03-32323. Medicare Program; Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004  

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    AGENCY:

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

    ACTION:

    Interim final rule with comment period.

    SUMMARY:

    This interim final rule implements the provisions of the Medicare Prescription Drug, Improvement, and Modernization Act (MPDIMA) of 2003, Pub. L. 108-173, which are applicable in 2004 to Medicare payment for covered drugs and physician fee schedule services. These provisions revise the current payment methodology for Part B covered drugs and biologicals that are not paid on a cost or prospective payment basis; make changes to Medicare payment for furnishing or administering drugs and biologicals; revise the geographic practice cost indices and change the physician fee schedule conversion factor. The 2004 physician fee schedule conversion factor will be $37.3374. The 2004 national anesthesia conversion factor (prior to making adjustment for the geographic practice cost indices) will be $17.4969. The information contained in this final rule related to payment under the physician fee schedule supercedes the information contained in the November 7, 2003, final rule to the extent that the two are inconsistent. All other provisions of the November 7, 2003, final rule are unchanged unless otherwise noted. This rule also extends the “opt-out” provisions of 1802(b)(5)(3) of the Social Security Act to dentists, podiatrists, and optometrists.

    DATES:

    Effective date: These regulations are effective on January 1, 2004.

    Comment date: We will consider comments if we receive them at the appropriate address, as provided in the addresses section, no later than 5 p.m. on March 8, 2004.

    ADDRESSES:

    In commenting, please refer to file code CMS-1372-FC. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.

    Mail written comments (one original and two copies) to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1372-FC, P.O. Box 8013, Baltimore, MD 21244-8013.

    Please allow sufficient time for us to receive mailed comments on time in the event of delivery delays.

    If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) to one of the following addresses: Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-8013.

    (Because access to the interior of the HHH Building is not readily available to persons without Federal government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available if you wish to retain proof of filing by stamping in and retaining an extra copy of the comments being filed.)

    Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and could be considered late.

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

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    FOR FURTHER INFORMATION CONTACT:

    Jennifer Fan, (410) 786-0548 regarding Medicare payment for Part B covered drugs and biologicals.

    Rick Ensor, (410) 786-5617 regarding provisions related to geographic practice cost indices.

    Diane Milstead, (410) 786-3355 for provisions related to the physician fee schedule.

    Gaysha Brooks, (410) 786-9649 for questions related to obtaining Medicare physician fee schedule information from the CMS Web site.

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    SUPPLEMENTARY INFORMATION:

    Inspection of Public Comments: Comments received timely will be available for public inspection as they are processed, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone (410) 786-7197.

    Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 or by faxing to (202) 512-2250. The cost for each copy is $10. 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 Web site address is http://www.access.gpo.gov/​nara/​index.html.

    Accessing Physician Fee Schedule Web Site and Pricing Information

    Information on the physician fee schedule and pricing files can be found on our home page. You can access this data at the following Web site: http://cms.hhs.gov/​physicians/​pfs or you can access this data by using the following directions:

    1. Go to the CMS home page (http://www.cms.hhs.gov).

    2. Place your cursor over the word “Professionals” in the blue area near the top of the page. Select “Physicians” from the drop-down menu.

    3. Scroll down and under “Payment/Billing” select “Physician Fee Schedule”.

    The Physician Fee Schedule pricing information is contained in two public use files.

    (1) National Physician Fee Schedule Relative Value File—This file contains all CPT/HCPCS (excluding codes beginning with B, E, L, K, and 0), their short descriptions and a status indicator, which denotes whether or not the service is priced under the physician fee schedule. The file also contains the components used in the calculation of the annual pricing amount (that is, the RVUs, GPCIs, and conversion factor), anesthesia conversion factors, and the payment policy indicators used to price the claims with surgical modifiers. This file does not contain the calculated pricing amounts.

    (2) Physician Fee Schedule Payment Amount File National/Carrier—This file contains the CPT code and the Medicare price for all services priced under the Physician Fee Schedule. These data can be downloaded for the entire country, or for a selected carrier (in most cases Start Printed Page 1085carriers correlate with States). There is no option of requesting data for selected HCPCS codes. The zip file, which is downloaded, contains a file named “PF04pc”, which explains the data contained in each column. This file also contains a description of pricing localities used in the Physician Fee Schedule. Due to the size of the national file (as well as many of the carrier-specific files), these data are provided in a comma-delimited format, which can be used to populate database applications. Generally speaking, these data are too large for Excel, however if a carrier specific file has 3 or fewer localities, Excel can be used.

    Another file that may prove useful is the Zip Code to Carrier Locality file. This file will map ZIP Codes to CMS carriers and localities and map Zip Codes to their State and determine whether the ZIP Code has a rural designation as determined by CMS. You can access this file at the following Web site: http://cms.hhs.gov/​providers/​pufdownload/​default.asp#alphanu or you can access this data by using the following directions:

    1. Go to the CMS home page (http://www.cms.hhs.gov).

    2. Place your cursor over the word “Professionals” in the blue area near the top of the page. Select “Physicians” from the drop-down menu.

    3. Scroll down and under “Payment/Billing” select “Medicare Payment Systems.”

    4. Scroll down and under Coding Files select “Zip Code to Carrier Locality File.”

    Table of Contents

    I. Background

    A. Medicare Payment for Part B Covered Drugs and the Furnishing or Administration of Drugs

    B. Geographic Practice Cost Indices and Physician Fee Schedule Conversion Factor

    II. Provisions of the Final Rule

    A. Application of Market-Based Systems of Medicare Payment for Part B Drugs

    B. Payment for Inhalation Drugs

    C. Pharmacy Supplying Fee for Certain Drugs and Biologicals

    D. Physician Fee Schedule Provisions Related to the Administration of Drugs

    1. Provisions Related to Budget Neutrality

    2. Adjustments in Practice Expense Relative Value Units for Certain Drug Administration Services beginning with 2004

    3. Pricing of Clinical Oncology Nurses in the Practice Expense Methodology

    4. Work Relative Value Units for Certain Drug Administration Services

    5. Adjustments in the Practice Expense Relative Value Units for Certain Drug Administration Services Beginning with 2005

    6. Provisions for Appropriate Reporting and Billing for Physicians' Services Associated with the Administration of Covered Outpatient Drugs and Biologicals

    7. Treatment of Other Services Currently in the Nonphysician Work Pool

    8. Payment for Multiple Chemotherapy Agents Furnished on a Single Day through the Push Technique

    9. Transitional Adjustment to Medicare Payment for Certain Drug Administration Services

    E. Geographic Practice Cost Indices

    F. Adjustments to the Work, Practice Expense and Malpractice Relative Value Units

    G. Anesthesia and Physician Fee Schedule Conversion Factors for 2004

    H. Publication of Addenda

    III. Private Contracting with Medicare Beneficiaries

    IV. Waiver of Proposed Rulemaking and Delay in Effective Date

    V. Collection of Information Requirements

    VI. Response to Comments

    VII. Regulatory Impact Analysis

    Addendum A—Explanation and Use of Addendum B

    Addendum B—Relative Value Units and Related Information Used in Determining Medicare Payments for 2004

    Addendum C—Codes with Interim Relative Value Units

    Addendum D—2004 Geographic Practice Cost Indices by Medicare Carrier and Locality

    Addendum E—2005 Geographic Practice Cost Indices by Medicare Carrier and Locality

    Addendum F—List of Medicare Covered Part B Drugs Under Payment Reform

    I. Background

    A. Medicare Payment for Part B Covered Drugs and the Furnishing or Administration of Drugs

    Medicare Part B covers a limited number of prescription drugs and biologicals. For the purposes of this final rule, the term “drugs” will hereafter refer to both drugs and biologicals. Currently, covered Medicare drugs generally fall into three categories: drugs furnished incident to a physician's service, durable medical equipment (DME) drugs, and drugs specifically covered by statute (for example, oral immunosuppressive drugs). Prior to January 1, 2004, drugs not paid on a cost or prospective payment basis are paid based on the lower of the actual charge or 95 percent of the average wholesale price (AWP) (section 1842(o)(1) of the Social Security Act (the Act), as added by section 4556 of the Balanced Budget Act of 1997 (Pub. L. 105-33)). In December 2000, the Congress passed the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA). Section 429(a) of BIPA required the GAO to conduct a study of the current payment methodology. Section 429(b) of BIPA requires the Secretary, notwithstanding any other provision of law, to revise the Medicare payment methodology for drugs based on the GAO study. In September 2001, the GAO presented its study to the Congress in a report titled, “Medicare: Payments for Covered Outpatient Drugs Exceed Providers’ Costs” (GAO-01-1118). Consistent with the recommendations in the report, we published four options for revising the current drug payment system in a proposed rule published August 20, 2003 (68 FR 50428), in the Federal Register. This proposed rule also discussed changes to Medicare payment under the physician fee schedule for furnishing or administering certain drugs and biologicals. However, as discussed in the November 7, 2003, final rule (68 FR 63196), “Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004”, since the Congress was considering legislation to address these issues, we were reluctant to proceed with finalizing the proposals contained in the August 20, 2003, proposed rule. On November 25, 2003, the Congress enacted the Medicare Prescription Drug, Improvement, and Modernization Act (MPDIMA) of 2003, Pub L. 108-173. The President signed Pub. L. 108-173 into law on December 8, 2003. Sections 303 through 305 of MPDIMA make revisions to payment methodology for Part B covered drugs that are not paid on a cost or prospective payment basis. Sections 303 and 304 also require the Secretary of Health and Human Services to revise Medicare payments for the administration of drugs made using the physician fee schedule. We are using this final rule to implement those sections of MPDIMA that are effective January 1, 2004, and prior to January 1, 2006, and affect Medicare payment for covered Part B drugs and their administration.

    B. Geographic Practice Cost Indices (GPCIs) and Physician Fee Schedule Conversion Factor

    Section 1848(e) of the Act requires that payments vary among Medicare physician fee schedule areas according to the extent resource costs vary, as measured by Geographic Practice Cost Indices (GPCIs) for each of the three fee schedule components—work, practice expense and malpractice. As explained later in this document, for services provided on or after January 1, 2004, and prior to January 1, 2007, section 412 of MPDIMA requires that the work GPCI cannot be less than 1.00. Section 602 of MPDIMA requires that work, practice Start Printed Page 1086expense and malpractice GPCIs otherwise calculated cannot be less than 1.67 for services furnished in Alaska on or after January 1, 2004, or prior to January 1, 2006.

    Sections 1848(d) and (f) of the Act establish a formula for determining the physician fee schedule update and conversion factor (CF). As indicated in the November 7, 2003, final rule (68 FR 63239), the application of the formula in the statute resulted in a 2004 physician fee CF of $35.1339, a reduction of 4.5 percent. However, section 601 of MPDIMA requires that the update to the physician fee schedule CF for 2004 cannot be less than 1.5 percent. We are using this final rule to announce the CF and GPCIs that will be used to determine physician fee schedule rates in 2004.

    II. Provisions of the Final Rule

    A. Application of Market-Based Systems of Medicare Payment for Part B Drugs

    1. General Rule

    Subject to the other provisions of MPDIMA, section 303(b) of MPDIMA specifies that drugs not paid on a cost or prospective payment basis will be paid at 85 percent of the average wholesale price (AWP) determined as of April 1, 2003.

    2. Specific Provisions

    Section 303(b)(1) of MPDIMA specifies that for CY 2004 the following drugs will be paid at 95 percent of the AWP:

    • Blood clotting factors;
    • A drug or biological furnished during 2004 that was not available for Medicare payment as of April 1, 2003;
    • Pneumococcal and influenza vaccines as well as hepatitis B vaccine that is furnished to individuals at high or intermediate risk of contracting hepatitis B (as determined by the Secretary); and
    • A drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities.

    Section 303(b)(1) of MPDIMA also specifies that infusion drugs will be paid at 95 percent of the AWP in effect on October 1, 2003, when furnished through a covered item of durable medical equipment.

    Section 303(b)(2) of MPDIMA specifies that the payment for a drug contained in the table entitled “Table 3—Medicare Part B Drugs in the Most Recent GAO and OIG Studies” published in the August 20, 2003, proposed rule (68 FR 50445) will be the percentage of the AWP indicated in the column entitled “Average of the GAO and OIG data (percent)”. This percentage will be applied to the AWP determined as of April 1, 2003. However, in the event that the percentage from Table 3 is less than 80 percent, the percentage applied to the AWP determined as of April 1, 2003, will be 80 percent. Table 1 below is a reprint of Table 3 from the August 20, 2003, proposed rule. Table 2 highlights the relevant column from the August 20, 2003, proposed rule table and applies the 80 percent limit where applicable.

    We note that there was a typographical error in Table 3 as published on August 20, 2003, for J1642 “Heparin Sodium Lock Flush”. The percentage in the column specified in MPDIMA is missing for J1642. Given that this column is calculated as the average of the values in the preceding two columns for the drugs in this table, we will treat the missing value as the average of the values in the prior two columns for J1642, namely 66 percent. This is the percentage that would have been in that column in the table in the absence of the typographical error. We believe that this correction is consistent with Congress' intent to revise the percentage based on the average of accurate GAO and OIG data. This percentage will be subject to the 80 percent limitation described above.

    We also note that there was another typographical error in Table 3 as published on August 20, 2003, for J9390 “Vinorelbine Tartrate (Navelbine).” The percentage listed under the column titled “GAO Average Widely Available Price as a Percent of AWP (2001)” for J9390 in Table 3 is incorrect and should not have been listed at all since GAO did not include this drug in its study. The percentage under the column titled “OIG Median Catalogue Price as a Percent of AWP (2000)” is correct. Since the column specified in MPDIMA is calculated as the average of the values in the preceding two columns for the drugs in this table, the correct percentage listed for J9390 under this column will be 81 percent based on the data from OIG. We believe that this correction is also consistent with Congress' intent to revise rates based on the average of accurate GAO and OIG data. This is the percentage that would have been in that column in the table in the absence of the typographical error.

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    Section 303(b)(2) of MPDIMA also provides an opportunity for the manufacturer of a drug to submit data and information requesting a different percentage from the percentage indicated in Table 1A or the 85 percent general rule. The Secretary may adjust the percentage based on this data and information beginning April 1, 2004. Section 303(b) of MPDIMA specifies that this data and information can be submitted after October 15, 2003, and before January 1, 2004. As required by the statute, manufacturers need to submit this data and information before January 1, 2004. Manufacturers may supplement this data and information; however, any additional supplemental information should be received by CMS before 5 p.m. e.s.t. on January 16, 2004. We will use the supplemental information to help us evaluate the initial submission of data and information.

    We expect that the data and information submitted by a manufacturer would include the manufacturer's average sales price for the drug for the most recent quarter available. For the purposes of the exceptions process, the manufacturer's average sales price is calculated as the manufacturer's sales to all purchasers in the United States (excluding sales exempted below) for the quarter divided by the total number of units of such drug or biological sold by the manufacturer in that quarter. The submission should also specify the units used in the calculation (for example, micrograms).

    In the calculation of the manufacturer's average sales price, a manufacturer should include volume discounts, prompt pay discounts, cash discounts, free goods that are contingent on any purchase requirement, chargebacks, and rebates (other than rebates under the Medicaid program). To the extent that there is a lag in the availability of this information applicable to the quarter, the manufacturer should apply a methodology based on the most recent 12-month period available to estimate costs attributable to these price concessions. The manufacturer should submit a description of the methodology used to estimate these costs.

    In the calculation of the manufacturer's average sales price, a manufacturer should exclude the following sales as defined for the Medicaid best price calculation under section 1827(c)(1)(C)(i) of the Act:

    1. Sales to the Indian Health Service, the Department of Veterans Affairs, a state home as defined for the purposes of the Medicaid best price calculation, the Department of Defense, the Public Health Service and entities described in section 340(B)(a)(4) of the Public Health Act;

    2. Sales under the Federal Supply Schedule of the General Services Administration;

    3. Sales under a State pharmaceutical assistance program; and

    4. Any depot sales and single award contract sales as defined for the purposes of the Medicaid best price calculation.

    A manufacturer should also exclude sales at a nominal charge. Sales at a nominal charge are defined as sales below 10 percent of the average calculated as described above. In other words, after following the methodology described above, sales below 10 percent of the resulting average should be excluded and the average recalculated. The result of this final calculation is the manufacturer's average sales price for the purpose of the exceptions process.

    Note that we would base any changes to the percentage indicated in Table 1 or the 85 percent general rule only on data that we could make available to the public.

    Section 303(b)(2) of MPDIMA also specifies that we may adjust the percentage effective January 1, 2004, based on data and information that a manufacturer submitted by October 15, 2003. We accepted data from the manufacturer of two biologicals: imiglucerase and alglucerase. The data and information submitted by the manufacturer indicated that the manufacturer's average sales price was 94 percent of the average wholesale price. Based on this data, we will pay for these two biologicals when furnished in 2004 at 94 percent of the average wholesale price determined as of April 1, 2003.

    B. Payment for Inhalation Drugs

    Section 305(a) of MPDIMA specifies that inhalation drugs furnished through durable medical equipment covered under 1861(n) of the Act will be paid in accordance with section 1842(o)(4) of the Act, as added by section 303(b)(2) of MPDIMA. The methodology for determining the payment for a drug under section 303(b)(2) of MPDIMA is described above in section II.A.2 of this rule.

    C. Pharmacy Supplying Fee for Certain Drugs and Biologicals

    Section 303(e)(2) of MPDIMA provides that the Secretary shall pay a pharmacy supplying fee, less applicable deductible and coinsurance, for immunosuppressive drugs described in section 1861(s)(2)(J) and oral anti-cancer and anti-nausea drugs described in subparagraph (Q) and (T) of the same section as determined appropriate by the Secretary. We believe that the payment of this fee should be bundled into the current payment for these drugs and the 2004 payment amounts specified in section 303(b) of MPDIMA. We do not have data indicating that the 85% figure is insufficient to cover the cost of supplying these drugs. However, for 2005, we will re-examine this issue in light of the average sales price (ASP) data that will be submitted by manufacturers.

    D. Physician Fee Schedule Provisions Related to the Administration of Drugs

    As indicated above, sections 303 and 304 of MPDIMA amend section 1848 of the Act for physician fee schedule payments made beginning January 1, 2004. We are describing our implementation of the parts of sections 303 and 304 which have a January 1, 2004, effective date.

    1. Provisions Related to Budget Neutrality

    Section 303(a)(1) of MPDIMA amends section 1848(c) of the Act to require changes to the practice expense and physician work relative value units (RVUs) used to determine payment for drug administration services. In general, section 1848(c)(2)(B)(ii)(II) provides that the Secretary shall review and may make adjustments to the RVUs if the changes do not cause the amount of expenditures to increase or decrease by more than $20 million. Section 303(a) of MPDIMA amends section 1848(c)(2)(B) of the Act to add a new clause (iv) that exempts from this limitation, any additional expenditures in 2004 attributable to:

    (1) The increase in practice expense RVUs for drug administration services resulting from the use of a practice expense survey meeting specific criteria described in the statute;

    (2) The increase in practice expense RVUs resulting from using survey data on the compensation of clinical oncology nurses; and

    (3) New physician work RVUs that we are adding to the drug administration services consistent with the new statutory provisions.

    In addition, section 303(a)(1) of MPDIMA also modifies section 1848(c)(2)(B) of the Act to provide an exemption from the budget neutrality requirements in 2005 or 2006 for further increases in practice expense RVUs for drug administration services that may result from using additional survey data from physician specialties meeting specific criteria that we will discuss in Start Printed Page 1092more detail later in this document. Furthermore, any increase in spending associated with any coding or policy changes resulting from the Secretary's review of existing drug administration codes is also exempted from budget neutrality requirements of section 1848 (c)(2)(B) by section 303 of MPDIMA. Section 303(a)(3) also requires the Secretary to review the policy in effect for the administration of more than one drug administered by the push technique. This change is also exempt from budget neutrality.

    In general, we have met the budget neutrality requirements in the statute by either applying an adjustment to the physician fee schedule CF or to the RVUs themselves. However, section 303(a) of MPDIMA specifically amends the statute to exempt the additional expenditures that result from changes to the RVUs for drug administration services from the budget neutrality requirements. Therefore, we will make no changes to the physician fee schedule CF or physician work RVUs to account for physician work RVUs being added to drug administration services. We will add the additional expenditures as a result of these provisions to the expenditure base in applying our practice expense methodology.

    2. Adjustments in Practice Expense Relative Value Units for Certain Drug Administration Services Beginning with 2004

    Section 303(a)(1)(B) of MPDIMA amends section 1848(c)(2) of the Act by adding new subparagraph (H), “Adjustments in Practice Expense Relative Value Units for Certain Drug Administration Services beginning in 2004”. Subparagraph (H)(i) requires the Secretary to determine the practice expense RVUs for 2004 using practice expense surveys submitted to the Secretary as of January 1, 2003, by a physician specialty organization in accordance with section 212 of the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999 if the survey: (1) Covers practice expenses for oncology drug administration services; and (2) meets criteria established by the Secretary for acceptance of such surveys.

    Section 212 of the BBRA directed the Secretary to establish a process under which we would accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. In an interim final rule with comment published in the Federal Register on May 3, 2000 (65 FR 25664), we established the criteria under which we would accept supplemental data for use in computing the practice expense RVUs. We subsequently modified those criteria in the November 1, 2000, physician fee schedule final rule (65 FR 65383) and the December 31, 2002, final rule (67 FR 79971).

    The American Society of Clinical Oncology (ASCO) provided us with a supplemental survey prior to January 1, 2003, that includes expenses associated with the administration of chemotherapy drugs. While the survey meets the criteria we established, we initially decided not to use the information because of concerns about the data (for more information, see the December 31, 2003, final rule (67 FR 79973)). In a proposed rule published in the Federal Register on August 20, 2003 (68 FR 50437), we described subsequent discussions held with ASCO that resolved our concerns about the data.

    Consistent with section 1848(c)(2)(H)(i) of the Act, we are using the ASCO survey to determine the practice expense RVUs for physician fee schedule services furnished on or after January 1, 2004, because it: (1) Was submitted prior to January 1, 2003; (2) includes expenses for drug administration services; and (3) meets criteria we have established for use of surveys.

    Section 303(j) of MPDIMA applies the amendments made by section 303 for payments for drugs or biologicals and drug administrative services to physicians in the specialties of hematology, hematology/oncology and medical oncology. Section 304 indicates that: “Notwithstanding section 303(j), the amendments made by section 303 shall also apply to payments for drugs or biologicals and drug administration services furnished by physicians in specialties other than the specialties of hematology, hematology/oncology and medical oncology.”

    Because the section 303 (a)(1) provisions apply to hematology, hematology/oncology and medical oncology, we will use the supplemental survey submitted by ASCO for CMS specialty codes 82 (hematology), 83 (hematology/oncology) and 90 (medical oncology).

    The Conference Report indicates that section 304 requires the Secretary to disregard the (section 303) exemption and apply the adjustments in section 303 to these other specialties. The Conference report further indicates the intent in drafting the provisions in this fashion: “The intent in drafting the two sections in this manner is to segregate the savings achieved from adjustments to payments to oncologists from savings derived from other physician specialties. The specialties to which the provisions apply are the specialties as used by the carriers in administering Medicare.”

    The purpose of the separation is only to display the budget scoring effects separately for oncologists from other physician specialties. There is no substantive policy effect at all from the enactment of the amendments in this manner. The combined effect of the amendments made by both section 303(j) and section 304 is that the substantive changes in both payments for drugs and biologicals as well as drug administration services apply to physicians of all specialties.

    When we use supplemental survey data, we have generally blended the supplemental survey data with prior survey data from the American Medical Association's Socioeconomic Monitoring Survey (SMS). However, section 1848(c)(2)(H)(i) of the Act indicates that the Secretary should use survey data that meets the specific criteria specified in the statute. We are using the ASCO survey data and are not blending it with the prior SMS data.

    Because we are not blending the ASCO survey with the SMS data, we are adopting a consistent policy in 2004 for survey data received in 1999 from the Society for Thoracic Surgery (STS). That is, we will use the STS supplemental survey data without blending it with the SMS data. However, we have not made a final decision and will continue to consider the issue of whether to blend supplemental survey with prior SMS data or to use specialty submitted supplemental surveys without blending. At this time, we are not using the ASCO and STS cases as precedent for our consideration of future survey data. While some may argue that the inclusion of newer, more specific survey data will improve the precision of the data underlying the calculation of the practice expense resource based RVUs, and lead to more stability in the practice expense methodology, it can also be argued that a specialty society would only undertake a survey (arguing that existing SMS data were not sufficiently representative of the specialty's practice expenses) if it believed that higher practice expense payments for that specialty could be achieved by submitting additional data. We do not believe that it would be prudent for the program to commit to the use of supplemental survey data without blending it with the SMS data for any and all future supplementary surveys. We will continue to consider this issue in 2004 when we make proposals for the 2005 physician fee schedule. At this time, we suggest that supplemental Start Printed Page 1093survey data should be used without blending only under certain conditions that would be specified in a future rule. (Note that this issue does not affect specialties that are not included in the SMS sample, and for which we have no other previous survey data. In such cases there would obviously be no SMS survey data to blend.)

    We invite comments on this issue and on appropriate criteria for determining when to employ specialty submitted supplemental surveys without blending.

    Table 2 shows the revised practice expense per hour for each cost pool for the specialties of cardiac and thoracic surgery and oncology, hematology/oncology and hematology.

    Table 2

    SpecialtyClin StaffAdmin. StaffOffice ExpenseMed. SuppliesMed. EquipOtherTotal
    Cardiac/Thoracic Surgery19.518.017.22.12.114.273.1
    Oncology53.434.734.416.97.442.2189.0

    3. Pricing of Clinical Oncology Nurses in the Practice Expense Methodology

    Section 1848(c)(2)(H)(ii) of the Act (as added by section 303(a)(1) of MPDIMA) specifies that if a survey meets the criteria described above (that is, the survey that is submitted prior to January 1, 2003, meets criteria established by the Secretary, etc.) and includes data on wages, salaries and compensation of clinical oncology nurses, the Secretary will use the data in the methodology for determining the practice expense RVUs. The ASCO survey meets the criteria specified in the statute and also includes data on oncology nursing compensation. For this reason, we are using information from the survey to determine the wage rate per minute for oncology certified nurses (OCN). The OCN is included as a practice expense input for the nonchemotherapy infusion codes (90780 through 90781) and the chemotherapy administration codes (96400 through 96549). Using information from the ASCO survey, we determined a wage rate of 0.79 per minute (increase from the 0.56 per minute we are currently using) for the OCN. We used this revised wage rate to determine the practice expense RVUs for the drug administration services shown in Addendum B.

    4. Work Relative Value Units for Certain Drug Administration Services

    For services furnished on or after January 1, 2004, section 1848(c)(2)(H)(iii) of the Act (as added by section 303(a)(1) of MPDIMA) requires the Secretary to establish work RVUs for drug administration services equal to the work RVUs for a level 1 office medical visit for an established patient (CPT code 99211). Section 1848(c)(2)(H)(iv) of the Act defines drug administration services as those classified as of October 1, 2003, within any of the following groups: therapeutic or diagnostic infusions (excluding chemotherapy); chemotherapy administration services; and therapeutic, prophylactic, or diagnostic injections for which there are no work RVUs assigned and for which national RVUs have been assigned.

    CPT code 99211 is a level 1 established patient office visit with physician work RVUs of 0.17. Consistent with the statute we are adding physician work RVUs of 0.17 to the following drug administration services: CPT codes 90780 through 90781, 90782 through 90788, 96400, 96408 through 96425, 96520, and 96530.

    Currently, section 15010 of the Medicare Carriers Manual (MCM) does not allow payment for CPT codes 90782, 90783, 90784 and 90788 unless these are the only physician fee schedule services provided on that day. We do pay separately for cancer chemotherapy injections (CPT codes 96400-96549) in addition to an office visit (CPT codes 99211-99215) furnished on the same day by the same physician. CPT code 99211 does not require a face-to-face encounter between the physician and the patient like other office visit services (CPT codes 99212-99215) and can be used be physicians supervising a nurse performing chemotherapy administration. Currently, physicians typically bill for CPT code 99211 approximately 34 percent of the time that they are also providing a drug administration service. We believe that adding physician work to the drug administration services will subsume the supervision that physicians billing for a 99211 on the same day are typically providing. Therefore, we will no longer allow for 99211 to be billed on the same day as a chemotherapy administration service.

    Although less common than CPT 99211, physicians also bill for other office visit (CPT codes 99212-99215) provided on the same day as chemotherapy administration. We will continue to allow other office visits to be billed on the same day as a drug administration service with modifier 25 indicating that a separately identifiable evaluation and management service was provided. This policy will make our practice with chemotherapy administration consistent with all other physician fee schedule services where we require use of modifier 25 if a separately identifiable evaluation and management service is provided on the day as a procedure. Section 15400(D) of the Medicare Carrier Manual (MCM) describes Medicare payment policy with respect to chemotherapy administration and “incident to” services provided on the same day. We will be revising section 15400 of the MCM (in addition to section 15010 that describes “bundled services”) to reflect that CPT code 99211 and a chemotherapy administration service cannot be billed for the same patient on a single day.

    5. Adjustments in the Practice Expense Relative Value Units for Certain Drug Administration Services Beginning with 2005

    Section 303(a)(1) of MPDIMA also modifies section 1848(c)(2)(B) of the Act to provide an exemption from the budget neutrality requirements in 2005 or 2006 for further increases in practice expense RVUs for drug administration services that may result from using additional survey data from physician specialties meeting specific criteria. Section 1848(c)(2)(I) of the Act specifies that the exemption from budget neutrality will apply for any survey (other than the ASCO survey that meets the exemption requirement specified by another provision of the statute) submitted by a specialty group where 40 percent or more of its payments for Part B services are attributable to the administration of drugs in 2002 as determined by the Secretary. The statute indicates that the survey must include expenses for the administration of drugs and must be received by the Secretary prior to March 1, 2004, to determine the 2005 practice expense RVUs and prior to March 1, 2005, to determine the 2006 practice expense RVUs. Start Printed Page 1094

    We have reviewed Medicare allowed charge data for 2002. Based on the 2002 data, we found that the specialties of gynecology/oncology (specialty code 98) rheumatology (specialty code 66) and urology (specialty code 30) received more than 40 percent of total Part B revenues from drugs. We will apply the exemption from budget neutrality specified in section 1848(c)(2)(I) of the Act for additional expenditures that result from the increases in drug administration practice expense RVUs in 2005 or 2006 resulting from use of a survey that is submitted timely by any of these specialties and otherwise meets criteria we have established for use of supplemental surveys. Hematology (specialty 82), hematology/oncology (specialty 83) and medical oncology (specialty 90) also receive more than 40 percent of their Medicare revenues from drugs. However, we are already using the ASCO survey for these specialties and the increase in payment for drug administration is exempt from budget neutrality by another provision of the statute.

    6. Provisions for Appropriate Reporting and Billing for Physicians' Services Associated with the Administration of Covered Outpatient Drugs

    Section 1848(c)(2)(J) of the Act requires the Secretary to promptly evaluate existing drug administration codes for physicians' services to ensure accurate reporting and billing for such services, taking into account levels of complexity of the administration and resource consumption. The statute further specifies that the Secretary will use existing processes for the consideration of coding changes and, to the extent changes are made, will use the processes to establish relative values for these services. The Secretary is also required to consult with physician specialties affected by the provisions that change Medicare payments for drugs.

    We expect to review this issue in the context of all the payment changes being made by the statute to Medicare payment for drug administration in order to assure accurate reporting and billing for such services taking into account levels of complexity of the administration and resource consumption. The existing processes we plan to use include review by our Physician's Regulatory Issues Team (PRIT) and consultation with the AMA's CPT Editorial Committee and physician specialties affected by changes in payment for drugs and drug administration. The PRIT, an internal CMS group that is working to eliminate unnecessary regulations, is reviewing the issue of coding for drug administration services including section 15400 of the Medicare Carriers Manual (MCM) that currently governs Medicare policy with respect to use of CPT codes in the 96400 through 96549 series for chemotherapy administration.

    7. Treatment of Other Services Currently in the Nonphysician Work Pool

    The nonphysician work pool is a special interim methodology that we use to determine practice expense RVUs for many services that do not have physician work RVUs. The drug administration codes listed above are currently valued using the nonphysician work pool methodology. Because we are now assigning work RVUs to these drug administration codes, they will no longer be included in the nonphysician work pool. Practice expense RVUs for these services will be computed using the standard practice expense methodology that applies to all other physicians' services.

    Section 303(a)(2) of MPDIMA requires the Secretary to make adjustments to the nonphysician work pool methodology for the determination of practice expense RVUs under the physician fee schedule so that the practice expense RVUs for services determined under such methodology are not affected relative to the practice expense RVUs of services not determined under such methodology as a result of the amendments made by section 303(a)(2) of MPDIMA. If we made no other changes, removing drug administration codes from the nonphysician work pool would result in a reduction to the practice expense RVUs for services remaining in the nonphysician work pool. Consistent with section 303(a)(1) of MPDIMA, we are making two changes to the nonphysician work pool methodology so that the practice expense RVUs for nonphysician work pool services are not affected relative to other services.

    First, we are changing the practice expense per hour assigned to the nonphysician work pool. In place of the “all physician” average, we are using a weighted average practice expense per hour of the specialties that perform the services affected by its calculations. Specifically, we will use the following revised data in the practice expense methodology for services remaining in the nonphysician work pool:

    Table 3

    SpecialtyClin StaffAdmin. StaffOffice ExpenseMed. SuppliesMed. EquipOtherTotal
    Nonphysician Work pool15.817.421.57.94.915.082.6

    Second, we are adjusting the clinical staff times used in the creation of the pool. By definition, nonphysician work pool services do not involve the physician and have no physician time. To create the nonphysician work pool, we have used clinical staff time per procedure in the computation. We will now use the total staff time rather than the previously utilized maximum staff time for developing the 2004 physician fee schedule. Consistent with section 303(a)(2) of MPDIMA, the change to the practice expense per hour and staff time will result in no reduction to the practice expense RVUs for the services remaining in the nonphysician work pool once drug administration services are removed. By using the maximum staff time, we are assuming that clinical staff are working concurrently. However, it is possible that clinical staff are working sequentially and it would be appropriate to use the total staff time for each service. We are proposing to use the total staff in place of the maximum staff for developing the 2004 physician fee schedule since each are equally likely to address staff time arrangements for non-physician work pool services and the latter approach will assist in meeting the statutory directive that payment for non-physician work pool services not be affected by the changes we are making to drug administration services.

    8. Payment for Multiple Chemotherapy Agents Furnished on a Single Day Through the Push Technique

    Section 303(a)(3) of MPDIMA requires the Secretary to review the policy as in effect October 1, 2003, for section 1848 of the Act for the administration of more than one drug or biological to an individual on a single day through the push technique. Subsequent to that review, the Secretary will modify the Start Printed Page 1095payment policy as determined to be appropriate. Section 303(a)(3)(C) of MPDIMA indicates that any change in policy resulting from this review will be treated as additional expenditures attributable to section 1848(c)(2)(H). (This section relates to the additional expenditures that result from use of survey data that includes expenses for drug administration and clinical oncology nurses and requires that we establish work RVUs equal to a level 1 office visit for drug administration services. Currently, a level 1 office has 0.17 work RVUs)

    In the November 25, 1991, Federal Register (56 FR 59541), we specified that Medicare will allow CPT code 96408 (Chemotherapy administration, intravenous; push technique) to be reported only once per day even if the physician administers multiple drugs and this policy is contained in Section 15400 of MCM. In the August 20, 2003, proposed rule (68 FR 50439) concerning payment reform for part B drugs under Medicare, we had proposed revising this policy to allow for CPT code 96408 to be reported once per day for each drug administered. This revision was supported by commenters.

    Upon review of this issue and in acknowledgement that there are additional resources involved in administering each subsequent drug which should be considered in a resource-based payment system, we are changing our policy and will allow for CPT code 96408 to be reported once per day for each drug administered. The effective date for this change is for services furnished on or after January 1, 2004. We will modify section 15400 of the manual consistent with this change. In addition, as previously mentioned, the PRIT will be reviewing the issue of use of the chemotherapy administration codes in the 96400 CPT code series and Medicare's manual provisions on their use.

    9. Transitional Adjustment to Medicare Payment for Certain Drug Administration Services

    Section 303(a)(4) of MPDIMA provides for a transitional adjustment to Medicare payment for drug administration services to reflect implementation of the amendments made by section 303 of MPDIMA affecting Medicare's payments for drugs. Specifically, section 303(a)(4) of MPDIMA requires Medicare to increase the physician fee schedule amounts otherwise determined by 32 percent for 2004 and 3 percent for 2005. Thus, we will determine the payment for CPT codes 90780 through 90781, 90782 through 90788, 96400, 96408 through 96425, 96520, and 96530 based on the work, practice expense and malpractice RVUs shown in Addendum B and the 2004 CF of $37.3374. Consistent with section 303(a)(4) of MPDIMA, we will increase the physician fee schedule amount by an additional 32 percent for 2004. (The physician fee schedule amounts applicable in 2005 will be increased by 3 percent.)

    C. Geographic Practice Cost Indices (GPCIs)

    The Act requires that payments vary among physician fee schedule areas according to the extent that resource costs vary as measured by the Geographic Practice Cost Indices (GPCIs) for each of the three fee schedule components: work, practice expense, and malpractice.

    Section 412 of MPDIMA amended section 1848(e)(1) of the Act and establishes a floor of 1.0 for the work geographic index for any locality to be used for purposes of payment for services furnished on or after January 1, 2004, and before January 1, 2007. In addition, section 602 of MPDIMA further amended section 1848(e)(1) of the Act for purposes of payment for services furnished in Alaska under the physician fee schedule on or after January 1, 2004, and before January 1, 2006, and sets the practice expense, malpractice and work indices at 1.67 if the index would otherwise be less than 1.67.

    Based on these changes to the Act, we are revising the addenda published in the November 7, 2003, final rule concerning the transitional 2004 and full 2005 GPCIs (Addendum D and Addendum E, respectively). No locality will have a work GPCI of less than 1.00 and the work, practice expense and malpractice GPCIs for Alaska are set at 1.67. Addendum D in the November 7, 2003, final rule listed 58 localities having work GPCIs of less than 1.00. Of these, the range was from 0.881 for Puerto Rico to 0.998 for “Rest of New York” and New Orleans, Louisiana. Addendum D and E that are included in this final rule will replace the addenda previously published November 7, 2003.

    D. Adjustments to the Work, Practice Expense and Malpractice Relative Value Units

    In the August 15, 2003, proposed rule (68 FR 49058), we proposed to adjust the work, practice expense and malpractice RVUs to match the rebased MEI weights. In the November 7, 2003, final rule (68 FR 63245), we responded to public comments and applied adjustments of −0.57 percent (0.9943) to the physician work RVUs, −0.77 percent (0.9923) to the practice expense RVUs and 19.86 percent (1.1986) to the malpractice RVUs. These adjustments were intended to make the aggregate work, practice expense and malpractice RVUs used to determine payments in 2004 consistent with their respective weights in the rebased MEI.

    However, the changes required by MPDIMA change the 2004 work, practice expense and malpractice RVUs. Provisions that require changes to the work and practice expense RVUs and exempt them from budget neutrality will increase the number of work and practice expense RVUs.

    As we indicated in the November 7, 2003, final rule, we believe Medicare payment policy will be improved by adjusting the work, practice expense and malpractice RVUs to match the revised MEI weights. By matching the aggregate pools of RVUs to the rebased MEI weights, Medicare's payments for physician work, practice expense and malpractice will more closely match the proportion of expenses incurred by physicians in these categories. Therefore, we are revising the adjustments applied to the RVUs in the November 7, 2003, final rule consistent with our goal of making the work, practice expense and malpractice RVUs match the rebased MEI weights. The revised adjustments are −0.15 percent (0.9985) for physician work, −1.320 percent (0.9868) for practice expense, and 20.61 percent (1.2061) for malpractice. We have incorporated these adjustments into the RVUs shown in Addenda B and C of this final rule.

    E. Anesthesia and Physician Fee Schedule Conversion Factors for 2004

    The physician fee schedule update is determined under a methodology specified by statute. In the November 7, 2003, final rule (68 FR 63251), we used the formula specified in section 1848(d)(4) of the Act to determine a 4.5 percent reduction to the physician fee schedule CF. However, section 601 of MPDIMA amended section 1848(d) of the Act to specify that the update to the single CF for 2004 and 2005 will not be less than 1.5 percent. Because the statutory formula will yield a 4.5 percent reduction to the physician fee schedule CF and the amendments to the statute indicate that the update for 2004 cannot be less than 1.5 percent, we will increase the physician fee schedule CF by 1.5 percent for 2004.

    The specific calculations to determine the physician fee schedule and anesthesia CFs for 2004 are explained below. Start Printed Page 1096

    • Physician Fee Schedule Conversion Factor

    Under section 1848(d)(1)(A) of the Act, the physician fee schedule CF is equal to the CF for the previous year multiplied by the update determined under section 1848(d)(4) of the Act.

    We illustrate the calculation for the 2004 physician fee schedule CF in table 4:

    Table 4

    2003 Conversion Factor$36.7856
    2004 Update1.5% (1.015)
    2004 Conversion Factor$37.3374

    • Anesthesia Fee Schedule Conversion Factor

    As described in the November 7, 2003, final rule (68 FR 63252), anesthesia services do not have RVUs like other physician fee schedule services. For this reason, we are accounting for the adjustments to match the revised MEI weights and changes to anesthesia work and practice expenses through a 1.09 percent 1.0109 adjustment to the anesthesia fee schedule CF. The 1.09 percent increase reflects a 0.15 percent reduction on the work portion (79 percent), a 2.0 percent reduction on the practice expense portion (13.7 percent) and a 20.61 percent increase on the malpractice portion (7.2 percent) of the anesthesia conversion factor. (The adjustment to the practice expense portion is comprised of 1.3 percent for the MEI weights and 0.7 percent for the revisions in the practice expense methodology). To determine the anesthesia fee schedule CF for 2004, we used the following figures:

    Table 5

    2003 Conversion Factor$17.0522
    Adjustments for Work and Practice Expense1.09% (1.0109)
    2004 Update1.5% (1.0150)
    2004 Conversion Factor$17.4969

    F. Publication of Addenda

    The addenda included in this final rule concerning RVUs and Related Information Used in Determining Medicare Payments for 2004 (Addenda A, B and C) and GPCIs by Medicare Carrier and Locality (Addenda D and E) replace the addenda published November 7, 2003 (68 FR 63261). The revised addenda reflect changes required by MPDIMA as well as corrections to minor errors contained in the addenda published November 7, 2003.

    III. Private Contracting With Medicare Beneficiaries

    Section 4507 of the Balanced Budget Act of 1997 added section 1802(b) to the Act. This section provides that physicians and certain nonphysician practitioners may opt out of Medicare and enter into private contracts with Medicare beneficiaries. Under these contracts, no limits apply to what physicians or nonphysician practitioners can charge beneficiaries. Physicians opting out of Medicare file an affidavit with the Medicare carrier in which they agree to opt out of Medicare for a period of 2 years and to meet certain other criteria. In general, the statute requires that during that two-year period, physicians and nonphysician practitioners who have filed affidavits opting out of Medicare have private contracts with all Medicare beneficiaries to whom they furnish Medicare covered services. These contracts may not be entered into at a time when a beneficiary needs emergency or urgent care services.

    Moreover, the statute requires that the private contract be in writing and be signed by the Medicare beneficiary before any item or service is provided in accordance with the contract and that:

    • The beneficiary agrees not to submit a claim (or to request that the physician or practitioner submit a claim) with Medicare for Medicare covered services.
    • The beneficiary agrees to be responsible, whether through insurance or otherwise, for services furnished under a private contract.
    • The beneficiary acknowledges that no limits (including the limits under section 1848(g) of the Social Security Act) apply to amounts that are charged under the private contract.
    • The beneficiary acknowledges that no payment will be made under a Medigap plan, and other insurers may elect not to make payment for services furnished under the private contract.
    • The beneficiary acknowledges that Medicare may make payment for covered services if the service was received from a physician or non-physician practitioner with whom the beneficiary has not signed a private contract.

    Prior to enactment of MPDIMA, section 1802(b)(5)(B) of the Act limited the types of physicians who could choose to opt out of Medicare to doctors of medicine and doctors of osteopathy. Section 603 of MPDIMA amends section 1802(b)(5)(B) of the Act to include dentists, podiatrists, and optometrists, in certain circumstances, in the definition of physicians who may opt out of Medicare. We are making conforming changes to our regulations to reflect this change in the statute.

    IV. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the Federal Register and invite public comment on a proposed rule. The notice of proposed rulemaking includes a reference to the legal authority under which the rule is proposed, and the terms and substance of the proposed rule or a description of the subjects and issues involved. This procedure can be waived, however, if an agency finds good cause that notice-and-comment procedure is impracticable, unnecessary, or contrary to the public interest and incorporates a statement of the finding and its reasons in the rule issued. In addition, the Administrative Procedure Act (APA) normally requires a 30-day delay in the effective date of a final rule. Furthermore, the Congressional Review Act (CRA) generally requires an agency to delay the effective date of a major rule by 60-days in order to allow for congressional review of the agency action.

    Section 1871 of the Act provides for publication of a notice of proposed rulemaking and opportunity for public comment before CMS issues a final rule. However, section 1871(b)(2)(B) provides an exception when a law establishes a specific deadline for implementation of a provision and the deadline is less than 150 days after the law's date of enactment. MPDIMA was enacted by Congress on November 25, 2003, and signed into law by the President on December 8, 2003. The provisions of this rule that amend the physician fee schedule and drug payment rate are required to be implemented January 1, 2004. Therefore, these provisions are subject to waiver of proposed rulemaking and public comment in accordance with section 1871(b)(2)(B) of the Act.

    Even if section 1871(b)(2)(B) of the Act were not directly applicable here, we would find good cause to waive the requirement for publication of an notice of proposed rulemaking and public comment on the grounds that it is impracticable, unnecessary, and contrary to the public interest. This final rule, with the exception of implementation of billing for a level 1 office visit and pharmacy supplying fee and the technical correction of minor errors in the November rule, merely sets out the non-discretionary provisions of MPDIMA with respect to payment under the physician fee schedule and drug AWP methodology. Because the rule is generally ministerial, we believe that pursuing notice and comment is Start Printed Page 1097unnecessary. Moreover, because such process would prevent congressionally-mandated revisions, updates, and increases in payment under the physician fee schedule for 2004, we find that pursuing such process would be both impracticable and contrary to the public interest.

    For these same reasons, we are waiving the 30-day delay in effective date contained in 5 U.S.C. section 553(d).

    With respect to the requirement of a 60-day delay in the effective date of any final rule pursuant to the CRA, see 5 U.S.C. section 801, the CRA provides that the 60-day delayed effective date shall not apply to any rule “which an agency for good cause finds . . . that notice and public procedure thereon are impracticable, unnecessary, or contrary to the public interest” (5 U.S.C. section 808(2)). For the reasons set forth above, we believe that additional notice-and-comment rulemaking on this subject would be impracticable, unnecessary, or contrary to the public interest. Therefore, we do not believe that the CRA requires a 60-day delay in the effective date of this final rule.

    V. Response to Comments

    Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the DATES section of this preamble, and, if we proceed with a subsequent document, we will respond to the major comments in the preamble to that document.

    VI. Collection of Information Requirements

    Under the Paperwork Reduction Act (PRA) 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 PRA 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.

    Therefore, we are soliciting public comments on each of these issues for the information collection requirement discussed below.

    The following information collection requirement and associated burden are subject to the PRA.

    § 414.707 Basis of payment

    Under paragraph (a)(7) of this section, a manufacturer requesting a drug payment exception to the default 85 percent used in the general rule or the percentage specified in Table 1 will have to submit data and information including the manufacturer's average sales price for the drug. The burden associated with this requirement is the time involved in providing us the information for the submission due before January 1, 2004, and the optional supplemental submission due by January 16, 2004. We believe that it would take an average of one hour to submit the request and the necessary data and information. Given the universe of approximately 450 Medicare drug codes and assuming an average of 10 manufacturers per drug code, the maximum aggregate burden associated with this activity would be 4500 hours.

    We are soliciting public comment on this requirement in conjunction with a request for emergency approval of this information collection so that manufacturers may submit their requests during the statutorily prescribed timeframe. These requirements were submitted to OMB for review and are approved by OMB under OMB control number 0938-0913.

    If you comment on any of these information collection and record keeping requirements, please mail copies directly to the following: Centers for Medicare & Medicaid Services, Office of Strategic Operations and Regulatory Affairs, Regulations Development and Issuances Group, Attn: Julie Brown, CMS-1372-FC, Room C5-16-03, 7500 Security Boulevard, Baltimore, MD 21244-1850; and Office of Information and Regulatory Affairs, Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503, Attn: Brenda Aguilar, CMS Desk Officer.

    Comments submitted to OMB may also be emailed to the following address: email: baguilar@omb.eop.gov; or faxed to OMB at (202) 395-6974.

    VII. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 16, 1980, Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132. Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for final rules with economically significant effects (that is, a final rule that would have an annual effect on the economy of $100 million or more in any 1 year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We estimate that the combined effect of the physician fee schedule update and GPCI provisions included in this final rule will increase Medicare spending by $1.0 billion in FY 2004. We have simulated the effect of both the drug payment and physician fee schedule changes that we are adopting in this final rule. We are making several changes to the physician fee schedule RVUs in this final rule. In general, section 1848(c)(2)(B)(ii)(II) of the Act requires that changes to RVUs cannot increase or decrease expenditures more than $20 million from the amount of expenditures that would have resulted with such adjustments. However, section 303(a)(1) of the MPDIMA specifically exempts the changes we are making to the RVUs in this final rule from the budget neutrality requirements of section 1848(c)(2)(B)(ii)(II) of the Act. Thus, the changes that we are making to the physician fee schedule RVUs will increase aggregate spending for Medicare physician fee schedule services. Because the changes in this final rule will increase Medicare spending by more than $1.0 billion in FY 2004, we are considering this final rule to be economically significant. Therefore, this final rule is a major rule and we have prepared a regulatory impact analysis. The table 6 below shows our estimates of the fiscal year 2004 impact of specific MPDIMA provisions we are implementing in this final rule (rounded to the nearest $0.1 billion). Start Printed Page 1098

    Table 6

    SectionDescriptionFY 2004 impact ($ in billions)
    303Competitive Acquisition of Covered Outpatient Drugs$0.0
    304Application to Certain Specialties−0.1
    305Payment for Inhalation Drugs−0.1
    412Work GPCI Floor for Physicians0.2
    601Update Revisions0.8
    602Services in Alaska0.0

    The RFA requires that we analyze regulatory options for small businesses and other entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and less significant adverse economic impact on the small entities.

    Section 1102(b) of the Act requires us to prepare a regulatory impact analysis for any proposed rule that 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. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside a Metropolitan Statistical Area and has fewer than 100 beds.

    For purposes of the RFA, physicians, non-physician practitioners, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians (except mental health specialists) are considered to be small entities. There are about 875,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the physician fee schedule. There are in excess of 20,000 physicians and other practitioners that receive Medicare payment for drugs. These physicians are concentrated in the specialties of oncology, urology and rheumatology. Of the physicians in these specialties, approximately 40 percent are in oncology and 45 percent in urology.

    For purposes of the RFA, approximately 98 percent of suppliers of DME and prosthetic devices are considered small businesses according to the Small Business Administration's (SBA) size standards. We estimate that 106,000 entities bill Medicare for DME, prosthetics, orthotics, surgical dressings, and other equipment and supplies each year. Total Medicare expenditures for DME are approximately $7.7 billion per year, of which approximately $1.4 billion are for DME drugs.

    The analysis and discussion provided in this section as well as elsewhere in this final rule complies with the RFA requirements. Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. This final rule would not impose unfunded mandates on State, local, or tribal governments, or on the private sector of more than $110 million.

    We have examined this final rule in accordance with Executive Order 13132 and have determined that this regulation would not have any significant impact on the rights, roles, or responsibilities of State, local, or tribal governments.

    We have prepared the following analysis, which together with the rest of this preamble meets all assessment requirements. It explains the rationale for, and purposes of, the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we propose to use to minimize the burden on small entities. This final rule changes Medicare payment rates for drugs and their administration as well as other physician fee schedule services. We are providing information for each of the policy changes in the relevant sections of this final rule. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this final rule. The relevant sections of this final rule contain a description of significant alternatives if applicable.

    A. Application of Market-Based Systems of Medicare Payment for Part B Drugs

    As described in more detail earlier in this final rule, effective January 1, 2004, with some exceptions, section 303(b) of MPDIMA specifies that drugs not paid on a cost or prospective payment basis will be paid at 85 percent of the average wholesale price determined as of April 1, 2003. Section 303(a) directs the Secretary to make changes to the physician fee schedule that will increase Medicare spending for physicians' services. Section 303 applies only to oncology payments while section 304 indicates that identical provisions to those in section 303 apply to other physicians. We have estimated that section 303 of MPDIMA would have no cost in FY 2004 and that section 304 would save $0.1 billion in FY 2004.

    B. Payment for Inhalation Drugs

    Section 305(a) of MPDIMA specifies that inhalation drugs furnished through durable medical equipment covered under 1861(n) of the Act will be paid at 80 percent of the average wholesale price determined as of April 1, 2003. We estimated savings associated with implementing section 305(a) of the MPDIMA is $0.1 billion in FY 2004.

    C. Pharmacy Supplying Fee for Certain Drugs and Biologicals

    Section 303(e)(2) provides for payment of a pharmacy supplying fee, less applicable deductible and coinsurance, for immunosuppressive drugs described in subparagraph (J) of section 1861(s)(2) and oral anti-cancer and anti-nausea drugs described in subparagraphs (Q) and (T) of such section. The payment of this fee is bundled into the current payment for these drugs and the 2004 payment amounts specified in section 303(b). This provision has no impact on Medicare expenditures in 2004.

    D. Physician Fee Schedule Provisions Related to the Administration of Drugs

    As indicated above, we are making changes to the work and practice expense RVUs under the provisions of section 1848(c)(2) of the Act as amended by section 303 of MPDIMA. In general, under section 1848(c)(2) of the Act, adjustments to RVUs may not cause the amount of expenditures to differ by more than $20 million from the amount of expenditures that would have Start Printed Page 1099resulted without such adjustments. However, section 303(a)(1) of the MPDIMA specifically exempts the changes we are making to the RVUs in this final rule from the budget neutrality requirements of section 1848(c)(2)(B)(ii)(II). As described above, consistent with section 303(a)(1), we are making several changes to the physician fee schedule work and practice expense RVUs.

    Table 6A shows the specialty level impact on payment of changes being made for CY 2004. The payment impacts reflect averages for each specialty based on Medicare utilization. The payment impact for an individual physician would be different from the average, based on the mix of services the physician provides. The average change in total revenues would be less than the impact displayed here since physicians furnish services to both Medicare and non-Medicare patients and specialties may receive substantial Medicare revenues for services that are not paid under the physician fee schedule. For instance, oncologists receive approximately 20 percent of their Medicare revenues from physician fee schedule services and approximately 77 percent of their Medicare revenues from drugs. Table 6A shows only the payment impact on physician fee schedule services. Table 11 below shows the combined impact of the physician fee schedule and drug payment changes for selected specialties and suppliers that receive a high percentage of their Medicare revenues from drugs.

    We modeled the impact of all changes to the relative value units and illustrated their effect in table 6A. The column labeled “Impact 11/7/2003 Final Rule Pre-MEI Weight Adjustments” shows the combined effect of all of the relative value unit changes contained in the August 15, 2003, proposed rule and the November 7, 2003, final rule other than the adjustments to make the aggregate work, practice expense and malpractice RVUs match the MEI weights. (For a description of the impact of the provisions of the August 15, 2003, proposed rule see 68 FR 49060-49065. For a description of the impact of additional impacts resulting from the November 7, 2003, final rule, see 68 FR 63252-63253). As described below, we have revised the MEI weight adjustments and will illustrate their impact once we show the effect of all other provisions that change RVUs.

    The column labeled “Section 303 and 304 Changes without Transition Payments” shows the impact of changes made in this final rule implementing section 303 and 304 of MPDIMA other than section 303(a)(4) that requires a “transitional adjustment” that increases payments for specific drug administration services by an additional 32 percent in 2004. This column shows the effect of increases in payments for drug administration services resulting from the higher work and practice expense RVUs required by section 303 and 304 of MPDIMA as well allowing oncologists to bill for multiple drug administrations by the “push” technique on a single day. In addition, because there will be no same day billing of a level 1 office visit and a drug administration service, the impacts shown include the effect of fewer office visit billings by the minority of oncologists who billed for such services. Taken together, these provisions will increase payments to oncologists by an estimated 27 percent. We estimate that payments to other physicians that provide drug administration services (rheumatology, infectious disease, obstetrics/gynecology) will increase by 1 to 2 percent. The revision to the practice expense per hour for cardiac and thoracic surgeons will increase their payments by an estimated 1 percent. All of the other increases shown in the table are a result of changes that we are making to the non-physician work pool. These changes will increase payments to physicians, practitioners and suppliers (Allergy/Immunology, Radiation Oncology, Radiology, Audiology, Diagnostic Testing Facility and Portable X-Ray suppliers) that provide services affected by the non-physician work pool calculations by approximately 1 percent. There will be little or no change in payments for all other specialties from the changes we are making in this interim final rule because the changes to the RVUs resulting from MPDIMA are exempt from the budget neutrality requirements of section 1848(c)(2)(ii)(II) of the Act.

    The column labeled “Transition Payments” shows the impact on payment from the 32 percent increase in payment for drug administration services required by section 303(a)(4) of MPDIMA. This provision will have an effect on only those specialties that provide drug administration services and is estimated to increase payments to oncologists by an additional 14 percent. We estimate that payments to other physicians that provide drug administration services (infectious disease, obstetrics/gynecology rheumatology and urology) will increase by 1 to 2 percent.

    We also modeled the effect of adjusting the RVUs to match the new MEI weights. Because we are increasing the malpractice RVUs by more than 20 percent, adjusting the RVUs to match the new MEI weights will result in an increase in payment for those specialties that perform services with high malpractice RVUs. Payments to anesthesiology, cardiac surgery, emergency medicine, neurosurgery, orthopedic surgery, thoracic surgery and vascular surgery will increase by approximately 1 percent. There will be a small impact on payment to all other physicians, practitioners and suppliers from the adjustments that reduce physician work and practice expense RVUs to match the new MEI weights. The total change in payment from provisions of the November 7, 2003, final rule and this final rule are shown in the total column.

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    In general, the statutory methodology for updating the physician fee schedule conversion factor is specified in section 1848(d)(4) of the Act. However, section 1848(d)(5) specifies that the update to the conversion factor for 2004 and 2005 shall not be less than 1.5 percent. Application of the statutory methodology of section 1848(d)(4) of the Act would reduce the physician fee schedule conversion factor by 4.5 percent. However, because section 1848(d)(5) of the Act indicates that the update can be no less than 1.5 percent, we are increasing the 2004 physician fee schedule conversion factor by 1.5 percent. In table 7, we are showing the estimated change in average payments by specialty based on provisions of this final rule and the estimated physician fee schedule update.

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    In the November 7, 2003, final rule, we showed the impact of all RVUs changes and a 4.5 percent reduction in the physician fee schedule conversion factor. In the table below, we are showing the effect of MPDIMA on payment for physician fee schedule services relative to the changes that would have occurred in 2004 under current law had MPDIMA not been enacted. That is, because the physician fee schedule conversion factor would have been reduced by 4.5 percent to $35.1339 and MPDIMA requires that it be increased by 1.5 percent to $37.3374, MPDIMA provisions affecting the update increased average physician fee schedule rates by 6.3 percent ($37.3374/$35.339 − 1 = 1.063 or 6.3 percent). Furthermore, MPDIMA required changes to relative value units that also resulted in further average increases in Medicare payment for physician fee schedule services. The following table also includes the impact of the GPCI provision that does not allow a work GPCI to be less than 1.0 and another one that increases the Alaska GPCI to 1.67. However, the impact on any specific physician, practitioner or supplier will be different than the average depending upon on whether the individual is located in Alaska or an area that would have had a GPCI that is less than 1.0.

    The column labeled “Impact 11/7/2003” final rule shows the impacts from table 27 of the November 7, 2003, final rule (68 FR 63256). The next column shows the impacts from table 7 and an estimate of the increase in payments due to the GPCI provisions. The percentage difference between these columns isolates the impact of the MPDIMA provisions we are adopting in this final rule and are shown in the last column.

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    Table 9 shows the impact on payments for selected high volume procedures of all of the changes previously discussed. This table shows the combined impact of the change in the work, practice expense and malpractice RVUs and the estimated physician fee schedule update on total payment for the procedure. There are separate columns that show the change in the facility rates and the non-facility rates. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i). The figures in tables 9 and 10 show the impact of the RVU changes and the physician fee schedule update but do not include the impact of the GPCI changes.

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    The next table shows the change in payments from 2003 to 2004 for selected high volume drug administration services. This table shows the impact of the increases in the physician work and practice expense RVUs, the 1.5 percent increase in the physician fee schedule conversion factor and the additional 32 percent “transition adjustment” required by section 303(a)(4) of MPDIMA in 2004.

    Table 11 shows the combined impact of changes we are making to Medicare drug and physician fee schedule payments on selected specialties/medical suppliers that receive a significant portion of their total Medicare revenues from drugs. These figures do not include the impact of the legislated increases in the GPCI. The table shows the amount and proportion of total Medicare revenues received from drugs and physician fee schedule services (DME fee schedule services for DME/Other Medical Suppliers). We note that these impacts and percentages represent averages for each specialty or supplier. The percentages and impacts for any individual physician or DME supplier are dependent on the mix of drugs and physician fee schedule services they provide to Medicare beneficiaries. These tables are intended to illustrate the combined payment impact in a single year across all of the services that these specialties or suppliers perform using the most recent data available to us. The first two columns of table 11 list the specialty and its combined Medicare revenues from all sources. The next three columns show estimated total Medicare drug revenues, the proportion of total revenues represented by drugs and the percent change in Medicare drug payments estimated in the first year. The revenue reduction shown includes the effect of limiting decreases in drug payments to 15 percent, the maximum reduction allowed in 2004 consistent with section 1842(o)(4)(D) of the Act (as added by section 303(b) of MPDIMA). The following three columns show analogous information for physician fee schedule services. The last column shows the combined percentage change across all Medicare revenues. For example, as indicated in the table, approximately 77 percent of total Medicare revenues for oncologists are attributed to drugs. As indicated in the next column, we estimate that Medicare revenues from drugs will decline by approximately 12 percent for oncologists as a result of policies adopted in this interim final rule or about $510 million. We are increasing oncology physician fee schedule payments by 47 percent in this interim final rule or about $510 million. We estimated that the one-year decrease in drug payments and increase in physician fee schedule payments resulting from this final rule will produce virtually no net change in total Medicare payments for oncologists.

    For DME/Other Medical Suppliers, 42 and 58 percent of Medicare revenues respectively are received from drugs and DME fee schedule services. These suppliers will receive an approximate reduction of 13 percent in their Medicare drug revenues the first year. The total reduction in payment in one year across all of the services they provide will be approximately 6 percent.

    In general, the other physician specialties receive a smaller share of their total Medicare revenues from drugs than oncologists. However, they are also less affected by the payment increases for drug administration services. Taken together, we estimate a net change in revenues from the drug and drug administration payment changes for urology (−4 percent), rheumatology (−2 percent), obstetrics/gynecology (+1 percent) and infectious disease (+4 percent).

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    C. Geographic Practice Cost Indices (GPCIs) Changes

    Section 412 of MPDIMA amended section 1848(e)(1) of the Act and establishes a floor of 1.0 for the work geographic index for any locality to be used for purposes of payment for services furnished on or after January 1, 2004, and before January 1, 2007. In addition, section 602 of MPDIMA further amended 1848 (e)(1) of the Act for purposes of payment for services furnished in Alaska under the physician fee schedule on or after January 1, 2004, and before January 1, 2006, and sets the practice expense, malpractice and work indices at 1.67 if such index would otherwise be less than 1.67. The impact of the MPDIMA provisions on the work GPCI is illustrated in Table 12.

    An impact of these legislative changes to the GPCI can also be demonstrated by a comparison of area geographic adjustment factors (GAFs). The GAFs are a weighted composite of each area's work, practice expense, and malpractice expense GPCIs using the national GPCI cost share weights. While we do not actually use the GAFs in computing the fee schedule payment for a specific service, they are useful in comparing overall area costs and payments. The actual effect on payment for any specific service will deviate from the GAF to the extent that the service's proportions of work, practice expenses, and malpractice expense RVUs differ from those of the GAF. Table 13 shows the effects of the legislative revisions to the GPCIs on area GAFs for 2004. As directed by the legislation no locality will have a work GPCI of less than 1.00 and the work, practice expense and malpractice GPCIs for Alaska are set at 1.67. Tables 12 and 13 are sorted by decreasing percent change in work GPCI and GAF respectively.

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    We estimate the cost of the provisions affecting the GPCI will increase Medicare spending by 0.2 billion in FY 2004.

    E. Alternatives Considered

    For the most part, this interim final implements prescriptive provisions of MPDIMA and the statute does not permit us to exercise our discretion. Nevertheless, the preamble identifies ancillary policies and rationale for our decisions.

    For instance, the statutory provisions requiring changes to Medicare's payments for drugs were prescriptive. We did not consider any alternatives because of the clear direction in the statute to determine Medicare prices for drugs in 2004. Similarly, the provisions of the statute with respect to the GPCI were also prescriptive and did not allow for us to consider any alternatives. While we considered using the formula contained in section 1848(d)(4) of the Act to update the physician fee schedule conversion factor, its application would result in a reduction of 4.5 percent and would be inconsistent with the MPDIMA provision requiring an update to the physician fee schedule conversion factor for 2004 of not less than 1.5 percent. With respect to the provisions of this final rule that require changes to Medicare payments for the administration of drugs, we generally did not find that the statute permitted discretion. Nevertheless, earlier in the preamble of this final rule, we provided detailed descriptions of the statutory provisions and its requirements and, where possible, of the alternatives we considered.

    F. Impact on Beneficiaries

    Although changes in physicians' payments were large when the physician fee schedule was implemented in 1992, we detected no problems with beneficiary access to care. We do not believe that there would be any problem with access to care as a result of the changes in this rule. For the most part, we are increasing payments for physicians fee schedule services that otherwise would be reduced. We don't believe the drug payment changes will have an impact on beneficiary access to services but we will continue to monitor this issue.

    We estimate that beneficiary liability will increase in CY 2004 by $1.0 billion for the physician fee schedule provisions relative to current law. Payment changes we are making in this final rule for drug administration will increase beneficiary liability. However, we estimate that the provisions that change Medicare's drug payments to oncologists (section 303 of MPDIMA), other physicians (section 304 of MPDIMA) and inhalation drugs (section 305 of MPDIMA) will offset the additional beneficiary liability for drug administration. We estimate that the net effect of changes to payment for drugs and drug administration will result in savings to beneficiaries of approximately $100 million in CY 2004.

    In accordance with the provisions of Executive Order 12866, this regulation was reviewed by the Office of Management and Budget.

    Start List of Subjects

    List of Subjects

    42 CFR Part 405

    • Administrative practice and procedure
    • Health facilities
    • Health professions
    • Kidney diseases
    • Medical devices
    • Medicare
    • Reporting and recordkeeping requirements
    • Rural areas
    • X-rays

    42 CFR Part 414

    • Administrative practice and procedure
    • Health facilities
    • Health professions
    • Kidney diseases
    • Medicare
    • Reporting and recordkeeping requirements
    • Rural areas
    • X-rays
    End List of Subjects

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

    Start Signature
    Start Printed Page 1116

    Dated: December 15, 2003.

    Thomas A Scully,

    Administrator, Centers for Medicare & Medicaid Services.

    Approved: December 24, 2003.

    Tommy G. Thompson,

    Secretary.

