

493.01 Extrinsic asthma with status asthmaticus

493.02 Extrinsic asthma with acute exacerbation

493.11 Intrinsic asthma with status asthmaticus

493.12 Intrinsic asthma with acute exacerbation

493.21 Chronic obstructive asthma with status asthmaticus

493.22 Chronic obstructive asthma with acute exacerbation

493.91 Asthma, unspecified with status asthmaticus

493.92 Asthma, unspecified with acute exacerbation

For Congestive Heart Failure

428.0 Congestive heart failure

428.1 Left heart failure

428.9 Heart failure, unspecified

We used the following process to identify the appropriate median cost for APC 0339. First, we identified in the 1999-2000 claims data all hospital outpatient claims for observation using revenue codes 760, 761, 762, and 769. We then selected the subset of these claims that were billed for patients with chest pain, asthma, and congestive heart failure. Because no standard method for coding these claims was in place in 1996, we identified all diagnosis codes that could reasonably have been used to classify beneficiaries as having chest pain, asthma, and congestive heart failure. We then verified that these beneficiaries received appropriate observation care for chest pain, asthma, or congestive heart failure by identifying the claims in which one or more of the tests identified above were performed. The median costs of these claims were used to establish the median costs of APC 0339.

We appreciate that there are other medical conditions for which selected beneficiaries may benefit from observation care and we are interested in comments on whether we should make separate payment for observation care for other conditions. We will consider medical research submitted to support the benefits of observation services for these conditions. This information will assist us in determining whether these other conditions meet the criteria we used to select the three conditions we have proposed to include in APC 0339.

5. List of Procedures That Will Be Paid Only as Inpatient Procedures

Before implementation of the OPPS, Medicare paid reasonable costs for services provided in the outpatient department. The claims submitted were subject to medical review by the fiscal intermediaries to determine the appropriateness of providing certain services in the outpatient setting. We did not specify in regulations those services that were appropriate to provide only in the inpatient setting and that, therefore, should be payable only when provided in that setting.

Section 1833(t)(1)(B)(i) of the Social Security Act gave the Secretary broad authority to determine the services to be covered and paid for under the OPPS. In the September 8, 1998 OPPS proposed rule, we defined a set of services that are typically provided only in an inpatient setting and, hence, would not be paid by Medicare under the OPPS. This set of services is referred to as the “inpatient list.”

We received numerous comments on the inpatient list. In the April 7, 2000 final rule, we revised the proposed list by removing a number of services and we discussed in greater detail the criteria we will use to define which services will be included on the inpatient list (65 FR 18455). These are services that require inpatient care because of the invasive nature of the procedure, the need for at least 24 hours of postoperative recovery time or monitoring before the patient can be safely discharged, or the underlying physical condition of the patient.

After publication of the April 7 final rule, we received information from a number of groups demonstrating that certain services are routinely provided safely in the outpatient setting. As a result, in the November 13, 2000 interim final rule, we removed 44 procedures from the list (65 FR 67826). In that rule, we also stated that we would update the list at least quarterly to reflect advances in medical practice that permit procedures to be routinely performed in the outpatient setting. And, on June 1, 2001, we issued Program Memorandum A-01-73 in which we moved an additional 23 procedures from the inpatient list.

At its February 2001 meeting, the APC Advisory Panel discussed the existence of the inpatient list. The Advisory Panel generally favored its elimination. In this instance, we disagree with the position taken by the Panel. Rather, we propose to continue the current policy of reviewing the HCPCS codes on the inpatient list and eliminating procedures from the list if they can be appropriately performed on the Medicare population in the outpatient setting. Our medical and policy staff, supplemented as appropriate by the APC Advisory Panel, would review comments submitted by the public and consider advances in medical practice in making decisions to remove codes from the list. We would continue to use the following criteria, which we discussed in the April 7, 2000 final rule, when deciding to remove codes from the list:

• Most outpatient departments are equipped to provide the services to the Medicare population.
• The simplest procedure described by the code may be performed in most outpatient departments.
• The procedure is related to codes we have already moved off the inpatient list (for example, the radiologic part of an interventional cardiology procedure).

We would continue to update the list in response to comments as often as quarterly through program memoranda to reflect current advances in medical practice. We believe that the current list addresses the concerns of previous commenters and reflects a general consensus about those services that hospitals and physicians agree are not routinely performed in the outpatient setting. Therefore, at this time, we are proposing no further changes to the inpatient list, which is set forth in Addendum E to this proposed rule.

6. Additional New Technology APC Groups

In the April 7, 2000 final rule, we created 15 new technology APC groups to pay for new technologies that do not meet the statutory requirements for transitional pass-through payments and for which we have little or no data upon which to base assignment to an appropriate APC. APC groups 0970 through 0984 are the current new technology APCs. We currently assign services to a new technology APC for 2 to 3 years based solely on costs, without regard to clinical factors. This method of paying for new technologies allows us to gather data on their use for subsequent assignment to a clinically-based APC. Payment rates for the new technology APCs are based on the midpoint of ranges of possible costs.

After evaluating the costs of services in the new technology APCs, we are proposing that APC 0982, which covers a range of costs from $2500 to $3500, be split into two APCs, as follows: APC 0982, which would encompass services whose costs fall between $2500 and $3000, and APC 0983, which would encompass those services whose costs fall between $3000 and $3500. APC 0984 would then encompass services whose costs fall between $3500 and $5000 and we would create a new APC, 0985, for services whose costs fall between $5000 and $6000. We believe that subdividing the current range of costs within APC 0982 would allow us to pay more accurately for the services in that cost range.

In section VI.G of this preamble, we describe several modifications and refinements to the criteria and process for assigning services to new technology APCs that we are proposing in this rule.

Table 3 below, lists all of the APC groups that we are proposing to change for 2002.

Table 3.—APC Groups Proposed To Be Changed in 2002

APC	Title	SI	APC panel	2 times	Other
0002	Fine needle Biopsy/Aspiration	T		X
0004	Level I Needle Biopsy/Aspiration Except Bone Marrow	T		X
0006	Level I Incision & Drainage	T		X
0007	Level II Incision & Drainage	T		X
0008	Level III Incision & Drainage	T		X
0012	Level I Debridement & Destruction	T		X
0013	Level II Debridement & Destruction	T		X
0014	Level III Debridement and Destruction	T		X
0015	Level IV Debridement & Destruction	T		X
0016	Level V Debridement & Destruction	T	X	X
0017	Level VI Debridement & Destruction	T	X	X
0018	Biopsy of Skin/Puncture of Lesion	T		X
0019	Level I Excision/Biopsy	T		X
0020	Level II Excision/Biopsy	T		X
0021	Level IV Excision/Biopsy	T		X
0022	Level V Excision/Biopsy	T		X
0026	Level III Skin Repair	T		X
0027	Level IV Skin Repair	T		X
0029	Level II Incision/Excision Breast	T		X
0030	Level I Breast Reconstruction	T		X
0032	Insertion of Central Venous/Arterial Catheter	T		X
0035	Placement of Arterial/Central Venous Catheter	T		X
0043	Closed Treatment Fracture Finger/Toe/Trunk	T		X
0044	Closed Treatment Fracture/Dislocation except Finger/Toe/Trunk	T		X
0045	Bone/Joint Manipulation Under Anesthesia	T		X
0049	Level I Musculoskeletal Procedures Except Hand and Foot	T		X
0050	Level II Musculoskeletal Procedures Except Hand and Foot	T		X
0058	Level I Strapping and Cast Application	S		X
0059	Level II Strapping and Cast Application	S		X
0068	CPAP Initiation	S	X
0069	Thoracoscopy	T		X
0074	Level IV Endoscopy Upper Airway	T		X
0075	Level V Endoscopy Upper Airway	T		X
0076	Endoscopy Lower Airway	T		X
0079	Ventilation Initiation and Management	S	X
0082	Coronary Atherectomy	T		X
0083	Coronary Angioplasty	T		X
0087	Cardiac Electrophysiologic Recording/Mapping	S	X
0088	Thrombectomy	T		X
0093	Vascular Repair/Fistula Construction	T		X
0094	Resuscitation and Cardioversion	S	X
0097	Cardiac Monitoring for 30 days	T		X
0102	Electronic Analysis of Pacemakers/other Devices	S	X
0105	Revision/Removal of Pacemakers, AICD, or Vascular Device	T	X
0111	Blood Product Exchange	S	X
0112	Apheresis, Photopheresis, and Plasmapheresis	S	X
0115	Cannula/Access Device Procedures	T		X
0125	Refilling of Infusion Pump	T	X
0130	Level I Laparoscopy	T		X
0131	Level II Laparoscopy	T		X
0148	Level I Anal/Rectal Procedure	T		X
0149	Level III Anal/Rectal Procedure	T		X
0150	Level IV Anal/Rectal Procedure	T		X
0155	Level II Anal/Rectal Procedure	T		X
0156	Level II Urinary and Anal Procedures	T		X
0160	Level I Cystourethroscopy and other Genitourinary Procedures	T		X
0161	Level II Cystourethroscopy and other Genitourinary Procedures	T		X
0162	Level III Cystourethroscopy and other Genitourinary Procedures	T		X
0163	Level IV Cystourethroscopy and other Genitourinary Procedures	T		X
0164	Level I Urinary and Anal Procedures	T		X
0165	Level III Urinary and Anal Procedures	T		X
0188	Level II Female Reproductive Proc	T	X	X
0189	Level III Female Reproductive Proc	T	X	X
0191	Level I Female Reproductive Proc	T	X	X
0192	Level IV Female Reproductive Proc	T	X	X
0193	Level V Female Reproductive Proc	T	X	X
0194	Level VI Female Reproductive Proc	T	X	X
0195	Level VII Female Reproductive Proc	T	X	X
0196	Dilation and Curettage	T		X
0203	Level V Nerve Injections	T	X
0204	Level VI Nerve Injections	T	X
0206	Level III Nerve Injections	T	X
0207	Level IV Nerve Injections	T	X
0208	Laminotomies and Laminectomies	T	X
0209	Level II Extended EEG Studies and Sleep Studies	S		X
0212	Level II Nervous System Injections	T	X
0213	Level I Extended EEG Studies and Sleep Studies	S		X
0215	Level I Nerve and Muscle Tests	S	X	X
0216	Level III Nerve and Muscle Tests	S	X	X
0217	Level III Nerve and Muscle Tests	S		X
0218	Level II Nerve and Muscle Tests	S		X
0230	Level I Eye Tests & Treatments	S		X	X
0231	Level III Eye Tests & Treatments	S		X
0232	Level I Anterior Segment Eye	S		X
0233	Level II Anterior Segment Eye	T		X
0234	Level III Anterior Segment Eye Procedures	T		X
0235	Level I Posterior Segment Eye Procedures	T		X
0236	Level II Posterior Segment Eye Procedures	T		X
0237	Level III Posterior Segment Eye Procedures	T		X
0238	Level I Repair and Plastic Eye Procedures	T		X
0239	Level II Repair and Plastic Eye Procedures	T		X
0245	Level I Cataract Procedures without IOL Insert	T		X
0249	Level II Cataract Procedures without IOL Insert	T		X
0251	Level I ENT Procedures	T		X
0252	Level II ENT Procedures	T		X
0253	Level III ENT Procedures	T		X
0254	Level IV ENT Procedures	T		X
0256	Level V ENT Procedures	T		X
0259	Level VI ENT Procedures	T		X
0260	Level I Plain Film Except Teeth	X		X
0261	Level II Plain Film Except Teeth Including Bone Density Measurement	X		X
0263	Level I Miscellaneous Radiology Procedures	X		X
0264	Level II Miscellaneous Radiology Procedures	X		X
0265	Level I Diagnostic Ultrasound Except Vascular	X		X
0266	Level II Diagnostic Ultrasound Except Vascular	S		X
0269	Level I Echocardiogram Except Transesophageal	S		X
0271	Mammography	S			X
0272	Level I Fluoroscopy	X		X
0279	Level I Angiography and Venography except Extremity	S	X
0280	Level II Angiography and Venography	S	X
0282	Miscellaneous Computerized Axial Tomography	S		X	X
0283	Computerized Axial Tomography with Contrast	S			X
0284	Magnetic Resonance Imaging and Angiography with Contrast	S			X
0287	Complex Venography	S	X
0288	CT, Bone Density	S		X
0289	Needle Localization for Breast Biopsy	X	X
0291	Level I Diagnostic Nuclear Medicine Excluding Myocardial Scans	S		X
0292	Level II Diagnostic Nuclear Medicine Excluding Myocardial Scans	S		X
0300	Level I Radiation Therapy	S		X
0301	Level II Radiation Therapy	S		X
0302	Level III Radiation Therapy	S		X
0304	Level I Therapeutic Radiation Treatment Preparation	X	X
0305	Level II Therapeutic Radiation Treatment Preparation	X	X
0312	Radioelement Applications	S	X
0332	Computerized Axial Tomography w/o Contrast	S		X	X
0333	CT Angio and Computerized Axial Tomography w/o Contrast followed by with Contrast	S		X	X
0335	Magnetic Resonance Imaging, Temporomandular Joint	S			X
0336	Magnetic Resonance Angiography and Imaging without Contrast	S		X	X
0337	Magnetic Resonance Imaging and Angiography w/o Contrast followed by with Contrast	S			X
0338	Magnetic Resonance Angiography, Chest and Abdomen with or w/o Contrast	S			X
0339	Observation	X	X
0340	Minor Ancillary Procedures	X		X
0345	Level I Transfusion Laboratory Procedures	X		X
0346	Level II Transfusion Laboratory Procedures	X		X
0347	Level III Transfusion Laboratory Procedures	X		X
0352	Level II Injections	X		X
0353	Level II Allergy Injections	X	X
0355	Level I Immunizations	K		X
0356	Level II Immunizations	K		X
0359	Level I Injections	K		X
0360	Level I Alimentary Tests	X		X
0361	Level II Alimentary Tests	X		X
0364	Level I Audiometry	X		X
0365	Level II Audiometry	X		X
0367	Level I Pulmonary Test	X		X
0368	Level II Pulmonary Tests	X		X
0369	Level III Pulmonary Tests	X		X
0371	Level I Allergy Injections	X	X
0689	Electronic Analysis of Cardioverter-Defibrillators	S	X
0690	Electronic Analysis of Pacemakers and other Cardiac Devices	S	X
0691	Electronic Analysis of Programmable Shunts/Pumps	S	X
0692	Electronic Analysis of Neurostimulator Pulse Generators	S	X
0693	Level II Breast Reconstruction	T		X
0694	Level III Excision/Biopsy	T		X
0695	Level VII Debridement & Destruction	T		X
0696	Repair/Replacement of Cardioverter-Defibrillators	T	X
0697	Level II Echocardiogram Except Transesophageal	S		X
0698	Level II Eye Tests & Treatments	S		X
0699	Level IV Eye Tests & Treatment	T		X
0982	New Technology—Level XII ($2500-3000)	T			X
0983	New Technology—Level XIV ($3000-3500)	T			X
0984	New Technology—Level XV ($3500-5000)	T			X
0985	New Technology—Level XVI ($5000-6000)	T			X

D. Recalibration of APC Weights for CY 2002

Section 1833(t)(9)(A) of the Act requires that the Secretary review and revise the relative payment weights for APCs at least annually beginning in 2001 for application in 2002. In the April 7, 2000 final rule (65 FR 18482), we explained in detail how we calculated the relative payment weights that were implemented on August 1, 2000 for each APC group. Except for some reweighting due to APC changes, these relative weights continued to be in effect for 2001. (See the November 13, 2000 interim final rule (65 FR 67824-67827).)

To recalibrate the relative APC weights for services furnished on or after January 1, 2002 and before January 1, 2003, we are proposing to use the same basic methodology that we described in the April 7, 2000 final rule to recalibrate the relative weights for 2002. That is, we would recalibrate the weights based on claims and cost report data for outpatient services. We propose to use the most recent available data to construct the database for calculating APC group weights. For the purpose of recalibrating APC relative weights for 2002, the most recent available claims data are the approximately 98 million final action claims for hospital outpatient department services furnished on or after July 1, 1999 and before July 1, 2000. We matched these claims to the most recent cost report filed by the individual hospitals represented in our claims data. The APC relative weights would continue to be based on the median hospital costs for services in the APC groups.

The methodology we followed to calculate the APC relative weights proposed for CY 2002 is as follows:

• We excluded from the data approximately 15.4 million claims for those bill and claim types that would not be paid under the OPPS (for example, bill type 72X for dialysis services for patients with ESRD).
• Using the most recent available cost report from each hospital, we converted billed charges to costs and aggregated them to the procedure or visit level first by identifying the cost-to-charge ratio specific to each hospital's cost centers (“cost center specific cost-to-charge ratios” or CCRs) and then by matching the CCRs to revenue centers used on the hospital's 1999-2000 outpatient bills. The CCRs included operating and capital costs but excluded costs paid on a reasonable cost basis that are described elsewhere of this preamble.
• We eliminated from the hospital CCR data 283 hospitals that we identified as having reported charges on their cost reports that were not actual charges (for example, they make uniform charges for all services).
• We calculated the geometric mean of the total operating CCRs of hospitals remaining in the CCR data. We removed from the CCR data 67 hospitals whose total operating CCR exceeded the geometric mean by more than 3 standard deviations.
• We excluded from our data approximately 1.8 million claims from the hospitals that we removed or trimmed from the hospital CCR data.
• We matched revenue centers from the remaining universe of approximately 80.8 million claims to CCRs of 5,653 hospitals.
• We separated the 80.8 million claims that we had matched with a cost report into two distinct groups: single-procedure claims and multiple-procedure claims. Single-procedure claims were those that included only one HCPCS code (other than laboratory and incidentals such as packaged drugs and venipuncture) that could be grouped to an APC. Multiple-procedure claims included more than one HCPCS code that could be mapped to an APC. There were approximately 36.4 million single-procedure claims and 44.4 million multiple-procedure claims.
• To calculate median costs for services within an APC, we used only single-procedure bills. We did not use multiple-procedure claims because we are not able to specifically allocate charges or costs for packaged items and services such as anesthesia, recovery room, drugs, or supplies to a particular procedure when more than one significant procedure or medical visit is billed on a claim. Use of the single-procedure bills minimizes the risk of improperly assigning costs to the wrong procedure or visit.
• For each single-procedure claim, we calculated a cost for every billed line item charge by multiplying each revenue center charge by the appropriate hospital-specific CCR. If the appropriate cost center did not exist for a given hospital, we crosswalked the revenue center to a secondary cost center when possible, or to the hospital's overall cost-to-charge ratio for outpatient department services. We excluded from this calculation all charges associated with HCPCS codes previously defined as not paid under the OPPS (for example, laboratory, ambulance, and therapy services).
• To calculate the per-service costs, we used the charges shown in the revenue centers that contained items integral to performing the service. These included those items that we previously discussed as being subject to our proposed packaging provision. For instance, in calculating the surgical procedure cost, we included charges for the operating room, treatment rooms, recovery, observation, medical and surgical supplies, pharmacy, anesthesia, casts and splints, and donor tissue, bone, and organ. For medical visit cost estimates, we included charges for items such as medical and surgical supplies, drugs, and observation in those instances where it is still packaged. See sections II.C.1 and II.C.2 of this preamble for a discussion and complete listing of the revenue centers that we are proposing to use to calculate per-service costs.
• We standardized costs for geographic wage variation by dividing the labor-related portion of the operating and capital costs for each billed item by the current FY 2001 hospital inpatient prospective payment system wage index published in the Federal Register on August 1, 2000 (65 FR 47054). We used 60 percent to represent our estimate of that portion of costs attributable, on average, to labor. A more detailed discussion of wage index adjustments is found in section III of this preamble.
• We summed the standardized labor-related cost and the nonlabor-related cost component for each billed item to derive the total standardized cost for each procedure or medical visit.
• We removed extremely unusual costs that appeared to be errors in the data using a trimming methodology analogous to what we use in calculating the DRG weights for the hospital inpatient PPS. That is, we eliminated any bills with costs outside of 3 standard deviations from the geometric mean.
• After trimming the procedure and visit level costs, we mapped each procedure or visit cost to its assigned APC, including, to the extent possible, the proposed APC changes described elsewhere in this preamble.
• We calculated the median cost, weighted by procedure volume, for each APC.
• Using the weighted median APC costs, we calculated the relative payment weights for each APC. We scaled all the relative payment weights to APC 0601, Mid-level clinic visit, because it is one of the most frequently performed services in the hospital outpatient setting. This approach is consistent with that used in developing relative value units for the Medicare physician fee schedule. We assigned APC 0601 a relative payment weight of 1.00 and divided the median cost for each APC by the median cost for APC 0601, to derive the relative payment weight for each APC. The median cost for APC 0601 is $54.00.

Section 1833(t)(9)(B) of the Act requires that APC reclassification and recalibration changes and wage index changes be made in a manner that assures that aggregate payments under the OPPS for 2002 are neither greater than nor less than the aggregate payments that would have been made without the changes. To comply with this requirement concerning the APC changes, we compared aggregate payments using the CY 2001 relative weights to aggregate payments using the CY 2002 proposed weights. Based on this comparison, we are proposing to make an adjustment of 1.022 to the weights. The weights that we are proposing for 2002, which incorporate the recalibration adjustments explained in this section, are listed in Addendum A and Addendum B.

III. Wage Index Changes

Under section 1833(t)(2)(D) of the Act, we are required to determine a wage adjustment factor to adjust for geographic wage differences, in a budget neutral manner, that portion of the OPPS payment rate and copayment amount that is attributable to labor and labor-related costs.

We used the proposed Federal fiscal year (FY) 2002 hospital inpatient PPS wage index to make wage adjustments in determining the proposed payment rates set forth in this proposed rule. The proposed FY 2002 hospital inpatient wage index published in the May 4, 2001 Federal Register (66 FR 22821) is reprinted in this proposed rule as Addendum H, Wage Index for Urban Areas; Addendum I, Wage Index for Rural Areas; and Addendum J, Wage Index for Hospitals That Are Reclassified. We propose to use the final FY 2002 hospital inpatient wage index to calculate the payment rates and coinsurance amounts that we will publish in the final rule implementing the OPPS for calendar year (CY) 2002.

IV. Copayment Changes

We note that in section 1833(t) of the Act, the terms “copayment” and “coinsurance” appear to be used interchangeably. To be consistent with CMS usage, we make a distinction between the two terms throughout this preamble. We propose to make conforming changes to part 419 of the regulations to reflect the following usage:

• “Coinsurance” means the percent of the Medicare-approved amount that beneficiaries pay for a service furnished in the hospital outpatient department (after they meet the Part B deductible).
• “Copayment” means the set dollar amount that beneficiaries pay under the OPPS. For example, if the payment rate for an APC is $200 and the beneficiary is responsible for paying $50, the copayment is $50 and the coinsurance is 25 percent.

A. BIPA 2000 Coinsurance Limit

As discussed in section I.C of this preamble, certain provisions of BIPA 2000 affect beneficiary copayment amounts under the OPPS. Section 111 of the BIPA added section 1833(t)(8)(C)(ii) of the Act, to accelerate the reduction of beneficiary copayment amounts, providing that, for services furnished on or after April 1, 2001 and before January 1, 2002, the national unadjusted coinsurance for an APC cannot exceed 57 percent of the APC payment rate. The statute provides for further reductions in future years so that the national unadjusted coinsurance for an APC cannot exceed 55 percent in 2002 and 2003, 50 percent in 2004, 45 percent in 2005, and 40 percent in 2006 and thereafter.

We implemented the reduction in beneficiary copayments for 2001 effective April 1, 2001 through changes to the OPPS PRICER software used to calculate OPPS payments to hospitals from the Medicare Program and beneficiary copayments.

We would revise § 419.41 to conform the regulations text to this provision.

B. Impact of BIPA 2000 Payment Rate Increase on Coinsurance

Under the statute as enacted by BBA 1997, APC payment rates for 2001 were to be based on the payment rates for 2000 increased by the inpatient hospital market basket percentage increase minus 1 percentage point; however, section 401 of the BIPA 2000 increased APC payment rates for 2001 to reflect an update based on the full market basket percentage increase. The Congress intended for the increased payment to be in effect for the entire calendar year 2001; however, to provide us sufficient time to make the change, the Congress adopted a special payment rule for 2001. Under section 401(c) of the BIPA, the payment rates in effect for services furnished on or after January 1, 2001 and before April 1, 2001 are the rates as determined under the statute prior to the enactment of BIPA. For services furnished on or after April 1, 2001 and before January 1, 2002 the payment rates reflect the full market basket update and are further increased by 0.32 percent to account for the timing delay in implementing the full market basket update for 2001. The 0.32 percent increase is a temporary increase that applies only to the period April 1 through December 31, 2001 and is not considered in updating the OPPS conversion factor for 2002. The increase in APC payment rates for 2001 was implemented effective April 1, 2001 through changes to the OPPS PRICER software. We would revise § 419.32 to conform to the statute.

The section 401 increase to the APC payment rates affected beneficiary copayments in several ways. In cases for which the beneficiary coinsurance was already based on 20 percent of the APC payment rate, the increase in the APC payment rate caused a corresponding increase in the copayment for the APC. For all other APCs, the copayment amount remained at the same level. In addition, because the minimum copayment amount for an APC, which is the lowest amount a provider may elect to charge, if it chooses to reduce copayments for an APC, is based on 20 percent of the APC amount, the increase to an APC payment rate under section 401 of BIPA, resulted in an increase to the minimum copayment amount for each APC.

C. Coinsurance and Copayment Changes Resulting From Change in an APC Group

National unadjusted copayment amounts for the original APCs that went into effect on August 1, 2000 were, by statute, based on 20 percent of the national median charge billed for services in the APC group during calendar year 1996, trended forward to 1999, but could be no lower than 20 percent of the APC payment rate. Although the BBA 1997 specified how copayments were to be determined initially, the statute does not specify how copayments are to be determined in the future as the APC groups are recalibrated or as individual services are reclassified from one APC group to another. In this section, we are proposing the method we intend to apply in determining copayments for new APCs (that is, those created after 2001) and for APCs that are revised because of recalibration and reclassification.

In developing a proposed approach to be used in determining copayments for new or revised APCs, we took into account the following:

• One of the Congress's goals in authorizing an OPPS is to reduce beneficiary copayment liability until the copayment for every hospital outpatient service equals 20 percent of the prospectively determined payment rate for that service. Therefore, when given two possible copayment amounts or coinsurance percentages for a service as the result of an APC change, we should opt for the lower value.
• In general, we should use the coinsurance percentage (that is, the percentage of the total payment rate represented by the copayment amount) as the factor for comparison of the old versus the new copayment amount rather than a copayment dollar amount.
• Notwithstanding any changes, the coinsurance for an APC cannot be lower than 20 percent of the payment rate for an APC group.
• Notwithstanding any changes, the coinsurance for an APC cannot exceed 55 percent of the payment rate for an APC in 2002 or the applicable copayment limits under section 1833(t)(8)(C)(ii) of the Act in subsequent years.

The following describes how we propose to determine copayment amounts for new and revised APCs for 2002 and subsequent years:

1. If a newly created APC group consists of services that were not included in the 1996 data base or whose charges were not separately calculated in that data base (that is, the services were excluded or packaged) the unadjusted copayment amount would be 20 percent of the APC payment rate.

2. If recalibrating the relative payment weights results in an APC having a decrease in its payment rate for a subsequent year, the unadjusted copayment amount will be calculated so that the coinsurance percentage for the APC remains the same that it was before the payment rate decrease. For example, assume the APC had a payment rate of $100 and an unadjusted copayment amount of $50, resulting in a coinsurance percentage of 50 percent. If the new payment rate for the APC is lowered to $80, the copayment amount is calculated using the prior coinsurance percentage of 50 percent; therefore, the new copayment amount would be 50 percent of $80 or $40.

3. If recalibrating the relative payment weights results in an APC having an increase in its payment rate for a subsequent year, the unadjusted copayment amount would be calculated so that the copayment dollar amount for the APC remains the same as it was before the payment rate increase. That is, the unadjusted copayment amount would not change. For example, assume the APC had a payment rate of $100 and an unadjusted copayment amount of $60 (a coinsurance percentage of 60 percent). If the new payment rate for the APC is increased to $150, the unadjusted copayment amount would remain at $60 (a coinsurance percentage of 40 percent).

4. If a newly created APC group consists of services from two or more existing APCs, the unadjusted copayment amount would be calculated based on the lowest coinsurance percentage of the contributing APCs. For example, a new APC is created by moving some or all of the services from two existing APCs into the new APC. Assume that one contributing APC had a payment rate of $100 and an unadjusted copayment amount of $40, coinsurance percentage of 40 percent. Assume the other contributing APC had a payment rate of $150 and an unadjusted copayment amount of $75, a coinsurance percentage of 50 percent. If the new APC had a payment rate of $130, the unadjusted copayment amount for the new APC would be based on a coinsurance percentage of 40. The unadjusted copayment amount for the new APC would be 40 percent of $130, or $52.

5. If an APC payment rate is increased due to a conversion factor update, the unadjusted copayment amount for the APC would not change.

V. Outlier Policy Changes

For OPPS services furnished before January 1, 2002, section 1833(t)(5)(D) of the Act explicitly authorizes the Secretary to apply the outlier payment provision based upon all of the OPPS services on a bill. We exercised that authority and, since the beginning of the OPPS on August 1, 2000, we have calculated outlier payments in the aggregate for all OPPS services that appear on a bill. Under this proposed rule, beginning January 1, 2002, we will calculate outlier payments based on each individual OPPS service. We propose to revise the aggregate method that we are currently using to calculate outlier payments and begin to determine outliers on a service-by-service basis for OPPS services furnished on or after January 1, 2002.

One difficulty we face with calculating outliers based on individual services is how to treat the charges for packaged services (for example, drugs, supplies, anesthesia, and equipment) when more than one OPPS service appears on a bill. These packaged services do not in themselves generate an APC payment but their charges must be taken into account to determine the cost of a service such as a surgical or diagnostic procedure or medical visit that does generate an APC payment. When more than one HCPCS code that will result in an APC payment appears on a bill, it is currently impossible to determine which packaged service is associated with an individual OPPS payable service. For example, when multiple surgical procedures are performed on the same day, we cannot determine how much of the operating room, drug, supply, anesthesia, or recovery room charge is attributable to each procedure. Similarly, if a medical visit and a surgical procedure occur on the same day, we cannot accurately determine how much of the charge for any drug, supply, or other packaged service that appears on the bill is attributable to each individual OPPS service.

One solution would be to require hospitals to submit separate bills for each OPPS service so that we can be certain that the correct packaged services attributable to the individual OPPS service will be taken into account in determining an outlier payment for that service. We believe, however, such a requirement would be excessively burdensome to hospitals and would greatly increase fiscal intermediary workloads. In addition, billing of individual services for the same day on separate bills would prohibit us from applying the correct coding edits. Finally, we believe that the limit on outlier payments (up to 2.5 percent of the total OPPS payments in each year before 2004 and up to 3 percent for subsequent years) does not justify the burden that would result from requiring separate bills for each OPPS service.

Another approach we considered is to allocate the charges for any packaged service among the individual OPPS services that appear on the bill. We considered two possible ways to do this. First, we could divide the packaged charges equally among the OPPS services so that if there were three services that generated APC payments, one third of the charges for the packaged services would be assigned to each OPPS service. We also considered dividing the total packaged charges among the OPPS services based on the ratio of the APC payment rate for an individual OPPS service to the total APC payment rates for all services on the bill. Thus, if a service resulted in an APC rate of $200 and the total APC payment rates for all services on the bill were $2,000, that individual APC would be allocated 10 percent of the packaged charges appearing on the bill.

We prefer using one of the approaches that would allocate packaged charges among the APCs on a bill to avoid disruptive billing changes. Of the two ways to allocate charges for packaged services, we are proposing that charges be allocated to each OPPS service based on the percent the APC payment rate for that service bears to the total APC rates for all OPPS services on the bill. We believe that this allocation method is somewhat more precise than simply dividing evenly the total packaged charges by the number of APCs on the bill.

We also propose to convert charges to costs for calculating outlier payments by continuing to apply a single overall hospital-specific cost-to-charge ratio instead of applying hospital-specific departmental cost-to-charge ratios. There is no universal crosswalk of revenue codes to cost report cost centers that is used by all hospitals. Although departmental cost-to-charge ratios are more precise for purposes of determining costs of specific services, hospitals have considerable discretion in assigning charges billed under specific revenue codes to specific departments on their cost reports. Therefore, we do not have a way of defining, in a uniform manner that is accurate for all hospitals, which department cost-to-charge ratio to apply to a revenue code billed by a hospital. We considered establishing a basic crosswalk that we would apply uniformly to every hospital, but this could result in a distorted or inaccurate model of how some hospitals actually assign charges. Given the appropriate resources, we could gather data from hospitals upon which to base a crosswalk specific to every hospital paid under the OPPS. But collecting these data would impose significant burden and administrative costs on hospitals and on our contractors. Given that outliers represent only 2 to 3 percent of total OPPS expenditures, we believe that the increased accuracy in calculating outlier payments that we could gain would not be sufficient to justify the significant additional administrative burden and cost that would be required. For this reason, we are proposing to continue to apply a single hospital-specific outpatient cost-to-charge ratio to convert billed charges to costs for calculating outlier payments.

As explained in the April 7, 2000 final rule (65 FR 18498), we set a target for outlier payments at 2.0 percent of total payments. We also explained, for purposes of simulating payments to calculate outlier thresholds, that we set the parameters for determining outlier payments as if the target were 2.5 percent. We believed that it would be likely that using simulation 1996 claims data would overstate the percentage of payments that would be made. Based on the simulations, we set a threshold for outlier payments at 2.5 times the claim cost and a payment percent of 75 percent of the cost above the threshold for both 2000 and 2001.

In setting the 2002 outlier threshold and payment percentage, we account for the charge to service level rather than claim level outlier calculation. In this proposed rule, we would again set the target for outlier payment at 2.0 percent. However, because we believe that the claims data we are using to set the 2002 proposed payment rates reflect much better coding of services than did the 1996 data, we would set these parameters to reach a target of 2.0 percent (rather than 2.5 percent). Based on our simulations, the proposed threshold for 2002 is 3 times the service costs and the proposed payment percentage for costs above that threshold is set at 50 percent.

VI. Other Policy Decisions and Proposed Changes

A. Change in Services Covered Within the Scope of the OPPS

Section 1833(t)(1)(B) of the Act defines the term “covered OPD services” that are to be paid under the OPPS. “Covered OPD services” are “hospital outpatient services designated by the Secretary” and include “inpatient hospital services designated by the Secretary that are covered under this part and furnished to a hospital inpatient who (i) is entitled to benefits under part A but has exhausted benefits for inpatient hospital services during a spell of illness, or (ii) is not so entitled” (that is, “Part B-only” services). “Part B-only” services are certain ancillary services furnished to inpatients for which the hospital receives payment under Medicare Part B. Section 3110 of the Medicare Intermediary Manual and section 2255C of the Medicare Carriers Manual specify these services as diagnostic tests; X-ray and radioactive isotope therapy; surgical dressings, splints and casts; prosthetic devices; and limb braces and trusses and artificial limbs and eyes.

In the April 7, 2000 final rule, we included inpatient “Part B-only” services within the definition of services payable under the OPPS (68 FR 18543). We have subsequently been approached by representatives of some hospitals that do not have outpatient departments and that, therefore, do no billing for Part B services except for a relatively few “Part B-only” services that they furnish to their inpatients. That is, the only bills these hospitals would ever submit for Part B payment are for the ancillary services designated as “Part B-only” services. These hospitals are concerned about the administrative burden and prohibitive costs they would incur if they were to change their billing systems to accommodate OPPS requirements solely to receive payment for “Part B-only” services.

We recognize that there are certain hospitals that do not have outpatient departments and that do not provide outpatient department services but that do provide inpatient services to Medicare beneficiaries. The only services these hospitals bill under OPPS are services furnished to inpatients. That is, these are special billings under the Part B-only benefit for limited ancillary services provided to beneficiaries who are admitted to the hospital as inpatients and who are not receiving services on an outpatient basis. We further acknowledge that the expense of converting their billing systems to accommodate the OPPS is disproportionate to the Part B revenues that these hospitals receive. Therefore, we are proposing to revise § 419.22 by adding subparagraph (r) to exclude from payment under the OPPS Part B-only services that are furnished to inpatients of hospitals that do no other billing for hospital outpatient services under Part B.

Under this proposed revision of the regulations, hospitals with outpatient departments would continue to bill under the OPPS for Part B-only services that they furnish to their inpatients. However, a hospital that does not have an outpatient department would be unable to bill under the OPPS for any Part B-only service the hospital furnished to its inpatients because those services would not fall within the scope of covered OPD services. If a hospital with no outpatient department is currently billing under the OPPS, the hospital would have to revert to its previous payment methodology for services furnished on or after January 1, 2002. That methodology would be an all-inclusive rate for hospitals paid that way prior to the implementation of OPPS and reasonable cost for other hospitals.

We do not know at this time, and are not sure it would be possible to ascertain, the potential number of hospitals that would be affected by this regulatory change. However, we expect the financial impact on the program to be small, because this revised rule would apply only to the relatively few hospitals that are billing for the very limited range of Part B-only services for a small number of beneficiaries.

B. Categories of Hospitals Subject to and Excluded From the OPPS

In § 419.20(b) of the regulations, certain hospitals in Maryland that qualify under section 1814(b)(3) of the Act for payment under the State's payment system are excluded from the OPPS. Critical access hospitals (CAHs) that are paid under a reasonable cost-based system as required under section 1834(g) of the Act are also excluded. In addition, we stated in the April 7, 2000 final rule that the outpatient services provided by the hospitals of the Indian Health Services (IHS) will continue to be paid under separately established rates. We also noted that we intended to consult with the IHS and develop a plan to transition these hospitals into OPPS. With these exceptions, the OPPS applies to all other hospitals that participate in the Medicare program.

It has been brought to our attention that under the statute, hospitals located in Guam, Saipan, American Samoa, and the Virgin Islands are excluded from the hospital inpatient PPS. These hospitals currently lack a charge structure for billing and, in some cases, are not equipped to prepare a cost report. They furnish very few services that would be subject to the OPPS. In addition, we believe that because of their distant locations, they incur costs that might not be adequately recognized by a PPS. Prior to implementation of the OPPS, each of the hospitals in Guam, American Samoa, Saipan, and the Virgin Islands had its own unique Medicare payment methodology for the outpatient services they furnish. In light of these factors, we are proposing to revise § 419.20 of the regulations by adding paragraph (b)(3) to exclude these hospitals from OPPS consistent with their treatment under inpatient PPS. In addition, we would revise that section to include the hospitals of the IHS so that it is clear that they are excluded until we develop a plan to include them. We would note that it may also be possible to include the hospitals in the territories in the OPPS in the future.

C. Conforming Changes: Additional Payments on a Reasonable Cost Basis

Hospitals subject to the OPPS are paid for certain items and services that are outside the scope of the OPPS on a reasonable cost or other basis. Payments for the following services are made on a reasonable cost basis or otherwise applicable methodology:

a. The direct costs of medical education as described in § 413.86.

b. The costs of nursing and allied health programs as described in § 413.85.

c. The costs associated with interns and residents not in approved teaching programs as described in § 415.202.

d. The costs of teaching physicians attributable to Part B services for hospitals that elect cost-based payment for teaching physicians under § 415.160.

e. The costs of anesthesia services furnished to hospital outpatients by qualified nonphysician anesthetists (certified registered nurse anesthetists and anesthesiologists' assistants) employed by the hospital or obtained under arrangements, for hospitals that meet the requirements under § 412.113(c).

f. Bad debts for uncollectible deductible and coinsurance amounts as described in § 413.80(b).

g. Organ acquisition costs paid under Part B. Interim payments for these services are made on a biweekly basis and final payments are determined at cost report settlement.

We would revise § 419.2(c) to make conforming changes that reflect the exclusion of these costs from the OPPS rates.

D. Hospital Coding for Evaluation and Management (E/M) Services

In the April 7, 2000 final rule, we emphasized the importance of each facility accurately assessing the intensity, resource use, and charges for evaluation and management (E/M) services, in order to ensure proper reporting of the service provided. We stated that “the billing information that the hospitals report during the first years of implementation of the hospital outpatient PPS will be vitally important to our revision of weights and other adjustments that affect payment in future years.” (65 FR 18451)

We went on to state, “We realize that while these HCPCS codes appropriately represent different levels of physician effort, they do not adequately describe nonphysician resources. However, * * * the same concept can be applied to each code in terms of the differences in resource utilization. Therefore, each facility should develop a system for mapping the provided services or combination of services furnished to the different levels of effort represented by the codes * * *. We will hold each facility accountable for following its own system for assigning the different levels of HCPCS codes. As long as the services furnished are documented and medically necessary and the facility is following its own system, which reasonably relates the intensity of hospital resources to the different levels of HCPCS codes, we will assume that it is in compliance with these reporting requirements as they relate to the clinic/emergency department visit code reported on the bill. Therefore, we would not expect to see a high degree of correlation between the code reported by the physician and that reported by the facility * * *. We will work with the American Hospital Association and the American Medical Association to propose the establishment of appropriate facility-based patient visit codes * * *.”

We understand that facilities have developed several different systems for determining resource consumption to assign proper E/M codes. Some of these systems are based on clinical (“condition”) criteria, and others are based on weighted scoring criteria. We continue to believe that proper facility coding of E/M services is critical for assuring appropriate payments. In order to achieve this, we are interested in developing and implementing a standardized coding process for facility reporting of E/M services. This process could include the use of current HCPCS codes or the establishment of new HCPCS codes in conjunction with guidelines for facility coding.

At this time, we are soliciting comments from hospitals and other interested parties on this issue. We will submit these comments to the APC Advisory Panel and ask for the Panel's recommendations regarding the development and implementation of a facility coding process for E/M services. In order to ensure consideration by the Panel, comments must be received by November 1, 2001. Send comments regarding facility coding of E/M services to: OPPS-E/M coding, Centers for Medicare & Medicaid Services, Mailstop C4-05-17, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. CMS will review both the public comments and the recommendations from the Panel and propose a coding process in the proposed rule for 2003.

E. Annual Drug Pricing Update

Under the OPPS, we pay for drugs and biologicals in one of three ways.

1. Packaged Payment

As we explain in the April 7, 2000 final rule, we generally package the cost of drugs, biologicals, and pharmaceuticals into the APC payment rate for the primary procedure or treatment with which the drugs are usually furnished (65 FR 18450). No separate payment is made under the OPPS for drugs, biologicals, and pharmaceuticals whose costs are packaged into the APCs with which they are associated.

2. Transitional Pass-Through Payments for Eligible Drugs and Biologicals

As we explain in the April 7, 2000 final rule and in section VII of this preamble, the BBRA 1999 provided for special transitional pass-through payments for a period of 2 to 3 years for the following drugs and biologicals:

• Current orphan drugs, as designated under section 526 of the Federal Food, Drug, and Cosmetic Act;
• Current drugs and biologic agents used for treatment of cancer;
• Current radiopharmaceutical drugs and biological products; and
• New drugs and biologic agents in instances where the item was not being paid for as a hospital outpatient service as of December 31, 1996, and where the cost of the item is “not insignificant” in relation to the hospital outpatient PPS payment amount.

In this context, “current” refers to those items for which hospital outpatient payment was being made on August 1, 2000, the date on which the OPPS was implemented. A “new” drug or biological is a product that was not paid as a hospital outpatient service prior to January 1, 1997 and for which the cost is not insignificant in relation to the payment for the APC to which it is assigned.

Section 1833(t)(6)(D)(i) of the Act sets the payment rate for pass-through eligible drugs as the amount determined under section 1842(o) of the Act, that is, 95 percent of the applicable average wholesale price (AWP). Section 1833(t)(6)(D)(i) of the Act also sets the amount of additional payment for pass-through-eligible drugs and biologicals (the pass-through payment amount). The pass-through payment amount is the difference between 95 percent of the applicable AWP and the portion of the otherwise applicable fee schedule amount (that is, the APC payment rate) that the Secretary determines is associated with the drug or biological. Therefore, as we explain in the April 7 final rule (65 FR 18481), in order to determine the correct pass-through payment amount, we first had to determine the cost that was packaged for the drug or biological within its related APC. In order to determine this amount, we used the following methodology, which we also explain in the April 7 final rule.

When we implemented the OPPS on August 1, 2000, costs for drugs and biologicals eligible for transitional pass-through payment were, to the extent possible, not included in the payment rates for the APC groups into which they had been packaged prior to enactment of the BBRA 1999. That is, to the extent feasible, we removed from the APC groups into which they were packaged, the costs of as many of the pass-through eligible drugs and biologicals as we could identify in the 1996 claims data. Then, we assigned each drug and biological eligible for a pass-through payment to its own, separate APC group, the total payment rate for which was set at 95 percent of the applicable AWP.

Next, in order to establish the applicable beneficiary copayment amount and pass-through payment amount, we had to determine the cost of the pass-through eligible drug or biological that would have been included in the payment rate for its associated APC had the drug or biological been packaged. We used hospital acquisition costs as a proxy for the amount that would have been packaged, based on data taken from an external survey of hospital drug costs. (See the April 7, 2000 final rule (65 FR 18481)).

We imputed the acquisition cost for the various drugs and biologicals in pass-through APCs by multiplying their applicable AWP by one of the following ratios. The following ratios are based on the survey data, and they represent, on average, hospital drug acquisition cost relative to AWP:

• For drugs with one manufacturer (sole-source), the ratio of acquisition cost to AWP equals 0.68.
• For drugs with more than one manufacturer (multi-source), the ratio of acquisition cost to AWP equals 0.61.
• For drugs with more than one manufacturer and with generic competitors, the ratio of acquisition cost to AWP equals 0.43.

In accordance with section 1833(t)(7) of the Act, we base beneficiary copayment amounts for pass-through drugs only on that portion of the drug's cost that would have been included in the payment amount for an associated APC had the drug been packaged. Therefore, having determined the hospital acquisition cost of the drug based on the ratios described above, we multiply the acquisition cost by 20 percent to calculate the beneficiary copayment for the pass-through drug or biological APCs. Finally, to calculate the actual pass-through payment amount, we subtract from the applicable 95 percent of AWP the hospital acquisition cost less the beneficiary copayment amount.

To illustrate this payment methodology, consider a current sole source drug with an average wholesale price (AWP) of $100 per dose. Under section 1842(o) of the Act, the total allowed payment for the drug is $95, that is, 95 percent of AWP. We impute the cost of the drug based on survey data, which indicate hospital acquisition costs for this type of drug on average to be 68 percent of its AWP (or $68). In the absence of the pass-through provisions, this cost would be packaged into the APC payment for the procedure or service with which the drug or biological is furnished. Therefore, we define the beneficiary coinsurance as 20 percent of the imputed cost of $68, resulting in a copayment amount $13.60. The pass-through payment amount is $27 (the difference between 95 percent of AWP ($95) and the portion of the APC payment that is based on the cost of the drug ($68)). The total Medicare program payment in this example equals $81.40 (cost of the drug in the APC ($68) less beneficiary copay ($13.60) plus pass-through payment ($27)).

In this proposed rule, we are clarifying that, for purposes of calculating transitional pass-through payment amounts, we make no distinction between new and current drugs and biologicals. Rather, we assume that drugs and biologicals defined as “new” under section 1833(t)(6)(A)(iv)(I) of the Act, that is, for which payment was not being made as of December 31, 1996, nonetheless replace or are alternatives to drugs, biologicals, or therapies whose costs would have been reflected in our 1996 claims data and, thus, have been packaged into an associated APC. Therefore, we assume that our imputed acquisition cost, based on the external survey data, represents that portion of the APC payment attributable to new as well as current drugs and biologicals. For that reason, we are discontinuing use of the payment status indicator “J” that we introduced in the November 13, 2000 final rule to designate a “new” drug/biological pass-through. Instead, we would assign payment status indicator “G” to both current and new drugs that are eligible for pass-through payment under the OPPS. (Addendum D lists the definition of the OPPS payment status indicators.)

3. Separate APCs for Drugs Not Eligible for Transitional Pass-Through Payment

There are some drugs and biologicals for which we did not have adequate cost data yet that are not eligible for transitional pass-through payments. Beginning with the April 7, 2000 final rule, we created separate APCs for these drugs and biologicals. For example, we did not package into the emergency room visit APCs the various drugs classified as tissue plasminogen activators (tPAs) and other thrombolytic agents, which are used to treat patients with myocardial infarctions. Rather, we created individual APC groups for these drugs to allow separate payment so as not to discourage their use where appropriate.

We based the payment rate for these APCs on median hospital acquisition costs. To determine the hospital acquisition cost for the drugs, we imputed a cost using the same ratios of drug acquisition cost to AWP that we discuss in section VI.E.2. in connection with calculating acquisition costs for transitional pass-through drug payments. That is, we multiplied the AWP for the drug by the applicable ratio (sole or multi-source drug) based on data collected in an external survey of hospital drug acquisition costs.

We set beneficiary co-payment amounts for these drug APCs at 20 percent of the imputed acquisition cost. We use status indicator “K” to denote the APCs for drugs, biologicals, and pharmaceuticals that are paid separately from and in addition to the procedure or treatment with which they are associated yet are not eligible for transitional pass-through payment. Refer to Addendum A to identify these APCs.

4. Annual Drug Pricing Update

a. Drugs Eligible for Pass-Through Payments. We used the AWPs reported in the Drug Topics Red Book to determine the payment rates for the pass-through drugs and biologicals. In the November 13, 2000 interim final rule (65 FR 67809), in response to a comment that we update the AWPs for pass-through drugs on a quarterly basis, we stated that, due to the complexity of the new payment system, we would be able to update the rates only on an annual basis. We also noted that the new rates would be effective for the quarter following the publication of the updated AWP values in the Red Book. It was our understanding that, although there are quarterly updates to the AWPs in the Red Book, the annual update is published in April of each year. It was our intention to update the AWPs for drugs each July 1, the quarter following the annual publication, and we did use the April 2001 version of the Red Book to update the APC rates for drugs eligible for pass-through payments. The pass-through payment rates for drugs and biologicals updated for 2001 went into effect July 1, 2001 (Program Memorandum A-01-73, issued on June 1, 2001).

We found that doing an update for all the pass-through drugs and biologicals at mid-year was disruptive to both our computer systems and pricing software. Because it is now our understanding that even though the April publication is the annual printed version of the Red Book, there are quarterly updates available that we can use to update the AWPs. In fact, we have found that since the implementation of the pass-through payments in OPPS, many manufacturers have availed themselves of the Red Book quarterly update system to make frequent and large increases to their AWPs. Therefore, we do not believe it is necessary to wait until publication of the annual Red Book to do an update to the pass-through rates for drugs and biologicals to reflect the most recent AWPs.

Thus, we are proposing to update the APC rates for drugs that are eligible for pass-through payments in 2002 using the July 2001 or October 2001 version of Red Book (depending upon which is available when we develop the final rule). The updated rates effective January 1, 2002 would remain in effect until we implement the next annual update in 2003, when we would again update the AWPs based on the latest quarterly version of the Red Book. This would place the update of pass-through drug prices on the same calendar year schedule as the other annual OPPS updates.

b. Drugs in Separate APCs Not Eligible for Pass-Through Payments. We used the conversion factor published in the November 13, 2000 final rule (65 FR 67827) to update, effective January 1, 2001, the APC rates for the drugs that are not eligible for pass-through payments that are in separate APCs. We also made payment adjustments to these APC groups effective April 1, 2001, as required by section 401(c) of the BIPA, which sets forth a special payment rule that had the effect of providing a full market basket update in 2001.

For 2002, we propose to recalibrate the weights for the APCs for drugs that are not pass-through items and make the other adjustments applicable to the APC groups that we discuss in sections III, IV, and VIII of this proposed rule.

F. Definition of Single-Use Devices

Our definition of a device eligible for pass-through payment includes a criterion whereby eligible devices are used for one patient only and are single use (65 FR 47674, August 3, 2000). In the November 13, 2000 interim final rule, we stated, in response to a comment, that additional pass-through payments would not be made for devices that are reprocessed or reused because they are not single-use items. We further indicated that hospitals submitting pass-through claims for these devices might be considered to be engaging in fraudulent billing practices (65 FR 67822).

Since publishing our November 13, 2000 rule, much has come to our attention regarding reprocessed single-use devices. Reprocessors and professional associations using reprocessed devices commented that, under certain circumstances, the FDA considers reprocessed devices to be single-use devices. The FDA corroborated that it considers previously used single-use devices that have been appropriately reprocessed to be considered to be a single-use device. The reprocessing industry also indicated that reprocessed single use devices are of much lower cost to hospitals than original equipment manufactured single-use devices.

We have learned that the FDA published guidance for the reprocessing of single-use devices (FDA's “Enforcement Priorities for Single-Use Devices Reprocessed by Third Parties and Hospitals,” issued August 14, 2000). This document presents a phased-in regulatory scheme for reprocessed devices. As such, we are proposing to follow FDA's guidance on reprocessed single-use device. We would consider reprocessed single-use devices that are otherwise eligible for pass-through payment as part of a category of devices to be eligible for that payment if they meet FDA's most recent regulatory criteria on single-use devices. Also, reprocessed devices must meet any FDA guidance or other regulatory requirements in the future regarding single use. Reprocessed devices adhering to these guidelines would be considered as having met our criterion of approval or clearance by the FDA. We have met with and will continue to meet and coordinate with the FDA concerning that Federal agency's definition and regulation of single-use devices.

Parties advise us that reprocessed devices reduce the costs to hospitals substantially. Therefore, we would expect that the hospital charges on claims submitted for pass-through payments for reprocessed single-use devices would reflect the lower cost of these devices.

G. Criteria for New Technology APCs

1. Background

In the April 7, 2000 final rule (68 FR 18477), we created a set of new technology APCs to pay for certain new technology services under the OPPS. These APCs are intended to pay for new technology services that were not addressed by the transitional pass-through provisions of the BBRA 1999. We indicated that the new technology APCs would be defined on the basis of costs and not the clinical characteristics of a service.

We initially established groups 0970 through 0984 as the new technology APCs with costs ranging from less than $50 to $6,000. The payment rate for each of these APCs is based on the midpoint of a range of costs. For example, the payment for new technology APC 0974, which includes services that cost from $300 to $500, is set at $400.

The new technology APCs that were implemented on August 1, 2000 were populated with 11 new technology services. We state in the April 7, 2000 rule that we will pay for an item or service under a new technology APC for at least 2 years but no more than 3 years, consistent with the term of transitional pass-through payments. After that period of time, during the annual APC update cycle, we stated that we will move the item or service into the existing APC structure based on its clinical attributes and, based on claims data, its resource costs. For a new technology APC, the beneficiary coinsurance is 20 percent of the APC payment rate.

In the April 7, 2000 rule, we specified an application process and the information that must be supplied for us to consider a request for payment under the new technology APCs (65 FR 18478). We also described the five criteria we would use to determine whether a service is eligible for assignment to a new technology APC group. These criteria, which we are currently using, are as follows:

• The item or service is one that could not have been billed to the Medicare program in 1996 or, if it was available in 1996, the costs of the service could not have been adequately represented in 1996 data.
• The item or service does not qualify for an additional payment under the transitional pass-through payments provided for by section 1833(t)(6) of the Act as a current orphan drug, as a current cancer therapy drug or biological or brachytherapy, as a current radiopharmaceutical drug or biological product, or as a new medical device, drug, or biological.
• The item or service has a HCPCS code.
• The item or service falls within the scope of Medicare benefits under section 1832(a) of the Act.
• The item or service is determined to be reasonable and necessary in accordance with section 1862(a)(1)(A) of the Act.

2. Proposed Modifications to the Criteria and Process for Assigning Services to New Technology APCs

Based on the experience we have gained and data we have collected since publication of the April 7, 2000 final rule, we are proposing to revise—(a) the definition of what is appropriately paid for under the new technology APCs; (b) the criteria for determining whether a service may be paid under the new technology APCs; (c) the information that we will require to determine eligibility for assignment to a new technology APC; and (d) the length of time we will pay for a service in a new technology APC.

a. Services Paid Under New Technology APCs. We propose to limit eligibility for placement in new technology APCs to complete services or procedures. That is, the following are not eligible for placement in a new technology APC: items, materials, supplies, apparatuses, instruments, implements, or equipment that are used to accomplish a more comprehensive service or procedure.

We would continue to exclude devices or any drug, biologic, radiopharmaceutical, product, or commodity for which payment could be made under the transitional pass-through provisions. We believe that the new technology APCs should be reserved for only those comprehensive services or procedures that are truly new. Individual components of a service or procedure that do not meet the transitional pass-through payment criteria should be incorporated into a current APC and as hospitals begin to use the new items, supplies, or equipment the costs will become incorporated into the weight of the APC. To the extent possible, we believe that hospitals should be making the decision on what items, supplies, and equipment on the basis of efficiency and appropriate treatment of the patient. However, we believe it is appropriate to incorporate truly new services and procedures that replace much less expensive services or procedures into a new technology APC to afford access to our beneficiaries.

Furthermore, we wish to clarify that we do not consider that merely being a different approach to an existing treatment or procedure qualifies a service for assignment to a new technology APC. As new approaches to existing procedures and services are adopted and performed, we expect the costs associated with these variations and improvements to be reflected in the claims data that we use to annually update the APC relative weights.

b. Criteria for Assignment to New Technology APC. In light of the experience we have gained over the past year in reviewing requests for new technology and transitional pass-through status, developing criteria to define new medical services and technologies under the inpatient PPS, and determining categories of new devices under the transitional pass-through provisions, we are proposing that the following criteria be used to determine whether a service be assigned to a new technology APC. These modifications are based on changes in data (we are no longer using 1996 data to set payment rates) and our continuing experience with the system of assigning new technology APCs.

• The service is one that could not have been adequately represented in the claims data being used for the most current annual payment update. (Current criterion based on 1996 data.)
• The service does not qualify for an additional payment under the transitional pass-through provisions. (This criterion is unchanged.)
• The service cannot reasonably be placed in an existing APC group that is appropriate in terms of clinical characteristics and resource costs. We believe it is unnecessary to assign a new service to a new technology APC if it may be appropriately placed in a current APC.
• The service falls within the scope of Medicare benefits under section 1832(a) of the Act. (This criterion is unchanged.)
• The service is determined to be reasonable and necessary in accordance with section 1862(a)(1)(A) of the Act. (This criterion is unchanged.)

We would delete the criterion that the service must have a HCPCS code. In the absence of an appropriate HCPCS code, we would consider creating a HCPCS code that describes the procedure or service. These HCPCS codes would be solely for hospitals to use when billing under the OPPS.

c. Revision of Application for New Technology Status. We also propose to change the information that interested parties must submit to have a service or procedure considered for assignment to a new technology APC. Based on our experience over the past year in reviewing new technology APC applications, we believe that the criteria would better assist us in determining eligibility for these APCs than do the current criteria. Specifically, to be considered, we propose to require that requests include the following information:

• The name by which the service is most commonly known. We currently require only the trade/brand name.
• A clinical vignette, including patient diagnoses that the service is intended to treat, the typical patient, and a description of what resources are used to furnish the service by both the facility and the physician. For example, for a surgical procedure this would include staff, operating room, and recovery room services as well as equipment, supplies, and devices, etc. This criterion would replace the criterion that requires a detailed description of the clinical application of the service. We believe we need a fuller description to help us understand how the service is furnished in hospitals.
• A list of any drugs or devices used as part of the service that require approval from the Food and Drug Administration (FDA) and information to document receipt of FDA approval/clearances and the date obtained. This would be a refinement of the current requirement for demonstrating FDA approval.
• A description of where the service is currently being performed (by location) and the approximate number of patients receiving the service in each location. This criterion and the one that follows would help inform our analysis by providing us with medical contacts.
• An estimate of the number of physicians who are furnishing the service nationally and the specialties they represent.
• Information about the clinical use and efficacy of the service such as peer-reviewed articles. Again, this criterion would assist us in our clinical review of the procedure.
• The CPT or HCPCS Level II code(s) that are currently being used to report the service and an explanation of why use of these HCPCS codes is inadequate to report the service under the OPPS. This criterion and the three that follow are refinements of the current HCPCS requirement.
• A list of the CPT or HCPCS Level II codes for all items and procedures that are an integral part of the service. This list should include codes for all procedures and services that, if coded in addition to the code for the service under consideration for new technology status, would represent unbundling.
• A list of all CPT and HCPCS Level II codes that would typically be reported in addition to the service.
• A proposal for a new HCPCS code, including a descriptor and rationale for why the descriptor is appropriate. The proposal should include the reason why the service does not have a CPT or HCPCS Level II code, and why the CPT or HCPCS Level II code or codes currently used to describe the service are inadequate.
• An itemized list of the costs incurred by a hospital to furnish the new technology service, including labor, equipment, supplies, overhead, etc. (This criterion is unchanged.)
• The name, address, and telephone number of the party making the request. (This criterion is unchanged.)
• Other information as CMS may require to evaluate specific requests. (This criterion is unchanged.)

d. Length of Time in a New Technology APC. We are also proposing to change the period of time during which a service may be paid under a new technology APC. Although section 1833(t)(6)(B) of the Act, as amended by section 201 of BBRA 1999, sets a 2 to 3 year period of payment for transitional pass-through payments, this requirement does not extend to new technology APCs. In the April 7, 2000 final rule we stated our intention to adopt the same period of payment for new technology APCs for consistency. However, the experience we have gained during the first year of the OPPS has led us to the conclusion that a more flexible payment period would be preferable. Therefore, we are proposing to modify the time frame that we established for new technology APCs in the April 7, 2000 final rule and to retain a service within a new technology APC group until we have acquired adequate data that allow us to assign the service to a clinically appropriate APC. This would allow us to move a service from a new technology APC in less than 2 years if the data were available and would also allow us to retain a service in a new technology APC for more than 3 years if these data were not available.

We invite comment on the changes to the definition, criteria, application process, and timeframe that we are proposing for services and procedures that may qualify for assignment to a new technology APC under the OPPS.

VII. Transitional Pass-Through Payment Issues

A. Background

Section 1833(t)(6) of the Act provides for temporary additional payments or “transitional pass-through payments” for certain innovative medical devices, drugs, and biologicals. As originally enacted by the BBRA, this provision required the Secretary to make additional payments to hospitals for current orphan drugs, as designated under section 526 of the Federal Food, Drug, and Cosmetic Act; current drugs, biologic agents, and brachytherapy devices used for the treatment of cancer; and current radiopharmaceutical drugs and biological products. Transitional pass-through payments are also required for new medical devices, drugs, and biologic agents that were not being paid for as a hospital outpatient service as of December 31, 1996 and whose cost is “not insignificant” in relation to the OPPS payment for the procedures or services associated with the new device, drug, or biological. Under the statute, transitional pass-through payments are to be made for at least 2 years but not more than 3 years.

Section 402 of BIPA, which was enacted on December 21, 2000, made several changes to section 1833(t)(6) of the Act. First, section 1833(t)(6)(B)(i) of the Act, as amended, requires us to establish by April 1, 2001, initial categories to be used for purposes of determining which medical devices are eligible for transitional pass-through payments. We fulfilled this requirement through the issuance on March 22, 2001 of two Program Memoranda, Transmittals A-01-40 and A-01-41. These Program Memoranda can be found on the CMS homepage at www.hcfa.gov/​pubforms/​transmit/​A0140.pdf and www.hcfa.gov/​pubforms/​transmit/​A0141.pdf,, respectively. We note that section 1833(t)(6)(B)(i)(II) of the Act explicitly authorizes the Secretary to establish initial categories by program memorandum.

Transmittal A-01-41 includes a list of the initial device categories and a crosswalk of all the item-specific C-codes for individual devices that were approved for transitional pass-through payments as of January 20, 2001 to the initial category code by which the device is to be billed beginning April 1, 2001.

Section 1833(t)(6)(B)(ii) of the Act also requires us to establish, through rulemaking, criteria that will be used to create additional categories, other than those established initially. The criteria for new categories are the subject of a separate interim final rule with comment period, which will be published at a later date.

Transitional pass-through categories are for devices only; they do not apply to drugs or biologicals. The regulations governing transitional pass-through payments for eligible drugs and biologicals remain unchanged. The process to apply for transitional pass-through payment for eligible drugs and biological agents, including radiopharmaceuticals, can be found in the April 7, 2000 Federal Register (65 FR 18481) and on the CMS web site at http://www.hcfa.gov/​medlearn/​appdead.htm. If we revise the application instructions in any way, we will post the revisions on our web site and submit the changes for the Office of Management and Budget (OMB) review under the Paperwork Reduction Act.

B. Discussion of Pro Rata Reduction

Section 1833(t)(6)(E) of the Act limits the total projected amount of transitional pass-through payments for a given year to an “applicable percentage” of projected total payments under the hospital OPPS. For a year before 2004, the applicable percentage is 2.5 percent; for 2004 and subsequent years, the applicable percentage is specified by the Secretary up to 2.0 percent. If the Secretary estimates before the beginning of the calendar year that the total amount of pass-through payments in that year would exceed the applicable percentage, section 1833(t)(6)(E)(iii) of the Act requires a (prospective) uniform reduction in the amount of each of the transitional pass-through payments made in that year to ensure that the limit is not exceeded.

In order to prepare for making an estimate, we have constructed an extensive database that includes outpatient claims data submitted by hospitals for services furnished on or after July 1, 1999 and before July 1, 2000. We are also collecting device cost and utilization data that were provided by manufacturers. We are extracting device cost and utilization data from applications for pass-through status submitted by manufacturers, hospitals, specialty societies, and other entities. In their applications for pass-through status, manufacturers have supplied information on the expected cost to hospitals of devices and the procedures with which the devices are commonly used.

The information that we have collected thus far suggests that a significant pro rata reduction could be required for 2002 in order to meet the statutory limit on the amount of the pass-through payments. Given the potential magnitude of the reductions, we are reviewing our data and methodology to identify any flaws or weaknesses in them and to determine whether a significant reduction would actually be required under the statute. We are also considering the appropriateness of a number of possible alternative approaches to different technical aspects of estimating payments that would have the effect of minimizing the amount of any potential reduction in these payments. Below is a discussion of the methodology that we contemplate employing in developing our estimate.

We are considering a number of possible approaches to different technical aspects of estimating payments. As is always the case in making these types of estimates, it is necessary to make a number of assumptions in interpreting the data. We are tentatively contemplating using the following assumptions and techniques in developing our methodology:

1. Data and Methodology

We plan to base the estimate of 2002 pass-through expenditures on the claims we would use to set payment rates for 2002, 2001 pass-through amounts for drugs and radiopharmaceuticals, and device cost and use data from pass-through applications submitted by manufacturers, hospitals, specialty societies, and other entities. Projections to CY 2002 would employ price, volume, and service-mix inflators consistent with our baseline for OPPS spending. Estimates for drugs, radiopharmaceuticals, and devices would be made separately and combined for the final projection of pass-through spending.

2. Drugs and Biologicals

We would identify those drugs eligible for pass-through status that have been separately billed to the Medicare program on the claims that we intend to employ for the estimate. We would multiply the frequency of use for each of these drugs (that is, the number of line items multiplied by the number of units billed as shown in the claims data) by its 2001 pass-through payment amount. If any drugs are not reflected in the claims data, we would make an appropriate adjustment. Such an adjustment might take into account the extent to which the non-coded items are classified as orphan drugs and therefore would likely be used infrequently.

3. Radiopharmaceutical Drugs and Biological Products

Similar to the drug estimate, we would identify those radiopharmaceuticals eligible for pass-through status that were separately billed to Medicare in the claims data file. We would estimate expenditures for these radiopharmaceuticals directly as described above. For radiopharmaceutical drugs, we would multiply the frequency of use for each item by the 2001 pass-through amount. We would estimate expenditures for the remaining items by using the frequency counts for all nuclear medicine procedures not billed with one of these radiopharmaceuticals.

4. Medical Devices

We would estimate the transitional pass-through payments attributable to devices by linking the frequencies for all device-related procedures in the claims data file with the cost and use data supplied by the manufacturers or other entities as part of their applications for pass-through status. We would match each device eligible as of January 2001 with the procedures with which it would be used. We would then calculate an average cost for each device or device package associated with a procedure.

The statute requires that we calculate transitional pass-through payments for devices by adjusting the hospital's charge for the device to cost and then subtracting an amount that reflects the device costs already included in the payment for the associated APC. As we explained in the April 7, 2000 final rule (65 FR 18481) we were not able to implement these subtractions at the time of implementation of the system. For 2001, as we explain in section III.C. of this preamble, we made these deductions for pacemakers and neurostimulators but not other devices because it was not feasible to make the deductions for the other devices at that time. As also explained in section III.C., we are proposing to make these subtractions for most other devices beginning in 2002. For the purpose of doing this estimation, we would deduct these amounts from each device package before multiplying that cost by the procedure frequencies. In total, we project the deductions to be $450 million. (See section III.C. for a discussion of how we calculated the deductions.)

5. Projecting to 2002

After making the three estimates as determined above, we plan to project prices and quantities in the estimates to 2002 using actuarial projections of price, volume, and service increase consistent with the OPPS baseline. We would add the three separate results for drugs, radiopharmaceuticals, and devices to determine an estimate of total pass-through spending.

A. Reducing Transitional Pass-Through Payments to Offset Costs Packaged Into APC Groups

1. Background

As discussed above in section II.C.1. of this preamble, in the November 13, 2000 interim final rule (65 FR 67806 and 67825), we explained that we originally excluded costs in revenue codes 274 (Prosthetic/orthotic devices), 275 (Pacemaker), and 278 (Other implants) from the calculation of APC payment rates because, before enactment of the BBRA 1999, we had proposed to pay for implantable devices outside of the OPPS and after the enactment of the BBRA, it was not feasible to revise our database to include these revenue codes in developing the April 7, 2000 final rule. We were able to make the necessary revisions and adjustments in time for implementation on January 1, 2001. When we packaged costs from these revenue codes to recalculate APC rates for 2001, to comply with the BBRA 1999 requirement, the median costs for a handful of procedures related to pacemakers and neurostimulators significantly increased. Therefore, we restructured the affected APCs to account for these changes in procedure level median costs.

Under section 1833(t)(6)(D)(ii) of the Act, as added by the BBRA 1999 and redesignated by BIPA, the amount of additional payment for an eligible device is the amount by which the hospital's cost exceeds the portion of the otherwise applicable APC payment amount that the Secretary determines is associated with the device. Thus, beginning January 1, 2001, for eligible devices, we deducted from transitional pass-through payments the dollar increase in the rates for the new APCs for procedures associated with the devices. Effective April 1, 2001, we revised our policy to subtract the dollar amount from the otherwise applicable pass-through payment for each category of device. The dollar amount subtracted in 2001 from transitional pass-through payments for affected categories of devices is as follows:

 Table 4.—CY 2001 Reductions to Pass-Through Payments to Offset Device-Related Costs Packaged in Associated APC Groups

For item billed under HCPCS code. * * *	Subtract from the pass-through payment the following amount:
C1767 Generator, neurostimulator (implantable)	$643.73
C1778 Lead, neurostimulator (implantable)	501.27
C1785 Pacemaker, dual chamber, rate-responsive (implantable)	2,843.00
C1786 Pacemaker, single chamber, rate-responsive (implantable)	2,843.00
C1816 Receiver and/or transmitter, neurostimulator (implantable)	537.83
C2619 Pacemaker, dual chamber, non rate-responsive (implantable)	2,843.00
C2620 Pacemaker, single chamber, non rate-responsive (implantable)	2,843.00

The increase in certain APC rates for device costs on January 1, 2001 was offset by the simultaneous reduction of the associated pass-through payments. Payments for the procedures in the affected APCs that did not include a pass-through device increased for 2001 and for procedures that did include devices, total payment for the procedure plus the device or devices did not change.

For 2002, in this proposed rule we are estimating the portion of each APC rate that could reasonably be attributed to the cost of associated devices that are eligible for pass-through payments. This amount will be deducted from the pass-through payments for those devices as required by the statute. Since the deductions to the pass-through payments for costs included in APCs for 2002 are included in the recalibration of the weights and the fixed pool of dollars for outpatient services, the total payment for the procedure plus device or devices will be reduced rather than remain constant as they did in 2001.

2. Proposed Reductions for 2002

First, we reviewed the APCs to determine which of them contained services that are associated with a category of devices eligible for a transitional pass-through payment. We then estimated the portion of the costs in those APCs that could reasonably be attributed to the cost of pass-through devices as follows:

• For each procedure associated with a pass-through device or devices, we examined all single-service bills (that is, bills that include services payable only under one APC) to determine utilization patterns for specific revenue centers that would reasonably be used for device-related charges in revenue codes 272 (sterile supplies), 275 (pacemakers), and 278 (other implants).
• We removed the costs in those revenue codes to calculate a cost for the bill net of device-related costs (reduced cost). For example, the average bill cost (in 1999-2000 dollars) for insertion of a cardiac pacemaker (CPT 33208) was $5,733. The average cost associated with revenue code 275 was $4,163, so the reduced cost for the procedure was $1,570. We calculated the ratio of the reduced cost ($1,570) to the full bill costs ($5,733), and we applied that ratio to the costs on any bills for CPT 33208 that did not use revenue code 275 to establish reduced cost at the procedure code level across all claims.
• To determine the reduced cost at the APC level and that portion of the APC payment rate associated with device costs, we calculated the median cost of the reduced cost bills for each relevant APC. For this calculation of the median, we allowed the full costs of bills for services in the APC that were not associated with pass-through devices.
• We calculated, for the APC, the percentage difference between the APC median of full cost or unreduced bills and the APC median where some or all of the bills had reduced costs. We applied this percent difference to the proposed APC payment rate in order to calculate the share of that rate attributable to the device or devices associated with procedures in the APC. In Table 5, we show the amount that we propose to subtract from the pass-through payment for an eligible device that is billed with the related APCs.

Table 5.—Proposed Reduction to Pass-Through Payment to Offset Device-Related Costs Packaged in Associated APC Groups

APC	Description	Percent differences	Device-related cost to be subtracted from pass-through payment for eligible device
00032	Insertion of Central Venous/Arterial Catheter	20.11	$73
00080	Diagnostic Cardiac Catheterization	9.99	164
00081	Non-Coronary Angioplasty or Atherectomy	27.06	303
00082	Coronary Atherectomy	6.95	462
00083	Coronary Angioplasty	19.85	506
00088	Thrombectomy	10.86	161
00089	Insertion/Replacement of Permanent Pacemaker and Electrodes	72.69	3,052
00090	Insertion/Replacement of Pacemaker Pulse Generator	77.13	2,877
00104	Transcatheter Placement of Intracoronary Stents	11.64	422
00106	Insertion/Replacement/Repair of Pacemaker and/or Electrodes	79.55	640
00107	Insertion of Cardioverter-Defibrillator	81.69	6,449
0108	Insertion/Replacement/Repair of Cardioverter-Defibrillator Leads	71.16	5,768
0122	Level II Tube Changes and Repositioning	24.92	72
0151	Endoscopic Retrograde Cholangio-Pancreatography (ERCP)	7.35	61
0152	Percutaneous Biliary Endoscopic Procedures	12.05	107
0154	Hernia/Hydrocele Procedures	8.80	108
0182	Insertion of Penile Prosthesis	57.22	2,500
0185	Removal or Repair of Penile Prosthesis	56.82	1,652
0202	Level VIII Female Reproductive Procedures	25.02	503
0222	Implantation of Neurological Device	75.70	4,330
0223	Implantation of Pain Management Device	79.51	359
0225	Implantation of Neurotransmitter Electrodes	67.25	1,154
0227	Implantation of Drug Infusion Device	80.23	3,871
0229	Transcatheter Placement of Intravascular Shunts	35.46	1,083
0246	Cataract Procedures with IOL Insert	12.87	146

VIII. Conversion Factor Update for CY 2002

Section 1833(t)(3)(C)(ii) of the Act requires us to update the conversion factor used to determine payment rates under the OPPS on an annual basis. Section 1833(t)(3)(C)(iv) of the Act, as redesignated by section 401 of the BIPA, provides that for 2002, the update is equal to the hospital inpatient market basket percentage increase applicable to hospital discharges under section 1886(b)(3)(B)(iii) of the Act, reduced by one percentage point. Further, section 401 of the BIPA increased the conversion factor for 2001 to reflect an update equal to the full market basket percentage increase amount.

The most recent forecast of the hospital market basket increase for FY 2002 is 3.3 percent. To set the proposed OPPS conversion factor for 2002, we increased the 2001 conversion factor of $50.080, which reflects the BIPA provision of the full market basket update, by 2.3 percent, that is, the 3.3 percentage increase minus 1 percentage point.

In accordance with section 1833(t)(9)(B) of the Act, we further adjusted the proposed conversion factor for 2002 to ensure that the revisions we are proposing to update the wage index are made on a budget-neutral basis. A budget neutrality factor of 0.9924 was calculated for wage index changes by comparing total payments from our simulation model using the proposed FY 2002 hospital inpatient PPS wage index values to those payments using the current (FY 2001) wage index values.

The increase factor of 2.3 percent for 2002 and the required wage index budget neutrality adjustment of 0.9924 result in a proposed conversion factor for 2002 of $50.842.

IX. Summary of and Responses to MedPac Recommendations

The Medicare Payment Advisory Commission (MedPAC) offered several recommendations dealing with the OPPS in its March 2001 Report to Congress. Below we summarize each recommendation and respond to it.

MedPAC Recommendation: MedPAC has offered two recommendations regarding the update to the conversion factor in the OPPS. The first recommendation is that the Secretary should not use an expenditure target to update the conversion factor. The second recommendation is that Congress should require an annual update of the conversion factor in the OPPS that is based on the relevant factors influencing the costs of efficiently providing hospital outpatient care, and not just the change in input prices.

Response: Section 1833(t)(3)(C)(ii) of the Act requires the Secretary to update the conversion factor annually. Under section 1833(t)(3)(C)(iv) of the Act the update is equal to the hospital market basket percentage increase applicable under the hospital inpatient PPS, minus one percentage point for the years 2000 and 2002. The Secretary has the authority under section 1833(t)(3)(C)(iv) of the Act to substitute a market basket that is specific to hospital outpatient services. Finally, section 1833(t)(2)(F) of the Act requires the Secretary to develop a method for controlling unnecessary increases in the volume of covered hospital outpatient services, and section 1833(t)(9)(C) of the Act authorizes the Secretary to adjust the update to the conversion factor if the volume of services increased beyond the amount established under section 1833(t)(2)(F) of the Act.

In the September 8, 1998 proposed rule on the OPPS, we indicated that we were considering the option of developing an outpatient-specific market basket and invited comments on possible sources of data suitable for constructing one (63 FR 47579). We received no comments in response to this invitation, and we therefore announced in the April 7, 2000 final rule that we would update the conversion factor by the hospital inpatient market basket increase, minus one percentage point, for the years 2000, 2001, and 2002 (65 FR 18502). As required by section 401(c) of the BIPA, we made payment adjustments effective April 1, 2001 under a special payment rule that has had the effect of providing a full market basket update in 2001. We are, however, working with a contractor to study the option of developing an outpatient-specific market basket and would welcome comments and recommendations regarding appropriate data sources. We will also study the feasibility of developing appropriate adjustments for factors that influence the costs of efficiently providing hospital outpatient care, such as productivity increases and the introduction of new technologies, and the availability of appropriate sources of data for calculating the factors.

In the September 8, 1998 proposed rule on the OPPS, we proposed employing a modified version of the physicians' sustainable growth rate system (SGR) as an adjustment in the update framework to control for excess increases in the volume of covered outpatient services (63 FR 47586-47587). In response to comments on this proposal, we announced in the April 7, 2000 final rule that we had decided to delay implementation of a volume control mechanism, and to continue to study the options with a contractor (65 FR 18503). We will take MedPAC's recommendation into consideration in making a decision, and before implementing volume control mechanism we will publish a proposed rule with an opportunity for public comment.

MedPAC Recommendation: MedPAC recommends that the Secretary should develop formalized procedures in the OPPS for expeditiously assigning codes, updating relative weights, and investigating the need for service classification changes to recognize the costs of new and substantially improved technologies.

Response: Beginning with the April 7, 2000 final rule implementing the OPPS, we have outlined a comprehensive process to recognize the costs of new technology in the new system. One component of this process is the provision for pass-through payments for devices, drugs, and biologicals (see the discussion in conjunction with the next MedPAC recommendation). The other component is the creation of new APC groups to accommodate payment for new technology services that are not eligible for transitional pass-through payments. We assign new technology services that cannot be appropriately placed within existing APC groups to new technology APC groups, using costs alone (rather than costs plus clinical coherence) as the basis for the assignment. We describe revised criteria for assignment to a new technology group in section VI.G. of this preamble. When it is necessary, creation of new technology APC groups involves establishment of new codes. New codes are established through a well-ordered process that operates on an annual cycle. The cycle starts with submission of information by interested parties no later than April 1 of each year and ends with the announcement of new codes in October. As we stated previously, in the absence of an appropriate HCPCS code, we would consider creating a HCPCS code that describes the procedure or service. These codes would be solely for hospitals to use when billing under the OPPS.

We have also provided a mechanism for moving these services from the new technology APCs to clinically related APCs as part of the annual update of the APC groups. As described in section VI of this preamble, a service is retained within a new technology APC group until we have acquired adequate data that allow us to assign the service to an appropriate APC. We use the annual APC update cycle to assign the service to an existing APC that is similar both clinically and in terms of resource costs. If no such APC exists, we create a new APC for the service.

MedPAC Recommendation: MedPAC recommends that pass-through payments for specific technologies should be made in the OPPS only when a technology is new or substantially improved and adds substantially to the cost of care in an APC. MedPAC believes that the definition of “new” should not include items whose costs were included in the 1996 data used to set the OPPS payment rates.

Response: The statute requires that, under the OPPS, transitional pass-through payments are made for certain drugs, devices, and biologicals. The items designated by the statute to receive these pass-through payments include the following:

• Current orphan drugs, as designated under section 526 of the Federal Food, Drug, and Cosmetic Act.
• Current drugs and biologicals used for the treatment of cancer, and brachytherapy and temperature monitored cryoablation devices used for the treatment of cancer.
• Current radiopharmaceutical drugs and biologicals.
• New drugs and biologicals in instances in which the item was not being paid as a hospital outpatient service as of December 31, 1996, and when the cost of the item is “not insignificant” in relation to the OPPS payment amount.
• Effective April 1, 2001, categories of Medical devices when the cost of the category is not insignificant” in relation to the OPPS payment amount.

We are publishing a separate interim final rule in which we lay out the criteria for establishing categories of devices eligible for pass-through payments.

Section 1833(t)(6) of the Act provides that once a category is established, a specific device may receive a pass-through payment for 2 to 3 years if the device is described by an existing category, regardless of whether it was being paid as a hospital outpatient service as of December 31, 1996 or its cost meets the “not insignificant” criterion. Thus, the statute allows for certain devices that do not meet MedPAC's recommended limitation on a “new” device to receive transitional pass-through payments. However, no categories are created on the basis of devices that were paid for on or before December 31, 1996. That is, while devices paid for on or before December 31, 1996 can be included in a category, we would establish a category only on the basis of devices that were not being paid as hospital outpatient services as of December 31, 1996.

MedPAC Recommendation: MedPAC recommends that pass-through payments for specific technologies in the OPPS should be made on a budget-neutral basis and that the costs of new or substantially improved technologies should be factored into the update of the outpatient conversion factor.

Response: The statute requires that the transitional pass-through payments for drugs, devices, and biologicals be made on a budget neutral basis. Estimated pass-through payments are limited under the statute to 2.5 percent (and up to 2.0 percent for 2004 and thereafter) of estimated total program payments for covered hospital outpatient services. We adjust the conversion factor to account for the proportion of total program payments for covered hospital outpatient services, up to the statutory limit, that we estimate will be made in pass-through payments. As we have discussed in response to MedPAC's recommendation concerning an update framework for the OPPS conversion factor, we will study the feasibility of including appropriate adjustments for factors, including introduction of new technologies, that influence the costs of efficiently providing hospital outpatient care within such a framework.

MedPAC Recommendation: MedPAC recommends that the Congress should continue the reduction in outpatient coinsurance to achieve a 20 percent coinsurance rate by 2010.

Response: For most services that Medicare covers, the program is responsible for 80 percent of the total payment amount, and beneficiaries pay 20 percent. However, under the cost-based payment system in place for outpatient services before the OPPS, beneficiaries paid 20 percent of the hospital's charges for these services. As a result, coinsurance was often more than 20 percent of the total payment amount for the services.

The BBA established a formula under the OPPS that was designed to reduce coinsurance gradually to 20 percent of the total payment amount. Under this formula, a national copayment amount was set for each service category, and that amount is to remain frozen as payment rates increase until the coinsurance percentage falls to 20 percent for all services. On average, beneficiaries have paid about 16 percent less in copayments for hospital outpatient services during 2000 under the OPPS than they would have paid under the previous system. However, it is true that the coinsurance remains higher than 20 percent of the Medicare payment amount for many services.

Subsequent legislation has placed caps on the coinsurance percentages to speed up this process. Specifically, section 111 of BIPA amended section 1833(t)(8)(C)(ii) of the Act to reduce beneficiary coinsurance liability by phasing in a cap on the coinsurance percentage for each service. Starting on April 1, 2001, coinsurance for a single service furnished in 2001 cannot exceed 57 percent of the total payment amount for the service. The cap will be 55 percent in 2002 and 2003, and will be reduced by 5 percentage points each year from 2004 to 2006 until coinsurance is limited to 40 percent of the total payment for each service. The underlying process for decreasing coinsurance will also continue during this period (see discussion in section IV.A. of this preamble). However, MedPAC projects that under current law, it would take until 2029 to reach the goal of 20 percent coinsurance for all services.

We agree with MedPAC's goal of continuing the reduction in outpatient coinsurance, and we would welcome enactment of a practical measure to do so.

X. Provider-Based Issues

A. Background and April 7, 2000 Regulations

On April 7, 2000, we published a final rule specifying the criteria that must be met for a determination regarding provider-based status (65 FR 18504). Since the beginning of the Medicare program, some providers, which we refer to as “main providers,” have functioned as a single entity while owning and operating multiple departments, locations, and facilities. Having clear criteria for provider-based status is important because this designation can result in additional Medicare payments for services furnished at the provider-based facility, and may also increase the coinsurance liability of Medicare for those services.

The regulations at § 413.65 define provider-based status as “the relationship between a main provider and a provider-based entity or a department of a provider, remote location of a hospital, or satellite facility, that complies with the provisions of this section.” Section 413.65(b)(2) states that before a main provider may bill for services of a facility as if the facility is provider-based, or before it includes costs of those services on its cost report, the facility must meet the criteria listed in the regulations at § 413.65(d). Among these criteria are the requirements that the main provider and the facility must have common licensure (when appropriate), the facility must operate under the ownership and control of the main provider, and the facility must be located in the immediate vicinity of the main provider.

The effective date of these regulations was originally set at October 10, 2000, but was subsequently delayed and is now in effect for cost reporting periods beginning on or after January 10, 2001. Program instructions on provider-based status issued prior to that date, found in Section 2446 of the Provider Reimbursement Manual—Part 1 (PRM-1), Section 2004 of the Medicare State Operations Manual (SOM), and CMS Program Memorandum (PM) A-99-24, will apply to any facility for periods before the new regulations become applicable to it. (Some of these instructions will not be applied because they have been superseded by specific legislation on provider-based status, as described in item C below).

B. Provider-Based Issues/Frequently Asked Questions

Following publication of the April 7, 2000 final rule, we received many requests for clarification of policies on specific issues related to provider-based status. In response, we published a list of “Frequently Asked Questions” and the answers to them on the CMS web site at www.hcfa.gov/​medlearn/​provqa.htm. (This document can also be obtained by contacting the CMS (Formerly, HCFA) Regional Office.) These Qs and As did not revise the regulatory criteria, but do provide subregulatory guidance for their implementation.

C. Benefits Improvement and Protection Act of 2000 (Pub. L. 106-554)

On December 21 2000, the Benefits Improvement and Protection Act (BIPA) of 2000 (Pub. L. 106-554) was enacted. Section 404 of BIPA contains provisions that significantly affect the provider-based regulations at § 413.65. Section 404 includes a grandfathering provision for facilities treated as provider-based on October 1, 2000; alternative criteria for meeting the geographic location requirement; and criteria for temporary treatment as provider-based.

1. Two-Year “Grandfathering”

Under section 404(a) of BIPA, any facilities or organizations that were “treated” as provider-based in relation to any hospital or CAH on October 1, 2000 will continue to be treated as such until October 1, 2002. For the purpose of this provision, we interpret “treated as provider-based” to include those facilities with formal CMS determinations, as well as those facilities without formal CMS determinations that were being paid as provider-based as of October 1, 2000. As a result, existing provider-based facilities and organizations may retain that status without meeting the criteria in the regulations under §§ 413.65(d), (e), (f), and (h) until October 1, 2002. These provisions concern provider-based status requirements, joint ventures, management contracts, and services under arrangement. Thus, the provider-based facilities and organizations affected under section 404(a) are not required to submit an application for or obtain a provider-based status determination in order to continue receiving reimbursement as provider-based during this period.

These provider-based facilities and organizations will not be exempt from the Emergency Medical Treatment and Active Labor Act (EMTALA) requirements for provider-based facilities and organizations (revised § 489.24(b) and new § 489.24(i)) or from the obligations of hospital outpatient departments and hospital-based entities in § 413.65(g), such as the requirement that off-campus facilities provide written notices to Medicare beneficiaries of coinsurance liability. These requirements become effective for hospitals on the first day of the hospital's cost reporting period beginning on or after January 10, 2001.

We are aware that many hospitals and physicians continue to have significant concerns with our policy on the applicability of EMTALA to provider-based facilities and organizations. We intend to re-examine these regulations and, in particular, reconsider the appropriateness of applying EMTALA to off-campus locations. At the same time, we want to assure that those departments that Medicare pays as hospital-based departments are appropriately integrated with the hospital as a whole. We intend to publish a proposed rule to address these issues more fully.

2. Geographic Location Criteria

Section 404(b) of BIPA provides that those facilities or organizations that are not included in the grandfathering provision at section 404(a) are deemed to comply with the “immediate vicinity” requirements of the new regulations under § 413.65(d)(7) if they are located not more than 35 miles from the main campus of the hospital or critical access hospital. Therefore, those facilities located within 35 miles of the main provider satisfy the immediate vicinity requirement as an alternative to meeting the “75/75 test” under § 413.65(d)(7).

In addition, BIPA provides that certain facilities or organizations are deemed to comply with the requirements for geographic proximity (either the “75/75 test” or the “35-mile test”) if they are owned and operated by a main provider that is a hospital with a disproportionate share adjustment percentage greater than 11.75 percent and is (1) owned or operated by a unit of State or local government, (2) a public or private nonprofit corporation that is formally granted governmental powers by a unit of State or local government, or (3) a private hospital that has a contract with a state or local government that includes the operation of clinics of the hospital to assure access in a well-defined service area to health care services for low-income individuals who are not entitled to benefits under Medicare or Medicaid.

These geographic location criteria are permanent. While those facilities or organizations treated as provider-based on October 1, 2000 are covered by the two-year grandfathering provision noted above, the geographic location criteria at section 404(b) of BIPA and the regulations at § 413.65(d)(7) will apply to facilities or organizations not treated as provider-based as of that date, effective with the hospital's cost reporting period beginning on or after January 10, 2001. Beginning October 1, 2002, these criteria will also apply to the grandfathered facilities.

3. Criteria for Temporary Treatment as Provider-Based

Finally, section 404(c) of BIPA also provides that a facility or organization that seeks a determination of provider-based status on or after October 1, 2000 and before October 1, 2002 may not be treated as not having provider-based status for any period before a determination is made. Thus, recovery for overpayments will not be made retroactively for noncompliance with the provider-based criteria once a request for a determination during that time period has been made. For hospitals that do not qualify for grandfathering under section 404(a), until a uniform application is available, a request for provider-based status should be submitted to the appropriate CMS Regional Office (RO). At a minimum, the request should include the identity of the main provider and the facility or organization for which provider-based status is being sought and supporting documentation to demonstrate compliance with the provider-based status criteria in effect at the time the application is submitted. Once such a request has been submitted on or after October 1, 2000, and before October 1, 2002, CMS will treat the facility or organization as being provider-based from the date it began operating as provider-based (as long as that date is on or after October 1, 2000) until the effective date of a CMS determination that the facility or organization is not provider-based.

Facilities requesting a provider-based status determination on or after October 1, 2002 will not be covered by the provision concerning temporary treatment as provider-based in section 404(c) of BIPA. Thus, as stated in § 413.65(n), CMS ROs will make provider-based status applicable as of the earliest date on which a request for determination has been made and all requirements for provider-based status in effect as of the date of the request are shown to have been met, not on the date of the formal CMS determination. If a facility or organization does not qualify for provider-based status and CMS learns that the provider has treated the facility or organization as provider-based without having obtained a provider-based determination under applicable regulations, CMS will review all payments and may seek recovery for overpayments in accordance with the regulations at § 413.65(j), including overpayments made for the period of time between submission of the request or application for provider-based status and the issuance of a formal CMS determination.

D. Proposed Changes to Provider-Based Regulations

To fully implement the provisions of section 404 of BIPA and to codify the clarifications currently stated only in the Q&As on provider-based status, as described above, we are proposing to revise the regulations as follows.

1. Clarification of Requirements for Adequate Cost Data and Cost Finding (§ 413.24(d))

As part of the April 7, 2000, final rule implementing the prospective payment system for hospital outpatient services to Medicare beneficiaries, under § 413.24, Adequate Cost Data and Cost Finding, we added a new paragraph (d)(6), entitled “Management Contracts.” Since publication of the final rule, we have received several questions concerning the new paragraph.

In response to these questions, we are proposing changes in wording to clarify the meaning of that paragraph. In addition, for further clarity, we are revising the coding and title of that material. Under our proposal, § 413.24(d)(6)(i) would become § 413.24(d)(6) and § 413.24(d)(6)(ii) would become § 413.24(d)(7). As revised, paragraph (d)(6) would address the situation when the main provider in a provider-based complex purchases services for a provider-based entity or for a department of the provider through a contract for services (for example, a management contract), directly assigning the costs to the provider-based entity or department and reporting the costs directly in the cost center for that entity or department. In any situation in which costs are directly assigned to a cost center, there is a risk of excess cost in that cost center resulting from the directly assigned costs plus a share of overhead improperly allocated to the cost center which duplicates the directly assigned costs. This duplication could result in improper Medicare payment to the provider. Therefore, where a provider has purchased services for a provider-based entity or for a provider department, like general service costs of the provider (for example, like costs in the administrative and general cost center) must be separately identified to ensure that they are not improperly allocated to the entity or the department. If the like costs of the provider cannot be separately identified, the costs of the services purchased through a contract for the provider-based entity or provider department must be reclassified to the main provider and allocated among the main provider's benefiting cost centers.

For costs of services furnished to free-standing entities, we would also clarify in revised § 413.24(d)(7), that the costs that a provider incurs to furnish services to free-standing entities with which it is associated are not allowable costs of that provider. Any costs of services furnished to a free-standing entity must be identified and eliminated from the allowable costs of the servicing provider, to prevent Medicare payment to that provider for those costs. This may be done by including the free-standing entity on the cost report as a nonreimbursable cost center for the purpose of allocating overhead costs to that entity. If this method would not result in an accurate allocation of costs to the entity, the provider must develop detailed work papers showing how the cost of services furnished by the provider to the entity were determined. These costs are removed from the applicable cost centers of the servicing provider.

This revision is not a change in the policy, but instead is a clarification to the policy set forth in the April 7, 2000 final rule.

2. Scope and Definitions (§ 413.65(a))

In Q/A 9 published on the CMS (Formerly, HCFA) web site at www.hcfa.gov/​medlearn/​provqa.htm, we identified specific types of facilities for which provider-based determinations would not be made, since their status would not affect either Medicare payment levels or beneficiary liability. (This document may also be obtained by contacting the CMS (Formerly, HCFA) Regional Office.) The facilities identified in Q/A 9 are ambulatory Surgical Centers (ASCs), comprehensive outpatient rehabilitation facilities (CORFs); home health agencies (HHAs); skilled nursing facilities (SNFs); hospices; inpatient rehabilitation units that are excluded from the inpatient PPS for acute hospital services; independent diagnostic testing facilities and any other facilities that furnish only clinical diagnostic laboratory tests; facilities furnishing only physical, occupational or speech therapy to ambulatory patients, for as long as the $1500 annual cap on coverage of physical, occupational, and speech therapy, as described in section 1833(g)(2) of the Act, remains suspended by the action of subsequent legislation; and end-stage renal disease (ESRD) facilities. Determinations for ESRD facilities are made under § 413.174.

We propose to revise the regulations at § 413.65(a) to clarify that these facilities are not subject to the provider-based requirements and that provider-based determinations will not be made for them.

3. BIPA Provisions on Grandfathering and Temporary Treatment as Provider-Based (§§ 413.65(b)(2) and (b)(5))

Current regulations at § 413.65(b)(2) state that a main provider or a facility must contact CMS (Formerly, HCFA) and the facility must be determined by CMS (Formerly, HCFA) to be provider-based before the main provider bills for services of the facility as if the facility were provider-based, or before it includes costs of those services on its cost report. However, as explained earlier, sections 404(a) and (c) of BIPA require that certain facilities be grandfathered for a 2-year period, and that facilities applying between October 1, 2000 and October 1, 2002 for provider-based status with respect to a hospital be given provider-based status on a temporary basis, pending a decision on their applications. To implement these provisions, we propose to revise the regulations in § 413.65(b)(2) to state that if a facility was treated as provider-based in relation to a hospital or CAH on October 1, 2000, it will continue to be considered provider-based in relation to that hospital or CAH until October 1, 2002, and the requirements, limitations, and exclusions specified in paragraphs (d), (e), (f), and (h) of § 413.65 will not apply to that hospital or CAH with respect to that facility until October 1, 2002. We would further state that for purposes of paragraph (b)(2), a facility will be considered to have been treated as provider-based on October 1, 2000, if on that date it either had a written determination from CMS (Formerly, HCFA) that it was provider-based as of that date, or was billing and being paid as a provider-based department or entity of the hospital.

We would also propose to add a new § 413.65(b)(2) to state that a facility for which a determination of provider-based status in relation to a hospital or CAH is requested on or after October 1, 2000 and before October 1, 2002 will be treated as provider-based in relation to the hospital or CAH from the first date on or after October 1, 2000 on which the facility was licensed (to the extent required by the State), staffed and equipped to treat patients until the date on which CMS (Formerly, HCFA) determines that the facility does not qualify for provider-based status.

4. Reporting (§ 413.65(c)(1))

Current regulations at § 413.65(c) state that a main provider that creates or acquires a facility or organization for which it wishes to claim provider-based status, including any physician offices that a hospital wishes to operate as a hospital outpatient department or clinic, must report its acquisition of the facility or organization to CMS (Formerly, HCFA) if the facility or organization is located off the campus of the provider, or inclusion of the costs of the facility or organization in the provider's cost report would increase the total costs on the provider's cost report by at least 5 percent, and must furnish all information needed for a determination as to whether the facility or organization meets the requirements in paragraph (d) of this section for provider-based status. Concern has been expressed that such reporting would duplicate the requirement for obtaining approval of a facility as provider-based before billing its services that way or including its costs on the cost report of the main provider (current § 413.65(b)(2)). To prevent any unnecessary duplicate reporting, we propose to delete the current requirement from § 413.65(c)(1). We would, however, retain the requirement that a main provider that has had one or more facilities considered provider-based also report to CMS (Formerly, HCFA) any material change in the relationship between it and any provider-based facility, such as a change in ownership of the facility or entry into a new or different management contract that could affect the provider-based status of the facility.

5. Geographic Location Criteria (§ 413.65(d)(7))

As explained earlier in C.2 of this section, section 404(b) of BIPA mandates that facilities seeking provider-based status be considered to meet any geographic location criteria if they are located not more than 35 miles from the main campus of the hospital or CAH to which they wish to be based, or meet other specific criteria relating to their ownership and operation. To implement this provision, we propose to revise § 413.65(d)(7) to state that facility will meet provider-based location criteria if it and the main provider are located on the same campus, or if one of the following three criteria are met:

• The facility or organization is located within a 35-mile radius of the main campus of the hospital or CAH that is the potential main provider;
• The facility or organization is owned and operated by a hospital or CAH that—

(A) Is owned or operated by a unit of State or local government;

(B) Is a public or nonprofit corporation that is formally granted governmental powers by a unit of State or local government; or,

(C) Is a private hospital that has a contract with a State or local government that includes the operation of clinics located off the main campus of the hospital to assure access in a well-defined service area to health care services to low-income individuals who are not entitled to benefits under Medicare (or medical assistance under a Medicaid State plan); and

(D) Has a disproportionate share adjustment (as determined under § 412.106 of this chapter) greater than 11.75 percent or is described in § 412.106(c)(2) of this chapter implementing section 1886(d)(5)(F)(i)(II) of the Act.

• The facility meets the criteria currently set forth in § 413.65(d)(7)(i) for service to the same patient population as the main provider.

6. Notice to Beneficiaries of Coinsurance Liability (§ 413.65(g)(7))

Current regulations at § 413.65(g)(7) state that when a Medicare beneficiary is treated in a hospital outpatient department or hospital-based entity (other than an RHC) that is not located on the main provider's campus, the hospital has a duty to provide written notice to the beneficiary, prior to the delivery of services, of the amount of the beneficiary's potential financial liability (that is, of the fact that the beneficiary will incur a coinsurance liability for an outpatient visit to the hospital as well as for the physician service, and of the amount of that liability). The notice must be one that the beneficiary can read and understand.

Some concern had been expressed that providing notice of a beneficiary's exact liability might be difficult in cases where the treating physician was in the process of diagnosing the patient's condition and was unsure of exactly what services might be required. In response to this concern we clarified in the preamble to an interim final rule with comment period published on August 3, 2000 (65 FR 47670) that if the exact type and extent of care needed is not known, the hospital may furnish a written notice to the patient that explains the fact that the beneficiary will incur a coinsurance liability to the hospital that they would not incur if the facility were not provider-based. The interim final rule preamble § 413.65(g)(7)) further explained that the hospital may furnish an estimate based on typical or average charges for visits to the facility, while stating that the patient's actual liability will depend upon the actual services furnished by the hospital. If the beneficiary is unconscious, under great duress, or for any other reason unable to read a written notice and understand and act on his or her own rights, the notice must be provided, prior to the delivery of services, to the beneficiary's authorized representative.

We are proposing to amend § 413.65(g)(7) to include this clarifying language.

7. Clarification of Protocols for Off-Campus Departments (§ 489.24(i)(2)(ii))

Current regulations at § 489.24(i) specify the antipatient dumping obligations that hospitals have with respect to individuals who come to off-campus hospital departments for the examination or treatment of a potential emergency medical conditions. These obligations are sometimes known as EMTALA obligations, after the Emergency Medical Treatment and Active Labor Act, which is the legislation that first imposed the obligations. Currently, hospitals are responsible for ensuring that personnel at their off-campus departments are trained and given appropriate protocols for the handling of emergency cases.

In the case of off-campus departments not routinely staffed with physicians, RNs, or LPNs, the department's personnel must be given protocols that direct them to contact emergency personnel at the main hospital campus before arranging an appropriate transfer to a medical facility other than the main hospital.

Some concern had been expressed that taking the time needed to make such contacts might inappropriately delay the appropriate transfer of emergency patients in cases where the patient's condition was deteriorating rapidly. In response to this concern we clarified in the preamble to the interim final rule with comment period published on August 3, 2000 cited above (65 FR 47670) that in any case of the kind described in § 489.24(i)(2)(ii) the contact with emergency personnel at the main hospital campus should be made either concurrently with or after the actions needed to arrange an appropriate transfer, if doing otherwise would significantly jeopardize the individual's life or health. This does not relieve the off-campus department of the responsibility for making the contact, but only clarifies that the contact may be delayed in specific cases where doing otherwise would endanger a patient subject to EMTALA protection.

We are proposing to amend § 489.24(i)(2)(ii) to include this clarifying language.

8. Other Changes

In addition to the changes cited above, we are proposing to make the following conforming and clarifying changes:

• We are correcting date references in §§ 413.65(i)(1)(i) and (i)(2), in order to take into account the effective date of the current regulations.
• We are substituting “CMS” for “HCFA” throughout the revised sections of part 413, to reflect the renaming of the Health Care Financing Administration (HCFA) as the Centers for Medicare & Medicaid Services (CMS).

XI. Summary of Proposed Changes for 2002

A. Changes Required by BIPA 2000

We are proposing the following changes to the OPPS, to implement the provisions of BIPA 2000:

• Limit coinsurance to a specified percentage of APC payment amounts.
• Provide hold-harmless transitional corridor payments to children's hospitals.
• Provide separate APCs for services that use contrast agents and those that do not.
• Pay for glaucoma screening as a covered service.
• Pay for certain new technology used in screening and diagnostic mammograms.

B. Additional Changes

We are proposing the following additional changes to the OPPS:

• Add APCs, delete APCs, and modify the composition of services within some existing APCs.
• Add an APC group that would provide payment for observation services in limited circumstances to patients having specific diagnoses.
• Recalibrate the relative payment weights of the APCs.
• Update the conversion factor and wage index.
• Revise the APC payment amounts to reflect the APC reclassifications, the recalibration of payment weights and the other required updates and adjustments.
• Make reductions in pass-through payments for specific drugs and categories of devices to account for the drug and device costs that are included in the APC payment for associated procedures and services.
• Apply a standard procedure to calculate copayment amounts when new APCs are created or when APC payment rates are increased or decreased as a result of recalibrated weights.
• Calculate outlier payments on a service-by-service basis beginning in 2002. We also propose a methodology for allocating packaged services to individual APCs in determining costs of a service and we propose to use a hospital's overall outpatient cost-to-charge ratio to convert charges to costs.
• Change the threshold for outlier payments to require costs to exceed 3 times the APC payment amount, and pay 50 percent of any excess costs above the threshold as an outlier payment.
• Exclude hospitals located outside the 50 states, the District of Columbia and Puerto Rico from the OPPS.
• Exclude from payment under the OPPS certain services that are furnished to inpatients of hospitals that do not submit claims for outpatient services under Medicare Part B.
• Exclude from the OPPS certain items and services (for example, bad debts, direct medical education and certain certified registered nurse anesthetists services) that are paid on a cost basis.
• Propose to update the payments for pass-through radiopharmaceuticals, drugs, and biologicals on a calendar year basis to reflect increases in AWP.
• Allow reprocessed single use devices to be considered eligible for pass-through payments if the reprocessing process for single use devices meets the FDA's most recent criteria.
• Revise the criteria we will use to determine whether a procedure or service is eligible to be assigned to a new technology APC.
• Revise the list of information that must be submitted to request assignment of a service or procedure to a new technology APC.
• Provide more flexibility in the amount of time a service may be paid under a new technology APC.

C. Technical Corrections

We are proposing to make conforming changes to the regulations in 42 CFR parts 413, 419 and 489.

In part 413 we would—

• Revise § 413.24(d)(6) and (d) (7) to clarify requirements for adequate cost data and cost findings and clarify the meaning of the paragraph.
• Revise § 413.65(a)(1) to clarify the specified types of facilities identified in this section that are not subject to the provider-based requirements and that provider-based determinations will not be made for them.
• Revise the definition of “Provider-based entity” in § 413.65(a)(2).
• Revise § 413.65(b) to implement the BIPA provisions on grandfathering and temporary treatment of a facility as provider-based.
• Delete the existing requirement in § 413.65(c)(1) in order to prevent unnecessary duplicate reporting.
• Specify in § 413.65(d)(7) that a facility will meet provider-based geographic location criteria if it and the main provider are located on the same campus, or if a facility meets one of the three criteria specified in this paragraph.
• Clarify in § 413.65(g)(7) that the hospital may furnish an estimate based on typical or average charges for visits to the facility, while stating that the patient's actual liability will depend upon the actual services furnished by the hospital.
• Correct date references in §§ 413.65(i)(1)(ii) and (i)(2), in order to take into account the effective date of the current regulations.

In part 419, we would—

• Revise § 419.2 to clarify the costs that are excluded from the OPPS rates.
• Revise the reference to the effective date of the OPPS to August 1, 2000 in § 419.20(a).
• Add new §§ 419.20(b)(3) and (b)(4) to specify that a hospital located outside one of the 50 States, the District of Columbia, or Puerto Rico, or a hospital of the Indian Health Service is excluded from the hospital outpatient prospective payment system.
• Add a new § 419.22(r) to specify that services defined in § 419.21(b) that are furnished to inpatients of hospitals that do not submit claims for outpatients services under Medicare Part B are not paid for under the hospital OPPS.
• Revise § 419.32 to reflect the revised update to the payment rates, as required by section 401 of BIPA.
• Replace the word “coinsurance” each time it appears in §§ 419.40, 419.41, 419.42 and 419.43 with the word “copayment.”
• Redesignate existing § 419.41(c)(4)(ii) as paragraph (c)(4)(iv), and add paragraphs (c)(4)(ii) and (c)(4)(iii) to include the provisions of section 1833(t)(8)(C)(ii) of the Act. This section would specify that, effective for services furnished from April 1, 2001 through December 31, 2001, the national unadjusted coinsurance rate for an APC cannot exceed 57 percent of the prospective rate for that APC and the national unadjusted coinsurance rate for an APC cannot exceed 55 percent in calendar year 2004, 45 percent in calendar year 2005, and 40 percent in calendar year 2006 and thereafter.
• Revise § 419.70(d) to give children's hospitals the same permanent hold harmless protection as cancer hospitals under the OPPS, as required by section 405 of BIPA.
• Revise § 489.24(i)(2)(ii) to clarify that, for the purposes of arranging an appropriate transfer of a patient from an off-campus department, staff at the off-campus department may delay contacting the emergency personnel at the main hospital campus in the specific cases where doing otherwise would endanger a patient.

XII. Collection of Information Requirements

Under the Paperwork Reduction Act of 1995, we are required to provide 60-day notice in the Federal Register and solicit public comment before a collection of information requirement is submitted to the Office of Management and Budget (OMB) for review and approval. In order to fairly evaluate whether an information collection should be approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 requires that we solicit comment on the following issues:

• The need for the information collection and its usefulness in carrying out the proper functions of our agency.
• The accuracy of our estimate of the information collection burden.
• The quality, utility, and clarity of the information to be collected.
• Recommendations to minimize the information collection burden on the affected public, including automated collection techniques.

Sections 413.65 and 419.42 of this proposed regulation contain information collection requirements that are subject to review by OMB under the Paperwork Reduction Act of 1995. However, §§ 413.65 and 419.42 have been approved by OMB under approval number 0938-0798, with a current expiration date of August 31, 2003 and OMB approval number 0938-0802, with a current expiration date of August 31, 2001.

XIII. Response to Public Comments

Because of the large number of items of correspondence we normally receive on a proposed rule, we are not able to acknowledge or respond to them individually. However, in preparing the final rule, we will consider all comments concerning the provisions of this proposed rule that we receive by the date and time specified in the DATES section of this preamble and respond to those comments in the preamble to that rule.

Modification of 60-day Comment Period

The highly complex analysis surrounding the possibility of a significant pro rata reduction has caused a delay in the publication of the proposed rule. It is essential for this rule to become effective by January 1, 2002 for hospital outpatient departments to receive appropriate higher payments and to ensure that beneficiaries receive the benefits of further reductions in beneficiary copayments. Congress has directed us to update payment rates annually, at the beginning of each calendar year. If the increased provider payments and reduced beneficiary copayments do not become effective by the statutory effective date of January 1, 2002, enormous uncertainty and administrative difficulties will result for beneficiaries, providers, and intermediaries. In addition, any delay in receiving increased provider payments or reduced beneficiary copayments will cause harm to providers and beneficiaries. Consequently, in order to avoid imposing this uncertainty and harm on beneficiaries, providers, and intermediaries and to meet the January 1, 2002 statutory effective date for the update to the OPPS payment rates, we find we must shorten the comment period to 40 days. For the reasons discussed above, we find there is good cause to modify the 60-day comment period. We further find that this comment cycle will give parties sufficient opportunity to comment adequately on our proposed rule. In addition, we are immediately posting this proposed rule on our website at http://www.hcfa.gov/​regs/​cms1159p.htm pending publication in the Federal Register to ensure the maximum possible opportunity for public comment.

XIV. Regulatory Impact Analysis

A. General

We have examined the impacts of this proposed rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review) and the Regulatory Flexibility Act (RFA) (September 19, 1980 Public Law 96-354). Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, if 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 statutory effects of the provisions that would be implemented by this proposed rule result in expenditures exceeding $100 million per year. We estimate the total impact of these changes for CY 2002 payments compared to CY 2001 payments to be approximately a $450 million increase. Therefore, this proposed rule is an economically significant rule under Executive Order 12866, and a major rule under 5 U.S.C. 804(2).

The RFA requires agencies to determine whether a rule will have a significant economic impact on a substantial number of small entities. For purposes of the RFA, small entities include small businesses, nonprofit organizations and government agencies. Most hospitals and most other providers and suppliers are small entities, either by nonprofit status of by having revenues of $5 to $25 million or less annually (see 65 FR 69432). For purposes of the RFA, all providers of hospital outpatient services are considered small entities. Individuals and States are not included in the definition of a small entity.

In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. With the exception of hospitals located in certain New England counties, 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 (MSA) and has fewer than 100 beds, or New England County Metropolitan Area (NECMA). Section 601(g) of the Social Security Amendments of 1983 (Pub. L. 98-21) designated hospitals in certain New England counties as belonging to the adjacent NECMA. Thus, for purposes of the OPPS, we classify these hospitals as urban hospitals.

It is clear that the changes in this proposed rule would affect both a substantial number of rural hospitals as well as other classes of hospitals, and the effects on some may be significant. Therefore, the discussion below, in combination with the rest of this proposed rule, constitutes a regulatory impact analysis.

Section 202 of the Unfunded Mandate Reform Act of 1995 (Pub. L. 104-4) also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in an expenditure in any one year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. This proposed rule would not mandate any requirements for State, local, or tribal governments.

Executive Order 13132 establishes certain requirements that an agency must meet when it publishes a proposed rule (and subsequent final rule) that imposes substantial direct costs on State and local governments, preempts State law, or otherwise has Federalism implications.

We have examined this proposed rule in accordance with Executive Order 13132, Federalism, and have determined that it will not have any negative impact on the rights, roles, and responsibilities of State, local or tribal governments.

B. Changes in This Proposed Rule

We are proposing several changes to the OPPS that are required by the statute. We are required under section 1833(t)(3)(C)(ii) of the Act to update annually the conversion factor used to determine the APC payment rates. We are also required under section 1833(t)(8)(A) of the Act to revise, not less often than annually, the wage index and other adjustments. In addition, we must review the clinical integrity of payment groups and weights at least annually. Accordingly, in this proposed rule, we are updating the conversion factor and the wage index adjustment for hospital outpatient services furnished beginning January 1, 2002. We are also proposing revisions to the relative APC payment weights based on claims data from July 1, 1999 through June 30, 2000. Finally, we are proposing to begin calculating outlier payments on an APC-specific basis rather than the current method of calculating outlier payments for each claim.

The projected aggregate impact of updating the conversion factor is to increase total payments to hospitals by 2.3 percent. As described in the preamble, budget neutrality adjustments are made to the conversion factor and the weights to assure that the revisions in the wage index, APC groups, and relative weights do not affect aggregate payments. In addition, the determination of the parameters for outlier payments have been modified so that projected outlier payments for 2002 are equivalent to the established policy target of 2.0 percent of total payments. Because we are not revising the target percentage, there is no estimated aggregate impact from modifying the method of determining outlier payments.

The impact of the wage, recalibration and outlier changes do vary somewhat by hospital group. Estimates of these impacts are displayed on Table 6.

C. Limitations of Our Analysis

The distributional impacts represent the projected effects of the proposed policy changes, as well as statutory changes effective for 2002, on various hospital groups. We estimate the effects of individual policy changes by estimating payments per service while holding all other payment policies constant. We use the best data available but do not attempt to predict behavioral responses to our policy changes. In addition, we do not make adjustments for future changes in variables such as service volume, service mix, or number of encounters.

D. Estimated Impacts of This Proposed Rule

Column 5 in Table 6 represents the full impact on each hospital group of all the changes for 2002. Columns 2 through 4 in the table reflect the independent effects of the proposed change in the wage index, the APC reclassification and recalibration changes and the change in outlier method, respectively.

In general, the wage index changes favor rural hospitals, particularly the largest in bed size and volume. The only rural hospitals that would experience a negative impact due to wage index changes are those in the Middle Atlantic and Pacific Regions, a decrease of 0.3 percent for each. Conversely, the urban hospitals are generally negatively affected by these changes, with the largest effect on those with 500 or more beds (0.6 percent decrease) and those in the Middle Atlantic (1.7 percent decrease) and West South Central Regions (1.5 percent decrease).

We estimate that the APC reclassification and recalibration changes have generally an opposite impact from the wage index, causing increases for all urban hospitals except those with under 200 beds and volumes of fewer than 21,000 services per year and those located in the New England (a 0.1 percent decrease), Middle Atlantic (a 0.7 percent decrease), East North Central (a 0.55 percent decrease), and Puerto Rico (a 5.6 percent decrease) Regions.

The change in outlier policy to an APC-specific payment has a slight negative effect on rural hospitals as a group (a 0.2 percent decrease), no effect on urban hospitals as a group, and slight negative effects on all smaller hospitals as well as those with lower volumes of services.

The overall projected increase in payments for urban hospitals is slightly greater (2.4 percent) than the average increase for all hospitals while the increase for rural hospitals is somewhat less than the average increase (1.9 percent). Rural hospitals gain 1.2 percent from the wage index change, but lose a combined 1.7 percent from the APC changes and the change in method of determining outlier payments.

In both urban and rural areas, hospitals that provide a higher volume of outpatient services are projected to receive a larger increase in payments than lower volume hospitals. In rural areas, hospitals with volumes of fewer than 5000 services are projected to experience a small decline in payments (−0.1 percent). The less favorable impact for the low volume hospitals is attributable to the APC changes and the change in outlier method. For example, rural hospitals providing fewer than 5000 services are projected to lose a combined 3 percent due to these changes.

Urban hospitals in the Middle Atlantic region are projected to receive no increase in payments, and we estimate a decline of 0.1 percent for rural hospitals in this region. Both the urban and rural hospitals lose 2.4 percent due to the wage index change and APC changes. The urban hospitals are affected more by the wage index change (−1.7 percent), while rural hospitals are affected more by the recalibration (−2.1 percent). Urban hospitals in the East South Central Region are projected to experience the largest increase in payments (5.5 percent).

Major teaching hospitals are projected to experience a smaller increase in payments (1.3 percent) than the aggregate for all hospitals due to negative impacts of the wage index (−0.7 percent), recalibration (−0.1 percent), and outlier changes (−0.2 percent). Hospitals with less intensive teaching programs are projected to experience an overall increase (3.0 percent) that is larger than the average for all hospitals. This is attributable to the fact that there is no impact on this group for the wage index change and positive impacts for both the APC changes (0.6 percent) and outlier changes (0.1). There is little difference in impact among hospitals with varying shares of low-income patients.

TABLE 6.—Impact of Changes for CY 2002 Hospital Outpatient Prospective Payment System

[Percent changes in total payments (program and beneficiary)]

	Number of hospitals 1	New wage index 2	APC recalib.3	New outlier policy 4	All CY 2002 changes 5
	(1)	(2)	(3)	(4)	(5)
ALL HOSPITALS	5,077	0.0	0.0	0.0	2.3
NON-TEFRA HOSPITALS	4,701	0.0	0.0	0.0	2.3
URBAN HOSPS	2,608	−0.3	0.4	0.0	2.4
LARGE URBAN (GT 1 MILL.)	1,495	−0.5	0.1	0.0	1.9
OTHER URBAN (LE 1 MILL.)	1,113	−0.1	0.7	0.1	3.1
RURAL HOSPS	2,093	1.2	−1.5	−0.2	1.9
BEDS (URBAN):
0-99 BEDS	661	0.0	−1.9	−0.1	0.3
100-199 BEDS	918	−0.3	−0.4	0.1	1.8
200-299 BEDS	510	−0.3	0.6	0.0	2.6
300-499 BEDS	374	−0.3	1.1	0.1	3.2
500 + BEDS	145	−0.6	1.1	0.0	2.7
BEDS (RURAL):
0—49 BEDS	1,249	0.4	−2.4	−0.6	−0.2
50-99 BEDS	506	0.7	−2.2	−0.2	0.6
100-149 BEDS	198	1.6	−0.7	0.0	3.2
150-199 BEDS	74	1.6	−1.0	−0.1	2.8
200 + BEDS	66	2.6	−0.2	0.1	4.8
VOLUME (URBAN):
LT 5,000	363	−0.5	−0.5	−0.3	1.0
5,000-10,999	496	−0.3	−1.1	0.0	0.9
11,000-20,999	605	−0.4	−0.4	0.1	1.7
21,000-42,999	746	−0.4	0.6	0.1	2.6
GT 42,999	398	−0.2	0.6	0.0	2.7
VOLUME (RURAL):
LT 5,000	1,000	0.4	−2.0	−1.0	−0.1
5,000-10,999	569	0.5	−2.3	−0.2	0.2
11,000-20,999	322	1.1	−1.7	−0.1	1.6
21,000-42,999	171	1.7	−0.9	0.0	3.0
GT 42,999	31	2.8	−0.3	0.0	4.8
REGION (URBAN):
NEW ENGLAND	136	1.0	−0.1	−0.2	3.0
MIDDLE ATLANTIC	380	−1.7	−0.7	0.0	0.0
SOUTH ATLANTIC	429	0.4	1.3	0.1	4.1
EAST NORTH CENT	444	−0.4	−0.5	0.1	1.5
EAST SOUTH CENT	154	1.3	1.8	0.1	5.5
WEST NORTH CENT	183	−0.1	0.2	0.1	2.5
WEST SOUTH CENT	323	−1.5	1.6	0.0	2.3
MOUNTAIN	129	0.1	1.2	0.0	3.6
PACIFIC	391	−0.2	0.4	0.0	2.5
PUERTO RICO	39	1.2	−5.6	−0.2	−2.3
REGION (RURAL):
NEW ENGLAND	51	0.4	−2.3	−0.4	0.0
MIDDLE ATLANTIC	72	−0.3	−2.1	0.1	−0.1
SOUTH ATLANTIC	276	1.8	−0.8	−0.1	3.2
EAST NORTH CENT	275	1.5	−2.5	−0.1	1.2
EAST SOUTH CENT	250	1.5	−0.9	−0.1	2.8
WEST NORTH CENT	501	1.3	−2.1	−0.3	1.2
WEST SOUTH CENT	326	1.4	−0.2	−0.2	3.2
MOUNTAIN	200	1.6	−1.1	−0.5	2.4
PACIFIC	137	−0.3	−1.2	−0.2	0.6
PUERTO RICO	5	4.2	−3.1	−0.3	3.0
TEACHING STATUS:
NON-TEACHING	3,594	0.2	−0.4	0.0	2.1
MINOR	812	0.0	0.6	0.1	3.0
MAJOR	294	−0.7	−0.1	−0.2	1.3
DSH PATIENT PERCENT:
0	27	0.0	−1.1	−0.7	0.7
GT 0-0.10	1,298	−0.1	−0.3	0.0	2.0
0.10-0.16	1,047	0.2	−0.2	0.1	2.3
0.16-0.23	822	−0.1	0.3	0.0	2.5
0.23-0.35	812	0.1	0.2	0.0	2.6
GE 0.35	695	−0.2	0.1	−0.3	2.0
URBAN IME/DSH:
IME & DSH	1,012	−0.4	0.5	0.0	2.4
IME/NO DSH	4	−0.1	−2.2	−1.2	−1.0
NO IME/DSH	1,578	−0.2	0.2	0.1	2.4
NO IME/NO DSH	14	0.1	0.9	0.7	4.0
RURAL HOSP. TYPES:
NO SPECIAL STATUS	797	0.5	−2.0	−0.2	0.6
RRC	171	2.3	−0.5	0.1	4.2
SCH/EACH	656	0.7	−2.2	−0.4	0.5
MDH	327	0.2	−2.5	−0.5	−0.4
SCH AND RRC	70	2.1	−0.9	−0.1	3.4
TYPE OF OWNERSHIP:
VOLUNTARY	2,808	−0.1	−0.1	0.0	2.2
PROPRIETARY	761	0.0	0.9	0.2	3.4
GOVERNMENT	1,132	0.4	−0.4	−0.2	2.1
SPECIALTY HOSPITALS:
EYE AND EAR	12	0.1	−8.3	0.6	−5.3
TRAUMA	154	−0.2	−0.1	−0.1	1.9
CANCER	10	−1.7	2.3	−1.6	1.2
TEFRA HOSPITALS (NOT INCLUDED ON OTHER LINES):
REHAB	164	−1.8	10.0	−1.0	8.9
PSYCH	88	−1.4	−0.6	−3.5	−3.1
LTC	83	−0.7	−2.3	−0.2	−1.0
CHILDREN	41	−0.6	−2.0	−2.2	−2.2
1 Some data necessary to classify hospitals by category were missing; thus, the total number of hospitals in each category may not equal the national total.
2 This column shows the impact of updating the wage index used to calculate payment using the proposed FY 2002 hospital inpatient wage index after geographic reclassification by the Medicare Geographic Classification Review Board. The hospital inpatient proposed rule for FY 2002 was published in the Federal Register on May 4, 2001.
3 This column shows the impact of recalibrating the APC weights based on 1999-2000 hospital claims data and of the reassignment of some HCPCs to APCs as discussed in this rule.
4 This column shows the difference in calculating outliers on an APC-specific rather than bill basis.
5 This column shows changes in total payment from CY 2001 to CY 2002. It incorporates all of the changes reflected in columns 2, 3, and 4. In addition, it shows the impact of the CY 2002 payment update. The sum of the columns may be different from the percentage changes shown here due to rounding.

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 413

• Health facilities
• Kidney diseases
• Medicare
• Puerto Rico
• Reporting and recordkeeping requirements

42 CFR Part 419

• Hospitals
• Medicare
• Reporting and recordkeeping requirements

42 CFR Part 489

• Health facilities
• Medicare
• Reporting and recordkeeping requirements

For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services proposes to amend 42 CFR chapter IV as follows:

PART 413—PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES

A. Part 413 is amended as set forth below:

1. The authority citation for part 413 continues to read as follows:

Authority: Secs. 1102, 1812(d), 1814(b), 1815, 1833(a), (i), and (n), 1871, 1881, 1883, and 1886 of the Social Security Act (42 U.S.C. 1302, 1395f(b), 1395g, 1395l, 1395l(a), (i), and (n), 1395x(v), 1395hh, 1395rr, 1395tt, and 1395ww).

Subpart B—Accounting Records and Reports

2. In § 413.24, the heading to paragraph (d) is republished, paragraph (d)(6) is revised, and a new paragraph (d)(7) is added, to read as follows:

§ 413.24

Adequate cost data and cost finding.

* * * * *

(d) Cost finding methods. * * *

(6) Provider-based entities and departments: Preventing duplication of cost. In some situations, the main provider in a provider-based complex may purchase services for a provider-based entity or for a department of the provider through a contract for services (for example, a management contract), directly assigning the costs to the provider-based entity or department and reporting the costs directly in the cost center for that entity or department. In any situation in which costs are directly assigned to a cost center, there is a risk of excess cost in that cost center resulting from the directly assigned costs plus a share of overhead improperly allocated to the cost center which duplicates the directly assigned costs. This duplication could result in improper Medicare payment to the provider. Where a provider has purchased services for a provider-based entity or for a provider department, like general service costs of the provider (for example, like costs in the administrative and general cost center) must be separately identified to ensure that they are not improperly allocated to the entity or the department. If the like costs of the main provider cannot be separately identified, the costs of the services purchased through a contract must be reclassified to the main provider and allocated among the main provider's benefiting cost centers.

Example: A provider-based complex is composed of a hospital and a hospital-based rural health clinic (RHC). The hospital furnishes the entirety of its own administrative and general costs internally. The RHC, however, is managed by an independent contractor through a management contract. The management contract provides a full array of administrative and general services, with the exception of patient billing. The hospital directly assigns the costs of the RHC's management contract to the RHC cost center (for example, Form HCFA 2552-96, Worksheet A, Line 71). A full allocation of the hospital's administrative and general costs to the RHC cost center would duplicate most of the RHC's administrative and general costs. However, an allocation of the hospital's cost (included in hospital administrative and general costs) of its patient billing function to the RHC would be appropriate. Therefore, the hospital must include the costs of the patient billing function in a separate cost center to be allocated to the benefiting cost centers, including the RHC cost center. The remaining hospital administrative and general costs would be allocated to all cost centers, excluding the RHC cost center. If the hospital is unable to isolate the costs of the patient billing function, the costs of the RHC's management contract must be reclassified to the hospital administrative and general cost center to be allocated among all cost centers, as appropriate.

(7) Costs of services furnished to free-standing entities. The costs that a provider incurs to furnish services to free-standing entities with which it is associated are not allowable costs of that provider. Any costs of services furnished to a free-standing entity must be identified and eliminated from the allowable costs of the servicing provider, to prevent Medicare payment to that provider for those costs. This may be done by including the free-standing entity on the cost report as a nonreimbursable cost center for the purpose of allocating overhead costs to that entity. If this method would not result in an accurate allocation of costs to the entity, the provider must develop detailed work papers showing how the cost of services furnished by the provider to the entity were determined. These costs are removed from the applicable cost centers of the servicing provider.

* * * * *

Subpart E—Payments to Providers

3. Section 413.65 is amended as follows:

A. Revising paragraph (a)(1).

B. Revising the definition of “Provider-based entity” in paragraph (a)(2).

C. Revising paragraph (b).

D. Revising paragraph (c).

E. Revising the introductory text to paragraph (d).

F. Revising paragraph (d)(7).

G. Revising paragraph (g)(7).

H. Revising the introductory text to paragraph (i)(1).

I. Revising paragraph (i)(1)(ii).

J. Revising paragraph (i)(2).

The revisions read as follows:

§ 413.65

Requirements for a determination that a facility or an organization has provider-based status.

(a) Scope and definitions. (1) Scope. (i) This section applies to all facilities for which provider-based status is sought, including remote locations of hospitals, as defined in paragraph (a)(2) of this section and satellite facilities as defined in § 412.22(h)(1) and § 412.25(e)(1) of this chapter, other than facilities described in paragraph (a)(1)(ii) of this section.

(ii) This section does not apply to the following facilities:

(A) Ambulatory surgical centers (ASCs).

(B) Comprehensive outpatient rehabilitation facilities (CORFs).

(C) Home health agencies (HHAs).

(D) Skilled nursing facilities (SNFs).

(E) Hospices.

(F) Inpatient rehabilitation units that are excluded from the inpatient PPS for acute hospital services.

(G) Independent diagnostic testing facilities and any other facilities that furnish only clinical diagnostic laboratory tests.

(H) Facilities furnishing only physical, occupational, or speech therapy to ambulatory patients, for as long as the $1,500 annual cap on coverage of physical, occupational, and speech therapy, as described in section 1833(g)(2) of the Act, remains suspended by the action of subsequent legislation.

(I) ESRD facilities (determinations for ESRD facilities are made under § 413.174 of this chapter).

(2) Definitions. * * *

* * * * *

Provider-based entity means a provider of health care services, or an RHC as defined in § 405.2401(b) of this chapter, that is either created by, or acquired by, a main provider for the purpose of furnishing health care services of a different type from those of the main provider under the name, ownership, and administrative and financial control of the main provider, in accordance with the provisions of this section.

* * * * *

(b) Provider-based determinations. (1) A facility or organization is not entitled to be treated as provider-based simply because it or the main provider believe it is provider-based.

(2) If a facility was treated as provider-based in relation to a hospital or CAH on October 1, 2000, it will continue to be considered provider-based in relation to that hospital or CAH until October 1, 2002, and the requirements, limitations, and exclusions specified in paragraphs (d), (e), (f), and (h) of this section will not apply to that hospital or CAH for that facility until October 1, 2002. For purposes of this paragraph, a facility will be considered to have been treated as provider-based on October 1, 2000, if on that date it either had a written determination from CMS that it was provider-based as of that date, or was billing and being paid as a provider-based department or entity of the hospital.

(3) Except as specified in paragraphs (b)(2) and (b)(5) of this section, a main provider or a facility must contact CMS, and the facility must be determined by CMS to be provider-based, before the main provider bills for services of the facility as if the facility were provider-based, or before it includes costs of those services on its cost report.

(4) A facility that is not located on the campus of a hospital and that is used as a site where physician services of the kind ordinarily furnished in physician offices are furnished is presumed to be a free-standing facility, unless it is determined by CMS to have provider-based status.

(5) A facility for which a determination of provider-based status in relation to a hospital or CAH is requested on or after October 1, 2000 and before October 1, 2002 will be treated as provider-based in relation to the hospital or CAH from the first date on or after October 1, 2000 on which the facility was licensed (to the extent required by the State), staffed and equipped to treat patients until the date on which CMS determines that the facility does not qualify for provider-based status.

(c) Reporting. A main provider that has had one or more facilities considered provider-based also must report to CMS any material change in the relationship between it and any provider-based facility, such as a change in ownership of the facility or entry into a new or different management contract that could affect the provider-based status of the facility.

(d) Requirements. An entity must meet all of the following requirements to be determined by CMS to have provider-based status.

* * * * *

(7) Location in immediate vicinity. The facility or organization and the main provider are located on the same campus, except when the requirements in paragraphs (d)(7)(i), (d)(7)(ii), or (d)(7)(iii) of this section are met:

(i) The facility or organization is located within a 35-mile radius of the main campus of the hospital or CAH that is the potential main provider;

(ii) The facility or organization is owned and operated by a hospital or CAH that has a disproportionate share adjustment (as determined under § 412.106 of this chapter) greater than 11.75 percent or is described in § 412.106(c)(2) of this chapter implementing section 1886(d)(5)(F)(i)(II) of the Act and is—

(A) Owned or operated by a unit of State or local government;

(B) A public or nonprofit corporation that is formally granted governmental powers by a unit of State or local government; or

(C) A private hospital that has a contract with a State or local government that includes the operation of clinics located off the main campus of the hospital to assure access in a well-defined service area to health care services to low-income individuals who are not entitled to benefits under Medicare (or medical assistance under a Medicaid State plan).

(iii) The facility or organization demonstrates a high level of integration with the main provider by showing that it meets all of the other provider-based criteria and demonstrates that it serves the same patient population as the main provider, by submitting records showing that, during the 12-month period immediately preceding the first day of the month in which the application for provider-based status is filed with CMS, and for each subsequent 12-month period—

(A) At least 75 percent of the patients served by the facility or organization reside in the same zip code areas as at least 75 percent of the patients served by the main provider;

(B) At least 75 percent of the patients served by the facility or organization who required the type of care furnished by the main provider received that care from that provider (for example, at least 75 percent of the patients of an RHC seeking provider-based status received inpatient hospital services from the hospital that is the main provider); or

(C) If the facility or organization is unable to meet the criteria in paragraph (d)(7)(i)(A) or (d)(7)(i)(B) of this section because it was not in operation during all of the 12-month period described in the previous sentence, the facility or organization is located in a zip code area included among those that, during all of the 12-month period described in the previous sentence, accounted for at least 75 percent of the patients served by the main provider.

(iv) A facility or organization is not considered to be in the “immediate vicinity” of the main provider unless the facility or organization and the main provider are located in the same State or, when consistent with the laws of both States, adjacent States.

(v) An RHC that is otherwise qualified as a provider-based entity of a hospital that is located in a rural area, as defined in § 412.62(f)(1)(iii) of this chapter, and has fewer than 50 beds, as determined under § 412.105(b) of this chapter, is not subject to the criteria in paragraphs (d)(7)(i) through (d)(7)(iv) of this section.

* * * * *

(g) Obligations of hospital outpatient departments and hospital-based entities. * * *

* * * * *

(7) When a Medicare beneficiary is treated in a hospital outpatient department or hospital-based entity (other than an RHC) that is not located on the main provider's campus, the hospital has a duty to provide written notice to the beneficiary, before the delivery of services, of the amount of the beneficiary's potential financial liability (that is, of the fact that the beneficiary will incur a coinsurance liability for an outpatient visit to the hospital as well as for the physician service, and of the amount of that liability). The notice must be one that the beneficiary can read and understand. If the exact type and extent of care needed is not known, the hospital may furnish a written notice to the patient that explains the fact that the beneficiary will incur a coinsurance liability to the hospital that he or she would not incur if the facility were not provider-based. The hospital may furnish an estimate based on typical or average charges for visits to the facility, while stating that the patient's actual liability will depend upon the actual services furnished by the hospital. If the beneficiary is unconscious, under great duress, or for any other reason unable to read a written notice and understand and act on his or her own rights, the notice must be provided, before the delivery of services, to the beneficiary's authorized representative.

* * * * *

(i) Inappropriate treatment of a facility or organization as provider-based. (1) Determination and review. If CMS learns that a provider has treated a facility or organization as provider-based and the provider had not obtained a determination of provider-based status under this section, CMS will—

* * * * *

(ii) Investigate and determine whether the requirements in paragraph (d) of this section (or, for periods before the beginning of the hospital's first cost reporting period beginning or or after January 10, 2001, the requirements in applicable program instructions) were met; and

* * * * *

(2) Recovery of overpayments. If CMS finds that payments for services at the facility or organization have been made as if the facility or organization were provider-based, even though CMS had not previously determined that the facility or organization qualified for provider-based status, CMS will recover the difference between the amount of payments that actually were made and the amount of payments that CMS estimates should have been made in the absence of a determination of provider-based status, except that recovery will not be made for any period before the beginning of the hospital's first cost reporting period beginning or or after January 10, 2001 if during all of that period the management of the entity made a good faith effort to operate it as a provider-based facility or organization, as described in paragraph (h)(3) of this section.

* * * * *

PART 419—PROSPECTIVE PAYMENT SYSTEM FOR HOSPITAL OUTPATIENT DEPARTMENT SERVICES

B. Part 419 is amended as set forth below:

1. The authority citation for part 419 continues to read as follows:

Authority: Secs. 1102, 1833(t), and 1871 of the Social Security Act (42 U.S.C. 1302, 1395l(t), and 1395hh).

Subpart A—General Provisions

2. In § 419.2, paragraph (c) is revised to read as follows:

§ 419.2

Basis of payment.

* * * * *

(c) Determination of hospital outpatient prospective payment rates: Excluded costs. The following costs are excluded from the hospital outpatient prospective payment system.

(1) The costs of direct graduate medical education activities as described in § 413.86 of this chapter.

(2) The costs of nursing and allied health programs as described in § 413.85 of this chapter.

(3) The costs associated with interns and residents not in approved teaching programs as described in § 415.202 of this chapter.

(4) The costs of teaching physicians attributable to Part B services for hospitals that elect cost-based reimbursement for teaching physicians under § 415.160.

(5) The reasonable costs of anesthesia services furnished to hospital outpatients by qualified nonphysician anesthetists (certified registered nurse anesthetists and anesthesiologists' assistants) employed by the hospital or obtained under arrangements, for hospitals that meet the requirements under § 412.113(c) of this chapter.

(6) Bad debts for uncollectible deductibles and coinsurances as described in § 413.80(b) of this chapter.

(7) Organ acquisition costs paid under Part B.

(8) Corneal tissue acquisition costs.

Subpart B—Categories of Hospitals and Services Subject to and Excluded From the Hospital Outpatient Prospective Payment System

3. In § 419.20, paragraph (a) is revised, and paragraphs (b)(3) and (b)(4) are added to read as follows:

§ 419.20

Hospitals subject to the hospital outpatient prospective payment system.

(a) Applicability. The hospital outpatient prospective payment system is applicable to any hospital participating in the Medicare program, except those specified in paragraph (b) of this section, for services furnished on or after August 1, 2000.

(b) Hospitals excluded from the outpatient prospective payment system.

* * * * *

(3) A hospital located outside one of the 50 States, the District of Columbia, and Puerto Rico is excluded from the hospital outpatient prospective payment system.

(4) A hospital of the Indian Health Service.

4. In § 419.22, the introductory text is republished, and paragraph (r) is added to read as follows:

§ 419.22

Hospital outpatient services excluded from payment under the hospital outpatient prospective payment system.

The following services are not paid for under the hospital outpatient prospective payment system:

* * * * *

(r) Services defined in § 419.21(b) that are furnished to inpatients of hospitals that do not submit claims for outpatient services under Medicare Part B.

Subpart C—Basic Methodology for Determining Prospective Payment Rates for Hospital Outpatient Services

5. In § 419.32, paragraph (b)(1) is revised to read as follows:

§ 419.32

Calculation of prospective payment rates for hospital outpatient services.

* * * * *

(b) Conversion factor for calendar year 2000 and subsequent years. (1) Subject to paragraph (b)(2) of this section, the conversion factor for a calendar year is equal to the conversion factor calculated for the previous year adjusted as follows:

(i) For calendar year 2000, by the hospital inpatient market basket percentage increase applicable under section 1886(b)(3)(B)(iii) of the Act reduced by one percentage point.

(ii) For calendar year 2001—

(A) For services furnished on or after January 1, 2001 and before April 1, 2001, by the hospital inpatient market basket percentage increase applicable under section 1886(b)(3)(B)(iii) of the Act reduced by one percentage point; and

(B) For services furnished on or after April 1, 2001 and before January 1, 2002, by the hospital inpatient market basket percentage increase applicable under section 1886(b)(3)(B)(iii) of the Act, and increased by a transitional percentage allowance equal to 0.32 percent.

(iii) For calendar year 2002, by the hospital inpatient market basket percentage increase applicable under section 1886(b)(3)(B)(iii) of the Act reduced by one percentage point, without taking into account the transitional percentage allowance referenced in § 419.32(b)(ii)(B).

(iv) For calendar year 2003 and subsequent years, by the hospital inpatient market basket percentage increase applicable under section 1886(b)(3)(B)(iii) of the Act.

* * * * *

Subpart D—Payments to Hospitals

6. In § 419.40, the word “coinsurance” is removed and the word “copayment” is added in its place as follows:

§ 419.40

Payment concepts.

(a) In addition to the payment rate described in § 419.32, for each APC group there is a predetermined beneficiary copayment amount as described in § 419.41(a). The Medicare program payment amount for each APC group is calculated by applying the program payment percentage as described in § 419.41(b).

(b) For purposes of this section—

(1) Coinsurance percentage is calculated as the difference between the program payment percentage and 100 percent. The coinsurance percentage in any year is thus defined for each APC group as the greater of the following: the ratio of the APC group unadjusted copayment amount to the annual APC group payment rate, or 20 percent.

(2) Program payment percentage is calculated as the lower of the following: the ratio of the APC group payment rate minus the APC group unadjusted copayment amount, to the APC group payment rate, or 80 percent.

(3) Unadjusted copayment amount is calculated as 20 percent of the wage-adjusted national median of charges for services within an APC group furnished during 1996, updated to 1999 using an actuarial projection of charge increases for hospital outpatient department services during the period 1996 to 1999.

(c) Limitation of copayment amount to inpatient hospital deductible amount. The copayment amount for a procedure performed in a year cannot exceed the amount of the inpatient hospital deductible established under section 1813(b) of the Act for that year.

7. Amend § 419.41 as follows:

A. The section heading is revised.

B. The word “coinsurance” is removed each time it appears, and the word “copayment” is added in its place.

C. Paragraph (c)(4)(ii) is redesignated as paragraph (c)(4)(iv).

D. Paragraphs (c)(4)(ii) and (c)(4)(iii) are added as follows:

§ 419.41

Calculation of national beneficiary copayment amounts and national Medicare program payment amounts.

(c) * * *

(4) * * *

(i) Effective for services furnished from April 1, 2001 through December 31, 2001, the national unadjusted coinsurance rate for an APC cannot exceed 57 percent of the prospective payment rate for that APC.

(ii) The national unadjusted coinsurance rate for an APC cannot exceed 55 percent in calendar years 2002 and 2003; 50 percent in calendar year 2004; 45 percent in calendar year 2005; and 40 percent in calendar year 2006 and thereafter.

* * * * *

8. In § 419.42 paragraph (a), (c), and (e) are revised as follows:

§ 419.42

Hospital election to reduce coinsurance.

(a) A hospital may elect to reduce coinsurance for any or all APC groups on a calendar year basis. A hospital may not elect to reduce copayment amounts for some, but not all, services within the same group.

* * * * *

(c) The hospital's election must be properly documented. It must specifically identify the APCs to which it applies and the copayment amount (within the limits identified below) that the hospital has selected for each group.

* * * * *

(e) In electing reduced coinsurance, a hospital may elect a copayment amount that is less than that year's wage-adjusted copayment amount for the group but not less than 20 percent of the APC payment rate as determined in § 419.32.

* * * * *

§ 419.43

[Amended]

9. Section 419.43 is amended by removing the word “coinsurance” from the section heading and from paragraph (a), and adding the word “copayment” in its place.

Subpart G—Transitional Corridors

10. In § 419.70, paragraph (d)(2) is revised to read as follows:

§ 419.70

Transitional adjustment to limit decline in payment.

* * * * *

(d) Hold harmless provisions * * *

* * * * *

(2) Permanent treatment for cancer hospitals and children's hospitals. In the case of a hospital described in § 412.23(d) or § 412.23(f) of this chapter for which the prospective payment system amount is less than the pre-BBA amount for covered hospital outpatient services, the amount of payment under this part is increased by the amount of this difference.

* * * * *

PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL

C. Part 489 is amended as set forth below:

1. The authority citation to part 489 continues to read as follows:

Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).

Subpart B—Essentials of Provider Agreements

2. In § 489.24, paragraph (i)(2)(ii) is revised to read as follows:

§ 489.24

Special responsibilities of Medicare hospitals in emergency cases.

* * * * *

(i) Off-campus departments. * * *

(2) Protocols for off-campus departments. * * *

* * * * *

(ii) If the off-campus department is a physical therapy, radiology, or other facility not routinely staffed with physicians, RNs, or LPNs, the department's personnel must be given protocols that direct them to contact emergency personnel at the main hospital campus for direction. Under this direction, and in accordance with protocols established in advance by the hospital, the personnel at the off-campus department must describe patient appearance and report symptoms and, if appropriate, either arrange transportation of the individual to the main hospital campus in accordance with paragraph (i)(3)(i) of this section or assist in an appropriate transfer as described in paragraphs (i)(3)(ii) and (d)(2) of this section. Any contact with emergency personnel at the main hospital campus should either be made after or concurrently with the actions needed to arrange an appropriate transfer under paragraph (i)(3)(ii) of this section if doing otherwise would significantly jeopardize the life or health of the individual.

* * * * *

(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Dated: August 3, 2001.

Thomas A. Scully,

Administrator, Centers for Medicare & Medicaid Services.

Approved: August 3, 2001.

Tommy G. Thompson,

Secretary.

Addendum A.—List of Ambulatory Payment Classifications (APCs) with Status Indicators, Relative Weights, Payment Rates, and Copayment Amounts Calendar Year 2002

APC	Group Title	Status Indicator	Relative Weight	Payment Rate	National Unadjusted Copayment	Minimum Unadjusted Copayment
0001	Photochemotherapy	S	0.45	$22.88	$8.24	$4.58
0002	Fine needle Biopsy/Aspiration	T	0.47	$23.90	$13.14	$4.78
0003	Bone Marrow Biopsy/Aspiration	T	1.11	$56.43	$27.99	$11.29
0004	Level I Needle Biopsy/ Aspiration Except Bone Marrow	T	3.00	$152.53	$32.57	$30.51
0005	Level II Needle Biopsy /Aspiration Except Bone Marrow	T	6.71	$341.15	$119.75	$68.23
0006	Level I Incision & Drainage	T	2.36	$119.99	$33.95	$24.00
0007	Level II Incision & Drainage	T	7.28	$370.13	$74.03	$74.03
0008	Level III Incision and Drainage	T	11.36	$577.57	$115.51	$115.51
0009	Nail Procedures	T	0.68	$34.57	$8.99	$6.91
0010	Level I Destruction of Lesion	T	0.71	$36.10	$9.86	$7.22
0011	Level II Destruction of Lesion	T	1.57	$79.82	$29.53	$15.96
0012	Level I Debridement & Destruction	T	0.72	$36.61	$9.18	$7.32
0013	Level II Debridement & Destruction	T	1.51	$76.77	$17.66	$15.35
0015	Level IV Debridement & Destruction	T	2.29	$116.43	$31.20	$23.29
0016	Level V Debridement & Destruction	T	3.31	$168.29	$70.68	$33.66
0017	Level VI Debridement & Destruction	T	10.51	$534.35	$245.80	$106.87
0018	Biopsy of Skin/Puncture of Lesion	T	1.16	$58.98	$17.66	$11.80
0019	Level I Excision/ Biopsy	T	4.56	$231.84	$78.91	$46.37
0020	Level II Excision/ Biopsy	T	8.56	$435.21	$130.53	$87.04
0021	Level IV Excision/ Biopsy	T	12.74	$647.73	$236.51	$129.55
0022	Level V Excision/ Biopsy	T	15.07	$766.19	$292.94	$153.24
0023	Exploration Penetrating Wound	T	2.18	$110.84	$40.37	$22.17
0024	Level I Skin Repair	T	2.48	$126.09	$44.50	$25.22
0025	Level II Skin Repair	T	3.71	$188.62	$70.66	$37.72
0026	Level III Skin Repair	T	13.51	$686.88	$277.92	$137.38
0027	Level IV Skin Repair	T	19.31	$981.76	$383.10	$196.35
0028	Level I Incision/Excision Breast	T	14.95	$760.09	$303.74	$152.02
0029	Level II Incision/Excision Breast	T	35.93	$1,826.75	$820.79	$365.35
0030	Level I Breast Reconstruction	T	25.95	$1,319.35	$646.48	$263.87
0032	Insertion of Central Venous/Arterial Catheter	T	7.16	$364.03	$119.52	$72.81
0033	Partial Hospitalization	P	4.17	$212.01		$42.40
0035	Placement of Arterial or Central Venous Catheter	T	0.13	$6.61	$2.18	$1.32
0041	Arthroscopy	T	26.18	$1,331.04	$592.08	$266.21
0042	Arthroscopically-Aided Procedures	T	39.39	$2,002.67	$804.74	$400.53
0043	Closed Treatment Fracture Finger/Toe/Trunk	T	4.13	$209.98	$42.00	$42.00
0044	Closed Treatment Fracture/Dislocation Except Finger/Toe/Trunk	T	2.73	$138.80	$38.08	$27.76
0045	Bone/Joint Manipulation Under Anesthesia	T	12.91	$656.37	$277.12	$131.27
0046	Open/Percutaneous Treatment Fracture or Dislocation	T	25.36	$1,289.35	$535.76	$257.87
0047	Arthroplasty without Prosthesis	T	28.54	$1,451.03	$537.03	$290.21
0048	Arthroplasty with Prosthesis	T	32.37	$1,645.76	$725.94	$329.15
0049	Level I Musculoskeletal Procedures Except Hand and Foot	T	17.07	$867.87	$356.95	$173.57
0050	Level II Musculoskeletal Procedures Except Hand and Foot	T	22.31	$1,134.29	$513.86	$226.86
0051	Level III Musculoskeletal Procedures Except Hand and Foot	T	30.94	$1,573.05	$675.24	$314.61
0052	Level IV Musculoskeletal Procedures Except Hand and Foot	T	38.88	$1,976.74	$930.91	$395.35
0053	Level I Hand Musculoskeletal Procedures	T	12.67	$644.17	$253.49	$128.83
0054	Level II Hand Musculoskeletal Procedures	T	20.84	$1,059.55	$472.33	$211.91
0055	Level I Foot Musculoskeletal Procedures	T	16.77	$852.62	$355.34	$170.52
0056	Level II Foot Musculoskeletal Procedures	T	19.20	$976.17	$405.81	$195.23
0057	Bunion Procedures	T	21.11	$1,073.27	$496.65	$214.65
0058	Level I Strapping and Cast Application	S	1.36	$69.15	$19.27	$13.83
0059	Level II Strapping and Cast Application	S	2.34	$118.97	$29.59	$23.79
0060	Manipulation Therapy	S	0.25	$12.71	$2.54	$2.54
0068	CPAP Initiation	S	3.33	$169.30	$93.12	$33.86
0069	Thoracoscopy	T	25.62	$1,302.57	$612.21	$260.51
0070	Thoracentesis/Lavage Procedures	T	4.11	$208.96	$79.60	$41.79
0071	Level I Endoscopy Upper Airway	T	1.08	$54.91	$14.22	$10.98
0072	Level II Endoscopy Upper Airway	T	1.29	$65.59	$36.08	$13.12
0073	Level III Endoscopy Upper Airway	T	3.54	$179.98	$79.19	$36.00
0074	Level IV Endoscopy Upper Airway	T	14.62	$743.31	$347.54	$148.66
0075	Level V Endoscopy Upper Airway	T	19.08	$970.07	$467.29	$194.01
0076	Endoscopy Lower Airway	T	8.22	$417.92	$197.05	$83.58
0077	Level I Pulmonary Treatment	S	0.42	$21.35	$11.74	$4.27
0078	Level II Pulmonary Treatment	S	0.93	$47.28	$20.33	$9.46
0079	Ventilation Initiation and Management	S	0.62	$31.52	$17.34	$6.30
0080	Diagnostic Cardiac Catheterization	T	32.20	$1,637.11	$838.92	$327.42
0081	Non-Coronary Angioplasty or Atherectomy	T	22.04	$1,120.56	$549.07	$224.11
0082	Coronary Atherectomy	T	130.89	$6,654.71	$1,351.74	$1,330.94
0083	Coronary Angioplasty	T	50.15	$2,549.73	$794.30	$509.95
0084	Level I Electrophysiologic Evaluation	S	4.94	$251.16	$82.88	$50.23
0085	Level II Electrophysiologic Evaluation	S	27.39	$1,392.56	$654.48	$278.51
0086	Ablate Heart Dysrhythm Focus	S	47.13	$2,396.18	$1,265.37	$479.24
0087	Cardiac Electrophysiologic Recording/Mapping	S	14.89	$757.04	$214.72	$151.41
0088	Thrombectomy	T	29.11	$1,480.01	$678.68	$296.00
0089	Insertion/Replacement of Permanent Pacemaker and Electrodes	T	82.60	$4,199.55	$2,246.59	$839.91
0090	Insertion/Replacement of Pacemaker Pulse Generator	T	73.37	$3,730.28	$2,014.35	$746.06
0091	Level I Vascular Ligation	T	22.17	$1,127.17	$348.23	$225.43
0092	Level II Vascular Ligation	T	21.43	$1,089.54	$505.37	$217.91
0093	Vascular Repair/Fistula Construction	T	15.05	$765.17	$277.34	$153.03
0094	Resuscitation and Cardioversion	S	5.69	$289.29	$105.29	$57.86
0095	Cardiac Rehabilitation	S	0.66	$33.56	$16.98	$6.71
0096	Non-Invasive Vascular Studies	S	1.87	$95.07	$52.29	$19.01
0097	Cardiac Monitoring for 30 days	X	0.87	$44.23	$24.33	$8.85
0098	Injection of Sclerosing Solution	T	1.34	$68.13	$20.88	$13.63
0099	Electrocardiograms	S	0.38	$19.32	$10.63	$3.86
0100	Stress Tests and Continuous ECG	X	1.63	$82.87	$45.58	$16.57
0101	Tilt Table Evaluation	S	4.03	$204.89	$112.69	$40.98
0103	Miscellaneous Vascular Procedures	T	10.91	$554.69	$249.61	$110.94
0104	Transcatheter Placement of Intracoronary Stents	T	71.42	$3,631.14	$726.23	$726.23
0105	Revision/Removal of Pacemakers, AICD, or Vascular Device	T	16.56	$841.94	$372.32	$168.39
0106	Insertion/Replacement/Repair of Pacemaker and/or Electrodes	T	15.82	$804.32	$426.29	$160.86
0107	Insertion of Cardioverter-Defibrillator	T	155.27	$7,894.24	$4,224.27	$1,578.85
0108	Insertion/Replacement/Repair of Cardioverter-Defibrillator Leads	T	159.42	$8,105.23	$4,214.72	$1,621.05
0109	Removal of Implanted Devices	T	6.57	$334.03	$133.51	$66.81
0110	Transfusion	S	5.76	$292.85	$122.70	$58.57
0111	Blood Product Exchange	S	16.69	$848.55	$300.74	$169.71
0112	Apheresis, Photopheresis, and Plasmapheresis	S	39.75	$2,020.97	$663.65	$404.19
0113	Excision Lymphatic System	T	16.87	$857.70	$326.55	$171.54
0114	Thyroid/Lymphadenectomy Procedures	T	30.50	$1,550.68	$493.78	$310.14
0115	Cannula/Access Device Procedures	T	19.06	$969.05	$503.91	$193.81
0116	Chemotherapy Administration by Other Technique Except Infusion	S	0.98	$49.83	$9.97	$9.97
0117	Chemotherapy Administration by Infusion Only	S	3.48	$176.93	$52.69	$35.39
0118	Chemotherapy Administration by Both Infusion and Other Technique	S	3.52	$178.96	$72.03	$35.79
0119	Implantation of Devices	T	14.37	$730.60	$161.50	$146.12
0120	Infusion Therapy Except Chemotherapy	T	2.35	$119.48	$42.67	$23.90
0121	Level I Tube changes and Repositioning	T	2.42	$123.04	$52.53	$24.61
0122	Level II Tube changes and Repositioning	T	5.69	$289.29	$114.93	$57.86
0123	Bone Marrow Harvesting and Bone Marrow/Stem Cell Transplant	S	10.12	$514.52	$102.90	$102.90
0124	Revision of Implanted Infusion Pump	T	25.84	$1,313.76	$722.57	$262.75
0125	Refilling of Infusion Pump	T	3.20	$162.69		$32.54
0130	Level I Laparoscopy	T	27.92	$1,419.51	$659.53	$283.90
0131	Level II Laparoscopy	T	39.80	$2,023.51	$1,052.23	$404.70
0132	Level III Laparoscopy	T	60.31	$3,066.28	$1,239.22	$613.26
0140	Esophageal Dilation without Endoscopy	T	5.73	$291.32	$107.24	$58.26
0141	Upper GI Procedures	T	7.46	$379.28	$184.67	$75.86
0142	Small Intestine Endoscopy	T	7.61	$386.91	$162.42	$77.38
0143	Lower GI Endoscopy	T	7.87	$400.13	$198.46	$80.03
0144	Diagnostic Anoscopy	T	1.97	$100.16	$44.07	$20.03
0145	Therapeutic Anoscopy	T	12.11	$615.70	$179.39	$123.14
0146	Level I Sigmoidoscopy	T	2.95	$149.98	$65.15	$30.00
0147	Level II Sigmoidoscopy	T	6.15	$312.68	$146.96	$62.54
0148	Level I Anal/Rectal Procedure	T	2.58	$131.17	$43.59	$26.23
0149	Level III Anal/Rectal Procedure	T	14.49	$736.70	$293.06	$147.34
0150	Level IV Anal/Rectal Procedure	T	19.58	$995.49	$437.12	$199.10
0151	Endoscopic Retrograde Cholangio-Pancreatography (ERCP)	T	16.22	$824.66	$245.46	$164.93
0152	Percutaneous Biliary Endoscopic Procedures	T	17.44	$886.68	$207.38	$177.34
0153	Peritoneal and Abdominal Procedures	T	22.44	$1,140.89	$496.31	$228.18
0154	Hernia/Hydrocele Procedures	T	24.09	$1,224.78	$556.98	$244.96
0155	Level II Anal/Rectal Procedure	T	5.73	$291.32	$96.14	$58.26
0156	Level II Urinary and Anal Procedures	T	2.62	$133.21	$39.96	$26.64
0157	Colorectal Cancer Screening: Barium Enema	S	2.14	$108.80		$27.20
0158	Colorectal Cancer Screening: Colonoscopy	S	7.00	$355.89		$88.97
0159	Colorectal Cancer Screening: Flexible Sigmoidoscopy	S	2.51	$127.61		$31.90
0160	Level I Cystourethroscopy and other Genitourinary Procedures	T	5.98	$304.04	$110.11	$60.81
0161	Level II Cystourethroscopy and other Genitourinary Procedures	T	16.45	$836.35	$249.36	$167.27
0162	Level III Cystourethroscopy and other Genitourinary Procedures	T	19.86	$1,009.72	$427.49	$201.94
0163	Level IV Cystourethroscopy and other Genitourinary Procedures	T	30.27	$1,538.99	$792.58	$307.80
0164	Level I Urinary and Anal Procedures	T	0.98	$49.83	$14.95	$9.97
0165	Level III Urinary and Anal Procedures	T	5.36	$272.51	$91.76	$54.50
0166	Level I Urethral Procedures	T	13.02	$661.96	$218.73	$132.39
0167	Level II Urethral Procedures	T	24.18	$1,229.36	$555.84	$245.87
0168	Level III Urethral Procedures	T	31.68	$1,610.67	$536.11	$322.13
0169	Lithotripsy	T	42.65	$2,168.41	$1,192.63	$433.68
0170	Dialysis for Other Than ESRD Patients	S	1.08	$54.91	$12.08	$10.98
0180	Circumcision	T	16.29	$828.22	$304.87	$165.64
0181	Penile Procedures	T	24.07	$1,223.77	$673.07	$244.75
0182	Insertion of Penile Prosthesis	T	85.94	$4,369.36	$1,492.28	$873.87
0183	Testes/Epididymis Procedures	T	20.37	$1,035.65	$448.94	$207.13
0184	Prostate Biopsy	T	5.23	$265.90	$122.96	$53.18
0185	Removal or Repair of Penile Prosthesis	T	57.17	$2,906.64	$906.36	$581.33
0187	Placement/Repositioning Misc Catheters	T	4.54	$230.82	$113.10	$46.16
0188	Level II Female Reproductive Proc	T	0.83	$42.20	$12.24	$8.44
0189	Level III Female Reproductive Proc	T	1.38	$70.16	$17.54	$14.03
0190	Surgical Hysteroscopy	T	18.27	$928.88	$443.89	$185.78
0191	Level I Female Reproductive Proc	T	0.27	$13.73	$3.98	$2.75
0192	Level IV Female Reproductive Proc	T	2.73	$138.80	$35.33	$27.76
0193	Level V Female Reproductive Proc	T	12.17	$618.75	$171.13	$123.75
0194	Level VI Female Reproductive Proc	T	17.18	$873.47	$395.94	$174.69
0195	Level VII Female Reproductive Proc	T	22.22	$1,129.71	$483.80	$225.94
0196	Dilation and Curettage	T	14.62	$743.31	$357.98	$148.66
0197	Infertility Procedures	T	2.58	$131.17	$49.55	$26.23
0198	Pregnancy and Neonatal Care Procedures	T	1.42	$72.20	$33.03	$14.44
0199	Vaginal Delivery	T	4.20	$213.54	$59.79	$42.71
0200	Therapeutic Abortion	T	13.74	$698.57	$373.23	$139.71
0201	Spontaneous Abortion	T	14.89	$757.04	$329.65	$151.41
0202	Level VIII Female Reproductive Proc	T	39.56	$2,011.31	$864.86	$402.26
0203	Level V Nerve Injections	T	7.62	$387.42	$166.59	$77.48
0204	Level VI Nerve Injections	T	2.44	$124.05	$47.14	$24.81
0206	Level III Nerve Injections	T	3.88	$197.27	$82.85	$39.45
0207	Level IV Nerve Injections	T	4.13	$209.98	$94.49	$42.00
0208	Laminotomies and Laminectomies	T	30.93	$1,572.54	$314.51	$314.51
0209	Extended EEG Studies and Sleep Studies, Level II	S	11.73	$596.38	$310.12	$119.28
0212	Level II Nervous System Injections	T	4.17	$212.01	$88.78	$42.40
0213	Extended EEG Studies and Sleep Studies, Level I	S	2.95	$149.98	$77.99	$30.00
0214	Electroencephalogram	S	2.27	$115.41	$57.71	$23.08
0215	Level I Nerve and Muscle Tests	S	0.66	$33.56	$17.45	$6.71
0216	Level III Nerve and Muscle Tests	S	2.91	$147.95	$64.69	$29.59
0218	Level II Nerve and Muscle Tests	S	1.09	$55.42	$23.83	$11.08
0220	Level I Nerve Procedures	T	14.76	$750.43	$326.21	$150.09
0221	Level II Nerve Procedures	T	22.68	$1,153.10	$463.62	$230.62
0222	Implantation of Neurological Device	T	112.50	$5,719.73	$2,688.27	$1,143.95
0223	Implantation of Pain Management Device	T	8.87	$450.97	$154.27	$90.19
0224	Implantation of Reservoir/Pump/Shunt	T	29.95	$1,522.72	$453.41	$304.54
0225	Implantation of Neurostimulator Electrodes	T	33.75	$1,715.92	$408.33	$343.18
0226	Implantation of Drug Infusion Reservoir	T	8.91	$453.00	$109.42	$90.60
0227	Implantation of Drug Infusion Device	T	94.89	$4,824.40	$964.88	$964.88
0228	Creation of Lumbar Subarachnoid Shunt	T	47.98	$2,439.40	$696.46	$487.88
0229	Transcatherter Placement of Intravascular Shunts	T	60.07	$3,054.08	$996.86	$610.82
0230	Level I Eye Tests & Treatments	S	0.64	$32.54	$14.97	$6.51
0231	Level III Eye Tests & Treatments	S	2.27	$115.41	$51.94	$23.08
0232	Level I Anterior Segment Eye Procedures	T	3.69	$187.61	$82.55	$37.52
0233	Level II Anterior Segment Eye Procedures	T	11.78	$598.92	$287.48	$119.78
0234	Level III Anterior Segment Eye Procedures	T	20.56	$1,045.31	$502.16	$209.06
0235	Level I Posterior Segment Eye Procedures	T	5.39	$274.04	$78.91	$54.81
0236	Level II Posterior Segment Eye Procedures	T	17.75	$902.45	$180.49	$180.49
0237	Level III Posterior Segment Eye Procedures	T	33.56	$1,706.26	$852.68	$341.25
0238	Level I Repair and Plastic Eye Procedures	T	2.84	$144.39	$58.96	$28.88
0239	Level II Repair and Plastic Eye Procedures	T	6.25	$317.76	$123.42	$63.55
0240	Level III Repair and Plastic Eye Procedures	T	14.86	$755.51	$315.31	$151.10
0241	Level IV Repair and Plastic Eye Procedures	T	19.20	$976.17	$384.47	$195.23
0242	Level V Repair and Plastic Eye Procedures	T	25.31	$1,286.81	$597.36	$257.36
0243	Strabismus/Muscle Procedures	T	19.22	$977.18	$431.39	$195.44
0244	Corneal Transplant	T	41.43	$2,106.38	$851.42	$421.28
0245	Level I Cataract Procedures without IOL Insert	T	10.75	$546.55	$256.88	$109.31
0246	Cataract Procedures with IOL Insert	T	22.36	$1,136.83	$534.31	$227.37
0247	Laser Eye Procedures Except Retinal	T	4.73	$240.48	$110.62	$48.10
0248	Laser Retinal Procedures	T	4.15	$210.99	$94.05	$42.20
0249	Level II Cataract Procedures without IOL Insert	T	23.51	$1,195.30	$561.79	$239.06
0250	Nasal Cauterization/Packing	T	2.27	$115.41	$38.54	$23.08
0251	Level I ENT Procedures	T	2.71	$137.78	$27.99	$27.56
0252	Level II ENT Procedures	T	6.53	$332.00	$114.24	$66.40
0253	Level III ENT Procedures	T	13.27	$674.67	$284.00	$134.93
0254	Level IV ENT Procedures	T	19.11	$971.59	$272.41	$194.32
0256	Level V ENT Procedures	T	28.82	$1,465.27	$623.05	$293.05
0258	Tonsil and Adenoid Procedures	T	18.86	$958.88	$462.81	$191.78
0259	Level VI ENT Procedures	T	306.15	$15,565.28	$6,537.42	$3,113.06
0260	Level I Plain Film Except Teeth	X	0.76	$38.64	$21.25	$7.73
0261	Level II Plain Film Except Teeth Including Bone Density Measurement	X	1.31	$66.60	$36.63	$13.32
0262	Plain Film of Teeth	X	0.66	$33.56	$10.90	$6.71
0263	Level I Miscellaneous Radiology Procedures	X	1.74	$88.47	$45.88	$17.69
0264	Level II Miscellaneous Radiology Procedures	X	2.51	$127.61	$70.19	$25.52
0265	Level I Diagnostic Ultrasound Except Vascular	S	1.02	$51.86	$28.52	$10.37
0266	Level II Diagnostic Ultrasound Except Vascular	S	1.67	$84.91	$46.70	$16.98
0267	Vascular Ultrasound	S	2.58	$131.17	$72.14	$26.23
0269	Level I Echocardiogram Except Transesophageal	S	4.31	$219.13	$113.95	$43.83
0270	Transesophageal Echocardiogram	S	5.83	$296.41	$150.26	$59.28
0271	Mammography	S	0.64	$32.54	$17.90	$6.51
0272	Level I Fluoroscopy	X	1.47	$74.74	$39.00	$14.95
0274	Myelography	S	5.69	$289.29	$128.12	$57.86
0275	Arthrography	S	2.82	$143.37	$72.26	$28.67
0276	Level I Digestive Radiology	S	1.63	$82.87	$45.58	$16.57
0277	Level II Digestive Radiology	S	2.35	$119.48	$65.71	$23.90
0278	Diagnostic Urography	S	2.56	$130.16	$71.59	$26.03
0279	Level I Angiography and Venography except Extremity	S	8.37	$425.55	$174.57	$85.11
0280	Level II Angiography and Venography except Extremity	S	14.40	$732.12	$373.38	$146.42
0281	Venography of Extremity	S	4.64	$235.91	$115.16	$47.18
0282	Miscellaneous Computerized Axial Tomography	S	1.63	$82.87	$45.58	$16.57
0283	Computerized Axial Tomography with Contrast Material	S	4.89	$248.62	$136.74	$49.72
0284	Magnetic Resonance Imaging and Magnetic Resonance Angiography with Contrast Material	S	7.80	$396.57	$218.11	$79.31
0285	Positron Emission Tomography (PET)	S	20.07	$1,020.40	$415.21	$204.08
0286	Myocardial Scans	S	5.85	$297.43	$163.58	$59.49
0287	Complex Venography	S	4.33	$220.15	$90.26	$44.03
0288	CT, Bone Density	S	1.27	$64.57	$35.51	$12.91
0289	Needle Localization for Breast Biopsy	X	1.22	$62.03	$32.25	$12.41
0290	Standard Non-Imaging Nuclear Medicine	S	1.91	$97.11	$53.41	$19.42
0291	Level I Diagnostic Nuclear Medicine Excluding Myocardial Scans	S	3.78	$192.18	$90.20	$38.44
0292	Level II Diagnostic Nuclear Medicine Excluding Myocardial Scans	S	4.56	$231.84	$124.85	$46.37
0294	Level I Therapeutic Nuclear Medicine	S	5.45	$277.09	$144.06	$55.42
0295	Level II Therapeutic Nuclear Medicine	S	13.97	$710.26	$390.64	$142.05
0296	Level I Therapeutic Radiologic Procedures	S	3.52	$178.96	$98.43	$35.79
0297	Level II Therapeutic Radiologic Procedures	S	7.80	$396.57	$172.51	$79.31
0300	Level I Radiation Therapy	S	2.25	$114.39	$47.72	$22.88
0301	Level II Radiation Therapy	S	5.85	$297.43	$59.49	$59.49
0302	Level III Radiation Therapy	S	11.96	$608.07	$216.55	$121.61
0303	Treatment Device Construction	X	3.98	$202.35	$69.28	$40.47
0304	Level I Therapeutic Radiation Treatment Preparation	X	1.80	$91.52	$41.52	$18.30
0305	Level II Therapeutic Radiation Treatment Preparation	X	4.40	$223.70	$97.50	$44.74
0310	Level III Therapeutic Radiation Treatment Preparation	X	17.14	$871.43	$339.05	$174.29
0312	Radioelement Applications	S	7.77	$395.04	$109.65	$79.01
0313	Brachytherapy	S	16.31	$829.23	$165.85	$165.85
0314	Hyperthermic Therapies	S	5.16	$262.34	$133.80	$52.47
0320	Electroconvulsive Therapy	S	4.20	$213.54	$80.06	$42.71
0321	Biofeedback and Other Training	S	1.02	$51.86	$23.86	$10.37
0322	Brief Individual Psychotherapy	S	1.25	$63.55	$13.35	$12.71
0323	Extended Individual Psychotherapy	S	1.89	$96.09	$22.48	$19.22
0324	Family Psychotherapy	S	3.13	$159.14	$31.83	$31.83
0325	Group Psychotherapy	S	1.49	$75.75	$19.70	$15.15
0330	Dental Procedures	S	7.68	$390.47	$78.09	$78.09
0332	Computerized Axial Tomography and Computerized Angiography without Contrast Material	S	3.51	$178.46	$98.15	$35.69
0333	Computerized Axial Tomography and Computerized Angiography without Contrast Material followed by Contrast Material	S	5.66	$287.77	$158.27	$57.55
0335	Magnetic Resonance Imaging, Miscellaneous	S	5.91	$300.48	$165.26	$60.10
0336	Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast Material	S	6.85	$348.27	$191.55	$69.65
0337	Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast Material followed by Contrast Material	S	9.26	$470.80	$258.94	$94.16
0339	Observation	X	7.38	$375.21		$75.04
0340	Minor Ancillary Procedures	X	0.91	$46.27	$11.57	$9.25
0341	Immunology Tests	X	0.11	$5.59	$3.08	$1.12
0342	Level I Pathology	X	0.22	$11.19	$6.15	$2.24
0343	Level II Pathology	X	0.42	$21.35	$11.53	$4.27
0344	Level III Pathology	X	0.60	$30.51	$16.78	$6.10
0345	Level I Transfusion Laboratory Procedures	X	0.29	$14.74	$5.37	$2.95
0346	Level II Transfusion Laboratory Procedures	X	0.83	$42.20	$12.03	$8.44
0347	Level III Transfusion Laboratory Procedures	X	1.73	$87.96	$20.13	$17.59
0348	Fertility Laboratory Procedures	X	0.85	$43.22	$8.64	$8.64
0349	Miscellaneous Laboratory Procedures	X	0.34	$17.29	$3.46	$3.46
0352	Level II Injections	X	0.45	$22.88	$4.58	$4.58
0353	Level II Allergy Injections	X	0.27	$13.73	$2.75	$2.75
0354	Administration of Influenza/Pneumonia Vaccine	K	0.11	$5.59
0355	Level I Immunizations	K	0.20	$10.17		$2.03
0356	Level II Immunizations	K	1.20	$61.01		$12.20
0359	Level II Injections	X	1.91	$97.11	$19.42	$19.42
0360	Level I Alimentary Tests	X	1.40	$71.18	$34.75	$14.24
0361	Level II Alimentary Tests	X	3.52	$178.96	$88.09	$35.79
0362	Fitting of Vision Aids	X	0.83	$42.20	$9.63	$8.44
0363	Otorhinolaryngologic Function Tests	X	2.06	$104.73	$38.75	$20.95
0364	Level I Audiometry	X	0.55	$27.96	$10.91	$5.59
0365	Level II Audiometry	X	1.42	$72.20	$21.66	$14.44
0367	Level I Pulmonary Test	X	0.76	$38.64	$19.32	$7.73
0368	Level II Pulmonary Tests	X	1.53	$77.79	$39.67	$15.56
0369	Level III Pulmonary Tests	X	3.99	$202.86	$58.50	$40.57
0370	Allergy Tests	X	0.87	$44.23	$11.81	$8.85
0371	Level I Allergy Injections	X	0.76	$38.64	$7.73	$7.73
0372	Therapeutic Phlebotomy	X	0.57	$28.98	$10.09	$5.80
0373	Neuropsychological Testing	X	1.11	$56.43	$15.80	$11.29
0374	Monitoring Psychiatric Drugs	X	0.96	$48.81	$10.74	$9.76
0600	Low Level Clinic Visits	V	0.93	$47.28	$9.46	$9.46
0601	Mid Level Clinic Visits	V	1.02	$51.86	$10.37	$10.37
0602	High Level Clinic Visits	V	1.49	$75.75	$15.15	$15.15
0610	Low Level Emergency Visits	V	1.34	$68.13	$20.65	$13.63
0611	Mid Level Emergency Visits	V	2.33	$118.46	$36.47	$23.69
0612	High Level Emergency Visits	V	3.75	$190.66	$54.14	$38.13
0620	Critical Care	S	9.13	$464.19	$152.78	$92.84
0689	Electronic Analysis of Cardioverter-defibrillators	S	0.49	$24.91	$13.70	$4.98
0690	Electronic Analysis of Pacemakers and other Cardiac Devices	S	0.40	$20.34	$11.19	$4.07
0691	Electronic Analysis of Programmable Shunts/Pumps	S	3.36	$170.83	$93.96	$34.17
0692	Electronic Analysis of Neurostimulator Pulse Generators	S	1.73	$87.96	$48.38	$17.59
0693	Level II Breast Reconstruction	T	33.16	$1,685.92	$826.10	$337.18
0694	Level III Excision/Biopsy	T	4.28	$217.60	$65.28	$43.52
0695	Level VII Debridement & Destruction	T	17.06	$867.36	$398.99	$173.47
0697	Level II Echocardiogram Except Transesophageal	S	2.00	$101.68	$52.88	$20.34
0698	Level II Eye Tests & Treatments	S	1.09	$55.42	$24.94	$11.08
0699	Level IV Eye Tests & Treatment	T	6.91	$351.32	$158.09	$70.26
0701	SR 89 chloride, per mCi	G		$963.42		$137.92
0702	SM 153 lexidronam, 50 mCi	G		$1,020.00		$146.02
0704	IN 111 Satumomab pendetide per dose	G		$831.25		$119.00
0705	TC 99M tetrofosmin, per dose	G		$129.96		$18.60
0725	Leucovorin calcium inj, 50 mg	G		$4.98		$.45
0726	Dexrazoxane hcl injection, 250 mg	G		$194.53		$27.85
0727	Etidronate disodium inj 300 mg	G		$63.65		$9.11
0728	Filgrastim 300 mcg injection	G		$179.08		$25.64
0730	Pamidronate disodium , 30 mg	G		$253.68		$32.58
0731	Sargramostim injection 50 mcg	G		$29.06		$4.16
0732	Mesna injection 200 mg	G		$40.44		$5.79
0733	Non esrd epoetin alpha inj, 1000 u	G		$11.85		$1.52
0750	Dolasetron mesylate, 10 mg	G		$16.45		$2.11
0754	Metoclopramide hcl injection up to 10 mg	G		$1.55		$.20
0755	Thiethylperazine maleate inj up to 10 mg	G		$5.43		$.70
0762	Dronabinol 2.5mg oral	G		$3.28		$.42
0763	Dolasetron mesylate oral, 100 mg	G		$69.64		$8.94
0764	Granisetron hcl injection 10 mcg	G		$18.54		$2.38
0765	Granisetron hcl 1 mg oral	G		$44.70		$5.74
0768	Ondansetron hcl injection 1 mg	G		$3.92		$.50
0769	Ondansetron hcl 8mg oral	G		$25.15		$3.23
0800	Leuprolide acetate, 3.75 mg	G		$81.60		$7.39
0801	Cyclophosphamide oral 25 mg	G		$2.23		$.32
0802	Etoposide oral 50 mg	G		$50.89		$7.29
0803	Melphalan oral 2 mg	G		$2.18		$.31
0807	Aldesleukin/single use vial	G		$641.25		$91.80
0809	Bcg live intravesical vac	G		$166.44		$21.37
0810	Goserelin acetate implant 3.6 mg	G		$446.49		$63.92
0811	Carboplatin injection 50 mg	G		$111.11		$15.91
0812	Carmus bischl nitro inj 100 mg	G		$114.41		$16.38
0813	Cisplatin 10 mg injection	G		$47.12		$6.75
0814	Asparaginase injection 10,000 u	G		$59.70		$8.55
0815	Cyclophosphamide 100 mg inj	G		$5.98		$.77
0816	Cyclophosphamide lyophilized 100 mg	G		$6.13		$.79
0817	Cytarabine hcl 100 mg inj	G		$4.75		$.43
0818	Dactinomycin 0.5 mg	G		$13.23		$1.89
0819	Dacarbazine 100 mg inj	G		$11.28		$1.02
0820	Daunorubicin 10 mg	G		$76.62		$6.94
0821	Daunorubicin citrate liposom 10 mg	G		$64.60		$9.25
0822	Diethylstilbestrol injection 250 mg	G		$3.99		$.57
0823	Docetaxel, 20 mg	G		$297.83		$42.64
0824	Etoposide 10 mg inj	G		$3.86		$.35
0826	Methotrexate Oral 2.5 mg	G		$2.73		$.25
0827	Floxuridine injection 500 mg	G		$129.56		$11.73
0828	Gemcitabine HCL 200 mg	G		$102.13		$14.62
0830	Irinotecan injection 20 mg	G		$125.47		$17.96
0831	Ifosfomide injection 1 gm	G		$156.65		$22.43
0832	Idarubicin hcl injection 5 mg	G		$412.21		$59.01
0833	Interferon alfacon-1, 1 mcg	G		$4.10		$.59
0834	Interferon alfa-2a inj recombinant 3 million u	G		$34.87		$4.99
0836	Interferon alfa-2b inj recombinant, 1 million	G		$12.98		$1.67
0838	Interferon gamma 1-b inj, 3 million u	G		$285.64		$40.89
0839	Mechlorethamine hcl inj 10 mg	G		$11.88		$1.70
0840	Melphalan hydrochl 50 mg	G		$381.65		$54.64
0841	Methotrexate sodium inj 5 mg	G		$.41		$.04
0842	Fludarabine phosphate inj 50 mg	G		$258.88		$37.06
0843	Pegaspargase, singl dose vial	G		$1,255.57		$179.74
0844	Pentostatin injection, 10 mg	G		$1,654.14		$236.80
0847	Doxorubicin hcl 10 mg vl chemo	G		$9.00		$1.29
0849	Rituximab, 100 mg	G		$454.55		$65.07
0850	Streptozocin injection, 1 gm	G		$117.64		$16.84
0851	Thiotepa injection, 15 mg	G		$116.97		$16.75
0852	Topotecan, 4 mg	G		$632.56		$90.56
0853	Vinblastine sulfate inj, 1 mg	G		$4.11		$.37
0854	Vincristine sulfate 1 mg inj	G		$30.16		$2.73
0855	Vinorelbine tartrate, 10 mg	G		$79.28		$11.35
0856	Porfimer sodium, 75 mg	G		$2,603.67		$372.74
0857	Bleomycin sulfate injection 15 u	G		$289.37		$41.43
0858	Cladribine, 1mg	G		$56.08		$8.03
0859	Fluorouracil injection 500 mg	G		$1.48		$.13
0860	Plicamycin (mithramycin) inj 2.5 mg	G		$93.80		$13.43
0861	Leuprolide acetate injection 1 mg	G		$26.15		$2.37
0862	Mitomycin 5 mg inj	G		$121.65		$11.01
0863	Paclitaxel injection, 30 mg	G		$164.08		$21.07
0864	Mitoxantrone hcl, 5 mg	G		$244.20		$34.96
0865	Interferon alfa-n3 inj, human leukocyte derived, 250,000 iu	G		$7.86		$1.12
0884	Rho d immune globulin inj, 1 dose pkg	G		$34.11		$4.38
0886	Azathioprine oral 50mg	G		$1.24		$.16
0887	Azathioprine parenteral 100 mg	G		$.75		$.10
0888	Cyclosporine oral 100 mg	G		$5.23		$.47
0889	Cyclosporin parenteral 250mg	G		$25.08		$2.27
0890	Lymphocyte immune globulin 250 mg	G		$249.47		$32.04
0891	Tacrolimus oral per 1 mg	G		$2.91		$.42
0900	Alglucerase injection, per 10 u	G		$37.53		$5.37
0901	Alpha 1 proteinase inhibitor, 10 mg	G		$2.09		$.30
0902	Botulinum toxin a, per unit	G		$4.39		$.56
0903	Cytomegalovirus imm IV, 50 mg	G		$656.27		$84.28
0905	Immune globulin 500 mg	G		$25.92		$3.33
0906	RSV-ivig, 50 mg	G		$406.34		$58.17
0907	Ganciclovir Sodium 500 mg injection	K	0.46	$23.39		$4.51
0908	Tetanus immune globulin inj up to 250 u	G		$102.60		$14.69
0909	Interferon beta-1a, 33 mcg	G		$225.23		$32.24
0910	Interferon beta-1b , .25 mg	G		$54.15		$7.75
0911	Streptokinase per 250,000 iu	K	1.80	$91.52		$17.68
0913	Ganciclovir long act implant 4.5 mg	G		$4,750.00		$680.00
0916	Imiglucerase, unit	G		$3.75		$.54
0917	Pharmacologic stressors	K	0.37	$18.81		$3.62
0925	Factor viii per iu	G		$.87		$.11
0926	Factor VIII (porcine) per iu	G		$2.09		$.30
0927	Factor viii recombinant per iu	G		$1.19		$.15
0928	Factor ix complex per iu	G		$.68		$.09
0929	Anti-inhibitor per iu	G		$1.43		$.18
0930	Antithrombin iii injection per iu	G		$1.05		$.15
0931	Factor IX non-recombinant, per iu	G		$.76		$.10
0932	Factor IX recombinant, per iu	G		$1.12		$.16
0949	Plasma, Pooled Multiple Donor, Solvent/Detergent Treated, Frozen	K	3.00	$152.53		$30.51
0950	Blood (Whole) For Transfusion	K	2.13	$108.29		$21.66
0952	Cryoprecipitate	K	0.72	$36.61		$7.32
0954	RBC leukocytes reduced	K	2.89	$146.93		$29.39
0955	Plasma, Fresh Frozen	K	2.31	$117.45		$23.49
0956	Plasma Protein Fraction	K	1.29	$65.59		$13.12
0957	Platelet Concentrate	K	1.00	$50.84		$10.17
0958	Platelet Rich Plasma	K	1.19	$60.50		$12.10
0959	Red Blood Cells	K	2.09	$106.26		$21.25
0960	Washed Red Blood Cells	K	3.89	$197.78		$39.56
0961	Infusion, Albumin (Human) 5%, 50 ml	K	2.24	$113.89		$22.78
0962	Infusion, Albumin (Human) 25%, 10 ml	K	1.12	$56.94		$11.39
0970	New Technology - Level I ($0 - $50)	T	0.47	$23.90		$4.78
0971	New Technology - Level II ($50 - $100)	S	1.42	$72.20		$14.44
0972	New Technology - Level III ($100 - $200)	T	2.84	$144.39		$28.88
0973	New Technology - Level IV ($200 - $300)	T	4.73	$240.48		$48.10
0974	New Technology - Level V ($300 - $500)	S	7.57	$384.87		$76.97
0975	New Technology - Level VI ($500 - $750)	T	11.83	$601.46		$120.29
0976	New Technology - Level VII ($750 - $1000)	S	16.56	$841.94		$168.39
0977	New Technology - Level VIII ($1000 - $1250)	T	21.30	$1,082.93		$216.59
0978	New Technology - Level IX ($1250 - $1500)	T	26.03	$1,323.42		$264.68
0979	New Technology - Level X ($1500 - $1750)	T	30.76	$1,563.90		$312.78
0980	New Technology - Level XI ($1750 - $2000)	T	35.49	$1,804.38		$360.88
0981	New Technology - Level XII ($2000 - $2500)	S	42.59	$2,165.36		$433.07
0982	New Technology - Level XIII ($2500 - $3000)	T	52.06	$2,646.83		$529.37
0983	New Technology-Level XIV ($3000- $3500)	T	61.52	$3,127.80
0984	New Technology - Level XV ($3500 - $5000)	T	80.45	$4,090.24		$818.05
0985	New Technology - Level XVI ($5000 - $6000)	T	104.11	$5,293.16		$1,058.63
1002	Cochlear Implant System	H
1009	Cryoprecip reduced plasma	K	0.88	$44.74		$8.95
1010	Blood, L/R, CMV-neg	K	2.94	$149.48		$29.90
1011	Platelets, HLA-m, L/R, unit	K	12.12	$616.21		$123.24
1012	Platelet concentrate, L/R, irradiated, unit	K	1.96	$99.65		$19.93
1013	Platelet concentrate, L/R, unit	K	1.20	$61.01		$12.20
1014	Platelets, aph/pher, L/R, unit	K	9.13	$464.19		$92.84
1016	Blood, L/R, froz/deglycerol/washed	K	7.31	$371.66		$74.33
1017	Platelets, aph/pher, L/R, CMV-neg, unit	K	9.53	$484.52		$96.90
1018	Blood, L/R, irradiated	K	3.20	$162.69		$32.54
1019	Platelets, aph/pher, L/R, irradiated, unit	K	9.85	$500.79		$100.16
1024	Quinupristin/dalfopristin	G		$102.05		$14.61
1045	Iobenguane sulfate i-131	G		$495.65		$44.87
1059	Cultured chondrocytes implnt	G		$14,250.00		$2,040.00
1079	CO 57/58 0.5 mCi	G		$253.84		$36.34
1084	Denileukin diftitox, 300 MCG	G		$999.88		$143.14
1086	Temozolomide,oral 5 mg	G		$5.93		$.85
1087	I-123 per uci, dx use	G		$.65		$.09
1089	Cyanocobalamin cobalt co57	G		$97.85		$14.01
1090	IN 111 Chloride, per mCi	G		$152.00		$21.76
1091	IN 111 Oxyquinoline, per 5 mCi	G		$482.84		$69.12
1092	IN 111 Pentetate, per 1.5 mCi	G		$769.50		$110.16
1094	TC 99M Albumin aggr, per vial	G		$33.09		$4.74
1095	TC 99M Depreotide, per vial	G		$760.00		$108.80
1096	TC 99M Exametazime, per dose	G		$423.04		$60.56
1097	TC 99M Mebrofenin, per vial	G		$51.43		$7.36
1098	TC 99M Pentetate, per vial	G		$22.64		$2.76
1099	TC 99M Pyrophosphate, per vial	G		$42.75		$6.12
1122	TC 99M arcitumomab, per vial	G		$1,235.00		$176.80
1166	Cytarabine liposomal, 10 mg	G		$371.45		$53.18
1167	Epirubicin hcl, 2 mg	G		$24.94		$3.57
1178	Busulfan IV, 6 mg	G		$26.49		$3.79
1188	I-131 per uci, dx use	G		$.78		$.10
1200	TC 99M Sodium Glucoheptonate, per vial	G		$107.40		$15.37
1201	TC 99M succimer, per vial	G		$135.66		$19.42
1202	TC 99M Sulfur Colloid, per dose	G		$36.10		$3.27
1203	Verteporfin for injection	G		$1,458.25		$208.76
1205	Technetium tc99m disofenin	G		$85.50		$7.74
1207	Octreotide acetate depot 1mg	G		$140.37		$20.10
1305	Apligraf	G		$1,157.81		$165.75
1348	I-131 per mci sol, rx use	G		$146.57		$20.98
1400	Diphenhydramine hcl 50mg	G		$.12		$.01
1401	Prochlorperazine maleate 5mg	G		$.57		$.05
1402	Promethazine hcl 12.5mg oral	G		$.03		$.00
1403	Chlorpromazine hcl 10mg oral	G		$.07		$.01
1404	Trimethobenzamide hcl 250mg	G		$.36		$.03
1405	Thiethylperazine maleate10mg	G		$.56		$.08
1406	Perphenazine 4mg oral	G		$.62		$.06
1407	Hydroxyzine pamoate 25mg	G		$.20		$.02
1409	Factor viia recombinant, per 1.2 mg	G		$1,596.00		$228.48
1600	TC 99M sestamibi, per syringe	G		$115.90		$16.59
1601	TC 99M medronate, per dose	G		$36.46		$3.30
1602	TC 99M apcitide, per vial	G		$45.13		$6.46
1603	TL 201, mCi	G		$29.45		$3.78
1604	IN 111 capromab pendetide, per dose	G		$1,128.13		$161.50
1605	Abciximab injection, 10 mg	G		$513.02		$73.44
1606	Anistreplase, 30 u	G		$2,559.11		$366.36
1607	Eptifibatide injection, 5 mg	G		$13.58		$1.94
1608	Etanercept injection, 25 mg	G		$140.98		$20.18
1609	Rho(D) immune globulin h, sd, 100 iu	G		$20.64		$2.65
1611	Hylan G-F 20 injection, 16 mg	G		$213.86		$30.62
1612	Daclizumab, parenteral, 25 mg	G		$397.29		$56.88
1613	Trastuzumab, 10 mg	G		$52.83		$7.56
1614	Valrubicin, 200 mg	G		$423.23		$60.59
1615	Basiliximab, 20 mg	G		$1,348.76		$193.09
1616	Histrelin Acetate, 0.5 mg	G		$14.16		$2.03
1617	Lepirdin, 50 mg	G		$131.96		$18.89
1618	Von Willebrand factor, per iu	G		$.95		$.14
1619	Ga 67, per mCi	G		$24.38		$3.13
1620	TC 99M Bicisate, per vial	G		$384.75		$55.08
1621	Xe 133, per mCi	G		$29.93		$3.84
1622	TC 99M Mertiatide, per vial	G		$176.53		$25.27
1623	TC 99M Gluceptate	G		$22.61		$3.24
1624	P32 sodium, per mCi	G		$81.10		$11.61
1625	IN 111 Pentetreotide, per mCi	G		$935.75		$133.96
1626	TC 99M Oxidronate, per vial	G		$36.74		$5.26
1627	TC-99 labeled red blood cell, per test	G		$40.90		$5.85
1628	P32 phosphate chromic, per mCi	G		$150.86		$21.60
1713	Anchor/screw bn/bn,tis/bn	H
1714	Cath, trans atherectomy, dir	H
1715	Brachytherapy needle	H
1716	Brachytx seed, Gold 198	H
1717	Brachytx seed, HDR Ir-192	H
1718	Brachytx seed, Iodine 125	H
1719	Brachytxseed, Non-HDR Ir-192	H
1720	Brachytx seed, Palladium 103	H
1721	AICD, dual chamber	H
1722	AICD, single chamber	H
1723	Cath, ablation, non-cardiac	H
1724	Cath, trans atherec,rotation	H
1725	Cath, translumin non-laser	H
1726	Cath, bal dil, non-vascular	H
1727	Cath, bal tis dis, non-vas	H
1728	Cath, brachytx seed adm	H
1729	Cath, drainage	H
1730	Cath, EP, 19 or fewer elect	H
1731	Cath, EP, 20 or more elec	H
1732	Cath, EP, diag/abl, 3D/vect	H
1733	Cath, EP, othr than cool-tip	H
1750	Cath, hemodialysis,long-term	H
1751	Cath, inf, per/cent/midline	H
1752	Cath, hemodialysis,short-term	H
1753	Cath, intravas ultrasound	H
1754	Catheter, intradiscal	H
1755	Catheter, intraspinal	H
1756	Cath, pacing, transesoph	H
1757	Cath, thrombectomy/embolect	H
1758	Cath, ureteral	H
1759	Cath, intra echocardiography	H
1760	Closure dev, vasc, imp/insert	H
1762	Conn tiss, human (inc fascia)	H
1763	Conn tiss, non-human	H
1764	Event recorder, cardiac	H
1765	Adhesion barrier	H
1766	Intro/sheath,strble,non-peel	H
1767	Generator, neurostim, imp	H
1768	Graft, vascular	H
1769	Guide wire	H
1770	Imaging coil, MR, insertable	H
1771	Rep dev, urinary, w/sling	H
1772	Infusion pump, programmable	H
1773	Retrieval dev, insert	H
1776	Joint device (implantable)	H
1777	Lead, AICD, endo single coil	H
1778	Lead, neurostimulator	H
1779	Lead, pmkr, transvenous VDD	H
1780	Lens, intraocular	H
1781	Mesh (implantable)	H
1782	Morcellator	H
1784	Ocular dev, intraop, det ret	H
1785	Pmkr, dual, rate-resp	H
1786	Pmkr, single, rate-resp	H
1787	Patient progr, neurostim	H
1788	Port, indwelling, imp	H
1789	Prosthesis, breast, imp	H
1813	Prosthesis, penile, inflatab	H
1815	Pros, urinary sph, imp	H
1816	Receiver/transmitter, neuro	H
1817	Septal defect imp sys	H
1874	Stent, coated/cov w/del sys	H
1875	Stent, coated/cov w/o del sy	H
1876	Stent, non-coa/no-cov w/del	H
1877	Stent, non-coat/cov w/o del	H
1878	Matrl for vocal cord	H
1879	Tissue marker, imp	H
1880	Vena cava filter	H
1881	Dialysis access system	H
1882	AICD, other than sing/dual	H
1883	Adapt/ext, pacing/neuro lead	H
1885	Cath, translumin angio laser	H
1887	Catheter, guiding	H
1891	Infusion pump,non-prog,perm	H
1892	Intro/sheath,fixed,peel-away	H
1893	Intro/sheath,fixed,non-peel	H
1894	Intro/sheath, non-laser	H
1895	Lead, AICD, endo dual coil	H
1896	Lead, AICD, non sing/dual	H
1897	Lead, neurostim test kit	H
1898	Lead, pmkr, other than trans	H
1899	Lead, pmkr/AICD combination	H
2615	Sealant, pulmonary, liquid	H
2616	Brachytx seed, Yttrium-90	H
2617	Stent, non-cor, tem w/o del	H
2618	Probe, cryoablation	H
2619	Pmkr, dual, non rate-resp	H
2620	Pmkr, single, non rate-resp	H
2621	Pmkr, other than sing/dual	H
2622	Prosthesis, penile, non-inf	H
2625	Stent, non-cor, tem w/del sys	H
2626	Infusion pump, non-prog,temp	H
2627	Cath, suprapubic/cystoscopic	H
2628	Catheter, occlusion	H
2629	Intro/sheath, laser	H
2630	Cath, EP, cool-tip	H
2631	Rep dev, urinary, w/o sling	H
7000	Amifostine, 500 mg	G		$392.06		$56.13
7001	Amphotericin B lipid complex, 50 mg	G		$109.25		$15.64
7003	Epoprostenol injection 0.5 mg	G		$17.37		$2.49
7005	Gonadorelin hydroch, 100 mcg	G		$38.47		$5.51
7007	Milrinone lactate, per 5 ml, inj	K	0.48	$24.40		$4.88
7010	Morphine sulfate (preservative free) 10 mg	G		$7.41		$.95
7011	Oprelvekin injection, 5 mg	G		$236.31		$33.83
7014	Fentanyl citrate inj up 2 ml	G		$1.40		$.18
7015	Busulfan, oral, 2 mg	G		$1.81		$.23
7019	Aprotinin, 10,000 kiu	G		$2.06		$.30
7022	Elliot's B solution, per ml	G		$14.25		$2.04
7023	Treatment for bladder calculi, per 500 ml	G		$24.70		$3.54
7024	Corticorelin ovine triflutate, per 0.1 mg	G		$368.03		$52.69
7025	Digoxin immune FAB (Ovine), 40 mg vial	G		$551.66		$78.97
7026	Ethanolamine oleate, 100 mg	G		$39.73		$5.69
7027	Fomepizole, 1.5 mg	G		$1.09		$.16
7028	Fosphenytoin, 50 mg	G		$9.55		$1.37
7029	Glatiramer acetate, 20 mg	G		$30.07		$4.30
7030	Hemin, 1 mg	G		$.99		$.14
7031	Octreotide acetate injection 1mg	G		$125.65		$17.99
7032	Sermorelin acetate, 0.5 mg	G		$15.78		$2.26
7033	Somatrem, 5 mg	G		$209.48		$29.99
7034	Somatropin, 1 mg (any derivation)	G		$39.90		$5.12
7035	Teniposide, 50 mg	G		$216.32		$30.97
7037	Urofollitropin, 75 I.U.	G		$73.29		$9.41
7038	Muromonab-CD3, 5 mg	G		$777.31		$111.28
7039	Pegademase bovine inj 25 I.U	G		$139.33		$19.95
7040	Pentastarch 10% inj, 100 ml	G		$15.11		$2.16
7041	Tirofiban hydrochloride 12.5 mg	G		$435.27		$62.31
7042	Capecitabine, oral, 150 mg	G		$2.43		$.35
7043	Infliximab injection 10 mg	G		$63.23		$9.05
7045	Trimetrexate glucoronate 25 mg	G		$86.09		$12.32
7046	Doxorubicin hcl liposome inj 10 mg	G		$358.95		$51.39
7047	Droperidol/fentanyl inj	G		$6.67		$.95
7048	Alteplase recombinant	K	0.39	$19.83		$3.97
7049	Filgrastim 480 mcg injection	G		$285.38		$40.85
7050	Prednisone oral	G		$.07		$.01
7315	Sodium hyaluronate, 20 mg	G		$136.80		$19.58
9000	Na chromate Cr51, per 0.25mCi	G		$.32		$.05
9001	Linezolid inj, 200mg	G		$34.14		$4.89
9002	Tenecteplase, 50mg/vial	G		$2,612.50		$374.00
9003	Palivizumab, per 50mg	G		$664.49		$95.13
9004	Gemtuzumab ozogamicin inj,5mg	G		$1,929.69		$276.25
9005	Reteplase injection	G		$1,306.25		$187.00
9006	Tacrolimus inj, per 5mg (1 amp)	G		$113.15		$16.20
9007	Baclofen Intrathecal kit-1amp	G		$79.80		$11.42
9008	Baclofen Refill Kit--500mcg	G		$233.70		$33.46
9009	Baclofen Refill Kit--2000mcg	G		$491.15		$70.31
9010	Baclofen Refill Kit--4000mcg	G		$861.65		$123.35
9011	Caffeine Citrate, inj, 1ml	G		$12.22		$1.75
9012	Arsenic Trioxide, 1mg/kg	G		$237.50		$34.00
9013	Co 57 Cobaltous Cl, 1 ml	G		$10.02		$1.43
9015	Mycophenolate mofetil oral	G		$2.40		$.34
9016	Echocardiography contrast	G		$39.58		$5.67
9018	Botulinum tox B, per 100 u	G		$8.79		$1.26
9019	Caspofungin acetate, 50 mg	G		$34.20		$4.90
9020	Sirolimus tablet, 1 mg	G		$6.51		$.89
9100	Iodinated I-131 Albumin	G		$9.84		$1.41
9102	51 Na chromate, 50mCi	G		$.65		$.09
9103	Na Iothalamate I-125, 10uCi	G		$11.66		$1.67
9104	Anti-thymocyte globulin,25mg	G		$251.75		$36.04
9105	Hep B imm glob, per 1 ml	G		$135.43		$12.26
9106	Sirolimus, oral	G		$6.51		$.93
9108	Thyrotropin alfa, 1.1 mg	G		$531.05		$76.02
9109	Tirofliban hcl, 6.25 mg	G		$217.64		$31.16
9217	Leuprolide acetate suspnsion	G		$564.92		$51.14
9500	Platelets, irradiated	K	1.81	$92.02		$18.40
9501	Platelets, pheresis	K	9.91	$503.84		$100.77
9502	Platelet pheresis irradiated	K	10.75	$546.55		$109.31
9503	Fresh frozen plasma, ea unit	K	1.69	$85.92		$17.18
9504	RBC deglycerolized	K	4.45	$226.25		$45.25
9505	RBC irradiated	K	2.64	$134.22		$26.84

Addendum D.—Payment Status Indicators for the Hospital Outpatient Prospective Payment System

Indicator	Service	Status
A	Pulmonary Rehabilitation Clinical Trial	Not Paid Under Outpatient PPS
A	Durable Medical Equipment, Prosthetics and Orthotics	DMEPOS Fee Schedule
A	Physical, Occupational and Speech Therapy	Physician Fee Schedule
A	Ambulance	Ambulance Fee Schedule
A	EPO for ESRD Patients	National Rate
A	Clinical Diagnostic Laboratory Services	Laboratory Fee Schedule
A	Physician Services for ESRD Patients	Physician Fee Schedule
A	Screening Mammography	Lower of Charges or National Rate
C	Inpatient Procedures	Admit Patient
E	Non-Covered Items and Services	Not Paid Under Outpatient PPS
F	Acquisition of Corneal Tissue	Paid at Reasonable Cost
G	Drug/Biological Pass-Through	Additional Payment
H	Device Pass-Through	Additional Payment
K	Non Pass-Through Drug/Biological	Paid Under Outpatient PPS
N	Incidental Services, packaged into APC Rate	Packaged
P	Partial Hospitalization	Paid Per Diem APC
S	Significant Procedure, Not Discounted When Multiple	Paid Under Outpatient PPS
T	Significant Procedure, Multiple Procedure Reduction Applies	Paid Under Outpatient PPS
V	Visit to Clinic or Emergency Department	Paid Under Outpatient PPS
X	Ancillary Service	Paid Under Outpatient PPS

—————————— CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. Copyright American Dental Association. All rights reserved.

Addendum B.—Payment Status by HCPCS Code and Related Information Calender Year 2002------