    End Signature

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

    Start Part

    PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED

    End Part Start Amendment Part

    1. The authority citation for part 405 continues to read as follows:

    End Amendment Part Start Authority

    Authority: Secs. 1102, 1802, and 1871 of the Social Security Act (42 U.S.C. 1302, 1395a, and 1395hh).

    End Authority Start Amendment Part

    2. Section 405.400 is amended by revising the definition of “physician” to read as follows:

    End Amendment Part
    Definitions.
    * * * * *

    Physician means a doctor of medicine; doctor of osteopathy; doctor of dental surgery or of dental medicine; doctor of podiatric medicine; or doctor of optometry who is legally authorized to practice medicine, osteopathy, dental surgery, dental medicine, podiatric medicine, or optometry by the State in which he performs such function and who is acting within the scope of his license when he performs such functions.

    * * * * *
    Start Amendment Part

    3. Section 405.517 is amended by—

    End Amendment Part Start Amendment Part

    A. Redesignating the text of paragraph (a) as paragraph (a)(1) and adding a heading;

    End Amendment Part Start Amendment Part

    B. Adding a new paragraph (a)(2).

    End Amendment Part
    Payment for drugs and biologicals that are not paid on a cost or prospective payment basis.

    (a) Applicability. (1) Payment for drugs and biologicals before January 1, 2004. * * *

    (2) Payment for drugs and biologicals on or after January 1, 2004. Effective January 1, 2004, payment for drugs and biologicals that are not paid on a cost or prospective payment basis are paid in accordance with Part 414, subpart I of this chapter.

    * * * * *
    Start Part

    PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES

    End Part Start Amendment Part

    4. The authority citation for part 414 continues to read as follows:

    End Amendment Part Start Authority

    Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).

    End Authority Start Amendment Part

    5. The list in § 414.1 is amended by adding a new entry in numerical order as follows:

    End Amendment Part
    Basis and scope.
    * * * * *

    1842(o)—Rules for payment of certain drugs and biologicals.

    * * * * *
    Start Amendment Part

    6. A new subpart I is added to read as follows:

    End Amendment Part
    Subpart I—Payment for Drugs and Biologicals
    414.701
    Purpose.
    414.704
    Definitions.
    414.707
    Basis of payment.
    Purpose.

    This subpart implements section 1842(o) of the Social Security Act by specifying the methodology for determining the payment allowance limit for drugs and biologicals covered under Part B of Title XVIII of the Act (hereafter in this subpart referred to as the “program”) that are not paid on a cost or prospective payment system basis. Examples of drugs that are subject to the rules contained in this subpart are: drugs furnished incident to a physician's service; durable medical equipment (DME) drugs; separately billable drugs at independent dialysis facilities not under the ESRD composite rate; statutorily covered drugs, for example, influenza, pneumococcal and hepatitis vaccines, antigens, hemophilia blood clotting factor, immunosuppressive drugs and certain oral anti-cancer drugs.

    Definitions.

    As used in this subpart, the following definition applies. Drug refers to both drugs and biologicals.

    Basis of payment.

    (a) Method of payment. (1) Payment for a drug in calendar year 2004 is based on the lesser of—

    (i) The actual charge on the claim for program benefits; or

    (ii) 85 percent of the average wholesale price determined as of April 1, 2003, subject to the exceptions as specified in paragraphs (a)(2) through (a)(8) of this section.

    (2) The payment limits for the following drugs are calculated using 95 percent of the average wholesale price:

    (i) Blood clotting factors.

    (ii) A drug or biological furnished during 2004 that was not available for Medicare payment as of April 1, 2003.

    (iii) Pneumococcal and influenza vaccines as well as hepatitis B vaccine that is furnished to individuals at high or intermediate risk of contracting hepatitis B (as determined by the Secretary).

    (iv) A drug or biological furnished during 2004 in connection with the furnishing of renal dialysis services if separately billed by renal dialysis facilities.

    (3) The payment limits for infusion drugs furnished through a covered item of durable medical equipment are calculated using 95 percent of the average wholesale price in effect on October 1, 2003.

    (4) The payments limits for drugs contained in the following table are calculated based on the percentages of the average wholesale price determined as of April 1, 2003 that are specified in the table.

    DrugPercentage used to calculate 2004 payment limit
    EPOETIN ALFA87
    LEUPROLIDE ACETATE81
    GOSERELIN ACETATE80
    RITUXIMAB81
    PACLITAXEL81
    DOCETAXEL80
    CARBOPLATIN81
    IRINOTECAN80
    GEMCITABINE HCL80
    PAMIDRONATE DISODIUM85
    DOLASETRON MESYLATE80
    FILGRASTIM81
    HYLAN G-F 2082
    MYCOPHENOLATE MOFETIL86
    GRANISETRON HCL80
    ONDANSETRON87
    VINORELBINE TARTATE81
    SARGRAMOSTIM80
    TOPOTECAN84
    IPRATROPIUM BROMIDE80
    ALBUTEROL SULFATE80
    IMMUNE GLOBULIN80
    LEUCOVORIN CALCIUM80
    DOXORUBICIN HCL80
    DEXAMETHOSONE SODIUM PHOSPHATE86
    HEPARIN SODIUM LOCK-FLUSH80
    CROMOLYN SODIUM80
    ACETYLCYSTEINE80

    (5) The payment limits for imiglucerase and alglucerase are calculated using 94 percent of the average wholesale price determined as of April 1, 2003.

    (6) Exception. The payment limit for a drug otherwise subject to paragraph (a)(1)(ii) or paragraph (a)(4) of this section may be calculated using the percentage of the average wholesale price as the Secretary deems appropriate based on data and information submitted by the drug manufacturer.

    (i) The manufacturer must submit data after October 15, 2003 and before January 1, 2004.

    (ii) The percentage only applies for drugs furnished on or after April 1, 2004.

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    (7) In the case of blood and blood products (other than blood clotting factors), the payment limits shall be determined in the same manner as such payment limit was determined on October 1, 2003.

    (b) Mandatory assignment. Effective with services furnished on or after February 1, 2001, payment for any drug covered under Part B of Medicare may be made on an assignment-related basis only. All billers must accept the program allowed charge as payment in full and may not bill nor collect from the beneficiary any amount other than the unmet Part B deductible and Part B coinsurance amounts, if applicable. Violations of this requirement may subject the supplier to sanctions, as provided by the statute (See § 402 of this chapter).

    Note:

    These addenda will not appear in the Code of Federal Regulations.

    Addendum A—Explanation and Use of Addenda B

    The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2004. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.

    In previous years, we have listed many services in Addendum B that are not paid under the physician fee schedule. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes and most alpha-numeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) in Addendum B.

    Addendum B—2004 Relative Value Units and Related Information Used in Determining Medicare Payments for 2004

    This addendum contains the following information for each CPT code and alphanumeric HCPCS code, except for alphanumeric codes beginning with B (enteral and parenteral therapy), E (durable medical equipment), K (temporary codes for nonphysicians' services or items), or L (orthotics), and codes for anesthesiology.

    1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for the service. Alphanumeric HCPCS codes are included at the end of this addendum.

    2. Modifier. A modifier is shown if there is a technical component (modifier TC) and a professional component (PC) (modifier −26) for the service. If there is a PC and a TC for the service, Addendum B contains three entries for the code: One for the global values (both professional and technical); one for modifier −26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PC and the TC of the service.

    Modifier −53 is shown for a discontinued procedure. There will be RVUs for the code (CPT code 45378) with this modifier.

    3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the physician fee schedule and whether it is separately payable if the service is covered.

    A = Active code. These codes are separately payable under the fee schedule if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a national decision regarding the coverage of the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.

    B = Bundled code. Payment for covered services is always bundled into payment for other services not specified. If RVUs are shown, they are not used for Medicare payment. If these services are covered, payment for them is subsumed by the payment for the services to which they are incident. (An example is a telephone call from a hospital nurse regarding care of a patient.)

    C = Carrier-priced code. Carriers will establish RVUs and payment amounts for these services, generally on a case-by-case basis following review of documentation, such as an operative report.

    D = Deleted code. These codes are deleted effective with the beginning of the calendar year.

    E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.

    F = Deleted/discontinued codes. Code not subject to a 90-day grace period.

    G = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for reporting of, and payment for, these services.

    H = Deleted modifier. Either the TC or PC component shown for the code has been deleted, and the deleted component is shown in the data base with the H status indicator. (Code subject to a 90-day grace period.)

    I = Not valid for Medicare purposes. Medicare uses another code for the reporting of, and the payment for these services. (Code NOT subject to a 90-day grace period.)

    N = Noncovered service. These codes are noncovered services. Medicare payment may not be made for these codes. If RVUs are shown, they are not used for Medicare payment.

    P = Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule.

    • If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).
    • If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.

    R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.

    T = Injections. There are RVUs for these services, but they are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider. If any other services payable under the physician fee schedule are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.

    X = Exclusion by law. These codes represent an item or service that is not within the definition of “physicians' services” for physician fee schedule payment purposes. No RVUs are shown for these codes, and no payment may be made under the physician fee schedule. (Examples are ambulance services and clinical diagnostic laboratory services.)

    4. Description of code. This is an abbreviated version of the narrative description of the code.

    5. Physician work RVUs. These are the RVUs for the physician work for this service in 2003. Codes that are not used for Medicare payment are identified with a “+.”

    6. Non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.

    7. Facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.

    8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2004.

    9. Non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.

    10. Facility total. This is the sum of the work, fully implemented facility practice expense, and malpractice expense RVUs.

    11. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows:

    MMM = The code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions.

    XXX = The global concept does not apply.

    YYY = The global period is to be set by the carrier (for example, unlisted surgery codes).

    ZZZ = Code related to another service that is always included in the global period of the other service. (Note: Physician work and practice expense are associated with intra service time and in some instances the post service time.)

    —————————— 1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 2003 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. Start Printed Page 1118