CPT/HCPCS	HOPD Status Indicator	Description	APC	Relative Weight	Payment Rate	National Unadjusted Copayment	Minimum Unadjusted Copayment
00100	N	Anesth, salivary gland
00103	N	Anesth, blepharoplasty
00104	N	Anesth, electroshock
00120	N	Anesth, ear surgery
00124	N	Anesth, ear exam
00126	N	Anesth, tympanotomy
00140	N	Anesth, procedures on eye
00142	N	Anesth, lens surgery
00144	N	Anesth, corneal transplant
00145	N	Anesth, vitreoretinal surg
00147	N	Anesth, iridectomy
00148	N	Anesth, eye exam
00160	N	Anesth, nose/sinus surgery
00162	N	Anesth, nose/sinus surgery
00164	N	Anesth, biopsy of nose
00170	N	Anesth, procedure on mouth
00172	N	Anesth, cleft palate repair
00174	N	Anesth, pharyngeal surgery
00176	N	Anesth, pharyngeal surgery
00190	N	Anesth, face/skull bone surg
00192	N	Anesth, facial bone surgery
00210	N	Anesth, open head surgery
00212	N	Anesth, skull drainage
00214	N	Anesth, skull drainage
00215	N	Anesth, skull repair/fract
00216	N	Anesth, head vessel surgery
00218	N	Anesth, special head surgery
00220	N	Anesth, spinal fluid shunt
00222	N	Anesth, head nerve surgery
00300	N	Anesth, head/neck/ptrunk
00320	N	Anesth, neck organ surgery
00322	N	Anesth, biopsy of thyroid
00350	N	Anesth, neck vessel surgery
00352	N	Anesth, neck vessel surgery
00400	N	Anesth, skin, ext/per/atrunk
00402	N	Anesth, surgery of breast
00404	N	Anesth, surgery of breast
00406	N	Anesth, surgery of breast
00410	N	Anesth, correct heart rhythm
00450	N	Anesth, surgery of shoulder
00452	N	Anesth, surgery of shoulder
00454	N	Anesth, collar bone biopsy
00470	N	Anesth, removal of rib
00472	N	Anesth, chest wall repair
00474	N	Anesth, surgery of rib(s)
00500	N	Anesth, esophageal surgery
00520	N	Anesth, chest procedure
00522	N	Anesth, chest lining biopsy
00524	N	Anesth, chest drainage
00528	N	Anesth, chest partition view
00530	N	Anesth, pacemaker insertion
00532	N	Anesth, vascular access
00534	N	Anesth, cardioverter/defib
00537	N	Anesth, cardiac electrophys
00540	N	Anesth, chest surgery
00542	N	Anesth, release of lung
00544	N	Anesth, chest lining removal
00546	N	Anesth, lung,chest wall surg
00548	N	Anesth, trachea,bronchi surg
00550	N	Anesth, sternal debridement
00560	N	Anesth, open heart surgery
00562	N	Anesth, open heart surgery
00563	N	Anesth, heart proc w/pump
00566	N	Anesth, cabg w/o pump
00580	N	Anesth heart/lung transplant
00600	N	Anesth, spine, cord surgery
00604	N	Anesth, sitting procedure
00620	N	Anesth, spine, cord surgery
00622	N	Anesth, removal of nerves
00630	N	Anesth, spine, cord surgery
00632	N	Anesth, removal of nerves
00634	N	Anesth for chemonucleolysis
00635	N	Anesth, lumbar puncture
00670	N	Anesth, spine, cord surgery
00700	N	Anesth, abdominal wall surg
00702	N	Anesth, for liver biopsy
00730	N	Anesth, abdominal wall surg
00740	N	Anesth, upper gi visualize
00750	N	Anesth, repair of hernia
00752	N	Anesth, repair of hernia
00754	N	Anesth, repair of hernia
00756	N	Anesth, repair of hernia
00770	N	Anesth, blood vessel repair
00790	N	Anesth, surg upper abdomen
00792	N	Anesth, hemorr/excise liver
00794	N	Anesth, pancreas removal
00796	N	Anesth, for liver transplant
00800	N	Anesth, abdominal wall surg
00802	N	Anesth, fat layer removal
00810	N	Anesth, low intestine scope
00820	N	Anesth, abdominal wall surg
00830	N	Anesth, repair of hernia
00832	N	Anesth, repair of hernia
00840	N	Anesth, surg lower abdomen
00842	N	Anesth, amniocentesis
00844	N	Anesth, pelvis surgery
00846	N	Anesth, hysterectomy
00848	N	Anesth, pelvic organ surg
00850	N	Anesth, cesarean section
00855	N	Anesth, hysterectomy
00857	N	Analgesia, labor & c-section
00860	N	Anesth, surgery of abdomen
00862	N	Anesth, kidney/ureter surg
00864	N	Anesth, removal of bladder
00865	N	Anesth, removal of prostate
00866	N	Anesth, removal of adrenal
00868	N	Anesth, kidney transplant
00870	N	Anesth, bladder stone surg
00872	N	Anesth kidney stone destruct
00873	N	Anesth kidney stone destruct
00880	N	Anesth, abdomen vessel surg
00882	N	Anesth, major vein ligation
00884	N	Anesth, major vein revision
00902	N	Anesth, anorectal surgery
00904	N	Anesth, perineal surgery
00906	N	Anesth, removal of vulva
00908	N	Anesth, removal of prostate
00910	N	Anesth, bladder surgery
00912	N	Anesth, bladder tumor surg
00914	N	Anesth, removal of prostate
00916	N	Anesth, bleeding control
00918	N	Anesth, stone removal
00920	N	Anesth, genitalia surgery
00922	N	Anesth, sperm duct surgery
00924	N	Anesth, testis exploration
00926	N	Anesth, removal of testis
00928	N	Anesth, removal of testis
00930	N	Anesth, testis suspension
00932	N	Anesth, amputation of penis
00934	N	Anesth, penis, nodes removal
00936	N	Anesth, penis, nodes removal
00938	N	Anesth, insert penis device
00940	N	Anesth, vaginal procedures
00942	N	Anesth, surg on vag/urethal
00944	N	Anesth, vaginal hysterectomy
00946	N	Anesth, vaginal delivery
00948	N	Anesth, repair of cervix
00950	N	Anesth, vaginal endoscopy
00952	N	Anesth, hysteroscope/graph
00955	N	Analgesia, vaginal delivery
01112	N	Anesth, bone aspirate/bx
01120	N	Anesth, pelvis surgery
01130	N	Anesth, body cast procedure
01140	N	Anesth, amputation at pelvis
01150	N	Anesth, pelvic tumor surgery
01160	N	Anesth, pelvis procedure
01170	N	Anesth, pelvis surgery
01180	N	Anesth, pelvis nerve removal
01190	N	Anesth, pelvis nerve removal
01200	N	Anesth, hip joint procedure
01202	N	Anesth, arthroscopy of hip
01210	N	Anesth, hip joint surgery
01212	N	Anesth, hip disarticulation
01214	N	Anesth, replacement of hip
01215	N	Anesth, revise hip repair
01220	N	Anesth, procedure on femur
01230	N	Anesth, surgery of femur
01232	N	Anesth, amputation of femur
01234	N	Anesth, radical femur surg
01250	N	Anesth, upper leg surgery
01260	N	Anesth, upper leg veins surg
01270	N	Anesth, thigh arteries surg
01272	N	Anesth, femoral artery surg
01274	N	Anesth, femoral embolectomy
01320	N	Anesth, knee area surgery
01340	N	Anesth, knee area procedure
01360	N	Anesth, knee area surgery
01380	N	Anesth, knee joint procedure
01382	N	Anesth, knee arthroscopy
01390	N	Anesth, knee area procedure
01392	N	Anesth, knee area surgery
01400	N	Anesth, knee joint surgery
01402	N	Anesth, replacement of knee
01404	N	Anesth, amputation at knee
01420	N	Anesth, knee joint casting
01430	N	Anesth, knee veins surgery
01432	N	Anesth, knee vessel surg
01440	N	Anesth, knee arteries surg
01442	N	Anesth, knee artery surg
01444	N	Anesth, knee artery repair
01462	N	Anesth, lower leg procedure
01464	N	Anesth, ankle arthroscopy
01470	N	Anesth, lower leg surgery
01472	N	Anesth, achilles tendon surg
01474	N	Anesth, lower leg surgery
01480	N	Anesth, lower leg bone surg
01482	N	Anesth, radical leg surgery
01484	N	Anesth, lower leg revision
01486	N	Anesth, ankle replacement
01490	N	Anesth, lower leg casting
01500	N	Anesth, leg arteries surg
01502	N	Anesth, lwr leg embolectomy
01520	N	Anesth, lower leg vein surg
01522	N	Anesth, lower leg vein surg
01610	N	Anesth, surgery of shoulder
01620	N	Anesth, shoulder procedure
01622	N	Anesth, shoulder arthroscopy
01630	N	Anesth, surgery of shoulder
01632	N	Anesth, surgery of shoulder
01634	N	Anesth, shoulder joint amput
01636	N	Anesth, forequarter amput
01638	N	Anesth, shoulder replacement
01650	N	Anesth, shoulder artery surg
01652	N	Anesth, shoulder vessel surg
01654	N	Anesth, shoulder vessel surg
01656	N	Anesth, arm-leg vessel surg
01670	N	Anesth, shoulder vein surg
01680	N	Anesth, shoulder casting
01682	N	Anesth, airplane cast
01710	N	Anesth, elbow area surgery
01712	N	Anesth, uppr arm tendon surg
01714	N	Anesth, uppr arm tendon surg
01716	N	Anesth, biceps tendon repair
01730	N	Anesth, uppr arm procedure
01732	N	Anesth, elbow arthroscopy
01740	N	Anesth, upper arm surgery
01742	N	Anesth, humerus surgery
01744	N	Anesth, humerus repair
01756	N	Anesth, radical humerus surg
01758	N	Anesth, humeral lesion surg
01760	N	Anesth, elbow replacement
01770	N	Anesth, uppr arm artery surg
01772	N	Anesth, uppr arm embolectomy
01780	N	Anesth, upper arm vein surg
01782	N	Anesth, uppr arm vein repair
01810	N	Anesth, lower arm surgery
01820	N	Anesth, lower arm procedure
01830	N	Anesth, lower arm surgery
01832	N	Anesth, wrist replacement
01840	N	Anesth, lwr arm artery surg
01842	N	Anesth, lwr arm embolectomy
01844	N	Anesth, vascular shunt surg
01850	N	Anesth, lower arm vein surg
01852	N	Anesth, lwr arm vein repair
01860	N	Anesth, lower arm casting
01904	N	Anesth, skull x-ray inject
01906	N	Anesth, lumbar myelography
01908	N	Anesth, cervical myelography
01910	N	Anesth, skull myelography
01912	N	Anesth, lumbar diskography
01914	N	Anesth, cervical diskography
01916	N	Anesth, head arteriogram
01918	N	Anesth, limb arteriogram
01920	N	Anesth, catheterize heart
01921	N	Anesth, vessel surgery
01922	N	Anesth, cat or MRI scan
01951	N	Anesth, burn, less 1 percent
01952	N	Anesth, burn, 1-9 percent
01953	N	Anesth, burn, each 9 percent
01990	N	Support for organ donor
01995	N	Regional anesthesia, limb
01996	N	Manage daily drug therapy
01999	N	Unlisted anesth procedure
10040	T	Acne surgery of skin abscess	0006	2.36	$119.99	$33.95	$24.00
10060	T	Drainage of skin abscess	0006	2.36	$119.99	$33.95	$24.00
10061	T	Drainage of skin abscess	0006	2.36	$119.99	$33.95	$24.00
10080	T	Drainage of pilonidal cyst	0006	2.36	$119.99	$33.95	$24.00
10081	T	Drainage of pilonidal cyst	0007	7.28	$370.13	$74.03	$74.03
10120	T	Remove foreign body	0006	2.36	$119.99	$33.95	$24.00
10121	T	Remove foreign body	0020	8.56	$435.21	$130.53	$87.04
10140	T	Drainage of hematoma/fluid	0007	7.28	$370.13	$74.03	$74.03
10160	T	Puncture drainage of lesion	0018	1.16	$58.98	$17.66	$11.80
10180	T	Complex drainage, wound	0007	7.28	$370.13	$74.03	$74.03
11000	T	Debride infected skin	0015	2.29	$116.43	$31.20	$23.29
11001	T	Debride infected skin add-on	0013	1.51	$76.77	$17.66	$15.35
11010	T	Debride skin, fx	0022	15.07	$766.19	$292.94	$153.24
11011	T	Debride skin/muscle, fx	0022	15.07	$766.19	$292.94	$153.24
11012	T	Debride skin/muscle/bone, fx	0022	15.07	$766.19	$292.94	$153.24
11040	T	Debride skin, partial	0015	2.29	$116.43	$31.20	$23.29
11041	T	Debride skin, full	0015	2.29	$116.43	$31.20	$23.29
11042	T	Debride skin/tissue	0016	3.31	$168.29	$70.68	$33.66
11043	T	Debride tissue/muscle	0016	3.31	$168.29	$70.68	$33.66
11044	T	Debride tissue/muscle/bone	0017	10.51	$534.35	$245.80	$106.87
11055	T	Trim skin lesion	0012	0.72	$36.61	$9.18	$7.32
11056	T	Trim skin lesions, 2 to 4	0012	0.72	$36.61	$9.18	$7.32
11057	T	Trim skin lesions, over 4	0012	0.72	$36.61	$9.18	$7.32
11100	T	Biopsy of skin lesion	0018	1.16	$58.98	$17.66	$11.80
11101	T	Biopsy, skin add-on	0018	1.16	$58.98	$17.66	$11.80
11200	T	Removal of skin tags	0013	1.51	$76.77	$17.66	$15.35
11201	T	Remove skin tags add-on	0015	2.29	$116.43	$31.20	$23.29
11300	T	Shave skin lesion	0012	0.72	$36.61	$9.18	$7.32
11301	T	Shave skin lesion	0012	0.72	$36.61	$9.18	$7.32
11302	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11303	T	Shave skin lesion	0015	2.29	$116.43	$31.20	$23.29
11305	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11306	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11307	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11308	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11310	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11311	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11312	T	Shave skin lesion	0013	1.51	$76.77	$17.66	$15.35
11313	T	Shave skin lesion	0016	3.31	$168.29	$70.68	$33.66
11400	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11401	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11402	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11403	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11404	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11406	T	Removal of skin lesion	0021	12.74	$647.73	$236.51	$129.55
11420	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11421	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11422	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11423	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11424	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11426	T	Removal of skin lesion	0022	15.07	$766.19	$292.94	$153.24
11440	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11441	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11442	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11443	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11444	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11446	T	Removal of skin lesion	0022	15.07	$766.19	$292.94	$153.24
11450	T	Removal, sweat gland lesion	0022	15.07	$766.19	$292.94	$153.24
11451	T	Removal, sweat gland lesion	0022	15.07	$766.19	$292.94	$153.24
11462	T	Removal, sweat gland lesion	0022	15.07	$766.19	$292.94	$153.24
11463	T	Removal, sweat gland lesion	0022	15.07	$766.19	$292.94	$153.24
11470	T	Removal, sweat gland lesion	0022	15.07	$766.19	$292.94	$153.24
11471	T	Removal, sweat gland lesion	0022	15.07	$766.19	$292.94	$153.24
11600	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11601	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11602	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11603	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11604	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11606	T	Removal of skin lesion	0021	12.74	$647.73	$236.51	$129.55
11620	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11621	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11622	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11623	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11624	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11626	T	Removal of skin lesion	0022	15.07	$766.19	$292.94	$153.24
11640	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11641	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11642	T	Removal of skin lesion	0019	4.56	$231.84	$78.91	$46.37
11643	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11644	T	Removal of skin lesion	0020	8.56	$435.21	$130.53	$87.04
11646	T	Removal of skin lesion	0022	15.07	$766.19	$292.94	$153.24
11719	T	Trim nail(s)	0009	0.68	$34.57	$8.99	$6.91
11720	T	Debride nail, 1-5	0009	0.68	$34.57	$8.99	$6.91
11721	T	Debride nail, 6 or more	0009	0.68	$34.57	$8.99	$6.91
11730	T	Removal of nail plate	0013	1.51	$76.77	$17.66	$15.35
11732	T	Remove nail plate, add-on	0012	0.72	$36.61	$9.18	$7.32
11740	T	Drain blood from under nail	0009	0.68	$34.57	$8.99	$6.91
11750	T	Removal of nail bed	0019	4.56	$231.84	$78.91	$46.37
11752	T	Remove nail bed/finger tip	0022	15.07	$766.19	$292.94	$153.24
11755	T	Biopsy, nail unit	0019	4.56	$231.84	$78.91	$46.37
11760	T	Repair of nail bed	0024	2.48	$126.09	$44.50	$25.22
11762	T	Reconstruction of nail bed	0024	2.48	$126.09	$44.50	$25.22
11765	T	Excision of nail fold, toe	0015	2.29	$116.43	$31.20	$23.29
11770	T	Removal of pilonidal lesion	0021	12.74	$647.73	$236.51	$129.55
11771	T	Removal of pilonidal lesion	0022	15.07	$766.19	$292.94	$153.24
11772	T	Removal of pilonidal lesion	0022	15.07	$766.19	$292.94	$153.24
11900	T	Injection into skin lesions	0012	0.72	$36.61	$9.18	$7.32
11901	T	Added skin lesions injection	0012	0.72	$36.61	$9.18	$7.32
11920	T	Correct skin color defects	0024	2.48	$126.09	$44.50	$25.22
11921	T	Correct skin color defects	0024	2.48	$126.09	$44.50	$25.22
11922	T	Correct skin color defects	0024	2.48	$126.09	$44.50	$25.22
11950	T	Therapy for contour defects	0024	2.48	$126.09	$44.50	$25.22
11951	T	Therapy for contour defects	0024	2.48	$126.09	$44.50	$25.22
11952	T	Therapy for contour defects	0024	2.48	$126.09	$44.50	$25.22
11954	T	Therapy for contour defects	0024	2.48	$126.09	$44.50	$25.22
11960	T	Insert tissue expander(s)	0026	13.51	$686.88	$277.92	$137.38
11970	T	Replace tissue expander	0026	13.51	$686.88	$277.92	$137.38
11971	T	Remove tissue expander(s)	0022	15.07	$766.19	$292.94	$153.24
11975	E	Insert contraceptive cap
11976	T	Removal of contraceptive cap	0019	4.56	$231.84	$78.91	$46.37
11977	E	Removal/reinsert contra cap
11980	X	Implant hormone pellet(s)	0340	0.91	$46.27	$11.57	$9.25
12001	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12002	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12004	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12005	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12006	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12007	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12011	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12013	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12014	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12015	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12016	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12017	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12018	T	Repair superficial wound(s)	0024	2.48	$126.09	$44.50	$25.22
12020	T	Closure of split wound	0024	2.48	$126.09	$44.50	$25.22
12021	T	Closure of split wound	0024	2.48	$126.09	$44.50	$25.22
12031	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12032	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12034	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12035	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12036	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12037	T	Layer closure of wound(s)	0026	13.51	$686.88	$277.92	$137.38
12041	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12042	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12044	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12045	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12046	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12047	T	Layer closure of wound(s)	0026	13.51	$686.88	$277.92	$137.38
12051	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12052	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12053	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12054	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12055	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12056	T	Layer closure of wound(s)	0024	2.48	$126.09	$44.50	$25.22
12057	T	Layer closure of wound(s)	0026	13.51	$686.88	$277.92	$137.38
13100	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13101	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13102	T	Repair wound/lesion add-on	0025	3.71	$188.62	$70.66	$37.72
13120	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13121	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13122	T	Repair wound/lesion add-on	0025	3.71	$188.62	$70.66	$37.72
13131	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13132	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13133	T	Repair wound/lesion add-on	0025	3.71	$188.62	$70.66	$37.72
13150	T	Repair of wound or lesion	0026	13.51	$686.88	$277.92	$137.38
13151	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13152	T	Repair of wound or lesion	0025	3.71	$188.62	$70.66	$37.72
13153	T	Repair wound/lesion add-on	0025	3.71	$188.62	$70.66	$37.72
13160	T	Late closure of wound	0026	13.51	$686.88	$277.92	$137.38
14000	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14001	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14020	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14021	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14040	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14041	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14060	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14061	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14300	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
14350	T	Skin tissue rearrangement	0026	13.51	$686.88	$277.92	$137.38
15000	T	Skin graft	0026	13.51	$686.88	$277.92	$137.38
15001	T	Skin graft add-on	0026	13.51	$686.88	$277.92	$137.38
15050	T	Skin pinch graft	0026	13.51	$686.88	$277.92	$137.38
15100	T	Skin split graft	0026	13.51	$686.88	$277.92	$137.38
15101	T	Skin split graft add-on	0026	13.51	$686.88	$277.92	$137.38
15120	T	Skin split graft	0026	13.51	$686.88	$277.92	$137.38
15121	T	Skin split graft add-on	0026	13.51	$686.88	$277.92	$137.38
15200	T	Skin full graft	0026	13.51	$686.88	$277.92	$137.38
15201	T	Skin full graft add-on	0026	13.51	$686.88	$277.92	$137.38
15220	T	Skin full graft	0026	13.51	$686.88	$277.92	$137.38
15221	T	Skin full graft add-on	0026	13.51	$686.88	$277.92	$137.38
15240	T	Skin full graft	0026	13.51	$686.88	$277.92	$137.38
15241	T	Skin full graft add-on	0026	13.51	$686.88	$277.92	$137.38
15260	T	Skin full graft	0026	13.51	$686.88	$277.92	$137.38
15261	T	Skin full graft add-on	0026	13.51	$686.88	$277.92	$137.38
15342	T	Cultured skin graft, 25 cm	0025	3.71	$188.62	$70.66	$37.72
15343	T	Culture skn graft addl 25 cm	0025	3.71	$188.62	$70.66	$37.72
15350	T	Skin homograft	0026	13.51	$686.88	$277.92	$137.38
15351	T	Skin homograft add-on	0026	13.51	$686.88	$277.92	$137.38
15400	T	Skin heterograft	0026	13.51	$686.88	$277.92	$137.38
15401	T	Skin heterograft add-on	0026	13.51	$686.88	$277.92	$137.38
15570	T	Form skin pedicle flap	0026	13.51	$686.88	$277.92	$137.38
15572	T	Form skin pedicle flap	0026	13.51	$686.88	$277.92	$137.38
15574	T	Form skin pedicle flap	0026	13.51	$686.88	$277.92	$137.38
15576	T	Form skin pedicle flap	0026	13.51	$686.88	$277.92	$137.38
15600	T	Skin graft	0026	13.51	$686.88	$277.92	$137.38
15610	T	Skin graft	0026	13.51	$686.88	$277.92	$137.38
15620	T	Skin graft	0026	13.51	$686.88	$277.92	$137.38
15630	T	Skin graft	0026	13.51	$686.88	$277.92	$137.38
15650	T	Transfer skin pedicle flap	0026	13.51	$686.88	$277.92	$137.38
15732	T	Muscle-skin graft, head/neck	0027	19.31	$981.76	$383.10	$196.35
15734	T	Muscle-skin graft, trunk	0027	19.31	$981.76	$383.10	$196.35
15736	T	Muscle-skin graft, arm	0027	19.31	$981.76	$383.10	$196.35
15738	T	Muscle-skin graft, leg	0027	19.31	$981.76	$383.10	$196.35
15740	T	Island pedicle flap graft	0027	19.31	$981.76	$383.10	$196.35
15750	T	Neurovascular pedicle graft	0027	19.31	$981.76	$383.10	$196.35
15756	C	Free muscle flap, microvasc
15757	C	Free skin flap, microvasc
15758	C	Free fascial flap, microvasc
15760	T	Composite skin graft	0027	19.31	$981.76	$383.10	$196.35
15770	T	Derma-fat-fascia graft	0027	19.31	$981.76	$383.10	$196.35
15775	T	Hair transplant punch grafts	0026	13.51	$686.88	$277.92	$137.38
15776	T	Hair transplant punch grafts	0026	13.51	$686.88	$277.92	$137.38
15780	T	Abrasion treatment of skin	0022	15.07	$766.19	$292.94	$153.24
15781	T	Abrasion treatment of skin	0022	15.07	$766.19	$292.94	$153.24
15782	T	Abrasion treatment of skin	0022	15.07	$766.19	$292.94	$153.24
15783	T	Abrasion treatment of skin	0016	3.31	$168.29	$70.68	$33.66
15786	T	Abrasion, lesion, single	0013	1.51	$76.77	$17.66	$15.35
15787	T	Abrasion, lesions, add-on	0013	1.51	$76.77	$17.66	$15.35
15788	T	Chemical peel, face, epiderm	0012	0.72	$36.61	$9.18	$7.32
15789	T	Chemical peel, face, dermal	0015	2.29	$116.43	$31.20	$23.29
15792	T	Chemical peel, nonfacial	0012	0.72	$36.61	$9.18	$7.32
15793	T	Chemical peel, nonfacial	0013	1.51	$76.77	$17.66	$15.35
15810	T	Salabrasion	0016	3.31	$168.29	$70.68	$33.66
15811	T	Salabrasion	0016	3.31	$168.29	$70.68	$33.66
15819	T	Plastic surgery, neck	0026	13.51	$686.88	$277.92	$137.38
15820	T	Revision of lower eyelid	0026	13.51	$686.88	$277.92	$137.38
15821	T	Revision of lower eyelid	0026	13.51	$686.88	$277.92	$137.38
15822	T	Revision of upper eyelid	0026	13.51	$686.88	$277.92	$137.38
15823	T	Revision of upper eyelid	0026	13.51	$686.88	$277.92	$137.38
15824	T	Removal of forehead wrinkles	0027	19.31	$981.76	$383.10	$196.35
15825	T	Removal of neck wrinkles	0026	13.51	$686.88	$277.92	$137.38
15826	T	Removal of brow wrinkles	0026	13.51	$686.88	$277.92	$137.38
15828	T	Removal of face wrinkles	0027	19.31	$981.76	$383.10	$196.35
15829	T	Removal of skin wrinkles	0026	13.51	$686.88	$277.92	$137.38
15831	T	Excise excessive skin tissue	0022	15.07	$766.19	$292.94	$153.24
15832	T	Excise excessive skin tissue	0022	15.07	$766.19	$292.94	$153.24
15833	T	Excise excessive skin tissue	0022	15.07	$766.19	$292.94	$153.24
15834	T	Excise excessive skin tissue	0022	15.07	$766.19	$292.94	$153.24
15835	T	Excise excessive skin tissue	0026	13.51	$686.88	$277.92	$137.38
15836	T	Excise excessive skin tissue	0019	4.56	$231.84	$78.91	$46.37
15837	T	Excise excessive skin tissue	0019	4.56	$231.84	$78.91	$46.37
15838	T	Excise excessive skin tissue	0019	4.56	$231.84	$78.91	$46.37
15839	T	Excise excessive skin tissue	0019	4.56	$231.84	$78.91	$46.37
15840	T	Graft for face nerve palsy	0027	19.31	$981.76	$383.10	$196.35
15841	T	Graft for face nerve palsy	0027	19.31	$981.76	$383.10	$196.35
15842	T	Flap for face nerve palsy	0027	19.31	$981.76	$383.10	$196.35
15845	T	Skin and muscle repair, face	0027	19.31	$981.76	$383.10	$196.35
15850	T	Removal of sutures	0016	3.31	$168.29	$70.68	$33.66
15851	T	Removal of sutures	0013	1.51	$76.77	$17.66	$15.35
15852	T	Dressing change,not for burn	0013	1.51	$76.77	$17.66	$15.35
15860	N	Test for blood flow in graft
15876	T	Suction assisted lipectomy	0027	19.31	$981.76	$383.10	$196.35
15877	T	Suction assisted lipectomy	0027	19.31	$981.76	$383.10	$196.35
15878	T	Suction assisted lipectomy	0027	19.31	$981.76	$383.10	$196.35
15879	T	Suction assisted lipectomy	0027	19.31	$981.76	$383.10	$196.35
15920	T	Removal of tail bone ulcer	0022	15.07	$766.19	$292.94	$153.24
15922	T	Removal of tail bone ulcer	0027	19.31	$981.76	$383.10	$196.35
15931	T	Remove sacrum pressure sore	0022	15.07	$766.19	$292.94	$153.24
15933	T	Remove sacrum pressure sore	0022	15.07	$766.19	$292.94	$153.24
15934	T	Remove sacrum pressure sore	0027	19.31	$981.76	$383.10	$196.35
15935	T	Remove sacrum pressure sore	0027	19.31	$981.76	$383.10	$196.35
15936	T	Remove sacrum pressure sore	0027	19.31	$981.76	$383.10	$196.35
15937	T	Remove sacrum pressure sore	0027	19.31	$981.76	$383.10	$196.35
15940	T	Remove hip pressure sore	0022	15.07	$766.19	$292.94	$153.24
15941	T	Remove hip pressure sore	0022	15.07	$766.19	$292.94	$153.24
15944	T	Remove hip pressure sore	0027	19.31	$981.76	$383.10	$196.35
15945	T	Remove hip pressure sore	0027	19.31	$981.76	$383.10	$196.35
15946	T	Remove hip pressure sore	0027	19.31	$981.76	$383.10	$196.35
15950	T	Remove thigh pressure sore	0022	15.07	$766.19	$292.94	$153.24
15951	T	Remove thigh pressure sore	0022	15.07	$766.19	$292.94	$153.24
15952	T	Remove thigh pressure sore	0027	19.31	$981.76	$383.10	$196.35
15953	T	Remove thigh pressure sore	0027	19.31	$981.76	$383.10	$196.35
15956	T	Remove thigh pressure sore	0027	19.31	$981.76	$383.10	$196.35
15958	T	Remove thigh pressure sore	0027	19.31	$981.76	$383.10	$196.35
15999	T	Removal of pressure sore	0022	15.07	$766.19	$292.94	$153.24
16000	T	Initial treatment of burn(s)	0013	1.51	$76.77	$17.66	$15.35
16010	T	Treatment of burn(s)	0016	3.31	$168.29	$70.68	$33.66
16015	T	Treatment of burn(s)	0017	10.51	$534.35	$245.80	$106.87
16020	T	Treatment of burn(s)	0013	1.51	$76.77	$17.66	$15.35
16025	T	Treatment of burn(s)	0013	1.51	$76.77	$17.66	$15.35
16030	T	Treatment of burn(s)	0015	2.29	$116.43	$31.20	$23.29
16035	C	Incision of burn scab, initi
16036	C	Incise burn scab, addl incis
17000	T	Destroy benign/premal lesion	0010	0.71	$36.10	$9.86	$7.22
17003	T	Destroy lesions, 2-14	0010	0.71	$36.10	$9.86	$7.22
17004	T	Destroy lesions, 15 or more	0011	1.57	$79.82	$29.53	$15.96
17106	T	Destruction of skin lesions	0011	1.57	$79.82	$29.53	$15.96
17107	T	Destruction of skin lesions	0011	1.57	$79.82	$29.53	$15.96
17108	T	Destruction of skin lesions	0011	1.57	$79.82	$29.53	$15.96
17110	T	Destruct lesion, 1-14	0010	0.71	$36.10	$9.86	$7.22
17111	T	Destruct lesion, 15 or more	0011	1.57	$79.82	$29.53	$15.96
17250	T	Chemical cautery, tissue	0013	1.51	$76.77	$17.66	$15.35
17260	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17261	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17262	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17263	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17264	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17266	T	Destruction of skin lesions	0016	3.31	$168.29	$70.68	$33.66
17270	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17271	T	Destruction of skin lesions	0012	0.72	$36.61	$9.18	$7.32
17272	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17273	T	Destruction of skin lesions	0015	2.29	$116.43	$31.20	$23.29
17274	T	Destruction of skin lesions	0016	3.31	$168.29	$70.68	$33.66
17276	T	Destruction of skin lesions	0016	3.31	$168.29	$70.68	$33.66
17280	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17281	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17282	T	Destruction of skin lesions	0015	2.29	$116.43	$31.20	$23.29
17283	T	Destruction of skin lesions	0015	2.29	$116.43	$31.20	$23.29
17284	T	Destruction of skin lesions	0016	3.31	$168.29	$70.68	$33.66
17286	T	Destruction of skin lesions	0013	1.51	$76.77	$17.66	$15.35
17304	T	Chemosurgery of skin lesion	0694	4.28	$217.60	$65.28	$43.52
17305	T	2nd stage chemosurgery	0694	4.28	$217.60	$65.28	$43.52
17306	T	3rd stage chemosurgery	0694	4.28	$217.60	$65.28	$43.52
17307	T	Followup skin lesion therapy	0694	4.28	$217.60	$65.28	$43.52
17310	T	Extensive skin chemosurgery	0694	4.28	$217.60	$65.28	$43.52
17340	T	Cryotherapy of skin	0012	0.72	$36.61	$9.18	$7.32
17360	T	Skin peel therapy	0012	0.72	$36.61	$9.18	$7.32
17380	T	Hair removal by electrolysis	0017	10.51	$534.35	$245.80	$106.87
17999	T	Skin tissue procedure	0004	3.00	$152.53	$32.57	$30.51
19000	T	Drainage of breast lesion	0004	3.00	$152.53	$32.57	$30.51
19001	T	Drain breast lesion add-on	0004	3.00	$152.53	$32.57	$30.51
19020	T	Incision of breast lesion	0008	11.36	$577.57	$115.51	$115.51
19030	N	Injection for breast x-ray
19100	T	Bx breast percut w/o image	0005	6.71	$341.15	$119.75	$68.23
19101	T	Biopsy of breast, open	0028	14.95	$760.09	$303.74	$152.02
19102	T	Bx breast percut w/image	0005	6.71	$341.15	$119.75	$68.23
19103	S	Bx breast percut w/device	0974	7.57	$384.87		$76.97
19110	T	Nipple exploration	0028	14.95	$760.09	$303.74	$152.02
19112	T	Excise breast duct fistula	0028	14.95	$760.09	$303.74	$152.02
19120	T	Removal of breast lesion	0028	14.95	$760.09	$303.74	$152.02
19125	T	Excision, breast lesion	0028	14.95	$760.09	$303.74	$152.02
19126	T	Excision, addl breast lesion	0028	14.95	$760.09	$303.74	$152.02
19140	T	Removal of breast tissue	0028	14.95	$760.09	$303.74	$152.02
19160	T	Removal of breast tissue	0028	14.95	$760.09	$303.74	$152.02
19162	T	Remove breast tissue, nodes	0693	33.16	$1,685.92	$826.10	$337.18
19180	T	Removal of breast	0030	25.95	$1,319.35	$646.48	$263.87
19182	T	Removal of breast	0030	25.95	$1,319.35	$646.48	$263.87
19200	C	Removal of breast
19220	C	Removal of breast
19240	T	Removal of breast	0029	35.93	$1,826.75	$820.79	$365.35
19260	T	Removal of chest wall lesion	0021	12.74	$647.73	$236.51	$129.55
19271	C	Revision of chest wall
19272	C	Extensive chest wall surgery
19290	N	Place needle wire, breast
19291	N	Place needle wire, breast
19295	N	Place breast clip, percut
19316	T	Suspension of breast	0030	25.95	$1,319.35	$646.48	$263.87
19318	T	Reduction of large breast	0693	33.16	$1,685.92	$826.10	$337.18
19324	T	Enlarge breast	0693	33.16	$1,685.92	$826.10	$337.18
19325	T	Enlarge breast with implant	0693	33.16	$1,685.92	$826.10	$337.18
19328	T	Removal of breast implant	0030	25.95	$1,319.35	$646.48	$263.87
19330	T	Removal of implant material	0030	25.95	$1,319.35	$646.48	$263.87
19340	T	Immediate breast prosthesis	0030	25.95	$1,319.35	$646.48	$263.87
19342	T	Delayed breast prosthesis	0693	33.16	$1,685.92	$826.10	$337.18
19350	T	Breast reconstruction	0030	25.95	$1,319.35	$646.48	$263.87
19355	T	Correct inverted nipple(s)	0030	25.95	$1,319.35	$646.48	$263.87
19357	T	Breast reconstruction	0693	33.16	$1,685.92	$826.10	$337.18
19361	C	Breast reconstruction
19364	C	Breast reconstruction
19366	T	Breast reconstruction	0030	25.95	$1,319.35	$646.48	$263.87
19367	C	Breast reconstruction
19368	C	Breast reconstruction
19369	C	Breast reconstruction
19370	T	Surgery of breast capsule	0030	25.95	$1,319.35	$646.48	$263.87
19371	T	Removal of breast capsule	0030	25.95	$1,319.35	$646.48	$263.87
19380	T	Revise breast reconstruction	0030	25.95	$1,319.35	$646.48	$263.87
19396	T	Design custom breast implant	0029	35.93	$1,826.75	$820.79	$365.35
19499	T	Breast surgery procedure	0029	35.93	$1,826.75	$820.79	$365.35
20000	T	Incision of abscess	0006	2.36	$119.99	$33.95	$24.00
20005	T	Incision of deep abscess	0049	17.07	$867.87	$356.95	$173.57
20100	T	Explore wound, neck	0023	2.18	$110.84	$40.37	$22.17
20101	T	Explore wound, chest	0026	13.51	$686.88	$277.92	$137.38
20102	T	Explore wound, abdomen	0026	13.51	$686.88	$277.92	$137.38
20103	T	Explore wound, extremity	0023	2.18	$110.84	$40.37	$22.17
20150	T	Excise epiphyseal bar	0051	30.94	$1,573.05	$675.24	$314.61
20200	T	Muscle biopsy	0020	8.56	$435.21	$130.53	$87.04
20205	T	Deep muscle biopsy	0021	12.74	$647.73	$236.51	$129.55
20206	T	Needle biopsy, muscle	0005	6.71	$341.15	$119.75	$68.23
20220	T	Bone biopsy, trocar/needle	0019	4.56	$231.84	$78.91	$46.37
20225	T	Bone biopsy, trocar/needle	0020	8.56	$435.21	$130.53	$87.04
20240	T	Bone biopsy, excisional	0022	15.07	$766.19	$292.94	$153.24
20245	T	Bone biopsy, excisional	0022	15.07	$766.19	$292.94	$153.24
20250	T	Open bone biopsy	0049	17.07	$867.87	$356.95	$173.57
20251	T	Open bone biopsy	0049	17.07	$867.87	$356.95	$173.57
20500	T	Injection of sinus tract	0251	2.71	$137.78	$27.99	$27.56
20501	N	Inject sinus tract for x-ray
20520	T	Removal of foreign body	0019	4.56	$231.84	$78.91	$46.37
20525	T	Removal of foreign body	0022	15.07	$766.19	$292.94	$153.24
20550	T	Inject tendon/ligament/cyst	0204	2.44	$124.05	$47.14	$24.81
20600	T	Drain/inject, joint/bursa	0204	2.44	$124.05	$47.14	$24.81
20605	T	Drain/inject, joint/bursa	0204	2.44	$124.05	$47.14	$24.81
20610	T	Drain/inject, joint/bursa	0204	2.44	$124.05	$47.14	$24.81
20615	T	Treatment of bone cyst	0004	3.00	$152.53	$32.57	$30.51
20650	T	Insert and remove bone pin	0049	17.07	$867.87	$356.95	$173.57
20660	C	Apply,remove fixation device
20661	C	Application of head brace
20662	C	Application of pelvis brace
20663	C	Application of thigh brace
20664	C	Halo brace application
20665	N	Removal of fixation device
20670	T	Removal of support implant	0021	12.74	$647.73	$236.51	$129.55
20680	T	Removal of support implant	0022	15.07	$766.19	$292.94	$153.24
20690	T	Apply bone fixation device	0050	22.31	$1,134.29	$513.86	$226.86
20692	T	Apply bone fixation device	0050	22.31	$1,134.29	$513.86	$226.86
20693	T	Adjust bone fixation device	0049	17.07	$867.87	$356.95	$173.57
20694	T	Remove bone fixation device	0049	17.07	$867.87	$356.95	$173.57
20802	C	Replantation, arm, complete
20805	C	Replant, forearm, complete
20808	C	Replantation hand, complete
20816	C	Replantation digit, complete
20822	C	Replantation digit, complete
20824	C	Replantation thumb, complete
20827	C	Replantation thumb, complete
20838	C	Replantation foot, complete
20900	T	Removal of bone for graft	0050	22.31	$1,134.29	$513.86	$226.86
20902	T	Removal of bone for graft	0050	22.31	$1,134.29	$513.86	$226.86
20910	T	Remove cartilage for graft	0026	13.51	$686.88	$277.92	$137.38
20912	T	Remove cartilage for graft	0026	13.51	$686.88	$277.92	$137.38
20920	T	Removal of fascia for graft	0026	13.51	$686.88	$277.92	$137.38
20922	T	Removal of fascia for graft	0026	13.51	$686.88	$277.92	$137.38
20924	T	Removal of tendon for graft	0050	22.31	$1,134.29	$513.86	$226.86
20926	T	Removal of tissue for graft	0026	13.51	$686.88	$277.92	$137.38
20930	C	Spinal bone allograft
20931	C	Spinal bone allograft
20936	C	Spinal bone autograft
20937	C	Spinal bone autograft
20938	C	Spinal bone autograft
20950	T	Fluid pressure, muscle	0008	11.36	$577.57	$115.51	$115.51
20955	C	Fibula bone graft, microvasc
20956	C	Iliac bone graft, microvasc
20957	C	Mt bone graft, microvasc
20962	C	Other bone graft, microvasc
20969	C	Bone/skin graft, microvasc
20970	C	Bone/skin graft, iliac crest
20972	C	Bone/skin graft, metatarsal
20973	C	Bone/skin graft, great toe
20974	A	Electrical bone stimulation
20975	T	Electrical bone stimulation	0049	17.07	$867.87	$356.95	$173.57
20979	E	Us bone stimulation
20999	N	Musculoskeletal surgery
21010	T	Incision of jaw joint	0254	19.11	$971.59	$272.41	$194.32
21015	T	Resection of facial tumor	0252	6.53	$332.00	$114.24	$66.40
21025	T	Excision of bone, lower jaw	0256	28.82	$1,465.27	$623.05	$293.05
21026	T	Excision of facial bone(s)	0256	28.82	$1,465.27	$623.05	$293.05
21029	T	Contour of face bone lesion	0256	28.82	$1,465.27	$623.05	$293.05
21030	T	Removal of face bone lesion	0254	19.11	$971.59	$272.41	$194.32
21031	T	Remove exostosis, mandible	0254	19.11	$971.59	$272.41	$194.32
21032	T	Remove exostosis, maxilla	0254	19.11	$971.59	$272.41	$194.32
21034	T	Removal of face bone lesion	0256	28.82	$1,465.27	$623.05	$293.05
21040	T	Removal of jaw bone lesion	0254	19.11	$971.59	$272.41	$194.32
21041	T	Removal of jaw bone lesion	0256	28.82	$1,465.27	$623.05	$293.05
21044	T	Removal of jaw bone lesion	0256	28.82	$1,465.27	$623.05	$293.05
21045	C	Extensive jaw surgery
21050	T	Removal of jaw joint	0256	28.82	$1,465.27	$623.05	$293.05
21060	T	Remove jaw joint cartilage	0256	28.82	$1,465.27	$623.05	$293.05
21070	T	Remove coronoid process	0256	28.82	$1,465.27	$623.05	$293.05
21076	T	Prepare face/oral prosthesis	0254	19.11	$971.59	$272.41	$194.32
21077	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21079	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21080	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21081	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21082	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21083	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21084	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21085	T	Prepare face/oral prosthesis	0253	13.27	$674.67	$284.00	$134.93
21086	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21087	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21088	T	Prepare face/oral prosthesis	0256	28.82	$1,465.27	$623.05	$293.05
21089	T	Prepare face/oral prosthesis	0253	13.27	$674.67	$284.00	$134.93
21100	T	Maxillofacial fixation	0256	28.82	$1,465.27	$623.05	$293.05
21110	T	Interdental fixation	0252	6.53	$332.00	$114.24	$66.40
21116	N	Injection, jaw joint x-ray
21120	T	Reconstruction of chin	0254	19.11	$971.59	$272.41	$194.32
21121	T	Reconstruction of chin	0254	19.11	$971.59	$272.41	$194.32
21122	T	Reconstruction of chin	0254	19.11	$971.59	$272.41	$194.32
21123	T	Reconstruction of chin	0254	19.11	$971.59	$272.41	$194.32
21125	T	Augmentation, lower jaw bone	0254	19.11	$971.59	$272.41	$194.32
21127	T	Augmentation, lower jaw bone	0256	28.82	$1,465.27	$623.05	$293.05
21137	T	Reduction of forehead	0254	19.11	$971.59	$272.41	$194.32
21138	T	Reduction of forehead	0256	28.82	$1,465.27	$623.05	$293.05
21139	T	Reduction of forehead	0256	28.82	$1,465.27	$623.05	$293.05
21141	C	Reconstruct midface, lefort
21142	C	Reconstruct midface, lefort
21143	C	Reconstruct midface, lefort
21145	C	Reconstruct midface, lefort
21146	C	Reconstruct midface, lefort
21147	C	Reconstruct midface, lefort
21150	C	Reconstruct midface, lefort
21151	C	Reconstruct midface, lefort
21154	C	Reconstruct midface, lefort
21155	C	Reconstruct midface, lefort
21159	C	Reconstruct midface, lefort
21160	C	Reconstruct midface, lefort
21172	C	Reconstruct orbit/forehead
21175	C	Reconstruct orbit/forehead
21179	C	Reconstruct entire forehead
21180	C	Reconstruct entire forehead
21181	T	Contour cranial bone lesion	0254	19.11	$971.59	$272.41	$194.32
21182	C	Reconstruct cranial bone
21183	C	Reconstruct cranial bone
21184	C	Reconstruct cranial bone
21188	C	Reconstruction of midface
21193	C	Reconst lwr jaw w/o graft
21194	C	Reconst lwr jaw w/graft
21195	C	Reconst lwr jaw w/o fixation
21196	C	Reconst lwr jaw w/fixation
21198	T	Reconstr lwr jaw segment	0256	28.82	$1,465.27	$623.05	$293.05
21199	T	Reconstr lwr jaw w/advance	0256	28.82	$1,465.27	$623.05	$293.05
21206	T	Reconstruct upper jaw bone	0256	28.82	$1,465.27	$623.05	$293.05
21208	T	Augmentation of facial bones	0256	28.82	$1,465.27	$623.05	$293.05
21209	T	Reduction of facial bones	0256	28.82	$1,465.27	$623.05	$293.05
21210	T	Face bone graft	0256	28.82	$1,465.27	$623.05	$293.05
21215	T	Lower jaw bone graft	0256	28.82	$1,465.27	$623.05	$293.05
21230	T	Rib cartilage graft	0256	28.82	$1,465.27	$623.05	$293.05
21235	T	Ear cartilage graft	0254	19.11	$971.59	$272.41	$194.32
21240	T	Reconstruction of jaw joint	0256	28.82	$1,465.27	$623.05	$293.05
21242	T	Reconstruction of jaw joint	0256	28.82	$1,465.27	$623.05	$293.05
21243	T	Reconstruction of jaw joint	0256	28.82	$1,465.27	$623.05	$293.05
21244	T	Reconstruction of lower jaw	0256	28.82	$1,465.27	$623.05	$293.05
21245	T	Reconstruction of jaw	0256	28.82	$1,465.27	$623.05	$293.05
21246	T	Reconstruction of jaw	0256	28.82	$1,465.27	$623.05	$293.05
21247	C	Reconstruct lower jaw bone
21248	T	Reconstruction of jaw	0256	28.82	$1,465.27	$623.05	$293.05
21249	T	Reconstruction of jaw	0256	28.82	$1,465.27	$623.05	$293.05
21255	C	Reconstruct lower jaw bone
21256	C	Reconstruction of orbit
21260	T	Revise eye sockets	0256	28.82	$1,465.27	$623.05	$293.05
21261	T	Revise eye sockets	0256	28.82	$1,465.27	$623.05	$293.05
21263	T	Revise eye sockets	0256	28.82	$1,465.27	$623.05	$293.05
21267	T	Revise eye sockets	0256	28.82	$1,465.27	$623.05	$293.05
21268	C	Revise eye sockets
21270	T	Augmentation, cheek bone	0256	28.82	$1,465.27	$623.05	$293.05
21275	T	Revision, orbitofacial bones	0256	28.82	$1,465.27	$623.05	$293.05
21280	T	Revision of eyelid	0256	28.82	$1,465.27	$623.05	$293.05
21282	T	Revision of eyelid	0253	13.27	$674.67	$284.00	$134.93
21295	T	Revision of jaw muscle/bone	0252	6.53	$332.00	$114.24	$66.40
21296	T	Revision of jaw muscle/bone	0254	19.11	$971.59	$272.41	$194.32
21299	T	Cranio/maxillofacial surgery	0253	13.27	$674.67	$284.00	$134.93
21300	T	Treatment of skull fracture	0253	13.27	$674.67	$284.00	$134.93
21310	T	Treatment of nose fracture	0253	13.27	$674.67	$284.00	$134.93
21315	T	Treatment of nose fracture	0253	13.27	$674.67	$284.00	$134.93
21320	T	Treatment of nose fracture	0253	13.27	$674.67	$284.00	$134.93
21325	T	Treatment of nose fracture	0254	19.11	$971.59	$272.41	$194.32
21330	T	Treatment of nose fracture	0254	19.11	$971.59	$272.41	$194.32
21335	T	Treatment of nose fracture	0254	19.11	$971.59	$272.41	$194.32
21336	T	Treat nasal septal fracture	0046	25.36	$1,289.35	$535.76	$257.87
21337	T	Treat nasal septal fracture	0253	13.27	$674.67	$284.00	$134.93
21338	T	Treat nasoethmoid fracture	0254	19.11	$971.59	$272.41	$194.32
21339	T	Treat nasoethmoid fracture	0254	19.11	$971.59	$272.41	$194.32
21340	T	Treatment of nose fracture	0256	28.82	$1,465.27	$623.05	$293.05
21343	C	Treatment of sinus fracture
21344	C	Treatment of sinus fracture
21345	T	Treat nose/jaw fracture	0254	19.11	$971.59	$272.41	$194.32
21346	C	Treat nose/jaw fracture
21347	C	Treat nose/jaw fracture
21348	C	Treat nose/jaw fracture
21355	T	Treat cheek bone fracture	0256	28.82	$1,465.27	$623.05	$293.05
21356	C	Treat cheek bone fracture
21360	C	Treat cheek bone fracture
21365	C	Treat cheek bone fracture
21366	C	Treat cheek bone fracture
21385	C	Treat eye socket fracture
21386	C	Treat eye socket fracture
21387	C	Treat eye socket fracture
21390	C	Treat eye socket fracture
21395	C	Treat eye socket fracture
21400	T	Treat eye socket fracture	0252	6.53	$332.00	$114.24	$66.40
21401	T	Treat eye socket fracture	0253	13.27	$674.67	$284.00	$134.93
21406	T	Treat eye socket fracture	0256	28.82	$1,465.27	$623.05	$293.05
21407	T	Treat eye socket fracture	0256	28.82	$1,465.27	$623.05	$293.05
21408	C	Treat eye socket fracture
21421	T	Treat mouth roof fracture	0254	19.11	$971.59	$272.41	$194.32
21422	C	Treat mouth roof fracture
21423	C	Treat mouth roof fracture
21431	C	Treat craniofacial fracture
21432	C	Treat craniofacial fracture
21433	C	Treat craniofacial fracture
21435	C	Treat craniofacial fracture
21436	C	Treat craniofacial fracture
21440	T	Treat dental ridge fracture	0254	19.11	$971.59	$272.41	$194.32
21445	T	Treat dental ridge fracture	0254	19.11	$971.59	$272.41	$194.32
21450	T	Treat lower jaw fracture	0251	2.71	$137.78	$27.99	$27.56
21451	T	Treat lower jaw fracture	0252	6.53	$332.00	$114.24	$66.40
21452	T	Treat lower jaw fracture	0253	13.27	$674.67	$284.00	$134.93
21453	T	Treat lower jaw fracture	0256	28.82	$1,465.27	$623.05	$293.05
21454	T	Treat lower jaw fracture	0254	19.11	$971.59	$272.41	$194.32
21461	T	Treat lower jaw fracture	0256	28.82	$1,465.27	$623.05	$293.05
21462	T	Treat lower jaw fracture	0256	28.82	$1,465.27	$623.05	$293.05
21465	T	Treat lower jaw fracture	0256	28.82	$1,465.27	$623.05	$293.05
21470	T	Treat lower jaw fracture	0256	28.82	$1,465.27	$623.05	$293.05
21480	T	Reset dislocated jaw	0251	2.71	$137.78	$27.99	$27.56
21485	T	Reset dislocated jaw	0253	13.27	$674.67	$284.00	$134.93
21490	T	Repair dislocated jaw	0256	28.82	$1,465.27	$623.05	$293.05
21493	T	Treat hyoid bone fracture	0252	6.53	$332.00	$114.24	$66.40
21494	T	Treat hyoid bone fracture	0252	6.53	$332.00	$114.24	$66.40
21495	C	Treat hyoid bone fracture
21497	T	Interdental wiring	0253	13.27	$674.67	$284.00	$134.93
21499	T	Head surgery procedure	0253	13.27	$674.67	$284.00	$134.93
21501	T	Drain neck/chest lesion	0008	11.36	$577.57	$115.51	$115.51
21502	T	Drain chest lesion	0049	17.07	$867.87	$356.95	$173.57
21510	C	Drainage of bone lesion
21550	T	Biopsy of neck/chest	0019	4.56	$231.84	$78.91	$46.37
21555	T	Remove lesion, neck/chest	0022	15.07	$766.19	$292.94	$153.24
21556	T	Remove lesion, neck/chest	0022	15.07	$766.19	$292.94	$153.24
21557	C	Remove tumor, neck/chest
21600	T	Partial removal of rib	0050	22.31	$1,134.29	$513.86	$226.86
21610	T	Partial removal of rib	0050	22.31	$1,134.29	$513.86	$226.86
21615	C	Removal of rib
21616	C	Removal of rib and nerves
21620	C	Partial removal of sternum
21627	C	Sternal debridement
21630	C	Extensive sternum surgery
21632	C	Extensive sternum surgery
21700	T	Revision of neck muscle	0008	11.36	$577.57	$115.51	$115.51
21705	C	Revision of neck muscle/rib
21720	T	Revision of neck muscle	0008	11.36	$577.57	$115.51	$115.51
21725	T	Revision of neck muscle	0008	11.36	$577.57	$115.51	$115.51
21740	C	Reconstruction of sternum
21750	C	Repair of sternum separation
21800	T	Treatment of rib fracture	0043	4.13	$209.98	$42.00	$42.00
21805	T	Treatment of rib fracture	0046	25.36	$1,289.35	$535.76	$257.87
21810	C	Treatment of rib fracture(s)
21820	T	Treat sternum fracture	0044	2.73	$138.80	$38.08	$27.76
21825	C	Treat sternum fracture
21899	T	Neck/chest surgery procedure	0252	6.53	$332.00	$114.24	$66.40
21920	T	Biopsy soft tissue of back	0020	8.56	$435.21	$130.53	$87.04
21925	T	Biopsy soft tissue of back	0022	15.07	$766.19	$292.94	$153.24
21930	T	Remove lesion, back or flank	0022	15.07	$766.19	$292.94	$153.24
21935	T	Remove tumor, back	0022	15.07	$766.19	$292.94	$153.24
22100	C	Remove part of neck vertebra
22101	C	Remove part, thorax vertebra
22102	C	Remove part, lumbar vertebra
22103	C	Remove extra spine segment
22110	C	Remove part of neck vertebra
22112	C	Remove part, thorax vertebra
22114	C	Remove part, lumbar vertebra
22116	C	Remove extra spine segment
22210	C	Revision of neck spine
22212	C	Revision of thorax spine
22214	C	Revision of lumbar spine
22216	C	Revise, extra spine segment
22220	C	Revision of neck spine
22222	C	Revision of thorax spine
22224	C	Revision of lumbar spine
22226	C	Revise, extra spine segment
22305	T	Treat spine process fracture	0043	4.13	$209.98	$42.00	$42.00
22310	T	Treat spine fracture	0043	4.13	$209.98	$42.00	$42.00
22315	T	Treat spine fracture	0043	4.13	$209.98	$42.00	$42.00
22318	C	Treat odontoid fx w/o graft
22319	C	Treat odontoid fx w/graft
22325	C	Treat spine fracture
22326	C	Treat neck spine fracture
22327	C	Treat thorax spine fracture
22328	C	Treat each add spine fx
22505	T	Manipulation of spine	0045	12.91	$656.37	$277.12	$131.27
22520	T	Percut vertebroplasty thor	0050	22.31	$1,134.29	$513.86	$226.86
22521	T	Percut vertebroplasty lumb	0050	22.31	$1,134.29	$513.86	$226.86
22522	T	Percut vertebroplasty addl	0050	22.31	$1,134.29	$513.86	$226.86
22548	C	Neck spine fusion
22554	C	Neck spine fusion
22556	C	Thorax spine fusion
22558	C	Lumbar spine fusion
22585	C	Additional spinal fusion
22590	C	Spine & skull spinal fusion
22595	C	Neck spinal fusion
22600	C	Neck spine fusion
22610	C	Thorax spine fusion
22612	C	Lumbar spine fusion
22614	C	Spine fusion, extra segment
22630	C	Lumbar spine fusion
22632	C	Spine fusion, extra segment
22800	C	Fusion of spine
22802	C	Fusion of spine
22804	C	Fusion of spine
22808	C	Fusion of spine
22810	C	Fusion of spine
22812	C	Fusion of spine
22818	C	Kyphectomy, 1-2 segments
22819	C	Kyphectomy, 3 or more
22830	C	Exploration of spinal fusion
22840	C	Insert spine fixation device
22841	C	Insert spine fixation device
22842	C	Insert spine fixation device
22843	C	Insert spine fixation device
22844	C	Insert spine fixation device
22845	C	Insert spine fixation device
22846	C	Insert spine fixation device
22847	C	Insert spine fixation device
22848	C	Insert pelv fixation device
22849	C	Reinsert spinal fixation
22850	C	Remove spine fixation device
22851	C	Apply spine prosth device
22852	C	Remove spine fixation device
22855	C	Remove spine fixation device
22899	T	Spine surgery procedure	0043	4.13	$209.98	$42.00	$42.00
22900	T	Remove abdominal wall lesion	0022	15.07	$766.19	$292.94	$153.24
22999	T	Abdomen surgery procedure	0022	15.07	$766.19	$292.94	$153.24
23000	T	Removal of calcium deposits	0021	12.74	$647.73	$236.51	$129.55
23020	T	Release shoulder joint	0051	30.94	$1,573.05	$675.24	$314.61
23030	T	Drain shoulder lesion	0008	11.36	$577.57	$115.51	$115.51
23031	T	Drain shoulder bursa	0008	11.36	$577.57	$115.51	$115.51
23035	C	Drain shoulder bone lesion
23040	T	Exploratory shoulder surgery	0050	22.31	$1,134.29	$513.86	$226.86
23044	T	Exploratory shoulder surgery	0050	22.31	$1,134.29	$513.86	$226.86
23065	T	Biopsy shoulder tissues	0021	12.74	$647.73	$236.51	$129.55
23066	T	Biopsy shoulder tissues	0022	15.07	$766.19	$292.94	$153.24
23075	T	Removal of shoulder lesion	0021	12.74	$647.73	$236.51	$129.55
23076	T	Removal of shoulder lesion	0022	15.07	$766.19	$292.94	$153.24
23077	T	Remove tumor of shoulder	0022	15.07	$766.19	$292.94	$153.24
23100	T	Biopsy of shoulder joint	0049	17.07	$867.87	$356.95	$173.57
23101	T	Shoulder joint surgery	0050	22.31	$1,134.29	$513.86	$226.86
23105	T	Remove shoulder joint lining	0050	22.31	$1,134.29	$513.86	$226.86
23106	T	Incision of collarbone joint	0050	22.31	$1,134.29	$513.86	$226.86
23107	T	Explore treat shoulder joint	0050	22.31	$1,134.29	$513.86	$226.86
23120	T	Partial removal, collar bone	0051	30.94	$1,573.05	$675.24	$314.61
23125	C	Removal of collar bone
23130	T	Remove shoulder bone, part	0051	30.94	$1,573.05	$675.24	$314.61
23140	T	Removal of bone lesion	0049	17.07	$867.87	$356.95	$173.57
23145	T	Removal of bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
23146	T	Removal of bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
23150	T	Removal of humerus lesion	0050	22.31	$1,134.29	$513.86	$226.86
23155	T	Removal of humerus lesion	0050	22.31	$1,134.29	$513.86	$226.86
23156	T	Removal of humerus lesion	0050	22.31	$1,134.29	$513.86	$226.86
23170	T	Remove collar bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
23172	T	Remove shoulder blade lesion	0050	22.31	$1,134.29	$513.86	$226.86
23174	T	Remove humerus lesion	0050	22.31	$1,134.29	$513.86	$226.86
23180	T	Remove collar bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
23182	T	Remove shoulder blade lesion	0050	22.31	$1,134.29	$513.86	$226.86
23184	T	Remove humerus lesion	0050	22.31	$1,134.29	$513.86	$226.86
23190	T	Partial removal of scapula	0050	22.31	$1,134.29	$513.86	$226.86
23195	C	Removal of head of humerus
23200	C	Removal of collar bone
23210	C	Removal of shoulder blade
23220	C	Partial removal of humerus
23221	C	Partial removal of humerus
23222	C	Partial removal of humerus
23330	T	Remove shoulder foreign body	0019	4.56	$231.84	$78.91	$46.37
23331	T	Remove shoulder foreign body	0022	15.07	$766.19	$292.94	$153.24
23332	C	Remove shoulder foreign body
23350	N	Injection for shoulder x-ray
23395	C	Muscle transfer,shoulder/arm
23397	C	Muscle transfers
23400	C	Fixation of shoulder blade
23405	T	Incision of tendon & muscle	0050	22.31	$1,134.29	$513.86	$226.86
23406	T	Incise tendon(s) & muscle(s)	0050	22.31	$1,134.29	$513.86	$226.86
23410	T	Repair of tendon(s)	0052	38.88	$1,976.74	$930.91	$395.35
23412	T	Repair of tendon(s)	0052	38.88	$1,976.74	$930.91	$395.35
23415	T	Release of shoulder ligament	0051	30.94	$1,573.05	$675.24	$314.61
23420	T	Repair of shoulder	0052	38.88	$1,976.74	$930.91	$395.35
23430	T	Repair biceps tendon	0052	38.88	$1,976.74	$930.91	$395.35
23440	C	Remove/transplant tendon
23450	T	Repair shoulder capsule	0052	38.88	$1,976.74	$930.91	$395.35
23455	T	Repair shoulder capsule	0052	38.88	$1,976.74	$930.91	$395.35
23460	T	Repair shoulder capsule	0052	38.88	$1,976.74	$930.91	$395.35
23462	T	Repair shoulder capsule	0052	38.88	$1,976.74	$930.91	$395.35
23465	T	Repair shoulder capsule	0052	38.88	$1,976.74	$930.91	$395.35
23466	T	Repair shoulder capsule	0052	38.88	$1,976.74	$930.91	$395.35
23470	C	Reconstruct shoulder joint
23472	C	Reconstruct shoulder joint
23480	T	Revision of collar bone	0051	30.94	$1,573.05	$675.24	$314.61
23485	T	Revision of collar bone	0051	30.94	$1,573.05	$675.24	$314.61
23490	T	Reinforce clavicle	0051	30.94	$1,573.05	$675.24	$314.61
23491	T	Reinforce shoulder bones	0051	30.94	$1,573.05	$675.24	$314.61
23500	T	Treat clavicle fracture	0043	4.13	$209.98	$42.00	$42.00
23505	T	Treat clavicle fracture	0043	4.13	$209.98	$42.00	$42.00
23515	T	Treat clavicle fracture	0046	25.36	$1,289.35	$535.76	$257.87
23520	T	Treat clavicle dislocation	0044	2.73	$138.80	$38.08	$27.76
23525	T	Treat clavicle dislocation	0043	4.13	$209.98	$42.00	$42.00
23530	T	Treat clavicle dislocation	0046	25.36	$1,289.35	$535.76	$257.87
23532	T	Treat clavicle dislocation	0046	25.36	$1,289.35	$535.76	$257.87
23540	T	Treat clavicle dislocation	0044	2.73	$138.80	$38.08	$27.76
23545	T	Treat clavicle dislocation	0043	4.13	$209.98	$42.00	$42.00
23550	T	Treat clavicle dislocation	0046	25.36	$1,289.35	$535.76	$257.87
23552	T	Treat clavicle dislocation	0046	25.36	$1,289.35	$535.76	$257.87
23570	T	Treat shoulder blade fx	0043	4.13	$209.98	$42.00	$42.00
23575	T	Treat shoulder blade fx	0044	2.73	$138.80	$38.08	$27.76
23585	T	Treat scapula fracture	0046	25.36	$1,289.35	$535.76	$257.87
23600	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
23605	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
23615	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
23616	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
23620	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
23625	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
23630	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
23650	T	Treat shoulder dislocation	0043	4.13	$209.98	$42.00	$42.00
23655	T	Treat shoulder dislocation	0045	12.91	$656.37	$277.12	$131.27
23660	T	Treat shoulder dislocation	0046	25.36	$1,289.35	$535.76	$257.87
23665	T	Treat dislocation/fracture	0044	2.73	$138.80	$38.08	$27.76
23670	T	Treat dislocation/fracture	0046	25.36	$1,289.35	$535.76	$257.87
23675	T	Treat dislocation/fracture	0044	2.73	$138.80	$38.08	$27.76
23680	T	Treat dislocation/fracture	0046	25.36	$1,289.35	$535.76	$257.87
23700	T	Fixation of shoulder	0045	12.91	$656.37	$277.12	$131.27
23800	T	Fusion of shoulder joint	0051	30.94	$1,573.05	$675.24	$314.61
23802	T	Fusion of shoulder joint	0051	30.94	$1,573.05	$675.24	$314.61
23900	C	Amputation of arm & girdle
23920	C	Amputation at shoulder joint
23921	T	Amputation follow-up surgery	0026	13.51	$686.88	$277.92	$137.38
23929	T	Shoulder surgery procedure	0043	4.13	$209.98	$42.00	$42.00
23930	T	Drainage of arm lesion	0008	11.36	$577.57	$115.51	$115.51
23931	T	Drainage of arm bursa	0008	11.36	$577.57	$115.51	$115.51
23935	T	Drain arm/elbow bone lesion	0049	17.07	$867.87	$356.95	$173.57
24000	T	Exploratory elbow surgery	0050	22.31	$1,134.29	$513.86	$226.86
24006	T	Release elbow joint	0050	22.31	$1,134.29	$513.86	$226.86
24065	T	Biopsy arm/elbow soft tissue	0020	8.56	$435.21	$130.53	$87.04
24066	T	Biopsy arm/elbow soft tissue	0021	12.74	$647.73	$236.51	$129.55
24075	T	Remove arm/elbow lesion	0021	12.74	$647.73	$236.51	$129.55
24076	T	Remove arm/elbow lesion	0022	15.07	$766.19	$292.94	$153.24
24077	T	Remove tumor of arm/elbow	0022	15.07	$766.19	$292.94	$153.24
24100	T	Biopsy elbow joint lining	0049	17.07	$867.87	$356.95	$173.57
24101	T	Explore/treat elbow joint	0050	22.31	$1,134.29	$513.86	$226.86
24102	T	Remove elbow joint lining	0050	22.31	$1,134.29	$513.86	$226.86
24105	T	Removal of elbow bursa	0049	17.07	$867.87	$356.95	$173.57
24110	T	Remove humerus lesion	0049	17.07	$867.87	$356.95	$173.57
24115	T	Remove/graft bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
24116	T	Remove/graft bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
24120	T	Remove elbow lesion	0049	17.07	$867.87	$356.95	$173.57
24125	T	Remove/graft bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
24126	T	Remove/graft bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
24130	T	Removal of head of radius	0050	22.31	$1,134.29	$513.86	$226.86
24134	T	Removal of arm bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
24136	T	Remove radius bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
24138	T	Remove elbow bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
24140	T	Partial removal of arm bone	0050	22.31	$1,134.29	$513.86	$226.86
24145	T	Partial removal of radius	0050	22.31	$1,134.29	$513.86	$226.86
24147	T	Partial removal of elbow	0050	22.31	$1,134.29	$513.86	$226.86
24149	C	Radical resection of elbow
24150	C	Extensive humerus surgery
24151	C	Extensive humerus surgery
24152	C	Extensive radius surgery
24153	C	Extensive radius surgery
24155	T	Removal of elbow joint	0051	30.94	$1,573.05	$675.24	$314.61
24160	T	Remove elbow joint implant	0050	22.31	$1,134.29	$513.86	$226.86
24164	T	Remove radius head implant	0050	22.31	$1,134.29	$513.86	$226.86
24200	T	Removal of arm foreign body	0019	4.56	$231.84	$78.91	$46.37
24201	T	Removal of arm foreign body	0021	12.74	$647.73	$236.51	$129.55
24220	N	Injection for elbow x-ray
24301	T	Muscle/tendon transfer	0050	22.31	$1,134.29	$513.86	$226.86
24305	T	Arm tendon lengthening	0050	22.31	$1,134.29	$513.86	$226.86
24310	T	Revision of arm tendon	0049	17.07	$867.87	$356.95	$173.57
24320	T	Repair of arm tendon	0051	30.94	$1,573.05	$675.24	$314.61
24330	T	Revision of arm muscles	0051	30.94	$1,573.05	$675.24	$314.61
24331	T	Revision of arm muscles	0051	30.94	$1,573.05	$675.24	$314.61
24340	T	Repair of biceps tendon	0051	30.94	$1,573.05	$675.24	$314.61
24341	T	Repair arm tendon/muscle	0051	30.94	$1,573.05	$675.24	$314.61
24342	T	Repair of ruptured tendon	0051	30.94	$1,573.05	$675.24	$314.61
24350	T	Repair of tennis elbow	0050	22.31	$1,134.29	$513.86	$226.86
24351	T	Repair of tennis elbow	0050	22.31	$1,134.29	$513.86	$226.86
24352	T	Repair of tennis elbow	0050	22.31	$1,134.29	$513.86	$226.86
24354	T	Repair of tennis elbow	0050	22.31	$1,134.29	$513.86	$226.86
24356	T	Revision of tennis elbow	0050	22.31	$1,134.29	$513.86	$226.86
24360	T	Reconstruct elbow joint	0047	28.54	$1,451.03	$537.03	$290.21
24361	T	Reconstruct elbow joint	0048	32.37	$1,645.76	$725.94	$329.15
24362	T	Reconstruct elbow joint	0048	32.37	$1,645.76	$725.94	$329.15
24363	T	Replace elbow joint	0048	32.37	$1,645.76	$725.94	$329.15
24365	T	Reconstruct head of radius	0047	28.54	$1,451.03	$537.03	$290.21
24366	T	Reconstruct head of radius	0048	32.37	$1,645.76	$725.94	$329.15
24400	T	Revision of humerus	0050	22.31	$1,134.29	$513.86	$226.86
24410	T	Revision of humerus	0050	22.31	$1,134.29	$513.86	$226.86
24420	T	Revision of humerus	0051	30.94	$1,573.05	$675.24	$314.61
24430	T	Repair of humerus	0051	30.94	$1,573.05	$675.24	$314.61
24435	T	Repair humerus with graft	0051	30.94	$1,573.05	$675.24	$314.61
24470	T	Revision of elbow joint	0051	30.94	$1,573.05	$675.24	$314.61
24495	T	Decompression of forearm	0050	22.31	$1,134.29	$513.86	$226.86
24498	T	Reinforce humerus	0051	30.94	$1,573.05	$675.24	$314.61
24500	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24505	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24515	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24516	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24530	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24535	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24538	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24545	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24546	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24560	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24565	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24566	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24575	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24576	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24577	T	Treat humerus fracture	0044	2.73	$138.80	$38.08	$27.76
24579	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24582	T	Treat humerus fracture	0046	25.36	$1,289.35	$535.76	$257.87
24586	T	Treat elbow fracture	0046	25.36	$1,289.35	$535.76	$257.87
24587	T	Treat elbow fracture	0046	25.36	$1,289.35	$535.76	$257.87
24600	T	Treat elbow dislocation	0044	2.73	$138.80	$38.08	$27.76
24605	T	Treat elbow dislocation	0045	12.91	$656.37	$277.12	$131.27
24615	T	Treat elbow dislocation	0046	25.36	$1,289.35	$535.76	$257.87
24620	T	Treat elbow fracture	0044	2.73	$138.80	$38.08	$27.76
24635	T	Treat elbow fracture	0046	25.36	$1,289.35	$535.76	$257.87
24640	T	Treat elbow dislocation	0044	2.73	$138.80	$38.08	$27.76
24650	T	Treat radius fracture	0044	2.73	$138.80	$38.08	$27.76
24655	T	Treat radius fracture	0044	2.73	$138.80	$38.08	$27.76
24665	T	Treat radius fracture	0046	25.36	$1,289.35	$535.76	$257.87
24666	T	Treat radius fracture	0046	25.36	$1,289.35	$535.76	$257.87
24670	T	Treat ulnar fracture	0044	2.73	$138.80	$38.08	$27.76
24675	T	Treat ulnar fracture	0044	2.73	$138.80	$38.08	$27.76
24685	T	Treat ulnar fracture	0046	25.36	$1,289.35	$535.76	$257.87
24800	T	Fusion of elbow joint	0051	30.94	$1,573.05	$675.24	$314.61
24802	T	Fusion/graft of elbow joint	0051	30.94	$1,573.05	$675.24	$314.61
24900	C	Amputation of upper arm
24920	C	Amputation of upper arm
24925	T	Amputation follow-up surgery	0049	17.07	$867.87	$356.95	$173.57
24930	C	Amputation follow-up surgery
24931	C	Amputate upper arm & implant
24935	T	Revision of amputation	0052	38.88	$1,976.74	$930.91	$395.35
24940	C	Revision of upper arm
24999	T	Upper arm/elbow surgery	0044	2.73	$138.80	$38.08	$27.76
25000	T	Incision of tendon sheath	0049	17.07	$867.87	$356.95	$173.57
25020	T	Decompression of forearm	0049	17.07	$867.87	$356.95	$173.57
25023	T	Decompression of forearm	0050	22.31	$1,134.29	$513.86	$226.86
25028	T	Drainage of forearm lesion	0049	17.07	$867.87	$356.95	$173.57
25031	T	Drainage of forearm bursa	0049	17.07	$867.87	$356.95	$173.57
25035	T	Treat forearm bone lesion	0049	17.07	$867.87	$356.95	$173.57
25040	T	Explore/treat wrist joint	0050	22.31	$1,134.29	$513.86	$226.86
25065	T	Biopsy forearm soft tissues	0021	12.74	$647.73	$236.51	$129.55
25066	T	Biopsy forearm soft tissues	0022	15.07	$766.19	$292.94	$153.24
25075	T	Removal of forearm lesion	0020	8.56	$435.21	$130.53	$87.04
25076	T	Removal of forearm lesion	0022	15.07	$766.19	$292.94	$153.24
25077	T	Remove tumor, forearm/wrist	0022	15.07	$766.19	$292.94	$153.24
25085	T	Incision of wrist capsule	0049	17.07	$867.87	$356.95	$173.57
25100	T	Biopsy of wrist joint	0049	17.07	$867.87	$356.95	$173.57
25101	T	Explore/treat wrist joint	0050	22.31	$1,134.29	$513.86	$226.86
25105	T	Remove wrist joint lining	0050	22.31	$1,134.29	$513.86	$226.86
25107	T	Remove wrist joint cartilage	0050	22.31	$1,134.29	$513.86	$226.86
25110	T	Remove wrist tendon lesion	0049	17.07	$867.87	$356.95	$173.57
25111	T	Remove wrist tendon lesion	0053	12.67	$644.17	$253.49	$128.83
25112	T	Reremove wrist tendon lesion	0053	12.67	$644.17	$253.49	$128.83
25115	T	Remove wrist/forearm lesion	0049	17.07	$867.87	$356.95	$173.57
25116	T	Remove wrist/forearm lesion	0049	17.07	$867.87	$356.95	$173.57
25118	T	Excise wrist tendon sheath	0050	22.31	$1,134.29	$513.86	$226.86
25119	T	Partial removal of ulna	0050	22.31	$1,134.29	$513.86	$226.86
25120	T	Removal of forearm lesion	0050	22.31	$1,134.29	$513.86	$226.86
25125	T	Remove/graft forearm lesion	0050	22.31	$1,134.29	$513.86	$226.86
25126	T	Remove/graft forearm lesion	0050	22.31	$1,134.29	$513.86	$226.86
25130	T	Removal of wrist lesion	0050	22.31	$1,134.29	$513.86	$226.86
25135	T	Remove & graft wrist lesion	0050	22.31	$1,134.29	$513.86	$226.86
25136	T	Remove & graft wrist lesion	0050	22.31	$1,134.29	$513.86	$226.86
25145	T	Remove forearm bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
25150	T	Partial removal of ulna	0050	22.31	$1,134.29	$513.86	$226.86
25151	T	Partial removal of radius	0050	22.31	$1,134.29	$513.86	$226.86
25170	C	Extensive forearm surgery
25210	T	Removal of wrist bone	0054	20.84	$1,059.55	$472.33	$211.91
25215	T	Removal of wrist bones	0054	20.84	$1,059.55	$472.33	$211.91
25230	T	Partial removal of radius	0050	22.31	$1,134.29	$513.86	$226.86
25240	T	Partial removal of ulna	0050	22.31	$1,134.29	$513.86	$226.86
25246	N	Injection for wrist x-ray
25248	T	Remove forearm foreign body	0049	17.07	$867.87	$356.95	$173.57
25250	T	Removal of wrist prosthesis	0050	22.31	$1,134.29	$513.86	$226.86
25251	T	Removal of wrist prosthesis	0050	22.31	$1,134.29	$513.86	$226.86
25260	T	Repair forearm tendon/muscle	0050	22.31	$1,134.29	$513.86	$226.86
25263	T	Repair forearm tendon/muscle	0050	22.31	$1,134.29	$513.86	$226.86
25265	T	Repair forearm tendon/muscle	0050	22.31	$1,134.29	$513.86	$226.86
25270	T	Repair forearm tendon/muscle	0050	22.31	$1,134.29	$513.86	$226.86
25272	T	Repair forearm tendon/muscle	0050	22.31	$1,134.29	$513.86	$226.86
25274	T	Repair forearm tendon/muscle	0050	22.31	$1,134.29	$513.86	$226.86
25280	T	Revise wrist/forearm tendon	0050	22.31	$1,134.29	$513.86	$226.86
25290	T	Incise wrist/forearm tendon	0050	22.31	$1,134.29	$513.86	$226.86
25295	T	Release wrist/forearm tendon	0049	17.07	$867.87	$356.95	$173.57
25300	T	Fusion of tendons at wrist	0050	22.31	$1,134.29	$513.86	$226.86
25301	T	Fusion of tendons at wrist	0050	22.31	$1,134.29	$513.86	$226.86
25310	T	Transplant forearm tendon	0051	30.94	$1,573.05	$675.24	$314.61
25312	T	Transplant forearm tendon	0051	30.94	$1,573.05	$675.24	$314.61
25315	T	Revise palsy hand tendon(s)	0051	30.94	$1,573.05	$675.24	$314.61
25316	T	Revise palsy hand tendon(s)	0051	30.94	$1,573.05	$675.24	$314.61
25320	T	Repair/revise wrist joint	0051	30.94	$1,573.05	$675.24	$314.61
25332	T	Revise wrist joint	0047	28.54	$1,451.03	$537.03	$290.21
25335	T	Realignment of hand	0051	30.94	$1,573.05	$675.24	$314.61
25337	T	Reconstruct ulna/radioulnar	0051	30.94	$1,573.05	$675.24	$314.61
25350	T	Revision of radius	0051	30.94	$1,573.05	$675.24	$314.61
25355	T	Revision of radius	0051	30.94	$1,573.05	$675.24	$314.61
25360	T	Revision of ulna	0050	22.31	$1,134.29	$513.86	$226.86
25365	T	Revise radius & ulna	0050	22.31	$1,134.29	$513.86	$226.86
25370	T	Revise radius or ulna	0051	30.94	$1,573.05	$675.24	$314.61
25375	T	Revise radius & ulna	0051	30.94	$1,573.05	$675.24	$314.61
25390	C	Shorten radius or ulna
25391	C	Lengthen radius or ulna
25392	C	Shorten radius & ulna
25393	C	Lengthen radius & ulna
25400	T	Repair radius or ulna	0050	22.31	$1,134.29	$513.86	$226.86
25405	T	Repair/graft radius or ulna	0050	22.31	$1,134.29	$513.86	$226.86
25415	T	Repair radius & ulna	0050	22.31	$1,134.29	$513.86	$226.86
25420	C	Repair/graft radius & ulna
25425	T	Repair/graft radius or ulna	0051	30.94	$1,573.05	$675.24	$314.61
25426	T	Repair/graft radius & ulna	0051	30.94	$1,573.05	$675.24	$314.61
25440	T	Repair/graft wrist bone	0051	30.94	$1,573.05	$675.24	$314.61
25441	T	Reconstruct wrist joint	0048	32.37	$1,645.76	$725.94	$329.15
25442	T	Reconstruct wrist joint	0048	32.37	$1,645.76	$725.94	$329.15
25443	T	Reconstruct wrist joint	0048	32.37	$1,645.76	$725.94	$329.15
25444	T	Reconstruct wrist joint	0048	32.37	$1,645.76	$725.94	$329.15
25445	T	Reconstruct wrist joint	0048	32.37	$1,645.76	$725.94	$329.15
25446	T	Wrist replacement	0048	32.37	$1,645.76	$725.94	$329.15
25447	T	Repair wrist joint(s)	0047	28.54	$1,451.03	$537.03	$290.21
25449	T	Remove wrist joint implant	0047	28.54	$1,451.03	$537.03	$290.21
25450	T	Revision of wrist joint	0051	30.94	$1,573.05	$675.24	$314.61
25455	T	Revision of wrist joint	0051	30.94	$1,573.05	$675.24	$314.61
25490	T	Reinforce radius	0051	30.94	$1,573.05	$675.24	$314.61
25491	T	Reinforce ulna	0051	30.94	$1,573.05	$675.24	$314.61
25492	T	Reinforce radius and ulna	0051	30.94	$1,573.05	$675.24	$314.61
25500	T	Treat fracture of radius	0044	2.73	$138.80	$38.08	$27.76
25505	T	Treat fracture of radius	0044	2.73	$138.80	$38.08	$27.76
25515	T	Treat fracture of radius	0046	25.36	$1,289.35	$535.76	$257.87
25520	T	Treat fracture of radius	0044	2.73	$138.80	$38.08	$27.76
25525	T	Treat fracture of radius	0046	25.36	$1,289.35	$535.76	$257.87
25526	T	Treat fracture of radius	0046	25.36	$1,289.35	$535.76	$257.87
25530	T	Treat fracture of ulna	0044	2.73	$138.80	$38.08	$27.76
25535	T	Treat fracture of ulna	0044	2.73	$138.80	$38.08	$27.76
25545	T	Treat fracture of ulna	0046	25.36	$1,289.35	$535.76	$257.87
25560	T	Treat fracture radius & ulna	0044	2.73	$138.80	$38.08	$27.76
25565	T	Treat fracture radius & ulna	0044	2.73	$138.80	$38.08	$27.76
25574	T	Treat fracture radius & ulna	0046	25.36	$1,289.35	$535.76	$257.87
25575	T	Treat fracture radius/ulna	0046	25.36	$1,289.35	$535.76	$257.87
25600	T	Treat fracture radius/ulna	0044	2.73	$138.80	$38.08	$27.76
25605	T	Treat fracture radius/ulna	0044	2.73	$138.80	$38.08	$27.76
25611	T	Treat fracture radius/ulna	0046	25.36	$1,289.35	$535.76	$257.87
25620	T	Treat fracture radius/ulna	0046	25.36	$1,289.35	$535.76	$257.87
25622	T	Treat wrist bone fracture	0044	2.73	$138.80	$38.08	$27.76
25624	T	Treat wrist bone fracture	0044	2.73	$138.80	$38.08	$27.76
25628	T	Treat wrist bone fracture	0046	25.36	$1,289.35	$535.76	$257.87
25630	T	Treat wrist bone fracture	0044	2.73	$138.80	$38.08	$27.76
25635	T	Treat wrist bone fracture	0044	2.73	$138.80	$38.08	$27.76
25645	T	Treat wrist bone fracture	0046	25.36	$1,289.35	$535.76	$257.87
25650	T	Treat wrist bone fracture	0044	2.73	$138.80	$38.08	$27.76
25660	T	Treat wrist dislocation	0044	2.73	$138.80	$38.08	$27.76
25670	T	Treat wrist dislocation	0046	25.36	$1,289.35	$535.76	$257.87
25675	T	Treat wrist dislocation	0044	2.73	$138.80	$38.08	$27.76
25676	T	Treat wrist dislocation	0046	25.36	$1,289.35	$535.76	$257.87
25680	T	Treat wrist fracture	0044	2.73	$138.80	$38.08	$27.76
25685	T	Treat wrist fracture	0046	25.36	$1,289.35	$535.76	$257.87
25690	T	Treat wrist dislocation	0044	2.73	$138.80	$38.08	$27.76
25695	T	Treat wrist dislocation	0046	25.36	$1,289.35	$535.76	$257.87
25800	T	Fusion of wrist joint	0051	30.94	$1,573.05	$675.24	$314.61
25805	T	Fusion/graft of wrist joint	0051	30.94	$1,573.05	$675.24	$314.61
25810	T	Fusion/graft of wrist joint	0051	30.94	$1,573.05	$675.24	$314.61
25820	T	Fusion of hand bones	0053	12.67	$644.17	$253.49	$128.83
25825	T	Fuse hand bones with graft	0054	20.84	$1,059.55	$472.33	$211.91
25830	T	Fusion, radioulnar jnt/ulna	0051	30.94	$1,573.05	$675.24	$314.61
25900	C	Amputation of forearm
25905	C	Amputation of forearm
25907	T	Amputation follow-up surgery	0049	17.07	$867.87	$356.95	$173.57
25909	C	Amputation follow-up surgery
25915	C	Amputation of forearm
25920	C	Amputate hand at wrist
25922	T	Amputate hand at wrist	0049	17.07	$867.87	$356.95	$173.57
25924	C	Amputation follow-up surgery
25927	C	Amputation of hand
25929	T	Amputation follow-up surgery	0026	13.51	$686.88	$277.92	$137.38
25931	C	Amputation follow-up surgery
25999	T	Forearm or wrist surgery	0044	2.73	$138.80	$38.08	$27.76
26010	T	Drainage of finger abscess	0006	2.36	$119.99	$33.95	$24.00
26011	T	Drainage of finger abscess	0007	7.28	$370.13	$74.03	$74.03
26020	T	Drain hand tendon sheath	0053	12.67	$644.17	$253.49	$128.83
26025	T	Drainage of palm bursa	0053	12.67	$644.17	$253.49	$128.83
26030	T	Drainage of palm bursa(s)	0053	12.67	$644.17	$253.49	$128.83
26034	T	Treat hand bone lesion	0053	12.67	$644.17	$253.49	$128.83
26035	T	Decompress fingers/hand	0053	12.67	$644.17	$253.49	$128.83
26037	T	Decompress fingers/hand	0053	12.67	$644.17	$253.49	$128.83
26040	T	Release palm contracture	0054	20.84	$1,059.55	$472.33	$211.91
26045	T	Release palm contracture	0054	20.84	$1,059.55	$472.33	$211.91
26055	T	Incise finger tendon sheath	0053	12.67	$644.17	$253.49	$128.83
26060	T	Incision of finger tendon	0053	12.67	$644.17	$253.49	$128.83
26070	T	Explore/treat hand joint	0053	12.67	$644.17	$253.49	$128.83
26075	T	Explore/treat finger joint	0053	12.67	$644.17	$253.49	$128.83
26080	T	Explore/treat finger joint	0053	12.67	$644.17	$253.49	$128.83
26100	T	Biopsy hand joint lining	0053	12.67	$644.17	$253.49	$128.83
26105	T	Biopsy finger joint lining	0053	12.67	$644.17	$253.49	$128.83
26110	T	Biopsy finger joint lining	0053	12.67	$644.17	$253.49	$128.83
26115	T	Removal of hand lesion	0022	15.07	$766.19	$292.94	$153.24
26116	T	Removal of hand lesion	0022	15.07	$766.19	$292.94	$153.24
26117	T	Remove tumor, hand/finger	0022	15.07	$766.19	$292.94	$153.24
26121	T	Release palm contracture	0054	20.84	$1,059.55	$472.33	$211.91
26123	T	Release palm contracture	0054	20.84	$1,059.55	$472.33	$211.91
26125	T	Release palm contracture	0054	20.84	$1,059.55	$472.33	$211.91
26130	T	Remove wrist joint lining	0053	12.67	$644.17	$253.49	$128.83
26135	T	Revise finger joint, each	0054	20.84	$1,059.55	$472.33	$211.91
26140	T	Revise finger joint, each	0053	12.67	$644.17	$253.49	$128.83
26145	T	Tendon excision, palm/finger	0053	12.67	$644.17	$253.49	$128.83
26160	T	Remove tendon sheath lesion	0053	12.67	$644.17	$253.49	$128.83
26170	T	Removal of palm tendon, each	0053	12.67	$644.17	$253.49	$128.83
26180	T	Removal of finger tendon	0053	12.67	$644.17	$253.49	$128.83
26185	T	Remove finger bone	0053	12.67	$644.17	$253.49	$128.83
26200	T	Remove hand bone lesion	0053	12.67	$644.17	$253.49	$128.83
26205	T	Remove/graft bone lesion	0054	20.84	$1,059.55	$472.33	$211.91
26210	T	Removal of finger lesion	0053	12.67	$644.17	$253.49	$128.83
26215	T	Remove/graft finger lesion	0053	12.67	$644.17	$253.49	$128.83
26230	T	Partial removal of hand bone	0053	12.67	$644.17	$253.49	$128.83
26235	T	Partial removal, finger bone	0053	12.67	$644.17	$253.49	$128.83
26236	T	Partial removal, finger bone	0053	12.67	$644.17	$253.49	$128.83
26250	T	Extensive hand surgery	0053	12.67	$644.17	$253.49	$128.83
26255	T	Extensive hand surgery	0054	20.84	$1,059.55	$472.33	$211.91
26260	T	Extensive finger surgery	0053	12.67	$644.17	$253.49	$128.83
26261	T	Extensive finger surgery	0053	12.67	$644.17	$253.49	$128.83
26262	T	Partial removal of finger	0053	12.67	$644.17	$253.49	$128.83
26320	T	Removal of implant from hand	0020	8.56	$435.21	$130.53	$87.04
26350	T	Repair finger/hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26352	T	Repair/graft hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26356	T	Repair finger/hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26357	T	Repair finger/hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26358	T	Repair/graft hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26370	T	Repair finger/hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26372	T	Repair/graft hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26373	T	Repair finger/hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26390	T	Revise hand/finger tendon	0054	20.84	$1,059.55	$472.33	$211.91
26392	T	Repair/graft hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26410	T	Repair hand tendon	0053	12.67	$644.17	$253.49	$128.83
26412	T	Repair/graft hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26415	T	Excision, hand/finger tendon	0054	20.84	$1,059.55	$472.33	$211.91
26416	T	Graft hand or finger tendon	0054	20.84	$1,059.55	$472.33	$211.91
26418	T	Repair finger tendon	0053	12.67	$644.17	$253.49	$128.83
26420	T	Repair/graft finger tendon	0054	20.84	$1,059.55	$472.33	$211.91
26426	T	Repair finger/hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26428	T	Repair/graft finger tendon	0054	20.84	$1,059.55	$472.33	$211.91
26432	T	Repair finger tendon	0053	12.67	$644.17	$253.49	$128.83
26433	T	Repair finger tendon	0053	12.67	$644.17	$253.49	$128.83
26434	T	Repair/graft finger tendon	0054	20.84	$1,059.55	$472.33	$211.91
26437	T	Realignment of tendons	0053	12.67	$644.17	$253.49	$128.83
26440	T	Release palm/finger tendon	0053	12.67	$644.17	$253.49	$128.83
26442	T	Release palm & finger tendon	0054	20.84	$1,059.55	$472.33	$211.91
26445	T	Release hand/finger tendon	0053	12.67	$644.17	$253.49	$128.83
26449	T	Release forearm/hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26450	T	Incision of palm tendon	0053	12.67	$644.17	$253.49	$128.83
26455	T	Incision of finger tendon	0053	12.67	$644.17	$253.49	$128.83
26460	T	Incise hand/finger tendon	0053	12.67	$644.17	$253.49	$128.83
26471	T	Fusion of finger tendons	0053	12.67	$644.17	$253.49	$128.83
26474	T	Fusion of finger tendons	0053	12.67	$644.17	$253.49	$128.83
26476	T	Tendon lengthening	0053	12.67	$644.17	$253.49	$128.83
26477	T	Tendon shortening	0053	12.67	$644.17	$253.49	$128.83
26478	T	Lengthening of hand tendon	0053	12.67	$644.17	$253.49	$128.83
26479	T	Shortening of hand tendon	0053	12.67	$644.17	$253.49	$128.83
26480	T	Transplant hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26483	T	Transplant/graft hand tendon	0054	20.84	$1,059.55	$472.33	$211.91
26485	T	Transplant palm tendon	0054	20.84	$1,059.55	$472.33	$211.91
26489	T	Transplant/graft palm tendon	0054	20.84	$1,059.55	$472.33	$211.91
26490	T	Revise thumb tendon	0054	20.84	$1,059.55	$472.33	$211.91
26492	T	Tendon transfer with graft	0054	20.84	$1,059.55	$472.33	$211.91
26494	T	Hand tendon/muscle transfer	0054	20.84	$1,059.55	$472.33	$211.91
26496	T	Revise thumb tendon	0054	20.84	$1,059.55	$472.33	$211.91
26497	T	Finger tendon transfer	0054	20.84	$1,059.55	$472.33	$211.91
26498	T	Finger tendon transfer	0054	20.84	$1,059.55	$472.33	$211.91
26499	T	Revision of finger	0054	20.84	$1,059.55	$472.33	$211.91
26500	T	Hand tendon reconstruction	0053	12.67	$644.17	$253.49	$128.83
26502	T	Hand tendon reconstruction	0054	20.84	$1,059.55	$472.33	$211.91
26504	T	Hand tendon reconstruction	0054	20.84	$1,059.55	$472.33	$211.91
26508	T	Release thumb contracture	0053	12.67	$644.17	$253.49	$128.83
26510	T	Thumb tendon transfer	0054	20.84	$1,059.55	$472.33	$211.91
26516	T	Fusion of knuckle joint	0054	20.84	$1,059.55	$472.33	$211.91
26517	T	Fusion of knuckle joints	0054	20.84	$1,059.55	$472.33	$211.91
26518	T	Fusion of knuckle joints	0054	20.84	$1,059.55	$472.33	$211.91
26520	T	Release knuckle contracture	0053	12.67	$644.17	$253.49	$128.83
26525	T	Release finger contracture	0053	12.67	$644.17	$253.49	$128.83
26530	T	Revise knuckle joint	0047	28.54	$1,451.03	$537.03	$290.21
26531	T	Revise knuckle with implant	0048	32.37	$1,645.76	$725.94	$329.15
26535	T	Revise finger joint	0047	28.54	$1,451.03	$537.03	$290.21
26536	T	Revise/implant finger joint	0048	32.37	$1,645.76	$725.94	$329.15
26540	T	Repair hand joint	0053	12.67	$644.17	$253.49	$128.83
26541	T	Repair hand joint with graft	0054	20.84	$1,059.55	$472.33	$211.91
26542	T	Repair hand joint with graft	0053	12.67	$644.17	$253.49	$128.83
26545	T	Reconstruct finger joint	0054	20.84	$1,059.55	$472.33	$211.91
26546	T	Repair nonunion hand	0054	20.84	$1,059.55	$472.33	$211.91
26548	T	Reconstruct finger joint	0054	20.84	$1,059.55	$472.33	$211.91
26550	T	Construct thumb replacement	0054	20.84	$1,059.55	$472.33	$211.91
26551	C	Great toe-hand transfer
26553	C	Single transfer, toe-hand
26554	C	Double transfer, toe-hand
26555	T	Positional change of finger	0054	20.84	$1,059.55	$472.33	$211.91
26556	C	Toe joint transfer
26560	T	Repair of web finger	0053	12.67	$644.17	$253.49	$128.83
26561	T	Repair of web finger	0054	20.84	$1,059.55	$472.33	$211.91
26562	T	Repair of web finger	0054	20.84	$1,059.55	$472.33	$211.91
26565	T	Correct metacarpal flaw	0054	20.84	$1,059.55	$472.33	$211.91
26567	T	Correct finger deformity	0054	20.84	$1,059.55	$472.33	$211.91
26568	T	Lengthen metacarpal/finger	0054	20.84	$1,059.55	$472.33	$211.91
26580	T	Repair hand deformity	0054	20.84	$1,059.55	$472.33	$211.91
26585	T	Repair finger deformity	0054	20.84	$1,059.55	$472.33	$211.91
26587	T	Reconstruct extra finger	0053	12.67	$644.17	$253.49	$128.83
26590	T	Repair finger deformity	0054	20.84	$1,059.55	$472.33	$211.91
26591	T	Repair muscles of hand	0054	20.84	$1,059.55	$472.33	$211.91
26593	T	Release muscles of hand	0053	12.67	$644.17	$253.49	$128.83
26596	T	Excision constricting tissue	0054	20.84	$1,059.55	$472.33	$211.91
26597	T	Release of scar contracture	0054	20.84	$1,059.55	$472.33	$211.91
26600	T	Treat metacarpal fracture	0044	2.73	$138.80	$38.08	$27.76
26605	T	Treat metacarpal fracture	0044	2.73	$138.80	$38.08	$27.76
26607	T	Treat metacarpal fracture	0044	2.73	$138.80	$38.08	$27.76
26608	T	Treat metacarpal fracture	0046	25.36	$1,289.35	$535.76	$257.87
26615	T	Treat metacarpal fracture	0046	25.36	$1,289.35	$535.76	$257.87
26641	T	Treat thumb dislocation	0044	2.73	$138.80	$38.08	$27.76
26645	T	Treat thumb fracture	0044	2.73	$138.80	$38.08	$27.76
26650	T	Treat thumb fracture	0046	25.36	$1,289.35	$535.76	$257.87
26665	T	Treat thumb fracture	0046	25.36	$1,289.35	$535.76	$257.87
26670	T	Treat hand dislocation	0044	2.73	$138.80	$38.08	$27.76
26675	T	Treat hand dislocation	0044	2.73	$138.80	$38.08	$27.76
26676	T	Pin hand dislocation	0046	25.36	$1,289.35	$535.76	$257.87
26685	T	Treat hand dislocation	0046	25.36	$1,289.35	$535.76	$257.87
26686	T	Treat hand dislocation	0046	25.36	$1,289.35	$535.76	$257.87
26700	T	Treat knuckle dislocation	0043	4.13	$209.98	$42.00	$42.00
26705	T	Treat knuckle dislocation	0044	2.73	$138.80	$38.08	$27.76
26706	T	Pin knuckle dislocation	0044	2.73	$138.80	$38.08	$27.76
26715	T	Treat knuckle dislocation	0046	25.36	$1,289.35	$535.76	$257.87
26720	T	Treat finger fracture, each	0043	4.13	$209.98	$42.00	$42.00
26725	T	Treat finger fracture, each	0043	4.13	$209.98	$42.00	$42.00
26727	T	Treat finger fracture, each	0046	25.36	$1,289.35	$535.76	$257.87
26735	T	Treat finger fracture, each	0046	25.36	$1,289.35	$535.76	$257.87
26740	T	Treat finger fracture, each	0043	4.13	$209.98	$42.00	$42.00
26742	T	Treat finger fracture, each	0044	2.73	$138.80	$38.08	$27.76
26746	T	Treat finger fracture, each	0046	25.36	$1,289.35	$535.76	$257.87
26750	T	Treat finger fracture, each	0043	4.13	$209.98	$42.00	$42.00
26755	T	Treat finger fracture, each	0043	4.13	$209.98	$42.00	$42.00
26756	T	Pin finger fracture, each	0046	25.36	$1,289.35	$535.76	$257.87
26765	T	Treat finger fracture, each	0046	25.36	$1,289.35	$535.76	$257.87
26770	T	Treat finger dislocation	0043	4.13	$209.98	$42.00	$42.00
26775	T	Treat finger dislocation	0045	12.91	$656.37	$277.12	$131.27
26776	T	Pin finger dislocation	0046	25.36	$1,289.35	$535.76	$257.87
26785	T	Treat finger dislocation	0046	25.36	$1,289.35	$535.76	$257.87
26820	T	Thumb fusion with graft	0054	20.84	$1,059.55	$472.33	$211.91
26841	T	Fusion of thumb	0054	20.84	$1,059.55	$472.33	$211.91
26842	T	Thumb fusion with graft	0054	20.84	$1,059.55	$472.33	$211.91
26843	T	Fusion of hand joint	0054	20.84	$1,059.55	$472.33	$211.91
26844	T	Fusion/graft of hand joint	0054	20.84	$1,059.55	$472.33	$211.91
26850	T	Fusion of knuckle	0054	20.84	$1,059.55	$472.33	$211.91
26852	T	Fusion of knuckle with graft	0054	20.84	$1,059.55	$472.33	$211.91
26860	T	Fusion of finger joint	0054	20.84	$1,059.55	$472.33	$211.91
26861	T	Fusion of finger jnt, add-on	0054	20.84	$1,059.55	$472.33	$211.91
26862	T	Fusion/graft of finger joint	0054	20.84	$1,059.55	$472.33	$211.91
26863	T	Fuse/graft added joint	0054	20.84	$1,059.55	$472.33	$211.91
26910	T	Amputate metacarpal bone	0054	20.84	$1,059.55	$472.33	$211.91
26951	T	Amputation of finger/thumb	0053	12.67	$644.17	$253.49	$128.83
26952	T	Amputation of finger/thumb	0053	12.67	$644.17	$253.49	$128.83
26989	T	Hand/finger surgery	0043	4.13	$209.98	$42.00	$42.00
26990	T	Drainage of pelvis lesion	0049	17.07	$867.87	$356.95	$173.57
26991	T	Drainage of pelvis bursa	0049	17.07	$867.87	$356.95	$173.57
26992	C	Drainage of bone lesion
27000	T	Incision of hip tendon	0049	17.07	$867.87	$356.95	$173.57
27001	T	Incision of hip tendon	0050	22.31	$1,134.29	$513.86	$226.86
27003	T	Incision of hip tendon	0050	22.31	$1,134.29	$513.86	$226.86
27005	C	Incision of hip tendon
27006	C	Incision of hip tendons
27025	C	Incision of hip/thigh fascia
27030	C	Drainage of hip joint
27033	T	Exploration of hip joint	0051	30.94	$1,573.05	$675.24	$314.61
27035	C	Denervation of hip joint
27036	C	Excision of hip joint/muscle
27040	T	Biopsy of soft tissues	0021	12.74	$647.73	$236.51	$129.55
27041	T	Biopsy of soft tissues	0022	15.07	$766.19	$292.94	$153.24
27047	T	Remove hip/pelvis lesion	0022	15.07	$766.19	$292.94	$153.24
27048	T	Remove hip/pelvis lesion	0022	15.07	$766.19	$292.94	$153.24
27049	T	Remove tumor, hip/pelvis	0022	15.07	$766.19	$292.94	$153.24
27050	T	Biopsy of sacroiliac joint	0049	17.07	$867.87	$356.95	$173.57
27052	T	Biopsy of hip joint	0049	17.07	$867.87	$356.95	$173.57
27054	C	Removal of hip joint lining
27060	T	Removal of ischial bursa	0049	17.07	$867.87	$356.95	$173.57
27062	T	Remove femur lesion/bursa	0049	17.07	$867.87	$356.95	$173.57
27065	T	Removal of hip bone lesion	0049	17.07	$867.87	$356.95	$173.57
27066	T	Removal of hip bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
27067	T	Remove/graft hip bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
27070	C	Partial removal of hip bone
27071	C	Partial removal of hip bone
27075	C	Extensive hip surgery
27076	C	Extensive hip surgery
27077	C	Extensive hip surgery
27078	C	Extensive hip surgery
27079	C	Extensive hip surgery
27080	T	Removal of tail bone	0050	22.31	$1,134.29	$513.86	$226.86
27086	T	Remove hip foreign body	0019	4.56	$231.84	$78.91	$46.37
27087	T	Remove hip foreign body	0049	17.07	$867.87	$356.95	$173.57
27090	C	Removal of hip prosthesis
27091	C	Removal of hip prosthesis
27093	N	Injection for hip x-ray
27095	N	Injection for hip x-ray
27096	N	Inject sacroiliac joint
27097	T	Revision of hip tendon	0050	22.31	$1,134.29	$513.86	$226.86
27098	T	Transfer tendon to pelvis	0050	22.31	$1,134.29	$513.86	$226.86
27100	T	Transfer of abdominal muscle	0051	30.94	$1,573.05	$675.24	$314.61
27105	T	Transfer of spinal muscle	0051	30.94	$1,573.05	$675.24	$314.61
27110	T	Transfer of iliopsoas muscle	0051	30.94	$1,573.05	$675.24	$314.61
27111	T	Transfer of iliopsoas muscle	0051	30.94	$1,573.05	$675.24	$314.61
27120	C	Reconstruction of hip socket
27122	C	Reconstruction of hip socket
27125	C	Partial hip replacement
27130	C	Total hip replacement
27132	C	Total hip replacement
27134	C	Revise hip joint replacement
27137	C	Revise hip joint replacement
27138	C	Revise hip joint replacement
27140	C	Transplant femur ridge
27146	C	Incision of hip bone
27147	C	Revision of hip bone
27151	C	Incision of hip bones
27156	C	Revision of hip bones
27158	C	Revision of pelvis
27161	C	Incision of neck of femur
27165	C	Incision/fixation of femur
27170	C	Repair/graft femur head/neck
27175	C	Treat slipped epiphysis
27176	C	Treat slipped epiphysis
27177	C	Treat slipped epiphysis
27178	C	Treat slipped epiphysis
27179	C	Revise head/neck of femur
27181	C	Treat slipped epiphysis
27185	C	Revision of femur epiphysis
27187	C	Reinforce hip bones
27193	T	Treat pelvic ring fracture	0044	2.73	$138.80	$38.08	$27.76
27194	T	Treat pelvic ring fracture	0045	12.91	$656.37	$277.12	$131.27
27200	T	Treat tail bone fracture	0044	2.73	$138.80	$38.08	$27.76
27202	T	Treat tail bone fracture	0046	25.36	$1,289.35	$535.76	$257.87
27215	C	Treat pelvic fracture(s)
27216	C	Treat pelvic ring fracture
27217	C	Treat pelvic ring fracture
27218	C	Treat pelvic ring fracture
27220	T	Treat hip socket fracture	0044	2.73	$138.80	$38.08	$27.76
27222	C	Treat hip socket fracture
27226	C	Treat hip wall fracture
27227	C	Treat hip fracture(s)
27228	C	Treat hip fracture(s)
27230	T	Treat thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27232	C	Treat thigh fracture
27235	C	Treat thigh fracture
27236	C	Treat thigh fracture
27238	T	Treat thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27240	C	Treat thigh fracture
27244	C	Treat thigh fracture
27245	C	Treat thigh fracture
27246	T	Treat thigh fracture	0043	4.13	$209.98	$42.00	$42.00
27248	C	Treat thigh fracture
27250	T	Treat hip dislocation	0044	2.73	$138.80	$38.08	$27.76
27252	T	Treat hip dislocation	0045	12.91	$656.37	$277.12	$131.27
27253	C	Treat hip dislocation
27254	C	Treat hip dislocation
27256	T	Treat hip dislocation	0043	4.13	$209.98	$42.00	$42.00
27257	T	Treat hip dislocation	0045	12.91	$656.37	$277.12	$131.27
27258	C	Treat hip dislocation
27259	C	Treat hip dislocation
27265	T	Treat hip dislocation	0044	2.73	$138.80	$38.08	$27.76
27266	T	Treat hip dislocation	0047	28.54	$1,451.03	$537.03	$290.21
27275	T	Manipulation of hip joint	0045	12.91	$656.37	$277.12	$131.27
27280	C	Fusion of sacroiliac joint
27282	C	Fusion of pubic bones
27284	C	Fusion of hip joint
27286	C	Fusion of hip joint
27290	C	Amputation of leg at hip
27295	C	Amputation of leg at hip
27299	T	Pelvis/hip joint surgery	0043	4.13	$209.98	$42.00	$42.00
27301	T	Drain thigh/knee lesion	0008	11.36	$577.57	$115.51	$115.51
27303	C	Drainage of bone lesion
27305	T	Incise thigh tendon & fascia	0049	17.07	$867.87	$356.95	$173.57
27306	T	Incision of thigh tendon	0049	17.07	$867.87	$356.95	$173.57
27307	T	Incision of thigh tendons	0049	17.07	$867.87	$356.95	$173.57
27310	T	Exploration of knee joint	0050	22.31	$1,134.29	$513.86	$226.86
27315	T	Partial removal, thigh nerve	0220	14.76	$750.43	$326.21	$150.09
27320	T	Partial removal, thigh nerve	0220	14.76	$750.43	$326.21	$150.09
27323	T	Biopsy, thigh soft tissues	0021	12.74	$647.73	$236.51	$129.55
27324	T	Biopsy, thigh soft tissues	0022	15.07	$766.19	$292.94	$153.24
27327	T	Removal of thigh lesion	0022	15.07	$766.19	$292.94	$153.24
27328	T	Removal of thigh lesion	0022	15.07	$766.19	$292.94	$153.24
27329	T	Remove tumor, thigh/knee	0022	15.07	$766.19	$292.94	$153.24
27330	T	Biopsy, knee joint lining	0050	22.31	$1,134.29	$513.86	$226.86
27331	T	Explore/treat knee joint	0050	22.31	$1,134.29	$513.86	$226.86
27332	T	Removal of knee cartilage	0050	22.31	$1,134.29	$513.86	$226.86
27333	T	Removal of knee cartilage	0050	22.31	$1,134.29	$513.86	$226.86
27334	T	Remove knee joint lining	0050	22.31	$1,134.29	$513.86	$226.86
27335	T	Remove knee joint lining	0050	22.31	$1,134.29	$513.86	$226.86
27340	T	Removal of kneecap bursa	0049	17.07	$867.87	$356.95	$173.57
27345	T	Removal of knee cyst	0049	17.07	$867.87	$356.95	$173.57
27347	T	Remove knee cyst	0049	17.07	$867.87	$356.95	$173.57
27350	T	Removal of kneecap	0050	22.31	$1,134.29	$513.86	$226.86
27355	T	Remove femur lesion	0050	22.31	$1,134.29	$513.86	$226.86
27356	T	Remove femur lesion/graft	0050	22.31	$1,134.29	$513.86	$226.86
27357	T	Remove femur lesion/graft	0050	22.31	$1,134.29	$513.86	$226.86
27358	T	Remove femur lesion/fixation	0050	22.31	$1,134.29	$513.86	$226.86
27360	T	Partial removal, leg bone(s)	0050	22.31	$1,134.29	$513.86	$226.86
27365	C	Extensive leg surgery
27370	N	Injection for knee x-ray
27372	T	Removal of foreign body	0022	15.07	$766.19	$292.94	$153.24
27380	T	Repair of kneecap tendon	0049	17.07	$867.87	$356.95	$173.57
27381	T	Repair/graft kneecap tendon	0049	17.07	$867.87	$356.95	$173.57
27385	T	Repair of thigh muscle	0049	17.07	$867.87	$356.95	$173.57
27386	T	Repair/graft of thigh muscle	0049	17.07	$867.87	$356.95	$173.57
27390	T	Incision of thigh tendon	0049	17.07	$867.87	$356.95	$173.57
27391	T	Incision of thigh tendons	0049	17.07	$867.87	$356.95	$173.57
27392	T	Incision of thigh tendons	0049	17.07	$867.87	$356.95	$173.57
27393	T	Lengthening of thigh tendon	0050	22.31	$1,134.29	$513.86	$226.86
27394	T	Lengthening of thigh tendons	0050	22.31	$1,134.29	$513.86	$226.86
27395	T	Lengthening of thigh tendons	0051	30.94	$1,573.05	$675.24	$314.61
27396	T	Transplant of thigh tendon	0050	22.31	$1,134.29	$513.86	$226.86
27397	T	Transplants of thigh tendons	0051	30.94	$1,573.05	$675.24	$314.61
27400	T	Revise thigh muscles/tendons	0051	30.94	$1,573.05	$675.24	$314.61
27403	T	Repair of knee cartilage	0050	22.31	$1,134.29	$513.86	$226.86
27405	T	Repair of knee ligament	0051	30.94	$1,573.05	$675.24	$314.61
27407	T	Repair of knee ligament	0051	30.94	$1,573.05	$675.24	$314.61
27409	T	Repair of knee ligaments	0051	30.94	$1,573.05	$675.24	$314.61
27418	T	Repair degenerated kneecap	0051	30.94	$1,573.05	$675.24	$314.61
27420	T	Revision of unstable kneecap	0051	30.94	$1,573.05	$675.24	$314.61
27422	T	Revision of unstable kneecap	0051	30.94	$1,573.05	$675.24	$314.61
27424	T	Revision/removal of kneecap	0051	30.94	$1,573.05	$675.24	$314.61
27425	T	Lateral retinacular release	0050	22.31	$1,134.29	$513.86	$226.86
27427	T	Reconstruction, knee	0052	38.88	$1,976.74	$930.91	$395.35
27428	T	Reconstruction, knee	0052	38.88	$1,976.74	$930.91	$395.35
27429	T	Reconstruction, knee	0052	38.88	$1,976.74	$930.91	$395.35
27430	T	Revision of thigh muscles	0051	30.94	$1,573.05	$675.24	$314.61
27435	T	Incision of knee joint	0051	30.94	$1,573.05	$675.24	$314.61
27437	T	Revise kneecap	0047	28.54	$1,451.03	$537.03	$290.21
27438	T	Revise kneecap with implant	0048	32.37	$1,645.76	$725.94	$329.15
27440	T	Revision of knee joint	0047	28.54	$1,451.03	$537.03	$290.21
27441	T	Revision of knee joint	0047	28.54	$1,451.03	$537.03	$290.21
27442	T	Revision of knee joint	0047	28.54	$1,451.03	$537.03	$290.21
27443	T	Revision of knee joint	0047	28.54	$1,451.03	$537.03	$290.21
27445	C	Revision of knee joint
27446	T	Revision of knee joint	0047	28.54	$1,451.03	$537.03	$290.21
27447	C	Total knee replacement
27448	C	Incision of thigh
27450	C	Incision of thigh
27454	C	Realignment of thigh bone
27455	C	Realignment of knee
27457	C	Realignment of knee
27465	C	Shortening of thigh bone
27466	C	Lengthening of thigh bone
27468	C	Shorten/lengthen thighs
27470	C	Repair of thigh
27472	C	Repair/graft of thigh
27475	C	Surgery to stop leg growth
27477	C	Surgery to stop leg growth
27479	C	Surgery to stop leg growth
27485	C	Surgery to stop leg growth
27486	C	Revise/replace knee joint
27487	C	Revise/replace knee joint
27488	C	Removal of knee prosthesis
27495	C	Reinforce thigh
27496	T	Decompression of thigh/knee	0049	17.07	$867.87	$356.95	$173.57
27497	T	Decompression of thigh/knee	0049	17.07	$867.87	$356.95	$173.57
27498	T	Decompression of thigh/knee	0049	17.07	$867.87	$356.95	$173.57
27499	T	Decompression of thigh/knee	0049	17.07	$867.87	$356.95	$173.57
27500	T	Treatment of thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27501	T	Treatment of thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27502	T	Treatment of thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27503	T	Treatment of thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27506	C	Treatment of thigh fracture
27507	C	Treatment of thigh fracture
27508	T	Treatment of thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27509	T	Treatment of thigh fracture	0046	25.36	$1,289.35	$535.76	$257.87
27510	T	Treatment of thigh fracture	0044	2.73	$138.80	$38.08	$27.76
27511	C	Treatment of thigh fracture
27513	C	Treatment of thigh fracture
27514	C	Treatment of thigh fracture
27516	T	Treat thigh fx growth plate	0044	2.73	$138.80	$38.08	$27.76
27517	T	Treat thigh fx growth plate	0043	4.13	$209.98	$42.00	$42.00
27519	C	Treat thigh fx growth plate
27520	T	Treat kneecap fracture	0044	2.73	$138.80	$38.08	$27.76
27524	T	Treat kneecap fracture	0046	25.36	$1,289.35	$535.76	$257.87
27530	T	Treat knee fracture	0044	2.73	$138.80	$38.08	$27.76
27532	T	Treat knee fracture	0044	2.73	$138.80	$38.08	$27.76
27535	C	Treat knee fracture
27536	C	Treat knee fracture
27538	T	Treat knee fracture(s)	0043	4.13	$209.98	$42.00	$42.00
27540	C	Treat knee fracture
27550	T	Treat knee dislocation	0044	2.73	$138.80	$38.08	$27.76
27552	T	Treat knee dislocation	0045	12.91	$656.37	$277.12	$131.27
27556	C	Treat knee dislocation
27557	C	Treat knee dislocation
27558	C	Treat knee dislocation
27560	T	Treat kneecap dislocation	0044	2.73	$138.80	$38.08	$27.76
27562	T	Treat kneecap dislocation	0045	12.91	$656.37	$277.12	$131.27
27566	T	Treat kneecap dislocation	0046	25.36	$1,289.35	$535.76	$257.87
27570	T	Fixation of knee joint	0045	12.91	$656.37	$277.12	$131.27
27580	C	Fusion of knee
27590	C	Amputate leg at thigh
27591	C	Amputate leg at thigh
27592	C	Amputate leg at thigh
27594	T	Amputation follow-up surgery	0049	17.07	$867.87	$356.95	$173.57
27596	C	Amputation follow-up surgery
27598	C	Amputate lower leg at knee
27599	T	Leg surgery procedure	0044	2.73	$138.80	$38.08	$27.76
27600	T	Decompression of lower leg	0049	17.07	$867.87	$356.95	$173.57
27601	T	Decompression of lower leg	0049	17.07	$867.87	$356.95	$173.57
27602	T	Decompression of lower leg	0049	17.07	$867.87	$356.95	$173.57
27603	T	Drain lower leg lesion	0008	11.36	$577.57	$115.51	$115.51
27604	T	Drain lower leg bursa	0049	17.07	$867.87	$356.95	$173.57
27605	T	Incision of achilles tendon	0055	16.77	$852.62	$355.34	$170.52
27606	T	Incision of achilles tendon	0049	17.07	$867.87	$356.95	$173.57
27607	T	Treat lower leg bone lesion	0049	17.07	$867.87	$356.95	$173.57
27610	T	Explore/treat ankle joint	0050	22.31	$1,134.29	$513.86	$226.86
27612	T	Exploration of ankle joint	0050	22.31	$1,134.29	$513.86	$226.86
27613	T	Biopsy lower leg soft tissue	0020	8.56	$435.21	$130.53	$87.04
27614	T	Biopsy lower leg soft tissue	0022	15.07	$766.19	$292.94	$153.24
27615	T	Remove tumor, lower leg	0046	25.36	$1,289.35	$535.76	$257.87
27618	T	Remove lower leg lesion	0021	12.74	$647.73	$236.51	$129.55
27619	T	Remove lower leg lesion	0022	15.07	$766.19	$292.94	$153.24
27620	T	Explore/treat ankle joint	0050	22.31	$1,134.29	$513.86	$226.86
27625	T	Remove ankle joint lining	0050	22.31	$1,134.29	$513.86	$226.86
27626	T	Remove ankle joint lining	0050	22.31	$1,134.29	$513.86	$226.86
27630	T	Removal of tendon lesion	0049	17.07	$867.87	$356.95	$173.57
27635	T	Remove lower leg bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
27637	T	Remove/graft leg bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
27638	T	Remove/graft leg bone lesion	0050	22.31	$1,134.29	$513.86	$226.86
27640	T	Partial removal of tibia	0051	30.94	$1,573.05	$675.24	$314.61
27641	T	Partial removal of fibula	0050	22.31	$1,134.29	$513.86	$226.86
27645	C	Extensive lower leg surgery
27646	C	Extensive lower leg surgery
27647	T	Extensive ankle/heel surgery	0051	30.94	$1,573.05	$675.24	$314.61
27648	N	Injection for ankle x-ray
27650	T	Repair achilles tendon	0051	30.94	$1,573.05	$675.24	$314.61
27652	T	Repair/graft achilles tendon	0051	30.94	$1,573.05	$675.24	$314.61
27654	T	Repair of achilles tendon	0051	30.94	$1,573.05	$675.24	$314.61
27656	T	Repair leg fascia defect	0049	17.07	$867.87	$356.95	$173.57
27658	T	Repair of leg tendon, each	0049	17.07	$867.87	$356.95	$173.57
27659	T	Repair of leg tendon, each	0049	17.07	$867.87	$356.95	$173.57
27664	T	Repair of leg tendon, each	0049	17.07	$867.87	$356.95	$173.57
27665	T	Repair of leg tendon, each	0050	22.31	$1,134.29	$513.86	$226.86
27675	T	Repair lower leg tendons	0049	17.07	$867.87	$356.95	$173.57
27676	T	Repair lower leg tendons	0050	22.31	$1,134.29	$513.86	$226.86
27680	T	Release of lower leg tendon	0050	22.31	$1,134.29	$513.86	$226.86
27681	T	Release of lower leg tendons	0050	22.31	$1,134.29	$513.86	$226.86
27685	T	Revision of lower leg tendon	0050	22.31	$1,134.29	$513.86	$226.86
27686	T	Revise lower leg tendons	0050	22.31	$1,134.29	$513.86	$226.86
27687	T	Revision of calf tendon	0050	22.31	$1,134.29	$513.86	$226.86
27690	T	Revise lower leg tendon	0051	30.94	$1,573.05	$675.24	$314.61
27691	T	Revise lower leg tendon	0051	30.94	$1,573.05	$675.24	$314.61
27692	T	Revise additional leg tendon	0051	30.94	$1,573.05	$675.24	$314.61
27695	T	Repair of ankle ligament	0050	22.31	$1,134.29	$513.86	$226.86
27696	T	Repair of ankle ligaments	0050	22.31	$1,134.29	$513.86	$226.86
27698	T	Repair of ankle ligament	0050	22.31	$1,134.29	$513.86	$226.86
27700	T	Revision of ankle joint	0047	28.54	$1,451.03	$537.03	$290.21
27702	C	Reconstruct ankle joint
27703	C	Reconstruction, ankle joint
27704	T	Removal of ankle implant	0049	17.07	$867.87	$356.95	$173.57
27705	T	Incision of tibia	0051	30.94	$1,573.05	$675.24	$314.61
27707	T	Incision of fibula	0049	17.07	$867.87	$356.95	$173.57
27709	T	Incision of tibia & fibula	0050	22.31	$1,134.29	$513.86	$226.86
27712	C	Realignment of lower leg
27715	C	Revision of lower leg
27720	C	Repair of tibia
27722	C	Repair/graft of tibia
27724	C	Repair/graft of tibia
27725	C	Repair of lower leg
27727	C	Repair of lower leg
27730	T	Repair of tibia epiphysis	0050	22.31	$1,134.29	$513.86	$226.86
27732	T	Repair of fibula epiphysis	0050	22.31	$1,134.29	$513.86	$226.86
27734	T	Repair lower leg epiphyses	0050	22.31	$1,134.29	$513.86	$226.86
27740	T	Repair of leg epiphyses	0050	22.31	$1,134.29	$513.86	$226.86
27742	T	Repair of leg epiphyses	0051	30.94	$1,573.05	$675.24	$314.61
27745	T	Reinforce tibia	0051	30.94	$1,573.05	$675.24	$314.61
27750	T	Treatment of tibia fracture	0044	2.73	$138.80	$38.08	$27.76
27752	T	Treatment of tibia fracture	0044	2.73	$138.80	$38.08	$27.76
27756	T	Treatment of tibia fracture	0046	25.36	$1,289.35	$535.76	$257.87
27758	T	Treatment of tibia fracture	0046	25.36	$1,289.35	$535.76	$257.87
27759	T	Treatment of tibia fracture	0046	25.36	$1,289.35	$535.76	$257.87
27760	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27762	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27766	T	Treatment of ankle fracture	0046	25.36	$1,289.35	$535.76	$257.87
27780	T	Treatment of fibula fracture	0044	2.73	$138.80	$38.08	$27.76
27781	T	Treatment of fibula fracture	0044	2.73	$138.80	$38.08	$27.76
27784	T	Treatment of fibula fracture	0046	25.36	$1,289.35	$535.76	$257.87
27786	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27788	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27792	T	Treatment of ankle fracture	0046	25.36	$1,289.35	$535.76	$257.87
27808	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27810	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27814	T	Treatment of ankle fracture	0046	25.36	$1,289.35	$535.76	$257.87
27816	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27818	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
27822	T	Treatment of ankle fracture	0046	25.36	$1,289.35	$535.76	$257.87
27823	T	Treatment of ankle fracture	0046	25.36	$1,289.35	$535.76	$257.87
27824	T	Treat lower leg fracture	0044	2.73	$138.80	$38.08	$27.76
27825	T	Treat lower leg fracture	0044	2.73	$138.80	$38.08	$27.76
27826	T	Treat lower leg fracture	0046	25.36	$1,289.35	$535.76	$257.87
27827	T	Treat lower leg fracture	0046	25.36	$1,289.35	$535.76	$257.87
27828	T	Treat lower leg fracture	0046	25.36	$1,289.35	$535.76	$257.87
27829	T	Treat lower leg joint	0046	25.36	$1,289.35	$535.76	$257.87
27830	T	Treat lower leg dislocation	0044	2.73	$138.80	$38.08	$27.76
27831	T	Treat lower leg dislocation	0044	2.73	$138.80	$38.08	$27.76
27832	T	Treat lower leg dislocation	0046	25.36	$1,289.35	$535.76	$257.87
27840	T	Treat ankle dislocation	0044	2.73	$138.80	$38.08	$27.76
27842	T	Treat ankle dislocation	0045	12.91	$656.37	$277.12	$131.27
27846	T	Treat ankle dislocation	0046	25.36	$1,289.35	$535.76	$257.87
27848	T	Treat ankle dislocation	0046	25.36	$1,289.35	$535.76	$257.87
27860	T	Fixation of ankle joint	0045	12.91	$656.37	$277.12	$131.27
27870	T	Fusion of ankle joint	0051	30.94	$1,573.05	$675.24	$314.61
27871	T	Fusion of tibiofibular joint	0051	30.94	$1,573.05	$675.24	$314.61
27880	C	Amputation of lower leg
27881	C	Amputation of lower leg
27882	C	Amputation of lower leg
27884	T	Amputation follow-up surgery	0049	17.07	$867.87	$356.95	$173.57
27886	C	Amputation follow-up surgery
27888	C	Amputation of foot at ankle
27889	T	Amputation of foot at ankle	0050	22.31	$1,134.29	$513.86	$226.86
27892	T	Decompression of leg	0049	17.07	$867.87	$356.95	$173.57
27893	T	Decompression of leg	0049	17.07	$867.87	$356.95	$173.57
27894	T	Decompression of leg	0049	17.07	$867.87	$356.95	$173.57
27899	T	Leg/ankle surgery procedure	0044	2.73	$138.80	$38.08	$27.76
28001	T	Drainage of bursa of foot	0008	11.36	$577.57	$115.51	$115.51
28002	T	Treatment of foot infection	0049	17.07	$867.87	$356.95	$173.57
28003	T	Treatment of foot infection	0049	17.07	$867.87	$356.95	$173.57
28005	T	Treat foot bone lesion	0055	16.77	$852.62	$355.34	$170.52
28008	T	Incision of foot fascia	0055	16.77	$852.62	$355.34	$170.52
28010	T	Incision of toe tendon	0055	16.77	$852.62	$355.34	$170.52
28011	T	Incision of toe tendons	0055	16.77	$852.62	$355.34	$170.52
28020	T	Exploration of foot joint	0055	16.77	$852.62	$355.34	$170.52
28022	T	Exploration of foot joint	0055	16.77	$852.62	$355.34	$170.52
28024	T	Exploration of toe joint	0055	16.77	$852.62	$355.34	$170.52
28030	T	Removal of foot nerve	0220	14.76	$750.43	$326.21	$150.09
28035	T	Decompression of tibia nerve	0220	14.76	$750.43	$326.21	$150.09
28043	T	Excision of foot lesion	0021	12.74	$647.73	$236.51	$129.55
28045	T	Excision of foot lesion	0055	16.77	$852.62	$355.34	$170.52
28046	T	Resection of tumor, foot	0055	16.77	$852.62	$355.34	$170.52
28050	T	Biopsy of foot joint lining	0055	16.77	$852.62	$355.34	$170.52
28052	T	Biopsy of foot joint lining	0055	16.77	$852.62	$355.34	$170.52
28054	T	Biopsy of toe joint lining	0055	16.77	$852.62	$355.34	$170.52
28060	T	Partial removal, foot fascia	0056	19.20	$976.17	$405.81	$195.23
28062	T	Removal of foot fascia	0056	19.20	$976.17	$405.81	$195.23
28070	T	Removal of foot joint lining	0056	19.20	$976.17	$405.81	$195.23
28072	T	Removal of foot joint lining	0056	19.20	$976.17	$405.81	$195.23
28080	T	Removal of foot lesion	0055	16.77	$852.62	$355.34	$170.52
28086	T	Excise foot tendon sheath	0055	16.77	$852.62	$355.34	$170.52
28088	T	Excise foot tendon sheath	0055	16.77	$852.62	$355.34	$170.52
28090	T	Removal of foot lesion	0055	16.77	$852.62	$355.34	$170.52
28092	T	Removal of toe lesions	0055	16.77	$852.62	$355.34	$170.52
28100	T	Removal of ankle/heel lesion	0055	16.77	$852.62	$355.34	$170.52
28102	T	Remove/graft foot lesion	0056	19.20	$976.17	$405.81	$195.23
28103	T	Remove/graft foot lesion	0056	19.20	$976.17	$405.81	$195.23
28104	T	Removal of foot lesion	0055	16.77	$852.62	$355.34	$170.52
28106	T	Remove/graft foot lesion	0056	19.20	$976.17	$405.81	$195.23
28107	T	Remove/graft foot lesion	0056	19.20	$976.17	$405.81	$195.23
28108	T	Removal of toe lesions	0055	16.77	$852.62	$355.34	$170.52
28110	T	Part removal of metatarsal	0057	21.11	$1,073.27	$496.65	$214.65
28111	T	Part removal of metatarsal	0055	16.77	$852.62	$355.34	$170.52
28112	T	Part removal of metatarsal	0055	16.77	$852.62	$355.34	$170.52
28113	T	Part removal of metatarsal	0055	16.77	$852.62	$355.34	$170.52
28114	T	Removal of metatarsal heads	0055	16.77	$852.62	$355.34	$170.52
28116	T	Revision of foot	0055	16.77	$852.62	$355.34	$170.52
28118	T	Removal of heel bone	0055	16.77	$852.62	$355.34	$170.52
28119	T	Removal of heel spur	0055	16.77	$852.62	$355.34	$170.52
28120	T	Part removal of ankle/heel	0055	16.77	$852.62	$355.34	$170.52
28122	T	Partial removal of foot bone	0055	16.77	$852.62	$355.34	$170.52
28124	T	Partial removal of toe	0055	16.77	$852.62	$355.34	$170.52
28126	T	Partial removal of toe	0055	16.77	$852.62	$355.34	$170.52
28130	T	Removal of ankle bone	0055	16.77	$852.62	$355.34	$170.52
28140	T	Removal of metatarsal	0055	16.77	$852.62	$355.34	$170.52
28150	T	Removal of toe	0055	16.77	$852.62	$355.34	$170.52
28153	T	Partial removal of toe	0055	16.77	$852.62	$355.34	$170.52
28160	T	Partial removal of toe	0055	16.77	$852.62	$355.34	$170.52
28171	T	Extensive foot surgery	0055	16.77	$852.62	$355.34	$170.52
28173	T	Extensive foot surgery	0055	16.77	$852.62	$355.34	$170.52
28175	T	Extensive foot surgery	0055	16.77	$852.62	$355.34	$170.52
28190	T	Removal of foot foreign body	0019	4.56	$231.84	$78.91	$46.37
28192	T	Removal of foot foreign body	0021	12.74	$647.73	$236.51	$129.55
28193	T	Removal of foot foreign body	0021	12.74	$647.73	$236.51	$129.55
28200	T	Repair of foot tendon	0055	16.77	$852.62	$355.34	$170.52
28202	T	Repair/graft of foot tendon	0056	19.20	$976.17	$405.81	$195.23
28208	T	Repair of foot tendon	0055	16.77	$852.62	$355.34	$170.52
28210	T	Repair/graft of foot tendon	0055	16.77	$852.62	$355.34	$170.52
28220	T	Release of foot tendon	0055	16.77	$852.62	$355.34	$170.52
28222	T	Release of foot tendons	0055	16.77	$852.62	$355.34	$170.52
28225	T	Release of foot tendon	0055	16.77	$852.62	$355.34	$170.52
28226	T	Release of foot tendons	0055	16.77	$852.62	$355.34	$170.52
28230	T	Incision of foot tendon(s)	0055	16.77	$852.62	$355.34	$170.52
28232	T	Incision of toe tendon	0055	16.77	$852.62	$355.34	$170.52
28234	T	Incision of foot tendon	0055	16.77	$852.62	$355.34	$170.52