    Addendum B.—Relative Value Units (RVUS) and Related Information

    CPT1 HCPCS2MODStatusDescriptionPhysician work RVUs3Non- facility PE RVUsFacility PE RVUsMal- practice RVUsNon- facility totalFacility totalGlobal
    0001FIBlood pressure, measured0.000.000.000.000.000.00XXX
    0001TCEndovas repr abdo ao aneurys0.000.000.000.000.000.00XXX
    0002FITobacco use, smoking, assess0.000.000.000.000.000.00XXX
    0002TDendo repair abd aa aorto uni0.000.000.000.000.000.00XXX
    0003FITobacco use, non-smoking0.000.000.000.000.000.00XXX
    0003TCCervicography0.000.000.000.000.000.00XXX
    0004FITobacco use txmnt counseling0.000.000.000.000.000.00XXX
    0005FITobacco use txmnt, pharmacol0.000.000.000.000.000.00XXX
    0005TCPerc cath stent/brain cv art0.000.000.000.000.000.00XXX
    0006FIStatin therapy, prescribed0.000.000.000.000.000.00XXX
    0006TCPerc cath stent/brain cv art0.000.000.000.000.000.00XXX
    0007FIBeta-blocker thx prescribed0.000.000.000.000.000.00XXX
    0007TCPerc cath stent/brain cv art0.000.000.000.000.000.00XXX
    0008FIAce inhibitor thx prescribed0.000.000.000.000.000.00XXX
    0008TCUpper gi endoscopy w/suture0.000.000.000.000.000.00XXX
    0009FIAssess anginal symptom/level0.000.000.000.000.000.00XXX
    0009TCEndometrial cryoablation0.000.000.000.000.000.00XXX
    0010FIAssess anginal symptom/level0.000.000.000.000.000.00XXX
    0010TCTb test, gamma interferon0.000.000.000.000.000.00XXX
    0011FIOral antiplat thx prescribed0.000.000.000.000.000.00XXX
    0012TCOsteochondral knee autograft0.000.000.000.000.000.00XXX
    0013TCOsteochondral knee allograft0.000.000.000.000.000.00XXX
    0014TCMeniscal transplant, knee0.000.000.000.000.000.00XXX
    0016TCThermotx choroid vasc lesion0.000.000.000.000.000.00XXX
    0017TCPhotocoagulat macular drusen0.000.000.000.000.000.00XXX
    0018TCTranscranial magnetic stimul0.000.000.000.000.000.00XXX
    0019TIExtracorp shock wave tx, ms0.000.000.000.000.000.00XXX
    0020TCExtracorp shock wave tx, ft0.000.000.000.000.000.00XXX
    0021TCFetal oximetry, trnsvag/cerv0.000.000.000.000.000.00XXX
    0023TCPhenotype drug test, hiv 10.000.000.000.000.000.00XXX
    0024TCTranscath cardiac reduction0.000.000.000.000.000.00XXX
    0025TDUltrasonic pachymetry0.000.000.000.000.000.00XXX
    0026TCMeasure remnant lipoproteins0.000.000.000.000.000.00XXX
    0027TCEndoscopic epidural lysis0.000.000.000.000.000.00XXX
    0028TCDexa body composition study0.000.000.000.000.000.00XXX
    0029TCMagnetic tx for incontinence0.000.000.000.000.000.00XXX
    0030TCAntiprothrombin antibody0.000.000.000.000.000.00XXX
    0031TCSpeculoscopy0.000.000.000.000.000.00XXX
    0032TCSpeculoscopy w/direct sample0.000.000.000.000.000.00XXX
    0033TCEndovasc taa repr incl subcl0.000.000.000.000.000.00XXX
    0034TCEndovasc taa repr w/o subcl0.000.000.000.000.000.00XXX
    0035TCInsert endovasc prosth, taa0.000.000.000.000.000.00XXX
    0036TCEndovasc prosth, taa, add-on0.000.000.000.000.000.00XXX
    0037TCArtery transpose/endovas taa0.000.000.000.000.000.00XXX
    0038TCRad endovasc taa rpr w/cover0.000.000.000.000.000.00XXX
    0039TCRad s/i, endovasc taa repair0.000.000.000.000.000.00XXX
    0040TCRad s/i, endovasc taa prosth0.000.000.000.000.000.00XXX
    0041TCDetect ur infect agnt w/cpas0.000.000.000.000.000.00XXX
    0042TCCt perfusion w/contrast, cbf0.000.000.000.000.000.00XXX
    0043TCCo expired gas analysis0.000.000.000.000.000.00XXX
    0044TCWhole body photography0.000.000.000.000.000.00XXX
    0045TCWhole body photography0.000.000.000.000.000.00XXX
    0046TCCath lavage, mammary duct(s0.000.000.000.000.000.00XXX
    0047TCCath lavage, mammary duct(s)0.000.000.000.000.000.00XXX
    0048TCImplant ventricular device0.000.000.000.000.000.00XXX
    0049TCExternal circulation assist0.000.000.000.000.000.00XXX
    0050TCRemoval circulation assist0.000.000.000.000.000.00XXX
    0051TCImplant total heart system0.000.000.000.000.000.00XXX
    0052TCReplace component heart syst0.000.000.000.000.000.00XXX
    0053TCReplace component heart syst0.000.000.000.000.000.00XXX
    0054TCBone surgery using computer0.000.000.000.000.000.00XXX
    0055TCBone surgery using computer0.000.000.000.000.000.00XXX
    0056TCBone surgery using computer0.000.000.000.000.000.00XXX
    0057TCUppr gi scope w/ thrml txmnt0.000.000.000.000.000.00XXX
    0058TCCryopreservation, ovary tiss0.000.000.000.000.000.00XXX
    0059TCCryopreservation, oocyte0.000.000.000.000.000.00XXX
    0060TCElectrical impedance scan0.000.000.000.000.000.00XXX
    0061TCDestruction of tumor, breast0.000.000.000.000.000.00XXX
    10021AFna w/o image1.272.200.540.083.551.89XXX
    10022AFna w/image1.272.610.420.063.941.75XXX
    10040AAcne surgery1.181.020.680.062.261.92010
    10060ADrainage of skin abscess1.171.200.940.102.472.21010
    10061ADrainage of skin abscess2.401.811.510.214.424.12010
    10080ADrainage of pilonidal cyst1.173.131.140.114.412.42010
    10081ADrainage of pilonidal cyst2.454.111.510.236.794.19010
    Start Printed Page 1119
    10120ARemove foreign body1.221.460.410.122.801.75010
    10121ARemove foreign body2.693.331.880.306.324.87010
    10140ADrainage of hematoma/fluid1.531.510.910.183.222.62010
    10160APuncture drainage of lesion1.200.730.460.132.061.79010
    10180AComplex drainage, wound2.253.252.080.305.804.63010
    11000ADebride infected skin0.600.570.220.061.230.88000
    11001ADebride infected skin add-on0.300.230.110.020.550.43ZZZ
    11010ADebride skin, fx4.196.742.330.5411.477.06010
    11011ADebride skin/muscle, fx4.948.032.370.6413.617.95000
    11012ADebride skin/muscle/bone, fx6.8712.013.861.0719.9511.80000
    11040ADebride skin, partial0.500.510.210.061.070.77000
    11041ADebride skin, full0.820.650.330.071.541.22000
    11042ADebride skin/tissue1.120.970.450.112.201.68000
    11043ADebride tissue/muscle2.383.412.610.296.085.28010
    11044ADebride tissue/muscle/bone3.064.503.770.417.977.24010
    11055RTrim skin lesion0.430.550.170.021.000.62000
    11056RTrim skin lesions, 2 to 40.610.630.240.041.280.89000
    11057RTrim skin lesions, over 40.790.730.310.051.571.15000
    11100ABiopsy, skin lesion0.811.260.370.052.121.23000
    11101ABiopsy, skin add-on0.410.340.190.020.770.62ZZZ
    11200ARemoval of skin tags0.771.060.770.051.881.59010
    11201ARemove skin tags add-on0.290.160.120.020.470.43ZZZ
    11300AShave skin lesion0.511.000.220.041.550.77000
    11301AShave skin lesion0.851.120.370.052.021.27000
    11302AShave skin lesion1.051.310.460.062.421.57000
    11303AShave skin lesion1.241.590.520.072.901.83000
    11305AShave skin lesion0.670.840.270.051.560.99000
    11306AShave skin lesion0.991.110.410.062.161.46000
    11307AShave skin lesion1.141.290.490.062.491.69000
    11308AShave skin lesion1.411.450.590.082.942.08000
    11310AShave skin lesion0.731.120.330.051.901.11000
    11311AShave skin lesion1.051.240.480.062.351.59000
    11312AShave skin lesion1.201.440.550.072.711.82000
    11313AShave skin lesion1.621.820.720.113.552.45000
    11400AExc tr-ext b9+marg 0.5 < cm0.852.000.890.072.921.81010
    11401AExc tr-ext b9+marg 0.6-1 cm1.232.071.030.113.412.37010
    11402AExc tr-ext b9+marg 1.1-2 cm1.512.251.100.143.902.75010
    11403AExc tr-ext b9+marg 2.1-3 cm1.792.421.330.194.403.31010
    11404AExc tr-ext b9+marg 3.1-4 cm2.062.731.410.225.013.69010
    11406AExc tr-ext b9+marg > 4.0 cm2.763.101.670.306.164.73010
    11420AExc h-f-nk-sp b9+marg 0.5 <0.981.770.940.102.852.02010
    11421AExc h-f-nk-sp b9+marg 0.6-11.422.081.120.133.632.67010
    11422AExc h-f-nk-sp b9+marg 1.1-21.632.271.340.174.073.14010
    11423AExc h-f-nk-sp b9+marg 2.1-32.012.611.460.214.833.68010
    11424AExc h-f-nk-sp b9+marg 3.1-42.432.821.610.255.504.29010
    11426AExc h-f-nk-sp b9+marg > 4 cm3.773.522.110.417.706.29010
    11440AExc face-mm b9+marg 0.5 < cm1.062.281.330.103.442.49010
    11441AExc face-mm b9+marg 0.6-1 cm1.482.401.510.134.013.12010
    11442AExc face-mm b9+marg 1.1-2 cm1.722.591.580.174.483.47010
    11443AExc face-mm b9+marg 2.1-3 cm2.292.971.830.225.484.34010
    11444AExc face-mm b9+marg 3.1-4 cm3.143.542.190.306.985.63010
    11446AExc face-mm b9+marg > 4 cm4.484.112.780.368.957.62010
    11450ARemoval, sweat gland lesion2.735.112.030.318.155.07090
    11451ARemoval, sweat gland lesion3.946.742.560.4711.156.97090
    11462ARemoval, sweat gland lesion2.515.202.020.287.994.81090
    11463ARemoval, sweat gland lesion3.946.962.690.4811.387.11090
    11470ARemoval, sweat gland lesion3.255.142.270.368.755.88090
    11471ARemoval, sweat gland lesion4.406.852.780.4811.737.66090
    11600AExc tr-ext mlg+marg 0.5 < cm1.312.650.980.114.072.40010
    11601AExc tr-ext mlg+marg 0.6-1 cm1.802.721.230.144.663.17010
    11602AExc tr-ext mlg+marg 1.1-2 cm1.952.861.270.164.973.38010
    11603AExc tr-ext mlg+marg 2.1-3 cm2.193.111.330.195.493.71010
    11604AExc tr-ext mlg+marg 3.1-4 cm2.403.411.400.226.034.02010
    11606AExc tr-ext mlg+marg > 4 cm3.424.111.750.347.875.51010
    11620AExc h-f-nk-sp mlg+marg 0.5 <1.192.620.960.113.922.26010
    11621AExc h-f-nk-sp mlg+marg 0.6-11.762.731.250.144.633.15010
    11622AExc h-f-nk-sp mlg+marg 1.1-22.093.001.390.185.273.66010
    11623AExc h-f-nk-sp mlg+marg 2.1-32.613.361.590.246.214.44010
    11624AExc h-f-nk-sp mlg+marg 3.1-43.063.791.780.307.155.14010
    11626AExc h-f-nk-sp mlg+mar > 4 cm4.294.702.400.429.417.11010
    11640AExc face-mm malig+marg 0.5 <1.352.691.120.124.162.59010
    11641AExc face-mm malig+marg 0.6-12.163.061.540.185.403.88010
    11642AExc face-mm malig+marg 1.1-22.593.441.730.226.254.54010
    11643AExc face-mm malig+marg 2.1-33.103.851.960.297.245.35010
    11644AExc face-mm malig+marg 3.1-44.024.742.470.409.166.89010
    Start Printed Page 1120
    11646AExc face-mm mlg+marg > 4 cm5.945.813.490.5512.309.98010
    11719RTrim nail(s)0.170.250.070.010.430.25000
    11720ADebride nail, 1-50.320.340.130.020.680.47000
    11721ADebride nail, 6 or more0.540.430.210.051.020.80000
    11730ARemoval of nail plate1.131.020.430.112.261.67000
    11732ARemove nail plate, add-on0.570.430.220.061.060.85ZZZ
    11740ADrain blood from under nail0.370.850.140.041.260.55000
    11750ARemoval of nail bed1.862.131.720.194.183.77010
    11752ARemove nail bed/finger tip2.672.952.950.406.026.02010
    11755ABiopsy, nail unit1.311.100.540.072.481.92000
    11760ARepair of nail bed1.581.841.210.213.633.00010
    11762AReconstruction of nail bed2.892.271.830.395.555.11010
    11765AExcision of nail fold, toe0.691.140.520.061.891.27010
    11770ARemoval of pilonidal lesion2.613.521.510.296.424.41010
    11771ARemoval of pilonidal lesion5.735.703.330.6812.119.74090
    11772ARemoval of pilonidal lesion6.977.173.870.8214.9611.66090
    11900AInjection into skin lesions0.520.650.220.021.190.76000
    11901AAdded skin lesions injection0.800.660.360.041.501.20000
    11920RCorrect skin color defects1.611.990.780.213.812.60000
    11921RCorrect skin color defects1.932.360.980.254.543.16000
    11922RCorrect skin color defects0.490.370.250.060.920.80ZZZ
    11950RTherapy for contour defects0.841.150.400.072.061.31000
    11951RTherapy for contour defects1.191.500.510.122.811.82000
    11952RTherapy for contour defects1.691.870.680.213.772.58000
    11954RTherapy for contour defects1.852.440.910.234.522.99000
    11960AInsert tissue expander(s)9.07NA10.521.06NA20.65090
    11970AReplace tissue expander7.05NA6.100.93NA14.08090
    11971ARemove tissue expander(s)2.137.104.760.259.487.14090
    11975NInsert contraceptive cap+1.481.420.570.173.072.22XXX
    11976RRemoval of contraceptive cap1.781.700.680.213.692.67000
    11977NRemoval/reinsert contra cap+3.302.271.260.375.944.93XXX
    11980AImplant hormone pellet(s)1.481.100.540.122.702.14000
    11981AInsert drug implant device1.481.740.680.173.392.33XXX
    11982ARemove drug implant device1.781.970.840.213.962.83XXX
    11983ARemove/insert drug implant3.302.321.470.375.995.14XXX
    12001ARepair superficial wound(s)1.702.000.490.163.862.35010
    12002ARepair superficial wound(s)1.862.060.930.184.102.97010
    12004ARepair superficial wound(s)2.242.361.050.214.813.50010
    12005ARepair superficial wound(s)2.862.851.230.285.994.37010
    12006ARepair superficial wound(s)3.663.431.540.377.465.57010
    12007ARepair superficial wound(s)4.113.861.840.458.426.40010
    12011ARepair superficial wound(s)1.762.160.500.174.092.43010
    12013ARepair superficial wound(s)1.992.310.970.194.493.15010
    12014ARepair superficial wound(s)2.462.611.090.225.293.77010
    12015ARepair superficial wound(s)3.193.191.280.296.674.76010
    12016ARepair superficial wound(s)3.923.601.560.397.915.87010
    12017ARepair superficial wound(s)4.70NA1.910.47NA7.08010
    12018ARepair superficial wound(s)5.52NA2.270.55NA8.34010
    12020AClosure of split wound2.622.651.750.295.564.66010
    12021AClosure of split wound1.841.741.410.233.813.48010
    12031ALayer closure of wound(s)2.152.310.810.184.643.14010
    12032ALayer closure of wound(s)2.473.881.840.186.534.49010
    12034ALayer closure of wound(s)2.923.171.410.256.344.58010
    12035ALayer closure of wound(s)3.425.262.180.369.045.96010
    12036ALayer closure of wound(s)4.045.362.380.499.896.91010
    12037ALayer closure of wound(s)4.666.412.780.5911.668.03010
    12041ALayer closure of wound(s)2.372.470.870.215.053.45010
    12042ALayer closure of wound(s)2.743.211.370.216.164.32010
    12044ALayer closure of wound(s)3.143.201.560.296.634.99010
    12045ALayer closure of wound(s)3.633.672.170.417.716.21010
    12046ALayer closure of wound(s)4.246.572.760.4811.297.48010
    12047ALayer closure of wound(s)4.646.423.100.4911.558.23010
    12051ALayer closure of wound(s)2.473.231.360.195.894.02010
    12052ALayer closure of wound(s)2.773.171.340.216.154.32010
    12053ALayer closure of wound(s)3.123.221.500.246.584.86010
    12054ALayer closure of wound(s)3.453.541.600.307.295.35010
    12055ALayer closure of wound(s)4.424.542.140.429.386.98010
    12056ALayer closure of wound(s)5.236.763.070.5212.518.82010
    12057ALayer closure of wound(s)5.956.103.760.6012.6510.31010
    13100ARepair of wound or lesion3.123.511.780.256.885.15010
    13101ARepair of wound or lesion3.913.752.220.277.936.40010
    13102ARepair wound/lesion add-on1.240.740.570.122.101.93ZZZ
    13120ARepair of wound or lesion3.303.611.820.287.195.40010
    13121ARepair of wound or lesion4.323.972.320.308.596.94010
    13122ARepair wound/lesion add-on1.440.870.630.142.452.21ZZZ
    Start Printed Page 1121
    13131ARepair of wound or lesion3.783.882.140.307.966.22010
    13132ARepair of wound or lesion5.944.683.170.3911.019.50010
    13133ARepair wound/lesion add-on2.191.191.030.213.593.43ZZZ
    13150ARepair of wound or lesion3.805.502.610.359.656.76010
    13151ARepair of wound or lesion4.445.403.030.3410.187.81010
    13152ARepair of wound or lesion6.326.083.930.4612.8610.71010
    13153ARepair wound/lesion add-on2.381.341.140.223.943.74ZZZ
    13160ALate closure of wound10.46NA7.141.44NA19.04090
    14000ASkin tissue rearrangement5.888.525.120.5514.9511.55090
    14001ASkin tissue rearrangement8.469.946.590.7819.1815.83090
    14020ASkin tissue rearrangement6.589.175.990.6016.3513.17090
    14021ASkin tissue rearrangement10.0410.457.740.8321.3218.61090
    14040ASkin tissue rearrangement7.868.256.860.6616.7715.38090
    14041ASkin tissue rearrangement11.4710.648.680.8622.9721.01090
    14060ASkin tissue rearrangement8.499.087.690.7118.2816.89090
    14061ASkin tissue rearrangement12.2711.669.510.9024.8322.68090
    14300ASkin tissue rearrangement11.7411.199.171.0623.9921.97090
    14350ASkin tissue rearrangement9.60NA7.121.31NA18.03090
    15000ASkin graft3.993.812.200.458.256.64000
    15001ASkin graft add-on1.001.360.410.132.491.54ZZZ
    15050ASkin pinch graft4.295.974.740.5510.819.58090
    15100ASkin split graft9.0412.637.801.1322.8017.97090
    15101ASkin split graft add-on1.723.831.660.225.773.60ZZZ
    15120ASkin split graft9.8210.787.771.0921.6918.68090
    15121ASkin split graft add-on2.674.581.870.337.584.87ZZZ
    15200ASkin full graft8.0210.716.000.8819.6114.90090
    15201ASkin full graft add-on1.321.040.620.172.532.11ZZZ
    15220ASkin full graft7.8610.596.430.8219.2715.11090
    15221ASkin full graft add-on1.190.910.560.142.241.89ZZZ
    15240ASkin full graft9.0310.157.650.9620.1417.64090
    15241ASkin full graft add-on1.861.450.920.213.522.99ZZZ
    15260ASkin full graft10.049.888.600.7620.6819.40090
    15261ASkin full graft add-on2.232.721.420.215.163.86ZZZ
    15342ACultured skin graft, 25 cm1.001.830.550.112.941.66010
    15343ACulture skn graft addl 25 cm0.250.270.100.020.540.37ZZZ
    15350ASkin homograft3.998.224.830.5112.729.33090
    15351ASkin homograft add-on1.000.940.390.132.071.52ZZZ
    15400ASkin heterograft3.994.184.100.488.658.57090
    15401ASkin heterograft add-on1.001.220.440.132.351.57ZZZ
    15570AForm skin pedicle flap9.209.176.681.1619.5317.04090
    15572AForm skin pedicle flap9.268.386.251.1218.7616.63090
    15574AForm skin pedicle flap9.878.796.951.1119.7717.93090
    15576AForm skin pedicle flap8.689.396.420.8718.9415.97090
    15600ASkin graft1.917.042.700.239.184.84090
    15610ASkin graft2.423.733.030.306.455.75090
    15620ASkin graft2.947.463.670.3410.746.95090
    15630ASkin graft3.276.843.930.3410.457.54090
    15650ATransfer skin pedicle flap3.966.704.020.4311.098.41090
    15732AMuscle-skin graft, head/neck17.8118.0512.221.8137.6731.84090
    15734AMuscle-skin graft, trunk17.7617.8412.342.3037.9032.40090
    15736AMuscle-skin graft, arm16.2518.1611.222.1536.5629.62090
    15738AMuscle-skin graft, leg17.8917.9311.742.3538.1731.98090
    15740AIsland pedicle flap graft10.239.817.880.7520.7918.86090
    15750ANeurovascular pedicle graft11.39NA9.041.40NA21.83090
    15756AFree myo/skin flap microvasc35.18NA20.693.75NA59.62090
    15757AFree skin flap, microvasc35.18NA21.734.06NA60.97090
    15758AFree fascial flap, microvasc35.05NA21.724.25NA61.02090
    15760AComposite skin graft8.739.717.020.8719.3116.62090
    15770ADerma-fat-fascia graft7.51NA6.690.94NA15.14090
    15775RHair transplant punch grafts3.952.781.320.527.255.79000
    15776RHair transplant punch grafts5.535.392.810.7211.649.06000
    15780AAbrasion treatment of skin7.287.077.070.4914.8414.84090
    15781AAbrasion treatment of skin4.845.355.350.3310.5210.52090
    15782AAbrasion treatment of skin4.314.304.300.258.868.86090
    15783AAbrasion treatment of skin4.284.924.170.319.518.76090
    15786AAbrasion, lesion, single2.031.631.270.133.793.43010
    15787AAbrasion, lesions, add-on0.330.320.160.020.670.51ZZZ
    15788RChemical peel, face, epiderm2.093.342.270.135.564.49090
    15789RChemical peel, face, dermal4.916.394.910.3311.6310.15090
    15792RChemical peel, nonfacial1.863.162.760.125.144.74090
    15793AChemical peel, nonfacial3.73NA4.140.21NA8.08090
    15810ASalabrasion4.733.873.870.519.119.11090
    15811ASalabrasion5.386.315.520.6312.3211.53090
    15819APlastic surgery, neck9.37NA7.200.93NA17.50090
    15820ARevision of lower eyelid5.146.855.340.3612.3510.84090
    Start Printed Page 1122
    15821ARevision of lower eyelid5.717.235.520.3713.3111.60090
    15822ARevision of upper eyelid4.445.804.360.2710.519.07090
    15823ARevision of upper eyelid7.047.796.240.3915.2213.67090
    15824RRemoval of forehead wrinkles0.000.000.000.000.000.00000
    15825RRemoval of neck wrinkles0.000.000.000.000.000.00000
    15826RRemoval of brow wrinkles0.000.000.000.000.000.00000
    15828RRemoval of face wrinkles0.000.000.000.000.000.00000
    15829RRemoval of skin wrinkles0.000.000.000.000.000.00000
    15831AExcise excessive skin tissue12.38NA8.221.57NA22.17090
    15832AExcise excessive skin tissue11.57NA8.381.46NA21.41090
    15833AExcise excessive skin tissue10.62NA8.241.41NA20.27090
    15834AExcise excessive skin tissue10.83NA7.711.42NA19.96090
    15835AExcise excessive skin tissue11.6511.407.631.3624.4120.64090
    15836AExcise excessive skin tissue9.33NA6.811.15NA17.29090
    15837AExcise excessive skin tissue8.427.907.000.9417.2616.36090
    15838AExcise excessive skin tissue7.12NA6.090.70NA13.91090
    15839AExcise excessive skin tissue9.377.846.211.0618.2716.64090
    15840AGraft for face nerve palsy13.24NA10.051.39NA24.68090
    15841AGraft for face nerve palsy23.23NA15.083.20NA41.51090
    15842AFlap for face nerve palsy37.90NA23.014.81NA65.72090
    15845ASkin and muscle repair, face12.55NA9.360.96NA22.87090
    15850BRemoval of sutures+0.781.580.300.052.411.13XXX
    15851ARemoval of sutures0.861.720.340.062.641.26000
    15852ADressing change not for burn0.861.870.360.082.811.30000
    15860ATest for blood flow in graft1.951.280.790.163.392.90000
    15876RSuction assisted lipectomy0.000.000.000.000.000.00000
    15877RSuction assisted lipectomy0.000.000.000.000.000.00000
    15878RSuction assisted lipectomy0.000.000.000.000.000.00000
    15879RSuction assisted lipectomy0.000.000.000.000.000.00000
    15920ARemoval of tail bone ulcer7.94NA5.611.00NA14.55090
    15922ARemoval of tail bone ulcer9.89NA7.311.28NA18.48090
    15931ARemove sacrum pressure sore9.23NA5.751.15NA16.13090
    15933ARemove sacrum pressure sore10.83NA7.941.37NA20.14090
    15934ARemove sacrum pressure sore12.67NA8.151.63NA22.45090
    15935ARemove sacrum pressure sore14.55NA10.401.88NA26.83090
    15936ARemove sacrum pressure sore12.36NA8.361.59NA22.31090
    15937ARemove sacrum pressure sore14.19NA9.961.82NA25.97090
    15940ARemove hip pressure sore9.33NA6.231.18NA16.74090
    15941ARemove hip pressure sore11.41NA9.581.48NA22.47090
    15944ARemove hip pressure sore11.44NA8.701.46NA21.60090
    15945ARemove hip pressure sore12.67NA9.741.66NA24.07090
    15946ARemove hip pressure sore21.54NA14.412.80NA38.75090
    15950ARemove thigh pressure sore7.53NA5.470.96NA13.96090
    15951ARemove thigh pressure sore10.70NA7.951.37NA20.02090
    15952ARemove thigh pressure sore11.37NA7.831.44NA20.64090
    15953ARemove thigh pressure sore12.61NA9.071.66NA23.34090
    15956ARemove thigh pressure sore15.50NA10.851.98NA28.33090
    15958ARemove thigh pressure sore15.46NA11.132.00NA28.59090
    15999CRemoval of pressure sore0.000.000.000.000.000.00YYY
    16000AInitial treatment of burn(s)0.890.860.270.071.821.23000
    16010ATreatment of burn(s)0.870.660.630.081.611.58000
    16015ATreatment of burn(s)2.35NA1.150.27NA3.77000
    16020ATreatment of burn(s)0.801.310.610.072.181.48000
    16025ATreatment of burn(s)1.851.790.970.193.833.01000
    16030ATreatment of burn(s)2.082.201.120.224.503.42000
    16035AIncision of burn scab, initi3.74NA1.470.43NA5.64090
    16036AEscharotomy; add'l incision1.50NA0.600.13NA2.23ZZZ
    17000ADestroy benign/premlg lesion0.600.980.320.041.620.96010
    17003ADestroy lesions, 2-140.150.110.070.010.270.23ZZZ
    17004ADestroy lesions, 15 or more2.792.321.290.145.254.22010
    17106ADestruction of skin lesions4.584.873.340.349.798.26090
    17107ADestruction of skin lesions9.157.525.450.6417.3115.24090
    17108ADestruction of skin lesions13.189.687.681.0723.9321.93090
    17110ADestruct lesion, 1-140.651.630.490.052.331.19010
    17111ADestruct lesion, 15 or more0.921.680.590.052.651.56010
    17250AChemical cautery, tissue0.501.230.350.051.780.90000
    17260ADestruction of skin lesions0.911.280.440.052.241.40010
    17261ADestruction of skin lesions1.171.620.590.062.851.82010
    17262ADestruction of skin lesions1.581.890.780.083.552.44010
    17263ADestruction of skin lesions1.792.070.860.103.962.75010
    17264ADestruction of skin lesions1.942.230.890.104.272.93010
    17266ADestruction of skin lesions2.342.530.990.135.003.46010
    17270ADestruction of skin lesions1.321.710.640.073.102.03010
    17271ADestruction of skin lesions1.491.790.740.073.352.30010
    17272ADestruction of skin lesions1.772.000.880.083.852.73010
    Start Printed Page 1123
    17273ADestruction of skin lesions2.052.210.990.114.373.15010
    17274ADestruction of skin lesions2.592.581.200.135.303.92010
    17276ADestruction of skin lesions3.202.971.440.186.354.82010
    17280ADestruction of skin lesions1.171.620.570.062.851.80010
    17281ADestruction of skin lesions1.721.910.860.083.712.66010
    17282ADestruction of skin lesions2.042.171.010.114.323.16010
    17283ADestruction of skin lesions2.642.561.250.135.334.02010
    17284ADestruction of skin lesions3.212.941.520.176.324.90010
    17286ADestruction of skin lesions4.433.712.190.278.416.89010
    17304A1 stage mohs, up to 5 spec7.598.093.570.3716.0511.53000
    17305A2 stage mohs, up to 5 spec2.853.811.340.146.804.33000
    17306A3 stage mohs, up to 5 spec2.853.831.350.146.824.34000
    17307AMohs addl stage up to 5 spec2.853.781.370.146.774.36000
    17310AMohs any stage > 5 spec each0.951.650.460.062.661.47ZZZ
    17340ACryotherapy of skin0.760.370.310.051.181.12010
    17360ASkin peel therapy1.431.460.750.072.962.25010
    17380RHair removal by electrolysis0.000.000.000.000.000.00000
    17999CSkin tissue procedure0.000.000.000.000.000.00YYY
    19000ADrainage of breast lesion0.842.030.360.082.951.28000
    19001ADrain breast lesion add-on0.420.790.140.041.250.60ZZZ
    19020AIncision of breast lesion3.566.002.770.429.986.75090
    19030AInjection for breast x-ray1.533.370.500.084.982.11000
    19100ABx breast percut w/o image1.272.150.420.123.541.81000
    19101ABiopsy of breast, open3.184.691.680.248.115.10010
    19102ABx breast percut w/image2.003.980.660.166.142.82000
    19103ABx breast percut w/device3.6912.071.230.1915.955.11000
    19110ANipple exploration4.295.823.060.5310.647.88090
    19112AExcise breast duct fistula3.665.802.680.469.926.80090
    19120ARemoval of breast lesion5.554.583.080.6810.819.31090
    19125AExcision, breast lesion6.054.833.300.7411.6210.09090
    19126AExcision, addl breast lesion2.93NA1.010.36NA4.30ZZZ
    19140ARemoval of breast tissue5.137.293.420.6313.059.18090
    19160ARemoval of breast tissue5.98NA3.450.74NA10.17090
    19162ARemove breast tissue, nodes13.51NA6.381.66NA21.55090
    19180ARemoval of breast8.79NA5.061.06NA14.91090
    19182ARemoval of breast7.72NA4.810.95NA13.48090
    19200ARemoval of breast15.47NA8.041.82NA25.33090
    19220ARemoval of breast15.70NA8.301.88NA25.88090
    19240ARemoval of breast15.98NA8.281.95NA26.21090
    19260ARemoval of chest wall lesion15.42NA11.301.98NA28.70090
    19271ARevision of chest wall18.87NA18.232.74NA39.84090
    19272AExtensive chest wall surgery21.52NA19.183.06NA43.76090
    19290APlace needle wire, breast1.273.010.410.074.351.75000
    19291APlace needle wire, breast0.631.750.210.042.420.88ZZZ
    19295APlace breast clip, percut0.002.77NA0.012.78NAZZZ
    19316ASuspension of breast10.67NA7.591.39NA19.65090
    19318AReduction of large breast15.60NA11.202.04NA28.84090
    19324AEnlarge breast5.84NA4.920.76NA11.52090
    19325AEnlarge breast with implant8.44NA6.591.09NA16.12090
    19328ARemoval of breast implant5.67NA5.070.74NA11.48090
    19330ARemoval of implant material7.58NA6.070.98NA14.63090
    19340AImmediate breast prosthesis6.32NA3.120.82NA10.26ZZZ
    19342ADelayed breast prosthesis11.18NA8.971.46NA21.61090
    19350ABreast reconstruction8.9114.207.111.1524.2617.17090
    19355ACorrect inverted nipple(s)7.5612.805.000.9621.3213.52090
    19357ABreast reconstruction18.13NA13.852.36NA34.34090
    19361ABreast reconstruction19.23NA11.782.51NA33.52090
    19364ABreast reconstruction40.94NA23.644.72NA69.30090
    19366ABreast reconstruction21.25NA11.232.74NA35.22090
    19367ABreast reconstruction25.69NA16.573.35NA45.61090
    19368ABreast reconstruction32.37NA20.264.23NA56.86090
    19369ABreast reconstruction29.78NA19.793.91NA53.48090
    19370ASurgery of breast capsule8.04NA6.951.04NA16.03090
    19371ARemoval of breast capsule9.34NA7.871.22NA18.43090
    19380ARevise breast reconstruction9.13NA7.761.18NA18.07090
    19396ADesign custom breast implant2.175.780.990.288.233.44000
    19499CBreast surgery procedure0.000.000.000.000.000.00YYY
    20000AIncision of abscess2.122.361.610.214.693.94010
    20005AIncision of deep abscess3.413.342.120.417.165.94010
    20100AExplore wound, neck10.065.794.381.1917.0415.63010
    20101AExplore wound, chest3.222.961.610.296.475.12010
    20102AExplore wound, abdomen3.933.511.800.427.866.15010
    20103AExplore wound, extremity5.294.143.230.6910.129.21010
    20150AExcise epiphyseal bar13.67NA7.211.16NA22.04090
    20200AMuscle biopsy1.463.190.780.214.862.45000
    Start Printed Page 1124
    20205ADeep muscle biopsy2.354.141.210.286.773.84000
    20206ANeedle biopsy, muscle0.993.170.350.074.231.41000
    20220ABone biopsy, trocar/needle1.274.732.690.076.074.03000
    20225ABone biopsy, trocar/needle1.874.922.960.136.924.96000
    20240ABone biopsy, excisional3.23NA2.600.40NA6.23010
    20245ABone biopsy, excisional7.77NA6.360.53NA14.66010
    20250AOpen bone biopsy5.02NA4.540.60NA10.16010
    20251AOpen bone biopsy5.55NA5.170.95NA11.67010
    20500AInjection of sinus tract1.235.883.890.127.235.24010
    20501AInject sinus tract for x-ray0.763.030.250.043.831.05000
    20520ARemoval of foreign body1.852.251.810.214.313.87010
    20525ARemoval of foreign body3.493.432.660.487.406.63010
    20526ATher injection, carp tunnel0.940.970.510.071.981.52000
    20550AInj tendon sheath/ligament0.750.710.240.071.531.06000
    20551AInj tendon origin/insertion0.750.680.340.071.501.16000
    20552AInj trigger point, 1/2 muscl0.660.730.210.071.460.94000
    20553AInject trigger points, =/> 30.750.840.230.071.661.05000
    20600ADrain/inject, joint/bursa0.660.640.360.071.371.09000
    20605ADrain/inject, joint/bursa0.680.750.370.071.501.12000
    20610ADrain/inject, joint/bursa0.790.940.410.101.831.30000
    20612AAspirate/inj ganglion cyst0.700.710.340.071.481.11000
    20615ATreatment of bone cyst2.282.541.830.235.054.34010
    20650AInsert and remove bone pin2.232.421.940.344.994.51010
    20660AApply, rem fixation device2.513.071.700.586.164.79000
    20661AApplication of head brace4.88NA4.951.11NA10.94090
    20662AApplication of pelvis brace6.06NA5.430.98NA12.47090
    20663AApplication of thigh brace5.42NA4.760.93NA11.11090
    20664AHalo brace application8.05NA7.031.80NA16.88090
    20665ARemoval of fixation device1.312.051.300.213.572.82010
    20670ARemoval of support implant1.746.693.930.288.715.95010
    20680ARemoval of support implant3.343.223.220.557.117.11090
    20690AApply bone fixation device3.51NA2.470.57NA6.55090
    20692AApply bone fixation device6.40NA3.730.72NA10.85090
    20693AAdjust bone fixation device5.85NA5.541.03NA12.42090
    20694ARemove bone fixation device4.156.864.490.6911.709.33090
    20802AReplantation, arm, complete41.09NA21.407.01NA69.50090
    20805AReplant forearm, complete49.93NA35.064.76NA89.75090
    20808AReplantation hand, complete61.56NA43.437.83NA112.82090
    20816AReplantation digit, complete30.89NA39.173.63NA73.69090
    20822AReplantation digit, complete25.55NA35.903.70NA65.15090
    20824AReplantation thumb, complete30.89NA38.124.20NA73.21090
    20827AReplantation thumb, complete26.37NA37.953.87NA68.19090
    20838AReplantation foot, complete41.35NA22.707.06NA71.11090
    20900ARemoval of bone for graft5.577.315.790.9313.8112.29090
    20902ARemoval of bone for graft7.54NA6.861.28NA15.68090
    20910ARemove cartilage for graft5.337.115.440.6013.0411.37090
    20912ARemove cartilage for graft6.34NA6.090.66NA13.09090
    20920ARemoval of fascia for graft5.30NA4.370.65NA10.32090
    20922ARemoval of fascia for graft6.606.735.061.0614.3912.72090
    20924ARemoval of tendon for graft6.47NA5.920.99NA13.38090
    20926ARemoval of tissue for graft5.52NA4.930.88NA11.33090
    20930BSpinal bone allograft0.000.000.000.000.000.00XXX
    20931ASpinal bone allograft1.81NA0.930.41NA3.15ZZZ
    20936BSpinal bone autograft0.000.000.000.000.000.00XXX
    20937ASpinal bone autograft2.79NA1.460.52NA4.77ZZZ
    20938ASpinal bone autograft3.02NA1.560.63NA5.21ZZZ
    20950AFluid pressure, muscle1.261.361.010.192.812.46000
    20955AFibula bone graft, microvasc39.15NA25.015.25NA69.41090
    20956AIliac bone graft, microvasc39.21NA24.866.96NA71.03090
    20957AMt bone graft, microvasc40.59NA19.086.92NA66.59090
    20962AOther bone graft, microvasc39.21NA26.416.26NA71.88090
    20969ABone/skin graft, microvasc43.85NA27.485.23NA76.56090
    20970ABone/skin graft, iliac crest43.00NA25.845.60NA74.44090
    20972ABone/skin graft, metatarsal42.9321.7920.147.3272.0470.39090
    20973ABone/skin graft, great toe45.69NA25.295.61NA76.59090
    20974AElectrical bone stimulation0.620.620.550.111.351.28000
    20975AElectrical bone stimulation2.60NA1.730.51NA4.84000
    20979AUs bone stimulation0.620.770.340.051.441.01000
    20982AAblate, bone tumor(s) perq7.27105.352.990.69113.3110.95000
    20999CMusculoskeletal surgery0.000.000.000.000.000.00YYY
    21010AIncision of jaw joint10.12NA7.250.65NA18.02090
    21015AResection of facial tumor5.28NA5.530.63NA11.44090
    21025AExcision of bone, lower jaw10.0410.208.210.9521.1919.20090
    21026AExcision of facial bone(s)4.846.945.530.4812.2610.85090
    21029AContour of face bone lesion7.708.606.270.8917.1914.86090
    Start Printed Page 1125
    21030AExcise max/zygoma b9 tumor4.496.844.310.7212.059.52090
    21031ARemove exostosis, mandible3.244.583.140.348.166.72090
    21032ARemove exostosis, maxilla3.244.633.250.338.206.82090
    21034AExcise max/zygoma mlg tumor16.1513.5611.321.6531.3629.12090
    21040AExcise mandible lesion4.496.874.140.2311.598.86090
    21044ARemoval of jaw bone lesion11.84NA8.681.05NA21.57090
    21045AExtensive jaw surgery16.15NA11.431.45NA29.03090
    21046ARemove mandible cyst complex12.98NA12.691.22NA26.89090
    21047AExcise lwr jaw cyst w/repair18.72NA13.441.85NA34.01090
    21048ARemove maxilla cyst complex13.48NA12.971.22NA27.67090
    21049AExcis uppr jaw cyst w/repair17.97NA13.031.22NA32.22090
    21050ARemoval of jaw joint10.75NA10.261.01NA22.02090
    21060ARemove jaw joint cartilage10.21NA9.801.40NA21.41090
    21070ARemove coronoid process8.19NA7.030.81NA16.03090
    21076APrepare face/oral prosthesis13.4012.7110.171.6427.7525.21010
    21077APrepare face/oral prosthesis33.7032.2026.204.1470.0464.04090
    21079APrepare face/oral prosthesis22.3122.2117.491.9246.4441.72090
    21080APrepare face/oral prosthesis25.0625.2219.773.0853.3647.91090
    21081APrepare face/oral prosthesis22.8522.9517.792.2648.0642.90090
    21082APrepare face/oral prosthesis20.8419.8815.991.7642.4838.59090
    21083APrepare face/oral prosthesis19.2719.3514.732.3640.9836.36090
    21084APrepare face/oral prosthesis22.4822.7117.681.8947.0842.05090
    21085APrepare face/oral prosthesis8.998.526.880.7818.2916.65010
    21086APrepare face/oral prosthesis24.8824.3019.602.2451.4246.72090
    21087APrepare face/oral prosthesis24.8823.8919.412.6851.4546.97090
    21088CPrepare face/oral prosthesis0.000.000.000.000.000.00090
    21089CPrepare face/oral prosthesis0.000.000.000.000.000.00090
    21100AMaxillofacial fixation4.215.624.620.2210.059.05090
    21110AInterdental fixation5.207.025.660.3412.5611.20090
    21116AInjection, jaw joint x-ray0.817.320.340.068.191.21000
    21120AReconstruction of chin4.928.835.300.3514.1010.57090
    21121AReconstruction of chin7.6310.436.650.6818.7414.96090
    21122AReconstruction of chin8.51NA7.080.71NA16.30090
    21123AReconstruction of chin11.14NA8.261.40NA20.80090
    21125AAugmentation, lower jaw bone10.6011.828.280.8723.2919.75090
    21127AAugmentation, lower jaw bone11.1014.529.110.9226.5421.13090
    21137AReduction of forehead9.81NA7.440.64NA17.89090
    21138AReduction of forehead12.17NA9.311.77NA23.25090
    21139AReduction of forehead14.59NA9.781.23NA25.60090
    21141AReconstruct midface, lefort18.07NA13.881.97NA33.92090
    21142AReconstruct midface, lefort18.78NA13.081.40NA33.26090
    21143AReconstruct midface, lefort19.55NA14.091.09NA34.73090
    21145AReconstruct midface, lefort19.91NA14.152.52NA36.58090
    21146AReconstruct midface, lefort20.68NA15.592.57NA38.84090
    21147AReconstruct midface, lefort21.74NA15.291.83NA38.86090
    21150AReconstruct midface, lefort25.20NA14.121.31NA40.63090
    21151AReconstruct midface, lefort28.26NA17.922.39NA48.57090
    21154AReconstruct midface, lefort30.47NA20.185.86NA56.51090
    21155AReconstruct midface, lefort34.40NA22.306.61NA63.31090
    21159AReconstruct midface, lefort42.32NA24.478.13NA74.92090
    21160AReconstruct midface, lefort46.37NA24.415.29NA76.07090
    21172AReconstruct orbit/forehead27.76NA14.072.30NA44.13090
    21175AReconstruct orbit/forehead33.12NA18.316.22NA57.65090
    21179AReconstruct entire forehead22.22NA14.862.99NA40.07090
    21180AReconstruct entire forehead25.15NA16.072.59NA43.81090
    21181AContour cranial bone lesion9.89NA7.811.17NA18.87090
    21182AReconstruct cranial bone32.14NA19.663.05NA54.85090
    21183AReconstruct cranial bone35.26NA21.363.32NA59.94090
    21184AReconstruct cranial bone38.18NA22.554.97NA65.70090
    21188AReconstruction of midface22.43NA15.182.23NA39.84090
    21193AReconst lwr jaw w/o graft17.12NA12.971.85NA31.94090
    21194AReconst lwr jaw w/graft19.81NA14.061.68NA35.55090
    21195AReconst lwr jaw w/o fixation17.21NA13.261.45NA31.92090
    21196AReconst lwr jaw w/fixation18.88NA13.881.95NA34.71090
    21198AReconstr lwr jaw segment14.14NA10.901.27NA26.31090
    21199AReconstr lwr jaw w/advance15.98NA9.191.52NA26.69090
    21206AReconstruct upper jaw bone14.08NA10.811.22NA26.11090
    21208AAugmentation of facial bones10.2114.499.281.1125.8120.60090
    21209AReduction of facial bones6.7111.897.230.7219.3214.66090
    21210AFace bone graft10.2113.699.411.0624.9620.68090
    21215ALower jaw bone graft10.7513.489.611.2525.4821.61090
    21230ARib cartilage graft10.75NA8.571.16NA20.48090
    21235AEar cartilage graft6.7111.377.100.6318.7114.44090
    21240AReconstruction of jaw joint14.03NA12.701.39NA28.12090
    21242AReconstruction of jaw joint12.93NA12.211.69NA26.83090
    Start Printed Page 1126
    21243AReconstruction of jaw joint20.76NA17.872.23NA40.86090
    21244AReconstruction of lower jaw11.84NA10.061.15NA23.05090
    21245AReconstruction of jaw11.8416.109.731.0629.0022.63090
    21246AReconstruction of jaw12.4514.559.851.4628.4623.76090
    21247AReconstruct lower jaw bone22.60NA17.932.67NA43.20090
    21248AReconstruction of jaw11.4613.029.311.2225.7021.99090
    21249AReconstruction of jaw17.4916.5812.661.6835.7531.83090
    21255AReconstruct lower jaw bone16.69NA12.781.36NA30.83090
    21256AReconstruction of orbit16.17NA12.171.25NA29.59090
    21260ARevise eye sockets16.50NA8.961.51NA26.97090
    21261ARevise eye sockets31.44NA19.212.65NA53.30090
    21263ARevise eye sockets28.38NA12.862.61NA43.85090
    21267ARevise eye sockets18.87NA13.221.63NA33.72090
    21268ARevise eye sockets24.44NA15.320.95NA40.71090
    21270AAugmentation, cheek bone10.2111.908.100.8822.9919.19090
    21275ARevision, orbitofacial bones11.22NA8.741.24NA21.20090
    21280ARevision of eyelid6.02NA6.070.33NA12.42090
    21282ARevision of eyelid3.48NA4.680.25NA8.41090
    21295ARevision of jaw muscle/bone1.53NA2.820.16NA4.51090
    21296ARevision of jaw muscle/bone4.24NA4.430.36NA9.03090
    21299CCranio/maxillofacial surgery0.000.000.000.000.000.00YYY
    21300ATreatment of skull fracture0.722.380.260.113.211.09000
    21310ATreatment of nose fracture0.582.340.150.062.980.79000
    21315ATreatment of nose fracture1.513.031.270.144.682.92010
    21320ATreatment of nose fracture1.854.251.840.186.283.87010
    21325ATreatment of nose fracture3.76NA3.750.37NA7.88090
    21330ATreatment of nose fracture5.37NA5.280.58NA11.23090
    21335ATreatment of nose fracture8.60NA6.810.77NA16.18090
    21336ATreat nasal septal fracture5.71NA6.070.54NA12.32090
    21337ATreat nasal septal fracture2.705.113.690.278.086.66090
    21338ATreat nasoethmoid fracture6.45NA5.990.64NA13.08090
    21339ATreat nasoethmoid fracture8.08NA6.750.92NA15.75090
    21340ATreatment of nose fracture10.75NA8.701.03NA20.48090
    21343ATreatment of sinus fracture12.93NA10.141.28NA24.35090
    21344ATreatment of sinus fracture19.69NA13.712.07NA35.47090
    21345ATreat nose/jaw fracture8.1511.547.900.7220.4116.77090
    21346ATreat nose/jaw fracture10.5913.189.031.0324.8020.65090
    21347ATreat nose/jaw fracture12.67NA9.771.37NA23.81090
    21348ATreat nose/jaw fracture16.66NA11.311.81NA29.78090
    21355ATreat cheek bone fracture3.764.702.370.358.816.48010
    21356ATreat cheek bone fracture4.1411.673.220.4316.247.79010
    21360ATreat cheek bone fracture6.4513.896.190.6320.9713.27090
    21365ATreat cheek bone fracture14.93NA11.771.57NA28.27090
    21366ATreat cheek bone fracture17.74NA11.641.70NA31.08090
    21385ATreat eye socket fracture9.15NA7.070.77NA16.99090
    21386ATreat eye socket fracture9.15NA7.480.92NA17.55090
    21387ATreat eye socket fracture9.69NA7.540.94NA18.17090
    21390ATreat eye socket fracture10.11NA8.010.84NA18.96090
    21395ATreat eye socket fracture12.66NA9.321.31NA23.29090
    21400ATreat eye socket fracture1.403.722.100.145.263.64090
    21401ATreat eye socket fracture3.265.053.870.418.727.54090
    21406ATreat eye socket fracture7.00NA6.350.71NA14.06090
    21407ATreat eye socket fracture8.60NA7.140.81NA16.55090
    21408ATreat eye socket fracture12.36NA9.211.50NA23.07090
    21421ATreat mouth roof fracture5.139.926.160.5115.5611.80090
    21422ATreat mouth roof fracture8.3111.287.100.8320.4216.24090
    21423ATreat mouth roof fracture10.38NA8.491.15NA20.02090
    21431ATreat craniofacial fracture7.0410.666.840.7018.4014.58090
    21432ATreat craniofacial fracture8.60NA6.190.66NA15.45090
    21433ATreat craniofacial fracture25.31NA16.832.97NA45.11090
    21435ATreat craniofacial fracture17.22NA12.962.00NA32.18090
    21436ATreat craniofacial fracture28.00NA18.422.80NA49.22090
    21440ATreat dental ridge fracture2.708.054.110.2711.027.08090
    21445ATreat dental ridge fracture5.3710.456.280.6616.4812.31090
    21450ATreat lower jaw fracture2.9710.653.760.2813.907.01090
    21451ATreat lower jaw fracture4.868.775.760.4714.1011.09090
    21452ATreat lower jaw fracture1.987.853.560.1710.005.71090
    21453ATreat lower jaw fracture5.5310.506.830.5916.6212.95090
    21454ATreat lower jaw fracture6.45NA6.540.66NA13.65090
    21461ATreat lower jaw fracture8.0812.528.300.8821.4817.26090
    21462ATreat lower jaw fracture9.7814.069.020.9624.8019.76090
    21465ATreat lower jaw fracture11.89NA10.051.01NA22.95090
    21470ATreat lower jaw fracture15.32NA12.241.64NA29.20090
    21480AReset dislocated jaw0.611.950.190.062.620.86000
    21485AReset dislocated jaw3.985.944.800.3710.299.15090
    Start Printed Page 1127
    21490ARepair dislocated jaw11.84NA9.901.58NA23.32090
    21493ATreat hyoid bone fracture1.27NA2.840.12NA4.23090
    21494ATreat hyoid bone fracture6.27NA5.700.53NA12.50090
    21495ATreat hyoid bone fracture5.68NA5.990.49NA12.16090
    21497AInterdental wiring3.856.545.010.3710.769.23090
    21499CHead surgery procedure0.000.000.000.000.000.00YYY
    21501ADrain neck/chest lesion3.804.703.950.438.938.18090
    21502ADrain chest lesion7.11NA5.700.95NA13.76090
    21510ADrainage of bone lesion5.73NA5.720.81NA12.26090
    21550ABiopsy of neck/chest2.063.641.740.165.863.96010
    21555ARemove lesion, neck/chest4.345.063.170.499.898.00090
    21556ARemove lesion, neck/chest5.56NA4.110.62NA10.29090
    21557ARemove tumor, neck/chest8.87NA5.441.03NA15.34090
    21600APartial removal of rib6.88NA5.800.98NA13.66090
    21610APartial removal of rib14.59NA9.042.23NA25.86090
    21615ARemoval of rib9.86NA6.731.45NA18.04090
    21616ARemoval of rib and nerves12.02NA8.051.58NA21.65090
    21620APartial removal of sternum6.78NA6.070.93NA13.78090
    21627ASternal debridement6.80NA6.460.99NA14.25090
    21630AExtensive sternum surgery17.35NA11.992.35NA31.69090
    21632AExtensive sternum surgery18.11NA11.182.61NA31.90090
    21685AHyoid myotomy & suspension12.98NA10.091.52NA24.59090
    21700ARevision of neck muscle6.186.084.860.3712.6311.41090
    21705ARevision of neck muscle/rib9.59NA5.631.11NA16.33090
    21720ARevision of neck muscle5.675.474.640.9612.1011.27090
    21725ARevision of neck muscle6.98NA5.521.09NA13.59090
    21740AReconstruction of sternum16.48NA8.602.45NA27.53090
    21742CRepair stern/nuss w/o scope0.000.000.000.000.000.00090
    21743CRepair sternum/nuss w/scope0.000.000.000.000.000.00090
    21750ARepair of sternum separation10.75NA6.141.63NA18.52090
    21800ATreatment of rib fracture0.962.101.400.113.172.47090
    21805ATreatment of rib fracture2.75NA3.350.35NA6.45090
    21810ATreatment of rib fracture(s)6.85NA5.030.72NA12.60090
    21820ATreat sternum fracture1.282.631.830.184.093.29090
    21825ATreat sternum fracture7.40NA6.691.01NA15.10090
    21899CNeck/chest surgery procedure0.000.000.000.000.000.00YYY
    21920ABiopsy soft tissue of back2.063.281.490.145.483.69010
    21925ABiopsy soft tissue of back4.486.633.350.5311.648.36090
    21930ARemove lesion, back or flank4.995.483.460.5911.069.04090
    21935ARemove tumor, back17.93NA10.202.26NA30.39090
    22100ARemove part of neck vertebra9.72NA7.631.87NA19.22090
    22101ARemove part, thorax vertebra9.80NA7.871.82NA19.49090
    22102ARemove part, lumbar vertebra9.80NA8.081.76NA19.64090
    22103ARemove extra spine segment2.34NA1.210.45NA4.00ZZZ
    22110ARemove part of neck vertebra12.72NA9.272.65NA24.64090
    22112ARemove part, thorax vertebra12.79NA9.332.36NA24.48090
    22114ARemove part, lumbar vertebra12.79NA9.312.39NA24.49090
    22116ARemove extra spine segment2.32NA1.170.48NA3.97ZZZ
    22210ARevision of neck spine23.78NA15.515.10NA44.39090
    22212ARevision of thorax spine19.39NA13.273.35NA36.01090
    22214ARevision of lumbar spine19.42NA13.783.35NA36.55090
    22216ARevise, extra spine segment6.03NA3.141.18NA10.35ZZZ
    22220ARevision of neck spine21.34NA13.794.40NA39.53090
    22222ARevision of thorax spine21.49NA11.613.71NA36.81090
    22224ARevision of lumbar spine21.49NA14.243.86NA39.59090
    22226ARevise, extra spine segment6.03NA3.111.22NA10.36ZZZ
    22305ATreat spine process fracture2.053.192.390.355.594.79090
    22310ATreat spine fracture2.614.884.110.457.947.17090
    22315ATreat spine fracture8.8313.427.531.6523.9018.01090
    22318ATreat odontoid fx w/o graft21.47NA13.525.14NA40.13090
    22319ATreat odontoid fx w/graft23.96NA14.905.74NA44.60090
    22325ATreat spine fracture18.27NA12.153.15NA33.57090
    22326ATreat neck spine fracture19.56NA12.834.27NA36.66090
    22327ATreat thorax spine fracture19.17NA12.443.32NA34.93090
    22328ATreat each add spine fx4.60NA2.280.80NA7.68ZZZ
    22505AManipulation of spine1.87NA0.940.33NA3.14010
    22520APercut vertebroplasty thor8.90101.624.341.19111.7114.43010
    22521APercut vertebroplasty lumb8.3389.474.181.1298.9213.63010
    22522APercut vertebroplasty add'l4.30NA1.690.40NA6.39ZZZ
    22532ALat thorax spine fusion23.96NA14.824.56NA43.34090
    22533ALat lumbar spine fusion23.09NA13.483.84NA40.41090
    22534ALat thor/lumb, add'l seg5.99NA3.041.18NA10.21ZZZ
    22548ANeck spine fusion25.78NA15.836.01NA47.62090
    22554ANeck spine fusion18.59NA12.324.23NA35.14090
    22556AThorax spine fusion23.42NA14.684.56NA42.66090
    Start Printed Page 1128
    22558ALumbar spine fusion22.25NA13.243.84NA39.33090
    22585AAdditional spinal fusion5.52NA2.801.18NA9.50ZZZ
    22590ASpine & skull spinal fusion20.48NA13.294.60NA38.37090
    22595ANeck spinal fusion19.36NA12.804.37NA36.53090
    22600ANeck spine fusion16.12NA11.143.49NA30.75090
    22610AThorax spine fusion16.00NA11.323.21NA30.53090
    22612ALumbar spine fusion20.97NA14.093.96NA39.02090
    22614ASpine fusion, extra segment6.43NA3.361.25NA11.04ZZZ
    22630ALumbar spine fusion20.81NA13.554.57NA38.93090
    22632ASpine fusion, extra segment5.22NA2.671.09NA8.98ZZZ
    22800AFusion of spine18.22NA12.643.27NA34.13090
    22802AFusion of spine30.83NA19.485.33NA55.64090
    22804AFusion of spine36.22NA22.586.31NA65.11090
    22808AFusion of spine26.23NA16.255.26NA47.74090
    22810AFusion of spine30.22NA18.295.42NA53.93090
    22812AFusion of spine32.65NA19.955.63NA58.23090
    22818AKyphectomy, 1-2 segments31.78NA18.866.04NA56.68090
    22819AKyphectomy, 3 or more36.39NA20.036.27NA62.69090
    22830AExploration of spinal fusion10.83NA7.892.09NA20.81090
    22840AInsert spine fixation device12.52NA6.512.45NA21.48ZZZ
    22841BInsert spine fixation device0.000.000.000.000.000.00XXX
    22842AInsert spine fixation device12.56NA6.532.46NA21.55ZZZ
    22843AInsert spine fixation device13.44NA6.632.53NA22.60ZZZ
    22844AInsert spine fixation device16.42NA8.782.92NA28.12ZZZ
    22845AInsert spine fixation device11.94NA6.112.68NA20.73ZZZ
    22846AInsert spine fixation device12.40NA6.362.73NA21.49ZZZ
    22847AInsert spine fixation device13.78NA7.062.85NA23.69ZZZ
    22848AInsert pelv fixation device5.99NA3.201.06NA10.25ZZZ
    22849AReinsert spinal fixation18.48NA11.763.46NA33.70090
    22850ARemove spine fixation device9.51NA7.001.82NA18.33090
    22851AApply spine prosth device6.70NA3.371.34NA11.41ZZZ
    22852ARemove spine fixation device9.00NA6.791.69NA17.48090
    22855ARemove spine fixation device15.11NA9.723.30NA28.13090
    22899CSpine surgery procedure0.000.000.000.000.000.00YYY
    22900ARemove abdominal wall lesion5.79NA3.280.70NA9.77090
    22999CAbdomen surgery procedure0.000.000.000.000.000.00YYY
    23000ARemoval of calcium deposits4.355.184.160.6010.139.11090
    23020ARelease shoulder joint8.92NA7.581.48NA17.98090
    23030ADrain shoulder lesion3.423.012.930.516.946.86010
    23031ADrain shoulder bursa2.742.692.690.405.835.83010
    23035ADrain shoulder bone lesion8.60NA8.511.44NA18.55090
    23040AExploratory shoulder surgery9.19NA7.851.54NA18.58090
    23044AExploratory shoulder surgery7.11NA6.501.17NA14.78090
    23065ABiopsy shoulder tissues2.272.811.540.175.253.98010
    23066ABiopsy shoulder tissues4.155.104.070.609.858.82090
    23075ARemoval of shoulder lesion2.392.241.820.304.934.51010
    23076ARemoval of shoulder lesion7.62NA5.781.05NA14.45090
    23077ARemove tumor of shoulder16.07NA10.762.18NA29.01090
    23100ABiopsy of shoulder joint6.02NA5.690.98NA12.69090
    23101AShoulder joint surgery5.57NA5.390.93NA11.89090
    23105ARemove shoulder joint lining8.22NA7.171.36NA16.75090
    23106AIncision of collarbone joint5.95NA5.770.99NA12.71090
    23107AExplore treat shoulder joint8.61NA7.391.44NA17.44090
    23120APartial removal, collar bone7.10NA6.481.19NA14.77090
    23125ARemoval of collar bone9.38NA7.631.53NA18.54090
    23130ARemove shoulder bone, part7.54NA7.101.28NA15.92090
    23140ARemoval of bone lesion6.88NA5.410.99NA13.28090
    23145ARemoval of bone lesion9.08NA7.581.50NA18.16090
    23146ARemoval of bone lesion7.82NA7.131.34NA16.29090
    23150ARemoval of humerus lesion8.47NA6.971.37NA16.81090
    23155ARemoval of humerus lesion10.33NA8.461.45NA20.24090
    23156ARemoval of humerus lesion8.67NA7.381.42NA17.47090
    23170ARemove collar bone lesion6.85NA6.361.01NA14.22090
    23172ARemove shoulder blade lesion6.89NA6.411.15NA14.45090
    23174ARemove humerus lesion9.50NA8.371.57NA19.44090
    23180ARemove collar bone lesion8.52NA9.211.42NA19.15090
    23182ARemove shoulder blade lesion8.14NA8.891.30NA18.33090
    23184ARemove humerus lesion9.37NA9.541.50NA20.41090
    23190APartial removal of scapula7.23NA6.231.17NA14.63090
    23195ARemoval of head of humerus9.80NA7.761.66NA19.22090
    23200ARemoval of collar bone12.06NA8.971.79NA22.82090
    23210ARemoval of shoulder blade12.47NA9.301.94NA23.71090
    23220APartial removal of humerus14.54NA10.872.45NA27.86090
    23221APartial removal of humerus17.71NA11.843.03NA32.58090
    23222APartial removal of humerus23.88NA15.854.06NA43.79090
    Start Printed Page 1129
    23330ARemove shoulder foreign body1.851.981.910.224.053.98010
    23331ARemove shoulder foreign body7.37NA6.791.23NA15.39090
    23332ARemove shoulder foreign body11.60NA9.311.95NA22.86090
    23350AInjection for shoulder x-ray1.003.850.330.064.911.39000
    23395AMuscle transfer,shoulder/arm16.82NA12.742.76NA32.32090
    23397AMuscle transfers16.11NA11.402.70NA30.21090
    23400AFixation of shoulder blade13.52NA10.162.30NA25.98090
    23405AIncision of tendon & muscle8.36NA7.011.35NA16.72090
    23406AIncise tendon(s) & muscle(s)10.77NA8.411.79NA20.97090
    23410ARepair rotator cuff, acute12.43NA9.402.07NA23.90090
    23412ARepair rotator cuff, chronic13.29NA9.902.24NA25.43090
    23415ARelease of shoulder ligament9.96NA7.971.68NA19.61090
    23420ARepair of shoulder13.28NA10.782.24NA26.30090
    23430ARepair biceps tendon9.97NA8.111.69NA19.77090
    23440ARemove/transplant tendon10.46NA8.291.77NA20.52090
    23450ARepair shoulder capsule13.38NA9.872.24NA25.49090
    23455ARepair shoulder capsule14.35NA10.452.42NA27.22090
    23460ARepair shoulder capsule15.35NA11.372.62NA29.34090
    23462ARepair shoulder capsule15.28NA10.782.61NA28.67090
    23465ARepair shoulder capsule15.83NA11.301.94NA29.07090
    23466ARepair shoulder capsule14.20NA11.272.41NA27.88090
    23470AReconstruct shoulder joint17.12NA12.132.89NA32.14090
    23472AReconstruct shoulder joint21.07NA14.272.86NA38.20090
    23480ARevision of collar bone11.16NA8.771.88NA21.81090
    23485ARevision of collar bone13.41NA9.912.22NA25.54090
    23490AReinforce clavicle11.84NA8.811.34NA21.99090
    23491AReinforce shoulder bones14.19NA10.702.41NA27.30090
    23500ATreat clavicle fracture2.083.662.570.316.054.96090
    23505ATreat clavicle fracture3.685.333.760.609.618.04090
    23515ATreat clavicle fracture7.40NA6.521.24NA15.16090
    23520ATreat clavicle dislocation2.163.652.710.316.125.18090
    23525ATreat clavicle dislocation3.595.273.880.539.398.00090
    23530ATreat clavicle dislocation7.30NA6.031.03NA14.36090
    23532ATreat clavicle dislocation8.00NA6.921.36NA16.28090
    23540ATreat clavicle dislocation2.234.262.460.296.784.98090
    23545ATreat clavicle dislocation3.254.503.380.478.227.10090
    23550ATreat clavicle dislocation7.23NA6.381.13NA14.74090
    23552ATreat clavicle dislocation8.44NA7.261.42NA17.12090
    23570ATreat shoulder blade fx2.233.672.870.356.255.45090
    23575ATreat shoulder blade fx4.055.764.240.6410.458.93090
    23585ATreat scapula fracture8.95NA7.601.51NA18.06090
    23600ATreat humerus fracture2.935.733.820.479.137.22090
    23605ATreat humerus fracture4.866.594.960.8112.2610.63090
    23615ATreat humerus fracture9.34NA8.691.58NA19.61090
    23616ATreat humerus fracture21.24NA14.133.59NA38.96090
    23620ATreat humerus fracture2.405.203.230.397.996.02090
    23625ATreat humerus fracture3.926.334.560.6410.899.12090
    23630ATreat humerus fracture7.34NA6.591.24NA15.17090
    23650ATreat shoulder dislocation3.384.692.880.378.446.63090
    23655ATreat shoulder dislocation4.56NA4.160.63NA9.35090
    23660ATreat shoulder dislocation7.48NA6.361.22NA15.06090
    23665ATreat islocation/fracture4.466.584.930.7211.7610.11090
    23670ATreat dislocation/fracture7.89NA6.821.33NA16.04090
    23675ATreat dislocation/fracture6.047.566.061.0014.6013.10090
    23680ATreat dislocation/fracture10.04NA8.091.68NA19.81090
    23700AFixation of shoulder2.52NA2.300.42NA5.24010
    23800AFusion of shoulder joint14.14NA10.462.38NA26.98090
    23802AFusion of shoulder joint16.58NA10.232.82NA29.63090
    23900AAmputation of arm & girdle19.69NA11.912.98NA34.58090
    23920AAmputation at shoulder joint14.59NA10.092.32NA27.00090
    23921AAmputation follow-up surgery5.485.165.160.9411.5811.58090
    23929CShoulder surgery procedure0.000.000.000.000.000.00YYY
    23930ADrainage of arm lesion2.942.712.350.396.045.68010
    23931ADrainage of arm bursa1.792.432.190.254.474.23010
    23935ADrain arm/elbow bone lesion6.08NA6.131.01NA13.22090
    24000AExploratory elbow surgery5.81NA5.360.93NA12.10090
    24006ARelease elbow joint9.30NA7.691.53NA18.52090
    24065ABiopsy arm/elbow soft tissue2.082.101.780.174.354.03010
    24066ABiopsy arm/elbow soft tissue5.205.764.270.7411.7010.21090
    24075ARemove arm/elbow lesion3.915.053.670.529.488.10090
    24076ARemove arm/elbow lesion6.29NA5.090.84NA12.22090
    24077ARemove tumor of arm/elbow11.74NA8.651.59NA21.98090
    24100ABiopsy elbow joint lining4.92NA4.490.75NA10.16090
    24101AExplore/treat elbow joint6.12NA5.861.01NA12.99090
    24102ARemove elbow joint lining8.02NA6.831.31NA16.16090
    Start Printed Page 1130
    24105ARemoval of elbow bursa3.60NA4.350.59NA8.54090
    24110ARemove humerus lesion7.38NA6.711.19NA15.28090
    24115ARemove/graft bone lesion9.62NA7.351.39NA18.36090
    24116ARemove/graft bone lesion11.79NA9.112.00NA22.90090
    24120ARemove elbow lesion6.64NA5.881.05NA13.57090
    24125ARemove/graft bone lesion7.88NA6.181.06NA15.12090
    24126ARemove/graft bone lesion8.30NA6.971.09NA16.36090
    24130ARemoval of head of radius6.24NA5.951.05NA13.24090
    24134ARemoval of arm bone lesion9.72NA9.181.58NA20.48090
    24136ARemove radius bone lesion7.98NA7.411.03NA16.42090
    24138ARemove elbow bone lesion8.04NA7.671.35NA17.06090
    24140APartial removal of arm bone9.17NA9.491.48NA20.14090
    24145APartial removal of radius7.57NA8.151.22NA16.94090
    24147APartial removal of elbow7.53NA8.641.25NA17.42090
    24149ARadical resection of elbow14.18NA11.412.29NA27.88090
    24150AExtensive humerus surgery13.25NA10.102.18NA25.53090
    24151AExtensive humerus surgery15.56NA11.672.64NA29.87090
    24152AExtensive radius surgery10.04NA7.851.44NA19.33090
    24153AExtensive radius surgery11.52NA5.830.77NA18.12090
    24155ARemoval of elbow joint11.71NA8.411.71NA21.83090
    24160ARemove elbow joint implant7.82NA6.771.29NA15.88090
    24164ARemove radius head implant6.22NA5.661.01NA12.89090
    24200ARemoval of arm foreign body1.761.971.670.183.913.61010
    24201ARemoval of arm foreign body4.555.684.340.6810.919.57090
    24220AInjection for elbow x-ray1.3110.320.440.0811.711.83000
    24300AManipulate elbow w/anesth3.74NA5.480.59NA9.81090
    24301AMuscle/tendon transfer10.18NA8.181.57NA19.93090
    24305AArm tendon lengthening7.44NA6.681.18NA15.30090
    24310ARevision of arm tendon5.97NA5.720.89NA12.58090
    24320ARepair of arm tendon10.54NA7.741.21NA19.49090
    24330ARevision of arm muscles9.59NA7.861.46NA18.91090
    24331ARevision of arm muscles10.63NA8.601.70NA20.93090
    24332ATenolysis, triceps7.44NA6.580.93NA14.95090
    24340ARepair of biceps tendon7.88NA6.911.30NA16.09090
    24341ARepair arm tendon/muscle7.89NA7.751.30NA16.94090
    24342ARepair of ruptured tendon10.60NA8.461.79NA20.85090
    24343ARepr elbow lat ligmnt w/tiss8.64NA7.931.36NA17.93090
    24344AReconstruct elbow lat ligmnt13.98NA11.312.21NA27.50090
    24345ARepr elbw med ligmnt w/tissu8.64NA7.831.36NA17.83090
    24346AReconstruct elbow med ligmnt13.98NA11.172.21NA27.36090
    24350ARepair of tennis elbow5.24NA5.520.87NA11.63090
    24351ARepair of tennis elbow5.90NA5.860.99NA12.75090
    24352ARepair of tennis elbow6.42NA6.121.09NA13.63090
    24354ARepair of tennis elbow6.47NA6.081.06NA13.61090
    24356ARevision of tennis elbow6.67NA6.261.09NA14.02090
    24360AReconstruct elbow joint12.32NA9.352.04NA23.71090
    24361AReconstruct elbow joint14.06NA10.442.35NA26.85090
    24362AReconstruct elbow joint14.97NA9.972.32NA27.26090
    24363AReplace elbow joint18.46NA13.533.04NA35.03090
    24365AReconstruct head of radius8.38NA7.091.34NA16.81090
    24366AReconstruct head of radius9.12NA7.431.54NA18.09090
    24400ARevision of humerus11.04NA8.911.85NA21.80090
    24410ARevision of humerus14.80NA10.432.28NA27.51090
    24420ARevision of humerus13.42NA10.662.20NA26.28090
    24430ARepair of humerus12.79NA9.752.17NA24.71090
    24435ARepair humerus with graft13.15NA10.832.22NA26.20090
    24470ARevision of elbow joint8.73NA7.621.48NA17.83090
    24495ADecompression of forearm8.11NA9.051.11NA18.27090
    24498AReinforce humerus11.90NA9.282.01NA23.19090
    24500ATreat humerus fracture3.215.403.610.499.107.31090
    24505ATreat humerus fracture5.167.295.280.8713.3211.31090
    24515ATreat humerus fracture11.63NA9.341.97NA22.94090
    24516ATreat humerus fracture11.63NA9.111.97NA22.71090
    24530ATreat humerus fracture3.495.393.940.579.458.00090
    24535ATreat humerus fracture6.868.396.401.1616.4114.42090
    24538ATreat humerus fracture9.42NA8.691.51NA19.62090
    24545ATreat humerus fracture10.44NA8.421.77NA20.63090
    24546ATreat humerus fracture15.67NA11.312.63NA29.61090
    24560ATreat humerus fracture2.805.073.210.428.296.43090
    24565ATreat humerus fracture5.557.285.400.8913.7211.84090
    24566ATreat humerus fracture7.78NA8.111.33NA17.22090
    24575ATreat humerus fracture10.64NA8.301.74NA20.68090
    24576ATreat humerus fracture2.864.943.590.468.266.91090
    24577ATreat humerus fracture5.787.565.690.9814.3212.45090
    24579ATreat humerus fracture11.58NA8.831.95NA22.36090
    Start Printed Page 1131
    24582ATreat humerus fracture8.54NA9.011.45NA19.00090
    24586ATreat elbow fracture15.19NA11.112.56NA28.86090
    24587ATreat elbow fracture15.14NA10.912.58NA28.63090
    24600ATreat elbow dislocation4.225.573.520.5910.388.33090
    24605ATreat elbow dislocation5.41NA5.250.87NA11.53090
    24615ATreat elbow dislocation9.41NA7.731.58NA18.72090
    24620ATreat elbow fracture6.97NA6.111.09NA14.17090
    24635ATreat elbow fracture13.17NA14.212.22NA29.60090
    24640ATreat elbow dislocation1.201.930.870.133.262.20010
    24650ATreat radius fracture2.164.552.730.347.055.23090
    24655ATreat radius fracture4.396.764.690.7011.859.78090
    24665ATreat radius fracture8.13NA7.481.36NA16.97090
    24666ATreat radius fracture9.48NA8.051.59NA19.12090
    24670ATreat ulnar fracture2.544.443.010.407.385.95090
    24675ATreat ulnar fracture4.716.724.820.7812.2110.31090
    24685ATreat ulnar fracture8.79NA7.521.48NA17.79090
    24800AFusion of elbow joint11.18NA8.711.70NA21.59090
    24802AFusion/graft of elbow joint13.67NA10.322.28NA26.27090
    24900AAmputation of upper arm9.59NA7.351.42NA18.36090
    24920AAmputation of upper arm9.53NA7.521.47NA18.52090
    24925AAmputation follow-up surgery7.06NA6.271.15NA14.48090