28238	T	Revision of foot tendon	0056	19.20	$976.17	$405.81	$195.23
28240	T	Release of big toe	0055	16.77	$852.62	$355.34	$170.52
28250	T	Revision of foot fascia	0056	19.20	$976.17	$405.81	$195.23
28260	T	Release of midfoot joint	0056	19.20	$976.17	$405.81	$195.23
28261	T	Revision of foot tendon	0056	19.20	$976.17	$405.81	$195.23
28262	T	Revision of foot and ankle	0056	19.20	$976.17	$405.81	$195.23
28264	T	Release of midfoot joint	0056	19.20	$976.17	$405.81	$195.23
28270	T	Release of foot contracture	0055	16.77	$852.62	$355.34	$170.52
28272	T	Release of toe joint, each	0055	16.77	$852.62	$355.34	$170.52
28280	T	Fusion of toes	0055	16.77	$852.62	$355.34	$170.52
28285	T	Repair of hammertoe	0055	16.77	$852.62	$355.34	$170.52
28286	T	Repair of hammertoe	0055	16.77	$852.62	$355.34	$170.52
28288	T	Partial removal of foot bone	0056	19.20	$976.17	$405.81	$195.23
28289	T	Repair hallux rigidus	0056	19.20	$976.17	$405.81	$195.23
28290	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28292	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28293	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28294	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28296	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28297	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28298	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28299	T	Correction of bunion	0057	21.11	$1,073.27	$496.65	$214.65
28300	T	Incision of heel bone	0056	19.20	$976.17	$405.81	$195.23
28302	T	Incision of ankle bone	0056	19.20	$976.17	$405.81	$195.23
28304	T	Incision of midfoot bones	0056	19.20	$976.17	$405.81	$195.23
28305	T	Incise/graft midfoot bones	0056	19.20	$976.17	$405.81	$195.23
28306	T	Incision of metatarsal	0056	19.20	$976.17	$405.81	$195.23
28307	T	Incision of metatarsal	0056	19.20	$976.17	$405.81	$195.23
28308	T	Incision of metatarsal	0056	19.20	$976.17	$405.81	$195.23
28309	T	Incision of metatarsals	0056	19.20	$976.17	$405.81	$195.23
28310	T	Revision of big toe	0055	16.77	$852.62	$355.34	$170.52
28312	T	Revision of toe	0055	16.77	$852.62	$355.34	$170.52
28313	T	Repair deformity of toe	0055	16.77	$852.62	$355.34	$170.52
28315	T	Removal of sesamoid bone	0055	16.77	$852.62	$355.34	$170.52
28320	T	Repair of foot bones	0056	19.20	$976.17	$405.81	$195.23
28322	T	Repair of metatarsals	0056	19.20	$976.17	$405.81	$195.23
28340	T	Resect enlarged toe tissue	0055	16.77	$852.62	$355.34	$170.52
28341	T	Resect enlarged toe	0055	16.77	$852.62	$355.34	$170.52
28344	T	Repair extra toe(s)	0056	19.20	$976.17	$405.81	$195.23
28345	T	Repair webbed toe(s)	0056	19.20	$976.17	$405.81	$195.23
28360	T	Reconstruct cleft foot	0056	19.20	$976.17	$405.81	$195.23
28400	T	Treatment of heel fracture	0044	2.73	$138.80	$38.08	$27.76
28405	T	Treatment of heel fracture	0044	2.73	$138.80	$38.08	$27.76
28406	T	Treatment of heel fracture	0046	25.36	$1,289.35	$535.76	$257.87
28415	T	Treat heel fracture	0046	25.36	$1,289.35	$535.76	$257.87
28420	T	Treat/graft heel fracture	0046	25.36	$1,289.35	$535.76	$257.87
28430	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
28435	T	Treatment of ankle fracture	0044	2.73	$138.80	$38.08	$27.76
28436	T	Treatment of ankle fracture	0046	25.36	$1,289.35	$535.76	$257.87
28445	T	Treat ankle fracture	0046	25.36	$1,289.35	$535.76	$257.87
28450	T	Treat midfoot fracture, each	0044	2.73	$138.80	$38.08	$27.76
28455	T	Treat midfoot fracture, each	0044	2.73	$138.80	$38.08	$27.76
28456	T	Treat midfoot fracture	0046	25.36	$1,289.35	$535.76	$257.87
28465	T	Treat midfoot fracture, each	0046	25.36	$1,289.35	$535.76	$257.87
28470	T	Treat metatarsal fracture	0044	2.73	$138.80	$38.08	$27.76
28475	T	Treat metatarsal fracture	0044	2.73	$138.80	$38.08	$27.76
28476	T	Treat metatarsal fracture	0046	25.36	$1,289.35	$535.76	$257.87
28485	T	Treat metatarsal fracture	0046	25.36	$1,289.35	$535.76	$257.87
28490	T	Treat big toe fracture	0044	2.73	$138.80	$38.08	$27.76
28495	T	Treat big toe fracture	0044	2.73	$138.80	$38.08	$27.76
28496	T	Treat big toe fracture	0046	25.36	$1,289.35	$535.76	$257.87
28505	T	Treat big toe fracture	0046	25.36	$1,289.35	$535.76	$257.87
28510	T	Treatment of toe fracture	0043	4.13	$209.98	$42.00	$42.00
28515	T	Treatment of toe fracture	0043	4.13	$209.98	$42.00	$42.00
28525	T	Treat toe fracture	0046	25.36	$1,289.35	$535.76	$257.87
28530	T	Treat sesamoid bone fracture	0044	2.73	$138.80	$38.08	$27.76
28531	T	Treat sesamoid bone fracture	0046	25.36	$1,289.35	$535.76	$257.87
28540	T	Treat foot dislocation	0044	2.73	$138.80	$38.08	$27.76
28545	T	Treat foot dislocation	0045	12.91	$656.37	$277.12	$131.27
28546	T	Treat foot dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28555	T	Repair foot dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28570	T	Treat foot dislocation	0044	2.73	$138.80	$38.08	$27.76
28575	T	Treat foot dislocation	0043	4.13	$209.98	$42.00	$42.00
28576	T	Treat foot dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28585	T	Repair foot dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28600	T	Treat foot dislocation	0044	2.73	$138.80	$38.08	$27.76
28605	T	Treat foot dislocation	0043	4.13	$209.98	$42.00	$42.00
28606	T	Treat foot dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28615	T	Repair foot dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28630	T	Treat toe dislocation	0044	2.73	$138.80	$38.08	$27.76
28635	T	Treat toe dislocation	0045	12.91	$656.37	$277.12	$131.27
28636	T	Treat toe dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28645	T	Repair toe dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28660	T	Treat toe dislocation	0043	4.13	$209.98	$42.00	$42.00
28665	T	Treat toe dislocation	0045	12.91	$656.37	$277.12	$131.27
28666	T	Treat toe dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28675	T	Repair of toe dislocation	0046	25.36	$1,289.35	$535.76	$257.87
28705	T	Fusion of foot bones	0056	19.20	$976.17	$405.81	$195.23
28715	T	Fusion of foot bones	0056	19.20	$976.17	$405.81	$195.23
28725	T	Fusion of foot bones	0056	19.20	$976.17	$405.81	$195.23
28730	T	Fusion of foot bones	0056	19.20	$976.17	$405.81	$195.23
28735	T	Fusion of foot bones	0056	19.20	$976.17	$405.81	$195.23
28737	T	Revision of foot bones	0055	16.77	$852.62	$355.34	$170.52
28740	T	Fusion of foot bones	0056	19.20	$976.17	$405.81	$195.23
28750	T	Fusion of big toe joint	0055	16.77	$852.62	$355.34	$170.52
28755	T	Fusion of big toe joint	0055	16.77	$852.62	$355.34	$170.52
28760	T	Fusion of big toe joint	0056	19.20	$976.17	$405.81	$195.23
28800	C	Amputation of midfoot
28805	C	Amputation thru metatarsal
28810	T	Amputation toe & metatarsal	0055	16.77	$852.62	$355.34	$170.52
28820	T	Amputation of toe	0055	16.77	$852.62	$355.34	$170.52
28825	T	Partial amputation of toe	0055	16.77	$852.62	$355.34	$170.52
28899	T	Foot/toes surgery procedure	0043	4.13	$209.98	$42.00	$42.00
29000	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29010	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29015	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29020	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29025	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29035	S	Application of body cast	0058	1.36	$69.15	$19.27	$13.83
29040	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29044	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29046	S	Application of body cast	0059	2.34	$118.97	$29.59	$23.79
29049	S	Application of figure eight	0059	2.34	$118.97	$29.59	$23.79
29055	S	Application of shoulder cast	0059	2.34	$118.97	$29.59	$23.79
29058	S	Application of shoulder cast	0059	2.34	$118.97	$29.59	$23.79
29065	S	Application of long arm cast	0059	2.34	$118.97	$29.59	$23.79
29075	S	Application of forearm cast	0058	1.36	$69.15	$19.27	$13.83
29085	S	Apply hand/wrist cast	0058	1.36	$69.15	$19.27	$13.83
29105	S	Apply long arm splint	0058	1.36	$69.15	$19.27	$13.83
29125	S	Apply forearm splint	0058	1.36	$69.15	$19.27	$13.83
29126	S	Apply forearm splint	0058	1.36	$69.15	$19.27	$13.83
29130	S	Application of finger splint	0058	1.36	$69.15	$19.27	$13.83
29131	S	Application of finger splint	0058	1.36	$69.15	$19.27	$13.83
29200	S	Strapping of chest	0058	1.36	$69.15	$19.27	$13.83
29220	S	Strapping of low back	0059	2.34	$118.97	$29.59	$23.79
29240	S	Strapping of shoulder	0058	1.36	$69.15	$19.27	$13.83
29260	S	Strapping of elbow or wrist	0058	1.36	$69.15	$19.27	$13.83
29280	S	Strapping of hand or finger	0058	1.36	$69.15	$19.27	$13.83
29305	S	Application of hip cast	0058	1.36	$69.15	$19.27	$13.83
29325	S	Application of hip casts	0059	2.34	$118.97	$29.59	$23.79
29345	S	Application of long leg cast	0059	2.34	$118.97	$29.59	$23.79
29355	S	Application of long leg cast	0059	2.34	$118.97	$29.59	$23.79
29358	S	Apply long leg cast brace	0059	2.34	$118.97	$29.59	$23.79
29365	S	Application of long leg cast	0059	2.34	$118.97	$29.59	$23.79
29405	S	Apply short leg cast	0058	1.36	$69.15	$19.27	$13.83
29425	S	Apply short leg cast	0059	2.34	$118.97	$29.59	$23.79
29435	S	Apply short leg cast	0058	1.36	$69.15	$19.27	$13.83
29440	S	Addition of walker to cast	0059	2.34	$118.97	$29.59	$23.79
29445	S	Apply rigid leg cast	0059	2.34	$118.97	$29.59	$23.79
29450	S	Application of leg cast	0059	2.34	$118.97	$29.59	$23.79
29505	S	Application, long leg splint	0059	2.34	$118.97	$29.59	$23.79
29515	S	Application lower leg splint	0059	2.34	$118.97	$29.59	$23.79
29520	S	Strapping of hip	0058	1.36	$69.15	$19.27	$13.83
29530	S	Strapping of knee	0058	1.36	$69.15	$19.27	$13.83
29540	S	Strapping of ankle	0058	1.36	$69.15	$19.27	$13.83
29550	S	Strapping of toes	0058	1.36	$69.15	$19.27	$13.83
29580	S	Application of paste boot	0058	1.36	$69.15	$19.27	$13.83
29590	S	Application of foot splint	0058	1.36	$69.15	$19.27	$13.83
29700	S	Removal/revision of cast	0058	1.36	$69.15	$19.27	$13.83
29705	S	Removal/revision of cast	0058	1.36	$69.15	$19.27	$13.83
29710	S	Removal/revision of cast	0058	1.36	$69.15	$19.27	$13.83
29715	S	Removal/revision of cast	0058	1.36	$69.15	$19.27	$13.83
29720	S	Repair of body cast	0058	1.36	$69.15	$19.27	$13.83
29730	S	Windowing of cast	0058	1.36	$69.15	$19.27	$13.83
29740	S	Wedging of cast	0058	1.36	$69.15	$19.27	$13.83
29750	S	Wedging of clubfoot cast	0058	1.36	$69.15	$19.27	$13.83
29799	N	Casting/strapping procedure
29800	T	Jaw arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29804	T	Jaw arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29815	T	Shoulder arthroscopy	0041	26.18	$1,331.04	$592.08	$266.21
29819	T	Shoulder arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29820	T	Shoulder arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29821	T	Shoulder arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29822	T	Shoulder arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29823	T	Shoulder arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29825	T	Shoulder arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29826	T	Shoulder arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29830	T	Elbow arthroscopy	0041	26.18	$1,331.04	$592.08	$266.21
29834	T	Elbow arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29835	T	Elbow arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29836	T	Elbow arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29837	T	Elbow arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29838	T	Elbow arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29840	T	Wrist arthroscopy	0041	26.18	$1,331.04	$592.08	$266.21
29843	T	Wrist arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29844	T	Wrist arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29845	T	Wrist arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29846	T	Wrist arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29847	T	Wrist arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29848	T	Wrist endoscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29850	T	Knee arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29851	T	Knee arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29855	T	Tibial arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29856	T	Tibial arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29860	T	Hip arthroscopy, dx	0041	26.18	$1,331.04	$592.08	$266.21
29861	T	Hip arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29862	T	Hip arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29863	T	Hip arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29870	T	Knee arthroscopy, dx	0041	26.18	$1,331.04	$592.08	$266.21
29871	T	Knee arthroscopy/drainage	0041	26.18	$1,331.04	$592.08	$266.21
29874	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29875	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29876	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29877	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29879	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29880	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29881	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29882	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29883	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29884	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29885	T	Knee arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29886	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29887	T	Knee arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29888	T	Knee arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29889	T	Knee arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29891	T	Ankle arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29892	T	Ankle arthroscopy/surgery	0042	39.39	$2,002.67	$804.74	$400.53
29893	T	Scope, plantar fasciotomy	0055	16.77	$852.62	$355.34	$170.52
29894	T	Ankle arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29895	T	Ankle arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29897	T	Ankle arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29898	T	Ankle arthroscopy/surgery	0041	26.18	$1,331.04	$592.08	$266.21
29909	T	Arthroscopy of joint	0041	26.18	$1,331.04	$592.08	$266.21
30000	T	Drainage of nose lesion	0251	2.71	$137.78	$27.99	$27.56
30020	T	Drainage of nose lesion	0251	2.71	$137.78	$27.99	$27.56
30100	T	Intranasal biopsy	0252	6.53	$332.00	$114.24	$66.40
30110	T	Removal of nose polyp(s)	0253	13.27	$674.67	$284.00	$134.93
30115	T	Removal of nose polyp(s)	0253	13.27	$674.67	$284.00	$134.93
30117	T	Removal of intranasal lesion	0253	13.27	$674.67	$284.00	$134.93
30118	T	Removal of intranasal lesion	0254	19.11	$971.59	$272.41	$194.32
30120	T	Revision of nose	0253	13.27	$674.67	$284.00	$134.93
30124	T	Removal of nose lesion	0252	6.53	$332.00	$114.24	$66.40
30125	T	Removal of nose lesion	0256	28.82	$1,465.27	$623.05	$293.05
30130	T	Removal of turbinate bones	0253	13.27	$674.67	$284.00	$134.93
30140	T	Removal of turbinate bones	0254	19.11	$971.59	$272.41	$194.32
30150	T	Partial removal of nose	0256	28.82	$1,465.27	$623.05	$293.05
30160	T	Removal of nose	0256	28.82	$1,465.27	$623.05	$293.05
30200	T	Injection treatment of nose	0253	13.27	$674.67	$284.00	$134.93
30210	T	Nasal sinus therapy	0252	6.53	$332.00	$114.24	$66.40
30220	T	Insert nasal septal button	0252	6.53	$332.00	$114.24	$66.40
30300	X	Remove nasal foreign body	0340	0.91	$46.27	$11.57	$9.25
30310	T	Remove nasal foreign body	0253	13.27	$674.67	$284.00	$134.93
30320	T	Remove nasal foreign body	0253	13.27	$674.67	$284.00	$134.93
30400	T	Reconstruction of nose	0256	28.82	$1,465.27	$623.05	$293.05
30410	T	Reconstruction of nose	0256	28.82	$1,465.27	$623.05	$293.05
30420	T	Reconstruction of nose	0256	28.82	$1,465.27	$623.05	$293.05
30430	T	Revision of nose	0254	19.11	$971.59	$272.41	$194.32
30435	T	Revision of nose	0256	28.82	$1,465.27	$623.05	$293.05
30450	T	Revision of nose	0256	28.82	$1,465.27	$623.05	$293.05
30460	T	Revision of nose	0256	28.82	$1,465.27	$623.05	$293.05
30462	T	Revision of nose	0256	28.82	$1,465.27	$623.05	$293.05
30465	T	Repair nasal stenosis	0256	28.82	$1,465.27	$623.05	$293.05
30520	T	Repair of nasal septum	0256	28.82	$1,465.27	$623.05	$293.05
30540	T	Repair nasal defect	0256	28.82	$1,465.27	$623.05	$293.05
30545	T	Repair nasal defect	0256	28.82	$1,465.27	$623.05	$293.05
30560	T	Release of nasal adhesions	0251	2.71	$137.78	$27.99	$27.56
30580	T	Repair upper jaw fistula	0256	28.82	$1,465.27	$623.05	$293.05
30600	T	Repair mouth/nose fistula	0256	28.82	$1,465.27	$623.05	$293.05
30620	T	Intranasal reconstruction	0256	28.82	$1,465.27	$623.05	$293.05
30630	T	Repair nasal septum defect	0254	19.11	$971.59	$272.41	$194.32
30801	T	Cauterization, inner nose	0252	6.53	$332.00	$114.24	$66.40
30802	T	Cauterization, inner nose	0253	13.27	$674.67	$284.00	$134.93
30901	T	Control of nosebleed	0250	2.27	$115.41	$38.54	$23.08
30903	T	Control of nosebleed	0250	2.27	$115.41	$38.54	$23.08
30905	T	Control of nosebleed	0250	2.27	$115.41	$38.54	$23.08
30906	T	Repeat control of nosebleed	0250	2.27	$115.41	$38.54	$23.08
30915	T	Ligation, nasal sinus artery	0091	22.17	$1,127.17	$348.23	$225.43
30920	T	Ligation, upper jaw artery	0092	21.43	$1,089.54	$505.37	$217.91
30930	T	Therapy, fracture of nose	0253	13.27	$674.67	$284.00	$134.93
30999	T	Nasal surgery procedure	0251	2.71	$137.78	$27.99	$27.56
31000	T	Irrigation, maxillary sinus	0251	2.71	$137.78	$27.99	$27.56
31002	T	Irrigation, sphenoid sinus	0252	6.53	$332.00	$114.24	$66.40
31020	T	Exploration, maxillary sinus	0254	19.11	$971.59	$272.41	$194.32
31030	T	Exploration, maxillary sinus	0256	28.82	$1,465.27	$623.05	$293.05
31032	T	Explore sinus,remove polyps	0256	28.82	$1,465.27	$623.05	$293.05
31040	T	Exploration behind upper jaw	0254	19.11	$971.59	$272.41	$194.32
31050	T	Exploration, sphenoid sinus	0256	28.82	$1,465.27	$623.05	$293.05
31051	T	Sphenoid sinus surgery	0256	28.82	$1,465.27	$623.05	$293.05
31070	T	Exploration of frontal sinus	0254	19.11	$971.59	$272.41	$194.32
31075	T	Exploration of frontal sinus	0256	28.82	$1,465.27	$623.05	$293.05
31080	T	Removal of frontal sinus	0256	28.82	$1,465.27	$623.05	$293.05
31081	T	Removal of frontal sinus	0256	28.82	$1,465.27	$623.05	$293.05
31084	T	Removal of frontal sinus	0256	28.82	$1,465.27	$623.05	$293.05
31085	T	Removal of frontal sinus	0256	28.82	$1,465.27	$623.05	$293.05
31086	T	Removal of frontal sinus	0256	28.82	$1,465.27	$623.05	$293.05
31087	T	Removal of frontal sinus	0256	28.82	$1,465.27	$623.05	$293.05
31090	T	Exploration of sinuses	0256	28.82	$1,465.27	$623.05	$293.05
31200	T	Removal of ethmoid sinus	0256	28.82	$1,465.27	$623.05	$293.05
31201	T	Removal of ethmoid sinus	0256	28.82	$1,465.27	$623.05	$293.05
31205	T	Removal of ethmoid sinus	0256	28.82	$1,465.27	$623.05	$293.05
31225	C	Removal of upper jaw
31230	C	Removal of upper jaw
31231	T	Nasal endoscopy, dx	0071	1.08	$54.91	$14.22	$10.98
31233	T	Nasal/sinus endoscopy, dx	0072	1.29	$65.59	$36.08	$13.12
31235	T	Nasal/sinus endoscopy, dx	0074	14.62	$743.31	$347.54	$148.66
31237	T	Nasal/sinus endoscopy, surg	0074	14.62	$743.31	$347.54	$148.66
31238	T	Nasal/sinus endoscopy, surg	0074	14.62	$743.31	$347.54	$148.66
31239	T	Nasal/sinus endoscopy, surg	0075	19.08	$970.07	$467.29	$194.01
31240	T	Nasal/sinus endoscopy, surg	0074	14.62	$743.31	$347.54	$148.66
31254	T	Revision of ethmoid sinus	0075	19.08	$970.07	$467.29	$194.01
31255	T	Removal of ethmoid sinus	0075	19.08	$970.07	$467.29	$194.01
31256	T	Exploration maxillary sinus	0075	19.08	$970.07	$467.29	$194.01
31267	T	Endoscopy, maxillary sinus	0075	19.08	$970.07	$467.29	$194.01
31276	T	Sinus endoscopy, surgical	0075	19.08	$970.07	$467.29	$194.01
31287	T	Nasal/sinus endoscopy, surg	0075	19.08	$970.07	$467.29	$194.01
31288	T	Nasal/sinus endoscopy, surg	0075	19.08	$970.07	$467.29	$194.01
31290	C	Nasal/sinus endoscopy, surg
31291	C	Nasal/sinus endoscopy, surg
31292	C	Nasal/sinus endoscopy, surg
31293	C	Nasal/sinus endoscopy, surg
31294	C	Nasal/sinus endoscopy, surg
31299	T	Sinus surgery procedure	0252	6.53	$332.00	$114.24	$66.40
31300	T	Removal of larynx lesion	0256	28.82	$1,465.27	$623.05	$293.05
31320	T	Diagnostic incision, larynx	0256	28.82	$1,465.27	$623.05	$293.05
31360	C	Removal of larynx
31365	C	Removal of larynx
31367	C	Partial removal of larynx
31368	C	Partial removal of larynx
31370	C	Partial removal of larynx
31375	C	Partial removal of larynx
31380	C	Partial removal of larynx
31382	C	Partial removal of larynx
31390	C	Removal of larynx & pharynx
31395	C	Reconstruct larynx & pharynx
31400	T	Revision of larynx	0256	28.82	$1,465.27	$623.05	$293.05
31420	T	Removal of epiglottis	0256	28.82	$1,465.27	$623.05	$293.05
31500	S	Insert emergency airway	0094	5.69	$289.29	$105.29	$57.86
31502	T	Change of windpipe airway	0121	2.42	$123.04	$52.53	$24.61
31505	T	Diagnostic laryngoscopy	0072	1.29	$65.59	$36.08	$13.12
31510	T	Laryngoscopy with biopsy	0074	14.62	$743.31	$347.54	$148.66
31511	T	Remove foreign body, larynx	0072	1.29	$65.59	$36.08	$13.12
31512	T	Removal of larynx lesion	0074	14.62	$743.31	$347.54	$148.66
31513	T	Injection into vocal cord	0073	3.54	$179.98	$79.19	$36.00
31515	T	Laryngoscopy for aspiration	0074	14.62	$743.31	$347.54	$148.66
31520	T	Diagnostic laryngoscopy	0072	1.29	$65.59	$36.08	$13.12
31525	T	Diagnostic laryngoscopy	0074	14.62	$743.31	$347.54	$148.66
31526	T	Diagnostic laryngoscopy	0074	14.62	$743.31	$347.54	$148.66
31527	T	Laryngoscopy for treatment	0075	19.08	$970.07	$467.29	$194.01
31528	T	Laryngoscopy and dilatation	0074	14.62	$743.31	$347.54	$148.66
31529	T	Laryngoscopy and dilatation	0074	14.62	$743.31	$347.54	$148.66
31530	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31531	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31535	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31536	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31540	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31541	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31560	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31561	T	Operative laryngoscopy	0075	19.08	$970.07	$467.29	$194.01
31570	T	Laryngoscopy with injection	0074	14.62	$743.31	$347.54	$148.66
31571	T	Laryngoscopy with injection	0075	19.08	$970.07	$467.29	$194.01
31575	T	Diagnostic laryngoscopy	0071	1.08	$54.91	$14.22	$10.98
31576	T	Laryngoscopy with biopsy	0074	14.62	$743.31	$347.54	$148.66
31577	T	Remove foreign body, larynx	0073	3.54	$179.98	$79.19	$36.00
31578	T	Removal of larynx lesion	0075	19.08	$970.07	$467.29	$194.01
31579	T	Diagnostic laryngoscopy	0073	3.54	$179.98	$79.19	$36.00
31580	T	Revision of larynx	0256	28.82	$1,465.27	$623.05	$293.05
31582	C	Revision of larynx
31584	C	Treat larynx fracture
31585	T	Treat larynx fracture	0253	13.27	$674.67	$284.00	$134.93
31586	T	Treat larynx fracture	0256	28.82	$1,465.27	$623.05	$293.05
31587	C	Revision of larynx
31588	T	Revision of larynx	0256	28.82	$1,465.27	$623.05	$293.05
31590	T	Reinnervate larynx	0256	28.82	$1,465.27	$623.05	$293.05
31595	T	Larynx nerve surgery	0256	28.82	$1,465.27	$623.05	$293.05
31599	T	Larynx surgery procedure	0254	19.11	$971.59	$272.41	$194.32
31600	T	Incision of windpipe	0254	19.11	$971.59	$272.41	$194.32
31601	T	Incision of windpipe	0254	19.11	$971.59	$272.41	$194.32
31603	T	Incision of windpipe	0252	6.53	$332.00	$114.24	$66.40
31605	T	Incision of windpipe	0253	13.27	$674.67	$284.00	$134.93
31610	T	Incision of windpipe	0254	19.11	$971.59	$272.41	$194.32
31611	T	Surgery/speech prosthesis	0254	19.11	$971.59	$272.41	$194.32
31612	T	Puncture/clear windpipe	0254	19.11	$971.59	$272.41	$194.32
31613	T	Repair windpipe opening	0254	19.11	$971.59	$272.41	$194.32
31614	T	Repair windpipe opening	0256	28.82	$1,465.27	$623.05	$293.05
31615	T	Visualization of windpipe	0076	8.22	$417.92	$197.05	$83.58
31622	T	Dx bronchoscope/wash	0076	8.22	$417.92	$197.05	$83.58
31623	T	Dx bronchoscope/brush	0076	8.22	$417.92	$197.05	$83.58
31624	T	Dx bronchoscope/lavage	0076	8.22	$417.92	$197.05	$83.58
31625	T	Bronchoscopy with biopsy	0076	8.22	$417.92	$197.05	$83.58
31628	T	Bronchoscopy with biopsy	0076	8.22	$417.92	$197.05	$83.58
31629	T	Bronchoscopy with biopsy	0076	8.22	$417.92	$197.05	$83.58
31630	T	Bronchoscopy with repair	0076	8.22	$417.92	$197.05	$83.58
31631	T	Bronchoscopy with dilation	0076	8.22	$417.92	$197.05	$83.58
31635	T	Remove foreign body, airway	0076	8.22	$417.92	$197.05	$83.58
31640	T	Bronchoscopy & remove lesion	0076	8.22	$417.92	$197.05	$83.58
31641	T	Bronchoscopy, treat blockage	0076	8.22	$417.92	$197.05	$83.58
31643	T	Diag bronchoscope/catheter	0076	8.22	$417.92	$197.05	$83.58
31645	T	Bronchoscopy, clear airways	0076	8.22	$417.92	$197.05	$83.58
31646	T	Bronchoscopy, reclear airway	0076	8.22	$417.92	$197.05	$83.58
31656	T	Bronchoscopy, inj for xray	0076	8.22	$417.92	$197.05	$83.58
31700	T	Insertion of airway catheter	0072	1.29	$65.59	$36.08	$13.12
31708	N	Instill airway contrast dye
31710	N	Insertion of airway catheter
31715	N	Injection for bronchus x-ray
31717	T	Bronchial brush biopsy	0073	3.54	$179.98	$79.19	$36.00
31720	T	Clearance of airways	0072	1.29	$65.59	$36.08	$13.12
31725	C	Clearance of airways
31730	T	Intro, windpipe wire/tube	0073	3.54	$179.98	$79.19	$36.00
31750	T	Repair of windpipe	0256	28.82	$1,465.27	$623.05	$293.05
31755	T	Repair of windpipe	0256	28.82	$1,465.27	$623.05	$293.05
31760	C	Repair of windpipe
31766	C	Reconstruction of windpipe
31770	C	Repair/graft of bronchus
31775	C	Reconstruct bronchus
31780	C	Reconstruct windpipe
31781	C	Reconstruct windpipe
31785	C	Remove windpipe lesion
31786	C	Remove windpipe lesion
31800	C	Repair of windpipe injury
31805	C	Repair of windpipe injury
31820	T	Closure of windpipe lesion	0253	13.27	$674.67	$284.00	$134.93
31825	T	Repair of windpipe defect	0254	19.11	$971.59	$272.41	$194.32
31830	T	Revise windpipe scar	0254	19.11	$971.59	$272.41	$194.32
31899	T	Airways surgical procedure	0076	8.22	$417.92	$197.05	$83.58
32000	T	Drainage of chest	0070	4.11	$208.96	$79.60	$41.79
32002	T	Treatment of collapsed lung	0070	4.11	$208.96	$79.60	$41.79
32005	T	Treat lung lining chemically	0070	4.11	$208.96	$79.60	$41.79
32020	T	Insertion of chest tube	0070	4.11	$208.96	$79.60	$41.79
32035	C	Exploration of chest
32036	C	Exploration of chest
32095	C	Biopsy through chest wall
32100	C	Exploration/biopsy of chest
32110	C	Explore/repair chest
32120	C	Re-exploration of chest
32124	C	Explore chest free adhesions
32140	C	Removal of lung lesion(s)
32141	C	Remove/treat lung lesions
32150	C	Removal of lung lesion(s)
32151	C	Remove lung foreign body
32160	C	Open chest heart massage
32200	C	Drain, open, lung lesion
32201	C	Drain, percut, lung lesion
32215	C	Treat chest lining
32220	C	Release of lung
32225	C	Partial release of lung
32310	C	Removal of chest lining
32320	C	Free/remove chest lining
32400	T	Needle biopsy chest lining	0005	6.71	$341.15	$119.75	$68.23
32402	C	Open biopsy chest lining
32405	T	Biopsy, lung or mediastinum	0005	6.71	$341.15	$119.75	$68.23
32420	T	Puncture/clear lung	0070	4.11	$208.96	$79.60	$41.79
32440	C	Removal of lung
32442	C	Sleeve pneumonectomy
32445	C	Removal of lung
32480	C	Partial removal of lung
32482	C	Bilobectomy
32484	C	Segmentectomy
32486	C	Sleeve lobectomy
32488	C	Completion pneumonectomy
32491	C	Lung volume reduction
32500	C	Partial removal of lung
32501	C	Repair bronchus add-on
32520	C	Remove lung & revise chest
32522	C	Remove lung & revise chest
32525	C	Remove lung & revise chest
32540	C	Removal of lung lesion
32601	T	Thoracoscopy, diagnostic	0069	25.62	$1,302.57	$612.21	$260.51
32602	T	Thoracoscopy, diagnostic	0069	25.62	$1,302.57	$612.21	$260.51
32603	T	Thoracoscopy, diagnostic	0069	25.62	$1,302.57	$612.21	$260.51
32604	T	Thoracoscopy, diagnostic	0069	25.62	$1,302.57	$612.21	$260.51
32605	T	Thoracoscopy, diagnostic	0069	25.62	$1,302.57	$612.21	$260.51
32606	T	Thoracoscopy, diagnostic	0069	25.62	$1,302.57	$612.21	$260.51
32650	C	Thoracoscopy, surgical
32651	C	Thoracoscopy, surgical
32652	C	Thoracoscopy, surgical
32653	C	Thoracoscopy, surgical
32654	C	Thoracoscopy, surgical
32655	C	Thoracoscopy, surgical
32656	C	Thoracoscopy, surgical
32657	C	Thoracoscopy, surgical
32658	C	Thoracoscopy, surgical
32659	C	Thoracoscopy, surgical
32660	C	Thoracoscopy, surgical
32661	C	Thoracoscopy, surgical
32662	C	Thoracoscopy, surgical
32663	C	Thoracoscopy, surgical
32664	C	Thoracoscopy, surgical
32665	C	Thoracoscopy, surgical
32800	C	Repair lung hernia
32810	C	Close chest after drainage
32815	C	Close bronchial fistula
32820	C	Reconstruct injured chest
32850	C	Donor pneumonectomy
32851	C	Lung transplant, single
32852	C	Lung transplant with bypass
32853	C	Lung transplant, double
32854	C	Lung transplant with bypass
32900	C	Removal of rib(s)
32905	C	Revise & repair chest wall
32906	C	Revise & repair chest wall
32940	C	Revision of lung
32960	T	Therapeutic pneumothorax	0070	4.11	$208.96	$79.60	$41.79
32997	C	Total lung lavage
32999	T	Chest surgery procedure	0070	4.11	$208.96	$79.60	$41.79
33010	T	Drainage of heart sac	0070	4.11	$208.96	$79.60	$41.79
33011	T	Repeat drainage of heart sac	0070	4.11	$208.96	$79.60	$41.79
33015	C	Incision of heart sac
33020	C	Incision of heart sac
33025	C	Incision of heart sac
33030	C	Partial removal of heart sac
33031	C	Partial removal of heart sac
33050	C	Removal of heart sac lesion
33120	C	Removal of heart lesion
33130	C	Removal of heart lesion
33140	C	Heart revascularize (tmr)
33141	C	Heart tmr w/other procedure
33200	C	Insertion of heart pacemaker
33201	C	Insertion of heart pacemaker
33206	T	Insertion of heart pacemaker	0089	82.60	$4,199.55	$2,246.59	$839.91
33207	T	Insertion of heart pacemaker	0089	82.60	$4,199.55	$2,246.59	$839.91
33208	T	Insertion of heart pacemaker	0089	82.60	$4,199.55	$2,246.59	$839.91
33210	T	Insertion of heart electrode	0106	15.82	$804.32	$426.29	$160.86
33211	T	Insertion of heart electrode	0106	15.82	$804.32	$426.29	$160.86
33212	T	Insertion of pulse generator	0090	73.37	$3,730.28	$2,014.35	$746.06
33213	T	Insertion of pulse generator	0090	73.37	$3,730.28	$2,014.35	$746.06
33214	T	Upgrade of pacemaker system	0089	82.60	$4,199.55	$2,246.59	$839.91
33216	T	Revise eltrd pacing-defib	0106	15.82	$804.32	$426.29	$160.86
33217	T	Revise eltrd pacing-defib	0106	15.82	$804.32	$426.29	$160.86
33218	T	Revise eltrd pacing-defib	0106	15.82	$804.32	$426.29	$160.86
33220	T	Revise eltrd pacing-defib	0106	15.82	$804.32	$426.29	$160.86
33222	T	Revise pocket, pacemaker	0026	13.51	$686.88	$277.92	$137.38
33223	T	Revise pocket, pacing-defib	0026	13.51	$686.88	$277.92	$137.38
33233	T	Removal of pacemaker system	0105	16.56	$841.94	$372.32	$168.39
33234	T	Removal of pacemaker system	0105	16.56	$841.94	$372.32	$168.39
33235	T	Removal pacemaker electrode	0105	16.56	$841.94	$372.32	$168.39
33236	C	Remove electrode/thoracotomy
33237	C	Remove electrode/thoracotomy
33238	C	Remove electrode/thoracotomy
33240	T	Insert pulse generator	0107	155.27	$7,894.24	$4,224.27	$1,578.85
33241	T	Remove pulse generator	0105	16.56	$841.94	$372.32	$168.39
33243	C	Remove eltrd/thoracotomy
33244	T	Remove eltrd, transven	0105	16.56	$841.94	$372.32	$168.39
33245	C	Insert epic eltrd pace-defib
33246	C	Insert epic eltrd/generator
33249	T	Eltrd/insert pace-defib	0108	159.42	$8,105.23	$4,214.72	$1,621.05
33250	C	Ablate heart dysrhythm focus
33251	C	Ablate heart dysrhythm focus
33253	C	Reconstruct atria
33261	C	Ablate heart dysrhythm focus
33282	S	Implant pat-active ht record	0974	7.57	$384.87		$76.97
33284	T	Remove pat-active ht record	0109	6.57	$334.03	$133.51	$66.81
33300	C	Repair of heart wound
33305	C	Repair of heart wound
33310	C	Exploratory heart surgery
33315	C	Exploratory heart surgery
33320	C	Repair major blood vessel(s)
33321	C	Repair major vessel
33322	C	Repair major blood vessel(s)
33330	C	Insert major vessel graft
33332	C	Insert major vessel graft
33335	C	Insert major vessel graft
33400	C	Repair of aortic valve
33401	C	Valvuloplasty, open
33403	C	Valvuloplasty, w/cp bypass
33404	C	Prepare heart-aorta conduit
33405	C	Replacement of aortic valve
33406	C	Replacement of aortic valve
33410	C	Replacement of aortic valve
33411	C	Replacement of aortic valve
33412	C	Replacement of aortic valve
33413	C	Replacement of aortic valve
33414	C	Repair of aortic valve
33415	C	Revision, subvalvular tissue
33416	C	Revise ventricle muscle
33417	C	Repair of aortic valve
33420	C	Revision of mitral valve
33422	C	Revision of mitral valve
33425	C	Repair of mitral valve
33426	C	Repair of mitral valve
33427	C	Repair of mitral valve
33430	C	Replacement of mitral valve
33460	C	Revision of tricuspid valve
33463	C	Valvuloplasty, tricuspid
33464	C	Valvuloplasty, tricuspid
33465	C	Replace tricuspid valve
33468	C	Revision of tricuspid valve
33470	C	Revision of pulmonary valve
33471	C	Valvotomy, pulmonary valve
33472	C	Revision of pulmonary valve
33474	C	Revision of pulmonary valve
33475	C	Replacement, pulmonary valve
33476	C	Revision of heart chamber
33478	C	Revision of heart chamber
33496	C	Repair, prosth valve clot
33500	C	Repair heart vessel fistula
33501	C	Repair heart vessel fistula
33502	C	Coronary artery correction
33503	C	Coronary artery graft
33504	C	Coronary artery graft
33505	C	Repair artery w/tunnel
33506	C	Repair artery, translocation
33510	C	CABG, vein, single
33511	C	CABG, vein, two
33512	C	CABG, vein, three
33513	C	CABG, vein, four
33514	C	CABG, vein, five
33516	C	Cabg, vein, six or more
33517	C	CABG, artery-vein, single
33518	C	CABG, artery-vein, two
33519	C	CABG, artery-vein, three
33521	C	CABG, artery-vein, four
33522	C	CABG, artery-vein, five
33523	C	Cabg, art-vein, six or more
33530	C	Coronary artery, bypass/reop
33533	C	CABG, arterial, single
33534	C	CABG, arterial, two
33535	C	CABG, arterial, three
33536	C	Cabg, arterial, four or more
33542	C	Removal of heart lesion
33545	C	Repair of heart damage
33572	C	Open coronary endarterectomy
33600	C	Closure of valve
33602	C	Closure of valve
33606	C	Anastomosis/artery-aorta
33608	C	Repair anomaly w/conduit
33610	C	Repair by enlargement
33611	C	Repair double ventricle
33612	C	Repair double ventricle
33615	C	Repair, modified fontan
33617	C	Repair single ventricle
33619	C	Repair single ventricle
33641	C	Repair heart septum defect
33645	C	Revision of heart veins
33647	C	Repair heart septum defects
33660	C	Repair of heart defects
33665	C	Repair of heart defects
33670	C	Repair of heart chambers
33681	C	Repair heart septum defect
33684	C	Repair heart septum defect
33688	C	Repair heart septum defect
33690	C	Reinforce pulmonary artery
33692	C	Repair of heart defects
33694	C	Repair of heart defects
33697	C	Repair of heart defects
33702	C	Repair of heart defects
33710	C	Repair of heart defects
33720	C	Repair of heart defect
33722	C	Repair of heart defect
33730	C	Repair heart-vein defect(s)
33732	C	Repair heart-vein defect
33735	C	Revision of heart chamber
33736	C	Revision of heart chamber
33737	C	Revision of heart chamber
33750	C	Major vessel shunt
33755	C	Major vessel shunt
33762	C	Major vessel shunt
33764	C	Major vessel shunt & graft
33766	C	Major vessel shunt
33767	C	Major vessel shunt
33770	C	Repair great vessels defect
33771	C	Repair great vessels defect
33774	C	Repair great vessels defect
33775	C	Repair great vessels defect
33776	C	Repair great vessels defect
33777	C	Repair great vessels defect
33778	C	Repair great vessels defect
33779	C	Repair great vessels defect
33780	C	Repair great vessels defect
33781	C	Repair great vessels defect
33786	C	Repair arterial trunk
33788	C	Revision of pulmonary artery
33800	C	Aortic suspension
33802	C	Repair vessel defect
33803	C	Repair vessel defect
33813	C	Repair septal defect
33814	C	Repair septal defect
33820	C	Revise major vessel
33822	C	Revise major vessel
33824	C	Revise major vessel
33840	C	Remove aorta constriction
33845	C	Remove aorta constriction
33851	C	Remove aorta constriction
33852	C	Repair septal defect
33853	C	Repair septal defect
33860	C	Ascending aortic graft
33861	C	Ascending aortic graft
33863	C	Ascending aortic graft
33870	C	Transverse aortic arch graft
33875	C	Thoracic aortic graft
33877	C	Thoracoabdominal graft
33910	C	Remove lung artery emboli
33915	C	Remove lung artery emboli
33916	C	Surgery of great vessel
33917	C	Repair pulmonary artery
33918	C	Repair pulmonary atresia
33919	C	Repair pulmonary atresia
33920	C	Repair pulmonary atresia
33922	C	Transect pulmonary artery
33924	C	Remove pulmonary shunt
33930	C	Removal of donor heart/lung
33935	C	Transplantation, heart/lung
33940	C	Removal of donor heart
33945	C	Transplantation of heart
33960	C	External circulation assist
33961	C	External circulation assist
33968	C	Remove aortic assist device
33970	C	Aortic circulation assist
33971	C	Aortic circulation assist
33973	C	Insert balloon device
33974	C	Remove intra-aortic balloon
33975	C	Implant ventricular device
33976	C	Implant ventricular device
33977	C	Remove ventricular device
33978	C	Remove ventricular device
33999	T	Cardiac surgery procedure	0070	4.11	$208.96	$79.60	$41.79
34001	C	Removal of artery clot
34051	C	Removal of artery clot
34101	T	Removal of artery clot	0088	29.11	$1,480.01	$678.68	$296.00
34111	T	Removal of arm artery clot	0088	29.11	$1,480.01	$678.68	$296.00
34151	C	Removal of artery clot
34201	T	Removal of artery clot	0088	29.11	$1,480.01	$678.68	$296.00
34203	T	Removal of leg artery clot	0088	29.11	$1,480.01	$678.68	$296.00
34401	C	Removal of vein clot
34421	T	Removal of vein clot	0088	29.11	$1,480.01	$678.68	$296.00
34451	C	Removal of vein clot
34471	T	Removal of vein clot	0088	29.11	$1,480.01	$678.68	$296.00
34490	T	Removal of vein clot	0088	29.11	$1,480.01	$678.68	$296.00
34501	T	Repair valve, femoral vein	0088	29.11	$1,480.01	$678.68	$296.00
34502	C	Reconstruct vena cava
34510	T	Transposition of vein valve	0088	29.11	$1,480.01	$678.68	$296.00
34520	T	Cross-over vein graft	0088	29.11	$1,480.01	$678.68	$296.00
34530	T	Leg vein fusion	0088	29.11	$1,480.01	$678.68	$296.00
34800	C	Endovasc abdo repair w/tube
34802	C	Endovasc abdo repr w/device
34804	C	Endovasc abdo repr w/device
34808	C	Endovasc abdo occlud device
34812	C	Xpose for endoprosth, aortic
34813	C	Xpose for endoprosth, femorl
34820	C	Xpose for endoprosth, iliac
34825	C	Endovasc extend prosth, init
34826	C	Endovasc exten prosth, addl
34830	C	Open aortic tube prosth repr
34831	C	Open aortoiliac prosth repr
34832	C	Open aortofemor prosth repr
35001	C	Repair defect of artery
35002	C	Repair artery rupture, neck
35005	C	Repair defect of artery
35011	T	Repair defect of artery	0093	15.05	$765.17	$277.34	$153.03
35013	C	Repair artery rupture, arm
35021	C	Repair defect of artery
35022	C	Repair artery rupture, chest
35045	C	Repair defect of arm artery
35081	C	Repair defect of artery
35082	C	Repair artery rupture, aorta
35091	C	Repair defect of artery
35092	C	Repair artery rupture, aorta
35102	C	Repair defect of artery
35103	C	Repair artery rupture, groin
35111	C	Repair defect of artery
35112	C	Repair artery rupture,spleen
35121	C	Repair defect of artery
35122	C	Repair artery rupture, belly
35131	C	Repair defect of artery
35132	C	Repair artery rupture, groin
35141	C	Repair defect of artery
35142	C	Repair artery rupture, thigh
35151	C	Repair defect of artery
35152	C	Repair artery rupture, knee
35161	C	Repair defect of artery
35162	C	Repair artery rupture
35180	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35182	C	Repair blood vessel lesion
35184	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35188	T	Repair blood vessel lesion	0088	29.11	$1,480.01	$678.68	$296.00
35189	C	Repair blood vessel lesion
35190	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35201	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35206	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35207	T	Repair blood vessel lesion	0088	29.11	$1,480.01	$678.68	$296.00
35211	C	Repair blood vessel lesion
35216	C	Repair blood vessel lesion
35221	C	Repair blood vessel lesion
35226	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35231	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35236	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35241	C	Repair blood vessel lesion
35246	C	Repair blood vessel lesion
35251	C	Repair blood vessel lesion
35256	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35261	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35266	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35271	C	Repair blood vessel lesion
35276	C	Repair blood vessel lesion
35281	C	Repair blood vessel lesion
35286	T	Repair blood vessel lesion	0093	15.05	$765.17	$277.34	$153.03
35301	C	Rechanneling of artery
35311	C	Rechanneling of artery
35321	T	Rechanneling of artery	0093	15.05	$765.17	$277.34	$153.03
35331	C	Rechanneling of artery
35341	C	Rechanneling of artery
35351	C	Rechanneling of artery
35355	C	Rechanneling of artery
35361	C	Rechanneling of artery
35363	C	Rechanneling of artery
35371	C	Rechanneling of artery
35372	C	Rechanneling of artery
35381	C	Rechanneling of artery
35390	C	Reoperation, carotid add-on
35400	C	Angioscopy
35450	C	Repair arterial blockage
35452	C	Repair arterial blockage
35454	C	Repair arterial blockage
35456	C	Repair arterial blockage
35458	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35459	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35460	T	Repair venous blockage	0081	22.04	$1,120.56	$549.07	$224.11
35470	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35471	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35472	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35473	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35474	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35475	T	Repair arterial blockage	0081	22.04	$1,120.56	$549.07	$224.11
35476	T	Repair venous blockage	0081	22.04	$1,120.56	$549.07	$224.11
35480	C	Atherectomy, open
35481	T	Atherectomy, open	0081	22.04	$1,120.56	$549.07	$224.11
35482	C	Atherectomy, open
35483	C	Atherectomy, open
35484	T	Atherectomy, open	0081	22.04	$1,120.56	$549.07	$224.11
35485	T	Atherectomy, open	0081	22.04	$1,120.56	$549.07	$224.11
35490	T	Atherectomy, percutaneous	0081	22.04	$1,120.56	$549.07	$224.11
35491	T	Atherectomy, percutaneous	0081	22.04	$1,120.56	$549.07	$224.11
35492	T	Atherectomy, percutaneous	0081	22.04	$1,120.56	$549.07	$224.11
35493	T	Atherectomy, percutaneous	0081	22.04	$1,120.56	$549.07	$224.11
35494	T	Atherectomy, percutaneous	0081	22.04	$1,120.56	$549.07	$224.11
35495	T	Atherectomy, percutaneous	0081	22.04	$1,120.56	$549.07	$224.11
35500	T	Harvest vein for bypass	0081	22.04	$1,120.56	$549.07	$224.11
35501	C	Artery bypass graft
35506	C	Artery bypass graft
35507	C	Artery bypass graft
35508	C	Artery bypass graft
35509	C	Artery bypass graft
35511	C	Artery bypass graft
35515	C	Artery bypass graft
35516	C	Artery bypass graft
35518	C	Artery bypass graft
35521	C	Artery bypass graft
35526	C	Artery bypass graft
35531	C	Artery bypass graft
35533	C	Artery bypass graft
35536	C	Artery bypass graft
35541	C	Artery bypass graft
35546	C	Artery bypass graft
35548	C	Artery bypass graft
35549	C	Artery bypass graft
35551	C	Artery bypass graft
35556	C	Artery bypass graft
35558	C	Artery bypass graft
35560	C	Artery bypass graft
35563	C	Artery bypass graft
35565	C	Artery bypass graft
35566	C	Artery bypass graft
35571	C	Artery bypass graft
35582	C	Vein bypass graft
35583	C	Vein bypass graft
35585	C	Vein bypass graft
35587	C	Vein bypass graft
35600	C	Harvest artery for cabg
35601	C	Artery bypass graft
35606	C	Artery bypass graft
35612	C	Artery bypass graft
35616	C	Artery bypass graft
35621	C	Artery bypass graft
35623	C	Bypass graft, not vein
35626	C	Artery bypass graft
35631	C	Artery bypass graft
35636	C	Artery bypass graft
35641	C	Artery bypass graft
35642	C	Artery bypass graft
35645	C	Artery bypass graft
35646	C	Artery bypass graft
35650	C	Artery bypass graft
35651	C	Artery bypass graft
35654	C	Artery bypass graft
35656	C	Artery bypass graft
35661	C	Artery bypass graft
35663	C	Artery bypass graft
35665	C	Artery bypass graft
35666	C	Artery bypass graft
35671	C	Artery bypass graft
35681	C	Composite bypass graft
35682	C	Composite bypass graft
35683	C	Composite bypass graft
35691	C	Arterial transposition
35693	C	Arterial transposition
35694	C	Arterial transposition
35695	C	Arterial transposition
35700	C	Reoperation, bypass graft
35701	C	Exploration, carotid artery
35721	C	Exploration, femoral artery
35741	C	Exploration popliteal artery
35761	T	Exploration of artery/vein	0115	19.06	$969.05	$503.91	$193.81
35800	C	Explore neck vessels
35820	C	Explore chest vessels
35840	C	Explore abdominal vessels
35860	T	Explore limb vessels	0093	15.05	$765.17	$277.34	$153.03
35870	C	Repair vessel graft defect
35875	T	Removal of clot in graft	0088	29.11	$1,480.01	$678.68	$296.00
35876	T	Removal of clot in graft	0088	29.11	$1,480.01	$678.68	$296.00
35879	T	Revise graft w/vein	0088	29.11	$1,480.01	$678.68	$296.00
35881	T	Revise graft w/vein	0088	29.11	$1,480.01	$678.68	$296.00
35901	C	Excision, graft, neck
35903	T	Excision, graft, extremity	0115	19.06	$969.05	$503.91	$193.81
35905	C	Excision, graft, thorax
35907	C	Excision, graft, abdomen
36000	N	Place needle in vein
36005	N	Injection, venography
36010	N	Place catheter in vein
36011	N	Place catheter in vein
36012	N	Place catheter in vein
36013	N	Place catheter in artery
36014	N	Place catheter in artery
36015	N	Place catheter in artery
36100	N	Establish access to artery
36120	N	Establish access to artery
36140	N	Establish access to artery
36145	N	Artery to vein shunt
36160	N	Establish access to aorta
36200	N	Place catheter in aorta
36215	N	Place catheter in artery
36216	N	Place catheter in artery
36217	N	Place catheter in artery
36218	N	Place catheter in artery
36245	N	Place catheter in artery
36246	N	Place catheter in artery
36247	N	Place catheter in artery
36248	N	Place catheter in artery
36260	T	Insertion of infusion pump	0119	14.37	$730.60	$161.50	$146.12
36261	T	Revision of infusion pump	0124	25.84	$1,313.76	$722.57	$262.75
36262	T	Removal of infusion pump	0109	6.57	$334.03	$133.51	$66.81
36299	N	Vessel injection procedure
36400	N	Drawing blood
36405	N	Drawing blood
36406	N	Drawing blood
36410	N	Drawing blood
36415	E	Drawing blood
36420	T	Establish access to vein	0035	0.13	$6.61	$2.18	$1.32
36425	T	Establish access to vein	0035	0.13	$6.61	$2.18	$1.32
36430	S	Blood transfusion service	0110	5.76	$292.85	$122.70	$58.57
36440	S	Blood transfusion service	0110	5.76	$292.85	$122.70	$58.57
36450	S	Exchange transfusion service	0110	5.76	$292.85	$122.70	$58.57
36455	S	Exchange transfusion service	0110	5.76	$292.85	$122.70	$58.57
36460	S	Transfusion service, fetal	0110	5.76	$292.85	$122.70	$58.57
36468	T	Injection(s), spider veins	0098	1.34	$68.13	$20.88	$13.63
36469	T	Injection(s), spider veins	0098	1.34	$68.13	$20.88	$13.63
36470	T	Injection therapy of vein	0098	1.34	$68.13	$20.88	$13.63
36471	T	Injection therapy of veins	0098	1.34	$68.13	$20.88	$13.63
36481	N	Insertion of catheter, vein
36488	T	Insertion of catheter, vein	0032	7.16	$364.03	$119.52	$72.81
36489	T	Insertion of catheter, vein	0032	7.16	$364.03	$119.52	$72.81
36490	T	Insertion of catheter, vein	0032	7.16	$364.03	$119.52	$72.81
36491	T	Insertion of catheter, vein	0032	7.16	$364.03	$119.52	$72.81
36493	T	Repositioning of cvc	0187	4.54	$230.82	$113.10	$46.16
36500	N	Insertion of catheter, vein
36510	C	Insertion of catheter, vein
36520	S	Plasma and/or cell exchange	0111	16.69	$848.55	$300.74	$169.71
36521	S	Apheresis w/ adsorp/reinfuse	0112	39.75	$2,020.97	$663.65	$404.19
36522	S	Photopheresis	0112	39.75	$2,020.97	$663.65	$404.19
36530	T	Insertion of infusion pump	0119	14.37	$730.60	$161.50	$146.12
36531	T	Revision of infusion pump	0124	25.84	$1,313.76	$722.57	$262.75
36532	T	Removal of infusion pump	0109	6.57	$334.03	$133.51	$66.81
36533	T	Insertion of access device	0115	19.06	$969.05	$503.91	$193.81
36534	T	Revision of access device	0103	10.91	$554.69	$249.61	$110.94
36535	T	Removal of access device	0109	6.57	$334.03	$133.51	$66.81
36540	N	Collect blood venous device
36550	T	Declot vascular device	0970	0.47	$23.90		$4.78
36600	N	Withdrawal of arterial blood
36620	N	Insertion catheter, artery
36625	N	Insertion catheter, artery
36640	T	Insertion catheter, artery	0032	7.16	$364.03	$119.52	$72.81
36660	C	Insertion catheter, artery
36680	T	Insert needle, bone cavity	0120	2.35	$119.48	$42.67	$23.90
36800	T	Insertion of cannula	0115	19.06	$969.05	$503.91	$193.81
36810	T	Insertion of cannula	0115	19.06	$969.05	$503.91	$193.81
36815	T	Insertion of cannula	0115	19.06	$969.05	$503.91	$193.81
36819	T	Av fusion by basilic vein	0088	29.11	$1,480.01	$678.68	$296.00
36821	T	Av fusion direct any site	0088	29.11	$1,480.01	$678.68	$296.00
36822	C	Insertion of cannula(s)
36823	C	Insertion of cannula(s)
36825	T	Artery-vein graft	0088	29.11	$1,480.01	$678.68	$296.00
36830	T	Artery-vein graft	0088	29.11	$1,480.01	$678.68	$296.00
36831	T	Av fistula excision, open	0088	29.11	$1,480.01	$678.68	$296.00
36832	T	Av fistula revision, open	0088	29.11	$1,480.01	$678.68	$296.00
36833	T	Av fistula revision	0088	29.11	$1,480.01	$678.68	$296.00
36834	T	Repair A-V aneurysm	0088	29.11	$1,480.01	$678.68	$296.00
36835	T	Artery to vein shunt	0115	19.06	$969.05	$503.91	$193.81
36860	T	External cannula declotting	0115	19.06	$969.05	$503.91	$193.81
36861	T	Cannula declotting	0115	19.06	$969.05	$503.91	$193.81
36870	T	Av fistula revision, open	0093	15.05	$765.17	$277.34	$153.03
37140	C	Revision of circulation
37145	C	Revision of circulation
37160	C	Revision of circulation
37180	C	Revision of circulation
37181	C	Splice spleen/kidney veins
37195	C	Thrombolytic therapy, stroke
37200	T	Transcatheter biopsy	0005	6.71	$341.15	$119.75	$68.23
37201	T	Transcatheter therapy infuse	0120	2.35	$119.48	$42.67	$23.90
37202	T	Transcatheter therapy infuse	0120	2.35	$119.48	$42.67	$23.90
37203	T	Transcatheter retrieval	0103	10.91	$554.69	$249.61	$110.94
37204	T	Transcatheter occlusion	0103	10.91	$554.69	$249.61	$110.94
37205	T	Transcatheter stent	0229	60.07	$3,054.08	$996.86	$610.82
37206	T	Transcatheter stent add-on	0229	60.07	$3,054.08	$996.86	$610.82
37207	T	Transcatheter stent	0229	60.07	$3,054.08	$996.86	$610.82
37208	T	Transcatheter stent add-on	0229	60.07	$3,054.08	$996.86	$610.82
37209	T	Exchange arterial catheter	0103	10.91	$554.69	$249.61	$110.94
37250	T	Iv us first vessel add-on	0103	10.91	$554.69	$249.61	$110.94
37251	T	Iv us each add vessel add-on	0103	10.91	$554.69	$249.61	$110.94
37565	T	Ligation of neck vein	0093	15.05	$765.17	$277.34	$153.03
37600	T	Ligation of neck artery	0093	15.05	$765.17	$277.34	$153.03
37605	T	Ligation of neck artery	0091	22.17	$1,127.17	$348.23	$225.43
37606	T	Ligation of neck artery	0091	22.17	$1,127.17	$348.23	$225.43
37607	T	Ligation of a-v fistula	0092	21.43	$1,089.54	$505.37	$217.91
37609	T	Temporal artery procedure	0020	8.56	$435.21	$130.53	$87.04
37615	T	Ligation of neck artery	0091	22.17	$1,127.17	$348.23	$225.43
37616	C	Ligation of chest artery
37617	C	Ligation of abdomen artery
37618	C	Ligation of extremity artery
37620	T	Revision of major vein	0091	22.17	$1,127.17	$348.23	$225.43
37650	T	Revision of major vein	0091	22.17	$1,127.17	$348.23	$225.43
37660	C	Revision of major vein
37700	T	Revise leg vein	0091	22.17	$1,127.17	$348.23	$225.43
37720	T	Removal of leg vein	0092	21.43	$1,089.54	$505.37	$217.91
37730	T	Removal of leg veins	0092	21.43	$1,089.54	$505.37	$217.91
37735	T	Removal of leg veins/lesion	0092	21.43	$1,089.54	$505.37	$217.91
37760	T	Revision of leg veins	0091	22.17	$1,127.17	$348.23	$225.43
37780	T	Revision of leg vein	0091	22.17	$1,127.17	$348.23	$225.43
37785	T	Revise secondary varicosity	0091	22.17	$1,127.17	$348.23	$225.43
37788	C	Revascularization, penis
37790	T	Penile venous occlusion	0181	24.07	$1,223.77	$673.07	$244.75
37799	T	Vascular surgery procedure	0020	8.56	$435.21	$130.53	$87.04
38100	C	Removal of spleen, total
38101	C	Removal of spleen, partial
38102	C	Removal of spleen, total
38115	C	Repair of ruptured spleen
38120	T	Laparoscopy, splenectomy	0131	39.80	$2,023.51	$1,052.23	$404.70
38129	T	Laparoscope proc, spleen	0130	27.92	$1,419.51	$659.53	$283.90
38200	N	Injection for spleen x-ray
38230	S	Bone marrow collection	0123	10.12	$514.52	$102.90	$102.90
38231	S	Stem cell collection	0111	16.69	$848.55	$300.74	$169.71
38240	S	Bone marrow/stem transplant	0123	10.12	$514.52	$102.90	$102.90
38241	S	Bone marrow/stem transplant	0123	10.12	$514.52	$102.90	$102.90
38300	T	Drainage, lymph node lesion	0008	11.36	$577.57	$115.51	$115.51
38305	T	Drainage, lymph node lesion	0008	11.36	$577.57	$115.51	$115.51
38308	T	Incision of lymph channels	0113	16.87	$857.70	$326.55	$171.54
38380	C	Thoracic duct procedure
38381	C	Thoracic duct procedure
38382	C	Thoracic duct procedure
38500	T	Biopsy/removal, lymph nodes	0113	16.87	$857.70	$326.55	$171.54
38505	T	Needle biopsy, lymph nodes	0005	6.71	$341.15	$119.75	$68.23
38510	T	Biopsy/removal, lymph nodes	0113	16.87	$857.70	$326.55	$171.54
38520	T	Biopsy/removal, lymph nodes	0113	16.87	$857.70	$326.55	$171.54
38525	T	Biopsy/removal, lymph nodes	0113	16.87	$857.70	$326.55	$171.54
38530	T	Biopsy/removal, lymph nodes	0113	16.87	$857.70	$326.55	$171.54
38542	T	Explore deep node(s), neck	0114	30.50	$1,550.68	$493.78	$310.14
38550	T	Removal, neck/armpit lesion	0113	16.87	$857.70	$326.55	$171.54
38555	T	Removal, neck/armpit lesion	0114	30.50	$1,550.68	$493.78	$310.14
38562	C	Removal, pelvic lymph nodes
38564	C	Removal, abdomen lymph nodes
38570	T	Laparoscopy, lymph node biop	0131	39.80	$2,023.51	$1,052.23	$404.70
38571	T	Laparoscopy, lymphadenectomy	0132	60.31	$3,066.28	$1,239.22	$613.26
38572	T	Laparoscopy, lymphadenectomy	0131	39.80	$2,023.51	$1,052.23	$404.70
38589	T	Laparoscope proc, lymphatic	0130	27.92	$1,419.51	$659.53	$283.90
38700	C	Removal of lymph nodes, neck
38720	T	Removal of lymph nodes, neck	0114	30.50	$1,550.68	$493.78	$310.14
38724	C	Removal of lymph nodes, neck
38740	T	Remove armpit lymph nodes	0114	30.50	$1,550.68	$493.78	$310.14
38745	T	Remove armpit lymph nodes	0114	30.50	$1,550.68	$493.78	$310.14
38746	C	Remove thoracic lymph nodes
38747	C	Remove abdominal lymph nodes
38760	T	Remove groin lymph nodes	0114	30.50	$1,550.68	$493.78	$310.14
38765	C	Remove groin lymph nodes
38770	C	Remove pelvis lymph nodes
38780	C	Remove abdomen lymph nodes
38790	N	Inject for lymphatic x-ray
38792	N	Identify sentinel node
38794	N	Access thoracic lymph duct
38999	T	Blood/lymph system procedure	0008	11.36	$577.57	$115.51	$115.51
39000	C	Exploration of chest
39010	C	Exploration of chest
39200	C	Removal chest lesion
39220	C	Removal chest lesion
39400	T	Visualization of chest	0069	25.62	$1,302.57	$612.21	$260.51
39499	C	Chest procedure
39501	C	Repair diaphragm laceration
39502	C	Repair paraesophageal hernia
39503	C	Repair of diaphragm hernia
39520	C	Repair of diaphragm hernia
39530	C	Repair of diaphragm hernia
39531	C	Repair of diaphragm hernia
39540	C	Repair of diaphragm hernia
39541	C	Repair of diaphragm hernia
39545	C	Revision of diaphragm
39560	C	Resect diaphragm, simple
39561	C	Resect diaphragm, complex
39599	C	Diaphragm surgery procedure
40490	T	Biopsy of lip	0251	2.71	$137.78	$27.99	$27.56
40500	T	Partial excision of lip	0253	13.27	$674.67	$284.00	$134.93
40510	T	Partial excision of lip	0254	19.11	$971.59	$272.41	$194.32
40520	T	Partial excision of lip	0253	13.27	$674.67	$284.00	$134.93
40525	T	Reconstruct lip with flap	0254	19.11	$971.59	$272.41	$194.32
40527	T	Reconstruct lip with flap	0254	19.11	$971.59	$272.41	$194.32
40530	T	Partial removal of lip	0254	19.11	$971.59	$272.41	$194.32
40650	T	Repair lip	0252	6.53	$332.00	$114.24	$66.40
40652	T	Repair lip	0252	6.53	$332.00	$114.24	$66.40
40654	T	Repair lip	0252	6.53	$332.00	$114.24	$66.40
40700	T	Repair cleft lip/nasal	0256	28.82	$1,465.27	$623.05	$293.05
40701	T	Repair cleft lip/nasal	0256	28.82	$1,465.27	$623.05	$293.05
40702	T	Repair cleft lip/nasal	0256	28.82	$1,465.27	$623.05	$293.05
40720	T	Repair cleft lip/nasal	0256	28.82	$1,465.27	$623.05	$293.05
40761	T	Repair cleft lip/nasal	0256	28.82	$1,465.27	$623.05	$293.05
40799	T	Lip surgery procedure	0253	13.27	$674.67	$284.00	$134.93
40800	T	Drainage of mouth lesion	0251	2.71	$137.78	$27.99	$27.56
40801	T	Drainage of mouth lesion	0252	6.53	$332.00	$114.24	$66.40
40804	X	Removal, foreign body, mouth	0340	0.91	$46.27	$11.57	$9.25
40805	T	Removal, foreign body, mouth	0252	6.53	$332.00	$114.24	$66.40
40806	T	Incision of lip fold	0251	2.71	$137.78	$27.99	$27.56
40808	T	Biopsy of mouth lesion	0251	2.71	$137.78	$27.99	$27.56
40810	T	Excision of mouth lesion	0253	13.27	$674.67	$284.00	$134.93
40812	T	Excise/repair mouth lesion	0252	6.53	$332.00	$114.24	$66.40
40814	T	Excise/repair mouth lesion	0253	13.27	$674.67	$284.00	$134.93
40816	T	Excision of mouth lesion	0254	19.11	$971.59	$272.41	$194.32
40818	T	Excise oral mucosa for graft	0251	2.71	$137.78	$27.99	$27.56
40819	T	Excise lip or cheek fold	0252	6.53	$332.00	$114.24	$66.40
40820	T	Treatment of mouth lesion	0253	13.27	$674.67	$284.00	$134.93
40830	T	Repair mouth laceration	0251	2.71	$137.78	$27.99	$27.56
40831	T	Repair mouth laceration	0252	6.53	$332.00	$114.24	$66.40
40840	T	Reconstruction of mouth	0254	19.11	$971.59	$272.41	$194.32
40842	T	Reconstruction of mouth	0254	19.11	$971.59	$272.41	$194.32
40843	T	Reconstruction of mouth	0254	19.11	$971.59	$272.41	$194.32
40844	T	Reconstruction of mouth	0256	28.82	$1,465.27	$623.05	$293.05
40845	T	Reconstruction of mouth	0256	28.82	$1,465.27	$623.05	$293.05
40899	T	Mouth surgery procedure	0252	6.53	$332.00	$114.24	$66.40
41000	T	Drainage of mouth lesion	0253	13.27	$674.67	$284.00	$134.93
41005	T	Drainage of mouth lesion	0251	2.71	$137.78	$27.99	$27.56
41006	T	Drainage of mouth lesion	0254	19.11	$971.59	$272.41	$194.32
41007	T	Drainage of mouth lesion	0253	13.27	$674.67	$284.00	$134.93
41008	T	Drainage of mouth lesion	0253	13.27	$674.67	$284.00	$134.93
41009	T	Drainage of mouth lesion	0251	2.71	$137.78	$27.99	$27.56
41010	T	Incision of tongue fold	0253	13.27	$674.67	$284.00	$134.93
41015	T	Drainage of mouth lesion	0251	2.71	$137.78	$27.99	$27.56
41016	T	Drainage of mouth lesion	0252	6.53	$332.00	$114.24	$66.40
41017	T	Drainage of mouth lesion	0252	6.53	$332.00	$114.24	$66.40
41018	T	Drainage of mouth lesion	0252	6.53	$332.00	$114.24	$66.40
41100	T	Biopsy of tongue	0252	6.53	$332.00	$114.24	$66.40
41105	T	Biopsy of tongue	0253	13.27	$674.67	$284.00	$134.93
41108	T	Biopsy of floor of mouth	0252	6.53	$332.00	$114.24	$66.40
41110	T	Excision of tongue lesion	0253	13.27	$674.67	$284.00	$134.93
41112	T	Excision of tongue lesion	0253	13.27	$674.67	$284.00	$134.93
41113	T	Excision of tongue lesion	0253	13.27	$674.67	$284.00	$134.93
41114	T	Excision of tongue lesion	0254	19.11	$971.59	$272.41	$194.32
41115	T	Excision of tongue fold	0252	6.53	$332.00	$114.24	$66.40
41116	T	Excision of mouth lesion	0253	13.27	$674.67	$284.00	$134.93
41120	T	Partial removal of tongue	0256	28.82	$1,465.27	$623.05	$293.05
41130	C	Partial removal of tongue
41135	C	Tongue and neck surgery
41140	C	Removal of tongue
41145	C	Tongue removal, neck surgery
41150	C	Tongue, mouth, jaw surgery
41153	C	Tongue, mouth, neck surgery
41155	C	Tongue, jaw, & neck surgery
41250	T	Repair tongue laceration	0251	2.71	$137.78	$27.99	$27.56
41251	T	Repair tongue laceration	0252	6.53	$332.00	$114.24	$66.40
41252	T	Repair tongue laceration	0252	6.53	$332.00	$114.24	$66.40
41500	T	Fixation of tongue	0254	19.11	$971.59	$272.41	$194.32
41510	T	Tongue to lip surgery	0253	13.27	$674.67	$284.00	$134.93
41520	T	Reconstruction, tongue fold	0252	6.53	$332.00	$114.24	$66.40
41599	T	Tongue and mouth surgery	0251	2.71	$137.78	$27.99	$27.56
41800	T	Drainage of gum lesion	0251	2.71	$137.78	$27.99	$27.56
41805	T	Removal foreign body, gum	0254	19.11	$971.59	$272.41	$194.32
41806	T	Removal foreign body,jawbone	0253	13.27	$674.67	$284.00	$134.93
41820	T	Excision, gum, each quadrant	0252	6.53	$332.00	$114.24	$66.40
41821	T	Excision of gum flap	0252	6.53	$332.00	$114.24	$66.40
41822	T	Excision of gum lesion	0253	13.27	$674.67	$284.00	$134.93
41823	T	Excision of gum lesion	0254	19.11	$971.59	$272.41	$194.32
41825	T	Excision of gum lesion	0253	13.27	$674.67	$284.00	$134.93
41826	T	Excision of gum lesion	0253	13.27	$674.67	$284.00	$134.93
41827	T	Excision of gum lesion	0254	19.11	$971.59	$272.41	$194.32
41828	T	Excision of gum lesion	0253	13.27	$674.67	$284.00	$134.93
41830	T	Removal of gum tissue	0253	13.27	$674.67	$284.00	$134.93
41850	T	Treatment of gum lesion	0253	13.27	$674.67	$284.00	$134.93
41870	T	Gum graft	0254	19.11	$971.59	$272.41	$194.32
41872	T	Repair gum	0253	13.27	$674.67	$284.00	$134.93
41874	T	Repair tooth socket	0254	19.11	$971.59	$272.41	$194.32
41899	T	Dental surgery procedure	0253	13.27	$674.67	$284.00	$134.93
42000	T	Drainage mouth roof lesion	0251	2.71	$137.78	$27.99	$27.56
42100	T	Biopsy roof of mouth	0252	6.53	$332.00	$114.24	$66.40
42104	T	Excision lesion, mouth roof	0253	13.27	$674.67	$284.00	$134.93
42106	T	Excision lesion, mouth roof	0253	13.27	$674.67	$284.00	$134.93
42107	T	Excision lesion, mouth roof	0254	19.11	$971.59	$272.41	$194.32
42120	T	Remove palate/lesion	0256	28.82	$1,465.27	$623.05	$293.05
42140	T	Excision of uvula	0252	6.53	$332.00	$114.24	$66.40
42145	T	Repair palate, pharynx/uvula	0254	19.11	$971.59	$272.41	$194.32
42160	T	Treatment mouth roof lesion	0253	13.27	$674.67	$284.00	$134.93
42180	T	Repair palate	0251	2.71	$137.78	$27.99	$27.56
42182	T	Repair palate	0256	28.82	$1,465.27	$623.05	$293.05
42200	T	Reconstruct cleft palate	0256	28.82	$1,465.27	$623.05	$293.05
42205	T	Reconstruct cleft palate	0256	28.82	$1,465.27	$623.05	$293.05
42210	T	Reconstruct cleft palate	0256	28.82	$1,465.27	$623.05	$293.05
42215	T	Reconstruct cleft palate	0256	28.82	$1,465.27	$623.05	$293.05
42220	T	Reconstruct cleft palate	0256	28.82	$1,465.27	$623.05	$293.05
42225	T	Reconstruct cleft palate	0256	28.82	$1,465.27	$623.05	$293.05
42226	T	Lengthening of palate	0256	28.82	$1,465.27	$623.05	$293.05
42227	T	Lengthening of palate	0256	28.82	$1,465.27	$623.05	$293.05
42235	T	Repair palate	0253	13.27	$674.67	$284.00	$134.93
42260	T	Repair nose to lip fistula	0254	19.11	$971.59	$272.41	$194.32
42280	T	Preparation, palate mold	0251	2.71	$137.78	$27.99	$27.56
42281	T	Insertion, palate prosthesis	0253	13.27	$674.67	$284.00	$134.93
42299	T	Palate/uvula surgery	0251	2.71	$137.78	$27.99	$27.56
42300	T	Drainage of salivary gland	0253	13.27	$674.67	$284.00	$134.93
42305	T	Drainage of salivary gland	0253	13.27	$674.67	$284.00	$134.93
42310	T	Drainage of salivary gland	0251	2.71	$137.78	$27.99	$27.56
42320	T	Drainage of salivary gland	0251	2.71	$137.78	$27.99	$27.56
42325	T	Create salivary cyst drain	0251	2.71	$137.78	$27.99	$27.56
42326	T	Create salivary cyst drain	0252	6.53	$332.00	$114.24	$66.40
42330	T	Removal of salivary stone	0252	6.53	$332.00	$114.24	$66.40
42335	T	Removal of salivary stone	0253	13.27	$674.67	$284.00	$134.93
42340	T	Removal of salivary stone	0253	13.27	$674.67	$284.00	$134.93
42400	T	Biopsy of salivary gland	0004	3.00	$152.53	$32.57	$30.51
42405	T	Biopsy of salivary gland	0253	13.27	$674.67	$284.00	$134.93
42408	T	Excision of salivary cyst	0253	13.27	$674.67	$284.00	$134.93
42409	T	Drainage of salivary cyst	0253	13.27	$674.67	$284.00	$134.93
42410	T	Excise parotid gland/lesion	0256	28.82	$1,465.27	$623.05	$293.05
42415	T	Excise parotid gland/lesion	0256	28.82	$1,465.27	$623.05	$293.05
42420	T	Excise parotid gland/lesion	0256	28.82	$1,465.27	$623.05	$293.05
42425	T	Excise parotid gland/lesion	0256	28.82	$1,465.27	$623.05	$293.05
42426	C	Excise parotid gland/lesion
42440	T	Excise submaxillary gland	0256	28.82	$1,465.27	$623.05	$293.05
42450	T	Excise sublingual gland	0254	19.11	$971.59	$272.41	$194.32
42500	T	Repair salivary duct	0254	19.11	$971.59	$272.41	$194.32
42505	T	Repair salivary duct	0256	28.82	$1,465.27	$623.05	$293.05
42507	T	Parotid duct diversion	0256	28.82	$1,465.27	$623.05	$293.05
42508	T	Parotid duct diversion	0256	28.82	$1,465.27	$623.05	$293.05
42509	T	Parotid duct diversion	0256	28.82	$1,465.27	$623.05	$293.05
42510	T	Parotid duct diversion	0256	28.82	$1,465.27	$623.05	$293.05
42550	N	Injection for salivary x-ray
42600	T	Closure of salivary fistula	0253	13.27	$674.67	$284.00	$134.93
42650	T	Dilation of salivary duct	0252	6.53	$332.00	$114.24	$66.40
42660	T	Dilation of salivary duct	0252	6.53	$332.00	$114.24	$66.40
42665	T	Ligation of salivary duct	0254	19.11	$971.59	$272.41	$194.32
42699	T	Salivary surgery procedure	0253	13.27	$674.67	$284.00	$134.93
42700	T	Drainage of tonsil abscess	0251	2.71	$137.78	$27.99	$27.56
42720	T	Drainage of throat abscess	0253	13.27	$674.67	$284.00	$134.93
42725	T	Drainage of throat abscess	0256	28.82	$1,465.27	$623.05	$293.05
42800	T	Biopsy of throat	0252	6.53	$332.00	$114.24	$66.40
42802	T	Biopsy of throat	0253	13.27	$674.67	$284.00	$134.93
42804	T	Biopsy of upper nose/throat	0253	13.27	$674.67	$284.00	$134.93
42806	T	Biopsy of upper nose/throat	0254	19.11	$971.59	$272.41	$194.32
42808	T	Excise pharynx lesion	0253	13.27	$674.67	$284.00	$134.93
42809	X	Remove pharynx foreign body	0340	0.91	$46.27	$11.57	$9.25
42810	T	Excision of neck cyst	0254	19.11	$971.59	$272.41	$194.32
42815	T	Excision of neck cyst	0256	28.82	$1,465.27	$623.05	$293.05
42820	T	Remove tonsils and adenoids	0258	18.86	$958.88	$462.81	$191.78
42821	T	Remove tonsils and adenoids	0258	18.86	$958.88	$462.81	$191.78
42825	T	Removal of tonsils	0258	18.86	$958.88	$462.81	$191.78
42826	T	Removal of tonsils	0258	18.86	$958.88	$462.81	$191.78
42830	T	Removal of adenoids	0258	18.86	$958.88	$462.81	$191.78
42831	T	Removal of adenoids	0258	18.86	$958.88	$462.81	$191.78
42835	T	Removal of adenoids	0258	18.86	$958.88	$462.81	$191.78
42836	T	Removal of adenoids	0258	18.86	$958.88	$462.81	$191.78
42842	C	Extensive surgery of throat
42844	T	Extensive surgery of throat	0256	28.82	$1,465.27	$623.05	$293.05
42845	C	Extensive surgery of throat
42860	T	Excision of tonsil tags	0258	18.86	$958.88	$462.81	$191.78
42870	T	Excision of lingual tonsil	0258	18.86	$958.88	$462.81	$191.78
42890	T	Partial removal of pharynx	0256	28.82	$1,465.27	$623.05	$293.05
42892	T	Revision of pharyngeal walls	0256	28.82	$1,465.27	$623.05	$293.05
42894	C	Revision of pharyngeal walls
42900	T	Repair throat wound	0252	6.53	$332.00	$114.24	$66.40
42950	T	Reconstruction of throat	0254	19.11	$971.59	$272.41	$194.32
42953	C	Repair throat, esophagus
42955	T	Surgical opening of throat	0254	19.11	$971.59	$272.41	$194.32
42960	T	Control throat bleeding	0250	2.27	$115.41	$38.54	$23.08
42961	C	Control throat bleeding
42962	T	Control throat bleeding	0256	28.82	$1,465.27	$623.05	$293.05
42970	T	Control nose/throat bleeding	0250	2.27	$115.41	$38.54	$23.08
42971	C	Control nose/throat bleeding
42972	T	Control nose/throat bleeding	0253	13.27	$674.67	$284.00	$134.93
42999	T	Throat surgery procedure	0252	6.53	$332.00	$114.24	$66.40
43020	T	Incision of esophagus	0252	6.53	$332.00	$114.24	$66.40
43030	C	Throat muscle surgery
43045	C	Incision of esophagus
43100	C	Excision of esophagus lesion
43101	C	Excision of esophagus lesion
43107	C	Removal of esophagus
43108	C	Removal of esophagus
43112	C	Removal of esophagus
43113	C	Removal of esophagus
43116	C	Partial removal of esophagus
43117	C	Partial removal of esophagus
43118	C	Partial removal of esophagus
43121	C	Partial removal of esophagus
43122	C	Parital removal of esophagus
43123	C	Partial removal of esophagus
43124	C	Removal of esophagus
43130	T	Removal of esophagus pouch	0254	19.11	$971.59	$272.41	$194.32
43135	C	Removal of esophagus pouch
43200	T	Esophagus endoscopy	0141	7.46	$379.28	$184.67	$75.86
43202	T	Esophagus endoscopy, biopsy	0141	7.46	$379.28	$184.67	$75.86
43204	T	Esophagus endoscopy & inject	0141	7.46	$379.28	$184.67	$75.86
43205	T	Esophagus endoscopy/ligation	0141	7.46	$379.28	$184.67	$75.86
43215	T	Esophagus endoscopy	0141	7.46	$379.28	$184.67	$75.86
43216	T	Esophagus endoscopy/lesion	0141	7.46	$379.28	$184.67	$75.86
43217	T	Esophagus endoscopy	0141	7.46	$379.28	$184.67	$75.86
43219	T	Esophagus endoscopy	0141	7.46	$379.28	$184.67	$75.86
43220	T	Esoph endoscopy, dilation	0141	7.46	$379.28	$184.67	$75.86
43226	T	Esoph endoscopy, dilation	0141	7.46	$379.28	$184.67	$75.86
43227	T	Esoph endoscopy, repair	0141	7.46	$379.28	$184.67	$75.86
43228	T	Esoph endoscopy, ablation	0141	7.46	$379.28	$184.67	$75.86
43231	T	Esoph endoscopy w/us exam	0141	7.46	$379.28	$184.67	$75.86
43232	T	Esoph endoscopy w/us fn bx	0141	7.46	$379.28	$184.67	$75.86
43234	T	Upper GI endoscopy, exam	0141	7.46	$379.28	$184.67	$75.86
43235	T	Uppr gi endoscopy, diagnosis	0141	7.46	$379.28	$184.67	$75.86
43239	T	Upper GI endoscopy, biopsy	0141	7.46	$379.28	$184.67	$75.86
43240	T	Esoph endoscope w/drain cyst	0141	7.46	$379.28	$184.67	$75.86
43241	T	Upper GI endoscopy with tube	0141	7.46	$379.28	$184.67	$75.86
43242	T	Uppr gi endoscopy w/us fn bx	0141	7.46	$379.28	$184.67	$75.86
43243	T	Upper gi endoscopy & inject	0141	7.46	$379.28	$184.67	$75.86
43244	T	Upper GI endoscopy/ligation	0141	7.46	$379.28	$184.67	$75.86
43245	T	Operative upper GI endoscopy	0141	7.46	$379.28	$184.67	$75.86
43246	T	Place gastrostomy tube	0141	7.46	$379.28	$184.67	$75.86
43247	T	Operative upper GI endoscopy	0141	7.46	$379.28	$184.67	$75.86
43248	T	Uppr gi endoscopy/guide wire	0141	7.46	$379.28	$184.67	$75.86
43249	T	Esoph endoscopy, dilation	0141	7.46	$379.28	$184.67	$75.86
43250	T	Upper GI endoscopy/tumor	0141	7.46	$379.28	$184.67	$75.86
43251	T	Operative upper GI endoscopy	0141	7.46	$379.28	$184.67	$75.86
43255	T	Operative upper GI endoscopy	0141	7.46	$379.28	$184.67	$75.86
43256	T	Uppr gi endoscopy w stent	0141	7.46	$379.28	$184.67	$75.86
43258	T	Operative upper GI endoscopy	0141	7.46	$379.28	$184.67	$75.86
43259	T	Endoscopic ultrasound exam	0141	7.46	$379.28	$184.67	$75.86
43260	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43261	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43262	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43263	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43264	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43265	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43267	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43268	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43269	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43271	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43272	T	Endo cholangiopancreatograph	0151	16.22	$824.66	$245.46	$164.93
43280	T	Laparoscopy, fundoplasty	0132	60.31	$3,066.28	$1,239.22	$613.26
43289	T	Laparoscope proc, esoph	0130	27.92	$1,419.51	$659.53	$283.90
43300	C	Repair of esophagus
43305	C	Repair esophagus and fistula
43310	C	Repair of esophagus
43312	C	Repair esophagus and fistula
43320	C	Fuse esophagus & stomach
43324	C	Revise esophagus & stomach
43325	C	Revise esophagus & stomach
43326	C	Revise esophagus & stomach
43330	C	Repair of esophagus
43331	C	Repair of esophagus
43340	C	Fuse esophagus & intestine
43341	C	Fuse esophagus & intestine
43350	C	Surgical opening, esophagus
43351	C	Surgical opening, esophagus
43352	C	Surgical opening, esophagus
43360	C	Gastrointestinal repair
43361	C	Gastrointestinal repair
43400	C	Ligate esophagus veins
43401	C	Esophagus surgery for veins
43405	C	Ligate/staple esophagus
43410	C	Repair esophagus wound
43415	C	Repair esophagus wound
43420	C	Repair esophagus opening
43425	C	Repair esophagus opening
43450	T	Dilate esophagus	0140	5.73	$291.32	$107.24	$58.26
43453	T	Dilate esophagus	0140	5.73	$291.32	$107.24	$58.26
43456	T	Dilate esophagus	0140	5.73	$291.32	$107.24	$58.26
43458	T	Dilate esophagus	0140	5.73	$291.32	$107.24	$58.26
43460	C	Pressure treatment esophagus
43496	C	Free jejunum flap, microvasc
43499	T	Esophagus surgery procedure	0140	5.73	$291.32	$107.24	$58.26
43500	C	Surgical opening of stomach
43501	C	Surgical repair of stomach
43502	C	Surgical repair of stomach
43510	C	Surgical opening of stomach
43520	C	Incision of pyloric muscle
43600	T	Biopsy of stomach	0141	7.46	$379.28	$184.67	$75.86
43605	C	Biopsy of stomach
43610	C	Excision of stomach lesion
43611	C	Excision of stomach lesion
43620	C	Removal of stomach
43621	C	Removal of stomach
43622	C	Removal of stomach
43631	C	Removal of stomach, partial
43632	C	Removal of stomach, partial
43633	C	Removal of stomach, partial
43634	C	Removal of stomach, partial
43635	C	Removal of stomach, partial
43638	C	Removal of stomach, partial
43639	C	Removal of stomach, partial
43640	C	Vagotomy & pylorus repair
43641	C	Vagotomy & pylorus repair
43651	T	Laparoscopy, vagus nerve	0132	60.31	$3,066.28	$1,239.22	$613.26
43652	T	Laparoscopy, vagus nerve	0132	60.31	$3,066.28	$1,239.22	$613.26
43653	T	Laparoscopy, gastrostomy	0131	39.80	$2,023.51	$1,052.23	$404.70
43659	T	Laparoscope proc, stom	0130	27.92	$1,419.51	$659.53	$283.90
43750	T	Place gastrostomy tube	0141	7.46	$379.28	$184.67	$75.86
43752	E	Nasal/orogastric w/stent
43760	T	Change gastrostomy tube	0121	2.42	$123.04	$52.53	$24.61
43761	T	Reposition gastrostomy tube	0121	2.42	$123.04	$52.53	$24.61
43800	C	Reconstruction of pylorus
43810	C	Fusion of stomach and bowel
43820	C	Fusion of stomach and bowel
43825	C	Fusion of stomach and bowel
43830	T	Place gastrostomy tube	0141	7.46	$379.28	$184.67	$75.86
43831	T	Place gastrostomy tube	0141	7.46	$379.28	$184.67	$75.86
43832	C	Place gastrostomy tube
43840	C	Repair of stomach lesion
43842	C	Gastroplasty for obesity
43843	C	Gastroplasty for obesity
43846	C	Gastric bypass for obesity
43847	C	Gastric bypass for obesity
43848	C	Revision gastroplasty
43850	C	Revise stomach-bowel fusion
43855	C	Revise stomach-bowel fusion
43860	C	Revise stomach-bowel fusion
43865	C	Revise stomach-bowel fusion
43870	T	Repair stomach opening	0025	3.71	$188.62	$70.66	$37.72
43880	C	Repair stomach-bowel fistula
43999	T	Stomach surgery procedure	0121	2.42	$123.04	$52.53	$24.61
44005	C	Freeing of bowel adhesion
44010	C	Incision of small bowel
44015	C	Insert needle cath bowel
44020	C	Exploration of small bowel
44021	C	Decompress small bowel
44025	C	Incision of large bowel
44050	C	Reduce bowel obstruction
44055	C	Correct malrotation of bowel
44100	T	Biopsy of bowel	0141	7.46	$379.28	$184.67	$75.86
44110	C	Excision of bowel lesion(s)
44111	C	Excision of bowel lesion(s)
44120	C	Removal of small intestine
44121	C	Removal of small intestine
44125	C	Removal of small intestine
44130	C	Bowel to bowel fusion
44132	C	Enterectomy, cadaver donor
44133	C	Enterectomy, live donor
44135	C	Intestine transplnt, cadaver
44136	C	Intestine transplant, live
44139	C	Mobilization of colon
44140	C	Partial removal of colon
44141	C	Partial removal of colon
44143	C	Partial removal of colon
44144	C	Partial removal of colon
44145	C	Partial removal of colon
44146	C	Partial removal of colon
44147	C	Partial removal of colon
44150	C	Removal of colon
44151	C	Removal of colon/ileostomy
44152	C	Removal of colon/ileostomy
44153	C	Removal of colon/ileostomy
44155	C	Removal of colon/ileostomy
44156	C	Removal of colon/ileostomy
44160	C	Removal of colon
44200	T	Laparoscopy, enterolysis	0131	39.80	$2,023.51	$1,052.23	$404.70
44201	T	Laparoscopy, jejunostomy	0131	39.80	$2,023.51	$1,052.23	$404.70
44202	C	Laparo, resect intestine
44209	T	Laparoscope proc, intestine	0130	27.92	$1,419.51	$659.53	$283.90
44300	C	Open bowel to skin
44310	C	Ileostomy/jejunostomy
44312	T	Revision of ileostomy	0026	13.51	$686.88	$277.92	$137.38
44314	C	Revision of ileostomy
44316	C	Devise bowel pouch
44320	C	Colostomy
44322	C	Colostomy with biopsies
44340	T	Revision of colostomy	0026	13.51	$686.88	$277.92	$137.38
44345	C	Revision of colostomy
44346	C	Revision of colostomy
44360	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44361	T	Small bowel endoscopy/biopsy	0142	7.61	$386.91	$162.42	$77.38
44363	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44364	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44365	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44366	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44369	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44370	T	Small bowel endoscopy/stent	0142	7.61	$386.91	$162.42	$77.38
44372	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44373	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44376	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44377	T	Small bowel endoscopy/biopsy	0142	7.61	$386.91	$162.42	$77.38
44378	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44379	T	S bowel endoscope w/stent	0142	7.61	$386.91	$162.42	$77.38
44380	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44382	T	Small bowel endoscopy	0142	7.61	$386.91	$162.42	$77.38
44383	T	Ileoscopy w/stent	0142	7.61	$386.91	$162.42	$77.38
44385	T	Endoscopy of bowel pouch	0143	7.87	$400.13	$198.46	$80.03
44386	T	Endoscopy, bowel pouch/biop	0143	7.87	$400.13	$198.46	$80.03
44388	T	Colon endoscopy	0143	7.87	$400.13	$198.46	$80.03
44389	T	Colonoscopy with biopsy	0143	7.87	$400.13	$198.46	$80.03
44390	T	Colonoscopy for foreign body	0143	7.87	$400.13	$198.46	$80.03
44391	T	Colonoscopy for bleeding	0143	7.87	$400.13	$198.46	$80.03
44392	T	Colonoscopy & polypectomy	0143	7.87	$400.13	$198.46	$80.03
44393	T	Colonoscopy, lesion removal	0143	7.87	$400.13	$198.46	$80.03
44394	T	Colonoscopy w/snare	0143	7.87	$400.13	$198.46	$80.03
44397	T	Colonoscopy w stent	0143	7.87	$400.13	$198.46	$80.03
44500	T	Intro, gastrointestinal tube	0121	2.42	$123.04	$52.53	$24.61
44602	C	Suture, small intestine
44603	C	Suture, small intestine
44604	C	Suture, large intestine
44605	C	Repair of bowel lesion
44615	C	Intestinal stricturoplasty
44620	C	Repair bowel opening
44625	C	Repair bowel opening
44626	C	Repair bowel opening
44640	C	Repair bowel-skin fistula
44650	C	Repair bowel fistula
44660	C	Repair bowel-bladder fistula
44661	C	Repair bowel-bladder fistula
44680	C	Surgical revision, intestine
44700	C	Suspend bowel w/prosthesis
44799	T	Intestine surgery procedure	0142	7.61	$386.91	$162.42	$77.38
44800	C	Excision of bowel pouch
44820	C	Excision of mesentery lesion
44850	C	Repair of mesentery
44899	C	Bowel surgery procedure
44900	C	Drain app abscess, open
44901	C	Drain app abscess, percut
44950	C	Appendectomy
44955	C	Appendectomy add-on
44960	C	Appendectomy
44970	T	Laparoscopy, appendectomy	0130	27.92	$1,419.51	$659.53	$283.90
44979	T	Laparoscope proc, app	0130	27.92	$1,419.51	$659.53	$283.90
45000	T	Drainage of pelvic abscess	0149	14.49	$736.70	$293.06	$147.34
45005	T	Drainage of rectal abscess	0148	2.58	$131.17	$43.59	$26.23
45020	T	Drainage of rectal abscess	0149	14.49	$736.70	$293.06	$147.34
45100	T	Biopsy of rectum	0149	14.49	$736.70	$293.06	$147.34
45108	T	Removal of anorectal lesion	0150	19.58	$995.49	$437.12	$199.10
45110	C	Removal of rectum
45111	C	Partial removal of rectum
45112	C	Removal of rectum
45113	C	Partial proctectomy
45114	C	Partial removal of rectum
45116	C	Partial removal of rectum
45119	C	Remove rectum w/reservoir
45120	C	Removal of rectum
45121	C	Removal of rectum and colon
45123	C	Partial proctectomy
45126	C	Pelvic exenteration
45130	C	Excision of rectal prolapse
45135	C	Excision of rectal prolapse
45150	T	Excision of rectal stricture	0150	19.58	$995.49	$437.12	$199.10
45160	T	Excision of rectal lesion	0150	19.58	$995.49	$437.12	$199.10
45170	T	Excision of rectal lesion	0150	19.58	$995.49	$437.12	$199.10
45190	T	Destruction, rectal tumor	0150	19.58	$995.49	$437.12	$199.10
45300	T	Proctosigmoidoscopy dx	0146	2.95	$149.98	$65.15	$30.00
45303	T	Proctosigmoidoscopy dilate	0146	2.95	$149.98	$65.15	$30.00
45305	T	Protosigmoidoscopy w/bx	0146	2.95	$149.98	$65.15	$30.00
45307	T	Protosigmoidoscopy fb	0146	2.95	$149.98	$65.15	$30.00
45308	T	Protosigmoidoscopy removal	0147	6.15	$312.68	$146.96	$62.54
45309	T	Protosigmoidoscopy removal	0147	6.15	$312.68	$146.96	$62.54
45315	T	Protosigmoidoscopy removal	0147	6.15	$312.68	$146.96	$62.54
45317	T	Protosigmoidoscopy bleed	0146	2.95	$149.98	$65.15	$30.00
45320	T	Protosigmoidoscopy ablate	0147	6.15	$312.68	$146.96	$62.54
45321	T	Protosigmoidoscopy volvul	0147	6.15	$312.68	$146.96	$62.54
45327	T	Proctosigmoidoscopy w/stent	0147	6.15	$312.68	$146.96	$62.54
45330	T	Diagnostic sigmoidoscopy	0146	2.95	$149.98	$65.15	$30.00
45331	T	Sigmoidoscopy and biopsy	0146	2.95	$149.98	$65.15	$30.00
45332	T	Sigmoidoscopy w/fb removal	0146	2.95	$149.98	$65.15	$30.00
45333	T	Sigmoidoscopy & polypectomy	0147	6.15	$312.68	$146.96	$62.54
45334	T	Sigmoidoscopy for bleeding	0147	6.15	$312.68	$146.96	$62.54
45337	T	Sigmoidoscopy & decompress	0147	6.15	$312.68	$146.96	$62.54
45338	T	Sigmoidoscpy w/tumr remove	0147	6.15	$312.68	$146.96	$62.54
45339	T	Sigmoidoscopy w/ablate tumr	0147	6.15	$312.68	$146.96	$62.54
45341	T	Sigmoidoscopy w/ultrasound	0147	6.15	$312.68	$146.96	$62.54
45342	T	Sigmoidoscopy w/us guide bx	0147	6.15	$312.68	$146.96	$62.54
45345	T	Sigmodoscopy w/stent	0147	6.15	$312.68	$146.96	$62.54
45355	T	Surgical colonoscopy	0143	7.87	$400.13	$198.46	$80.03
45378	T	Diagnostic colonoscopy	0143	7.87	$400.13	$198.46	$80.03
45379	T	Colonoscopy w/fb removal	0143	7.87	$400.13	$198.46	$80.03
45380	T	Colonoscopy and biopsy	0143	7.87	$400.13	$198.46	$80.03
45382	T	Colonoscopy/control bleeding	0143	7.87	$400.13	$198.46	$80.03
45383	T	Lesion removal colonoscopy	0143	7.87	$400.13	$198.46	$80.03
45384	T	Lesion remove colonoscopy	0143	7.87	$400.13	$198.46	$80.03
45385	T	Lesion removal colonoscopy	0143	7.87	$400.13	$198.46	$80.03
45387	T	Colonoscopy w/stent	0143	7.87	$400.13	$198.46	$80.03
45500	T	Repair of rectum	0150	19.58	$995.49	$437.12	$199.10
45505	T	Repair of rectum	0150	19.58	$995.49	$437.12	$199.10
45520	T	Treatment of rectal prolapse	0098	1.34	$68.13	$20.88	$13.63
45540	C	Correct rectal prolapse
45541	C	Correct rectal prolapse
45550	C	Repair rectum/remove sigmoid
45560	T	Repair of rectocele	0150	19.58	$995.49	$437.12	$199.10
45562	C	Exploration/repair of rectum
45563	C	Exploration/repair of rectum
45800	C	Repair rect/bladder fistula
45805	C	Repair fistula w/colostomy
45820	C	Repair rectourethral fistula
45825	C	Repair fistula w/colostomy
45900	T	Reduction of rectal prolapse	0148	2.58	$131.17	$43.59	$26.23
45905	T	Dilation of anal sphincter	0149	14.49	$736.70	$293.06	$147.34
45910	T	Dilation of rectal narrowing	0149	14.49	$736.70	$293.06	$147.34
45915	T	Remove rectal obstruction	0148	2.58	$131.17	$43.59	$26.23
45999	T	Rectum surgery procedure	0148	2.58	$131.17	$43.59	$26.23
46030	T	Removal of rectal marker	0149	14.49	$736.70	$293.06	$147.34
46040	T	Incision of rectal abscess	0155	5.73	$291.32	$96.14	$58.26
46045	T	Incision of rectal abscess	0150	19.58	$995.49	$437.12	$199.10
46050	T	Incision of anal abscess	0148	2.58	$131.17	$43.59	$26.23
46060	T	Incision of rectal abscess	0150	19.58	$995.49	$437.12	$199.10
46070	T	Incision of anal septum	0155	5.73	$291.32	$96.14	$58.26
46080	T	Incision of anal sphincter	0149	14.49	$736.70	$293.06	$147.34
46083	T	Incise external hemorrhoid	0148	2.58	$131.17	$43.59	$26.23
46200	T	Removal of anal fissure	0150	19.58	$995.49	$437.12	$199.10
46210	T	Removal of anal crypt	0149	14.49	$736.70	$293.06	$147.34
46211	T	Removal of anal crypts	0150	19.58	$995.49	$437.12	$199.10
46220	T	Removal of anal tab	0149	14.49	$736.70	$293.06	$147.34
46221	T	Ligation of hemorrhoid(s)	0155	5.73	$291.32	$96.14	$58.26
46230	T	Removal of anal tabs	0149	14.49	$736.70	$293.06	$147.34
46250	T	Hemorrhoidectomy	0150	19.58	$995.49	$437.12	$199.10
46255	T	Hemorrhoidectomy	0150	19.58	$995.49	$437.12	$199.10
46257	T	Remove hemorrhoids & fissure	0150	19.58	$995.49	$437.12	$199.10
46258	T	Remove hemorrhoids & fistula	0150	19.58	$995.49	$437.12	$199.10
46260	T	Hemorrhoidectomy	0150	19.58	$995.49	$437.12	$199.10
46261	T	Remove hemorrhoids & fissure	0150	19.58	$995.49	$437.12	$199.10
46262	T	Remove hemorrhoids & fistula	0150	19.58	$995.49	$437.12	$199.10
46270	T	Removal of anal fistula	0150	19.58	$995.49	$437.12	$199.10
46275	T	Removal of anal fistula	0150	19.58	$995.49	$437.12	$199.10
46280	T	Removal of anal fistula	0150	19.58	$995.49	$437.12	$199.10
46285	T	Removal of anal fistula	0150	19.58	$995.49	$437.12	$199.10
46288	T	Repair anal fistula	0150	19.58	$995.49	$437.12	$199.10
46320	T	Removal of hemorrhoid clot	0155	5.73	$291.32	$96.14	$58.26
46500	T	Injection into hemorrhoids	0155	5.73	$291.32	$96.14	$58.26
46600	N	Diagnostic anoscopy
46604	T	Anoscopy and dilation	0144	1.97	$100.16	$44.07	$20.03
46606	T	Anoscopy and biopsy	0145	12.11	$615.70	$179.39	$123.14
46608	T	Anoscopy/ remove for body	0144	1.97	$100.16	$44.07	$20.03
46610	T	Anoscopy/remove lesion	0145	12.11	$615.70	$179.39	$123.14
46611	T	Anoscopy	0145	12.11	$615.70	$179.39	$123.14
46612	T	Anoscopy/ remove lesions	0145	12.11	$615.70	$179.39	$123.14
46614	T	Anoscopy/control bleeding	0145	12.11	$615.70	$179.39	$123.14
46615	T	Anoscopy	0145	12.11	$615.70	$179.39	$123.14
46700	T	Repair of anal stricture	0150	19.58	$995.49	$437.12	$199.10
46705	C	Repair of anal stricture
46715	C	Repair of anovaginal fistula
46716	C	Repair of anovaginal fistula
46730	C	Construction of absent anus
46735	C	Construction of absent anus
46740	C	Construction of absent anus
46742	C	Repair of imperforated anus
46744	C	Repair of cloacal anomaly
46746	C	Repair of cloacal anomaly
46748	C	Repair of cloacal anomaly
46750	T	Repair of anal sphincter	0150	19.58	$995.49	$437.12	$199.10
46751	C	Repair of anal sphincter
46753	T	Reconstruction of anus	0150	19.58	$995.49	$437.12	$199.10
46754	T	Removal of suture from anus	0149	14.49	$736.70	$293.06	$147.34
46760	T	Repair of anal sphincter	0150	19.58	$995.49	$437.12	$199.10
46761	T	Repair of anal sphincter	0150	19.58	$995.49	$437.12	$199.10
46762	T	Implant artificial sphincter	0150	19.58	$995.49	$437.12	$199.10
46900	T	Destruction, anal lesion(s)	0016	3.31	$168.29	$70.68	$33.66
46910	T	Destruction, anal lesion(s)	0017	10.51	$534.35	$245.80	$106.87
46916	T	Cryosurgery, anal lesion(s)	0013	1.51	$76.77	$17.66	$15.35
46917	T	Laser surgery, anal lesions	0695	17.06	$867.36	$398.99	$173.47
46922	T	Excision of anal lesion(s)	0695	17.06	$867.36	$398.99	$173.47
46924	T	Destruction, anal lesion(s)	0695	17.06	$867.36	$398.99	$173.47
46934	T	Destruction of hemorrhoids	0155	5.73	$291.32	$96.14	$58.26
46935	T	Destruction of hemorrhoids	0155	5.73	$291.32	$96.14	$58.26
46936	T	Destruction of hemorrhoids	0149	14.49	$736.70	$293.06	$147.34
46937	T	Cryotherapy of rectal lesion	0149	14.49	$736.70	$293.06	$147.34
46938	T	Cryotherapy of rectal lesion	0150	19.58	$995.49	$437.12	$199.10
46940	T	Treatment of anal fissure	0149	14.49	$736.70	$293.06	$147.34
46942	T	Treatment of anal fissure	0149	14.49	$736.70	$293.06	$147.34
46945	T	Ligation of hemorrhoids	0155	5.73	$291.32	$96.14	$58.26
46946	T	Ligation of hemorrhoids	0155	5.73	$291.32	$96.14	$58.26
46999	T	Anus surgery procedure	0149	14.49	$736.70	$293.06	$147.34
47000	T	Needle biopsy of liver	0005	6.71	$341.15	$119.75	$68.23
47001	C	Needle biopsy, liver add-on
47010	C	Open drainage, liver lesion
47011	C	Percut drain, liver lesion
47015	C	Inject/aspirate liver cyst
47100	C	Wedge biopsy of liver
47120	C	Partial removal of liver
47122	C	Extensive removal of liver
47125	C	Partial removal of liver
47130	C	Partial removal of liver
47133	C	Removal of donor liver
47134	C	Partial removal, donor liver
47135	C	Transplantation of liver
47136	C	Transplantation of liver
47300	C	Surgery for liver lesion
47350	C	Repair liver wound
47360	C	Repair liver wound
47361	C	Repair liver wound
47362	C	Repair liver wound
47379	T	Laparoscope procedure, liver	0130	27.92	$1,419.51	$659.53	$283.90
47399	T	Liver surgery procedure	0005	6.71	$341.15	$119.75	$68.23
47400	C	Incision of liver duct
47420	C	Incision of bile duct
47425	C	Incision of bile duct
47460	C	Incise bile duct sphincter
47480	C	Incision of gallbladder
47490	C	Incision of gallbladder
47500	N	Injection for liver x-rays
47505	N	Injection for liver x-rays
47510	T	Insert catheter, bile duct	0152	17.44	$886.68	$207.38	$177.34
47511	T	Insert bile duct drain	0152	17.44	$886.68	$207.38	$177.34
47525	T	Change bile duct catheter	0122	5.69	$289.29	$114.93	$57.86
47530	T	Revise/reinsert bile tube	0121	2.42	$123.04	$52.53	$24.61
47550	C	Bile duct endoscopy add-on
47552	T	Biliary endoscopy thru skin	0152	17.44	$886.68	$207.38	$177.34
47553	T	Biliary endoscopy thru skin	0152	17.44	$886.68	$207.38	$177.34
47554	T	Biliary endoscopy thru skin	0152	17.44	$886.68	$207.38	$177.34
47555	T	Biliary endoscopy thru skin	0152	17.44	$886.68	$207.38	$177.34
47556	T	Biliary endoscopy thru skin	0152	17.44	$886.68	$207.38	$177.34
47560	T	Laparoscopy w/cholangio	0130	27.92	$1,419.51	$659.53	$283.90
47561	T	Laparo w/cholangio/biopsy	0130	27.92	$1,419.51	$659.53	$283.90
47562	T	Laparoscopic cholecystectomy	0131	39.80	$2,023.51	$1,052.23	$404.70
47563	T	Laparo cholecystectomy/graph	0131	39.80	$2,023.51	$1,052.23	$404.70
47564	T	Laparo cholecystectomy/explr	0131	39.80	$2,023.51	$1,052.23	$404.70
47570	C	Laparo cholecystoenterostomy
47579	T	Laparoscope proc, biliary	0130	27.92	$1,419.51	$659.53	$283.90
47600	C	Removal of gallbladder
47605	C	Removal of gallbladder
47610	C	Removal of gallbladder
47612	C	Removal of gallbladder
47620	C	Removal of gallbladder
47630	T	Remove bile duct stone	0152	17.44	$886.68	$207.38	$177.34
47700	C	Exploration of bile ducts
47701	C	Bile duct revision
47711	C	Excision of bile duct tumor
47712	C	Excision of bile duct tumor
47715	C	Excision of bile duct cyst
47716	C	Fusion of bile duct cyst
47720	C	Fuse gallbladder & bowel
47721	C	Fuse upper gi structures
47740	C	Fuse gallbladder & bowel
47741	C	Fuse gallbladder & bowel
47760	C	Fuse bile ducts and bowel
47765	C	Fuse liver ducts & bowel
47780	C	Fuse bile ducts and bowel
47785	C	Fuse bile ducts and bowel
47800	C	Reconstruction of bile ducts
47801	C	Placement, bile duct support
47802	C	Fuse liver duct & intestine
47900	C	Suture bile duct injury
47999	T	Bile tract surgery procedure	0121	2.42	$123.04	$52.53	$24.61
48000	C	Drainage of abdomen
48001	C	Placement of drain, pancreas
48005	C	Resect/debride pancreas
48020	C	Removal of pancreatic stone
48100	C	Biopsy of pancreas
48102	T	Needle biopsy, pancreas	0005	6.71	$341.15	$119.75	$68.23
48120	C	Removal of pancreas lesion
48140	C	Partial removal of pancreas
48145	C	Partial removal of pancreas
48146	C	Pancreatectomy
48148	C	Removal of pancreatic duct
48150	C	Partial removal of pancreas
48152	C	Pancreatectomy
48153	C	Pancreatectomy
48154	C	Pancreatectomy
48155	C	Removal of pancreas
48160	E	Pancreas removal/transplant
48180	C	Fuse pancreas and bowel
48400	C	Injection, intraop add-on
48500	C	Surgery of pancreas cyst
48510	C	Drain pancreatic pseudocyst
48511	C	Drain pancreatic pseudocyst
48520	C	Fuse pancreas cyst and bowel
48540	C	Fuse pancreas cyst and bowel
48545	C	Pancreatorrhaphy
48547	C	Duodenal exclusion
48550	E	Donor pancreatectomy
48554	E	Transpl allograft pancreas
48556	C	Removal, allograft pancreas
48999	T	Pancreas surgery procedure	0005	6.71	$341.15	$119.75	$68.23
49000	C	Exploration of abdomen
49002	C	Reopening of abdomen
49010	C	Exploration behind abdomen
49020	C	Drain abdominal abscess
49021	C	Drain abdominal abscess
49040	C	Drain, open, abdom abscess
49041	C	Drain, percut, abdom abscess
49060	C	Drain, open, retrop abscess
49061	C	Drain, percut, retroper absc
49062	C	Drain to peritoneal cavity
49080	T	Puncture, peritoneal cavity	0070	4.11	$208.96	$79.60	$41.79
49081	T	Removal of abdominal fluid	0070	4.11	$208.96	$79.60	$41.79
49085	T	Remove abdomen foreign body	0153	22.44	$1,140.89	$496.31	$228.18
49180	T	Biopsy, abdominal mass	0005	6.71	$341.15	$119.75	$68.23
49200	C	Removal of abdominal lesion
49201	C	Removal of abdominal lesion
49215	C	Excise sacral spine tumor
49220	C	Multiple surgery, abdomen
49250	T	Excision of umbilicus	0153	22.44	$1,140.89	$496.31	$228.18
49255	C	Removal of omentum
49320	T	Diag laparo separate proc	0130	27.92	$1,419.51	$659.53	$283.90
49321	T	Laparoscopy, biopsy	0130	27.92	$1,419.51	$659.53	$283.90
49322	T	Laparoscopy, aspiration	0130	27.92	$1,419.51	$659.53	$283.90
49323	T	Laparo drain lymphocele	0130	27.92	$1,419.51	$659.53	$283.90
49329	T	Laparo proc, abdm/per/oment	0130	27.92	$1,419.51	$659.53	$283.90
49400	N	Air injection into abdomen
49420	T	Insert abdominal drain	0153	22.44	$1,140.89	$496.31	$228.18
49421	T	Insert abdominal drain	0153	22.44	$1,140.89	$496.31	$228.18
49422	T	Remove perm cannula/catheter	0105	16.56	$841.94	$372.32	$168.39
49423	T	Exchange drainage catheter	0153	22.44	$1,140.89	$496.31	$228.18
49424	N	Assess cyst, contrast inject
49425	C	Insert abdomen-venous drain
49426	T	Revise abdomen-venous shunt	0153	22.44	$1,140.89	$496.31	$228.18
49427	N	Injection, abdominal shunt
49428	C	Ligation of shunt
49429	T	Removal of shunt	0105	16.56	$841.94	$372.32	$168.39
49495	T	Repair inguinal hernia, init	0154	24.09	$1,224.78	$556.98	$244.96
49496	T	Repair inguinal hernia, init	0154	24.09	$1,224.78	$556.98	$244.96
49500	T	Repair inguinal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49501	T	Repair inguinal hernia, init	0154	24.09	$1,224.78	$556.98	$244.96
49505	T	Repair inguinal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49507	T	Repair inguinal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49520	T	Rerepair inguinal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49521	T	Repair inguinal hernia, rec	0154	24.09	$1,224.78	$556.98	$244.96
49525	T	Repair inguinal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49540	T	Repair lumbar hernia	0154	24.09	$1,224.78	$556.98	$244.96
49550	T	Repair femoral hernia	0154	24.09	$1,224.78	$556.98	$244.96
49553	T	Repair femoral hernia, init	0154	24.09	$1,224.78	$556.98	$244.96
49555	T	Repair femoral hernia	0154	24.09	$1,224.78	$556.98	$244.96
49557	T	Repair femoral hernia, recur	0154	24.09	$1,224.78	$556.98	$244.96
49560	T	Repair abdominal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49561	T	Repair incisional hernia	0154	24.09	$1,224.78	$556.98	$244.96
49565	T	Rerepair abdominal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49566	T	Repair incisional hernia	0154	24.09	$1,224.78	$556.98	$244.96
49568	T	Hernia repair w/mesh	0154	24.09	$1,224.78	$556.98	$244.96
49570	T	Repair epigastric hernia	0154	24.09	$1,224.78	$556.98	$244.96
49572	T	Repair epigastric hernia	0154	24.09	$1,224.78	$556.98	$244.96
49580	T	Repair umbilical hernia	0154	24.09	$1,224.78	$556.98	$244.96
49582	T	Repair umbilical hernia	0154	24.09	$1,224.78	$556.98	$244.96
49585	T	Repair umbilical hernia	0154	24.09	$1,224.78	$556.98	$244.96
49587	T	Repair umbilical hernia	0154	24.09	$1,224.78	$556.98	$244.96
49590	T	Repair abdominal hernia	0154	24.09	$1,224.78	$556.98	$244.96
49600	T	Repair umbilical lesion	0154	24.09	$1,224.78	$556.98	$244.96
49605	C	Repair umbilical lesion
49606	C	Repair umbilical lesion
49610	C	Repair umbilical lesion
49611	C	Repair umbilical lesion
49650	T	Laparo hernia repair initial	0131	39.80	$2,023.51	$1,052.23	$404.70
49651	T	Laparo hernia repair recur	0131	39.80	$2,023.51	$1,052.23	$404.70
49659	T	Laparo proc, hernia repair	0131	39.80	$2,023.51	$1,052.23	$404.70
49900	C	Repair of abdominal wall
49905	C	Omental flap
49906	C	Free omental flap, microvasc
49999	T	Abdomen surgery procedure	0121	2.42	$123.04	$52.53	$24.61
50010	C	Exploration of kidney
50020	C	Renal abscess, open drain
50021	C	Renal abscess, percut drain
50040	C	Drainage of kidney
50045	C	Exploration of kidney
50060	C	Removal of kidney stone
50065	C	Incision of kidney
50070	C	Incision of kidney
50075	C	Removal of kidney stone
50080	T	Removal of kidney stone	0163	30.27	$1,538.99	$792.58	$307.80
50081	T	Removal of kidney stone	0163	30.27	$1,538.99	$792.58	$307.80
50100	C	Revise kidney blood vessels
50120	C	Exploration of kidney
50125	C	Explore and drain kidney
50130	C	Removal of kidney stone
50135	C	Exploration of kidney
50200	T	Biopsy of kidney	0005	6.71	$341.15	$119.75	$68.23
50205	C	Biopsy of kidney
50220	C	Removal of kidney
50225	C	Removal of kidney
50230	C	Removal of kidney
50234	C	Removal of kidney & ureter
50236	C	Removal of kidney & ureter
50240	C	Partial removal of kidney
50280	C	Removal of kidney lesion
50290	C	Removal of kidney lesion
50300	C	Removal of donor kidney
50320	C	Removal of donor kidney
50340	C	Removal of kidney
50360	C	Transplantation of kidney
50365	C	Transplantation of kidney
50370	C	Remove transplanted kidney
50380	C	Reimplantation of kidney
50390	T	Drainage of kidney lesion	0005	6.71	$341.15	$119.75	$68.23
50392	T	Insert kidney drain	0161	16.45	$836.35	$249.36	$167.27
50393	T	Insert ureteral tube	0160	5.98	$304.04	$110.11	$60.81
50394	N	Injection for kidney x-ray
50395	T	Create passage to kidney	0160	5.98	$304.04	$110.11	$60.81
50396	T	Measure kidney pressure	0164	0.98	$49.83	$14.95	$9.97
50398	T	Change kidney tube	0122	5.69	$289.29	$114.93	$57.86
50400	C	Revision of kidney/ureter
50405	C	Revision of kidney/ureter
50500	C	Repair of kidney wound
50520	C	Close kidney-skin fistula
50525	C	Repair renal-abdomen fistula
50526	C	Repair renal-abdomen fistula
50540	C	Revision of horseshoe kidney
50541	T	Laparo ablate renal cyst	0130	27.92	$1,419.51	$659.53	$283.90
50544	T	Laparoscopy, pyeloplasty	0130	27.92	$1,419.51	$659.53	$283.90
50545	C	Laparo radical nephrectomy
50546	C	Laparoscopic nephrectomy
50547	C	Laparo removal donor kidney
50548	C	Laparo remove k/ureter
50549	T	Laparoscope proc, renal	0130	27.92	$1,419.51	$659.53	$283.90
50551	T	Kidney endoscopy	0161	16.45	$836.35	$249.36	$167.27
50553	T	Kidney endoscopy	0161	16.45	$836.35	$249.36	$167.27
50555	T	Kidney endoscopy & biopsy	0161	16.45	$836.35	$249.36	$167.27
50557	T	Kidney endoscopy & treatment	0161	16.45	$836.35	$249.36	$167.27
50559	T	Renal endoscopy/radiotracer	0161	16.45	$836.35	$249.36	$167.27
50561	T	Kidney endoscopy & treatment	0161	16.45	$836.35	$249.36	$167.27
50570	C	Kidney endoscopy
50572	C	Kidney endoscopy
50574	C	Kidney endoscopy & biopsy
50575	C	Kidney endoscopy
50576	C	Kidney endoscopy & treatment
50578	C	Renal endoscopy/radiotracer
50580	C	Kidney endoscopy & treatment
50590	T	Fragmenting of kidney stone	0169	42.65	$2,168.41	$1,192.63	$433.68
50600	C	Exploration of ureter
50605	C	Insert ureteral support
50610	C	Removal of ureter stone
50620	C	Removal of ureter stone
50630	C	Removal of ureter stone
50650	C	Removal of ureter
50660	C	Removal of ureter
50684	N	Injection for ureter x-ray
50686	T	Measure ureter pressure	0164	0.98	$49.83	$14.95	$9.97
50688	T	Change of ureter tube	0121	2.42	$123.04	$52.53	$24.61
50690	N	Injection for ureter x-ray
50700	C	Revision of ureter
50715	C	Release of ureter
50722	C	Release of ureter
50725	C	Release/revise ureter
50727	C	Revise ureter
50728	C	Revise ureter
50740	C	Fusion of ureter & kidney
50750	C	Fusion of ureter & kidney
50760	C	Fusion of ureters
50770	C	Splicing of ureters
50780	C	Reimplant ureter in bladder
50782	C	Reimplant ureter in bladder
50783	C	Reimplant ureter in bladder
50785	C	Reimplant ureter in bladder
50800	C	Implant ureter in bowel
50810	C	Fusion of ureter & bowel
50815	C	Urine shunt to bowel
50820	C	Construct bowel bladder
50825	C	Construct bowel bladder
50830	C	Revise urine flow
50840	C	Replace ureter by bowel
50845	C	Appendico-vesicostomy
50860	C	Transplant ureter to skin
50900	C	Repair of ureter
50920	C	Closure ureter/skin fistula
50930	C	Closure ureter/bowel fistula
50940	C	Release of ureter
50945	T	Laparoscopy ureterolithotomy	0131	39.80	$2,023.51	$1,052.23	$404.70
50947	T	Laparo new ureter/bladder	0131	39.80	$2,023.51	$1,052.23	$404.70
50948	T	Laparo new ureter/bladder	0131	39.80	$2,023.51	$1,052.23	$404.70
50949	T	Laparoscope proc, ureter	0130	27.92	$1,419.51	$659.53	$283.90
50951	T	Endoscopy of ureter	0162	19.86	$1,009.72	$427.49	$201.94
50953	T	Endoscopy of ureter	0162	19.86	$1,009.72	$427.49	$201.94
50955	T	Ureter endoscopy & biopsy	0162	19.86	$1,009.72	$427.49	$201.94
50957	T	Ureter endoscopy & treatment	0162	19.86	$1,009.72	$427.49	$201.94
50959	T	Ureter endoscopy & tracer	0162	19.86	$1,009.72	$427.49	$201.94
50961	T	Ureter endoscopy & treatment	0162	19.86	$1,009.72	$427.49	$201.94
50970	T	Ureter endoscopy	0162	19.86	$1,009.72	$427.49	$201.94
50972	T	Ureter endoscopy & catheter	0162	19.86	$1,009.72	$427.49	$201.94
50974	T	Ureter endoscopy & biopsy	0162	19.86	$1,009.72	$427.49	$201.94
50976	T	Ureter endoscopy & treatment	0162	19.86	$1,009.72	$427.49	$201.94
50978	T	Ureter endoscopy & tracer	0162	19.86	$1,009.72	$427.49	$201.94
50980	T	Ureter endoscopy & treatment	0162	19.86	$1,009.72	$427.49	$201.94
51000	T	Drainage of bladder	0165	5.36	$272.51	$91.76	$54.50
51005	T	Drainage of bladder	0156	2.62	$133.21	$39.96	$26.64
51010	T	Drainage of bladder	0165	5.36	$272.51	$91.76	$54.50
51020	T	Incise & treat bladder	0162	19.86	$1,009.72	$427.49	$201.94
51030	T	Incise & treat bladder	0162	19.86	$1,009.72	$427.49	$201.94
51040	T	Incise & drain bladder	0162	19.86	$1,009.72	$427.49	$201.94
51045	T	Incise bladder/drain ureter	0162	19.86	$1,009.72	$427.49	$201.94
51050	T	Removal of bladder stone	0162	19.86	$1,009.72	$427.49	$201.94
51060	C	Removal of ureter stone
51065	T	Removal of ureter stone	0162	19.86	$1,009.72	$427.49	$201.94
51080	T	Drainage of bladder abscess	0007	7.28	$370.13	$74.03	$74.03
51500	T	Removal of bladder cyst	0154	24.09	$1,224.78	$556.98	$244.96
51520	T	Removal of bladder lesion	0162	19.86	$1,009.72	$427.49	$201.94
51525	C	Removal of bladder lesion
51530	C	Removal of bladder lesion
51535	C	Repair of ureter lesion
51550	C	Partial removal of bladder
51555	C	Partial removal of bladder
51565	C	Revise bladder & ureter(s)
51570	C	Removal of bladder
51575	C	Removal of bladder & nodes
51580	C	Remove bladder/revise tract
51585	C	Removal of bladder & nodes
51590	C	Remove bladder/revise tract
51595	C	Remove bladder/revise tract
51596	C	Remove bladder/create pouch
51597	C	Removal of pelvic structures
51600	N	Injection for bladder x-ray
51605	N	Preparation for bladder xray
51610	N	Injection for bladder x-ray
51700	T	Irrigation of bladder	0156	2.62	$133.21	$39.96	$26.64
51705	T	Change of bladder tube	0121	2.42	$123.04	$52.53	$24.61
51710	T	Change of bladder tube	0121	2.42	$123.04	$52.53	$24.61
51715	T	Endoscopic injection/implant	0167	24.18	$1,229.36	$555.84	$245.87
51720	T	Treatment of bladder lesion	0156	2.62	$133.21	$39.96	$26.64
51725	T	Simple cystometrogram	0165	5.36	$272.51	$91.76	$54.50
51726	T	Complex cystometrogram	0165	5.36	$272.51	$91.76	$54.50
51736	T	Urine flow measurement	0164	0.98	$49.83	$14.95	$9.97
51741	T	Electro-uroflowmetry, first	0164	0.98	$49.83	$14.95	$9.97
51772	T	Urethra pressure profile	0165	5.36	$272.51	$91.76	$54.50
51784	T	Anal/urinary muscle study	0164	0.98	$49.83	$14.95	$9.97
51785	T	Anal/urinary muscle study	0156	2.62	$133.21	$39.96	$26.64
51792	T	Urinary reflex study	0156	2.62	$133.21	$39.96	$26.64
51795	T	Urine voiding pressure study	0165	5.36	$272.51	$91.76	$54.50
51797	T	Intraabdominal pressure test	0165	5.36	$272.51	$91.76	$54.50
51800	C	Revision of bladder/urethra
51820	C	Revision of urinary tract
51840	C	Attach bladder/urethra
51841	C	Attach bladder/urethra
51845	C	Repair bladder neck
51860	C	Repair of bladder wound
51865	C	Repair of bladder wound
51880	T	Repair of bladder opening	0162	19.86	$1,009.72	$427.49	$201.94
51900	C	Repair bladder/vagina lesion
51920	C	Close bladder-uterus fistula
51925	C	Hysterectomy/bladder repair
51940	C	Correction of bladder defect
51960	C	Revision of bladder & bowel
51980	C	Construct bladder opening
51990	T	Laparo urethral suspension	0131	39.80	$2,023.51	$1,052.23	$404.70
51992	T	Laparo sling operation	0132	60.31	$3,066.28	$1,239.22	$613.26
52000	T	Cystoscopy	0160	5.98	$304.04	$110.11	$60.81
52005	T	Cystoscopy & ureter catheter	0161	16.45	$836.35	$249.36	$167.27
52007	T	Cystoscopy and biopsy	0161	16.45	$836.35	$249.36	$167.27
52010	T	Cystoscopy & duct catheter	0160	5.98	$304.04	$110.11	$60.81
52204	T	Cystoscopy	0161	16.45	$836.35	$249.36	$167.27
52214	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52224	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52234	T	Cystoscopy and treatment	0162	19.86	$1,009.72	$427.49	$201.94
52235	T	Cystoscopy and treatment	0162	19.86	$1,009.72	$427.49	$201.94
52240	T	Cystoscopy and treatment	0163	30.27	$1,538.99	$792.58	$307.80
52250	T	Cystoscopy and radiotracer	0162	19.86	$1,009.72	$427.49	$201.94
52260	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52265	T	Cystoscopy and treatment	0160	5.98	$304.04	$110.11	$60.81
52270	T	Cystoscopy & revise urethra	0161	16.45	$836.35	$249.36	$167.27
52275	T	Cystoscopy & revise urethra	0161	16.45	$836.35	$249.36	$167.27
52276	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52277	T	Cystoscopy and treatment	0162	19.86	$1,009.72	$427.49	$201.94
52281	T	Cystoscopy and treatment	0160	5.98	$304.04	$110.11	$60.81
52282	T	Cystoscopy, implant stent	0162	19.86	$1,009.72	$427.49	$201.94
52283	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52285	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52290	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52300	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52301	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52305	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52310	T	Cystoscopy and treatment	0160	5.98	$304.04	$110.11	$60.81
52315	T	Cystoscopy and treatment	0161	16.45	$836.35	$249.36	$167.27
52317	T	Remove bladder stone	0162	19.86	$1,009.72	$427.49	$201.94
52318	T	Remove bladder stone	0162	19.86	$1,009.72	$427.49	$201.94
52320	T	Cystoscopy and treatment	0162	19.86	$1,009.72	$427.49	$201.94
52325	T	Cystoscopy, stone removal	0162	19.86	$1,009.72	$427.49	$201.94
52327	T	Cystoscopy, inject material	0161	16.45	$836.35	$249.36	$167.27
52330	T	Cystoscopy and treatment	0162	19.86	$1,009.72	$427.49	$201.94
52332	T	Cystoscopy and treatment	0162	19.86	$1,009.72	$427.49	$201.94
52334	T	Create passage to kidney	0162	19.86	$1,009.72	$427.49	$201.94
52341	T	Cysto w/ureter stricture tx	0162	19.86	$1,009.72	$427.49	$201.94
52342	T	Cysto w/up stricture tx	0162	19.86	$1,009.72	$427.49	$201.94
52343	T	Cysto w/renal stricture tx	0162	19.86	$1,009.72	$427.49	$201.94
52344	T	Cysto/uretero, stone remove	0162	19.86	$1,009.72	$427.49	$201.94
52345	T	Cysto/uretero w/up stricture	0162	19.86	$1,009.72	$427.49	$201.94
52346	T	Cystouretero w/renal strict	0162	19.86	$1,009.72	$427.49	$201.94
52351	T	Cystouretro & or pyeloscope	0161	16.45	$836.35	$249.36	$167.27
52352	T	Cystouretro w/stone remove	0162	19.86	$1,009.72	$427.49	$201.94
52353	T	Cystouretero w/lithotripsy	0163	30.27	$1,538.99	$792.58	$307.80
52354	T	Cystouretero w/biopsy	0162	19.86	$1,009.72	$427.49	$201.94
52355	T	Cystouretero w/excise tumor	0162	19.86	$1,009.72	$427.49	$201.94
52400	T	Cystouretero w/congen repr	0162	19.86	$1,009.72	$427.49	$201.94
52450	T	Incision of prostate	0162	19.86	$1,009.72	$427.49	$201.94
52500	T	Revision of bladder neck	0162	19.86	$1,009.72	$427.49	$201.94
52510	T	Dilation prostatic urethra	0161	16.45	$836.35	$249.36	$167.27
52601	T	Prostatectomy (TURP)	0163	30.27	$1,538.99	$792.58	$307.80
52606	T	Control postop bleeding	0162	19.86	$1,009.72	$427.49	$201.94
52612	T	Prostatectomy, first stage	0163	30.27	$1,538.99	$792.58	$307.80
52614	T	Prostatectomy, second stage	0163	30.27	$1,538.99	$792.58	$307.80
52620	T	Remove residual prostate	0163	30.27	$1,538.99	$792.58	$307.80
52630	T	Remove prostate regrowth	0163	30.27	$1,538.99	$792.58	$307.80
52640	T	Relieve bladder contracture	0162	19.86	$1,009.72	$427.49	$201.94
52647	T	Laser surgery of prostate	0163	30.27	$1,538.99	$792.58	$307.80
52648	T	Laser surgery of prostate	0163	30.27	$1,538.99	$792.58	$307.80
52700	T	Drainage of prostate abscess	0162	19.86	$1,009.72	$427.49	$201.94
53000	T	Incision of urethra	0166	13.02	$661.96	$218.73	$132.39
53010	T	Incision of urethra	0166	13.02	$661.96	$218.73	$132.39
53020	T	Incision of urethra	0166	13.02	$661.96	$218.73	$132.39
53025	T	Incision of urethra	0166	13.02	$661.96	$218.73	$132.39
53040	T	Drainage of urethra abscess	0166	13.02	$661.96	$218.73	$132.39
53060	T	Drainage of urethra abscess	0166	13.02	$661.96	$218.73	$132.39
53080	T	Drainage of urinary leakage	0166	13.02	$661.96	$218.73	$132.39
53085	C	Drainage of urinary leakage
53200	T	Biopsy of urethra	0166	13.02	$661.96	$218.73	$132.39
53210	T	Removal of urethra	0168	31.68	$1,610.67	$536.11	$322.13
53215	T	Removal of urethra	0168	31.68	$1,610.67	$536.11	$322.13
53220	T	Treatment of urethra lesion	0168	31.68	$1,610.67	$536.11	$322.13
53230	T	Removal of urethra lesion	0168	31.68	$1,610.67	$536.11	$322.13
53235	T	Removal of urethra lesion	0168	31.68	$1,610.67	$536.11	$322.13
53240	T	Surgery for urethra pouch	0168	31.68	$1,610.67	$536.11	$322.13
53250	T	Removal of urethra gland	0166	13.02	$661.96	$218.73	$132.39
53260	T	Treatment of urethra lesion	0166	13.02	$661.96	$218.73	$132.39
53265	T	Treatment of urethra lesion	0166	13.02	$661.96	$218.73	$132.39
53270	T	Removal of urethra gland	0167	24.18	$1,229.36	$555.84	$245.87
53275	T	Repair of urethra defect	0166	13.02	$661.96	$218.73	$132.39
53400	T	Revise urethra, stage 1	0168	31.68	$1,610.67	$536.11	$322.13
53405	T	Revise urethra, stage 2	0168	31.68	$1,610.67	$536.11	$322.13
53410	T	Reconstruction of urethra	0168	31.68	$1,610.67	$536.11	$322.13
53415	C	Reconstruction of urethra
53420	T	Reconstruct urethra, stage 1	0168	31.68	$1,610.67	$536.11	$322.13
53425	T	Reconstruct urethra, stage 2	0168	31.68	$1,610.67	$536.11	$322.13