    24930AAmputation follow-up surgery10.23NA7.521.48NA19.23090
    24931AAmputate upper arm & implant12.70NA6.111.88NA20.69090
    24935ARevision of amputation15.54NA8.421.91NA25.87090
    24940CRevision of upper arm0.000.000.000.000.000.00090
    24999CUpper arm/elbow surgery0.000.000.000.000.000.00YYY
    25000AIncision of tendon sheath3.37NA6.950.54NA10.86090
    25001AIncise flexor carpi radialis3.37NA4.090.54NA8.00090
    25020ADecompress forearm 1 space5.91NA9.940.92NA16.77090
    25023ADecompress forearm 1 space12.94NA15.451.83NA30.22090
    25024ADecompress forearm 2 spaces9.49NA7.521.50NA18.51090
    25025ADecompress forearm 2 spaces16.52NA10.002.63NA29.15090
    25028ADrainage of forearm lesion5.24NA8.480.74NA14.46090
    25031ADrainage of forearm bursa4.13NA8.250.60NA12.98090
    25035ATreat forearm bone lesion7.35NA14.031.18NA22.56090
    25040AExplore/treat wrist joint7.17NA7.341.16NA15.67090
    25065ABiopsy forearm soft tissues1.992.792.790.144.924.92010
    25066ABiopsy forearm soft tissues4.12NA7.240.59NA11.95090
    25075ARemovel forearm lesion subcu3.73NA6.130.48NA10.34090
    25076ARemovel forearm lesion deep4.91NA9.980.71NA15.60090
    25077ARemove tumor, forearm/wrist9.75NA12.681.33NA23.76090
    25085AIncision of wrist capsule5.49NA7.300.86NA13.65090
    25100ABiopsy of wrist joint3.89NA5.410.60NA9.90090
    25101AExplore/treat wrist joint4.68NA5.960.72NA11.36090
    25105ARemove wrist joint lining5.84NA7.480.93NA14.25090
    25107ARemove wrist joint cartilage6.42NA8.410.99NA15.82090
    25110ARemove wrist tendon lesion3.91NA7.260.58NA11.75090
    25111ARemove wrist tendon lesion3.38NA4.830.51NA8.72090
    25112AReremove wrist tendon lesion4.52NA5.430.65NA10.60090
    25115ARemove wrist/forearm lesion8.81NA14.441.34NA24.59090
    25116ARemove wrist/forearm lesion7.10NA13.531.09NA21.72090
    25118AExcise wrist tendon sheath4.36NA5.880.66NA10.90090
    25119APartial removal of ulna6.03NA7.770.96NA14.76090
    25120ARemoval of forearm lesion6.09NA12.440.98NA19.51090
    25125ARemove/graft forearm lesion7.47NA13.211.23NA21.91090
    25126ARemove/graft forearm lesion7.54NA13.311.21NA22.06090
    25130ARemoval of wrist lesion5.25NA6.510.80NA12.56090
    25135ARemove & graft wrist lesion6.88NA7.531.07NA15.48090
    25136ARemove & graft wrist lesion5.96NA6.680.70NA13.34090
    25145ARemove forearm bone lesion6.36NA12.470.99NA19.82090
    25150APartial removal of ulna7.08NA8.411.16NA16.65090
    25151APartial removal of radius7.38NA13.081.12NA21.58090
    25170AExtensive forearm surgery11.07NA15.461.83NA28.36090
    25210ARemoval of wrist bone5.94NA6.900.88NA13.72090
    25215ARemoval of wrist bones7.88NA8.891.23NA18.00090
    25230APartial removal of radius5.22NA6.220.80NA12.24090
    25240APartial removal of ulna5.16NA7.090.83NA13.08090
    25246AInjection for wrist x-ray1.4510.050.480.0811.582.01000
    25248ARemove forearm foreign body5.13NA8.750.65NA14.53090
    25250ARemoval of wrist prosthesis6.59NA6.001.01NA13.60090
    25251ARemoval of wrist prosthesis9.56NA7.821.39NA18.77090
    25259AManipulate wrist w/anesthes3.74NA5.480.60NA9.82090
    25260ARepair forearm tendon/muscle7.79NA13.901.17NA22.86090
    25263ARepair forearm tendon/muscle7.81NA13.811.13NA22.75090
    25265ARepair forearm tendon/muscle9.87NA14.701.44NA26.01090
    Start Printed Page 1132
    25270ARepair forearm tendon/muscle5.99NA12.600.92NA19.51090
    25272ARepair forearm tendon/muscle7.03NA13.301.07NA21.40090
    25274ARepair forearm tendon/muscle8.74NA14.021.37NA24.13090
    25275ARepair forearm tendon sheath8.49NA7.471.36NA17.32090
    25280ARevise wrist/forearm tendon7.21NA13.031.10NA21.34090
    25290AIncise wrist/forearm tendon5.28NA15.530.80NA21.61090
    25295ARelease wrist/forearm tendon6.54NA12.591.04NA20.17090
    25300AFusion of tendons at wrist8.79NA8.521.29NA18.60090
    25301AFusion of tendons at wrist8.39NA8.161.30NA17.85090
    25310ATransplant forearm tendon8.13NA13.441.22NA22.79090
    25312ATransplant forearm tendon9.56NA14.321.47NA25.35090
    25315ARevise palsy hand tendon(s)10.18NA14.891.52NA26.59090
    25316ARevise palsy hand tendon(s)12.31NA16.662.10NA31.07090
    25320ARepair/revise wrist joint10.75NA11.211.59NA23.55090
    25332ARevise wrist joint11.39NA9.061.76NA22.21090
    25335ARealignment of hand12.86NA11.722.00NA26.58090
    25337AReconstruct ulna/radioulnar10.15NA11.071.58NA22.80090
    25350ARevision of radius8.77NA14.281.41NA24.46090
    25355ARevision of radius10.15NA14.901.74NA26.79090
    25360ARevision of ulna8.42NA14.171.41NA24.00090
    25365ARevise radius & ulna12.38NA15.932.01NA30.32090
    25370ARevise radius or ulna13.34NA16.302.27NA31.91090
    25375ARevise radius & ulna13.02NA16.722.22NA31.96090
    25390AShorten radius or ulna10.38NA14.911.66NA26.95090
    25391ALengthen radius or ulna13.63NA16.872.09NA32.59090
    25392AShorten radius & ulna13.93NA16.242.09NA32.26090
    25393ALengthen radius & ulna15.85NA17.882.26NA35.99090
    25394ARepair carpal bone, shorten10.38NA8.231.69NA20.30090
    25400ARepair radius or ulna10.90NA15.491.81NA28.20090
    25405ARepair/graft radius or ulna14.36NA17.582.35NA34.29090
    25415ARepair radius & ulna13.33NA16.812.26NA32.40090
    25420ARepair/graft radius & ulna16.31NA18.562.65NA37.52090
    25425ARepair/graft radius or ulna13.19NA22.081.94NA37.21090
    25426ARepair/graft radius & ulna15.80NA17.292.69NA35.78090
    25430AVasc graft into carpal bone9.24NA7.281.29NA17.81090
    25431ARepair nonunion carpal bone10.42NA8.230.68NA19.33090
    25440ARepair/graft wrist bone10.42NA9.411.70NA21.53090
    25441AReconstruct wrist joint12.88NA9.882.21NA24.97090
    25442AReconstruct wrist joint10.83NA8.771.50NA21.10090
    25443AReconstruct wrist joint10.37NA8.651.57NA20.59090
    25444AReconstruct wrist joint11.13NA9.071.72NA21.92090
    25445AReconstruct wrist joint9.68NA7.871.52NA19.07090
    25446AWrist replacement16.53NA11.812.65NA30.99090
    25447ARepair wrist joint(s)10.35NA8.541.62NA20.51090
    25449ARemove wrist joint implant14.47NA10.572.13NA27.17090
    25450ARevision of wrist joint7.86NA10.411.06NA19.33090
    25455ARevision of wrist joint9.48NA11.331.29NA22.10090
    25490AReinforce radius9.53NA14.031.44NA25.00090
    25491AReinforce ulna9.95NA14.791.70NA26.44090
    25492AReinforce radius and ulna12.31NA15.581.95NA29.84090
    25500ATreat fracture of radius2.453.992.710.346.785.50090
    25505ATreat fracture of radius5.207.225.250.8313.2511.28090
    25515ATreat fracture of radius9.17NA7.471.47NA18.11090
    25520ATreat fracture of radius6.257.445.871.0314.7213.15090
    25525ATreat fracture of radius12.22NA9.942.03NA24.19090
    25526ATreat fracture of radius12.96NA13.592.17NA28.72090
    25530ATreat fracture of ulna2.094.142.800.336.565.22090
    25535ATreat fracture of ulna5.136.855.170.8212.8011.12090
    25545ATreat fracture of ulna8.89NA7.651.48NA18.02090
    25560ATreat fracture radius & ulna2.444.042.640.336.815.41090
    25565ATreat fracture radius & ulna5.627.355.320.9213.8911.86090
    25574ATreat fracture radius & ulna7.00NA7.131.16NA15.29090
    25575ATreat fracture radius/ulna10.43NA9.391.76NA21.58090
    25600ATreat fracture radius/ulna2.634.472.940.417.515.98090
    25605ATreat fracture radius/ulna5.808.036.010.9814.8112.79090
    25611ATreat fracture radius/ulna7.76NA8.841.30NA17.90090
    25620ATreat fracture radius/ulna8.54NA7.281.41NA17.23090
    25622ATreat wrist bone fracture2.614.643.120.407.656.13090
    25624ATreat wrist bone fracture4.526.984.900.7412.2410.16090
    25628ATreat wrist bone fracture8.42NA7.811.37NA17.60090
    25630ATreat wrist bone fracture2.884.572.940.457.906.27090
    25635ATreat wrist bone fracture4.386.753.890.4711.608.74090
    25645ATreat wrist bone fracture7.24NA6.791.12NA15.15090
    25650ATreat wrist bone fracture3.054.833.220.458.336.72090
    25651APin ulnar styloid fracture5.35NA5.390.87NA11.61090
    Start Printed Page 1133
    25652ATreat fracture ulnar styloid7.59NA6.851.23NA15.67090
    25660ATreat wrist dislocation4.75NA4.660.71NA10.12090
    25670ATreat wrist dislocation7.91NA7.081.29NA16.28090
    25671APin radioulnar dislocation5.99NA5.980.98NA12.95090
    25675ATreat wrist dislocation4.666.494.610.6911.849.96090
    25676ATreat wrist dislocation8.03NA7.321.33NA16.68090
    25680ATreat wrist fracture5.98NA4.750.74NA11.47090
    25685ATreat wrist fracture9.77NA7.871.51NA19.15090
    25690ATreat wrist dislocation5.49NA5.390.94NA11.82090
    25695ATreat wrist dislocation8.33NA7.191.29NA16.81090
    25800AFusion of wrist joint9.75NA9.101.57NA20.42090
    25805AFusion/graft of wrist joint11.26NA10.241.82NA23.32090
    25810AFusion/graft of wrist joint10.55NA9.881.65NA22.08090
    25820AFusion of hand bones7.44NA7.881.16NA16.48090
    25825AFuse hand bones with graft9.26NA9.221.45NA19.93090
    25830AFusion, radioulnar jnt/ulna10.04NA14.691.53NA26.26090
    25900AAmputation of forearm9.00NA12.891.30NA23.19090
    25905AAmputation of forearm9.11NA12.821.28NA23.21090
    25907AAmputation follow-up surgery7.79NA12.211.22NA21.22090
    25909AAmputation follow-up surgery8.95NA12.761.29NA23.00090
    25915AAmputation of forearm17.05NA19.512.91NA39.47090
    25920AAmputate hand at wrist8.67NA8.001.28NA17.95090
    25922AAmputate hand at wrist7.41NA7.251.12NA15.78090
    25924AAmputation follow-up surgery8.45NA8.221.29NA17.96090
    25927AAmputation of hand8.79NA12.151.23NA22.17090
    25929AAmputation follow-up surgery7.58NA6.061.07NA14.71090
    25931AAmputation follow-up surgery7.80NA12.061.06NA20.92090
    25999CForearm or wrist surgery0.000.000.000.000.000.00YYY
    26010ADrainage of finger abscess1.545.671.660.177.383.37010
    26011ADrainage of finger abscess2.199.082.310.3011.574.80010
    26020ADrain hand tendon sheath4.66NA5.570.71NA10.94090
    26025ADrainage of palm bursa4.81NA5.360.72NA10.89090
    26030ADrainage of palm bursa(s)5.92NA6.000.87NA12.79090
    26034ATreat hand bone lesion6.22NA6.270.95NA13.44090
    26035ADecompress fingers/hand9.50NA8.101.35NA18.95090
    26037ADecompress fingers/hand7.24NA6.601.05NA14.89090
    26040ARelease palm contracture3.33NA3.990.54NA7.86090
    26045ARelease palm contracture5.55NA5.560.89NA12.00090
    26055AIncise finger tendon sheath2.6914.543.850.4317.666.97090
    26060AIncision of finger tendon2.81NA3.450.42NA6.68090
    26070AExplore/treat hand joint3.68NA3.360.42NA7.46090
    26075AExplore/treat finger joint3.78NA3.760.48NA8.02090
    26080AExplore/treat finger joint4.23NA4.780.63NA9.64090
    26100ABiopsy hand joint lining3.66NA4.100.54NA8.30090
    26105ABiopsy finger joint lining3.70NA4.170.54NA8.41090
    26110ABiopsy finger joint lining3.52NA3.980.53NA8.03090
    26115ARemovel hand lesion subcut3.8513.334.670.5817.769.10090
    26116ARemovel hand lesion, deep5.52NA5.920.83NA12.27090
    26117ARemove tumor, hand/finger8.54NA7.031.22NA16.79090
    26121ARelease palm contracture7.53NA6.901.13NA15.56090
    26123ARelease palm contracture9.28NA8.741.41NA19.43090
    26125ARelease palm contracture4.60NA2.460.69NA7.75ZZZ
    26130ARemove wrist joint lining5.41NA5.300.78NA11.49090
    26135ARevise finger joint, each6.95NA6.391.05NA14.39090
    26140ARevise finger joint, each6.16NA5.970.92NA13.05090
    26145ATendon excision, palm/finger6.31NA5.980.93NA13.22090
    26160ARemove tendon sheath lesion3.1512.694.040.4716.317.66090
    26170ARemoval of palm tendon, each4.76NA4.880.72NA10.36090
    26180ARemoval of finger tendon5.17NA5.350.77NA11.29090
    26185ARemove finger bone5.24NA5.910.81NA11.96090
    26200ARemove hand bone lesion5.50NA5.290.86NA11.65090
    26205ARemove/graft bone lesion7.69NA6.841.15NA15.68090
    26210ARemoval of finger lesion5.14NA5.360.77NA11.27090
    26215ARemove/graft finger lesion7.09NA6.260.93NA14.28090
    26230APartial removal of hand bone6.32NA5.851.01NA13.18090
    26235APartial removal, finger bone6.18NA5.750.94NA12.87090
    26236APartial removal, finger bone5.31NA5.280.80NA11.39090
    26250AExtensive hand surgery7.54NA6.381.11NA15.03090
    26255AExtensive hand surgery12.41NA9.351.27NA23.03090
    26260AExtensive finger surgery7.02NA6.141.00NA14.16090
    26261AExtensive finger surgery9.08NA6.231.01NA16.32090
    26262APartial removal of finger5.66NA5.290.84NA11.79090
    26320ARemoval of implant from hand3.97NA4.250.59NA8.81090
    26340AManipulate finger w/anesth2.50NA4.740.36NA7.60090
    26350ARepair finger/hand tendon5.98NA15.490.88NA22.35090
    Start Printed Page 1134
    26352ARepair/graft hand tendon7.67NA16.081.12NA24.87090
    26356ARepair finger/hand tendon8.06NA18.911.19NA28.16090
    26357ARepair finger/hand tendon8.57NA16.531.23NA26.33090
    26358ARepair/graft hand tendon9.13NA17.431.29NA27.85090
    26370ARepair finger/hand tendon7.10NA15.951.09NA24.14090
    26372ARepair/graft hand tendon8.75NA17.321.28NA27.35090
    26373ARepair finger/hand tendon8.15NA16.871.18NA26.20090
    26390ARevise hand/finger tendon9.18NA13.921.31NA24.41090
    26392ARepair/graft hand tendon10.24NA17.661.52NA29.42090
    26410ARepair hand tendon4.62NA12.590.69NA17.90090
    26412ARepair/graft hand tendon6.30NA13.920.96NA21.18090
    26415AExcision, hand/finger tendon8.33NA12.280.93NA21.54090
    26416AGraft hand or finger tendon9.36NA15.211.45NA26.02090
    26418ARepair finger tendon4.24NA12.950.60NA17.79090
    26420ARepair/graft finger tendon6.76NA14.261.00NA22.02090
    26426ARepair finger/hand tendon6.14NA13.780.93NA20.85090
    26428ARepair/graft finger tendon7.20NA14.581.01NA22.79090
    26432ARepair finger tendon4.01NA10.690.58NA15.28090
    26433ARepair finger tendon4.55NA11.370.68NA16.60090
    26434ARepair/graft finger tendon6.08NA12.060.86NA19.00090
    26437ARealignment of tendons5.81NA11.980.89NA18.68090
    26440ARelease palm/finger tendon5.01NA14.180.75NA19.94090
    26442ARelease palm & finger tendon8.15NA16.611.13NA25.89090
    26445ARelease hand/finger tendon4.30NA13.930.65NA18.88090
    26449ARelease forearm/hand tendon6.99NA16.391.01NA24.39090
    26450AIncision of palm tendon3.66NA7.580.55NA11.79090
    26455AIncision of finger tendon3.63NA7.500.57NA11.70090
    26460AIncise hand/finger tendon3.45NA7.320.53NA11.30090
    26471AFusion of finger tendons5.72NA11.650.88NA18.25090
    26474AFusion of finger tendons5.31NA11.840.83NA17.98090
    26476ATendon lengthening5.17NA11.370.75NA17.29090
    26477ATendon shortening5.14NA11.540.72NA17.40090
    26478ALengthening of hand tendon5.79NA12.240.93NA18.96090
    26479AShortening of hand tendon5.73NA12.080.92NA18.73090
    26480ATransplant hand tendon6.68NA15.681.01NA23.37090
    26483ATransplant/graft hand tendon8.28NA16.121.24NA25.64090
    26485ATransplant palm tendon7.69NA16.011.13NA24.83090
    26489ATransplant/graft palm tendon9.54NA12.541.18NA23.26090
    26490ARevise thumb tendon8.40NA13.161.27NA22.83090
    26492ATendon transfer with graft9.61NA13.971.44NA25.02090
    26494AHand tendon/muscle transfer8.46NA13.611.36NA23.43090
    26496ARevise thumb tendon9.58NA13.611.41NA24.60090
    26497AFinger tendon transfer9.56NA13.961.41NA24.93090
    26498AFinger tendon transfer13.98NA16.552.10NA32.63090
    26499ARevision of finger8.97NA13.501.13NA23.60090
    26500AHand tendon reconstruction5.95NA12.120.80NA18.87090
    26502AHand tendon reconstruction7.13NA12.581.05NA20.76090
    26504AHand tendon reconstruction7.46NA13.011.01NA21.48090
    26508ARelease thumb contracture6.00NA12.110.92NA19.03090
    26510AThumb tendon transfer5.42NA11.790.86NA18.07090
    26516AFusion of knuckle joint7.14NA12.651.09NA20.88090
    26517AFusion of knuckle joints8.82NA13.961.16NA23.94090
    26518AFusion of knuckle joints9.01NA13.771.36NA24.14090
    26520ARelease knuckle contracture5.29NA14.630.78NA20.70090
    26525ARelease finger contracture5.32NA14.740.80NA20.86090
    26530ARevise knuckle joint6.68NA6.021.04NA13.74090
    26531ARevise knuckle with implant7.90NA6.991.22NA16.11090
    26535ARevise finger joint5.23NA3.690.80NA9.72090
    26536ARevise/implant finger joint6.36NA9.740.96NA17.06090
    26540ARepair hand joint6.42NA12.350.98NA19.75090
    26541ARepair hand joint with graft8.61NA13.831.35NA23.79090
    26542ARepair hand joint with graft6.77NA12.391.05NA20.21090
    26545AReconstruct finger joint6.91NA12.790.95NA20.65090
    26546ARepair nonunion hand8.91NA15.201.37NA25.48090
    26548AReconstruct finger joint8.02NA13.391.18NA22.59090
    26550AConstruct thumb replacement21.21NA18.162.17NA41.54090
    26551AGreat toe-hand transfer46.51NA33.717.92NA88.14090
    26553ASingle transfer, toe-hand46.20NA23.222.40NA71.82090
    26554ADouble transfer, toe-hand54.87NA38.029.36NA102.25090
    26555APositional change of finger16.61NA18.672.57NA37.85090
    26556AToe joint transfer47.19NA34.508.04NA89.73090
    26560ARepair of web finger5.37NA10.280.72NA16.37090
    26561ARepair of web finger10.90NA12.930.83NA24.66090
    26562ARepair of web finger14.98NA17.591.18NA33.75090
    26565ACorrect metacarpal flaw6.73NA12.461.01NA20.20090
    Start Printed Page 1135
    26567ACorrect finger deformity6.81NA12.391.01NA20.21090
    26568ALengthen metacarpal/finger9.07NA16.091.33NA26.49090
    26580ARepair hand deformity18.15NA13.981.76NA33.89090
    26587AReconstruct extra finger14.03NA9.051.35NA24.43090
    26590ARepair finger deformity17.93NA14.401.59NA33.92090
    26591ARepair muscles of hand3.25NA10.440.45NA14.14090
    26593ARelease muscles of hand5.30NA11.510.77NA17.58090
    26596AExcision constricting tissue8.94NA9.011.05NA19.00090
    26600ATreat metacarpal fracture1.964.082.640.306.344.90090
    26605ATreat metacarpal fracture2.855.253.580.468.566.89090
    26607ATreat metacarpal fracture5.35NA6.350.84NA12.54090
    26608ATreat metacarpal fracture5.35NA6.350.88NA12.58090
    26615ATreat metacarpal fracture5.32NA5.530.84NA11.69090
    26641ATreat thumb dislocation3.935.403.580.519.848.02090
    26645ATreat thumb fracture4.406.104.170.6511.159.22090
    26650ATreat thumb fracture5.71NA6.760.93NA13.40090
    26665ATreat thumb fracture7.59NA6.801.17NA15.56090
    26670ATreat hand dislocation3.684.893.030.439.007.14090
    26675ATreat hand dislocation4.636.234.410.6811.549.72090
    26676APin hand dislocation5.51NA6.790.92NA13.22090
    26685ATreat hand dislocation6.97NA6.261.15NA14.38090
    26686ATreat hand dislocation7.93NA7.031.27NA16.23090
    26700ATreat knuckle dislocation3.684.652.960.428.757.06090
    26705ATreat knuckle dislocation4.186.034.240.6010.819.02090
    26706APin knuckle dislocation5.11NA5.090.77NA10.97090
    26715ATreat knuckle dislocation5.73NA5.710.90NA12.34090
    26720ATreat finger fracture, each1.663.892.600.245.794.50090
    26725ATreat finger fracture, each3.336.094.040.529.947.89090
    26727ATreat finger fracture, each5.22NA6.400.83NA12.45090
    26735ATreat finger fracture, each5.97NA5.860.93NA12.76090
    26740ATreat finger fracture, each1.943.562.690.295.794.92090
    26742ATreat finger fracture, each3.845.813.850.5910.248.28090
    26746ATreat finger fracture, each5.80NA5.910.89NA12.60090
    26750ATreat finger fracture, each1.703.142.080.235.074.01090
    26755ATreat finger fracture, each3.104.813.050.458.366.60090
    26756APin finger fracture, each4.38NA6.040.68NA11.10090
    26765ATreat finger fracture, each4.16NA4.780.62NA9.56090
    26770ATreat finger dislocation3.024.402.550.337.755.90090
    26775ATreat finger dislocation3.705.853.820.5210.078.04090
    26776APin finger dislocation4.79NA6.210.76NA11.76090
    26785ATreat finger dislocation4.20NA4.810.65NA9.66090
    26820AThumb fusion with graft8.25NA13.631.34NA23.22090
    26841AFusion of thumb7.12NA13.531.17NA21.82090
    26842AThumb fusion with graft8.23NA13.711.33NA23.27090
    26843AFusion of hand joint7.60NA12.681.19NA21.47090
    26844AFusion/graft of hand joint8.72NA13.681.35NA23.75090
    26850AFusion of knuckle6.96NA12.561.07NA20.59090
    26852AFusion of knuckle with graft8.45NA13.251.27NA22.97090
    26860AFusion of finger joint4.68NA11.550.72NA16.95090
    26861AFusion of finger jnt, add-on1.74NA0.930.27NA2.94ZZZ
    26862AFusion/graft of finger joint7.36NA12.751.11NA21.22090
    26863AFuse/graft added joint3.89NA2.120.62NA6.63ZZZ
    26910AAmputate metacarpal bone7.59NA11.701.09NA20.38090
    26951AAmputation of finger/thumb4.58NA10.620.68NA15.88090
    26952AAmputation of finger/thumb6.30NA12.230.89NA19.42090
    26989CHand/finger surgery0.000.000.000.000.000.00YYY
    26990ADrainage of pelvis lesion7.47NA7.631.11NA16.21090
    26991ADrainage of pelvis bursa6.677.475.941.0315.1713.64090
    26992ADrainage of bone lesion13.00NA10.862.11NA25.97090
    27000AIncision of hip tendon5.61NA5.290.92NA11.82090
    27001AIncision of hip tendon6.93NA6.151.15NA14.23090
    27003AIncision of hip tendon7.33NA6.551.12NA15.00090
    27005AIncision of hip tendon9.65NA7.851.64NA19.14090
    27006AIncision of hip tendons9.67NA7.991.60NA19.26090
    27025AIncision of hip/thigh fascia11.14NA8.601.66NA21.40090
    27030ADrainage of hip joint12.99NA9.662.18NA24.83090
    27033AExploration of hip joint13.37NA9.932.26NA25.56090
    27035ADenervation of hip joint16.66NA12.332.05NA31.04090
    27036AExcision of hip joint/muscle12.86NA10.032.17NA25.06090
    27040ABiopsy of soft tissues2.872.622.050.255.745.17010
    27041ABiopsy of soft tissues9.88NA6.731.22NA17.83090
    27047ARemove hip/pelvis lesion7.446.554.990.9514.9413.38090
    27048ARemove hip/pelvis lesion6.24NA5.040.88NA12.16090
    27049ARemove tumor, hip/pelvis13.64NA8.811.93NA24.38090
    27050ABiopsy of sacroiliac joint4.35NA4.480.64NA9.47090
    Start Printed Page 1136
    27052ABiopsy of hip joint6.22NA5.891.03NA13.14090
    27054ARemoval of hip joint lining8.53NA7.361.41NA17.30090
    27060ARemoval of ischial bursa5.42NA4.840.72NA10.98090
    27062ARemove femur lesion/bursa5.36NA5.220.89NA11.47090
    27065ARemoval of hip bone lesion5.89NA5.540.92NA12.35090
    27066ARemoval of hip bone lesion10.31NA8.511.71NA20.53090
    27067ARemove/graft hip bone lesion13.81NA10.672.35NA26.83090
    27070APartial removal of hip bone10.70NA9.781.64NA22.12090
    27071APartial removal of hip bone11.44NA10.751.82NA24.01090
    27075AExtensive hip surgery34.95NA19.682.68NA57.31090
    27076AExtensive hip surgery22.09NA14.793.45NA40.33090
    27077AExtensive hip surgery39.94NA23.103.84NA66.88090
    27078AExtensive hip surgery13.42NA10.432.01NA25.86090
    27079AExtensive hip surgery13.73NA10.092.24NA26.06090
    27080ARemoval of tail bone6.38NA5.080.96NA12.42090
    27086ARemove hip foreign body1.872.011.870.214.093.95010
    27087ARemove hip foreign body8.53NA6.711.31NA16.55090
    27090ARemoval of hip prosthesis11.13NA8.651.87NA21.65090
    27091ARemoval of hip prosthesis22.11NA13.863.75NA39.72090
    27093AInjection for hip x-ray1.3012.210.480.1113.621.89000
    27095AInjection for hip x-ray1.5010.760.520.1212.382.14000
    27096AInject sacroiliac joint1.409.350.330.1010.851.83000
    27097ARevision of hip tendon8.79NA6.471.47NA16.73090
    27098ATransfer tendon to pelvis8.82NA7.101.50NA17.42090
    27100ATransfer of abdominal muscle11.06NA8.731.89NA21.68090
    27105ATransfer of spinal muscle11.75NA9.202.00NA22.95090
    27110ATransfer of iliopsoas muscle13.24NA9.331.66NA24.23090
    27111ATransfer of iliopsoas muscle12.13NA9.181.79NA23.10090
    27120AReconstruction of hip socket17.98NA11.742.95NA32.67090
    27122AReconstruction of hip socket14.96NA10.912.51NA28.38090
    27125APartial hip replacement14.67NA10.492.47NA27.63090
    27130ATotal hip arthroplasty20.09NA13.213.40NA36.70090
    27132ATotal hip arthroplasty23.27NA15.483.93NA42.68090
    27134ARevise hip joint replacement28.48NA17.694.79NA50.96090
    27137ARevise hip joint replacement21.14NA13.823.58NA38.54090
    27138ARevise hip joint replacement22.14NA14.283.75NA40.17090
    27140ATransplant femur ridge12.22NA9.412.01NA23.64090
    27146AIncision of hip bone17.40NA12.272.74NA32.41090
    27147ARevision of hip bone20.55NA13.343.15NA37.04090
    27151AIncision of hip bones22.48NA8.213.76NA34.45090
    27156ARevision of hip bones24.59NA16.104.20NA44.89090
    27158ARevision of pelvis19.71NA11.243.14NA34.09090
    27161AIncision of neck of femur16.68NA12.092.80NA31.57090
    27165AIncision/fixation of femur17.88NA12.853.03NA33.76090
    27170ARepair/graft femur head/neck16.05NA11.302.65NA30.00090
    27175ATreat slipped epiphysis8.45NA6.581.44NA16.47090
    27176ATreat slipped epiphysis12.03NA8.982.03NA23.04090
    27177ATreat slipped epiphysis15.06NA10.832.54NA28.43090
    27178ATreat slipped epiphysis11.97NA8.402.03NA22.40090
    27179ARevise head/neck of femur12.96NA9.922.22NA25.10090
    27181ATreat slipped epiphysis14.66NA10.152.10NA26.91090
    27185ARevision of femur epiphysis9.17NA7.581.56NA18.31090
    27187AReinforce hip bones13.52NA10.332.28NA26.13090
    27193ATreat pelvic ring fracture5.557.105.740.9313.5812.22090
    27194ATreat pelvic ring fracture9.648.757.501.5919.9818.73090
    27200ATreat tail bone fracture1.843.042.170.275.154.28090
    27202ATreat tail bone fracture7.03NA17.650.83NA25.51090
    27215ATreat pelvic fracture(s)10.03NA7.171.65NA18.85090
    27216ATreat pelvic ring fracture15.17NA9.722.59NA27.48090
    27217ATreat pelvic ring fracture14.09NA10.152.35NA26.59090
    27218ATreat pelvic ring fracture20.12NA11.503.44NA35.06090
    27220ATreat hip socket fracture6.177.065.511.0314.2612.71090
    27222ATreat hip socket fracture12.68NA9.882.13NA24.69090
    27226ATreat hip wall fracture14.89NA7.922.50NA25.31090
    27227ATreat hip fracture(s)23.41NA15.353.91NA42.67090
    27228ATreat hip fracture(s)27.12NA17.574.55NA49.24090
    27230ATreat thigh fracture5.496.515.040.8812.8811.41090
    27232ATreat thigh fracture10.66NA7.181.75NA19.59090
    27235ATreat thigh fracture12.14NA9.392.06NA23.59090
    27236ATreat thigh fracture15.58NA10.932.63NA29.14090
    27238ATreat thigh fracture5.51NA5.090.92NA11.52090
    27240ATreat thigh fracture12.48NA9.372.04NA23.89090
    27244ATreat thigh fracture15.92NA11.262.69NA29.87090
    27245ATreat thigh fracture20.28NA13.703.44NA37.42090
    27246ATreat thigh fracture4.705.664.410.8011.169.91090
    Start Printed Page 1137
    27248ATreat thigh fracture10.43NA8.191.75NA20.37090
    27250ATreat hip dislocation6.94NA4.770.82NA12.53090
    27252ATreat hip dislocation10.37NA7.391.65NA19.41090
    27253ATreat hip dislocation12.90NA9.722.18NA24.80090
    27254ATreat hip dislocation18.23NA12.033.04NA33.30090
    27256ATreat hip dislocation4.113.432.090.598.136.79010
    27257ATreat hip dislocation5.21NA2.880.68NA8.77010
    27258ATreat hip dislocation15.41NA10.912.48NA28.80090
    27259ATreat hip dislocation21.52NA14.163.61NA39.29090
    27265ATreat hip dislocation5.04NA4.760.78NA10.58090
    27266ATreat hip dislocation7.48NA6.271.25NA15.00090
    27275AManipulation of hip joint2.27NA2.130.37NA4.77010
    27280AFusion of sacroiliac joint13.37NA10.302.39NA26.06090
    27282AFusion of pubic bones11.32NA8.231.37NA20.92090
    27284AFusion of hip joint23.41NA14.832.85NA41.09090
    27286AFusion of hip joint23.41NA15.812.86NA42.08090
    27290AAmputation of leg at hip23.25NA14.163.55NA40.96090
    27295AAmputation of leg at hip18.62NA11.542.83NA32.99090
    27299CPelvis/hip joint surgery0.000.000.000.000.000.00YYY
    27301ADrain thigh/knee lesion6.487.345.880.9614.7813.32090
    27303ADrainage of bone lesion8.27NA7.241.37NA16.88090
    27305AIncise thigh tendon & fascia5.91NA5.360.93NA12.20090
    27306AIncision of thigh tendon4.61NA4.800.75NA10.16090
    27307AIncision of thigh tendons5.79NA5.520.94NA12.25090
    27310AExploration of knee joint9.26NA7.541.56NA18.36090
    27315APartial removal, thigh nerve6.96NA4.830.95NA12.74090
    27320APartial removal, thigh nerve6.29NA5.120.94NA12.35090
    27323ABiopsy, thigh soft tissues2.282.191.920.214.684.41010
    27324ABiopsy, thigh soft tissues4.89NA4.350.71NA9.95090
    27327ARemoval of thigh lesion4.465.343.910.6010.408.97090
    27328ARemoval of thigh lesion5.56NA4.570.80NA10.93090
    27329ARemove tumor, thigh/knee14.12NA9.512.03NA25.66090
    27330ABiopsy, knee joint lining4.96NA4.610.80NA10.37090
    27331AExplore/treat knee joint5.87NA5.510.98NA12.36090
    27332ARemoval of knee cartilage8.26NA7.081.39NA16.73090
    27333ARemoval of knee cartilage7.29NA6.601.24NA15.13090
    27334ARemove knee joint lining8.69NA7.381.46NA17.53090
    27335ARemove knee joint lining9.99NA8.181.70NA19.87090
    27340ARemoval of kneecap bursa4.17NA4.530.70NA9.40090
    27345ARemoval of knee cyst5.91NA5.610.98NA12.50090
    27347ARemove knee cyst5.77NA5.420.92NA12.11090
    27350ARemoval of kneecap8.16NA7.191.39NA16.74090
    27355ARemove femur lesion7.64NA6.811.29NA15.74090
    27356ARemove femur lesion/graft9.47NA7.881.56NA18.91090
    27357ARemove femur lesion/graft10.51NA8.701.79NA21.00090
    27358ARemove femur lesion/fixation4.73NA2.540.81NA8.08ZZZ
    27360APartial removal, leg bone(s)10.48NA9.951.71NA22.14090
    27365AExtensive leg surgery16.25NA11.672.73NA30.65090
    27370AInjection for knee x-ray0.9612.010.320.0713.041.35000
    27372ARemoval of foreign body5.066.004.690.7511.8110.50090
    27380ARepair of kneecap tendon7.15NA7.251.21NA15.61090
    27381ARepair/graft kneecap tendon10.32NA9.051.74NA21.11090
    27385ARepair of thigh muscle7.75NA7.591.31NA16.65090
    27386ARepair/graft of thigh muscle10.54NA9.461.80NA21.80090
    27390AIncision of thigh tendon5.32NA5.260.83NA11.41090
    27391AIncision of thigh tendons7.19NA6.631.19NA15.01090
    27392AIncision of thigh tendons9.19NA7.721.48NA18.39090
    27393ALengthening of thigh tendon6.38NA5.851.09NA13.32090
    27394ALengthening of thigh tendons8.49NA7.281.41NA17.18090
    27395ALengthening of thigh tendons11.71NA9.381.97NA23.06090
    27396ATransplant of thigh tendon7.85NA7.071.34NA16.26090
    27397ATransplants of thigh tendons11.26NA9.031.91NA22.20090
    27400ARevise thigh muscles/tendons9.01NA7.341.42NA17.77090
    27403ARepair of knee cartilage8.32NA7.141.40NA16.86090
    27405ARepair of knee ligament8.64NA7.461.46NA17.56090
    27407ARepair of knee ligament10.26NA8.301.66NA20.22090
    27409ARepair of knee ligaments12.88NA9.912.11NA24.90090
    27418ARepair degenerated kneecap10.83NA8.851.82NA21.50090
    27420ARevision of unstable kneecap9.82NA8.051.66NA19.53090
    27422ARevision of unstable kneecap9.77NA8.071.65NA19.49090
    27424ARevision/removal of kneecap9.80NA8.041.66NA19.50090
    27425ALat retinacular release open5.21NA5.490.88NA11.58090
    27427AReconstruction, knee9.35NA7.741.56NA18.65090
    27428AReconstruction, knee13.98NA11.102.35NA27.43090
    27429AReconstruction, knee15.50NA12.342.63NA30.47090
    Start Printed Page 1138
    27430ARevision of thigh muscles9.66NA7.961.63NA19.25090
    27435AIncision of knee joint9.48NA8.361.60NA19.44090
    27437ARevise kneecap8.45NA7.111.42NA16.98090
    27438ARevise kneecap with implant11.21NA8.431.88NA21.52090
    27440ARevision of knee joint10.41NA5.971.71NA18.09090
    27441ARevision of knee joint10.80NA6.651.80NA19.25090
    27442ARevision of knee joint11.87NA8.802.03NA22.70090
    27443ARevision of knee joint10.91NA8.591.83NA21.33090
    27445ARevision of knee joint17.65NA12.233.00NA32.88090
    27446ARevision of knee joint15.82NA11.152.68NA29.65090
    27447ATotal knee arthroplasty21.45NA14.463.62NA39.53090
    27448AIncision of thigh11.04NA8.651.82NA21.51090
    27450AIncision of thigh13.96NA10.592.36NA26.91090
    27454ARealignment of thigh bone17.53NA12.502.97NA33.00090
    27455ARealignment of knee12.80NA9.872.15NA24.82090
    27457ARealignment of knee13.43NA9.912.27NA25.61090
    27465AShortening of thigh bone13.85NA10.342.24NA26.43090
    27466ALengthening of thigh bone16.31NA11.872.32NA30.50090
    27468AShorten/lengthen thighs18.94NA12.453.23NA34.62090
    27470ARepair of thigh16.05NA11.832.70NA30.58090
    27472ARepair/graft of thigh17.69NA12.723.00NA33.41090
    27475ASurgery to stop leg growth8.63NA7.221.36NA17.21090
    27477ASurgery to stop leg growth9.84NA7.731.58NA19.15090
    27479ASurgery to stop leg growth12.78NA9.862.18NA24.82090
    27485ASurgery to stop leg growth8.83NA7.381.50NA17.71090
    27486ARevise/replace knee joint19.24NA13.343.26NA35.84090
    27487ARevise/replace knee joint25.23NA16.414.27NA45.91090
    27488ARemoval of knee prosthesis15.72NA11.542.67NA29.93090
    27495AReinforce thigh15.53NA11.472.63NA29.63090
    27496ADecompression of thigh/knee6.10NA5.720.93NA12.75090
    27497ADecompression of thigh/knee7.16NA5.661.01NA13.83090
    27498ADecompression of thigh/knee7.98NA6.111.17NA15.26090
    27499ADecompression of thigh/knee8.99NA6.991.42NA17.40090
    27500ATreatment of thigh fracture5.917.014.990.9613.8811.86090
    27501ATreatment of thigh fracture5.917.575.661.0014.4812.57090
    27502ATreatment of thigh fracture10.56NA8.101.80NA20.46090
    27503ATreatment of thigh fracture10.56NA8.261.80NA20.62090
    27506ATreatment of thigh fracture17.42NA12.702.81NA32.93090
    27507ATreatment of thigh fracture13.97NA9.882.35NA26.20090
    27508ATreatment of thigh fracture5.826.975.320.9613.7512.10090
    27509ATreatment of thigh fracture7.70NA7.901.30NA16.90090
    27510ATreatment of thigh fracture9.12NA7.171.52NA17.81090
    27511ATreatment of thigh fracture13.62NA11.192.30NA27.11090
    27513ATreatment of thigh fracture17.89NA13.833.03NA34.75090
    27514ATreatment of thigh fracture17.27NA13.292.91NA33.47090
    27516ATreat thigh fx growth plate5.367.275.380.8913.5211.63090
    27517ATreat thigh fx growth plate8.778.897.351.4719.1317.59090
    27519ATreat thigh fx growth plate15.00NA11.612.52NA29.13090
    27520ATreat kneecap fracture2.865.223.410.468.546.73090
    27524ATreat kneecap fracture9.99NA8.141.69NA19.82090
    27530ATreat knee fracture3.775.884.260.6210.278.65090
    27532ATreat knee fracture7.297.826.261.2316.3414.78090
    27535ATreat knee fracture11.48NA10.091.94NA23.51090
    27536ATreat knee fracture15.63NA11.482.64NA29.75090
    27538ATreat knee fracture(s)4.867.075.080.8112.7410.75090
    27540ATreat knee fracture13.08NA9.462.17NA24.71090
    27550ATreat knee dislocation5.756.574.920.8213.1411.49090
    27552ATreat knee dislocation7.89NA6.861.33NA16.08090
    27556ATreat knee dislocation14.39NA11.662.42NA28.47090
    27557ATreat knee dislocation16.74NA13.122.86NA32.72090
    27558ATreat knee dislocation17.69NA13.083.03NA33.80090
    27560ATreat kneecap dislocation3.815.583.290.489.877.58090
    27562ATreat kneecap dislocation5.78NA4.790.83NA11.40090
    27566ATreat kneecap dislocation12.21NA9.262.09NA23.56090
    27570AFixation of knee joint1.74NA1.810.29NA3.84010
    27580AFusion of knee19.34NA14.753.26NA37.35090
    27590AAmputate leg at thigh12.01NA7.101.63NA20.74090
    27591AAmputate leg at thigh12.66NA8.871.97NA23.50090
    27592AAmputate leg at thigh10.00NA6.591.41NA18.00090
    27594AAmputation follow-up surgery6.91NA5.450.99NA13.35090
    27596AAmputation follow-up surgery10.58NA7.221.50NA19.30090
    27598AAmputate lower leg at knee10.51NA7.321.50NA19.33090
    27599CLeg surgery procedure0.000.000.000.000.000.00YYY
    27600ADecompression of lower leg5.64NA4.750.82NA11.21090
    27601ADecompression of lower leg5.63NA5.040.83NA11.50090
    Start Printed Page 1139
    27602ADecompression of lower leg7.34NA5.331.03NA13.70090
    27603ADrain lower leg lesion4.9310.644.850.6816.2510.46090
    27604ADrain lower leg bursa4.468.584.530.6513.699.64090
    27605AIncision of achilles tendon2.878.802.340.4612.135.67010
    27606AIncision of achilles tendon4.1310.033.400.6914.858.22010
    27607ATreat lower leg bone lesion7.96NA6.581.30NA15.84090
    27610AExplore/treat ankle joint8.33NA7.061.39NA16.78090
    27612AExploration of ankle joint7.32NA6.121.22NA14.66090
    27613ABiopsy lower leg soft tissue2.173.771.760.196.134.12010
    27614ABiopsy lower leg soft tissue5.658.784.630.7515.1811.03090
    27615ARemove tumor, lower leg12.54NA10.561.68NA24.78090
    27618ARemove lower leg lesion5.089.104.210.6514.839.94090
    27619ARemove lower leg lesion8.3910.626.171.2220.2315.78090
    27620AExplore/treat ankle joint5.97NA5.501.00NA12.47090
    27625ARemove ankle joint lining8.29NA6.541.40NA16.23090
    27626ARemove ankle joint lining8.90NA7.001.48NA17.38090
    27630ARemoval of tendon lesion4.798.994.460.7214.509.97090
    27635ARemove lower leg bone lesion7.77NA6.841.28NA15.89090
    27637ARemove/graft leg bone lesion9.84NA8.351.66NA19.85090
    27638ARemove/graft leg bone lesion10.55NA8.391.77NA20.71090
    27640APartial removal of tibia11.35NA10.811.86NA24.02090
    27641APartial removal of fibula9.23NA8.831.47NA19.53090
    27645AExtensive lower leg surgery14.15NA12.342.39NA28.88090
    27646AExtensive lower leg surgery12.64NA11.341.87NA25.85090
    27647AExtensive ankle/heel surgery12.22NA7.851.98NA22.05090
    27648AInjection for ankle x-ray0.969.450.330.0610.471.35000
    27650ARepair achilles tendon9.68NA7.511.63NA18.82090
    27652ARepair/graft achilles tendon10.31NA8.011.75NA20.07090
    27654ARepair of achilles tendon10.00NA7.231.70NA18.93090
    27656ARepair leg fascia defect4.569.934.010.5815.079.15090
    27658ARepair of leg tendon, each4.979.184.770.8214.9710.56090
    27659ARepair of leg tendon, each6.8011.305.801.1619.2613.76090
    27664ARepair of leg tendon, each4.5811.264.740.7616.6010.08090
    27665ARepair of leg tendon, each5.3911.055.180.9017.3411.47090
    27675ARepair lower leg tendons7.17NA5.791.22NA14.18090
    27676ARepair lower leg tendons8.41NA6.771.39NA16.57090
    27680ARelease of lower leg tendon5.73NA5.190.96NA11.88090
    27681ARelease of lower leg tendons6.81NA5.961.11NA13.88090
    27685ARevision of lower leg tendon6.498.115.511.1015.7013.10090
    27686ARevise lower leg tendons7.4512.576.591.2721.2915.31090
    27687ARevision of calf tendon6.23NA5.421.06NA12.71090
    27690ARevise lower leg tendon8.70NA6.451.47NA16.62090
    27691ARevise lower leg tendon9.95NA7.811.69NA19.45090
    27692ARevise additional leg tendon1.87NA0.930.31NA3.11ZZZ
    27695ARepair of ankle ligament6.50NA5.921.09NA13.51090
    27696ARepair of ankle ligaments8.26NA6.501.40NA16.16090
    27698ARepair of ankle ligament9.35NA6.981.58NA17.91090
    27700ARevision of ankle joint9.28NA5.621.50NA16.40090
    27702AReconstruct ankle joint13.65NA10.322.32NA26.29090
    27703AReconstruction, ankle joint15.85NA11.092.70NA29.64090
    27704ARemoval of ankle implant7.61NA5.520.74NA13.87090
    27705AIncision of tibia10.36NA8.231.74NA20.33090
    27707AIncision of fibula4.36NA5.010.72NA10.09090
    27709AIncision of tibia & fibula9.94NA8.161.68NA19.78090
    27712ARealignment of lower leg14.23NA10.722.41NA27.36090
    27715ARevision of lower leg14.37NA10.842.41NA27.62090
    27720ARepair of tibia11.77NA9.452.00NA23.22090
    27722ARepair/graft of tibia11.80NA9.211.99NA23.00090
    27724ARepair/graft of tibia18.17NA12.452.53NA33.15090
    27725ARepair of lower leg15.57NA11.882.65NA30.10090
    27727ARepair of lower leg13.99NA10.412.22NA26.62090
    27730ARepair of tibia epiphysis7.4017.746.450.9026.0414.75090
    27732ARepair of fibula epiphysis5.3111.605.000.7617.6711.07090
    27734ARepair lower leg epiphyses8.47NA6.421.03NA15.92090
    27740ARepair of leg epiphyses9.2920.617.931.5831.4818.80090
    27742ARepair of leg epiphyses10.2812.507.261.8724.6519.41090
    27745AReinforce tibia10.05NA8.211.66NA19.92090
    27750ATreatment of tibia fracture3.195.373.770.529.087.48090
    27752ATreatment of tibia fracture5.837.385.490.9914.2012.31090
    27756ATreatment of tibia fracture6.77NA6.521.13NA14.42090
    27758ATreatment of tibia fracture11.65NA9.191.83NA22.67090
    27759ATreatment of tibia fracture13.74NA10.322.33NA26.39090
    27760ATreatment of ankle fracture3.015.253.530.478.737.01090
    27762ATreatment of ankle fracture5.247.125.160.8613.2211.26090
    27766ATreatment of ankle fracture8.35NA7.161.41NA16.92090
    Start Printed Page 1140
    27780ATreatment of fibula fracture2.654.923.210.407.976.26090
    27781ATreatment of fibula fracture4.396.354.490.6911.439.57090
    27784ATreatment of fibula fracture7.10NA6.451.18NA14.73090
    27786ATreatment of ankle fracture2.845.093.330.458.386.62090
    27788ATreatment of ankle fracture4.446.464.500.7411.649.68090
    27792ATreatment of ankle fracture7.65NA6.901.29NA15.84090
    27808ATreatment of ankle fracture2.835.683.600.468.976.89090
    27810ATreatment of ankle fracture5.126.954.990.8612.9310.97090
    27814ATreatment of ankle fracture10.66NA8.551.81NA21.02090
    27816ATreatment of ankle fracture2.894.993.400.458.336.74090
    27818ATreatment of ankle fracture5.497.065.040.8913.4411.42090
    27822ATreatment of ankle fracture10.98NA10.631.56NA23.17090
    27823ATreatment of ankle fracture12.98NA11.491.99NA26.46090
    27824ATreat lower leg fracture2.895.563.740.478.927.10090
    27825ATreat lower leg fracture6.188.195.861.0315.4013.07090
    27826ATreat lower leg fracture8.53NA8.871.44NA18.84090
    27827ATreat lower leg fracture14.04NA12.712.36NA29.11090
    27828ATreat lower leg fracture16.21NA13.852.74NA32.80090
    27829ATreat lower leg joint5.48NA6.770.93NA13.18090
    27830ATreat lower leg dislocation3.785.123.830.539.438.14090
    27831ATreat lower leg dislocation4.55NA4.430.74NA9.72090
    27832ATreat lower leg dislocation6.48NA6.161.10NA13.74090
    27840ATreat ankle dislocation4.57NA3.890.57NA9.03090
    27842ATreat ankle dislocation6.20NA5.080.92NA12.20090
    27846ATreat ankle dislocation9.78NA7.911.64NA19.33090
    27848ATreat ankle dislocation11.18NA9.711.87NA22.76090
    27860AFixation of ankle joint2.34NA2.010.37NA4.72010
    27870AFusion of ankle joint, open13.89NA10.502.35NA26.74090
    27871AFusion of tibiofibular joint9.16NA7.621.56NA18.34090
    27880AAmputation of lower leg11.83NA7.461.66NA20.95090
    27881AAmputation of lower leg12.32NA9.011.92NA23.25090
    27882AAmputation of lower leg8.93NA6.931.24NA17.10090
    27884AAmputation follow-up surgery8.20NA6.101.15NA15.45090
    27886AAmputation follow-up surgery9.31NA6.821.36NA17.49090
    27888AAmputation of foot at ankle9.66NA7.601.52NA18.78090
    27889AAmputation of foot at ankle9.97NA6.741.44NA18.15090
    27892ADecompression of leg7.38NA5.851.04NA14.27090
    27893ADecompression of leg7.34NA5.741.09NA14.17090
    27894ADecompression of leg10.47NA7.931.51NA19.91090
    27899CLeg/ankle surgery procedure0.000.000.000.000.000.00YYY
    28001ADrainage of bursa of foot2.735.823.510.378.926.61010
    28002ATreatment of foot infection4.617.224.640.6812.519.93010
    28003ATreatment of foot infection8.407.686.041.2417.3215.68090
    28005ATreat foot bone lesion8.67NA6.361.37NA16.40090
    28008AIncision of foot fascia4.445.683.550.6810.808.67090
    28010AIncision of toe tendon2.845.532.910.478.846.22090
    28011AIncision of toe tendons4.137.424.240.7012.259.07090
    28020AExploration of foot joint5.007.074.200.7712.849.97090
    28022AExploration of foot joint4.666.093.930.7511.509.34090
    28024AExploration of toe joint4.376.203.990.6011.178.96090
    28030ARemoval of foot nerve6.14NA3.581.03NA10.75090
    28035ADecompression of tibia nerve5.085.544.030.8611.489.97090
    28043AExcision of foot lesion3.535.793.280.549.867.35090
    28045AExcision of foot lesion4.716.123.710.7511.589.17090
    28046AResection of tumor, foot10.169.427.341.3620.9418.86090
    28050ABiopsy of foot joint lining4.245.783.660.6610.688.56090
    28052ABiopsy of foot joint lining3.935.973.560.6210.528.11090
    28054ABiopsy of toe joint lining3.445.823.360.549.807.34090
    28060APartial removal, foot fascia5.226.394.030.8312.4410.08090
    28062ARemoval of foot fascia6.517.134.191.0314.6711.73090
    28070ARemoval of foot joint lining5.095.963.890.8211.879.80090
    28072ARemoval of foot joint lining4.576.434.320.7711.779.66090
    28080ARemoval of foot lesion3.575.933.700.6010.107.87090
    28086AExcise foot tendon sheath4.779.504.690.8015.0710.26090
    28088AExcise foot tendon sheath3.857.044.000.6311.528.48090
    28090ARemoval of foot lesion4.406.023.550.6911.118.64090
    28092ARemoval of toe lesions3.636.333.610.5510.517.79090
    28100ARemoval of ankle/heel lesion5.659.214.810.9215.7811.38090
    28102ARemove/graft foot lesion7.72NA6.051.17NA14.94090
    28103ARemove/graft foot lesion6.498.414.761.0715.9712.32090
    28104ARemoval of foot lesion5.116.354.050.8312.299.99090
    28106ARemove/graft foot lesion7.15NA4.591.22NA12.96090
    28107ARemove/graft foot lesion5.557.244.320.8913.6810.76090
    28108ARemoval of toe lesions4.155.443.360.6310.228.14090
    28110APart removal of metatarsal4.076.033.680.5910.698.34090
    Start Printed Page 1141
    28111APart removal of metatarsal5.007.184.180.7612.949.94090
    28112APart removal of metatarsal4.486.694.060.7211.899.26090
    28113APart removal of metatarsal4.786.814.660.7612.3510.20090
    28114ARemoval of metatarsal heads9.7811.938.521.6423.3519.94090
    28116ARevision of foot7.747.205.221.2416.1814.20090
    28118ARemoval of heel bone5.957.134.530.9514.0311.43090
    28119ARemoval of heel spur5.386.213.870.8912.4810.14090
    28120APart removal of ankle/heel5.398.675.070.8314.8911.29090
    28122APartial removal of foot bone7.287.895.691.1616.3314.13090
    28124APartial removal of toe4.806.084.060.7811.669.64090
    28126APartial removal of toe3.515.343.510.599.447.61090
    28130ARemoval of ankle bone8.10NA6.701.34NA16.14090
    28140ARemoval of metatarsal6.908.265.001.0116.1712.91090
    28150ARemoval of toe4.085.983.780.6310.698.49090
    28153APartial removal of toe3.655.403.080.599.647.32090
    28160APartial removal of toe3.735.683.830.6210.038.18090
    28171AExtensive foot surgery9.59NA5.691.36NA16.64090
    28173AExtensive foot surgery8.798.265.641.2518.3015.68090
    28175AExtensive foot surgery6.046.684.100.9013.6211.04090
    28190ARemoval of foot foreign body1.966.513.470.198.665.62010
    28192ARemoval of foot foreign body4.636.433.720.6311.698.98090
    28193ARemoval of foot foreign body5.726.354.110.7612.8310.59090
    28200ARepair of foot tendon4.595.943.710.7111.249.01090
    28202ARepair/graft of foot tendon6.838.164.631.0416.0312.50090
    28208ARepair of foot tendon4.365.723.460.7110.798.53090
    28210ARepair/graft of foot tendon6.347.124.190.9314.3911.46090
    28220ARelease of foot tendon4.525.563.560.7610.848.84090
    28222ARelease of foot tendons5.615.954.230.9312.4910.77090
    28225ARelease of foot tendon3.655.263.070.609.517.32090
    28226ARelease of foot tendons4.525.613.850.7510.889.12090
    28230AIncision of foot tendon(s)4.235.623.810.7110.568.75090
    28232AIncision of toe tendon3.385.663.440.589.627.40090
    28234AIncision of foot tendon3.365.813.470.559.727.38090
    28238ARevision of foot tendon7.727.975.071.3016.9914.09090
    28240ARelease of big toe4.355.593.630.7410.688.72090
    28250ARevision of foot fascia5.916.534.250.9813.4211.14090
    28260ARelease of midfoot joint7.957.095.141.3016.3414.39090
    28261ARevision of foot tendon11.718.917.342.0022.6221.05090
    28262ARevision of foot and ankle15.8114.3211.442.6832.8129.93090
    28264ARelease of midfoot joint10.338.517.821.7620.6019.91090
    28270ARelease of foot contracture4.755.904.190.8111.469.75090
    28272ARelease of toe joint, each3.795.143.040.639.567.46090
    28280AFusion of toes5.187.254.520.8713.3010.57090
    28285ARepair of hammertoe4.585.963.850.7711.319.20090
    28286ARepair of hammertoe4.555.743.670.7711.068.99090
    28288APartial removal of foot bone4.736.695.300.7812.2010.81090
    28289ARepair hallux rigidus7.038.976.211.1617.1614.40090
    28290ACorrection of bunion5.657.025.280.9513.6211.88090
    28292ACorrection of bunion7.037.805.751.1816.0113.96090
    28293ACorrection of bunion9.1410.846.011.5421.5216.69090
    28294ACorrection of bunion8.557.645.081.4017.5915.03090
    28296ACorrection of bunion9.178.145.801.5418.8516.51090
    28297ACorrection of bunion9.179.116.741.5819.8617.49090
    28298ACorrection of bunion7.937.315.401.3516.5914.68090
    28299ACorrection of bunion10.568.716.411.5020.7718.47090
    28300AIncision of heel bone9.5313.107.071.5824.2118.18090
    28302AIncision of ankle bone9.5413.116.951.3924.0417.88090
    28304AIncision of midfoot bones9.158.165.801.2118.5216.16090
    28305AIncise/graft midfoot bones10.4810.906.800.6622.0417.94090
    28306AIncision of metatarsal5.857.194.250.9814.0211.08090
    28307AIncision of metatarsal6.3211.595.330.8618.7712.51090
    28308AIncision of metatarsal5.286.073.760.8912.249.93090
    28309AIncision of metatarsals12.76NA8.051.98NA22.79090
    28310ARevision of big toe5.426.243.960.9212.5810.30090
    28312ARevision of toe4.545.984.110.7511.279.40090
    28313ARepair deformity of toe5.006.435.450.8212.2511.27090
    28315ARemoval of sesamoid bone4.855.823.670.8011.479.32090
    28320ARepair of foot bones9.17NA6.761.53NA17.46090
    28322ARepair of metatarsals8.3310.136.331.4119.8716.07090
    28340AResect enlarged toe tissue6.977.064.411.1815.2112.56090
    28341AResect enlarged toe8.407.234.951.4217.0514.77090
    28344ARepair extra toe(s)4.256.783.690.7211.758.66090
    28345ARepair webbed toe(s)5.916.994.791.0113.9111.71090
    28360AReconstruct cleft foot13.32NA10.502.27NA26.09090
    28400ATreatment of heel fracture2.164.282.980.356.795.49090
    Start Printed Page 1142
    28405ATreatment of heel fracture4.565.514.530.7610.839.85090
    28406ATreatment of heel fracture6.30NA6.801.05NA14.15090
    28415ATreat heel fracture15.95NA13.242.70NA31.89090
    28420ATreat/graft heel fracture16.62NA12.972.76NA32.35090
    28430ATreatment of ankle fracture2.094.072.610.336.495.03090
    28435ATreatment of ankle fracture3.394.493.630.578.457.59090
    28436ATreatment of ankle fracture4.70NA5.900.80NA11.40090
    28445ATreat ankle fracture15.60NA11.021.56NA28.18090
    28450ATreat midfoot fracture, each1.904.072.520.306.274.72090
    28455ATreat midfoot fracture, each3.093.973.410.527.587.02090
    28456ATreat midfoot fracture2.68NA4.210.43NA7.32090
    28465ATreat midfoot fracture, each7.00NA6.371.05NA14.42090
    28470ATreat metatarsal fracture1.993.872.480.316.174.78090
    28475ATreat metatarsal fracture2.974.053.190.497.516.65090
    28476ATreat metatarsal fracture3.37NA4.990.55NA8.91090
    28485ATreat metatarsal fracture5.70NA5.550.96NA12.21090
    28490ATreat big toe fracture1.092.211.730.163.462.98090
    28495ATreat big toe fracture1.582.502.060.234.313.87090
    28496ATreat big toe fracture2.339.723.630.3912.446.35090
    28505ATreat big toe fracture3.809.714.700.6014.119.10090
    28510ATreatment of toe fracture1.091.981.690.163.232.94090
    28515ATreatment of toe fracture1.462.331.990.214.003.66090
    28525ATreat toe fracture3.329.304.250.5313.158.10090
    28530ATreat sesamoid bone fracture1.062.081.460.163.302.68090
    28531ATreat sesamoid bone fracture2.358.982.510.4011.735.26090
    28540ATreat foot dislocation2.042.872.670.295.205.00090
    28545ATreat foot dislocation2.452.862.860.405.715.71090
    28546ATreat foot dislocation3.207.894.840.5511.648.59090
    28555ARepair foot dislocation6.2911.496.541.0618.8413.89090
    28570ATreat foot dislocation1.662.892.290.274.824.22090
    28575ATreat foot dislocation3.314.374.030.548.227.88090
    28576ATreat foot dislocation4.1610.155.510.6814.9910.35090
    28585ARepair foot dislocation7.988.146.531.3617.4815.87090
    28600ATreat foot dislocation1.893.292.660.295.474.84090
    28605ATreat foot dislocation2.713.743.610.426.876.74090
    28606ATreat foot dislocation4.8916.026.010.8221.7311.72090
    28615ARepair foot dislocation7.76NA7.981.31NA17.05090
    28630ATreat toe dislocation1.701.221.120.213.133.03010
    28635ATreat toe dislocation1.911.661.490.293.863.69010
    28636ATreat toe dislocation2.776.143.070.479.386.31010
    28645ARepair toe dislocation4.215.663.500.7010.578.41090
    28660ATreat toe dislocation1.231.611.160.132.972.52010
    28665ATreat toe dislocation1.921.651.630.293.863.84010
    28666ATreat toe dislocation2.665.932.240.469.055.36010
    28675ARepair of toe dislocation2.928.813.770.4912.227.18090
    28705AFusion of foot bones18.77NA12.432.57NA33.77090
    28715AFusion of foot bones13.08NA9.742.22NA25.04090
    28725AFusion of foot bones11.59NA8.301.97NA21.86090
    28730AFusion of foot bones10.74NA8.471.82NA21.03090
    28735AFusion of foot bones10.83NA7.861.82NA20.51090
    28737ARevision of foot bones9.63NA6.871.64NA18.14090
    28740AFusion of foot bones8.0111.596.431.3620.9615.80090
    28750AFusion of big toe joint7.2912.976.591.2421.5015.12090
    28755AFusion of big toe joint4.736.833.860.8012.369.39090
    28760AFusion of big toe joint7.748.045.621.2917.0714.65090
    28800AAmputation of midfoot8.20NA6.041.18NA15.42090
    28805AAmputation thru metatarsal8.38NA5.901.17NA15.45090
    28810AAmputation toe & metatarsal6.20NA4.760.84NA11.80090
    28820AAmputation of toe4.408.504.100.6213.529.12090
    28825APartial amputation of toe3.587.913.790.5212.017.89090
    28899CFoot/toes surgery procedure0.000.000.000.000.000.00YYY
    29000AApplication of body cast2.253.091.720.365.704.33000
    29010AApplication of body cast2.063.301.730.335.694.12000
    29015AApplication of body cast2.413.011.580.255.674.24000
    29020AApplication of body cast2.113.301.410.195.603.71000
    29025AApplication of body cast2.403.221.830.315.934.54000
    29035AApplication of body cast1.773.451.540.295.513.60000
    29040AApplication of body cast2.222.571.510.425.214.15000
    29044AApplication of body cast2.123.801.850.356.274.32000
    29046AApplication of body cast2.413.272.020.416.094.84000
    29049AApplication of figure eight0.891.240.540.142.271.57000
    29055AApplication of shoulder cast1.782.811.430.294.883.50000
    29058AApplication of shoulder cast1.311.500.730.172.982.21000
    29065AApplication of long arm cast0.871.260.740.142.271.75000
    29075AApplication of forearm cast0.771.200.670.132.101.57000
    Start Printed Page 1143
    29085AApply hand/wrist cast0.871.230.630.132.231.63000
    29086AApply finger cast0.620.930.510.071.621.20000
    29105AApply long arm splint0.871.180.520.132.181.52000
    29125AApply forearm splint0.590.990.400.071.651.06000
    29126AApply forearm splint0.771.190.460.072.031.30000
    29130AApplication of finger splint0.500.450.170.061.010.73000
    29131AApplication of finger splint0.550.730.240.041.320.83000
    29200AStrapping of chest0.650.750.360.051.451.06000
    29220AStrapping of low back0.640.720.390.081.441.11000
    29240AStrapping of shoulder0.710.860.370.061.631.14000
    29260AStrapping of elbow or wrist0.550.750.340.051.350.94000
    29280AStrapping of hand or finger0.510.810.340.051.370.90000
    29305AApplication of hip cast2.033.191.710.355.574.09000
    29325AApplication of hip casts2.323.371.890.376.064.58000
    29345AApplication of long leg cast1.401.691.040.233.322.67000
    29355AApplication of long leg cast1.531.651.100.243.422.87000
    29358AApply long leg cast brace1.431.961.070.233.622.73000
    29365AApplication of long leg cast1.181.580.930.212.972.32000
    29405AApply short leg cast0.861.170.700.142.171.70000
    29425AApply short leg cast1.011.180.720.172.361.90000
    29435AApply short leg cast1.181.490.910.212.882.30000
    29440AAddition of walker to cast0.570.670.280.081.320.93000
    29445AApply rigid leg cast1.781.750.960.293.823.03000
    29450AApplication of leg cast2.081.451.100.163.693.34000
    29505AApplication, long leg splint0.691.150.460.071.911.22000
    29515AApplication lower leg splint0.730.850.470.081.661.28000
    29520AStrapping of hip0.540.870.450.021.431.01000
    29530AStrapping of knee0.570.800.350.051.420.97000
    29540AStrapping of ankle and/or ft0.510.410.320.050.970.88000
    29550AStrapping of toes0.470.410.280.060.940.81000
    29580AApplication of paste boot0.570.650.360.061.280.99000
    29590AApplication of foot splint0.760.500.300.071.331.13000
    29700ARemoval/revision of cast0.570.880.280.081.530.93000
    29705ARemoval/revision of cast0.760.790.380.121.671.26000
    29710ARemoval/revision of cast1.341.490.700.213.042.25000
    29715ARemoval/revision of cast0.941.140.400.102.181.44000
    29720ARepair of body cast0.681.100.380.121.901.18000
    29730AWindowing of cast0.750.780.360.121.651.23000
    29740AWedging of cast1.121.120.490.182.421.79000
    29750AWedging of clubfoot cast1.261.040.580.192.492.03000
    29799CCasting/strapping procedure0.000.000.000.000.000.00YYY
    29800AJaw arthroscopy/surgery6.42NA7.121.01NA14.55090
    29804AJaw arthroscopy/surgery8.13NA8.410.80NA17.34090
    29805AShoulder arthroscopy, dx5.88NA5.651.01NA12.54090
    29806AShoulder arthroscopy/surgery14.35NA10.942.41NA27.70090
    29807AShoulder arthroscopy/surgery13.88NA10.782.34NA27.00090
    29819AShoulder arthroscopy/surgery7.61NA6.661.29NA15.56090
    29820AShoulder arthroscopy/surgery7.06NA6.121.19NA14.37090
    29821AShoulder arthroscopy/surgery7.71NA6.681.30NA15.69090
    29822AShoulder arthroscopy/surgery7.42NA6.561.25NA15.23090
    29823AShoulder arthroscopy/surgery8.16NA7.091.39NA16.64090
    29824AShoulder arthroscopy/surgery8.24NA7.331.39NA16.96090
    29825AShoulder arthroscopy/surgery7.61NA6.641.28NA15.53090
    29826AShoulder arthroscopy/surgery8.98NA7.411.52NA17.91090
    29827AArthroscop rotator cuff repr15.34NA11.322.24NA28.90090
    29830AElbow arthroscopy5.75NA5.250.95NA11.95090
    29834AElbow arthroscopy/surgery6.27NA5.721.04NA13.03090
    29835AElbow arthroscopy/surgery6.47NA5.771.06NA13.30090
    29836AElbow arthroscopy/surgery7.54NA6.661.28NA15.48090
    29837AElbow arthroscopy/surgery6.86NA6.021.16NA14.04090
    29838AElbow arthroscopy/surgery7.70NA6.761.29NA15.75090
    29840AWrist arthroscopy5.53NA5.240.83NA11.60090
    29843AWrist arthroscopy/surgery6.00NA5.540.99NA12.53090
    29844AWrist arthroscopy/surgery6.36NA5.711.04NA13.11090
    29845AWrist arthroscopy/surgery7.51NA6.381.01NA14.90090
    29846AWrist arthroscopy/surgery6.74NA5.951.07NA13.76090
    29847AWrist arthroscopy/surgery7.07NA6.101.10NA14.27090
    29848AWrist endoscopy/surgery5.43NA5.490.87NA11.79090
    29850AKnee arthroscopy/surgery8.18NA5.040.89NA14.11090
    29851AKnee arthroscopy/surgery13.08NA9.662.18NA24.92090
    29855ATibial arthroscopy/surgery10.60NA8.601.81NA21.01090
    29856ATibial arthroscopy/surgery14.12NA10.512.41NA27.04090
    29860AHip arthroscopy, dx8.04NA6.821.37NA16.23090
    29861AHip arthroscopy/surgery9.14NA7.221.56NA17.92090
    29862AHip arthroscopy/surgery9.89NA8.391.68NA19.96090
    Start Printed Page 1144
    29863AHip arthroscopy/surgery9.89NA8.341.69NA19.92090
    29870AKnee arthroscopy, dx5.06NA4.800.81NA10.67090
    29871AKnee arthroscopy/drainage6.54NA5.761.06NA13.36090
    29873AKnee arthroscopy/surgery5.99NA6.370.88NA13.24090
    29874AKnee arthroscopy/surgery7.04NA5.971.05NA14.06090
    29875AKnee arthroscopy/surgery6.30NA5.741.06NA13.10090
    29876AKnee arthroscopy/surgery7.91NA6.881.34NA16.13090
    29877AKnee arthroscopy/surgery7.34NA6.591.24NA15.17090
    29879AKnee arthroscopy/surgery8.03NA6.971.36NA16.36090
    29880AKnee arthroscopy/surgery8.49NA7.211.44NA17.14090
    29881AKnee arthroscopy/surgery7.75NA6.821.31NA15.88090
    29882AKnee arthroscopy/surgery8.64NA7.101.31NA17.05090
    29883AKnee arthroscopy/surgery11.03NA8.901.60NA21.53090
    29884AKnee arthroscopy/surgery7.32NA6.551.24NA15.11090
    29885AKnee arthroscopy/surgery9.08NA7.811.53NA18.42090
    29886AKnee arthroscopy/surgery7.53NA6.701.28NA15.51090
    29887AKnee arthroscopy/surgery9.03NA7.781.53NA18.34090
    29888AKnee arthroscopy/surgery13.88NA10.092.35NA26.32090
    29889AKnee arthroscopy/surgery15.98NA12.232.54NA30.75090
    29891AAnkle arthroscopy/surgery8.39NA7.351.41NA17.15090
    29892AAnkle arthroscopy/surgery8.99NA7.591.52NA18.10090
    29893AScope, plantar fasciotomy5.216.143.920.8912.2410.02090
    29894AAnkle arthroscopy/surgery7.20NA5.391.22NA13.81090
    29895AAnkle arthroscopy/surgery6.98NA5.391.17NA13.54090
    29897AAnkle arthroscopy/surgery7.17NA5.781.22NA14.17090
    29898AAnkle arthroscopy/surgery8.31NA6.111.37NA15.79090
    29899AAnkle arthroscopy/surgery13.89NA9.842.35NA26.08090
    29900AMcp joint arthroscopy, dx5.41NA5.690.90NA12.00090
    29901AMcp joint arthroscopy, surg6.12NA6.091.03NA13.24090
    29902AMcp joint arthroscopy, surg6.69NA6.371.12NA14.18090
    29999CArthroscopy of joint0.000.000.000.000.000.00YYY
    30000ADrainage of nose lesion1.434.191.410.125.742.96010
    30020ADrainage of nose lesion1.433.351.480.104.883.01010
    30100AIntranasal biopsy0.942.050.820.073.061.83000
    30110ARemoval of nose polyp(s)1.633.361.580.145.133.35010
    30115ARemoval of nose polyp(s)4.34NA4.020.37NA8.73090
    30117ARemoval of intranasal lesion3.164.383.280.277.816.71090
    30118ARemoval of intranasal lesion9.68NA7.270.80NA17.75090
    30120ARevision of nose5.265.535.480.4911.2811.23090
    30124ARemoval of nose lesion3.10NA3.030.24NA6.37090
    30125ARemoval of nose lesion7.15NA5.920.65NA13.72090
    30130ARemoval of turbinate bones3.37NA3.510.27NA7.15090
    30140ARemoval of turbinate bones3.42NA3.970.29NA7.68090
    30150APartial removal of nose9.13NA7.660.92NA17.71090
    30160ARemoval of nose9.57NA7.650.94NA18.16090
    30200AInjection treatment of nose0.781.700.770.072.551.62000
    30210ANasal sinus therapy1.082.171.320.103.352.50010
    30220AInsert nasal septal button1.544.501.540.136.173.21010
    30300ARemove nasal foreign body1.044.841.960.085.963.08010
    30310ARemove nasal foreign body1.96NA3.200.17NA5.33010
    30320ARemove nasal foreign body4.51NA4.490.43NA9.43090
    30400RReconstruction of nose9.82NA9.160.96NA19.94090
    30410RReconstruction of nose12.96NA10.941.30NA25.20090
    30420RReconstruction of nose15.86NA12.421.50NA29.78090
    30430RRevision of nose7.20NA8.100.75NA16.05090
    30435RRevision of nose11.69NA10.621.33NA23.64090
    30450RRevision of nose18.62NA14.101.85NA34.57090
    30460ARevision of nose9.95NA7.751.03NA18.73090
    30462ARevision of nose19.54NA13.672.32NA35.53090
    30465ARepair nasal stenosis11.62NA7.671.17NA20.46090
    30520ARepair of nasal septum5.69NA5.150.49NA11.33090
    30540ARepair nasal defect7.74NA5.620.64NA14.00090
    30545ARepair nasal defect11.36NA8.640.96NA20.96090