53430	T	Reconstruction of urethra	0168	31.68	$1,610.67	$536.11	$322.13
53440	T	Correct bladder function	0182	85.94	$4,369.36	$1,492.28	$873.87
53442	T	Remove perineal prosthesis	0166	13.02	$661.96	$218.73	$132.39
53443	C	Reconstruction of urethra
53445	T	Correct urine flow control	0182	85.94	$4,369.36	$1,492.28	$873.87
53447	T	Remove artificial sphincter	0168	31.68	$1,610.67	$536.11	$322.13
53449	T	Correct artificial sphincter	0168	31.68	$1,610.67	$536.11	$322.13
53450	T	Revision of urethra	0168	31.68	$1,610.67	$536.11	$322.13
53460	T	Revision of urethra	0168	31.68	$1,610.67	$536.11	$322.13
53502	T	Repair of urethra injury	0166	13.02	$661.96	$218.73	$132.39
53505	T	Repair of urethra injury	0167	24.18	$1,229.36	$555.84	$245.87
53510	T	Repair of urethra injury	0166	13.02	$661.96	$218.73	$132.39
53515	T	Repair of urethra injury	0168	31.68	$1,610.67	$536.11	$322.13
53520	T	Repair of urethra defect	0168	31.68	$1,610.67	$536.11	$322.13
53600	T	Dilate urethra stricture	0156	2.62	$133.21	$39.96	$26.64
53601	T	Dilate urethra stricture	0164	0.98	$49.83	$14.95	$9.97
53605	T	Dilate urethra stricture	0161	16.45	$836.35	$249.36	$167.27
53620	T	Dilate urethra stricture	0165	5.36	$272.51	$91.76	$54.50
53621	T	Dilate urethra stricture	0164	0.98	$49.83	$14.95	$9.97
53660	T	Dilation of urethra	0164	0.98	$49.83	$14.95	$9.97
53661	T	Dilation of urethra	0164	0.98	$49.83	$14.95	$9.97
53665	T	Dilation of urethra	0166	13.02	$661.96	$218.73	$132.39
53670	N	Insert urinary catheter
53675	T	Insert urinary catheter	0156	2.62	$133.21	$39.96	$26.64
53850	T	Prostatic microwave thermotx	0982	52.06	$2,646.83		$529.37
53852	T	Prostatic rf thermotx	0982	52.06	$2,646.83		$529.37
53899	T	Urology surgery procedure	0165	5.36	$272.51	$91.76	$54.50
54000	T	Slitting of prepuce	0166	13.02	$661.96	$218.73	$132.39
54001	T	Slitting of prepuce	0166	13.02	$661.96	$218.73	$132.39
54015	T	Drain penis lesion	0008	11.36	$577.57	$115.51	$115.51
54050	T	Destruction, penis lesion(s)	0013	1.51	$76.77	$17.66	$15.35
54055	T	Destruction, penis lesion(s)	0017	10.51	$534.35	$245.80	$106.87
54056	T	Cryosurgery, penis lesion(s)	0012	0.72	$36.61	$9.18	$7.32
54057	T	Laser surg, penis lesion(s)	0017	10.51	$534.35	$245.80	$106.87
54060	T	Excision of penis lesion(s)	0017	10.51	$534.35	$245.80	$106.87
54065	T	Destruction, penis lesion(s)	0695	17.06	$867.36	$398.99	$173.47
54100	T	Biopsy of penis	0020	8.56	$435.21	$130.53	$87.04
54105	T	Biopsy of penis	0021	12.74	$647.73	$236.51	$129.55
54110	T	Treatment of penis lesion	0181	24.07	$1,223.77	$673.07	$244.75
54111	T	Treat penis lesion, graft	0181	24.07	$1,223.77	$673.07	$244.75
54112	T	Treat penis lesion, graft	0181	24.07	$1,223.77	$673.07	$244.75
54115	T	Treatment of penis lesion	0008	11.36	$577.57	$115.51	$115.51
54120	T	Partial removal of penis	0181	24.07	$1,223.77	$673.07	$244.75
54125	C	Removal of penis
54130	C	Remove penis & nodes
54135	C	Remove penis & nodes
54150	T	Circumcision	0180	16.29	$828.22	$304.87	$165.64
54152	T	Circumcision	0180	16.29	$828.22	$304.87	$165.64
54160	T	Circumcision	0180	16.29	$828.22	$304.87	$165.64
54161	T	Circumcision	0180	16.29	$828.22	$304.87	$165.64
54200	T	Treatment of penis lesion	0156	2.62	$133.21	$39.96	$26.64
54205	T	Treatment of penis lesion	0181	24.07	$1,223.77	$673.07	$244.75
54220	T	Treatment of penis lesion	0156	2.62	$133.21	$39.96	$26.64
54230	N	Prepare penis study
54231	T	Dynamic cavernosometry	0165	5.36	$272.51	$91.76	$54.50
54235	T	Penile injection	0164	0.98	$49.83	$14.95	$9.97
54240	T	Penis study	0164	0.98	$49.83	$14.95	$9.97
54250	T	Penis study	0165	5.36	$272.51	$91.76	$54.50
54300	T	Revision of penis	0181	24.07	$1,223.77	$673.07	$244.75
54304	T	Revision of penis	0181	24.07	$1,223.77	$673.07	$244.75
54308	T	Reconstruction of urethra	0181	24.07	$1,223.77	$673.07	$244.75
54312	T	Reconstruction of urethra	0181	24.07	$1,223.77	$673.07	$244.75
54316	T	Reconstruction of urethra	0181	24.07	$1,223.77	$673.07	$244.75
54318	T	Reconstruction of urethra	0181	24.07	$1,223.77	$673.07	$244.75
54322	T	Reconstruction of urethra	0181	24.07	$1,223.77	$673.07	$244.75
54324	T	Reconstruction of urethra	0181	24.07	$1,223.77	$673.07	$244.75
54326	T	Reconstruction of urethra	0181	24.07	$1,223.77	$673.07	$244.75
54328	T	Revise penis/urethra	0181	24.07	$1,223.77	$673.07	$244.75
54332	C	Revise penis/urethra
54336	C	Revise penis/urethra
54340	T	Secondary urethral surgery	0181	24.07	$1,223.77	$673.07	$244.75
54344	T	Secondary urethral surgery	0181	24.07	$1,223.77	$673.07	$244.75
54348	T	Secondary urethral surgery	0181	24.07	$1,223.77	$673.07	$244.75
54352	T	Reconstruct urethra/penis	0181	24.07	$1,223.77	$673.07	$244.75
54360	T	Penis plastic surgery	0181	24.07	$1,223.77	$673.07	$244.75
54380	T	Repair penis	0181	24.07	$1,223.77	$673.07	$244.75
54385	T	Repair penis	0181	24.07	$1,223.77	$673.07	$244.75
54390	C	Repair penis and bladder
54400	T	Insert semi-rigid prosthesis	0182	85.94	$4,369.36	$1,492.28	$873.87
54401	T	Insert self-contd prosthesis	0182	85.94	$4,369.36	$1,492.28	$873.87
54402	T	Remove penis prosthesis	0185	57.17	$2,906.64	$906.36	$581.33
54405	T	Insert multi-comp prosthesis	0182	85.94	$4,369.36	$1,492.28	$873.87
54407	T	Remove multi-comp prosthesis	0185	57.17	$2,906.64	$906.36	$581.33
54409	T	Revise penis prosthesis	0185	57.17	$2,906.64	$906.36	$581.33
54420	T	Revision of penis	0181	24.07	$1,223.77	$673.07	$244.75
54430	C	Revision of penis
54435	T	Revision of penis	0181	24.07	$1,223.77	$673.07	$244.75
54440	T	Repair of penis	0181	24.07	$1,223.77	$673.07	$244.75
54450	T	Preputial stretching	0156	2.62	$133.21	$39.96	$26.64
54500	T	Biopsy of testis	0005	6.71	$341.15	$119.75	$68.23
54505	T	Biopsy of testis	0183	20.37	$1,035.65	$448.94	$207.13
54510	T	Removal of testis lesion	0183	20.37	$1,035.65	$448.94	$207.13
54512	T	Excise lesion testis	0183	20.37	$1,035.65	$448.94	$207.13
54520	T	Removal of testis	0183	20.37	$1,035.65	$448.94	$207.13
54522	T	Orchiectomy, partial	0183	20.37	$1,035.65	$448.94	$207.13
54530	T	Removal of testis	0154	24.09	$1,224.78	$556.98	$244.96
54535	C	Extensive testis surgery
54550	T	Exploration for testis	0154	24.09	$1,224.78	$556.98	$244.96
54560	C	Exploration for testis
54600	T	Reduce testis torsion	0183	20.37	$1,035.65	$448.94	$207.13
54620	T	Suspension of testis	0183	20.37	$1,035.65	$448.94	$207.13
54640	T	Suspension of testis	0154	24.09	$1,224.78	$556.98	$244.96
54650	C	Orchiopexy (Fowler-Stephens)
54660	T	Revision of testis	0183	20.37	$1,035.65	$448.94	$207.13
54670	T	Repair testis injury	0183	20.37	$1,035.65	$448.94	$207.13
54680	T	Relocation of testis(es)	0183	20.37	$1,035.65	$448.94	$207.13
54690	T	Laparoscopy, orchiectomy	0131	39.80	$2,023.51	$1,052.23	$404.70
54692	T	Laparoscopy, orchiopexy	0132	60.31	$3,066.28	$1,239.22	$613.26
54699	T	Laparoscope proc, testis	0130	27.92	$1,419.51	$659.53	$283.90
54700	T	Drainage of scrotum	0183	20.37	$1,035.65	$448.94	$207.13
54800	T	Biopsy of epididymis	0004	3.00	$152.53	$32.57	$30.51
54820	T	Exploration of epididymis	0183	20.37	$1,035.65	$448.94	$207.13
54830	T	Remove epididymis lesion	0183	20.37	$1,035.65	$448.94	$207.13
54840	T	Remove epididymis lesion	0183	20.37	$1,035.65	$448.94	$207.13
54860	T	Removal of epididymis	0183	20.37	$1,035.65	$448.94	$207.13
54861	T	Removal of epididymis	0183	20.37	$1,035.65	$448.94	$207.13
54900	T	Fusion of spermatic ducts	0183	20.37	$1,035.65	$448.94	$207.13
54901	T	Fusion of spermatic ducts	0183	20.37	$1,035.65	$448.94	$207.13
55000	T	Drainage of hydrocele	0004	3.00	$152.53	$32.57	$30.51
55040	T	Removal of hydrocele	0154	24.09	$1,224.78	$556.98	$244.96
55041	T	Removal of hydroceles	0154	24.09	$1,224.78	$556.98	$244.96
55060	T	Repair of hydrocele	0183	20.37	$1,035.65	$448.94	$207.13
55100	T	Drainage of scrotum abscess	0007	7.28	$370.13	$74.03	$74.03
55110	T	Explore scrotum	0183	20.37	$1,035.65	$448.94	$207.13
55120	T	Removal of scrotum lesion	0183	20.37	$1,035.65	$448.94	$207.13
55150	T	Removal of scrotum	0183	20.37	$1,035.65	$448.94	$207.13
55175	T	Revision of scrotum	0183	20.37	$1,035.65	$448.94	$207.13
55180	T	Revision of scrotum	0183	20.37	$1,035.65	$448.94	$207.13
55200	T	Incision of sperm duct	0183	20.37	$1,035.65	$448.94	$207.13
55250	T	Removal of sperm duct(s)	0183	20.37	$1,035.65	$448.94	$207.13
55300	N	Prepare, sperm duct x-ray
55400	T	Repair of sperm duct	0183	20.37	$1,035.65	$448.94	$207.13
55450	T	Ligation of sperm duct	0183	20.37	$1,035.65	$448.94	$207.13
55500	T	Removal of hydrocele	0183	20.37	$1,035.65	$448.94	$207.13
55520	T	Removal of sperm cord lesion	0183	20.37	$1,035.65	$448.94	$207.13
55530	T	Revise spermatic cord veins	0183	20.37	$1,035.65	$448.94	$207.13
55535	T	Revise spermatic cord veins	0154	24.09	$1,224.78	$556.98	$244.96
55540	T	Revise hernia & sperm veins	0154	24.09	$1,224.78	$556.98	$244.96
55550	T	Laparo ligate spermatic vein	0131	39.80	$2,023.51	$1,052.23	$404.70
55559	T	Laparo proc, spermatic cord	0130	27.92	$1,419.51	$659.53	$283.90
55600	C	Incise sperm duct pouch
55605	C	Incise sperm duct pouch
55650	C	Remove sperm duct pouch
55680	T	Remove sperm pouch lesion	0183	20.37	$1,035.65	$448.94	$207.13
55700	T	Biopsy of prostate	0184	5.23	$265.90	$122.96	$53.18
55705	T	Biopsy of prostate	0184	5.23	$265.90	$122.96	$53.18
55720	T	Drainage of prostate abscess	0162	19.86	$1,009.72	$427.49	$201.94
55725	T	Drainage of prostate abscess	0162	19.86	$1,009.72	$427.49	$201.94
55801	C	Removal of prostate
55810	C	Extensive prostate surgery
55812	C	Extensive prostate surgery
55815	C	Extensive prostate surgery
55821	C	Removal of prostate
55831	C	Removal of prostate
55840	C	Extensive prostate surgery
55842	C	Extensive prostate surgery
55845	C	Extensive prostate surgery
55859	T	Percut/needle insert, pros	0163	30.27	$1,538.99	$792.58	$307.80
55860	T	Surgical exposure, prostate	0165	5.36	$272.51	$91.76	$54.50
55862	C	Extensive prostate surgery
55865	C	Extensive prostate surgery
55870	T	Electroejaculation	0197	2.58	$131.17	$49.55	$26.23
55873	T	Cryoablate prostate	0163	30.27	$1,538.99	$792.58	$307.80
55899	T	Genital surgery procedure	0164	0.98	$49.83	$14.95	$9.97
55970	E	Sex transformation, M to F
55980	E	Sex transformation, F to M
56405	T	I & D of vulva/perineum	0192	2.73	$138.80	$35.33	$27.76
56420	T	Drainage of gland abscess	0192	2.73	$138.80	$35.33	$27.76
56440	T	Surgery for vulva lesion	0194	17.18	$873.47	$395.94	$174.69
56441	T	Lysis of labial lesion(s)	0193	12.17	$618.75	$171.13	$123.75
56501	T	Destruction, vulva lesion(s)	0017	10.51	$534.35	$245.80	$106.87
56515	T	Destruction, vulva lesion(s)	0695	17.06	$867.36	$398.99	$173.47
56605	T	Biopsy of vulva/perineum	0019	4.56	$231.84	$78.91	$46.37
56606	T	Biopsy of vulva/perineum	0019	4.56	$231.84	$78.91	$46.37
56620	T	Partial removal of vulva	0195	22.22	$1,129.71	$483.80	$225.94
56625	T	Complete removal of vulva	0195	22.22	$1,129.71	$483.80	$225.94
56630	C	Extensive vulva surgery
56631	C	Extensive vulva surgery
56632	C	Extensive vulva surgery
56633	C	Extensive vulva surgery
56634	C	Extensive vulva surgery
56637	C	Extensive vulva surgery
56640	C	Extensive vulva surgery
56700	T	Partial removal of hymen	0194	17.18	$873.47	$395.94	$174.69
56720	T	Incision of hymen	0193	12.17	$618.75	$171.13	$123.75
56740	T	Remove vagina gland lesion	0194	17.18	$873.47	$395.94	$174.69
56800	T	Repair of vagina	0194	17.18	$873.47	$395.94	$174.69
56805	T	Repair clitoris	0194	17.18	$873.47	$395.94	$174.69
56810	T	Repair of perineum	0194	17.18	$873.47	$395.94	$174.69
57000	T	Exploration of vagina	0194	17.18	$873.47	$395.94	$174.69
57010	T	Drainage of pelvic abscess	0194	17.18	$873.47	$395.94	$174.69
57020	T	Drainage of pelvic fluid	0193	12.17	$618.75	$171.13	$123.75
57022	T	I &d vaginal hematoma, ob	0007	7.28	$370.13	$74.03	$74.03
57023	T	I &d vag hematoma, trauma	0007	7.28	$370.13	$74.03	$74.03
57061	T	Destruction vagina lesion(s)	0194	17.18	$873.47	$395.94	$174.69
57065	T	Destruction vagina lesion(s)	0194	17.18	$873.47	$395.94	$174.69
57100	T	Biopsy of vagina	0193	12.17	$618.75	$171.13	$123.75
57105	T	Biopsy of vagina	0194	17.18	$873.47	$395.94	$174.69
57106	T	Remove vagina wall, partial	0194	17.18	$873.47	$395.94	$174.69
57107	T	Remove vagina tissue, part	0195	22.22	$1,129.71	$483.80	$225.94
57109	T	Vaginectomy partial w/nodes	0202	39.56	$2,011.31	$864.86	$402.26
57110	C	Remove vagina wall, complete
57111	C	Remove vagina tissue, compl
57112	C	Vaginectomy w/nodes, compl
57120	T	Closure of vagina	0194	17.18	$873.47	$395.94	$174.69
57130	T	Remove vagina lesion	0194	17.18	$873.47	$395.94	$174.69
57135	T	Remove vagina lesion	0194	17.18	$873.47	$395.94	$174.69
57150	T	Treat vagina infection	0191	0.27	$13.73	$3.98	$2.75
57160	T	Insert pessary/other device	0188	0.83	$42.20	$12.24	$8.44
57170	T	Fitting of diaphragm/cap	0191	0.27	$13.73	$3.98	$2.75
57180	T	Treat vaginal bleeding	0192	2.73	$138.80	$35.33	$27.76
57200	T	Repair of vagina	0194	17.18	$873.47	$395.94	$174.69
57210	T	Repair vagina/perineum	0194	17.18	$873.47	$395.94	$174.69
57220	T	Revision of urethra	0195	22.22	$1,129.71	$483.80	$225.94
57230	T	Repair of urethral lesion	0194	17.18	$873.47	$395.94	$174.69
57240	T	Repair bladder & vagina	0195	22.22	$1,129.71	$483.80	$225.94
57250	T	Repair rectum & vagina	0195	22.22	$1,129.71	$483.80	$225.94
57260	T	Repair of vagina	0195	22.22	$1,129.71	$483.80	$225.94
57265	T	Extensive repair of vagina	0195	22.22	$1,129.71	$483.80	$225.94
57268	T	Repair of bowel bulge	0195	22.22	$1,129.71	$483.80	$225.94
57270	C	Repair of bowel pouch
57280	C	Suspension of vagina
57282	C	Repair of vaginal prolapse
57284	T	Repair paravaginal defect	0195	22.22	$1,129.71	$483.80	$225.94
57287	T	Revise/remove sling repair	0202	39.56	$2,011.31	$864.86	$402.26
57288	T	Repair bladder defect	0202	39.56	$2,011.31	$864.86	$402.26
57289	T	Repair bladder & vagina	0195	22.22	$1,129.71	$483.80	$225.94
57291	T	Construction of vagina	0195	22.22	$1,129.71	$483.80	$225.94
57292	C	Construct vagina with graft
57300	T	Repair rectum-vagina fistula	0195	22.22	$1,129.71	$483.80	$225.94
57305	C	Repair rectum-vagina fistula
57307	C	Fistula repair & colostomy
57308	C	Fistula repair, transperine
57310	T	Repair urethrovaginal lesion	0195	22.22	$1,129.71	$483.80	$225.94
57311	C	Repair urethrovaginal lesion
57320	T	Repair bladder-vagina lesion	0195	22.22	$1,129.71	$483.80	$225.94
57330	T	Repair bladder-vagina lesion	0195	22.22	$1,129.71	$483.80	$225.94
57335	C	Repair vagina
57400	T	Dilation of vagina	0194	17.18	$873.47	$395.94	$174.69
57410	T	Pelvic examination	0194	17.18	$873.47	$395.94	$174.69
57415	T	Remove vaginal foreign body	0194	17.18	$873.47	$395.94	$174.69
57452	T	Examination of vagina	0189	1.38	$70.16	$17.54	$14.03
57454	T	Vagina examination & biopsy	0192	2.73	$138.80	$35.33	$27.76
57460	T	Cervix excision	0193	12.17	$618.75	$171.13	$123.75
57500	T	Biopsy of cervix	0192	2.73	$138.80	$35.33	$27.76
57505	T	Endocervical curettage	0192	2.73	$138.80	$35.33	$27.76
57510	T	Cauterization of cervix	0193	12.17	$618.75	$171.13	$123.75
57511	T	Cryocautery of cervix	0189	1.38	$70.16	$17.54	$14.03
57513	T	Laser surgery of cervix	0193	12.17	$618.75	$171.13	$123.75
57520	T	Conization of cervix	0194	17.18	$873.47	$395.94	$174.69
57522	T	Conization of cervix	0195	22.22	$1,129.71	$483.80	$225.94
57530	T	Removal of cervix	0195	22.22	$1,129.71	$483.80	$225.94
57531	C	Removal of cervix, radical
57540	C	Removal of residual cervix
57545	C	Remove cervix/repair pelvis
57550	T	Removal of residual cervix	0195	22.22	$1,129.71	$483.80	$225.94
57555	T	Remove cervix/repair vagina	0195	22.22	$1,129.71	$483.80	$225.94
57556	T	Remove cervix, repair bowel	0195	22.22	$1,129.71	$483.80	$225.94
57700	T	Revision of cervix	0194	17.18	$873.47	$395.94	$174.69
57720	T	Revision of cervix	0194	17.18	$873.47	$395.94	$174.69
57800	T	Dilation of cervical canal	0192	2.73	$138.80	$35.33	$27.76
57820	T	D & c of residual cervix	0196	14.62	$743.31	$357.98	$148.66
58100	T	Biopsy of uterus lining	0188	0.83	$42.20	$12.24	$8.44
58120	T	Dilation and curettage	0196	14.62	$743.31	$357.98	$148.66
58140	C	Removal of uterus lesion
58145	T	Removal of uterus lesion	0195	22.22	$1,129.71	$483.80	$225.94
58150	C	Total hysterectomy
58152	C	Total hysterectomy
58180	C	Partial hysterectomy
58200	C	Extensive hysterectomy
58210	C	Extensive hysterectomy
58240	C	Removal of pelvis contents
58260	C	Vaginal hysterectomy
58262	C	Vaginal hysterectomy
58263	C	Vaginal hysterectomy
58267	C	Hysterectomy & vagina repair
58270	C	Hysterectomy & vagina repair
58275	C	Hysterectomy/revise vagina
58280	C	Hysterectomy/revise vagina
58285	C	Extensive hysterectomy
58300	E	Insert intrauterine device
58301	T	Remove intrauterine device	0189	1.38	$70.16	$17.54	$14.03
58321	T	Artificial insemination	0197	2.58	$131.17	$49.55	$26.23
58322	T	Artificial insemination	0197	2.58	$131.17	$49.55	$26.23
58323	T	Sperm washing	0197	2.58	$131.17	$49.55	$26.23
58340	N	Catheter for hysterography
58345	T	Reopen fallopian tube	0194	17.18	$873.47	$395.94	$174.69
58350	T	Reopen fallopian tube	0194	17.18	$873.47	$395.94	$174.69
58353	T	Endometr ablate, thermal	0193	12.17	$618.75	$171.13	$123.75
58400	C	Suspension of uterus
58410	C	Suspension of uterus
58520	C	Repair of ruptured uterus
58540	C	Revision of uterus
58550	T	Laparo-asst vag hysterectomy	0132	60.31	$3,066.28	$1,239.22	$613.26
58551	T	Laparoscopy, remove myoma	0131	39.80	$2,023.51	$1,052.23	$404.70
58555	T	Hysteroscopy, dx, sep proc	0194	17.18	$873.47	$395.94	$174.69
58558	T	Hysteroscopy, biopsy	0190	18.27	$928.88	$443.89	$185.78
58559	T	Hysteroscopy, lysis	0190	18.27	$928.88	$443.89	$185.78
58560	T	Hysteroscopy, resect septum	0190	18.27	$928.88	$443.89	$185.78
58561	T	Hysteroscopy, remove myoma	0190	18.27	$928.88	$443.89	$185.78
58562	T	Hysteroscopy, remove fb	0190	18.27	$928.88	$443.89	$185.78
58563	T	Hysteroscopy, ablation	0190	18.27	$928.88	$443.89	$185.78
58578	T	Laparo proc, uterus	0190	18.27	$928.88	$443.89	$185.78
58579	T	Hysteroscope procedure	0190	18.27	$928.88	$443.89	$185.78
58600	T	Division of fallopian tube	0194	17.18	$873.47	$395.94	$174.69
58605	C	Division of fallopian tube
58611	C	Ligate oviduct(s) add-on
58615	T	Occlude fallopian tube(s)	0194	17.18	$873.47	$395.94	$174.69
58660	T	Laparoscopy, lysis	0131	39.80	$2,023.51	$1,052.23	$404.70
58661	T	Laparoscopy, remove adnexa	0131	39.80	$2,023.51	$1,052.23	$404.70
58662	T	Laparoscopy, excise lesions	0131	39.80	$2,023.51	$1,052.23	$404.70
58670	T	Laparoscopy, tubal cautery	0131	39.80	$2,023.51	$1,052.23	$404.70
58671	T	Laparoscopy, tubal block	0131	39.80	$2,023.51	$1,052.23	$404.70
58672	T	Laparoscopy, fimbrioplasty	0131	39.80	$2,023.51	$1,052.23	$404.70
58673	T	Laparoscopy, salpingostomy	0131	39.80	$2,023.51	$1,052.23	$404.70
58679	T	Laparo proc, oviduct-ovary	0130	27.92	$1,419.51	$659.53	$283.90
58700	C	Removal of fallopian tube
58720	C	Removal of ovary/tube(s)
58740	C	Revise fallopian tube(s)
58750	C	Repair oviduct
58752	C	Revise ovarian tube(s)
58760	C	Remove tubal obstruction
58770	C	Create new tubal opening
58800	T	Drainage of ovarian cyst(s)	0195	22.22	$1,129.71	$483.80	$225.94
58805	C	Drainage of ovarian cyst(s)
58820	T	Drain ovary abscess, open	0195	22.22	$1,129.71	$483.80	$225.94
58822	C	Drain ovary abscess, percut
58823	C	Drain pelvic abscess, percut
58825	C	Transposition, ovary(s)
58900	T	Biopsy of ovary(s)	0195	22.22	$1,129.71	$483.80	$225.94
58920	T	Partial removal of ovary(s)	0202	39.56	$2,011.31	$864.86	$402.26
58925	T	Removal of ovarian cyst(s)	0202	39.56	$2,011.31	$864.86	$402.26
58940	C	Removal of ovary(s)
58943	C	Removal of ovary(s)
58950	C	Resect ovarian malignancy
58951	C	Resect ovarian malignancy
58952	C	Resect ovarian malignancy
58960	C	Exploration of abdomen
58970	T	Retrieval of oocyte	0194	17.18	$873.47	$395.94	$174.69
58974	T	Transfer of embryo	0197	2.58	$131.17	$49.55	$26.23
58976	T	Transfer of embryo	0197	2.58	$131.17	$49.55	$26.23
58999	T	Genital surgery procedure	0019	4.56	$231.84	$78.91	$46.37
59000	T	Amniocentesis	0198	1.42	$72.20	$33.03	$14.44
59012	T	Fetal cord puncture,prenatal	0198	1.42	$72.20	$33.03	$14.44
59015	T	Chorion biopsy	0198	1.42	$72.20	$33.03	$14.44
59020	T	Fetal contract stress test	0198	1.42	$72.20	$33.03	$14.44
59025	T	Fetal non-stress test	0198	1.42	$72.20	$33.03	$14.44
59030	T	Fetal scalp blood sample	0198	1.42	$72.20	$33.03	$14.44
59050	T	Fetal monitor w/report	0198	1.42	$72.20	$33.03	$14.44
59051	E	Fetal monitor/interpret only
59100	C	Remove uterus lesion
59120	C	Treat ectopic pregnancy
59121	C	Treat ectopic pregnancy
59130	C	Treat ectopic pregnancy
59135	C	Treat ectopic pregnancy
59136	C	Treat ectopic pregnancy
59140	C	Treat ectopic pregnancy
59150	T	Treat ectopic pregnancy	0131	39.80	$2,023.51	$1,052.23	$404.70
59151	T	Treat ectopic pregnancy	0131	39.80	$2,023.51	$1,052.23	$404.70
59160	T	D & c after delivery	0196	14.62	$743.31	$357.98	$148.66
59200	T	Insert cervical dilator	0189	1.38	$70.16	$17.54	$14.03
59300	T	Episiotomy or vaginal repair	0193	12.17	$618.75	$171.13	$123.75
59320	T	Revision of cervix	0194	17.18	$873.47	$395.94	$174.69
59325	C	Revision of cervix
59350	C	Repair of uterus
59400	E	Obstetrical care
59409	T	Obstetrical care	0199	4.20	$213.54	$59.79	$42.71
59410	E	Obstetrical care
59412	T	Antepartum manipulation	0199	4.20	$213.54	$59.79	$42.71
59414	T	Deliver placenta	0199	4.20	$213.54	$59.79	$42.71
59425	E	Antepartum care only
59426	E	Antepartum care only
59430	E	Care after delivery
59510	E	Cesarean delivery
59514	C	Cesarean delivery only
59515	E	Cesarean delivery
59525	C	Remove uterus after cesarean
59610	E	Vbac delivery
59612	T	Vbac delivery only	0199	4.20	$213.54	$59.79	$42.71
59614	E	Vbac care after delivery
59618	E	Attempted vbac delivery
59620	C	Attempted vbac delivery only
59622	E	Attempted vbac after care
59812	T	Treatment of miscarriage	0201	14.89	$757.04	$329.65	$151.41
59820	T	Care of miscarriage	0201	14.89	$757.04	$329.65	$151.41
59821	T	Treatment of miscarriage	0201	14.89	$757.04	$329.65	$151.41
59830	C	Treat uterus infection
59840	T	Abortion	0200	13.74	$698.57	$373.23	$139.71
59841	T	Abortion	0200	13.74	$698.57	$373.23	$139.71
59850	C	Abortion
59851	C	Abortion
59852	C	Abortion
59855	C	Abortion
59856	C	Abortion
59857	C	Abortion
59866	T	Abortion (mpr)	0198	1.42	$72.20	$33.03	$14.44
59870	T	Evacuate mole of uterus	0201	14.89	$757.04	$329.65	$151.41
59871	T	Remove cerclage suture	0194	17.18	$873.47	$395.94	$174.69
59898	T	Laparo proc, ob care/deliver	0130	27.92	$1,419.51	$659.53	$283.90
59899	T	Maternity care procedure	0198	1.42	$72.20	$33.03	$14.44
60000	T	Drain thyroid/tongue cyst	0252	6.53	$332.00	$114.24	$66.40
60001	T	Aspirate/inject thyriod cyst	0004	3.00	$152.53	$32.57	$30.51
60100	T	Biopsy of thyroid	0004	3.00	$152.53	$32.57	$30.51
60200	T	Remove thyroid lesion	0114	30.50	$1,550.68	$493.78	$310.14
60210	T	Partial thyroid excision	0114	30.50	$1,550.68	$493.78	$310.14
60212	T	Parital thyroid excision	0114	30.50	$1,550.68	$493.78	$310.14
60220	T	Partial removal of thyroid	0114	30.50	$1,550.68	$493.78	$310.14
60225	T	Partial removal of thyroid	0114	30.50	$1,550.68	$493.78	$310.14
60240	T	Removal of thyroid	0114	30.50	$1,550.68	$493.78	$310.14
60252	T	Removal of thyroid	0256	28.82	$1,465.27	$623.05	$293.05
60254	C	Extensive thyroid surgery
60260	T	Repeat thyroid surgery	0256	28.82	$1,465.27	$623.05	$293.05
60270	C	Removal of thyroid
60271	C	Removal of thyroid
60280	T	Remove thyroid duct lesion	0114	30.50	$1,550.68	$493.78	$310.14
60281	T	Remove thyroid duct lesion	0114	30.50	$1,550.68	$493.78	$310.14
60500	T	Explore parathyroid glands	0256	28.82	$1,465.27	$623.05	$293.05
60502	C	Re-explore parathyroids
60505	C	Explore parathyroid glands
60512	T	Autotransplant parathyroid	0021	12.74	$647.73	$236.51	$129.55
60520	C	Removal of thymus gland
60521	C	Removal of thymus gland
60522	C	Removal of thymus gland
60540	C	Explore adrenal gland
60545	C	Explore adrenal gland
60600	C	Remove carotid body lesion
60605	C	Remove carotid body lesion
60650	C	Laparoscopy adrenalectomy
60659	T	Laparo proc, endocrine	0130	27.92	$1,419.51	$659.53	$283.90
60699	T	Endocrine surgery procedure	0004	3.00	$152.53	$32.57	$30.51
61000	T	Remove cranial cavity fluid	0212	4.17	$212.01	$88.78	$42.40
61001	T	Remove cranial cavity fluid	0212	4.17	$212.01	$88.78	$42.40
61020	T	Remove brain cavity fluid	0212	4.17	$212.01	$88.78	$42.40
61026	T	Injection into brain canal	0212	4.17	$212.01	$88.78	$42.40
61050	T	Remove brain canal fluid	0212	4.17	$212.01	$88.78	$42.40
61055	T	Injection into brain canal	0212	4.17	$212.01	$88.78	$42.40
61070	T	Brain canal shunt procedure	0212	4.17	$212.01	$88.78	$42.40
61105	C	Twist drill hole
61107	C	Drill skull for implantation
61108	C	Drill skull for drainage
61120	C	Burr hole for puncture
61140	C	Pierce skull for biopsy
61150	C	Pierce skull for drainage
61151	C	Pierce skull for drainage
61154	C	Pierce skull & remove clot
61156	C	Pierce skull for drainage
61210	C	Pierce skull, implant device
61215	T	Insert brain-fluid device	0224	29.95	$1,522.72	$453.41	$304.54
61250	C	Pierce skull & explore
61253	C	Pierce skull & explore
61304	C	Open skull for exploration
61305	C	Open skull for exploration
61312	C	Open skull for drainage
61313	C	Open skull for drainage
61314	C	Open skull for drainage
61315	C	Open skull for drainage
61320	C	Open skull for drainage
61321	C	Open skull for drainage
61330	T	Decompress eye socket	0256	28.82	$1,465.27	$623.05	$293.05
61332	C	Explore/biopsy eye socket
61333	C	Explore orbit/remove lesion
61334	C	Explore orbit/remove object
61340	C	Relieve cranial pressure
61343	C	Incise skull (press relief)
61345	C	Relieve cranial pressure
61440	C	Incise skull for surgery
61450	C	Incise skull for surgery
61458	C	Incise skull for brain wound
61460	C	Incise skull for surgery
61470	C	Incise skull for surgery
61480	C	Incise skull for surgery
61490	C	Incise skull for surgery
61500	C	Removal of skull lesion
61501	C	Remove infected skull bone
61510	C	Removal of brain lesion
61512	C	Remove brain lining lesion
61514	C	Removal of brain abscess
61516	C	Removal of brain lesion
61518	C	Removal of brain lesion
61519	C	Remove brain lining lesion
61520	C	Removal of brain lesion
61521	C	Removal of brain lesion
61522	C	Removal of brain abscess
61524	C	Removal of brain lesion
61526	C	Removal of brain lesion
61530	C	Removal of brain lesion
61531	C	Implant brain electrodes
61533	C	Implant brain electrodes
61534	C	Removal of brain lesion
61535	C	Remove brain electrodes
61536	C	Removal of brain lesion
61538	C	Removal of brain tissue
61539	C	Removal of brain tissue
61541	C	Incision of brain tissue
61542	C	Removal of brain tissue
61543	C	Removal of brain tissue
61544	C	Remove & treat brain lesion
61545	C	Excision of brain tumor
61546	C	Removal of pituitary gland
61548	C	Removal of pituitary gland
61550	C	Release of skull seams
61552	C	Release of skull seams
61556	C	Incise skull/sutures
61557	C	Incise skull/sutures
61558	C	Excision of skull/sutures
61559	C	Excision of skull/sutures
61563	C	Excision of skull tumor
61564	C	Excision of skull tumor
61570	C	Remove foreign body, brain
61571	C	Incise skull for brain wound
61575	C	Skull base/brainstem surgery
61576	C	Skull base/brainstem surgery
61580	C	Craniofacial approach, skull
61581	C	Craniofacial approach, skull
61582	C	Craniofacial approach, skull
61583	C	Craniofacial approach, skull
61584	C	Orbitocranial approach/skull
61585	C	Orbitocranial approach/skull
61586	C	Resect nasopharynx, skull
61590	C	Infratemporal approach/skull
61591	C	Infratemporal approach/skull
61592	C	Orbitocranial approach/skull
61595	C	Transtemporal approach/skull
61596	C	Transcochlear approach/skull
61597	C	Transcondylar approach/skull
61598	C	Transpetrosal approach/skull
61600	C	Resect/excise cranial lesion
61601	C	Resect/excise cranial lesion
61605	C	Resect/excise cranial lesion
61606	C	Resect/excise cranial lesion
61607	C	Resect/excise cranial lesion
61608	C	Resect/excise cranial lesion
61609	C	Transect artery, sinus
61610	C	Transect artery, sinus
61611	C	Transect artery, sinus
61612	C	Transect artery, sinus
61613	C	Remove aneurysm, sinus
61615	C	Resect/excise lesion, skull
61616	C	Resect/excise lesion, skull
61618	C	Repair dura
61619	C	Repair dura
61624	C	Occlusion/embolization cath
61626	C	Occlusion/embolization cath
61680	C	Intracranial vessel surgery
61682	C	Intracranial vessel surgery
61684	C	Intracranial vessel surgery
61686	C	Intracranial vessel surgery
61690	C	Intracranial vessel surgery
61692	C	Intracranial vessel surgery
61697	C	Brain aneurysm repr, complx
61698	C	Brain aneurysm repr, complx
61700	C	Brain aneurysm repr , simple
61702	C	Inner skull vessel surgery
61703	C	Clamp neck artery
61705	C	Revise circulation to head
61708	C	Revise circulation to head
61710	C	Revise circulation to head
61711	C	Fusion of skull arteries
61720	C	Incise skull/brain surgery
61735	C	Incise skull/brain surgery
61750	C	Incise skull/brain biopsy
61751	C	Brain biopsy w/ ct/mr guide
61760	C	Implant brain electrodes
61770	C	Incise skull for treatment
61790	T	Treat trigeminal nerve	0220	14.76	$750.43	$326.21	$150.09
61791	C	Treat trigeminal tract
61793	S	Focus radiation beam	0302	11.96	$608.07	$216.55	$121.61
61795	S	Brain surgery using computer	0302	11.96	$608.07	$216.55	$121.61
61850	C	Implant neuroelectrodes
61860	C	Implant neuroelectrodes
61862	C	Implant neurostimul, subcort
61870	C	Implant neuroelectrodes
61875	C	Implant neuroelectrodes
61880	T	Revise/remove neuroelectrode	0105	16.56	$841.94	$372.32	$168.39
61885	T	Implant neurostim one array	0222	112.50	$5,719.73	$2,688.27	$1,143.95
61886	T	Implant neurostim arrays	0222	112.50	$5,719.73	$2,688.27	$1,143.95
61888	T	Revise/remove neuroreceiver	0105	16.56	$841.94	$372.32	$168.39
62000	C	Treat skull fracture
62005	C	Treat skull fracture
62010	C	Treatment of head injury
62100	C	Repair brain fluid leakage
62115	C	Reduction of skull defect
62116	C	Reduction of skull defect
62117	C	Reduction of skull defect
62120	C	Repair skull cavity lesion
62121	C	Incise skull repair
62140	C	Repair of skull defect
62141	C	Repair of skull defect
62142	C	Remove skull plate/flap
62143	C	Replace skull plate/flap
62145	C	Repair of skull & brain
62146	C	Repair of skull with graft
62147	C	Repair of skull with graft
62180	C	Establish brain cavity shunt
62190	C	Establish brain cavity shunt
62192	C	Establish brain cavity shunt
62194	T	Replace/irrigate catheter	0121	2.42	$123.04	$52.53	$24.61
62200	C	Establish brain cavity shunt
62201	C	Establish brain cavity shunt
62220	C	Establish brain cavity shunt
62223	C	Establish brain cavity shunt
62225	T	Replace/irrigate catheter	0121	2.42	$123.04	$52.53	$24.61
62230	T	Replace/revise brain shunt	0224	29.95	$1,522.72	$453.41	$304.54
62252	S	Csf shunt reprogram	0691	3.36	$170.83	$93.96	$34.17
62256	C	Remove brain cavity shunt
62258	C	Replace brain cavity shunt
62263	T	Lysis epidural adhesions	0203	7.62	$387.42	$166.59	$77.48
62268	T	Drain spinal cord cyst	0212	4.17	$212.01	$88.78	$42.40
62269	T	Needle biopsy, spinal cord	0005	6.71	$341.15	$119.75	$68.23
62270	T	Spinal fluid tap, diagnostic	0206	3.88	$197.27	$82.85	$39.45
62272	T	Drain spinal fluid	0206	3.88	$197.27	$82.85	$39.45
62273	T	Treat epidural spine lesion	0206	3.88	$197.27	$82.85	$39.45
62280	T	Treat spinal cord lesion	0207	4.13	$209.98	$94.49	$42.00
62281	T	Treat spinal cord lesion	0207	4.13	$209.98	$94.49	$42.00
62282	T	Treat spinal canal lesion	0207	4.13	$209.98	$94.49	$42.00
62284	N	Injection for myelogram
62287	T	Percutaneous diskectomy	0220	14.76	$750.43	$326.21	$150.09
62290	N	Inject for spine disk x-ray
62291	N	Inject for spine disk x-ray
62292	T	Injection into disk lesion	0212	4.17	$212.01	$88.78	$42.40
62294	T	Injection into spinal artery	0212	4.17	$212.01	$88.78	$42.40
62310	T	Inject spine c/t	0206	3.88	$197.27	$82.85	$39.45
62311	T	Inject spine l/s (cd)	0206	3.88	$197.27	$82.85	$39.45
62318	T	Inject spine w/cath, c/t	0206	3.88	$197.27	$82.85	$39.45
62319	T	Inject spine w/cath l/s (cd)	0206	3.88	$197.27	$82.85	$39.45
62350	T	Implant spinal canal cath	0223	8.87	$450.97	$154.27	$90.19
62351	C	Implant spinal canal cath
62355	T	Remove spinal canal catheter	0105	16.56	$841.94	$372.32	$168.39
62360	T	Insert spine infusion device	0226	8.91	$453.00	$109.42	$90.60
62361	T	Implant spine infusion pump	0227	94.89	$4,824.40	$964.88	$964.88
62362	T	Implant spine infusion pump	0227	94.89	$4,824.40	$964.88	$964.88
62365	T	Remove spine infusion device	0105	16.56	$841.94	$372.32	$168.39
62367	S	Analyze spine infusion pump	0691	3.36	$170.83	$93.96	$34.17
62368	S	Analyze spine infusion pump	0691	3.36	$170.83	$93.96	$34.17
63001	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63003	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63005	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63011	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63012	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63015	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63016	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63017	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63020	T	Neck spine disk surgery	0208	30.93	$1,572.54	$314.51	$314.51
63030	T	Low back disk surgery	0208	30.93	$1,572.54	$314.51	$314.51
63035	T	Spinal disk surgery add-on	0208	30.93	$1,572.54	$314.51	$314.51
63040	T	Laminotomy, single cervical	0208	30.93	$1,572.54	$314.51	$314.51
63042	T	Laminotomy, single lumbar	0208	30.93	$1,572.54	$314.51	$314.51
63043	C	Laminotomy, addl cervical
63044	C	Laminotomy, addl lumbar
63045	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63046	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63047	T	Removal of spinal lamina	0208	30.93	$1,572.54	$314.51	$314.51
63048	T	Remove spinal lamina add-on	0208	30.93	$1,572.54	$314.51	$314.51
63055	T	Decompress spinal cord	0208	30.93	$1,572.54	$314.51	$314.51
63056	T	Decompress spinal cord	0208	30.93	$1,572.54	$314.51	$314.51
63057	T	Decompress spine cord add-on	0208	30.93	$1,572.54	$314.51	$314.51
63064	T	Decompress spinal cord	0208	30.93	$1,572.54	$314.51	$314.51
63066	T	Decompress spine cord add-on	0208	30.93	$1,572.54	$314.51	$314.51
63075	C	Neck spine disk surgery
63076	C	Neck spine disk surgery
63077	C	Spine disk surgery, thorax
63078	C	Spine disk surgery, thorax
63081	C	Removal of vertebral body
63082	C	Remove vertebral body add-on
63085	C	Removal of vertebral body
63086	C	Remove vertebral body add-on
63087	C	Removal of vertebral body
63088	C	Remove vertebral body add-on
63090	C	Removal of vertebral body
63091	C	Remove vertebral body add-on
63170	C	Incise spinal cord tract(s)
63172	C	Drainage of spinal cyst
63173	C	Drainage of spinal cyst
63180	C	Revise spinal cord ligaments
63182	C	Revise spinal cord ligaments
63185	C	Incise spinal column/nerves
63190	C	Incise spinal column/nerves
63191	C	Incise spinal column/nerves
63194	C	Incise spinal column & cord
63195	C	Incise spinal column & cord
63196	C	Incise spinal column & cord
63197	C	Incise spinal column & cord
63198	C	Incise spinal column & cord
63199	C	Incise spinal column & cord
63200	C	Release of spinal cord
63250	C	Revise spinal cord vessels
63251	C	Revise spinal cord vessels
63252	C	Revise spinal cord vessels
63265	C	Excise intraspinal lesion
63266	C	Excise intraspinal lesion
63267	C	Excise intraspinal lesion
63268	C	Excise intraspinal lesion
63270	C	Excise intraspinal lesion
63271	C	Excise intraspinal lesion
63272	C	Excise intraspinal lesion
63273	C	Excise intraspinal lesion
63275	C	Biopsy/excise spinal tumor
63276	C	Biopsy/excise spinal tumor
63277	C	Biopsy/excise spinal tumor
63278	C	Biopsy/excise spinal tumor
63280	C	Biopsy/excise spinal tumor
63281	C	Biopsy/excise spinal tumor
63282	C	Biopsy/excise spinal tumor
63283	C	Biopsy/excise spinal tumor
63285	C	Biopsy/excise spinal tumor
63286	C	Biopsy/excise spinal tumor
63287	C	Biopsy/excise spinal tumor
63290	C	Biopsy/excise spinal tumor
63300	C	Removal of vertebral body
63301	C	Removal of vertebral body
63302	C	Removal of vertebral body
63303	C	Removal of vertebral body
63304	C	Removal of vertebral body
63305	C	Removal of vertebral body
63306	C	Removal of vertebral body
63307	C	Removal of vertebral body
63308	C	Remove vertebral body add-on
63600	T	Remove spinal cord lesion	0220	14.76	$750.43	$326.21	$150.09
63610	T	Stimulation of spinal cord	0220	14.76	$750.43	$326.21	$150.09
63615	T	Remove lesion of spinal cord	0220	14.76	$750.43	$326.21	$150.09
63650	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
63655	C	Implant neuroelectrodes
63660	T	Revise/remove neuroelectrode	0105	16.56	$841.94	$372.32	$168.39
63685	T	Implant neuroreceiver	0222	112.50	$5,719.73	$2,688.27	$1,143.95
63688	T	Revise/remove neuroreceiver	0105	16.56	$841.94	$372.32	$168.39
63700	C	Repair of spinal herniation
63702	C	Repair of spinal herniation
63704	C	Repair of spinal herniation
63706	C	Repair of spinal herniation
63707	C	Repair spinal fluid leakage
63709	C	Repair spinal fluid leakage
63710	C	Graft repair of spine defect
63740	C	Install spinal shunt
63741	T	Install spinal shunt	0228	47.98	$2,439.40	$696.46	$487.88
63744	T	Revision of spinal shunt	0228	47.98	$2,439.40	$696.46	$487.88
63746	T	Removal of spinal shunt	0109	6.57	$334.03	$133.51	$66.81
64400	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64402	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64405	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64408	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64410	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64412	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64413	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64415	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64417	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64418	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64420	T	Injection for nerve block	0207	4.13	$209.98	$94.49	$42.00
64421	T	Injection for nerve block	0207	4.13	$209.98	$94.49	$42.00
64425	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64430	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64435	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64445	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64450	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64470	T	Inj paravertebral c/t	0207	4.13	$209.98	$94.49	$42.00
64472	T	Inj paravertebral c/t add-on	0207	4.13	$209.98	$94.49	$42.00
64475	T	Inj paravertebral l/s	0207	4.13	$209.98	$94.49	$42.00
64476	T	Inj paravertebral l/s add-on	0207	4.13	$209.98	$94.49	$42.00
64479	T	Inj foramen epidural c/t	0207	4.13	$209.98	$94.49	$42.00
64480	T	Inj foramen epidural add-on	0207	4.13	$209.98	$94.49	$42.00
64483	T	Inj foramen epidural l/s	0207	4.13	$209.98	$94.49	$42.00
64484	T	Inj foramen epidural add-on	0207	4.13	$209.98	$94.49	$42.00
64505	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64508	T	Injection for nerve block	0204	2.44	$124.05	$47.14	$24.81
64510	T	Injection for nerve block	0207	4.13	$209.98	$94.49	$42.00
64520	T	Injection for nerve block	0207	4.13	$209.98	$94.49	$42.00
64530	T	Injection for nerve block	0207	4.13	$209.98	$94.49	$42.00
64550	A	Apply neurostimulator
64553	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64555	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64560	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64565	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64573	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64575	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64577	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64580	T	Implant neuroelectrodes	0225	33.75	$1,715.92	$408.33	$343.18
64585	T	Revise/remove neuroelectrode	0105	16.56	$841.94	$372.32	$168.39
64590	T	Implant neuroreceiver	0222	112.50	$5,719.73	$2,688.27	$1,143.95
64595	T	Revise/remove neuroreceiver	0105	16.56	$841.94	$372.32	$168.39
64600	T	Injection treatment of nerve	0203	7.62	$387.42	$166.59	$77.48
64605	T	Injection treatment of nerve	0203	7.62	$387.42	$166.59	$77.48
64610	T	Injection treatment of nerve	0203	7.62	$387.42	$166.59	$77.48
64612	T	Destroy nerve, face muscle	0204	2.44	$124.05	$47.14	$24.81
64613	T	Destroy nerve, spine muscle	0204	2.44	$124.05	$47.14	$24.81
64614	T	Destroy nerve, extrem musc	0206	3.88	$197.27	$82.85	$39.45
64620	T	Injection treatment of nerve	0203	7.62	$387.42	$166.59	$77.48
64622	T	Destr paravertebrl nerve l/s	0203	7.62	$387.42	$166.59	$77.48
64623	T	Destr paravertebral n add-on	0203	7.62	$387.42	$166.59	$77.48
64626	T	Destr paravertebrl nerve c/t	0203	7.62	$387.42	$166.59	$77.48
64627	T	Destr paravertebral n add-on	0203	7.62	$387.42	$166.59	$77.48
64630	T	Injection treatment of nerve	0207	4.13	$209.98	$94.49	$42.00
64640	T	Injection treatment of nerve	0207	4.13	$209.98	$94.49	$42.00
64680	T	Injection treatment of nerve	0203	7.62	$387.42	$166.59	$77.48
64702	T	Revise finger/toe nerve	0220	14.76	$750.43	$326.21	$150.09
64704	T	Revise hand/foot nerve	0220	14.76	$750.43	$326.21	$150.09
64708	T	Revise arm/leg nerve	0220	14.76	$750.43	$326.21	$150.09
64712	T	Revision of sciatic nerve	0220	14.76	$750.43	$326.21	$150.09
64713	T	Revision of arm nerve(s)	0220	14.76	$750.43	$326.21	$150.09
64714	T	Revise low back nerve(s)	0220	14.76	$750.43	$326.21	$150.09
64716	T	Revision of cranial nerve	0220	14.76	$750.43	$326.21	$150.09
64718	T	Revise ulnar nerve at elbow	0220	14.76	$750.43	$326.21	$150.09
64719	T	Revise ulnar nerve at wrist	0220	14.76	$750.43	$326.21	$150.09
64721	T	Carpal tunnel surgery	0220	14.76	$750.43	$326.21	$150.09
64722	T	Relieve pressure on nerve(s)	0220	14.76	$750.43	$326.21	$150.09
64726	T	Release foot/toe nerve	0220	14.76	$750.43	$326.21	$150.09
64727	T	Internal nerve revision	0220	14.76	$750.43	$326.21	$150.09
64732	T	Incision of brow nerve	0220	14.76	$750.43	$326.21	$150.09
64734	T	Incision of cheek nerve	0220	14.76	$750.43	$326.21	$150.09
64736	T	Incision of chin nerve	0220	14.76	$750.43	$326.21	$150.09
64738	T	Incision of jaw nerve	0220	14.76	$750.43	$326.21	$150.09
64740	T	Incision of tongue nerve	0220	14.76	$750.43	$326.21	$150.09
64742	T	Incision of facial nerve	0220	14.76	$750.43	$326.21	$150.09
64744	T	Incise nerve, back of head	0220	14.76	$750.43	$326.21	$150.09
64746	T	Incise diaphragm nerve	0220	14.76	$750.43	$326.21	$150.09
64752	C	Incision of vagus nerve
64755	C	Incision of stomach nerves
64760	C	Incision of vagus nerve
64761	T	Incision of pelvis nerve	0220	14.76	$750.43	$326.21	$150.09
64763	C	Incise hip/thigh nerve
64766	C	Incise hip/thigh nerve
64771	T	Sever cranial nerve	0220	14.76	$750.43	$326.21	$150.09
64772	T	Incision of spinal nerve	0220	14.76	$750.43	$326.21	$150.09
64774	T	Remove skin nerve lesion	0220	14.76	$750.43	$326.21	$150.09
64776	T	Remove digit nerve lesion	0220	14.76	$750.43	$326.21	$150.09
64778	T	Digit nerve surgery add-on	0220	14.76	$750.43	$326.21	$150.09
64782	T	Remove limb nerve lesion	0220	14.76	$750.43	$326.21	$150.09
64783	T	Limb nerve surgery add-on	0220	14.76	$750.43	$326.21	$150.09
64784	T	Remove nerve lesion	0220	14.76	$750.43	$326.21	$150.09
64786	T	Remove sciatic nerve lesion	0221	22.68	$1,153.10	$463.62	$230.62
64787	T	Implant nerve end	0220	14.76	$750.43	$326.21	$150.09
64788	T	Remove skin nerve lesion	0220	14.76	$750.43	$326.21	$150.09
64790	T	Removal of nerve lesion	0220	14.76	$750.43	$326.21	$150.09
64792	T	Removal of nerve lesion	0221	22.68	$1,153.10	$463.62	$230.62
64795	T	Biopsy of nerve	0220	14.76	$750.43	$326.21	$150.09
64802	C	Remove sympathetic nerves
64804	C	Remove sympathetic nerves
64809	C	Remove sympathetic nerves
64818	C	Remove sympathetic nerves
64820	C	Remove sympathetic nerves
64831	T	Repair of digit nerve	0221	22.68	$1,153.10	$463.62	$230.62
64832	T	Repair nerve add-on	0221	22.68	$1,153.10	$463.62	$230.62
64834	T	Repair of hand or foot nerve	0221	22.68	$1,153.10	$463.62	$230.62
64835	T	Repair of hand or foot nerve	0221	22.68	$1,153.10	$463.62	$230.62
64836	T	Repair of hand or foot nerve	0221	22.68	$1,153.10	$463.62	$230.62
64837	T	Repair nerve add-on	0221	22.68	$1,153.10	$463.62	$230.62
64840	T	Repair of leg nerve	0221	22.68	$1,153.10	$463.62	$230.62
64856	T	Repair/transpose nerve	0221	22.68	$1,153.10	$463.62	$230.62
64857	T	Repair arm/leg nerve	0221	22.68	$1,153.10	$463.62	$230.62
64858	T	Repair sciatic nerve	0221	22.68	$1,153.10	$463.62	$230.62
64859	T	Nerve surgery	0221	22.68	$1,153.10	$463.62	$230.62
64861	T	Repair of arm nerves	0221	22.68	$1,153.10	$463.62	$230.62
64862	T	Repair of low back nerves	0221	22.68	$1,153.10	$463.62	$230.62
64864	T	Repair of facial nerve	0221	22.68	$1,153.10	$463.62	$230.62
64865	T	Repair of facial nerve	0221	22.68	$1,153.10	$463.62	$230.62
64866	C	Fusion of facial/other nerve
64868	C	Fusion of facial/other nerve
64870	T	Fusion of facial/other nerve	0221	22.68	$1,153.10	$463.62	$230.62
64872	T	Subsequent repair of nerve	0221	22.68	$1,153.10	$463.62	$230.62
64874	T	Repair & revise nerve add-on	0221	22.68	$1,153.10	$463.62	$230.62
64876	T	Repair nerve/shorten bone	0221	22.68	$1,153.10	$463.62	$230.62
64885	T	Nerve graft, head or neck	0221	22.68	$1,153.10	$463.62	$230.62
64886	T	Nerve graft, head or neck	0221	22.68	$1,153.10	$463.62	$230.62
64890	T	Nerve graft, hand or foot	0221	22.68	$1,153.10	$463.62	$230.62
64891	T	Nerve graft, hand or foot	0221	22.68	$1,153.10	$463.62	$230.62
64892	T	Nerve graft, arm or leg	0221	22.68	$1,153.10	$463.62	$230.62
64893	T	Nerve graft, arm or leg	0221	22.68	$1,153.10	$463.62	$230.62
64895	T	Nerve graft, hand or foot	0221	22.68	$1,153.10	$463.62	$230.62
64896	T	Nerve graft, hand or foot	0221	22.68	$1,153.10	$463.62	$230.62
64897	T	Nerve graft, arm or leg	0221	22.68	$1,153.10	$463.62	$230.62
64898	T	Nerve graft, arm or leg	0221	22.68	$1,153.10	$463.62	$230.62
64901	T	Nerve graft add-on	0221	22.68	$1,153.10	$463.62	$230.62
64902	T	Nerve graft add-on	0221	22.68	$1,153.10	$463.62	$230.62
64905	T	Nerve pedicle transfer	0221	22.68	$1,153.10	$463.62	$230.62
64907	T	Nerve pedicle transfer	0221	22.68	$1,153.10	$463.62	$230.62
64999	T	Nervous system surgery	0204	2.44	$124.05	$47.14	$24.81
65091	T	Revise eye	0242	25.31	$1,286.81	$597.36	$257.36
65093	T	Revise eye with implant	0241	19.20	$976.17	$384.47	$195.23
65101	T	Removal of eye	0242	25.31	$1,286.81	$597.36	$257.36
65103	T	Remove eye/insert implant	0242	25.31	$1,286.81	$597.36	$257.36
65105	T	Remove eye/attach implant	0242	25.31	$1,286.81	$597.36	$257.36
65110	T	Removal of eye	0242	25.31	$1,286.81	$597.36	$257.36
65112	T	Remove eye/revise socket	0242	25.31	$1,286.81	$597.36	$257.36
65114	T	Remove eye/revise socket	0242	25.31	$1,286.81	$597.36	$257.36
65125	T	Revise ocular implant	0240	14.86	$755.51	$315.31	$151.10
65130	T	Insert ocular implant	0241	19.20	$976.17	$384.47	$195.23
65135	T	Insert ocular implant	0241	19.20	$976.17	$384.47	$195.23
65140	T	Attach ocular implant	0242	25.31	$1,286.81	$597.36	$257.36
65150	T	Revise ocular implant	0241	19.20	$976.17	$384.47	$195.23
65155	T	Reinsert ocular implant	0242	25.31	$1,286.81	$597.36	$257.36
65175	T	Removal of ocular implant	0240	14.86	$755.51	$315.31	$151.10
65205	S	Remove foreign body from eye	0231	2.27	$115.41	$51.94	$23.08
65210	S	Remove foreign body from eye	0231	2.27	$115.41	$51.94	$23.08
65220	S	Remove foreign body from eye	0231	2.27	$115.41	$51.94	$23.08
65222	S	Remove foreign body from eye	0231	2.27	$115.41	$51.94	$23.08
65235	T	Remove foreign body from eye	0233	11.78	$598.92	$287.48	$119.78
65260	T	Remove foreign body from eye	0237	33.56	$1,706.26	$852.68	$341.25
65265	T	Remove foreign body from eye	0236	17.75	$902.45	$180.49	$180.49
65270	T	Repair of eye wound	0240	14.86	$755.51	$315.31	$151.10
65272	T	Repair of eye wound	0233	11.78	$598.92	$287.48	$119.78
65273	C	Repair of eye wound
65275	T	Repair of eye wound	0233	11.78	$598.92	$287.48	$119.78
65280	T	Repair of eye wound	0234	20.56	$1,045.31	$502.16	$209.06
65285	T	Repair of eye wound	0234	20.56	$1,045.31	$502.16	$209.06
65286	T	Repair of eye wound	0233	11.78	$598.92	$287.48	$119.78
65290	T	Repair of eye socket wound	0243	19.22	$977.18	$431.39	$195.44
65400	T	Removal of eye lesion	0233	11.78	$598.92	$287.48	$119.78
65410	T	Biopsy of cornea	0233	11.78	$598.92	$287.48	$119.78
65420	T	Removal of eye lesion	0233	11.78	$598.92	$287.48	$119.78
65426	T	Removal of eye lesion	0234	20.56	$1,045.31	$502.16	$209.06
65430	S	Corneal smear	0230	0.64	$32.54	$14.97	$6.51
65435	T	Curette/treat cornea	0239	6.25	$317.76	$123.42	$63.55
65436	T	Curette/treat cornea	0233	11.78	$598.92	$287.48	$119.78
65450	T	Treatment of corneal lesion	0232	3.69	$187.61	$82.55	$37.52
65600	T	Revision of cornea	0240	14.86	$755.51	$315.31	$151.10
65710	T	Corneal transplant	0244	41.43	$2,106.38	$851.42	$421.28
65730	T	Corneal transplant	0244	41.43	$2,106.38	$851.42	$421.28
65750	T	Corneal transplant	0244	41.43	$2,106.38	$851.42	$421.28
65755	T	Corneal transplant	0244	41.43	$2,106.38	$851.42	$421.28
65760	E	Revision of cornea
65765	E	Revision of cornea
65767	E	Corneal tissue transplant
65770	T	Revise cornea with implant	0244	41.43	$2,106.38	$851.42	$421.28
65771	E	Radial keratotomy
65772	T	Correction of astigmatism	0233	11.78	$598.92	$287.48	$119.78
65775	T	Correction of astigmatism	0233	11.78	$598.92	$287.48	$119.78
65800	T	Drainage of eye	0233	11.78	$598.92	$287.48	$119.78
65805	T	Drainage of eye	0233	11.78	$598.92	$287.48	$119.78
65810	T	Drainage of eye	0233	11.78	$598.92	$287.48	$119.78
65815	T	Drainage of eye	0234	20.56	$1,045.31	$502.16	$209.06
65820	T	Relieve inner eye pressure	0232	3.69	$187.61	$82.55	$37.52
65850	T	Incision of eye	0234	20.56	$1,045.31	$502.16	$209.06
65855	T	Laser surgery of eye	0247	4.73	$240.48	$110.62	$48.10
65860	T	Incise inner eye adhesions	0247	4.73	$240.48	$110.62	$48.10
65865	T	Incise inner eye adhesions	0233	11.78	$598.92	$287.48	$119.78
65870	T	Incise inner eye adhesions	0234	20.56	$1,045.31	$502.16	$209.06
65875	T	Incise inner eye adhesions	0234	20.56	$1,045.31	$502.16	$209.06
65880	T	Incise inner eye adhesions	0233	11.78	$598.92	$287.48	$119.78
65900	T	Remove eye lesion	0233	11.78	$598.92	$287.48	$119.78
65920	T	Remove implant from eye	0233	11.78	$598.92	$287.48	$119.78
65930	T	Remove blood clot from eye	0234	20.56	$1,045.31	$502.16	$209.06
66020	T	Injection treatment of eye	0233	11.78	$598.92	$287.48	$119.78
66030	T	Injection treatment of eye	0233	11.78	$598.92	$287.48	$119.78
66130	T	Remove eye lesion	0234	20.56	$1,045.31	$502.16	$209.06
66150	T	Glaucoma surgery	0233	11.78	$598.92	$287.48	$119.78
66155	T	Glaucoma surgery	0234	20.56	$1,045.31	$502.16	$209.06
66160	T	Glaucoma surgery	0234	20.56	$1,045.31	$502.16	$209.06
66165	T	Glaucoma surgery	0234	20.56	$1,045.31	$502.16	$209.06
66170	T	Glaucoma surgery	0234	20.56	$1,045.31	$502.16	$209.06
66172	T	Incision of eye	0234	20.56	$1,045.31	$502.16	$209.06
66180	T	Implant eye shunt	0234	20.56	$1,045.31	$502.16	$209.06
66185	T	Revise eye shunt	0234	20.56	$1,045.31	$502.16	$209.06
66220	T	Repair eye lesion	0236	17.75	$902.45	$180.49	$180.49
66225	T	Repair/graft eye lesion	0234	20.56	$1,045.31	$502.16	$209.06
66250	T	Follow-up surgery of eye	0233	11.78	$598.92	$287.48	$119.78
66500	T	Incision of iris	0232	3.69	$187.61	$82.55	$37.52
66505	T	Incision of iris	0232	3.69	$187.61	$82.55	$37.52
66600	T	Remove iris and lesion	0233	11.78	$598.92	$287.48	$119.78
66605	T	Removal of iris	0234	20.56	$1,045.31	$502.16	$209.06
66625	T	Removal of iris	0233	11.78	$598.92	$287.48	$119.78
66630	T	Removal of iris	0233	11.78	$598.92	$287.48	$119.78
66635	T	Removal of iris	0234	20.56	$1,045.31	$502.16	$209.06
66680	T	Repair iris & ciliary body	0234	20.56	$1,045.31	$502.16	$209.06
66682	T	Repair iris & ciliary body	0234	20.56	$1,045.31	$502.16	$209.06
66700	T	Destruction, ciliary body	0233	11.78	$598.92	$287.48	$119.78
66710	T	Destruction, ciliary body	0233	11.78	$598.92	$287.48	$119.78
66720	T	Destruction, ciliary body	0233	11.78	$598.92	$287.48	$119.78
66740	T	Destruction, ciliary body	0233	11.78	$598.92	$287.48	$119.78
66761	T	Revision of iris	0247	4.73	$240.48	$110.62	$48.10
66762	T	Revision of iris	0247	4.73	$240.48	$110.62	$48.10
66770	T	Removal of inner eye lesion	0247	4.73	$240.48	$110.62	$48.10
66820	T	Incision, secondary cataract	0232	3.69	$187.61	$82.55	$37.52
66821	T	After cataract laser surgery	0247	4.73	$240.48	$110.62	$48.10
66825	T	Reposition intraocular lens	0234	20.56	$1,045.31	$502.16	$209.06
66830	T	Removal of lens lesion	0232	3.69	$187.61	$82.55	$37.52
66840	T	Removal of lens material	0245	10.75	$546.55	$256.88	$109.31
66850	T	Removal of lens material	0249	23.51	$1,195.30	$561.79	$239.06
66852	T	Removal of lens material	0249	23.51	$1,195.30	$561.79	$239.06
66920	T	Extraction of lens	0249	23.51	$1,195.30	$561.79	$239.06
66930	T	Extraction of lens	0249	23.51	$1,195.30	$561.79	$239.06
66940	T	Extraction of lens	0245	10.75	$546.55	$256.88	$109.31
66982	T	Cataract surgery, complex	0246	22.36	$1,136.83	$534.31	$227.37
66983	T	Cataract surg w/iol, 1 stage	0246	22.36	$1,136.83	$534.31	$227.37
66984	T	Cataract surg w/iol, i stage	0246	22.36	$1,136.83	$534.31	$227.37
66985	T	Insert lens prosthesis	0246	22.36	$1,136.83	$534.31	$227.37
66986	T	Exchange lens prosthesis	0246	22.36	$1,136.83	$534.31	$227.37
66999	T	Eye surgery procedure	0247	4.73	$240.48	$110.62	$48.10
67005	T	Partial removal of eye fluid	0237	33.56	$1,706.26	$852.68	$341.25
67010	T	Partial removal of eye fluid	0237	33.56	$1,706.26	$852.68	$341.25
67015	T	Release of eye fluid	0237	33.56	$1,706.26	$852.68	$341.25
67025	T	Replace eye fluid	0236	17.75	$902.45	$180.49	$180.49
67027	T	Implant eye drug system	0237	33.56	$1,706.26	$852.68	$341.25
67028	T	Injection eye drug	0235	5.39	$274.04	$78.91	$54.81
67030	T	Incise inner eye strands	0236	17.75	$902.45	$180.49	$180.49
67031	T	Laser surgery, eye strands	0247	4.73	$240.48	$110.62	$48.10
67036	T	Removal of inner eye fluid	0237	33.56	$1,706.26	$852.68	$341.25
67038	T	Strip retinal membrane	0237	33.56	$1,706.26	$852.68	$341.25
67039	T	Laser treatment of retina	0237	33.56	$1,706.26	$852.68	$341.25
67040	T	Laser treatment of retina	0237	33.56	$1,706.26	$852.68	$341.25
67101	T	Repair detached retina	0235	5.39	$274.04	$78.91	$54.81
67105	T	Repair detached retina	0248	4.15	$210.99	$94.05	$42.20
67107	T	Repair detached retina	0237	33.56	$1,706.26	$852.68	$341.25
67108	T	Repair detached retina	0237	33.56	$1,706.26	$852.68	$341.25
67110	T	Repair detached retina	0235	5.39	$274.04	$78.91	$54.81
67112	T	Rerepair detached retina	0237	33.56	$1,706.26	$852.68	$341.25
67115	T	Release encircling material	0236	17.75	$902.45	$180.49	$180.49
67120	T	Remove eye implant material	0236	17.75	$902.45	$180.49	$180.49
67121	T	Remove eye implant material	0237	33.56	$1,706.26	$852.68	$341.25
67141	T	Treatment of retina	0235	5.39	$274.04	$78.91	$54.81
67145	T	Treatment of retina	0248	4.15	$210.99	$94.05	$42.20
67208	S	Treatment of retinal lesion	0231	2.27	$115.41	$51.94	$23.08
67210	T	Treatment of retinal lesion	0248	4.15	$210.99	$94.05	$42.20
67218	T	Treatment of retinal lesion	0237	33.56	$1,706.26	$852.68	$341.25
67220	T	Treatment of choroid lesion	0235	5.39	$274.04	$78.91	$54.81
67221	T	Ocular photodynamic ther	0235	5.39	$274.04	$78.91	$54.81
67227	T	Treatment of retinal lesion	0235	5.39	$274.04	$78.91	$54.81
67228	T	Treatment of retinal lesion	0248	4.15	$210.99	$94.05	$42.20
67250	T	Reinforce eye wall	0240	14.86	$755.51	$315.31	$151.10
67255	T	Reinforce/graft eye wall	0237	33.56	$1,706.26	$852.68	$341.25
67299	T	Eye surgery procedure	0248	4.15	$210.99	$94.05	$42.20
67311	T	Revise eye muscle	0243	19.22	$977.18	$431.39	$195.44
67312	T	Revise two eye muscles	0243	19.22	$977.18	$431.39	$195.44
67314	T	Revise eye muscle	0243	19.22	$977.18	$431.39	$195.44
67316	T	Revise two eye muscles	0243	19.22	$977.18	$431.39	$195.44
67318	T	Revise eye muscle(s)	0243	19.22	$977.18	$431.39	$195.44
67320	T	Revise eye muscle(s) add-on	0243	19.22	$977.18	$431.39	$195.44
67331	T	Eye surgery follow-up add-on	0243	19.22	$977.18	$431.39	$195.44
67332	T	Rerevise eye muscles add-on	0243	19.22	$977.18	$431.39	$195.44
67334	T	Revise eye muscle w/suture	0243	19.22	$977.18	$431.39	$195.44
67335	T	Eye suture during surgery	0243	19.22	$977.18	$431.39	$195.44
67340	T	Revise eye muscle add-on	0243	19.22	$977.18	$431.39	$195.44
67343	T	Release eye tissue	0243	19.22	$977.18	$431.39	$195.44
67345	T	Destroy nerve of eye muscle	0238	2.84	$144.39	$58.96	$28.88
67350	T	Biopsy eye muscle	0699	6.91	$351.32	$158.09	$70.26
67399	T	Eye muscle surgery procedure	0243	19.22	$977.18	$431.39	$195.44
67400	T	Explore/biopsy eye socket	0241	19.20	$976.17	$384.47	$195.23
67405	T	Explore/drain eye socket	0241	19.20	$976.17	$384.47	$195.23
67412	T	Explore/treat eye socket	0241	19.20	$976.17	$384.47	$195.23
67413	T	Explore/treat eye socket	0241	19.20	$976.17	$384.47	$195.23
67414	T	Explr/decompress eye socket	0242	25.31	$1,286.81	$597.36	$257.36
67415	T	Aspiration, orbital contents	0239	6.25	$317.76	$123.42	$63.55
67420	T	Explore/treat eye socket	0242	25.31	$1,286.81	$597.36	$257.36
67430	T	Explore/treat eye socket	0242	25.31	$1,286.81	$597.36	$257.36
67440	T	Explore/drain eye socket	0242	25.31	$1,286.81	$597.36	$257.36
67445	T	Explr/decompress eye socket	0242	25.31	$1,286.81	$597.36	$257.36
67450	T	Explore/biopsy eye socket	0242	25.31	$1,286.81	$597.36	$257.36
67500	S	Inject/treat eye socket	0231	2.27	$115.41	$51.94	$23.08
67505	T	Inject/treat eye socket	0238	2.84	$144.39	$58.96	$28.88
67515	T	Inject/treat eye socket	0239	6.25	$317.76	$123.42	$63.55
67550	T	Insert eye socket implant	0242	25.31	$1,286.81	$597.36	$257.36
67560	T	Revise eye socket implant	0241	19.20	$976.17	$384.47	$195.23
67570	T	Decompress optic nerve	0242	25.31	$1,286.81	$597.36	$257.36
67599	T	Orbit surgery procedure	0239	6.25	$317.76	$123.42	$63.55
67700	T	Drainage of eyelid abscess	0238	2.84	$144.39	$58.96	$28.88
67710	T	Incision of eyelid	0239	6.25	$317.76	$123.42	$63.55
67715	T	Incision of eyelid fold	0240	14.86	$755.51	$315.31	$151.10
67800	T	Remove eyelid lesion	0238	2.84	$144.39	$58.96	$28.88
67801	T	Remove eyelid lesions	0239	6.25	$317.76	$123.42	$63.55
67805	T	Remove eyelid lesions	0238	2.84	$144.39	$58.96	$28.88
67808	T	Remove eyelid lesion(s)	0240	14.86	$755.51	$315.31	$151.10
67810	T	Biopsy of eyelid	0238	2.84	$144.39	$58.96	$28.88
67820	T	Revise eyelashes	0238	2.84	$144.39	$58.96	$28.88
67825	T	Revise eyelashes	0238	2.84	$144.39	$58.96	$28.88
67830	T	Revise eyelashes	0239	6.25	$317.76	$123.42	$63.55
67835	T	Revise eyelashes	0240	14.86	$755.51	$315.31	$151.10
67840	T	Remove eyelid lesion	0239	6.25	$317.76	$123.42	$63.55
67850	T	Treat eyelid lesion	0239	6.25	$317.76	$123.42	$63.55
67875	T	Closure of eyelid by suture	0239	6.25	$317.76	$123.42	$63.55
67880	T	Revision of eyelid	0233	11.78	$598.92	$287.48	$119.78
67882	T	Revision of eyelid	0240	14.86	$755.51	$315.31	$151.10
67900	T	Repair brow defect	0240	14.86	$755.51	$315.31	$151.10
67901	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67902	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67903	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67904	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67906	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67908	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67909	T	Revise eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67911	T	Revise eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67914	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67915	T	Repair eyelid defect	0239	6.25	$317.76	$123.42	$63.55
67916	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67917	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67921	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67922	T	Repair eyelid defect	0239	6.25	$317.76	$123.42	$63.55
67923	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67924	T	Repair eyelid defect	0240	14.86	$755.51	$315.31	$151.10
67930	T	Repair eyelid wound	0240	14.86	$755.51	$315.31	$151.10
67935	T	Repair eyelid wound	0240	14.86	$755.51	$315.31	$151.10
67938	T	Remove eyelid foreign body	0238	2.84	$144.39	$58.96	$28.88
67950	T	Revision of eyelid	0240	14.86	$755.51	$315.31	$151.10
67961	T	Revision of eyelid	0240	14.86	$755.51	$315.31	$151.10
67966	T	Revision of eyelid	0240	14.86	$755.51	$315.31	$151.10
67971	T	Reconstruction of eyelid	0241	19.20	$976.17	$384.47	$195.23
67973	T	Reconstruction of eyelid	0241	19.20	$976.17	$384.47	$195.23
67974	T	Reconstruction of eyelid	0241	19.20	$976.17	$384.47	$195.23
67975	T	Reconstruction of eyelid	0240	14.86	$755.51	$315.31	$151.10
67999	T	Revision of eyelid	0240	14.86	$755.51	$315.31	$151.10
68020	T	Incise/drain eyelid lining	0240	14.86	$755.51	$315.31	$151.10
68040	T	Treatment of eyelid lesions	0238	2.84	$144.39	$58.96	$28.88
68100	T	Biopsy of eyelid lining	0233	11.78	$598.92	$287.48	$119.78
68110	T	Remove eyelid lining lesion	0699	6.91	$351.32	$158.09	$70.26
68115	T	Remove eyelid lining lesion	0239	6.25	$317.76	$123.42	$63.55
68130	T	Remove eyelid lining lesion	0233	11.78	$598.92	$287.48	$119.78
68135	T	Remove eyelid lining lesion	0239	6.25	$317.76	$123.42	$63.55
68200	S	Treat eyelid by injection	0230	0.64	$32.54	$14.97	$6.51
68320	T	Revise/graft eyelid lining	0240	14.86	$755.51	$315.31	$151.10
68325	T	Revise/graft eyelid lining	0242	25.31	$1,286.81	$597.36	$257.36
68326	T	Revise/graft eyelid lining	0241	19.20	$976.17	$384.47	$195.23
68328	T	Revise/graft eyelid lining	0241	19.20	$976.17	$384.47	$195.23
68330	T	Revise eyelid lining	0233	11.78	$598.92	$287.48	$119.78
68335	T	Revise/graft eyelid lining	0241	19.20	$976.17	$384.47	$195.23
68340	T	Separate eyelid adhesions	0240	14.86	$755.51	$315.31	$151.10
68360	T	Revise eyelid lining	0234	20.56	$1,045.31	$502.16	$209.06
68362	T	Revise eyelid lining	0234	20.56	$1,045.31	$502.16	$209.06
68399	T	Eyelid lining surgery	0239	6.25	$317.76	$123.42	$63.55
68400	T	Incise/drain tear gland	0238	2.84	$144.39	$58.96	$28.88
68420	T	Incise/drain tear sac	0240	14.86	$755.51	$315.31	$151.10
68440	T	Incise tear duct opening	0238	2.84	$144.39	$58.96	$28.88
68500	T	Removal of tear gland	0241	19.20	$976.17	$384.47	$195.23
68505	T	Partial removal, tear gland	0241	19.20	$976.17	$384.47	$195.23
68510	T	Biopsy of tear gland	0240	14.86	$755.51	$315.31	$151.10
68520	T	Removal of tear sac	0241	19.20	$976.17	$384.47	$195.23
68525	T	Biopsy of tear sac	0240	14.86	$755.51	$315.31	$151.10
68530	T	Clearance of tear duct	0240	14.86	$755.51	$315.31	$151.10
68540	T	Remove tear gland lesion	0241	19.20	$976.17	$384.47	$195.23
68550	T	Remove tear gland lesion	0242	25.31	$1,286.81	$597.36	$257.36
68700	T	Repair tear ducts	0241	19.20	$976.17	$384.47	$195.23
68705	T	Revise tear duct opening	0238	2.84	$144.39	$58.96	$28.88
68720	T	Create tear sac drain	0242	25.31	$1,286.81	$597.36	$257.36
68745	T	Create tear duct drain	0241	19.20	$976.17	$384.47	$195.23
68750	T	Create tear duct drain	0242	25.31	$1,286.81	$597.36	$257.36
68760	T	Close tear duct opening	0238	2.84	$144.39	$58.96	$28.88
68761	S	Close tear duct opening	0231	2.27	$115.41	$51.94	$23.08
68770	T	Close tear system fistula	0240	14.86	$755.51	$315.31	$151.10
68801	S	Dilate tear duct opening	0231	2.27	$115.41	$51.94	$23.08
68810	T	Probe nasolacrimal duct	0699	6.91	$351.32	$158.09	$70.26
68811	T	Probe nasolacrimal duct	0240	14.86	$755.51	$315.31	$151.10
68815	T	Probe nasolacrimal duct	0240	14.86	$755.51	$315.31	$151.10
68840	T	Explore/irrigate tear ducts	0699	6.91	$351.32	$158.09	$70.26
68850	N	Injection for tear sac x-ray
68899	T	Tear duct system surgery	0699	6.91	$351.32	$158.09	$70.26
69000	T	Drain external ear lesion	0006	2.36	$119.99	$33.95	$24.00
69005	T	Drain external ear lesion	0007	7.28	$370.13	$74.03	$74.03
69020	T	Drain outer ear canal lesion	0006	2.36	$119.99	$33.95	$24.00
69090	E	Pierce earlobes
69100	T	Biopsy of external ear	0019	4.56	$231.84	$78.91	$46.37
69105	T	Biopsy of external ear canal	0253	13.27	$674.67	$284.00	$134.93
69110	T	Remove external ear, partial	0020	8.56	$435.21	$130.53	$87.04
69120	T	Removal of external ear	0254	19.11	$971.59	$272.41	$194.32
69140	T	Remove ear canal lesion(s)	0254	19.11	$971.59	$272.41	$194.32
69145	T	Remove ear canal lesion(s)	0020	8.56	$435.21	$130.53	$87.04
69150	C	Extensive ear canal surgery
69155	C	Extensive ear/neck surgery
69200	X	Clear outer ear canal	0340	0.91	$46.27	$11.57	$9.25
69205	T	Clear outer ear canal	0022	15.07	$766.19	$292.94	$153.24
69210	X	Remove impacted ear wax	0340	0.91	$46.27	$11.57	$9.25
69220	T	Clean out mastoid cavity	0012	0.72	$36.61	$9.18	$7.32
69222	T	Clean out mastoid cavity	0253	13.27	$674.67	$284.00	$134.93
69300	T	Revise external ear	0254	19.11	$971.59	$272.41	$194.32
69310	T	Rebuild outer ear canal	0256	28.82	$1,465.27	$623.05	$293.05
69320	T	Rebuild outer ear canal	0256	28.82	$1,465.27	$623.05	$293.05
69399	T	Outer ear surgery procedure	0251	2.71	$137.78	$27.99	$27.56
69400	T	Inflate middle ear canal	0251	2.71	$137.78	$27.99	$27.56
69401	N	Inflate middle ear canal
69405	T	Catheterize middle ear canal	0252	6.53	$332.00	$114.24	$66.40
69410	T	Inset middle ear (baffle)	0252	6.53	$332.00	$114.24	$66.40
69420	T	Incision of eardrum	0251	2.71	$137.78	$27.99	$27.56
69421	T	Incision of eardrum	0253	13.27	$674.67	$284.00	$134.93
69424	T	Remove ventilating tube	0252	6.53	$332.00	$114.24	$66.40
69433	T	Create eardrum opening	0252	6.53	$332.00	$114.24	$66.40
69436	T	Create eardrum opening	0253	13.27	$674.67	$284.00	$134.93
69440	T	Exploration of middle ear	0254	19.11	$971.59	$272.41	$194.32
69450	T	Eardrum revision	0256	28.82	$1,465.27	$623.05	$293.05
69501	T	Mastoidectomy	0256	28.82	$1,465.27	$623.05	$293.05
69502	C	Mastoidectomy
69505	T	Remove mastoid structures	0256	28.82	$1,465.27	$623.05	$293.05
69511	T	Extensive mastoid surgery	0256	28.82	$1,465.27	$623.05	$293.05
69530	T	Extensive mastoid surgery	0256	28.82	$1,465.27	$623.05	$293.05
69535	C	Remove part of temporal bone
69540	T	Remove ear lesion	0253	13.27	$674.67	$284.00	$134.93
69550	T	Remove ear lesion	0256	28.82	$1,465.27	$623.05	$293.05
69552	T	Remove ear lesion	0256	28.82	$1,465.27	$623.05	$293.05
69554	C	Remove ear lesion
69601	T	Mastoid surgery revision	0256	28.82	$1,465.27	$623.05	$293.05
69602	T	Mastoid surgery revision	0256	28.82	$1,465.27	$623.05	$293.05
69603	T	Mastoid surgery revision	0256	28.82	$1,465.27	$623.05	$293.05
69604	T	Mastoid surgery revision	0256	28.82	$1,465.27	$623.05	$293.05
69605	T	Mastoid surgery revision	0256	28.82	$1,465.27	$623.05	$293.05
69610	T	Repair of eardrum	0254	19.11	$971.59	$272.41	$194.32
69620	T	Repair of eardrum	0254	19.11	$971.59	$272.41	$194.32
69631	T	Repair eardrum structures	0256	28.82	$1,465.27	$623.05	$293.05
69632	T	Rebuild eardrum structures	0256	28.82	$1,465.27	$623.05	$293.05
69633	T	Rebuild eardrum structures	0256	28.82	$1,465.27	$623.05	$293.05
69635	T	Repair eardrum structures	0256	28.82	$1,465.27	$623.05	$293.05
69636	T	Rebuild eardrum structures	0256	28.82	$1,465.27	$623.05	$293.05
69637	T	Rebuild eardrum structures	0256	28.82	$1,465.27	$623.05	$293.05
69641	T	Revise middle ear & mastoid	0256	28.82	$1,465.27	$623.05	$293.05
69642	T	Revise middle ear & mastoid	0256	28.82	$1,465.27	$623.05	$293.05
69643	T	Revise middle ear & mastoid	0256	28.82	$1,465.27	$623.05	$293.05
69644	T	Revise middle ear & mastoid	0256	28.82	$1,465.27	$623.05	$293.05
69645	T	Revise middle ear & mastoid	0256	28.82	$1,465.27	$623.05	$293.05
69646	T	Revise middle ear & mastoid	0256	28.82	$1,465.27	$623.05	$293.05
69650	T	Release middle ear bone	0254	19.11	$971.59	$272.41	$194.32
69660	T	Revise middle ear bone	0256	28.82	$1,465.27	$623.05	$293.05
69661	T	Revise middle ear bone	0256	28.82	$1,465.27	$623.05	$293.05
69662	T	Revise middle ear bone	0256	28.82	$1,465.27	$623.05	$293.05
69666	T	Repair middle ear structures	0256	28.82	$1,465.27	$623.05	$293.05
69667	T	Repair middle ear structures	0256	28.82	$1,465.27	$623.05	$293.05
69670	T	Remove mastoid air cells	0256	28.82	$1,465.27	$623.05	$293.05
69676	T	Remove middle ear nerve	0256	28.82	$1,465.27	$623.05	$293.05
69700	T	Close mastoid fistula	0256	28.82	$1,465.27	$623.05	$293.05
69710	E	Implant/replace hearing aid
69711	T	Remove/repair hearing aid	0256	28.82	$1,465.27	$623.05	$293.05
69714	T	Implant temple bone w/stimul	0256	28.82	$1,465.27	$623.05	$293.05
69715	T	Temple bne implnt w/stimulat	0256	28.82	$1,465.27	$623.05	$293.05
69717	T	Temple bone implant revision	0256	28.82	$1,465.27	$623.05	$293.05
69718	T	Revise temple bone implant	0256	28.82	$1,465.27	$623.05	$293.05
69720	T	Release facial nerve	0256	28.82	$1,465.27	$623.05	$293.05
69725	T	Release facial nerve	0256	28.82	$1,465.27	$623.05	$293.05
69740	T	Repair facial nerve	0256	28.82	$1,465.27	$623.05	$293.05
69745	T	Repair facial nerve	0256	28.82	$1,465.27	$623.05	$293.05
69799	T	Middle ear surgery procedure	0253	13.27	$674.67	$284.00	$134.93
69801	T	Incise inner ear	0256	28.82	$1,465.27	$623.05	$293.05
69802	T	Incise inner ear	0256	28.82	$1,465.27	$623.05	$293.05
69805	T	Explore inner ear	0256	28.82	$1,465.27	$623.05	$293.05
69806	T	Explore inner ear	0256	28.82	$1,465.27	$623.05	$293.05
69820	T	Establish inner ear window	0256	28.82	$1,465.27	$623.05	$293.05
69840	T	Revise inner ear window	0256	28.82	$1,465.27	$623.05	$293.05
69905	T	Remove inner ear	0256	28.82	$1,465.27	$623.05	$293.05
69910	T	Remove inner ear & mastoid	0256	28.82	$1,465.27	$623.05	$293.05
69915	T	Incise inner ear nerve	0256	28.82	$1,465.27	$623.05	$293.05
69930	T	Implant cochlear device	0259	306.15	$15,565.28	$6,537.42	$3,113.06
69949	T	Inner ear surgery procedure	0253	13.27	$674.67	$284.00	$134.93
69950	C	Incise inner ear nerve
69955	T	Release facial nerve	0256	28.82	$1,465.27	$623.05	$293.05
69960	T	Release inner ear canal	0256	28.82	$1,465.27	$623.05	$293.05
69970	C	Remove inner ear lesion
69979	T	Temporal bone surgery	0251	2.71	$137.78	$27.99	$27.56
69990	N	Microsurgery add-on
70010	S	Contrast x-ray of brain	0274	5.69	$289.29	$128.12	$57.86
70015	S	Contrast x-ray of brain	0274	5.69	$289.29	$128.12	$57.86
70030	X	X-ray eye for foreign body	0260	0.76	$38.64	$21.25	$7.73
70100	X	X-ray exam of jaw	0260	0.76	$38.64	$21.25	$7.73
70110	X	X-ray exam of jaw	0260	0.76	$38.64	$21.25	$7.73
70120	X	X-ray exam of mastoids	0260	0.76	$38.64	$21.25	$7.73
70130	X	X-ray exam of mastoids	0260	0.76	$38.64	$21.25	$7.73
70134	X	X-ray exam of middle ear	0261	1.31	$66.60	$36.63	$13.32
70140	X	X-ray exam of facial bones	0260	0.76	$38.64	$21.25	$7.73
70150	X	X-ray exam of facial bones	0260	0.76	$38.64	$21.25	$7.73
70160	X	X-ray exam of nasal bones	0260	0.76	$38.64	$21.25	$7.73
70170	X	X-ray exam of tear duct	0263	1.74	$88.47	$45.88	$17.69
70190	X	X-ray exam of eye sockets	0260	0.76	$38.64	$21.25	$7.73
70200	X	X-ray exam of eye sockets	0260	0.76	$38.64	$21.25	$7.73
70210	X	X-ray exam of sinuses	0260	0.76	$38.64	$21.25	$7.73
70220	X	X-ray exam of sinuses	0260	0.76	$38.64	$21.25	$7.73
70240	X	X-ray exam, pituitary saddle	0260	0.76	$38.64	$21.25	$7.73
70250	X	X-ray exam of skull	0260	0.76	$38.64	$21.25	$7.73
70260	X	X-ray exam of skull	0261	1.31	$66.60	$36.63	$13.32
70300	X	X-ray exam of teeth	0262	0.66	$33.56	$10.90	$6.71
70310	X	X-ray exam of teeth	0262	0.66	$33.56	$10.90	$6.71
70320	X	Full mouth x-ray of teeth	0262	0.66	$33.56	$10.90	$6.71
70328	X	X-ray exam of jaw joint	0260	0.76	$38.64	$21.25	$7.73
70330	X	X-ray exam of jaw joints	0260	0.76	$38.64	$21.25	$7.73
70332	S	X-ray exam of jaw joint	0275	2.82	$143.37	$72.26	$28.67
70336	S	Magnetic image, jaw joint	0335	5.91	$300.48	$165.26	$60.10
70350	X	X-ray head for orthodontia	0260	0.76	$38.64	$21.25	$7.73
70355	X	Panoramic x-ray of jaws	0260	0.76	$38.64	$21.25	$7.73
70360	X	X-ray exam of neck	0260	0.76	$38.64	$21.25	$7.73
70370	X	Throat x-ray & fluoroscopy	0272	1.47	$74.74	$39.00	$14.95
70371	X	Speech evaluation, complex	0272	1.47	$74.74	$39.00	$14.95
70373	X	Contrast x-ray of larynx	0263	1.74	$88.47	$45.88	$17.69
70380	X	X-ray exam of salivary gland	0260	0.76	$38.64	$21.25	$7.73
70390	X	X-ray exam of salivary duct	0263	1.74	$88.47	$45.88	$17.69
70450	S	Ct head/brain w/o dye	0332	3.51	$178.46	$98.15	$35.69
70460	S	Ct head/brain w/dye	0283	4.89	$248.62	$136.74	$49.72
70470	S	Ct head/brain w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
70480	S	Ct orbit/ear/fossa w/o dye	0332	3.51	$178.46	$98.15	$35.69
70481	S	Ct orbit/ear/fossa w/dye	0283	4.89	$248.62	$136.74	$49.72
70482	S	Ct orbit/ear/fossa w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
70486	S	Ct maxillofacial w/o dye	0332	3.51	$178.46	$98.15	$35.69
70487	S	Ct maxillofacial w/dye	0283	4.89	$248.62	$136.74	$49.72
70488	S	Ct maxillofacial w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
70490	S	Ct soft tissue neck w/o dye	0332	3.51	$178.46	$98.15	$35.69
70491	S	Ct soft tissue neck w/dye	0283	4.89	$248.62	$136.74	$49.72
70492	S	Ct sft tsue nck w/o & w/dye	0333	5.66	$287.77	$158.27	$57.55
70496	S	Ct angiography, head	0333	5.66	$287.77	$158.27	$57.55
70498	S	Ct angiography, neck	0333	5.66	$287.77	$158.27	$57.55
70540	S	Mri orbit/face/neck w/o dye	0336	6.85	$348.27	$191.55	$69.65
70542	S	Mri orbit/face/neck w/dye	0284	7.80	$396.57	$218.11	$79.31
70543	S	Mri orbt/fac/nck w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
70544	S	Mr angiography head w/o dye	0336	6.85	$348.27	$191.55	$69.65
70545	S	Mr angiography head w/dye	0284	7.80	$396.57	$218.11	$79.31
70546	S	Mr angiograph head w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
70547	S	Mr angiography neck w/o dye	0336	6.85	$348.27	$191.55	$69.65
70548	S	Mr angiography neck w/dye	0284	7.80	$396.57	$218.11	$79.31
70549	S	Mr angiograph neck w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
70551	S	Mri brain w/o dye	0336	6.85	$348.27	$191.55	$69.65
70552	S	Mri brain w/dye	0284	7.80	$396.57	$218.11	$79.31
70553	S	Mri brain w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
71010	X	Chest x-ray	0260	0.76	$38.64	$21.25	$7.73
71015	X	Chest x-ray	0260	0.76	$38.64	$21.25	$7.73
71020	X	Chest x-ray	0260	0.76	$38.64	$21.25	$7.73
71021	X	Chest x-ray	0260	0.76	$38.64	$21.25	$7.73
71022	X	Chest x-ray	0260	0.76	$38.64	$21.25	$7.73
71023	X	Chest x-ray and fluoroscopy	0272	1.47	$74.74	$39.00	$14.95
71030	X	Chest x-ray	0260	0.76	$38.64	$21.25	$7.73
71034	X	Chest x-ray and fluoroscopy	0272	1.47	$74.74	$39.00	$14.95
71035	X	Chest x-ray	0260	0.76	$38.64	$21.25	$7.73
71040	X	Contrast x-ray of bronchi	0263	1.74	$88.47	$45.88	$17.69
71060	X	Contrast x-ray of bronchi	0263	1.74	$88.47	$45.88	$17.69
71090	X	X-ray & pacemaker insertion	0272	1.47	$74.74	$39.00	$14.95
71100	X	X-ray exam of ribs	0260	0.76	$38.64	$21.25	$7.73
71101	X	X-ray exam of ribs/chest	0260	0.76	$38.64	$21.25	$7.73
71110	X	X-ray exam of ribs	0260	0.76	$38.64	$21.25	$7.73
71111	X	X-ray exam of ribs/ chest	0261	1.31	$66.60	$36.63	$13.32
71120	X	X-ray exam of breastbone	0260	0.76	$38.64	$21.25	$7.73
71130	X	X-ray exam of breastbone	0260	0.76	$38.64	$21.25	$7.73
71250	S	Ct thorax w/o dye	0332	3.51	$178.46	$98.15	$35.69
71260	S	Ct thorax w/dye	0283	4.89	$248.62	$136.74	$49.72
71270	S	Ct thorax w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
71275	S	Ct angiography, chest	0333	5.66	$287.77	$158.27	$57.55
71550	S	Mri chest w/o dye	0336	6.85	$348.27	$191.55	$69.65
71551	S	Mri chest w/dye	0284	7.80	$396.57	$218.11	$79.31
71552	S	Mri chest w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
71555	E	Mri angio chest w or w/o dye
72010	X	X-ray exam of spine	0261	1.31	$66.60	$36.63	$13.32
72020	X	X-ray exam of spine	0260	0.76	$38.64	$21.25	$7.73
72040	X	X-ray exam of neck spine	0260	0.76	$38.64	$21.25	$7.73
72050	X	X-ray exam of neck spine	0261	1.31	$66.60	$36.63	$13.32
72052	X	X-ray exam of neck spine	0261	1.31	$66.60	$36.63	$13.32
72069	X	X-ray exam of trunk spine	0260	0.76	$38.64	$21.25	$7.73
72070	X	X-ray exam of thoracic spine	0260	0.76	$38.64	$21.25	$7.73
72072	X	X-ray exam of thoracic spine	0260	0.76	$38.64	$21.25	$7.73
72074	X	X-ray exam of thoracic spine	0260	0.76	$38.64	$21.25	$7.73
72080	X	X-ray exam of trunk spine	0260	0.76	$38.64	$21.25	$7.73
72090	X	X-ray exam of trunk spine	0261	1.31	$66.60	$36.63	$13.32
72100	X	X-ray exam of lower spine	0260	0.76	$38.64	$21.25	$7.73
72110	X	X-ray exam of lower spine	0261	1.31	$66.60	$36.63	$13.32
72114	X	X-ray exam of lower spine	0261	1.31	$66.60	$36.63	$13.32
72120	X	X-ray exam of lower spine	0260	0.76	$38.64	$21.25	$7.73
72125	S	Ct neck spine w/o dye	0332	3.51	$178.46	$98.15	$35.69
72126	S	Ct neck spine w/dye	0283	4.89	$248.62	$136.74	$49.72
72127	S	Ct neck spine w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
72128	S	Ct chest spine w/o dye	0332	3.51	$178.46	$98.15	$35.69
72129	S	Ct chest spine w/dye	0283	4.89	$248.62	$136.74	$49.72
72130	S	Ct chest spine w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
72131	S	Ct lumbar spine w/o dye	0332	3.51	$178.46	$98.15	$35.69
72132	S	Ct lumbar spine w/dye	0283	4.89	$248.62	$136.74	$49.72
72133	S	Ct lumbar spine w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
72141	S	Mri neck spine w/o dye	0336	6.85	$348.27	$191.55	$69.65
72142	S	Mri neck spine w/dye	0284	7.80	$396.57	$218.11	$79.31
72146	S	Mri chest spine w/o dye	0336	6.85	$348.27	$191.55	$69.65
72147	S	Mri chest spine w/dye	0284	7.80	$396.57	$218.11	$79.31
72148	S	Mri lumbar spine w/o dye	0336	6.85	$348.27	$191.55	$69.65
72149	S	Mri lumbar spine w/dye	0284	7.80	$396.57	$218.11	$79.31
72156	S	Mri neck spine w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
72157	S	Mri chest spine w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
72158	S	Mri lumbar spine w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
72159	E	Mr angio spine w/o&w dye
72170	X	X-ray exam of pelvis	0260	0.76	$38.64	$21.25	$7.73
72190	X	X-ray exam of pelvis	0260	0.76	$38.64	$21.25	$7.73
72191	S	Ct angiograph pelv w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
72192	S	Ct pelvis w/o dye	0332	3.51	$178.46	$98.15	$35.69
72193	S	Ct pelvis w/dye	0283	4.89	$248.62	$136.74	$49.72
72194	S	Ct pelvis w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
72195	S	Mri pelvis w/o dye	0336	6.85	$348.27	$191.55	$69.65
72196	S	Mri pelvis w/dye	0284	7.80	$396.57	$218.11	$79.31
72197	S	Mri pelvis w/o & w dye	0337	9.26	$470.80	$258.94	$94.16
72198	E	Mr angio pelvis w/o&w dye
72200	X	X-ray exam sacroiliac joints	0260	0.76	$38.64	$21.25	$7.73
72202	X	X-ray exam sacroiliac joints	0260	0.76	$38.64	$21.25	$7.73
72220	X	X-ray exam of tailbone	0260	0.76	$38.64	$21.25	$7.73
72240	S	Contrast x-ray of neck spine	0274	5.69	$289.29	$128.12	$57.86
72255	S	Contrast x-ray, thorax spine	0274	5.69	$289.29	$128.12	$57.86
72265	S	Contrast x-ray, lower spine	0274	5.69	$289.29	$128.12	$57.86
72270	S	Contrast x-ray of spine	0274	5.69	$289.29	$128.12	$57.86
72275	S	Epidurography	0274	5.69	$289.29	$128.12	$57.86
72285	S	X-ray c/t spine disk	0274	5.69	$289.29	$128.12	$57.86
72295	S	X-ray of lower spine disk	0274	5.69	$289.29	$128.12	$57.86
73000	X	X-ray exam of collar bone	0260	0.76	$38.64	$21.25	$7.73
73010	X	X-ray exam of shoulder blade	0260	0.76	$38.64	$21.25	$7.73
73020	X	X-ray exam of shoulder	0260	0.76	$38.64	$21.25	$7.73
73030	X	X-ray exam of shoulder	0260	0.76	$38.64	$21.25	$7.73
73040	S	Contrast x-ray of shoulder	0275	2.82	$143.37	$72.26	$28.67
73050	X	X-ray exam of shoulders	0260	0.76	$38.64	$21.25	$7.73
73060	X	X-ray exam of humerus	0260	0.76	$38.64	$21.25	$7.73
73070	X	X-ray exam of elbow	0260	0.76	$38.64	$21.25	$7.73
73080	X	X-ray exam of elbow	0260	0.76	$38.64	$21.25	$7.73
73085	S	Contrast x-ray of elbow	0275	2.82	$143.37	$72.26	$28.67
73090	X	X-ray exam of forearm	0260	0.76	$38.64	$21.25	$7.73
73092	X	X-ray exam of arm, infant	0260	0.76	$38.64	$21.25	$7.73
73100	X	X-ray exam of wrist	0260	0.76	$38.64	$21.25	$7.73
73110	X	X-ray exam of wrist	0260	0.76	$38.64	$21.25	$7.73
73115	S	Contrast x-ray of wrist	0275	2.82	$143.37	$72.26	$28.67
73120	X	X-ray exam of hand	0260	0.76	$38.64	$21.25	$7.73
73130	X	X-ray exam of hand	0260	0.76	$38.64	$21.25	$7.73
73140	X	X-ray exam of finger(s)	0260	0.76	$38.64	$21.25	$7.73
73200	S	Ct upper extremity w/o dye	0332	3.51	$178.46	$98.15	$35.69
73201	S	Ct upper extremity w/dye	0283	4.89	$248.62	$136.74	$49.72
73202	S	Ct uppr extremity w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
73206	S	Ct angio upr extrm w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
73218	S	Mri upper extremity w/o dye	0336	6.85	$348.27	$191.55	$69.65
73219	S	Mri upper extremity w/dye	0284	7.80	$396.57	$218.11	$79.31
73220	S	Mri uppr extremity w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
73221	S	Mri joint upr extrem w/o dye	0336	6.85	$348.27	$191.55	$69.65
73222	S	Mri joint upr extrem w/ dye	0284	7.80	$396.57	$218.11	$79.31
73223	S	Mri joint upr extr w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
73225	E	Mr angio upr extr w/o&w dye
73500	X	X-ray exam of hip	0260	0.76	$38.64	$21.25	$7.73
73510	X	X-ray exam of hip	0260	0.76	$38.64	$21.25	$7.73
73520	X	X-ray exam of hips	0260	0.76	$38.64	$21.25	$7.73
73525	S	Contrast x-ray of hip	0275	2.82	$143.37	$72.26	$28.67
73530	X	X-ray exam of hip	0261	1.31	$66.60	$36.63	$13.32
73540	X	X-ray exam of pelvis & hips	0260	0.76	$38.64	$21.25	$7.73
73542	S	X-ray exam, sacroiliac joint	0275	2.82	$143.37	$72.26	$28.67
73550	X	X-ray exam of thigh	0260	0.76	$38.64	$21.25	$7.73
73560	X	X-ray exam of knee, 1 or 2	0260	0.76	$38.64	$21.25	$7.73
73562	X	X-ray exam of knee, 3	0260	0.76	$38.64	$21.25	$7.73
73564	X	X-ray exam, knee, 4 or more	0260	0.76	$38.64	$21.25	$7.73
73565	X	X-ray exam of knees	0260	0.76	$38.64	$21.25	$7.73
73580	S	Contrast x-ray of knee joint	0275	2.82	$143.37	$72.26	$28.67
73590	X	X-ray exam of lower leg	0260	0.76	$38.64	$21.25	$7.73
73592	X	X-ray exam of leg, infant	0261	1.31	$66.60	$36.63	$13.32
73600	X	X-ray exam of ankle	0260	0.76	$38.64	$21.25	$7.73
73610	X	X-ray exam of ankle	0260	0.76	$38.64	$21.25	$7.73
73615	S	Contrast x-ray of ankle	0275	2.82	$143.37	$72.26	$28.67
73620	X	X-ray exam of foot	0260	0.76	$38.64	$21.25	$7.73
73630	X	X-ray exam of foot	0260	0.76	$38.64	$21.25	$7.73
73650	X	X-ray exam of heel	0260	0.76	$38.64	$21.25	$7.73
73660	X	X-ray exam of toe(s)	0260	0.76	$38.64	$21.25	$7.73
73700	S	Ct lower extremity w/o dye	0332	3.51	$178.46	$98.15	$35.69
73701	S	Ct lower extremity w/dye	0283	4.89	$248.62	$136.74	$49.72
73702	S	Ct lwr extremity w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
73706	S	Ct angio lwr extr w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
73718	S	Mri lower extremity w/o dye	0336	6.85	$348.27	$191.55	$69.65
73719	S	Mri lower extremity w/dye	0284	7.80	$396.57	$218.11	$79.31
73720	S	Mri lwr extremity w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
73721	S	Mri joint of lwr extre w/o d	0336	6.85	$348.27	$191.55	$69.65
73722	S	Mri joint of lwr extr w/dye	0284	7.80	$396.57	$218.11	$79.31
73723	S	Mri joint lwr extr w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
73725	E	Mr ang lwr ext w or w/o dye
74000	X	X-ray exam of abdomen	0260	0.76	$38.64	$21.25	$7.73
74010	X	X-ray exam of abdomen	0260	0.76	$38.64	$21.25	$7.73
74020	X	X-ray exam of abdomen	0260	0.76	$38.64	$21.25	$7.73
74022	X	X-ray exam series, abdomen	0261	1.31	$66.60	$36.63	$13.32
74150	S	Ct abdomen w/o dye	0332	3.51	$178.46	$98.15	$35.69
74160	S	Ct abdomen w/dye	0283	4.89	$248.62	$136.74	$49.72
74170	S	Ct abdomen w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
74175	S	Ct angio abdom w/o&w dye	0333	5.66	$287.77	$158.27	$57.55
74181	S	Mri abdomen w/o dye	0336	6.85	$348.27	$191.55	$69.65
74182	S	Mri abdomen w/dye	0284	7.80	$396.57	$218.11	$79.31
74183	S	Mri abdomen w/o&w dye	0337	9.26	$470.80	$258.94	$94.16
74185	E	Mri angio, abdom w or w/o dy
74190	X	X-ray exam of peritoneum	0263	1.74	$88.47	$45.88	$17.69
74210	S	Contrst x-ray exam of throat	0276	1.63	$82.87	$45.58	$16.57
74220	S	Contrast x-ray, esophagus	0276	1.63	$82.87	$45.58	$16.57
74230	S	Cinema x-ray, throat/esoph	0276	1.63	$82.87	$45.58	$16.57
74235	S	Remove esophagus obstruction	0296	3.52	$178.96	$98.43	$35.79
74240	S	X-ray exam, upper gi tract	0276	1.63	$82.87	$45.58	$16.57
74241	S	X-ray exam, upper gi tract	0276	1.63	$82.87	$45.58	$16.57
74245	S	X-ray exam, upper gi tract	0277	2.35	$119.48	$65.71	$23.90
74246	S	Contrst x-ray uppr gi tract	0276	1.63	$82.87	$45.58	$16.57
74247	S	Contrst x-ray uppr gi tract	0276	1.63	$82.87	$45.58	$16.57
74249	S	Contrst x-ray uppr gi tract	0277	2.35	$119.48	$65.71	$23.90
74250	S	X-ray exam of small bowel	0276	1.63	$82.87	$45.58	$16.57
74251	S	X-ray exam of small bowel	0277	2.35	$119.48	$65.71	$23.90
74260	S	X-ray exam of small bowel	0277	2.35	$119.48	$65.71	$23.90
74270	S	Contrast x-ray exam of colon	0276	1.63	$82.87	$45.58	$16.57
74280	S	Contrast x-ray exam of colon	0277	2.35	$119.48	$65.71	$23.90
74283	S	Contrast x-ray exam of colon	0276	1.63	$82.87	$45.58	$16.57
74290	S	Contrast x-ray, gallbladder	0276	1.63	$82.87	$45.58	$16.57
74291	S	Contrast x-rays, gallbladder	0276	1.63	$82.87	$45.58	$16.57
74300	X	X-ray bile ducts/pancreas	0263	1.74	$88.47	$45.88	$17.69
74301	X	X-rays at surgery add-on	0263	1.74	$88.47	$45.88	$17.69
74305	X	X-ray bile ducts/pancreas	0263	1.74	$88.47	$45.88	$17.69
74320	X	Contrast x-ray of bile ducts	0264	2.51	$127.61	$70.19	$25.52
74327	S	X-ray bile stone removal	0296	3.52	$178.96	$98.43	$35.79
74328	N	Xray bile duct endoscopy
74329	N	X-ray for pancreas endoscopy
74330	N	X-ray bile/panc endoscopy
74340	X	X-ray guide for GI tube	0272	1.47	$74.74	$39.00	$14.95
74350	T	X-ray guide, stomach tube	0187	4.54	$230.82	$113.10	$46.16
74355	T	X-ray guide, intestinal tube	0187	4.54	$230.82	$113.10	$46.16
74360	S	X-ray guide, GI dilation	0296	3.52	$178.96	$98.43	$35.79
74363	S	X-ray, bile duct dilation	0297	7.80	$396.57	$172.51	$79.31
74400	S	Contrst x-ray, urinary tract	0278	2.56	$130.16	$71.59	$26.03
74410	S	Contrst x-ray, urinary tract	0278	2.56	$130.16	$71.59	$26.03
74415	S	Contrst x-ray, urinary tract	0278	2.56	$130.16	$71.59	$26.03
74420	S	Contrst x-ray, urinary tract	0278	2.56	$130.16	$71.59	$26.03
74425	S	Contrst x-ray, urinary tract	0278	2.56	$130.16	$71.59	$26.03
74430	S	Contrast x-ray, bladder	0278	2.56	$130.16	$71.59	$26.03
74440	S	X-ray, male genital tract	0278	2.56	$130.16	$71.59	$26.03
74445	S	X-ray exam of penis	0278	2.56	$130.16	$71.59	$26.03
74450	S	X-ray, urethra/bladder	0278	2.56	$130.16	$71.59	$26.03
74455	S	X-ray, urethra/bladder	0278	2.56	$130.16	$71.59	$26.03
74470	X	X-ray exam of kidney lesion	0264	2.51	$127.61	$70.19	$25.52
74475	S	X-ray control, cath insert	0297	7.80	$396.57	$172.51	$79.31
74480	S	X-ray control, cath insert	0297	7.80	$396.57	$172.51	$79.31
74485	S	X-ray guide, GU dilation	0296	3.52	$178.96	$98.43	$35.79
74710	X	X-ray measurement of pelvis	0260	0.76	$38.64	$21.25	$7.73
74740	X	X-ray, female genital tract	0264	2.51	$127.61	$70.19	$25.52
74742	T	X-ray, fallopian tube	0187	4.54	$230.82	$113.10	$46.16
74775	S	X-ray exam of perineum	0278	2.56	$130.16	$71.59	$26.03
75552	S	Heart mri for morph w/o dye	0336	6.85	$348.27	$191.55	$69.65
75553	S	Heart mri for morph w/dye	0284	7.80	$396.57	$218.11	$79.31
75554	S	Cardiac MRI/function	0335	5.91	$300.48	$165.26	$60.10
75555	S	Cardiac MRI/limited study	0335	5.91	$300.48	$165.26	$60.10
75556	E	Cardiac MRI/flow mapping
75600	S	Contrast x-ray exam of aorta	0280	14.40	$732.12	$373.38	$146.42
75605	S	Contrast x-ray exam of aorta	0280	14.40	$732.12	$373.38	$146.42
75625	S	Contrast x-ray exam of aorta	0280	14.40	$732.12	$373.38	$146.42
75630	S	X-ray aorta, leg arteries	0280	14.40	$732.12	$373.38	$146.42
75635	S	Ct angio abdominal arteries	0333	5.66	$287.77	$158.27	$57.55
75650	S	Artery x-rays, head & neck	0280	14.40	$732.12	$373.38	$146.42
75658	S	Artery x-rays, arm	0280	14.40	$732.12	$373.38	$146.42
75660	S	Artery x-rays, head & neck	0279	8.37	$425.55	$174.57	$85.11
75662	S	Artery x-rays, head & neck	0279	8.37	$425.55	$174.57	$85.11
75665	S	Artery x-rays, head & neck	0280	14.40	$732.12	$373.38	$146.42
75671	S	Artery x-rays, head & neck	0280	14.40	$732.12	$373.38	$146.42
75676	S	Artery x-rays, neck	0280	14.40	$732.12	$373.38	$146.42
75680	S	Artery x-rays, neck	0280	14.40	$732.12	$373.38	$146.42
75685	S	Artery x-rays, spine	0279	8.37	$425.55	$174.57	$85.11
75705	S	Artery x-rays, spine	0279	8.37	$425.55	$174.57	$85.11
75710	S	Artery x-rays, arm/leg	0280	14.40	$732.12	$373.38	$146.42
75716	S	Artery x-rays, arms/legs	0280	14.40	$732.12	$373.38	$146.42
75722	S	Artery x-rays, kidney	0280	14.40	$732.12	$373.38	$146.42
75724	S	Artery x-rays, kidneys	0280	14.40	$732.12	$373.38	$146.42
75726	S	Artery x-rays, abdomen	0280	14.40	$732.12	$373.38	$146.42
75731	S	Artery x-rays, adrenal gland	0280	14.40	$732.12	$373.38	$146.42
75733	S	Artery x-rays, adrenals	0280	14.40	$732.12	$373.38	$146.42
75736	S	Artery x-rays, pelvis	0280	14.40	$732.12	$373.38	$146.42
75741	S	Artery x-rays, lung	0279	8.37	$425.55	$174.57	$85.11
75743	S	Artery x-rays, lungs	0280	14.40	$732.12	$373.38	$146.42
75746	S	Artery x-rays, lung	0279	8.37	$425.55	$174.57	$85.11
75756	S	Artery x-rays, chest	0279	8.37	$425.55	$174.57	$85.11
75774	S	Artery x-ray, each vessel	0279	8.37	$425.55	$174.57	$85.11
75790	S	Visualize A-V shunt	0281	4.64	$235.91	$115.16	$47.18
75801	X	Lymph vessel x-ray, arm/leg	0264	2.51	$127.61	$70.19	$25.52
75803	X	Lymph vessel x-ray,arms/legs	0264	2.51	$127.61	$70.19	$25.52
75805	X	Lymph vessel x-ray, trunk	0264	2.51	$127.61	$70.19	$25.52
75807	X	Lymph vessel x-ray, trunk	0264	2.51	$127.61	$70.19	$25.52
75809	X	Nonvascular shunt, x-ray	0263	1.74	$88.47	$45.88	$17.69
75810	S	Vein x-ray, spleen/liver	0279	8.37	$425.55	$174.57	$85.11
75820	S	Vein x-ray, arm/leg	0281	4.64	$235.91	$115.16	$47.18
75822	S	Vein x-ray, arms/legs	0281	4.64	$235.91	$115.16	$47.18
75825	S	Vein x-ray, trunk	0279	8.37	$425.55	$174.57	$85.11
75827	S	Vein x-ray, chest	0279	8.37	$425.55	$174.57	$85.11
75831	S	Vein x-ray, kidney	0287	4.33	$220.15	$90.26	$44.03
75833	S	Vein x-ray, kidneys	0279	8.37	$425.55	$174.57	$85.11
75840	S	Vein x-ray, adrenal gland	0287	4.33	$220.15	$90.26	$44.03
75842	S	Vein x-ray, adrenal glands	0287	4.33	$220.15	$90.26	$44.03
75860	S	Vein x-ray, neck	0287	4.33	$220.15	$90.26	$44.03
75870	S	Vein x-ray, skull	0287	4.33	$220.15	$90.26	$44.03
75872	S	Vein x-ray, skull	0287	4.33	$220.15	$90.26	$44.03
75880	S	Vein x-ray, eye socket	0287	4.33	$220.15	$90.26	$44.03
75885	S	Vein x-ray, liver	0279	8.37	$425.55	$174.57	$85.11
75887	S	Vein x-ray, liver	0280	14.40	$732.12	$373.38	$146.42
75889	S	Vein x-ray, liver	0279	8.37	$425.55	$174.57	$85.11
75891	S	Vein x-ray, liver	0279	8.37	$425.55	$174.57	$85.11
75893	N	Venous sampling by catheter
75894	S	X-rays, transcath therapy	0297	7.80	$396.57	$172.51	$79.31
75896	S	X-rays, transcath therapy	0297	7.80	$396.57	$172.51	$79.31
75898	X	Follow-up angiogram	0264	2.51	$127.61	$70.19	$25.52
75900	C	Arterial catheter exchange
75940	T	X-ray placement, vein filter	0187	4.54	$230.82	$113.10	$46.16
75945	S	Intravascular us	0267	2.58	$131.17	$72.14	$26.23
75946	S	Intravascular us add-on	0267	2.58	$131.17	$72.14	$26.23
75952	C	Endovasc repair abdom aorta
75953	C	Abdom aneurysm endovas rpr
75960	S	Transcatheter intro, stent	0280	14.40	$732.12	$373.38	$146.42
75961	S	Retrieval, broken catheter	0280	14.40	$732.12	$373.38	$146.42
75962	S	Repair arterial blockage	0280	14.40	$732.12	$373.38	$146.42
75964	S	Repair artery blockage, each	0280	14.40	$732.12	$373.38	$146.42
75966	S	Repair arterial blockage	0280	14.40	$732.12	$373.38	$146.42
75968	S	Repair artery blockage, each	0280	14.40	$732.12	$373.38	$146.42
75970	S	Vascular biopsy	0280	14.40	$732.12	$373.38	$146.42
75978	S	Repair venous blockage	0280	14.40	$732.12	$373.38	$146.42
75980	S	Contrast xray exam bile duct	0297	7.80	$396.57	$172.51	$79.31
75982	S	Contrast xray exam bile duct	0297	7.80	$396.57	$172.51	$79.31
75984	S	Xray control catheter change	0296	3.52	$178.96	$98.43	$35.79
75989	N	Abscess drainage under x-ray
75992	S	Atherectomy, x-ray exam	0280	14.40	$732.12	$373.38	$146.42
75993	T	Atherectomy, x-ray exam	0081	22.04	$1,120.56	$549.07	$224.11
75994	T	Atherectomy, x-ray exam	0081	22.04	$1,120.56	$549.07	$224.11
75995	S	Atherectomy, x-ray exam	0280	14.40	$732.12	$373.38	$146.42
75996	T	Atherectomy, x-ray exam	0081	22.04	$1,120.56	$549.07	$224.11
76000	X	Fluoroscope examination	0272	1.47	$74.74	$39.00	$14.95
76001	N	Fluoroscope exam, extensive
76003	N	Needle localization by x-ray
76005	N	Fluoroguide for spine inject
76006	X	X-ray stress view	0261	1.31	$66.60	$36.63	$13.32
76010	X	X-ray, nose to rectum	0260	0.76	$38.64	$21.25	$7.73
76012	S	Percut vertebroplasty fluor	0274	5.69	$289.29	$128.12	$57.86
76013	S	Percut vertebroplasty, ct	0274	5.69	$289.29	$128.12	$57.86
76020	X	X-rays for bone age	0261	1.31	$66.60	$36.63	$13.32
76040	X	X-rays, bone evaluation	0260	0.76	$38.64	$21.25	$7.73
76061	X	X-rays, bone survey	0261	1.31	$66.60	$36.63	$13.32
76062	X	X-rays, bone survey	0261	1.31	$66.60	$36.63	$13.32
76065	X	X-rays, bone evaluation	0261	1.31	$66.60	$36.63	$13.32
76066	X	Joint(s) survey, single film	0260	0.76	$38.64	$21.25	$7.73
76070	E	CT scan, bone density study
76075	S	Dual energy x-ray study	0971	1.42	$72.20		$14.44
76076	S	Dual energy x-ray study	0971	1.42	$72.20		$14.44
76078	X	Photodensitometry	0261	1.31	$66.60	$36.63	$13.32
76080	X	X-ray exam of fistula	0263	1.74	$88.47	$45.88	$17.69
76086	X	X-ray of mammary duct	0263	1.74	$88.47	$45.88	$17.69
76088	X	X-ray of mammary ducts	0263	1.74	$88.47	$45.88	$17.69
76090	S	Mammogram, one breast	0271	0.64	$32.54	$17.90	$6.51
76091	S	Mammogram, both breasts	0271	0.64	$32.54	$17.90	$6.51
76092	A	Mammogram, screening
76093	E	Magnetic image, breast
76094	E	Magnetic image, both breasts
76095	T	Stereotactic breast biopsy	0187	4.54	$230.82	$113.10	$46.16
76096	X	X-ray of needle wire, breast	0289	1.22	$62.03	$32.25	$12.41
76098	X	X-ray exam, breast specimen	0260	0.76	$38.64	$21.25	$7.73
76100	X	X-ray exam of body section	0261	1.31	$66.60	$36.63	$13.32
76101	X	Complex body section x-ray	0263	1.74	$88.47	$45.88	$17.69
76102	X	Complex body section x-rays	0264	2.51	$127.61	$70.19	$25.52
76120	X	Cinematic x-rays	0261	1.31	$66.60	$36.63	$13.32
76125	X	Cinematic x-rays add-on	0261	1.31	$66.60	$36.63	$13.32
76140	E	X-ray consultation
76150	X	X-ray exam, dry process	0260	0.76	$38.64	$21.25	$7.73
76350	N	Special x-ray contrast study
76355	S	CAT scan for localization	0283	4.89	$248.62	$136.74	$49.72
76360	S	CAT scan for needle biopsy	0283	4.89	$248.62	$136.74	$49.72
76370	S	CAT scan for therapy guide	0282	1.63	$82.87	$45.58	$16.57
76375	S	3d/holograph reconstr add-on	0282	1.63	$82.87	$45.58	$16.57
76380	S	CAT scan follow-up study	0282	1.63	$82.87	$45.58	$16.57
76390	S	Mr spectroscopy	0335	5.91	$300.48	$165.26	$60.10
76393	N	Mr guidance for needle place
76400	S	Magnetic image, bone marrow	0335	5.91	$300.48	$165.26	$60.10
76499	X	Radiographic procedure	0260	0.76	$38.64	$21.25	$7.73
76506	S	Echo exam of head	0266	1.67	$84.91	$46.70	$16.98
76511	S	Echo exam of eye	0266	1.67	$84.91	$46.70	$16.98
76512	S	Echo exam of eye	0266	1.67	$84.91	$46.70	$16.98
76513	S	Echo exam of eye, water bath	0265	1.02	$51.86	$28.52	$10.37
76516	S	Echo exam of eye	0266	1.67	$84.91	$46.70	$16.98
76519	S	Echo exam of eye	0266	1.67	$84.91	$46.70	$16.98
76529	S	Echo exam of eye	0265	1.02	$51.86	$28.52	$10.37
76536	S	Echo exam of head and neck	0266	1.67	$84.91	$46.70	$16.98
76604	S	Echo exam of chest	0266	1.67	$84.91	$46.70	$16.98
76645	S	Echo exam of breast(s)	0265	1.02	$51.86	$28.52	$10.37
76700	S	Echo exam of abdomen	0266	1.67	$84.91	$46.70	$16.98
76705	S	Echo exam of abdomen	0266	1.67	$84.91	$46.70	$16.98
76770	S	Echo exam abdomen back wall	0266	1.67	$84.91	$46.70	$16.98
76775	S	Echo exam abdomen back wall	0266	1.67	$84.91	$46.70	$16.98
76778	S	Echo exam kidney transplant	0266	1.67	$84.91	$46.70	$16.98
76800	S	Echo exam spinal canal	0266	1.67	$84.91	$46.70	$16.98
76805	S	Echo exam of pregnant uterus	0266	1.67	$84.91	$46.70	$16.98
76810	S	Echo exam of pregnant uterus	0265	1.02	$51.86	$28.52	$10.37
76815	S	Echo exam of pregnant uterus	0265	1.02	$51.86	$28.52	$10.37
76816	S	Echo exam follow-up/repeat	0265	1.02	$51.86	$28.52	$10.37
76818	S	Fetl biophys profil w/stress	0266	1.67	$84.91	$46.70	$16.98
76819	S	Fetl biophys profil w/o strs	0266	1.67	$84.91	$46.70	$16.98
76825	S	Echo exam of fetal heart	0269	4.31	$219.13	$113.95	$43.83
76826	S	Echo exam of fetal heart	0697	2.00	$101.68	$52.88	$20.34
76827	S	Echo exam of fetal heart	0269	4.31	$219.13	$113.95	$43.83
76828	S	Echo exam of fetal heart	0697	2.00	$101.68	$52.88	$20.34
76830	S	Echo exam, transvaginal	0266	1.67	$84.91	$46.70	$16.98
76831	S	Echo exam, uterus	0266	1.67	$84.91	$46.70	$16.98
76856	S	Echo exam of pelvis	0266	1.67	$84.91	$46.70	$16.98
76857	S	Echo exam of pelvis	0265	1.02	$51.86	$28.52	$10.37
76870	S	Echo exam of scrotum	0266	1.67	$84.91	$46.70	$16.98
76872	S	Echo exam, transrectal	0266	1.67	$84.91	$46.70	$16.98
76873	N	Echograp trans r, pros study
76880	S	Echo exam of extremity	0266	1.67	$84.91	$46.70	$16.98
76885	S	Echo exam, infant hips	0266	1.67	$84.91	$46.70	$16.98
76886	S	Echo exam, infant hips	0266	1.67	$84.91	$46.70	$16.98
76930	N	Echo guide, cardiocentesis
76932	N	Echo guide for heart biopsy
76936	N	Echo guide for artery repair
76941	N	Echo guide for transfusion
76942	N	Echo guide for biopsy
76945	N	Echo guide, villus sampling
76946	N	Echo guide for amniocentesis
76948	N	Echo guide, ova aspiration
76950	N	Echo guidance radiotherapy
76965	N	Echo guidance radiotherapy
76970	S	Ultrasound exam follow-up	0265	1.02	$51.86	$28.52	$10.37
76975	S	GI endoscopic ultrasound	0266	1.67	$84.91	$46.70	$16.98
76977	S	Us bone density measure	0265	1.02	$51.86	$28.52	$10.37
76986	S	Ultrasound guide intraoper	0266	1.67	$84.91	$46.70	$16.98
76999	S	Echo examination procedure	0266	1.67	$84.91	$46.70	$16.98
77261	E	Radiation therapy planning
77262	E	Radiation therapy planning
77263	E	Radiation therapy planning
77280	X	Set radiation therapy field	0304	1.80	$91.52	$41.52	$18.30
77285	X	Set radiation therapy field	0305	4.40	$223.70	$97.50	$44.74
77290	X	Set radiation therapy field	0305	4.40	$223.70	$97.50	$44.74
77295	X	Set radiation therapy field	0310	17.14	$871.43	$339.05	$174.29
77299	E	Radiation therapy planning
77300	X	Radiation therapy dose plan	0304	1.80	$91.52	$41.52	$18.30
77305	X	Radiation therapy dose plan	0304	1.80	$91.52	$41.52	$18.30
77310	X	Radiation therapy dose plan	0304	1.80	$91.52	$41.52	$18.30
77315	X	Radiation therapy dose plan	0305	4.40	$223.70	$97.50	$44.74
77321	X	Radiation therapy port plan	0305	4.40	$223.70	$97.50	$44.74
77326	X	Radiation therapy dose plan	0305	4.40	$223.70	$97.50	$44.74
77327	X	Radiation therapy dose plan	0305	4.40	$223.70	$97.50	$44.74
77328	X	Radiation therapy dose plan	0305	4.40	$223.70	$97.50	$44.74
77331	X	Special radiation dosimetry	0304	1.80	$91.52	$41.52	$18.30
77332	X	Radiation treatment aid(s)	0303	3.98	$202.35	$69.28	$40.47
77333	X	Radiation treatment aid(s)	0303	3.98	$202.35	$69.28	$40.47
77334	X	Radiation treatment aid(s)	0303	3.98	$202.35	$69.28	$40.47
77336	X	Radiation physics consult	0304	1.80	$91.52	$41.52	$18.30
77370	X	Radiation physics consult	0305	4.40	$223.70	$97.50	$44.74
77399	X	External radiation dosimetry	0304	1.80	$91.52	$41.52	$18.30
77401	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77402	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77403	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77404	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77406	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77407	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77408	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77409	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77411	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77412	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77413	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77414	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77416	S	Radiation treatment delivery	0300	2.25	$114.39	$47.72	$22.88
77417	X	Radiology port film(s)	0260	0.76	$38.64	$21.25	$7.73
77427	E	Radiation tx management, x5
77431	E	Radiation therapy management
77432	E	Stereotactic radiation trmt
77470	S	Special radiation treatment	0302	11.96	$608.07	$216.55	$121.61
77499	E	Radiation therapy management
77520	S	Proton trmt, simple w/o comp	0974	7.57	$384.87		$76.97
77522	S	Proton trmt, simple w/comp	0974	7.57	$384.87		$76.97
77523	S	Proton trmt, intermediate	0976	16.56	$841.94		$168.39
77525	S	Proton treatment, complex	0976	16.56	$841.94		$168.39
77600	S	Hyperthermia treatment	0314	5.16	$262.34	$133.80	$52.47
77605	S	Hyperthermia treatment	0314	5.16	$262.34	$133.80	$52.47
77610	S	Hyperthermia treatment	0314	5.16	$262.34	$133.80	$52.47
77615	S	Hyperthermia treatment	0314	5.16	$262.34	$133.80	$52.47
77620	S	Hyperthermia treatment	0314	5.16	$262.34	$133.80	$52.47
77750	S	Infuse radioactive materials	0301	5.85	$297.43	$59.49	$59.49
77761	S	Apply intrcav radiat simple	0312	7.77	$395.04	$109.65	$79.01
77762	S	Apply intrcav radiat interm	0312	7.77	$395.04	$109.65	$79.01
77763	S	Apply intrcav radiat compl	0312	7.77	$395.04	$109.65	$79.01
77776	S	Apply interstit radiat simpl	0312	7.77	$395.04	$109.65	$79.01
77777	S	Apply interstit radiat inter	0312	7.77	$395.04	$109.65	$79.01
77778	S	Apply iterstit radiat compl	0312	7.77	$395.04	$109.65	$79.01
77781	S	High intensity brachytherapy	0313	16.31	$829.23	$165.85	$165.85
77782	S	High intensity brachytherapy	0313	16.31	$829.23	$165.85	$165.85
77783	S	High intensity brachytherapy	0313	16.31	$829.23	$165.85	$165.85
77784	S	High intensity brachytherapy	0313	16.31	$829.23	$165.85	$165.85
77789	S	Apply surface radiation	0300	2.25	$114.39	$47.72	$22.88
77790	N	Radiation handling
77799	S	Radium/radioisotope therapy	0313	16.31	$829.23	$165.85	$165.85
78000	S	Thyroid, single uptake	0290	1.91	$97.11	$53.41	$19.42
78001	S	Thyroid, multiple uptakes	0290	1.91	$97.11	$53.41	$19.42
78003	S	Thyroid suppress/stimul	0290	1.91	$97.11	$53.41	$19.42
78006	S	Thyroid imaging with uptake	0291	3.78	$192.18	$90.20	$38.44
78007	S	Thyroid image, mult uptakes	0291	3.78	$192.18	$90.20	$38.44
78010	S	Thyroid imaging	0290	1.91	$97.11	$53.41	$19.42
78011	S	Thyroid imaging with flow	0290	1.91	$97.11	$53.41	$19.42
78015	S	Thyroid met imaging	0291	3.78	$192.18	$90.20	$38.44
78016	S	Thyroid met imaging/studies	0291	3.78	$192.18	$90.20	$38.44
78018	S	Thyroid met imaging, body	0292	4.56	$231.84	$124.85	$46.37
78020	S	Thyroid met uptake	0291	3.78	$192.18	$90.20	$38.44
78070	S	Parathyroid nuclear imaging	0291	3.78	$192.18	$90.20	$38.44
78075	S	Adrenal nuclear imaging	0292	4.56	$231.84	$124.85	$46.37
78099	S	Endocrine nuclear procedure	0290	1.91	$97.11	$53.41	$19.42
78102	S	Bone marrow imaging, ltd	0291	3.78	$192.18	$90.20	$38.44
78103	S	Bone marrow imaging, mult	0292	4.56	$231.84	$124.85	$46.37
78104	S	Bone marrow imaging, body	0291	3.78	$192.18	$90.20	$38.44
78110	S	Plasma volume, single	0291	3.78	$192.18	$90.20	$38.44
78111	S	Plasma volume, multiple	0291	3.78	$192.18	$90.20	$38.44
78120	S	Red cell mass, single	0291	3.78	$192.18	$90.20	$38.44
78121	S	Red cell mass, multiple	0291	3.78	$192.18	$90.20	$38.44
78122	S	Blood volume	0292	4.56	$231.84	$124.85	$46.37
78130	S	Red cell survival study	0291	3.78	$192.18	$90.20	$38.44
78135	S	Red cell survival kinetics	0292	4.56	$231.84	$124.85	$46.37
78140	S	Red cell sequestration	0291	3.78	$192.18	$90.20	$38.44
78160	S	Plasma iron turnover	0291	3.78	$192.18	$90.20	$38.44
78162	S	Iron absorption exam	0291	3.78	$192.18	$90.20	$38.44
78170	S	Red cell iron utilization	0291	3.78	$192.18	$90.20	$38.44
78172	S	Total body iron estimation	0291	3.78	$192.18	$90.20	$38.44
78185	S	Spleen imaging	0291	3.78	$192.18	$90.20	$38.44
78190	S	Platelet survival, kinetics	0291	3.78	$192.18	$90.20	$38.44
78191	S	Platelet survival	0291	3.78	$192.18	$90.20	$38.44
78195	S	Lymph system imaging	0291	3.78	$192.18	$90.20	$38.44
78199	S	Blood/lymph nuclear exam	0290	1.91	$97.11	$53.41	$19.42
78201	S	Liver imaging	0291	3.78	$192.18	$90.20	$38.44
78202	S	Liver imaging with flow	0291	3.78	$192.18	$90.20	$38.44
78205	S	Liver imaging (3D)	0292	4.56	$231.84	$124.85	$46.37
78206	S	Liver image (3d) w/flow	0292	4.56	$231.84	$124.85	$46.37
78215	S	Liver and spleen imaging	0291	3.78	$192.18	$90.20	$38.44
78216	S	Liver & spleen image/flow	0291	3.78	$192.18	$90.20	$38.44
78220	S	Liver function study	0291	3.78	$192.18	$90.20	$38.44
78223	S	Hepatobiliary imaging	0292	4.56	$231.84	$124.85	$46.37
78230	S	Salivary gland imaging	0291	3.78	$192.18	$90.20	$38.44
78231	S	Serial salivary imaging	0291	3.78	$192.18	$90.20	$38.44
78232	S	Salivary gland function exam	0291	3.78	$192.18	$90.20	$38.44
78258	S	Esophageal motility study	0291	3.78	$192.18	$90.20	$38.44
78261	S	Gastric mucosa imaging	0291	3.78	$192.18	$90.20	$38.44
78262	S	Gastroesophageal reflux exam	0291	3.78	$192.18	$90.20	$38.44
78264	S	Gastric emptying study	0291	3.78	$192.18	$90.20	$38.44
78267	A	Breath tst attain/anal c-14
78268	A	Breath test analysis, c-14
78270	S	Vit B-12 absorption exam	0290	1.91	$97.11	$53.41	$19.42
78271	S	Vit B-12 absorp exam, IF	0290	1.91	$97.11	$53.41	$19.42
78272	S	Vit B-12 absorp, combined	0291	3.78	$192.18	$90.20	$38.44
78278	S	Acute GI blood loss imaging	0291	3.78	$192.18	$90.20	$38.44
78282	S	GI protein loss exam	0290	1.91	$97.11	$53.41	$19.42
78290	S	Meckel's divert exam	0291	3.78	$192.18	$90.20	$38.44
78291	S	Leveen/shunt patency exam	0291	3.78	$192.18	$90.20	$38.44
78299	S	GI nuclear procedure	0290	1.91	$97.11	$53.41	$19.42
78300	S	Bone imaging, limited area	0291	3.78	$192.18	$90.20	$38.44
78305	S	Bone imaging, multiple areas	0291	3.78	$192.18	$90.20	$38.44
78306	S	Bone imaging, whole body	0291	3.78	$192.18	$90.20	$38.44
78315	S	Bone imaging, 3 phase	0292	4.56	$231.84	$124.85	$46.37
78320	S	Bone imaging (3D)	0292	4.56	$231.84	$124.85	$46.37
78350	X	Bone mineral, single photon	0261	1.31	$66.60	$36.63	$13.32
78351	E	Bone mineral, dual photon
78399	S	Musculoskeletal nuclear exam	0290	1.91	$97.11	$53.41	$19.42
78414	S	Non-imaging heart function	0292	4.56	$231.84	$124.85	$46.37
78428	S	Cardiac shunt imaging	0292	4.56	$231.84	$124.85	$46.37
78445	S	Vascular flow imaging	0291	3.78	$192.18	$90.20	$38.44
78455	S	Venous thrombosis study	0291	3.78	$192.18	$90.20	$38.44
78456	S	Acute venous thrombus image	0291	3.78	$192.18	$90.20	$38.44
78457	S	Venous thrombosis imaging	0291	3.78	$192.18	$90.20	$38.44
78458	S	Ven thrombosis images, bilat	0291	3.78	$192.18	$90.20	$38.44
78459	E	Heart muscle imaging (PET)
78460	S	Heart muscle blood, single	0286	5.85	$297.43	$163.58	$59.49
78461	S	Heart muscle blood, multiple	0286	5.85	$297.43	$163.58	$59.49
78464	S	Heart image (3d), single	0286	5.85	$297.43	$163.58	$59.49
78465	S	Heart image (3d), multiple	0286	5.85	$297.43	$163.58	$59.49
78466	S	Heart infarct image	0291	3.78	$192.18	$90.20	$38.44
78468	S	Heart infarct image (ef)	0292	4.56	$231.84	$124.85	$46.37
78469	S	Heart infarct image (3D)	0292	4.56	$231.84	$124.85	$46.37
78472	S	Gated heart, planar, single	0286	5.85	$297.43	$163.58	$59.49
78473	S	Gated heart, multiple	0286	5.85	$297.43	$163.58	$59.49
78478	S	Heart wall motion add-on	0286	5.85	$297.43	$163.58	$59.49
78480	S	Heart function add-on	0286	5.85	$297.43	$163.58	$59.49
78481	S	Heart first pass, single	0286	5.85	$297.43	$163.58	$59.49
78483	S	Heart first pass, multiple	0286	5.85	$297.43	$163.58	$59.49
78491	E	Heart image (pet), single
78492	E	Heart image (pet), multiple
78494	S	Heart image, spect	0296	3.52	$178.96	$98.43	$35.79
78496	S	Heart first pass add-on	0296	3.52	$178.96	$98.43	$35.79
78499	S	Cardiovascular nuclear exam	0291	3.78	$192.18	$90.20	$38.44
78580	S	Lung perfusion imaging	0291	3.78	$192.18	$90.20	$38.44
78584	S	Lung V/Q image single breath	0292	4.56	$231.84	$124.85	$46.37
78585	S	Lung V/Q imaging	0292	4.56	$231.84	$124.85	$46.37
78586	S	Aerosol lung image, single	0292	4.56	$231.84	$124.85	$46.37
78587	S	Aerosol lung image, multiple	0291	3.78	$192.18	$90.20	$38.44
78588	S	Perfusion lung image	0292	4.56	$231.84	$124.85	$46.37
78591	S	Vent image, 1 breath, 1 proj	0291	3.78	$192.18	$90.20	$38.44
78593	S	Vent image, 1 proj, gas	0292	4.56	$231.84	$124.85	$46.37
78594	S	Vent image, mult proj, gas	0292	4.56	$231.84	$124.85	$46.37
78596	S	Lung differential function	0292	4.56	$231.84	$124.85	$46.37
78599	S	Respiratory nuclear exam	0291	3.78	$192.18	$90.20	$38.44
78600	S	Brain imaging, ltd static	0292	4.56	$231.84	$124.85	$46.37
78601	S	Brain imaging, ltd w/ flow	0291	3.78	$192.18	$90.20	$38.44
78605	S	Brain imaging, complete	0291	3.78	$192.18	$90.20	$38.44
78606	S	Brain imaging, compl w/flow	0292	4.56	$231.84	$124.85	$46.37
78607	S	Brain imaging (3D)	0292	4.56	$231.84	$124.85	$46.37
78608	E	Brain imaging (PET)
78609	E	Brain imaging (PET)
78610	S	Brain flow imaging only	0291	3.78	$192.18	$90.20	$38.44
78615	S	Cerebral blood flow imaging	0291	3.78	$192.18	$90.20	$38.44
78630	S	Cerebrospinal fluid scan	0292	4.56	$231.84	$124.85	$46.37
78635	S	CSF ventriculography	0292	4.56	$231.84	$124.85	$46.37
78645	S	CSF shunt evaluation	0291	3.78	$192.18	$90.20	$38.44
78647	S	Cerebrospinal fluid scan	0292	4.56	$231.84	$124.85	$46.37
78650	S	CSF leakage imaging	0292	4.56	$231.84	$124.85	$46.37
78660	S	Nuclear exam of tear flow	0291	3.78	$192.18	$90.20	$38.44
78699	S	Nervous system nuclear exam	0291	3.78	$192.18	$90.20	$38.44
78700	S	Kidney imaging, static	0291	3.78	$192.18	$90.20	$38.44
78701	S	Kidney imaging with flow	0291	3.78	$192.18	$90.20	$38.44
78704	S	Imaging renogram	0291	3.78	$192.18	$90.20	$38.44
78707	S	Kidney flow/function image	0292	4.56	$231.84	$124.85	$46.37
78708	S	Kidney flow/function image	0292	4.56	$231.84	$124.85	$46.37
78709	S	Kidney flow/function image	0292	4.56	$231.84	$124.85	$46.37
78710	S	Kidney imaging (3D)	0291	3.78	$192.18	$90.20	$38.44
78715	S	Renal vascular flow exam	0291	3.78	$192.18	$90.20	$38.44
78725	S	Kidney function study	0291	3.78	$192.18	$90.20	$38.44
78730	S	Urinary bladder retention	0291	3.78	$192.18	$90.20	$38.44
78740	S	Ureteral reflux study	0291	3.78	$192.18	$90.20	$38.44
78760	S	Testicular imaging	0291	3.78	$192.18	$90.20	$38.44
78761	S	Testicular imaging/flow	0291	3.78	$192.18	$90.20	$38.44
78799	S	Genitourinary nuclear exam	0292	4.56	$231.84	$124.85	$46.37
78800	S	Tumor imaging, limited area	0291	3.78	$192.18	$90.20	$38.44
78801	S	Tumor imaging, mult areas	0292	4.56	$231.84	$124.85	$46.37
78802	S	Tumor imaging, whole body	0292	4.56	$231.84	$124.85	$46.37
78803	S	Tumor imaging (3D)	0292	4.56	$231.84	$124.85	$46.37
78805	S	Abscess imaging, ltd area	0292	4.56	$231.84	$124.85	$46.37
78806	S	Abscess imaging, whole body	0292	4.56	$231.84	$124.85	$46.37
78807	S	Nuclear localization/abscess	0292	4.56	$231.84	$124.85	$46.37
78810	E	Tumor imaging (PET)
78890	N	Nuclear medicine data proc
78891	N	Nuclear med data proc
78990	N	Provide diag radionuclide(s)
78999	S	Nuclear diagnostic exam	0291	3.78	$192.18	$90.20	$38.44
79000	S	Init hyperthyroid therapy	0294	5.45	$277.09	$144.06	$55.42
79001	S	Repeat hyperthyroid therapy	0294	5.45	$277.09	$144.06	$55.42
79020	S	Thyroid ablation	0294	5.45	$277.09	$144.06	$55.42
79030	S	Thyroid ablation, carcinoma	0294	5.45	$277.09	$144.06	$55.42
79035	S	Thyroid metastatic therapy	0294	5.45	$277.09	$144.06	$55.42
79100	S	Hematopoetic nuclear therapy	0294	5.45	$277.09	$144.06	$55.42
79200	S	Intracavitary nuclear trmt	0295	13.97	$710.26	$390.64	$142.05
79300	S	Interstitial nuclear therapy	0294	5.45	$277.09	$144.06	$55.42
79400	S	Nonhemato nuclear therapy	0295	13.97	$710.26	$390.64	$142.05
79420	S	Intravascular nuclear ther	0295	13.97	$710.26	$390.64	$142.05
79440	S	Nuclear joint therapy	0294	5.45	$277.09	$144.06	$55.42
79900	N	Provide ther radiopharm(s)
79999	S	Nuclear medicine therapy	0294	5.45	$277.09	$144.06	$55.42
80048	A	Basic metabolic panel
80050	A	General health panel
80051	A	Electrolyte panel
80053	A	Comprehen metabolic panel
80055	A	Obstetric panel
80061	A	Lipid panel
80069	A	Renal function panel
80072	A	Arthritis panel
80074	A	Acute hepatitis panel
80076	A	Hepatic function panel
80090	A	Torch antibody panel
80100	A	Drug screen, qualitate/multi
80101	A	Drug screen, single
80102	A	Drug confirmation
80103	N	Drug analysis, tissue prep
80150	A	Assay of amikacin
80152	A	Assay of amitriptyline
80154	A	Assay of benzodiazepines
80156	A	Assay, carbamazepine, total
80157	A	Assay, carbamazepine, free
80158	A	Assay of cyclosporine
80160	A	Assay of desipramine
80162	A	Assay of digoxin
80164	A	Assay, dipropylacetic acid
80166	A	Assay of doxepin
80168	A	Assay of ethosuximide
80170	A	Assay of gentamicin
80172	A	Assay of gold
80173	A	Assay of haloperidol
80174	A	Assay of imipramine
80176	A	Assay of lidocaine
80178	A	Assay of lithium
80182	A	Assay of nortriptyline
80184	A	Assay of phenobarbital
80185	A	Assay of phenytoin, total
80186	A	Assay of phenytoin, free
80188	A	Assay of primidone
80190	A	Assay of procainamide
80192	A	Assay of procainamide
80194	A	Assay of quinidine
80196	A	Assay of salicylate
80197	A	Assay of tacrolimus
80198	A	Assay of theophylline
80200	A	Assay of tobramycin
80201	X	Assay of topiramate	0349	0.34	$17.29	$3.46	$3.46
80202	A	Assay of vancomycin
80299	A	Quantitative assay, drug
80400	A	Acth stimulation panel
80402	A	Acth stimulation panel
80406	A	Acth stimulation panel
80408	A	Aldosterone suppression eval
80410	A	Calcitonin stimul panel
80412	A	CRH stimulation panel
80414	A	Testosterone response
80415	A	Estradiol response panel
80416	A	Renin stimulation panel
80417	A	Renin stimulation panel
80418	A	Pituitary evaluation panel
80420	A	Dexamethasone panel
80422	A	Glucagon tolerance panel
80424	A	Glucagon tolerance panel
80426	A	Gonadotropin hormone panel
80428	A	Growth hormone panel
80430	A	Growth hormone panel
80432	A	Insulin suppression panel
80434	A	Insulin tolerance panel
80435	A	Insulin tolerance panel
80436	A	Metyrapone panel
80438	A	TRH stimulation panel
80439	A	TRH stimulation panel
80440	A	TRH stimulation panel
80500	X	Lab pathology consultation	0343	0.42	$21.35	$11.53	$4.27
80502	X	Lab pathology consultation	0343	0.42	$21.35	$11.53	$4.27
81000	A	Urinalysis, nonauto w/scope
81001	A	Urinalysis, auto w/scope
81002	A	Urinalysis nonauto w/o scope
81003	A	Urinalysis, auto, w/o scope
81005	A	Urinalysis
81007	A	Urine screen for bacteria
81015	A	Microscopic exam of urine
81020	A	Urinalysis, glass test
81025	A	Urine pregnancy test
81050	A	Urinalysis, volume measure
81099	X	Urinalysis test procedure	0349	0.34	$17.29	$3.46	$3.46
82000	A	Assay of blood acetaldehyde
82003	A	Assay of acetaminophen
82009	A	Test for acetone/ketones
82010	A	Acetone assay
82013	A	Acetylcholinesterase assay
82016	A	Acylcarnitines, qual
82017	A	Acylcarnitines, quant
82024	A	Assay of acth
82030	A	Assay of adp & amp
82040	A	Assay of serum albumin
82042	A	Assay of urine albumin
82043	A	Microalbumin, quantitative
82044	A	Microalbumin, semiquant
82055	A	Assay of ethanol
82075	A	Assay of breath ethanol
82085	A	Assay of aldolase
82088	A	Assay of aldosterone
82101	A	Assay of urine alkaloids
82103	A	Alpha-1-antitrypsin, total
82104	A	Alpha-1-antitrypsin, pheno
82105	A	Alpha-fetoprotein, serum
82106	A	Alpha-fetoprotein, amniotic
82108	A	Assay of aluminum
82120	A	Amines, vaginal fluid qual
82127	A	Amino acid, single qual
82128	A	Amino acids, mult qual
82131	A	Amino acids, single quant
82135	A	Assay, aminolevulinic acid
82136	A	Amino acids, quant, 2-5
82139	A	Amino acids, quan, 6 or more
82140	A	Assay of ammonia
82143	A	Amniotic fluid scan
82145	A	Assay of amphetamines
82150	A	Assay of amylase
82154	A	Androstanediol glucuronide
82157	A	Assay of androstenedione
82160	A	Assay of androsterone
82163	A	Assay of angiotensin II
82164	A	Angiotensin I enzyme test
82172	A	Assay of apolipoprotein
82175	A	Assay of arsenic
82180	A	Assay of ascorbic acid
82190	A	Atomic absorption
82205	A	Assay of barbiturates
82232	A	Assay of beta-2 protein
82239	A	Bile acids, total
82240	A	Bile acids, cholylglycine
82247	A	Bilirubin, total
82248	A	Bilirubin, direct
82252	A	Fecal bilirubin test
82261	A	Assay of biotinidase
82270	A	Test for blood, feces
82273	A	Test for blood, other source
82286	A	Assay of bradykinin
82300	A	Assay of cadmium
82306	A	Assay of vitamin D
82307	A	Assay of vitamin D
82308	A	Assay of calcitonin
82310	A	Assay of calcium
82330	A	Assay of calcium
82331	A	Calcium infusion test
82340	A	Assay of calcium in urine
82355	A	Calculus (stone) analysis
82360	A	Calculus (stone) assay
82365	A	Calculus (stone) assay
82370	A	X-ray assay, calculus
82373	A	Assay, c-d transfer measure
82374	A	Assay, blood carbon dioxide
82375	A	Assay, blood carbon monoxide
82376	A	Test for carbon monoxide
82378	A	Carcinoembryonic antigen
82379	A	Assay of carnitine
82380	A	Assay of carotene
82382	A	Assay, urine catecholamines
82383	A	Assay, blood catecholamines
82384	A	Assay, three catecholamines
82387	A	Assay of cathepsin-d
82390	A	Assay of ceruloplasmin
82397	A	Chemiluminescent assay
82415	A	Assay of chloramphenicol
82435	A	Assay of blood chloride
82436	A	Assay of urine chloride
82438	A	Assay, other fluid chlorides
82441	A	Test for chlorohydrocarbons
82465	A	Assay, bld/serum cholesterol
82480	A	Assay, serum cholinesterase
82482	A	Assay, rbc cholinesterase
82485	A	Assay, chondroitin sulfate
82486	A	Gas/liquid chromatography
82487	A	Paper chromatography
82488	A	Paper chromatography
82489	A	Thin layer chromatography
82491	A	Chromotography, quant, sing
82492	A	Chromotography, quant, mult
82495	A	Assay of chromium
82507	A	Assay of citrate
82520	A	Assay of cocaine
82523	A	Collagen crosslinks
82525	A	Assay of copper
82528	A	Assay of corticosterone
82530	A	Cortisol, free
82533	A	Total cortisol
82540	A	Assay of creatine
82541	A	Column chromotography, qual
82542	A	Column chromotography, quant
82543	A	Column chromotograph/isotope
82544	A	Column chromotograph/isotope
82550	A	Assay of ck (cpk)
82552	A	Assay of cpk in blood
82553	A	Creatine, MB fraction
82554	A	Creatine, isoforms
82565	A	Assay of creatinine
82570	A	Assay of urine creatinine
82575	A	Creatinine clearance test
82585	A	Assay of cryofibrinogen
82595	A	Assay of cryoglobulin
82600	A	Assay of cyanide
82607	A	Vitamin B-12
82608	A	B-12 binding capacity
82615	A	Test for urine cystines
82626	A	Dehydroepiandrosterone
82627	A	Dehydroepiandrosterone
82633	A	Desoxycorticosterone
82634	A	Deoxycortisol
82638	A	Assay of dibucaine number
82646	A	Assay of dihydrocodeinone
82649	A	Assay of dihydromorphinone
82651	A	Assay of dihydrotestosterone
82652	A	Assay of dihydroxyvitamin d
82654	A	Assay of dimethadione
82657	A	Enzyme cell activity
82658	A	Enzyme cell activity, ra
82664	A	Electrophoretic test
82666	A	Assay of epiandrosterone
82668	A	Assay of erythropoietin
82670	A	Assay of estradiol
82671	A	Assay of estrogens
82672	A	Assay of estrogen
82677	A	Assay of estriol
82679	A	Assay of estrone
82690	A	Assay of ethchlorvynol
82693	A	Assay of ethylene glycol
82696	A	Assay of etiocholanolone
82705	A	Fats/lipids, feces, qual
82710	A	Fats/lipids, feces, quant
82715	A	Assay of fecal fat
82725	A	Assay of blood fatty acids
82726	A	Long chain fatty acids
82728	A	Assay of ferritin
82731	A	Assay of fetal fibronectin
82735	A	Assay of fluoride
82742	A	Assay of flurazepam
82746	A	Blood folic acid serum
82747	A	Assay of folic acid, rbc
82757	A	Assay of semen fructose
82759	A	Assay of rbc galactokinase
82760	A	Assay of galactose
82775	A	Assay galactose transferase
82776	A	Galactose transferase test
82784	A	Assay of gammaglobulin igm
82785	A	Assay of gammaglobulin ige
82787	A	Igg 1, 2, 3 or 4, each
82800	A	Blood pH
82803	A	Blood gases: pH, pO2 & pCO2
82805	A	Blood gases W/02 saturation
82810	A	Blood gases, O2 sat only
82820	A	Hemoglobin-oxygen affinity
82926	A	Assay of gastric acid
82928	A	Assay of gastric acid
82938	A	Gastrin test
82941	A	Assay of gastrin
82943	A	Assay of glucagon
82945	A	Glucose other fluid
82946	A	Glucagon tolerance test
82947	A	Assay, glucose, blood quant
82948	A	Reagent strip/blood glucose
82950	A	Glucose test
82951	A	Glucose tolerance test (GTT)
82952	A	GTT-added samples
82953	A	Glucose-tolbutamide test
82955	A	Assay of g6pd enzyme
82960	A	Test for G6PD enzyme
82962	A	Glucose blood test
82963	A	Assay of glucosidase
82965	A	Assay of gdh enzyme
82975	A	Assay of glutamine
82977	A	Assay of GGT
82978	A	Assay of glutathione
82979	A	Assay, rbc glutathione
82980	A	Assay of glutethimide
82985	A	Glycated protein
83001	A	Gonadotropin (FSH)
83002	A	Gonadotropin (LH)
83003	A	Assay, growth hormone (hgh)
83008	A	Assay of guanosine
83010	A	Assay of haptoglobin, quant
83012	A	Assay of haptoglobins
83013	A	H pylori analysis
83014	A	H pylori drug admin/collect
83015	A	Heavy metal screen
83018	A	Quantitative screen, metals
83020	A	Hemoglobin electrophoresis
83021	A	Hemoglobin chromotography
83026	A	Hemoglobin, copper sulfate
83030	A	Fetal hemoglobin, chemical
83033	A	Fetal hemoglobin assay, qual
83036	A	Glycated hemoglobin test
83045	A	Blood methemoglobin test
83050	A	Blood methemoglobin assay
83051	A	Assay of plasma hemoglobin
83055	A	Blood sulfhemoglobin test
83060	A	Blood sulfhemoglobin assay
83065	A	Assay of hemoglobin heat
83068	A	Hemoglobin stability screen
83069	A	Assay of urine hemoglobin
83070	A	Assay of hemosiderin, qual
83071	A	Assay of hemosiderin, quant
83080	A	Assay of b hexosaminidase
83088	A	Assay of histamine
83090	A	Assay of homocystine
83150	A	Assay of for hva
83491	A	Assay of corticosteroids
83497	A	Assay of 5-hiaa
83498	A	Assay of progesterone
83499	A	Assay of progesterone
83500	A	Assay, free hydroxyproline
83505	A	Assay, total hydroxyproline
83516	A	Immunoassay, nonantibody
83518	A	Immunoassay, dipstick
83519	A	Immunoassay, nonantibody
83520	A	Immunoassay, RIA
83525	A	Assay of insulin
83527	A	Assay of insulin
83528	A	Assay of intrinsic factor
83540	A	Assay of iron
83550	A	Iron binding test
83570	A	Assay of idh enzyme
83582	A	Assay of ketogenic steroids
83586	A	Assay 17- ketosteroids
83593	A	Fractionation, ketosteroids
83605	A	Assay of lactic acid
83615	A	Lactate (LD) (LDH) enzyme
83625	A	Assay of ldh enzymes
83632	A	Placental lactogen
83633	A	Test urine for lactose
83634	A	Assay of urine for lactose
83655	A	Assay of lead
83661	A	L/s ratio, fetal lung
83662	A	Foam stability, fetal lung
83663	A	Fluoro polarize, fetal lung
83664	A	Lamellar bdy, fetal lung
83670	A	Assay of lap enzyme
83690	A	Assay of lipase
83715	A	Assay of blood lipoproteins
83716	A	Assay of blood lipoproteins
83718	A	Assay of lipoprotein
83719	A	Assay of blood lipoprotein
83721	A	Assay of blood lipoprotein
83727	A	Assay of lrh hormone
83735	A	Assay of magnesium
83775	A	Assay of md enzyme
83785	A	Assay of manganese
83788	A	Mass spectrometry qual
83789	A	Mass spectrometry quant
83805	A	Assay of meprobamate
83825	A	Assay of mercury
83835	A	Assay of metanephrines
83840	A	Assay of methadone
83857	A	Assay of methemalbumin
83858	A	Assay of methsuximide
83864	A	Mucopolysaccharides
83866	A	Mucopolysaccharides screen
83872	A	Assay synovial fluid mucin
83873	A	Assay of csf protein
83874	A	Assay of myoglobin
83883	A	Assay, nephelometry not spec
83885	A	Assay of nickel
83887	A	Assay of nicotine
83890	A	Molecule isolate
83891	A	Molecule isolate nucleic
83892	A	Molecular diagnostics
83893	A	Molecule dot/slot/blot
83894	A	Molecule gel electrophor
83896	A	Molecular diagnostics
83897	A	Molecule nucleic transfer
83898	A	Molecule nucleic ampli
83901	A	Molecule nucleic ampli
83902	A	Molecular diagnostics
83903	A	Molecule mutation scan
83904	A	Molecule mutation identify
83905	A	Molecule mutation identify
83906	A	Molecule mutation identify
83912	A	Genetic examination
83915	A	Assay of nucleotidase
83916	A	Oligoclonal bands
83918	A	Organic acids, total, quant
83919	A	Organic acids, qual, each
83921	A	Organic acid, single, quant
83925	A	Assay of opiates
83930	A	Assay of blood osmolality
83935	A	Assay of urine osmolality
83937	A	Assay of osteocalcin
83945	A	Assay of oxalate
83970	A	Assay of parathormone
83986	A	Assay of body fluid acidity
83992	A	Assay for phencyclidine
84022	A	Assay of phenothiazine
84030	A	Assay of blood pku
84035	A	Assay of phenylketones
84060	A	Assay acid phosphatase
84061	A	Phosphatase, forensic exam
84066	A	Assay prostate phosphatase
84075	A	Assay alkaline phosphatase
84078	A	Assay alkaline phosphatase
84080	A	Assay alkaline phosphatases
84081	A	Amniotic fluid enzyme test
84085	A	Assay of rbc pg6d enzyme
84087	A	Assay phosphohexose enzymes
84100	A	Assay of phosphorus
84105	A	Assay of urine phosphorus
84106	A	Test for porphobilinogen
84110	A	Assay of porphobilinogen
84119	A	Test urine for porphyrins
84120	A	Assay of urine porphyrins
84126	A	Assay of feces porphyrins
84127	A	Assay of feces porphyrins
84132	A	Assay of serum potassium
84133	A	Assay of urine potassium
84134	A	Assay of prealbumin
84135	A	Assay of pregnanediol
84138	A	Assay of pregnanetriol
84140	A	Assay of pregnenolone
84143	A	Assay of 17-hydroxypregneno
84144	A	Assay of progesterone
84146	A	Assay of prolactin
84150	A	Assay of prostaglandin
84152	A	Assay of psa, complexed
84153	A	Assay of psa, total
84154	A	Assay of psa, free
84155	A	Assay of protein
84160	A	Assay of serum protein
84165	A	Assay of serum proteins
84181	A	Western blot test
84182	A	Protein, western blot test
84202	A	Assay RBC protoporphyrin
84203	A	Test RBC protoporphyrin
84206	A	Assay of proinsulin
84207	A	Assay of vitamin b-6
84210	A	Assay of pyruvate
84220	A	Assay of pyruvate kinase
84228	A	Assay of quinine
84233	A	Assay of estrogen
84234	A	Assay of progesterone
84235	A	Assay of endocrine hormone
84238	A	Assay, nonendocrine receptor
84244	A	Assay of renin
84252	A	Assay of vitamin b-2
84255	A	Assay of selenium
84260	A	Assay of serotonin
84270	A	Assay of sex hormone globul
84275	A	Assay of sialic acid
84285	A	Assay of silica
84295	A	Assay of serum sodium
84300	A	Assay of urine sodium
84305	A	Assay of somatomedin
84307	A	Assay of somatostatin
84311	A	Spectrophotometry
84315	A	Body fluid specific gravity
84375	A	Chromatogram assay, sugars
84376	A	Sugars, single, qual
84377	A	Sugars, multiple, qual
84378	A	Sugars single quant
84379	A	Sugars multiple quant
84392	A	Assay of urine sulfate
84402	A	Assay of testosterone
84403	A	Assay of total testosterone
84425	A	Assay of vitamin b-1
84430	A	Assay of thiocyanate
84432	A	Assay of thyroglobulin
84436	A	Assay of total thyroxine
84437	A	Assay of neonatal thyroxine
84439	A	Assay of free thyroxine
84442	A	Assay of thyroid activity
84443	A	Assay thyroid stim hormone
84445	A	Assay of tsi
84446	A	Assay of vitamin e
84449	A	Assay of transcortin
84450	A	Transferase (AST) (SGOT)
84460	A	Alanine amino (ALT) (SGPT)
84466	A	Assay of transferrin
84478	A	Assay of triglycerides
84479	A	Assay of thyroid (t3 or t4)
84480	A	Assay, triiodothyronine (t3)
84481	A	Free assay (FT-3)
84482	A	T3 reverse
84484	A	Assay of troponin, quant
84485	A	Assay duodenal fluid trypsin
84488	A	Test feces for trypsin
84490	A	Assay of feces for trypsin
84510	A	Assay of tyrosine
84512	X	Assay of troponin, qual	0349	0.34	$17.29	$3.46	$3.46
84520	A	Assay of urea nitrogen
84525	A	Urea nitrogen semi-quant
84540	A	Assay of urine/urea-n
84545	A	Urea-N clearance test
84550	A	Assay of blood/uric acid
84560	A	Assay of urine/uric acid
84577	A	Assay of feces/urobilinogen
84578	A	Test urine urobilinogen
84580	A	Assay of urine urobilinogen
84583	A	Assay of urine urobilinogen
84585	A	Assay of urine vma
84586	A	Assay of vip
84588	A	Assay of vasopressin
84590	A	Assay of vitamin a
84591	A	Assay of nos vitamin
84597	A	Assay of vitamin k
84600	A	Assay of volatiles
84620	A	Xylose tolerance test
84630	A	Assay of zinc
84681	A	Assay of c-peptide
84702	A	Chorionic gonadotropin test
84703	A	Chorionic gonadotropin assay
84830	A	Ovulation tests
84999	X	Clinical chemistry test	0349	0.34	$17.29	$3.46	$3.46
85002	A	Bleeding time test
85007	A	Differential WBC count
85008	A	Nondifferential WBC count
85009	A	Differential WBC count
85013	A	Hematocrit
85014	A	Hematocrit
85018	A	Hemoglobin
85021	A	Automated hemogram
85022	A	Automated hemogram
85023	A	Automated hemogram
85024	A	Automated hemogram
85025	A	Automated hemogram
85027	A	Automated hemogram
85031	A	Manual hemogram, cbc
85041	A	Red blood cell (RBC) count
85044	A	Reticulocyte count
85045	A	Reticulocyte count
85046	A	Reticyte/hgb concentrate
85048	A	White blood cell (WBC) count
85060	X	Blood smear interpretation	0342	0.22	$11.19	$6.15	$2.24
85095	T	Bone marrow aspiration	0003	1.11	$56.43	$27.99	$11.29
85097	X	Bone marrow interpretation	0344	0.60	$30.51	$16.78	$6.10
85102	T	Bone marrow biopsy	0003	1.11	$56.43	$27.99	$11.29
85130	A	Chromogenic substrate assay
85170	A	Blood clot retraction
85175	A	Blood clot lysis time
85210	A	Blood clot factor II test
85220	A	Blood clot factor V test
85230	A	Blood clot factor VII test
85240	A	Blood clot factor VIII test
85244	A	Blood clot factor VIII test
85245	A	Blood clot factor VIII test
85246	A	Blood clot factor VIII test
85247	A	Blood clot factor VIII test
85250	A	Blood clot factor IX test
85260	A	Blood clot factor X test
85270	A	Blood clot factor XI test
85280	A	Blood clot factor XII test
85290	A	Blood clot factor XIII test
85291	A	Blood clot factor XIII test
85292	A	Blood clot factor assay
85293	A	Blood clot factor assay
85300	A	Antithrombin III test
85301	A	Antithrombin III test
85302	A	Blood clot inhibitor antigen
85303	A	Blood clot inhibitor test
85305	A	Blood clot inhibitor assay
85306	A	Blood clot inhibitor test
85307	A	Assay activated protein c
85335	A	Factor inhibitor test
85337	A	Thrombomodulin
85345	A	Coagulation time
85347	A	Coagulation time
85348	A	Coagulation time
85360	A	Euglobulin lysis
85362	A	Fibrin degradation products
85366	A	Fibrinogen test
85370	A	Fibrinogen test
85378	A	Fibrin degradation
85379	A	Fibrin degradation
85384	A	Fibrinogen
85385	A	Fibrinogen
85390	A	Fibrinolysins screen
85400	A	Fibrinolytic plasmin
85410	A	Fibrinolytic antiplasmin
85415	A	Fibrinolytic plasminogen
85420	A	Fibrinolytic plasminogen
85421	A	Fibrinolytic plasminogen
85441	A	Heinz bodies, direct
85445	A	Heinz bodies, induced
85460	A	Hemoglobin, fetal
85461	A	Hemoglobin, fetal
85475	A	Hemolysin
85520	A	Heparin assay
85525	A	Heparin
85530	A	Heparin-protamine tolerance
85535	A	Iron stain, blood cells
85536	A	Iron stain peripheral blood
85540	A	Wbc alkaline phosphatase
85547	A	RBC mechanical fragility
85549	A	Muramidase
85555	A	RBC osmotic fragility
85557	A	RBC osmotic fragility
85576	A	Blood platelet aggregation
85585	A	Blood platelet estimation
85590	A	Platelet count, manual
85595	A	Platelet count, automated
85597	A	Platelet neutralization
85610	A	Prothrombin time
85611	A	Prothrombin test
85612	A	Viper venom prothrombin time
85613	A	Russell viper venom, diluted
85635	A	Reptilase test
85651	A	Rbc sed rate, nonautomated
85652	A	Rbc sed rate, automated
85660	A	RBC sickle cell test
85670	A	Thrombin time, plasma
85675	A	Thrombin time, titer
85705	A	Thromboplastin inhibition
85730	A	Thromboplastin time, partial
85732	A	Thromboplastin time, partial
85810	A	Blood viscosity examination
85999	X	Hematology procedure	0349	0.34	$17.29	$3.46	$3.46
86000	A	Agglutinins, febrile
86001	A	Allergen specific igg
86003	A	Allergen specific IgE
86005	A	Allergen specific IgE
86021	A	WBC antibody identification
86022	A	Platelet antibodies
86023	A	Immunoglobulin assay
86038	A	Antinuclear antibodies
86039	A	Antinuclear antibodies (ANA)
86060	A	Antistreptolysin o, titer
86063	A	Antistreptolysin o, screen
86077	X	Physician blood bank service	0343	0.42	$21.35	$11.53	$4.27
86078	X	Physician blood bank service	0344	0.60	$30.51	$16.78	$6.10
86079	X	Physician blood bank service	0344	0.60	$30.51	$16.78	$6.10
86140	A	C-reactive protein
86146	A	Glycoprotein antibody
86147	A	Cardiolipin antibody
86148	X	Phospholipid antibody	0349	0.34	$17.29	$3.46	$3.46
86155	A	Chemotaxis assay
86156	A	Cold agglutinin, screen
86157	A	Cold agglutinin, titer
86160	A	Complement, antigen
86161	A	Complement/function activity
86162	A	Complement, total (CH50)
86171	A	Complement fixation, each
86185	A	Counterimmunoelectrophoresis
86215	A	Deoxyribonuclease, antibody
86225	A	DNA antibody
86226	A	DNA antibody, single strand
86235	A	Nuclear antigen antibody
86243	A	Fc receptor
86255	A	Fluorescent antibody, screen
86256	A	Fluorescent antibody, titer
86277	A	Growth hormone antibody
86280	A	Hemagglutination inhibition
86294	A	Immunoassay, tumor qual
86300	A	Immunoassay, tumor ca 15-3
86301	A	Immunoassay, tumor, ca 19-9
86304	A	Immunoassay, tumor ca 125
86308	A	Heterophile antibodies
86309	A	Heterophile antibodies
86310	A	Heterophile antibodies
86316	A	Immunoassay, tumor other
86317	A	Immunoassay,infectious agent
86318	A	Immunoassay,infectious agent
86320	A	Serum immunoelectrophoresis
86325	A	Other immunoelectrophoresis
86327	A	Immunoelectrophoresis assay
86329	A	Immunodiffusion
86331	A	Immunodiffusion ouchterlony
86332	A	Immune complex assay
86334	A	Immunofixation procedure
86337	A	Insulin antibodies
86340	A	Intrinsic factor antibody
86341	A	Islet cell antibody
86343	A	Leukocyte histamine release
86344	A	Leukocyte phagocytosis
86353	A	Lymphocyte transformation
86359	A	T cells, total count
86360	A	T cell, absolute count/ratio
86361	X	T cell, absolute count	0349	0.34	$17.29	$3.46	$3.46
86376	A	Microsomal antibody
86378	A	Migration inhibitory factor
86382	A	Neutralization test, viral
86384	A	Nitroblue tetrazolium dye
86403	A	Particle agglutination test
86406	A	Particle agglutination test
86430	A	Rheumatoid factor test
86431	A	Rheumatoid factor, quant
86485	X	Skin test, candida	0341	0.11	$5.59	$3.08	$1.12
86490	X	Coccidioidomycosis skin test	0341	0.11	$5.59	$3.08	$1.12
86510	X	Histoplasmosis skin test	0341	0.11	$5.59	$3.08	$1.12
86580	X	TB intradermal test	0341	0.11	$5.59	$3.08	$1.12
86585	X	TB tine test	0341	0.11	$5.59	$3.08	$1.12
86586	X	Skin test, unlisted	0341	0.11	$5.59	$3.08	$1.12
86590	A	Streptokinase, antibody
86592	A	Blood serology, qualitative
86593	A	Blood serology, quantitative
86602	A	Antinomyces antibody
86603	A	Adenovirus antibody
86606	A	Aspergillus antibody
86609	A	Bacterium antibody
86611	A	Bartonella antibody
86612	A	Blastomyces antibody
86615	A	Bordetella antibody
86617	A	Lyme disease antibody
86618	A	Lyme disease antibody
86619	A	Borrelia antibody
86622	A	Brucella antibody
86625	A	Campylobacter antibody
86628	A	Candida antibody
86631	A	Chlamydia antibody
86632	A	Chlamydia igm antibody
86635	A	Coccidioides antibody
86638	A	Q fever antibody
86641	A	Cryptococcus antibody
86644	A	CMV antibody
86645	A	CMV antibody, IgM
86648	A	Diphtheria antibody
86651	A	Encephalitis antibody
86652	A	Encephalitis antibody
86653	A	Encephalitis antibody
86654	A	Encephalitis antibody
86658	A	Enterovirus antibody
86663	A	Epstein-barr antibody
86664	A	Epstein-barr antibody
86665	A	Epstein-barr antibody
86666	A	Ehrlichia antibody
86668	A	Francisella tularensis
86671	A	Fungus antibody
86674	A	Giardia lamblia antibody
86677	A	Helicobacter pylori
86682	A	Helminth antibody
86683	A	Hemoglobin, fecal antibody
86684	A	Hemophilus influenza
86687	A	Htlv-i antibody
86688	A	Htlv-ii antibody
86689	A	HTLV/HIV confirmatory test
86692	A	Hepatitis, delta agent
86694	A	Herpes simplex test
86695	A	Herpes simplex test
86696	A	Herpes simplex type 2
86698	A	Histoplasma
86701	A	HIV-1
86702	A	HIV-2
86703	A	HIV-1/HIV-2, single assay
86704	A	Hep b core antibody, total
86705	A	Hep b core antibody, igm
86706	A	Hep b surface antibody
86707	A	Hep be antibody
86708	A	Hep a antibody, total
86709	A	Hep a antibody, igm
86710	A	Influenza virus antibody
86713	A	Legionella antibody
86717	A	Leishmania antibody
86720	A	Leptospira antibody
86723	A	Listeria monocytogenes ab
86727	A	Lymph choriomeningitis ab
86729	A	Lympho venereum antibody
86732	A	Mucormycosis antibody
86735	A	Mumps antibody
86738	A	Mycoplasma antibody
86741	A	Neisseria meningitidis
86744	A	Nocardia antibody
86747	A	Parvovirus antibody
86750	A	Malaria antibody
86753	A	Protozoa antibody nos
86756	A	Respiratory virus antibody
86757	A	Rickettsia antibody
86759	A	Rotavirus antibody
86762	A	Rubella antibody
86765	A	Rubeola antibody
86768	A	Salmonella antibody
86771	A	Shigella antibody
86774	A	Tetanus antibody
86777	A	Toxoplasma antibody
86778	A	Toxoplasma antibody, igm
86781	A	Treponema pallidum, confirm
86784	A	Trichinella antibody
86787	A	Varicella-zoster antibody
86790	A	Virus antibody nos
86793	A	Yersinia antibody
86800	A	Thyroglobulin antibody
86803	A	Hepatitis c ab test
86804	A	Hep c ab test, confirm
86805	A	Lymphocytotoxicity assay
86806	A	Lymphocytotoxicity assay
86807	A	Cytotoxic antibody screening
86808	A	Cytotoxic antibody screening
86812	A	HLA typing, A, B, or C
86813	A	HLA typing, A, B, or C
86816	A	HLA typing, DR/DQ
86817	A	HLA typing, DR/DQ
86821	A	Lymphocyte culture, mixed
86822	A	Lymphocyte culture, primed
86849	X	Immunology procedure	0349	0.34	$17.29	$3.46	$3.46
86850	X	RBC antibody screen	0345	0.29	$14.74	$5.37	$2.95
86860	X	RBC antibody elution	0345	0.29	$14.74	$5.37	$2.95
86870	X	RBC antibody identification	0346	0.83	$42.20	$12.03	$8.44
86880	A	Coombs test
86885	A	Coombs test
86886	A	Coombs test
86890	X	Autologous blood process	0346	0.83	$42.20	$12.03	$8.44
86891	X	Autologous blood, op salvage	0345	0.29	$14.74	$5.37	$2.95
86900	A	Blood typing, ABO
86901	X	Blood typing, Rh (D)	0345	0.29	$14.74	$5.37	$2.95
86903	A	Blood typing, antigen screen
86904	A	Blood typing, patient serum
86905	A	Blood typing, RBC antigens
86906	A	Blood typing, Rh phenotype
86910	E	Blood typing, paternity test
86911	E	Blood typing, antigen system
86915	X	Bone marrow/stem cell prep	0346	0.83	$42.20	$12.03	$8.44
86920	X	Compatibility test	0346	0.83	$42.20	$12.03	$8.44
86921	X	Compatibility test	0345	0.29	$14.74	$5.37	$2.95
86922	X	Compatibility test	0346	0.83	$42.20	$12.03	$8.44
86927	X	Plasma, fresh frozen	0346	0.83	$42.20	$12.03	$8.44
86930	X	Frozen blood prep	0347	1.73	$87.96	$20.13	$17.59
86931	X	Frozen blood thaw	0347	1.73	$87.96	$20.13	$17.59
86932	X	Frozen blood freeze/thaw	0346	0.83	$42.20	$12.03	$8.44
86940	A	Hemolysins/agglutinins, auto
86941	A	Hemolysins/agglutinins
86945	X	Blood product/irradiation	0345	0.29	$14.74	$5.37	$2.95
86950	X	Leukacyte transfusion	0347	1.73	$87.96	$20.13	$17.59
86965	X	Pooling blood platelets	0347	1.73	$87.96	$20.13	$17.59
86970	X	RBC pretreatment	0345	0.29	$14.74	$5.37	$2.95
86971	X	RBC pretreatment	0345	0.29	$14.74	$5.37	$2.95
86972	X	RBC pretreatment	0345	0.29	$14.74	$5.37	$2.95
86975	X	RBC pretreatment, serum	0345	0.29	$14.74	$5.37	$2.95
86976	X	RBC pretreatment, serum	0345	0.29	$14.74	$5.37	$2.95
86977	X	RBC pretreatment, serum	0345	0.29	$14.74	$5.37	$2.95
86978	X	RBC pretreatment, serum	0345	0.29	$14.74	$5.37	$2.95
86985	X	Split blood or products	0347	1.73	$87.96	$20.13	$17.59
86999	X	Transfusion procedure	0346	0.83	$42.20	$12.03	$8.44
87001	A	Small animal inoculation
87003	A	Small animal inoculation
87015	A	Specimen concentration
87040	A	Blood culture for bacteria
87045	A	Stool culture, bacteria
87046	A	Stool cultr, bacteria, each
87070	A	Culture, bacteria, other
87071	A	Culture bacteri aerobic othr
87073	A	Culture bacteria anaerobic
87075	A	Culture bacteria anaerobic
87076	A	Culture anaerobe ident, each
87077	A	Culture aerobic identify
87081	A	Culture screen only
87084	A	Culture of specimen by kit
87086	A	Urine culture/colony count
87088	A	Urine bacteria culture
87101	A	Skin fungi culture
87102	A	Fungus isolation culture
87103	A	Blood fungus culture
87106	A	Fungi identification, yeast
87107	A	Fungi identification, mold
87109	A	Mycoplasma
87110	A	Chlamydia culture
87116	A	Mycobacteria culture
87118	A	Mycobacteric identification
87140	A	Cultur type immunofluoresc
87143	A	Culture typing, glc/hplc
87147	A	Culture type, immunologic
87149	A	Culture type, nucleic acid
87152	A	Culture type pulse field gel
87158	A	Culture typing, added method
87164	A	Dark field examination
87166	A	Dark field examination
87168	A	Macroscopic exam arthropod
87169	A	Macacroscopic exam parasite
87172	A	Pinworm exam
87176	A	Tissue homogenization, cultr
87177	A	Ova and parasites smears
87181	A	Microbe susceptible, diffuse
87184	A	Microbe susceptible, disk
87185	A	Microbe susceptible, enzyme
87186	A	Microbe susceptible, mic
87187	A	Microbe susceptible, mlc
87188	A	Microbe suscept, macrobroth
87190	A	Microbe suscept, mycobacteri
87197	A	Bactericidal level, serum
87205	A	Smear, gram stain
87206	A	Smear, fluorescent/acid stai
87207	A	Smear, special stain
87210	A	Smear, wet mount, saline/ink
87220	A	Tissue exam for fungi
87230	A	Assay, toxin or antitoxin
87250	A	Virus inoculate, eggs/animal
87252	A	Virus inoculation, tissue
87253	A	Virus inoculate tissue, addl
87254	A	Virus inoculation, shell via
87260	A	Adenovirus ag, if
87265	A	Pertussis ag, if
87270	A	Chlamydia trachomatis ag, if
87272	A	Cryptosporidum/gardia ag, if
87273	A	Herpes simplex 2, ag, if
87274	A	Herpes simplex 1, ag, if
87275	A	Influenza b, ag, if
87276	A	Influenza a, ag, if
87277	A	Legionella micdadei, ag, if
87278	A	Legion pneumophilia ag, if
87279	A	Parainfluenza, ag, if
87280	A	Respiratory syncytial ag, if
87281	A	Pneumocystis carinii, ag, if
87283	A	Rubeola, ag, if
87285	A	Treponema pallidum, ag, if
87290	A	Varicella zoster, ag, if
87299	A	Antibody detection, nos, if
87300	A	Ag detection, polyval, if
87301	A	Adenovirus ag, eia
87320	A	Chylmd trach ag, eia
87324	A	Clostridium ag, eia
87327	A	Cryptococcus neoform ag, eia
87328	A	Cryptospor ag, eia
87332	A	Cytomegalovirus ag, eia
87335	A	E coli 0157 ag, eia
87336	A	Entamoeb hist dispr, ag, eia
87337	A	Entamoeb hist group, ag, eia
87338	A	Hpylori, stool, eia
87339	A	Hpylori ag, eia
87340	A	Hepatitis b surface ag, eia
87341	A	Hepatitis b surface, ag, eia
87350	A	Hepatitis be ag, eia
87380	A	Hepatitis delta ag, eia
87385	A	Histoplasma capsul ag, eia
87390	A	Hiv-1 ag, eia
87391	A	Hiv-2 ag, eia
87400	A	Influenza a/b, ag, eia
87420	A	Resp syncytial ag, eia
87425	A	Rotavirus ag, eia
87427	A	Shiga-like toxin ag, eia
87430	A	Strep a ag, eia
87449	A	Ag detect nos, eia, mult
87450	A	Ag detect nos, eia, single
87451	A	Ag detect polyval, eia, mult
87470	A	Bartonella, dna, dir probe
87471	A	Bartonella, dna, amp probe
87472	X	Bartonella, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87475	A	Lyme dis, dna, dir probe
87476	A	Lyme dis, dna, amp probe
87477	X	Lyme dis, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87480	A	Candida, dna, dir probe
87481	A	Candida, dna, amp probe
87482	X	Candida, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87485	A	Chylmd pneum, dna, dir probe
87486	A	Chylmd pneum, dna, amp probe
87487	X	Chylmd pneum, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87490	A	Chylmd trach, dna, dir probe
87491	A	Chylmd trach, dna, amp probe
87492	X	Chylmd trach, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87495	A	Cytomeg, dna, dir probe
87496	A	Cytomeg, dna, amp probe
87497	X	Cytomeg, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87510	A	Gardner vag, dna, dir probe
87511	A	Gardner vag, dna, amp probe
87512	X	Gardner vag, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87515	A	Hepatitis b, dna, dir probe
87516	A	Hepatitis b , dna, amp probe
87517	X	Hepatitis b , dna, quant	0349	0.34	$17.29	$3.46	$3.46
87520	A	Hepatitis c , rna, dir probe
87521	A	Hepatitis c , rna, amp probe
87522	X	Hepatitis c, rna, quant	0349	0.34	$17.29	$3.46	$3.46
87525	A	Hepatitis g , dna, dir probe
87526	A	Hepatitis g, dna, amp probe
87527	X	Hepatitis g, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87528	A	Hsv, dna, dir probe
87529	A	Hsv, dna, amp probe
87530	X	Hsv, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87531	A	Hhv-6, dna, dir probe
87532	A	Hhv-6, dna, amp probe
87533	X	Hhv-6, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87534	A	Hiv-1, dna, dir probe
87535	A	Hiv-1, dna, amp probe
87536	X	Hiv-1, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87537	A	Hiv-2, dna, dir probe
87538	A	Hiv-2, dna, amp probe
87539	X	Hiv-2, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87540	A	Legion pneumo, dna, dir prob
87541	A	Legion pneumo, dna, amp prob
87542	X	Legion pneumo, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87550	A	Mycobacteria, dna, dir probe
87551	A	Mycobacteria, dna, amp probe
87552	X	Mycobacteria, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87555	A	M.tuberculo, dna, dir probe
87556	A	M.tuberculo, dna, amp probe
87557	X	M.tuberculo, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87560	A	M.avium-intra, dna, dir prob
87561	A	M.avium-intra, dna, amp prob
87562	X	M.avium-intra, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87580	A	M.pneumon, dna, dir probe
87581	A	M.pneumon, dna, amp probe
87582	X	M.pneumon, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87590	A	N.gonorrhoeae, dna, dir prob
87591	A	N.gonorrhoeae, dna, amp prob
87592	X	N.gonorrhoeae, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87620	A	Hpv, dna, dir probe
87621	A	Hpv, dna, amp probe
87622	X	Hpv, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87650	A	Strep a, dna, dir probe
87651	A	Strep a, dna, amp probe
87652	X	Strep a, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87797	A	Detect agent nos, dna, dir
87798	A	Detect agent nos, dna, amp
87799	X	Detect agent nos, dna, quant	0349	0.34	$17.29	$3.46	$3.46
87800	A	Detect agnt mult, dna, direc
87801	A	Detect agnt mult, dna, ampli
87810	A	Chylmd trach assay w/optic
87850	A	N. gonorrhoeae assay w/optic
87880	A	Strep a assay w/optic
87899	A	Agent nos assay w/optic
87901	A	Genotype, dna, hiv reverse t
87903	A	Phenotype, dna hiv w/culture
87904	A	Phenotype, dna hiv w/clt add
87999	X	Microbiology procedure	0349	0.34	$17.29	$3.46	$3.46
88000	E	Autopsy (necropsy), gross
88005	E	Autopsy (necropsy), gross
88007	E	Autopsy (necropsy), gross
88012	E	Autopsy (necropsy), gross
88014	E	Autopsy (necropsy), gross
88016	E	Autopsy (necropsy), gross
88020	E	Autopsy (necropsy), complete
88025	E	Autopsy (necropsy), complete
88027	E	Autopsy (necropsy), complete
88028	E	Autopsy (necropsy), complete
88029	E	Autopsy (necropsy), complete
88036	E	Limited autopsy
88037	E	Limited autopsy
88040	E	Forensic autopsy (necropsy)
88045	E	Coroner's autopsy (necropsy)
88099	E	Necropsy (autopsy) procedure
88104	X	Cytopathology, fluids	0343	0.42	$21.35	$11.53	$4.27
88106	X	Cytopathology, fluids	0343	0.42	$21.35	$11.53	$4.27
88107	X	Cytopathology, fluids	0343	0.42	$21.35	$11.53	$4.27
88108	X	Cytopath, concentrate tech	0343	0.42	$21.35	$11.53	$4.27
88125	X	Forensic cytopathology	0343	0.42	$21.35	$11.53	$4.27
88130	A	Sex chromatin identification
88140	A	Sex chromatin identification
88141	N	Cytopath, c/v, interpret
88142	X	Cytopath, c/v, thin layer	0349	0.34	$17.29	$3.46	$3.46
88143	A	Cytopath c/v thin layer redo
88144	A	Cytopath, c/v thin lyr redo
88145	A	Cytopath, c/v thin lyr sel
88147	A	Cytopath, c/v, automated
88148	A	Cytopath, c/v, auto rescreen
88150	A	Cytopath, c/v, manual
88152	A	Cytopath, c/v, auto redo
88153	A	Cytopath, c/v, redo
88154	A	Cytopath, c/v, select
88155	A	Cytopath, c/v, index add-on
88160	X	Cytopath smear, other source	0342	0.22	$11.19	$6.15	$2.24
88161	X	Cytopath smear, other source	0343	0.42	$21.35	$11.53	$4.27
88162	X	Cytopath smear, other source	0343	0.42	$21.35	$11.53	$4.27
88164	A	Cytopath tbs, c/v, manual
88165	A	Cytopath tbs, c/v, redo
88166	A	Cytopath tbs, c/v, auto redo
88167	A	Cytopath tbs, c/v, select
88170	T	Fine needle aspiration	0002	0.47	$23.90	$13.14	$4.78
88171	T	Fine needle aspiration	0004	3.00	$152.53	$32.57	$30.51
88172	X	Cytopathology eval of fna	0343	0.42	$21.35	$11.53	$4.27
88173	X	Cytopath eval, fna, report	0343	0.42	$21.35	$11.53	$4.27
88180	X	Cell marker study	0344	0.60	$30.51	$16.78	$6.10
88182	X	Cell marker study	0344	0.60	$30.51	$16.78	$6.10
88199	X	Cytopathology procedure	0349	0.34	$17.29	$3.46	$3.46
88230	A	Tissue culture, lymphocyte
88233	A	Tissue culture, skin/biopsy
88235	A	Tissue culture, placenta
88237	A	Tissue culture, bone marrow
88239	A	Tissue culture, tumor
88240	A	Cell cryopreserve/storage
88241	A	Frozen cell preparation
88245	A	Chromosome analysis, 20-25
88248	A	Chromosome analysis, 50-100
88249	A	Chromosome analysis, 100
88261	A	Chromosome analysis, 5
88262	A	Chromosome analysis, 15-20
88263	A	Chromosome analysis, 45
88264	A	Chromosome analysis, 20-25
88267	A	Chromosome analys, placenta
88269	A	Chromosome analys, amniotic
88271	A	Cytogenetics, dna probe
88272	A	Cytogenetics, 3-5
88273	A	Cytogenetics, 10-30
88274	A	Cytogenetics, 25-99
88275	A	Cytogenetics, 100-300
88280	A	Chromosome karyotype study
88283	A	Chromosome banding study
88285	A	Chromosome count, additional
88289	A	Chromosome study, additional
88291	A	Cyto/molecular report
88299	X	Cytogenetic study	0342	0.22	$11.19	$6.15	$2.24
88300	X	Surgical path, gross	0342	0.22	$11.19	$6.15	$2.24
88302	X	Tissue exam by pathologist	0342	0.22	$11.19	$6.15	$2.24
88304	X	Tissue exam by pathologist	0343	0.42	$21.35	$11.53	$4.27
88305	X	Tissue exam by pathologist	0343	0.42	$21.35	$11.53	$4.27
88307	X	Tissue exam by pathologist	0344	0.60	$30.51	$16.78	$6.10
88309	X	Tissue exam by pathologist	0344	0.60	$30.51	$16.78	$6.10
88311	X	Decalcify tissue	0342	0.22	$11.19	$6.15	$2.24
88312	X	Special stains	0343	0.42	$21.35	$11.53	$4.27
88313	X	Special stains	0342	0.22	$11.19	$6.15	$2.24
88314	X	Histochemical stain	0343	0.42	$21.35	$11.53	$4.27
88318	X	Chemical histochemistry	0343	0.42	$21.35	$11.53	$4.27
88319	X	Enzyme histochemistry	0342	0.22	$11.19	$6.15	$2.24
88321	X	Microslide consultation	0342	0.22	$11.19	$6.15	$2.24
88323	X	Microslide consultation	0343	0.42	$21.35	$11.53	$4.27
88325	X	Comprehensive review of data	0343	0.42	$21.35	$11.53	$4.27
88329	X	Path consult introp	0343	0.42	$21.35	$11.53	$4.27
88331	X	Path consult intraop, 1 bloc	0343	0.42	$21.35	$11.53	$4.27
88332	X	Path consult intraop, addl	0343	0.42	$21.35	$11.53	$4.27
88342	X	Immunocytochemistry	0344	0.60	$30.51	$16.78	$6.10
88346	X	Immunofluorescent study	0343	0.42	$21.35	$11.53	$4.27
88347	X	Immunofluorescent study	0344	0.60	$30.51	$16.78	$6.10
88348	X	Electron microscopy	0344	0.60	$30.51	$16.78	$6.10
88349	X	Scanning electron microscopy	0344	0.60	$30.51	$16.78	$6.10
88355	X	Analysis, skeletal muscle	0344	0.60	$30.51	$16.78	$6.10
88356	X	Analysis, nerve	0344	0.60	$30.51	$16.78	$6.10
88358	X	Analysis, tumor	0344	0.60	$30.51	$16.78	$6.10
88362	X	Nerve teasing preparations	0343	0.42	$21.35	$11.53	$4.27
88365	X	Tissue hybridization	0344	0.60	$30.51	$16.78	$6.10
88371	A	Protein, western blot tissue
88372	A	Protein analysis w/probe
88399	X	Surgical pathology procedure	0349	0.34	$17.29	$3.46	$3.46
88400	A	Bilirubin total transcut
89050	A	Body fluid cell count
89051	A	Body fluid cell count
89060	A	Exam,synovial fluid crystals
89100	X	Sample intestinal contents	0361	3.52	$178.96	$88.09	$35.79
89105	X	Sample intestinal contents	0360	1.40	$71.18	$34.75	$14.24
89125	A	Specimen fat stain
89130	X	Sample stomach contents	0360	1.40	$71.18	$34.75	$14.24
89132	X	Sample stomach contents	0360	1.40	$71.18	$34.75	$14.24
89135	X	Sample stomach contents	0360	1.40	$71.18	$34.75	$14.24
89136	X	Sample stomach contents	0360	1.40	$71.18	$34.75	$14.24
89140	X	Sample stomach contents	0360	1.40	$71.18	$34.75	$14.24
89141	X	Sample stomach contents	0360	1.40	$71.18	$34.75	$14.24
89160	A	Exam feces for meat fibers
89190	A	Nasal smear for eosinophils
89250	X	Fertilization of oocyte	0348	0.85	$43.22	$8.64	$8.64
89251	X	Culture oocyte w/embryos	0348	0.85	$43.22	$8.64	$8.64
89252	X	Assist oocyte fertilization	0348	0.85	$43.22	$8.64	$8.64
89253	X	Embryo hatching	0348	0.85	$43.22	$8.64	$8.64
89254	X	Oocyte identification	0348	0.85	$43.22	$8.64	$8.64
89255	X	Prepare embryo for transfer	0348	0.85	$43.22	$8.64	$8.64
89256	X	Prepare cryopreserved embryo	0348	0.85	$43.22	$8.64	$8.64
89257	X	Sperm identification	0348	0.85	$43.22	$8.64	$8.64
89258	X	Cryopreservation, embryo	0348	0.85	$43.22	$8.64	$8.64
89259	X	Cryopreservation, sperm	0348	0.85	$43.22	$8.64	$8.64
89260	X	Sperm isolation, simple	0348	0.85	$43.22	$8.64	$8.64
89261	X	Sperm isolation, complex	0348	0.85	$43.22	$8.64	$8.64
89264	X	Identify sperm tissue	0348	0.85	$43.22	$8.64	$8.64
89300	A	Semen analysis
89310	A	Semen analysis
89320	A	Semen analysis
89321	A	Semen analysis
89325	A	Sperm antibody test
89329	A	Sperm evaluation test
89330	A	Evaluation, cervical mucus
89350	X	Sputum specimen collection	0344	0.60	$30.51	$16.78	$6.10
89355	A	Exam feces for starch
89360	X	Collect sweat for test	0344	0.60	$30.51	$16.78	$6.10
89365	A	Water load test
89399	X	Pathology lab procedure	0349	0.34	$17.29	$3.46	$3.46
90281	E	Human ig, im
90283	E	Human ig, iv
90287	E	Botulinum antitoxin
90288	E	Botulism ig, iv
90291	E	Cmv ig, iv
90296	K	Diphtheria antitoxin	0356	1.20	$61.01		$12.20
90371	K	Hep b ig, im	0356	1.20	$61.01		$12.20
90375	K	Rabies ig, im/sc	0356	1.20	$61.01		$12.20
90376	K	Rabies ig, heat treated	0356	1.20	$61.01		$12.20
90378	K	Rsv ig, im, 50mg	0356	1.20	$61.01		$12.20
90379	K	Rsv ig, iv	0356	1.20	$61.01		$12.20
90384	E	Rh ig, full-dose, im
90385	K	Rh ig, minidose, im	0356	1.20	$61.01		$12.20
90386	E	Rh ig, iv
90389	K	Tetanus ig, im	0356	1.20	$61.01		$12.20
90393	K	Vaccina ig, im	0356	1.20	$61.01		$12.20
90396	K	Varicella-zoster ig, im	0356	1.20	$61.01		$12.20
90399	E	Immune globulin
90471	N	Immunization admin
90472	N	Immunization admin, each add
90476	K	Adenovirus vaccine, type 4	0356	1.20	$61.01		$12.20
90477	K	Adenovirus vaccine, type 7	0356	1.20	$61.01		$12.20
90581	K	Anthrax vaccine, sc	0356	1.20	$61.01		$12.20
90585	K	Bcg vaccine, percut	0356	1.20	$61.01		$12.20
90586	K	Bcg vaccine, intravesical	0356	1.20	$61.01		$12.20
90632	K	Hep a vaccine, adult im	0356	1.20	$61.01		$12.20
90633	K	Hep a vacc, ped/adol, 2 dose	0356	1.20	$61.01		$12.20
90634	K	Hep a vacc, ped/adol, 3 dose	0356	1.20	$61.01		$12.20
90636	K	Hep a/hep b vacc, adult im	0355	0.20	$10.17		$2.03
90645	K	Hib vaccine, hboc, im	0355	0.20	$10.17		$2.03
90646	K	Hib vaccine, prp-d, im	0355	0.20	$10.17		$2.03
90647	K	Hib vaccine, prp-omp, im	0355	0.20	$10.17		$2.03
90648	K	Hib vaccine, prp-t, im	0355	0.20	$10.17		$2.03
90657	K	Flu vaccine, 6-35 mo, im	0354	0.11	$5.59
90658	K	Flu vaccine, 3 yrs, im	0354	0.11	$5.59
90659	K	Flu vaccine, whole, im	0354	0.11	$5.59
90660	E	Flu vaccine, nasal
90665	K	Lyme disease vaccine, im	0356	1.20	$61.01		$12.20
90669	E	Pneumococcal vacc, ped<5
90675	K	Rabies vaccine, im	0356	1.20	$61.01		$12.20
90676	K	Rabies vaccine, id	0356	1.20	$61.01		$12.20
90680	K	Rotovirus vaccine, oral	0356	1.20	$61.01		$12.20
90690	K	Typhoid vaccine, oral	0356	1.20	$61.01		$12.20
90691	K	Typhoid vaccine, im	0356	1.20	$61.01		$12.20
90692	K	Typhoid vaccine, h-p, sc/id	0355	0.20	$10.17		$2.03
90693	K	Typhoid vaccine, akd, sc	0356	1.20	$61.01		$12.20
90700	K	Dtap vaccine, im	0355	0.20	$10.17		$2.03
90701	K	Dtp vaccine, im	0355	0.20	$10.17		$2.03
90702	K	Dt vaccine < 7, im	0355	0.20	$10.17		$2.03
90703	K	Tetanus vaccine, im	0355	0.20	$10.17		$2.03
90704	K	Mumps vaccine, sc	0355	0.20	$10.17		$2.03
90705	K	Measles vaccine, sc	0356	1.20	$61.01		$12.20
90706	K	Rubella vaccine, sc	0355	0.20	$10.17		$2.03
90707	K	Mmr vaccine, sc	0356	1.20	$61.01		$12.20
90708	K	Measles-rubella vaccine, sc	0356	1.20	$61.01		$12.20
90709	K	Rubella & mumps vaccine, sc	0356	1.20	$61.01		$12.20
90710	K	Mmrv vaccine, sc	0356	1.20	$61.01		$12.20
90712	K	Oral poliovirus vaccine	0355	0.20	$10.17		$2.03
90713	K	Poliovirus, ipv, sc	0355	0.20	$10.17		$2.03
90716	K	Chicken pox vaccine, sc	0355	0.20	$10.17		$2.03
90717	K	Yellow fever vaccine, sc	0356	1.20	$61.01		$12.20
90718	K	Td vaccine > 7, im	0355	0.20	$10.17		$2.03
90719	K	Diphtheria vaccine, im	0356	1.20	$61.01		$12.20
90720	K	Dtp/hib vaccine, im	0355	0.20	$10.17		$2.03
90721	K	Dtap/hib vaccine, im	0355	0.20	$10.17		$2.03
90723	K	Dtap-hep b-ipv vaccine, im	0356	1.20	$61.01		$12.20
90725	K	Cholera vaccine, injectable	0355	0.20	$10.17		$2.03
90727	K	Plague vaccine, im	0355	0.20	$10.17		$2.03
90732	K	Pneumococcal vacc, adult/ill	0354	0.11	$5.59
90733	K	Meningococcal vaccine, sc	0356	1.20	$61.01		$12.20
90735	K	Encephalitis vaccine, sc	0356	1.20	$61.01		$12.20
90740	K	Hepb vacc, ill pat 3 dose im	0356	1.20	$61.01		$12.20
90743	K	Hep b vacc, adol, 2 dose, im	0356	1.20	$61.01		$12.20
90744	K	Hepb vacc ped/adol 3 dose im	0356	1.20	$61.01		$12.20
90746	K	Hep b vaccine, adult, im	0356	1.20	$61.01		$12.20
90747	K	Hepb vacc, ill pat 4 dose im	0356	1.20	$61.01		$12.20
90748	K	Hep b/hib vaccine, im	0355	0.20	$10.17		$2.03
90749	K	Vaccine toxoid	0355	0.20	$10.17		$2.03
90780	E	IV infusion therapy, 1 hour
90781	E	IV infusion, additional hour
90782	X	Injection, sc/im	0352	0.45	$22.88	$4.58	$4.58
90783	X	Injection, ia	0359	1.91	$97.11	$19.42	$19.42
90784	X	Injection, iv	0359	1.91	$97.11	$19.42	$19.42
90788	X	Injection of antibiotic	0359	1.91	$97.11	$19.42	$19.42
90799	X	Ther/prophylactic/dx inject	0352	0.45	$22.88	$4.58	$4.58
90801	S	Psy dx interview	0323	1.89	$96.09	$22.48	$19.22
90802	S	Intac psy dx interview	0323	1.89	$96.09	$22.48	$19.22
90804	S	Psytx, office, 20-30 min	0322	1.25	$63.55	$13.35	$12.71
90805	S	Psytx, off, 20-30 min w/e&m	0322	1.25	$63.55	$13.35	$12.71
90806	S	Psytx, off, 45-50 min	0323	1.89	$96.09	$22.48	$19.22
90807	S	Psytx, off, 45-50 min w/e&m	0323	1.89	$96.09	$22.48	$19.22
90808	S	Psytx, office, 75-80 min	0323	1.89	$96.09	$22.48	$19.22
90809	S	Psytx, off, 75-80, w/e&m	0323	1.89	$96.09	$22.48	$19.22
90810	S	Intac psytx, off, 20-30 min	0322	1.25	$63.55	$13.35	$12.71
90811	S	Intac psytx, 20-30, w/e&m	0322	1.25	$63.55	$13.35	$12.71
90812	S	Intac psytx, off, 45-50 min	0323	1.89	$96.09	$22.48	$19.22
90813	S	Intac psytx, 45-50 min w/e&m	0323	1.89	$96.09	$22.48	$19.22
90814	S	Intac psytx, off, 75-80 min	0323	1.89	$96.09	$22.48	$19.22
90815	S	Intac psytx, 75-80 w/e&m	0323	1.89	$96.09	$22.48	$19.22
90816	S	Psytx, hosp, 20-30 min	0322	1.25	$63.55	$13.35	$12.71
90817	S	Psytx, hosp, 20-30 min w/e&m	0322	1.25	$63.55	$13.35	$12.71
90818	S	Psytx, hosp, 45-50 min	0323	1.89	$96.09	$22.48	$19.22
90819	S	Psytx, hosp, 45-50 min w/e&m	0323	1.89	$96.09	$22.48	$19.22
90821	S	Psytx, hosp, 75-80 min	0323	1.89	$96.09	$22.48	$19.22
90822	S	Psytx, hosp, 75-80 min w/e&m	0323	1.89	$96.09	$22.48	$19.22
90823	S	Intac psytx, hosp, 20-30 min	0322	1.25	$63.55	$13.35	$12.71
90824	S	Intac psytx, hsp 20-30 w/e&m	0322	1.25	$63.55	$13.35	$12.71
90826	S	Intac psytx, hosp, 45-50 min	0323	1.89	$96.09	$22.48	$19.22
90827	S	Intac psytx, hsp 45-50 w/e&m	0323	1.89	$96.09	$22.48	$19.22
90828	S	Intac psytx, hosp, 75-80 min	0323	1.89	$96.09	$22.48	$19.22
90829	S	Intac psytx, hsp 75-80 w/e&m	0323	1.89	$96.09	$22.48	$19.22
90845	S	Psychoanalysis	0323	1.89	$96.09	$22.48	$19.22
90846	S	Family psytx w/o patient	0324	3.13	$159.14	$31.83	$31.83
90847	S	Family psytx w/patient	0324	3.13	$159.14	$31.83	$31.83
90849	S	Multiple family group psytx	0325	1.49	$75.75	$19.70	$15.15
90853	S	Group psychotherapy	0325	1.49	$75.75	$19.70	$15.15
90857	S	Intac group psytx	0325	1.49	$75.75	$19.70	$15.15
90862	X	Medication management	0374	0.96	$48.81	$10.74	$9.76
90865	S	Narcosynthesis	0323	1.89	$96.09	$22.48	$19.22
90870	S	Electroconvulsive therapy	0320	4.20	$213.54	$80.06	$42.71
90871	S	Electroconvulsive therapy	0320	4.20	$213.54	$80.06	$42.71
90875	E	Psychophysiological therapy
90876	E	Psychophysiological therapy
90880	S	Hypnotherapy	0323	1.89	$96.09	$22.48	$19.22
90882	E	Environmental manipulation
90885	N	Psy evaluation of records
90887	N	Consultation with family
90889	N	Preparation of report
90899	S	Psychiatric service/therapy	0322	1.25	$63.55	$13.35	$12.71
90901	S	Biofeedback train, any meth	0321	1.02	$51.86	$23.86	$10.37
90911	S	Biofeedback peri/uro/rectal	0321	1.02	$51.86	$23.86	$10.37
90918	A	ESRD related services, month
90919	A	ESRD related services, month
90920	A	ESRD related services, month
90921	A	ESRD related services, month
90922	A	ESRD related services, day
90923	A	Esrd related services, day
90924	A	Esrd related services, day
90925	A	Esrd related services, day
90935	S	Hemodialysis, one evaluation	0170	1.08	$54.91	$12.08	$10.98
90937	E	Hemodialysis, repeated eval
90940	N	Hemodialysis access study
90945	S	Dialysis, one evaluation	0170	1.08	$54.91	$12.08	$10.98
90947	E	Dialysis, repeated eval
90989	E	Dialysis training, complete
90993	E	Dialysis training, incompl
90997	E	Hemoperfusion
90999	E	Dialysis procedure
91000	X	Esophageal intubation	0361	3.52	$178.96	$88.09	$35.79
91010	X	Esophagus motility study	0361	3.52	$178.96	$88.09	$35.79
91011	X	Esophagus motility study	0361	3.52	$178.96	$88.09	$35.79
91012	X	Esophagus motility study	0361	3.52	$178.96	$88.09	$35.79
91020	X	Gastric motility	0361	3.52	$178.96	$88.09	$35.79
91030	X	Acid perfusion of esophagus	0360	1.40	$71.18	$34.75	$14.24
91032	X	Esophagus, acid reflux test	0361	3.52	$178.96	$88.09	$35.79
91033	X	Prolonged acid reflux test	0361	3.52	$178.96	$88.09	$35.79
91052	X	Gastric analysis test	0361	3.52	$178.96	$88.09	$35.79
91055	X	Gastric intubation for smear	0360	1.40	$71.18	$34.75	$14.24
91060	X	Gastric saline load test	0360	1.40	$71.18	$34.75	$14.24
91065	X	Breath hydrogen test	0360	1.40	$71.18	$34.75	$14.24
91100	X	Pass intestine bleeding tube	0360	1.40	$71.18	$34.75	$14.24
91105	X	Gastric intubation treatment	0361	3.52	$178.96	$88.09	$35.79
91122	T	Anal pressure record	0156	2.62	$133.21	$39.96	$26.64
91132	X	Electrogastrography	0360	1.40	$71.18	$34.75	$14.24
91133	X	Electrogastrography w/test	0360	1.40	$71.18	$34.75	$14.24
91299	X	Gastroenterology procedure	0360	1.40	$71.18	$34.75	$14.24
92002	V	Eye exam, new patient	0601	1.02	$51.86	$10.37	$10.37
92004	V	Eye exam, new patient	0602	1.49	$75.75	$15.15	$15.15
92012	V	Eye exam established pat	0601	1.02	$51.86	$10.37	$10.37
92014	V	Eye exam & treatment	0602	1.49	$75.75	$15.15	$15.15
92015	E	Refraction
92018	T	New eye exam & treatment	0699	6.91	$351.32	$158.09	$70.26
92019	S	Eye exam & treatment	0698	1.09	$55.42	$24.94	$11.08
92020	S	Special eye evaluation	0230	0.64	$32.54	$14.97	$6.51
92060	S	Special eye evaluation	0230	0.64	$32.54	$14.97	$6.51
92065	S	Orthoptic/pleoptic training	0230	0.64	$32.54	$14.97	$6.51
92070	N	Fitting of contact lens
92081	S	Visual field examination(s)	0230	0.64	$32.54	$14.97	$6.51
92082	S	Visual field examination(s)	0698	1.09	$55.42	$24.94	$11.08
92083	S	Visual field examination(s)	0698	1.09	$55.42	$24.94	$11.08
92100	N	Serial tonometry exam(s)
92120	S	Tonography & eye evaluation	0230	0.64	$32.54	$14.97	$6.51
92130	S	Water provocation tonography	0230	0.64	$32.54	$14.97	$6.51
92135	S	Opthalmic dx imaging	0230	0.64	$32.54	$14.97	$6.51
92140	S	Glaucoma provocative tests	0231	2.27	$115.41	$51.94	$23.08
92225	S	Special eye exam, initial	0230	0.64	$32.54	$14.97	$6.51
92226	S	Special eye exam, subsequent	0231	2.27	$115.41	$51.94	$23.08
92230	T	Eye exam with photos	0699	6.91	$351.32	$158.09	$70.26
92235	S	Eye exam with photos	0231	2.27	$115.41	$51.94	$23.08
92240	S	Icg angiography	0231	2.27	$115.41	$51.94	$23.08
92250	S	Eye exam with photos	0230	0.64	$32.54	$14.97	$6.51
92260	S	Ophthalmoscopy/dynamometry	0230	0.64	$32.54	$14.97	$6.51
92265	S	Eye muscle evaluation	0231	2.27	$115.41	$51.94	$23.08
92270	S	Electro-oculography	0698	1.09	$55.42	$24.94	$11.08
92275	S	Electroretinography	0216	2.91	$147.95	$64.69	$29.59
92283	S	Color vision examination	0230	0.64	$32.54	$14.97	$6.51
92284	S	Dark adaptation eye exam	0231	2.27	$115.41	$51.94	$23.08
92285	S	Eye photography	0230	0.64	$32.54	$14.97	$6.51
92286	S	Internal eye photography	0230	0.64	$32.54	$14.97	$6.51
92287	S	Internal eye photography	0231	2.27	$115.41	$51.94	$23.08
92310	E	Contact lens fitting
92311	X	Contact lens fitting	0362	0.83	$42.20	$9.63	$8.44
92312	X	Contact lens fitting	0362	0.83	$42.20	$9.63	$8.44
92313	X	Contact lens fitting	0362	0.83	$42.20	$9.63	$8.44
92314	E	Prescription of contact lens
92315	X	Prescription of contact lens	0362	0.83	$42.20	$9.63	$8.44
92316	X	Prescription of contact lens	0362	0.83	$42.20	$9.63	$8.44
92317	X	Prescription of contact lens	0362	0.83	$42.20	$9.63	$8.44
92325	X	Modification of contact lens	0362	0.83	$42.20	$9.63	$8.44
92326	X	Replacement of contact lens	0362	0.83	$42.20	$9.63	$8.44
92330	S	Fitting of artificial eye	0230	0.64	$32.54	$14.97	$6.51
92335	N	Fitting of artificial eye
92340	E	Fitting of spectacles
92341	E	Fitting of spectacles
92342	E	Fitting of spectacles
92352	X	Special spectacles fitting	0362	0.83	$42.20	$9.63	$8.44
92353	X	Special spectacles fitting	0362	0.83	$42.20	$9.63	$8.44
92354	X	Special spectacles fitting	0362	0.83	$42.20	$9.63	$8.44
92355	X	Special spectacles fitting	0362	0.83	$42.20	$9.63	$8.44
92358	X	Eye prosthesis service	0362	0.83	$42.20	$9.63	$8.44
92370	E	Repair & adjust spectacles
92371	X	Repair & adjust spectacles	0362	0.83	$42.20	$9.63	$8.44
92390	E	Supply of spectacles
92391	E	Supply of contact lenses
92392	E	Supply of low vision aids
92393	E	Supply of artificial eye
92395	E	Supply of spectacles
92396	E	Supply of contact lenses
92499	S	Eye service or procedure	0230	0.64	$32.54	$14.97	$6.51
92502	T	Ear and throat examination	0251	2.71	$137.78	$27.99	$27.56
92504	N	Ear microscopy examination
92506	A	Speech/hearing evaluation
92507	A	Speech/hearing therapy
92508	A	Speech/hearing therapy
92510	A	Rehab for ear implant
92511	T	Nasopharyngoscopy	0071	1.08	$54.91	$14.22	$10.98
92512	X	Nasal function studies	0363	2.06	$104.73	$38.75	$20.95
92516	X	Facial nerve function test	0363	2.06	$104.73	$38.75	$20.95
92520	X	Laryngeal function studies	0363	2.06	$104.73	$38.75	$20.95
92525	A	Oral function evaluation
92526	A	Oral function therapy
92531	N	Spontaneous nystagmus study
92532	N	Positional nystagmus study
92533	N	Caloric vestibular test
92534	N	Optokinetic nystagmus
92541	X	Spontaneous nystagmus test	0363	2.06	$104.73	$38.75	$20.95
92542	X	Positional nystagmus test	0363	2.06	$104.73	$38.75	$20.95
92543	X	Caloric vestibular test	0363	2.06	$104.73	$38.75	$20.95
92544	X	Optokinetic nystagmus test	0363	2.06	$104.73	$38.75	$20.95
92545	X	Oscillating tracking test	0363	2.06	$104.73	$38.75	$20.95
92546	X	Sinusoidal rotational test	0363	2.06	$104.73	$38.75	$20.95
92547	X	Supplemental electrical test	0363	2.06	$104.73	$38.75	$20.95
92548	X	Posturography	0363	2.06	$104.73	$38.75	$20.95
92551	E	Pure tone hearing test, air
92552	X	Pure tone audiometry, air	0364	0.55	$27.96	$10.91	$5.59
92553	X	Audiometry, air & bone	0365	1.42	$72.20	$21.66	$14.44
92555	X	Speech threshold audiometry	0364	0.55	$27.96	$10.91	$5.59
92556	X	Speech audiometry, complete	0364	0.55	$27.96	$10.91	$5.59
92557	X	Comprehensive hearing test	0365	1.42	$72.20	$21.66	$14.44
92559	E	Group audiometric testing
92560	E	Bekesy audiometry, screen
92561	X	Bekesy audiometry, diagnosis	0365	1.42	$72.20	$21.66	$14.44
92562	X	Loudness balance test	0364	0.55	$27.96	$10.91	$5.59
92563	X	Tone decay hearing test	0364	0.55	$27.96	$10.91	$5.59
92564	X	Sisi hearing test	0364	0.55	$27.96	$10.91	$5.59
92565	X	Stenger test, pure tone	0364	0.55	$27.96	$10.91	$5.59
92567	X	Tympanometry	0364	0.55	$27.96	$10.91	$5.59
92568	X	Acoustic reflex testing	0364	0.55	$27.96	$10.91	$5.59
92569	X	Acoustic reflex decay test	0364	0.55	$27.96	$10.91	$5.59
92571	X	Filtered speech hearing test	0364	0.55	$27.96	$10.91	$5.59
92572	X	Staggered spondaic word test	0364	0.55	$27.96	$10.91	$5.59
92573	X	Lombard test	0364	0.55	$27.96	$10.91	$5.59
92575	X	Sensorineural acuity test	0365	1.42	$72.20	$21.66	$14.44
92576	X	Synthetic sentence test	0364	0.55	$27.96	$10.91	$5.59
92577	X	Stenger test, speech	0365	1.42	$72.20	$21.66	$14.44
92579	X	Visual audiometry (vra)	0365	1.42	$72.20	$21.66	$14.44
92582	X	Conditioning play audiometry	0365	1.42	$72.20	$21.66	$14.44
92583	X	Select picture audiometry	0364	0.55	$27.96	$10.91	$5.59
92584	X	Electrocochleography	0363	2.06	$104.73	$38.75	$20.95
92585	S	Auditor evoke potent, compre	0216	2.91	$147.95	$64.69	$29.59
92586	S	Auditor evoke potent, limit	0971	1.42	$72.20		$14.44
92587	X	Evoked auditory test	0363	2.06	$104.73	$38.75	$20.95
92588	X	Evoked auditory test	0363	2.06	$104.73	$38.75	$20.95
92589	X	Auditory function test(s)	0364	0.55	$27.96	$10.91	$5.59
92590	E	Hearing aid exam, one ear
92591	E	Hearing aid exam, both ears
92592	E	Hearing aid check, one ear
92593	E	Hearing aid check, both ears
92594	E	Electro hearng aid test, one
92595	E	Electro hearng aid tst, both
92596	X	Ear protector evaluation	0365	1.42	$72.20	$21.66	$14.44
92599	X	ENT procedure/service	0364	0.55	$27.96	$10.91	$5.59
92950	S	Heart/lung resuscitation cpr	0094	5.69	$289.29	$105.29	$57.86
92953	S	Temporary external pacing	0094	5.69	$289.29	$105.29	$57.86
92960	S	Cardioversion electric, ext	0094	5.69	$289.29	$105.29	$57.86
92961	S	Cardioversion, electric, int	0087	14.89	$757.04	$214.72	$151.41
92970	C	Cardioassist, internal
92971	C	Cardioassist, external
92975	C	Dissolve clot, heart vessel
92977	T	Dissolve clot, heart vessel	0120	2.35	$119.48	$42.67	$23.90
92978	S	Intravasc us, heart add-on	0267	2.58	$131.17	$72.14	$26.23
92979	S	Intravasc us, heart add-on	0267	2.58	$131.17	$72.14	$26.23
92980	T	Insert intracoronary stent	0104	71.42	$3,631.14	$726.23	$726.23
92981	T	Insert intracoronary stent	0104	71.42	$3,631.14	$726.23	$726.23
92982	T	Coronary artery dilation	0083	50.15	$2,549.73	$794.30	$509.95
92984	T	Coronary artery dilation	0083	50.15	$2,549.73	$794.30	$509.95
92986	C	Revision of aortic valve
92987	C	Revision of mitral valve
92990	C	Revision of pulmonary valve
92992	C	Revision of heart chamber
92993	C	Revision of heart chamber
92995	T	Coronary atherectomy	0082	130.89	$6,654.71	$1,351.74	$1,330.94
92996	T	Coronary atherectomy add-on	0082	130.89	$6,654.71	$1,351.74	$1,330.94
92997	C	Pul art balloon repr, percut
92998	C	Pul art balloon repr, percut
93000	E	Electrocardiogram, complete
93005	S	Electrocardiogram, tracing	0099	0.38	$19.32	$10.63	$3.86
93010	S	Electrocardiogram report
93012	N	Transmission of ecg
93014	E	Report on transmitted ecg
93015	E	Cardiovascular stress test
93016	E	Cardiovascular stress test
93017	X	Cardiovascular stress test	0100	1.63	$82.87	$45.58	$16.57
93018	E	Cardiovascular stress test
93024	X	Cardiac drug stress test	0100	1.63	$82.87	$45.58	$16.57
93040	E	Rhythm ECG with report
93041	S	Rhythm ECG, tracing	0099	0.38	$19.32	$10.63	$3.86
93042	E	Rhythm ECG, report
93224	E	ECG monitor/report, 24 hrs
93225	X	ECG monitor/record, 24 hrs	0100	1.63	$82.87	$45.58	$16.57
93226	X	ECG monitor/report, 24 hrs	0100	1.63	$82.87	$45.58	$16.57
93227	E	ECG monitor/review, 24 hrs
93230	E	ECG monitor/report, 24 hrs
93231	X	Ecg monitor/record, 24 hrs	0100	1.63	$82.87	$45.58	$16.57
93232	X	ECG monitor/report, 24 hrs	0100	1.63	$82.87	$45.58	$16.57
93233	E	ECG monitor/review, 24 hrs
93235	E	ECG monitor/report, 24 hrs
93236	X	ECG monitor/report, 24 hrs	0100	1.63	$82.87	$45.58	$16.57
93237	E	ECG monitor/review, 24 hrs
93268	E	ECG record/review
93270	X	ECG recording	0097	0.87	$44.23	$24.33	$8.85
93271	X	Ecg/monitoring and analysis	0097	0.87	$44.23	$24.33	$8.85
93272	E	Ecg/review, interpret only
93278	S	ECG/signal-averaged	0099	0.38	$19.32	$10.63	$3.86
93303	S	Echo transthoracic	0269	4.31	$219.13	$113.95	$43.83
93304	S	Echo transthoracic	0697	2.00	$101.68	$52.88	$20.34
93307	S	Echo exam of heart	0269	4.31	$219.13	$113.95	$43.83
93308	S	Echo exam of heart	0697	2.00	$101.68	$52.88	$20.34
93312	S	Echo transesophageal	0270	5.83	$296.41	$150.26	$59.28
93313	S	Echo transesophageal	0270	5.83	$296.41	$150.26	$59.28
93314	N	Echo transesophageal
93315	S	Echo transesophageal	0270	5.83	$296.41	$150.26	$59.28
93316	S	Echo transesophageal	0270	5.83	$296.41	$150.26	$59.28
93317	N	Echo transesophageal
93318	S	Echo transesophageal intraop	0270	5.83	$296.41	$150.26	$59.28
93320	S	Doppler echo exam, heart	0269	4.31	$219.13	$113.95	$43.83
93321	S	Doppler echo exam, heart	0697	2.00	$101.68	$52.88	$20.34
93325	S	Doppler color flow add-on	0697	2.00	$101.68	$52.88	$20.34
93350	S	Echo transthoracic	0269	4.31	$219.13	$113.95	$43.83
93501	T	Right heart catheterization	0080	32.20	$1,637.11	$838.92	$327.42
93503	T	Insert/place heart catheter	0103	10.91	$554.69	$249.61	$110.94
93505	T	Biopsy of heart lining	0103	10.91	$554.69	$249.61	$110.94
93508	N	Cath placement, angiography
93510	T	Left heart catheterization	0080	32.20	$1,637.11	$838.92	$327.42
93511	T	Left heart catheterization	0080	32.20	$1,637.11	$838.92	$327.42
93514	T	Left heart catheterization	0080	32.20	$1,637.11	$838.92	$327.42
93524	T	Left heart catheterization	0080	32.20	$1,637.11	$838.92	$327.42
93526	T	Rt & Lt heart catheters	0080	32.20	$1,637.11	$838.92	$327.42
93527	T	Rt & Lt heart catheters	0080	32.20	$1,637.11	$838.92	$327.42
93528	T	Rt & Lt heart catheters	0080	32.20	$1,637.11	$838.92	$327.42
93529	T	Rt, Lt heart catheterization	0080	32.20	$1,637.11	$838.92	$327.42
93530	T	Rt heart cath, congenital	0080	32.20	$1,637.11	$838.92	$327.42
93531	T	R & l heart cath, congenital	0080	32.20	$1,637.11	$838.92	$327.42
93532	T	R & l heart cath, congenital	0080	32.20	$1,637.11	$838.92	$327.42
93533	T	R & l heart cath, congenital	0080	32.20	$1,637.11	$838.92	$327.42
93536	T	Insert circulation assi	0103	10.91	$554.69	$249.61	$110.94
93539	N	Injection, cardiac cath
93540	N	Injection, cardiac cath
93541	N	Injection for lung angiogram
93542	N	Injection for heart x-rays
93543	N	Injection for heart x-rays
93544	N	Injection for aortography
93545	N	Inject for coronary x-rays
93555	N	Imaging, cardiac cath
93556	N	Imaging, cardiac cath
93561	N	Cardiac output measurement
93562	N	Cardiac output measurement
93571	N	Heart flow reserve measure
93572	N	Heart flow reserve measure
93600	S	Bundle of His recording	0087	14.89	$757.04	$214.72	$151.41
93602	S	Intra-atrial recording	0087	14.89	$757.04	$214.72	$151.41
93603	S	Right ventricular recording	0087	14.89	$757.04	$214.72	$151.41
93607	S	Left ventricular recording	0087	14.89	$757.04	$214.72	$151.41
93609	S	Mapping of tachycardia	0087	14.89	$757.04	$214.72	$151.41
93610	S	Intra-atrial pacing	0087	14.89	$757.04	$214.72	$151.41
93612	S	Intraventricular pacing	0087	14.89	$757.04	$214.72	$151.41
93615	S	Esophageal recording	0087	14.89	$757.04	$214.72	$151.41
93616	S	Esophageal recording	0087	14.89	$757.04	$214.72	$151.41
93618	S	Heart rhythm pacing	0087	14.89	$757.04	$214.72	$151.41
93619	S	Electrophysiology evaluation	0085	27.39	$1,392.56	$654.48	$278.51
93620	S	Electrophysiology evaluation	0085	27.39	$1,392.56	$654.48	$278.51
93621	S	Electrophysiology evaluation	0085	27.39	$1,392.56	$654.48	$278.51
93622	S	Electrophysiology evaluation	0085	27.39	$1,392.56	$654.48	$278.51
93623	S	Stimulation, pacing heart	0087	14.89	$757.04	$214.72	$151.41
93624	S	Electrophysiologic study	0087	14.89	$757.04	$214.72	$151.41
93631	S	Heart pacing, mapping	0087	14.89	$757.04	$214.72	$151.41
93640	S	Evaluation heart device	0084	4.94	$251.16	$82.88	$50.23
93641	S	Electrophysiology evaluation	0084	4.94	$251.16	$82.88	$50.23
93642	S	Electrophysiology evaluation	0084	4.94	$251.16	$82.88	$50.23
93650	S	Ablate heart dysrhythm focus	0086	47.13	$2,396.18	$1,265.37	$479.24
93651	S	Ablate heart dysrhythm focus	0086	47.13	$2,396.18	$1,265.37	$479.24
93652	S	Ablate heart dysrhythm focus	0086	47.13	$2,396.18	$1,265.37	$479.24
93660	S	Tilt table evaluation	0101	4.03	$204.89	$112.69	$40.98
93662	S	Intracardiac ecg (ice)	0270	5.83	$296.41	$150.26	$59.28
93668	E	Peripheral vascular rehab
93720	E	Total body plethysmography
93721	S	Plethysmography tracing	0096	1.87	$95.07	$52.29	$19.01
93722	E	Plethysmography report
93724	S	Analyze pacemaker system	0690	0.40	$20.34	$11.19	$4.07
93727	S	Analyze ilr system	0690	0.40	$20.34	$11.19	$4.07
93731	S	Analyze pacemaker system	0690	0.40	$20.34	$11.19	$4.07
93732	S	Analyze pacemaker system	0690	0.40	$20.34	$11.19	$4.07
93733	S	Telephone analy, pacemaker	0690	0.40	$20.34	$11.19	$4.07
93734	S	Analyze pacemaker system	0690	0.40	$20.34	$11.19	$4.07
93735	S	Analyze pacemaker system	0690	0.40	$20.34	$11.19	$4.07
93736	S	Telephone analy, pacemaker	0690	0.40	$20.34	$11.19	$4.07
93737	S	Analyze cardio/defibrillator	0689	0.49	$24.91	$13.70	$4.98
93738	S	Analyze cardio/defibrillator	0689	0.49	$24.91	$13.70	$4.98
93740	S	Temperature gradient studies	0096	1.87	$95.07	$52.29	$19.01
93741	S	Analyze ht pace device sngl	0689	0.49	$24.91	$13.70	$4.98
93742	S	Analyze ht pace device sngl	0689	0.49	$24.91	$13.70	$4.98
93743	S	Analyze ht pace device dual	0689	0.49	$24.91	$13.70	$4.98
93744	S	Analyze ht pace device dual	0689	0.49	$24.91	$13.70	$4.98
93760	E	Cephalic thermogram
93762	E	Peripheral thermogram
93770	N	Measure venous pressure
93784	E	Ambulatory BP monitoring
93786	E	Ambulatory BP recording
93788	E	Ambulatory BP analysis
93790	E	Review/report BP recording
93797	S	Cardiac rehab	0095	0.66	$33.56	$16.98	$6.71
93798	S	Cardiac rehab/monitor	0095	0.66	$33.56	$16.98	$6.71
93799	S	Cardiovascular procedure	0096	1.87	$95.07	$52.29	$19.01
93875	S	Extracranial study	0096	1.87	$95.07	$52.29	$19.01
93880	S	Extracranial study	0267	2.58	$131.17	$72.14	$26.23
93882	S	Extracranial study	0267	2.58	$131.17	$72.14	$26.23
93886	S	Intracranial study	0267	2.58	$131.17	$72.14	$26.23
93888	S	Intracranial study	0267	2.58	$131.17	$72.14	$26.23
93922	S	Extremity study	0096	1.87	$95.07	$52.29	$19.01
93923	S	Extremity study	0096	1.87	$95.07	$52.29	$19.01
93924	S	Extremity study	0096	1.87	$95.07	$52.29	$19.01
93925	S	Lower extremity study	0267	2.58	$131.17	$72.14	$26.23
93926	S	Lower extremity study	0267	2.58	$131.17	$72.14	$26.23
93930	S	Upper extremity study	0267	2.58	$131.17	$72.14	$26.23
93931	S	Upper extremity study	0267	2.58	$131.17	$72.14	$26.23
93965	S	Extremity study	0096	1.87	$95.07	$52.29	$19.01
93970	S	Extremity study	0267	2.58	$131.17	$72.14	$26.23
93971	S	Extremity study	0267	2.58	$131.17	$72.14	$26.23
93975	S	Vascular study	0267	2.58	$131.17	$72.14	$26.23
93976	S	Vascular study	0267	2.58	$131.17	$72.14	$26.23
93978	S	Vascular study	0267	2.58	$131.17	$72.14	$26.23
93979	S	Vascular study	0267	2.58	$131.17	$72.14	$26.23
93980	S	Penile vascular study	0267	2.58	$131.17	$72.14	$26.23
93981	S	Penile vascular study	0267	2.58	$131.17	$72.14	$26.23
93990	S	Doppler flow testing	0267	2.58	$131.17	$72.14	$26.23
94010	X	Breathing capacity test	0367	0.76	$38.64	$19.32	$7.73
94014	X	Patient recorded spirometry	0367	0.76	$38.64	$19.32	$7.73
94015	X	Patient recorded spirometry	0367	0.76	$38.64	$19.32	$7.73
94016	X	Review patient spirometry	0369	3.99	$202.86	$58.50	$40.57
94060	X	Evaluation of wheezing	0368	1.53	$77.79	$39.67	$15.56
94070	X	Evaluation of wheezing	0368	1.53	$77.79	$39.67	$15.56
94150	N	Vital capacity test
94200	X	Lung function test (MBC/MVV)	0367	0.76	$38.64	$19.32	$7.73
94240	X	Residual lung capacity	0368	1.53	$77.79	$39.67	$15.56
94250	X	Expired gas collection	0367	0.76	$38.64	$19.32	$7.73
94260	X	Thoracic gas volume	0368	1.53	$77.79	$39.67	$15.56
94350	X	Lung nitrogen washout curve	0368	1.53	$77.79	$39.67	$15.56
94360	X	Measure airflow resistance	0368	1.53	$77.79	$39.67	$15.56
94370	X	Breath airway closing volume	0368	1.53	$77.79	$39.67	$15.56
94375	X	Respiratory flow volume loop	0367	0.76	$38.64	$19.32	$7.73
94400	X	CO2 breathing response curve	0368	1.53	$77.79	$39.67	$15.56
94450	X	Hypoxia response curve	0367	0.76	$38.64	$19.32	$7.73
94620	X	Pulmonary stress test/simple	0368	1.53	$77.79	$39.67	$15.56
94621	X	Pulm stress test/complex	0369	3.99	$202.86	$58.50	$40.57
94640	S	Airway inhalation treatment	0077	0.42	$21.35	$11.74	$4.27
94642	S	Aerosol inhalation treatment	0078	0.93	$47.28	$20.33	$9.46
94650	S	Pressure breathing (IPPB)	0077	0.42	$21.35	$11.74	$4.27
94651	S	Pressure breathing (IPPB)	0077	0.42	$21.35	$11.74	$4.27
94652	C	Pressure breathing (IPPB)
94656	S	Initial ventilator mgmt	0079	0.62	$31.52	$17.34	$6.30
94657	S	Continued ventilator mgmt	0079	0.62	$31.52	$17.34	$6.30
94660	S	Pos airway pressure, CPAP	0068	3.33	$169.30	$93.12	$33.86
94662	S	Neg press ventilation, cnp	0079	0.62	$31.52	$17.34	$6.30
94664	S	Aerosol or vapor inhalations	0077	0.42	$21.35	$11.74	$4.27
94665	S	Aerosol or vapor inhalations	0077	0.42	$21.35	$11.74	$4.27
94667	S	Chest wall manipulation	0077	0.42	$21.35	$11.74	$4.27
94668	S	Chest wall manipulation	0077	0.42	$21.35	$11.74	$4.27
94680	X	Exhaled air analysis, o2	0368	1.53	$77.79	$39.67	$15.56
94681	X	Exhaled air analysis, o2/co2	0368	1.53	$77.79	$39.67	$15.56
94690	X	Exhaled air analysis	0367	0.76	$38.64	$19.32	$7.73
94720	X	Monoxide diffusing capacity	0367	0.76	$38.64	$19.32	$7.73
94725	X	Membrane diffusion capacity	0368	1.53	$77.79	$39.67	$15.56
94750	X	Pulmonary compliance study	0368	1.53	$77.79	$39.67	$15.56
94760	N	Measure blood oxygen level
94761	N	Measure blood oxygen level
94762	N	Measure blood oxygen level
94770	X	Exhaled carbon dioxide test	0367	0.76	$38.64	$19.32	$7.73
94772	X	Breath recording, infant	0369	3.99	$202.86	$58.50	$40.57
94799	X	Pulmonary service/procedure	0367	0.76	$38.64	$19.32	$7.73
95004	X	Allergy skin tests	0370	0.87	$44.23	$11.81	$8.85
95010	X	Sensitivity skin tests	0370	0.87	$44.23	$11.81	$8.85
95015	X	Sensitivity skin tests	0370	0.87	$44.23	$11.81	$8.85
95024	X	Allergy skin tests	0370	0.87	$44.23	$11.81	$8.85
95027	X	Skin end point titration	0370	0.87	$44.23	$11.81	$8.85
95028	X	Allergy skin tests	0370	0.87	$44.23	$11.81	$8.85
95044	X	Allergy patch tests	0370	0.87	$44.23	$11.81	$8.85
95052	X	Photo patch test	0370	0.87	$44.23	$11.81	$8.85
95056	X	Photosensitivity tests	0370	0.87	$44.23	$11.81	$8.85
95060	X	Eye allergy tests	0370	0.87	$44.23	$11.81	$8.85
95065	X	Nose allergy test	0370	0.87	$44.23	$11.81	$8.85
95070	X	Bronchial allergy tests	0369	3.99	$202.86	$58.50	$40.57
95071	X	Bronchial allergy tests	0369	3.99	$202.86	$58.50	$40.57
95075	X	Ingestion challenge test	0361	3.52	$178.96	$88.09	$35.79
95078	X	Provocative testing	0370	0.87	$44.23	$11.81	$8.85
95115	X	Immunotherapy, one injection	0353	0.27	$13.73	$2.75	$2.75
95117	X	Immunotherapy injections	0353	0.27	$13.73	$2.75	$2.75
95120	E	Immunotherapy, one injection
95125	E	Immunotherapy, many antigens
95130	E	Immunotherapy, insect venom
95131	E	Immunotherapy, insect venoms
95132	E	Immunotherapy, insect venoms
95133	E	Immunotherapy, insect venoms
95134	E	Immunotherapy, insect venoms
95144	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95145	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95146	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95147	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95148	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95149	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95165	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95170	X	Antigen therapy services	0371	0.76	$38.64	$7.73	$7.73
95180	X	Rapid desensitization	0370	0.87	$44.23	$11.81	$8.85
95199	X	Allergy immunology services	0370	0.87	$44.23	$11.81	$8.85
95805	S	Multiple sleep latency test	0209	11.73	$596.38	$310.12	$119.28
95806	S	Sleep study, unattended	0213	2.95	$149.98	$77.99	$30.00
95807	S	Sleep study, attended	0209	11.73	$596.38	$310.12	$119.28
95808	S	Polysomnography, 1-3	0209	11.73	$596.38	$310.12	$119.28
95810	S	Polysomnography, 4 or more	0209	11.73	$596.38	$310.12	$119.28
95811	S	Polysomnography w/cpap	0209	11.73	$596.38	$310.12	$119.28
95812	S	Electroencephalogram (EEG)	0213	2.95	$149.98	$77.99	$30.00
95813	S	Electroencephalogram (EEG)	0213	2.95	$149.98	$77.99	$30.00
95816	S	Electroencephalogram (EEG)	0214	2.27	$115.41	$57.71	$23.08
95819	S	Electroencephalogram (EEG)	0214	2.27	$115.41	$57.71	$23.08
95822	S	Sleep electroencephalogram	0214	2.27	$115.41	$57.71	$23.08
95824	S	Electroencephalography	0214	2.27	$115.41	$57.71	$23.08
95827	S	Night electroencephalogram	0209	11.73	$596.38	$310.12	$119.28
95829	S	Surgery electrocorticogram	0214	2.27	$115.41	$57.71	$23.08
95830	E	Insert electrodes for EEG
95831	N	Limb muscle testing, manual
95832	N	Hand muscle testing, manual
95833	N	Body muscle testing, manual
95834	N	Body muscle testing, manual
95851	N	Range of motion measurements
95852	N	Range of motion measurements
95857	S	Tensilon test	0218	1.09	$55.42	$23.83	$11.08
95858	S	Tensilon test & myogram	0215	0.66	$33.56	$17.45	$6.71
95860	S	Muscle test, one limb	0218	1.09	$55.42	$23.83	$11.08
95861	S	Muscle test, two limbs	0218	1.09	$55.42	$23.83	$11.08
95863	S	Muscle test, 3 limbs	0218	1.09	$55.42	$23.83	$11.08
95864	S	Muscle test, 4 limbs	0218	1.09	$55.42	$23.83	$11.08
95867	S	Muscle test, head or neck	0218	1.09	$55.42	$23.83	$11.08
95868	S	Muscle test, head or neck	0218	1.09	$55.42	$23.83	$11.08
95869	S	Muscle test, thor paraspinal	0215	0.66	$33.56	$17.45	$6.71
95870	S	Muscle test, nonparaspinal	0218	1.09	$55.42	$23.83	$11.08
95872	S	Muscle test, one fiber	0215	0.66	$33.56	$17.45	$6.71
95875	S	Limb exercise test	0215	0.66	$33.56	$17.45	$6.71
95900	S	Motor nerve conduction test	0218	1.09	$55.42	$23.83	$11.08
95903	S	Motor nerve conduction test	0218	1.09	$55.42	$23.83	$11.08
95904	S	Sense/mixed n conduction tst	0215	0.66	$33.56	$17.45	$6.71
95920	S	Intraop nerve test add-on	0218	1.09	$55.42	$23.83	$11.08
95921	S	Autonomic nerv function test	0215	0.66	$33.56	$17.45	$6.71
95922	S	Autonomic nerv function test	0215	0.66	$33.56	$17.45	$6.71
95923	S	Autonomic nerv function test	0215	0.66	$33.56	$17.45	$6.71
95925	S	Somatosensory testing	0216	2.91	$147.95	$64.69	$29.59
95926	S	Somatosensory testing	0216	2.91	$147.95	$64.69	$29.59
95927	S	Somatosensory testing	0216	2.91	$147.95	$64.69	$29.59
95930	S	Visual evoked potential test	0216	2.91	$147.95	$64.69	$29.59
95933	S	Blink reflex test	0215	0.66	$33.56	$17.45	$6.71
95934	S	H-reflex test	0215	0.66	$33.56	$17.45	$6.71
95936	S	H-reflex test	0215	0.66	$33.56	$17.45	$6.71
95937	S	Neuromuscular junction test	0218	1.09	$55.42	$23.83	$11.08
95950	S	Ambulatory eeg monitoring	0213	2.95	$149.98	$77.99	$30.00
95951	S	EEG monitoring/videorecord	0209	11.73	$596.38	$310.12	$119.28
95953	S	EEG monitoring/computer	0209	11.73	$596.38	$310.12	$119.28
95954	S	EEG monitoring/giving drugs	0213	2.95	$149.98	$77.99	$30.00
95955	S	EEG during surgery	0214	2.27	$115.41	$57.71	$23.08
95956	N	Eeg monitoring, cable/radio
95957	N	EEG digital analysis
95958	S	EEG monitoring/function test	0213	2.95	$149.98	$77.99	$30.00
95961	S	Electrode stimulation, brain	0216	2.91	$147.95	$64.69	$29.59
95962	S	Electrode stim, brain add-on	0216	2.91	$147.95	$64.69	$29.59
95970	S	Analyze neurostim, no prog	0692	1.73	$87.96	$48.38	$17.59
95971	S	Analyze neurostim, simple	0692	1.73	$87.96	$48.38	$17.59
95972	S	Analyze neurostim, complex	0692	1.73	$87.96	$48.38	$17.59
95973	S	Analyze neurostim, complex	0692	1.73	$87.96	$48.38	$17.59
95974	S	Cranial neurostim, complex	0692	1.73	$87.96	$48.38	$17.59
95975	S	Cranial neurostim, complex	0692	1.73	$87.96	$48.38	$17.59
95999	N	Neurological procedure
96100	X	Psychological testing	0373	1.11	$56.43	$15.80	$11.29
96105	X	Assessment of aphasia	0373	1.11	$56.43	$15.80	$11.29
96110	X	Developmental test, lim	0373	1.11	$56.43	$15.80	$11.29
96111	X	Developmental test, extend	0373	1.11	$56.43	$15.80	$11.29
96115	X	Neurobehavior status exam	0373	1.11	$56.43	$15.80	$11.29
96117	X	Neuropsych test battery	0373	1.11	$56.43	$15.80	$11.29
96400	E	Chemotherapy, sc/im
96405	E	Intralesional chemo admin
96406	E	Intralesional chemo admin
96408	E	Chemotherapy, push technique
96410	E	Chemotherapy,infusion method
96412	E	Chemo, infuse method add-on
96414	E	Chemo, infuse method add-on
96420	E	Chemotherapy, push technique
96422	E	Chemotherapy,infusion method
96423	E	Chemo, infuse method add-on
96425	E	Chemotherapy,infusion method
96440	E	Chemotherapy, intracavitary
96445	E	Chemotherapy, intracavitary
96450	E	Chemotherapy, into CNS
96520	T	Pump refilling, maintenance	0125	3.20	$162.69		$32.54
96530	T	Pump refilling, maintenance	0125	3.20	$162.69		$32.54
96542	E	Chemotherapy injection
96545	E	Provide chemotherapy agent
96549	E	Chemotherapy, unspecified
96570	T	Photodynamic tx, 30 min	0973	4.73	$240.48		$48.10
96571	T	Photodynamic tx, addl 15 min	0973	4.73	$240.48		$48.10
96900	S	Ultraviolet light therapy	0001	0.45	$22.88	$8.24	$4.58
96902	N	Trichogram
96910	S	Photochemotherapy with UV-B	0001	0.45	$22.88	$8.24	$4.58
96912	S	Photochemotherapy with UV-A	0001	0.45	$22.88	$8.24	$4.58
96913	S	Photochemotherapy, UV-A or B	0001	0.45	$22.88	$8.24	$4.58
96999	S	Dermatological procedure	0001	0.45	$22.88	$8.24	$4.58
97001	A	Pt evaluation
97002	A	Pt re-evaluation
97003	A	Ot evaluation
97004	A	Ot re-evaluation
97010	A	Hot or cold packs therapy
97012	A	Mechanical traction therapy
97014	A	Electric stimulation therapy
97016	A	Vasopneumatic device therapy
97018	A	Paraffin bath therapy
97020	A	Microwave therapy
97022	A	Whirlpool therapy
97024	A	Diathermy treatment
97026	A	Infrared therapy
97028	A	Ultraviolet therapy
97032	A	Electrical stimulation
97033	A	Electric current therapy
97034	A	Contrast bath therapy
97035	A	Ultrasound therapy
97036	A	Hydrotherapy
97039	A	Physical therapy treatment
97110	A	Therapeutic exercises
97112	A	Neuromuscular reeducation
97113	A	Aquatic therapy/exercises
97116	A	Gait training therapy
97124	A	Massage therapy
97139	A	Physical medicine procedure
97140	A	Manual therapy
97150	A	Group therapeutic procedures
97504	A	Orthotic training
97520	A	Prosthetic training
97530	A	Therapeutic activities
97532	A	Cognitive skills development
97533	A	Sensory integration
97535	A	Self care mngment training
97537	A	Community/work reintegration
97542	A	Wheelchair mngment training
97545	A	Work hardening
97546	A	Work hardening add-on
97601	A	Wound care selective
97602	N	Wound care non-selective
97703	A	Prosthetic checkout
97750	A	Physical performance test
97780	E	Acupuncture w/o stimul
97781	E	Acupuncture w/stimul
97799	A	Physical medicine procedure
97802	E	Medical nutrition, indiv, in
97803	E	Med nutrition, indiv, subseq
97804	E	Medical nutrition, group
98925	S	Osteopathic manipulation	0060	0.25	$12.71	$2.54	$2.54
98926	S	Osteopathic manipulation	0060	0.25	$12.71	$2.54	$2.54
98927	S	Osteopathic manipulation	0060	0.25	$12.71	$2.54	$2.54
98928	S	Osteopathic manipulation	0060	0.25	$12.71	$2.54	$2.54
98929	S	Osteopathic manipulation	0060	0.25	$12.71	$2.54	$2.54
98940	S	Chiropractic manipulation	0060	0.25	$12.71	$2.54	$2.54
98941	S	Chiropractic manipulation	0060	0.25	$12.71	$2.54	$2.54
98942	S	Chiropractic manipulation	0060	0.25	$12.71	$2.54	$2.54
98943	E	Chiropractic manipulation
99000	E	Specimen handling
99001	E	Specimen handling
99002	E	Device handling
99024	E	Postop follow-up visit
99025	E	Initial surgical evaluation
99050	E	Medical services after hrs
99052	E	Medical services at night
99054	E	Medical servcs, unusual hrs
99056	E	Non-office medical services
99058	E	Office emergency care
99070	E	Special supplies
99071	E	Patient education materials
99075	E	Medical testimony
99078	E	Group health education
99080	E	Special reports or forms
99082	E	Unusual physician travel
99090	E	Computer data analysis
99100	E	Special anesthesia service
99116	E	Anesthesia with hypothermia
99135	E	Special anesthesia procedure
99140	E	Emergency anesthesia
99141	N	Sedation, iv/im or inhalant
99142	N	Sedation, oral/rectal/nasal
99170	T	Anogenital exam, child	0191	0.27	$13.73	$3.98	$2.75
99172	E	Ocular function screen
99173	E	Visual acuity screen
99175	N	Induction of vomiting
99183	E	Hyperbaric oxygen therapy
99185	N	Regional hypothermia
99186	N	Total body hypothermia
99190	C	Special pump services
99191	C	Special pump services
99192	C	Special pump services
99195	X	Phlebotomy	0372	0.57	$28.98	$10.09	$5.80
99199	E	Special service/proc/report
99201	V	Office/outpatient visit, new	0600	0.93	$47.28	$9.46	$9.46
99202	V	Office/outpatient visit, new	0600	0.93	$47.28	$9.46	$9.46
99203	V	Office/outpatient visit, new	0601	1.02	$51.86	$10.37	$10.37
99204	V	Office/outpatient visit, new	0602	1.49	$75.75	$15.15	$15.15
99205	V	Office/outpatient visit, new	0602	1.49	$75.75	$15.15	$15.15
99211	V	Office/outpatient visit, est	0600	0.93	$47.28	$9.46	$9.46
99212	V	Office/outpatient visit, est	0600	0.93	$47.28	$9.46	$9.46
99213	V	Office/outpatient visit, est	0601	1.02	$51.86	$10.37	$10.37
99214	V	Office/outpatient visit, est	0602	1.49	$75.75	$15.15	$15.15
99215	V	Office/outpatient visit, est	0602	1.49	$75.75	$15.15	$15.15
99217	N	Observation care discharge
99218	N	Observation care
99219	N	Observation care
99220	N	Observation care
99221	E	Initial hospital care
99222	E	Initial hospital care
99223	E	Initial hospital care
99231	E	Subsequent hospital care
99232	E	Subsequent hospital care
99233	E	Subsequent hospital care
99234	N	Observ/hosp same date
99235	N	Observ/hosp same date
99236	N	Observ/hosp same date
99238	E	Hospital discharge day
99239	E	Hospital discharge day
99241	V	Office consultation	0600	0.93	$47.28	$9.46	$9.46
99242	V	Office consultation	0600	0.93	$47.28	$9.46	$9.46
99243	V	Office consultation	0601	1.02	$51.86	$10.37	$10.37
99244	V	Office consultation	0602	1.49	$75.75	$15.15	$15.15
99245	V	Office consultation	0602	1.49	$75.75	$15.15	$15.15
99251	C	Initial inpatient consult
99252	C	Initial inpatient consult
99253	C	Initial inpatient consult
99254	C	Initial inpatient consult
99255	C	Initial inpatient consult
99261	C	Follow-up inpatient consult
99262	C	Follow-up inpatient consult
99263	C	Follow-up inpatient consult
99271	V	Confirmatory consultation	0600	0.93	$47.28	$9.46	$9.46
99272	V	Confirmatory consultation	0600	0.93	$47.28	$9.46	$9.46
99273	V	Confirmatory consultation	0601	1.02	$51.86	$10.37	$10.37
99274	V	Confirmatory consultation	0602	1.49	$75.75	$15.15	$15.15
99275	V	Confirmatory consultation	0602	1.49	$75.75	$15.15	$15.15
99281	V	Emergency dept visit	0610	1.34	$68.13	$20.65	$13.63
99282	V	Emergency dept visit	0610	1.34	$68.13	$20.65	$13.63
99283	V	Emergency dept visit	0611	2.33	$118.46	$36.47	$23.69
99284	V	Emergency dept visit	0612	3.75	$190.66	$54.14	$38.13
99285	V	Emergency dept visit	0612	3.75	$190.66	$54.14	$38.13
99288	E	Direct advanced life support
99291	S	Critical care, first hour	0620	9.13	$464.19	$152.78	$92.84
99292	N	Critical care, addl 30 min
99295	C	Neonatal critical care
99296	C	Neonatal critical care
99297	C	Neonatal critical care
99298	C	Neonatal critical care
99301	E	Nursing facility care
99302	E	Nursing facility care
99303	E	Nursing facility care
99311	E	Nursing fac care, subseq
99312	E	Nursing fac care, subseq
99313	E	Nursing fac care, subseq
99315	E	Nursing fac discharge day
99316	E	Nursing fac discharge day
99321	E	Rest home visit, new patient
99322	E	Rest home visit, new patient
99323	E	Rest home visit, new patient
99331	E	Rest home visit, est pat
99332	E	Rest home visit, est pat
99333	E	Rest home visit, est pat
99341	E	Home visit, new patient
99342	E	Home visit, new patient
99343	E	Home visit, new patient
99344	E	Home visit, new patient
99345	E	Home visit, new patient
99347	E	Home visit, est patient
99348	E	Home visit, est patient
99349	E	Home visit, est patient
99350	E	Home visit, est patient
99354	N	Prolonged service, office
99355	N	Prolonged service, office
99356	C	Prolonged service, inpatient
99357	C	Prolonged service, inpatient
99358	N	Prolonged serv, w/o contact
99359	N	Prolonged serv, w/o contact
99360	E	Physician standby services
99361	E	Physician/team conference
99362	E	Physician/team conference
99371	E	Physician phone consultation
99372	E	Physician phone consultation
99373	E	Physician phone consultation
99374	E	Home health care supervision
99377	E	Hospice care supervision
99379	E	Nursing fac care supervision
99380	E	Nursing fac care supervision
99381	E	Prev visit, new, infant
99382	E	Prev visit, new, age 1-4
99383	E	Prev visit, new, age 5-11
99384	E	Prev visit, new, age 12-17
99385	E	Prev visit, new, age 18-39
99386	E	Prev visit, new, age 40-64
99387	E	Prev visit, new, 65 & over
99391	E	Prev visit, est, infant
99392	E	Prev visit, est, age 1-4
99393	E	Prev visit, est, age 5-11
99394	E	Prev visit, est, age 12-17
99395	E	Prev visit, est, age 18-39
99396	E	Prev visit, est, age 40-64
99397	E	Prev visit, est, 65 & over
99401	E	Preventive counseling, indiv
99402	E	Preventive counseling, indiv
99403	E	Preventive counseling, indiv
99404	E	Preventive counseling, indiv
99411	E	Preventive counseling, group
99412	E	Preventive counseling, group
99420	E	Health risk assessment test
99429	E	Unlisted preventive service
99431	N	Initial care, normal newborn
99432	N	Newborn care, not in hosp
99433	C	Normal newborn care/hospital
99435	E	Newborn discharge day hosp
99436	N	Attendance, birth
99440	S	Newborn resuscitation	0094	5.69	$289.29	$105.29	$57.86
99450	E	Life/disability evaluation
99455	E	Disability examination
99456	E	Disability examination
99499	E	Unlisted e&m service
A0021	E	Outside state ambulance serv
A0080	E	Noninterest escort in non er
A0090	E	Interest escort in non er
A0100	E	Nonemergency transport taxi
A0110	E	Nonemergency transport bus
A0120	E	Noner transport mini-bus
A0130	E	Noner transport wheelch van
A0140	E	Nonemergency transport air
A0160	E	Noner transport case worker
A0170	E	Noner transport parking fees
A0180	E	Noner transport lodgng recip
A0190	E	Noner transport meals recip
A0200	E	Noner transport lodgng escrt
A0210	E	Noner transport meals escort
A0225	A	Neonatal emergency transport
A0382	A	Basic support routine suppls
A0384	A	Bls defibrillation supplies
A0392	A	Als defibrillation supplies
A0394	A	Als IV drug therapy supplies
A0396	A	Als esophageal intub suppls
A0398	A	Als routine disposble suppls
A0420	A	Ambulance waiting 1/2 hr
A0422	A	Ambulance 02 life sustaining
A0424	A	Extra ambulance attendant
A0425	A	Ground mileage
A0426	A	Als 1
A0427	A	ALS1-emergency
A0428	A	bls
A0429	A	BLS-emergency
A0430	A	Fixed wing air transport
A0431	A	Rotary wing air transport
A0432	A	PI volunteer ambulance co
A0433	A	als 2
A0434	A	Specialty care transport
A0435	A	Fixed wing air mileage
A0436	A	Rotary wing air mileage
A0888	E	Noncovered ambulance mileage
A0999	A	Unlisted ambulance service
A4206	A	1 CC sterile syringe&needle
A4207	A	2 CC sterile syringe&needle
A4208	A	3 CC sterile syringe&needle
A4209	E	5+ CC sterile syringe&needle
A4210	E	Nonneedle injection device
A4211	E	Supp for self-adm injections
A4212	E	Non coring needle or stylet
A4213	E	20+ CC syringe only
A4214	A	30 CC sterile water/saline
A4215	E	Sterile needle
A4220	A	Infusion pump refill kit
A4221	A	Maint drug infus cath per wk
A4222	A	Drug infusion pump supplies
A4230	A	Infus insulin pump non needl
A4231	A	Infusion insulin pump needle
A4232	A	Syringe w/needle insulin 3cc
A4244	E	Alcohol or peroxide per pint
A4245	E	Alcohol wipes per box
A4246	E	Betadine/phisohex solution
A4247	E	Betadine/iodine swabs/wipes
A4250	E	Urine reagent strips/tablets
A4253	A	Blood glucose/reagent strips
A4254	A	Battery for glucose monitor
A4255	A	Glucose monitor platforms
A4256	A	Calibrator solution/chips
A4258	A	Lancet device each
A4259	A	Lancets per box
A4260	E	Levonorgestrel implant
A4261	E	Cervical cap contraceptive
A4262	N	Temporary tear duct plug
A4263	N	Permanent tear duct plug
A4265	A	Paraffin
A4270	A	Disposable endoscope sheath
A4280	A	Brst prsths adhsv attchmnt
A4290	N	Sacral nerve stim test lead
A4300	A	Cath impl vasc access portal
A4301	A	Implantable access syst perc
A4305	A	Drug delivery system >=50 ML
A4306	A	Drug delivery system <=5 ML
A4310	A	Insert tray w/o bag/cath
A4311	A	Catheter w/o bag 2-way latex
A4312	A	Cath w/o bag 2-way silicone
A4313	A	Catheter w/bag 3-way
A4314	A	Cath w/drainage 2-way latex
A4315	A	Cath w/drainage 2-way silcne
A4316	A	Cath w/drainage 3-way
A4319	A	Sterile H2O irrigation solut
A4320	A	Irrigation tray
A4321	A	Cath therapeutic irrig agent
A4322	A	Irrigation syringe
A4323	A	Saline irrigation solution
A4324	A	Male ext cath w/adh coating
A4325	A	Male ext cath w/adh strip
A4326	A	Male external catheter
A4327	A	Fem urinary collect dev cup
A4328	A	Fem urinary collect pouch
A4329	A	External catheter start set
A4330	A	Stool collection pouch
A4331	A	Extension drainage tubing
A4332	A	Lubricant for cath insertion
A4333	A	Urinary cath anchor device
A4334	A	Urinary cath leg strap
A4335	A	Incontinence supply
A4338	A	Indwelling catheter latex
A4340	A	Indwelling catheter special
A4344	A	Cath indw foley 2 way silicn
A4346	A	Cath indw foley 3 way
A4347	A	Male external catheter
A4348	A	Male ext cath extended wear
A4351	A	Straight tip urine catheter
A4352	A	Coude tip urinary catheter
A4353	A	Intermittent urinary cath
A4354	A	Cath insertion tray w/bag
A4355	A	Bladder irrigation tubing
A4356	A	Ext ureth clmp or compr dvc
A4357	A	Bedside drainage bag
A4358	A	Urinary leg bag
A4359	A	Urinary suspensory w/o leg b
A4361	A	Ostomy face plate
A4362	A	Solid skin barrier
A4364	A	Adhesive, liquid or equal
A4365	A	Adhesive remover wipes
A4367	A	Ostomy belt
A4368	A	Ostomy filter
A4369	A	Skin barrier liquid per oz
A4370	A	Skin barrier paste per oz
A4371	A	Skin barrier powder per oz
A4372	A	Skin barrier solid 4x4 equiv
A4373	A	Skin barrier with flange
A4374	A	Skin barrier extended wear
A4375	A	Drainable plastic pch w fcpl
A4376	A	Drainable rubber pch w fcplt
A4377	A	Drainable plstic pch w/o fp
A4378	A	Drainable rubber pch w/o fp
A4379	A	Urinary plastic pouch w fcpl
A4380	A	Urinary rubber pouch w fcplt
A4381	A	Urinary plastic pouch w/o fp
A4382	A	Urinary hvy plstc pch w/o fp
A4383	A	Urinary rubber pouch w/o fp
A4384	A	Ostomy faceplt/silicone ring
A4385	A	Ost skn barrier sld ext wear
A4386	A	Ost skn barrier w flng ex wr
A4387	A	Ost clsd pouch w att st barr
A4388	A	Drainable pch w ex wear barr
A4389	A	Drainable pch w st wear barr
A4390	A	Drainable pch ex wear convex
A4391	A	Urinary pouch w ex wear barr
A4392	A	Urinary pouch w st wear barr
A4393	A	Urine pch w ex wear bar conv
A4394	A	Ostomy pouch liq deodorant
A4395	A	Ostomy pouch solid deodorant
A4396	A	Peristomal hernia supprt blt
A4397	A	Irrigation supply sleeve
A4398	A	Ostomy irrigation bag
A4399	A	Ostomy irrig cone/cath w brs
A4400	A	Ostomy irrigation set
A4402	A	Lubricant per ounce
A4404	A	Ostomy ring each
A4421	A	Ostomy supply misc
A4454	A	Tape all types all sizes
A4455	A	Adhesive remover per ounce
A4460	A	Elastic compression bandage
A4462	A	Abdmnl drssng holder/binder
A4464	A	Joint support device/garment
A4465	A	Non-elastic extremity binder
A4470	A	Gravlee jet washer
A4480	A	Vabra aspirator
A4481	A	Tracheostoma filter
A4483	A	Moisture exchanger
A4490	E	Above knee surgical stocking
A4495	E	Thigh length surg stocking
A4500	E	Below knee surgical stocking
A4510	E	Full length surg stocking
A4550	E	Surgical trays
A4554	E	Disposable underpads
A4556	A	Electrodes, pair
A4557	A	Lead wires, pair
A4558	A	Conductive paste or gel
A4561	N	Pessary rubber, any type
A4562	N	Pessary, non rubber,any type
A4565	A	Slings
A4570	N	Splint
A4572	A	Rib belt
A4575	E	Hyperbaric o2 chamber disps
A4580	N	Cast supplies (plaster)
A4590	N	Special casting material
A4595	A	TENS suppl 2 lead per month
A4608	A	Transtracheal oxygen cath
A4611	A	Heavy duty battery
A4612	A	Battery cables
A4613	A	Battery charger
A4614	A	Hand-held PEFR meter
A4615	A	Cannula nasal
A4616	A	Tubing (oxygen) per foot
A4617	A	Mouth piece
A4618	A	Breathing circuits
A4619	A	Face tent
A4620	A	Variable concentration mask
A4621	A	Tracheotomy mask or collar
A4622	A	Tracheostomy or larngectomy
A4623	A	Tracheostomy inner cannula
A4624	A	Tracheal suction tube
A4625	A	Trach care kit for new trach
A4626	A	Tracheostomy cleaning brush
A4627	E	Spacer bag/reservoir
A4628	A	Oropharyngeal suction cath
A4629	A	Tracheostomy care kit
A4630	A	Repl bat t.e.n.s. own by pt
A4631	A	Wheelchair battery
A4635	A	Underarm crutch pad
A4636	A	Handgrip for cane etc
A4637	A	Repl tip cane/crutch/walker
A4640	A	Alternating pressure pad
A4641	N	Diagnostic imaging agent
A4642	G	Satumomab pendetide per dose	0704		$831.25		$119.00
A4643	N	High dose contrast MRI
A4644	N	Contrast 100-199 MGs iodine
A4645	N	Contrast 200-299 MGs iodine
A4646	N	Contrast 300-399 MGs iodine
A4647	N	Supp- paramagnetic contr mat
A4649	A	Surgical supplies
A4650	A	Supp esrd centrifuge
A4655	A	Esrd syringe/needle
A4660	A	Esrd blood pressure device
A4663	A	Esrd blood pressure cuff
A4670	E	Auto blood pressure monitor
A4680	A	Activated carbon filters
A4690	A	Dialyzers
A4700	A	Standard dialysate solution
A4705	A	Bicarb dialysate solution
A4712	A	Sterile water
A4714	A	Treated water for dialysis
A4730	A	Fistula cannulation set dial
A4735	A	Local/topical anesthetics
A4740	A	Esrd shunt accessory
A4750	A	Arterial or venous tubing
A4755	A	Arterial and venous tubing
A4760	A	Standard testing solution
A4765	A	Dialysate concentrate
A4770	A	Blood testing supplies
A4771	A	Blood clotting time tube
A4772	A	Dextrostick/glucose strips
A4773	A	Hemostix
A4774	A	Ammonia test paper
A4780	A	Esrd sterilizing agent
A4790	A	Esrd cleansing agents
A4800	A	Heparin/antidote dialysis
A4820	A	Supplies hemodialysis kit
A4850	A	Rubber tipped hemostats
A4860	A	Disposable catheter caps
A4870	A	Plumbing/electrical work
A4880	A	Water storage tanks
A4890	A	Contracts/repair/maintenance
A4900	A	Capd supply kit
A4901	A	Ccpd supply kit
A4905	A	Ipd supply kit
A4910	A	Esrd nonmedical supplies
A4912	A	Gomco drain bottle
A4913	A	Esrd supply
A4914	A	Preparation kit
A4918	A	Venous pressure clamp
A4919	A	Supp dialysis dialyzer holde
A4920	A	Harvard pressure clamp
A4921	A	Measuring cylinder
A4927	A	Gloves
A5051	A	Pouch clsd w barr attached
A5052	A	Clsd ostomy pouch w/o barr
A5053	A	Clsd ostomy pouch faceplate
A5054	A	Clsd ostomy pouch w/flange
A5055	A	Stoma cap
A5061	A	Pouch drainable w barrier at
A5062	A	Drnble ostomy pouch w/o barr
A5063	A	Drain ostomy pouch w/flange
A5064	E	Drain ostomy pouch w/fceplte
A5071	A	Urinary pouch w/barrier
A5072	A	Urinary pouch w/o barrier
A5073	A	Urinary pouch on barr w/flng
A5074	E	Urinary pouch w/faceplate
A5075	E	Urinary pouch on faceplate
A5081	A	Continent stoma plug
A5082	A	Continent stoma catheter
A5093	A	Ostomy accessory convex inse
A5102	A	Bedside drain btl w/wo tube
A5105	A	Urinary suspensory
A5112	A	Urinary leg bag
A5113	A	Latex leg strap
A5114	A	Foam/fabric leg strap
A5119	A	Skin barrier wipes box pr 50
A5121	A	Solid skin barrier 6x6
A5122	A	Solid skin barrier 8x8
A5123	A	Skin barrier with flange
A5126	A	Disk/foam pad +or- adhesive
A5131	A	Appliance cleaner
A5200	A	Percutaneous catheter anchor
A5500	A	Diab shoe for density insert
A5501	A	Diabetic custom molded shoe
A5502	A	Diabetic shoe density insert
A5503	A	Diabetic shoe w/roller/rockr
A5504	A	Diabetic shoe with wedge
A5505	A	Diab shoe w/metatarsal bar
A5506	A	Diabetic shoe w/off set heel
A5507	A	Modification diabetic shoe
A5508	A	Diabetic deluxe shoe
A6021	A	Collagen dressing <=16 sq in
A6022	A	Collagen drsg>6<=48 sq in
A6023	A	Collagen dressing >48 sq in
A6024	A	Collagen dsg wound filler
A6025	E	Silicone gel sheet, each
A6154	A	Wound pouch each
A6196	A	Alginate dressing <=16 sq in
A6197	A	Alginate drsg >16 <=48 sq in
A6198	A	alginate dressing > 48 sq in
A6199	A	Alginate drsg wound filler
A6200	A	Compos drsg <=16 no border
A6201	A	Compos drsg >16<=48 no bdr
A6202	A	Compos drsg >48 no border
A6203	A	Composite drsg <= 16 sq in
A6204	A	Composite drsg >16<=48 sq in
A6205	A	Composite drsg > 48 sq in
A6206	A	Contact layer <= 16 sq in
A6207	A	Contact layer >16<= 48 sq in
A6208	A	Contact layer > 48 sq in
A6209	A	Foam drsg <=16 sq in w/o bdr
A6210	A	Foam drg >16<=48 sq in w/o b
A6211	A	Foam drg > 48 sq in w/o brdr
A6212	A	Foam drg <=16 sq in w/border
A6213	A	Foam drg >16<=48 sq in w/bdr
A6214	A	Foam drg > 48 sq in w/border
A6215	A	Foam dressing wound filler
A6216	A	Non-sterile gauze<=16 sq in
A6217	A	Non-sterile gauze>16<=48 sq
A6218	A	Non-sterile gauze > 48 sq in
A6219	A	Gauze <= 16 sq in w/border
A6220	A	Gauze >16 <=48 sq in w/bordr
A6221	A	Gauze > 48 sq in w/border
A6222	A	Gauze <=16 in no w/sal w/o b
A6223	A	Gauze >16<=48 no w/sal w/o b
A6224	A	Gauze > 48 in no w/sal w/o b
A6228	A	Gauze <= 16 sq in water/sal
A6229	A	Gauze >16<=48 sq in watr/sal
A6230	A	Gauze > 48 sq in water/salne
A6231	A	Hydrogel dsg<=16 sq in
A6232	A	Hydrogel dsg>16<=48 sq in
A6233	A	Hydrogel dressing >48 sq in
A6234	A	Hydrocolld drg <=16 w/o bdr
A6235	A	Hydrocolld drg >16<=48 w/o b
A6236	A	Hydrocolld drg > 48 in w/o b
A6237	A	Hydrocolld drg <=16 in w/bdr
A6238	A	Hydrocolld drg >16<=48 w/bdr
A6239	A	Hydrocolld drg > 48 in w/bdr
A6240	A	Hydrocolld drg filler paste
A6241	A	Hydrocolloid drg filler dry
A6242	A	Hydrogel drg <=16 in w/o bdr
A6243	A	Hydrogel drg >16<=48 w/o bdr
A6244	A	Hydrogel drg >48 in w/o bdr
A6245	A	Hydrogel drg <= 16 in w/bdr
A6246	A	Hydrogel drg >16<=48 in w/b
A6247	A	Hydrogel drg > 48 sq in w/b
A6248	A	Hydrogel drsg gel filler
A6250	A	Skin seal protect moisturizr
A6251	A	Absorpt drg <=16 sq in w/o b
A6252	A	Absorpt drg >16 <=48 w/o bdr
A6253	A	Absorpt drg > 48 sq in w/o b
A6254	A	Absorpt drg <=16 sq in w/bdr
A6255	A	Absorpt drg >16<=48 in w/bdr
A6256	A	Absorpt drg > 48 sq in w/bdr
A6257	A	Transparent film <= 16 sq in
A6258	A	Transparent film >16<=48 in
A6259	A	Transparent film > 48 sq in
A6260	A	Wound cleanser any type/size
A6261	A	Wound filler gel/paste /oz
A6262	A	Wound filler dry form / gram
A6263	A	Non-sterile elastic gauze/yd
A6264	A	Non-sterile no elastic gauze
A6265	A	Tape per 18 sq inches
A6266	A	Impreg gauze no h20/sal/yard
A6402	A	Sterile gauze <= 16 sq in
A6403	A	Sterile gauze>16 <= 48 sq in
A6404	A	Sterile gauze > 48 sq in
A6405	A	Sterile elastic gauze /yd
A6406	A	Sterile non-elastic gauze/yd
A7000	A	Disposable canister for pump
A7001	A	Nondisposable pump canister
A7002	A	Tubing used w suction pump
A7003	A	Nebulizer administration set
A7004	A	Disposable nebulizer sml vol
A7005	A	Nondisposable nebulizer set
A7006	A	Filtered nebulizer admin set
A7007	A	Lg vol nebulizer disposable
A7008	A	Disposable nebulizer prefill
A7009	A	Nebulizer reservoir bottle
A7010	A	Disposable corrugated tubing
A7011	A	Nondispos corrugated tubing
A7012	A	Nebulizer water collec devic
A7013	A	Disposable compressor filter
A7014	A	Compressor nondispos filter
A7015	A	Aerosol mask used w nebulize
A7016	A	Nebulizer dome & mouthpiece
A7017	A	Nebulizer not used w oxygen
A7018	A	Water distilled w/nebulizer
A7019	A	Saline solution dispenser
A7020	A	Sterile H2O or NSS w lgv neb
A7501	A	Tracheostoma valve w diaphra
A7502	A	Replacement diaphragm/fplate
A7503	A	HMES filter holder or cap
A7504	A	Tracheostoma HMES filter
A7505	A	HMES or trach valve housing
A7506	A	HMES/trachvalve adhesivedisk
A7507	A	Integrated filter & holder
A7508	A	Housing & Integrated Adhesiv
A7509	A	Heat & moisture exchange sys
A9150	E	Misc/exper non-prescript dru
A9160	E	Podiatrist non-covered servi
A9170	E	Chiropractor non-covered ser
A9190	E	Misc/expe personal comfort i
A9270	E	Non-covered item or service
A9300	E	Exercise equipment
A9500	G	Technetium TC 99m sestamibi	1600		$115.90		$16.59
A9502	G	Technetium TC99M tetrofosmin	0705		$129.96		$18.60
A9503	G	Technetium TC 99m medronate	1601		$36.46		$3.30
A9504	G	Technetium tc 99m apcitide	1602		$45.13		$6.46
A9505	G	Thallous chloride TL 201/mci	1603		$29.45		$3.78
A9507	G	Indium/111 capromab pendetid	1604		$1,128.13		$161.50
A9508	G	Iobenguane sulfate I-131	1045		$495.65		$44.87
A9510	G	Technetium TC99m Disofenin	1205		$85.50		$7.74
A9600	G	Strontium-89 chloride	0701		$963.42		$137.92
A9605	G	Samarium sm153 lexidronamm	0702		$1,020.00		$146.02
A9700	G	Echocardiography Contrast	9016		$39.58		$5.67
A9900	A	Supply/accessory/service
A9901	A	Delivery/set up/dispensing
B4034	A	Enter feed supkit syr by day
B4035	A	Enteral feed supp pump per d
B4036	A	Enteral feed sup kit grav by
B4081	A	Enteral ng tubing w/ stylet
B4082	A	Enteral ng tubing w/o stylet
B4083	A	Enteral stomach tube levine
B4084	A	Gastrostomy/jejunostomy tubi
B4085	A	Gastrostomy tube w/ring each
B4150	A	Enteral formulae category i
B4151	A	Enteral formulae cat1natural
B4152	A	Enteral formulae category ii
B4153	A	Enteral formulae categoryIII
B4154	A	Enteral formulae category IV
B4155	A	Enteral formulae category v
B4156	A	Enteral formulae category vi
B4164	A	Parenteral 50% dextrose solu
B4168	A	Parenteral sol amino acid 3.
B4172	A	Parenteral sol amino acid 5.
B4176	A	Parenteral sol amino acid 7-
B4178	A	Parenteral sol amino acid >
B4180	A	Parenteral sol carb > 50%
B4184	A	Parenteral sol lipids 10%
B4186	A	Parenteral sol lipids 20%
B4189	A	Parenteral sol amino acid &
B4193	A	Parenteral sol 52-73 gm prot
B4197	A	Parenteral sol 74-100 gm pro
B4199	A	Parenteral sol > 100gm prote
B4216	A	Parenteral nutrition additiv
B4220	A	Parenteral supply kit premix
B4222	A	Parenteral supply kit homemi
B4224	A	Parenteral administration ki
B5000	A	Parenteral sol renal-amirosy
B5100	A	Parenteral sol hepatic-fream
B5200	A	Parenteral sol stres-brnch c
B9000	A	Enter infusion pump w/o alrm
B9002	A	Enteral infusion pump w/ ala
B9004	A	Parenteral infus pump portab
B9006	A	Parenteral infus pump statio
B9998	A	Enteral supp not otherwise c
B9999	A	Parenteral supp not othrws c
C1010	K	Blood, L/R, CMV-NEG	1010	2.94	$149.48		$29.90
C1011	K	Platelets, HLA-m, L/R, unit	1011	12.12	$616.21		$123.24
C1012	K	PLATELET CONC, L/R, Irrad	1012	1.96	$99.65		$19.93
C1013	K	PLATELET CONC, L/R, Unit	1013	1.20	$61.01		$12.20
C1014	K	Platelet,Aph/Pher, L/R, unit	1014	9.13	$464.19		$92.84
C1016	K	BLOOD,L/R,FROZ/DEGLY/Washed	1016	7.31	$371.66		$74.33
C1017	K	Plt, APH/PHER,L/R,CMV-NEG	1017	9.53	$484.52		$96.90
C1018	K	Blood, L/R, IRRADIATED	1018	3.20	$162.69		$32.54
C1019	K	Plt, APH/PHER, L/R, IRRAD	1019	9.85	$500.79		$100.16
C1050	S	PROSORBA Column	0976	16.56	$841.94		$168.39
C1079	G	CO 57/58 0.5 Mci	1079		$253.84		$36.34
C1087	G	I-123 per uci, dx use	1087		$.65		$.09
C1088	T	LASER OPTIC TR Sys	0980	35.49	$1,804.38		$360.88
C1090	G	IN 111 chloride, per mCi	1090		$152.00		$21.76
C1091	G	IN 111 oxyquinoline,per 5mCi	1091		$482.84		$69.12
C1092	G	IN 111 PENETATE, PER 1.5 mci	1092		$769.50		$110.16
C1094	G	TC 99M albumin aggr, per via	1094		$33.09		$4.74
C1095	G	TC 99M DEPREOTIDE, PER Vial	1095		$760.00		$108.80
C1096	G	TC 99M EXAMETAZIME, PER Dose	1096		$423.04		$60.56
C1097	G	TC 99M MEBROFENIN, PER Vial	1097		$51.43		$7.36
C1098	G	TC 99M PENTETATE, PER Vial	1098		$22.64		$2.76
C1099	G	TC 99M PYROPHOSPHATE,PER Via	1099		$42.75		$6.12
C1122	G	Tc 99M ARCITUMOMAB PER VIAL	1122		$1,235.00		$176.80
C1166	G	CYTARABINE LIPOSOMAL, 10 mg	1166		$371.45		$53.18
C1167	G	EPIRUBICIN HCL, 2 mg	1167		$24.94		$3.57
C1178	G	BUSULFAN IV, 6 Mg	1178		$26.49		$3.79
C1188	G	I-131 per uci, dx use	1188		$.78		$.10
C1200	G	TC 99M Sodium Glucoheptonat	1200		$107.40		$15.37
C1201	G	TC 99M SUCCIMER, PER Vial	1201		$135.66		$19.42
C1202	G	TC 99M SULFUR COLLOID, Vial	1202		$36.10		$3.27
C1207	G	OCTREOTIDE ACETATE DEPOT 1mg	1207		$140.37		$20.10
C1300	S	HYPERBARIC Oxygen	0971	1.42	$72.20		$14.44
C1305	G	Apligraf	1305		$1,157.81		$165.75
C1348	G	I-131 per mci sol, rx use	1348		$146.57		$20.98
C1713	H	Anchor/screw bn/bn,tis/bn	1713
C1714	H	Cath, trans atherectomy, dir	1714
C1715	H	Brachytherapy needle	1715
C1716	H	Brachytx seed, Gold 198	1716
C1717	H	Brachytx seed, HDR Ir-192	1717
C1718	H	Brachytx seed, Iodine 125	1718
C1719	H	Brachytx seed,Non-HDR Ir-192	1719
C1720	H	Brachytx seed, Palladium 103	1720
C1721	H	AICD, dual chamber	1721
C1722	H	AICD, single chamber	1722
C1723	H	Cath, ablation, non-cardiac	1723
C1724	H	Cath, trans atherec,rotation	1724
C1725	H	Cath, translumin non-laser	1725
C1726	H	Cath, bal dil, non-vascular	1726
C1727	H	Cath, bal tis dis, non-vas	1727
C1728	H	Cath, brachytx seed adm	1728
C1729	H	Cath, drainage	1729
C1730	H	Cath, EP, 19 or few elect	1730
C1731	H	Cath, EP, 20 or more elec	1731
C1732	H	Cath, EP, diag/abl, 3D/vect	1732
C1733	H	Cath, EP, othr than cool-tip	1733
C1750	H	Cath, hemodialysis,long-term	1750
C1751	H	Cath, inf, per/cent/midline	1751
C1752	H	Cath,hemodialysis,short-term	1752
C1753	H	Cath, intravas ultrasound	1753
C1754	H	Catheter, intradiscal	1754
C1755	H	Catheter, intraspinal	1755
C1756	H	Cath, pacing, transesoph	1756
C1757	H	Cath, thrombectomy/embolect	1757
C1758	H	Catheter, ureteral	1758
C1759	H	Cath, intra echocardiography	1759
C1760	H	Closure dev, vasc	1760
C1762	H	Conn tiss, human(inc fascia)	1762
C1763	H	Conn tiss, non-human	1763
C1764	H	Event recorder, cardiac	1764
C1765	H	Adhesion barrier	1765
C1766	H	Intro/sheath,strble,non-peel	1766
C1767	H	Generator, neurostim, imp	1767
C1768	H	Graft, vascular	1768
C1769	H	Guide wire	1769
C1770	H	Imaging coil, MR, insertable	1770
C1771	H	Rep dev, urinary, w/sling	1771
C1772	H	Infusion pump, programmable	1772
C1773	H	Ret dev, insertable	1773
C1776	H	Joint device (implantable)	1776
C1777	H	Lead, AICD, endo single coil	1777
C1778	H	Lead, neurostimulator	1778
C1779	H	Lead, pmkr, transvenous VDD	1779
C1780	H	Lens, intraocular (new tech)	1780
C1781	H	Mesh (implantable)	1781
C1782	H	Morcellator	1782
C1784	H	Ocular dev, intraop, det ret	1784
C1785	H	Pmkr, dual, rate-resp	1785
C1786	H	Pmkr, single, rate-resp	1786
C1787	H	Patient progr, neurostim	1787
C1788	H	Port, indwelling, imp	1788
C1789	H	Prosthesis, breast, imp	1789
C1813	H	Prosthesis, penile, inflatab	1813
C1815	H	Pros, urinary sph, imp	1815
C1816	H	Receiver/transmitter, neuro	1816
C1817	H	Septal defect imp sys	1817
C1874	H	Stent, coated/cov w/del sys	1874
C1875	H	Stent, coated/cov w/o del sy	1875
C1876	H	Stent, non-coa/non-cov w/del	1876
C1877	H	Stent, non-coat/cov w/o del	1877
C1878	H	Matrl for vocal cord	1878
C1879	H	Tissue marker, implantable	1879
C1880	H	Vena cava filter	1880
C1881	H	Dialysis access system	1881
C1882	H	AICD, other than sing/dual	1882
C1883	H	Adapt/ext, pacing/neuro lead	1883
C1885	H	Cath, translumin angio laser	1885
C1887	H	Catheter, guiding	1887
C1891	H	Infusion pump,non-prog, perm	1891
C1892	H	Intro/sheath,fixed,peel-away	1892
C1893	H	Intro/sheath, fixed,non-peel	1893
C1894	H	Intro/sheath, non-laser	1894
C1895	H	Lead, AICD, endo dual coil	1895
C1896	H	Lead, AICD, non sing/dual	1896
C1897	H	Lead, neurostim test kit	1897
C1898	H	Lead, pmkr, other than trans	1898
C1899	H	Lead, pmkr/AICD combination	1899
C2615	H	Sealant, pulmonary, liquid	2615
C2616	H	Brachytx seed, Yttrium-90	2616
C2617	H	Stent, non-cor, tem w/o del	2617
C2618	H	Probe, cryoablation	2618
C2619	H	Pmkr, dual, non rate-resp	2619
C2620	H	Pmkr, single, non rate-resp	2620
C2621	H	Pmkr, other than sing/dual	2621
C2622	H	Prosthesis, penile, non-inf	2622
C2625	H	Stent, non-cor, tem w/del sy	2625
C2626	H	Infusion pump, non-prog,temp	2626
C2627	H	Cath, suprapubic/cystoscopic	2627
C2628	H	Catheter, occlusion	2628
C2629	H	Intro/sheath, laser	2629
C2630	H	Cath, EP, cool-tip	2630
C2631	H	Rep dev, urinary, w/o sling	2631
C8900	S	MRA w/cont, abd	0284	7.80	$396.57	$218.11	$79.31
C8901	S	MRA w/o cont, abd	0336	6.85	$348.27	$191.55	$69.65
C8902	S	MRA w/o fol w/cont, abd	0337	9.26	$470.80	$258.94	$94.16
C8903	S	MRI w/cont, breast, uni	0284	7.80	$396.57	$218.11	$79.31
C8904	S	MRI w/o cont, breast, uni	0336	6.85	$348.27	$191.55	$69.65
C8905	S	MRI w/o fol w/cont, brst, un	0337	9.26	$470.80	$258.94	$94.16
C8906	S	MRI w/cont, breast, bi	0284	7.80	$396.57	$218.11	$79.31
C8907	S	MRI w/o cont, breast, bi	0336	6.85	$348.27	$191.55	$69.65