    30560ARelease of nasal adhesions1.264.922.160.116.293.53010
    30580ARepair upper jaw fistula6.687.176.120.6014.4513.40090
    30600ARepair mouth/nose fistula6.016.325.520.8413.1712.37090
    30620AIntranasal reconstruction5.96NA5.780.54NA12.28090
    30630ARepair nasal septum defect7.11NA6.180.62NA13.91090
    30801ACauterization, inner nose1.092.172.070.103.363.26010
    30802ACauterization, inner nose2.032.712.580.184.924.79010
    30901AControl of nosebleed1.211.360.330.112.681.65000
    30903AControl of nosebleed1.542.800.500.144.482.18000
    30905AControl of nosebleed1.973.570.760.185.722.91000
    30906ARepeat control of nosebleed2.453.961.200.216.623.86000
    30915ALigation, nasal sinus artery7.19NA5.820.60NA13.61090
    Start Printed Page 1145
    30920ALigation, upper jaw artery9.82NA7.490.83NA18.14090
    30930ATherapy, fracture of nose1.26NA1.650.11NA3.02010
    30999CNasal surgery procedure0.000.000.000.000.000.00YYY
    31000AIrrigation, maxillary sinus1.152.911.410.104.162.66010
    31002AIrrigation, sphenoid sinus1.91NA3.290.17NA5.37010
    31020AExploration, maxillary sinus2.944.123.510.247.306.69090
    31030AExploration, maxillary sinus5.915.644.810.5112.0611.23090
    31032AExplore sinus, remove polyps6.56NA5.600.57NA12.73090
    31040AExploration behind upper jaw9.41NA6.270.86NA16.54090
    31050AExploration, sphenoid sinus5.27NA4.500.47NA10.24090
    31051ASphenoid sinus surgery7.10NA5.860.66NA13.62090
    31070AExploration of frontal sinus4.27NA4.200.36NA8.83090
    31075AExploration of frontal sinus9.15NA7.210.77NA17.13090
    31080ARemoval of frontal sinus11.40NA8.440.94NA20.78090
    31081ARemoval of frontal sinus12.73NA9.462.22NA24.41090
    31084ARemoval of frontal sinus13.49NA10.041.16NA24.69090
    31085ARemoval of frontal sinus14.18NA10.411.42NA26.01090
    31086ARemoval of frontal sinus12.84NA9.861.09NA23.79090
    31087ARemoval of frontal sinus13.08NA9.791.39NA24.26090
    31090AExploration of sinuses9.52NA8.590.80NA18.91090
    31200ARemoval of ethmoid sinus4.96NA5.020.30NA10.28090
    31201ARemoval of ethmoid sinus8.36NA6.820.70NA15.88090
    31205ARemoval of ethmoid sinus10.22NA7.630.70NA18.55090
    31225ARemoval of upper jaw19.20NA13.741.66NA34.60090
    31230ARemoval of upper jaw21.91NA15.121.89NA38.92090
    31231ANasal endoscopy, dx1.103.550.920.104.752.12000
    31233ANasal/sinus endoscopy, dx2.184.491.510.196.863.88000
    31235ANasal/sinus endoscopy, dx2.645.101.760.227.964.62000
    31237ANasal/sinus endoscopy, surg2.985.401.910.258.635.14000
    31238ANasal/sinus endoscopy, surg3.265.452.120.288.995.66000
    31239ANasal/sinus endoscopy, surg8.69NA8.280.55NA17.52010
    31240ANasal/sinus endoscopy, surg2.61NA1.760.22NA4.59000
    31254ARevision of ethmoid sinus4.64NA2.890.39NA7.92000
    31255ARemoval of ethmoid sinus6.95NA4.150.59NA11.69000
    31256AExploration maxillary sinus3.29NA2.140.28NA5.71000
    31267AEndoscopy, maxillary sinus5.45NA3.340.46NA9.25000
    31276ASinus endoscopy, surgical8.84NA5.170.75NA14.76000
    31287ANasal/sinus endoscopy, surg3.91NA2.490.33NA6.73000
    31288ANasal/sinus endoscopy, surg4.57NA2.850.39NA7.81000
    31290ANasal/sinus endoscopy, surg17.21NA12.151.45NA30.81010
    31291ANasal/sinus endoscopy, surg18.16NA12.552.09NA32.80010
    31292ANasal/sinus endoscopy, surg14.74NA10.711.19NA26.64010
    31293ANasal/sinus endoscopy, surg16.19NA11.521.17NA28.88010
    31294ANasal/sinus endoscopy, surg19.03NA13.001.25NA33.28010
    31299CSinus surgery procedure0.000.000.000.000.000.00YYY
    31300ARemoval of larynx lesion14.27NA12.031.19NA27.49090
    31320ADiagnostic incision, larynx5.25NA7.240.48NA12.97090
    31360ARemoval of larynx17.05NA13.951.45NA32.45090
    31365ARemoval of larynx24.12NA17.632.07NA43.82090
    31367APartial removal of larynx21.83NA17.411.89NA41.13090
    31368APartial removal of larynx27.05NA21.002.29NA50.34090
    31370APartial removal of larynx21.35NA17.051.82NA40.22090
    31375APartial removal of larynx20.18NA15.351.72NA37.25090
    31380APartial removal of larynx20.18NA15.311.69NA37.18090
    31382APartial removal of larynx20.49NA16.561.74NA38.79090
    31390ARemoval of larynx & pharynx27.49NA21.242.35NA51.08090
    31395AReconstruct larynx & pharynx31.04NA25.132.74NA58.91090
    31400ARevision of larynx10.29NA10.000.87NA21.16090
    31420ARemoval of epiglottis10.20NA9.800.86NA20.86090
    31500AInsert emergency airway2.33NA0.550.18NA3.06000
    31502AChange of windpipe airway0.651.490.260.052.190.96000
    31505ADiagnostic laryngoscopy0.611.570.640.052.231.30000
    31510ALaryngoscopy with biopsy1.923.421.280.185.523.38000
    31511ARemove foreign body, larynx2.163.251.110.195.603.46000
    31512ARemoval of larynx lesion2.073.341.390.195.603.65000
    31513AInjection into vocal cord2.10NA1.490.18NA3.77000
    31515ALaryngoscopy for aspiration1.803.711.100.145.653.04000
    31520ADiagnostic laryngoscopy2.56NA1.600.21NA4.37000
    31525ADiagnostic laryngoscopy2.633.861.700.226.714.55000
    31526ADiagnostic laryngoscopy2.57NA1.750.22NA4.54000
    31527ALaryngoscopy for treatment3.27NA1.900.25NA5.42000
    31528ALaryngoscopy and dilation2.37NA1.450.19NA4.01000
    31529ALaryngoscopy and dilation2.68NA1.720.22NA4.62000
    31530AOperative laryngoscopy3.38NA1.980.29NA5.65000
    31531AOperative laryngoscopy3.58NA2.310.30NA6.19000
    Start Printed Page 1146
    31535AOperative laryngoscopy3.16NA2.020.27NA5.45000
    31536AOperative laryngoscopy3.55NA2.290.30NA6.14000
    31540AOperative laryngoscopy4.12NA2.590.35NA7.06000
    31541AOperative laryngoscopy4.52NA2.810.39NA7.72000
    31560AOperative laryngoscopy5.45NA3.170.46NA9.08000
    31561AOperative laryngoscopy5.99NA3.380.51NA9.88000
    31570ALaryngoscopy with injection3.865.742.420.299.896.57000
    31571ALaryngoscopy with injection4.26NA2.630.36NA7.25000
    31575ADiagnostic laryngoscopy1.101.880.910.103.082.11000
    31576ALaryngoscopy with biopsy1.973.621.310.165.753.44000
    31577ARemove foreign body, larynx2.473.741.570.216.424.25000
    31578ARemoval of larynx lesion2.844.251.560.247.334.64000
    31579ADiagnostic laryngoscopy2.263.801.520.196.253.97000
    31580ARevision of larynx12.36NA11.121.05NA24.53090
    31582ARevision of larynx21.59NA17.421.83NA40.84090
    31584ATreat larynx fracture19.61NA14.581.71NA35.90090
    31585ATreat larynx fracture4.63NA5.590.36NA10.58090
    31586ATreat larynx fracture8.02NA8.360.68NA17.06090
    31587ARevision of larynx11.97NA10.051.06NA23.08090
    31588ARevision of larynx13.09NA13.101.11NA27.30090
    31590AReinnervate larynx6.96NA8.810.60NA16.37090
    31595ALarynx nerve surgery8.33NA7.650.75NA16.73090
    31599CLarynx surgery procedure0.000.000.000.000.000.00YYY
    31600AIncision of windpipe7.17NA3.200.41NA10.78000
    31601AIncision of windpipe4.44NA2.410.47NA7.32000
    31603AIncision of windpipe4.14NA1.720.42NA6.28000
    31605AIncision of windpipe3.57NA1.190.40NA5.16000
    31610AIncision of windpipe8.75NA7.450.83NA17.03090
    31611ASurgery/speech prosthesis5.63NA5.950.48NA12.06090
    31612APuncture/clear windpipe0.911.120.360.072.101.34000
    31613ARepair windpipe opening4.58NA5.420.45NA10.45090
    31614ARepair windpipe opening7.11NA7.810.62NA15.54090
    31615AVisualization of windpipe2.092.631.200.174.893.46000
    31622ADx bronchoscope/wash2.784.170.890.177.123.84000
    31623ADx bronchoscope/brush2.885.050.890.178.103.94000
    31624ADx bronchoscope/lavage2.884.280.900.167.323.94000
    31625ABronchoscopy w/biopsy(s)3.365.371.260.198.924.81000
    31628ABronchoscopy/lung bx, each3.805.531.340.179.505.31000
    31629ABronchoscopy/needle bx, each3.36NA1.220.16NA4.74000
    31630ABronchoscopy dilate/fx repr3.81NA2.000.36NA6.17000
    31631ABronchoscopy, dilate w/stent4.36NA2.020.37NA6.75000
    31632ABronchoscopy/lung bx, add'l1.030.760.320.171.961.52ZZZ
    31633ABronchoscopy/needle bx add'l1.320.910.400.172.401.89ZZZ
    31635ABronchoscopy w/fb removal3.67NA1.670.25NA5.59000
    31640ABronchoscopy w/tumor excise4.93NA2.350.45NA7.73000
    31641ABronchoscopy, treat blockage5.02NA2.120.36NA7.50000
    31643ADiag bronchoscope/catheter3.49NA1.310.18NA4.98000
    31645ABronchoscopy, clear airways3.16NA1.200.16NA4.52000
    31646ABronchoscopy, reclear airway2.72NA1.080.14NA3.94000
    31656ABronchoscopy, inj for x-ray2.17NA0.930.12NA3.22000
    31700AInsertion of airway catheter1.342.050.690.083.472.11000
    31708AInstill airway contrast dye1.41NA0.580.07NA2.06000
    31710AInsertion of airway catheter1.30NA0.710.07NA2.08000
    31715AInjection for bronchus x-ray1.11NA0.590.07NA1.77000
    31717ABronchial brush biopsy2.122.960.870.115.193.10000
    31720AClearance of airways1.061.450.330.072.581.46000
    31725AClearance of airways1.961.870.580.123.952.66000
    31730AIntro, windpipe wire/tube2.852.221.090.185.254.12000
    31750ARepair of windpipe13.00NA11.571.23NA25.80090
    31755ARepair of windpipe15.91NA14.201.39NA31.50090
    31760ARepair of windpipe22.32NA10.821.79NA34.93090
    31766AReconstruction of windpipe30.38NA13.763.81NA47.95090
    31770ARepair/graft of bronchus22.48NA10.342.74NA35.56090
    31775AReconstruct bronchus23.50NA11.893.51NA38.90090
    31780AReconstruct windpipe17.69NA11.141.87NA30.70090
    31781AReconstruct windpipe23.49NA12.222.46NA38.17090
    31785ARemove windpipe lesion17.20NA10.261.64NA29.10090
    31786ARemove windpipe lesion23.94NA13.202.65NA39.79090
    31800ARepair of windpipe injury7.42NA4.880.81NA13.11090
    31805ARepair of windpipe injury13.11NA7.291.75NA22.15090
    31820AClosure of windpipe lesion4.485.524.930.4210.429.83090
    31825ARepair of windpipe defect6.807.617.060.6015.0114.46090
    31830ARevise windpipe scar4.495.685.300.4310.6010.22090
    31899CAirways surgical procedure0.000.000.000.000.000.00YYY
    32000ADrainage of chest1.543.130.480.084.752.10000
    Start Printed Page 1147
    32002ATreatment of collapsed lung2.193.320.840.135.643.16000
    32005ATreat lung lining chemically2.196.580.700.218.983.10000
    32020AInsertion of chest tube3.97NA1.450.43NA5.85000
    32035AExploration of chest8.66NA5.911.23NA15.80090
    32036AExploration of chest9.67NA6.491.45NA17.61090
    32095ABiopsy through chest wall8.35NA5.421.19NA14.96090
    32100AExploration/biopsy of chest15.22NA7.881.75NA24.85090
    32110AExplore/repair chest22.97NA10.811.97NA35.75090
    32120ARe-exploration of chest11.52NA7.131.71NA20.36090
    32124AExplore chest free adhesions12.70NA7.271.82NA21.79090
    32140ARemoval of lung lesion(s)13.91NA7.752.03NA23.69090
    32141ARemove/treat lung lesions13.98NA7.622.07NA23.67090
    32150ARemoval of lung lesion(s)14.13NA7.681.93NA23.74090
    32151ARemove lung foreign body14.19NA8.071.80NA24.06090
    32160AOpen chest heart massage9.29NA5.321.22NA15.83090
    32200ADrain, open, lung lesion15.27NA8.661.76NA25.69090
    32201ADrain, percut, lung lesion3.99NA1.300.22NA5.51000
    32215ATreat chest lining11.31NA6.961.62NA19.89090
    32220ARelease of lung23.96NA13.022.88NA39.86090
    32225APartial release of lung13.94NA7.722.05NA23.71090
    32310ARemoval of chest lining13.42NA7.461.99NA22.87090
    32320AFree/remove chest lining23.96NA12.223.02NA39.20090
    32400ANeedle biopsy chest lining1.761.700.550.083.542.39000
    32402AOpen biopsy chest lining7.55NA5.171.10NA13.82090
    32405ABiopsy, lung or mediastinum1.932.140.630.114.182.67000
    32420APuncture/clear lung2.18NA0.830.13NA3.14000
    32440ARemoval of lung24.96NA12.963.09NA41.01090
    32442ASleeve pneumonectomy26.20NA14.823.76NA44.78090
    32445ARemoval of lung25.05NA14.133.75NA42.93090
    32480APartial removal of lung23.71NA12.122.70NA38.53090
    32482ABilobectomy24.96NA12.972.83NA40.76090
    32484ASegmentectomy20.66NA11.443.06NA35.16090
    32486ASleeve lobectomy23.88NA13.303.62NA40.80090
    32488ACompletion pneumonectomy25.67NA13.843.84NA43.35090
    32491RLung volume reduction21.22NA12.683.21NA37.11090
    32500APartial removal of lung21.97NA12.402.13NA36.50090
    32501ARepair bronchus add-on4.68NA1.540.68NA6.90ZZZ
    32520ARemove lung & revise chest21.65NA11.363.27NA36.28090
    32522ARemove lung & revise chest24.16NA12.173.43NA39.76090
    32525ARemove lung & revise chest26.46NA12.863.92NA43.24090
    32540ARemoval of lung lesion14.62NA9.682.22NA26.52090
    32601AThoracoscopy, diagnostic5.45NA2.420.76NA8.63000
    32602AThoracoscopy, diagnostic5.95NA2.580.84NA9.37000
    32603AThoracoscopy, diagnostic7.80NA3.090.92NA11.81000
    32604AThoracoscopy, diagnostic8.77NA3.531.17NA13.47000
    32605AThoracoscopy, diagnostic6.92NA2.971.04NA10.93000
    32606AThoracoscopy, diagnostic8.39NA3.391.19NA12.97000
    32650AThoracoscopy, surgical10.73NA6.801.51NA19.04090
    32651AThoracoscopy, surgical12.89NA7.261.81NA21.96090
    32652AThoracoscopy, surgical18.63NA10.192.77NA31.59090
    32653AThoracoscopy, surgical12.85NA7.011.87NA21.73090
    32654AThoracoscopy, surgical12.42NA7.571.82NA21.81090
    32655AThoracoscopy, surgical13.08NA7.271.85NA22.20090
    32656AThoracoscopy, surgical12.89NA7.971.94NA22.80090
    32657AThoracoscopy, surgical13.63NA7.721.98NA23.33090
    32658AThoracoscopy, surgical11.61NA7.381.77NA20.76090
    32659AThoracoscopy, surgical11.57NA7.491.68NA20.74090
    32660AThoracoscopy, surgical17.40NA9.522.52NA29.44090
    32661AThoracoscopy, surgical13.23NA7.832.00NA23.06090
    32662AThoracoscopy, surgical16.42NA8.852.42NA27.69090
    32663AThoracoscopy, surgical18.44NA10.812.75NA32.00090
    32664AThoracoscopy, surgical14.18NA7.672.05NA23.90090
    32665AThoracoscopy, surgical15.52NA8.172.16NA25.85090
    32800ARepair lung hernia13.67NA7.491.82NA22.98090
    32810AClose chest after drainage13.03NA7.591.87NA22.49090
    32815AClose bronchial fistula23.12NA11.043.43NA37.59090
    32820AReconstruct injured chest21.45NA12.292.79NA36.53090
    32850XDonor pneumonectomy0.000.000.000.000.000.00XXX
    32851ALung transplant, single38.57NA27.975.91NA72.45090
    32852ALung transplant with bypass41.74NA33.356.24NA81.33090
    32853ALung transplant, double47.74NA31.967.39NA87.09090
    32854ALung transplant with bypass50.90NA34.977.73NA93.60090
    32900ARemoval of rib(s)20.24NA9.952.92NA33.11090
    32905ARevise & repair chest wall20.72NA10.193.06NA33.97090
    32906ARevise & repair chest wall26.73NA12.143.98NA42.85090
    Start Printed Page 1148
    32940ARevision of lung19.40NA9.532.98NA31.91090
    32960ATherapeutic pneumothorax1.841.760.570.143.742.55000
    32997ATotal lung lavage5.99NA1.910.66NA8.56000
    32999CChest surgery procedure0.000.000.000.000.000.00YYY
    33010ADrainage of heart sac2.24NA0.960.16NA3.36000
    33011ARepeat drainage of heart sac2.24NA1.000.16NA3.40000
    33015AIncision of heart sac6.79NA4.980.77NA12.54090
    33020AIncision of heart sac12.59NA6.841.81NA21.24090
    33025AIncision of heart sac12.07NA6.391.81NA20.27090
    33030APartial removal of heart sac18.68NA9.592.89NA31.16090
    33031APartial removal of heart sac21.76NA10.103.35NA35.21090
    33050ARemoval of heart sac lesion14.34NA7.902.09NA24.33090
    33120ARemoval of heart lesion24.52NA11.683.69NA39.89090
    33130ARemoval of heart lesion21.36NA10.183.03NA34.57090
    33140AHeart revascularize (tmr)19.97NA10.942.74NA33.65090
    33141AHeart tmr w/other procedure4.83NA1.590.66NA7.08ZZZ
    33200AInsertion of heart pacemaker12.46NA6.981.41NA20.85090
    33201AInsertion of heart pacemaker10.16NA6.731.46NA18.35090
    33206AInsertion of heart pacemaker6.66NA4.570.60NA11.83090
    33207AInsertion of heart pacemaker8.03NA4.760.69NA13.48090
    33208AInsertion of heart pacemaker8.12NA4.860.65NA13.63090
    33210AInsertion of heart electrode3.30NA1.250.21NA4.76000
    33211AInsertion of heart electrode3.39NA1.320.21NA4.92000
    33212AInsertion of pulse generator5.51NA3.420.53NA9.46090
    33213AInsertion of pulse generator6.36NA3.780.55NA10.69090
    33214AUpgrade of pacemaker system7.74NA4.990.63NA13.36090
    33215AReposition pacing-defib lead4.75NA3.180.43NA8.36090
    33216AInsert lead pace-defib, one5.77NA4.300.43NA10.50090
    33217AInsert lead pace-defib, dual5.74NA4.330.43NA10.50090
    33218ARepair lead pace-defib, one5.43NA4.370.48NA10.28090
    33220ARepair lead pace-defib, dual5.51NA4.340.47NA10.32090
    33222ARevise pocket, pacemaker4.95NA4.360.47NA9.78090
    33223ARevise pocket, pacing-defib6.45NA4.640.53NA11.62090
    33224AInsert pacing lead & connect9.04NA4.020.43NA13.49000
    33225AL ventric pacing lead add-on8.33NA3.230.43NA11.99ZZZ
    33226AReposition l ventric lead8.68NA3.880.43NA12.99000
    33233ARemoval of pacemaker system3.29NA3.310.27NA6.87090
    33234ARemoval of pacemaker system7.81NA4.950.68NA13.44090
    33235ARemoval pacemaker electrode9.39NA6.860.82NA17.07090
    33236ARemove electrode/thoracotomy12.58NA7.481.80NA21.86090
    33237ARemove electrode/thoracotomy13.69NA7.841.89NA23.42090
    33238ARemove electrode/thoracotomy15.20NA8.261.88NA25.34090
    33240AInsert pulse generator7.59NA4.660.64NA12.89090
    33241ARemove pulse generator3.24NA2.990.25NA6.48090
    33243ARemove eltrd/thoracotomy22.61NA11.503.05NA37.16090
    33244ARemove eltrd, transven13.74NA8.961.27NA23.97090
    33245AInsert epic eltrd pace-defib14.28NA8.031.54NA23.85090
    33246AInsert epic eltrd/generator20.68NA10.412.68NA33.77090
    33249AEltrd/insert pace-defib14.21NA8.490.96NA23.66090
    33250AAblate heart dysrhythm focus21.82NA11.131.22NA34.17090
    33251AAblate heart dysrhythm focus24.84NA11.742.91NA39.49090
    33253AReconstruct atria31.01NA13.914.44NA49.36090
    33261AAblate heart dysrhythm focus24.84NA11.853.40NA40.09090
    33282AImplant pat-active ht record4.16NA4.110.47NA8.74090
    33284ARemove pat-active ht record2.50NA3.580.28NA6.36090
    33300ARepair of heart wound17.89NA9.312.30NA29.50090
    33305ARepair of heart wound21.41NA10.703.23NA35.34090
    33310AExploratory heart surgery18.48NA9.652.73NA30.86090
    33315AExploratory heart surgery22.34NA10.953.50NA36.79090
    33320ARepair major blood vessel(s)16.76NA8.302.00NA27.06090
    33321ARepair major vessel20.17NA9.863.26NA33.29090
    33322ARepair major blood vessel(s)20.59NA10.443.03NA34.06090
    33330AInsert major vessel graft21.40NA10.353.00NA34.75090
    33332AInsert major vessel graft23.92NA10.592.95NA37.46090
    33335AInsert major vessel graft29.96NA13.424.57NA47.95090
    33400ARepair of aortic valve28.46NA15.733.73NA47.92090
    33401AValvuloplasty, open23.87NA13.573.27NA40.71090
    33403AValvuloplasty, w/cp bypass24.85NA14.372.99NA42.21090
    33404APrepare heart-aorta conduit28.50NA14.583.99NA47.07090
    33405AReplacement of aortic valve34.95NA18.364.66NA57.97090
    33406AReplacement of aortic valve37.44NA19.204.91NA61.55090
    33410AReplacement of aortic valve32.41NA16.664.96NA54.03090
    33411AReplacement of aortic valve36.20NA18.835.02NA60.05090
    33412AReplacement of aortic valve41.94NA20.505.62NA68.06090
    33413AReplacement of aortic valve43.43NA20.915.14NA69.48090
    Start Printed Page 1149
    33414ARepair of aortic valve30.30NA14.234.57NA49.10090
    33415ARevision, subvalvular tissue27.11NA12.113.92NA43.14090
    33416ARevise ventricle muscle30.30NA13.594.64NA48.53090
    33417ARepair of aortic valve28.49NA13.714.32NA46.52090
    33420ARevision of mitral valve22.67NA9.661.79NA34.12090
    33422ARevision of mitral valve25.90NA13.713.98NA43.59090
    33425ARepair of mitral valve26.96NA13.103.62NA43.68090
    33426ARepair of mitral valve32.95NA17.214.67NA54.83090
    33427ARepair of mitral valve39.94NA19.445.19NA64.57090
    33430AReplacement of mitral valve33.45NA17.374.76NA55.58090
    33460ARevision of tricuspid valve23.56NA11.383.64NA38.58090
    33463AValvuloplasty, tricuspid25.58NA12.993.82NA42.39090
    33464AValvuloplasty, tricuspid27.29NA13.604.19NA45.08090
    33465AReplace tricuspid valve28.75NA13.054.35NA46.15090
    33468ARevision of tricuspid valve30.07NA13.764.82NA48.65090
    33470ARevision of pulmonary valve20.78NA10.783.39NA34.95090
    33471AValvotomy, pulmonary valve22.22NA9.823.62NA35.66090
    33472ARevision of pulmonary valve22.22NA11.973.52NA37.71090
    33474ARevision of pulmonary valve23.01NA10.953.43NA37.39090
    33475AReplacement, pulmonary valve32.95NA15.483.18NA51.61090
    33476ARevision of heart chamber25.73NA12.032.89NA40.65090
    33478ARevision of heart chamber26.70NA13.134.29NA44.12090
    33496ARepair, prosth valve clot27.21NA12.834.15NA44.19090
    33500ARepair heart vessel fistula25.51NA11.543.38NA40.43090
    33501ARepair heart vessel fistula17.75NA8.342.47NA28.56090
    33502ACoronary artery correction21.01NA11.153.03NA35.19090
    33503ACoronary artery graft21.75NA9.831.71NA33.29090
    33504ACoronary artery graft24.62NA11.913.67NA40.20090
    33505ARepair artery w/tunnel26.80NA13.021.83NA41.65090
    33506ARepair artery, translocation35.45NA14.663.85NA53.96090
    33508AEndoscopic vein harvest0.31NA0.100.04NA0.45ZZZ
    33510ACABG, vein, single28.96NA16.413.78NA49.15090
    33511ACABG, vein, two29.96NA17.154.03NA51.14090
    33512ACABG, vein, three31.75NA17.684.46NA53.89090
    33513ACABG, vein, four31.95NA17.864.81NA54.62090
    33514ACABG, vein, five32.70NA18.145.27NA56.11090
    33516ACabg, vein, six or more34.95NA18.885.57NA59.40090
    33517ACABG, artery-vein, single2.57NA0.840.39NA3.80ZZZ
    33518ACABG, artery-vein, two4.84NA1.590.74NA7.17ZZZ
    33519ACABG, artery-vein, three7.11NA2.331.07NA10.51ZZZ
    33521ACABG, artery-vein, four9.39NA3.081.42NA13.89ZZZ
    33522ACABG, artery-vein, five11.65NA3.821.79NA17.26ZZZ
    33523ACabg, art-vein, six or more13.93NA4.552.15NA20.63ZZZ
    33530ACoronary artery, bypass/reop5.85NA1.910.88NA8.64ZZZ
    33533ACABG, arterial, single29.96NA16.543.91NA50.41090
    33534ACABG, arterial, two32.15NA17.794.38NA54.32090
    33535ACABG, arterial, three34.45NA18.224.79NA57.46090
    33536ACabg, arterial, four or more37.44NA18.383.97NA59.79090
    33542ARemoval of heart lesion28.81NA13.084.35NA46.24090
    33545ARepair of heart damage36.72NA15.735.31NA57.76090
    33572AOpen coronary endarterectomy4.44NA1.460.66NA6.56ZZZ
    33600AClosure of valve29.47NA12.622.77NA44.86090
    33602AClosure of valve28.50NA12.543.50NA44.54090
    33606AAnastomosis/artery-aorta30.69NA13.754.33NA48.77090
    33608ARepair anomaly w/conduit31.04NA14.195.03NA50.26090
    33610ARepair by enlargement30.56NA14.204.85NA49.61090
    33611ARepair double ventricle33.95NA14.233.96NA52.14090
    33612ARepair double ventricle34.95NA15.255.36NA55.56090
    33615ARepair, modified fontan33.95NA15.143.80NA52.89090
    33617ARepair single ventricle36.94NA16.114.93NA57.98090
    33619ARepair single ventricle44.93NA20.945.68NA71.55090
    33641ARepair heart septum defect21.36NA9.643.22NA34.22090
    33645ARevision of heart veins24.78NA11.843.94NA40.56090
    33647ARepair heart septum defects28.69NA13.864.06NA46.61090
    33660ARepair of heart defects29.96NA13.583.40NA46.94090
    33665ARepair of heart defects28.56NA13.914.60NA47.07090
    33670ARepair of heart chambers34.95NA13.392.63NA50.97090
    33681ARepair heart septum defect30.56NA14.774.26NA49.59090
    33684ARepair heart septum defect29.61NA13.714.55NA47.87090
    33688ARepair heart septum defect30.57NA10.584.69NA45.84090
    33690AReinforce pulmonary artery19.52NA10.323.09NA32.93090
    33692ARepair of heart defects30.70NA14.024.55NA49.27090
    33694ARepair of heart defects33.95NA14.325.15NA53.42090
    33697ARepair of heart defects35.95NA14.955.48NA56.38090
    33702ARepair of heart defects26.50NA12.654.16NA43.31090
    Start Printed Page 1150
    33710ARepair of heart defects29.67NA14.084.64NA48.39090
    33720ARepair of heart defect26.52NA12.363.87NA42.75090
    33722ARepair of heart defect28.37NA13.944.58NA46.89090
    33730ARepair heart-vein defect(s)34.20NA14.233.44NA51.87090
    33732ARepair heart-vein defect28.12NA13.503.35NA44.97090
    33735ARevision of heart chamber21.36NA10.081.35NA32.79090
    33736ARevision of heart chamber23.48NA11.953.26NA38.69090
    33737ARevision of heart chamber21.73NA11.023.53NA36.28090
    33750AMajor vessel shunt21.38NA10.312.10NA33.79090
    33755AMajor vessel shunt21.76NA8.863.53NA34.15090
    33762AMajor vessel shunt21.76NA10.241.92NA33.92090
    33764AMajor vessel shunt & graft21.76NA10.312.33NA34.40090
    33766AMajor vessel shunt22.73NA11.733.67NA38.13090
    33767AMajor vessel shunt24.46NA11.813.79NA40.06090
    33770ARepair great vessels defect36.94NA14.775.42NA57.13090
    33771ARepair great vessels defect34.60NA12.485.63NA52.71090
    33774ARepair great vessels defect30.93NA14.235.04NA50.20090
    33775ARepair great vessels defect32.15NA14.285.23NA51.66090
    33776ARepair great vessels defect33.99NA15.885.52NA55.39090
    33777ARepair great vessels defect33.41NA14.955.44NA53.80090
    33778ARepair great vessels defect39.94NA16.985.83NA62.75090
    33779ARepair great vessels defect36.16NA15.492.89NA54.54090
    33780ARepair great vessels defect41.69NA19.136.28NA67.10090
    33781ARepair great vessels defect36.40NA13.565.92NA55.88090
    33786ARepair arterial trunk38.94NA16.795.66NA61.39090
    33788ARevision of pulmonary artery26.58NA12.034.00NA42.61090
    33800AAortic suspension16.22NA8.211.34NA25.77090
    33802ARepair vessel defect17.63NA9.301.88NA28.81090
    33803ARepair vessel defect19.57NA9.843.17NA32.58090
    33813ARepair septal defect20.62NA10.993.35NA34.96090
    33814ARepair septal defect25.73NA12.733.04NA41.50090
    33820ARevise major vessel16.27NA8.392.53NA27.19090
    33822ARevise major vessel17.29NA9.032.81NA29.13090
    33824ARevise major vessel19.49NA10.063.15NA32.70090
    33840ARemove aorta constriction20.60NA10.362.85NA33.81090
    33845ARemove aorta constriction22.09NA11.423.50NA37.01090
    33851ARemove aorta constriction21.24NA10.783.45NA35.47090
    33852ARepair septal defect23.67NA11.453.85NA38.97090
    33853ARepair septal defect31.67NA14.925.10NA51.69090
    33860AAscending aortic graft37.94NA16.555.19NA59.68090
    33861AAscending aortic graft41.94NA17.815.11NA64.86090
    33863AAscending aortic graft44.93NA18.805.55NA69.28090
    33870ATransverse aortic arch graft43.93NA18.496.14NA68.56090
    33875AThoracic aortic graft33.01NA14.184.92NA52.11090
    33877AThoracoabdominal graft42.54NA16.436.11NA65.08090
    33910ARemove lung artery emboli24.55NA11.523.69NA39.76090
    33915ARemove lung artery emboli20.99NA9.681.45NA32.12090
    33916ASurgery of great vessel25.79NA11.433.67NA40.89090
    33917ARepair pulmonary artery24.46NA12.273.82NA40.55090
    33918ARepair pulmonary atresia26.41NA12.194.12NA42.72090
    33919ARepair pulmonary atresia39.94NA17.624.20NA61.76090
    33920ARepair pulmonary atresia31.90NA13.924.35NA50.17090
    33922ATransect pulmonary artery23.48NA10.982.77NA37.23090
    33924ARemove pulmonary shunt5.49NA1.850.89NA8.23ZZZ
    33930XRemoval of donor heart/lung0.000.000.000.000.000.00XXX
    33935RTransplantation, heart/lung60.87NA29.079.83NA99.77090
    33940XRemoval of donor heart0.000.000.000.000.000.00XXX
    33945RTransplantation of heart42.04NA21.666.54NA70.24090
    33960AExternal circulation assist19.33NA4.932.58NA26.84000
    33961AExternal circulation assist10.91NA3.631.77NA16.31ZZZ
    33967AInsert ia percut device4.84NA1.850.34NA7.03000
    33968ARemove aortic assist device0.64NA0.230.08NA0.95000
    33970AAortic circulation assist6.74NA2.290.84NA9.87000
    33971AAortic circulation assist9.68NA6.071.17NA16.92090
    33973AInsert balloon device9.75NA3.321.22NA14.29000
    33974ARemove intra-aortic balloon14.39NA7.951.79NA24.13090
    33975AImplant ventricular device20.97NA6.312.07NA29.35XXX
    33976AImplant ventricular device22.97NA7.583.40NA33.95XXX
    33977ARemove ventricular device19.26NA11.132.94NA33.33090
    33978ARemove ventricular device21.70NA11.803.21NA36.71090
    33979AInsert intracorporeal device45.93NA14.974.80NA65.70XXX
    33980ARemove intracorporeal device56.17NA25.525.55NA87.24090
    33999CCardiac surgery procedure0.000.000.000.000.000.00YYY
    34001ARemoval of artery clot12.89NA6.751.76NA21.40090
    34051ARemoval of artery clot15.19NA7.822.29NA25.30090
    Start Printed Page 1151
    34101ARemoval of artery clot9.99NA5.381.34NA16.71090
    34111ARemoval of arm artery clot9.99NA5.381.03NA16.40090
    34151ARemoval of artery clot24.96NA10.452.22NA37.63090
    34201ARemoval of artery clot10.01NA5.451.23NA16.69090
    34203ARemoval of leg artery clot16.48NA8.091.65NA26.22090
    34401ARemoval of vein clot24.96NA10.721.45NA37.13090
    34421ARemoval of vein clot11.98NA6.331.15NA19.46090
    34451ARemoval of vein clot26.96NA11.491.92NA40.37090
    34471ARemoval of vein clot10.16NA5.351.09NA16.60090
    34490ARemoval of vein clot9.85NA5.460.88NA16.19090
    34501ARepair valve, femoral vein15.98NA8.551.65NA26.18090
    34502AReconstruct vena cava26.91NA12.343.61NA42.86090
    34510ATransposition of vein valve18.92NA9.481.93NA30.33090
    34520ACross-over vein graft17.92NA8.721.70NA28.34090
    34530ALeg vein fusion16.62NA8.652.48NA27.75090
    34800AEndovasc abdo repair w/tube20.72NA9.211.80NA31.73090
    34802AEndovasc abdo repr w/device22.97NA9.831.99NA34.79090
    34804AEndovasc abdo repr w/device22.97NA9.841.99NA34.80090
    34805AEndovasc abdo repair w/pros21.85NA9.461.99NA33.30090
    34808AEndovasc abdo occlud device4.12NA1.380.35NA5.85ZZZ
    34812AXpose for endoprosth, femorl6.74NA2.240.59NA9.57000
    34813AFemoral endovas graft add-on4.79NA1.580.41NA6.78ZZZ
    34820AXpose for endoprosth, iliac9.74NA3.250.84NA13.83000
    34825AEndovasc extend prosth, init11.98NA6.171.04NA19.19090
    34826AEndovasc exten prosth, add'l4.12NA1.380.35NA5.85ZZZ
    34830AOpen aortic tube prosth repr32.54NA13.762.82NA49.12090
    34831AOpen aortoiliac prosth repr35.29NA11.803.05NA50.14090
    34832AOpen aortofemor prosth repr35.29NA14.683.05NA53.02090
    34833AXpose for endoprosth, iliac11.98NA4.510.84NA17.33000
    34834AXpose, endoprosth, brachial5.34NA2.230.59NA8.16000
    34900AEndovasc iliac repr w/graft16.36NA7.821.80NA25.98090
    35001ARepair defect of artery19.61NA9.592.94NA32.14090
    35002ARepair artery rupture, neck20.97NA9.742.20NA32.91090
    35005ARepair defect of artery18.09NA8.891.63NA28.61090
    35011ARepair defect of artery17.97NA8.021.57NA27.56090
    35013ARepair artery rupture, arm21.97NA9.732.30NA34.00090
    35021ARepair defect of artery19.62NA9.502.33NA31.45090
    35022ARepair artery rupture, chest23.15NA10.102.40NA35.65090
    35045ARepair defect of arm artery17.54NA7.581.51NA26.63090
    35081ARepair defect of artery27.97NA11.513.86NA43.34090
    35082ARepair artery rupture, aorta38.44NA15.354.91NA58.70090
    35091ARepair defect of artery35.35NA13.634.93NA53.91090
    35092ARepair artery rupture, aorta44.93NA17.705.20NA67.83090
    35102ARepair defect of artery30.71NA12.414.15NA47.27090
    35103ARepair artery rupture, groin40.44NA15.924.57NA60.93090
    35111ARepair defect of artery24.96NA10.512.18NA37.65090
    35112ARepair artery rupture,spleen29.96NA12.012.35NA44.32090
    35121ARepair defect of artery29.96NA12.423.53NA45.91090
    35122ARepair artery rupture, belly34.95NA13.864.27NA53.08090
    35131ARepair defect of artery24.96NA10.802.54NA38.30090
    35132ARepair artery rupture, groin29.96NA12.422.99NA45.37090
    35141ARepair defect of artery19.97NA8.951.99NA30.91090
    35142ARepair artery rupture, thigh23.27NA10.402.11NA35.78090
    35151ARepair defect of artery22.61NA10.042.33NA34.98090
    35152ARepair artery rupture, knee25.58NA11.432.33NA39.34090
    35161ARepair defect of artery18.73NA9.192.67NA30.59090
    35162ARepair artery rupture19.75NA9.612.67NA32.03090
    35180ARepair blood vessel lesion13.60NA6.981.74NA22.32090
    35182ARepair blood vessel lesion29.96NA12.852.27NA45.08090
    35184ARepair blood vessel lesion17.97NA8.341.62NA27.93090
    35188ARepair blood vessel lesion14.26NA7.671.85NA23.78090
    35189ARepair blood vessel lesion27.96NA12.002.56NA42.52090
    35190ARepair blood vessel lesion12.73NA6.501.60NA20.83090
    35201ARepair blood vessel lesion16.12NA8.021.41NA25.55090
    35206ARepair blood vessel lesion13.23NA6.611.25NA21.09090
    35207ARepair blood vessel lesion10.13NA7.511.39NA19.03090
    35211ARepair blood vessel lesion22.09NA10.703.41NA36.20090
    35216ARepair blood vessel lesion18.72NA9.042.62NA30.38090
    35221ARepair blood vessel lesion24.35NA9.982.16NA36.49090
    35226ARepair blood vessel lesion14.48NA7.521.01NA23.01090
    35231ARepair blood vessel lesion19.97NA9.811.59NA31.37090
    35236ARepair blood vessel lesion17.08NA7.951.44NA26.47090
    35241ARepair blood vessel lesion23.09NA11.203.50NA37.79090
    35246ARepair blood vessel lesion26.41NA11.512.68NA40.60090
    35251ARepair blood vessel lesion30.15NA11.842.26NA44.25090
    Start Printed Page 1152
    35256ARepair blood vessel lesion18.33NA8.431.59NA28.35090
    35261ARepair blood vessel lesion17.77NA8.051.62NA27.44090
    35266ARepair blood vessel lesion14.89NA7.061.40NA23.35090
    35271ARepair blood vessel lesion22.09NA10.593.34NA36.02090
    35276ARepair blood vessel lesion24.21NA11.282.86NA38.35090
    35281ARepair blood vessel lesion27.96NA11.752.20NA41.91090
    35286ARepair blood vessel lesion16.14NA8.121.64NA25.90090
    35301ARechanneling of artery18.67NA8.502.69NA29.86090
    35311ARechanneling of artery26.96NA11.793.32NA42.07090
    35321ARechanneling of artery15.98NA7.411.64NA25.03090
    35331ARechanneling of artery26.16NA11.283.27NA40.71090
    35341ARechanneling of artery25.07NA10.913.46NA39.44090
    35351ARechanneling of artery22.97NA9.642.76NA35.37090
    35355ARechanneling of artery18.47NA8.122.17NA28.76090
    35361ARechanneling of artery28.16NA11.753.21NA43.12090
    35363ARechanneling of artery30.15NA12.633.34NA46.12090
    35371ARechanneling of artery14.70NA6.991.59NA23.28090
    35372ARechanneling of artery17.97NA8.081.85NA27.90090
    35381ARechanneling of artery15.79NA7.852.17NA25.81090
    35390AReoperation, carotid add-on3.19NA1.070.46NA4.72ZZZ
    35400AAngioscopy3.00NA1.120.41NA4.53ZZZ
    35450ARepair arterial blockage10.05NA4.041.01NA15.10000
    35452ARepair arterial blockage6.90NA3.170.92NA10.99000
    35454ARepair arterial blockage6.03NA2.840.81NA9.68000
    35456ARepair arterial blockage7.34NA3.290.99NA11.62000
    35458ARepair arterial blockage9.48NA4.011.31NA14.80000
    35459ARepair arterial blockage8.62NA3.641.16NA13.42000
    35460ARepair venous blockage6.03NA2.680.80NA9.51000
    35470ARepair arterial blockage8.62NA3.850.60NA13.07000
    35471ARepair arterial blockage10.05NA4.450.60NA15.10000
    35472ARepair arterial blockage6.90NA3.240.47NA10.61000
    35473ARepair arterial blockage6.03NA2.920.41NA9.36000
    35474ARepair arterial blockage7.35NA2.880.48NA10.71000
    35475RRepair arterial blockage9.48NA4.060.57NA14.11000
    35476ARepair venous blockage6.03NA2.850.33NA9.21000
    35480AAtherectomy, open11.06NA4.511.36NA16.93000
    35481AAtherectomy, open7.60NA3.481.01NA12.09000
    35482AAtherectomy, open6.64NA3.090.90NA10.63000
    35483AAtherectomy, open8.09NA3.540.98NA12.61000
    35484AAtherectomy, open10.42NA4.231.36NA16.01000
    35485AAtherectomy, open9.48NA4.061.28NA14.82000
    35490AAtherectomy, percutaneous11.06NA4.710.66NA16.43000
    35491AAtherectomy, percutaneous7.60NA3.300.59NA11.49000
    35492AAtherectomy, percutaneous6.64NA3.190.52NA10.35000
    35493AAtherectomy, percutaneous8.09NA3.810.57NA12.47000
    35494AAtherectomy, percutaneous10.42NA4.400.58NA15.40000
    35495AAtherectomy, percutaneous9.48NA4.390.62NA14.49000
    35500AHarvest vein for bypass6.44NA2.030.76NA9.23ZZZ
    35501AArtery bypass graft19.16NA8.512.81NA30.48090
    35506AArtery bypass graft19.64NA9.512.81NA31.96090
    35507AArtery bypass graft19.64NA9.462.74NA31.84090
    35508AArtery bypass graft18.62NA9.482.82NA30.92090
    35509AArtery bypass graft18.04NA8.802.56NA29.40090
    35510AArtery bypass graft22.97NA10.172.10NA35.24090
    35511AArtery bypass graft21.17NA9.392.10NA32.66090
    35512AArtery bypass graft22.47NA10.002.10NA34.57090
    35515AArtery bypass graft18.62NA9.332.73NA30.68090
    35516AArtery bypass graft16.30NA6.842.27NA25.41090
    35518AArtery bypass graft21.17NA9.022.15NA32.34090
    35521AArtery bypass graft22.17NA9.872.20NA34.24090
    35522AArtery bypass graft21.73NA9.742.10NA33.57090
    35525AArtery bypass graft20.60NA9.352.10NA32.05090
    35526AArtery bypass graft29.91NA12.562.63NA45.10090
    35531AArtery bypass graft36.15NA14.543.51NA54.20090
    35533AArtery bypass graft27.96NA11.772.83NA42.56090
    35536AArtery bypass graft31.65NA13.003.16NA47.81090
    35541AArtery bypass graft25.76NA11.253.30NA40.31090
    35546AArtery bypass graft25.50NA10.913.43NA39.84090
    35548AArtery bypass graft21.54NA9.462.95NA33.95090
    35549AArtery bypass graft23.31NA10.423.34NA37.07090
    35551AArtery bypass graft26.63NA11.563.85NA42.04090
    35556AArtery bypass graft21.73NA9.772.99NA34.49090
    35558AArtery bypass graft21.17NA9.591.91NA32.67090
    35560AArtery bypass graft31.95NA13.373.29NA48.61090
    35563AArtery bypass graft24.16NA10.572.03NA36.76090
    Start Printed Page 1153
    35565AArtery bypass graft23.17NA10.172.06NA35.40090
    35566AArtery bypass graft26.88NA11.453.64NA41.97090
    35571AArtery bypass graft24.02NA10.912.58NA37.51090
    35572AHarvest femoropopliteal vein6.81NA2.340.76NA9.91ZZZ
    35582AVein bypass graft27.09NA11.623.75NA42.46090
    35583AVein bypass graft22.34NA10.213.05NA35.60090
    35585AVein bypass graft28.35NA12.323.87NA44.54090
    35587AVein bypass graft24.71NA11.542.62NA38.87090
    35600AHarvest artery for cabg4.94NA1.630.72NA7.29ZZZ
    35601AArtery bypass graft17.47NA8.662.51NA28.64090
    35606AArtery bypass graft18.68NA9.062.62NA30.36090
    35612AArtery bypass graft15.74NA7.922.07NA25.73090
    35616AArtery bypass graft15.68NA8.142.22NA26.04090
    35621AArtery bypass graft19.97NA8.712.03NA30.71090
    35623ABypass graft, not vein23.96NA10.542.30NA36.80090
    35626AArtery bypass graft27.71NA12.033.49NA43.23090
    35631AArtery bypass graft33.95NA13.883.41NA51.24090
    35636AArtery bypass graft29.46NA12.352.86NA44.67090
    35641AArtery bypass graft24.53NA11.113.41NA39.05090
    35642AArtery bypass graft17.95NA8.722.22NA28.89090
    35645AArtery bypass graft17.44NA8.312.30NA28.05090
    35646AArtery bypass graft30.95NA13.154.38NA48.48090
    35647AArtery bypass graft27.96NA11.823.96NA43.74090
    35650AArtery bypass graft18.97NA8.401.98NA29.35090
    35651AArtery bypass graft25.00NA10.893.05NA38.94090
    35654AArtery bypass graft24.96NA10.702.53NA38.19090
    35656AArtery bypass graft19.50NA8.642.67NA30.81090
    35661AArtery bypass graft18.97NA8.961.81NA29.74090
    35663AArtery bypass graft21.97NA10.021.87NA33.86090
    35665AArtery bypass graft20.97NA9.482.12NA32.57090
    35666AArtery bypass graft22.16NA10.722.64NA35.52090
    35671AArtery bypass graft19.30NA9.432.03NA30.76090
    35681AComposite bypass graft1.60NA0.530.22NA2.35ZZZ
    35682AComposite bypass graft7.19NA2.401.00NA10.59ZZZ
    35683AComposite bypass graft8.49NA2.831.18NA12.50ZZZ
    35685ABypass graft patency/patch4.04NA1.350.30NA5.69ZZZ
    35686ABypass graft/av fist patency3.34NA1.130.25NA4.72ZZZ
    35691AArterial transposition18.02NA8.452.48NA28.95090
    35693AArterial transposition15.34NA7.762.17NA25.27090
    35694AArterial transposition19.13NA8.642.57NA30.34090
    35695AArterial transposition19.13NA8.602.64NA30.37090
    35697AReimplant artery each3.00NA1.030.41NA4.44ZZZ
    35700AReoperation, bypass graft3.08NA1.030.43NA4.54ZZZ
    35701AExploration, carotid artery8.49NA5.180.77NA14.44090
    35721AExploration, femoral artery7.17NA4.480.71NA12.36090
    35741AExploration popliteal artery7.99NA4.710.72NA13.42090
    35761AExploration of artery/vein5.36NA4.070.72NA10.15090
    35800AExplore neck vessels7.01NA4.680.95NA12.64090
    35820AExplore chest vessels12.86NA7.201.94NA22.00090
    35840AExplore abdominal vessels9.76NA5.311.28NA16.35090
    35860AExplore limb vessels5.54NA4.060.76NA10.36090
    35870ARepair vessel graft defect22.14NA9.812.98NA34.93090
    35875ARemoval of clot in graft10.11NA5.241.17NA16.52090
    35876ARemoval of clot in graft16.97NA7.592.27NA26.83090
    35879ARevise graft w/vein15.98NA7.751.63NA25.36090
    35881ARevise graft w/vein17.97NA8.751.74NA28.46090
    35901AExcision, graft, neck8.18NA5.361.09NA14.63090
    35903AExcision, graft, extremity9.38NA6.011.24NA16.63090
    35905AExcision, graft, thorax31.20NA13.262.59NA47.05090
    35907AExcision, graft, abdomen34.95NA14.112.62NA51.68090
    36000APlace needle in vein0.180.600.050.010.790.24XXX
    36002APseudoaneurysm injection trt1.962.910.990.124.993.07000
    36005AInjection ext venography0.958.470.320.059.471.32000
    36010APlace catheter in vein2.43NA0.790.19NA3.41XXX
    36011APlace catheter in vein3.14NA1.030.21NA4.38XXX
    36012APlace catheter in vein3.51NA1.150.21NA4.87XXX
    36013APlace catheter in artery2.52NA0.660.21NA3.39XXX
    36014APlace catheter in artery3.02NA0.990.17NA4.18XXX
    36015APlace catheter in artery3.51NA1.150.19NA4.85XXX
    36100AEstablish access to artery3.02NA1.100.22NA4.34XXX
    36120AEstablish access to artery2.01NA0.650.13NA2.79XXX
    36140AEstablish access to artery2.01NA0.640.14NA2.79XXX
    36145AArtery to vein shunt2.01NA0.660.12NA2.79XXX
    36160AEstablish access to aorta2.52NA0.850.24NA3.61XXX
    36200APlace catheter in aorta3.02NA1.020.18NA4.22XXX
    Start Printed Page 1154
    36215APlace catheter in artery4.67NA1.580.27NA6.52XXX
    36216APlace catheter in artery5.27NA1.760.29NA7.32XXX
    36217APlace catheter in artery6.29NA2.140.39NA8.82XXX
    36218APlace catheter in artery1.01NA0.350.06NA1.42ZZZ
    36245APlace catheter in artery4.67NA1.650.28NA6.60XXX
    36246APlace catheter in artery5.27NA1.790.31NA7.37XXX
    36247APlace catheter in artery6.29NA2.100.39NA8.78XXX
    36248APlace catheter in artery1.01NA0.350.07NA1.43ZZZ
    36260AInsertion of infusion pump9.70NA4.901.21NA15.81090
    36261ARevision of infusion pump5.44NA3.660.60NA9.70090
    36262ARemoval of infusion pump4.01NA2.770.52NA7.30090
    36299CVessel injection procedure0.000.000.000.000.000.00YYY
    36400ABl draw < 3 yrs fem/jugular0.380.290.090.010.680.48XXX
    36405ABl draw < 3 yrs scalp vein0.310.270.080.010.590.40XXX
    36406ABl draw < 3 yrs other vein0.180.300.050.010.490.24XXX
    36410ANon-routine bl draw > 3 yrs0.180.300.050.010.490.24XXX
    36415IRoutine venipuncture0.000.000.000.000.000.00XXX
    36416ICapillary blood draw0.000.000.000.000.000.00XXX
    36420AVein access cutdown < 1 yr1.013.060.280.114.181.40XXX
    36425AVein access cutdown > 1 yr0.76NA0.220.06NA1.04XXX
    36430ABlood transfusion service0.001.01NA0.061.07NAXXX
    36440ABl push transfuse, 2 yr or <1.03NA0.300.10NA1.43XXX
    36450ABl exchange/transfuse, nb2.23NA0.710.19NA3.13XXX
    36455ABl exchange/transfuse non-nb2.43NA1.020.12NA3.57XXX
    36460ATransfusion service, fetal6.58NA2.250.68NA9.51XXX
    36468RInjection(s), spider veins0.000.000.000.000.000.00000
    36469RInjection(s), spider veins0.000.000.000.000.000.00000
    36470AInjection therapy of vein1.092.720.440.123.931.65010
    36471AInjection therapy of veins1.573.070.600.184.822.35010
    36481AInsertion of catheter, vein6.987.512.730.4814.9710.19000
    36488DInsertion of catheter, vein0.000.000.000.000.000.00000
    36489DInsertion of catheter, vein0.000.000.000.000.000.00000
    36490DInsertion of catheter, vein0.000.000.000.000.000.00000
    36491DInsertion of catheter, vein0.000.000.000.000.000.00000
    36493DRepositioning of cvc0.000.000.000.000.000.00000
    36500AInsertion of catheter, vein3.51NA1.370.17NA5.05000
    36510AInsertion of catheter, vein1.093.740.610.074.901.77000
    36511AApheresis wbc1.74NA0.710.07NA2.52000
    36512AApheresis rbc1.74NA0.710.07NA2.52000
    36513AApheresis platelets1.74NA0.710.07NA2.52000
    36514AApheresis plasma1.74NA0.710.07NA2.52000
    36515AApheresis, adsorp/reinfuse1.74NA0.730.07NA2.54000
    36516AApheresis, selective1.22NA0.510.07NA1.80000
    36522APhotopheresis1.6730.331.130.0832.082.88000
    36530DInsertion of infusion pump0.000.000.000.000.000.00010
    36531DRevision of infusion pump0.000.000.000.000.000.00010
    36532DRemoval of infusion pump0.000.000.000.000.000.00010
    36533DInsertion of access device0.000.000.000.000.000.00010
    36534DRevision of access device0.000.000.000.000.000.00010
    36535DRemoval of access device0.000.000.000.000.000.00010
    36536DRemove cva device obstruct0.000.000.000.000.000.00000
    36537DRemove cva lumen obstruct0.000.000.000.000.000.00000
    36540BCollect blood venous device0.000.000.000.000.000.00XXX
    36550ADeclot vascular device0.000.39NA0.370.76NAXXX
    36555AInsert non-tunnel cv cath2.686.000.820.218.893.71000
    36556AInsert non-tunnel cv cath2.505.850.740.108.453.34000
    36557AInsert tunneled cv cath5.0913.562.580.5919.248.26010
    36558AInsert tunneled cv cath4.7913.452.470.5918.837.85010
    36560AInsert tunneled cv cath6.2429.192.960.5936.029.79010
    36561AInsert tunneled cv cath5.9929.112.870.5935.699.45010
    36563AInsert tunneled cv cath6.1938.092.980.6844.969.85010
    36565AInsert tunneled cv cath5.9922.152.870.5928.739.45010
    36566AInsert tunneled cv cath6.4922.953.040.5930.0310.12010
    36568AInsert tunneled cv cath1.928.190.590.2110.322.72000
    36569AInsert tunneled cv cath1.827.390.570.169.372.55000
    36570AInsert tunneled cv cath5.3140.272.640.5946.178.54010
    36571AInsert tunneled cv cath5.2935.642.630.5941.528.51010
    36575ARepair tunneled cv cath0.673.350.260.594.611.52000
    36576ARepair tunneled cv cath3.197.711.760.5911.495.54010
    36578AReplace tunneled cv cath3.4910.542.200.5914.626.28010
    36580AReplace tunneled cv cath1.316.760.410.168.231.88000
    36581AReplace tunneled cv cath3.4313.271.840.5917.295.86010
    36582AReplace tunneled cv cath5.1926.632.760.5932.418.54010
    36583AReplace tunneled cv cath5.2413.132.770.5918.968.60010
    36584AReplace tunneled cv cath1.207.230.540.168.591.90000
    Start Printed Page 1155
    36585AReplace tunneled cv cath4.7935.462.620.5940.848.00010
    36589ARemoval tunneled cv cath2.272.201.410.254.723.93010
    36590ARemoval tunneled cv cath3.306.411.640.4110.125.35010
    36595AMech remov tunneled cv cath3.5919.711.460.2823.585.33000
    36596AMech remov tunneled cv cath0.754.390.490.055.191.29000
    36597AReposition venous catheter1.213.180.430.074.461.71000
    36600AWithdrawal of arterial blood0.320.480.090.020.820.43XXX
    36620AInsertion catheter, artery1.15NA0.240.07NA1.46000
    36625AInsertion catheter, artery2.11NA0.520.19NA2.82000
    36640AInsertion catheter, artery2.10NA1.050.22NA3.37000
    36660AInsertion catheter, artery1.40NA0.440.10NA1.94000
    36680AInsert needle, bone cavity1.20NA0.490.10NA1.79000
    36800AInsertion of cannula2.43NA1.810.21NA4.45000
    36810AInsertion of cannula3.96NA1.690.48NA6.13000
    36815AInsertion of cannula2.62NA1.170.31NA4.10000
    36819AAv fusion/uppr arm vein13.98NA6.401.88NA22.26090
    36820AAv fusion/forearm vein13.98NA6.401.88NA22.26090
    36821AAv fusion direct any site8.92NA4.711.17NA14.80090
    36822AInsertion of cannula(s)5.41NA4.490.76NA10.66090
    36823AInsertion of cannula(s)20.97NA9.482.63NA33.08090
    36825AArtery-vein autograft9.83NA5.141.31NA16.28090
    36830AArtery-vein nonautograft11.98NA5.301.59NA18.87090
    36831AOpen thrombect av fistula7.99NA3.970.95NA12.91090
    36832AAv fistula revision, open10.48NA4.791.36NA16.63090
    36833AAv fistula revision11.93NA5.251.56NA18.74090
    36834ARepair A-V aneurysm9.92NA4.811.28NA16.01090
    36835AArtery to vein shunt7.14NA4.390.96NA12.49090
    36838ADist revas ligation, hemo20.60NA9.362.99NA32.95090
    36860AExternal cannula declotting2.012.491.350.124.623.48000
    36861ACannula declotting2.52NA1.480.17NA4.17000
    36870APercut thrombect av fistula5.1546.983.140.2852.418.57090
    37140ARevision of circulation23.56NA10.501.46NA35.52090
    37145ARevision of circulation24.57NA10.932.99NA38.49090
    37160ARevision of circulation21.57NA9.302.61NA33.48090
    37180ARevision of circulation24.57NA10.353.17NA38.09090
    37181ASplice spleen/kidney veins26.64NA11.063.22NA40.92090
    37182AInsert hepatic shunt (tips)16.97NA6.271.80NA25.04000
    37183ARemove hepatic shunt (tips)7.99NA3.080.52NA11.59000
    37195AThrombolytic therapy, stroke0.008.08NA0.468.54NAXXX
    37200ATranscatheter biopsy4.55NA1.500.23NA6.28000
    37201ATranscatheter therapy infuse4.99NA2.520.29NA7.80000
    37202ATranscatheter therapy infuse5.67NA3.030.46NA9.16000
    37203ATranscatheter retrieval5.02NA2.530.28NA7.83000
    37204ATranscatheter occlusion18.11NA5.931.10NA25.14000
    37205ATranscatheter stent8.27NA3.740.52NA12.53000
    37206ATranscatheter stent add-on4.12NA1.440.27NA5.83ZZZ
    37207ATranscatheter stent8.27NA3.171.07NA12.51000
    37208ATranscatheter stent add-on4.12NA1.390.53NA6.04ZZZ
    37209AExchange arterial catheter2.27NA0.750.13NA3.15000
    37250AIv us first vessel add-on2.10NA0.750.21NA3.06ZZZ
    37251AIv us each add vessel add-on1.60NA0.550.17NA2.32ZZZ
    37500AEndoscopy ligate perf veins10.98NA7.120.48NA18.58090
    37501CVascular endoscopy procedure0.000.000.000.000.000.00YYY
    37565ALigation of neck vein10.86NA5.650.54NA17.05090
    37600ALigation of neck artery11.23NA6.670.48NA18.38090
    37605ALigation of neck artery13.09NA6.940.93NA20.96090
    37606ALigation of neck artery6.27NA4.590.95NA11.81090
    37607ALigation of a-v fistula6.15NA3.590.81NA10.55090
    37609ATemporal artery procedure3.004.701.980.257.955.23010
    37615ALigation of neck artery5.72NA4.120.69NA10.53090
    37616ALigation of chest artery16.47NA8.152.33NA26.95090
    37617ALigation of abdomen artery22.03NA9.222.04NA33.29090
    37618ALigation of extremity artery4.83NA3.590.65NA9.07090
    37620ARevision of major vein10.54NA5.720.90NA17.16090
    37650ARevision of major vein7.79NA4.720.68NA13.19090
    37660ARevision of major vein20.97NA9.101.41NA31.48090
    37700ARevise leg vein3.72NA2.810.48NA7.01090
    37720ARemoval of leg vein5.65NA3.730.74NA10.12090
    37730ARemoval of leg veins7.32NA4.280.93NA12.53090
    37735ARemoval of leg veins/lesion10.51NA5.541.41NA17.46090
    37760ALigation, leg veins, open10.45NA5.381.34NA17.17090
    37765APhleb veins - extrem - to 207.34NA4.550.48NA12.37090
    37766APhleb veins - extrem 20+9.29NA5.260.48NA15.03090
    37780ARevision of leg vein3.83NA2.880.49NA7.20090
    37785ALigate/divide/excise vein3.835.142.640.499.466.96090
    Start Printed Page 1156
    37788ARevascularization, penis21.98NA9.291.63NA32.90090
    37790APenile venous occlusion8.33NA4.530.76NA13.62090
    37799CVascular surgery procedure0.000.000.000.000.000.00YYY
    38100ARemoval of spleen, total14.48NA6.231.57NA22.28090
    38101ARemoval of spleen, partial15.29NA6.581.66NA23.53090
    38102ARemoval of spleen, total4.79NA1.650.59NA7.03ZZZ
    38115ARepair of ruptured spleen15.80NA6.701.69NA24.19090
    38120ALaparoscopy, splenectomy16.97NA7.432.09NA26.49090
    38129CLaparoscope proc, spleen0.000.000.000.000.000.00YYY
    38200AInjection for spleen x-ray2.64NA0.890.14NA3.67000
    38204BBl donor search management0.000.000.000.000.000.00XXX
    38205RHarvest allogenic stem cells1.50NA0.670.06NA2.23000
    38206RHarvest auto stem cells1.50NA0.670.06NA2.23000
    38207ICryopreserve stem cells0.000.000.000.000.000.00XXX
    38208IThaw preserved stem cells0.000.000.000.000.000.00XXX
    38209IWash harvest stem cells0.000.000.000.000.000.00XXX
    38210IT-cell depletion of harvest0.000.000.000.000.000.00XXX
    38211ITumor cell deplete of harvst0.000.000.000.000.000.00XXX
    38212IRbc depletion of harvest0.000.000.000.000.000.00XXX
    38213IPlatelet deplete of harvest0.000.000.000.000.000.00XXX
    38214IVolume deplete of harvest0.000.000.000.000.000.00XXX
    38215IHarvest stem cell concentrte0.000.000.000.000.000.00XXX
    38220ABone marrow aspiration1.083.980.520.045.101.64XXX
    38221ABone marrow biopsy1.374.190.650.055.612.07XXX
    38230RBone marrow collection4.53NA3.080.30NA7.91010
    38240RBone marrow/stem transplant2.24NA1.030.10NA3.37XXX
    38241RBone marrow/stem transplant2.24NA1.040.10NA3.38XXX
    38242ALymphocyte infuse transplant1.71NA0.770.06NA2.54000
    38300ADrainage, lymph node lesion1.994.422.070.186.594.24010
    38305ADrainage, lymph node lesion5.995.984.380.4312.4010.80090
    38308AIncision of lymph channels6.445.713.750.6212.7710.81090
    38380AThoracic duct procedure7.45NA5.710.82NA13.98090
    38381AThoracic duct procedure12.86NA6.941.91NA21.71090
    38382AThoracic duct procedure10.06NA5.831.30NA17.19090
    38500ABiopsy/removal, lymph nodes3.743.782.100.347.866.18010
    38505ANeedle biopsy, lymph nodes1.142.130.780.113.382.03000
    38510ABiopsy/removal, lymph nodes6.425.653.510.4612.5310.39010
    38520ABiopsy/removal, lymph nodes6.66NA4.110.63NA11.40090
    38525ABiopsy/removal, lymph nodes6.06NA3.360.58NA10.00090
    38530ABiopsy/removal, lymph nodes7.97NA4.460.76NA13.19090
    38542AExplore deep node(s), neck5.90NA4.510.60NA11.01090
    38550ARemoval, neck/armpit lesion6.91NA3.990.83NA11.73090
    38555ARemoval, neck/armpit lesion14.12NA8.621.76NA24.50090
    38562ARemoval, pelvic lymph nodes10.47NA5.831.17NA17.47090
    38564ARemoval, abdomen lymph nodes10.81NA5.301.28NA17.39090
    38570ALaparoscopy, lymph node biop9.24NA3.941.07NA14.25010
    38571ALaparoscopy, lymphadenectomy14.66NA5.600.96NA21.22010
    38572ALaparoscopy, lymphadenectomy16.57NA7.041.59NA25.20010
    38589CLaparoscope proc, lymphatic0.000.000.000.000.000.00YYY
    38700ARemoval of lymph nodes, neck8.23NA8.090.72NA17.04090
    38720ARemoval of lymph nodes, neck13.59NA11.071.24NA25.90090
    38724ARemoval of lymph nodes, neck14.52NA11.571.33NA27.42090
    38740ARemove armpit lymph nodes10.01NA5.010.83NA15.85090
    38745ARemove armpit lymph nodes13.08NA6.191.09NA20.36090
    38746ARemove thoracic lymph nodes4.88NA1.620.66NA7.16ZZZ
    38747ARemove abdominal lymph nodes4.88NA1.680.60NA7.16ZZZ
    38760ARemove groin lymph nodes12.93NA6.201.06NA20.19090
    38765ARemove groin lymph nodes19.95NA8.921.81NA30.68090
    38770ARemove pelvis lymph nodes13.21NA5.811.19NA20.21090
    38780ARemove abdomen lymph nodes16.57NA8.271.93NA26.77090
    38790AInject for lymphatic x-ray1.2911.240.790.1112.642.19000
    38792AIdentify sentinel node0.52NA0.440.05NA1.01000
    38794AAccess thoracic lymph duct4.44NA3.400.21NA8.05090
    38999CBlood/lymph system procedure0.000.000.000.000.000.00YYY
    39000AExploration of chest6.09NA4.700.88NA11.67090
    39010AExploration of chest11.77NA6.671.76NA20.20090
    39200ARemoval chest lesion13.60NA6.821.99NA22.41090
    39220ARemoval chest lesion17.39NA8.552.53NA28.47090
    39400AVisualization of chest5.60NA4.870.83NA11.30010
    39499CChest procedure0.000.000.000.000.000.00YYY
    39501ARepair diaphragm laceration13.17NA6.521.66NA21.35090
    39502ARepair paraesophageal hernia16.31NA7.202.03NA25.54090
    39503ARepair of diaphragm hernia94.86NA33.564.25NA132.67090
    39520ARepair of diaphragm hernia16.08NA8.112.21NA26.40090
    39530ARepair of diaphragm hernia15.39NA7.202.00NA24.59090
    Start Printed Page 1157
    39531ARepair of diaphragm hernia16.40NA7.452.21NA26.06090
    39540ARepair of diaphragm hernia13.30NA6.291.66NA21.25090
    39541ARepair of diaphragm hernia14.39NA6.651.83NA22.87090
    39545ARevision of diaphragm13.35NA7.621.87NA22.84090
    39560AResect diaphragm, simple11.98NA6.351.63NA19.96090
    39561AResect diaphragm, complex17.47NA9.402.38NA29.25090
    39599CDiaphragm surgery procedure0.000.000.000.000.000.00YYY
    40490ABiopsy of lip1.221.850.610.073.141.90000
    40500APartial excision of lip4.276.084.900.3710.729.54090
    40510APartial excision of lip4.696.824.790.4611.979.94090
    40520APartial excision of lip4.667.335.030.5112.5010.20090
    40525AReconstruct lip with flap7.54NA6.900.82NA15.26090
    40527AReconstruct lip with flap9.12NA7.850.99NA17.96090
    40530APartial removal of lip5.396.575.190.5712.5311.15090
    40650ARepair lip3.635.553.800.379.557.80090
    40652ARepair lip4.256.505.230.4711.229.95090
    40654ARepair lip5.307.165.960.5813.0411.84090
    40700ARepair cleft lip/nasal12.77NA9.511.12NA23.40090
    40701ARepair cleft lip/nasal15.83NA11.791.64NA29.26090
    40702ARepair cleft lip/nasal13.02NA8.471.22NA22.71090
    40720ARepair cleft lip/nasal13.53NA10.501.58NA25.61090
    40761ARepair cleft lip/nasal14.70NA10.821.70NA27.22090
    40799CLip surgery procedure0.000.000.000.000.000.00YYY
    40800ADrainage of mouth lesion1.172.211.140.113.492.42010
    40801ADrainage of mouth lesion2.533.172.030.225.924.78010
    40804ARemoval, foreign body, mouth1.242.551.120.113.902.47010
    40805ARemoval, foreign body, mouth2.693.391.980.216.294.88010
    40806AIncision of lip fold0.311.370.950.021.701.28000
    40808ABiopsy of mouth lesion0.962.291.080.083.332.12010
    40810AExcision of mouth lesion1.312.381.210.113.802.63010
    40812AExcise/repair mouth lesion2.313.241.780.215.764.30010
    40814AExcise/repair mouth lesion3.414.743.290.318.467.01090
    40816AExcision of mouth lesion3.664.913.390.338.907.38090
    40818AExcise oral mucosa for graft2.415.163.530.177.746.11090
    40819AExcise lip or cheek fold2.414.382.920.217.005.54090
    40820ATreatment of mouth lesion1.282.692.350.104.073.73010
    40830ARepair mouth laceration1.763.072.510.175.004.44010
    40831ARepair mouth laceration2.463.613.080.256.325.79010
    40840RReconstruction of mouth8.728.587.360.9518.2517.03090
    40842RReconstruction of mouth8.728.687.100.7818.1816.60090
    40843RReconstruction of mouth12.0810.878.611.0123.9621.70090
    40844RReconstruction of mouth15.9913.8211.751.9731.7829.71090
    40845RReconstruction of mouth18.5515.8213.551.7736.1433.87090
    40899CMouth surgery procedure0.000.000.000.000.000.00YYY
    41000ADrainage of mouth lesion1.302.471.400.113.882.81010
    41005ADrainage of mouth lesion1.262.671.620.114.042.99010
    41006ADrainage of mouth lesion3.244.383.440.307.926.98090
    41007ADrainage of mouth lesion3.104.163.310.277.536.68090
    41008ADrainage of mouth lesion3.364.533.490.298.187.14090
    41009ADrainage of mouth lesion3.584.863.850.308.747.73090
    41010AIncision of tongue fold1.063.463.460.074.594.59010
    41015ADrainage of mouth lesion3.955.364.060.359.668.36090
    41016ADrainage of mouth lesion4.065.454.070.349.858.47090
    41017ADrainage of mouth lesion4.065.364.140.399.818.59090
    41018ADrainage of mouth lesion5.095.804.250.4211.319.76090
    41100ABiopsy of tongue1.632.561.420.144.333.19010
    41105ABiopsy of tongue1.422.461.310.124.002.85010
    41108ABiopsy of floor of mouth1.052.201.120.103.352.27010
    41110AExcision of tongue lesion1.512.521.330.134.162.97010
    41112AExcision of tongue lesion2.734.252.710.247.225.68090
    41113AExcision of tongue lesion3.194.602.980.288.076.45090
    41114AExcision of tongue lesion8.468.756.310.7717.9815.54090
    41115AExcision of tongue fold1.743.432.570.165.334.47010
    41116AExcision of mouth lesion2.444.222.770.216.875.42090
    41120APartial removal of tongue9.76NA7.580.84NA18.18090
    41130APartial removal of tongue11.13NA8.360.98NA20.47090
    41135ATongue and neck surgery23.06NA14.832.00NA39.89090
    41140ARemoval of tongue25.46NA16.062.23NA43.75090
    41145ATongue removal, neck surgery30.01NA19.182.54NA51.73090
    41150ATongue, mouth, jaw surgery23.01NA15.492.01NA40.51090
    41153ATongue, mouth, neck surgery23.73NA15.962.06NA41.75090
    41155ATongue, jaw, & neck surgery27.68NA17.992.44NA48.11090
    41250ARepair tongue laceration1.913.071.620.185.163.71010
    41251ARepair tongue laceration2.273.581.930.226.074.42010
    41252ARepair tongue laceration2.974.162.280.287.415.53010
    Start Printed Page 1158
    41500AFixation of tongue3.70NA3.630.31NA7.64090
    41510ATongue to lip surgery3.41NA3.100.29NA6.80090
    41520AReconstruction, tongue fold2.734.073.220.237.036.18090
    41599CTongue and mouth surgery0.000.000.000.000.000.00YYY
    41800ADrainage of gum lesion1.172.661.440.113.942.72010
    41805ARemoval foreign body, gum1.242.732.330.114.083.68010
    41806ARemoval foreign body,jawbone2.693.623.140.276.586.10010
    41820RExcision, gum, each quadrant0.000.000.000.000.000.00000
    41821RExcision of gum flap0.000.000.000.000.000.00000
    41822RExcision of gum lesion2.314.091.330.296.693.93010
    41823RExcision of gum lesion3.305.824.100.359.477.75090
    41825AExcision of gum lesion1.313.272.350.124.703.78010
    41826AExcision of gum lesion2.313.852.890.216.375.41010
    41827AExcision of gum lesion3.415.613.840.309.327.55090
    41828RExcision of gum lesion3.094.383.350.277.746.71010
    41830RRemoval of gum tissue3.344.913.570.288.537.19010
    41850RTreatment of gum lesion0.000.000.000.000.000.00000
    41870RGum graft0.000.000.000.000.000.00000
    41872RRepair gum2.594.633.530.227.446.34090
    41874RRepair tooth socket3.094.683.290.288.056.66090
    41899CDental surgery procedure0.000.000.000.000.000.00YYY
    42000ADrainage mouth roof lesion1.232.721.250.124.072.60010
    42100ABiopsy roof of mouth1.312.271.360.123.702.79010
    42104AExcision lesion, mouth roof1.642.761.550.144.543.33010
    42106AExcision lesion, mouth roof2.103.722.810.196.015.10010
    42107AExcision lesion, mouth roof4.436.074.180.3910.899.00090
    42120ARemove palate/lesion6.16NA5.560.53NA12.25090
    42140AExcision of uvula1.622.482.370.144.244.13090
    42145ARepair palate, pharynx/uvula8.04NA6.610.68NA15.33090
    42160ATreatment mouth roof lesion1.803.592.650.165.554.61010
    42180ARepair palate2.503.382.120.236.114.85010
    42182ARepair palate3.824.233.060.338.387.21010
    42200AReconstruct cleft palate11.98NA9.011.17NA22.16090
    42205AReconstruct cleft palate13.27NA9.350.99NA23.61090
    42210AReconstruct cleft palate14.48NA10.521.50NA26.50090
    42215AReconstruct cleft palate8.81NA7.551.16NA17.52090
    42220AReconstruct cleft palate7.01NA5.640.49NA13.14090
    42225AReconstruct cleft palate9.53NA7.660.90NA18.09090
    42226ALengthening of palate9.99NA7.880.88NA18.75090
    42227ALengthening of palate9.51NA7.340.84NA17.69090
    42235ARepair palate7.86NA5.350.59NA13.80090