C8908	S	MRI w/o fol w/cont, breast,	0337	9.26	$470.80	$258.94	$94.16
C8909	S	MRA w/cont, chest	0284	7.80	$396.57	$218.11	$79.31
C8910	S	MRA w/o cont, chest	0336	6.85	$348.27	$191.55	$69.65
C8911	S	MRA w/o fol w/cont, chest	0337	9.26	$470.80	$258.94	$94.16
C8912	S	MRA w/cont, lwr ext	0284	7.80	$396.57	$218.11	$79.31
C8913	S	MRA w/o cont, lwr ext	0336	6.85	$348.27	$191.55	$69.65
C8914	S	MRA w/o fol w/cont, lwr ext	0337	9.26	$470.80	$258.94	$94.16
C9000	G	Na chromateCr51, per 0.25mCi	9000		$.32		$.05
C9001	G	Linezolid inj, 200mg	9001		$34.14		$4.89
C9002	G	Tenecteplase, 50mg/vial	9002		$2,612.50		$374.00
C9003	G	Palivizumab, per 50 mg	9003		$664.49		$95.13
C9004	G	Gemtuzumab ozogamicin inj,5m	9004		$1,929.69		$276.25
C9006	G	Tacrolimus inj, per 5 mg	9006		$113.15		$16.20
C9007	G	Baclofen Intrathecal kit-1am	9007		$79.80		$11.42
C9008	G	Baclofen Refill Kit-500mcg	9008		$233.70		$33.46
C9009	G	Baclofen Refill Kit-2000mcg	9009		$491.15		$70.31
C9010	G	Baclofen Refill Kit--4000mcg	9010		$861.65		$123.35
C9011	G	Caffeine Citrate, inj, 1ml	9011		$12.22		$1.75
C9012	G	Injection, arsenic trioxide	9012		$237.50		$34.00
C9013	G	Co 57 cobaltous chloride	9013		$10.02		$1.43
C9017	E	Lomustine, 10 mg
C9018	G	Botulinum tox B, per 100 u	9018		$8.79		$1.26
C9019	G	Caspofungin acetate, 5 mg	9019		$34.20		$4.90
C9020	G	Sirolimus tablet, 1 mg	9020		$6.51		$.89
C9100	G	Iodinated I-131 Albumin	9100		$9.84		$1.41
C9102	G	51 Na Chromate, 50mCi	9102		$.65		$.09
C9103	G	Na Iothalamate I-125, 10 uCi	9103		$11.66		$1.67
C9104	G	Anti-thymocyte globulin,25mg	9104		$251.75		$36.04
C9105	G	Hep B imm glob, per 1 ml	9105		$135.43		$12.26
C9108	G	Thyrotropin alfa, 1.1 mg	9108		$531.05		$76.02
C9109	G	Tirofliban hcl, 6.25 mg	9109		$217.64		$31.16
C9503	K	Fresh frozen plasma, ea unit	9503	1.69	$85.92		$17.18
C9700	T	Water Induced Thermo	0977	21.30	$1,082.93		$216.59
C9701	S	Stretta System	0976	16.56	$841.94		$168.39
C9702	S	Chkmate/Novost/Galileo Brach	0981	42.59	$2,165.36		$433.07
C9708	T	Preview Tx Planning Software	0975	11.83	$601.46		$120.29
D0120	E	Periodic oral evaluation
D0140	E	Limit oral eval problm focus
D0150	S	Comprehensve oral evaluation	0330	7.68	$390.47	$78.09	$78.09
D0160	E	Extensv oral eval prob focus
D0170	E	Re-eval,est pt,problem focus
D0210	E	Intraor complete film series
D0220	E	Intraoral periapical first f
D0230	E	Intraoral periapical ea add
D0240	S	Intraoral occlusal film	0330	7.68	$390.47	$78.09	$78.09
D0250	S	Extraoral first film	0330	7.68	$390.47	$78.09	$78.09
D0260	S	Extraoral ea additional film	0330	7.68	$390.47	$78.09	$78.09
D0270	S	Dental bitewing single film	0330	7.68	$390.47	$78.09	$78.09
D0272	S	Dental bitewings two films	0330	7.68	$390.47	$78.09	$78.09
D0274	S	Dental bitewings four films	0330	7.68	$390.47	$78.09	$78.09
D0277	S	Vert bitewings-sev to eight	0330	7.68	$390.47	$78.09	$78.09
D0290	E	Dental film skull/facial bon
D0310	E	Dental saliography
D0320	E	Dental tmj arthrogram incl i
D0321	E	Dental other tmj films
D0322	E	Dental tomographic survey
D0330	E	Dental panoramic film
D0340	E	Dental cephalometric film
D0350	E	Oral/facial images
D0415	E	Bacteriologic study
D0425	E	Caries susceptibility test
D0460	S	Pulp vitality test	0330	7.68	$390.47	$78.09	$78.09
D0470	E	Diagnostic casts
D0472	S	Gross exam, prep & report	0330	7.68	$390.47	$78.09	$78.09
D0473	S	Micro exam, prep & report	0330	7.68	$390.47	$78.09	$78.09
D0474	S	Micro w exam of surg margins	0330	7.68	$390.47	$78.09	$78.09
D0480	S	Cytopath smear prep & report	0330	7.68	$390.47	$78.09	$78.09
D0501	S	Histopathologic examinations	0330	7.68	$390.47	$78.09	$78.09
D0502	S	Other oral pathology procedu	0330	7.68	$390.47	$78.09	$78.09
D0999	S	Unspecified diagnostic proce	0330	7.68	$390.47	$78.09	$78.09
D1110	E	Dental prophylaxis adult
D1120	E	Dental prophylaxis child
D1201	E	Topical fluor w prophy child
D1203	E	Topical fluor w/o prophy chi
D1204	E	Topical fluor w/o prophy adu
D1205	E	Topical fluoride w/ prophy a
D1310	E	Nutri counsel-control caries
D1320	E	Tobacco counseling
D1330	E	Oral hygiene instruction
D1351	E	Dental sealant per tooth
D1510	S	Space maintainer fxd unilat	0330	7.68	$390.47	$78.09	$78.09
D1515	S	Fixed bilat space maintainer	0330	7.68	$390.47	$78.09	$78.09
D1520	S	Remove unilat space maintain	0330	7.68	$390.47	$78.09	$78.09
D1525	S	Remove bilat space maintain	0330	7.68	$390.47	$78.09	$78.09
D1550	S	Recement space maintainer	0330	7.68	$390.47	$78.09	$78.09
D2110	E	Amalgam one surface primary
D2120	E	Amalgam two surfaces primary
D2130	E	Amalgam three surfaces prima
D2131	E	Amalgam four/more surf prima
D2140	E	Amalgam one surface permanen
D2150	E	Amalgam two surfaces permane
D2160	E	Amalgam three surfaces perma
D2161	E	Amalgam 4 or > surfaces perm
D2330	E	Resin one surface-anterior
D2331	E	Resin two surfaces-anterior
D2332	E	Resin three surfaces-anterio
D2335	E	Resin 4/> surf or w incis an
D2336	E	Composite resin crown
D2337	E	Compo resin crown ant-perm
D2380	E	Resin one surf poster primar
D2381	E	Resin two surf poster primar
D2382	E	Resin three/more surf post p
D2385	E	Resin one surf poster perman
D2386	E	Resin two surf poster perman
D2387	E	Resin three/more surf post p
D2388	E	Resin four/more, post perm
D2410	E	Dental gold foil one surface
D2420	E	Dental gold foil two surface
D2430	E	Dental gold foil three surfa
D2510	E	Dental inlay metalic 1 surf
D2520	E	Dental inlay metallic 2 surf
D2530	E	Dental inlay metl 3/more sur
D2542	E	Dental onlay metallic 2 surf
D2543	E	Dental onlay metallic 3 surf
D2544	E	Dental onlay metl 4/more sur
D2610	E	Inlay porcelain/ceramic 1 su
D2620	E	Inlay porcelain/ceramic 2 su
D2630	E	Dental onlay porc 3/more sur
D2642	E	Dental onlay porcelin 2 surf
D2643	E	Dental onlay porcelin 3 surf
D2644	E	Dental onlay porc 4/more sur
D2650	E	Inlay composite/resin one su
D2651	E	Inlay composite/resin two su
D2652	E	Dental inlay resin 3/mre sur
D2662	E	Dental onlay resin 2 surface
D2663	E	Dental onlay resin 3 surface
D2664	E	Dental onlay resin 4/mre sur
D2710	E	Crown resin laboratory
D2720	E	Crown resin w/ high noble me
D2721	E	Crown resin w/ base metal
D2722	E	Crown resin w/ noble metal
D2740	E	Crown porcelain/ceramic subs
D2750	E	Crown porcelain w/ h noble m
D2751	E	Crown porcelain fused base m
D2752	E	Crown porcelain w/ noble met
D2780	E	Crown 3/4 cast hi noble met
D2781	E	Crown 3/4 cast base metal
D2782	E	Crown 3/4 cast noble metal
D2783	E	Crown 3/4 porcelain/ceramic
D2790	E	Crown full cast high noble m
D2791	E	Crown full cast base metal
D2792	E	Crown full cast noble metal
D2799	E	Provisional crown
D2910	E	Dental recement inlay
D2920	E	Dental recement crown
D2930	E	Prefab stnlss steel crwn pri
D2931	E	Prefab stnlss steel crown pe
D2932	E	Prefabricated resin crown
D2933	E	Prefab stainless steel crown
D2940	E	Dental sedative filling
D2950	E	Core build-up incl any pins
D2951	E	Tooth pin retention
D2952	E	Post and core cast + crown
D2953	E	Each addtnl cast post
D2954	E	Prefab post/core + crown
D2955	E	Post removal
D2957	E	Each addtnl prefab post
D2960	E	Laminate labial veneer
D2961	E	Lab labial veneer resin
D2962	E	Lab labial veneer porcelain
D2970	S	Temporary- fractured tooth	0330	7.68	$390.47	$78.09	$78.09
D2980	E	Crown repair
D2999	S	Dental unspec restorative pr	0330	7.68	$390.47	$78.09	$78.09
D3110	E	Pulp cap direct
D3120	E	Pulp cap indirect
D3220	E	Therapeutic pulpotomy
D3221	E	Gross pulpal debridement
D3230	E	Pulpal therapy anterior prim
D3240	E	Pulpal therapy posterior pri
D3310	E	Anterior
D3320	E	Root canal therapy 2 canals
D3330	E	Root canal therapy 3 canals
D3331	E	Non-surg tx root canal obs
D3332	E	Incomplete endodontic tx
D3333	E	Internal root repair
D3346	E	Retreat root canal anterior
D3347	E	Retreat root canal bicuspid
D3348	E	Retreat root canal molar
D3351	E	Apexification/recalc initial
D3352	E	Apexification/recalc interim
D3353	E	Apexification/recalc final
D3410	E	Apicoect/perirad surg anter
D3421	E	Root surgery bicuspid
D3425	E	Root surgery molar
D3426	E	Root surgery ea add root
D3430	E	Retrograde filling
D3450	E	Root amputation
D3460	S	Endodontic endosseous implan	0330	7.68	$390.47	$78.09	$78.09
D3470	E	Intentional replantation
D3910	E	Isolation- tooth w rubb dam
D3920	E	Tooth splitting
D3950	E	Canal prep/fitting of dowel
D3999	S	Endodontic procedure	0330	7.68	$390.47	$78.09	$78.09
D4210	E	Gingivectomy/plasty per quad
D4211	E	Gingivectomy/plasty per toot
D4220	E	Gingival curettage per quadr
D4240	E	Gingival flap proc w/ planin
D4245	E	Apically positioned flap
D4249	E	Crown lengthen hard tissue
D4260	S	Osseous surgery per quadrant	0330	7.68	$390.47	$78.09	$78.09
D4263	S	Bone replce graft first site	0330	7.68	$390.47	$78.09	$78.09
D4264	S	Bone replce graft each add	0330	7.68	$390.47	$78.09	$78.09
D4266	E	Guided tiss regen resorble
D4267	E	Guided tiss regen nonresorb
D4268	S	Surgical revision procedure	0330	7.68	$390.47	$78.09	$78.09
D4270	S	Pedicle soft tissue graft pr	0330	7.68	$390.47	$78.09	$78.09
D4271	S	Free soft tissue graft proc	0330	7.68	$390.47	$78.09	$78.09
D4273	S	Subepithelial tissue graft	0330	7.68	$390.47	$78.09	$78.09
D4274	E	Distal/proximal wedge proc
D4320	E	Provision splnt intracoronal
D4321	E	Provisional splint extracoro
D4341	E	Periodontal scaling & root
D4355	S	Full mouth debridement	0330	7.68	$390.47	$78.09	$78.09
D4381	S	Localized chemo delivery	0330	7.68	$390.47	$78.09	$78.09
D4910	E	Periodontal maint procedures
D4920	E	Unscheduled dressing change
D4999	E	Unspecified periodontal proc
D5110	E	Dentures complete maxillary
D5120	E	Dentures complete mandible
D5130	E	Dentures immediat maxillary
D5140	E	Dentures immediat mandible
D5211	E	Dentures maxill part resin
D5212	E	Dentures mand part resin
D5213	E	Dentures maxill part metal
D5214	E	Dentures mandibl part metal
D5281	E	Removable partial denture
D5410	E	Dentures adjust cmplt maxil
D5411	E	Dentures adjust cmplt mand
D5421	E	Dentures adjust part maxill
D5422	E	Dentures adjust part mandbl
D5510	E	Dentur repr broken compl bas
D5520	E	Replace denture teeth complt
D5610	E	Dentures repair resin base
D5620	E	Rep part denture cast frame
D5630	E	Rep partial denture clasp
D5640	E	Replace part denture teeth
D5650	E	Add tooth to partial denture
D5660	E	Add clasp to partial denture
D5710	E	Dentures rebase cmplt maxil
D5711	E	Dentures rebase cmplt mand
D5720	E	Dentures rebase part maxill
D5721	E	Dentures rebase part mandbl
D5730	E	Denture reln cmplt maxil ch
D5731	E	Denture reln cmplt mand chr
D5740	E	Denture reln part maxil chr
D5741	E	Denture reln part mand chr
D5750	E	Denture reln cmplt max lab
D5751	E	Denture reln cmplt mand lab
D5760	E	Denture reln part maxil lab
D5761	E	Denture reln part mand lab
D5810	E	Denture interm cmplt maxill
D5811	E	Denture interm cmplt mandbl
D5820	E	Denture interm part maxill
D5821	E	Denture interm part mandbl
D5850	E	Denture tiss conditn maxill
D5851	E	Denture tiss condtin mandbl
D5860	E	Overdenture complete
D5861	E	Overdenture partial
D5862	E	Precision attachment
D5867	E	Replacement of precision att
D5875	E	Prosthesis modification
D5899	E	Removable prosthodontic proc
D5911	S	Facial moulage sectional	0330	7.68	$390.47	$78.09	$78.09
D5912	S	Facial moulage complete	0330	7.68	$390.47	$78.09	$78.09
D5913	E	Nasal prosthesis
D5914	E	Auricular prosthesis
D5915	E	Orbital prosthesis
D5916	E	Ocular prosthesis
D5919	E	Facial prosthesis
D5922	E	Nasal septal prosthesis
D5923	E	Ocular prosthesis interim
D5924	E	Cranial prosthesis
D5925	E	Facial augmentation implant
D5926	E	Replacement nasal prosthesis
D5927	E	Auricular replacement
D5928	E	Orbital replacement
D5929	E	Facial replacement
D5931	E	Surgical obturator
D5932	E	Postsurgical obturator
D5933	E	Refitting of obturator
D5934	E	Mandibular flange prosthesis
D5935	E	Mandibular denture prosth
D5936	E	Temp obturator prosthesis
D5937	E	Trismus appliance
D5951	E	Feeding aid
D5952	E	Pediatric speech aid
D5953	E	Adult speech aid
D5954	E	Superimposed prosthesis
D5955	E	Palatal lift prosthesis
D5958	E	Intraoral con def inter plt
D5959	E	Intraoral con def mod palat
D5960	E	Modify speech aid prosthesis
D5982	E	Surgical stent
D5983	S	Radiation applicator	0330	7.68	$390.47	$78.09	$78.09
D5984	S	Radiation shield	0330	7.68	$390.47	$78.09	$78.09
D5985	S	Radiation cone locator	0330	7.68	$390.47	$78.09	$78.09
D5986	E	Fluoride applicator
D5987	S	Commissure splint	0330	7.68	$390.47	$78.09	$78.09
D5988	E	Surgical splint
D5999	E	Maxillofacial prosthesis
D6010	E	Odontics endosteal implant
D6020	E	Odontics abutment placement
D6040	E	Odontics eposteal implant
D6050	E	Odontics transosteal implnt
D6055	E	Implant connecting bar
D6056	E	Prefabricated abutment
D6057	E	Custom abutment
D6058	E	Abutment supported crown
D6059	E	Abutment supported mtl crown
D6060	E	Abutment supported mtl crown
D6061	E	Abutment supported mtl crown
D6062	E	Abutment supported mtl crown
D6063	E	Abutment supported mtl crown
D6064	E	Abutment supported mtl crown
D6065	E	Implant supported crown
D6066	E	Implant supported mtl crown
D6067	E	Implant supported mtl crown
D6068	E	Abutment supported retainer
D6069	E	Abutment supported retainer
D6070	E	Abutment supported retainer
D6071	E	Abutment supported retainer
D6072	E	Abutment supported retainer
D6073	E	Abutment supported retainer
D6074	E	Abutment supported retainer
D6075	E	Implant supported retainer
D6076	E	Implant supported retainer
D6077	E	Implant supported retainer
D6078	E	Implnt/abut suprtd fixd dent
D6079	E	Implnt/abut suprtd fixd dent
D6080	E	Implant maintenance
D6090	E	Repair implant
D6095	E	Odontics repr abutment
D6100	E	Removal of implant
D6199	E	Implant procedure
D6210	E	Prosthodont high noble metal
D6211	E	Bridge base metal cast
D6212	E	Bridge noble metal cast
D6240	E	Bridge porcelain high noble
D6241	E	Bridge porcelain base metal
D6242	E	Bridge porcelain nobel metal
D6245	E	Bridge porcelain/ceramic
D6250	E	Bridge resin w/high noble
D6251	E	Bridge resin base metal
D6252	E	Bridge resin w/noble metal
D6519	E	Inlay/onlay porce/ceramic
D6520	E	Dental retainer two surfaces
D6530	E	Retainer metallic 3+ surface
D6543	E	Dental retainr onlay 3 surf
D6544	E	Dental retainr onlay 4/more
D6545	E	Dental retainr cast metl
D6548	E	Porcelain/ceramic retainer
D6720	E	Retain crown resin w hi nble
D6721	E	Crown resin w/base metal
D6722	E	Crown resin w/noble metal
D6740	E	Crown porcelain/ceramic
D6750	E	Crown porcelain high noble
D6751	E	Crown porcelain base metal
D6752	E	Crown porcelain noble metal
D6780	E	Crown 3/4 high noble metal
D6781	E	Crown 3/4 cast based metal
D6782	E	Crown 3/4 cast noble metal
D6783	E	Crown 3/4 porcelain/ceramic
D6790	E	Crown full high noble metal
D6791	E	Crown full base metal cast
D6792	E	Crown full noble metal cast
D6920	S	Dental connector bar	0330	7.68	$390.47	$78.09	$78.09
D6930	E	Dental recement bridge
D6940	E	Stress breaker
D6950	E	Precision attachment
D6970	E	Post & core plus retainer
D6971	E	Cast post bridge retainer
D6972	E	Prefab post & core plus reta
D6973	E	Core build up for retainer
D6975	E	Coping metal
D6976	E	Each addtnl cast post
D6977	E	Each addtl prefab post
D6980	E	Bridge repair
D6999	E	Fixed prosthodontic proc
D7110	S	Oral surgery single tooth	0330	7.68	$390.47	$78.09	$78.09
D7120	S	Each add tooth extraction	0330	7.68	$390.47	$78.09	$78.09
D7130	S	Tooth root removal	0330	7.68	$390.47	$78.09	$78.09
D7210	S	Rem imp tooth w mucoper flp	0330	7.68	$390.47	$78.09	$78.09
D7220	S	Impact tooth remov soft tiss	0330	7.68	$390.47	$78.09	$78.09
D7230	S	Impact tooth remov part bony	0330	7.68	$390.47	$78.09	$78.09
D7240	S	Impact tooth remov comp bony	0330	7.68	$390.47	$78.09	$78.09
D7241	S	Impact tooth rem bony w/comp	0330	7.68	$390.47	$78.09	$78.09
D7250	S	Tooth root removal	0330	7.68	$390.47	$78.09	$78.09
D7260	S	Oral antral fistula closure	0330	7.68	$390.47	$78.09	$78.09
D7270	E	Tooth reimplantation
D7272	E	Tooth transplantation
D7280	E	Exposure impact tooth orthod
D7281	E	Exposure tooth aid eruption
D7285	E	Biopsy of oral tissue hard
D7286	E	Biopsy of oral tissue soft
D7290	E	Repositioning of teeth
D7291	S	Transseptal fiberotomy	0330	7.68	$390.47	$78.09	$78.09
D7310	E	Alveoplasty w/ extraction
D7320	E	Alveoplasty w/o extraction
D7340	E	Vestibuloplasty ridge extens
D7350	E	Vestibuloplasty exten graft
D7410	E	Rad exc lesion up to 1.25 cm
D7420	E	Lesion > 1.25 cm
D7430	E	Exc benign tumor to 1.25 cm
D7431	E	Benign tumor exc > 1.25 cm
D7440	E	Malig tumor exc to 1.25 cm
D7441	E	Malig tumor > 1.25 cm
D7450	E	Rem odontogen cyst to 1.25cm
D7451	E	Rem odontogen cyst > 1.25 cm
D7460	E	Rem nonodonto cyst to 1.25cm
D7461	E	Rem nonodonto cyst > 1.25 cm
D7465	E	Lesion destruction
D7471	E	Rem exostosis any site
D7480	E	Partial ostectomy
D7490	E	Mandible resection
D7510	E	I&d absc intraoral soft tiss
D7520	E	I&d abscess extraoral
D7530	E	Removal fb skin/areolar tiss
D7540	E	Removal of fb reaction
D7550	E	Removal of sloughed off bone
D7560	E	Maxillary sinusotomy
D7610	E	Maxilla open reduct simple
D7620	E	Clsd reduct simpl maxilla fx
D7630	E	Open red simpl mandible fx
D7640	E	Clsd red simpl mandible fx
D7650	E	Open red simp malar/zygom fx
D7660	E	Clsd red simp malar/zygom fx
D7670	E	Closd rductn splint alveolus
D7680	E	Reduct simple facial bone fx
D7710	E	Maxilla open reduct compound
D7720	E	Clsd reduct compd maxilla fx
D7730	E	Open reduct compd mandble fx
D7740	E	Clsd reduct compd mandble fx
D7750	E	Open red comp malar/zygma fx
D7760	E	Clsd red comp malar/zygma fx
D7770	E	Open reduc compd alveolus fx
D7780	E	Reduct compnd facial bone fx
D7810	E	Tmj open reduct-dislocation
D7820	E	Closed tmp manipulation
D7830	E	Tmj manipulation under anest
D7840	E	Removal of tmj condyle
D7850	E	Tmj meniscectomy
D7852	E	Tmj repair of joint disc
D7854	E	Tmj excisn of joint membrane
D7856	E	Tmj cutting of a muscle
D7858	E	Tmj reconstruction
D7860	E	Tmj cutting into joint
D7865	E	Tmj reshaping components
D7870	E	Tmj aspiration joint fluid
D7871	E	Lysis + lavage w catheters
D7872	E	Tmj diagnostic arthroscopy
D7873	E	Tmj arthroscopy lysis adhesn
D7874	E	Tmj arthroscopy disc reposit
D7875	E	Tmj arthroscopy synovectomy
D7876	E	Tmj arthroscopy discectomy
D7877	E	Tmj arthroscopy debridement
D7880	E	Occlusal orthotic appliance
D7899	E	Tmj unspecified therapy
D7910	E	Dent sutur recent wnd to 5cm
D7911	E	Dental suture wound to 5 cm
D7912	E	Suture complicate wnd > 5 cm
D7920	E	Dental skin graft
D7940	S	Reshaping bone orthognathic	0330	7.68	$390.47	$78.09	$78.09
D7941	E	Bone cutting ramus closed
D7943	E	Cutting ramus open w/graft
D7944	E	Bone cutting segmented
D7945	E	Bone cutting body mandible
D7946	E	Reconstruction maxilla total
D7947	E	Reconstruct maxilla segment
D7948	E	Reconstruct midface no graft
D7949	E	Reconstruct midface w/graft
D7950	E	Mandible graft
D7955	E	Repair maxillofacial defects
D7960	E	Frenulectomy/frenulotomy
D7970	E	Excision hyperplastic tissue
D7971	E	Excision pericoronal gingiva
D7980	E	Sialolithotomy
D7981	E	Excision of salivary gland
D7982	E	Sialodochoplasty
D7983	E	Closure of salivary fistula
D7990	E	Emergency tracheotomy
D7991	E	Dental coronoidectomy
D7995	E	Synthetic graft facial bones
D7996	E	Implant mandible for augment
D7997	E	Appliance removal
D7999	E	Oral surgery procedure
D8010	E	Limited dental tx primary
D8020	E	Limited dental tx transition
D8030	E	Limited dental tx adolescent
D8040	E	Limited dental tx adult
D8050	E	Intercep dental tx primary
D8060	E	Intercep dental tx transitn
D8070	E	Compre dental tx transition
D8080	E	Compre dental tx adolescent
D8090	E	Compre dental tx adult
D8210	E	Orthodontic rem appliance tx
D8220	E	Fixed appliance therapy habt
D8660	E	Preorthodontic tx visit
D8670	E	Periodic orthodontc tx visit
D8680	E	Orthodontic retention
D8690	E	Orthodontic treatment
D8691	E	Repair ortho appliance
D8692	E	Replacement retainer
D8999	E	Orthodontic procedure
D9110	N	Tx dental pain minor proc
D9210	E	Dent anesthesia w/o surgery
D9211	E	Regional block anesthesia
D9212	E	Trigeminal block anesthesia
D9215	E	Local anesthesia
D9220	E	General anesthesia
D9221	E	General anesthesia ea ad 15m
D9230	N	Analgesia
D9241	E	Intravenous sedation
D9242	E	IV sedation ea ad 30 m
D9248	N	Sedation (non-iv)
D9310	E	Dental consultation
D9410	E	Dental house call
D9420	E	Hospital call
D9430	E	Office visit during hours
D9440	E	Office visit after hours
D9610	E	Dent therapeutic drug inject
D9630	S	Other drugs/medicaments	0330	7.68	$390.47	$78.09	$78.09
D9910	E	Dent appl desensitizing med
D9911	E	Appl desensitizing resin
D9920	E	Behavior management
D9930	S	Treatment of complications	0330	7.68	$390.47	$78.09	$78.09
D9940	S	Dental occlusal guard	0330	7.68	$390.47	$78.09	$78.09
D9941	E	Fabrication athletic guard
D9950	S	Occlusion analysis	0330	7.68	$390.47	$78.09	$78.09
D9951	S	Limited occlusal adjustment	0330	7.68	$390.47	$78.09	$78.09
D9952	S	Complete occlusal adjustment	0330	7.68	$390.47	$78.09	$78.09
D9970	E	Enamel microabrasion
D9971	E	Odontoplasty 1-2 teeth
D9972	E	Extrnl bleaching per arch
D9973	E	Extrnl bleaching per tooth
D9974	E	Intrnl bleaching per tooth
D9999	E	Adjunctive procedure
E0100	A	Cane adjust/fixed with tip
E0105	A	Cane adjust/fixed quad/3 pro
E0110	A	Crutch forearm pair
E0111	A	Crutch forearm each
E0112	A	Crutch underarm pair wood
E0113	A	Crutch underarm each wood
E0114	A	Crutch underarm pair no wood
E0116	A	Crutch underarm each no wood
E0130	A	Walker rigid adjust/fixed ht
E0135	A	Walker folding adjust/fixed
E0141	A	Rigid walker wheeled wo seat
E0142	A	Walker rigid wheeled with se
E0143	A	Walker folding wheeled w/o s
E0144	A	Enclosed walker w rear seat
E0145	A	Walker whled seat/crutch att
E0146	A	Folding walker wheels w seat
E0147	A	Walker variable wheel resist
E0148	A	Heavyduty walker no wheels
E0149	A	Heavy duty wheeled walker
E0153	A	Forearm crutch platform atta
E0154	A	Walker platform attachment
E0155	A	Walker wheel attachment,pair
E0156	A	Walker seat attachment
E0157	A	Walker crutch attachment
E0158	A	Walker leg extenders set of4
E0159	A	Brake for wheeled walker
E0160	A	Sitz type bath or equipment
E0161	A	Sitz bath/equipment w/faucet
E0162	A	Sitz bath chair
E0163	A	Commode chair stationry fxd
E0164	A	Commode chair mobile fixed a
E0165	A	Commode chair stationry det
E0166	A	Commode chair mobile detach
E0167	A	Commode chair pail or pan
E0168	A	Heavyduty/wide commode chair
E0175	A	Commode chair foot rest
E0176	A	Air pressre pad/cushion nonp
E0177	A	Water press pad/cushion nonp
E0178	A	Gel pressre pad/cushion nonp
E0179	A	Dry pressre pad/cushion nonp
E0180	A	Press pad alternating w pump
E0181	A	Press pad alternating w/ pum
E0182	A	Pressure pad alternating pum
E0184	A	Dry pressure mattress
E0185	A	Gel pressure mattress pad
E0186	A	Air pressure mattress
E0187	A	Water pressure mattress
E0188	E	Synthetic sheepskin pad
E0189	E	Lambswool sheepskin pad
E0191	A	Protector heel or elbow
E0192	A	Pad wheelchr low press/posit
E0193	A	Powered air flotation bed
E0194	A	Air fluidized bed
E0196	A	Gel pressure mattress
E0197	A	Air pressure pad for mattres
E0198	A	Water pressure pad for mattr
E0199	A	Dry pressure pad for mattres
E0200	A	Heat lamp without stand
E0202	A	Phototherapy light w/ photom
E0205	A	Heat lamp with stand
E0210	A	Electric heat pad standard
E0215	A	Electric heat pad moist
E0217	A	Water circ heat pad w pump
E0218	E	Water circ cold pad w pump
E0220	A	Hot water bottle
E0225	A	Hydrocollator unit
E0230	A	Ice cap or collar
E0235	A	Paraffin bath unit portable
E0236	A	Pump for water circulating p
E0238	A	Heat pad non-electric moist
E0239	A	Hydrocollator unit portable
E0241	E	Bath tub wall rail
E0242	E	Bath tub rail floor
E0243	E	Toilet rail
E0244	E	Toilet seat raised
E0245	E	Tub stool or bench
E0246	E	Transfer tub rail attachment
E0249	A	Pad water circulating heat u
E0250	A	Hosp bed fixed ht w/ mattres
E0251	A	Hosp bed fixd ht w/o mattres
E0255	A	Hospital bed var ht w/ mattr
E0256	A	Hospital bed var ht w/o matt
E0260	A	Hosp bed semi-electr w/ matt
E0261	A	Hosp bed semi-electr w/o mat
E0265	A	Hosp bed total electr w/ mat
E0266	A	Hosp bed total elec w/o matt
E0270	E	Hospital bed institutional t
E0271	A	Mattress innerspring
E0272	A	Mattress foam rubber
E0273	E	Bed board
E0274	E	Over-bed table
E0275	A	Bed pan standard
E0276	A	Bed pan fracture
E0277	A	Powered pres-redu air mattrs
E0280	A	Bed cradle
E0290	A	Hosp bed fx ht w/o rails w/m
E0291	A	Hosp bed fx ht w/o rail w/o
E0292	A	Hosp bed var ht w/o rail w/o
E0293	A	Hosp bed var ht w/o rail w/
E0294	A	Hosp bed semi-elect w/ mattr
E0295	A	Hosp bed semi-elect w/o matt
E0296	A	Hosp bed total elect w/ matt
E0297	A	Hosp bed total elect w/o mat
E0298	E	Heavyduty/xtra wide hosp bed
E0305	A	Rails bed side half length
E0310	A	Rails bed side full length
E0315	E	Bed accessory brd/tbl/supprt
E0325	A	Urinal male jug-type
E0326	A	Urinal female jug-type
E0350	E	Control unit bowel system
E0352	E	Disposable pack w/bowel syst
E0370	E	Air elevator for heel
E0371	A	Nonpower mattress overlay
E0372	A	Powered air mattress overlay
E0373	A	Nonpowered pressure mattress
E0424	A	Stationary compressed gas 02
E0425	E	Gas system stationary compre
E0430	E	Oxygen system gas portable
E0431	A	Portable gaseous 02
E0434	A	Portable liquid 02
E0435	E	Oxygen system liquid portabl
E0439	A	Stationary liquid 02
E0440	E	Oxygen system liquid station
E0441	A	Oxygen contents, gaseous
E0442	A	Oxygen contents, liquid
E0443	A	Portable 02 contents, gas
E0444	A	Portable 02 contents, liquid
E0450	A	Volume vent stationary/porta
E0455	A	Oxygen tent excl croup/ped t
E0457	A	Chest shell
E0459	A	Chest wrap
E0460	A	Neg press vent portabl/statn
E0462	A	Rocking bed w/ or w/o side r
E0480	A	Percussor elect/pneum home m
E0500	A	Ippb all types
E0550	A	Humidif extens supple w ippb
E0555	A	Humidifier for use w/ regula
E0560	A	Humidifier supplemental w/ i
E0565	A	Compressor air power source
E0570	A	Nebulizer with compression
E0571	A	Aerosol compressor for svneb
E0572	A	Aerosol compressor adjust pr
E0574	A	Ultrasonic generator w svneb
E0575	A	Nebulizer ultrasonic
E0580	A	Nebulizer for use w/ regulat
E0585	A	Nebulizer w/ compressor & he
E0590	A	Dispensing fee dme neb drug
E0600	A	Suction pump portab hom modl
E0601	A	Cont airway pressure device
E0602	E	Breast pump
E0605	A	Vaporizer room type
E0606	A	Drainage board postural
E0607	A	Blood glucose monitor home
E0608	A	Apnea monitor
E0609	A	Blood gluc mon w/special fea
E0610	A	Pacemaker monitr audible/vis
E0615	A	Pacemaker monitr digital/vis
E0616	N	Cardiac event recorder
E0617	A	Automatic ext defibrillator
E0621	A	Patient lift sling or seat
E0625	E	Patient lift bathroom or toi
E0627	A	Seat lift incorp lift-chair
E0628	A	Seat lift for pt furn-electr
E0629	A	Seat lift for pt furn-non-el
E0630	A	Patient lift hydraulic
E0635	A	Patient lift electric
E0650	A	Pneuma compresor non-segment
E0651	A	Pneum compressor segmental
E0652	A	Pneum compres w/cal pressure
E0655	A	Pneumatic appliance half arm
E0660	A	Pneumatic appliance full leg
E0665	A	Pneumatic appliance full arm
E0666	A	Pneumatic appliance half leg
E0667	A	Seg pneumatic appl full leg
E0668	A	Seg pneumatic appl full arm
E0669	A	Seg pneumatic appli half leg
E0671	A	Pressure pneum appl full leg
E0672	A	Pressure pneum appl full arm
E0673	A	Pressure pneum appl half leg
E0690	A	Ultraviolet cabinet
E0700	E	Safety equipment
E0710	E	Restraints any type
E0720	A	Tens two lead
E0730	A	Tens four lead
E0731	A	Conductive garment for tens/
E0740	E	Incontinence treatment systm
E0744	A	Neuromuscular stim for scoli
E0745	A	Neuromuscular stim for shock
E0746	E	Electromyograph biofeedback
E0747	A	Elec osteogen stim not spine
E0748	A	Elec osteogen stim spinal
E0749	N	Elec osteogen stim implanted
E0753	N	Neurostimulator electrodes
E0755	E	Electronic salivary reflex s
E0756	A	Implantable pulse generator
E0757	A	Implantable RF receiver
E0758	A	External RF transmitter
E0760	E	Osteogen ultrasound stimltor
E0765	E	Nerve stimulator for tx n&v
E0776	A	Iv pole
E0779	A	Amb infusion pump mechanical
E0780	A	Mech amb infusion pump <8hrs
E0781	A	External ambulatory infus pu
E0782	N	Non-programble infusion pump
E0783	N	Programmable infusion pump
E0784	A	Ext amb infusn pump insulin
E0785	N	Replacement impl pump cathet
E0786	A	Implantable pump replacement
E0791	A	Parenteral infusion pump sta
E0830	N	Ambulatory traction device
E0840	A	Tract frame attach headboard
E0850	A	Traction stand free standing
E0855	A	Cervical traction equipment
E0860	A	Tract equip cervical tract
E0870	A	Tract frame attach footboard
E0880	A	Trac stand free stand extrem
E0890	A	Traction frame attach pelvic
E0900	A	Trac stand free stand pelvic
E0910	A	Trapeze bar attached to bed
E0920	A	Fracture frame attached to b
E0930	A	Fracture frame free standing
E0935	A	Exercise device passive moti
E0940	A	Trapeze bar free standing
E0941	A	Gravity assisted traction de
E0942	A	Cervical head harness/halter
E0943	A	Cervical pillow
E0944	A	Pelvic belt/harness/boot
E0945	A	Belt/harness extremity
E0946	A	Fracture frame dual w cross
E0947	A	Fracture frame attachmnts pe
E0948	A	Fracture frame attachmnts ce
E0950	E	Tray
E0951	E	Loop heel
E0952	E	Loop tie
E0953	E	Pneumatic tire
E0954	E	Wheelchair semi-pneumatic ca
E0958	E	Whlchr att- conv 1 arm drive
E0959	E	Amputee adapter
E0961	E	Wheelchair brake extension
E0962	A	Wheelchair 1 inch cushion
E0963	A	Wheelchair 2 inch cushion
E0964	A	Wheelchair 3 inch cushion
E0965	A	Wheelchair 4 inch cushion
E0966	E	Wheelchair head rest extensi
E0967	E	Wheelchair hand rims
E0968	E	Wheelchair commode seat
E0969	E	Wheelchair narrowing device
E0970	E	Wheelchair no. 2 footplates
E0971	E	Wheelchair anti-tipping devi
E0972	A	Transfer board or device
E0973	E	Wheelchair adjustabl height
E0974	E	Wheelchair grade-aid
E0975	E	Wheelchair reinforced seat u
E0976	E	Wheelchair reinforced back u
E0977	E	Wheelchair wedge cushion
E0978	E	Wheelchair belt w/airplane b
E0979	E	Wheelchair belt with velcro
E0980	E	Wheelchair safety vest
E0990	E	Whellchair elevating leg res
E0991	E	Wheelchair upholstry seat
E0992	E	Wheelchair solid seat insert
E0993	E	Wheelchair back upholstery
E0994	E	Wheelchair arm rest
E0995	E	Wheelchair calf rest
E0996	E	Wheelchair tire solid
E0997	E	Wheelchair caster w/ a fork
E0998	E	Wheelchair caster w/o a fork
E0999	E	Wheelchr pneumatic tire w/wh
E1000	E	Wheelchair tire pneumatic ca
E1001	E	Wheelchair wheel
E1031	A	Rollabout chair with casters
E1035	E	Patient transfer system
E1050	E	Whelchr fxd full length arms
E1060	E	Wheelchair detachable arms
E1065	E	Wheelchair power attachment
E1066	E	Wheelchair battery charger
E1069	E	Wheelchair deep cycle batter
E1070	E	Wheelchair detachable foot r
E1083	E	Hemi-wheelchair fixed arms
E1084	E	Hemi-wheelchair detachable a
E1085	E	Hemi-wheelchair fixed arms
E1086	E	Hemi-wheelchair detachable a
E1087	E	Wheelchair lightwt fixed arm
E1088	E	Wheelchair lightweight det a
E1089	E	Wheelchair lightwt fixed arm
E1090	E	Wheelchair lightweight det a
E1091	E	Wheelchair youth
E1092	E	Wheelchair wide w/ leg rests
E1093	E	Wheelchair wide w/ foot rest
E1100	E	Whchr s-recl fxd arm leg res
E1110	E	Wheelchair semi-recl detach
E1130	E	Whlchr stand fxd arm ft rest
E1140	E	Wheelchair standard detach a
E1150	E	Wheelchair standard w/ leg r
E1160	E	Wheelchair fixed arms
E1170	E	Whlchr ampu fxd arm leg rest
E1171	E	Wheelchair amputee w/o leg r
E1172	E	Wheelchair amputee detach ar
E1180	E	Wheelchair amputee w/ foot r
E1190	E	Wheelchair amputee w/ leg re
E1195	E	Wheelchair amputee heavy dut
E1200	E	Wheelchair amputee fixed arm
E1210	E	Whlchr moto ful arm leg rest
E1211	E	Wheelchair motorized w/ det
E1212	E	Wheelchair motorized w full
E1213	E	Wheelchair motorized w/ det
E1220	E	Whlchr special size/constrc
E1221	E	Wheelchair spec size w foot
E1222	E	Wheelchair spec size w/ leg
E1223	E	Wheelchair spec size w foot
E1224	E	Wheelchair spec size w/ leg
E1225	E	Wheelchair spec sz semi-recl
E1226	E	Wheelchair spec sz full-recl
E1227	E	Wheelchair spec sz spec ht a
E1228	E	Wheelchair spec sz spec ht b
E1230	A	Power operated vehicle
E1240	E	Whchr litwt det arm leg rest
E1250	E	Wheelchair lightwt fixed arm
E1260	E	Wheelchair lightwt foot rest
E1270	E	Wheelchair lightweight leg r
E1280	E	Whchr h-duty det arm leg res
E1285	E	Wheelchair heavy duty fixed
E1290	E	Wheelchair hvy duty detach a
E1295	E	Wheelchair heavy duty fixed
E1296	E	Wheelchair special seat heig
E1297	E	Wheelchair special seat dept
E1298	E	Wheelchair spec seat depth/w
E1300	E	Whirlpool portable
E1310	A	Whirlpool non-portable
E1340	A	Repair for DME, per 15 min
E1353	A	Oxygen supplies regulator
E1355	A	Oxygen supplies stand/rack
E1372	A	Oxy suppl heater for nebuliz
E1390	A	Oxygen concentrator
E1399	A	Durable medical equipment mi
E1405	A	O2/water vapor enrich w/heat
E1406	A	O2/water vapor enrich w/o he
E1510	A	Kidney dialysate delivry sys
E1520	A	Heparin infusion pump for di
E1530	A	Air bubble detector for dial
E1540	A	Pressure alarm for dialysis
E1550	A	Bath conductivity meter
E1560	A	Blood leak detector for dial
E1570	A	Adjustable chair for esrd pt
E1575	A	Transducer protector/fluid b
E1580	A	Unipuncture control system
E1590	A	Hemodialysis machine
E1592	A	Auto interm peritoneal dialy
E1594	A	Cycler dialysis machine
E1600	A	Deliv/install equip for dial
E1610	A	Reverse osmosis water purifi
E1615	A	Deionizer water purification
E1620	A	Blood pump for dialysis
E1625	A	Water softening system
E1630	A	Reciprocating peritoneal dia
E1632	A	Wearable artificial kidney
E1635	A	Compact travel hemodialyzer
E1636	A	Sorbent cartridges for dialy
E1640	A	Replacement components for d
E1699	A	Dialysis equipment unspecifi
E1700	A	Jaw motion rehab system
E1701	A	Repl cushions for jaw motion
E1702	A	Repl measr scales jaw motion
E1800	A	Adjust elbow ext/flex device
E1805	A	Adjust wrist ext/flex device
E1810	A	Adjust knee ext/flex device
E1815	A	Adjust ankle ext/flex device
E1820	A	Soft interface material
E1825	A	Adjust finger ext/flex devc
E1830	A	Adjust toe ext/flex device
E1900	A	Speech communication device
G0001	A	Drawing blood for specimen
G0002	N	Temporary urinary catheter
G0004	E	ECG transm phys review & int
G0005	X	ECG 24 hour recording	0097	0.87	$44.23	$24.33	$8.85
G0006	X	ECG transmission & analysis	0097	0.87	$44.23	$24.33	$8.85
G0007	N	ECG phy review & interpret
G0008	K	Admin influenza virus vac	0354	0.11	$5.59
G0009	K	Admin pneumococcal vaccine	0354	0.11	$5.59
G0010	N	Admin hepatitis b vaccine
G0015	X	Post symptom ECG tracing	0097	0.87	$44.23	$24.33	$8.85
G0016	E	Post symptom ECG md review
G0117	S	Glaucoma screen, md perform	0230	0.64	$32.54	$14.97	$6.51
G0118	S	Glaucoma screen, md supr	0230	0.64	$32.54	$14.97	$6.51
G0025	X	Collagen skin test kit	0343	0.42	$21.35	$11.53	$4.27
G0026	A	Fecal leukocyte examination
G0027	A	Semen analysis
G0030	S	PET imaging prev PET single	0285	20.07	$1,020.40	$415.21	$204.08
G0031	S	PET imaging prev PET multple	0285	20.07	$1,020.40	$415.21	$204.08
G0032	S	PET follow SPECT 78464 singl	0285	20.07	$1,020.40	$415.21	$204.08
G0033	S	PET follow SPECT 78464 mult	0285	20.07	$1,020.40	$415.21	$204.08
G0034	S	PET follow SPECT 76865 singl	0285	20.07	$1,020.40	$415.21	$204.08
G0035	S	PET follow SPECT 78465 mult	0285	20.07	$1,020.40	$415.21	$204.08
G0036	S	PET follow cornry angio sing	0285	20.07	$1,020.40	$415.21	$204.08
G0037	S	PET follow cornry angio mult	0285	20.07	$1,020.40	$415.21	$204.08
G0038	S	PET follow myocard perf sing	0285	20.07	$1,020.40	$415.21	$204.08
G0039	S	PET follow myocard perf mult	0285	20.07	$1,020.40	$415.21	$204.08
G0040	S	PET follow stress echo singl	0285	20.07	$1,020.40	$415.21	$204.08
G0041	S	PET follow stress echo mult	0285	20.07	$1,020.40	$415.21	$204.08
G0042	S	PET follow ventriculogm sing	0285	20.07	$1,020.40	$415.21	$204.08
G0043	S	PET follow ventriculogm mult	0285	20.07	$1,020.40	$415.21	$204.08
G0044	S	PET following rest ECG singl	0285	20.07	$1,020.40	$415.21	$204.08
G0045	S	PET following rest ECG mult	0285	20.07	$1,020.40	$415.21	$204.08
G0046	S	PET follow stress ECG singl	0285	20.07	$1,020.40	$415.21	$204.08
G0047	S	PET follow stress ECG mult	0285	20.07	$1,020.40	$415.21	$204.08
G0050	S	Residual urine by ultrasound	0265	1.02	$51.86	$28.52	$10.37
G0101	V	CA screen;pelvic/breast exam	0601	1.02	$51.86	$10.37	$10.37
G0102	N	Prostate ca screening; dre
G0103	A	Psa, total screening
G0104	S	CA screen;flexi sigmoidscope	0159	2.51	$127.61		$31.90
G0105	S	Colorectal scrn; hi risk ind	0158	7.00	$355.89		$88.97
G0106	S	Colon CA screen;barium enema	0157	2.14	$108.80		$27.20
G0107	A	CA screen; fecal blood test
G0108	A	Diab manage trn per indiv
G0109	A	Diab manage trn ind/group
G0110	A	Nett pulm-rehab educ; ind
G0111	A	Nett pulm-rehab educ; group
G0112	A	Nett;nutrition guid, initial
G0113	A	Nett;nutrition guid,subseqnt
G0114	A	Nett; psychosocial consult
G0115	A	Nett; psychological testing
G0116	A	Nett; psychosocial counsel
G0120	S	Colon ca scrn; barium enema	0157	2.14	$108.80		$27.20
G0121	E	Colon ca scrn not hi rsk ind
G0122	S	Colon ca scrn; barium enema	0157	2.14	$108.80		$27.20
G0123	A	Screen cerv/vag thin layer
G0124	A	Screen c/v thin layer by MD
G0125	S	PET image pulmonary nodule	0976	16.56	$841.94		$168.39
G0126	S	Lung image (PET) staging	0976	16.56	$841.94		$168.39
G0127	T	Trim nail(s)	0009	0.68	$34.57	$8.99	$6.91
G0128	E	CORF skilled nursing service
G0129	P	Partial hosp prog service	0033	4.17	$212.01		$42.40
G0130	X	Single energy x-ray study	0261	1.31	$66.60	$36.63	$13.32
G0131	S	CT scan, bone density study	0288	1.27	$64.57	$35.51	$12.91
G0132	S	CT scan, bone density study	0288	1.27	$64.57	$35.51	$12.91
G0141	E	Scr c/v cyto,autosys and md
G0143	A	Scr c/v cyto,thinlayer,rescr
G0144	A	Scr c/v cyto,thinlayer,rescr
G0145	A	Scr c/v cyto,thinlayer,rescr
G0147	A	Scr c/v cyto, automated sys
G0148	A	Scr c/v cyto, autosys, rescr
G0151	E	HHCP-serv of pt,ea 15 min
G0152	E	HHCP-serv of ot,ea 15 min
G0153	E	HHCP-svs of s/l path,ea 15mn
G0154	E	HHCP-svs of rn,ea 15 min
G0155	E	HHCP-svs of csw,ea 15 min
G0156	E	HHCP-svs of aide,ea 15 min
G0163	S	Pet for rec of colorectal ca	0976	16.56	$841.94		$168.39
G0164	S	Pet for lymphoma staging	0976	16.56	$841.94		$168.39
G0165	S	Pet,rec of melanoma/met ca	0976	16.56	$841.94		$168.39
G0166	T	Extrnl counterpulse, per tx	0972	2.84	$144.39		$28.88
G0167	E	Hyperbaric oz tx;no md reqrd
G0168	T	Wound closure by adhesive	0970	0.47	$23.90		$4.78
G0173	S	Stereo radoisurgery,complete	0302	11.96	$608.07	$216.55	$121.61
G0174	S	Intensitymodulatedradiation	0302	11.96	$608.07	$216.55	$121.61
G0175	V	OPPS Service,sched team conf	0602	1.49	$75.75	$15.15	$15.15
G0176	P	OPPS/PHP;activity therapy	0033	4.17	$212.01		$42.40
G0177	P	OPPS/PHP; train & educ serv	0033	4.17	$212.01		$42.40
G0178	S	Intensitymodulatedradiation	0302	11.96	$608.07	$216.55	$121.61
G0179	E	MD recertification HHA PT
G0180	E	MD certification HHA patient
G0181	E	Home health care supervision
G0182	E	Hospice care supervision
G0183	T	Ocular photodynamic therapy	0235	5.39	$274.04	$78.91	$54.81
G0184	T	Ocular photdynamicTx 2nd eye	0235	5.39	$274.04	$78.91	$54.81
G0185	T	Transpuppillary thermotx	0235	5.39	$274.04	$78.91	$54.81
G0186	T	Dstry eye lesn,fdr vssl tech	0235	5.39	$274.04	$78.91	$54.81
G0187	T	Dstry mclr drusen,photocoag	0235	5.39	$274.04	$78.91	$54.81
G0188	X	Xray lwr extrmty-full lngth	0261	1.31	$66.60	$36.63	$13.32
G0190	N	Immunization administration
G0191	N	Immunization admin,each add
G0192	N	Immunization oral/intranasal
G0193	A	Endoscopicstudyswallowfunctn
G0194	A	Sensorytestingendoscopicstud
G0195	A	Clinicalevalswallowingfunct
G0196	A	Evalofswallowingwithradioopa
G0197	A	Evalofptforprescipspeechdevi
G0198	A	Patientadapation&trainforspe
G0199	A	Reevaluationofpatientusespec
G0200	A	Evalofpatientprescipofvoicep
G0201	A	Modifortraininginusevoicepro
G0202	A	Screeningmammographydigital
G0203	A	Screenmammographyfilmdigital
G0204	S	Diagnosticmammographydigital	0271	0.64	$32.54	$17.90	$6.51
G0205	S	Diagnosticmammographyfilmpro	0271	0.64	$32.54	$17.90	$6.51
G0206	S	Diagnosticmammographydigital	0271	0.64	$32.54	$17.90	$6.51
G0207	S	Diagnostic mammography film	0271	0.64	$32.54	$17.90	$6.51
G0210	S	PET img wholebody dxlung ca	0976	16.56	$841.94		$168.39
G0211	S	PET img wholebody init lung	0976	16.56	$841.94		$168.39
G0212	S	PET img wholebod restag lung	0976	16.56	$841.94		$168.39
G0213	S	PET img wholebody dx colorec	0976	16.56	$841.94		$168.39
G0214	S	PET img wholebod init colore	0976	16.56	$841.94		$168.39
G0215	S	PETimg wholebod restag colre	0976	16.56	$841.94		$168.39
G0216	S	PET img wholebod dx melanoma	0976	16.56	$841.94		$168.39
G0217	S	PET img wholebod init melano	0976	16.56	$841.94		$168.39
G0218	S	PET img wholebod restag mela	0976	16.56	$841.94		$168.39
G0219	S	PET img wholbod melano nonco	0976	16.56	$841.94		$168.39
G0220	S	PET img wholebod dx lymphoma	0976	16.56	$841.94		$168.39
G0221	S	PET imag wholbod init lympho	0976	16.56	$841.94		$168.39
G0222	S	PET imag wholbod resta lymph	0976	16.56	$841.94		$168.39
G0223	S	PET imag wholbod reg dx head	0976	16.56	$841.94		$168.39
G0224	S	PET imag wholbod reg ini hea	0976	16.56	$841.94		$168.39
G0225	S	PET whol restag headneck onl	0976	16.56	$841.94		$168.39
G0226	S	PET img wholbody dx esophagl	0976	16.56	$841.94		$168.39
G0227	S	PET img wholbod ini esophage	0976	16.56	$841.94		$168.39
G0228	S	PET img wholbod restg esopha	0976	16.56	$841.94		$168.39
G0229	S	PET img metabolic brain pres	0976	16.56	$841.94		$168.39
G0230	S	PET myocard viability post s	0976	16.56	$841.94		$168.39
G9001	E	MCCD, initial rate
G9002	E	MCCD,maintenance rate
G9003	E	MCCD, risk adj hi, initial
G9004	E	MCCD, risk adj lo, initial
G9005	E	MCCD, risk adj, maintenance
G9006	E	MCCD, Home monitoring
G9007	E	MCCD, sch team conf
G9008	E	Mccd,phys coor-care ovrsght
G9016	A	Demo-smoking cessation coun
H0001	E	Alcohol and/or drug assess
H0002	E	Alcohol and/or drug screenin
H0003	E	Alcohol and/or drug screenin
H0004	E	Alcohol and/or drug services
H0005	E	Alcohol and/or drug services
H0006	E	Alcohol and/or drug services
H0007	E	Alcohol and/or drug services
H0008	E	Alcohol and/or drug services
H0009	E	Alcohol and/or drug services
H0010	E	Alcohol and/or drug services
H0011	E	Alcohol and/or drug services
H0012	E	Alcohol and/or drug services
H0013	E	Alcohol and/or drug services
H0014	E	Alcohol and/or drug services
H0015	E	Alcohol and/or drug services
H0016	E	Alcohol and/or drug services
H0017	E	Alcohol and/or drug services
H0018	E	Alcohol and/or drug services
H0019	E	Alcohol and/or drug services
H0020	E	Alcohol and/or drug services
H0021	E	Alcohol and/or drug training
H0022	E	Alcohol and/or drug interven
H0023	E	Alcohol and/or drug outreach
H0024	E	Alcohol and/or drug preventi
H0025	E	Alcohol and/or drug preventi
H0026	E	Alcohol and/or drug preventi
H0027	E	Alcohol and/or drug preventi
H0028	E	Alcohol and/or drug preventi
H0029	E	Alcohol and/or drug preventi
H0030	E	Alcohol and/or drug hotline
J0120	N	Tetracyclin injection
J0130	G	Abciximab injection	1605		$513.02		$73.44
J0150	K	Injection adenosine 6 MG	0917	0.37	$18.81		$3.62
J0151	E	Adenosine injection
J0170	N	Adrenalin epinephrin inject
J0190	N	Inj biperiden lactate/5 mg
J0200	N	Alatrofloxacin mesylate
J0205	G	Alglucerase injection	0900		$37.53		$5.37
J0207	G	Amifostine	7000		$392.06		$56.13
J0210	N	Methyldopate hcl injection
J0256	G	Alpha 1 proteinase inhibitor	0901		$2.09		$.30
J0270	E	Alprostadil for injection
J0275	E	Alprostadil urethral suppos
J0280	N	Aminophyllin 250 MG inj
J0282	N	Amiodarone HCl
J0285	N	Amphotericin B
J0286	G	Amphotericin B lipid complex	7001		$109.25		$15.64
J0290	N	Ampicillin 500 MG inj
J0295	N	Ampicillin sodium per 1.5 gm
J0300	N	Amobarbital 125 MG inj
J0330	N	Succinycholine chloride inj
J0340	N	Nandrolon phenpropionate inj
J0350	G	Injection anistreplase 30 u	1606		$2,559.11		$366.36
J0360	N	Hydralazine hcl injection
J0380	N	Inj metaraminol bitartrate
J0390	N	Chloroquine injection
J0395	N	Arbutamine HCl injection
J0400	N	Inj trimethaphan camsylate
J0456	N	Azithromycin
J0460	N	Atropine sulfate injection
J0470	N	Dimecaprol injection
J0475	N	Baclofen 10 MG injection
J0476	E	Baclofen intrathecal trial
J0500	N	Dicyclomine injection
J0510	N	Benzquinamide injection
J0515	N	Inj benztropine mesylate
J0520	N	Bethanechol chloride inject
J0530	N	Penicillin g benzathine inj
J0540	N	Penicillin g benzathine inj
J0550	N	Penicillin g benzathine inj
J0560	N	Penicillin g benzathine inj
J0570	N	Penicillin g benzathine inj
J0580	N	Penicillin g benzathine inj
J0585	G	Botulinum toxin a per unit	0902		$4.39		$.56
J0590	N	Ethylnorepinephrine hcl inj
J0600	N	Edetate calcium disodium inj
J0610	N	Calcium gluconate injection
J0620	N	Calcium glycer & lact/10 ML
J0630	N	Calcitonin salmon injection
J0635	N	Calcitriol injection
J0640	G	Leucovorin calcium injection	0725		$4.98		$.45
J0670	N	Inj mepivacaine HCL/10 ml
J0690	N	Cefazolin sodium injection
J0694	N	Cefoxitin sodium injection
J0695	N	Cefonocid sodium injection
J0696	N	Ceftriaxone sodium injection
J0697	N	Sterile cefuroxime injection
J0698	N	Cefotaxime sodium injection
J0702	N	Betamethasone acet&sod phosp
J0704	N	Betamethasone sod phosp/4 MG
J0710	N	Cephapirin sodium injection
J0713	N	Inj ceftazidime per 500 mg
J0715	N	Ceftizoxime sodium / 500 MG
J0720	N	Chloramphenicol sodium injec
J0725	N	Chorionic gonadotropin/1000u
J0730	N	Chlorpheniramin maleate inj
J0735	N	Clonidine hydrochloride
J0740	N	Cidofovir injection
J0743	N	Cilastatin sodium injection
J0745	N	Inj codeine phosphate /30 MG
J0760	N	Colchicine injection
J0770	N	Colistimethate sodium inj
J0780	N	Prochlorperazine injection
J0800	N	Corticotropin injection
J0810	N	Cortisone injection
J0835	N	Inj cosyntropin per 0.25 MG
J0850	G	Cytomegalovirus imm IV /vial	0903		$656.27		$84.28
J0895	N	Deferoxamine mesylate inj
J0900	N	Testosterone enanthate inj
J0945	N	Brompheniramine maleate inj
J0970	N	Estradiol valerate injection
J1000	N	Depo-estradiol cypionate inj
J1020	N	Methylprednisolone 20 MG inj
J1030	N	Methylprednisolone 40 MG inj
J1040	N	Methylprednisolone 80 MG inj
J1050	N	Medroxyprogesterone inj
J1055	E	Medrxyprogester acetate inj
J1060	N	Testosterone cypionate 1 ML
J1070	N	Testosterone cypionat 100 MG
J1080	N	Testosterone cypionat 200 MG
J1090	N	Testosterone cypionate 50 MG
J1095	N	Inj dexamethasone acetate
J1100	N	Dexamethasone sodium phos
J1110	N	Inj dihydroergotamine mesylt
J1120	N	Acetazolamid sodium injectio
J1160	N	Digoxin injection
J1165	N	Phenytoin sodium injection
J1170	N	Hydromorphone injection
J1180	N	Dyphylline injection
J1190	G	Dexrazoxane HCl injection	0726		$194.53		$27.85
J1200	N	Diphenhydramine hcl injectio
J1205	N	Chlorothiazide sodium inj
J1212	N	Dimethyl sulfoxide 50% 50 ML
J1230	N	Methadone injection
J1240	N	Dimenhydrinate injection
J1245	K	Dipyridamole injection	0917	0.37	$18.81		$3.62
J1250	N	Inj dobutamine HCL/250 mg
J1260	G	Dolasetron mesylate	0750		$16.45		$2.11
J1320	N	Amitriptyline injection
J1325	G	Epoprostenol injection	7003		$17.37		$2.49
J1327	G	Eptifibatide injection	1607		$13.58		$1.94
J1330	N	Ergonovine maleate injection
J1362	N	Erythromycin glucep / 250 MG
J1364	N	Erythro lactobionate /500 MG
J1380	N	Estradiol valerate 10 MG inj
J1390	N	Estradiol valerate 20 MG inj
J1410	N	Inj estrogen conjugate 25 MG
J1435	N	Injection estrone per 1 MG
J1436	G	Etidronate disodium inj	0727		$63.65		$9.11
J1438	G	Etanercept injection	1608		$140.98		$20.18
J1440	G	Filgrastim 300 mcg injeciton	0728		$179.08		$25.64
J1441	G	Filgrastim 480 mcg injection	7049		$285.38		$40.85
J1450	N	Fluconazole
J1452	N	Intraocular Fomivirsen na
J1455	N	Foscarnet sodium injection
J1460	N	Gamma globulin 1 CC inj
J1470	E	Gamma globulin 2 CC inj
J1480	E	Gamma globulin 3 CC inj
J1490	E	Gamma globulin 4 CC inj
J1500	E	Gamma globulin 5 CC inj
J1510	E	Gamma globulin 6 CC inj
J1520	E	Gamma globulin 7 CC inj
J1530	E	Gamma globulin 8 CC inj
J1540	E	Gamma globulin 9 CC inj
J1550	E	Gamma globulin 10 CC inj
J1560	E	Gamma globulin > 10 CC inj
J1561	G	Immune globulin 500 mg	0905		$25.92		$3.33
J1563	N	IV immune globulin
J1565	G	RSV-ivig	0906		$406.34		$58.17
J1570	K	Ganciclovir sodium injection	0907	0.46	$23.39		$4.51
J1580	N	Garamycin gentamicin inj
J1600	N	Gold sodium thiomaleate inj
J1610	N	Glucagon hydrochloride/1 MG
J1620	G	Gonadorelin hydroch/ 100 mcg	7005		$38.47		$5.51
J1626	G	Granisetron HCl injection	0764		$18.54		$2.38
J1630	N	Haloperidol injection
J1631	N	Haloperidol decanoate inj
J1642	N	Inj heparin sodium per 10 u
J1644	N	Inj heparin sodium per 1000u
J1645	N	Dalteparin sodium
J1650	N	Inj enoxaparin sodium
J1670	G	Tetanus immune globulin inj	0908		$102.60		$14.69
J1690	N	Prednisolone tebutate inj
J1700	N	Hydrocortisone acetate inj
J1710	N	Hydrocortisone sodium ph inj
J1720	N	Hydrocortisone sodium succ i
J1730	N	Diazoxide injection
J1739	N	Hydroxyprogesterone cap 125
J1741	N	Hydroxyprogesterone cap 250
J1742	N	Ibutilide fumarate injection
J1745	G	Infliximab injection	7043		$63.23		$9.05
J1750	N	Iron dextran
J1785	G	Injection imiglucerase /unit	0916		$3.75		$.54
J1790	N	Droperidol injection
J1800	N	Propranolol injection
J1810	G	Droperidol/fentanyl inj	7047		$6.67		$.95
J1820	N	Insulin injection
J1825	G	Interferon beta-1a	0909		$225.23		$32.24
J1830	G	Interferon beta-1b / .25 MG	0910		$54.15		$7.75
J1840	N	Kanamycin sulfate 500 MG inj
J1850	N	Kanamycin sulfate 75 MG inj
J1885	N	Ketorolac tromethamine inj
J1890	N	Cephalothin sodium injection
J1910	N	Kutapressin injection
J1930	N	Propiomazine injection
J1940	N	Furosemide injection
J1950	G	Leuprolide acetate /3.75 MG	0800		$81.60		$7.39
J1955	E	Inj levocarnitine per 1 gm
J1956	N	Levofloxacin injection
J1960	N	Levorphanol tartrate inj
J1970	N	Methotrimeprazine injection
J1980	N	Hyoscyamine sulfate inj
J1990	N	Chlordiazepoxide injection
J2000	N	Lidocaine injection
J2010	N	Lincomycin injection
J2060	N	Lorazepam injection
J2150	N	Mannitol injection
J2175	N	Meperidine hydrochl /100 MG
J2180	N	Meperidine/promethazine inj
J2210	N	Methylergonovin maleate inj
J2240	N	Metocurine iodide injection
J2250	N	Inj midazolam hydrochloride
J2260	K	Inj milrinone lactate / 5 ML	7007	0.48	$24.40		$4.88
J2270	N	Morphine sulfate injection
J2271	N	Morphine so4 injection 100mg
J2275	G	Morphine sulfate injection	7010		$7.41		$.95
J2300	N	Inj nalbuphine hydrochloride
J2310	N	Inj naloxone hydrochloride
J2320	N	Nandrolone decanoate 50 MG
J2321	N	Nandrolone decanoate 100 MG
J2322	N	Nandrolone decanoate 200 MG
J2330	N	Thiothixene injection
J2350	N	Niacinamide/niacin injection
J2352	G	Octreotide acetate injection	7031		$125.65		$17.99
J2355	G	Oprelvekin injection	7011		$236.31		$33.83
J2360	N	Orphenadrine injection
J2370	N	Phenylephrine hcl injection
J2400	N	Chloroprocaine hcl injection
J2405	G	Ondansetron hcl injection	0768		$3.92		$.50
J2410	N	Oxymorphone hcl injection
J2430	G	Pamidronate disodium /30 MG	0730		$253.68		$32.58
J2440	N	Papaverin hcl injection
J2460	N	Oxytetracycline injection
J2480	N	Hydrochlorides of opium inj
J2500	N	Paricalcitol
J2510	N	Penicillin g procaine inj
J2512	N	Inj pentagastrin per 2 ML
J2515	N	Pentobarbital sodium inj
J2540	N	Penicillin g potassium inj
J2543	N	Piperacillin/tazobactam
J2545	A	Pentamidine isethionte/300mg
J2550	N	Promethazine hcl injection
J2560	N	Phenobarbital sodium inj
J2590	N	Oxytocin injection
J2597	E	Inj desmopressin acetate
J2640	N	Prednisolone sodium ph inj
J2650	N	Prednisolone acetate inj
J2670	N	Totazoline hcl injection
J2675	N	Inj progesterone per 50 MG
J2680	N	Fluphenazine decanoate 25 MG
J2690	N	Procainamide hcl injection
J2700	N	Oxacillin sodium injeciton
J2710	N	Neostigmine methylslfte inj
J2720	N	Inj protamine sulfate/10 MG
J2725	N	Inj protirelin per 250 mcg
J2730	N	Pralidoxime chloride inj
J2760	N	Phentolaine mesylate inj
J2765	G	Metoclopramide hcl injection	0754		$1.55		$.20
J2770	G	Quinupristin/dalfopristin	1024		$102.05		$14.61
J2780	N	Ranitidine hydrochloride inj
J2790	G	Rho d immune globulin inj	0884		$34.11		$4.38
J2792	G	Rho(D) immune globulin h, sd	1609		$20.64		$2.65
J2795	N	Ropivacaine HCl injection
J2800	N	Methocarbamol injection
J2810	N	Inj theophylline per 40 MG
J2820	G	Sargramostim injection	0731		$29.06		$4.16
J2860	N	Secobarbital sodium inj
J2910	N	Aurothioglucose injeciton
J2912	N	Sodium chloride injection
J2915	N	NA Ferric Gluconate Complex
J2920	N	Methylprednisolone injection
J2930	N	Methylprednisolone injection
J2950	N	Promazine hcl injeciton
J2970	N	Methicillin sodium injection
J2993	G	Reteplase injection	9005		$1,306.25		$187.00
J2995	K	Inj streptokinase /250000 IU	0911	1.80	$91.52		$17.68
J2997	K	Alteplase recombinant	7048	0.39	$19.83		$3.97
J3000	N	Streptomycin injection
J3010	G	Fentanyl citrate injeciton	7014		$1.40		$.18
J3030	N	Sumatriptan succinate / 6 MG
J3070	N	Pentazocine hcl injeciton
J3080	N	Chlorprothixene injection
J3105	N	Terbutaline sulfate inj
J3120	N	Testosterone enanthate inj
J3130	N	Testosterone enanthate inj
J3140	N	Testosterone suspension inj
J3150	N	Testosteron propionate inj
J3230	N	Chlorpromazine hcl injection
J3240	E	Thyrotropin injection
J3245	G	Tirofiban hydrochloride	7041		$435.27		$62.31
J3250	N	Trimethobenzamide hcl inj
J3260	N	Tobramycin sulfate injection
J3265	N	Injection torsemide 10 mg/ml
J3270	N	Imipramine hcl injection
J3280	G	Thiethylperazine maleate inj	0755		$5.43		$.70
J3301	N	Triamcinolone acetonide inj
J3302	N	Triamcinolone diacetate inj
J3303	N	Triamcinolone hexacetonl inj
J3305	G	Inj trimetrexate glucoronate	7045		$86.09		$12.32
J3310	N	Perphenazine injeciton
J3320	N	Spectinomycn di-hcl inj
J3350	N	Urea injection
J3360	N	Diazepam injection
J3364	N	Urokinase 5000 IU injection
J3365	K	Urokinase 250,000 IU inj	7036	6.93	$352.34		$70.47
J3370	N	Vancomycin hcl injeciton
J3390	N	Methoxamine injection
J3400	N	Triflupromazine hcl inj
J3410	N	Hydroxyzine hcl injeciton
J3420	N	Vitamin b12 injection
J3430	N	Vitamin k phytonadione inj
J3450	N	Mephentermine sulfate inj
J3470	N	Hyaluronidase injection
J3475	N	Inj magnesium sulfate
J3480	N	Inj potassium chloride
J3485	N	Zidovudine
J3490	N	Drugs unclassified injection
J3520	E	Edetate disodium per 150 mg
J3530	N	Nasal vaccine inhalation
J3535	E	Metered dose inhaler drug
J3570	E	Laetrile amygdalin vit B17
J7030	N	Normal saline solution infus
J7040	N	Normal saline solution infus
J7042	N	5% dextrose/normal saline
J7050	N	Normal saline solution infus
J7051	N	Sterile saline/water
J7060	N	5% dextrose/water
J7070	N	D5w infusion
J7100	N	Dextran 40 infusion
J7110	N	Dextran 75 infusion
J7120	N	Ringers lactate infusion
J7130	N	Hypertonic saline solution
J7190	G	Factor viii	0925		$.87		$.11
J7191	G	Factor VIII (porcine)	0926		$2.09		$.30
J7192	G	Factor viii recombinant	0927		$1.19		$.15
J7194	G	Factor ix complex	0928		$.68		$.09
J7197	G	Antithrombin iii injection	0930		$1.05		$.15
J7198	G	Anti-inhibitor	0929		$1.43		$.18
J7199	E	Hemophilia clot factor noc
J7300	E	Intraut copper contraceptive
J7310	G	Ganciclovir long act implant	0913		$4,750.00		$680.00
J7315	G	Sodium hyaluronate injection	7315		$136.80		$19.58
J7320	G	Hylan G-F 20 injection	1611		$213.86		$30.62
J7330	G	Cultured chondrocytes implnt	1059		$14,250.00		$2,040.00
J7500	G	Azathioprine oral 50mg	0886		$1.24		$.16
J7501	G	Azathioprine parenteral	0887		$.75		$.10
J7502	G	Cyclosporine oral 100 mg	0888		$5.23		$.47
J7504	G	Lymphocyte immune globulin	0890		$249.47		$32.04
J7505	G	Monoclonal antibodies	7038		$777.31		$111.28
J7506	G	Prednisone oral	7050		$.07		$.01
J7507	G	Tacrolimus oral per 1 MG	0891		$2.91		$.42
J7508	E	Tacrolimus oral per 5 MG
J7509	N	Methylprednisolone oral
J7510	N	Prednisolone oral per 5 mg
J7513	G	Daclizumab, parenteral	1612		$397.29		$56.88
J7515	N	Cyclosporine oral 25 mg
J7516	G	Cyclosporin parenteral 250mg	0889		$25.08		$2.27
J7517	G	Mycophenolate mofetil oral	9015		$2.40		$.34
J7520	G	Sirolimus, oral	9106		$6.51		$.93
J7525	E	Tacrolimus injection
J7599	E	Immunosuppressive drug noc
J7608	A	Acetylcysteine inh sol u d
J7618	A	Albuterol inh sol con
J7619	A	Albuterol inh sol u d
J7628	A	Bitolterol mes inhal sol con
J7629	A	Bitolterol mes inh sol u d
J7631	A	Cromolyn sodium inh sol u d
J7635	A	Atropine inhal sol con
J7636	A	Atropine inhal sol unit dose
J7637	A	Dexamethasone inhal sol con
J7638	A	Dexamethasone inhal sol u d
J7639	A	Dornase alpha inhal sol u d
J7642	A	Glycopyrrolate inhal sol con
J7643	A	Glycopyrrolate inhal sol u d
J7644	A	Ipratropium brom inh sol u d
J7648	A	Isoetharine hcl inh sol con
J7649	A	Isoetharine hcl inh sol u d
J7658	A	Isoproterenolhcl inh sol con
J7659	A	Isoproterenol hcl inh sol ud
J7668	A	Metaproterenol inh sol con
J7669	A	Metaproterenol inh sol u d
J7680	A	Terbutaline so4 inh sol con
J7681	A	Terbutaline so4 inh sol u d
J7682	A	Tobramycin inhalation sol
J7683	A	Triamcinolone inh sol con
J7684	A	Triamcinolone inh sol u d
J7699	A	Inhalation solution for DME
J7799	A	Non-inhalation drug for DME
J8499	E	Oral prescrip drug non chemo
J8510	G	Oral busulfan	7015		$1.81		$.23
J8520	G	Capecitabine, oral, 150 mg	7042		$2.43		$.35
J8521	N	Capecitabine, oral, 500 mg
J8530	G	Cyclophosphamide oral 25 MG	0801		$2.23		$.32
J8560	G	Etoposide oral 50 MG	0802		$50.89		$7.29
J8600	G	Melphalan oral 2 MG	0803		$2.18		$.31
J8610	G	Methotrexate oral 2.5 MG	0826		$2.73		$.25
J8700	G	Temozolmide	1086		$5.93		$.85
J8999	E	Oral prescription drug chemo
J9000	G	Doxorubic hcl 10 MG vl chemo	0847		$9.00		$1.29
J9001	G	Doxorubicin hcl liposome inj	7046		$358.95		$51.39
J9015	G	Aldesleukin/single use vial	0807		$641.25		$91.80
J9020	G	Asparaginase injection	0814		$59.70		$8.55
J9031	G	Bcg live intravesical vac	0809		$166.44		$21.37
J9040	G	Bleomycin sulfate injection	0857		$289.37		$41.43
J9045	G	Carboplatin injection	0811		$111.11		$15.91
J9050	G	Carmus bischl nitro inj	0812		$114.41		$16.38
J9060	G	Cisplatin 10 MG injeciton	0813		$47.12		$6.75
J9062	E	Cisplatin 50 MG injeciton
J9065	G	Inj cladribine per 1 MG	0858		$56.08		$8.03
J9070	G	Cyclophosphamide 100 MG inj	0815		$5.98		$.77
J9080	E	Cyclophosphamide 200 MG inj
J9090	E	Cyclophosphamide 500 MG inj
J9091	E	Cyclophosphamide 1.0 grm inj
J9092	E	Cyclophosphamide 2.0 grm inj
J9093	G	Cyclophosphamide lyophilized	0816		$6.13		$.79
J9094	E	Cyclophosphamide lyophilized
J9095	E	Cyclophosphamide lyophilized
J9096	E	Cyclophosphamide lyophilized
J9097	E	Cyclophosphamide lyophilized
J9100	G	Cytarabine hcl 100 MG inj	0817		$4.75		$.43
J9110	E	Cytarabine hcl 500 MG inj
J9120	G	Dactinomycin actinomycin d	0818		$13.23		$1.89
J9130	G	Dacarbazine 10 MG inj	0819		$11.28		$1.02
J9140	E	Dacarbazine 200 MG inj
J9150	G	Daunorubicin	0820		$76.62		$6.94
J9151	G	Daunorubicin citrate liposom	0821		$64.60		$9.25
J9160	G	Denileukin diftitox, 300 mcg	1084		$999.88		$143.14
J9165	G	Diethylstilbestrol injection	0822		$3.99		$.57
J9170	G	Docetaxel	0823		$297.83		$42.64
J9180	E	Epirubicin HCl injection
J9181	G	Etoposide 10 MG inj	0824		$3.86		$.35
J9182	E	Etoposide 100 MG inj
J9185	G	Fludarabine phosphate inj	0842		$258.88		$37.06
J9190	G	Fluorouracil injection	0859		$1.48		$.13
J9200	G	Floxuridine injection	0827		$129.56		$11.73
J9201	G	Gemcitabine HCl	0828		$102.13		$14.62
J9202	G	Goserelin acetate implant	0810		$446.49		$63.92
J9206	G	Irinotecan injection	0830		$125.47		$17.96
J9208	G	Ifosfomide injection	0831		$156.65		$22.43
J9209	G	Mesna injection	0732		$40.44		$5.79
J9211	G	Idarubicin hcl injeciton	0832		$412.21		$59.01
J9212	G	Interferon alfacon-1	0833		$4.10		$.59
J9213	G	Interferon alfa-2a inj	0834		$34.87		$4.99
J9214	G	Interferon alfa-2b inj	0836		$12.98		$1.67
J9215	G	Interferon alfa-n3 inj	0865		$7.86		$1.12
J9216	G	Interferon gamma 1-b inj	0838		$285.64		$40.89
J9217	G	Leuprolide acetate suspnsion	9217		$564.92		$51.14
J9218	G	Leuprolide acetate injeciton	0861		$26.15		$2.37
J9219	N	Leuprolide acetate implant
J9230	G	Mechlorethamine hcl inj	0839		$11.88		$1.70
J9245	G	Inj melphalan hydrochl 50 MG	0840		$381.65		$54.64
J9250	G	Methotrexate sodium inj	0841		$.41		$.04
J9260	E	Methotrexate sodium inj
J9265	G	Paclitaxel injection	0863		$164.08		$21.07
J9266	G	Pegaspargase/singl dose vial	0843		$1,255.57		$179.74
J9268	G	Pentostatin injection	0844		$1,654.14		$236.80
J9270	G	Plicamycin (mithramycin) inj	0860		$93.80		$13.43
J9280	G	Mitomycin 5 MG inj	0862		$121.65		$11.01
J9290	E	Mitomycin 20 MG inj
J9291	E	Mitomycin 40 MG inj
J9293	G	Mitoxantrone hydrochl / 5 MG	0864		$244.20		$34.96
J9310	G	Rituximab cancer treatment	0849		$454.55		$65.07
J9320	G	Streptozocin injection	0850		$117.64		$16.84
J9340	G	Thiotepa injection	0851		$116.97		$16.75
J9350	G	Topotecan	0852		$632.56		$90.56
J9355	G	Trastuzumab	1613		$52.83		$7.56
J9357	G	Valrubicin, 200 mg	1614		$423.23		$60.59
J9360	G	Vinblastine sulfate inj	0853		$4.11		$.37
J9370	G	Vincristine sulfate 1 MG inj	0854		$30.16		$2.73
J9375	E	Vincristine sulfate 2 MG inj
J9380	E	Vincristine sulfate 5 MG inj
J9390	G	Vinorelbine tartrate/10 mg	0855		$79.28		$11.35
J9600	G	Porfimer sodium	0856		$2,603.67		$372.74
J9999	E	Chemotherapy drug
K0001	A	Standard wheelchair
K0002	A	Stnd hemi (low seat) whlchr
K0003	A	Lightweight wheelchair
K0004	A	High strength ltwt whlchr
K0005	A	Ultralightweight wheelchair
K0006	A	Heavy duty wheelchair
K0007	A	Extra heavy duty wheelchair
K0008	A	Cstm manual wheelchair/base
K0009	A	Other manual wheelchair/base
K0010	A	Stnd wt frame power whlchr
K0011	A	Stnd wt pwr whlchr w control
K0012	A	Ltwt portbl power whlchr
K0013	A	Custom power whlchr base
K0014	A	Other power whlchr base
K0015	A	Detach non-adjus hght armrst
K0016	A	Detach adjust armrst cmplete
K0017	A	Detach adjust armrest base
K0018	A	Detach adjust armrst upper
K0019	A	Arm pad each
K0020	A	Fixed adjust armrest pair
K0021	A	Anti-tipping device each
K0022	A	Reinforced back upholstery
K0023	A	Planr back insrt foam w/strp
K0024	A	Plnr back insrt foam w/hrdwr
K0025	A	Hook-on headrest extension
K0026	A	Back upholst lgtwt whlchr
K0027	A	Back upholst other whlchr
K0028	A	Manual fully reclining back
K0029	A	Reinforced seat upholstery
K0030	A	Solid plnr seat sngl dnsfoam
K0031	A	Safety belt/pelvic strap
K0032	A	Seat uphols lgtwt whlchr
K0033	A	Seat upholstery other whlchr
K0034	A	Heel loop each
K0035	A	Heel loop with ankle strap
K0036	A	Toe loop each
K0037	A	High mount flip-up footrest
K0038	A	Leg strap each
K0039	A	Leg strap h style each
K0040	A	Adjustable angle footplate
K0041	A	Large size footplate each
K0042	A	Standard size footplate each
K0043	A	Ftrst lower extension tube
K0044	A	Ftrst upper hanger bracket
K0045	A	Footrest complete assembly
K0046	A	Elevat legrst low extension
K0047	A	Elevat legrst up hangr brack
K0048	A	Elevate legrest complete
K0049	A	Calf pad each
K0050	A	Ratchet assembly
K0051	A	Cam relese assem ftrst/lgrst
K0052	A	Swingaway detach footrest
K0053	A	Elevate footrest articulate
K0054	A	Seat wdth 10-12/15/17/20 wc
K0055	A	Seat dpth 15/17/18 ltwt wc
K0056	A	Seat ht 17 or =21 ltwt wc
K0057	A	Seat wdth 19/20 hvy dty wc
K0058	A	Seat dpth 17/18 power wc
K0059	A	Plastic coated handrim each
K0060	A	Steel handrim each
K0061	A	Aluminum handrim each
K0062	A	Handrim 8-10 vert/obliq proj
K0063	A	Hndrm 12-16 vert/obliq proj
K0064	A	Zero pressure tube flat free
K0065	A	Spoke protectors
K0066	A	Solid tire any size each
K0067	A	Pneumatic tire any size each
K0068	A	Pneumatic tire tube each
K0069	A	Rear whl complete solid tire
K0070	A	Rear whl compl pneum tire
K0071	A	Front castr compl pneum tire
K0072	A	Frnt cstr cmpl sem-pneum tir
K0073	A	Caster pin lock each
K0074	A	Pneumatic caster tire each
K0075	A	Semi-pneumatic caster tire
K0076	A	Solid caster tire each
K0077	A	Front caster assem complete
K0078	A	Pneumatic caster tire tube
K0079	A	Wheel lock extension pair
K0080	A	Anti-rollback device pair
K0081	A	Wheel lock assembly complete
K0082	A	22 nf deep cycl acid battery
K0083	A	22 nf gel cell battery each
K0084	A	Grp 24 deep cycl acid battry
K0085	A	Group 24 gel cell battery
K0086	A	U-1 lead acid battery each
K0087	A	U-1 gel cell battery each
K0088	A	Battry chrgr acid/gel cell
K0089	A	Battery charger dual mode
K0090	A	Rear tire power wheelchair
K0091	A	Rear tire tube power whlchr
K0092	A	Rear assem cmplt powr whlchr
K0093	A	Rear zero pressure tire tube
K0094	A	Wheel tire for power base
K0095	A	Wheel tire tube each base
K0096	A	Wheel assem powr base complt
K0097	A	Wheel zero presure tire tube
K0098	A	Drive belt power wheelchair
K0099	A	Pwr wheelchair front caster
K0100	A	Amputee adapter pair
K0101	A	One-arm drive attachment
K0102	A	Crutch and cane holder
K0103	A	Transfer board < 25≧
K0104	A	Cylinder tank carrier
K0105	A	Iv hanger
K0106	A	Arm trough each
K0107	A	Wheelchair tray
K0108	A	W/c component-accessory NOS
K0112	A	Trunk vest supprt innr frame
K0113	A	Trunk vest suprt w/o inr frm
K0114	A	Whlchr back suprt inr frame
K0115	A	Back module orthotic system
K0116	A	Back & seat modul orthot sys
K0183	A	Nasal application device
K0184	A	Nasal pillows/seals pair
K0185	A	Pos airway pressure headgear
K0186	A	Pos airway prssure chinstrap
K0187	A	Pos airway pressure tubing
K0188	A	Pos airway pressure filter
K0189	A	Filter nondisposable w PAP
K0195	A	Elevating whlchair leg rests
K0268	A	Humidifier nonheated w PAP
K0415	E	RX antiemetic drg, oral NOS
K0416	E	Rx antiemetic drg,rectal NOS
K0452	A	Wheelchair bearings
K0455	A	Pump uninterrupted infusion
K0460	A	WC power add-on joystick
K0461	A	WC power add-on tiller cntrl
K0462	A	Temporary replacement eqpmnt
K0531	A	Heated humidifier used w pap
K0532	A	Noninvasive assist wo backup
K0533	A	Noninvasive assist w backup
K0534	A	Invasive assist w backup
K0538	A	Neg pressure wnd thrpy pump
K0539	A	Neg pres wnd thrpy dsg set
K0540	A	Neg pres wnd thrp canister
K0541	A	Speech generating device
K0542	A	Speech generating device
K0543	A	Speech generating device
K0544	A	Speech generating device
K0545	A	Speech generating software
K0546	A	Accessory for sgd,mntng syst
K0547	A	Accessory for sgd,not clasfd
K0548	A	Insulin lispro
K0549	A	Hosp bed hvy dty xtra wide
K0550	A	Hosp bed xtra hvy dty x wide
K0551	A	Residual limb support system
L0100	A	Cerv craniosten helmet mold
L0110	A	Cerv craniostenosis hel non-
L0120	A	Cerv flexible non-adjustable
L0130	A	Flex thermoplastic collar mo
L0140	A	Cervical semi-rigid adjustab
L0150	A	Cerv semi-rig adj molded chn
L0160	A	Cerv semi-rig wire occ/mand
L0170	A	Cervical collar molded to pt
L0172	A	Cerv col thermplas foam 2 pi
L0174	A	Cerv col foam 2 piece w thor
L0180	A	Cer post col occ/man sup adj
L0190	A	Cerv collar supp adj cerv ba
L0200	A	Cerv col supp adj bar & thor
L0210	A	Thoracic rib belt
L0220	A	Thor rib belt custom fabrica
L0300	A	TLSO flex surgical support
L0310	A	Tlso flexible custom fabrica
L0315	A	Tlso flex elas rigid post pa
L0317	A	Tlso flex hypext elas post p
L0320	A	Tlso a-p contrl w apron frnt
L0330	A	Tlso ant-pos-lateral control
L0340	A	Tlso a-p-l-rotary with apron
L0350	A	Tlso flex compress jacket cu
L0360	A	Tlso flex compress jacket mo
L0370	A	Tlso a-p-l-rotary hyperexten
L0380	A	Tlso a-p-l-rot w/ pos extens
L0390	A	Tlso a-p-l control molded
L0400	A	Tlso a-p-l w interface mater
L0410	A	Tlso a-p-l two piece constr
L0420	A	Tlso a-p-l 2 piece w interfa
L0430	A	Tlso a-p-l w interface custm
L0440	A	Tlso a-p-l overlap frnt cust
L0500	A	Lso flex surgical support
L0510	A	Lso flexible custom fabricat
L0515	A	Lso flex elas w/ rig post pa
L0520	A	Lso a-p-l control with apron
L0530	A	Lso ant-pos control w apron
L0540	A	Lso lumbar flexion a-p-l
L0550	A	Lso a-p-l control molded
L0560	A	Lso a-p-l w interface
L0565	A	Lso a-p-l control custom
L0600	A	Sacroiliac flex surg support
L0610	A	Sacroiliac flexible custm fa
L0620	A	Sacroiliac semi-rig w apron
L0700	A	Ctlso a-p-l control molded
L0710	A	Ctlso a-p-l control w/ inter
L0810	A	Halo cervical into jckt vest
L0820	A	Halo cervical into body jack
L0830	A	Halo cerv into milwaukee typ
L0860	A	Magnetic resonanc image comp
L0900	A	Torso/ptosis support
L0910	A	Torso & ptosis supp custm fa
L0920	A	Torso/pendulous abd support
L0930	A	Pendulous abdomen supp custm
L0940	A	Torso/postsurgical support
L0950	A	Post surg support custom fab
L0960	A	Post surgical support pads
L0970	A	Tlso corset front
L0972	A	Lso corset front
L0974	A	Tlso full corset
L0976	A	Lso full corset
L0978	A	Axillary crutch extension
L0980	A	Peroneal straps pair
L0982	A	Stocking supp grips set of f
L0984	A	Protective body sock each
L0999	A	Add to spinal orthosis NOS
L1000	A	Ctlso milwauke initial model
L1010	A	Ctlso axilla sling
L1020	A	Kyphosis pad
L1025	A	Kyphosis pad floating
L1030	A	Lumbar bolster pad
L1040	A	Lumbar or lumbar rib pad
L1050	A	Sternal pad
L1060	A	Thoracic pad
L1070	A	Trapezius sling
L1080	A	Outrigger
L1085	A	Outrigger bil w/ vert extens
L1090	A	Lumbar sling
L1100	A	Ring flange plastic/leather
L1110	A	Ring flange plas/leather mol
L1120	A	Covers for upright each
L1200	A	Furnsh initial orthosis only
L1210	A	Lateral thoracic extension
L1220	A	Anterior thoracic extension
L1230	A	Milwaukee type superstructur
L1240	A	Lumbar derotation pad
L1250	A	Anterior asis pad
L1260	A	Anterior thoracic derotation
L1270	A	Abdominal pad
L1280	A	Rib gusset (elastic) each
L1290	A	Lateral trochanteric pad
L1300	A	Body jacket mold to patient
L1310	A	Post-operative body jacket
L1499	A	Spinal orthosis NOS
L1500	A	Thkao mobility frame
L1510	A	Thkao standing frame
L1520	A	Thkao swivel walker
L1600	A	Abduct hip flex frejka w cvr
L1610	A	Abduct hip flex frejka covr
L1620	A	Abduct hip flex pavlik harne
L1630	A	Abduct control hip semi-flex
L1640	A	Pelv band/spread bar thigh c
L1650	A	HO abduction hip adjustable
L1660	A	HO abduction static plastic
L1680	A	Pelvic & hip control thigh c
L1685	A	Post-op hip abduct custom fa
L1686	A	HO post-op hip abduction
L1690	A	Combination bilateral HO
L1700	A	Leg perthes orth toronto typ
L1710	A	Legg perthes orth newington
L1720	A	Legg perthes orthosis trilat
L1730	A	Legg perthes orth scottish r
L1750	A	Legg perthes sling
L1755	A	Legg perthes patten bottom t
L1800	A	Knee orthoses elas w stays
L1810	A	Ko elastic with joints
L1815	A	Elastic with condylar pads
L1820	A	Ko elas w/ condyle pads & jo
L1825	A	Ko elastic knee cap
L1830	A	Ko immobilizer canvas longit
L1832	A	KO adj jnt pos rigid support
L1834	A	Ko w/0 joint rigid molded to
L1840	A	Ko derot ant cruciate custom
L1843	A	KO single upright custom fit
L1844	A	Ko w/adj jt rot cntrl molded
L1845	A	Ko w/ adj flex/ext rotat cus
L1846	A	Ko w adj flex/ext rotat mold
L1847	A	KO adjustable w air chambers
L1850	A	Ko swedish type
L1855	A	Ko plas doub upright jnt mol
L1858	A	Ko polycentric pneumatic pad
L1860	A	Ko supracondylar socket mold
L1870	A	Ko doub upright lacers molde
L1880	A	Ko doub upright cuffs/lacers
L1885	A	Knee upright w/resistance
L1900	A	Afo sprng wir drsflx calf bd
L1902	A	Afo ankle gauntlet
L1904	A	Afo molded ankle gauntlet
L1906	A	Afo multiligamentus ankle su
L1910	A	Afo sing bar clasp attach sh
L1920	A	Afo sing upright w/ adjust s
L1930	A	Afo plastic
L1940	A	Afo molded to patient plasti
L1945	A	Afo molded plas rig ant tib
L1950	A	Afo spiral molded to pt plas
L1960	A	Afo pos solid ank plastic mo
L1970	A	Afo plastic molded w/ankle j
L1980	A	Afo sing solid stirrup calf
L1990	A	Afo doub solid stirrup calf
L2000	A	Kafo sing fre stirr thi/calf
L2010	A	Kafo sng solid stirrup w/o j
L2020	A	Kafo dbl solid stirrup band/
L2030	A	Kafo dbl solid stirrup w/o j
L2035	A	KAFO plastic pediatric size
L2036	A	Kafo plas doub free knee mol
L2037	A	Kafo plas sing free knee mol
L2038	A	Kafo w/o joint multi-axis an
L2039	A	KAFO,plstic,medlat rotat con
L2040	A	Hkafo torsion bil rot straps
L2050	A	Hkafo torsion cable hip pelv
L2060	A	Hkafo torsion ball bearing j
L2070	A	Hkafo torsion unilat rot str
L2080	A	Hkafo unilat torsion cable
L2090	A	Hkafo unilat torsion ball br
L2102	A	Afo tibial fx cast plstr mol
L2104	A	Afo tib fx cast synthetic mo
L2106	A	Afo tib fx cast plaster mold
L2108	A	Afo tib fx cast molded to pt
L2112	A	Afo tibial fracture soft
L2114	A	Afo tib fx semi-rigid
L2116	A	Afo tibial fracture rigid
L2122	A	Kafo fem fx cast plaster mol
L2124	A	Kafo fem fx cast synthet mol
L2126	A	Kafo fem fx cast thermoplas
L2128	A	Kafo fem fx cast molded to p
L2132	A	Kafo femoral fx cast soft
L2134	A	Kafo fem fx cast semi-rigid
L2136	A	Kafo femoral fx cast rigid
L2180	A	Plas shoe insert w ank joint
L2182	A	Drop lock knee
L2184	A	Limited motion knee joint
L2186	A	Adj motion knee jnt lerman t
L2188	A	Quadrilateral brim
L2190	A	Waist belt
L2192	A	Pelvic band & belt thigh fla
L2200	A	Limited ankle motion ea jnt
L2210	A	Dorsiflexion assist each joi
L2220	A	Dorsi & plantar flex ass/res
L2230	A	Split flat caliper stirr & p
L2240	A	Round caliper and plate atta
L2250	A	Foot plate molded stirrup at
L2260	A	Reinforced solid stirrup
L2265	A	Long tongue stirrup
L2270	A	Varus/valgus strap padded/li
L2275	A	Plastic mod low ext pad/line
L2280	A	Molded inner boot
L2300	A	Abduction bar jointed adjust
L2310	A	Abduction bar-straight
L2320	A	Non-molded lacer
L2330	A	Lacer molded to patient mode
L2335	A	Anterior swing band
L2340	A	Pre-tibial shell molded to p
L2350	A	Prosthetic type socket molde
L2360	A	Extended steel shank
L2370	A	Patten bottom
L2375	A	Torsion ank & half solid sti
L2380	A	Torsion straight knee joint
L2385	A	Straight knee joint heavy du
L2390	A	Offset knee joint each
L2395	A	Offset knee joint heavy duty
L2397	A	Suspension sleeve lower ext
L2405	A	Knee joint drop lock ea jnt
L2415	A	Knee joint cam lock each joi
L2425	A	Knee disc/dial lock/adj flex
L2430	A	Knee jnt ratchet lock ea jnt
L2435	A	Knee joint polycentric joint
L2492	A	Knee lift loop drop lock rin
L2500	A	Thi/glut/ischia wgt bearing
L2510	A	Th/wght bear quad-lat brim m
L2520	A	Th/wght bear quad-lat brim c
L2525	A	Th/wght bear nar m-l brim mo
L2526	A	Th/wght bear nar m-l brim cu
L2530	A	Thigh/wght bear lacer non-mo
L2540	A	Thigh/wght bear lacer molded
L2550	A	Thigh/wght bear high roll cu
L2570	A	Hip clevis type 2 posit jnt
L2580	A	Pelvic control pelvic sling
L2600	A	Hip clevis/thrust bearing fr
L2610	A	Hip clevis/thrust bearing lo
L2620	A	Pelvic control hip heavy dut
L2622	A	Hip joint adjustable flexion
L2624	A	Hip adj flex ext abduct cont
L2627	A	Plastic mold recipro hip & c
L2628	A	Metal frame recipro hip & ca
L2630	A	Pelvic control band & belt u
L2640	A	Pelvic control band & belt b
L2650	A	Pelv & thor control gluteal
L2660	A	Thoracic control thoracic ba
L2670	A	Thorac cont paraspinal uprig
L2680	A	Thorac cont lat support upri
L2750	A	Plating chrome/nickel pr bar
L2755	A	Carbon graphite lamination
L2760	A	Extension per extension per
L2770	A	Low ext orthosis per bar/jnt
L2780	A	Non-corrosive finish
L2785	A	Drop lock retainer each
L2795	A	Knee control full kneecap
L2800	A	Knee cap medial or lateral p
L2810	A	Knee control condylar pad
L2820	A	Soft interface below knee se
L2830	A	Soft interface above knee se
L2840	A	Tibial length sock fx or equ
L2850	A	Femoral lgth sock fx or equa
L2860	A	Torsion mechanism knee/ankle
L2999	A	Lower extremity orthosis NOS
L3000	E	Ft insert ucb berkeley shell
L3001	E	Foot insert remov molded spe
L3002	E	Foot insert plastazote or eq
L3003	E	Foot insert silicone gel eac
L3010	E	Foot longitudinal arch suppo
L3020	E	Foot longitud/metatarsal sup
L3030	E	Foot arch support remov prem
L3040	E	Ft arch suprt premold longit
L3050	E	Foot arch supp premold metat
L3060	E	Foot arch supp longitud/meta
L3070	E	Arch suprt att to sho longit
L3080	E	Arch supp att to shoe metata
L3090	E	Arch supp att to shoe long/m
L3100	E	Hallus-valgus nght dynamic s
L3140	E	Abduction rotation bar shoe
L3150	E	Abduct rotation bar w/o shoe
L3160	E	Shoe styled positioning dev
L3170	E	Foot plastic heel stabilizer
L3201	E	Oxford w supinat/pronat inf
L3202	E	Oxford w/ supinat/pronator c
L3203	E	Oxford w/ supinator/pronator
L3204	E	Hightop w/ supp/pronator inf
L3206	E	Hightop w/ supp/pronator chi
L3207	E	Hightop w/ supp/pronator jun
L3208	E	Surgical boot each infant
L3209	E	Surgical boot each child
L3211	E	Surgical boot each junior
L3212	E	Benesch boot pair infant
L3213	E	Benesch boot pair child
L3214	E	Benesch boot pair junior
L3215	E	Orthopedic ftwear ladies oxf
L3216	E	Orthoped ladies shoes dpth i
L3217	E	Ladies shoes hightop depth i
L3218	E	Ladies surgical boot each
L3219	E	Orthopedic mens shoes oxford
L3221	E	Orthopedic mens shoes dpth i
L3222	E	Mens shoes hightop depth inl
L3223	E	Mens surgical boot each
L3224	A	Woman's shoe oxford brace
L3225	A	Man's shoe oxford brace
L3230	E	Custom shoes depth inlay
L3250	E	Custom mold shoe remov prost
L3251	E	Shoe molded to pt silicone s
L3252	E	Shoe molded plastazote cust
L3253	E	Shoe molded plastazote cust
L3254	E	Orth foot non-stndard size/w
L3255	E	Orth foot non-standard size/
L3257	E	Orth foot add charge split s
L3260	E	Ambulatory surgical boot eac
L3265	E	Plastazote sandal each
L3300	E	Sho lift taper to metatarsal
L3310	E	Shoe lift elev heel/sole neo
L3320	E	Shoe lift elev heel/sole cor
L3330	E	Lifts elevation metal extens
L3332	E	Shoe lifts tapered to one-ha
L3334	E	Shoe lifts elevation heel /i
L3340	E	Shoe wedge sach
L3350	E	Shoe heel wedge
L3360	E	Shoe sole wedge outside sole
L3370	E	Shoe sole wedge between sole
L3380	E	Shoe clubfoot wedge
L3390	E	Shoe outflare wedge
L3400	E	Shoe metatarsal bar wedge ro
L3410	E	Shoe metatarsal bar between
L3420	E	Full sole/heel wedge btween
L3430	E	Sho heel count plast reinfor
L3440	E	Heel leather reinforced
L3450	E	Shoe heel sach cushion type
L3455	E	Shoe heel new leather standa
L3460	E	Shoe heel new rubber standar
L3465	E	Shoe heel thomas with wedge
L3470	E	Shoe heel thomas extend to b
L3480	E	Shoe heel pad & depress for
L3485	E	Shoe heel pad removable for
L3500	E	Ortho shoe add leather insol
L3510	E	Orthopedic shoe add rub insl
L3520	E	O shoe add felt w leath insl
L3530	E	Ortho shoe add half sole
L3540	E	Ortho shoe add full sole
L3550	E	O shoe add standard toe tap
L3560	E	O shoe add horseshoe toe tap
L3570	E	O shoe add instep extension
L3580	E	O shoe add instep velcro clo
L3590	E	O shoe convert to sof counte
L3595	E	Ortho shoe add march bar
L3600	E	Trans shoe calip plate exist
L3610	E	Trans shoe caliper plate new
L3620	E	Trans shoe solid stirrup exi
L3630	E	Trans shoe solid stirrup new
L3640	E	Shoe dennis browne splint bo
L3649	E	Orthopedic shoe modifica NOS
L3650	A	Shlder fig 8 abduct restrain
L3660	A	Abduct restrainer canvas&web
L3670	A	Acromio/clavicular canvas&we
L3675	A	Canvas vest SO
L3700	A	Elbow orthoses elas w stays
L3710	A	Elbow elastic with metal joi
L3720	A	Forearm/arm cuffs free motio
L3730	A	Forearm/arm cuffs ext/flex a
L3740	A	Cuffs adj lock w/ active con
L3760	E	EO withjoint, Prefabricated
L3800	A	Whfo short opponen no attach
L3805	A	Whfo long opponens no attach
L3807	A	WHFO,no joint, prefabricated
L3810	A	Whfo thumb abduction bar
L3815	A	Whfo second m.p. abduction a
L3820	A	Whfo ip ext asst w/ mp ext s
L3825	A	Whfo m.p. extension stop
L3830	A	Whfo m.p. extension assist
L3835	A	Whfo m.p. spring extension a
L3840	A	Whfo spring swivel thumb
L3845	A	Whfo thumb ip ext ass w/ mp
L3850	A	Action wrist w/ dorsiflex as
L3855	A	Whfo adj m.p. flexion contro
L3860	A	Whfo adj m.p. flex ctrl & i.
L3890	E	Torsion mechanism wrist/elbo
L3900	A	Hinge extension/flex wrist/f
L3901	A	Hinge ext/flex wrist finger
L3902	A	Whfo ext power compress gas
L3904	A	Whfo electric custom fitted
L3906	A	Wrist gauntlet molded to pt
L3907	A	Whfo wrst gauntlt thmb spica
L3908	A	Wrist cock-up non-molded
L3910	A	Whfo swanson design
L3912	A	Flex glove w/elastic finger
L3914	A	WHO wrist extension cock-up
L3916	A	Whfo wrist extens w/ outrigg
L3918	A	HFO knuckle bender
L3920	A	Knuckle bender with outrigge
L3922	A	Knuckle bend 2 seg to flex j
L3923	A	HFO, no joint, prefabricated
L3924	A	Oppenheimer
L3926	A	Thomas suspension
L3928	A	Finger extension w/ clock sp
L3930	A	Finger extension with wrist
L3932	A	Safety pin spring wire
L3934	A	Safety pin modified
L3936	A	Palmer
L3938	A	Dorsal wrist
L3940	A	Dorsal wrist w/ outrigger at
L3942	A	Reverse knuckle bender
L3944	A	Reverse knuckle bend w/ outr
L3946	A	HFO composite elastic
L3948	A	Finger knuckle bender
L3950	A	Oppenheimer w/ knuckle bend
L3952	A	Oppenheimer w/ rev knuckle 2
L3954	A	Spreading hand
L3956	A	Add joint upper ext orthosis
L3960	A	Sewho airplan desig abdu pos
L3962	A	Sewho erbs palsey design abd
L3963	A	Molded w/ articulating elbow
L3964	A	Seo mobile arm sup att to wc
L3965	A	Arm supp att to wc rancho ty
L3966	A	Mobile arm supports reclinin
L3968	A	Friction dampening arm supp
L3969	A	Monosuspension arm/hand supp
L3970	A	Elevat proximal arm support
L3972	A	Offset/lat rocker arm w/ ela
L3974	A	Mobile arm support supinator
L3980	A	Upp ext fx orthosis humeral
L3982	A	Upper ext fx orthosis rad/ul
L3984	A	Upper ext fx orthosis wrist
L3985	A	Forearm hand fx orth w/ wr h
L3986	A	Humeral rad/ulna wrist fx or
L3995	A	Sock fracture or equal each
L3999	A	Upper limb orthosis NOS
L4000	A	Repl girdle milwaukee orth
L4010	A	Replace trilateral socket br
L4020	A	Replace quadlat socket brim
L4030	A	Replace socket brim cust fit
L4040	A	Replace molded thigh lacer
L4045	A	Replace non-molded thigh lac
L4050	A	Replace molded calf lacer
L4055	A	Replace non-molded calf lace
L4060	A	Replace high roll cuff
L4070	A	Replace prox & dist upright
L4080	A	Repl met band kafo-afo prox
L4090	A	Repl met band kafo-afo calf/
L4100	A	Repl leath cuff kafo prox th
L4110	A	Repl leath cuff kafo-afo cal
L4130	A	Replace pretibial shell
L4205	A	Ortho dvc repair per 15 min
L4210	A	Orth dev repair/repl minor p
L4350	A	Pneumatic ankle cntrl splint
L4360	A	Pneumatic walking splint
L4370	A	Pneumatic full leg splint
L4380	A	Pneumatic knee splint
L4392	A	Replace AFO soft interface
L4394	A	Replace foot drop spint
L4396	A	Static AFO
L4398	A	Foot drop splint recumbent
L5000	A	Sho insert w arch toe filler
L5010	A	Mold socket ank hgt w/ toe f
L5020	A	Tibial tubercle hgt w/ toe f
L5050	A	Ank symes mold sckt sach ft
L5060	A	Symes met fr leath socket ar
L5100	A	Molded socket shin sach foot
L5105	A	Plast socket jts/thgh lacer
L5150	A	Mold sckt ext knee shin sach
L5160	A	Mold socket bent knee shin s
L5200	A	Kne sing axis fric shin sach
L5210	A	No knee/ankle joints w/ ft b
L5220	A	No knee joint with artic ali
L5230	A	Fem focal defic constant fri
L5250	A	Hip canad sing axi cons fric
L5270	A	Tilt table locking hip sing
L5280	A	Hemipelvect canad sing axis
L5300	A	Bk sach soft cover & finish
L5310	A	Knee disart sach soft cv/fin
L5320	A	Ak open end sach soft cv/fin
L5330	A	Hip canadian sach sft cv/fin
L5340	A	Hemipelvectomy canad cv/fin
L5400	A	Postop dress & 1 cast chg bk
L5410	A	Postop dsg bk ea add cast ch
L5420	A	Postop dsg & 1 cast chg ak/d
L5430	A	Postop dsg ak ea add cast ch
L5450	A	Postop app non-wgt bear dsg
L5460	A	Postop app non-wgt bear dsg
L5500	A	Init bk ptb plaster direct
L5505	A	Init ak ischal plstr direct
L5510	A	Prep BK ptb plaster molded
L5520	A	Perp BK ptb thermopls direct
L5530	A	Prep BK ptb thermopls molded
L5535	A	Prep BK ptb open end socket
L5540	A	Prep BK ptb laminated socket
L5560	A	Prep AK ischial plast molded
L5570	A	Prep AK ischial direct form
L5580	A	Prep AK ischial thermo mold
L5585	A	Prep AK ischial open end
L5590	A	Prep AK ischial laminated
L5595	A	Hip disartic sach thermopls
L5600	A	Hip disart sach laminat mold
L5610	A	Above knee hydracadence
L5611	A	Ak 4 bar link w/fric swing
L5613	A	Ak 4 bar ling w/hydraul swig
L5614	A	4-bar link above knee w/swng
L5616	A	Ak univ multiplex sys frict
L5617	A	AK/BK self-aligning unit ea
L5618	A	Test socket symes
L5620	A	Test socket below knee
L5622	A	Test socket knee disarticula
L5624	A	Test socket above knee
L5626	A	Test socket hip disarticulat
L5628	A	Test socket hemipelvectomy
L5629	A	Below knee acrylic socket
L5630	A	Syme typ expandabl wall sckt
L5631	A	Ak/knee disartic acrylic soc
L5632	A	Symes type ptb brim design s
L5634	A	Symes type poster opening so
L5636	A	Symes type medial opening so
L5637	A	Below knee total contact
L5638	A	Below knee leather socket
L5639	A	Below knee wood socket
L5640	A	Knee disarticulat leather so
L5642	A	Above knee leather socket
L5643	A	Hip flex inner socket ext fr
L5644	A	Above knee wood socket
L5645	A	Bk flex inner socket ext fra
L5646	A	Below knee air cushion socke
L5647	A	Below knee suction socket
L5648	A	Above knee air cushion socke
L5649	A	Isch containmt/narrow m-l so
L5650	A	Tot contact ak/knee disart s
L5651	A	Ak flex inner socket ext fra
L5652	A	Suction susp ak/knee disart
L5653	A	Knee disart expand wall sock
L5654	A	Socket insert symes
L5655	A	Socket insert below knee
L5656	A	Socket insert knee articulat
L5658	A	Socket insert above knee
L5660	A	Sock insrt syme silicone gel
L5661	A	Multi-durometer symes
L5662	A	Socket insert bk silicone ge
L5663	A	Sock knee disartic silicone
L5664	A	Socket insert ak silicone ge
L5665	A	Multi-durometer below knee
L5666	A	Below knee cuff suspension
L5667	A	Socket insert w lock lower
L5668	A	Socket insert w/o lock lower
L5669	A	Below knee socket w/o lock
L5670	A	Bk molded supracondylar susp
L5672	A	Bk removable medial brim sus
L5674	A	Bk suspension sleeve
L5675	A	Bk heavy duty susp sleeve
L5676	A	Bk knee joints single axis p
L5677	A	Bk knee joints polycentric p
L5678	A	Bk joint covers pair
L5680	A	Bk thigh lacer non-molded
L5682	A	Bk thigh lacer glut/ischia m
L5684	A	Bk fork strap
L5686	A	Bk back check
L5688	A	Bk waist belt webbing
L5690	A	Bk waist belt padded and lin
L5692	A	Ak pelvic control belt light
L5694	A	Ak pelvic control belt pad/l
L5695	A	Ak sleeve susp neoprene/equa
L5696	A	Ak/knee disartic pelvic join
L5697	A	Ak/knee disartic pelvic band
L5698	A	Ak/knee disartic silesian ba
L5699	A	Shoulder harness
L5700	A	Replace socket below knee
L5701	A	Replace socket above knee
L5702	A	Replace socket hip
L5704	A	Custom shape covr below knee
L5705	A	Custm shape cover above knee
L5706	A	Custm shape cvr knee disart
L5707	A	Custm shape cover hip disart
L5710	A	Kne-shin exo sng axi mnl loc
L5711	A	Knee-shin exo mnl lock ultra
L5712	A	Knee-shin exo frict swg & st
L5714	A	Knee-shin exo variable frict
L5716	A	Knee-shin exo mech stance ph
L5718	A	Knee-shin exo frct swg & sta
L5722	A	Knee-shin pneum swg frct exo
L5724	A	Knee-shin exo fluid swing ph
L5726	A	Knee-shin ext jnts fld swg e
L5728	A	Knee-shin fluid swg & stance
L5780	A	Knee-shin pneum/hydra pneum
L5785	A	Exoskeletal bk ultralt mater
L5790	A	Exoskeletal ak ultra-light m
L5795	A	Exoskel hip ultra-light mate
L5810	A	Endoskel knee-shin mnl lock
L5811	A	Endo knee-shin mnl lck ultra
L5812	A	Endo knee-shin frct swg & st
L5814	A	Endo knee-shin hydral swg ph
L5816	A	Endo knee-shin polyc mch sta
L5818	A	Endo knee-shin frct swg & st
L5822	A	Endo knee-shin pneum swg frc
L5824	A	Endo knee-shin fluid swing p
L5826	A	Miniature knee joint
L5828	A	Endo knee-shin fluid swg/sta
L5830	A	Endo knee-shin pneum/swg pha
L5840	A	Multi-axial knee/shin system
L5845	A	Knee-shin sys stance flexion
L5846	A	Knee-shin sys microprocessor
L5850	A	Endo ak/hip knee extens assi
L5855	A	Mech hip extension assist
L5910	A	Endo below knee alignable sy
L5920	A	Endo ak/hip alignable system
L5925	A	Above knee manual lock
L5930	A	High activity knee frame
L5940	A	Endo bk ultra-light material
L5950	A	Endo ak ultra-light material
L5960	A	Endo hip ultra-light materia
L5962	A	Below knee flex cover system
L5964	A	Above knee flex cover system
L5966	A	Hip flexible cover system
L5968	A	Multiaxial ankle w dorsiflex
L5970	A	Foot external keel sach foot
L5972	A	Flexible keel foot
L5974	A	Foot single axis ankle/foot
L5975	A	Combo ankle/foot prosthesis
L5976	A	Energy storing foot
L5978	A	Ft prosth multiaxial ankl/ft
L5979	A	Multi-axial ankle/ft prosth
L5980	A	Flex foot system
L5981	A	Flex-walk sys low ext prosth
L5982	A	Exoskeletal axial rotation u
L5984	A	Endoskeletal axial rotation
L5985	A	Lwr ext dynamic prosth pylon
L5986	A	Multi-axial rotation unit
L5987	A	Shank ft w vert load pylon
L5988	A	Vertical shock reducing pylo
L5999	A	Lowr extremity prosthes NOS
L6000	A	Par hand robin-aids thum rem
L6010	A	Hand robin-aids little/ring
L6020	A	Part hand robin-aids no fing
L6050	A	Wrst MLd sck flx hng tri pad
L6055	A	Wrst mold sock w/exp interfa
L6100	A	Elb mold sock flex hinge pad
L6110	A	Elbow mold sock suspension t
L6120	A	Elbow mold doub splt soc ste
L6130	A	Elbow stump activated lock h
L6200	A	Elbow mold outsid lock hinge
L6205	A	Elbow molded w/ expand inter
L6250	A	Elbow inter loc elbow forarm
L6300	A	Shlder disart int lock elbow
L6310	A	Shoulder passive restor comp
L6320	A	Shoulder passive restor cap
L6350	A	Thoracic intern lock elbow
L6360	A	Thoracic passive restor comp
L6370	A	Thoracic passive restor cap
L6380	A	Postop dsg cast chg wrst/elb
L6382	A	Postop dsg cast chg elb dis/
L6384	A	Postop dsg cast chg shlder/t
L6386	A	Postop ea cast chg & realign
L6388	A	Postop applicat rigid dsg on
L6400	A	Below elbow prosth tiss shap
L6450	A	Elb disart prosth tiss shap
L6500	A	Above elbow prosth tiss shap
L6550	A	Shldr disar prosth tiss shap
L6570	A	Scap thorac prosth tiss shap
L6580	A	Wrist/elbow bowden cable mol
L6582	A	Wrist/elbow bowden cbl dir f
L6584	A	Elbow fair lead cable molded
L6586	A	Elbow fair lead cable dir fo
L6588	A	Shdr fair lead cable molded
L6590	A	Shdr fair lead cable direct
L6600	A	Polycentric hinge pair
L6605	A	Single pivot hinge pair
L6610	A	Flexible metal hinge pair
L6615	A	Disconnect locking wrist uni
L6616	A	Disconnect insert locking wr
L6620	A	Flexion-friction wrist unit
L6623	A	Spring-ass rot wrst w/ latch
L6625	A	Rotation wrst w/ cable lock
L6628	A	Quick disconn hook adapter o
L6629	A	Lamination collar w/ couplin
L6630	A	Stainless steel any wrist
L6632	A	Latex suspension sleeve each
L6635	A	Lift assist for elbow
L6637	A	Nudge control elbow lock
L6640	A	Shoulder abduction joint pai
L6641	A	Excursion amplifier pulley t
L6642	A	Excursion amplifier lever ty
L6645	A	Shoulder flexion-abduction j
L6650	A	Shoulder universal joint
L6655	A	Standard control cable extra
L6660	A	Heavy duty control cable
L6665	A	Teflon or equal cable lining
L6670	A	Hook to hand cable adapter
L6672	A	Harness chest/shlder saddle
L6675	A	Harness figure of 8 sing con
L6676	A	Harness figure of 8 dual con
L6680	A	Test sock wrist disart/bel e
L6682	A	Test sock elbw disart/above
L6684	A	Test socket shldr disart/tho
L6686	A	Suction socket
L6687	A	Frame typ socket bel elbow/w
L6688	A	Frame typ sock above elb/dis
L6689	A	Frame typ socket shoulder di
L6690	A	Frame typ sock interscap-tho
L6691	A	Removable insert each
L6692	A	Silicone gel insert or equal
L6693	A	Lockingelbow forearm cntrbal
L6700	A	Terminal device model #3
L6705	A	Terminal device model #5
L6710	A	Terminal device model #5x
L6715	A	Terminal device model #5xa
L6720	A	Terminal device model #6
L6725	A	Terminal device model #7
L6730	A	Terminal device model #7lo
L6735	A	Terminal device model #8
L6740	A	Terminal device model #8x
L6745	A	Terminal device model #88x
L6750	A	Terminal device model #10p
L6755	A	Terminal device model #10x
L6765	A	Terminal device model #12p
L6770	A	Terminal device model #99x
L6775	A	Terminal device model#555
L6780	A	Terminal device model #ss555
L6790	A	Hooks-accu hook or equal
L6795	A	Hooks-2 load or equal
L6800	A	Hooks-aprl vc or equal
L6805	A	Modifier wrist flexion unit
L6806	A	Trs grip vc or equal
L6807	A	Term device grip1/2 or equal
L6808	A	Term device infant or child
L6809	A	Trs super sport passive
L6810	A	Pincher tool otto bock or eq
L6825	A	Hands dorrance vo
L6830	A	Hand aprl vc
L6835	A	Hand sierra vo
L6840	A	Hand becker imperial
L6845	A	Hand becker lock grip
L6850	A	Term dvc-hand becker plylite
L6855	A	Hand robin-aids vo
L6860	A	Hand robin-aids vo soft
L6865	A	Hand passive hand
L6867	A	Hand detroit infant hand
L6868	A	Passive inf hand steeper/hos
L6870	A	Hand child mitt
L6872	A	Hand nyu child hand
L6873	A	Hand mech inf steeper or equ
L6875	A	Hand bock vc
L6880	A	Hand bock vo
L6890	A	Production glove
L6895	A	Custom glove
L6900	A	Hand restorat thumb/1 finger
L6905	A	Hand restoration multiple fi
L6910	A	Hand restoration no fingers
L6915	A	Hand restoration replacmnt g
L6920	A	Wrist disarticul switch ctrl
L6925	A	Wrist disart myoelectronic c
L6930	A	Below elbow switch control
L6935	A	Below elbow myoelectronic ct
L6940	A	Elbow disarticulation switch
L6945	A	Elbow disart myoelectronic c
L6950	A	Above elbow switch control
L6955	A	Above elbow myoelectronic ct
L6960	A	Shldr disartic switch contro
L6965	A	Shldr disartic myoelectronic
L6970	A	Interscapular-thor switch ct
L6975	A	Interscap-thor myoelectronic
L7010	A	Hand otto back steeper/eq sw
L7015	A	Hand sys teknik village swit
L7020	A	Electronic greifer switch ct
L7025	A	Electron hand myoelectronic
L7030	A	Hand sys teknik vill myoelec
L7035	A	Electron greifer myoelectro
L7040	A	Prehensile actuator hosmer s
L7045	A	Electron hook child michigan
L7170	A	Electronic elbow hosmer swit
L7180	A	Electronic elbow utah myoele
L7185	A	Electron elbow adolescent sw
L7186	A	Electron elbow child switch
L7190	A	Elbow adolescent myoelectron
L7191	A	Elbow child myoelectronic ct
L7260	A	Electron wrist rotator otto
L7261	A	Electron wrist rotator utah
L7266	A	Servo control steeper or equ
L7272	A	Analogue control unb or equa
L7274	A	Proportional ctl 12 volt uta
L7360	A	Six volt bat otto bock/eq ea
L7362	A	Battery chrgr six volt otto
L7364	A	Twelve volt battery utah/equ
L7366	A	Battery chrgr 12 volt utah/e
L7499	A	Upper extremity prosthes NOS
L7500	A	Prosthetic dvc repair hourly
L7510	A	Prosthetic device repair rep
L7520	A	Repair prosthesis per 15 min
L7900	A	Vacuum erection system
L8000	A	Mastectomy bra
L8010	A	Mastectomy sleeve
L8015	A	Ext breastprosthesis garment
L8020	A	Mastectomy form
L8030	A	Breast prosthesis silicone/e
L8035	A	Custom breast prosthesis
L8039	A	Breast prosthesis NOS
L8040	A	Nasal prosthesis
L8041	A	Midfacial prosthesis
L8042	A	Orbital prosthesis
L8043	A	Upper facial prosthesis
L8044	A	Hemi-facial prosthesis
L8045	A	Auricular prosthesis
L8046	A	Partial facial prosthesis
L8047	A	Nasal septal prosthesis
L8048	A	Unspec maxillofacial prosth
L8049	A	Repair maxillofacial prosth
L8100	E	Compression stocking BK18-30
L8110	E	Compression stocking BK30-40
L8120	E	Compression stocking BK40-50
L8130	E	Gc stocking thighlngth 18-30
L8140	E	Gc stocking thighlngth 30-40
L8150	E	Gc stocking thighlngth 40-50
L8160	E	Gc stocking full lngth 18-30
L8170	E	Gc stocking full lngth 30-40
L8180	E	Gc stocking full lngth 40-50
L8190	E	Gc stocking waistlngth 18-30
L8195	E	Gc stocking waistlngth 30-40
L8200	E	Gc stocking waistlngth 40-50
L8210	E	Gc stocking custom made
L8220	E	Gc stocking lymphedema
L8230	E	Gc stocking garter belt
L8239	E	G compression stocking NOS
L8300	A	Truss single w/ standard pad
L8310	A	Truss double w/ standard pad
L8320	A	Truss addition to std pad wa
L8330	A	Truss add to std pad scrotal
L8400	A	Sheath below knee
L8410	A	Sheath above knee
L8415	A	Sheath upper limb
L8417	A	Pros sheath/sock w gel cushn
L8420	A	Prosthetic sock multi ply BK
L8430	A	Prosthetic sock multi ply AK
L8435	A	Pros sock multi ply upper lm
L8440	A	Shrinker below knee
L8460	A	Shrinker above knee
L8465	A	Shrinker upper limb
L8470	A	Pros sock single ply BK
L8480	A	Pros sock single ply AK
L8485	A	Pros sock single ply upper l
L8490	A	Air seal suction reten systm
L8499	A	Unlisted misc prosthetic ser
L8500	A	Artificial larynx
L8501	A	Tracheostomy speaking valve
L8600	N	Implant breast silicone/eq
L8603	N	Collagen imp urinary 2.5 ml
L8606	A	Synthetic implnt urinary 1ml
L8610	N	Ocular implant
L8612	N	Aqueous shunt prosthesis
L8613	N	Ossicular implant
L8614	H	Cochlear device/system	1002
L8619	A	Replace cochlear processor
L8630	N	Metacarpophalangeal implant
L8641	N	Metatarsal joint implant
L8642	N	Hallux implant
L8658	N	Interphalangeal joint implnt
L8670	N	Vascular graft, synthetic
L8699	N	Prosthetic implant NOS
L9900	A	O&P supply/accessory/service
M0064	X	Visit for drug monitoring	0374	0.96	$48.81	$10.74	$9.76
M0075	E	Cellular therapy
M0076	E	Prolotherapy
M0100	E	Intragastric hypothermia
M0300	E	IV chelationtherapy
M0301	E	Fabric wrapping of aneurysm
M0302	T	Assessment of cardiac output	0970	0.47	$23.90		$4.78
P2028	X	Cephalin floculation test	0349	0.34	$17.29	$3.46	$3.46
P2029	X	Congo red blood test	0349	0.34	$17.29	$3.46	$3.46
P2031	E	Hair analysis
P2033	X	Blood thymol turbidity	0349	0.34	$17.29	$3.46	$3.46
P2038	A	Blood mucoprotein
P3000	A	Screen pap by tech w md supv
P3001	E	Screening pap smear by phys
P7001	E	Culture bacterial urine
P9010	K	Whole blood for transfusion	0950	2.13	$108.29		$21.66
P9011	E	Blood split unit
P9012	K	Cryoprecipitate each unit	0952	0.72	$36.61		$7.32
P9016	K	RBC leukocytes reduced	0954	2.89	$146.93		$29.39
P9017	K	One donor fresh frozn plasma	0955	2.31	$117.45		$23.49
P9019	K	Platelets, each unit	0957	1.00	$50.84		$10.17
P9020	K	Plaelet rich plasma unit	0958	1.19	$60.50		$12.10
P9021	K	Red blood cells unit	0959	2.09	$106.26		$21.25
P9022	K	Washed red blood cells unit	0960	3.89	$197.78		$39.56
P9023	K	Frozen plasma, pooled, sd	0949	3.00	$152.53		$30.51
P9031	K	Platelets leukocytes reduced	0954	2.89	$146.93		$29.39
P9032	K	Platelets, irradiated	9500	1.81	$92.02		$18.40
P9033	K	Platelets leukoreduced irrad	0954	2.89	$146.93		$29.39
P9034	K	Platelets, pheresis	9501	9.91	$503.84		$100.77
P9035	K	Platelet pheres leukoreduced	9501	9.91	$503.84		$100.77
P9036	K	Platelet pheresis irradiated	9502	10.75	$546.55		$109.31
P9037	K	Plate pheres leukoredu irrad	9501	9.91	$503.84		$100.77
P9038	K	RBC irradiated	9505	2.64	$134.22		$26.84
P9039	K	RBC deglycerolized	9504	4.45	$226.25		$45.25
P9040	K	RBC leukoreduced irradiated	9504	4.45	$226.25		$45.25
P9041	K	Albumin(human), 5%	0961	2.24	$113.89		$22.78
P9042	K	Albumin (human), 25%	0962	1.12	$56.94		$11.39
P9043	K	Plasma protein fraction	0956	1.29	$65.59		$13.12
P9044	K	Cryoprecipitatereducedplasma	1009	0.88	$44.74		$8.95
P9603	A	One-way allow prorated miles
P9604	A	One-way allow prorated trip
P9612	N	Catheterize for urine spec
P9615	N	Urine specimen collect mult
Q0035	X	Cardiokymography	0100	1.63	$82.87	$45.58	$16.57
Q0081	T	Infusion ther other than che	0120	2.35	$119.48	$42.67	$23.90
Q0083	S	Chemo by other than infusion	0116	0.98	$49.83	$9.97	$9.97
Q0084	S	Chemotherapy by infusion	0117	3.48	$176.93	$52.69	$35.39
Q0085	S	Chemo by both infusion and o	0118	3.52	$178.96	$72.03	$35.79
Q0086	A	Physical therapy evaluation/
Q0091	T	Obtaining screen pap smear	0191	0.27	$13.73	$3.98	$2.75
Q0092	N	Set up port xray equipment
Q0111	A	Wet mounts/ w preparations
Q0112	A	Potassium hydroxide preps
Q0113	A	Pinworm examinations
Q0114	A	Fern test
Q0115	A	Post-coital mucous exam
Q0136	G	Non esrd epoetin alpha inj	0733		$11.85		$1.52
Q0144	E	Azithromycin dihydrate, oral
Q0160	G	Factor IX non-recombinant	0931		$.76		$.10
Q0161	G	Factor IX recombinant	0932		$1.12		$.16
Q0163	G	Diphenhydramine HCl 50mg	1400		$.12		$.01
Q0164	G	Prochlorperazine maleate 5mg	1401		$.57		$.05
Q0165	E	Prochlorperazine maleate10mg
Q0166	G	Granisetron HCl 1 mg oral	0765		$44.70		$5.74
Q0167	G	Dronabinol 2.5mg oral	0762		$3.28		$.42
Q0168	E	Dronabinol 5mg oral
Q0169	G	Promethazine HCl 12.5mg oral	1402		$.03		$.00
Q0170	E	Promethazine HCl 25 mg oral
Q0171	G	Chlorpromazine HCl 10mg oral	1403		$.07		$.01
Q0172	E	Chlorpromazine HCl 25mg oral
Q0173	G	Trimethobenzamide HCl 250mg	1404		$.36		$.03
Q0174	G	Thiethylperazine maleate10mg	1405		$.56		$.08
Q0175	G	Perphenazine 4mg oral	1406		$.62		$.06
Q0176	E	Perphenazine 8mg oral
Q0177	G	Hydroxyzine pamoate 25mg	1407		$.20		$.02
Q0178	E	Hydroxyzine pamoate 50mg
Q0179	G	Ondansetron HCl 8mg oral	0769		$25.15		$3.23
Q0180	G	Dolasetron mesylate oral	0763		$69.64		$8.94
Q0181	E	Unspecified oral anti-emetic
Q0183	N	Nonmetabolic active tissue
Q0184	N	Metabolically active tissue
Q0185	N	Metabolic active D/E tissue
Q0187	G	Factor viia recombinant	1409		$1,596.00		$228.48
Q1001	E	Ntiol category 1
Q1002	E	Ntiol category 2
Q1003	E	Ntiol category 3
Q1004	E	Ntiol category 4
Q1005	E	Ntiol category 5
Q2001	N	Oral cabergoline 0.5 mg
Q2002	G	Elliotts b solution per ml	7022		$14.25		$2.04
Q2003	G	Aprotinin, 10,000 kiu	7019		$2.06		$.30
Q2004	G	Bladder calculi irrig sol	7023		$24.70		$3.54
Q2005	G	Corticorelin ovine triflutat	7024		$368.03		$52.69
Q2006	G	Digoxin immune fab (ovine)	7025		$551.66		$78.97
Q2007	G	Ethanolamine oleate 100 mg	7026		$39.73		$5.69
Q2008	G	Fomepizole, 15 mg	7027		$1.09		$.16
Q2009	G	Fosphenytoin, 50 mg	7028		$9.55		$1.37
Q2010	G	Glatiramer acetate, per dose	7029		$30.07		$4.30
Q2011	G	Hemin, per 1 mg	7030		$.99		$.14
Q2012	G	Pegademase bovine, 25 iu	7039		$139.33		$19.95
Q2013	G	Pentastarch 10% solution	7040		$15.11		$2.16
Q2014	G	Sermorelin acetate, 0.5 mg	7032		$15.78		$2.26
Q2015	G	Somatrem, 5 mg	7033		$209.48		$29.99
Q2016	G	Somatropin, 1 mg	7034		$39.90		$5.12
Q2017	G	Teniposide, 50 mg	7035		$216.32		$30.97
Q2018	G	Urofollitropin, 75 iu	7037		$73.29		$9.41
Q2019	G	Basiliximab	1615		$1,348.76		$193.09
Q2020	G	Histrelin acetate	1616		$14.16		$2.03
Q2021	G	Lepirudin	1617		$131.96		$18.89
Q2022	G	VonWillebrandFactrCmplxperIU	1618		$.95		$.14
Q3001	E	Brachytherapy Radioelements	0918
Q3002	G	Gallium ga 67	1619		$24.38		$3.13
Q3003	G	Technetium tc99m bicisate	1620		$384.75		$55.08
Q3004	G	Xenon xe 133	1621		$29.93		$3.84
Q3005	G	Technetium tc99m mertiatide	1622		$176.53		$25.27
Q3006	G	Technetium tc99m glucepatate	1623		$22.61		$3.24
Q3007	G	Sodium phosphate p32	1624		$81.10		$11.61
Q3008	G	Indium 111-in pentetreotide	1625		$935.75		$133.96
Q3009	G	Technetium tc99m oxidronate	1626		$36.74		$5.26
Q3010	G	Technetium tc99mlabeledrbcs	1627		$40.90		$5.85
Q3011	G	Chromic phosphate p32	1628		$150.86		$21.60
Q3012	G	Cyanocobalamin cobalt co57	1089		$97.85		$14.01
Q3013	G	Verteporfin for injection	1203		$1,458.25		$208.76
Q4001	A	Cast sup body cast plaster
Q4002	A	Cast sup body cast fiberglas
Q4003	A	Cast sup shoulder cast plstr
Q4004	A	Cast sup shoulder cast fbrgl
Q4005	A	Cast sup long arm adult plst
Q4006	A	Cast sup long arm adult fbrg
Q4007	A	Cast sup long arm ped plster
Q4008	A	Cast sup long arm ped fbrgls
Q4009	A	Cast sup sht arm adult plstr
Q4010	A	Cast sup sht arm adult fbrgl
Q4011	A	Cast sup sht arm ped plaster
Q4012	A	Cast sup sht arm ped fbrglas
Q4013	A	Cast sup gauntlet plaster
Q4014	A	Cast sup gauntlet fiberglass
Q4015	A	Cast sup gauntlet ped plster
Q4016	A	Cast sup gauntlet ped fbrgls
Q4017	A	Cast sup lng arm splint plst
Q4018	A	Cast sup lng arm splint fbrg
Q4019	A	Cast sup lng arm splnt ped p
Q4020	A	Cast sup lng arm splnt ped f
Q4021	A	Cast sup sht arm splint plst
Q4022	A	Cast sup sht arm splint fbrg
Q4023	A	Cast sup sht arm splnt ped p
Q4024	A	Cast sup sht arm splnt ped f
Q4025	A	Cast sup hip spica plaster
Q4026	A	Cast sup hip spica fiberglas
Q4027	A	Cast sup hip spica ped plstr
Q4028	A	Cast sup hip spica ped fbrgl
Q4029	A	Cast sup long leg plaster
Q4030	A	Cast sup long leg fiberglass
Q4031	A	Cast sup lng leg ped plaster
Q4032	A	Cast sup lng leg ped fbrgls
Q4033	A	Cast sup lng leg cylinder pl
Q4034	A	Cast sup lng leg cylinder fb
Q4035	A	Cast sup lngleg cylndr ped p
Q4036	A	Cast sup lngleg cylndr ped f
Q4037	A	Cast sup shrt leg plaster
Q4038	A	Cast sup shrt leg fiberglass
Q4039	A	Cast sup shrt leg ped plster
Q4040	A	Cast sup shrt leg ped fbrgls
Q4041	A	Cast sup lng leg splnt plstr
Q4042	A	Cast sup lng leg splnt fbrgl
Q4043	A	Cast sup lng leg splnt ped p
Q4044	A	Cast sup lng leg splnt ped f
Q4045	A	Cast sup sht leg splnt plstr
Q4046	A	Cast sup sht leg splnt fbrgl
Q4047	A	Cast sup sht leg splnt ped p
Q4048	A	Cast sup sht leg splnt ped f
Q4049	A	Finger splint, static
Q4050	A	Cast supplies unlisted
Q4051	A	Splint supplies misc
Q9920	A	Epoetin with hct <= 20
Q9921	A	Epoetin with hct = 21
Q9922	A	Epoetin with hct = 22
Q9923	A	Epoetin with hct = 23
Q9924	A	Epoetin with hct = 24
Q9925	A	Epoetin with hct = 25
Q9926	A	Epoetin with hct = 26
Q9927	A	Epoetin with hct = 27
Q9928	A	Epoetin with hct = 28
Q9929	A	Epoetin with hct = 29
Q9930	A	Epoetin with hct = 30
Q9931	A	Epoetin with hct = 31
Q9932	A	Epoetin with hct = 32
Q9933	A	Epoetin with hct = 33
Q9934	A	Epoetin with hct = 34
Q9935	A	Epoetin with hct = 35
Q9936	A	Epoetin with hct = 36
Q9937	A	Epoetin with hct = 37
Q9938	A	Epoetin with hct = 38
Q9939	A	Epoetin with hct = 39
Q9940	A	Epoetin with hct >= 40
R0070	N	Transport portable x-ray
R0075	N	Transport port x-ray multipl
R0076	N	Transport portable EKG
V2020	A	Vision svcs frames purchases
V2025	E	Eyeglasses delux frames
V2100	A	Lens spher single plano 4.00
V2101	A	Single visn sphere 4.12-7.00
V2102	A	Singl visn sphere 7.12-20.00
V2103	A	Spherocylindr 4.00d/12-2.00d
V2104	A	Spherocylindr 4.00d/2.12-4d
V2105	A	Spherocylinder 4.00d/4.25-6d
V2106	A	Spherocylinder 4.00d/>6.00d
V2107	A	Spherocylinder 4.25d/12-2d
V2108	A	Spherocylinder 4.25d/2.12-4d
V2109	A	Spherocylinder 4.25d/4.25-6d
V2110	A	Spherocylinder 4.25d/over 6d
V2111	A	Spherocylindr 7.25d/.25-2.25
V2112	A	Spherocylindr 7.25d/2.25-4d
V2113	A	Spherocylindr 7.25d/4.25-6d
V2114	A	Spherocylinder over 12.00d
V2115	A	Lens lenticular bifocal
V2116	A	Nonaspheric lens bifocal
V2117	A	Aspheric lens bifocal
V2118	A	Lens aniseikonic single
V2199	A	Lens single vision not oth c
V2200	A	Lens spher bifoc plano 4.00d
V2201	A	Lens sphere bifocal 4.12-7.0
V2202	A	Lens sphere bifocal 7.12-20.
V2203	A	Lens sphcyl bifocal 4.00d/.1
V2204	A	Lens sphcy bifocal 4.00d/2.1
V2205	A	Lens sphcy bifocal 4.00d/4.2
V2206	A	Lens sphcy bifocal 4.00d/ove
V2207	A	Lens sphcy bifocal 4.25-7d/.
V2208	A	Lens sphcy bifocal 4.25-7/2.
V2209	A	Lens sphcy bifocal 4.25-7/4.
V2210	A	Lens sphcy bifocal 4.25-7/ov
V2211	A	Lens sphcy bifo 7.25-12/.25-
V2212	A	Lens sphcyl bifo 7.25-12/2.2
V2213	A	Lens sphcyl bifo 7.25-12/4.2
V2214	A	Lens sphcyl bifocal over 12.
V2215	A	Lens lenticular bifocal
V2216	A	Lens lenticular nonaspheric
V2217	A	Lens lenticular aspheric bif
V2218	A	Lens aniseikonic bifocal
V2219	A	Lens bifocal seg width over
V2220	A	Lens bifocal add over 3.25d
V2299	A	Lens bifocal speciality
V2300	A	Lens sphere trifocal 4.00d
V2301	A	Lens sphere trifocal 4.12-7.
V2302	A	Lens sphere trifocal 7.12-20
V2303	A	Lens sphcy trifocal 4.0/.12-
V2304	A	Lens sphcy trifocal 4.0/2.25
V2305	A	Lens sphcy trifocal 4.0/4.25
V2306	A	Lens sphcyl trifocal 4.00/>6
V2307	A	Lens sphcy trifocal 4.25-7/.
V2308	A	Lens sphc trifocal 4.25-7/2.
V2309	A	Lens sphc trifocal 4.25-7/4.
V2310	A	Lens sphc trifocal 4.25-7/>6
V2311	A	Lens sphc trifo 7.25-12/.25-
V2312	A	Lens sphc trifo 7.25-12/2.25
V2313	A	Lens sphc trifo 7.25-12/4.25
V2314	A	Lens sphcyl trifocal over 12
V2315	A	Lens lenticular trifocal
V2316	A	Lens lenticular nonaspheric
V2317	A	Lens lenticular aspheric tri
V2318	A	Lens aniseikonic trifocal
V2319	A	Lens trifocal seg width > 28
V2320	A	Lens trifocal add over 3.25d
V2399	A	Lens trifocal speciality
V2410	A	Lens variab asphericity sing
V2430	A	Lens variable asphericity bi
V2499	A	Variable asphericity lens
V2500	A	Contact lens pmma spherical
V2501	A	Cntct lens pmma-toric/prism
V2502	A	Contact lens pmma bifocal
V2503	A	Cntct lens pmma color vision
V2510	A	Cntct gas permeable sphericl
V2511	A	Cntct toric prism ballast
V2512	A	Cntct lens gas permbl bifocl
V2513	A	Contact lens extended wear
V2520	A	Contact lens hydrophilic
V2521	A	Cntct lens hydrophilic toric
V2522	A	Cntct lens hydrophil bifocl
V2523	A	Cntct lens hydrophil extend
V2530	A	Contact lens gas impermeable
V2531	A	Contact lens gas permeable
V2599	A	Contact lens/es other type
V2600	A	Hand held low vision aids
V2610	A	Single lens spectacle mount
V2615	A	Telescop/othr compound lens
V2623	A	Plastic eye prosth custom
V2624	A	Polishing artifical eye
V2625	A	Enlargemnt of eye prosthesis
V2626	A	Reduction of eye prosthesis
V2627	A	Scleral cover shell
V2628	A	Fabrication & fitting
V2629	A	Prosthetic eye other type
V2630	N	Anter chamber intraocul lens
V2631	N	Iris support intraoclr lens
V2632	N	Post chmbr intraocular lens
V2700	A	Balance lens
V2710	A	Glass/plastic slab off prism
V2715	A	Prism lens/es
V2718	A	Fresnell prism press-on lens
V2730	A	Special base curve
V2740	A	Rose tint plastic
V2741	A	Non-rose tint plastic
V2742	A	Rose tint glass
V2743	A	Non-rose tint glass
V2744	A	Tint photochromatic lens/es
V2750	A	Anti-reflective coating
V2755	A	UV lens/es
V2760	A	Scratch resistant coating
V2770	A	Occluder lens/es
V2780	A	Oversize lens/es
V2781	E	Progressive lens per lens
V2785	F	Corneal tissue processing
V2790	N	Amniotic membrane
V2799	A	Miscellaneous vision service
V5008	E	Hearing screening
V5010	E	Assessment for hearing aid
V5011	E	Hearing aid fitting/checking
V5014	E	Hearing aid repair/modifying
V5020	E	Conformity evaluation
V5030	E	Body-worn hearing aid air
V5040	E	Body-worn hearing aid bone
V5050	E	Hearing aid monaural in ear
V5060	E	Behind ear hearing aid
V5070	E	Glasses air conduction
V5080	E	Glasses bone conduction
V5090	E	Hearing aid dispensing fee
V5100	E	Body-worn bilat hearing aid
V5110	E	Hearing aid dispensing fee
V5120	E	Body-worn binaur hearing aid
V5130	E	In ear binaural hearing aid
V5140	E	Behind ear binaur hearing ai
V5150	E	Glasses binaural hearing aid
V5160	E	Dispensing fee binaural
V5170	E	Within ear cros hearing aid
V5180	E	Behind ear cros hearing aid
V5190	E	Glasses cros hearing aid
V5200	E	Cros hearing aid dispens fee
V5210	E	In ear bicros hearing aid
V5220	E	Behind ear bicros hearing ai
V5230	E	Glasses bicros hearing aid
V5240	E	Dispensing fee bicros
V5299	E	Hearing service
V5336	E	Repair communication device
V5362	A	Speech screening
V5363	A	Language screening
V5364	A	Dysphagia screening
CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
Copyright American Dental Association. All rights reserved.