    42260ARepair nose to lip fistula9.799.237.441.0320.0518.26090
    42280APreparation, palate mold1.542.000.880.143.682.56010
    42281AInsertion, palate prosthesis1.932.921.880.175.023.98010
    42299CPalate/uvula surgery0.000.000.000.000.000.00YYY
    42300ADrainage of salivary gland1.932.951.830.185.063.94010
    42305ADrainage of salivary gland6.06NA4.950.55NA11.56090
    42310ADrainage of salivary gland1.562.341.540.134.033.23010
    42320ADrainage of salivary gland2.353.522.110.216.084.67010
    42325ACreate salivary cyst drain2.753.542.230.216.505.19090
    42326ACreate salivary cyst drain3.774.543.100.418.727.28090
    42330ARemoval of salivary stone2.213.301.860.195.704.26010
    42335ARemoval of salivary stone3.313.903.360.287.496.95090
    42340ARemoval of salivary stone4.595.144.270.4110.149.27090
    42400ABiopsy of salivary gland0.781.750.720.072.601.57000
    42405ABiopsy of salivary gland3.294.172.480.297.756.06010
    42408AExcision of salivary cyst4.535.054.060.419.999.00090
    42409ADrainage of salivary cyst2.813.553.090.246.606.14090
    42410AExcise parotid gland/lesion9.33NA6.640.93NA16.90090
    42415AExcise parotid gland/lesion16.86NA11.261.52NA29.64090
    42420AExcise parotid gland/lesion19.56NA12.771.75NA34.08090
    42425AExcise parotid gland/lesion13.00NA9.071.18NA23.25090
    42426AExcise parotid gland/lesion21.23NA13.431.89NA36.55090
    42440AExcise submaxillary gland6.96NA5.060.62NA12.64090
    42450AExcise sublingual gland4.615.664.240.4110.689.26090
    42500ARepair salivary duct4.295.464.180.3610.118.83090
    42505ARepair salivary duct6.176.905.360.5313.6012.06090
    42507AParotid duct diversion6.10NA5.200.80NA12.10090
    42508AParotid duct diversion9.09NA7.020.77NA16.88090
    42509AParotid duct diversion11.52NA8.421.50NA21.44090
    42510AParotid duct diversion8.14NA6.110.69NA14.94090
    42550AInjection for salivary x-ray1.2513.050.410.0714.371.73000
    42600AClosure of salivary fistula4.815.834.520.4111.059.74090
    42650ADilation of salivary duct0.771.170.710.072.011.55000
    42660ADilation of salivary duct1.131.480.840.082.692.05000
    Start Printed Page 1159
    42665ALigation of salivary duct2.533.562.960.216.305.70090
    42699CSalivary surgery procedure0.000.000.000.000.000.00YYY
    42700ADrainage of tonsil abscess1.622.741.730.144.503.49010
    42720ADrainage of throat abscess5.415.043.820.4710.929.70010
    42725ADrainage of throat abscess10.70NA8.000.96NA19.66090
    42800ABiopsy of throat1.392.231.400.123.742.91010
    42802ABiopsy of throat1.544.381.940.136.053.61010
    42804ABiopsy of upper nose/throat1.243.971.790.115.323.14010
    42806ABiopsy of upper nose/throat1.584.111.920.145.833.64010
    42808AExcise pharynx lesion2.303.171.930.215.684.44010
    42809ARemove pharynx foreign body1.812.361.360.164.333.33010
    42810AExcision of neck cyst3.254.843.370.308.396.92090
    42815AExcision of neck cyst7.06NA5.420.64NA13.12090
    42820ARemove tonsils and adenoids3.90NA3.470.34NA7.71090
    42821ARemove tonsils and adenoids4.28NA3.680.36NA8.32090
    42825ARemoval of tonsils3.41NA3.320.29NA7.02090
    42826ARemoval of tonsils3.37NA3.210.28NA6.86090
    42830ARemoval of adenoids2.57NA2.620.22NA5.41090
    42831ARemoval of adenoids2.71NA2.860.23NA5.80090
    42835ARemoval of adenoids2.30NA2.620.21NA5.13090
    42836ARemoval of adenoids3.18NA3.140.27NA6.59090
    42842AExtensive surgery of throat8.75NA6.740.74NA16.23090
    42844AExtensive surgery of throat14.29NA10.031.25NA25.57090
    42845AExtensive surgery of throat24.25NA16.112.12NA42.48090
    42860AExcision of tonsil tags2.22NA2.580.19NA4.99090
    42870AExcision of lingual tonsil5.39NA4.790.46NA10.64090
    42890APartial removal of pharynx12.92NA9.341.10NA23.36090
    42892ARevision of pharyngeal walls15.81NA10.891.37NA28.07090
    42894ARevision of pharyngeal walls22.85NA15.071.98NA39.90090
    42900ARepair throat wound5.24NA3.700.47NA9.41010
    42950AReconstruction of throat8.09NA6.600.70NA15.39090
    42953ARepair throat, esophagus8.95NA7.530.88NA17.36090
    42955ASurgical opening of throat7.38NA5.580.76NA13.72090
    42960AControl throat bleeding2.33NA2.000.21NA4.54010
    42961AControl throat bleeding5.58NA4.850.48NA10.91090
    42962AControl throat bleeding7.13NA5.730.62NA13.48090
    42970AControl nose/throat bleeding5.42NA3.610.45NA9.48090
    42971AControl nose/throat bleeding6.20NA4.970.54NA11.71090
    42972AControl nose/throat bleeding7.19NA5.470.65NA13.31090
    42999CThroat surgery procedure0.000.000.000.000.000.00YYY
    43020AIncision of esophagus8.08NA5.700.84NA14.62090
    43030AThroat muscle surgery7.68NA5.820.72NA14.22090
    43045AIncision of esophagus20.09NA10.762.59NA33.44090
    43100AExcision of esophagus lesion9.18NA6.270.95NA16.40090
    43101AExcision of esophagus lesion16.22NA7.942.18NA26.34090
    43107ARemoval of esophagus39.94NA17.143.97NA61.05090
    43108ARemoval of esophagus34.14NA14.304.56NA53.00090
    43112ARemoval of esophagus43.43NA18.244.43NA66.10090
    43113ARemoval of esophagus35.22NA15.205.22NA55.64090
    43116APartial removal of esophagus31.17NA16.813.16NA51.14090
    43117APartial removal of esophagus39.94NA16.384.23NA60.55090
    43118APartial removal of esophagus33.15NA13.874.29NA51.31090
    43121APartial removal of esophagus29.15NA12.754.15NA46.05090
    43122APartial removal of esophagus39.94NA16.493.94NA60.37090
    43123APartial removal of esophagus33.15NA14.184.78NA52.11090
    43124ARemoval of esophagus27.28NA13.163.56NA44.00090
    43130ARemoval of esophagus pouch11.73NA7.621.28NA20.63090
    43135ARemoval of esophagus pouch16.08NA8.162.23NA26.47090
    43200AEsophagus endoscopy1.594.011.100.135.732.82000
    43201AEsoph scope w/submucous inj2.094.701.270.146.933.50000
    43202AEsophagus endoscopy, biopsy1.895.380.960.147.412.99000
    43204AEsoph scope w/sclerosis inj3.76NA1.540.22NA5.52000
    43205AEsophagus endoscopy/ligation3.78NA1.550.21NA5.54000
    43215AEsophagus endoscopy2.60NA1.220.21NA4.03000
    43216AEsophagus endoscopy/lesion2.40NA1.180.18NA3.76000
    43217AEsophagus endoscopy2.906.791.210.219.904.32000
    43219AEsophagus endoscopy2.80NA1.370.19NA4.36000
    43220AEsoph endoscopy, dilation2.10NA0.990.14NA3.23000
    43226AEsoph endoscopy, dilation2.34NA1.060.14NA3.54000
    43227AEsoph endoscopy, repair3.59NA1.470.22NA5.28000
    43228AEsoph endoscopy, ablation3.76NA1.580.30NA5.64000
    43231AEsoph endoscopy w/us exam3.19NA1.330.24NA4.76000
    43232AEsoph endoscopy w/us fn bx4.47NA1.840.31NA6.62000
    43234AUpper GI endoscopy, exam2.015.210.900.167.383.07000
    43235AUppr gi endoscopy, diagnosis2.395.041.070.167.593.62000
    Start Printed Page 1160
    43236AUppr gi scope w/submuc inj2.926.321.260.179.414.35000
    43237AEndoscopic us exam, esoph3.98NA1.610.27NA5.86000
    43238AUppr gi endoscopy w/us fn bx5.02NA1.970.27NA7.26000
    43239AUpper GI endoscopy, biopsy2.875.581.230.178.624.27000
    43240AEsoph endoscope w/drain cyst6.85NA2.650.43NA9.93000
    43241AUpper GI endoscopy with tube2.59NA1.140.17NA3.90000
    43242AUppr gi endoscopy w/us fn bx7.30NA2.780.35NA10.43000
    43243AUpper gi endoscopy & inject4.56NA1.840.25NA6.65000
    43244AUpper GI endoscopy/ligation5.04NA2.010.25NA7.30000
    43245AUppr gi scope dilate strictr3.18NA1.340.22NA4.74000
    43246APlace gastrostomy tube4.32NA1.740.29NA6.35000
    43247AOperative upper GI endoscopy3.38NA1.420.21NA5.01000
    43248AUppr gi endoscopy/guide wire3.15NA1.350.18NA4.68000
    43249AEsoph endoscopy, dilation2.90NA1.250.18NA4.33000
    43250AUpper GI endoscopy/tumor3.20NA1.350.21NA4.76000
    43251AOperative upper GI endoscopy3.69NA1.530.23NA5.45000
    43255AOperative upper GI endoscopy4.81NA1.920.24NA6.97000
    43256AUppr gi endoscopy w stent4.34NA1.770.28NA6.39000
    43258AOperative upper GI endoscopy4.54NA1.840.27NA6.65000
    43259AEndoscopic ultrasound exam5.19NA2.040.27NA7.50000
    43260AEndo cholangiopancreatograph5.95NA2.310.33NA8.59000
    43261AEndo cholangiopancreatograph6.26NA2.420.35NA9.03000
    43262AEndo cholangiopancreatograph7.38NA2.810.41NA10.60000
    43263AEndo cholangiopancreatograph7.28NA2.780.34NA10.40000
    43264AEndo cholangiopancreatograph8.89NA3.350.49NA12.73000
    43265AEndo cholangiopancreatograph10.00NA3.730.51NA14.24000
    43267AEndo cholangiopancreatograph7.38NA2.800.41NA10.59000
    43268AEndo cholangiopancreatograph7.38NA2.900.41NA10.69000
    43269AEndo cholangiopancreatograph8.20NA3.100.34NA11.64000
    43271AEndo cholangiopancreatograph7.38NA2.800.41NA10.59000
    43272AEndo cholangiopancreatograph7.38NA2.810.41NA10.60000
    43280ALaparoscopy, fundoplasty17.22NA7.332.12NA26.67090
    43289CLaparoscope proc, esoph0.000.000.000.000.000.00YYY
    43300ARepair of esophagus9.13NA6.511.03NA16.67090
    43305ARepair esophagus and fistula17.36NA10.781.64NA29.78090
    43310ARepair of esophagus25.35NA11.153.84NA40.34090
    43312ARepair esophagus and fistula28.38NA12.004.08NA44.46090
    43313AEsophagoplasty congenital45.21NA20.156.55NA71.91090
    43314ATracheo-esophagoplasty cong50.19NA22.056.67NA78.91090
    43320AFuse esophagus & stomach19.90NA9.271.92NA31.09090
    43324ARevise esophagus & stomach20.54NA8.822.07NA31.43090
    43325ARevise esophagus & stomach20.03NA8.841.99NA30.86090
    43326ARevise esophagus & stomach19.71NA9.342.22NA31.27090
    43330ARepair of esophagus19.74NA8.591.83NA30.16090
    43331ARepair of esophagus20.10NA9.832.33NA32.26090
    43340AFuse esophagus & intestine19.58NA9.031.85NA30.46090
    43341AFuse esophagus & intestine20.82NA10.062.58NA33.46090
    43350ASurgical opening, esophagus15.76NA8.501.39NA25.65090
    43351ASurgical opening, esophagus18.32NA9.851.82NA29.99090
    43352ASurgical opening, esophagus15.24NA8.451.54NA25.23090
    43360AGastrointestinal repair35.65NA15.153.62NA54.42090
    43361AGastrointestinal repair40.44NA16.984.25NA61.67090
    43400ALigate esophagus veins21.17NA9.431.19NA31.79090
    43401AEsophagus surgery for veins22.06NA9.562.09NA33.71090
    43405ALigate/staple esophagus19.98NA9.621.97NA31.57090
    43410ARepair esophagus wound13.45NA7.691.39NA22.53090
    43415ARepair esophagus wound24.96NA11.802.32NA39.08090
    43420ARepair esophagus opening14.33NA7.481.04NA22.85090
    43425ARepair esophagus opening21.00NA10.032.45NA33.48090
    43450ADilate esophagus1.382.520.730.083.982.19000
    43453ADilate esophagus1.515.950.780.107.562.39000
    43456ADilate esophagus2.5713.751.150.1716.493.89000
    43458ADilate esophagus3.066.551.330.219.824.60000
    43460APressure treatment esophagus3.79NA1.490.25NA5.53000
    43496CFree jejunum flap, microvasc0.000.000.000.000.000.00090
    43499CEsophagus surgery procedure0.000.000.000.000.000.00YYY
    43500ASurgical opening of stomach11.03NA5.001.01NA17.04090
    43501ASurgical repair of stomach20.01NA8.361.87NA30.24090
    43502ASurgical repair of stomach23.10NA9.512.21NA34.82090
    43510ASurgical opening of stomach13.06NA6.591.09NA20.74090
    43520AIncision of pyloric muscle9.98NA5.301.01NA16.29090
    43600ABiopsy of stomach1.91NA1.030.13NA3.07000
    43605ABiopsy of stomach11.96NA5.321.12NA18.40090
    43610AExcision of stomach lesion14.58NA6.201.37NA22.15090
    43611AExcision of stomach lesion17.81NA7.611.66NA27.08090
    Start Printed Page 1161
    43620ARemoval of stomach29.99NA11.872.76NA44.62090
    43621ARemoval of stomach30.68NA12.062.85NA45.59090
    43622ARemoval of stomach32.48NA12.662.99NA48.13090
    43631ARemoval of stomach, partial22.56NA9.212.40NA34.17090
    43632ARemoval of stomach, partial22.56NA9.212.41NA34.18090
    43633ARemoval of stomach, partial23.07NA9.372.47NA34.91090
    43634ARemoval of stomach, partial25.08NA10.142.63NA37.85090
    43635ARemoval of stomach, partial2.06NA0.700.25NA3.01ZZZ
    43638ARemoval of stomach, partial28.96NA11.942.70NA43.60090
    43639ARemoval of stomach, partial29.61NA11.742.79NA44.14090
    43640AVagotomy & pylorus repair16.99NA7.301.82NA26.11090
    43641AVagotomy & pylorus repair17.24NA7.411.85NA26.50090
    43651ALaparoscopy, vagus nerve10.13NA4.801.24NA16.17090
    43652ALaparoscopy, vagus nerve12.13NA5.401.51NA19.04090
    43653ALaparoscopy, gastrostomy7.72NA4.220.94NA12.88090
    43659CLaparoscope proc, stom0.000.000.000.000.000.00YYY
    43750APlace gastrostomy tube4.48NA2.720.40NA7.60010
    43752ANasal/orogastric w/stent0.680.260.260.020.960.96000
    43760AChange gastrostomy tube1.101.650.450.082.831.63000
    43761AReposition gastrostomy tube2.01NA0.790.12NA2.92000
    43800AReconstruction of pylorus13.67NA5.941.29NA20.90090
    43810AFusion of stomach and bowel14.63NA6.231.33NA22.19090
    43820AFusion of stomach and bowel15.35NA6.451.42NA23.22090
    43825AFusion of stomach and bowel19.19NA8.061.81NA29.06090
    43830APlace gastrostomy tube9.52NA4.880.83NA15.23090
    43831APlace gastrostomy tube7.83NA4.540.98NA13.35090
    43832APlace gastrostomy tube15.58NA6.901.36NA23.84090
    43840ARepair of stomach lesion15.54NA6.811.45NA23.80090
    43842AGastroplasty for obesity18.44NA8.151.82NA28.41090
    43843AGastroplasty for obesity18.62NA8.121.85NA28.59090
    43846AGastric bypass for obesity24.01NA10.372.36NA36.74090
    43847AGastric bypass for obesity26.88NA11.322.58NA40.78090
    43848ARevision gastroplasty29.35NA12.252.88NA44.48090
    43850ARevise stomach-bowel fusion24.68NA9.872.38NA36.93090
    43855ARevise stomach-bowel fusion26.12NA10.382.42NA38.92090
    43860ARevise stomach-bowel fusion24.96NA10.032.45NA37.44090
    43865ARevise stomach-bowel fusion26.48NA10.562.59NA39.63090
    43870ARepair stomach opening9.68NA4.550.86NA15.09090
    43880ARepair stomach-bowel fistula24.61NA9.972.34NA36.92090
    43999CStomach surgery procedure0.000.000.000.000.000.00YYY
    44005AFreeing of bowel adhesion16.21NA6.771.68NA24.66090
    44010AIncision of small bowel12.50NA5.501.27NA19.27090
    44015AInsert needle cath bowel2.62NA0.890.30NA3.81ZZZ
    44020AExplore small intestine13.97NA5.981.45NA21.40090
    44021ADecompress small bowel14.06NA6.021.42NA21.50090
    44025AIncision of large bowel14.26NA6.071.46NA21.79090
    44050AReduce bowel obstruction14.01NA6.001.39NA21.40090
    44055ACorrect malrotation of bowel21.97NA8.781.59NA32.34090
    44100ABiopsy of bowel2.01NA1.100.14NA3.25000
    44110AExcise intestine lesion(s)11.79NA5.271.21NA18.27090
    44111AExcision of bowel lesion(s)14.27NA6.171.47NA21.91090
    44120ARemoval of small intestine16.97NA7.121.76NA25.85090
    44121ARemoval of small intestine4.44NA1.530.55NA6.52ZZZ
    44125ARemoval of small intestine17.51NA7.311.80NA26.62090
    44126AEnterectomy w/o taper, cong35.45NA14.160.43NA50.04090
    44127AEnterectomy w/taper, cong40.94NA15.790.49NA57.22090
    44128AEnterectomy cong, add-on4.44NA1.540.54NA6.52ZZZ
    44130ABowel to bowel fusion14.47NA6.261.48NA22.21090
    44132REnterectomy, cadaver donor0.000.000.000.000.000.00XXX
    44133REnterectomy, live donor0.000.000.000.000.000.00XXX
    44135RIntestine transplnt, cadaver0.000.000.000.000.000.00XXX
    44136RIntestine transplant, live0.000.000.000.000.000.00XXX
    44139AMobilization of colon2.23NA0.760.25NA3.24ZZZ
    44140APartial removal of colon20.97NA8.692.58NA32.24090
    44141APartial removal of colon19.48NA10.152.35NA31.98090
    44143APartial removal of colon22.96NA10.802.44NA36.20090
    44144APartial removal of colon21.50NA9.692.28NA33.47090
    44145APartial removal of colon26.38NA10.872.68NA39.93090
    44146APartial removal of colon27.50NA12.982.65NA43.13090
    44147APartial removal of colon20.68NA8.742.10NA31.52090
    44150ARemoval of colon23.91NA12.162.47NA38.54090
    44151ARemoval of colon/ileostomy26.84NA13.542.38NA42.76090
    44152ARemoval of colon/ileostomy27.79NA11.682.85NA42.32090
    44153ARemoval of colon/ileostomy30.54NA14.562.81NA47.91090
    44155ARemoval of colon/ileostomy27.82NA13.442.73NA43.99090
    Start Printed Page 1162
    44156ARemoval of colon/ileostomy30.74NA15.202.64NA48.58090
    44160ARemoval of colon18.59NA7.802.24NA28.63090
    44200ALaparoscopy, enterolysis14.42NA6.231.76NA22.41090
    44201ALaparoscopy, jejunostomy9.77NA4.701.17NA15.64090
    44202ALap resect s/intestine singl22.01NA8.982.61NA33.60090
    44203ALap resect s/intestine, addl4.44NA1.500.55NA6.49ZZZ
    44204ALaparo partial colectomy25.04NA10.003.08NA38.12090
    44205ALap colectomy part w/ileum22.20NA8.882.69NA33.77090
    44206ALap part colectomy w/stoma26.96NA11.372.44NA40.77090
    44207AL colectomy/coloproctostomy29.96NA11.592.68NA44.23090
    44208AL colectomy/coloproctostomy31.95NA13.272.65NA47.87090
    44210ALaparo total proctocolectomy27.96NA12.032.47NA42.46090
    44211ALaparo total proctocolectomy34.95NA14.742.81NA52.50090
    44212ALaparo total proctocolectomy32.45NA13.882.73NA49.06090
    44238CLaparoscope proc, intestine0.000.000.000.000.000.00YYY
    44239CLaparoscope proc, rectum0.000.000.000.000.000.00YYY
    44300AOpen bowel to skin12.09NA5.531.06NA18.68090
    44310AIleostomy/jejunostomy15.93NA6.731.36NA24.02090
    44312ARevision of ileostomy8.01NA4.030.65NA12.69090
    44314ARevision of ileostomy15.03NA6.601.19NA22.82090
    44316ADevise bowel pouch21.06NA8.601.70NA31.36090
    44320AColostomy17.61NA7.711.54NA26.86090
    44322AColostomy with biopsies11.96NA8.701.42NA22.08090
    44340ARevision of colostomy7.71NA4.310.68NA12.70090
    44345ARevision of colostomy15.41NA6.931.34NA23.68090
    44346ARevision of colostomy16.96NA7.431.45NA25.84090
    44360ASmall bowel endoscopy2.59NA1.120.17NA3.88000
    44361ASmall bowel endoscopy/biopsy2.87NA1.210.18NA4.26000
    44363ASmall bowel endoscopy3.49NA1.400.23NA5.12000
    44364ASmall bowel endoscopy3.73NA1.520.25NA5.50000
    44365ASmall bowel endoscopy3.31NA1.380.22NA4.91000
    44366ASmall bowel endoscopy4.40NA1.760.27NA6.43000
    44369ASmall bowel endoscopy4.51NA1.760.28NA6.55000
    44370ASmall bowel endoscopy/stent4.79NA1.990.25NA7.03000
    44372ASmall bowel endoscopy4.40NA1.750.33NA6.48000
    44373ASmall bowel endoscopy3.49NA1.450.23NA5.17000
    44376ASmall bowel endoscopy5.25NA2.040.35NA7.64000
    44377ASmall bowel endoscopy/biopsy5.52NA2.150.34NA8.01000
    44378ASmall bowel endoscopy7.12NA2.710.45NA10.28000
    44379AS bowel endoscope w/stent7.46NA2.930.46NA10.85000
    44380ASmall bowel endoscopy1.05NA0.560.10NA1.71000
    44382ASmall bowel endoscopy1.27NA0.650.11NA2.03000
    44383AIleoscopy w/stent2.94NA1.280.16NA4.38000
    44385AEndoscopy of bowel pouch1.824.980.960.146.942.92000
    44386AEndoscopy, bowel pouch/biop2.126.511.120.188.813.42000
    44388AColonoscopy2.825.141.160.228.184.20000
    44389AColonoscopy with biopsy3.136.491.280.229.844.63000
    44390AColonoscopy for foreign body3.826.761.510.2710.855.60000
    44391AColonoscopy for bleeding4.318.611.720.2813.206.31000
    44392AColonoscopy & polypectomy3.816.531.520.2810.625.61000
    44393AColonoscopy, lesion removal4.836.901.880.3312.067.04000
    44394AColonoscopy w/snare4.427.751.750.3112.486.48000
    44397AColonoscopy w/stent4.70NA2.060.34NA7.10000
    44500AIntro, gastrointestinal tube0.49NA0.360.02NA0.87000
    44602ASuture, small intestine16.01NA6.421.29NA23.72090
    44603ASuture, small intestine18.63NA7.311.68NA27.62090
    44604ASuture, large intestine16.01NA6.491.71NA24.21090
    44605ARepair of bowel lesion19.50NA8.461.86NA29.82090
    44615AIntestinal stricturoplasty15.91NA6.721.68NA24.31090
    44620ARepair bowel opening12.18NA5.361.27NA18.81090
    44625ARepair bowel opening15.03NA6.351.57NA22.95090
    44626ARepair bowel opening25.32NA9.873.05NA38.24090
    44640ARepair bowel-skin fistula21.62NA8.621.76NA32.00090
    44650ARepair bowel fistula22.54NA8.931.80NA33.27090
    44660ARepair bowel-bladder fistula21.33NA8.401.37NA31.10090
    44661ARepair bowel-bladder fistula24.77NA9.601.85NA36.22090
    44680ASurgical revision, intestine15.38NA6.481.65NA23.51090
    44700ASuspend bowel w/prosthesis16.09NA6.691.46NA24.24090
    44701AIntraop colon lavage add-on3.10NA1.060.25NA4.41ZZZ
    44799CUnlisted procedure intestine0.000.000.000.000.000.00YYY
    44800AExcision of bowel pouch11.21NA5.431.34NA17.98090
    44820AExcision of mesentery lesion12.07NA5.531.24NA18.84090
    44850ARepair of mesentery10.72NA5.041.19NA16.95090
    44899CBowel surgery procedure0.000.000.000.000.000.00YYY
    44900ADrain app abscess, open10.12NA4.741.01NA15.87090
    Start Printed Page 1163
    44901ADrain app abscess, percut3.37NA1.120.21NA4.70000
    44950AAppendectomy9.99NA4.351.06NA15.40090
    44955AAppendectomy add-on1.53NA0.530.19NA2.25ZZZ
    44960AAppendectomy12.32NA5.381.31NA19.01090
    44970ALaparoscopy, appendectomy8.69NA4.231.06NA13.98090
    44979CLaparoscope proc, app0.000.000.000.000.000.00YYY
    45000ADrainage of pelvic abscess4.51NA2.980.45NA7.94090
    45005ADrainage of rectal abscess1.994.841.690.227.053.90010
    45020ADrainage of rectal abscess4.71NA3.310.49NA8.51090
    45100ABiopsy of rectum3.67NA2.390.40NA6.46090
    45108ARemoval of anorectal lesion4.75NA2.910.55NA8.21090
    45110ARemoval of rectum27.96NA12.502.73NA43.19090
    45111APartial removal of rectum16.46NA7.211.93NA25.60090
    45112ARemoval of rectum30.49NA11.822.83NA45.14090
    45113APartial proctectomy30.53NA12.692.57NA45.79090
    45114APartial removal of rectum27.28NA11.012.75NA41.04090
    45116APartial removal of rectum24.54NA10.082.41NA37.03090
    45119ARemove rectum w/reservoir30.79NA12.542.57NA45.90090
    45120ARemoval of rectum24.56NA10.192.75NA37.50090
    45121ARemoval of rectum and colon27.00NA11.183.21NA41.39090
    45123APartial proctectomy16.68NA6.901.25NA24.83090
    45126APelvic exenteration45.09NA19.383.90NA68.37090
    45130AExcision of rectal prolapse16.42NA6.801.35NA24.57090
    45135AExcision of rectal prolapse19.25NA8.481.83NA29.56090
    45136AExcise ileoanal reservior27.26NA12.523.28NA43.06090
    45150AExcision of rectal stricture5.66NA2.980.55NA9.19090
    45160AExcision of rectal lesion15.30NA6.681.29NA23.27090
    45170AExcision of rectal lesion11.47NA5.271.07NA17.81090
    45190ADestruction, rectal tumor9.73NA4.680.92NA15.33090
    45300AProctosigmoidoscopy dx0.381.470.310.061.910.75000
    45303AProctosigmoidoscopy dilate0.4419.040.350.0719.550.86000
    45305AProctosigmoidoscopy w/bx1.012.580.520.113.701.64000
    45307AProctosigmoidoscopy fb0.943.000.500.184.121.62000
    45308AProctosigmoidoscopy removal0.831.940.460.162.931.45000
    45309AProctosigmoidoscopy removal2.012.770.860.214.993.08000
    45315AProctosigmoidoscopy removal1.402.800.650.244.442.29000
    45317AProctosigmoidoscopy bleed1.502.380.680.244.122.42000
    45320AProctosigmoidoscopy ablate1.582.840.730.244.662.55000
    45321AProctosigmoidoscopy volvul1.17NA0.580.21NA1.96000
    45327AProctosigmoidoscopy w/stent1.65NA0.700.12NA2.47000
    45330ADiagnostic sigmoidoscopy0.962.200.520.063.221.54000
    45331ASigmoidoscopy and biopsy1.152.910.630.084.141.86000
    45332ASigmoidoscopy w/fb removal1.794.860.850.136.782.77000
    45333ASigmoidoscopy & polypectomy1.794.720.850.146.652.78000
    45334ASigmoidoscopy for bleeding2.73NA1.180.19NA4.10000
    45335ASigmoidoscopy w/submuc inj1.463.440.680.084.982.22000
    45337ASigmoidoscopy & decompress2.36NA1.050.18NA3.59000
    45338ASigmoidoscopy w/tumr remove2.345.031.050.187.553.57000
    45339ASigmoidoscopy w/ablate tumr3.143.341.320.216.694.67000
    45340ASig w/balloon dilation1.896.720.830.088.692.80000
    45341ASigmoidoscopy w/ultrasound2.60NA1.120.24NA3.96000
    45342ASigmoidoscopy w/us guide bx4.05NA1.600.28NA5.93000
    45345ASigmoidoscopy w/stent2.92NA1.200.18NA4.30000
    45355ASurgical colonoscopy3.51NA1.400.31NA5.22000
    45378ADiagnostic colonoscopy3.696.041.580.249.975.51000
    4537853ADiagnostic colonoscopy0.962.200.520.063.221.54000
    45379AColonoscopy w/fb removal4.687.561.860.3012.546.84000
    45380AColonoscopy and biopsy4.437.071.780.2511.756.46000
    45381AColonoscopy, submucous inj4.198.141.690.2512.586.13000
    45382AColonoscopy/control bleeding5.689.722.230.3315.738.24000
    45383ALesion removal colonoscopy5.867.852.270.3914.108.52000
    45384ALesion remove colonoscopy4.696.691.870.2911.676.85000
    45385ALesion removal colonoscopy5.307.692.080.3413.337.72000
    45386AColonoscopy dilate stricture4.5713.651.830.2518.476.65000
    45387AColonoscopy w/stent5.90NA2.350.40NA8.65000
    45500ARepair of rectum7.28NA3.590.68NA11.55090
    45505ARepair of rectum7.57NA3.870.60NA12.04090
    45520ATreatment of rectal prolapse0.550.850.190.051.450.79000
    45540ACorrect rectal prolapse16.25NA6.861.41NA24.52090
    45541ACorrect rectal prolapse13.38NA6.001.06NA20.44090
    45550ARepair rectum/remove sigmoid22.97NA9.291.91NA34.17090
    45560ARepair of rectocele10.56NA5.120.88NA16.56090
    45562AExploration/repair of rectum15.36NA7.051.39NA23.80090
    45563AExploration/repair of rectum23.43NA10.612.22NA36.26090
    45800ARepair rect/bladder fistula17.74NA7.501.37NA26.61090
    Start Printed Page 1164
    45805ARepair fistula w/colostomy20.75NA9.601.77NA32.12090
    45820ARepair rectourethral fistula18.45NA7.701.41NA27.56090
    45825ARepair fistula w/colostomy21.22NA9.911.17NA32.30090
    45900AReduction of rectal prolapse2.61NA1.520.21NA4.34010
    45905ADilation of anal sphincter2.30NA1.430.17NA3.90010
    45910ADilation of rectal narrowing2.80NA1.660.17NA4.63010
    45915ARemove rectal obstruction3.144.731.170.218.084.52010
    45999CRectum surgery procedure0.000.000.000.000.000.00YYY
    46020APlacement of seton2.902.281.860.275.455.03010
    46030ARemoval of rectal marker1.231.350.710.132.712.07010
    46040AIncision of rectal abscess4.955.303.170.5810.838.70090
    46045AIncision of rectal abscess4.31NA2.920.48NA7.71090
    46050AIncision of anal abscess1.192.570.860.133.892.18010
    46060AIncision of rectal abscess5.68NA3.300.63NA9.61090
    46070AIncision of anal septum2.71NA1.880.33NA4.92090
    46080AIncision of anal sphincter2.492.391.130.285.163.90010
    46083AIncise external hemorrhoid1.402.500.950.144.042.49010
    46200ARemoval of anal fissure3.413.642.430.367.416.20090
    46210ARemoval of anal crypt2.674.812.140.317.795.12090
    46211ARemoval of anal crypts4.245.082.950.459.777.64090
    46220ARemoval of anal tag1.562.270.940.174.002.67010
    46221ALigation of hemorrhoid(s)2.041.621.120.143.803.30010
    46230ARemoval of anal tags2.573.041.280.275.884.12010
    46250AHemorrhoidectomy3.884.862.460.529.266.86090
    46255AHemorrhoidectomy4.595.402.670.6210.617.88090
    46257ARemove hemorrhoids & fissure5.39NA2.910.71NA9.01090
    46258ARemove hemorrhoids & fistula5.72NA3.310.77NA9.80090
    46260AHemorrhoidectomy6.36NA3.260.82NA10.44090
    46261ARemove hemorrhoids & fissure7.07NA3.660.84NA11.57090
    46262ARemove hemorrhoids & fistula7.49NA3.790.92NA12.20090
    46270ARemoval of anal fistula3.714.662.380.438.806.52090
    46275ARemoval of anal fistula4.554.362.570.489.397.60090
    46280ARemoval of anal fistula5.97NA3.310.60NA9.88090
    46285ARemoval of anal fistula4.083.592.350.418.086.84090
    46288ARepair anal fistula7.12NA3.720.72NA11.56090
    46320ARemoval of hemorrhoid clot1.612.120.850.173.902.63010
    46500AInjection into hemorrhoid(s)1.612.790.620.144.542.37010
    46600ADiagnostic anoscopy0.501.580.380.052.130.93000
    46604AAnoscopy and dilation1.319.300.640.1110.722.06000
    46606AAnoscopy and biopsy0.813.830.440.084.721.33000
    46608AAnoscopy, remove for body1.514.420.680.166.092.35000
    46610AAnoscopy, remove lesion1.324.080.630.145.542.09000
    46611AAnoscopy1.813.350.800.185.342.79000
    46612AAnoscopy, remove lesions2.345.191.000.227.753.56000
    46614AAnoscopy, control bleeding2.012.280.870.174.463.05000
    46615AAnoscopy2.682.521.100.285.484.06000
    46700ARepair of anal stricture9.12NA4.240.68NA14.04090
    46705ARepair of anal stricture6.89NA3.750.88NA11.52090
    46706ARepr of anal fistula w/glue2.39NA1.240.21NA3.84010
    46715ARepair of anovaginal fistula7.19NA3.640.92NA11.75090
    46716ARepair of anovaginal fistula15.05NA7.981.57NA24.60090
    46730AConstruction of absent anus26.71NA12.042.45NA41.20090
    46735AConstruction of absent anus32.12NA13.583.18NA48.88090
    46740AConstruction of absent anus29.96NA13.212.40NA45.57090
    46742ARepair of imperforated anus35.75NA17.543.17NA56.46090
    46744ARepair of cloacal anomaly52.55NA21.172.74NA76.46090
    46746ARepair of cloacal anomaly58.13NA25.203.03NA86.36090
    46748ARepair of cloacal anomaly64.11NA23.813.34NA91.26090
    46750ARepair of anal sphincter10.23NA5.100.83NA16.16090
    46751ARepair of anal sphincter8.76NA5.510.94NA15.21090
    46753AReconstruction of anus8.28NA3.880.70NA12.86090
    46754ARemoval of suture from anus2.203.591.700.145.934.04010
    46760ARepair of anal sphincter14.41NA7.111.04NA22.56090
    46761ARepair of anal sphincter13.82NA6.061.01NA20.89090
    46762AImplant artificial sphincter12.69NA5.560.86NA19.11090
    46900ADestruction, anal lesion(s)1.913.540.790.165.612.86010
    46910ADestruction, anal lesion(s)1.862.681.100.174.713.13010
    46916ACryosurgery, anal lesion(s)1.863.121.400.115.093.37010
    46917ALaser surgery, anal lesions1.869.171.120.1911.223.17010
    46922AExcision of anal lesion(s)1.863.321.090.215.393.16010
    46924ADestruction, anal lesion(s)2.768.691.360.2411.694.36010
    46934ADestruction of hemorrhoids3.505.012.700.318.826.51090
    46935ADestruction of hemorrhoids2.433.451.210.216.093.85010
    46936ADestruction of hemorrhoids3.684.452.260.368.496.30090
    46937ACryotherapy of rectal lesion2.692.731.220.145.564.05010
    Start Printed Page 1165
    46938ACryotherapy of rectal lesion4.654.222.700.489.357.83090
    46940ATreatment of anal fissure2.321.991.090.214.523.62010
    46942ATreatment of anal fissure2.041.841.020.174.053.23010
    46945ALigation of hemorrhoids1.843.541.880.215.593.93090
    46946ALigation of hemorrhoids2.584.171.850.277.024.70090
    46999CAnus surgery procedure0.000.000.000.000.000.00YYY
    47000ANeedle biopsy of liver1.903.260.630.115.272.64000
    47001ANeedle biopsy, liver add-on1.90NA0.650.22NA2.77ZZZ
    47010AOpen drainage, liver lesion15.99NA8.550.78NA25.32090
    47011APercut drain, liver lesion3.69NA1.210.21NA5.11000
    47015AInject/aspirate liver cyst15.09NA7.561.04NA23.69090
    47100AWedge biopsy of liver11.65NA6.100.90NA18.65090
    47120APartial removal of liver35.45NA15.282.76NA53.49090
    47122AExtensive removal of liver55.05NA21.624.34NA81.01090
    47125APartial removal of liver49.12NA19.673.84NA72.63090
    47130APartial removal of liver53.27NA21.144.19NA78.60090
    47133CRemoval of donor liver0.000.000.000.000.000.00XXX
    47134DPartial removal, donor liver0.000.000.000.000.000.00XXX
    47135RTransplantation of liver81.40NA32.079.81NA123.28090
    47136RTransplantation of liver68.50NA27.508.36NA104.36090
    47140APartial removal, donor liver54.92NA22.744.80NA82.46090
    47141APartial removal, donor liver67.40NA27.394.80NA99.59090
    47142APartial removal, donor liver74.89NA29.974.80NA109.66090
    47300ASurgery for liver lesion15.06NA7.291.17NA23.52090
    47350ARepair liver wound19.53NA8.931.51NA29.97090
    47360ARepair liver wound26.88NA11.672.06NA40.61090
    47361ARepair liver wound47.05NA18.643.75NA69.44090
    47362ARepair liver wound18.48NA8.801.47NA28.75090
    47370ALaparo ablate liver tumor rf19.66NA8.181.03NA28.87090
    47371ALaparo ablate liver cryosurg19.66NA8.191.03NA28.88090
    47379CLaparoscope procedure, liver0.000.000.000.000.000.00YYY
    47380AOpen ablate liver tumor rf22.97NA9.391.03NA33.39090
    47381AOpen ablate liver tumor cryo23.24NA9.651.03NA33.92090
    47382APercut ablate liver rf15.17NA6.101.37NA22.64010
    47399CLiver surgery procedure0.000.000.000.000.000.00YYY
    47400AIncision of liver duct32.44NA13.552.20NA48.19090
    47420AIncision of bile duct19.85NA8.822.05NA30.72090
    47425AIncision of bile duct19.80NA8.871.93NA30.60090
    47460AIncise bile duct sphincter18.01NA8.421.50NA27.93090
    47480AIncision of gallbladder10.80NA5.971.03NA17.80090
    47490AIncision of gallbladder7.22NA5.830.40NA13.45090
    47500AInjection for liver x-rays1.96NA0.640.11NA2.71000
    47505AInjection for liver x-rays0.762.600.250.043.401.05000
    47510AInsert catheter, bile duct7.82NA5.010.43NA13.26090
    47511AInsert bile duct drain10.48NA5.090.57NA16.14090
    47525AChange bile duct catheter5.54NA3.260.29NA9.09010
    47530ARevise/reinsert bile tube5.84NA4.320.35NA10.51090
    47550ABile duct endoscopy add-on3.02NA1.030.36NA4.41ZZZ
    47552ABiliary endoscopy thru skin6.03NA2.400.51NA8.94000
    47553ABiliary endoscopy thru skin6.34NA2.600.36NA9.30000
    47554ABiliary endoscopy thru skin9.05NA3.380.89NA13.32000
    47555ABiliary endoscopy thru skin7.55NA3.010.42NA10.98000
    47556ABiliary endoscopy thru skin8.55NA3.330.46NA12.34000
    47560ALaparoscopy w/cholangio4.88NA1.830.59NA7.30000
    47561ALaparo w/cholangio/biopsy5.17NA2.130.59NA7.89000
    47562ALaparoscopic cholecystectomy11.07NA5.001.36NA17.43090
    47563ALaparo cholecystectomy/graph11.92NA5.321.46NA18.70090
    47564ALaparo cholecystectomy/explr14.21NA5.971.74NA21.92090
    47570ALaparo cholecystoenterostomy12.56NA5.391.54NA19.49090
    47579CLaparoscope proc, biliary0.000.000.000.000.000.00YYY
    47600ARemoval of gallbladder13.56NA6.201.40NA21.16090
    47605ARemoval of gallbladder14.67NA6.551.51NA22.73090
    47610ARemoval of gallbladder18.79NA7.991.94NA28.72090
    47612ARemoval of gallbladder18.75NA7.941.93NA28.62090
    47620ARemoval of gallbladder20.61NA8.592.13NA31.33090
    47630ARemove bile duct stone9.10NA4.800.55NA14.45090
    47700AExploration of bile ducts15.60NA7.481.69NA24.77090
    47701ABile duct revision27.77NA11.583.62NA42.97090
    47711AExcision of bile duct tumor23.00NA10.012.39NA35.40090
    47712AExcision of bile duct tumor30.19NA12.503.22NA45.91090
    47715AExcision of bile duct cyst18.77NA8.491.92NA29.18090
    47716AFusion of bile duct cyst16.42NA7.881.70NA26.00090
    47720AFuse gallbladder & bowel15.89NA7.541.65NA25.08090
    47721AFuse upper gi structures19.09NA8.631.97NA29.69090
    47740AFuse gallbladder & bowel18.45NA8.451.92NA28.82090
    Start Printed Page 1166
    47741AFuse gallbladder & bowel21.31NA9.352.20NA32.86090
    47760AFuse bile ducts and bowel25.81NA10.922.67NA39.40090
    47765AFuse liver ducts & bowel24.84NA10.892.63NA38.36090
    47780AFuse bile ducts and bowel26.46NA11.282.74NA40.48090
    47785AFuse bile ducts and bowel31.13NA13.013.24NA47.38090
    47800AReconstruction of bile ducts23.27NA10.132.35NA35.75090
    47801APlacement, bile duct support15.15NA8.330.83NA24.31090
    47802AFuse liver duct & intestine21.52NA9.762.22NA33.50090
    47900ASuture bile duct injury19.87NA8.931.99NA30.79090
    47999CBile tract surgery procedure0.000.000.000.000.000.00YYY
    48000ADrainage of abdomen28.03NA11.581.59NA41.20090
    48001APlacement of drain, pancreas35.40NA13.952.29NA51.64090
    48005AResect/debride pancreas42.11NA16.632.73NA61.47090
    48020ARemoval of pancreatic stone15.68NA7.351.64NA24.67090
    48100ABiopsy of pancreas, open12.21NA5.651.30NA19.16090
    48102ANeedle biopsy, pancreas4.679.042.450.2413.957.36010
    48120ARemoval of pancreas lesion15.83NA6.901.63NA24.36090
    48140APartial removal of pancreas22.91NA9.602.56NA35.07090
    48145APartial removal of pancreas23.98NA9.912.71NA36.60090
    48146APancreatectomy26.36NA12.092.93NA41.38090
    48148ARemoval of pancreatic duct17.31NA7.681.94NA26.93090
    48150APartial removal of pancreas47.93NA19.655.34NA72.92090
    48152APancreatectomy43.68NA18.354.91NA66.94090
    48153APancreatectomy47.82NA19.745.31NA72.87090
    48154APancreatectomy44.03NA18.384.95NA67.36090
    48155ARemoval of pancreas24.60NA11.822.77NA39.19090
    48160NPancreas removal/transplant0.000.000.000.000.000.00XXX
    48180AFuse pancreas and bowel24.68NA10.222.70NA37.60090
    48400AInjection, intraop add-on1.95NA0.640.12NA2.71ZZZ
    48500ASurgery of pancreatic cyst15.26NA7.401.63NA24.29090
    48510ADrain pancreatic pseudocyst14.29NA7.541.29NA23.12090
    48511ADrain pancreatic pseudocyst3.99NA1.310.21NA5.51000
    48520AFuse pancreas cyst and bowel15.57NA6.751.70NA24.02090
    48540AFuse pancreas cyst and bowel19.69NA8.162.20NA30.05090
    48545APancreatorrhaphy18.15NA8.051.94NA28.14090
    48547ADuodenal exclusion25.79NA10.552.77NA39.11090
    48550XDonor pancreatectomy0.000.000.000.000.000.00XXX
    48554RTranspl allograft pancreas34.12NA17.323.98NA55.42090
    48556ARemoval, allograft pancreas15.69NA8.291.83NA25.81090
    48999CPancreas surgery procedure0.000.000.000.000.000.00YYY
    49000AExploration of abdomen11.66NA5.421.41NA18.49090
    49002AReopening of abdomen10.47NA5.071.28NA16.82090
    49010AExploration behind abdomen12.26NA5.951.47NA19.68090
    49020ADrain abdominal abscess22.81NA10.241.58NA34.63090
    49021ADrain abdominal abscess3.37NA1.120.19NA4.68000
    49040ADrain, open, abdom abscess13.50NA6.471.01NA20.98090
    49041ADrain, percut, abdom abscess3.99NA1.310.22NA5.52000
    49060ADrain, open, retrop abscess15.84NA7.480.93NA24.25090
    49061ADrain, percut, retroper absc3.69NA1.210.21NA5.11000
    49062ADrain to peritoneal cavity11.34NA5.501.30NA18.14090
    49080APuncture, peritoneal cavity1.354.200.450.085.631.88000
    49081ARemoval of abdominal fluid1.262.620.570.073.951.90000
    49085ARemove abdomen foreign body12.12NA5.561.06NA18.74090
    49180ABiopsy, abdominal mass1.733.320.560.105.152.39000
    49200ARemoval of abdominal lesion10.23NA5.081.11NA16.42090
    49201ARemove abdom lesion, complex14.82NA7.101.77NA23.69090
    49215AExcise sacral spine tumor33.45NA14.092.99NA50.53090
    49220AMultiple surgery, abdomen14.86NA6.691.82NA23.37090
    49250AExcision of umbilicus8.34NA4.331.01NA13.68090
    49255ARemoval of omentum11.12NA5.661.35NA18.13090
    49320ADiag laparo separate proc5.09NA2.640.60NA8.33010
    49321ALaparoscopy, biopsy5.39NA2.650.64NA8.68010
    49322ALaparoscopy, aspiration5.69NA2.990.69NA9.37010
    49323ALaparo drain lymphocele9.47NA4.521.06NA15.05090
    49329CLaparo proc, abdm/per/oment0.000.000.000.000.000.00YYY
    49400AAir injection into abdomen1.88NA0.790.13NA2.80000
    49419AInsrt abdom cath for chemotx6.64NA3.560.66NA10.86090
    49420AInsert abdom drain, temp2.22NA1.120.16NA3.50000
    49421AInsert abdom drain, perm5.53NA3.200.66NA9.39090
    49422ARemove perm cannula/catheter6.24NA2.910.76NA9.91010
    49423AExchange drainage catheter1.46NA0.670.08NA2.21000
    49424AAssess cyst, contrast inject0.76NA0.440.04NA1.24000
    49425AInsert abdomen-venous drain11.35NA5.651.46NA18.46090
    49426ARevise abdomen-venous shunt9.62NA4.821.12NA15.56090
    49427AInjection, abdominal shunt0.89NA0.480.06NA1.43000
    Start Printed Page 1167
    49428ALigation of shunt6.05NA3.290.37NA9.71010
    49429ARemoval of shunt7.39NA3.440.98NA11.81010
    49491ARpr hern preemie reduc11.11NA5.071.33NA17.51090
    49492ARpr ing hern premie, blocked14.01NA6.141.77NA21.92090
    49495ARpr ing hernia baby, reduc5.88NA3.000.70NA9.58090
    49496ARpr ing hernia baby, blocked8.78NA4.371.11NA14.26090
    49500ARpr ing hernia, init, reduce5.47NA3.150.55NA9.17090
    49501ARpr ing hernia, init blocked8.87NA4.240.92NA14.03090
    49505APrp i/hern init reduc>5 yr7.594.103.870.7812.4712.24090
    49507APrp i/hern init block>5 yr9.56NA4.541.00NA15.10090
    49520ARerepair ing hernia, reduce9.62NA4.491.01NA15.12090
    49521ARerepair ing hernia, blocked11.95NA5.281.25NA18.48090
    49525ARepair ing hernia, sliding8.56NA4.130.89NA13.58090
    49540ARepair lumbar hernia10.37NA4.811.09NA16.27090
    49550ARpr rem hernia, init, reduce8.62NA4.160.90NA13.68090
    49553ARpr fem hernia, init blocked9.43NA4.461.00NA14.89090
    49555ARerepair fem hernia, reduce9.02NA4.320.95NA14.29090
    49557ARerepair fem hernia, blocked11.13NA5.031.17NA17.33090
    49560ARpr ventral hern init, reduc11.55NA5.211.21NA17.97090
    49561ARpr ventral hern init, block14.23NA6.111.48NA21.82090
    49565ARerepair ventrl hern, reduce11.55NA5.281.21NA18.04090
    49566ARerepair ventrl hern, block14.38NA6.181.50NA22.06090
    49568AHernia repair w/mesh4.88NA1.680.60NA7.16ZZZ
    49570ARpr epigastric hern, reduce5.68NA3.200.60NA9.48090
    49572ARpr epigastric hern, blocked6.72NA3.500.70NA10.92090
    49580ARpr umbil hern, reduc < 5 yr4.10NA2.640.41NA7.15090
    49582ARpr umbil hern, block < 5 yr6.64NA3.530.69NA10.86090
    49585ARpr umbil hern, reduc > 5 yr6.22NA3.350.64NA10.21090
    49587ARpr umbil hern, block > 5 yr7.55NA3.780.78NA12.11090
    49590ARepair spigilian hernia8.53NA4.130.89NA13.55090
    49600ARepair umbilical lesion10.94NA5.391.36NA17.69090
    49605ARepair umbilical lesion75.89NA28.653.10NA107.64090
    49606ARepair umbilical lesion18.57NA7.772.68NA29.02090
    49610ARepair umbilical lesion10.48NA5.260.93NA16.67090
    49611ARepair umbilical lesion8.91NA7.250.78NA16.94090
    49650ALaparo hernia repair initial6.26NA3.230.77NA10.26090
    49651ALaparo hernia repair recur8.23NA4.091.01NA13.33090
    49659CLaparo proc, hernia repair0.000.000.000.000.000.00YYY
    49900ARepair of abdominal wall12.26NA6.281.48NA20.02090
    49904AOmental flap, extra-abdom19.97NA15.522.30NA37.79090
    49905AOmental flap, intra-abdom6.54NA2.300.74NA9.58ZZZ
    49906CFree omental flap, microvasc0.000.000.000.000.000.00090
    49999CAbdomen surgery procedure0.000.000.000.000.000.00YYY
    50010AExploration of kidney10.96NA5.420.95NA17.33090
    50020ARenal abscess, open drain14.64NA8.810.96NA24.41090
    50021ARenal abscess, percut drain3.37NA1.110.18NA4.66000
    50040ADrainage of kidney14.92NA8.420.99NA24.33090
    50045AExploration of kidney15.44NA6.801.28NA23.52090
    50060ARemoval of kidney stone19.27NA8.031.37NA28.67090
    50065AIncision of kidney20.76NA6.241.36NA28.36090
    50070AIncision of kidney20.29NA8.421.45NA30.16090
    50075ARemoval of kidney stone25.30NA10.191.82NA37.31090
    50080ARemoval of kidney stone14.69NA7.851.04NA23.58090
    50081ARemoval of kidney stone21.77NA10.351.57NA33.69090
    50100ARevise kidney blood vessels16.07NA7.991.98NA26.04090
    50120AExploration of kidney15.89NA6.971.25NA24.11090
    50125AExplore and drain kidney16.50NA7.121.29NA24.91090
    50130ARemoval of kidney stone17.26NA7.381.25NA25.89090
    50135AExploration of kidney19.15NA7.981.42NA28.55090
    50200ABiopsy of kidney2.63NA0.900.14NA3.67000
    50205ABiopsy of kidney11.29NA5.241.13NA17.66090
    50220ARemove kidney, open17.12NA7.441.40NA25.96090
    50225ARemoval kidney open, complex20.20NA8.361.52NA30.08090
    50230ARemoval kidney open, radical22.04NA8.831.63NA32.50090
    50234ARemoval of kidney & ureter22.37NA9.041.65NA33.06090
    50236ARemoval of kidney & ureter24.82NA11.411.81NA38.04090
    50240APartial removal of kidney21.97NA10.501.64NA34.11090
    50280ARemoval of kidney lesion15.65NA6.891.19NA23.73090
    50290ARemoval of kidney lesion14.71NA6.651.34NA22.70090
    50300XRemoval of donor kidney0.000.000.000.000.000.00XXX
    50320ARemoval of donor kidney22.18NA9.962.15NA34.29090
    50340ARemoval of kidney12.13NA6.931.39NA20.45090
    50360ATransplantation of kidney31.48NA15.763.58NA50.82090
    50365ATransplantation of kidney36.75NA18.554.23NA59.53090
    50370ARemove transplanted kidney13.70NA7.521.52NA22.74090
    Start Printed Page 1168
    50380AReimplantation of kidney20.73NA13.262.17NA36.16090
    50390ADrainage of kidney lesion1.96NA0.640.11NA2.71000
    50392AInsert kidney drain3.37NA1.110.18NA4.66000
    50393AInsert ureteral tube4.15NA1.350.22NA5.72000
    50394AInjection for kidney x-ray0.762.540.250.053.351.06000
    50395ACreate passage to kidney3.37NA1.100.19NA4.66000
    50396AMeasure kidney pressure2.09NA0.860.12NA3.07000
    50398AChange kidney tube1.461.190.470.082.732.01000
    50400ARevision of kidney/ureter19.47NA7.721.46NA28.65090
    50405ARevision of kidney/ureter23.89NA10.411.75NA36.05090
    50500ARepair of kidney wound19.54NA8.771.75NA30.06090
    50520AClose kidney-skin fistula17.20NA8.751.52NA27.47090
    50525ARepair renal-abdomen fistula22.24NA10.161.82NA34.22090
    50526ARepair renal-abdomen fistula23.98NA10.881.95NA36.81090
    50540ARevision of horseshoe kidney19.90NA8.551.54NA29.99090
    50541ALaparo ablate renal cyst15.98NA6.411.19NA23.58090
    50542ALaparo ablate renal mass19.97NA8.131.64NA29.74090
    50543ALaparo partial nephrectomy25.46NA10.271.64NA37.37090
    50544ALaparoscopy, pyeloplasty22.37NA8.471.70NA32.54090
    50545ALaparo radical nephrectomy23.96NA9.121.85NA34.93090
    50546ALaparoscopic nephrectomy20.45NA8.301.65NA30.40090
    50547ALaparo removal donor kidney25.46NA10.442.46NA38.36090
    50548ALaparo remove w/ ureter24.36NA9.111.80NA35.27090
    50549CLaparoscope proc, renal0.000.000.000.000.000.00YYY
    50551AKidney endoscopy5.594.921.800.4010.917.79000
    50553AKidney endoscopy5.9818.591.950.4224.998.35000
    50555AKidney endoscopy & biopsy6.5219.172.110.4626.159.09000
    50557AKidney endoscopy & treatment6.6120.042.120.4727.129.20000
    50559ARenal endoscopy/radiotracer6.77NA2.190.33NA9.29000
    50561AKidney endoscopy & treatment7.5817.692.440.5325.8010.55000
    50562ARenal scope w/tumor resect10.90NA3.841.01NA15.75090
    50570AKidney endoscopy9.53NA3.060.68NA13.27000
    50572AKidney endoscopy10.33NA3.330.77NA14.43000
    50574AKidney endoscopy & biopsy11.00NA3.570.78NA15.35000
    50575AKidney endoscopy13.96NA4.481.01NA19.45000
    50576AKidney endoscopy & treatment10.97NA3.510.80NA15.28000
    50578ARenal endoscopy/radiotracer11.33NA3.640.81NA15.78000
    50580AKidney endoscopy & treatment11.84NA3.800.84NA16.48000
    50590AFragmenting of kidney stone9.0810.775.030.6520.5014.76090
    50600AExploration of ureter15.82NA6.991.19NA24.00090
    50605AInsert ureteral support15.44NA7.001.36NA23.80090
    50610ARemoval of ureter stone15.90NA7.241.30NA24.44090
    50620ARemoval of ureter stone15.14NA6.621.10NA22.86090
    50630ARemoval of ureter stone14.92NA6.561.09NA22.57090
    50650ARemoval of ureter17.38NA7.501.29NA26.17090
    50660ARemoval of ureter19.52NA8.241.44NA29.20090
    50684AInjection for ureter x-ray0.7615.380.250.0516.191.06000
    50686AMeasure ureter pressure1.514.560.650.116.182.27000
    50688AChange of ureter tube1.17NA1.750.07NA2.99010
    50690AInjection for ureter x-ray1.1615.840.370.0717.071.60000
    50700ARevision of ureter15.19NA7.301.04NA23.53090
    50715ARelease of ureter18.87NA9.032.03NA29.93090
    50722ARelease of ureter16.33NA8.031.70NA26.06090
    50725ARelease/revise ureter18.46NA8.311.74NA28.51090
    50727ARevise ureter8.17NA5.200.62NA13.99090
    50728ARevise ureter12.00NA6.721.06NA19.78090
    50740AFusion of ureter & kidney18.39NA7.961.80NA28.15090
    50750AFusion of ureter & kidney19.48NA8.271.50NA29.25090
    50760AFusion of ureters18.39NA7.951.51NA27.85090
    50770ASplicing of ureters19.48NA8.251.51NA29.24090
    50780AReimplant ureter in bladder18.33NA7.861.45NA27.64090
    50782AReimplant ureter in bladder19.51NA9.831.36NA30.70090
    50783AReimplant ureter in bladder20.52NA9.351.63NA31.50090
    50785AReimplant ureter in bladder20.49NA8.581.57NA30.64090
    50800AImplant ureter in bowel14.50NA6.991.11NA22.60090
    50810AFusion of ureter & bowel20.02NA9.572.15NA31.74090
    50815AUrine shunt to intestine19.90NA8.931.58NA30.41090
    50820AConstruct bowel bladder21.86NA9.141.66NA32.66090
    50825AConstruct bowel bladder28.14NA11.652.18NA41.97090
    50830ARevise urine flow31.23NA12.662.65NA46.54090
    50840AReplace ureter by bowel19.97NA8.931.52NA30.42090
    50845AAppendico-vesicostomy20.86NA8.871.52NA31.25090
    50860ATransplant ureter to skin15.34NA6.891.22NA23.45090
    50900ARepair of ureter13.60NA6.361.18NA21.14090
    50920AClosure ureter/skin fistula14.31NA6.791.01NA22.11090
    Start Printed Page 1169
    50930AClosure ureter/bowel fistula18.69NA8.191.89NA28.77090
    50940ARelease of ureter14.49NA6.631.25NA22.37090
    50945ALaparoscopy ureterolithotomy16.97NA6.961.39NA25.32090
    50947ALaparo new ureter/bladder24.46NA9.662.40NA36.52090
    50948ALaparo new ureter/bladder22.47NA8.622.21NA33.30090
    50949CLaparoscope proc, ureter0.000.000.000.000.000.00YYY
    50951AEndoscopy of ureter5.835.341.870.4211.598.12000
    50953AEndoscopy of ureter6.2318.612.000.4525.298.68000
    50955AUreter endoscopy & biopsy6.7420.512.220.4627.719.42000
    50957AUreter endoscopy & treatment6.7818.262.180.4825.529.44000
    50959AUreter endoscopy & tracer4.39NA1.370.22NA5.98000
    50961AUreter endoscopy & treatment6.0425.471.940.4231.938.40000
    50970AUreter endoscopy7.13NA2.300.52NA9.95000
    50972AUreter endoscopy & catheter6.88NA2.270.47NA9.62000
    50974AUreter endoscopy & biopsy9.16NA2.930.64NA12.73000
    50976AUreter endoscopy & treatment9.03NA2.910.64NA12.58000
    50978AUreter endoscopy & tracer5.09NA1.670.36NA7.12000
    50980AUreter endoscopy & treatment6.84NA2.200.49NA9.53000
    51000ADrainage of bladder0.781.980.240.062.821.08000
    51005ADrainage of bladder1.024.800.340.105.921.46000
    51010ADrainage of bladder3.525.741.890.289.545.69010
    51020AIncise & treat bladder6.70NA3.980.51NA11.19090
    51030AIncise & treat bladder6.76NA4.090.51NA11.36090
    51040AIncise & drain bladder4.39NA2.870.33NA7.59090
    51045AIncise bladder/drain ureter6.76NA4.060.57NA11.39090
    51050ARemoval of bladder stone6.91NA3.750.51NA11.17090
    51060ARemoval of ureter stone8.84NA4.620.65NA14.11090
    51065ARemove ureter calculus8.84NA4.470.64NA13.95090
    51080ADrainage of bladder abscess5.95NA3.660.42NA10.03090
    51500ARemoval of bladder cyst10.12NA5.081.06NA16.26090
    51520ARemoval of bladder lesion9.28NA4.790.70NA14.77090
    51525ARemoval of bladder lesion13.95NA6.251.03NA21.23090
    51530ARemoval of bladder lesion12.36NA5.870.99NA19.22090
    51535ARepair of ureter lesion12.55NA6.231.09NA19.87090
    51550APartial removal of bladder15.64NA6.861.27NA23.77090
    51555APartial removal of bladder21.20NA8.811.65NA31.66090
    51565ARevise bladder & ureter(s)21.59NA9.121.69NA32.40090
    51570ARemoval of bladder24.20NA9.941.92NA36.06090
    51575ARemoval of bladder & nodes30.40NA12.262.27NA44.93090
    51580ARemove bladder/revise tract31.03NA12.732.34NA46.10090
    51585ARemoval of bladder & nodes35.18NA13.932.63NA51.74090
    51590ARemove bladder/revise tract32.61NA12.842.42NA47.87090
    51595ARemove bladder/revise tract37.08NA14.362.69NA54.13090
    51596ARemove bladder/create pouch39.46NA15.472.88NA57.81090
    51597ARemoval of pelvic structures38.29NA15.073.00NA56.36090
    51600AInjection for bladder x-ray0.885.850.290.056.781.22000
    51605APreparation for bladder xray0.6410.800.350.0511.491.04000
    51610AInjection for bladder x-ray1.051.720.600.062.831.71000
    51700AIrrigation of bladder0.881.650.280.062.591.22000
    51701AInsert bladder catheter0.501.640.190.042.180.73000
    51702AInsert temp bladder cath0.502.340.260.042.880.80000
    51703AInsert bladder cath, complex1.473.050.570.114.632.15000
    51705AChange of bladder tube1.022.340.610.073.431.70010
    51710AChange of bladder tube1.493.430.770.115.032.37010
    51715AEndoscopic injection/implant3.734.011.350.298.035.37000
    51720ATreatment of bladder lesion1.961.790.710.143.892.81000
    51725ASimple cystometrogram1.515.77NA0.167.44NA000
    5172526ASimple cystometrogram1.510.490.490.122.122.12000
    51725TCASimple cystometrogram0.005.28NA0.045.32NA000
    51726AComplex cystometrogram1.717.84NA0.189.73NA000
    5172626AComplex cystometrogram1.710.560.560.132.402.40000
    51726TCAComplex cystometrogram0.007.28NA0.057.33NA000
    51736AUrine flow measurement0.610.58NA0.061.25NA000
    5173626AUrine flow measurement0.610.200.200.050.860.86000
    51736TCAUrine flow measurement0.000.38NA0.010.39NA000
    51741AElectro-uroflowmetry, first1.140.80NA0.102.04NA000
    5174126AElectro-uroflowmetry, first1.140.370.370.081.591.59000
    51741TCAElectro-uroflowmetry, first0.000.43NA0.020.45NA000
    51772AUrethra pressure profile1.615.78NA0.197.58NA000
    5177226AUrethra pressure profile1.610.550.550.142.302.30000
    51772TCAUrethra pressure profile0.005.23NA0.055.28NA000
    51784AAnal/urinary muscle study1.534.11NA0.165.80NA000
    5178426AAnal/urinary muscle study1.530.500.500.122.152.15000
    51784TCAAnal/urinary muscle study0.003.61NA0.043.65NA000
    51785AAnal/urinary muscle study1.534.62NA0.156.30NA000
    Start Printed Page 1170
    5178526AAnal/urinary muscle study1.530.500.500.112.142.14000
    51785TCAAnal/urinary muscle study0.004.12NA0.044.16NA000
    51792AUrinary reflex study1.105.98NA0.247.32NA000
    5179226AUrinary reflex study1.100.410.410.111.621.62000
    51792TCAUrinary reflex study0.005.57NA0.135.70NA000
    51795AUrine voiding pressure study1.537.62NA0.229.37NA000
    5179526AUrine voiding pressure study1.530.500.500.122.152.15000
    51795TCAUrine voiding pressure study0.007.12NA0.107.22NA000
    51797AIntraabdominal pressure test1.605.95NA0.177.72NA000
    5179726AIntraabdominal pressure test1.600.520.520.122.242.24000
    51797TCAIntraabdominal pressure test0.005.43NA0.055.48NA000
    51798AUs urine capacity measure0.000.36NA0.080.44NAXXX
    51800ARevision of bladder/urethra17.39NA7.691.41NA26.49090
    51820ARevision of urinary tract17.86NA8.461.75NA28.07090
    51840AAttach bladder/urethra10.69NA5.571.05NA17.31090
    51841AAttach bladder/urethra13.01NA6.371.25NA20.63090
    51845ARepair bladder neck9.72NA4.870.75NA15.34090
    51860ARepair of bladder wound12.00NA5.901.07NA18.97090
    51865ARepair of bladder wound15.02NA6.831.22NA23.07090
    51880ARepair of bladder opening7.65NA4.070.65NA12.37090
    51900ARepair bladder/vagina lesion12.95NA6.221.05NA20.22090
    51920AClose bladder-uterus fistula11.79NA5.751.04NA18.58090
    51925AHysterectomy/bladder repair15.56NA8.621.79NA25.97090
    51940ACorrection of bladder defect28.39NA12.362.38NA43.13090
    51960ARevision of bladder & bowel22.98NA9.871.70NA34.55090
    51980AConstruct bladder opening11.34NA5.490.89NA17.72090
    51990ALaparo urethral suspension12.48NA6.181.23NA19.89090
    51992ALaparo sling operation13.99NA6.241.12NA21.35090
    52000ACystoscopy2.013.380.760.145.532.91000
    52001ACystoscopy, removal of clots5.445.181.870.3911.017.70000
    52005ACystoscopy & ureter catheter2.375.980.900.188.533.45000
    52007ACystoscopy and biopsy3.02NA1.150.22NA4.39000
    52010ACystoscopy & duct catheter3.02NA1.130.22NA4.37000
    52204ACystoscopy2.373.630.910.186.183.46000
    52214ACystoscopy and treatment3.70NA1.330.27NA5.30000
    52224ACystoscopy and treatment3.14NA1.150.22NA4.51000
    52234ACystoscopy and treatment4.62NA1.630.33NA6.58000
    52235ACystoscopy and treatment5.44NA1.900.39NA7.73000
    52240ACystoscopy and treatment9.71NA3.300.70NA13.71000
    52250ACystoscopy and radiotracer4.49NA1.660.33NA6.48000
    52260ACystoscopy and treatment3.91NA1.430.28NA5.62000
    52265ACystoscopy and treatment2.943.751.120.226.914.28000
    52270ACystoscopy & revise urethra3.36NA1.250.24NA4.85000
    52275ACystoscopy & revise urethra4.69NA1.670.34NA6.70000
    52276ACystoscopy and treatment4.99NA1.790.36NA7.14000
    52277ACystoscopy and treatment6.16NA2.260.46NA8.88000
    52281ACystoscopy and treatment2.807.431.080.2110.444.09000
    52282ACystoscopy, implant stent6.39NA2.240.46NA9.09000
    52283ACystoscopy and treatment3.734.031.390.278.035.39000
    52285ACystoscopy and treatment3.604.101.340.277.975.21000
    52290ACystoscopy and treatment4.58NA1.660.33NA6.57000
    52300ACystoscopy and treatment5.30NA1.910.39NA7.60000
    52301ACystoscopy and treatment5.50NA2.000.47NA7.97000
    52305ACystoscopy and treatment5.30NA1.860.37NA7.53000
    52310ACystoscopy and treatment2.813.531.040.216.554.06000
    52315ACystoscopy and treatment5.20NA1.840.37NA7.41000
    52317ARemove bladder stone6.71NA2.280.48NA9.47000
    52318ARemove bladder stone9.18NA3.100.65NA12.93000
    52320ACystoscopy and treatment4.69NA1.640.34NA6.67000
    52325ACystoscopy, stone removal6.15NA2.110.45NA8.71000
    52327ACystoscopy, inject material5.18NA1.830.39NA7.40000
    52330ACystoscopy and treatment5.03NA1.760.36NA7.15000
    52332ACystoscopy and treatment2.83NA1.060.21NA4.10000
    52334ACreate passage to kidney4.82NA1.760.34NA6.92000
    52341ACysto w/ureter stricture tx5.99NA2.220.45NA8.66000
    52342ACysto w/up stricture tx6.49NA2.350.48NA9.32000
    52343ACysto w/renal stricture tx7.19NA2.590.53NA10.31000
    52344ACysto/uretero, stone remove7.69NA2.800.57NA11.06000
    52345ACysto/uretero w/up stricture8.19NA2.960.60NA11.75000
    52346ACystouretero w/renal strict9.22NA3.290.69NA13.20000
    52347ACystoscopy, resect ducts5.27NA1.710.40NA7.38000
    52351ACystouretero & or pyeloscope5.85NA2.140.43NA8.42000
    52352ACystouretero w/stone remove6.87NA2.510.51NA9.89000
    52353ACystouretero w/lithotripsy7.96NA2.860.59NA11.41000
    52354ACystouretero w/biopsy7.33NA2.670.54NA10.54000
    Start Printed Page 1171
    52355ACystouretero w/excise tumor8.81NA3.150.66NA12.62000
    52400ACystouretero w/congen repr9.67NA3.780.72NA14.17090
    52450AIncision of prostate7.63NA3.710.55NA11.89090
    52500ARevision of bladder neck8.46NA3.960.60NA13.02090
    52510ADilation prostatic urethra6.71NA3.140.48NA10.33090
    52601AProstatectomy (TURP)12.35NA5.150.89NA18.39090
    52606AControl postop bleeding8.12NA3.580.59NA12.29090
    52612AProstatectomy, first stage7.97NA3.770.58NA12.32090
    52614AProstatectomy, second stage6.83NA3.380.49NA10.70090
    52620ARemove residual prostate6.60NA3.010.47NA10.08090
    52630ARemove prostate regrowth7.25NA3.220.52NA10.99090
    52640ARelieve bladder contracture6.61NA2.980.47NA10.06090
    52647ALaser surgery of prostate10.3476.714.570.7487.7915.65090
    52648ALaser surgery of prostate11.19NA4.840.80NA16.83090
    52700ADrainage of prostate abscess6.79NA3.210.49NA10.49090
    53000AIncision of urethra2.28NA1.570.16NA4.01010
    53010AIncision of urethra3.63NA3.020.24NA6.89090
    53020AIncision of urethra1.773.100.670.135.002.57000
    53025AIncision of urethra1.133.870.510.085.081.72000
    53040ADrainage of urethra abscess6.3911.286.330.4918.1613.21090
    53060ADrainage of urethra abscess2.63NA1.450.28NA4.36010
    53080ADrainage of urinary leakage6.28NA6.170.51NA12.96090
    53085ADrainage of urinary leakage10.25NA7.630.81NA18.69090
    53200ABiopsy of urethra2.594.290.980.217.093.78000
    53210ARemoval of urethra12.55NA5.980.98NA19.51090
    53215ARemoval of urethra15.56NA6.771.12NA23.45090
    53220ATreatment of urethra lesion6.99NA3.840.53NA11.36090
    53230ARemoval of urethra lesion9.57NA4.840.72NA15.13090
    53235ARemoval of urethra lesion10.12NA5.020.72NA15.86090
    53240ASurgery for urethra pouch6.44NA3.640.51NA10.59090
    53250ARemoval of urethra gland5.88NA3.380.42NA9.68090
    53260ATreatment of urethra lesion2.983.281.800.286.545.06010
    53265ATreatment of urethra lesion3.12NA1.840.24NA5.20010
    53270ARemoval of urethra gland3.09NA1.870.25NA5.21010
    53275ARepair of urethra defect4.52NA2.280.34NA7.14010
    53400ARevise urethra, stage 112.75NA6.101.03NA19.88090
    53405ARevise urethra, stage 214.46NA6.451.10NA22.01090
    53410AReconstruction of urethra16.42NA7.201.19NA24.81090
    53415AReconstruction of urethra19.38NA7.471.40NA28.25090
    53420AReconstruct urethra, stage 114.06NA6.451.09NA21.60090
    53425AReconstruct urethra, stage 215.96NA7.051.17NA24.18090
    53430AReconstruction of urethra16.32NA7.131.22NA24.67090
    53431AReconstruct urethra/bladder19.86NA8.171.57NA29.60090
    53440AMale sling procedure13.60NA6.040.88NA20.52090
    53442ARemove/revise male sling11.55NA5.510.66NA17.72090
    53444AInsert tandem cuff13.38NA5.911.06NA20.35090
    53445AInsert uro/ves nck sphincter14.04NA7.261.01NA22.31090
    53446ARemove uro sphincter10.21NA5.270.81NA16.29090
    53447ARemove/replace ur sphincter13.47NA6.480.95NA20.90090
    53448ARemov/replc ur sphinctr comp21.12NA9.131.68NA31.93090
    53449ARepair uro sphincter9.69NA4.850.69NA15.23090
    53450ARevision of urethra6.13NA3.400.45NA9.98090
    53460ARevision of urethra7.11NA3.820.52NA11.45090
    53500AUrethrlys, transvag w/ scope12.19NA6.190.89NA19.27090
    53502ARepair of urethra injury7.62NA4.110.60NA12.33090
    53505ARepair of urethra injury7.62NA3.990.55NA12.16090
    53510ARepair of urethra injury10.09NA5.290.72NA16.10090
    53515ARepair of urethra injury13.29NA6.051.00NA20.34090
    53520ARepair of urethra defect8.67NA4.600.64NA13.91090
    53600ADilate urethra stricture1.211.170.430.082.461.72000
    53601ADilate urethra stricture0.981.300.380.072.351.43000
    53605ADilate urethra stricture1.28NA0.410.10NA1.79000
    53620ADilate urethra stricture1.622.040.600.123.782.34000
    53621ADilate urethra stricture1.352.130.500.103.581.95000
    53660ADilation of urethra0.711.340.330.052.101.09000
    53661ADilation of urethra0.721.340.300.052.111.07000
    53665ADilation of urethra0.76NA0.260.06NA1.08000
    53850AProstatic microwave thermotx9.4497.844.300.68107.9614.42090
    53852AProstatic rf thermotx9.8793.044.690.70103.6115.26090
    53853AProstatic water thermother5.2357.883.180.3363.448.74090
    53899CUrology surgery procedure0.000.000.000.000.000.00YYY
    54000ASlitting of prepuce1.54NA1.330.12NA2.99010
    54001ASlitting of prepuce2.194.301.510.176.663.87010
    54015ADrain penis lesion5.31NA2.590.40NA8.30010
    54050ADestruction, penis lesion(s)1.241.691.050.083.012.37010
    Start Printed Page 1172
    54055ADestruction, penis lesion(s)1.221.600.800.082.902.10010
    54056ACryosurgery, penis lesion(s)1.242.481.350.073.792.66010
    54057ALaser surg, penis lesion(s)1.24NA0.870.10NA2.21010
    54060AExcision of penis lesion(s)1.933.881.450.145.953.52010
    54065ADestruction, penis lesion(s)2.42NA1.720.16NA4.30010
    54100ABiopsy of penis1.902.870.820.124.892.84000
    54105ABiopsy of penis3.49NA1.960.25NA5.70010
    54110ATreatment of penis lesion10.11NA5.640.72NA16.47090
    54111ATreat penis lesion, graft13.55NA6.690.95NA21.19090
    54112ATreat penis lesion, graft15.84NA7.691.13NA24.66090
    54115ATreatment of penis lesion6.148.534.470.4715.1411.08090
    54120APartial removal of penis9.96NA5.600.72NA16.28090
    54125ARemoval of penis13.51NA6.750.98NA21.24090
    54130ARemove penis & nodes20.11NA9.101.44NA30.65090
    54135ARemove penis & nodes26.32NA11.101.91NA39.33090
    54150ACircumcision1.81NA0.970.21NA2.99010
    54152ACircumcision2.31NA1.200.19NA3.70010
    54160ACircumcision2.48NA1.110.19NA3.78010
    54161ACircumcision3.27NA1.570.24NA5.08010
    54162ALysis penil circumic lesion3.00NA2.000.24NA5.24010
    54163ARepair of circumcision3.00NA2.010.24NA5.25010
    54164AFrenulotomy of penis2.50NA1.850.19NA4.54010
    54200ATreatment of penis lesion1.061.850.990.072.982.12010
    54205ATreatment of penis lesion7.92NA4.830.57NA13.32090
    54220ATreatment of penis lesion2.423.940.960.186.543.56000
    54230APrepare penis study1.341.120.620.102.562.06000
    54231ADynamic cavernosometry2.041.400.870.173.613.08000
    54235APenile injection1.190.980.580.082.251.85000
    54240APenis study1.311.01NA0.162.48NA000
    5424026APenis study1.310.420.420.101.831.83000
    54240TCAPenis study0.000.59NA0.060.65NA000
    54250APenis study2.220.93NA0.193.34NA000
    5425026APenis study2.220.710.710.173.103.10000
    54250TCAPenis study0.000.22NA0.020.24NA000
    54300ARevision of penis10.39NA5.750.77NA16.91090
    54304ARevision of penis12.47NA6.540.89NA19.90090
    54308AReconstruction of urethra11.81NA6.170.84NA18.82090
    54312AReconstruction of urethra13.55NA7.200.98NA21.73090
    54316AReconstruction of urethra16.79NA8.151.21NA26.15090
    54318AReconstruction of urethra11.23NA6.001.39NA18.62090
    54322AReconstruction of urethra12.99NA6.630.93NA20.55090
    54324AReconstruction of urethra16.29NA8.221.24NA25.75090
    54326AReconstruction of urethra15.70NA8.001.12NA24.82090
    54328ARevise penis/urethra15.63NA7.451.11NA24.19090
    54332ARevise penis/urethra17.05NA7.931.22NA26.20090
    54336ARevise penis/urethra20.01NA10.712.29NA33.01090
    54340ASecondary urethral surgery8.90NA5.250.87NA15.02090
    54344ASecondary urethral surgery15.92NA7.971.33NA25.22090
    54348ASecondary urethral surgery17.12NA8.601.23NA26.95090
    54352AReconstruct urethra/penis24.70NA11.501.95NA38.15090
    54360APenis plastic surgery11.91NA6.190.87NA18.97090
    54380ARepair penis13.16NA6.831.40NA21.39090
    54385ARepair penis15.37NA8.490.86NA24.72090
    54390ARepair penis and bladder21.58NA9.611.54NA32.73090
    54400AInsert semi-rigid prosthesis8.98NA4.470.64NA14.09090
    54401AInsert self-contd prosthesis10.26NA5.830.74NA16.83090
    54405AInsert multi-comp penis pros13.41NA6.060.96NA20.43090
    54406ARemove muti-comp penis pros12.08NA5.460.90NA18.44090
    54408ARepair multi-comp penis pros12.73NA5.770.95NA19.45090
    54410ARemove/replace penis prosth15.48NA6.661.16NA23.30090
    54411ARemov/replc penis pros, comp15.98NA7.090.96NA24.03090
    54415ARemove self-contd penis pros8.19NA4.220.65NA13.06090
    54416ARemv/repl penis contain pros10.85NA5.410.66NA16.92090
    54417ARemv/replc penis pros, compl14.17NA6.210.66NA21.04090
    54420ARevision of penis11.40NA5.710.87NA17.98090
    54430ARevision of penis10.13NA5.250.72NA16.10090
    54435ARevision of penis6.11NA3.730.43NA10.27090
    54440CRepair of penis0.000.000.000.000.000.00090
    54450APreputial stretching1.121.110.470.082.311.67000
    54500ABiopsy of testis1.310.610.560.102.021.97000
    54505ABiopsy of testis3.45NA1.930.25NA5.63010
    54512AExcise lesion testis8.57NA4.150.68NA13.40090
    54520ARemoval of testis5.22NA2.850.40NA8.47090
    54522AOrchiectomy, partial9.49NA4.910.75NA15.15090
    54530ARemoval of testis8.57NA4.310.64NA13.52090
    Start Printed Page 1173
    54535AExtensive testis surgery12.14NA5.661.00NA18.80090
    54550AExploration for testis7.77NA3.900.59NA12.26090
    54560AExploration for testis11.11NA5.280.95NA17.34090
    54600AReduce testis torsion7.00NA3.610.54NA11.15090
    54620ASuspension of testis4.89NA2.470.37NA7.73010
    54640ASuspension of testis6.89NA3.800.59NA11.28090
    54650AOrchiopexy (Fowler-Stephens)11.43NA5.520.98NA17.93090
    54660ARevision of testis5.10NA3.050.42NA8.57090
    54670ARepair testis injury6.40NA3.610.49NA10.50090
    54680ARelocation of testis(es)12.63NA6.291.13NA20.05090
    54690ALaparoscopy, orchiectomy10.94NA5.061.19NA17.19090
    54692ALaparoscopy, orchiopexy12.86NA5.451.05NA19.36090
    54699CLaparoscope proc, testis0.000.000.000.000.000.00YYY
    54700ADrainage of scrotum3.42NA1.950.28NA5.65010
    54800ABiopsy of epididymis2.330.950.900.173.453.40000
    54820AExploration of epididymis5.13NA3.000.40NA8.53090
    54830ARemove epididymis lesion5.37NA3.080.41NA8.86090
    54840ARemove epididymis lesion5.19NA2.840.37NA8.40090
    54860ARemoval of epididymis6.31NA3.370.46NA10.14090
    54861ARemoval of epididymis8.89NA4.380.63NA13.90090
    54900AFusion of spermatic ducts13.18NA5.861.62NA20.66090
    54901AFusion of spermatic ducts17.91NA7.562.21NA27.68090
    55000ADrainage of hydrocele1.432.110.650.123.662.20000
    55040ARemoval of hydrocele5.35NA2.960.42NA8.73090
    55041ARemoval of hydroceles7.73NA4.040.60NA12.37090
    55060ARepair of hydrocele5.51NA3.130.45NA9.09090
    55100ADrainage of scrotum abscess2.133.771.590.186.083.90010
    55110AExplore scrotum5.69NA3.180.43NA9.30090
    55120ARemoval of scrotum lesion5.085.762.980.4011.248.46090
    55150ARemoval of scrotum7.21NA3.960.57NA11.74090
    55175ARevision of scrotum5.23NA3.060.40NA8.69090
    55180ARevision of scrotum10.70NA5.460.87NA17.03090
    55200AIncision of sperm duct4.235.532.410.3010.066.94090
    55250ARemoval of sperm duct(s)3.299.072.780.2512.616.32090
    55300APrepare, sperm duct x-ray3.50NA1.310.24NA5.05000
    55400ARepair of sperm duct8.48NA4.170.60NA13.25090
    55450ALigation of sperm duct4.117.211.870.2911.616.27010
    55500ARemoval of hydrocele5.58NA3.150.52NA9.25090
    55520ARemoval of sperm cord lesion6.02NA3.310.68NA10.01090
    55530ARevise spermatic cord veins5.65NA3.070.43NA9.15090
    55535ARevise spermatic cord veins6.55NA3.450.51NA10.51090
    55540ARevise hernia & sperm veins7.66NA3.860.89NA12.41090
    55550ALaparo ligate spermatic vein6.56NA3.320.57NA10.45090
    55559CLaparo proc, spermatic cord0.000.000.000.000.000.00YYY
    55600AIncise sperm duct pouch6.37NA3.390.46NA10.22090
    55605AIncise sperm duct pouch7.95NA4.360.65NA12.96090
    55650ARemove sperm duct pouch11.78NA5.350.87NA18.00090
    55680ARemove sperm pouch lesion5.18NA3.030.37NA8.58090
    55700ABiopsy of prostate1.574.330.710.126.022.40000
    55705ABiopsy of prostate4.56NA2.320.31NA7.19010
    55720ADrainage of prostate abscess7.63NA3.950.53NA12.11090
    55725ADrainage of prostate abscess8.67NA4.620.62NA13.91090
    55801ARemoval of prostate17.77NA7.381.30NA26.45090
    55810AExtensive prostate surgery22.55NA8.711.63NA32.89090
    55812AExtensive prostate surgery27.47NA11.142.04NA40.65090
    55815AExtensive prostate surgery30.41NA12.072.22NA44.70090
    55821ARemoval of prostate14.23NA6.321.03NA21.58090
    55831ARemoval of prostate15.60NA6.771.13NA23.50090
    55840AExtensive prostate surgery22.66NA9.441.65NA33.75090
    55842AExtensive prostate surgery24.34NA10.011.79NA36.14090
    55845AExtensive prostate surgery28.51NA11.112.06NA41.68090
    55859APercut/needle insert, pros12.50NA5.910.89NA19.30090
    55860ASurgical exposure, prostate14.43NA6.440.99NA21.86090
    55862AExtensive prostate surgery18.36NA7.961.37NA27.69090
    55865AExtensive prostate surgery22.84NA9.381.65NA33.87090
    55866ALaparo radical prostatectomy30.69NA11.811.65NA44.15090
    55870AElectroejaculation2.581.541.090.174.293.84000
    55873ACryoablate prostate19.44NA9.021.23NA29.69090
    55899CGenital surgery procedure0.000.000.000.000.000.00YYY
    55970NSex transformation, M to F0.000.000.000.000.000.00XXX
    55980NSex transformation, F to M0.000.000.000.000.000.00XXX
    56405AI & D of vulva/perineum1.441.331.150.172.942.76010
    56420ADrainage of gland abscess1.392.291.090.163.842.64010
    56440ASurgery for vulva lesion2.84NA1.710.34NA4.89010
    56441ALysis of labial lesion(s)1.971.831.420.214.013.60010
    Start Printed Page 1174
    56501ADestroy, vulva lesions, sim1.531.791.250.183.502.96010
    56515ADestroy vulva lesion/s compl2.762.551.810.225.534.79010
    56605ABiopsy of vulva/perineum1.101.090.460.132.321.69000
    56606ABiopsy of vulva/perineum0.550.490.220.071.110.84ZZZ
    56620APartial removal of vulva7.46NA4.840.92NA13.22090
    56625AComplete removal of vulva8.39NA5.391.01NA14.79090
    56630AExtensive vulva surgery12.34NA6.961.48NA20.78090
    56631AExtensive vulva surgery16.18NA8.961.97NA27.11090
    56632AExtensive vulva surgery20.26NA9.622.45NA32.33090
    56633AExtensive vulva surgery16.45NA8.702.00NA27.15090
    56634AExtensive vulva surgery17.85NA9.592.15NA29.59090
    56637AExtensive vulva surgery21.94NA11.232.63NA35.80090
    56640AExtensive vulva surgery22.14NA10.802.73NA35.67090
    56700APartial removal of hymen2.52NA1.730.29NA4.54010
    56720AIncision of hymen0.68NA0.390.08NA1.15000
    56740ARemove vagina gland lesion4.56NA2.470.45NA7.48010
    56800ARepair of vagina3.88NA2.190.45NA6.52010
    56805ARepair clitoris18.83NA9.432.20NA30.46090
    56810ARepair of perineum4.12NA2.300.49NA6.91010
    56820AExam of vulva w/scope1.501.340.630.122.962.25000
    56821AExam/biopsy of vulva w/scope2.051.780.900.163.993.11000
    57000AExploration of vagina2.97NA1.730.34NA5.04010
    57010ADrainage of pelvic abscess6.02NA3.850.69NA10.56090
    57020ADrainage of pelvic fluid1.500.950.590.182.632.27000
    57022AI & d vaginal hematoma, pp2.56NA1.500.29NA4.35010
    57023AI & d vag hematoma, non-ob4.74NA2.590.29NA7.62010
    57061ADestroy vag lesions, simple1.251.661.120.163.072.53010
    57065ADestroy vag lesions, complex2.612.301.680.315.224.60010
    57100ABiopsy of vagina1.201.100.480.122.421.80000
    57105ABiopsy of vagina1.691.931.320.213.833.22010
    57106ARemove vagina wall, partial6.35NA4.200.70NA11.25090
    57107ARemove vagina tissue, part22.97NA10.502.62NA36.09090
    57109AVaginectomy partial w/nodes26.96NA11.342.38NA40.68090
    57110ARemove vagina wall, complete14.27NA7.311.72NA23.30090
    57111ARemove vagina tissue, compl26.96NA12.643.27NA42.87090
    57112AVaginectomy w/nodes, compl28.96NA12.192.64NA43.79090
    57120AClosure of vagina7.40NA4.640.90NA12.94090
    57130ARemove vagina lesion2.432.171.550.284.884.26010
    57135ARemove vagina lesion2.672.271.660.315.254.64010
    57150ATreat vagina infection0.551.110.220.071.730.84000
    57155AInsert uteri tandems/ovoids6.26NA4.170.71NA11.14090
    57160AInsert pessary/other device0.891.090.380.112.091.38000
    57170AFitting of diaphragm/cap0.911.490.340.112.511.36000
    57180ATreat vaginal bleeding1.582.181.290.193.953.06010
    57200ARepair of vagina3.93NA2.910.46NA7.30090
    57210ARepair vagina/perineum5.16NA3.440.60NA9.20090
    57220ARevision of urethra4.30NA3.120.51NA7.93090
    57230ARepair of urethral lesion5.63NA3.420.60NA9.65090
    57240ARepair bladder & vagina6.06NA3.840.64NA10.54090
    57250ARepair rectum & vagina5.52NA3.590.65NA9.76090
    57260ARepair of vagina8.26NA4.861.00NA14.12090
    57265AExtensive repair of vagina11.32NA6.061.37NA18.75090
    57268ARepair of bowel bulge6.75NA4.210.80NA11.76090
    57270ARepair of bowel pouch12.09NA6.281.41NA19.78090
    57280ASuspension of vagina15.02NA7.391.74NA24.15090
    57282ARepair of vaginal prolapse8.85NA5.321.04NA15.21090
    57284ARepair paravaginal defect12.68NA7.171.41NA21.26090
    57287ARevise/remove sling repair10.69NA5.520.89NA17.10090
    57288ARepair bladder defect13.00NA5.951.04NA19.99090
    57289ARepair bladder & vagina11.56NA6.071.15NA18.78090
    57291AConstruction of vagina7.94NA4.960.94NA13.84090
    57292AConstruct vagina with graft13.07NA6.981.56NA21.61090
    57300ARepair rectum-vagina fistula7.60NA4.300.84NA12.74090
    57305ARepair rectum-vagina fistula13.75NA6.301.60NA21.65090
    57307AFistula repair & colostomy15.91NA7.071.92NA24.90090
    57308AFistula repair, transperine9.93NA5.151.10NA16.18090
    57310ARepair urethrovaginal lesion6.77NA3.900.54NA11.21090
    57311ARepair urethrovaginal lesion7.97NA4.180.62NA12.77090
    57320ARepair bladder-vagina lesion8.00NA4.430.72NA13.15090
    57330ARepair bladder-vagina lesion12.33NA5.781.04NA19.15090
    57335ARepair vagina18.70NA9.102.00NA29.80090
    57400ADilation of vagina2.27NA1.130.27NA3.67000
    57410APelvic examination1.752.020.890.173.942.81000
    57415ARemove vaginal foreign body2.17NA1.430.23NA3.83010
    57420AExam of vagina w/scope1.601.380.670.123.102.39000
    Start Printed Page 1175
    57421AExam/biopsy of vag w/scope2.201.870.960.164.233.32000
    57425ALaparoscopy, surg, colpopexy15.73NA6.691.74NA24.16090
    57452AExam of cervix w/scope1.501.400.630.123.022.25000
    57454ABx/curett of cervix w/scope2.331.761.000.164.253.49000
    57455ABiopsy of cervix w/scope1.991.750.870.163.903.02000
    57456AEndocerv curettage w/scope1.851.680.820.163.692.83000
    57460ABx of cervix w/scope, leep2.836.031.220.349.204.39000
    57461AConz of cervix w/scope, leep3.436.301.410.3410.075.18000
    57500ABiopsy of cervix0.972.660.470.123.751.56000
    57505AEndocervical curettage1.141.471.100.142.752.38010
    57510ACauterization of cervix1.901.571.050.223.693.17010
    57511ACryocautery of cervix1.901.841.380.223.963.50010
    57513ALaser surgery of cervix1.901.871.410.234.003.54010
    57520AConization of cervix4.034.882.770.499.407.29090
    57522AConization of cervix3.354.352.670.418.116.43090
    57530ARemoval of cervix4.78NA3.430.58NA8.79090
    57531ARemoval of cervix, radical27.96NA13.232.97NA44.16090
    57540ARemoval of residual cervix12.20NA6.271.46NA19.93090
    57545ARemove cervix/repair pelvis13.01NA6.701.57NA21.28090
    57550ARemoval of residual cervix5.52NA3.860.66NA10.04090
    57555ARemove cervix/repair vagina8.94NA5.141.07NA15.15090
    57556ARemove cervix, repair bowel8.36NA4.880.96NA14.20090
    57700ARevision of cervix3.54NA3.100.40NA7.04090
    57720ARevision of cervix4.12NA3.150.49NA7.76090
    57800ADilation of cervical canal0.770.760.470.101.631.34000
    57820AD & c of residual cervix1.671.491.140.213.373.02010
    58100ABiopsy of uterus lining1.531.330.720.082.942.33000
    58120ADilation and curettage3.272.311.870.405.985.54010
    58140AMyomectomy abdom method14.58NA7.131.76NA23.47090
    58145AMyomectomy vag method8.03NA4.840.96NA13.83090
    58146AMyomectomy abdom complex18.97NA8.791.76NA29.52090
    58150ATotal hysterectomy15.22NA7.521.89NA24.63090
    58152ATotal hysterectomy20.57NA9.891.83NA32.29090
    58180APartial hysterectomy15.27NA7.491.86NA24.62090
    58200AExtensive hysterectomy21.56NA10.052.59NA34.20090
    58210AExtensive hysterectomy28.81NA13.273.51NA45.59090
    58240ARemoval of pelvis contents38.33NA17.724.53NA60.58090
    58260AVaginal hysterectomy12.96NA6.721.48NA21.16090
    58262AVag hyst including t/o14.75NA7.401.71NA23.86090
    58263AVag hyst w/t/o & vag repair16.04NA7.901.87NA25.81090
    58267AVag hyst w/urinary repair17.01NA8.421.82NA27.25090
    58270AVag hyst w/enterocele repair14.24NA7.101.65NA22.99090
    58275AHysterectomy/revise vagina15.74NA7.801.82NA25.36090
    58280AHysterectomy/revise vagina16.98NA8.281.86NA27.12090
    58285AExtensive hysterectomy22.23NA10.022.27NA34.52090
    58290AVag hyst complex18.97NA8.921.48NA29.37090
    58291AVag hyst incl t/o, complex20.76NA9.891.71NA32.36090
    58292AVag hyst t/o & repair, compl22.05NA10.401.87NA34.32090
    58293AVag hyst w/uro repair, compl23.03NA10.911.82NA35.76090
    58294AVag hyst w/enterocele, compl20.25NA9.681.65NA31.58090
    58300NInsert intrauterine device+1.011.420.380.122.551.51XXX
    58301ARemove intrauterine device1.271.330.480.162.761.91000
    58321AArtificial insemination0.921.150.370.122.191.41000
    58322AArtificial insemination1.101.210.410.132.441.64000
    58323ASperm washing0.230.240.090.020.490.34000
    58340ACatheter for hysterography0.886.080.650.107.061.63000
    58345AReopen fallopian tube4.65NA2.440.43NA7.52010
    58346AInsert heyman uteri capsule6.74NA3.930.77NA11.44090
    58350AReopen fallopian tube1.011.500.930.122.632.06010
    58353AEndometr ablate, thermal3.5536.262.050.4540.266.05010
    58400ASuspension of uterus6.35NA3.970.75NA11.07090
    58410ASuspension of uterus12.71NA6.481.31NA20.50090
    58520ARepair of ruptured uterus11.90NA6.071.41NA19.38090
    58540ARevision of uterus14.62NA6.981.54NA23.14090
    58545ALaparoscopic myomectomy14.58NA7.191.75NA23.52090
    58546ALaparo-myomectomy, complex18.97NA8.981.75NA29.70090
    58550ALaparo-asst vag hysterectomy14.17NA7.311.74NA23.22090
    58552ALaparo-vag hyst incl t/o15.98NA8.021.74NA25.74090
    58553ALaparo-vag hyst, complex18.97NA8.971.48NA29.42090
    58554ALaparo-vag hyst w/t/o, compl21.97NA10.461.48NA33.91090
    58555AHysteroscopy, dx, sep proc3.332.101.460.415.845.20000
    58558AHysteroscopy, biopsy4.74NA2.060.59NA7.39000
    58559AHysteroscopy, lysis6.16NA2.620.75NA9.53000
    58560AHysteroscopy, resect septum6.99NA2.970.86NA10.82000
    58561AHysteroscopy, remove myoma9.99NA4.181.23NA15.40000
    Start Printed Page 1176
    58562AHysteroscopy, remove fb5.20NA2.210.63NA8.04000
    58563AHysteroscopy, ablation6.16NA2.630.75NA9.54000
    58578CLaparo proc, uterus0.000.000.000.000.000.00YYY
    58579CHysteroscope procedure0.000.000.000.000.000.00YYY
    58600ADivision of fallopian tube5.59NA3.360.47NA9.42090
    58605ADivision of fallopian tube4.99NA3.150.40NA8.54090
    58611ALigate oviduct(s) add-on1.45NA0.570.08NA2.10ZZZ
    58615AOcclude fallopian tube(s)3.89NA2.720.48NA7.09010
    58660ALaparoscopy, lysis11.27NA5.281.37NA17.92090
    58661ALaparoscopy, remove adnexa11.03NA5.141.35NA17.52010
    58662ALaparoscopy, excise lesions11.77NA5.801.42NA18.99090
    58670ALaparoscopy, tubal cautery5.59NA3.280.66NA9.53090
    58671ALaparoscopy, tubal block5.59NA3.300.68NA9.57090
    58672ALaparoscopy, fimbrioplasty12.86NA6.231.47NA20.56090
    58673ALaparoscopy, salpingostomy13.72NA6.631.69NA22.04090
    58679CLaparo proc, oviduct-ovary0.000.000.000.000.000.00YYY
    58700ARemoval of fallopian tube12.03NA6.010.77NA18.81090
    58720ARemoval of ovary/tube(s)11.34NA5.811.37NA18.52090
    58740ARevise fallopian tube(s)13.98NA7.160.71NA21.85090
    58750ARepair oviduct14.82NA7.411.83NA24.06090
    58752ARevise ovarian tube(s)14.82NA6.991.82NA23.63090
    58760ARemove tubal obstruction13.11NA6.751.62NA21.48090
    58770ACreate new tubal opening13.95NA6.951.71NA22.61090
    58800ADrainage of ovarian cyst(s)4.134.492.990.439.057.55090
    58805ADrainage of ovarian cyst(s)5.87NA3.550.68NA10.10090
    58820ADrain ovary abscess, open4.21NA3.340.35NA7.90090
    58822ADrain ovary abscess, percut10.11NA5.241.11NA16.46090
    58823ADrain pelvic abscess, percut3.37NA1.120.22NA4.71000
    58825ATransposition, ovary(s)10.96NA5.820.75NA17.53090
    58900ABiopsy of ovary(s)5.98NA3.610.68NA10.27090
    58920APartial removal of ovary(s)11.34NA5.620.82NA17.78090
    58925ARemoval of ovarian cyst(s)11.34NA5.711.37NA18.42090
    58940ARemoval of ovary(s)7.28NA4.130.88NA12.29090
    58943ARemoval of ovary(s)18.40NA8.752.24NA29.39090
    58950AResect ovarian malignancy16.90NA8.501.87NA27.27090
    58951AResect ovarian malignancy22.35NA10.552.65NA35.55090
    58952AResect ovarian malignancy24.97NA11.853.10NA39.92090
    58953ATah, rad dissect for debulk31.95NA14.613.98NA50.54090
    58954ATah rad debulk/lymph remove34.95NA15.774.29NA55.01090
    58960AExploration of abdomen14.63NA7.451.77NA23.85090
    58970ARetrieval of oocyte3.522.321.500.436.275.45000
    58974CTransfer of embryo0.000.000.000.000.000.00000
    58976ATransfer of embryo3.822.641.830.476.936.12000
    58999CGenital surgery procedure0.000.000.000.000.000.00YYY
    59000AAmniocentesis, diagnostic1.302.100.690.283.682.27000
    59001AAmniocentesis, therapeutic3.00NA1.410.28NA4.69000
    59012AFetal cord puncture,prenatal3.44NA1.560.75NA5.75000
    59015AChorion biopsy2.201.571.060.484.253.74000
    59020AFetal contract stress test0.660.79NA0.241.69NA000
    5902026AFetal contract stress test0.660.270.270.141.071.07000
    59020TCAFetal contract stress test0.000.52NA0.100.62NA000
    59025AFetal non-stress test0.530.45NA0.141.12NA000
    5902526AFetal non-stress test0.530.210.210.120.860.86000
    59025TCAFetal non-stress test0.000.24NA0.020.26NA000
    59030AFetal scalp blood sample1.99NA1.050.43NA3.47000
    59050AFetal monitor w/report0.89NA0.360.19NA1.44XXX
    59051AFetal monitor/interpret only0.74NA0.300.17NA1.21XXX
    59070ATransabdom amnioinfus w/ us5.245.122.410.2810.647.93000
    59072AUmbilical cord occlud w/ us8.99NA3.130.68NA12.80000
    59074AFetal fluid drainage w/ us5.244.612.410.2810.137.93000
    59076AFetal shunt placement, w/ us8.99NA3.130.68NA12.80000
    59100ARemove uterus lesion12.33NA6.482.67NA21.48090
    59120ATreat ectopic pregnancy11.47NA6.272.48NA20.22090
    59121ATreat ectopic pregnancy11.65NA6.352.52NA20.52090
    59130ATreat ectopic pregnancy14.20NA4.993.06NA22.25090
    59135ATreat ectopic pregnancy13.86NA7.253.00NA24.11090
    59136ATreat ectopic pregnancy13.16NA6.642.85NA22.65090
    59140ATreat ectopic pregnancy5.455.203.591.1811.8310.22090
    59150ATreat ectopic pregnancy11.65NA6.051.48NA19.18090
    59151ATreat ectopic pregnancy11.47NA6.091.70NA19.26090
    59160AD & c after delivery2.713.272.110.596.575.41010
    59200AInsert cervical dilator0.791.200.310.182.171.28000
    59300AEpisiotomy or vaginal repair2.412.160.960.525.093.89000
    59320ARevision of cervix2.48NA1.260.54NA4.28000
    59325ARevision of cervix4.06NA1.920.88NA6.86000
    Start Printed Page 1177
    59350ARepair of uterus4.94NA1.951.06NA7.95000
    59400AObstetrical care23.03NA15.484.99NA43.50MMM
    59409AObstetrical care13.48NA5.322.92NA21.72MMM
    59410AObstetrical care14.76NA6.333.20NA24.29MMM
    59412AAntepartum manipulation1.71NA0.810.37NA2.89MMM
    59414ADeliver placenta1.61NA0.630.35NA2.59MMM
    59425AAntepartum care only4.804.261.871.0410.107.71MMM
    59426AAntepartum care only8.277.653.231.8017.7213.30MMM
    59430ACare after delivery2.131.240.940.463.833.53MMM
    59510ACesarean delivery26.18NA17.435.67NA49.28MMM
    59514ACesarean delivery only15.95NA6.233.45NA25.63MMM
    59515ACesarean delivery17.34NA7.873.76NA28.97MMM
    59525ARemove uterus after cesarean8.53NA3.321.85NA13.70ZZZ
    59610AVbac delivery24.58NA16.035.32NA45.93MMM
    59612AVbac delivery only15.04NA6.073.26NA24.37MMM
    59614AVbac care after delivery16.32NA6.963.53NA26.81MMM
    59618AAttempted vbac delivery27.74NA18.436.01NA52.18MMM
    59620AAttempted vbac delivery only17.50NA6.783.80NA28.08MMM
    59622AAttempted vbac after care18.90NA8.674.09NA31.66MMM
    59812ATreatment of miscarriage4.00NA2.560.70NA7.26090
    59820ACare of miscarriage4.00NA3.520.87NA8.39090
    59821ATreatment of miscarriage4.46NA3.450.96NA8.87090
    59830ATreat uterus infection6.10NA4.011.33NA11.44090
    59840RAbortion3.01NA2.130.65NA5.79010
    59841RAbortion5.232.582.581.138.948.94010
    59850RAbortion5.90NA3.271.28NA10.45090
    59851RAbortion5.92NA3.741.28NA10.94090
    59852RAbortion8.23NA5.061.79NA15.08090
    59855RAbortion6.11NA3.561.33NA11.00090
    59856RAbortion7.47NA4.071.62NA13.16090
    59857RAbortion9.28NA4.592.00NA15.87090
    59866RAbortion (mpr)3.99NA1.830.87NA6.69000
    59870AEvacuate mole of uterus6.00NA4.430.93NA11.36090
    59871ARemove cerclage suture2.131.761.130.464.353.72000
    59897CFetal invas px w/ us0.000.000.000.000.000.00YYY
    59898CLaparo proc, ob care/deliver0.000.000.000.000.000.00YYY
    59899CMaternity care procedure0.000.000.000.000.000.00YYY
    60000ADrain thyroid/tongue cyst1.762.162.040.174.093.97010
    60001AAspirate/inject thyriod cyst0.971.490.340.072.531.38000
    60100ABiopsy of thyroid1.561.420.530.063.042.15000
    60200ARemove thyroid lesion9.54NA6.141.01NA16.69090
    60210APartial thyroid excision10.86NA5.781.22NA17.86090
    60212APartial thyroid excision16.01NA7.821.82NA25.65090
    60220APartial removal of thyroid11.88NA6.301.17NA19.35090
    60225APartial removal of thyroid14.17NA7.551.58NA23.30090
    60240ARemoval of thyroid16.04NA7.751.81NA25.60090
    60252ARemoval of thyroid20.54NA10.291.97NA32.80090
    60254AExtensive thyroid surgery26.95NA14.382.36NA43.69090
    60260ARepeat thyroid surgery17.44NA8.851.68NA27.97090
    60270ARemoval of thyroid20.24NA10.662.15NA33.05090
    60271ARemoval of thyroid16.80NA8.781.63NA27.21090
    60280ARemove thyroid duct lesion5.86NA4.830.54NA11.23090
    60281ARemove thyroid duct lesion8.52NA5.990.81NA15.32090
    60500AExplore parathyroid glands16.21NA7.531.94NA25.68090
    60502ARe-explore parathyroids20.32NA9.492.41NA32.22090
    60505AExplore parathyroid glands21.46NA11.122.58NA35.16090
    60512AAutotransplant parathyroid4.44NA1.630.53NA6.60ZZZ
    60520ARemoval of thymus gland16.78NA8.382.22NA27.38090
    60521ARemoval of thymus gland18.84NA9.632.82NA31.29090
    60522ARemoval of thymus gland23.06NA11.353.41NA37.82090
    60540AExplore adrenal gland17.00NA7.651.71NA26.36090
    60545AExplore adrenal gland19.85NA8.612.11NA30.57090
    60600ARemove carotid body lesion17.90NA10.902.26NA31.06090
    60605ARemove carotid body lesion20.21NA12.792.75NA35.75090
    60650ALaparoscopy adrenalectomy19.97NA7.992.39NA30.35090
    60659CLaparo proc, endocrine0.000.000.000.000.000.00YYY
    60699CEndocrine surgery procedure0.000.000.000.000.000.00YYY
    61000ARemove cranial cavity fluid1.58NA0.960.16NA2.70000
    61001ARemove cranial cavity fluid1.49NA1.060.18NA2.73000
    61020ARemove brain cavity fluid1.51NA1.350.31NA3.17000
    61026AInjection into brain canal1.69NA1.410.25NA3.35000
    61050ARemove brain canal fluid1.51NA1.260.16NA2.93000
    61055AInjection into brain canal2.10NA1.420.16NA3.68000
    61070ABrain canal shunt procedure0.89NA1.030.11NA2.03000
    61105ATwist drill hole5.13NA3.951.27NA10.35090
    Start Printed Page 1178
    61107ADrill skull for implantation4.99NA3.321.23NA9.54000
    61108ADrill skull for drainage10.17NA7.142.46NA19.77090
    61120ABurr hole for puncture8.75NA6.002.18NA16.93090
    61140APierce skull for biopsy15.88NA9.913.80NA29.59090
    61150APierce skull for drainage17.54NA10.414.25NA32.20090
    61151APierce skull for drainage12.40NA7.852.95NA23.20090
    61154APierce skull & remove clot14.97NA9.503.68NA28.15090
    61156APierce skull for drainage16.30NA9.864.12NA30.28090
    61210APierce skull, implant device5.83NA3.711.40NA10.94000
    61215AInsert brain-fluid device4.88NA4.021.19NA10.09090
    61250APierce skull & explore10.40NA6.872.44NA19.71090
    61253APierce skull & explore12.34NA7.742.73NA22.81090
    61304AOpen skull for exploration21.93NA12.885.22NA40.03090
    61305AOpen skull for exploration26.57NA15.376.33NA48.27090
    61312AOpen skull for drainage24.53NA15.086.02NA45.63090
    61313AOpen skull for drainage24.89NA14.856.11NA45.85090
    61314AOpen skull for drainage24.19NA13.084.82NA42.09090
    61315AOpen skull for drainage27.64NA16.076.78NA50.49090
    61316AImplt cran bone flap to abdo1.39NA0.570.52NA2.48ZZZ
    61320AOpen skull for drainage25.58NA14.806.27NA46.65090
    61321AOpen skull for drainage28.46NA16.186.45NA51.09090
    61322ADecompressive craniotomy29.46NA14.456.02NA49.93090
    61323ADecompressive lobectomy30.95NA14.646.02NA51.61090
    61330ADecompress eye socket23.29NA13.803.11NA40.20090
    61332AExplore/biopsy eye socket27.24NA15.665.01NA47.91090
    61333AExplore orbit/remove lesion27.91NA15.662.70NA46.27090
    61334AExplore orbit/remove object18.24NA10.703.64NA32.58090
    61340ASubtemporal decompression18.63NA11.164.41NA34.20090
    61343AIncise skull (press relief)29.73NA16.887.28NA53.89090
    61345ARelieve cranial pressure27.16NA15.476.31NA48.94090
    61440AIncise skull for surgery26.59NA14.286.72NA47.59090
    61450AIncise skull for surgery25.91NA14.356.16NA46.42090
    61458AIncise skull for brain wound27.25NA15.586.37NA49.20090
    61460AIncise skull for surgery28.35NA16.496.19NA51.03090
    61470AIncise skull for surgery26.02NA13.915.61NA45.54090
    61480AIncise skull for surgery26.45NA15.346.68NA48.47090
    61490AIncise skull for surgery25.62NA14.396.48NA46.49090
    61500ARemoval of skull lesion17.89NA10.853.93NA32.67090
    61501ARemove infected skull bone14.82NA9.253.17NA27.24090
    61510ARemoval of brain lesion28.41NA16.766.96NA52.13090
    61512ARemove brain lining lesion35.04NA19.768.61NA63.41090
    61514ARemoval of brain abscess25.22NA14.506.18NA45.90090
    61516ARemoval of brain lesion24.57NA14.335.96NA44.86090
    61517AImplt brain chemotx add-on1.38NA0.570.10NA2.05ZZZ
    61518ARemoval of brain lesion37.26NA21.209.08NA67.54090
    61519ARemove brain lining lesion41.33NA22.759.83NA73.91090
    61520ARemoval of brain lesion54.76NA30.4612.18NA97.40090
    61521ARemoval of brain lesion44.41NA24.3310.67NA79.41090
    61522ARemoval of brain abscess29.41NA16.496.39NA52.29090
    61524ARemoval of brain lesion27.82NA15.746.04NA49.60090
    61526ARemoval of brain lesion52.09NA29.628.10NA89.81090
    61530ARemoval of brain lesion43.79NA25.197.44NA76.42090
    61531AImplant brain electrodes14.61NA9.173.43NA27.21090
    61533AImplant brain electrodes19.68NA11.594.58NA35.85090
    61534ARemoval of brain lesion20.94NA12.155.01NA38.10090
    61535ARemove brain electrodes11.61NA7.462.76NA21.83090
    61536ARemoval of brain lesion35.47NA19.878.06NA63.40090
    61537ARemoval of brain tissue24.96NA14.456.49NA45.90090
    61538ARemoval of brain tissue26.77NA15.386.49NA48.64090
    61539ARemoval of brain tissue32.03NA17.857.98NA57.86090
    61540ARemoval of brain tissue29.96NA17.487.98NA55.42090
    61541AIncision of brain tissue28.81NA16.286.63NA51.72090
    61542ARemoval of brain tissue30.97NA17.917.83NA56.71090
    61543ARemoval of brain tissue29.18NA16.467.37NA53.01090
    61544ARemove & treat brain lesion25.46NA13.905.92NA45.28090
    61545AExcision of brain tumor43.73NA24.3310.71NA78.77090
    61546ARemoval of pituitary gland31.25NA17.587.31NA56.14090
    61548ARemoval of pituitary gland21.50NA12.854.38NA38.73090
    61550ARelease of skull seams14.63NA7.011.37NA23.01090
    61552ARelease of skull seams19.53NA9.201.06NA29.79090
    61556AIncise skull/sutures22.23NA11.424.31NA37.96090
    61557AIncise skull/sutures22.35NA13.685.64NA41.67090
    61558AExcision of skull/sutures25.54NA14.253.15NA42.94090
    61559AExcision of skull/sutures32.74NA19.398.27NA60.40090
    61563AExcision of skull tumor26.79NA15.335.38NA47.50090
    Start Printed Page 1179
    61564AExcision of skull tumor33.78NA18.378.54NA60.69090
    61566ARemoval of brain tissue30.95NA17.426.49NA54.86090
    61567AIncision of brain tissue35.45NA20.736.49NA62.67090
    61570ARemove foreign body, brain24.56NA13.975.55NA44.08090
    61571AIncise skull for brain wound26.35NA15.216.31NA47.87090
    61575ASkull base/brainstem surgery34.31NA19.746.05NA60.10090
    61576ASkull base/brainstem surgery52.35NA29.685.64NA87.67090
    61580ACraniofacial approach, skull30.30NA25.493.32NA59.11090
    61581ACraniofacial approach, skull34.55NA23.054.06NA61.66090
    61582ACraniofacial approach, skull31.61NA26.997.60NA66.20090
    61583ACraniofacial approach, skull36.16NA25.018.37NA69.54090
    61584AOrbitocranial approach/skull34.60NA24.417.88NA66.89090
    61585AOrbitocranial approach/skull38.55NA26.467.47NA72.48090
    61586AResect nasopharynx, skull25.06NA22.354.25NA51.66090
    61590AInfratemporal approach/skull41.72NA28.815.16NA75.69090
    61591AInfratemporal approach/skull43.61NA29.716.34NA79.66090
    61592AOrbitocranial approach/skull39.58NA26.609.11NA75.29090
    61595ATranstemporal approach/skull29.53NA22.513.68NA55.72090
    61596ATranscochlear approach/skull35.58NA24.595.13NA65.30090
    61597ATranscondylar approach/skull37.90NA23.058.02NA68.97090
    61598ATranspetrosal approach/skull33.36NA23.355.55NA62.26090
    61600AResect/excise cranial lesion25.81NA19.883.76NA49.45090
    61601AResect/excise cranial lesion27.85NA20.566.38NA54.79090
    61605AResect/excise cranial lesion29.29NA22.163.03NA54.48090
    61606AResect/excise cranial lesion38.77NA25.238.21NA72.21090
    61607AResect/excise cranial lesion36.22NA23.886.86NA66.96090
    61608AResect/excise cranial lesion42.04NA26.6710.02NA78.73090
    61609ATransect artery, sinus9.88NA4.872.50NA17.25ZZZ
    61610ATransect artery, sinus29.63NA13.194.25NA47.07ZZZ
    61611ATransect artery, sinus7.41NA3.841.87NA13.12ZZZ
    61612ATransect artery, sinus27.84NA13.364.28NA45.48ZZZ
    61613ARemove aneurysm, sinus40.80NA26.3410.03NA77.17090
    61615AResect/excise lesion, skull32.02NA22.825.60NA60.44090
    61616AResect/excise lesion, skull43.27NA28.778.47NA80.51090
    61618ARepair dura16.96NA10.513.52NA30.99090
    61619ARepair dura20.68NA12.314.12NA37.11090
    61623AEndovasc tempory vessel occl9.95NA4.230.60NA14.78000
    61624ATranscath occlusion, cns20.12NA6.931.39NA28.44000
    61626ATranscath occlusion, non-cns16.60NA5.541.01NA23.15000
    61680AIntracranial vessel surgery30.66NA17.527.28NA55.46090
    61682AIntracranial vessel surgery61.48NA32.3715.31NA109.16090
    61684AIntracranial vessel surgery39.75NA22.109.49NA71.34090
    61686AIntracranial vessel surgery64.39NA34.8815.92NA115.19090
    61690AIntracranial vessel surgery29.27NA16.806.65NA52.72090
    61692AIntracranial vessel surgery51.79NA27.6112.27NA91.67090
    61697ABrain aneurysm repr, complx50.44NA28.1312.43NA91.00090
    61698ABrain aneurysm repr, complx48.34NA26.8012.05NA87.19090
    61700ABrain aneurysm repr, simple50.44NA27.9312.28NA90.65090
    61702AInner skull vessel surgery48.34NA26.1511.76NA86.25090
    61703AClamp neck artery17.44NA10.524.37NA32.33090
    61705ARevise circulation to head36.15NA19.348.04NA63.53090
    61708ARevise circulation to head35.25NA15.202.63NA53.08090
    61710ARevise circulation to head29.63NA13.662.92NA46.21090
    61711AFusion of skull arteries36.28NA19.908.91NA65.09090
    61720AIncise skull/brain surgery16.74NA10.034.23NA31.00090
    61735AIncise skull/brain surgery20.40NA12.225.02NA37.64090
    61750AIncise skull/brain biopsy18.17NA10.674.47NA33.31090
    61751ABrain biopsy w/ct/mr guide17.59NA10.864.31NA32.76090
    61760AImplant brain electrodes22.24NA8.775.54NA36.55090
    61770AIncise skull for treatment21.41NA12.314.93NA38.65090
    61790ATreat trigeminal nerve10.84NA5.952.20NA18.99090
    61791ATreat trigeminal tract14.59NA8.963.65NA27.20090
    61793AFocus radiation beam17.21NA10.164.23NA31.60090
    61795ABrain surgery using computer4.03NA2.040.98NA7.05ZZZ
    61850AImplant neuroelectrodes12.37NA7.712.69NA22.77090
    61860AImplant neuroelectrodes20.84NA12.134.87NA37.84090
    61862DImplant neurostimul, subcort0.000.000.000.000.000.00090
    61863AImplant neuroelectrode18.97NA9.214.79NA32.97090
    61864AImplant neuroelectrde, add'l4.49NA2.291.13NA7.91ZZZ
    61867AImplant neuroelectrode31.29NA13.814.79NA49.89090
    61868AImplant neuroelectrde, add'l7.91NA4.031.21NA13.15ZZZ
    61870AImplant neuroelectrodes14.92NA9.822.05NA26.79090
    61875AImplant neuroelectrodes15.04NA8.612.92NA26.57090
    61880ARevise/remove neuroelectrode6.28NA4.601.58NA12.46090
    61885AImplant neurostim one array5.84NA5.321.47NA12.63090
    Start Printed Page 1180
    61886AImplant neurostim arrays7.99NA6.361.98NA16.33090
    61888ARevise/remove neuroreceiver5.06NA3.881.25NA10.19010
    62000ATreat skull fracture12.51NA5.551.05NA19.11090
    62005ATreat skull fracture16.15NA8.832.81NA27.79090
    62010ATreatment of head injury19.78NA11.754.88NA36.41090
    62100ARepair brain fluid leakage22.00NA12.854.91NA39.76090
    62115AReduction of skull defect21.63NA11.695.46NA38.78090
    62116AReduction of skull defect23.55NA13.425.85NA42.82090
    62117AReduction of skull defect26.56NA15.446.71NA48.71090
    62120ARepair skull cavity lesion23.31NA14.333.70NA41.34090
    62121AIncise skull repair21.55NA12.752.98NA37.28090
    62140ARepair of skull defect13.49NA8.363.14NA24.99090
    62141ARepair of skull defect14.89NA9.103.44NA27.43090
    62142ARemove skull plate/flap10.77NA7.032.53NA20.33090
    62143AReplace skull plate/flap13.03NA8.083.08NA24.19090
    62145ARepair of skull & brain18.79NA10.954.60NA34.34090
    62146ARepair of skull with graft16.10NA9.683.55NA29.33090
    62147ARepair of skull with graft19.31NA11.384.39NA35.08090
    62148ARetr bone flap to fix skull2.00NA0.820.52NA3.34ZZZ
    62160ANeuroendoscopy add-on3.00NA1.140.63NA4.77ZZZ
    62161ADissect brain w/scope19.97NA9.564.46NA33.99090
    62162ARemove colloid cyst w/scope25.21NA11.696.96NA43.86090
    62163ANeuroendoscopy w/fb removal15.48NA7.854.46NA27.79090
    62164ARemove brain tumor w/scope27.46NA12.906.96NA47.32090
    62165ARemove pituit tumor w/scope21.97NA10.514.38NA36.86090
    62180AEstablish brain cavity shunt21.03NA12.345.21NA38.58090
    62190AEstablish brain cavity shunt11.05NA7.112.63NA20.79090
    62192AEstablish brain cavity shunt12.23NA7.662.97NA22.86090
    62194AReplace/irrigate catheter5.02NA2.790.60NA8.41010
    62200AEstablish brain cavity shunt18.29NA10.894.46NA33.64090
    62201ABrain cavity shunt w/scope14.84NA9.493.04NA27.37090
    62220AEstablish brain cavity shunt12.98NA8.023.05NA24.05090
    62223AEstablish brain cavity shunt12.85NA8.283.11NA24.24090
    62225AReplace/irrigate catheter5.40NA4.111.31NA10.82090
    62230AReplace/revise brain shunt10.52NA6.512.53NA19.56090
    62252ACsf shunt reprogram0.741.48NA0.212.43NAXXX
    6225226ACsf shunt reprogram0.740.370.370.191.301.30XXX
    62252TCACsf shunt reprogram0.001.11NA0.021.13NAXXX
    62256ARemove brain cavity shunt6.59NA4.721.62NA12.93090
    62258AReplace brain cavity shunt14.52NA8.743.51NA26.77090
    62263AEpidural lysis mult sessions6.1311.872.390.5118.519.03010
    62264AEpidural lysis on single day4.427.661.400.3612.446.18010
    62268ADrain spinal cord cyst4.7310.582.180.3515.667.26000
    62269ANeedle biopsy, spinal cord5.0112.802.010.3518.167.37000
    62270ASpinal fluid tap, diagnostic1.133.080.490.074.281.69000
    62272ADrain cerebro spinal fluid1.353.680.640.165.192.15000
    62273ATreat epidural spine lesion2.152.730.570.175.052.89000
    62280ATreat spinal cord lesion2.636.590.880.219.433.72010
    62281ATreat spinal cord lesion2.665.760.770.198.613.62010
    62282ATreat spinal canal lesion2.338.200.790.1710.703.29010
    62284AInjection for myelogram1.544.880.600.126.542.26000
    62287APercutaneous diskectomy8.07NA5.520.80NA14.39090
    62290AInject for spine disk x-ray3.006.811.280.2410.054.52000
    62291AInject for spine disk x-ray2.915.691.130.218.814.25000
    62292AInjection into disk lesion7.85NA4.500.78NA13.13090
    62294AInjection into spinal artery11.81NA5.621.03NA18.46090
    62310AInject spine c/t1.914.830.500.136.872.54000
    62311AInject spine l/s (cd)1.544.910.450.116.562.10000
    62318AInject spine w/cath, c/t2.045.510.510.147.692.69000
    62319AInject spine w/cath l/s (cd)1.874.820.470.136.822.47000
    62350AImplant spinal canal cath6.86NA3.990.77NA11.62090
    62351AImplant spinal canal cath9.99NA7.102.16NA19.25090
    62355ARemove spinal canal catheter5.44NA3.200.57NA9.21090
    62360AInsert spine infusion device2.62NA2.710.25NA5.58090
    62361AImplant spine infusion pump5.41NA3.910.60NA9.92090
    62362AImplant spine infusion pump7.03NA4.381.04NA12.45090
    62365ARemove spine infusion device5.41NA3.600.70NA9.71090
    62367CAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    6236726AAnalyze spine infusion pump0.480.130.130.040.650.65XXX
    62367TCCAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    62368CAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    6236826AAnalyze spine infusion pump0.750.190.190.061.001.00XXX
    62368TCCAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    63001ARemoval of spinal lamina15.80NA9.523.65NA28.97090
    63003ARemoval of spinal lamina15.93NA9.863.59NA29.38090
    Start Printed Page 1181
    63005ARemoval of spinal lamina14.90NA9.933.16NA27.99090
    63011ARemoval of spinal lamina14.50NA8.261.72NA24.48090
    63012ARemoval of spinal lamina15.38NA10.093.27NA28.74090
    63015ARemoval of spinal lamina19.32NA11.894.63NA35.84090
    63016ARemoval of spinal lamina19.17NA11.794.37NA35.33090
    63017ARemoval of spinal lamina15.92NA10.363.51NA29.79090
    63020ANeck spine disk surgery14.79NA9.673.49NA27.95090
    63030ALow back disk surgery11.98NA8.392.67NA23.04090
    63035ASpinal disk surgery add-on3.15NA1.590.69NA5.43ZZZ
    63040ALaminotomy, single cervical18.78NA11.504.05NA34.33090
    63042ALaminotomy, single lumbar17.44NA11.303.75NA32.49090
    63043CLaminotomy, add'l cervical0.000.000.000.000.000.00ZZZ
    63044CLaminotomy, add'l lumbar0.000.000.000.000.000.00ZZZ
    63045ARemoval of spinal lamina16.48NA10.353.85NA30.68090
    63046ARemoval of spinal lamina15.78NA10.163.49NA29.43090
    63047ARemoval of spinal lamina14.59NA9.853.15NA27.59090
    63048ARemove spinal lamina add-on3.26NA1.670.70NA5.63ZZZ
    63055ADecompress spinal cord21.96NA13.144.93NA40.03090
    63056ADecompress spinal cord20.33NA12.544.03NA36.90090
    63057ADecompress spine cord add-on5.25NA2.640.98NA8.87ZZZ
    63064ADecompress spinal cord24.57NA14.455.69NA44.71090
    63066ADecompress spine cord add-on3.26NA1.670.76NA5.69ZZZ
    63075ANeck spine disk surgery19.38NA12.084.50NA35.96090
    63076ANeck spine disk surgery4.04NA2.060.94NA7.04ZZZ
    63077ASpine disk surgery, thorax21.41NA12.764.15NA38.32090
    63078ASpine disk surgery, thorax3.28NA1.640.60NA5.52ZZZ
    63081ARemoval of vertebral body23.69NA14.335.38NA43.40090
    63082ARemove vertebral body add-on4.36NA2.230.99NA7.58ZZZ
    63085ARemoval of vertebral body26.88NA15.475.67NA48.02090
    63086ARemove vertebral body add-on3.19NA1.600.66NA5.45ZZZ
    63087ARemoval of vertebral body35.52NA19.457.08NA62.05090
    63088ARemove vertebral body add-on4.32NA2.180.93NA7.43ZZZ
    63090ARemoval of vertebral body28.12NA16.015.15NA49.28090
    63091ARemove vertebral body add-on3.03NA1.460.54NA5.03ZZZ
    63101ARemoval of vertebral body31.95NA19.345.69NA56.98090
    63102ARemoval of vertebral body31.95NA19.345.69NA56.98090
    63103ARemove vertebral body add-on3.89NA2.010.76NA6.66ZZZ
    63170AIncise spinal cord tract(s)19.80NA12.064.69NA36.55090
    63172ADrainage of spinal cyst17.63NA10.854.17NA32.65090
    63173ADrainage of spinal cyst21.96NA13.034.99NA39.98090
    63180ARevise spinal cord ligaments18.24NA11.214.62NA34.07090
    63182ARevise spinal cord ligaments20.47NA11.184.20NA35.85090
    63185AIncise spinal column/nerves15.02NA8.252.51NA25.78090
    63190AIncise spinal column/nerves17.42NA10.313.47NA31.20090
    63191AIncise spinal column/nerves17.51NA10.684.22NA32.41090
    63194AIncise spinal column & cord19.16NA11.894.84NA35.89090
    63195AIncise spinal column & cord18.81NA11.244.15NA34.20090
    63196AIncise spinal column & cord22.27NA13.585.62NA41.47090
    63197AIncise spinal column & cord21.08NA12.395.33NA38.80090
    63198AIncise spinal column & cord25.34NA8.636.40NA40.37090
    63199AIncise spinal column & cord26.85NA15.246.78NA48.87090
    63200ARelease of spinal cord19.15NA11.484.35NA34.98090
    63250ARevise spinal cord vessels40.70NA20.039.23NA69.96090
    63251ARevise spinal cord vessels41.14NA22.699.62NA73.45090
    63252ARevise spinal cord vessels41.13NA22.339.35NA72.81090
    63265AExcise intraspinal lesion21.53NA12.815.17NA39.51090
    63266AExcise intraspinal lesion22.27NA13.225.39NA40.88090
    63267AExcise intraspinal lesion17.92NA11.094.22NA33.23090
    63268AExcise intraspinal lesion18.49NA10.423.84NA32.75090
    63270AExcise intraspinal lesion26.76NA15.526.53NA48.81090
    63271AExcise intraspinal lesion26.88NA15.636.71NA49.22090
    63272AExcise intraspinal lesion25.28NA14.736.11NA46.12090
    63273AExcise intraspinal lesion24.25NA14.396.13NA44.77090
    63275ABiopsy/excise spinal tumor23.64NA13.835.64NA43.11090
    63276ABiopsy/excise spinal tumor23.41NA13.725.58NA42.71090
    63277ABiopsy/excise spinal tumor20.80NA12.544.86NA38.20090
    63278ABiopsy/excise spinal tumor20.53NA12.394.85NA37.77090
    63280ABiopsy/excise spinal tumor28.31NA16.377.00NA51.68090
    63281ABiopsy/excise spinal tumor28.01NA16.226.84NA51.07090
    63282ABiopsy/excise spinal tumor26.35NA15.386.43NA48.16090
    63283ABiopsy/excise spinal tumor24.96NA14.716.18NA45.85090
    63285ABiopsy/excise spinal tumor35.95NA20.018.82NA64.78090
    63286ABiopsy/excise spinal tumor35.58NA19.978.53NA64.08090
    63287ABiopsy/excise spinal tumor36.64NA20.539.02NA66.19090
    63290ABiopsy/excise spinal tumor37.32NA20.669.23NA67.21090
    Start Printed Page 1182
    63300ARemoval of vertebral body24.39NA14.345.77NA44.50090
    63301ARemoval of vertebral body27.56NA15.586.07NA49.21090
    63302ARemoval of vertebral body27.77NA15.886.33NA49.98090
    63303ARemoval of vertebral body30.45NA16.926.28NA53.65090
    63304ARemoval of vertebral body30.28NA17.345.69NA53.31090
    63305ARemoval of vertebral body31.98NA18.066.50NA56.54090
    63306ARemoval of vertebral body32.17NA17.842.88NA52.89090
    63307ARemoval of vertebral body31.58NA16.825.10NA53.50090
    63308ARemove vertebral body add-on5.24NA2.621.22NA9.08ZZZ
    63600ARemove spinal cord lesion14.00NA5.441.47NA20.91090
    63610AStimulation of spinal cord8.7255.662.300.5264.9011.54000
    63615ARemove lesion of spinal cord16.26NA9.413.44NA29.11090
    63650AImplant neuroelectrodes6.73NA3.220.58NA10.53090
    63655AImplant neuroelectrodes10.27NA6.902.23NA19.40090
    63660ARevise/remove neuroelectrode6.15NA3.630.78NA10.56090
    63685AImplant neuroreceiver7.03NA4.161.16NA12.35090
    63688ARevise/remove neuroreceiver5.38NA3.570.84NA9.79090
    63700ARepair of spinal herniation16.51NA10.273.24NA30.02090
    63702ARepair of spinal herniation18.45NA10.841.64NA30.93090
    63704ARepair of spinal herniation21.15NA12.894.63NA38.67090
    63706ARepair of spinal herniation24.07NA13.615.70NA43.38090
    63707ARepair spinal fluid leakage11.24NA7.682.36NA21.28090
    63709ARepair spinal fluid leakage14.30NA9.363.00NA26.66090
    63710AGraft repair of spine defect14.05NA9.053.15NA26.25090
    63740AInstall spinal shunt11.34NA7.382.59NA21.31090
    63741AInstall spinal shunt8.24NA4.781.27NA14.29090
    63744ARevision of spinal shunt8.09NA5.281.82NA15.19090
    63746ARemoval of spinal shunt6.42NA3.801.39NA11.61090
    64400AN block inj, trigeminal1.112.010.370.073.191.55000
    64402AN block inj, facial1.251.740.530.083.071.86000
    64405AN block inj, occipital1.321.520.390.102.941.81000
    64408AN block inj, vagus1.411.580.660.113.102.18000
    64410AN block inj, phrenic1.432.560.390.104.091.92000
    64412AN block inj, spinal accessor1.182.710.370.103.991.65000
    64413AN block inj, cervical plexus1.401.880.430.113.391.94000
    64415AN block inj, brachial plexus1.482.840.390.104.421.97000
    64416AN block cont infuse, b plex3.49NA0.720.10NA4.31010
    64417AN block inj, axillary1.443.090.420.114.641.97000
    64418AN block inj, suprascapular1.322.650.370.084.051.77000
    64420AN block inj, intercost, sng1.183.530.360.084.791.62000
    64421AN block inj, intercost, mlt1.685.390.450.127.192.25000
    64425AN block inj ilio-ing/hypogi1.751.700.470.133.582.35000
    64430AN block inj, pudendal1.462.590.490.134.182.08000
    64435AN block inj, paracervical1.452.580.630.184.212.26000
    64445AN block inj, sciatic, sng1.482.690.370.104.271.95000
    64446AN blk inj, sciatic, cont inf3.25NA1.180.10NA4.53010
    64447AN block inj fem, single1.50NA0.510.10NA2.11000
    64448AN block inj fem, cont inf3.00NA1.030.10NA4.13010
    64449AN block inj, lumbar plexus3.00NA0.970.10NA4.07010
    64450AN block, other peripheral1.271.260.410.102.631.78000
    64470AInj paravertebral c/t1.854.860.560.146.852.55000
    64472AInj paravertebral c/t add-on1.291.940.310.113.341.71ZZZ
    64475AInj paravertebral l/s1.414.560.470.116.081.99000
    64476AInj paravertebral l/s add-on0.981.820.250.072.871.30ZZZ
    64479AInj foramen epidural c/t2.207.050.720.179.423.09000
    64480AInj foramen epidural add-on1.542.410.460.114.062.11ZZZ
    64483AInj foramen epidural l/s1.907.530.660.149.572.70000
    64484AInj foramen epidural add-on1.332.800.370.104.231.80ZZZ
    64505AN block, spenopalatine gangl1.361.220.470.102.681.93000
    64508AN block, carotid sinus s/p1.122.960.510.074.151.70000
    64510AN block, stellate ganglion1.223.200.370.084.501.67000
    64517AN block inj, hypogas plxs2.202.700.870.135.033.20000
    64520AN block, lumbar/thoracic1.354.560.410.106.011.86000
    64530AN block inj, celiac pelus1.583.940.470.115.632.16000
    64550AApply neurostimulator0.180.300.050.010.490.24000
    64553AImplant neuroelectrodes2.312.701.860.215.224.38010
    64555AImplant neuroelectrodes2.273.091.200.135.493.60010
    64560AImplant neuroelectrodes2.362.641.300.215.213.87010
    64561AImplant neuroelectrodes6.73NA3.160.13NA10.02010
    64565AImplant neuroelectrodes1.763.351.260.105.213.12010
    64573AImplant neuroelectrodes7.49NA5.231.79NA14.51090
    64575AImplant neuroelectrodes4.34NA2.700.45NA7.49090
    64577AImplant neuroelectrodes4.61NA3.320.60NA8.53090
    64580AImplant neuroelectrodes4.11NA3.550.25NA7.91090
    64581AImplant neuroelectrodes13.48NA5.410.45NA19.34090
    Start Printed Page 1183
    64585ARevise/remove neuroelectrode2.0611.571.710.3513.984.12010
    64590AImplant neuroreceiver2.407.261.900.4810.144.78010
    64595ARevise/remove neuroreceiver1.7310.691.490.2712.693.49010
    64600AInjection treatment of nerve3.448.451.570.3412.235.35010
    64605AInjection treatment of nerve5.608.592.050.6414.838.29010
    64610AInjection treatment of nerve7.157.893.581.3516.3912.08010
    64612ADestroy nerve, face muscle1.962.621.080.114.693.15010
    64613ADestroy nerve, spine muscle1.962.970.990.125.053.07010
    64614ADestroy nerve, extrem musc2.203.241.120.115.553.43010
    64620AInjection treatment of nerve2.844.601.180.217.654.23010
    64622ADestr paravertebrl nerve l/s3.007.621.230.2110.834.44010
    64623ADestr paravertebral n add-on0.992.420.230.073.481.29ZZZ
    64626ADestr paravertebrl nerve c/t3.286.671.850.2710.225.40010
    64627ADestr paravertebral n add-on1.162.610.270.103.871.53ZZZ
    64630AInjection treatment of nerve3.002.731.280.195.924.47010
    64640AInjection treatment of nerve2.764.241.670.137.134.56010
    64680AInjection treatment of nerve2.625.971.280.188.774.08010
    64681AInjection treatment of nerve3.548.712.100.1812.435.82010
    64702ARevise finger/toe nerve4.22NA3.820.62NA8.66090
    64704ARevise hand/foot nerve4.56NA3.280.71NA8.55090
    64708ARevise arm/leg nerve6.11NA4.830.99NA11.93090
    64712ARevision of sciatic nerve7.74NA4.990.65NA13.38090
    64713ARevision of arm nerve(s)10.98NA5.901.22NA18.10090
    64714ARevise low back nerve(s)10.31NA4.240.77NA15.32090
    64716ARevision of cranial nerve6.30NA5.260.71NA12.27090
    64718ARevise ulnar nerve at elbow5.98NA5.871.05NA12.90090
    64719ARevise ulnar nerve at wrist4.84NA4.460.76NA10.06090
    64721ACarpal tunnel surgery4.284.954.950.719.949.94090
    64722ARelieve pressure on nerve(s)4.69NA3.060.39NA8.14090
    64726ARelease foot/toe nerve4.17NA2.760.69NA7.62090
    64727AInternal nerve revision3.10NA1.510.48NA5.09ZZZ
    64732AIncision of brow nerve4.40NA3.530.93NA8.86090
    64734AIncision of cheek nerve4.91NA4.061.00NA9.97090
    64736AIncision of chin nerve4.59NA4.030.86NA9.48090
    64738AIncision of jaw nerve5.72NA4.621.01NA11.35090
    64740AIncision of tongue nerve5.58NA4.390.52NA10.49090
    64742AIncision of facial nerve6.21NA4.740.83NA11.78090
    64744AIncise nerve, back of head5.23NA3.791.18NA10.20090
    64746AIncise diaphragm nerve5.92NA4.530.90NA11.35090
    64752AIncision of vagus nerve7.05NA4.311.00NA12.36090
    64755AIncision of stomach nerves13.50NA5.681.40NA20.58090
    64760AIncision of vagus nerve6.95NA3.520.62NA11.09090
    64761AIncision of pelvis nerve6.40NA3.560.31NA10.27090
    64763AIncise hip/thigh nerve6.92NA5.240.93NA13.09090
    64766AIncise hip/thigh nerve8.66NA5.261.19NA15.11090
    64771ASever cranial nerve7.34NA5.581.59NA14.51090
    64772AIncision of spinal nerve7.20NA4.931.45NA13.58090
    64774ARemove skin nerve lesion5.16NA3.810.72NA9.69090
    64776ARemove digit nerve lesion5.11NA3.670.76NA9.54090
    64778ADigit nerve surgery add-on3.11NA1.500.46NA5.07ZZZ
    64782ARemove limb nerve lesion6.22NA3.750.95NA10.92090
    64783ALimb nerve surgery add-on3.71NA1.850.58NA6.14ZZZ
    64784ARemove nerve lesion9.81NA6.571.41NA17.79090
    64786ARemove sciatic nerve lesion15.44NA9.842.68NA27.96090
    64787AImplant nerve end4.29NA2.130.68NA7.10ZZZ
    64788ARemove skin nerve lesion4.60NA3.470.65NA8.72090
    64790ARemoval of nerve lesion11.29NA7.192.03NA20.51090
    64792ARemoval of nerve lesion14.90NA8.842.27NA26.01090
    64795ABiopsy of nerve3.01NA1.590.48NA5.08000
    64802ARemove sympathetic nerves9.14NA5.171.05NA15.36090
    64804ARemove sympathetic nerves14.62NA7.202.16NA23.98090
    64809ARemove sympathetic nerves13.65NA5.801.16NA20.61090
    64818ARemove sympathetic nerves10.28NA5.331.30NA16.91090
    64820ARemove sympathetic nerves10.35NA7.111.41NA18.87090
    64821ARemove sympathetic nerves8.74NA7.351.19NA17.28090
    64822ARemove sympathetic nerves8.74NA7.271.19NA17.20090
    64823ARemove sympathetic nerves10.35NA8.181.41NA19.94090
    64831ARepair of digit nerve9.43NA7.051.37NA17.85090
    64832ARepair nerve add-on5.65NA2.950.82NA9.42ZZZ
    64834ARepair of hand or foot nerve10.17NA7.081.48NA18.73090
    64835ARepair of hand or foot nerve10.92NA7.671.64NA20.23090
    64836ARepair of hand or foot nerve10.92NA7.651.59NA20.16090
    64837ARepair nerve add-on6.25NA3.250.96NA10.46ZZZ
    64840ARepair of leg nerve13.00NA8.281.04NA22.32090
    64856ARepair/transpose nerve13.78NA9.172.06NA25.01090
    Start Printed Page 1184
    64857ARepair arm/leg nerve14.47NA9.622.12NA26.21090
    64858ARepair sciatic nerve16.47NA10.743.35NA30.56090
    64859ANerve surgery4.25NA2.200.60NA7.05ZZZ
    64861ARepair of arm nerves19.21NA11.832.95NA33.99090
    64862ARepair of low back nerves19.41NA11.962.98NA34.35090
    64864ARepair of facial nerve12.53NA8.101.36NA21.99090
    64865ARepair of facial nerve15.22NA9.871.65NA26.74090
    64866AFusion of facial/other nerve15.72NA9.711.28NA26.71090
    64868AFusion of facial/other nerve14.02NA8.871.69NA24.58090
    64870AFusion of facial/other nerve15.97NA8.751.30NA26.02090
    64872ASubsequent repair of nerve1.99NA1.090.29NA3.37ZZZ
    64874ARepair & revise nerve add-on2.98NA1.540.41NA4.93ZZZ
    64876ARepair nerve/shorten bone3.37NA1.280.47NA5.12ZZZ
    64885ANerve graft, head or neck17.50NA10.911.82NA30.23090
    64886ANerve graft, head or neck20.72NA12.752.09NA35.56090
    64890ANerve graft, hand or foot15.13NA9.992.10NA27.22090
    64891ANerve graft, hand or foot16.12NA7.631.66NA25.41090
    64892ANerve graft, arm or leg14.63NA8.861.99NA25.48090
    64893ANerve graft, arm or leg15.58NA9.892.13NA27.60090
    64895ANerve graft, hand or foot19.22NA9.672.46NA31.35090
    64896ANerve graft, hand or foot20.46NA11.012.23NA33.70090
    64897ANerve graft, arm or leg18.21NA10.723.18NA32.11090
    64898ANerve graft, arm or leg19.47NA11.813.27NA34.55090
    64901ANerve graft add-on10.20NA5.291.19NA16.68ZZZ
    64902ANerve graft add-on11.81NA5.991.33NA19.13ZZZ
    64905ANerve pedicle transfer14.00NA8.561.83NA24.39090
    64907ANerve pedicle transfer18.80NA12.502.16NA33.46090
    64999CNervous system surgery0.000.000.000.000.000.00YYY
    65091ARevise eye6.45NA9.730.31NA16.49090
    65093ARevise eye with implant6.86NA10.090.34NA17.29090
    65101ARemoval of eye7.02NA10.680.34NA18.04090
    65103ARemove eye/insert implant7.56NA10.870.36NA18.79090
    65105ARemove eye/attach implant8.48NA11.520.41NA20.41090
    65110ARemoval of eye13.93NA14.610.82NA29.36090
    65112ARemove eye/revise socket16.36NA16.881.16NA34.40090
    65114ARemove eye/revise socket17.50NA17.101.13NA35.73090
    65125ARevise ocular implant3.129.232.960.1812.536.26090
    65130AInsert ocular implant7.14NA10.240.34NA17.72090
    65135AInsert ocular implant7.32NA10.420.35NA18.09090
    65140AAttach ocular implant8.01NA10.870.37NA19.25090
    65150ARevise ocular implant6.25NA9.290.30NA15.84090
    65155AReinsert ocular implant8.65NA11.590.48NA20.72090
    65175ARemoval of ocular implant6.27NA9.650.31NA16.23090
    65205ARemove foreign body from eye0.710.600.190.041.350.94000
    65210ARemove foreign body from eye0.840.740.300.041.621.18000
    65220ARemove foreign body from eye0.710.600.180.061.370.95000
    65222ARemove foreign body from eye0.930.760.270.051.741.25000
    65235ARemove foreign body from eye7.56NA7.260.36NA15.18090
    65260ARemove foreign body from eye10.94NA11.430.52NA22.89090
    65265ARemove foreign body from eye12.57NA12.670.60NA25.84090
    65270ARepair of eye wound1.903.832.240.105.834.24010
    65272ARepair of eye wound3.815.785.210.199.789.21090
    65273ARepair of eye wound4.35NA5.630.21NA10.19090
    65275ARepair of eye wound5.335.665.660.3311.3211.32090
    65280ARepair of eye wound7.65NA8.170.36NA16.18090
    65285ARepair of eye wound12.88NA12.380.62NA25.88090
    65286ARepair of eye wound5.508.427.520.2514.1713.27090
    65290ARepair of eye socket wound5.40NA6.470.31NA12.18090
    65400ARemoval of eye lesion6.058.637.470.2914.9713.81090
    65410ABiopsy of cornea1.471.720.650.073.262.19000
    65420ARemoval of eye lesion4.167.536.740.2111.9011.11090
    65426ARemoval of eye lesion5.247.496.540.2412.9712.02090
    65430ACorneal smear1.474.950.660.076.492.20000
    65435ACurette/treat cornea0.921.320.390.052.291.36000
    65436ACurette/treat cornea4.185.855.220.2110.249.61090
    65450ATreatment of corneal lesion3.277.226.330.1610.659.76090
    65600ARevision of cornea3.395.633.110.179.196.67090
    65710ACorneal transplant12.33NA12.330.59NA25.25090
    65730ACorneal transplant14.23NA11.860.68NA26.77090
    65750ACorneal transplant14.98NA13.350.71NA29.04090
    65755ACorneal transplant14.87NA13.260.70NA28.83090
    65760NRevision of cornea0.000.000.000.000.000.00XXX
    65765NRevision of cornea0.000.000.000.000.000.00XXX
    65767NCorneal tissue transplant0.000.000.000.000.000.00XXX
    65770ARevise cornea with implant17.53NA14.310.83NA32.67090
    Start Printed Page 1185
    65771NRadial keratotomy0.000.000.000.000.000.00XXX
    65772ACorrection of astigmatism4.287.156.460.2111.6410.95090
    65775ACorrection of astigmatism5.78NA7.350.27NA13.40090
    65780AOcular reconst, transplant10.23NA9.940.35NA20.52090
    65781AOcular reconst, transplant17.64NA13.310.35NA31.30090
    65782AOcular reconst, transplant14.98NA11.660.35NA26.99090
    65800ADrainage of eye1.912.271.170.104.283.18000
    65805ADrainage of eye1.912.271.180.104.283.19000
    65810ADrainage of eye4.86NA8.050.23NA13.14090
    65815ADrainage of eye5.048.377.490.2413.6512.77090
    65820ARelieve inner eye pressure8.12NA10.650.39NA19.16090
    65850AIncision of eye10.50NA9.380.49NA20.37090
    65855ALaser surgery of eye3.845.204.050.219.258.10010
    65860AIncise inner eye adhesions3.543.903.260.177.616.97090
    65865AIncise inner eye adhesions5.59NA6.480.27NA12.34090
    65870AIncise inner eye adhesions6.26NA7.140.29NA13.69090
    65875AIncise inner eye adhesions6.53NA7.440.30NA14.27090
    65880AIncise inner eye adhesions7.08NA7.690.34NA15.11090
    65900ARemove eye lesion10.91NA11.510.55NA22.97090
    65920ARemove implant of eye8.39NA8.700.40NA17.49090
    65930ARemove blood clot from eye7.43NA7.740.35NA15.52090
    66020AInjection treatment of eye1.592.371.580.084.043.25010
    66030AInjection treatment of eye1.252.211.420.063.522.73010
    66130ARemove eye lesion7.687.486.920.3715.5314.97090
    66150AGlaucoma surgery8.29NA9.860.40NA18.55090
    66155AGlaucoma surgery8.28NA9.800.39NA18.47090
    66160AGlaucoma surgery10.15NA10.650.49NA21.29090
    66165AGlaucoma surgery8.00NA9.690.37NA18.06090
    66170AGlaucoma surgery12.14NA12.450.58NA25.17090
    66172AIncision of eye15.02NA15.120.71NA30.85090
    66180AImplant eye shunt14.53NA11.560.69NA26.78090
    66185ARevise eye shunt8.13NA8.190.39NA16.71090
    66220ARepair eye lesion7.76NA8.730.39NA16.88090
    66225ARepair/graft eye lesion11.03NA9.320.53NA20.88090
    66250AFollow-up surgery of eye5.977.676.500.2813.9212.75090
    66500AIncision of iris3.70NA5.100.18NA8.98090
    66505AIncision of iris4.07NA5.380.21NA9.66090
    66600ARemove iris and lesion8.67NA8.910.41NA17.99090
    66605ARemoval of iris12.77NA11.260.74NA24.77090
    66625ARemoval of iris5.127.026.300.2412.3811.66090
    66630ARemoval of iris6.15NA7.420.29NA13.86090
    66635ARemoval of iris6.24NA6.640.29NA13.17090
    66680ARepair iris & ciliary body5.43NA6.040.25NA11.72090
    66682ARepair iris & ciliary body6.20NA7.430.29NA13.92090
    66700ADestruction, ciliary body4.775.344.050.2310.349.05090
    66710ADestruction, ciliary body4.775.223.850.2210.218.84090
    66720ADestruction, ciliary body4.775.684.600.2310.689.60090
    66740ADestruction, ciliary body4.775.384.210.2210.379.20090
    66761ARevision of iris4.065.554.230.199.808.48090
    66762ARevision of iris4.575.624.220.2210.419.01090
    66770ARemoval of inner eye lesion5.176.054.730.2411.4610.14090
    66820AIncision, secondary cataract3.88NA7.100.19NA11.17090
    66821AAfter cataract laser surgery2.353.983.880.126.456.35090
    66825AReposition intraocular lens8.22NA10.080.39NA18.69090
    66830ARemoval of lens lesion8.19NA7.080.39NA15.66090
    66840ARemoval of lens material7.90NA6.990.37NA15.26090
    66850ARemoval of lens material9.10NA7.750.43NA17.28090
    66852ARemoval of lens material9.96NA8.200.47NA18.63090
    66920AExtraction of lens8.85NA7.430.42NA16.70090
    66930AExtraction of lens10.16NA8.570.49NA19.22090
    66940AExtraction of lens8.92NA8.010.42NA17.35090
    66982ACataract surgery, complex13.48NA9.920.68NA24.08090
    66983ACataract surg w/iol, 1 stage8.98NA6.200.45NA15.63090
    66984ACataract surg w/iol, 1 stage10.21NA7.630.49NA18.33090
    66985AInsert lens prosthesis8.38NA7.470.40NA16.25090
    66986AExchange lens prosthesis12.26NA9.220.59NA22.07090
    66990AOphthalmic endoscope add-on1.51NA0.690.07NA2.27ZZZ
    66999CEye surgery procedure0.000.000.000.000.000.00YYY
    67005APartial removal of eye fluid5.69NA4.380.27NA10.34090