     

 

—————————— CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. Copyright American Dental Association. All rights reserved.

Addendum E.—CPT Codes Which Would Be Paid Only As Inpatient Procedures

CPT/HCPCS	HOPD Status Indicator	Description
00174	C	Anesth, pharyngeal surgery
00176	C	Anesth, pharyngeal surgery
00192	C	Anesth, facial bone surgery
00214	C	Anesth, skull drainage
00215	C	Anesth, skull repair/fract
00404	C	Anesth, surgery of breast
00406	C	Anesth, surgery of breast
00452	C	Anesth, surgery of shoulder
00474	C	Anesth, surgery of rib(s)
00524	C	Anesth, chest drainage
00530	C	Anesth, pacemaker insertion
00540	C	Anesth, chest surgery
00542	C	Anesth, release of lung
00544	C	Anesth, chest lining removal
00546	C	Anesth, lung,chest wall surg
00560	C	Anesth, open heart surgery
00562	C	Anesth, open heart surgery
00580	C	Anesth heart/lung transplant
00604	C	Anesth, sitting procedure
00622	C	Anesth, removal of nerves
00632	C	Anesth, removal of nerves
00634	C	Anesth for chemonucleolysis
00670	C	Anesth, spine, cord surgery
00792	C	Anesth, hemorr/excise liver
00794	C	Anesth, pancreas removal
00796	C	Anesth, for liver transplant
00802	C	Anesth, fat layer removal
00844	C	Anesth, pelvis surgery
00846	C	Anesth, hysterectomy
00848	C	Anesth, pelvic organ surg
00850	C	Anesth, cesarean section
00855	C	Anesth, hysterectomy
00857	C	Analgesia, labor & c-section
00864	C	Anesth, removal of bladder
00865	C	Anesth, removal of prostate
00866	C	Anesth, removal of adrenal
00868	C	Anesth, kidney transplant
00882	C	Anesth, major vein ligation
00884	C	Anesth, major vein revision
00904	C	Anesth, perineal surgery
00908	C	Anesth, removal of prostate
00928	C	Anesth, removal of testis
00932	C	Anesth, amputation of penis
00934	C	Anesth, penis, nodes removal
00936	C	Anesth, penis, nodes removal
00944	C	Anesth, vaginal hysterectomy
00955	C	Analgesia, vaginal delivery
01140	C	Anesth, amputation at pelvis
01150	C	Anesth, pelvic tumor surgery
01190	C	Anesth, pelvis nerve removal
01212	C	Anesth, hip disarticulation
01214	C	Anesth, replacement of hip
01232	C	Anesth, amputation of femur
01234	C	Anesth, radical femur surg
01272	C	Anesth, femoral artery surg
01274	C	Anesth, femoral embolectomy
01402	C	Anesth, replacement of knee
01404	C	Anesth, amputation at knee
01442	C	Anesth, knee artery surg
01444	C	Anesth, knee artery repair
01486	C	Anesth, ankle replacement
01502	C	Anesth, lwr leg embolectomy
01632	C	Anesth, surgery of shoulder
01634	C	Anesth, shoulder joint amput
01636	C	Anesth, forequarter amput
01638	C	Anesth, shoulder replacement
01652	C	Anesth, shoulder vessel surg
01654	C	Anesth, shoulder vessel surg
01656	C	Anesth, arm-leg vessel surg
01756	C	Anesth, radical humerus surg
01772	C	Anesth, uppr arm embolectomy
01782	C	Anesth, uppr arm vein repair
01842	C	Anesth, lwr arm embolectomy
01852	C	Anesth, lwr arm vein repair
01904	C	Anesth, skull x-ray inject
01990	C	Support for organ donor
15756	C	Free muscle flap, microvasc
15757	C	Free skin flap, microvasc
15758	C	Free fascial flap, microvasc
16035	C	Incision of burn scab, initi
16036	C	Incise burn scab, addl incis
19200	C	Removal of breast
19220	C	Removal of breast
19271	C	Revision of chest wall
19272	C	Extensive chest wall surgery
19361	C	Breast reconstruction
19364	C	Breast reconstruction
19367	C	Breast reconstruction
19368	C	Breast reconstruction
19369	C	Breast reconstruction
20660	C	Apply,remove fixation device
20661	C	Application of head brace
20662	C	Application of pelvis brace
20663	C	Application of thigh brace
20664	C	Halo brace application
20802	C	Replantation, arm, complete
20805	C	Replant, forearm, complete
20808	C	Replantation hand, complete
20816	C	Replantation digit, complete
20822	C	Replantation digit, complete
20824	C	Replantation thumb, complete
20827	C	Replantation thumb, complete
20838	C	Replantation foot, complete
20930	C	Spinal bone allograft
20931	C	Spinal bone allograft
20936	C	Spinal bone autograft
20937	C	Spinal bone autograft
20938	C	Spinal bone autograft
20955	C	Fibula bone graft, microvasc
20956	C	Iliac bone graft, microvasc
20957	C	Mt bone graft, microvasc
20962	C	Other bone graft, microvasc
20969	C	Bone/skin graft, microvasc
20970	C	Bone/skin graft, iliac crest
20972	C	Bone/skin graft, metatarsal
20973	C	Bone/skin graft, great toe
21045	C	Extensive jaw surgery
21141	C	Reconstruct midface, lefort
21142	C	Reconstruct midface, lefort
21143	C	Reconstruct midface, lefort
21145	C	Reconstruct midface, lefort
21146	C	Reconstruct midface, lefort
21147	C	Reconstruct midface, lefort
21150	C	Reconstruct midface, lefort
21151	C	Reconstruct midface, lefort
21154	C	Reconstruct midface, lefort
21155	C	Reconstruct midface, lefort
21159	C	Reconstruct midface, lefort
21160	C	Reconstruct midface, lefort
21172	C	Reconstruct orbit/forehead
21175	C	Reconstruct orbit/forehead
21179	C	Reconstruct entire forehead
21180	C	Reconstruct entire forehead
21182	C	Reconstruct cranial bone
21183	C	Reconstruct cranial bone
21184	C	Reconstruct cranial bone
21188	C	Reconstruction of midface
21193	C	Reconst lwr jaw w/o graft
21194	C	Reconst lwr jaw w/graft
21195	C	Reconst lwr jaw w/o fixation
21196	C	Reconst lwr jaw w/fixation
21247	C	Reconstruct lower jaw bone
21255	C	Reconstruct lower jaw bone
21256	C	Reconstruction of orbit
21268	C	Revise eye sockets
21343	C	Treatment of sinus fracture
21344	C	Treatment of sinus fracture
21346	C	Treat nose/jaw fracture
21347	C	Treat nose/jaw fracture
21348	C	Treat nose/jaw fracture
21356	C	Treat cheek bone fracture
21360	C	Treat cheek bone fracture
21365	C	Treat cheek bone fracture
21366	C	Treat cheek bone fracture
21385	C	Treat eye socket fracture
21386	C	Treat eye socket fracture
21387	C	Treat eye socket fracture
21390	C	Treat eye socket fracture
21395	C	Treat eye socket fracture
21408	C	Treat eye socket fracture
21422	C	Treat mouth roof fracture
21423	C	Treat mouth roof fracture
21431	C	Treat craniofacial fracture
21432	C	Treat craniofacial fracture
21433	C	Treat craniofacial fracture
21435	C	Treat craniofacial fracture
21436	C	Treat craniofacial fracture
21495	C	Treat hyoid bone fracture
21510	C	Drainage of bone lesion
21557	C	Remove tumor, neck/chest
21615	C	Removal of rib
21616	C	Removal of rib and nerves
21620	C	Partial removal of sternum
21627	C	Sternal debridement
21630	C	Extensive sternum surgery
21632	C	Extensive sternum surgery
21705	C	Revision of neck muscle/rib
21740	C	Reconstruction of sternum
21750	C	Repair of sternum separation
21810	C	Treatment of rib fracture(s)
21825	C	Treat sternum fracture
22100	C	Remove part of neck vertebra
22101	C	Remove part, thorax vertebra
22102	C	Remove part, lumbar vertebra
22103	C	Remove extra spine segment
22110	C	Remove part of neck vertebra
22112	C	Remove part, thorax vertebra
22114	C	Remove part, lumbar vertebra
22116	C	Remove extra spine segment
22210	C	Revision of neck spine
22212	C	Revision of thorax spine
22214	C	Revision of lumbar spine
22216	C	Revise, extra spine segment
22220	C	Revision of neck spine
22222	C	Revision of thorax spine
22224	C	Revision of lumbar spine
22226	C	Revise, extra spine segment
22318	C	Treat odontoid fx w/o graft
22319	C	Treat odontoid fx w/graft
22325	C	Treat spine fracture
22326	C	Treat neck spine fracture
22327	C	Treat thorax spine fracture
22328	C	Treat each add spine fx
22548	C	Neck spine fusion
22554	C	Neck spine fusion
22556	C	Thorax spine fusion
22558	C	Lumbar spine fusion
22585	C	Additional spinal fusion
22590	C	Spine & skull spinal fusion
22595	C	Neck spinal fusion
22600	C	Neck spine fusion
22610	C	Thorax spine fusion
22612	C	Lumbar spine fusion
22614	C	Spine fusion, extra segment
22630	C	Lumbar spine fusion
22632	C	Spine fusion, extra segment
22800	C	Fusion of spine
22802	C	Fusion of spine
22804	C	Fusion of spine
22808	C	Fusion of spine
22810	C	Fusion of spine
22812	C	Fusion of spine
22818	C	Kyphectomy, 1-2 segments
22819	C	Kyphectomy, 3 or more
22830	C	Exploration of spinal fusion
22840	C	Insert spine fixation device
22841	C	Insert spine fixation device
22842	C	Insert spine fixation device
22843	C	Insert spine fixation device
22844	C	Insert spine fixation device
22845	C	Insert spine fixation device
22846	C	Insert spine fixation device
22847	C	Insert spine fixation device
22848	C	Insert pelv fixation device
22849	C	Reinsert spinal fixation
22850	C	Remove spine fixation device
22851	C	Apply spine prosth device
22852	C	Remove spine fixation device
22855	C	Remove spine fixation device
23035	C	Drain shoulder bone lesion
23125	C	Removal of collar bone
23195	C	Removal of head of humerus
23200	C	Removal of collar bone
23210	C	Removal of shoulder blade
23220	C	Partial removal of humerus
23221	C	Partial removal of humerus
23222	C	Partial removal of humerus
23332	C	Remove shoulder foreign body
23395	C	Muscle transfer,shoulder/arm
23397	C	Muscle transfers
23400	C	Fixation of shoulder blade
23440	C	Remove/transplant tendon
23470	C	Reconstruct shoulder joint
23472	C	Reconstruct shoulder joint
23900	C	Amputation of arm & girdle
23920	C	Amputation at shoulder joint
24149	C	Radical resection of elbow
24150	C	Extensive humerus surgery
24151	C	Extensive humerus surgery
24152	C	Extensive radius surgery
24153	C	Extensive radius surgery
24900	C	Amputation of upper arm
24920	C	Amputation of upper arm
24930	C	Amputation follow-up surgery
24931	C	Amputate upper arm & implant
24940	C	Revision of upper arm
25170	C	Extensive forearm surgery
25390	C	Shorten radius or ulna
25391	C	Lengthen radius or ulna
25392	C	Shorten radius & ulna
25393	C	Lengthen radius & ulna
25420	C	Repair/graft radius & ulna
25900	C	Amputation of forearm
25905	C	Amputation of forearm
25909	C	Amputation follow-up surgery
25915	C	Amputation of forearm
25920	C	Amputate hand at wrist
25924	C	Amputation follow-up surgery
25927	C	Amputation of hand
25931	C	Amputation follow-up surgery
26551	C	Great toe-hand transfer
26553	C	Single transfer, toe-hand
26554	C	Double transfer, toe-hand
26556	C	Toe joint transfer
26992	C	Drainage of bone lesion
27005	C	Incision of hip tendon
27006	C	Incision of hip tendons
27025	C	Incision of hip/thigh fascia
27030	C	Drainage of hip joint
27035	C	Denervation of hip joint
27036	C	Excision of hip joint/muscle
27054	C	Removal of hip joint lining
27070	C	Partial removal of hip bone
27071	C	Partial removal of hip bone
27075	C	Extensive hip surgery
27076	C	Extensive hip surgery
27077	C	Extensive hip surgery
27078	C	Extensive hip surgery
27079	C	Extensive hip surgery
27090	C	Removal of hip prosthesis
27091	C	Removal of hip prosthesis
27120	C	Reconstruction of hip socket
27122	C	Reconstruction of hip socket
27125	C	Partial hip replacement
27130	C	Total hip replacement
27132	C	Total hip replacement
27134	C	Revise hip joint replacement
27137	C	Revise hip joint replacement
27138	C	Revise hip joint replacement
27140	C	Transplant femur ridge
27146	C	Incision of hip bone
27147	C	Revision of hip bone
27151	C	Incision of hip bones
27156	C	Revision of hip bones
27158	C	Revision of pelvis
27161	C	Incision of neck of femur
27165	C	Incision/fixation of femur
27170	C	Repair/graft femur head/neck
27175	C	Treat slipped epiphysis
27176	C	Treat slipped epiphysis
27177	C	Treat slipped epiphysis
27178	C	Treat slipped epiphysis
27179	C	Revise head/neck of femur
27181	C	Treat slipped epiphysis
27185	C	Revision of femur epiphysis
27187	C	Reinforce hip bones
27215	C	Treat pelvic fracture(s)
27216	C	Treat pelvic ring fracture
27217	C	Treat pelvic ring fracture
27218	C	Treat pelvic ring fracture
27222	C	Treat hip socket fracture
27226	C	Treat hip wall fracture
27227	C	Treat hip fracture(s)
27228	C	Treat hip fracture(s)
27232	C	Treat thigh fracture
27235	C	Treat thigh fracture
27236	C	Treat thigh fracture
27240	C	Treat thigh fracture
27244	C	Treat thigh fracture
27245	C	Treat thigh fracture
27248	C	Treat thigh fracture
27253	C	Treat hip dislocation
27254	C	Treat hip dislocation
27258	C	Treat hip dislocation
27259	C	Treat hip dislocation
27280	C	Fusion of sacroiliac joint
27282	C	Fusion of pubic bones
27284	C	Fusion of hip joint
27286	C	Fusion of hip joint
27290	C	Amputation of leg at hip
27295	C	Amputation of leg at hip
27303	C	Drainage of bone lesion
27365	C	Extensive leg surgery
27445	C	Revision of knee joint
27447	C	Total knee replacement
27448	C	Incision of thigh
27450	C	Incision of thigh
27454	C	Realignment of thigh bone
27455	C	Realignment of knee
27457	C	Realignment of knee
27465	C	Shortening of thigh bone
27466	C	Lengthening of thigh bone
27468	C	Shorten/lengthen thighs
27470	C	Repair of thigh
27472	C	Repair/graft of thigh
27475	C	Surgery to stop leg growth
27477	C	Surgery to stop leg growth
27479	C	Surgery to stop leg growth
27485	C	Surgery to stop leg growth
27486	C	Revise/replace knee joint
27487	C	Revise/replace knee joint
27488	C	Removal of knee prosthesis
27495	C	Reinforce thigh
27506	C	Treatment of thigh fracture
27507	C	Treatment of thigh fracture
27511	C	Treatment of thigh fracture
27513	C	Treatment of thigh fracture
27514	C	Treatment of thigh fracture
27519	C	Treat thigh fx growth plate
27535	C	Treat knee fracture
27536	C	Treat knee fracture
27540	C	Treat knee fracture
27556	C	Treat knee dislocation
27557	C	Treat knee dislocation
27558	C	Treat knee dislocation
27580	C	Fusion of knee
27590	C	Amputate leg at thigh
27591	C	Amputate leg at thigh
27592	C	Amputate leg at thigh
27596	C	Amputation follow-up surgery
27598	C	Amputate lower leg at knee
27645	C	Extensive lower leg surgery
27646	C	Extensive lower leg surgery
27702	C	Reconstruct ankle joint
27703	C	Reconstruction, ankle joint
27712	C	Realignment of lower leg
27715	C	Revision of lower leg
27720	C	Repair of tibia
27722	C	Repair/graft of tibia
27724	C	Repair/graft of tibia
27725	C	Repair of lower leg
27727	C	Repair of lower leg
27880	C	Amputation of lower leg
27881	C	Amputation of lower leg
27882	C	Amputation of lower leg
27886	C	Amputation follow-up surgery
27888	C	Amputation of foot at ankle
28800	C	Amputation of midfoot
28805	C	Amputation thru metatarsal
31225	C	Removal of upper jaw
31230	C	Removal of upper jaw
31290	C	Nasal/sinus endoscopy, surg
31291	C	Nasal/sinus endoscopy, surg
31292	C	Nasal/sinus endoscopy, surg
31293	C	Nasal/sinus endoscopy, surg
31294	C	Nasal/sinus endoscopy, surg
31360	C	Removal of larynx
31365	C	Removal of larynx
31367	C	Partial removal of larynx
31368	C	Partial removal of larynx
31370	C	Partial removal of larynx
31375	C	Partial removal of larynx
31380	C	Partial removal of larynx
31382	C	Partial removal of larynx
31390	C	Removal of larynx & pharynx
31395	C	Reconstruct larynx & pharynx
31582	C	Revision of larynx
31584	C	Treat larynx fracture
31587	C	Revision of larynx
31725	C	Clearance of airways
31760	C	Repair of windpipe
31766	C	Reconstruction of windpipe
31770	C	Repair/graft of bronchus
31775	C	Reconstruct bronchus
31780	C	Reconstruct windpipe
31781	C	Reconstruct windpipe
31785	C	Remove windpipe lesion
31786	C	Remove windpipe lesion
31800	C	Repair of windpipe injury
31805	C	Repair of windpipe injury
32035	C	Exploration of chest
32036	C	Exploration of chest
32095	C	Biopsy through chest wall
32100	C	Exploration/biopsy of chest
32110	C	Explore/repair chest
32120	C	Re-exploration of chest
32124	C	Explore chest free adhesions
32140	C	Removal of lung lesion(s)
32141	C	Remove/treat lung lesions
32150	C	Removal of lung lesion(s)
32151	C	Remove lung foreign body
32160	C	Open chest heart massage
32200	C	Drain, open, lung lesion
32201	C	Drain, percut, lung lesion
32215	C	Treat chest lining
32220	C	Release of lung
32225	C	Partial release of lung
32310	C	Removal of chest lining
32320	C	Free/remove chest lining
32402	C	Open biopsy chest lining
32440	C	Removal of lung
32442	C	Sleeve pneumonectomy
32445	C	Removal of lung
32480	C	Partial removal of lung
32482	C	Bilobectomy
32484	C	Segmentectomy
32486	C	Sleeve lobectomy
32488	C	Completion pneumonectomy
32491	C	Lung volume reduction
32500	C	Partial removal of lung
32501	C	Repair bronchus add-on
32520	C	Remove lung & revise chest
32522	C	Remove lung & revise chest
32525	C	Remove lung & revise chest
32540	C	Removal of lung lesion
32650	C	Thoracoscopy, surgical
32651	C	Thoracoscopy, surgical
32652	C	Thoracoscopy, surgical
32653	C	Thoracoscopy, surgical
32654	C	Thoracoscopy, surgical
32655	C	Thoracoscopy, surgical
32656	C	Thoracoscopy, surgical
32657	C	Thoracoscopy, surgical
32658	C	Thoracoscopy, surgical
32659	C	Thoracoscopy, surgical
32660	C	Thoracoscopy, surgical
32661	C	Thoracoscopy, surgical
32662	C	Thoracoscopy, surgical
32663	C	Thoracoscopy, surgical
32664	C	Thoracoscopy, surgical
32665	C	Thoracoscopy, surgical
32800	C	Repair lung hernia
32810	C	Close chest after drainage
32815	C	Close bronchial fistula
32820	C	Reconstruct injured chest
32850	C	Donor pneumonectomy
32851	C	Lung transplant, single
32852	C	Lung transplant with bypass
32853	C	Lung transplant, double
32854	C	Lung transplant with bypass
32900	C	Removal of rib(s)
32905	C	Revise & repair chest wall
32906	C	Revise & repair chest wall
32940	C	Revision of lung
32997	C	Total lung lavage
33015	C	Incision of heart sac
33020	C	Incision of heart sac
33025	C	Incision of heart sac
33030	C	Partial removal of heart sac
33031	C	Partial removal of heart sac
33050	C	Removal of heart sac lesion
33120	C	Removal of heart lesion
33130	C	Removal of heart lesion
33140	C	Heart revascularize (tmr)
33141	C	Heart tmr w/other procedure
33200	C	Insertion of heart pacemaker
33201	C	Insertion of heart pacemaker
33236	C	Remove electrode/thoracotomy
33237	C	Remove electrode/thoracotomy
33238	C	Remove electrode/thoracotomy
33243	C	Remove eltrd/thoracotomy
33245	C	Insert epic eltrd pace-defib
33246	C	Insert epic eltrd/generator
33250	C	Ablate heart dysrhythm focus
33251	C	Ablate heart dysrhythm focus
33253	C	Reconstruct atria
33261	C	Ablate heart dysrhythm focus
33300	C	Repair of heart wound
33305	C	Repair of heart wound
33310	C	Exploratory heart surgery
33315	C	Exploratory heart surgery
33320	C	Repair major blood vessel(s)
33321	C	Repair major vessel
33322	C	Repair major blood vessel(s)
33330	C	Insert major vessel graft
33332	C	Insert major vessel graft
33335	C	Insert major vessel graft
33400	C	Repair of aortic valve
33401	C	Valvuloplasty, open
33403	C	Valvuloplasty, w/cp bypass
33404	C	Prepare heart-aorta conduit
33405	C	Replacement of aortic valve
33406	C	Replacement of aortic valve
33410	C	Replacement of aortic valve
33411	C	Replacement of aortic valve
33412	C	Replacement of aortic valve
33413	C	Replacement of aortic valve
33414	C	Repair of aortic valve
33415	C	Revision, subvalvular tissue
33416	C	Revise ventricle muscle
33417	C	Repair of aortic valve
33420	C	Revision of mitral valve
33422	C	Revision of mitral valve
33425	C	Repair of mitral valve
33426	C	Repair of mitral valve
33427	C	Repair of mitral valve
33430	C	Replacement of mitral valve
33460	C	Revision of tricuspid valve
33463	C	Valvuloplasty, tricuspid
33464	C	Valvuloplasty, tricuspid
33465	C	Replace tricuspid valve
33468	C	Revision of tricuspid valve
33470	C	Revision of pulmonary valve
33471	C	Valvotomy, pulmonary valve
33472	C	Revision of pulmonary valve
33474	C	Revision of pulmonary valve
33475	C	Replacement, pulmonary valve
33476	C	Revision of heart chamber
33478	C	Revision of heart chamber
33496	C	Repair, prosth valve clot
33500	C	Repair heart vessel fistula
33501	C	Repair heart vessel fistula
33502	C	Coronary artery correction
33503	C	Coronary artery graft
33504	C	Coronary artery graft
33505	C	Repair artery w/tunnel
33506	C	Repair artery, translocation
33510	C	Cabg, vein, single
33511	C	Cabg, vein, two
33512	C	Cabg, vein, three
33513	C	Cabg, vein, four
33514	C	Cabg, vein, five
33516	C	Cabg, vein, six or more
33517	C	Cabg, artery-vein, single
33518	C	Cabg, artery-vein, two
33519	C	Cabg, artery-vein, three
33521	C	Cabg, artery-vein, four
33522	C	Cabg, artery-vein, five
33523	C	Cabg, art-vein, six or more
33530	C	Coronary artery, bypass/reop
33533	C	Cabg, arterial, single
33534	C	Cabg, arterial, two
33535	C	Cabg, arterial, three
33536	C	Cabg, arterial, four or more
33542	C	Removal of heart lesion
33545	C	Repair of heart damage
33572	C	Open coronary endarterectomy
33600	C	Closure of valve
33602	C	Closure of valve
33606	C	Anastomosis/artery-aorta
33608	C	Repair anomaly w/conduit
33610	C	Repair by enlargement
33611	C	Repair double ventricle
33612	C	Repair double ventricle
33615	C	Repair, modified fontan
33617	C	Repair single ventricle
33619	C	Repair single ventricle
33641	C	Repair heart septum defect
33645	C	Revision of heart veins
33647	C	Repair heart septum defects
33660	C	Repair of heart defects
33665	C	Repair of heart defects
33670	C	Repair of heart chambers
33681	C	Repair heart septum defect
33684	C	Repair heart septum defect
33688	C	Repair heart septum defect
33690	C	Reinforce pulmonary artery
33692	C	Repair of heart defects
33694	C	Repair of heart defects
33697	C	Repair of heart defects
33702	C	Repair of heart defects
33710	C	Repair of heart defects
33720	C	Repair of heart defect
33722	C	Repair of heart defect
33730	C	Repair heart-vein defect(s)
33732	C	Repair heart-vein defect
33735	C	Revision of heart chamber
33736	C	Revision of heart chamber
33737	C	Revision of heart chamber
33750	C	Major vessel shunt
33755	C	Major vessel shunt
33762	C	Major vessel shunt
33764	C	Major vessel shunt & graft
33766	C	Major vessel shunt
33767	C	Major vessel shunt
33770	C	Repair great vessels defect
33771	C	Repair great vessels defect
33774	C	Repair great vessels defect
33775	C	Repair great vessels defect
33776	C	Repair great vessels defect
33777	C	Repair great vessels defect
33778	C	Repair great vessels defect
33779	C	Repair great vessels defect
33780	C	Repair great vessels defect
33781	C	Repair great vessels defect
33786	C	Repair arterial trunk
33788	C	Revision of pulmonary artery
33800	C	Aortic suspension
33802	C	Repair vessel defect
33803	C	Repair vessel defect
33813	C	Repair septal defect
33814	C	Repair septal defect
33820	C	Revise major vessel
33822	C	Revise major vessel
33824	C	Revise major vessel
33840	C	Remove aorta constriction
33845	C	Remove aorta constriction
33851	C	Remove aorta constriction
33852	C	Repair septal defect
33853	C	Repair septal defect
33860	C	Ascending aortic graft
33861	C	Ascending aortic graft
33863	C	Ascending aortic graft
33870	C	Transverse aortic arch graft
33875	C	Thoracic aortic graft
33877	C	Thoracoabdominal graft
33910	C	Remove lung artery emboli
33915	C	Remove lung artery emboli
33916	C	Surgery of great vessel
33917	C	Repair pulmonary artery
33918	C	Repair pulmonary atresia
33919	C	Repair pulmonary atresia
33920	C	Repair pulmonary atresia
33922	C	Transect pulmonary artery
33924	C	Remove pulmonary shunt
33930	C	Removal of donor heart/lung
33935	C	Transplantation, heart/lung
33940	C	Removal of donor heart
33945	C	Transplantation of heart
33960	C	External circulation assist
33961	C	External circulation assist
33968	C	Remove aortic assist device
33970	C	Aortic circulation assist
33971	C	Aortic circulation assist
33973	C	Insert balloon device
33974	C	Remove intra-aortic balloon
33975	C	Implant ventricular device
33976	C	Implant ventricular device
33977	C	Remove ventricular device
33978	C	Remove ventricular device
34001	C	Removal of artery clot
34051	C	Removal of artery clot
34151	C	Removal of artery clot
34401	C	Removal of vein clot
34451	C	Removal of vein clot
34502	C	Reconstruct vena cava
34800	C	Endovasc abdo repair w/tube
34802	C	Endovasc abdo repr w/device
34804	C	Endovasc abdo repr w/device
34808	C	Endovasc abdo occlud device
34812	C	Xpose for endoprosth, aortic
34813	C	Xpose for endoprosth, femorl
34820	C	Xpose for endoprosth, iliac
34825	C	Endovasc extend prosth, init
34826	C	Endovasc exten prosth, addl
34830	C	Open aortic tube prosth repr
34831	C	Open aortoiliac prosth repr
34832	C	Open aortofemor prosth repr
35001	C	Repair defect of artery
35002	C	Repair artery rupture, neck
35005	C	Repair defect of artery
35013	C	Repair artery rupture, arm
35021	C	Repair defect of artery
35022	C	Repair artery rupture, chest
35045	C	Repair defect of arm artery
35081	C	Repair defect of artery
35082	C	Repair artery rupture, aorta
35091	C	Repair defect of artery
35092	C	Repair artery rupture, aorta
35102	C	Repair defect of artery
35103	C	Repair artery rupture, groin
35111	C	Repair defect of artery
35112	C	Repair artery rupture,spleen
35121	C	Repair defect of artery
35122	C	Repair artery rupture, belly
35131	C	Repair defect of artery
35132	C	Repair artery rupture, groin
35141	C	Repair defect of artery
35142	C	Repair artery rupture, thigh
35151	C	Repair defect of artery
35152	C	Repair artery rupture, knee
35161	C	Repair defect of artery
35162	C	Repair artery rupture
35182	C	Repair blood vessel lesion
35189	C	Repair blood vessel lesion
35211	C	Repair blood vessel lesion
35216	C	Repair blood vessel lesion
35221	C	Repair blood vessel lesion
35241	C	Repair blood vessel lesion
35246	C	Repair blood vessel lesion
35251	C	Repair blood vessel lesion
35271	C	Repair blood vessel lesion
35276	C	Repair blood vessel lesion
35281	C	Repair blood vessel lesion
35301	C	Rechanneling of artery
35311	C	Rechanneling of artery
35331	C	Rechanneling of artery
35341	C	Rechanneling of artery
35351	C	Rechanneling of artery
35355	C	Rechanneling of artery
35361	C	Rechanneling of artery
35363	C	Rechanneling of artery
35371	C	Rechanneling of artery
35372	C	Rechanneling of artery
35381	C	Rechanneling of artery
35390	C	Reoperation, carotid add-on
35400	C	Angioscopy
35450	C	Repair arterial blockage
35452	C	Repair arterial blockage
35454	C	Repair arterial blockage
35456	C	Repair arterial blockage
35480	C	Atherectomy, open
35482	C	Atherectomy, open
35483	C	Atherectomy, open
35501	C	Artery bypass graft
35506	C	Artery bypass graft
35507	C	Artery bypass graft
35508	C	Artery bypass graft
35509	C	Artery bypass graft
35511	C	Artery bypass graft
35515	C	Artery bypass graft
35516	C	Artery bypass graft
35518	C	Artery bypass graft
35521	C	Artery bypass graft
35526	C	Artery bypass graft
35531	C	Artery bypass graft
35533	C	Artery bypass graft
35536	C	Artery bypass graft
35541	C	Artery bypass graft
35546	C	Artery bypass graft
35548	C	Artery bypass graft
35549	C	Artery bypass graft
35551	C	Artery bypass graft
35556	C	Artery bypass graft
35558	C	Artery bypass graft
35560	C	Artery bypass graft
35563	C	Artery bypass graft
35565	C	Artery bypass graft
35566	C	Artery bypass graft
35571	C	Artery bypass graft
35582	C	Vein bypass graft
35583	C	Vein bypass graft
35585	C	Vein bypass graft
35587	C	Vein bypass graft
35600	C	Harvest artery for cabg
35601	C	Artery bypass graft
35606	C	Artery bypass graft
35612	C	Artery bypass graft
35616	C	Artery bypass graft
35621	C	Artery bypass graft
35623	C	Bypass graft, not vein
35626	C	Artery bypass graft
35631	C	Artery bypass graft
35636	C	Artery bypass graft
35641	C	Artery bypass graft
35642	C	Artery bypass graft
35645	C	Artery bypass graft
35646	C	Artery bypass graft
35650	C	Artery bypass graft
35651	C	Artery bypass graft
35654	C	Artery bypass graft
35656	C	Artery bypass graft
35661	C	Artery bypass graft
35663	C	Artery bypass graft
35665	C	Artery bypass graft
35666	C	Artery bypass graft
35671	C	Artery bypass graft
35681	C	Composite bypass graft
35682	C	Composite bypass graft
35683	C	Composite bypass graft
35691	C	Arterial transposition
35693	C	Arterial transposition
35694	C	Arterial transposition
35695	C	Arterial transposition
35700	C	Reoperation, bypass graft
35701	C	Exploration, carotid artery
35721	C	Exploration, femoral artery
35741	C	Exploration popliteal artery
35800	C	Explore neck vessels
35820	C	Explore chest vessels
35840	C	Explore abdominal vessels
35870	C	Repair vessel graft defect
35901	C	Excision, graft, neck
35905	C	Excision, graft, thorax
35907	C	Excision, graft, abdomen
36510	C	Insertion of catheter, vein
36660	C	Insertion catheter, artery
36822	C	Insertion of cannula(s)
36823	C	Insertion of cannula(s)
37140	C	Revision of circulation
37145	C	Revision of circulation
37160	C	Revision of circulation
37180	C	Revision of circulation
37181	C	Splice spleen/kidney veins
37195	C	Thrombolytic therapy, stroke
37616	C	Ligation of chest artery
37617	C	Ligation of abdomen artery
37618	C	Ligation of extremity artery
37660	C	Revision of major vein
37788	C	Revascularization, penis
38100	C	Removal of spleen, total
38101	C	Removal of spleen, partial
38102	C	Removal of spleen, total
38115	C	Repair of ruptured spleen
38380	C	Thoracic duct procedure
38381	C	Thoracic duct procedure
38382	C	Thoracic duct procedure
38562	C	Removal, pelvic lymph nodes
38564	C	Removal, abdomen lymph nodes
38700	C	Removal of lymph nodes, neck
38724	C	Removal of lymph nodes, neck
38746	C	Remove thoracic lymph nodes
38747	C	Remove abdominal lymph nodes
38765	C	Remove groin lymph nodes
38770	C	Remove pelvis lymph nodes
38780	C	Remove abdomen lymph nodes
39000	C	Exploration of chest
39010	C	Exploration of chest
39200	C	Removal chest lesion
39220	C	Removal chest lesion
39499	C	Chest procedure
39501	C	Repair diaphragm laceration
39502	C	Repair paraesophageal hernia
39503	C	Repair of diaphragm hernia
39520	C	Repair of diaphragm hernia
39530	C	Repair of diaphragm hernia
39531	C	Repair of diaphragm hernia
39540	C	Repair of diaphragm hernia
39541	C	Repair of diaphragm hernia
39545	C	Revision of diaphragm
39560	C	Resect diaphragm, simple
39561	C	Resect diaphragm, complex
39599	C	Diaphragm surgery procedure
41130	C	Partial removal of tongue
41135	C	Tongue and neck surgery
41140	C	Removal of tongue
41145	C	Tongue removal, neck surgery
41150	C	Tongue, mouth, jaw surgery
41153	C	Tongue, mouth, neck surgery
41155	C	Tongue, jaw, & neck surgery
42426	C	Excise parotid gland/lesion
42842	C	Extensive surgery of throat
42845	C	Extensive surgery of throat
42894	C	Revision of pharyngeal walls
42953	C	Repair throat, esophagus
42961	C	Control throat bleeding
42971	C	Control nose/throat bleeding
43030	C	Throat muscle surgery
43045	C	Incision of esophagus
43100	C	Excision of esophagus lesion
43101	C	Excision of esophagus lesion
43107	C	Removal of esophagus
43108	C	Removal of esophagus
43112	C	Removal of esophagus
43113	C	Removal of esophagus
43116	C	Partial removal of esophagus
43117	C	Partial removal of esophagus
43118	C	Partial removal of esophagus
43121	C	Partial removal of esophagus
43122	C	Parital removal of esophagus
43123	C	Partial removal of esophagus
43124	C	Removal of esophagus
43135	C	Removal of esophagus pouch
43300	C	Repair of esophagus
43305	C	Repair esophagus and fistula
43310	C	Repair of esophagus
43312	C	Repair esophagus and fistula
43320	C	Fuse esophagus & stomach
43324	C	Revise esophagus & stomach
43325	C	Revise esophagus & stomach
43326	C	Revise esophagus & stomach
43330	C	Repair of esophagus
43331	C	Repair of esophagus
43340	C	Fuse esophagus & intestine
43341	C	Fuse esophagus & intestine
43350	C	Surgical opening, esophagus
43351	C	Surgical opening, esophagus
43352	C	Surgical opening, esophagus
43360	C	Gastrointestinal repair
43361	C	Gastrointestinal repair
43400	C	Ligate esophagus veins
43401	C	Esophagus surgery for veins
43405	C	Ligate/staple esophagus
43410	C	Repair esophagus wound
43415	C	Repair esophagus wound
43420	C	Repair esophagus opening
43425	C	Repair esophagus opening
43460	C	Pressure treatment esophagus
43496	C	Free jejunum flap, microvasc
43500	C	Surgical opening of stomach
43501	C	Surgical repair of stomach
43502	C	Surgical repair of stomach
43510	C	Surgical opening of stomach
43520	C	Incision of pyloric muscle
43605	C	Biopsy of stomach
43610	C	Excision of stomach lesion
43611	C	Excision of stomach lesion
43620	C	Removal of stomach
43621	C	Removal of stomach
43622	C	Removal of stomach
43631	C	Removal of stomach, partial
43632	C	Removal of stomach, partial
43633	C	Removal of stomach, partial
43634	C	Removal of stomach, partial
43635	C	Removal of stomach, partial
43638	C	Removal of stomach, partial
43639	C	Removal of stomach, partial
43640	C	Vagotomy & pylorus repair
43641	C	Vagotomy & pylorus repair
43800	C	Reconstruction of pylorus
43810	C	Fusion of stomach and bowel
43820	C	Fusion of stomach and bowel
43825	C	Fusion of stomach and bowel
43832	C	Place gastrostomy tube
43840	C	Repair of stomach lesion
43842	C	Gastroplasty for obesity
43843	C	Gastroplasty for obesity
43846	C	Gastric bypass for obesity
43847	C	Gastric bypass for obesity
43848	C	Revision gastroplasty
43850	C	Revise stomach-bowel fusion
43855	C	Revise stomach-bowel fusion
43860	C	Revise stomach-bowel fusion
43865	C	Revise stomach-bowel fusion
43880	C	Repair stomach-bowel fistula
44005	C	Freeing of bowel adhesion
44010	C	Incision of small bowel
44015	C	Insert needle cath bowel
44020	C	Exploration of small bowel
44021	C	Decompress small bowel
44025	C	Incision of large bowel
44050	C	Reduce bowel obstruction
44055	C	Correct malrotation of bowel
44110	C	Excision of bowel lesion(s)
44111	C	Excision of bowel lesion(s)
44120	C	Removal of small intestine
44121	C	Removal of small intestine
44125	C	Removal of small intestine
44130	C	Bowel to bowel fusion
44139	C	Mobilization of colon
44140	C	Partial removal of colon
44141	C	Partial removal of colon
44143	C	Partial removal of colon
44144	C	Partial removal of colon
44145	C	Partial removal of colon
44146	C	Partial removal of colon
44147	C	Partial removal of colon
44150	C	Removal of colon
44151	C	Removal of colon/ileostomy
44152	C	Removal of colon/ileostomy
44153	C	Removal of colon/ileostomy
44155	C	Removal of colon/ileostomy
44156	C	Removal of colon/ileostomy
44160	C	Removal of colon
44202	C	Laparo, resect intestine
44300	C	Open bowel to skin
44310	C	Ileostomy/jejunostomy
44314	C	Revision of ileostomy
44316	C	Devise bowel pouch
44320	C	Colostomy
44322	C	Colostomy with biopsies
44345	C	Revision of colostomy
44346	C	Revision of colostomy
44602	C	Suture, small intestine
44603	C	Suture, small intestine
44604	C	Suture, large intestine
44605	C	Repair of bowel lesion
44615	C	Intestinal stricturoplasty
44620	C	Repair bowel opening
44625	C	Repair bowel opening
44626	C	Repair bowel opening
44640	C	Repair bowel-skin fistula
44650	C	Repair bowel fistula
44660	C	Repair bowel-bladder fistula
44661	C	Repair bowel-bladder fistula
44680	C	Surgical revision, intestine
44700	C	Suspend bowel w/prosthesis
44800	C	Excision of bowel pouch
44820	C	Excision of mesentery lesion
44850	C	Repair of mesentery
44899	C	Bowel surgery procedure
44900	C	Drain app abscess, open
44901	C	Drain app abscess, percut
44950	C	Appendectomy
44955	C	Appendectomy add-on
44960	C	Appendectomy
45110	C	Removal of rectum
45111	C	Partial removal of rectum
45112	C	Removal of rectum
45113	C	Partial proctectomy
45114	C	Partial removal of rectum
45116	C	Partial removal of rectum
45119	C	Remove rectum w/reservoir
45120	C	Removal of rectum
45121	C	Removal of rectum and colon
45123	C	Partial proctectomy
45126	C	Pelvic exenteration
45130	C	Excision of rectal prolapse
45135	C	Excision of rectal prolapse
45540	C	Correct rectal prolapse
45541	C	Correct rectal prolapse
45550	C	Repair rectum/remove sigmoid
45562	C	Exploration/repair of rectum
45563	C	Exploration/repair of rectum
45800	C	Repair rect/bladder fistula
45805	C	Repair fistula w/colostomy
45820	C	Repair rectourethral fistula
45825	C	Repair fistula w/colostomy
46705	C	Repair of anal stricture
46715	C	Repair of anovaginal fistula
46716	C	Repair of anovaginal fistula
46730	C	Construction of absent anus
46735	C	Construction of absent anus
46740	C	Construction of absent anus
46742	C	Repair of imperforated anus
46744	C	Repair of cloacal anomaly
46746	C	Repair of cloacal anomaly
46748	C	Repair of cloacal anomaly
46751	C	Repair of anal sphincter
47001	C	Needle biopsy, liver add-on
47010	C	Open drainage, liver lesion
47011	C	Percut drain, liver lesion
47015	C	Inject/aspirate liver cyst
47100	C	Wedge biopsy of liver
47120	C	Partial removal of liver
47122	C	Extensive removal of liver
47125	C	Partial removal of liver
47130	C	Partial removal of liver
47133	C	Removal of donor liver
47134	C	Partial removal, donor liver
47135	C	Transplantation of liver
47136	C	Transplantation of liver
47300	C	Surgery for liver lesion
47350	C	Repair liver wound
47360	C	Repair liver wound
47361	C	Repair liver wound
47362	C	Repair liver wound
47400	C	Incision of liver duct
47420	C	Incision of bile duct
47425	C	Incision of bile duct
47460	C	Incise bile duct sphincter
47480	C	Incision of gallbladder
47490	C	Incision of gallbladder
47550	C	Bile duct endoscopy add-on
47570	C	Laparo cholecystoenterostomy
47600	C	Removal of gallbladder
47605	C	Removal of gallbladder
47610	C	Removal of gallbladder
47612	C	Removal of gallbladder
47620	C	Removal of gallbladder
47700	C	Exploration of bile ducts
47701	C	Bile duct revision
47711	C	Excision of bile duct tumor
47712	C	Excision of bile duct tumor
47715	C	Excision of bile duct cyst
47716	C	Fusion of bile duct cyst
47720	C	Fuse gallbladder & bowel
47721	C	Fuse upper GI structures
47740	C	Fuse gallbladder & bowel
47741	C	Fuse gallbladder & bowel
47760	C	Fuse bile ducts and bowel
47765	C	Fuse liver ducts & bowel
47780	C	Fuse bile ducts and bowel
47785	C	Fuse bile ducts and bowel
47800	C	Reconstruction of bile ducts
47801	C	Placement, bile duct support
47802	C	Fuse liver duct & intestine
47900	C	Suture bile duct injury
48000	C	Drainage of abdomen
48001	C	Placement of drain, pancreas
48005	C	Resect/debride pancreas
48020	C	Removal of pancreatic stone
48100	C	Biopsy of pancreas
48120	C	Removal of pancreas lesion
48140	C	Partial removal of pancreas
48145	C	Partial removal of pancreas
48146	C	Pancreatectomy
48148	C	Removal of pancreatic duct
48150	C	Partial removal of pancreas
48152	C	Pancreatectomy
48153	C	Pancreatectomy
48154	C	Pancreatectomy
48155	C	Removal of pancreas
48180	C	Fuse pancreas and bowel
48400	C	Injection, intraop add-on
48500	C	Surgery of pancreas cyst
48510	C	Drain pancreatic pseudocyst
48511	C	Drain pancreatic pseudocyst
48520	C	Fuse pancreas cyst and bowel
48540	C	Fuse pancreas cyst and bowel
48545	C	Pancreatorrhaphy
48547	C	Duodenal exclusion
48556	C	Removal, allograft pancreas
49000	C	Exploration of abdomen
49002	C	Reopening of abdomen
49010	C	Exploration behind abdomen
49020	C	Drain abdominal abscess
49021	C	Drain abdominal abscess
49040	C	Drain, open, abdom abscess
49041	C	Drain, percut, abdom abscess
49060	C	Drain, open, retrop abscess
49061	C	Drain, percut, retroper absc
49062	C	Drain to peritoneal cavity
49200	C	Removal of abdominal lesion
49201	C	Removal of abdominal lesion
49215	C	Excise sacral spine tumor
49220	C	Multiple surgery, abdomen
49255	C	Removal of omentum
49425	C	Insert abdomen-venous drain
49428	C	Ligation of shunt
49605	C	Repair umbilical lesion
49606	C	Repair umbilical lesion
49610	C	Repair umbilical lesion
49611	C	Repair umbilical lesion
49900	C	Repair of abdominal wall
49905	C	Omental flap
49906	C	Free omental flap, microvasc
50010	C	Exploration of kidney
50020	C	Renal abscess, open drain
50021	C	Renal abscess, percut drain
50040	C	Drainage of kidney
50045	C	Exploration of kidney
50060	C	Removal of kidney stone
50065	C	Incision of kidney
50070	C	Incision of kidney
50075	C	Removal of kidney stone
50100	C	Revise kidney blood vessels
50120	C	Exploration of kidney
50125	C	Explore and drain kidney
50130	C	Removal of kidney stone
50135	C	Exploration of kidney
50205	C	Biopsy of kidney
50220	C	Removal of kidney
50225	C	Removal of kidney
50230	C	Removal of kidney
50234	C	Removal of kidney & ureter
50236	C	Removal of kidney & ureter
50240	C	Partial removal of kidney
50280	C	Removal of kidney lesion
50290	C	Removal of kidney lesion
50300	C	Removal of donor kidney
50320	C	Removal of donor kidney
50340	C	Removal of kidney
50360	C	Transplantation of kidney
50365	C	Transplantation of kidney
50370	C	Remove transplanted kidney
50380	C	Reimplantation of kidney
50400	C	Revision of kidney/ureter
50405	C	Revision of kidney/ureter
50500	C	Repair of kidney wound
50520	C	Close kidney-skin fistula
50525	C	Repair renal-abdomen fistula
50526	C	Repair renal-abdomen fistula
50540	C	Revision of horseshoe kidney
50545	C	Laparo radical nephrectomy
50546	C	Laparoscopic nephrectomy
50547	C	Laparo removal donor kidney
50548	C	Laparo remove k/ureter
50570	C	Kidney endoscopy
50572	C	Kidney endoscopy
50574	C	Kidney endoscopy & biopsy
50575	C	Kidney endoscopy
50576	C	Kidney endoscopy & treatment
50578	C	Renal endoscopy/radiotracer
50580	C	Kidney endoscopy & treatment
50600	C	Exploration of ureter
50605	C	Insert ureteral support
50610	C	Removal of ureter stone
50620	C	Removal of ureter stone
50630	C	Removal of ureter stone
50650	C	Removal of ureter
50660	C	Removal of ureter
50700	C	Revision of ureter
50715	C	Release of ureter
50722	C	Release of ureter
50725	C	Release/revise ureter
50727	C	Revise ureter
50728	C	Revise ureter
50740	C	Fusion of ureter & kidney
50750	C	Fusion of ureter & kidney
50760	C	Fusion of ureters
50770	C	Splicing of ureters
50780	C	Reimplant ureter in bladder
50782	C	Reimplant ureter in bladder
50783	C	Reimplant ureter in bladder
50785	C	Reimplant ureter in bladder
50800	C	Implant ureter in bowel
50810	C	Fusion of ureter & bowel
50815	C	Urine shunt to bowel
50820	C	Construct bowel bladder
50825	C	Construct bowel bladder
50830	C	Revise urine flow
50840	C	Replace ureter by bowel
50845	C	Appendico-vesicostomy
50860	C	Transplant ureter to skin
50900	C	Repair of ureter
50920	C	Closure ureter/skin fistula
50930	C	Closure ureter/bowel fistula
50940	C	Release of ureter
51060	C	Removal of ureter stone
51525	C	Removal of bladder lesion
51530	C	Removal of bladder lesion
51535	C	Repair of ureter lesion
51550	C	Partial removal of bladder
51555	C	Partial removal of bladder
51565	C	Revise bladder & ureter(s)
51570	C	Removal of bladder
51575	C	Removal of bladder & nodes
51580	C	Remove bladder/revise tract
51585	C	Removal of bladder & nodes
51590	C	Remove bladder/revise tract
51595	C	Remove bladder/revise tract
51596	C	Remove bladder/create pouch
51597	C	Removal of pelvic structures
51800	C	Revision of bladder/urethra
51820	C	Revision of urinary tract
51840	C	Attach bladder/urethra
51841	C	Attach bladder/urethra
51845	C	Repair bladder neck
51860	C	Repair of bladder wound
51865	C	Repair of bladder wound
51900	C	Repair bladder/vagina lesion
51920	C	Close bladder-uterus fistula
51925	C	Hysterectomy/bladder repair
51940	C	Correction of bladder defect
51960	C	Revision of bladder & bowel
51980	C	Construct bladder opening
53085	C	Drainage of urinary leakage
53415	C	Reconstruction of urethra
53443	C	Reconstruction of urethra
54125	C	Removal of penis
54130	C	Remove penis & nodes
54135	C	Remove penis & nodes
54332	C	Revise penis/urethra
54336	C	Revise penis/urethra
54390	C	Repair penis and bladder
54430	C	Revision of penis
54535	C	Extensive testis surgery
54560	C	Exploration for testis
54650	C	Orchiopexy (fowler-stephens)
55600	C	Incise sperm duct pouch
55605	C	Incise sperm duct pouch
55650	C	Remove sperm duct pouch
55801	C	Removal of prostate
55810	C	Extensive prostate surgery
55812	C	Extensive prostate surgery
55815	C	Extensive prostate surgery
55821	C	Removal of prostate
55831	C	Removal of prostate
55840	C	Extensive prostate surgery
55842	C	Extensive prostate surgery
55845	C	Extensive prostate surgery
55862	C	Extensive prostate surgery
55865	C	Extensive prostate surgery
56630	C	Extensive vulva surgery
56631	C	Extensive vulva surgery
56632	C	Extensive vulva surgery
56633	C	Extensive vulva surgery
56634	C	Extensive vulva surgery
56637	C	Extensive vulva surgery
56640	C	Extensive vulva surgery
57110	C	Remove vagina wall, complete
57111	C	Remove vagina tissue, compl
57112	C	Vaginectomy w/nodes, compl
57270	C	Repair of bowel pouch
57280	C	Suspension of vagina
57282	C	Repair of vaginal prolapse
57292	C	Construct vagina with graft
57305	C	Repair rectum-vagina fistula
57307	C	Fistula repair & colostomy
57308	C	Fistula repair, transperine
57311	C	Repair urethrovaginal lesion
57335	C	Repair vagina
57531	C	Removal of cervix, radical
57540	C	Removal of residual cervix
57545	C	Remove cervix/repair pelvis
58140	C	Removal of uterus lesion
58150	C	Total hysterectomy
58152	C	Total hysterectomy
58180	C	Partial hysterectomy
58200	C	Extensive hysterectomy
58210	C	Extensive hysterectomy
58240	C	Removal of pelvis contents
58260	C	Vaginal hysterectomy
58262	C	Vaginal hysterectomy
58263	C	Vaginal hysterectomy
58267	C	Hysterectomy & vagina repair
58270	C	Hysterectomy & vagina repair
58275	C	Hysterectomy/revise vagina
58280	C	Hysterectomy/revise vagina
58285	C	Extensive hysterectomy
58400	C	Suspension of uterus
58410	C	Suspension of uterus
58520	C	Repair of ruptured uterus
58540	C	Revision of uterus
58605	C	Division of fallopian tube
58611	C	Ligate oviduct(s) add-on
58700	C	Removal of fallopian tube
58720	C	Removal of ovary/tube(s)
58740	C	Revise fallopian tube(s)
58750	C	Repair oviduct
58752	C	Revise ovarian tube(s)
58760	C	Remove tubal obstruction
58770	C	Create new tubal opening
58805	C	Drainage of ovarian cyst(s)
58822	C	Drain ovary abscess, percut
58823	C	Drain pelvic abscess, percut
58825	C	Transposition, ovary(s)
58940	C	Removal of ovary(s)
58943	C	Removal of ovary(s)
58950	C	Resect ovarian malignancy
58951	C	Resect ovarian malignancy
58952	C	Resect ovarian malignancy
58960	C	Exploration of abdomen
59100	C	Remove uterus lesion
59120	C	Treat ectopic pregnancy
59121	C	Treat ectopic pregnancy
59130	C	Treat ectopic pregnancy
59135	C	Treat ectopic pregnancy
59136	C	Treat ectopic pregnancy
59140	C	Treat ectopic pregnancy
59325	C	Revision of cervix
59350	C	Repair of uterus
59514	C	Cesarean delivery only
59525	C	Remove uterus after cesarean
59620	C	Attempted vbac delivery only
59830	C	Treat uterus infection
59850	C	Abortion
59851	C	Abortion
59852	C	Abortion
59855	C	Abortion
59856	C	Abortion
59857	C	Abortion
60254	C	Extensive thyroid surgery
60270	C	Removal of thyroid
60271	C	Removal of thyroid
60502	C	Re-explore parathyroids
60505	C	Explore parathyroid glands
60520	C	Removal of thymus gland
60521	C	Removal of thymus gland
60522	C	Removal of thymus gland
60540	C	Explore adrenal gland
60545	C	Explore adrenal gland
60600	C	Remove carotid body lesion
60605	C	Remove carotid body lesion
60650	C	Laparoscopy adrenalectomy
61105	C	Twist drill hole
61107	C	Drill skull for implantation
61108	C	Drill skull for drainage
61120	C	Burr hole for puncture
61140	C	Pierce skull for biopsy
61150	C	Pierce skull for drainage
61151	C	Pierce skull for drainage
61154	C	Pierce skull & remove clot
61156	C	Pierce skull for drainage
61210	C	Pierce skull, implant device
61250	C	Pierce skull & explore
61253	C	Pierce skull & explore
61304	C	Open skull for exploration
61305	C	Open skull for exploration
61312	C	Open skull for drainage
61313	C	Open skull for drainage
61314	C	Open skull for drainage
61315	C	Open skull for drainage
61320	C	Open skull for drainage
61321	C	Open skull for drainage
61332	C	Explore/biopsy eye socket
61333	C	Explore orbit/remove lesion
61334	C	Explore orbit/remove object
61340	C	Relieve cranial pressure
61343	C	Incise skull (press relief)
61345	C	Relieve cranial pressure
61440	C	Incise skull for surgery
61450	C	Incise skull for surgery
61458	C	Incise skull for brain wound
61460	C	Incise skull for surgery
61470	C	Incise skull for surgery
61480	C	Incise skull for surgery
61490	C	Incise skull for surgery
61500	C	Removal of skull lesion
61501	C	Remove infected skull bone
61510	C	Removal of brain lesion
61512	C	Remove brain lining lesion
61514	C	Removal of brain abscess
61516	C	Removal of brain lesion
61518	C	Removal of brain lesion
61519	C	Remove brain lining lesion
61520	C	Removal of brain lesion
61521	C	Removal of brain lesion
61522	C	Removal of brain abscess
61524	C	Removal of brain lesion
61526	C	Removal of brain lesion
61530	C	Removal of brain lesion
61531	C	Implant brain electrodes
61533	C	Implant brain electrodes
61534	C	Removal of brain lesion
61535	C	Remove brain electrodes
61536	C	Removal of brain lesion
61538	C	Removal of brain tissue
61539	C	Removal of brain tissue
61541	C	Incision of brain tissue
61542	C	Removal of brain tissue
61543	C	Removal of brain tissue
61544	C	Remove & treat brain lesion
61545	C	Excision of brain tumor
61546	C	Removal of pituitary gland
61548	C	Removal of pituitary gland
61550	C	Release of skull seams
61552	C	Release of skull seams
61556	C	Incise skull/sutures
61557	C	Incise skull/sutures
61558	C	Excision of skull/sutures
61559	C	Excision of skull/sutures
61563	C	Excision of skull tumor
61564	C	Excision of skull tumor
61570	C	Remove foreign body, brain
61571	C	Incise skull for brain wound
61575	C	Skull base/brainstem surgery
61576	C	Skull base/brainstem surgery
61580	C	Craniofacial approach, skull
61581	C	Craniofacial approach, skull
61582	C	Craniofacial approach, skull
61583	C	Craniofacial approach, skull
61584	C	Orbitocranial approach/skull
61585	C	Orbitocranial approach/skull
61586	C	Resect nasopharynx, skull
61590	C	Infratemporal approach/skull
61591	C	Infratemporal approach/skull
61592	C	Orbitocranial approach/skull
61595	C	Transtemporal approach/skull
61596	C	Transcochlear approach/skull
61597	C	Transcondylar approach/skull
61598	C	Transpetrosal approach/skull
61600	C	Resect/excise cranial lesion
61601	C	Resect/excise cranial lesion
61605	C	Resect/excise cranial lesion
61606	C	Resect/excise cranial lesion
61607	C	Resect/excise cranial lesion
61608	C	Resect/excise cranial lesion
61609	C	Transect artery, sinus
61610	C	Transect artery, sinus
61611	C	Transect artery, sinus
61612	C	Transect artery, sinus
61613	C	Remove aneurysm, sinus
61615	C	Resect/excise lesion, skull
61616	C	Resect/excise lesion, skull
61618	C	Repair dura
61619	C	Repair dura
61624	C	Occlusion/embolization cath
61626	C	Occlusion/embolization cath
61680	C	Intracranial vessel surgery
61682	C	Intracranial vessel surgery
61684	C	Intracranial vessel surgery
61686	C	Intracranial vessel surgery
61690	C	Intracranial vessel surgery
61692	C	Intracranial vessel surgery
61697	C	Brain aneurysm repr, complx
61698	C	Brain aneurysm repr, complx
61700	C	Brain aneurysm repr , simple
61702	C	Inner skull vessel surgery
61703	C	Clamp neck artery
61705	C	Revise circulation to head
61708	C	Revise circulation to head
61710	C	Revise circulation to head
61711	C	Fusion of skull arteries
61720	C	Incise skull/brain surgery
61735	C	Incise skull/brain surgery
61750	C	Incise skull/brain biopsy
61751	C	Brain biopsy w/ ct/mr guide
61760	C	Implant brain electrodes
61770	C	Incise skull for treatment
61791	C	Treat trigeminal tract
61850	C	Implant neuroelectrodes
61860	C	Implant neuroelectrodes
61862	C	Implant neurostimul, subcort
61870	C	Implant neuroelectrodes
61875	C	Implant neuroelectrodes
62000	C	Treat skull fracture
62005	C	Treat skull fracture
62010	C	Treatment of head injury
62100	C	Repair brain fluid leakage
62115	C	Reduction of skull defect
62116	C	Reduction of skull defect
62117	C	Reduction of skull defect
62120	C	Repair skull cavity lesion
62121	C	Incise skull repair
62140	C	Repair of skull defect
62141	C	Repair of skull defect
62142	C	Remove skull plate/flap
62143	C	Replace skull plate/flap
62145	C	Repair of skull & brain
62146	C	Repair of skull with graft
62147	C	Repair of skull with graft
62180	C	Establish brain cavity shunt
62190	C	Establish brain cavity shunt
62192	C	Establish brain cavity shunt
62200	C	Establish brain cavity shunt
62201	C	Establish brain cavity shunt
62220	C	Establish brain cavity shunt
62223	C	Establish brain cavity shunt
62256	C	Remove brain cavity shunt
62258	C	Replace brain cavity shunt
62351	C	Implant spinal canal cath
63043	C	Laminotomy, addl cervical
63044	C	Laminotomy, addl lumbar
63075	C	Neck spine disk surgery
63076	C	Neck spine disk surgery
63077	C	Spine disk surgery, thorax
63078	C	Spine disk surgery, thorax
63081	C	Removal of vertebral body
63082	C	Remove vertebral body add-on
63085	C	Removal of vertebral body
63086	C	Remove vertebral body add-on
63087	C	Removal of vertebral body
63088	C	Remove vertebral body add-on
63090	C	Removal of vertebral body
63091	C	Remove vertebral body add-on
63170	C	Incise spinal cord tract(s)
63172	C	Drainage of spinal cyst
63173	C	Drainage of spinal cyst
63180	C	Revise spinal cord ligaments
63182	C	Revise spinal cord ligaments
63185	C	Incise spinal column/nerves
63190	C	Incise spinal column/nerves
63191	C	Incise spinal column/nerves
63194	C	Incise spinal column & cord
63195	C	Incise spinal column & cord
63196	C	Incise spinal column & cord
63197	C	Incise spinal column & cord
63198	C	Incise spinal column & cord
63199	C	Incise spinal column & cord
63200	C	Release of spinal cord
63250	C	Revise spinal cord vessels
63251	C	Revise spinal cord vessels
63252	C	Revise spinal cord vessels
63265	C	Excise intraspinal lesion
63266	C	Excise intraspinal lesion
63267	C	Excise intraspinal lesion
63268	C	Excise intraspinal lesion
63270	C	Excise intraspinal lesion
63271	C	Excise intraspinal lesion
63272	C	Excise intraspinal lesion
63273	C	Excise intraspinal lesion
63275	C	Biopsy/excise spinal tumor
63276	C	Biopsy/excise spinal tumor
63277	C	Biopsy/excise spinal tumor
63278	C	Biopsy/excise spinal tumor
63280	C	Biopsy/excise spinal tumor
63281	C	Biopsy/excise spinal tumor
63282	C	Biopsy/excise spinal tumor
63283	C	Biopsy/excise spinal tumor
63285	C	Biopsy/excise spinal tumor
63286	C	Biopsy/excise spinal tumor
63287	C	Biopsy/excise spinal tumor
63290	C	Biopsy/excise spinal tumor
63300	C	Removal of vertebral body
63301	C	Removal of vertebral body
63302	C	Removal of vertebral body
63303	C	Removal of vertebral body
63304	C	Removal of vertebral body
63305	C	Removal of vertebral body
63306	C	Removal of vertebral body
63307	C	Removal of vertebral body
63308	C	Remove vertebral body add-on
63655	C	Implant neuroelectrodes
63700	C	Repair of spinal herniation
63702	C	Repair of spinal herniation
63704	C	Repair of spinal herniation
63706	C	Repair of spinal herniation
63707	C	Repair spinal fluid leakage
63709	C	Repair spinal fluid leakage
63710	C	Graft repair of spine defect
63740	C	Install spinal shunt
64752	C	Incision of vagus nerve
64755	C	Incision of stomach nerves
64760	C	Incision of vagus nerve
64763	C	Incise hip/thigh nerve
64766	C	Incise hip/thigh nerve
64802	C	Remove sympathetic nerves
64804	C	Remove sympathetic nerves
64809	C	Remove sympathetic nerves
64818	C	Remove sympathetic nerves
64820	C	Remove sympathetic nerves
64866	C	Fusion of facial/other nerve
64868	C	Fusion of facial/other nerve
65273	C	Repair of eye wound
69150	C	Extensive ear canal surgery
69155	C	Extensive ear/neck surgery
69502	C	Mastoidectomy
69535	C	Remove part of temporal bone
69554	C	Remove ear lesion
69950	C	Incise inner ear nerve
69970	C	Remove inner ear lesion
75900	C	Arterial catheter exchange
75952	C	Endovasc repair abdom aorta
75953	C	Abdom aneurysm endovas rpr
92970	C	Cardioassist, internal
92971	C	Cardioassist, external
92975	C	Dissolve clot, heart vessel
92986	C	Revision of aortic valve
92987	C	Revision of mitral valve
92990	C	Revision of pulmonary valve
92992	C	Revision of heart chamber
92993	C	Revision of heart chamber
92997	C	Pul art balloon repr, percut
92998	C	Pul art balloon repr, percut
94652	C	Pressure breathing (ippb)
99190	C	Special pump services
99191	C	Special pump services
99192	C	Special pump services
99251	C	Initial inpatient consult
99252	C	Initial inpatient consult
99253	C	Initial inpatient consult
99254	C	Initial inpatient consult
99255	C	Initial inpatient consult
99261	C	Follow-up inpatient consult
99262	C	Follow-up inpatient consult
99263	C	Follow-up inpatient consult
99295	C	Neonatal critical care
99296	C	Neonatal critical care
99297	C	Neonatal critical care
99298	C	Neonatal critical care
99356	C	Prolonged service, inpatient
99357	C	Prolonged service, inpatient
99433	C	Normal newborn care/hospital
CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
Copyright American Dental Association. All rights reserved.

     

 

Addendum H.—Wage Index for Urban Areas

Urban area (constituent counties)	Wage index
0040 Abilene, TX	0.8118
Taylor, TX
0060 Aguadilla, PR	0.4738
Aguada, PR
Aguadilla, PR
Moca, PR
0080 Akron, OH	0.9924
Portage, OH
Summit, OH
0120 Albany, GA	1.0675
Dougherty, GA
Lee, GA
0160 Albany-Schenectady-Troy, NY	0.8597
Albany, NY
Montgomery, NY
Rensselaer, NY
Saratoga, NY
Schenectady, NY
Schoharie, NY
0200 Albuquerque, NM	0.9855
Bernalillo, NM
Sandoval, NM
Valencia, NM
0220 Alexandria, LA	0.8137
Rapides, LA
0240 Allentown-Bethlehem-Easton, PA	0.9443
Carbon, PA
Lehigh, PA
Northampton, PA
0280 Altoona, PA	0.9225
Blair, PA
0320 Amarillo, TX	0.8706
Potter, TX
Randall, TX
0380 Anchorage, AK	1.2605
Anchorage, AK
0440 Ann Arbor, MI	1.1220
Lenawee, MI
Livingston, MI
Washtenaw, MI
0450 Anniston, AL	0.8360
Calhoun, AL
0460 Appleton-Oshkosh-Neenah, WI	0.9203
Calumet, WI
Outagamie, WI
Winnebago, WI
0470 Arecibo, PR	0.4683
Arecibo, PR
Camuy, PR
Hatillo, PR
0480 Asheville, NC	0.9307
Buncombe, NC
Madison, NC
0500 Athens, GA	0.9956
Clarke, GA
Madison, GA
Oconee, GA
0520 1 Atlanta, GA	1.0176
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-Cape May, NJ	1.1349
Atlantic, NJ
Cape May, NJ
0580 Auburn-Opelika, AL	0.8325
Lee, AL
0600 Augusta-Aiken, GA-SC	1.0090
Columbia, GA
McDuffie, GA
Richmond, GA
Aiken, SC
Edgefield, SC
0640 1 Austin-San Marcos, TX	0.9327
Bastrop, TX
Caldwell, TX
Hays, TX
Travis, TX
Williamson, TX
0680 2 Bakersfield, CA	0.9870
Kern, CA
0720 1 Baltimore, MD	0.9723
Anne Arundel, MD
Baltimore, MD
Baltimore City, MD
Carroll, MD
Harford, MD
Howard, MD
Queen Anne's, MD
0733 Bangor, ME	0.9559
Penobscot, ME
0743 Barnstable-Yarmouth, MA	1.3539
Barnstable, MA
0760 Baton Rouge, LA	0.8258
Ascension, LA
East Baton Rouge, LA
Livingston, LA
West Baton Rouge, LA
0840 Beaumont-Port Arthur, TX	0.8508
Hardin, TX
Jefferson, TX
Orange, TX
0860 Bellingham, WA	1.1963
Whatcom, WA
0870 2 Benton Harbor, MI	0.9115
Berrien, MI
0875 1 Bergen-Passaic, NJ	1.1669
Bergen, NJ
Passaic, NJ
0880 Billings, MT	0.9623
Yellowstone, MT
0920 Biloxi-Gulfport-Pascagoula, MS	0.8538
Hancock, MS
Harrison, MS
Jackson, MS
0960 Binghamton, NY	0.8595
Broome, NY
Tioga, NY
1000 Birmingham, AL	0.8648
Blount, AL
Jefferson, AL
St. Clair, AL
Shelby, AL
1010 2 Bismarck, ND	0.7965
Burleigh, ND
Morton, ND
1020 2 Bloomington, IN	0.8757
Monroe, IN
1040 Bloomington-Normal, IL	0.8545
McLean, IL
1080 Boise City, ID	0.9190
Ada, ID
Canyon, ID
1123 1,2 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH (MA Hospitals)	1.1586
Bristol, MA
Essex, MA
Middlesex, MA
Norfolk, MA
Plymouth, MA
Suffolk, MA
Worcester, MA
Hillsborough, NH
Merrimack, NH
Rockingham, NH
Strafford, NH
1123 1 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH (NH Hospitals)	1.1483
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	0.9836
Boulder, CO
1145 Brazoria, TX	0.8299
Brazoria, TX
1150 Bremerton, WA	1.0882
Kitsap, WA
1240 Brownsville-Harlingen-San Benito, TX	0.8783
Cameron, TX
1260 Bryan-College Station, TX	0.9296
Brazos, TX
1280 1 Buffalo-Niagara Falls, NY	0.9405
Erie, NY
Niagara, NY
1303 Burlington, VT	0.9826
Chittenden, VT
Franklin, VT
Grand Isle, VT
1310 Caguas, PR	0.5158
Caguas, PR
Cayey, PR
Cidra, PR
Gurabo, PR
San Lorenzo, PR
1320 Canton-Massillon, OH	0.9059
Carroll, OH
Stark, OH
1350 Casper, WY	0.9606
Natrona, WY
1360 Cedar Rapids, IA	0.8711
Linn, IA
1400 Champaign-Urbana, IL	0.9264
Champaign, IL
1440 Charleston-North Charleston, SC	0.9293
Berkeley, SC
Charleston, SC
Dorchester, SC
1480 Charleston, WV	0.9369
Kanawha, WV
Putnam, WV
1520 1 Charlotte-Gastonia-Rock Hill, NC-SC	0.9469
Cabarrus, NC
Gaston, NC
Lincoln, NC
Mecklenburg, NC
Rowan, NC
Stanly, NC
Union, NC
York, SC
1540 Charlottesville, VA	1.0688
Albemarle, VA
Charlottesville City, VA
Fluvanna, VA
Greene, VA
1560 Chattanooga, TN-GA	0.9446
Catoosa, GA
Dade, GA
Walker, GA
Hamilton, TN
Marion, TN
1580 2 Cheyenne, WY	0.8855
Laramie, WY
1600 1 Chicago, IL	1.1011
Cook, IL
DeKalb, IL
DuPage, IL
Grundy, IL
Kane, IL
Kendall, IL
Lake, IL
McHenry, IL
Will, IL
1620 Chico-Paradise, CA	0.9909
Butte, CA
1640 1 Cincinnati, OH-KY-IN	0.9574
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	0.8481
Christian, KY
Montgomery, TN
1680 1 Cleveland-Lorain-Elyria, OH	0.9496
Ashtabula, OH
Cuyahoga, OH
Geauga, OH
Lake, OH
Lorain, OH
Medina, OH
1720 Colorado Springs, CO	0.9754
El Paso, CO
1740 Columbia, MO	0.8787
Boone, MO
1760 Columbia, SC	0.9589
Lexington, SC
Richland, SC
1800 Columbus, GA-AL Russell, AL	0.8471
Chattahoochee, GA
Harris, GA
Muscogee, GA
1840 1 Columbus, OH	0.9724
Delaware, OH
Fairfield, OH
Franklin, OH
Licking, OH
Madison, OH
Pickaway, OH
1880 Corpus Christi, TX	0.8203
Nueces, TX
San Patricio, TX
1890 Corvallis, OR	1.1781
Benton, OR
1900 2 Cumberland, MD-WV (MD Hospitals)	0.8962
Allegany, MD
Mineral, WV
1900 Cumberland, MD-WV (WV Hospital)	0.8402
Allegany, MD
Mineral, WV
1920 1 Dallas, TX	0.9506
Collin, TX
Dallas, TX
Denton, TX
Ellis, TX
Henderson, TX
Hunt, TX
Kaufman, TX
Rockwall, TX
1950 Danville, VA	0.8641
Danville City, VA
Pittsylvania, VA
1960 Davenport-Moline-Rock Island, IA-IL	0.8790
Scott, IA
Henry, IL
Rock Island, IL
2000 Dayton-Springfield, OH	0.9323
Clark, OH
Greene, OH
Miami, OH
Montgomery, OH
2020 Daytona Beach, FL	0.9069
Flagler, FL
Volusia, FL
2030 Decatur, AL	0.8817
Lawrence, AL
Morgan, AL
2040 2 Decatur, IL	0.8140
Macon, IL
2080 1 Denver, CO	1.0289
Adams, CO
Arapahoe, CO
Denver, CO
Douglas, CO
Jefferson, CO
2120 Des Moines, IA	0.8881
Dallas, IA
Polk, IA
Warren, IA
2160 1 Detroit, MI	1.0478
Lapeer, MI
Macomb, MI
Monroe, MI
Oakland, MI
St. Clair, MI
Wayne, MI
2180 Dothan, AL	0.8005
Dale, AL
Houston, AL
2190 Dover, DE	1.0453
Kent, DE
2200 Dubuque, IA	0.8617
Dubuque, IA
2240 Duluth-Superior, MN-WI	1.0401
St. Louis, MN
Douglas, WI
2281 Dutchess County, NY	1.0639
Dutchess, NY
2290 2 Eau Claire, WI	0.9121
Chippewa, WI
Eau Claire, WI
2320 El Paso, TX	0.9162
El Paso, TX
2330 Elkhart-Goshen, IN	0.9646
Elkhart, IN
2335 Elmira, NY	0.8530
Chemung, NY
2340 Enid, OK	0.8454
Garfield, OK
2360 Erie, PA	0.8911
Erie, PA
2400 Eugene-Springfield, OR	1.1485
Lane, OR
2440 2 Evansville-Henderson, IN-KY (IN Hospitals)	0.8757
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2440 2 Evansville-Henderson, IN-KY (KY Hospitals)	0.8019
Posey, IN
Vanderburgh, IN
Warrick, IN
Henderson, KY
2520 Fargo-Moorhead, ND-MN	0.9374
Clay, MN
Cass, ND
2560 Fayetteville, NC	0.9132
Cumberland, NC
2580 Fayetteville-Springdale-Rogers, AR	0.7587
Benton, AR
Washington, AR
2620 Flagstaff, AZ-UT	1.0678
Coconino, AZ
Kane, UT
2640 Flint, MI	1.0920
Genesee, MI
2650 Florence, AL	0.7927
Colbert, AL
Lauderdale, AL
2655 Florence, SC	0.8843
Florence, SC
2670 Fort Collins-Loveland, CO	1.0161
Larimer, CO
2680 1 Ft. Lauderdale, FL	1.0906
Broward, FL
2700 Fort Myers-Cape Coral, FL	0.9380
Lee, FL
2710 Fort Pierce-Port St. Lucie, FL	1.0067
Martin, FL
St. Lucie, FL
2720 Fort Smith, AR-OK	0.8076
Crawford, AR
Sebastian, AR
Sequoyah, OK
2750 2 Fort Walton Beach, FL	0.8733
Okaloosa, FL
2760 Fort Wayne, IN	0.9186
Adams, IN
Allen, IN
De Kalb, IN
Huntington, IN
Wells, IN
Whitley, IN
2800 1 Fort Worth-Arlington, TX	0.9452
Hood, TX
Johnson, TX
Parker, TX
Tarrant, TX
2840 Fresno, CA	0.9972
Fresno, CA
Madera, CA
2880 Gadsden, AL	0.8845
Etowah, AL
2900 Gainesville, FL	1.2133
Alachua, FL
2920 Galveston-Texas City, TX	1.0271
Galveston, TX
2960 Gary, IN	0.9571
Lake, IN
Porter, IN
2975 2 Glens Falls, NY	0.8530
Warren, NY
Washington, NY
2980 Goldsboro, NC	0.8810
Wayne, NC
2985 Grand Forks, ND-MN	0.9173
Polk, MN
Grand Forks, ND
2995 Grand Junction, CO	0.9816
Mesa, CO
3000 1 Grand Rapids-Muskegon-Holland, MI	1.0161
Allegan, MI
Kent, MI
Muskegon, MI
Ottawa, MI
3040 Great Falls, MT	0.9301
Cascade, MT
3060 Greeley, CO	0.9604
Weld, CO
3080 Green Bay, WI	0.9440
Brown, WI
3120 1 Greensboro-Winston-Salem-High Point, NC	0.9616
Alamance, NC
Davidson, NC
Davie, NC
Forsyth, NC
Guilford, NC
Randolph, NC
Stokes, NC
Yadkin, NC
3150 Greenville, NC	0.9963
Pitt, NC
3160 Greenville-Spartanburg-Anderson, SC	0.9110
Anderson, SC
Cherokee, SC
Greenville, SC
Pickens, SC
Spartanburg, SC
3180 2 Hagerstown, MD	0.8962
Washington, MD
3200 Hamilton-Middletown, OH	0.9269
Butler, OH
3240 Harrisburg-Lebanon-Carlisle, PA	0.9311
Cumberland, PA
Dauphin, PA
Lebanon, PA
Perry, PA
3283 1, 2 Hartford, CT	1.2357
Hartford, CT
Litchfield, CT
Middlesex, CT
Tolland, CT
3285 2 Hattiesburg, MS	0.7612
Forrest, MS
Lamar, MS
3290 Hickory-Morganton-Lenoir, NC	0.9517
Alexander, NC
Burke, NC
Caldwell, NC
Catawba, NC
3320 Honolulu, HI	1.1658
Honolulu, HI
3350 Houma, LA	0.8043
Lafourche, LA
Terrebonne, LA
3360 1 Houston, TX	0.9604
Chambers, TX
Fort Bend, TX
Harris, TX
Liberty, TX
Montgomery, TX
Waller, TX
3400 Huntington-Ashland, WV-KY-OH	0.9700
Boyd, KY
Carter, KY
Greenup, KY
Lawrence, OH
Cabell, WV
Wayne, WV
3440 Huntsville, AL	0.8854
Limestone, AL
Madison, AL
3480 1 Indianapolis, IN	0.9771
Boone, IN
Hamilton, IN
Hancock, IN
Hendricks, IN
Johnson, IN
Madison, IN
Marion, IN
Morgan, IN
Shelby, IN
3500 Iowa City, IA	0.9973
Johnson, IA
3520 Jackson, MI	0.9387
Jackson, MI
3560 Jackson, MS	0.8589
Hinds, MS
Madison, MS
Rankin, MS
3580 Jackson, TN	0.9117
Madison, TN
Chester, TN
3600 1 Jacksonville, FL	0.9040
Clay, FL
Duval, FL
Nassau, FL
St. Johns, FL
3605 2 Jacksonville, NC	0.8632
Onslow, NC
3610 2 Jamestown, NY	0.8530
Chautauqua, NY
3620 Janesville-Beloit, WI	0.9840
Rock, WI
3640 Jersey City, NJ	1.1216
Hudson, NJ
3660 Johnson City-Kingsport-Bristol, TN-VA	0.8540
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3680 Johnstown, PA	0.8959
Cambria, PA
Somerset, PA
3700 Jonesboro, AR	0.8523
Craighead, AR
3710 Joplin, MO	0.8736
Jasper, MO
Newton, MO
3720 Kalamazoo-Battlecreek, MI	1.0696
Calhoun, MI
Kalamazoo, MI
Van Buren, MI
3740 Kankakee, IL	0.9268
Kankakee, IL
3760 1 Kansas City, KS-MO	0.9430
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	0.9678
Kenosha, WI
3810 2 Killeen-Temple, TX	0.7673
Bell, TX
Coryell, TX
3840 Knoxville, TN	0.8904
Anderson, TN
Blount, TN
Knox, TN
Loudon, TN
Sevier, TN
Union, TN
3850 Kokomo, IN	0.9290
Howard, IN
Tipton, IN
3870 La Crosse, WI-MN	0.9328
Houston, MN
La Crosse, WI
3880 Lafayette, LA	0.8600
Acadia, LA
Lafayette, LA
St. Landry, LA
St. Martin, LA
3920 Lafayette, IN	0.9165
Clinton, IN
Tippecanoe, IN
3960 Lake Charles, LA	0.7810
Calcasieu, LA
3980 Lakeland-Winter Haven, FL	0.9167
Polk, FL
4000 Lancaster, PA	0.9413
Lancaster, PA
4040 Lansing-East Lansing, MI	0.9653
Clinton, MI
Eaton, MI
Ingham, MI
4080 Laredo, TX	0.7877
Webb, TX
4100 2 Las Cruces, NM	0.8835
Dona Ana, NM
4120 1 Las Vegas, NV-AZ	1.1238
Mohave, AZ
Clark, NV
Nye, NV
4150 Lawrence, KS	0.8756
Douglas, KS
4200 Lawton, OK	0.8783
Comanche, OK
4243 Lewiston-Auburn, ME	0.9451
Androscoggin, ME
4280 Lexington, KY	0.8850
Bourbon, KY
Clark, KY
Fayette, KY
Jessamine, KY
Madison, KY
Scott, KY
Woodford, KY
4320 Lima, OH	0.9558
Allen, OH
Auglaize, OH
4360 Lincoln, NE	1.0272
Lancaster, NE
4400 Little Rock-North Little Rock, AR	0.9053
Faulkner, AR
Lonoke, AR
Pulaski, AR
Saline, AR
4420 Longview-Marshall, TX	0.8439
Gregg, TX
Harrison, TX
Upshur, TX
4480 1 Los Angeles-Long Beach, CA	1.2071
Los Angeles, CA
4520 1 Louisville, KY-IN	0.9596
Clark, IN
Floyd, IN
Harrison, IN
Scott, IN
Bullitt, KY
Jefferson, KY
Oldham, KY
4600 Lubbock, TX	0.8547
Lubbock, TX
4640 Lynchburg, VA	0.9208
Amherst, VA
Bedford, VA
Bedford City, VA
Campbell, VA
Lynchburg City, VA
4680 Macon, GA	0.9077
Bibb, GA
Houston, GA
Jones, GA
Peach, GA
Twiggs, GA
4720 Madison, WI	1.0462
Dane, WI
4800 Mansfield, OH	0.8827
Crawford, OH
Richland, OH
4840 Mayaguez, PR	0.4917
Anasco, PR
Cabo Rojo, PR
Hormigueros, PR
Mayaguez, PR
Sabana Grande, PR
San German, PR
4880 McAllen-Edinburg-Mission, TX	0.8433
Hidalgo, TX
4890 Medford-Ashland, OR	1.0433
Jackson, OR
4900 Melbourne-Titusville-Palm Bay, FL	0.9883
Brevard, FL
4920 1 Memphis, TN-AR-MS	0.9435
Crittenden, AR
DeSoto, MS
Fayette, TN
Shelby, TN
Tipton, TN
4940 Merced, CA	0.9870
Merced, CA
5000 1 Miami, FL	0.9934
Dade, FL
5015 1 Middlesex-Somerset-Hunterdon, NJ	1.1952
Hunterdon, NJ
Middlesex, NJ
Somerset, NJ
5080 1 Milwaukee-Waukesha, WI	0.9898
Milwaukee, WI
Ozaukee, WI
Washington, WI
Waukesha, WI
5120 1 Minneapolis-St. Paul, MN-WI	1.1000
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
5140 Missoula, MT	0.9453
Missoula, MT
5160 Mobile, AL	0.7766
Baldwin, AL
Mobile, AL
5170 Modesto, CA	1.0945
Stanislaus, CA
5190 1 Monmouth-Ocean, NJ	1.1514
Monmouth, NJ
Ocean, NJ
5200 Monroe, LA	0.8296
Ouachita, LA
5240 Montgomery, AL	0.7502
Autauga, AL
Elmore, AL
Montgomery, AL
5280 Muncie, IN	0.9689
Delaware, IN
5330 Myrtle Beach, SC	0.8855
Horry, SC
5345 Naples, FL	0.9566
Collier, FL
5360 1 Nashville, TN	0.9602
Cheatham, TN
Davidson, TN
Dickson, TN
Robertson, TN
Rutherford, TN
Sumner, TN
Williamson, TN
Wilson, TN
5380 1 Nassau-Suffolk, NY	1.3841
Nassau, NY
Suffolk, NY
5483 1,2 New Haven-Bridgeport-Stamford-Waterbury	1.2357
Danbury, CT
Fairfield, CT
New Haven, CT
5523 2 New London-Norwich, CT	1.2357
New London, CT
5560 1 New Orleans, LA	0.9054
Jefferson, LA
Orleans, LA
Plaquemines, LA
St. Bernard, LA
St. Charles, LA
St. James, LA
St. John The Baptist, LA
St. Tammany, LA
5600 1 New York, NY	1.3923
Bronx, NY
Kings, NY
New York, NY
Putnam, NY
Queens, NY
Richmond, NY
Rockland, NY
Westchester, NY
5640 1 Newark, NJ	1.2004
Essex, NJ
Morris, NJ
Sussex, NJ
Union, NJ
Warren, NJ
5660 Newburgh, NY-PA	1.1235
Orange, NY
Pike, PA
5720 1 Norfolk-Virginia Beach-Newport News, VA-NC	0.8630
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 1 Oakland, CA	1.5416
Alameda, CA
Contra Costa, CA
5790 Ocala, FL	0.9579
Marion, FL
5800 Odessa-Midland, TX	0.9017
Ector, TX
Midland, TX
5880 1 Oklahoma City, OK	0.8728
Canadian, OK
Cleveland, OK
Logan, OK
McClain, OK
Oklahoma, OK
Pottawatomie, OK
5910 Olympia, WA	1.1481
Thurston, WA
5920 Omaha, NE-IA	0.9696
Pottawattamie, IA
Cass, NE
Douglas, NE
Sarpy, NE
Washington, NE
5945 1 Orange County, CA	1.1354
Orange, CA
5960 1 Orlando, FL	0.9464
Lake, FL
Orange, FL
Osceola, FL
Seminole, FL
5990 Owensboro, KY	0.8346
Daviess, KY
6015 Panama City, FL	0.9166
Bay, FL
6020 Parkersburg-Marietta, WV-OH (WV Hospitals)	0.8192
Washington, OH
Wood, WV
6020 2 Parkersburg-Marietta, WV-OH (OH Hospitals)	0.8761
Washington, OH
Wood, WV
6080 2 Pensacola, FL	0.8733
Escambia, FL
Santa Rosa, FL
6120 Peoria-Pekin, IL	0.8883
Peoria, IL
Tazewell, IL
Woodford, IL
6160 1 Philadelphia, PA-NJ	1.0626
Burlington, NJ
Camden, NJ
Gloucester, NJ
Salem, NJ
Bucks, PA
Chester, PA
Delaware, PA
Montgomery, PA
Philadelphia, PA
6200 1 Phoenix-Mesa, AZ	0.9654
Maricopa, AZ
Pinal, AZ
6240 Pine Bluff, AR	0.7837
Jefferson, AR
6280 1 Pittsburgh, PA	0.9714
Allegheny, PA
Beaver, PA
Butler, PA
Fayette, PA
Washington, PA
Westmoreland, PA
6323 2 Pittsfield, MA	1.1586
Berkshire, MA
6340 Pocatello, ID	0.9557
Bannock, ID
6360 Ponce, PR	0.5278
Guayanilla, PR
Juana Diaz, PR
Penuelas, PR
Ponce, PR
Villalba, PR
Yauco, PR
6403 Portland, ME	0.9501
Cumberland, ME
Sagadahoc, ME
York, ME
6440 1 Portland-Vancouver, OR-WA	1.1291
Clackamas, OR
Columbia, OR
Multnomah, OR
Washington, OR
Yamhill, OR
Clark, WA
6483 1 Providence-Warwick-Pawtucket, RI	1.0781
Bristol, RI
Kent, RI
Newport, RI
Providence, RI
Washington, RI
6520 Provo-Orem, UT	0.9967
Utah, UT
6560 2 Pueblo, CO	0.8909
Pueblo, CO
6580 Punta Gorda, FL	0.8818
Charlotte, FL
6600 Racine, WI	0.9441
Racine, WI
6640 1 Raleigh-Durham-Chapel Hill, NC	0.9901
Chatham, NC
Durham, NC
Franklin, NC
Johnston, NC
Orange, NC
Wake, NC
6660 Rapid City, SD	0.8971
Pennington, SD
6680 2 Reading, PA	0.8473
Berks, PA
6690 Redding, CA	1.1222
Shasta, CA
6720 Reno, NV	1.0456
Washoe, NV
6740 Richland-Kennewick-Pasco, WA	1.1086
Benton, WA
Franklin, WA
6760 Richmond-Petersburg, VA	0.9712
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 1 Riverside-San Bernardino, CA	1.1012
Riverside, CA
San Bernardino, CA
6800 2 Roanoke, VA	0.8473
Botetourt, VA
Roanoke, VA
Roanoke City, VA
Salem City, VA
6820 Rochester, MN	1.1595
Olmsted, MN
6840 1 Rochester, NY	0.9238
Genesee, NY
Livingston, NY
Monroe, NY
Ontario, NY
Orleans, NY
Wayne, NY
6880 Rockford, IL	0.9194
Boone, IL
Ogle, IL
Winnebago, IL
6895 Rocky Mount, NC	0.9197
Edgecombe, NC
Nash, NC
6920 1 Sacramento, CA	1.1809
El Dorado, CA
Placer, CA
Sacramento, CA
6960 Saginaw-Bay City-Midland, MI	0.9662
Bay, MI
Midland, MI
Saginaw, MI
6980 St. Cloud, MN	1.0040
Benton, MN
Stearns, MN
7000 St. Joseph, MO	0.9113
Andrew, MO
Buchanan, MO
7040 1 St. Louis, MO-IL	0.9024
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 2 Salem, OR	1.0156
Marion, OR
Polk, OR
7120 Salinas, CA	1.4854
Monterey, CA
7160 1 Salt Lake City-Ogden, UT	0.9976
Davis, UT
Salt Lake, UT
Weber, UT
7200 San Angelo, TX	0.8288
Tom Green, TX
7240 1 San Antonio, TX	0.8333
Bexar, TX
Comal, TX
Guadalupe, TX
Wilson, TX
7320 1 San Diego, CA	1.1480
San Diego, CA
7360 1 San Francisco, CA	1.4319
Marin, CA
San Francisco, CA
San Mateo, CA
7400 1 San Jose, CA	1.4249
Santa Clara, CA
7440 1 San Juan-Bayamon, PR	0.4812
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	1.1117
San Luis Obispo, CA
7480 Santa Barbara-Santa Maria-Lompoc, CA	1.0927
Santa Barbara, CA
7485 Santa Cruz-Watsonville, CA	1.4049
Santa Cruz, CA
7490 Santa Fe, NM	1.0312
Los Alamos, NM
Santa Fe, NM
7500 Santa Rosa, CA	1.2727
Sonoma, CA
7510 Sarasota-Bradenton, FL	1.0118
Manatee, FL
Sarasota, FL
7520 Savannah, GA	0.9349
Bryan, GA
Chatham, GA
Effingham, GA
7560 2 Scranton-Wilkes-Barre-Hazleton, PA	0.8473
Columbia, PA
Lackawanna, PA
Luzerne, PA
Wyoming, PA
7600 1 Seattle-Bellevue-Everett, WA	1.1056
Island, WA
King, WA
Snohomish, WA
7610 2 Sharon, PA	0.8473
Mercer, PA
7620 2 Sheboygan, WI	0.9121
Sheboygan, WI
7640 Sherman-Denison, TX	0.9163
Grayson, TX
7680 Shreveport-Bossier City, LA	0.9165
Bossier, LA
Caddo, LA
Webster, LA
7720 Sioux City, IA-NE	0.8868
Woodbury, IA
Dakota, NE
7760 Sioux Falls, SD	0.9245
Lincoln, SD
Minnehaha, SD
7800 South Bend, IN	1.0303
St. Joseph, IN
7840 Spokane, WA	1.0791
Spokane, WA
7880 Springfield, IL	0.8502
Menard, IL
Sangamon, IL
7920 Springfield, MO	0.8666
Christian, MO
Greene, MO
Webster, MO
8003 2 Springfield, MA	1.1586
Hampden, MA
Hampshire, MA
8050 State College, PA	0.9239
Centre, PA
8080 2 Steubenville-Weirton, OH-WV (OH Hospitals)	0.8761
Jefferson, OH
Brooke, WV
Hancock, WV
8080 Steubenville-Weirton, OH-WV (WV Hospitals)	0.8737
Jefferson, OH
Brooke, WV
Hancock, WV
8120 Stockton-Lodi, CA	1.1114
San Joaquin, CA
8140 2 Sumter, SC	0.8606
Sumter, SC
8160 Syracuse, NY	0.9247
Cayuga, NY
Madison, NY
Onondaga, NY
Oswego, NY
8200 Tacoma, WA	1.1751
Pierce, WA
8240 2 Tallahassee, FL	0.8733
Gadsden, FL
Leon, FL
8280 1 Tampa-St. Petersburg-Clearwater, FL	0.9095
Hernando, FL
Hillsborough, FL
Pasco, FL
Pinellas, FL
8320 2 Terre Haute, IN	0.8757
Clay, IN
Vermillion, IN
Vigo, IN
8360 Texarkana, AR—Texarkana, TX	0.8414
Miller, AR
Bowie, TX
8400 Toledo, OH	0.9815
Fulton, OH
Lucas, OH
Wood, OH
8440 Topeka, KS	0.9015
Shawnee, KS
8480 Trenton, NJ	1.0172
Mercer, NJ
8520 Tucson, AZ	0.9002
Pima, AZ
8560 Tulsa, OK	0.8949
Creek, OK
Osage, OK
Rogers, OK
Tulsa, OK
Wagoner, OK
8600 Tuscaloosa, AL	0.8265
Tuscaloosa, AL
8640 Tyler, TX	0.9109
Smith, TX
8680 2 Utica-Rome, NY	0.8530
Herkimer, NY
Oneida, NY
8720 Vallejo-Fairfield-Napa, CA	1.3535
Napa, CA
Solano, CA
8735 Ventura, CA	1.1088
Ventura, CA
8750 Victoria, TX	0.8354
Victoria, TX
8760 Vineland-Millville-Bridgeton, NJ	1.0473
Cumberland, NJ
8780 2 Visalia-Tulare-Porterville, CA	0.9870
Tulare, CA
8800 Waco, TX	0.8268
McLennan, TX
8840 1 Washington, DC-MD-VA-WV	1.1176
District of Columbia, DC
Calvert, MD
Charles, MD
Frederick, MD
Montgomery, MD
Prince Georges, MD
Alexandria City, VA
Arlington, VA
Clarke, VA
Culpeper, 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	0.8608
Black Hawk, IA
8940 Wausau, WI	0.9516
Marathon, WI
8960 1 West Palm Beach-Boca Raton, FL	0.9785
Palm Beach, FL
9000 2 Wheeling, WV-OH (WV Hospitals)	0.8145
Belmont, OH
Marshall, WV
Ohio, WV
9000 2 Wheeling, WV-OH (OH Hospitals)	0.8761
Belmont, OH
Marshall, WV
Ohio, WV
9040 Wichita, KS	0.9541
Butler, KS
Harvey, KS
Sedgwick, KS
9080 Wichita Falls, TX	0.8015
Archer, TX
Wichita, TX
9140 Williamsport, PA	0.8503
Lycoming, PA
9160 Wilmington-Newark, DE-MD	1.0757
New Castle, DE
Cecil, MD
9200 Wilmington, NC	0.9971
New Hanover, NC
Brunswick, NC
9260 Yakima, WA	1.0690
Yakima, WA
9270 2 Yolo, CA	0.9870
Yolo, CA
9280 2 York, PA	0.8473
York, PA
9320 Youngstown-Warren, OH	0.9480
Columbiana, OH
Mahoning, OH
Trumbull, OH
9340 Yuba City, CA	1.0479
Sutter, CA
Yuba, CA
9360 Yuma, AZ	0.8904
Yuma, AZ
1 Large Urban Area.
2 Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2002.

Addendum I.—Wage Index for Rural Areas

Nonurban area	Wage index
Alabama	0.7483
Alaska	1.2006
Arizona	0.8747
Arkansas	0.7561
California	0.9870
Colorado	0.8909
Connecticut	1.2357
Delaware	0.9487
Florida	0.8733
Georgia	0.8341
Hawaii	1.1235
Idaho	0.8820
Illinois	0.8140
Indiana	0.8757
Iowa	0.8194
Kansas	0.7850
Kentucky	0.8019
Louisiana	0.7755
Maine	0.8714
Maryland	0.8962
Massachusetts	1.1586
Michigan	0.9115
Minnesota	0.9109
Mississippi	0.7612
Missouri	0.7838
Montana	0.8642
Nebraska	0.8233
Nevada	0.9785
New Hampshire	0.9914
New Jersey 1
New Mexico	0.8835
New York	0.8530
North Carolina	0.8632
North Dakota	0.7965
Ohio	0.8761
Oklahoma	0.7646
Oregon	1.0156
Pennsylvania	0.8473
Puerto Rico	0.4654
Rhode Island 1
South Carolina	0.8606
South Dakota	0.7934
Tennessee	0.7901
Texas	0.7673
Utah	0.9156
Vermont	0.9576
Virginia	0.8473
Washington	1.0301
West Virginia	0.8145
Wisconsin	0.9121
Wyoming	0.8855
1 All counties within the State are classified as urban.

Addendum J.—Wage Index for Hospitals That Are Reclassified

Area	Wage index
Abilene, TX	0.8118
Akron, OH	0.9924
Albany, GA	1.0675
Albuquerque, NM	0.9748
Alexandria, LA	0.8137
Allentown-Bethlehem-Easton, PA	0.9443
Altoona, PA	0.9225
Amarillo, TX	0.8485
Anchorage, AK	1.2605
Ann Arbor, MI	1.1220
Anniston, AL	0.7922
Asheville, NC	0.9307
Athens, GA	0.9818
Atlanta, GA	1.0066
Augusta-Aiken, GA-SC	1.0090
Austin-San Marcos, TX	0.9327
Barnstable-Yarmouth, MA	1.3415
Baton Rouge, LA	0.8258
Bellingham, WA	1.1427
Benton Harbor, MI	0.9115
Bergen-Passaic, NJ	1.1669
Billings, MT	0.9623
Biloxi-Gulfport-Pascagoula, MS	0.8198
Binghamton, NY	0.8595
Birmingham, AL	0.8648
Bismarck, ND	0.7965
Bloomington-Normal, IL	0.8545
Boise City, ID	0.9190
Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH	1.1483
Burlington, VT	0.9606
Caguas, PR	0.4993
Casper, WY	0.9454
Champaign-Urbana, IL	0.9264
Charleston-North Charleston, SC	0.9293
Charleston, WV	0.8991
Charlotte-Gastonia-Rock Hill, NC-SC	0.9469
Chattanooga, TN-GA	0.9207
Chicago, IL	1.0887
Cincinnati, OH-KY-IN	0.9574
Clarksville-Hopkinsville, TN-KY	0.8481
Cleveland-Lorain-Elyria, OH	0.9496
Columbia, MO	0.8787
Columbia, SC	0.9264
Columbus, GA-AL	0.8471
Columbus, OH	0.9724
Corpus Christi, TX	0.8203
Dallas, TX	0.9506
Davenport-Moline-Rock Island, IA-IL	0.8790
Dayton-Springfield, OH	0.9323
Denver, CO	1.0289
Des Moines, IA	0.8881
Dothan, AL	0.8005
Dover, DE	0.9957
Duluth-Superior, MN-WI	1.0299
Eau Claire, WI	0.9121
Elkhart-Goshen, IN	0.9516
Erie, PA	0.8780
Eugene-Springfield, OR	1.1073
Fargo-Moorhead, ND-MN	0.9247
Fayetteville, NC	0.8970
Flagstaff, AZ-UT	1.0222
Flint, MI	1.0920
Florence, AL	0.7927
Florence, SC	0.8843
Fort Collins-Loveland, CO	1.0161
Ft. Lauderdale, FL	1.0906
Fort Pierce-Port St. Lucie, FL	1.0067
Fort Smith, AR-OK	0.7889
Fort Walton Beach, FL	0.8547
Fort Wayne, IN	0.9059
Forth Worth-Arlington, TX	0.9452
Gadsden, AL	0.8446
Gainesville, FL	1.1855
Grand Forks, ND-MN (ND Hospitals)	0.9022
Grand Forks, ND-MN (MN Hospital)	0.9109
Grand Junction, CO	0.9816
Grand Rapids-Muskegon-Holland, MI	1.0052
Great Falls, MT	0.9301
Greeley, CO	0.9604
Green Bay, WI	0.9440
Greensboro-Winston-Salem-High Point, NC	0.9474
Greenville, NC	0.9751
Greenville-Spartanburg-Anderson, SC	0.9110
Harrisburg-Lebanon-Carlisle, PA	0.9068
Hartford, CT	1.1586
Hattiesburg, MS	0.7612
Hickory-Morganton-Lenoir, NC	0.9517
Honolulu, HI	1.1658
Houston, TX	0.9604
Huntington-Ashland, WV-KY-OH	0.9286
Huntsville, AL	0.8657
Indianapolis, IN	0.9666
Iowa City, IA	0.9820
Jackson, MS	0.8589
Jackson, TN	0.8945
Jacksonville, FL	0.9040
Johnson City-Kingsport-Bristol, TN-VA	0.8540
Jonesboro, AR	0.8093
Joplin, MO	0.8560
Kalamazoo-Battlecreek, MI	1.0537
Kansas City, KS-MO	0.9430
Knoxville, TN	0.8904
Kokomo, IN	0.9290
Lafayette, LA	0.8430
Lansing-East Lansing, MI	0.9653
Las Vegas, NV-AZ	1.1238
Lawton, OK	0.8372
Lexington, KY	0.8675
Lima, OH	0.9558
Lincoln, NE	0.9945
Little Rock-North Little Rock, AR	0.8938
Longview-Marshall, TX	0.8439
Los Angeles-Long Beach, CA	1.2071
Louisville, KY-IN	0.9481
Lubbock, TX	0.8547
Lynchburg, VA	0.8897
Macon, GA	0.9077
Madison, WI	1.0462
Mansfield, OH	0.8827
Medford-Ashland, OR	1.0156
Melbourne-Titusville-Palm Bay, FL	0.9883
Memphis, TN-AR-MS	0.9152
Miami, FL	0.9934
Milwaukee-Waukesha, WI	0.9898
Minneapolis-St. Paul, MN-WI	1.1000
Missoula, MT	0.9273
Mobile, AL	0.7766
Modesto, CA	1.0945
Monmouth-Ocean, NJ	1.1514
Monroe, LA	0.8191
Montgomery, AL	0.7502
Myrtle Beach, SC	0.8663
Nashville, TN	0.9433
New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT	1.2357
New London-Norwich, CT	1.1578
New Orleans, LA	0.9054
New York, NY	1.3923
Newark, NJ	1.2004
Newburgh, NY-PA	1.0838
Norfolk-Virginia Beach-Newport News, VA-NC	0.8632
Oakland, CA	1.5313
Odessa-Midland, TX (TX Hospitals)	0.8769
Odessa-Midland, TX (NM Hospitals)	0.8835
Oklahoma City, OK	0.8728
Omaha, NE-IA	0.9696
Orange County, CA	1.1354
Orlando, FL	0.9464
Peoria-Pekin, IL	0.8883
Philadelphia, PA-NJ	1.0626
Pine Bluff, AR	0.7837
Pittsburgh, PA	0.9550
Pittsfield, MA	1.0018
Pocatello, ID	0.9264
Portland, ME	0.9501
Portland-Vancouver, OR-WA	1.1291
Provo-Orem, UT	0.9840
Raleigh-Durham-Chapel Hill, NC	0.9901
Rapid City, SD	0.8849
Reading, PA	0.8473
Redding, CA	1.1222
Reno, NV	1.0456
Richland-Kennewick-Pasco, WA	1.0478
Richmond-Petersburg, VA	0.9712
Roanoke, VA	0.8468
Rochester, MN	1.1595
Rockford, IL	0.9080
Sacramento, CA	1.1809
Saginaw-Bay City-Midland, MI	0.9662
St. Cloud, MN	1.0040
St. Joseph, MO	0.8953
St. Louis, MO-IL	0.8911
Salinas, CA	1.4738
Salt Lake City-Ogden, UT	0.9976
San Diego, CA	1.1480
Santa Fe, NM	1.0013
Santa Rosa, CA	1.2408
Sarasota-Bradenton, FL	1.0118
Savannah, GA	0.9349
Seattle-Bellevue-Everett, WA	1.1056
Sherman-Denison, TX	0.8899
Shreveport-Bossier City, LA	0.9165
Sioux City, IA-NE	0.8868
Sioux Falls, SD	0.9037
South Bend, IN	1.0176
Spokane, WA	1.0663
Springfield, IL	0.8502
Springfield, MO	0.8454
Stockton-Lodi, CA	1.1114
Syracuse, NY	0.9247
Tampa-St. Petersburg-Clearwater, FL	0.9095
Texarkana, AR—Texarkana, TX	0.8414
Toledo, OH	0.9815
Topeka, KS	0.8850
Tucson, AZ	0.9002
Tulsa, OK	0.8815
Tuscaloosa, AL	0.8265
Tyler, TX	0.8905
Victoria, TX	0.8212
Waco, TX	0.8268
Washington, DC-MD-VA-WV	1.1024
Waterloo-Cedar Falls, IA	0.8608
Wausau, WI	0.9516
West Palm Beach-Boca Raton, FL	0.9785
Wichita, KS	0.9218
Wichita Falls, TX	0.8015
Wilmington-Newark, DE-MD	1.0757
Rural Alabama	0.7483
Rural Florida	0.8733
Rural Illinois (IA Hospital)	0.8194
Rural Illinois (MO Hospital)	0.8140
Rural Kentucky	0.8019
Rural Louisiana	0.7755
Rural Michigan	0.9115
Rural Minnesota	0.9109
Rural Missouri (AK Hospital)	0.7838
Rural Missouri (KS Hospital)	0.7850
Rural Montana	0.8642
Rural Nebraska	0.8233
Rural Nevada	0.9219
Rural Oregon	1.0156
Rural Texas	0.7673
Rural Washington	1.0301
Rural Wisconsin	0.9121
Rural Wyoming	0.8855