    67010APartial removal of eye fluid6.86NA4.930.33NA12.12090
    67015ARelease of eye fluid6.91NA7.730.33NA14.97090
    67025AReplace eye fluid6.8314.237.510.3321.3914.67090
    67027AImplant eye drug system10.8312.788.790.5524.1620.17090
    67028AInjection eye drug2.526.501.130.139.153.78000
    67030AIncise inner eye strands4.83NA6.810.23NA11.87090
    Start Printed Page 1186
    67031ALaser surgery, eye strands3.664.744.090.188.587.93090
    67036ARemoval of inner eye fluid11.87NA9.350.57NA21.79090
    67038AStrip retinal membrane21.21NA15.831.01NA38.05090
    67039ALaser treatment of retina14.50NA12.540.69NA27.73090
    67040ALaser treatment of retina17.20NA14.020.82NA32.04090
    67101ARepair detached retina7.529.858.110.3517.7215.98090
    67105ARepair detached retina7.407.996.230.3515.7413.98090
    67107ARepair detached retina14.82NA12.820.70NA28.34090
    67108ARepair detached retina20.79NA17.020.99NA38.80090
    67110ARepair detached retina8.8015.379.230.4224.5918.45090
    67112ARerepair detached retina16.83NA14.590.80NA32.22090
    67115ARelease encircling material4.98NA7.090.23NA12.30090
    67120ARemove eye implant material5.9712.306.930.2818.5513.18090
    67121ARemove eye implant material10.65NA11.170.51NA22.33090
    67141ATreatment of retina5.197.246.490.2412.6711.92090
    67145ATreatment of retina5.365.764.940.2511.3710.55090
    67208ATreatment of retinal lesion6.695.955.380.3112.9512.38090
    67210ATreatment of retinal lesion8.816.255.790.4215.4815.02090
    67218ATreatment of retinal lesion18.50NA14.130.64NA33.27090
    67220ATreatment of choroid lesion13.119.848.830.6223.5722.56090
    67221ROcular photodynamic ther4.004.691.810.198.886.00000
    67225AEye photodynamic ther add-on0.470.260.220.010.740.70ZZZ
    67227ATreatment of retinal lesion6.576.385.390.3113.2612.27090
    67228ATreatment of retinal lesion12.7210.838.420.6024.1521.74090
    67250AReinforce eye wall8.65NA10.370.43NA19.45090
    67255AReinforce/graft eye wall8.89NA10.950.42NA20.26090
    67299CEye surgery procedure0.000.000.000.000.000.00YYY
    67311ARevise eye muscle6.64NA6.420.33NA13.39090
    67312ARevise two eye muscles8.53NA7.550.42NA16.50090
    67314ARevise eye muscle7.51NA7.260.36NA15.13090
    67316ARevise two eye muscles9.65NA8.220.48NA18.35090
    67318ARevise eye muscle(s)7.84NA7.640.37NA15.85090
    67320ARevise eye muscle(s) add-on4.32NA1.960.21NA6.49ZZZ
    67331AEye surgery follow-up add-on4.05NA1.910.21NA6.17ZZZ
    67332ARerevise eye muscles add-on4.48NA2.030.22NA6.73ZZZ
    67334ARevise eye muscle w/suture3.97NA1.810.19NA5.97ZZZ
    67335AEye suture during surgery2.49NA1.120.12NA3.73ZZZ
    67340ARevise eye muscle add-on4.92NA2.230.23NA7.38ZZZ
    67343ARelease eye tissue7.34NA7.340.36NA15.04090
    67345ADestroy nerve of eye muscle2.964.361.370.167.484.49010
    67350ABiopsy eye muscle2.87NA1.870.16NA4.90000
    67399CEye muscle surgery procedure0.000.000.000.000.000.00YYY
    67400AExplore/biopsy eye socket9.75NA12.510.52NA22.78090
    67405AExplore/drain eye socket7.92NA11.090.43NA19.44090
    67412AExplore/treat eye socket9.49NA12.990.49NA22.97090
    67413AExplore/treat eye socket9.99NA12.140.52NA22.65090
    67414AExplr/decompress eye socket11.11NA14.010.58NA25.70090
    67415AAspiration, orbital contents1.76NA0.770.11NA2.64000
    67420AExplore/treat eye socket20.03NA18.771.01NA39.81090
    67430AExplore/treat eye socket13.37NA15.831.17NA30.37090
    67440AExplore/drain eye socket13.07NA15.470.70NA29.24090
    67445AExplr/decompress eye socket14.40NA15.700.76NA30.86090
    67450AExplore/biopsy eye socket13.49NA15.820.68NA29.99090
    67500AInject/treat eye socket0.790.820.190.051.661.03000
    67505AInject/treat eye socket0.820.920.210.051.791.08000
    67515AInject/treat eye socket0.610.820.280.021.450.91000
    67550AInsert eye socket implant10.17NA12.280.60NA23.05090
    67560ARevise eye socket implant10.58NA12.330.57NA23.48090
    67570ADecompress optic nerve13.56NA15.330.83NA29.72090
    67599COrbit surgery procedure0.000.000.000.000.000.00YYY
    67700ADrainage of eyelid abscess1.354.840.620.076.262.04010
    67710AIncision of eyelid1.024.990.530.056.061.60010
    67715AIncision of eyelid fold1.224.580.620.065.861.90010
    67800ARemove eyelid lesion1.382.500.690.073.952.14010
    67801ARemove eyelid lesions1.885.340.920.107.322.90010
    67805ARemove eyelid lesions2.225.491.080.117.823.41010
    67808ARemove eyelid lesion(s)3.79NA5.230.21NA9.23090
    67810ABiopsy of eyelid1.483.650.680.075.202.23000
    67820ARevise eyelashes0.891.110.370.052.051.31000
    67825ARevise eyelashes1.381.581.080.073.032.53010
    67830ARevise eyelashes1.707.481.950.089.263.73010
    67835ARevise eyelashes5.55NA5.000.27NA10.82090
    67840ARemove eyelid lesion2.045.321.000.107.463.14010
    67850ATreat eyelid lesion1.696.061.890.087.833.66010
    67875AClosure of eyelid by suture1.357.050.620.078.472.04000
    Start Printed Page 1187
    67880ARevision of eyelid3.799.664.290.1913.648.27090
    67882ARevision of eyelid5.0611.015.500.2516.3210.81090
    67900ARepair brow defect6.1310.536.320.3617.0212.81090
    67901ARepair eyelid defect6.96NA6.410.39NA13.76090
    67902ARepair eyelid defect7.02NA6.470.41NA13.90090
    67903ARepair eyelid defect6.3611.286.700.4718.1113.53090
    67904ARepair eyelid defect6.2512.497.170.3119.0513.73090
    67906ARepair eyelid defect6.789.116.010.5116.4013.30090
    67908ARepair eyelid defect5.128.835.680.2414.1911.04090
    67909ARevise eyelid defect5.399.366.090.3015.0511.78090
    67911ARevise eyelid defect5.26NA6.040.28NA11.58090
    67912ACorrection eyelid w/ implant5.6720.385.270.2826.3311.22090
    67914ARepair eyelid defect3.679.303.950.1913.167.81090
    67915ARepair eyelid defect3.187.902.580.1611.245.92090
    67916ARepair eyelid defect5.3011.785.690.2717.3511.26090
    67917ARepair eyelid defect6.019.716.150.3016.0212.46090
    67921ARepair eyelid defect3.399.113.750.1712.677.31090
    67922ARepair eyelid defect3.067.863.490.1611.086.71090
    67923ARepair eyelid defect5.8711.355.900.2917.5112.06090
    67924ARepair eyelid defect5.789.105.650.2815.1611.71090
    67930ARepair eyelid wound3.608.422.950.2112.236.76010
    67935ARepair eyelid wound6.2111.365.950.3517.9212.51090
    67938ARemove eyelid foreign body1.335.810.560.077.211.96010
    67950ARevision of eyelid5.818.256.570.3614.4212.74090
    67961ARevision of eyelid5.6810.205.700.3116.1911.69090
    67966ARevision of eyelid6.568.335.660.4015.2912.62090
    67971AReconstruction of eyelid9.78NA7.270.51NA17.56090
    67973AReconstruction of eyelid12.85NA9.240.71NA22.80090
    67974AReconstruction of eyelid12.82NA9.160.65NA22.63090
    67975AReconstruction of eyelid9.12NA6.950.46NA16.53090
    67999CRevision of eyelid0.000.000.000.000.000.00YYY
    68020AIncise/drain eyelid lining1.375.690.680.077.132.12010
    68040ATreatment of eyelid lesions0.854.820.370.045.711.26000
    68100ABiopsy of eyelid lining1.355.010.610.076.432.03000
    68110ARemove eyelid lining lesion1.776.061.400.087.913.25010
    68115ARemove eyelid lining lesion2.365.561.130.128.043.61010
    68130ARemove eyelid lining lesion4.928.144.280.2313.299.43090
    68135ARemove eyelid lining lesion1.845.320.900.087.242.82010
    68200ATreat eyelid by injection0.490.720.230.021.230.74000
    68320ARevise/graft eyelid lining5.366.565.410.2512.1711.02090
    68325ARevise/graft eyelid lining7.35NA6.390.36NA14.10090
    68326ARevise/graft eyelid lining7.14NA6.280.36NA13.78090
    68328ARevise/graft eyelid lining8.17NA7.030.48NA15.68090
    68330ARevise eyelid lining4.827.246.050.2312.2911.10090
    68335ARevise/graft eyelid lining7.18NA6.790.35NA14.32090
    68340ASeparate eyelid adhesions4.1610.804.770.2115.179.14090
    68360ARevise eyelid lining4.366.605.580.2111.1710.15090
    68362ARevise eyelid lining7.33NA7.720.35NA15.40090
    68371AHarvest eye tissue, alograft4.89NA4.620.21NA9.72010
    68399CEyelid lining surgery0.000.000.000.000.000.00YYY
    68400AIncise/drain tear gland1.697.612.040.089.383.81010
    68420AIncise/drain tear sac2.307.922.330.1210.344.75010
    68440AIncise tear duct opening0.944.930.490.055.921.48010
    68500ARemoval of tear gland11.00NA10.160.72NA21.88090
    68505APartial removal, tear gland10.92NA11.170.69NA22.78090
    68510ABiopsy of tear gland4.608.422.100.2313.256.93000
    68520ARemoval of tear sac7.50NA7.780.40NA15.68090
    68525ABiopsy of tear sac4.42NA2.020.22NA6.66000
    68530AClearance of tear duct3.659.452.850.1913.296.69010
    68540ARemove tear gland lesion10.58NA9.780.55NA20.91090
    68550ARemove tear gland lesion13.24NA11.750.80NA25.79090
    68700ARepair tear ducts6.59NA7.290.33NA14.21090
    68705ARevise tear duct opening2.065.451.010.107.613.17010
    68720ACreate tear sac drain8.95NA8.260.46NA17.67090
    68745ACreate tear duct drain8.62NA8.220.46NA17.30090
    68750ACreate tear duct drain8.65NA8.690.45NA17.79090
    68760AClose tear duct opening1.733.991.230.085.803.04010
    68761AClose tear duct opening1.363.420.980.074.852.41010
    68770AClose tear system fistula7.0112.756.780.3420.1014.13090
    68801ADilate tear duct opening0.940.940.600.051.931.59010
    68810AProbe nasolacrimal duct1.902.320.920.104.322.92010
    68811AProbe nasolacrimal duct2.35NA2.360.12NA4.83010
    68815AProbe nasolacrimal duct3.208.162.680.1711.536.05010
    68840AExplore/irrigate tear ducts1.251.640.960.062.952.27010
    68850AInjection for tear sac x-ray0.8016.320.300.0417.161.14000
    Start Printed Page 1188
    68899CTear duct system surgery0.000.000.000.000.000.00YYY
    69000ADrain external ear lesion1.452.951.390.124.522.96010
    69005ADrain external ear lesion2.112.961.850.195.264.15010
    69020ADrain outer ear canal lesion1.483.922.030.135.533.64010
    69090NPierce earlobes0.000.000.000.000.000.00XXX
    69100ABiopsy of external ear0.811.740.390.052.601.25000
    69105ABiopsy of external ear canal0.852.310.770.073.231.69000
    69110ARemove external ear, partial3.434.073.030.297.796.75090
    69120ARemoval of external ear4.04NA3.960.37NA8.37090
    69140ARemove ear canal lesion(s)7.96NA6.690.68NA15.33090
    69145ARemove ear canal lesion(s)2.623.572.600.226.415.44090
    69150AExtensive ear canal surgery13.41NA9.901.29NA24.60090
    69155AExtensive ear/neck surgery20.77NA14.471.82NA37.06090
    69200AClear outer ear canal0.772.330.580.063.161.41000
    69205AClear outer ear canal1.20NA1.350.11NA2.66010
    69210ARemove impacted ear wax0.610.630.240.051.290.90000
    69220AClean out mastoid cavity0.832.310.740.073.211.64000
    69222AClean out mastoid cavity1.403.782.020.125.303.54010
    69300RRevise external ear6.35NA4.230.52NA11.10YYY
    69310ARebuild outer ear canal10.77NA8.370.93NA20.07090
    69320ARebuild outer ear canal16.93NA12.091.41NA30.43090
    69399COuter ear surgery procedure0.000.000.000.000.000.00YYY
    69400AInflate middle ear canal0.832.330.670.073.231.57000
    69401AInflate middle ear canal0.631.300.650.051.981.33000
    69405ACatheterize middle ear canal2.633.482.290.226.335.14010
    69410AInset middle ear (baffle)0.332.050.480.022.400.83000
    69420AIncision of eardrum1.333.081.580.124.533.03010
    69421AIncision of eardrum1.73NA2.090.16NA3.98010
    69424ARemove ventilating tube0.852.140.680.073.061.60000
    69433ACreate eardrum opening1.523.091.660.134.743.31010
    69436ACreate eardrum opening1.96NA2.220.17NA4.35010
    69440AExploration of middle ear7.56NA6.280.64NA14.48090
    69450AEardrum revision5.56NA5.020.47NA11.05090
    69501AMastoidectomy9.06NA7.060.78NA16.90090
    69502AMastoidectomy12.36NA9.261.04NA22.66090
    69505ARemove mastoid structures12.97NA9.511.11NA23.59090
    69511AExtensive mastoid surgery13.50NA9.851.16NA24.51090
    69530AExtensive mastoid surgery19.16NA13.011.59NA33.76090
    69535ARemove part of temporal bone36.09NA22.363.12NA61.57090
    69540ARemove ear lesion1.203.681.930.114.993.24010
    69550ARemove ear lesion10.97NA8.310.96NA20.24090
    69552ARemove ear lesion19.43NA12.921.64NA33.99090
    69554ARemove ear lesion33.11NA20.882.80NA56.79090
    69601AMastoid surgery revision13.22NA10.011.11NA24.34090
    69602AMastoid surgery revision13.56NA9.951.13NA24.64090
    69603AMastoid surgery revision14.00NA10.161.21NA25.37090
    69604AMastoid surgery revision14.00NA10.141.18NA25.32090
    69605AMastoid surgery revision18.46NA12.801.56NA32.82090
    69610ARepair of eardrum4.425.393.270.3710.188.06010
    69620ARepair of eardrum5.886.134.510.4812.4910.87090
    69631ARepair eardrum structures9.85NA7.850.83NA18.53090
    69632ARebuild eardrum structures12.73NA9.721.07NA23.52090
    69633ARebuild eardrum structures12.08NA9.381.01NA22.47090
    69635ARepair eardrum structures13.31NA9.381.05NA23.74090
    69636ARebuild eardrum structures15.20NA11.151.29NA27.64090
    69637ARebuild eardrum structures15.09NA11.091.28NA27.46090
    69641ARevise middle ear & mastoid12.69NA9.471.07NA23.23090
    69642ARevise middle ear & mastoid16.81NA12.111.42NA30.34090
    69643ARevise middle ear & mastoid15.30NA11.151.30NA27.75090
    69644ARevise middle ear & mastoid16.94NA12.061.44NA30.44090
    69645ARevise middle ear & mastoid16.36NA11.701.40NA29.46090
    69646ARevise middle ear & mastoid17.96NA12.631.52NA32.11090
    69650ARelease middle ear bone9.65NA7.400.82NA17.87090
    69660ARevise middle ear bone11.88NA8.601.01NA21.49090
    69661ARevise middle ear bone15.72NA11.071.33NA28.12090
    69662ARevise middle ear bone15.42NA10.791.30NA27.51090
    69666ARepair middle ear structures9.74NA7.480.82NA18.04090
    69667ARepair middle ear structures9.75NA7.460.87NA18.08090
    69670ARemove mastoid air cells11.49NA8.630.94NA21.06090
    69676ARemove middle ear nerve9.51NA7.600.83NA17.94090
    69700AClose mastoid fistula8.22NA5.870.66NA14.75090
    69710NImplant/replace hearing aid0.000.000.000.000.000.00XXX
    69711ARemove/repair hearing aid10.42NA8.060.75NA19.23090
    69714AImplant temple bone w/stimul13.98NA9.891.22NA25.09090
    69715ATemple bne implnt w/stimulat18.22NA12.371.59NA32.18090
    Start Printed Page 1189
    69717ATemple bone implant revision14.96NA9.551.30NA25.81090
    69718ARevise temple bone implant18.47NA12.271.62NA32.36090
    69720ARelease facial nerve14.36NA10.741.24NA26.34090
    69725ARelease facial nerve25.34NA16.832.15NA44.32090
    69740ARepair facial nerve15.94NA10.351.36NA27.65090
    69745ARepair facial nerve16.66NA11.341.21NA29.21090
    69799CMiddle ear surgery procedure0.000.000.000.000.000.00YYY
    69801AIncise inner ear8.55NA6.810.72NA16.08090
    69802AIncise inner ear13.08NA9.591.10NA23.77090
    69805AExplore inner ear13.80NA10.041.17NA25.01090
    69806AExplore inner ear12.33NA9.171.04NA22.54090
    69820AEstablish inner ear window10.32NA7.830.80NA18.95090
    69840ARevise inner ear window10.24NA6.910.77NA17.92090
    69905ARemove inner ear11.08NA8.300.93NA20.31090
    69910ARemove inner ear & mastoid13.61NA9.701.13NA24.44090
    69915AIncise inner ear nerve21.20NA14.151.86NA37.21090
    69930AImplant cochlear device16.78NA11.811.44NA30.03090
    69949CInner ear surgery procedure0.000.000.000.000.000.00YYY
    69950AIncise inner ear nerve25.60NA16.043.50NA45.14090
    69955ARelease facial nerve27.00NA17.572.28NA46.85090
    69960ARelease inner ear canal27.00NA17.042.93NA46.97090
    69970ARemove inner ear lesion29.99NA18.322.82NA51.13090
    69979CTemporal bone surgery0.000.000.000.000.000.00YYY
    69990RMicrosurgery add-on3.46NA1.800.68NA5.94ZZZ
    70010AContrast x-ray of brain1.194.73NA0.296.21NAXXX
    7001026AContrast x-ray of brain1.190.390.390.071.651.65XXX
    70010TCAContrast x-ray of brain0.004.34NA0.224.56NAXXX
    70015AContrast x-ray of brain1.191.75NA0.143.08NAXXX
    7001526AContrast x-ray of brain1.190.390.390.061.641.64XXX
    70015TCAContrast x-ray of brain0.001.36NA0.081.44NAXXX
    70030AX-ray eye for foreign body0.170.47NA0.030.67NAXXX
    7003026AX-ray eye for foreign body0.170.060.060.010.240.24XXX
    70030TCAX-ray eye for foreign body0.000.41NA0.020.43NAXXX
    70100AX-ray exam of jaw0.180.58NA0.030.79NAXXX
    7010026AX-ray exam of jaw0.180.060.060.010.250.25XXX
    70100TCAX-ray exam of jaw0.000.52NA0.020.54NAXXX
    70110AX-ray exam of jaw0.250.70NA0.051.00NAXXX
    7011026AX-ray exam of jaw0.250.080.080.010.340.34XXX
    70110TCAX-ray exam of jaw0.000.62NA0.040.66NAXXX
    70120AX-ray exam of mastoids0.180.68NA0.050.91NAXXX
    7012026AX-ray exam of mastoids0.180.060.060.010.250.25XXX
    70120TCAX-ray exam of mastoids0.000.62NA0.040.66NAXXX
    70130AX-ray exam of mastoids0.340.90NA0.061.30NAXXX
    7013026AX-ray exam of mastoids0.340.110.110.010.460.46XXX
    70130TCAX-ray exam of mastoids0.000.79NA0.050.84NAXXX
    70134AX-ray exam of middle ear0.340.85NA0.061.25NAXXX
    7013426AX-ray exam of middle ear0.340.110.110.010.460.46XXX
    70134TCAX-ray exam of middle ear0.000.74NA0.050.79NAXXX
    70140AX-ray exam of facial bones0.190.68NA0.050.92NAXXX
    7014026AX-ray exam of facial bones0.190.060.060.010.260.26XXX
    70140TCAX-ray exam of facial bones0.000.62NA0.040.66NAXXX
    70150AX-ray exam of facial bones0.260.88NA0.061.20NAXXX
    7015026AX-ray exam of facial bones0.260.090.090.010.360.36XXX
    70150TCAX-ray exam of facial bones0.000.79NA0.050.84NAXXX
    70160AX-ray exam of nasal bones0.170.58NA0.030.78NAXXX
    7016026AX-ray exam of nasal bones0.170.060.060.010.240.24XXX
    70160TCAX-ray exam of nasal bones0.000.52NA0.020.54NAXXX
    70170AX-ray exam of tear duct0.301.05NA0.071.42NAXXX
    7017026AX-ray exam of tear duct0.300.100.100.010.410.41XXX
    70170TCAX-ray exam of tear duct0.000.95NA0.061.01NAXXX
    70190AX-ray exam of eye sockets0.210.69NA0.050.95NAXXX
    7019026AX-ray exam of eye sockets0.210.070.070.010.290.29XXX
    70190TCAX-ray exam of eye sockets0.000.62NA0.040.66NAXXX
    70200AX-ray exam of eye sockets0.280.88NA0.061.22NAXXX
    7020026AX-ray exam of eye sockets0.280.090.090.010.380.38XXX
    70200TCAX-ray exam of eye sockets0.000.79NA0.050.84NAXXX
    70210AX-ray exam of sinuses0.170.68NA0.050.90NAXXX
    7021026AX-ray exam of sinuses0.170.060.060.010.240.24XXX
    70210TCAX-ray exam of sinuses0.000.62NA0.040.66NAXXX
    70220AX-ray exam of sinuses0.250.87NA0.061.18NAXXX
    7022026AX-ray exam of sinuses0.250.080.080.010.340.34XXX
    70220TCAX-ray exam of sinuses0.000.79NA0.050.84NAXXX
    70240AX-ray exam, pituitary saddle0.190.47NA0.030.69NAXXX
    7024026AX-ray exam, pituitary saddle0.190.060.060.010.260.26XXX
    70240TCAX-ray exam, pituitary saddle0.000.41NA0.020.43NAXXX
    Start Printed Page 1190
    70250AX-ray exam of skull0.240.70NA0.050.99NAXXX
    7025026AX-ray exam of skull0.240.080.080.010.330.33XXX
    70250TCAX-ray exam of skull0.000.62NA0.040.66NAXXX
    70260AX-ray exam of skull0.341.00NA0.071.41NAXXX
    7026026AX-ray exam of skull0.340.110.110.010.460.46XXX
    70260TCAX-ray exam of skull0.000.89NA0.060.95NAXXX
    70300AX-ray exam of teeth0.100.32NA0.030.45NAXXX
    7030026AX-ray exam of teeth0.100.050.050.010.160.16XXX
    70300TCAX-ray exam of teeth0.000.27NA0.020.29NAXXX
    70310AX-ray exam of teeth0.160.49NA0.030.68NAXXX
    7031026AX-ray exam of teeth0.160.080.080.010.250.25XXX
    70310TCAX-ray exam of teeth0.000.41NA0.020.43NAXXX
    70320AFull mouth x-ray of teeth0.220.87NA0.061.15NAXXX
    7032026AFull mouth x-ray of teeth0.220.080.080.010.310.31XXX
    70320TCAFull mouth x-ray of teeth0.000.79NA0.050.84NAXXX
    70328AX-ray exam of jaw joint0.180.55NA0.030.76NAXXX
    7032826AX-ray exam of jaw joint0.180.060.060.010.250.25XXX
    70328TCAX-ray exam of jaw joint0.000.49NA0.020.51NAXXX
    70330AX-ray exam of jaw joints0.240.93NA0.061.23NAXXX
    7033026AX-ray exam of jaw joints0.240.080.080.010.330.33XXX
    70330TCAX-ray exam of jaw joints0.000.85NA0.050.90NAXXX
    70332AX-ray exam of jaw joint0.542.30NA0.142.98NAXXX
    7033226AX-ray exam of jaw joint0.540.200.200.020.760.76XXX
    70332TCAX-ray exam of jaw joint0.002.10NA0.122.22NAXXX
    70336AMagnetic image, jaw joint1.4811.72NA0.6713.87NAXXX
    7033626AMagnetic image, jaw joint1.480.480.480.082.042.04XXX
    70336TCAMagnetic image, jaw joint0.0011.24NA0.5911.83NAXXX
    70350AX-ray head for orthodontia0.170.44NA0.030.64NAXXX
    7035026AX-ray head for orthodontia0.170.070.070.010.250.25XXX
    70350TCAX-ray head for orthodontia0.000.37NA0.020.39NAXXX
    70355APanoramic x-ray of jaws0.200.65NA0.050.90NAXXX
    7035526APanoramic x-ray of jaws0.200.080.080.010.290.29XXX
    70355TCAPanoramic x-ray of jaws0.000.57NA0.040.61NAXXX
    70360AX-ray exam of neck0.170.47NA0.030.67NAXXX
    7036026AX-ray exam of neck0.170.060.060.010.240.24XXX
    70360TCAX-ray exam of neck0.000.41NA0.020.43NAXXX
    70370AThroat x-ray & fluoroscopy0.321.42NA0.081.82NAXXX
    7037026AThroat x-ray & fluoroscopy0.320.110.110.010.440.44XXX
    70370TCAThroat x-ray & fluoroscopy0.001.31NA0.071.38NAXXX
    70371ASpeech evaluation, complex0.842.38NA0.173.39NAXXX
    7037126ASpeech evaluation, complex0.840.280.280.051.171.17XXX
    70371TCASpeech evaluation, complex0.002.10NA0.122.22NAXXX
    70373AContrast x-ray of larynx0.441.94NA0.132.51NAXXX
    7037326AContrast x-ray of larynx0.440.150.150.020.610.61XXX
    70373TCAContrast x-ray of larynx0.001.79NA0.111.90NAXXX
    70380AX-ray exam of salivary gland0.170.73NA0.050.95NAXXX
    7038026AX-ray exam of salivary gland0.170.060.060.010.240.24XXX
    70380TCAX-ray exam of salivary gland0.000.67NA0.040.71NAXXX
    70390AX-ray exam of salivary duct0.381.92NA0.132.43NAXXX
    7039026AX-ray exam of salivary duct0.380.130.130.020.530.53XXX
    70390TCAX-ray exam of salivary duct0.001.79NA0.111.90NAXXX
    70450ACt head/brain w/o dye0.855.02NA0.306.17NAXXX
    7045026ACt head/brain w/o dye0.850.280.280.051.181.18XXX
    70450TCACt head/brain w/o dye0.004.74NA0.254.99NAXXX
    70460ACt head/brain w/dye1.136.04NA0.367.53NAXXX
    7046026ACt head/brain w/dye1.130.370.370.061.561.56XXX
    70460TCACt head/brain w/dye0.005.67NA0.305.97NAXXX
    70470ACt head/brain w/o & w/ dye1.277.51NA0.449.22NAXXX
    7047026ACt head/brain w/o & w/ dye1.270.410.410.071.751.75XXX
    70470TCACt head/brain w/o & w/ dye0.007.10NA0.377.47NAXXX
    70480ACt orbit/ear/fossa w/o dye1.285.16NA0.326.76NAXXX
    7048026ACt orbit/ear/fossa w/o dye1.280.420.420.071.771.77XXX
    70480TCACt orbit/ear/fossa w/o dye0.004.74NA0.254.99NAXXX
    70481ACt orbit/ear/fossa w/dye1.386.12NA0.377.87NAXXX
    7048126ACt orbit/ear/fossa w/dye1.380.450.450.071.901.90XXX
    70481TCACt orbit/ear/fossa w/dye0.005.67NA0.305.97NAXXX
    70482ACt orbit/ear/fossa w/o&w dye1.457.57NA0.449.46NAXXX
    7048226ACt orbit/ear/fossa w/o&w dye1.450.470.470.071.991.99XXX
    70482TCACt orbit/ear/fossa w/o&w dye0.007.10NA0.377.47NAXXX
    70486ACt maxillofacial w/o dye1.145.11NA0.316.56NAXXX
    7048626ACt maxillofacial w/o dye1.140.370.370.061.571.57XXX
    70486TCACt maxillofacial w/o dye0.004.74NA0.254.99NAXXX
    70487ACt maxillofacial w/dye1.306.09NA0.377.76NAXXX
    7048726ACt maxillofacial w/dye1.300.420.420.071.791.79XXX
    70487TCACt maxillofacial w/dye0.005.67NA0.305.97NAXXX
    Start Printed Page 1191
    70488ACt maxillofacial w/o & w dye1.427.56NA0.449.42NAXXX
    7048826ACt maxillofacial w/o & w dye1.420.460.460.071.951.95XXX
    70488TCACt maxillofacial w/o & w dye0.007.10NA0.377.47NAXXX
    70490ACt soft tissue neck w/o dye1.285.16NA0.326.76NAXXX
    7049026ACt soft tissue neck w/o dye1.280.420.420.071.771.77XXX
    70490TCACt soft tissue neck w/o dye0.004.74NA0.254.99NAXXX
    70491ACt soft tissue neck w/dye1.386.12NA0.377.87NAXXX
    7049126ACt soft tissue neck w/dye1.380.450.450.071.901.90XXX
    70491TCACt soft tissue neck w/dye0.005.67NA0.305.97NAXXX
    70492ACt sft tsue nck w/o & w/dye1.457.57NA0.449.46NAXXX
    7049226ACt sft tsue nck w/o & w/dye1.450.470.470.071.991.99XXX
    70492TCACt sft tsue nck w/o & w/dye0.007.10NA0.377.47NAXXX
    70496ACt angiography, head1.7511.22NA0.6813.65NAXXX
    7049626ACt angiography, head1.750.570.570.102.422.42XXX
    70496TCACt angiography, head0.0010.65NA0.5811.23NAXXX
    70498ACt angiography, neck1.7511.22NA0.6813.65NAXXX
    7049826ACt angiography, neck1.750.570.570.102.422.42XXX
    70498TCACt angiography, neck0.0010.65NA0.5811.23NAXXX
    70540AMri orbit/face/neck w/o dye1.3511.68NA0.4413.47NAXXX
    7054026AMri orbit/face/neck w/o dye1.350.440.440.051.841.84XXX
    70540TCAMri orbit/face/neck w/o dye0.0011.24NA0.3911.63NAXXX
    70542AMri orbit/face/neck w/dye1.6214.02NA0.5316.17NAXXX
    7054226AMri orbit/face/neck w/dye1.620.530.530.062.212.21XXX
    70542TCAMri orbit/face/neck w/dye0.0013.49NA0.4713.96NAXXX
    70543AMri orbt/fac/nck w/o & w dye2.1525.69NA0.9228.76NAXXX
    7054326AMri orbt/fac/nck w/o & w dye2.150.710.710.082.942.94XXX
    70543TCAMri orbt/fac/nck w/o & w dye0.0024.98NA0.8425.82NAXXX
    70544AMr angiography head w/o dye1.2011.63NA0.6513.48NAXXX
    7054426AMr angiography head w/o dye1.200.390.390.061.651.65XXX
    70544TCAMr angiography head w/o dye0.0011.24NA0.5911.83NAXXX
    70545AMr angiography head w/dye1.2011.63NA0.6513.48NAXXX
    7054526AMr angiography head w/dye1.200.390.390.061.651.65XXX
    70545TCAMr angiography head w/dye0.0011.24NA0.5911.83NAXXX
    70546AMr angiograph head w/o&w dye1.8023.08NA0.6925.57NAXXX
    7054626AMr angiograph head w/o&w dye1.800.590.590.102.492.49XXX
    70546TCAMr angiograph head w/o&w dye0.0022.49NA0.5923.08NAXXX
    70547AMr angiography neck w/o dye1.2011.63NA0.6513.48NAXXX
    7054726AMr angiography neck w/o dye1.200.390.390.061.651.65XXX
    70547TCAMr angiography neck w/o dye0.0011.24NA0.5911.83NAXXX
    70548AMr angiography neck w/dye1.2011.63NA0.6513.48NAXXX
    7054826AMr angiography neck w/dye1.200.390.390.061.651.65XXX
    70548TCAMr angiography neck w/dye0.0011.24NA0.5911.83NAXXX
    70549AMr angiograph neck w/o&w dye1.8023.08NA0.6925.57NAXXX
    7054926AMr angiograph neck w/o&w dye1.800.590.590.102.492.49XXX
    70549TCAMr angiograph neck w/o&w dye0.0022.49NA0.5923.08NAXXX
    70551AMri brain w/o dye1.4811.73NA0.6713.88NAXXX
    7055126AMri brain w/o dye1.480.490.490.082.052.05XXX
    70551TCAMri brain w/o dye0.0011.24NA0.5911.83NAXXX
    70552AMri brain w/ dye1.7814.08NA0.8016.66NAXXX
    7055226AMri brain w/ dye1.780.590.590.102.472.47XXX
    70552TCAMri brain w/ dye0.0013.49NA0.7014.19NAXXX
    70553AMri brain w/o & w/ dye2.3625.76NA1.4329.55NAXXX
    7055326AMri brain w/o & w/ dye2.360.780.780.123.263.26XXX
    70553TCAMri brain w/o & w/ dye0.0024.98NA1.3126.29NAXXX
    70557CMri brain w/o dye0.000.000.000.000.000.00XXX
    7055726AMri brain w/o dye2.900.980.980.083.963.96XXX
    70557TCCMri brain w/o dye0.000.000.000.000.000.00XXX
    70558CMri brain w/ dye0.000.000.000.000.000.00XXX
    7055826AMri brain w/ dye3.201.081.080.104.384.38XXX
    70558TCCMri brain w/ dye0.000.000.000.000.000.00XXX
    70559CMri brain w/o & w/ dye0.000.000.000.000.000.00XXX
    7055926AMri brain w/o & w/ dye3.201.081.080.124.404.40XXX
    70559TCCMri brain w/o & w/ dye0.000.000.000.000.000.00XXX
    71010AChest x-ray0.180.53NA0.030.74NAXXX
    7101026AChest x-ray0.180.060.060.010.250.25XXX
    71010TCAChest x-ray0.000.47NA0.020.49NAXXX
    71015AChest x-ray0.210.59NA0.030.83NAXXX
    7101526AChest x-ray0.210.070.070.010.290.29XXX
    71015TCAChest x-ray0.000.52NA0.020.54NAXXX
    71020AChest x-ray0.220.69NA0.050.96NAXXX
    7102026AChest x-ray0.220.070.070.010.300.30XXX
    71020TCAChest x-ray0.000.62NA0.040.66NAXXX
    71021AChest x-ray0.270.83NA0.061.16NAXXX
    7102126AChest x-ray0.270.090.090.010.370.37XXX
    71021TCAChest x-ray0.000.74NA0.050.79NAXXX
    Start Printed Page 1192
    71022AChest x-ray0.310.84NA0.071.22NAXXX
    7102226AChest x-ray0.310.100.100.020.430.43XXX
    71022TCAChest x-ray0.000.74NA0.050.79NAXXX
    71023AChest x-ray and fluoroscopy0.380.92NA0.071.37NAXXX
    7102326AChest x-ray and fluoroscopy0.380.130.130.020.530.53XXX
    71023TCAChest x-ray and fluoroscopy0.000.79NA0.050.84NAXXX
    71030AChest x-ray0.310.89NA0.061.26NAXXX
    7103026AChest x-ray0.310.100.100.010.420.42XXX
    71030TCAChest x-ray0.000.79NA0.050.84NAXXX
    71034AChest x-ray and fluoroscopy0.461.60NA0.102.16NAXXX
    7103426AChest x-ray and fluoroscopy0.460.160.160.020.640.64XXX
    71034TCAChest x-ray and fluoroscopy0.001.44NA0.081.52NAXXX
    71035AChest x-ray0.180.58NA0.030.79NAXXX
    7103526AChest x-ray0.180.060.060.010.250.25XXX
    71035TCAChest x-ray0.000.52NA0.020.54NAXXX
    71040AContrast x-ray of bronchi0.581.65NA0.122.35NAXXX
    7104026AContrast x-ray of bronchi0.580.190.190.040.810.81XXX
    71040TCAContrast x-ray of bronchi0.001.46NA0.081.54NAXXX
    71060AContrast x-ray of bronchi0.742.46NA0.173.37NAXXX
    7106026AContrast x-ray of bronchi0.740.250.250.041.031.03XXX
    71060TCAContrast x-ray of bronchi0.002.21NA0.132.34NAXXX
    71090AX-ray & pacemaker insertion0.541.90NA0.132.57NAXXX
    7109026AX-ray & pacemaker insertion0.540.210.210.020.770.77XXX
    71090TCAX-ray & pacemaker insertion0.001.69NA0.111.80NAXXX
    71100AX-ray exam of ribs0.220.64NA0.050.91NAXXX
    7110026AX-ray exam of ribs0.220.070.070.010.300.30XXX
    71100TCAX-ray exam of ribs0.000.57NA0.040.61NAXXX
    71101AX-ray exam of ribs/chest0.270.76NA0.051.08NAXXX
    7110126AX-ray exam of ribs/chest0.270.090.090.010.370.37XXX
    71101TCAX-ray exam of ribs/chest0.000.67NA0.040.71NAXXX
    71110AX-ray exam of ribs0.270.88NA0.061.21NAXXX
    7111026AX-ray exam of ribs0.270.090.090.010.370.37XXX
    71110TCAX-ray exam of ribs0.000.79NA0.050.84NAXXX
    71111AX-ray exam of ribs/ chest0.321.00NA0.071.39NAXXX
    7111126AX-ray exam of ribs/ chest0.320.110.110.010.440.44XXX
    71111TCAX-ray exam of ribs/ chest0.000.89NA0.060.95NAXXX
    71120AX-ray exam of breastbone0.200.72NA0.050.97NAXXX
    7112026AX-ray exam of breastbone0.200.070.070.010.280.28XXX
    71120TCAX-ray exam of breastbone0.000.65NA0.040.69NAXXX
    71130AX-ray exam of breastbone0.220.78NA0.051.05NAXXX
    7113026AX-ray exam of breastbone0.220.070.070.010.300.30XXX
    71130TCAX-ray exam of breastbone0.000.71NA0.040.75NAXXX
    71250ACt thorax w/o dye1.166.31NA0.377.84NAXXX
    7125026ACt thorax w/o dye1.160.380.380.061.601.60XXX
    71250TCACt thorax w/o dye0.005.93NA0.316.24NAXXX
    71260ACt thorax w/dye1.247.50NA0.439.17NAXXX
    7126026ACt thorax w/dye1.240.400.400.061.701.70XXX
    71260TCACt thorax w/dye0.007.10NA0.377.47NAXXX
    71270ACt thorax w/o & w/ dye1.389.33NA0.5311.24NAXXX
    7127026ACt thorax w/o & w/ dye1.380.450.450.071.901.90XXX
    71270TCACt thorax w/o & w/ dye0.008.88NA0.469.34NAXXX
    71275ACt angiography, chest1.9213.05NA0.4615.43NAXXX
    7127526ACt angiography, chest1.920.630.630.072.622.62XXX
    71275TCACt angiography, chest0.0012.42NA0.3912.81NAXXX
    71550AMri chest w/o dye1.4611.72NA0.5013.68NAXXX
    7155026AMri chest w/o dye1.460.480.480.051.991.99XXX
    71550TCAMri chest w/o dye0.0011.24NA0.4511.69NAXXX
    71551AMri chest w/dye1.7314.06NA0.5916.38NAXXX
    7155126AMri chest w/dye1.730.570.570.072.372.37XXX
    71551TCAMri chest w/dye0.0013.49NA0.5214.01NAXXX
    71552AMri chest w/o & w/dye2.2625.72NA0.7828.76NAXXX
    7155226AMri chest w/o & w/dye2.260.740.740.103.103.10XXX
    71552TCAMri chest w/o & w/dye0.0024.98NA0.6825.66NAXXX
    71555RMri angio chest w or w/o dye1.8111.84NA0.6914.34NAXXX
    7155526RMri angio chest w or w/o dye1.810.600.600.102.512.51XXX
    71555TCRMri angio chest w or w/o dye0.0011.24NA0.5911.83NAXXX
    72010AX-ray exam of spine0.451.18NA0.101.73NAXXX
    7201026AX-ray exam of spine0.450.150.150.040.640.64XXX
    72010TCAX-ray exam of spine0.001.03NA0.061.09NAXXX
    72020AX-ray exam of spine0.150.46NA0.030.64NAXXX
    7202026AX-ray exam of spine0.150.050.050.010.210.21XXX
    72020TCAX-ray exam of spine0.000.41NA0.020.43NAXXX
    72040AX-ray exam of neck spine0.220.67NA0.050.94NAXXX
    7204026AX-ray exam of neck spine0.220.070.070.010.300.30XXX
    72040TCAX-ray exam of neck spine0.000.60NA0.040.64NAXXX
    Start Printed Page 1193
    72050AX-ray exam of neck spine0.310.99NA0.081.38NAXXX
    7205026AX-ray exam of neck spine0.310.100.100.020.430.43XXX
    72050TCAX-ray exam of neck spine0.000.89NA0.060.95NAXXX
    72052AX-ray exam of neck spine0.361.25NA0.081.69NAXXX
    7205226AX-ray exam of neck spine0.360.120.120.020.500.50XXX
    72052TCAX-ray exam of neck spine0.001.13NA0.061.19NAXXX
    72069AX-ray exam of trunk spine0.220.57NA0.040.83NAXXX
    7206926AX-ray exam of trunk spine0.220.080.080.020.320.32XXX
    72069TCAX-ray exam of trunk spine0.000.49NA0.020.51NAXXX
    72070AX-ray exam of thoracic spine0.220.72NA0.050.99NAXXX
    7207026AX-ray exam of thoracic spine0.220.070.070.010.300.30XXX
    72070TCAX-ray exam of thoracic spine0.000.65NA0.040.69NAXXX
    72072AX-ray exam of thoracic spine0.220.81NA0.061.09NAXXX
    7207226AX-ray exam of thoracic spine0.220.070.070.010.300.30XXX
    72072TCAX-ray exam of thoracic spine0.000.74NA0.050.79NAXXX
    72074AX-ray exam of thoracic spine0.220.98NA0.071.27NAXXX
    7207426AX-ray exam of thoracic spine0.220.070.070.010.300.30XXX
    72074TCAX-ray exam of thoracic spine0.000.91NA0.060.97NAXXX
    72080AX-ray exam of trunk spine0.220.74NA0.061.02NAXXX
    7208026AX-ray exam of trunk spine0.220.070.070.020.310.31XXX
    72080TCAX-ray exam of trunk spine0.000.67NA0.040.71NAXXX
    72090AX-ray exam of trunk spine0.280.76NA0.061.10NAXXX
    7209026AX-ray exam of trunk spine0.280.090.090.020.390.39XXX
    72090TCAX-ray exam of trunk spine0.000.67NA0.040.71NAXXX
    72100AX-ray exam of lower spine0.220.74NA0.061.02NAXXX
    7210026AX-ray exam of lower spine0.220.070.070.020.310.31XXX
    72100TCAX-ray exam of lower spine0.000.67NA0.040.71NAXXX
    72110AX-ray exam of lower spine0.311.01NA0.081.40NAXXX
    7211026AX-ray exam of lower spine0.310.100.100.020.430.43XXX
    72110TCAX-ray exam of lower spine0.000.91NA0.060.97NAXXX
    72114AX-ray exam of lower spine0.361.31NA0.101.77NAXXX
    7211426AX-ray exam of lower spine0.360.120.120.040.520.52XXX
    72114TCAX-ray exam of lower spine0.001.19NA0.061.25NAXXX
    72120AX-ray exam of lower spine0.220.96NA0.081.26NAXXX
    7212026AX-ray exam of lower spine0.220.070.070.020.310.31XXX
    72120TCAX-ray exam of lower spine0.000.89NA0.060.95NAXXX
    72125ACt neck spine w/o dye1.166.31NA0.377.84NAXXX
    7212526ACt neck spine w/o dye1.160.380.380.061.601.60XXX
    72125TCACt neck spine w/o dye0.005.93NA0.316.24NAXXX
    72126ACt neck spine w/dye1.227.49NA0.439.14NAXXX
    7212626ACt neck spine w/dye1.220.390.390.061.671.67XXX
    72126TCACt neck spine w/dye0.007.10NA0.377.47NAXXX
    72127ACt neck spine w/o & w/dye1.279.29NA0.5311.09NAXXX
    7212726ACt neck spine w/o & w/dye1.270.410.410.071.751.75XXX
    72127TCACt neck spine w/o & w/dye0.008.88NA0.469.34NAXXX
    72128ACt chest spine w/o dye1.166.31NA0.377.84NAXXX
    7212826ACt chest spine w/o dye1.160.380.380.061.601.60XXX
    72128TCACt chest spine w/o dye0.005.93NA0.316.24NAXXX
    72129ACt chest spine w/dye1.227.49NA0.439.14NAXXX
    7212926ACt chest spine w/dye1.220.390.390.061.671.67XXX
    72129TCACt chest spine w/dye0.007.10NA0.377.47NAXXX
    72130ACt chest spine w/o & w/dye1.279.29NA0.5311.09NAXXX
    7213026ACt chest spine w/o & w/dye1.270.410.410.071.751.75XXX
    72130TCACt chest spine w/o & w/dye0.008.88NA0.469.34NAXXX
    72131ACt lumbar spine w/o dye1.166.31NA0.377.84NAXXX
    7213126ACt lumbar spine w/o dye1.160.380.380.061.601.60XXX
    72131TCACt lumbar spine w/o dye0.005.93NA0.316.24NAXXX
    72132ACt lumbar spine w/dye1.227.50NA0.449.16NAXXX
    7213226ACt lumbar spine w/dye1.220.400.400.071.691.69XXX
    72132TCACt lumbar spine w/dye0.007.10NA0.377.47NAXXX
    72133ACt lumbar spine w/o & w/dye1.279.30NA0.5311.10NAXXX
    7213326ACt lumbar spine w/o & w/dye1.270.420.420.071.761.76XXX
    72133TCACt lumbar spine w/o & w/dye0.008.88NA0.469.34NAXXX
    72141AMri neck spine w/o dye1.6011.77NA0.6714.04NAXXX
    7214126AMri neck spine w/o dye1.600.530.530.082.212.21XXX
    72141TCAMri neck spine w/o dye0.0011.24NA0.5911.83NAXXX
    72142AMri neck spine w/dye1.9214.14NA0.8116.87NAXXX
    7214226AMri neck spine w/dye1.920.650.650.112.682.68XXX
    72142TCAMri neck spine w/dye0.0013.49NA0.7014.19NAXXX
    72146AMri chest spine w/o dye1.6013.00NA0.7215.32NAXXX
    7214626AMri chest spine w/o dye1.600.520.520.082.202.20XXX
    72146TCAMri chest spine w/o dye0.0012.48NA0.6413.12NAXXX
    72147AMri chest spine w/dye1.9214.13NA0.8116.86NAXXX
    7214726AMri chest spine w/dye1.920.640.640.112.672.67XXX
    72147TCAMri chest spine w/dye0.0013.49NA0.7014.19NAXXX
    Start Printed Page 1194
    72148AMri lumbar spine w/o dye1.4812.97NA0.7215.17NAXXX
    7214826AMri lumbar spine w/o dye1.480.490.490.082.052.05XXX
    72148TCAMri lumbar spine w/o dye0.0012.48NA0.6413.12NAXXX
    72149AMri lumbar spine w/dye1.7814.09NA0.8116.68NAXXX
    7214926AMri lumbar spine w/dye1.780.600.600.112.492.49XXX
    72149TCAMri lumbar spine w/dye0.0013.49NA0.7014.19NAXXX
    72156AMri neck spine w/o & w/dye2.5725.83NA1.4429.84NAXXX
    7215626AMri neck spine w/o & w/dye2.570.850.850.133.553.55XXX
    72156TCAMri neck spine w/o & w/dye0.0024.98NA1.3126.29NAXXX
    72157AMri chest spine w/o & w/dye2.5725.83NA1.4429.84NAXXX
    7215726AMri chest spine w/o & w/dye2.570.850.850.133.553.55XXX
    72157TCAMri chest spine w/o & w/dye0.0024.98NA1.3126.29NAXXX
    72158AMri lumbar spine w/o & w/dye2.3625.76NA1.4429.56NAXXX
    7215826AMri lumbar spine w/o & w/dye2.360.780.780.133.273.27XXX
    72158TCAMri lumbar spine w/o & w/dye0.0024.98NA1.3126.29NAXXX
    72159NMr angio spine w/o&w/dye+1.8012.9212.920.7415.4615.46XXX
    7215926NMr angio spine w/o&w/dye+1.800.690.690.102.592.59XXX
    72159TCNMr angio spine w/o&w/dye+0.0012.2312.230.6412.8712.87XXX
    72170AX-ray exam of pelvis0.170.58NA0.030.78NAXXX
    7217026AX-ray exam of pelvis0.170.060.060.010.240.24XXX
    72170TCAX-ray exam of pelvis0.000.52NA0.020.54NAXXX
    72190AX-ray exam of pelvis0.210.74NA0.051.00NAXXX
    7219026AX-ray exam of pelvis0.210.070.070.010.290.29XXX
    72190TCAX-ray exam of pelvis0.000.67NA0.040.71NAXXX
    72191ACt angiograph pelv w/o&w/dye1.8112.67NA0.4614.94NAXXX
    7219126ACt angiograph pelv w/o&w/dye1.810.600.600.072.482.48XXX
    72191TCACt angiograph pelv w/o&w/dye0.0012.07NA0.3912.46NAXXX
    72192ACt pelvis w/o dye1.096.29NA0.377.75NAXXX
    7219226ACt pelvis w/o dye1.090.360.360.061.511.51XXX
    72192TCACt pelvis w/o dye0.005.93NA0.316.24NAXXX
    72193ACt pelvis w/dye1.167.25NA0.428.83NAXXX
    7219326ACt pelvis w/dye1.160.380.380.061.601.60XXX
    72193TCACt pelvis w/dye0.006.87NA0.367.23NAXXX
    72194ACt pelvis w/o & w/dye1.228.92NA0.4910.63NAXXX
    7219426ACt pelvis w/o & w/dye1.220.400.400.061.681.68XXX
    72194TCACt pelvis w/o & w/dye0.008.52NA0.438.95NAXXX
    72195AMri pelvis w/o dye1.4611.72NA0.5113.69NAXXX
    7219526AMri pelvis w/o dye1.460.480.480.062.002.00XXX
    72195TCAMri pelvis w/o dye0.0011.24NA0.4511.69NAXXX
    72196AMri pelvis w/dye1.7314.06NA0.5816.37NAXXX
    7219626AMri pelvis w/dye1.730.570.570.062.362.36XXX
    72196TCAMri pelvis w/dye0.0013.49NA0.5214.01NAXXX
    72197AMri pelvis w/o & w/dye2.2625.72NA1.0229.00NAXXX
    7219726AMri pelvis w/o & w/dye2.260.740.740.103.103.10XXX
    72197TCAMri pelvis w/o & w/dye0.0024.98NA0.9225.90NAXXX
    72198AMr angio pelvis w/o & w/dye1.8011.92NA0.6914.41NAXXX
    7219826AMr angio pelvis w/o & w/dye1.800.680.680.102.582.58XXX
    72198TCAMr angio pelvis w/o & w/dye0.0011.24NA0.5911.83NAXXX
    72200AX-ray exam sacroiliac joints0.170.58NA0.030.78NAXXX
    7220026AX-ray exam sacroiliac joints0.170.060.060.010.240.24XXX
    72200TCAX-ray exam sacroiliac joints0.000.52NA0.020.54NAXXX
    72202AX-ray exam sacroiliac joints0.190.68NA0.050.92NAXXX
    7220226AX-ray exam sacroiliac joints0.190.060.060.010.260.26XXX
    72202TCAX-ray exam sacroiliac joints0.000.62NA0.040.66NAXXX
    72220AX-ray exam of tailbone0.170.63NA0.050.85NAXXX
    7222026AX-ray exam of tailbone0.170.060.060.010.240.24XXX
    72220TCAX-ray exam of tailbone0.000.57NA0.040.61NAXXX
    72240AContrast x-ray of neck spine0.915.06NA0.306.27NAXXX
    7224026AContrast x-ray of neck spine0.910.290.290.051.251.25XXX
    72240TCAContrast x-ray of neck spine0.004.77NA0.255.02NAXXX
    72255AContrast x-ray, thorax spine0.914.62NA0.275.80NAXXX
    7225526AContrast x-ray, thorax spine0.910.280.280.051.241.24XXX
    72255TCAContrast x-ray, thorax spine0.004.34NA0.224.56NAXXX
    72265AContrast x-ray, lower spine0.834.35NA0.275.45NAXXX
    7226526AContrast x-ray, lower spine0.830.260.260.051.141.14XXX
    72265TCAContrast x-ray, lower spine0.004.09NA0.224.31NAXXX
    72270AContrast x-ray, spine1.336.53NA0.418.27NAXXX
    7227026AContrast x-ray, spine1.330.410.410.081.821.82XXX
    72270TCAContrast x-ray, spine0.006.12NA0.336.45NAXXX
    72275AEpidurography0.762.30NA0.263.32NAXXX
    7227526AEpidurography0.760.200.200.041.001.00XXX
    72275TCAEpidurography0.002.10NA0.222.32NAXXX
    72285AX-ray c/t spine disk1.168.77NA0.5010.43NAXXX
    7228526AX-ray c/t spine disk1.160.360.360.071.591.59XXX
    72285TCAX-ray c/t spine disk0.008.41NA0.438.84NAXXX
    Start Printed Page 1195
    72295AX-ray of lower spine disk0.838.15NA0.459.43NAXXX
    7229526AX-ray of lower spine disk0.830.270.270.051.151.15XXX
    72295TCAX-ray of lower spine disk0.007.88NA0.408.28NAXXX
    73000AX-ray exam of collar bone0.160.57NA0.030.76NAXXX
    7300026AX-ray exam of collar bone0.160.050.050.010.220.22XXX
    73000TCAX-ray exam of collar bone0.000.52NA0.020.54NAXXX
    73010AX-ray exam of shoulder blade0.170.58NA0.030.78NAXXX
    7301026AX-ray exam of shoulder blade0.170.060.060.010.240.24XXX
    73010TCAX-ray exam of shoulder blade0.000.52NA0.020.54NAXXX
    73020AX-ray exam of shoulder0.150.52NA0.030.70NAXXX
    7302026AX-ray exam of shoulder0.150.050.050.010.210.21XXX
    73020TCAX-ray exam of shoulder0.000.47NA0.020.49NAXXX
    73030AX-ray exam of shoulder0.180.63NA0.050.86NAXXX
    7303026AX-ray exam of shoulder0.180.060.060.010.250.25XXX
    73030TCAX-ray exam of shoulder0.000.57NA0.040.61NAXXX
    73040AContrast x-ray of shoulder0.542.28NA0.162.98NAXXX
    7304026AContrast x-ray of shoulder0.540.180.180.040.760.76XXX
    73040TCAContrast x-ray of shoulder0.002.10NA0.122.22NAXXX
    73050AX-ray exam of shoulders0.200.74NA0.061.00NAXXX
    7305026AX-ray exam of shoulders0.200.070.070.020.290.29XXX
    73050TCAX-ray exam of shoulders0.000.67NA0.040.71NAXXX
    73060AX-ray exam of humerus0.170.63NA0.050.85NAXXX
    7306026AX-ray exam of humerus0.170.060.060.010.240.24XXX
    73060TCAX-ray exam of humerus0.000.57NA0.040.61NAXXX
    73070AX-ray exam of elbow0.150.57NA0.030.75NAXXX
    7307026AX-ray exam of elbow0.150.050.050.010.210.21XXX
    73070TCAX-ray exam of elbow0.000.52NA0.020.54NAXXX
    73080AX-ray exam of elbow0.170.63NA0.050.85NAXXX
    7308026AX-ray exam of elbow0.170.060.060.010.240.24XXX
    73080TCAX-ray exam of elbow0.000.57NA0.040.61NAXXX
    73085AContrast x-ray of elbow0.542.29NA0.162.99NAXXX
    7308526AContrast x-ray of elbow0.540.190.190.040.770.77XXX
    73085TCAContrast x-ray of elbow0.002.10NA0.122.22NAXXX
    73090AX-ray exam of forearm0.160.57NA0.030.76NAXXX
    7309026AX-ray exam of forearm0.160.050.050.010.220.22XXX
    73090TCAX-ray exam of forearm0.000.52NA0.020.54NAXXX
    73092AX-ray exam of arm, infant0.160.54NA0.030.73NAXXX
    7309226AX-ray exam of arm, infant0.160.050.050.010.220.22XXX
    73092TCAX-ray exam of arm, infant0.000.49NA0.020.51NAXXX
    73100AX-ray exam of wrist0.160.55NA0.040.75NAXXX
    7310026AX-ray exam of wrist0.160.060.060.020.240.24XXX
    73100TCAX-ray exam of wrist0.000.49NA0.020.51NAXXX
    73110AX-ray exam of wrist0.170.59NA0.030.79NAXXX
    7311026AX-ray exam of wrist0.170.060.060.010.240.24XXX
    73110TCAX-ray exam of wrist0.000.53NA0.020.55NAXXX
    73115AContrast x-ray of wrist0.541.77NA0.142.45NAXXX
    7311526AContrast x-ray of wrist0.540.190.190.040.770.77XXX
    73115TCAContrast x-ray of wrist0.001.58NA0.101.68NAXXX
    73120AX-ray exam of hand0.160.54NA0.030.73NAXXX
    7312026AX-ray exam of hand0.160.050.050.010.220.22XXX
    73120TCAX-ray exam of hand0.000.49NA0.020.51NAXXX
    73130AX-ray exam of hand0.170.59NA0.030.79NAXXX
    7313026AX-ray exam of hand0.170.060.060.010.240.24XXX
    73130TCAX-ray exam of hand0.000.53NA0.020.55NAXXX
    73140AX-ray exam of finger(s)0.130.45NA0.030.61NAXXX
    7314026AX-ray exam of finger(s)0.130.040.040.010.180.18XXX
    73140TCAX-ray exam of finger(s)0.000.41NA0.020.43NAXXX
    73200ACt upper extremity w/o dye1.095.33NA0.316.73NAXXX
    7320026ACt upper extremity w/o dye1.090.360.360.061.511.51XXX
    73200TCACt upper extremity w/o dye0.004.97NA0.255.22NAXXX
    73201ACt upper extremity w/dye1.166.31NA0.377.84NAXXX
    7320126ACt upper extremity w/dye1.160.380.380.061.601.60XXX
    73201TCACt upper extremity w/dye0.005.93NA0.316.24NAXXX
    73202ACt uppr extremity w/o&w/dye1.227.85NA0.469.53NAXXX
    7320226ACt uppr extremity w/o&w/dye1.220.400.400.071.691.69XXX
    73202TCACt uppr extremity w/o&w/dye0.007.45NA0.397.84NAXXX
    73206ACt angio upr extrm w/o&w/dye1.8111.59NA0.4613.86NAXXX
    7320626ACt angio upr extrm w/o&w/dye1.810.590.590.072.472.47XXX
    73206TCACt angio upr extrm w/o&w/dye0.0011.00NA0.3911.39NAXXX
    73218AMri upper extremity w/o dye1.3511.68NA0.4413.47NAXXX
    7321826AMri upper extremity w/o dye1.350.440.440.051.841.84XXX
    73218TCAMri upper extremity w/o dye0.0011.24NA0.3911.63NAXXX
    73219AMri upper extremity w/dye1.6214.02NA0.5316.17NAXXX
    7321926AMri upper extremity w/dye1.620.530.530.062.212.21XXX
    73219TCAMri upper extremity w/dye0.0013.49NA0.4713.96NAXXX
    Start Printed Page 1196
    73220AMri uppr extremity w/o&w/dye2.1525.69NA0.9428.78NAXXX
    7322026AMri uppr extremity w/o&w/dye2.150.710.710.102.962.96XXX
    73220TCAMri uppr extremity w/o&w/dye0.0024.98NA0.8425.82NAXXX
    73221AMri joint upr extrem w/o dye1.3511.68NA0.4413.47NAXXX
    7322126AMri joint upr extrem w/o dye1.350.440.440.051.841.84XXX
    73221TCAMri joint upr extrem w/o dye0.0011.24NA0.3911.63NAXXX
    73222AMri joint upr extrem w/dye1.6214.02NA0.5316.17NAXXX
    7322226AMri joint upr extrem w/dye1.620.530.530.062.212.21XXX
    73222TCAMri joint upr extrem w/dye0.0013.49NA0.4713.96NAXXX
    73223AMri joint upr extr w/o&w/dye2.1525.69NA0.9228.76NAXXX
    7322326AMri joint upr extr w/o&w/dye2.150.710.710.082.942.94XXX
    73223TCAMri joint upr extr w/o&w/dye0.0024.98NA0.8425.82NAXXX
    73225NMr angio upr extr w/o&w/dye+1.7311.6811.680.6914.1014.10XXX
    7322526NMr angio upr extr w/o&w/dye+1.730.670.670.102.502.50XXX
    73225TCNMr angio upr extr w/o&w/dye+0.0011.0111.010.5911.6011.60XXX
    73500AX-ray exam of hip0.170.53NA0.030.73NAXXX
    7350026AX-ray exam of hip0.170.060.060.010.240.24XXX
    73500TCAX-ray exam of hip0.000.47NA0.020.49NAXXX
    73510AX-ray exam of hip0.210.64NA0.060.91NAXXX
    7351026AX-ray exam of hip0.210.070.070.020.300.30XXX
    73510TCAX-ray exam of hip0.000.57NA0.040.61NAXXX
    73520AX-ray exam of hips0.260.76NA0.061.08NAXXX
    7352026AX-ray exam of hips0.260.090.090.020.370.37XXX
    73520TCAX-ray exam of hips0.000.67NA0.040.71NAXXX
    73525AContrast x-ray of hip0.542.28NA0.162.98NAXXX
    7352526AContrast x-ray of hip0.540.180.180.040.760.76XXX
    73525TCAContrast x-ray of hip0.002.10NA0.122.22NAXXX
    73530AX-ray exam of hip0.290.62NA0.030.94NAXXX
    7353026AX-ray exam of hip0.290.100.100.010.400.40XXX
    73530TCAX-ray exam of hip0.000.52NA0.020.54NAXXX
    73540AX-ray exam of pelvis & hips0.200.64NA0.060.90NAXXX
    7354026AX-ray exam of pelvis & hips0.200.070.070.020.290.29XXX
    73540TCAX-ray exam of pelvis & hips0.000.57NA0.040.61NAXXX
    73542AX-ray exam, sacroiliac joint0.592.26NA0.163.01NAXXX
    7354226AX-ray exam, sacroiliac joint0.590.160.160.040.790.79XXX
    73542TCAX-ray exam, sacroiliac joint0.002.10NA0.122.22NAXXX
    73550AX-ray exam of thigh0.170.63NA0.050.85NAXXX
    7355026AX-ray exam of thigh0.170.060.060.010.240.24XXX
    73550TCAX-ray exam of thigh0.000.57NA0.040.61NAXXX
    73560AX-ray exam of knee, 1 or 20.170.58NA0.040.79NAXXX
    7356026AX-ray exam of knee, 1 or 20.170.060.060.020.250.25XXX
    73560TCAX-ray exam of knee, 1 or 20.000.52NA0.020.54NAXXX
    73562AX-ray exam of knee, 30.180.63NA0.060.87NAXXX
    7356226AX-ray exam of knee, 30.180.060.060.020.260.26XXX
    73562TCAX-ray exam of knee, 30.000.57NA0.040.61NAXXX
    73564AX-ray exam, knee, 4 or more0.220.70NA0.060.98NAXXX
    7356426AX-ray exam, knee, 4 or more0.220.080.080.020.320.32XXX
    73564TCAX-ray exam, knee, 4 or more0.000.62NA0.040.66NAXXX
    73565AX-ray exam of knees0.170.55NA0.040.76NAXXX
    7356526AX-ray exam of knees0.170.060.060.020.250.25XXX
    73565TCAX-ray exam of knees0.000.49NA0.020.51NAXXX
    73580AContrast x-ray of knee joint0.542.80NA0.183.52NAXXX
    7358026AContrast x-ray of knee joint0.540.180.180.040.760.76XXX
    73580TCAContrast x-ray of knee joint0.002.62NA0.142.76NAXXX
    73590AX-ray exam of lower leg0.170.58NA0.030.78NAXXX
    7359026AX-ray exam of lower leg0.170.060.060.010.240.24XXX
    73590TCAX-ray exam of lower leg0.000.52NA0.020.54NAXXX
    73592AX-ray exam of leg, infant0.160.55NA0.030.74NAXXX
    7359226AX-ray exam of leg, infant0.160.060.060.010.230.23XXX
    73592TCAX-ray exam of leg, infant0.000.49NA0.020.51NAXXX
    73600AX-ray exam of ankle0.160.54NA0.030.73NAXXX
    7360026AX-ray exam of ankle0.160.050.050.010.220.22XXX
    73600TCAX-ray exam of ankle0.000.49NA0.020.51NAXXX
    73610AX-ray exam of ankle0.170.59NA0.030.79NAXXX
    7361026AX-ray exam of ankle0.170.060.060.010.240.24XXX
    73610TCAX-ray exam of ankle0.000.53NA0.020.55NAXXX
    73615AContrast x-ray of ankle0.542.29NA0.162.99NAXXX
    7361526AContrast x-ray of ankle0.540.190.190.040.770.77XXX
    73615TCAContrast x-ray of ankle0.002.10NA0.122.22NAXXX
    73620AX-ray exam of foot0.160.54NA0.030.73NAXXX
    7362026AX-ray exam of foot0.160.050.050.010.220.22XXX
    73620TCAX-ray exam of foot0.000.49NA0.020.51NAXXX
    73630AX-ray exam of foot0.170.59NA0.030.79NAXXX
    7363026AX-ray exam of foot0.170.060.060.010.240.24XXX
    73630TCAX-ray exam of foot0.000.53NA0.020.55NAXXX
    Start Printed Page 1197
    73650AX-ray exam of heel0.160.52NA0.030.71NAXXX
    7365026AX-ray exam of heel0.160.050.050.010.220.22XXX
    73650TCAX-ray exam of heel0.000.47NA0.020.49NAXXX
    73660AX-ray exam of toe(s)0.130.45NA0.030.61NAXXX
    7366026AX-ray exam of toe(s)0.130.040.040.010.180.18XXX
    73660TCAX-ray exam of toe(s)0.000.41NA0.020.43NAXXX
    73700ACt lower extremity w/o dye1.095.33NA0.316.73NAXXX
    7370026ACt lower extremity w/o dye1.090.360.360.061.511.51XXX
    73700TCACt lower extremity w/o dye0.004.97NA0.255.22NAXXX
    73701ACt lower extremity w/dye1.166.31NA0.377.84NAXXX
    7370126ACt lower extremity w/dye1.160.380.380.061.601.60XXX
    73701TCACt lower extremity w/dye0.005.93NA0.316.24NAXXX
    73702ACt lwr extremity w/o&w/dye1.227.85NA0.459.52NAXXX
    7370226ACt lwr extremity w/o&w/dye1.220.400.400.061.681.68XXX
    73702TCACt lwr extremity w/o&w/dye0.007.45NA0.397.84NAXXX
    73706ACt angio lwr extr w/o&w/dye1.9011.62NA0.4613.98NAXXX
    7370626ACt angio lwr extr w/o&w/dye1.900.620.620.072.592.59XXX
    73706TCACt angio lwr extr w/o&w/dye0.0011.00NA0.3911.39NAXXX
    73718AMri lower extremity w/o dye1.3511.68NA0.4413.47NAXXX
    7371826AMri lower extremity w/o dye1.350.440.440.051.841.84XXX
    73718TCAMri lower extremity w/o dye0.0011.24NA0.3911.63NAXXX
    73719AMri lower extremity w/dye1.6214.02NA0.5316.17NAXXX
    7371926AMri lower extremity w/dye1.620.530.530.062.212.21XXX
    73719TCAMri lower extremity w/dye0.0013.49NA0.4713.96NAXXX
    73720AMri lwr extremity w/o&w/dye2.1525.69NA0.9428.78NAXXX
    7372026AMri lwr extremity w/o&w/dye2.150.710.710.102.962.96XXX
    73720TCAMri lwr extremity w/o&w/dye0.0024.98NA0.8425.82NAXXX
    73721AMri jnt of lwr extre w/o dye1.3511.68NA0.4413.47NAXXX
    7372126AMri jnt of lwr extre w/o dye1.350.440.440.051.841.84XXX
    73721TCAMri jnt of lwr extre w/o dye0.0011.24NA0.3911.63NAXXX
    73722AMri joint of lwr extr w/dye1.6214.02NA0.5416.18NAXXX
    7372226AMri joint of lwr extr w/dye1.620.530.530.072.222.22XXX
    73722TCAMri joint of lwr extr w/dye0.0013.49NA0.4713.96NAXXX
    73723AMri joint lwr extr w/o&w/dye2.1525.69NA0.9228.76NAXXX
    7372326AMri joint lwr extr w/o&w/dye2.150.710.710.082.942.94XXX
    73723TCAMri joint lwr extr w/o&w/dye0.0024.98NA0.8425.82NAXXX
    73725RMr ang lwr ext w or w/o dye1.8211.84NA0.6914.35NAXXX
    7372526RMr ang lwr ext w or w/o dye1.820.600.600.102.522.52XXX
    73725TCRMr ang lwr ext w or w/o dye0.0011.24NA0.5911.83NAXXX
    74000AX-ray exam of abdomen0.180.58NA0.030.79NAXXX
    7400026AX-ray exam of abdomen0.180.060.060.010.250.25XXX
    74000TCAX-ray exam of abdomen0.000.52NA0.020.54NAXXX
    74010AX-ray exam of abdomen0.230.65NA0.050.93NAXXX
    7401026AX-ray exam of abdomen0.230.080.080.010.320.32XXX
    74010TCAX-ray exam of abdomen0.000.57NA0.040.61NAXXX
    74020AX-ray exam of abdomen0.270.71NA0.051.03NAXXX
    7402026AX-ray exam of abdomen0.270.090.090.010.370.37XXX
    74020TCAX-ray exam of abdomen0.000.62NA0.040.66NAXXX
    74022AX-ray exam series, abdomen0.320.85NA0.061.23NAXXX
    7402226AX-ray exam series, abdomen0.320.110.110.010.440.44XXX
    74022TCAX-ray exam series, abdomen0.000.74NA0.050.79NAXXX
    74150ACt abdomen w/o dye1.196.06NA0.367.61NAXXX
    7415026ACt abdomen w/o dye1.190.390.390.061.641.64XXX
    74150TCACt abdomen w/o dye0.005.67NA0.305.97NAXXX
    74160ACt abdomen w/dye1.277.28NA0.438.98NAXXX
    7416026ACt abdomen w/dye1.270.410.410.071.751.75XXX
    74160TCACt abdomen w/dye0.006.87NA0.367.23NAXXX
    74170ACt abdomen w/o &w /dye1.408.97NA0.5010.87NAXXX
    7417026ACt abdomen w/o &w /dye1.400.450.450.071.921.92XXX
    74170TCACt abdomen w/o &w /dye0.008.52NA0.438.95NAXXX
    74175ACt angio abdom w/o & w/dye1.9012.69NA0.4615.05NAXXX
    7417526ACt angio abdom w/o & w/dye1.900.620.620.072.592.59XXX
    74175TCACt angio abdom w/o & w/dye0.0012.07NA0.3912.46NAXXX
    74181AMri abdomen w/o dye1.4611.72NA0.5213.70NAXXX
    7418126AMri abdomen w/o dye1.460.480.480.072.012.01XXX
    74181TCAMri abdomen w/o dye0.0011.24NA0.4511.69NAXXX
    74182AMri abdomen w/dye1.7314.05NA0.5916.37NAXXX
    7418226AMri abdomen w/dye1.730.560.560.072.362.36XXX
    74182TCAMri abdomen w/dye0.0013.49NA0.5214.01NAXXX
    74183AMri abdomen w/o & w/dye2.2625.72NA1.0229.00NAXXX
    7418326AMri abdomen w/o & w/dye2.260.740.740.103.103.10XXX
    74183TCAMri abdomen w/o & w/dye0.0024.98NA0.9225.90NAXXX
    74185RMri angio, abdom w orw/o dye1.8011.83NA0.6914.32NAXXX
    7418526RMri angio, abdom w orw/o dye1.800.590.590.102.492.49XXX
    74185TCRMri angio, abdom w orw/o dye0.0011.24NA0.5911.83NAXXX
    Start Printed Page 1198
    74190AX-ray exam of peritoneum0.481.47NA0.092.04NAXXX
    7419026AX-ray exam of peritoneum0.480.160.160.020.660.66XXX
    74190TCAX-ray exam of peritoneum0.001.31NA0.071.38NAXXX
    74210AContrst x-ray exam of throat0.361.31NA0.081.75NAXXX
    7421026AContrst x-ray exam of throat0.360.120.120.020.500.50XXX
    74210TCAContrst x-ray exam of throat0.001.19NA0.061.25NAXXX
    74220AContrast x-ray, esophagus0.461.34NA0.081.88NAXXX
    7422026AContrast x-ray, esophagus0.460.150.150.020.630.63XXX
    74220TCAContrast x-ray, esophagus0.001.19NA0.061.25NAXXX
    74230ACine/vid x-ray, throat/esoph0.531.49NA0.092.11NAXXX
    7423026ACine/vid x-ray, throat/esoph0.530.180.180.020.730.73XXX
    74230TCACine/vid x-ray, throat/esoph0.001.31NA0.071.38NAXXX
    74235ARemove esophagus obstruction1.193.01NA0.204.40NAXXX
    7423526ARemove esophagus obstruction1.190.390.390.061.641.64XXX
    74235TCARemove esophagus obstruction0.002.62NA0.142.76NAXXX
    74240AX-ray exam, upper gi tract0.691.69NA0.122.50NAXXX
    7424026AX-ray exam, upper gi tract0.690.230.230.040.960.96XXX
    74240TCAX-ray exam, upper gi tract0.001.46NA0.081.54NAXXX
    74241AX-ray exam, upper gi tract0.691.72NA0.122.53NAXXX
    7424126AX-ray exam, upper gi tract0.690.230.230.040.960.96XXX
    74241TCAX-ray exam, upper gi tract0.001.49NA0.081.57NAXXX
    74245AX-ray exam, upper gi tract0.912.69NA0.183.78NAXXX
    7424526AX-ray exam, upper gi tract0.910.300.300.051.261.26XXX
    74245TCAX-ray exam, upper gi tract0.002.39NA0.132.52NAXXX
    74246AContrst x-ray uppr gi tract0.691.88NA0.142.71NAXXX
    7424626AContrst x-ray uppr gi tract0.690.230.230.040.960.96XXX
    74246TCAContrst x-ray uppr gi tract0.001.65NA0.101.75NAXXX
    74247AContrst x-ray uppr gi tract0.691.92NA0.152.76NAXXX
    7424726AContrst x-ray uppr gi tract0.690.230.230.040.960.96XXX
    74247TCAContrst x-ray uppr gi tract0.001.69NA0.111.80NAXXX
    74249AContrst x-ray uppr gi tract0.912.89NA0.193.99NAXXX
    7424926AContrst x-ray uppr gi tract0.910.300.300.051.261.26XXX
    74249TCAContrst x-ray uppr gi tract0.002.59NA0.142.73NAXXX
    74250AX-ray exam of small bowel0.471.47NA0.092.03NAXXX
    7425026AX-ray exam of small bowel0.470.160.160.020.650.65XXX
    74250TCAX-ray exam of small bowel0.001.31NA0.071.38NAXXX
    74251AX-ray exam of small bowel0.691.54NA0.112.34NAXXX
    7425126AX-ray exam of small bowel0.690.230.230.040.960.96XXX
    74251TCAX-ray exam of small bowel0.001.31NA0.071.38NAXXX
    74260AX-ray exam of small bowel0.501.66NA0.102.26NAXXX
    7426026AX-ray exam of small bowel0.500.170.170.020.690.69XXX
    74260TCAX-ray exam of small bowel0.001.49NA0.081.57NAXXX
    74270AContrast x-ray exam of colon0.691.94NA0.152.78NAXXX
    7427026AContrast x-ray exam of colon0.690.230.230.040.960.96XXX
    74270TCAContrast x-ray exam of colon0.001.71NA0.111.82NAXXX
    74280AContrast x-ray exam of colon0.992.57NA0.183.74NAXXX
    7428026AContrast x-ray exam of colon0.990.330.330.051.371.37XXX
    74280TCAContrast x-ray exam of colon0.002.24NA0.132.37NAXXX
    74283AContrast x-ray exam of colon2.023.24NA0.255.51NAXXX
    7428326AContrast x-ray exam of colon2.020.660.660.112.792.79XXX
    74283TCAContrast x-ray exam of colon0.002.58NA0.142.72NAXXX
    74290AContrast x-ray, gallbladder0.320.85NA0.061.23NAXXX
    7429026AContrast x-ray, gallbladder0.320.110.110.010.440.44XXX
    74290TCAContrast x-ray, gallbladder0.000.74NA0.050.79NAXXX
    74291AContrast x-rays, gallbladder0.200.48NA0.030.71NAXXX
    7429126AContrast x-rays, gallbladder0.200.070.070.010.280.28XXX
    74291TCAContrast x-rays, gallbladder0.000.41NA0.020.43NAXXX
    74300CX-ray bile ducts/pancreas0.000.000.000.000.000.00XXX
    7430026AX-ray bile ducts/pancreas0.360.120.120.020.500.50XXX
    74300TCCX-ray bile ducts/pancreas0.000.000.000.000.000.00XXX
    74301CX-rays at surgery add-on0.000.000.000.000.000.00ZZZ
    7430126AX-rays at surgery add-on0.210.070.070.010.290.29ZZZ
    74301TCCX-rays at surgery add-on0.000.000.000.000.000.00ZZZ
    74305AX-ray bile ducts/pancreas0.420.93NA0.071.42NAXXX
    7430526AX-ray bile ducts/pancreas0.420.140.140.020.580.58XXX
    74305TCAX-ray bile ducts/pancreas0.000.79NA0.050.84NAXXX
    74320AContrast x-ray of bile ducts0.543.35NA0.194.08NAXXX
    7432026AContrast x-ray of bile ducts0.540.180.180.020.740.74XXX
    74320TCAContrast x-ray of bile ducts0.003.17NA0.173.34NAXXX
    74327AX-ray bile stone removal0.702.00NA0.152.85NAXXX
    7432726AX-ray bile stone removal0.700.230.230.040.970.97XXX
    74327TCAX-ray bile stone removal0.001.77NA0.111.88NAXXX
    74328AX-ray bile duct endoscopy0.703.40NA0.214.31NAXXX
    7432826AX-ray bile duct endoscopy0.700.230.230.040.970.97XXX
    74328TCAX-ray bile duct endoscopy0.003.17NA0.173.34NAXXX
    Start Printed Page 1199
    74329AX-ray for pancreas endoscopy0.703.40NA0.214.31NAXXX
    7432926AX-ray for pancreas endoscopy0.700.230.230.040.970.97XXX
    74329TCAX-ray for pancreas endoscopy0.003.17NA0.173.34NAXXX
    74330AX-ray bile/panc endoscopy0.903.47NA0.224.59NAXXX
    7433026AX-ray bile/panc endoscopy0.900.300.300.051.251.25XXX
    74330TCAX-ray bile/panc endoscopy0.003.17NA0.173.34NAXXX
    74340AX-ray guide for GI tube0.542.80NA0.163.50NAXXX
    7434026AX-ray guide for GI tube0.540.180.180.020.740.74XXX
    74340TCAX-ray guide for GI tube0.002.62NA0.142.76NAXXX
    74350AX-ray guide, stomach tube0.763.42NA0.214.39NAXXX
    7435026AX-ray guide, stomach tube0.760.250.250.041.051.05XXX
    74350TCAX-ray guide, stomach tube0.003.17NA0.173.34NAXXX
    74355AX-ray guide, intestinal tube0.762.87NA0.183.81NAXXX
    7435526AX-ray guide, intestinal tube0.760.250.250.041.051.05XXX
    74355TCAX-ray guide, intestinal tube0.002.62NA0.142.76NAXXX
    74360AX-ray guide, GI dilation0.543.36NA0.194.09NAXXX
    7436026AX-ray guide, GI dilation0.540.190.190.020.750.75XXX
    74360TCAX-ray guide, GI dilation0.003.17NA0.173.34NAXXX
    74363AX-ray, bile duct dilation0.886.41NA0.387.67NAXXX
    7436326AX-ray, bile duct dilation0.880.290.290.051.221.22XXX
    74363TCAX-ray, bile duct dilation0.006.12NA0.336.45NAXXX
    74400AContrst x-ray, urinary tract0.491.85NA0.132.47NAXXX
    7440026AContrst x-ray, urinary tract0.490.160.160.020.670.67XXX
    74400TCAContrst x-ray, urinary tract0.001.69NA0.111.80NAXXX
    74410AContrst x-ray, urinary tract0.492.12NA0.132.74NAXXX
    7441026AContrst x-ray, urinary tract0.490.160.160.020.670.67XXX
    74410TCAContrst x-ray, urinary tract0.001.96NA0.112.07NAXXX
    74415AContrst x-ray, urinary tract0.492.28NA0.142.91NAXXX
    7441526AContrst x-ray, urinary tract0.490.160.160.020.670.67XXX
    74415TCAContrst x-ray, urinary tract0.002.12NA0.122.24NAXXX
    74420AContrst x-ray, urinary tract0.362.74NA0.163.26NAXXX
    7442026AContrst x-ray, urinary tract0.360.120.120.020.500.50XXX
    74420TCAContrst x-ray, urinary tract0.002.62NA0.142.76NAXXX
    74425AContrst x-ray, urinary tract0.361.43NA0.091.88NAXXX
    7442526AContrst x-ray, urinary tract0.360.120.120.020.500.50XXX
    74425TCAContrst x-ray, urinary tract0.001.31NA0.071.38NAXXX
    74430AContrast x-ray, bladder0.321.17NA0.081.57NAXXX
    7443026AContrast x-ray, bladder0.320.110.110.020.450.45XXX
    74430TCAContrast x-ray, bladder0.001.06NA0.061.12NAXXX
    74440AX-ray, male genital tract0.381.25NA0.081.71NAXXX
    7444026AX-ray, male genital tract0.380.120.120.020.520.52XXX
    74440TCAX-ray, male genital tract0.001.13NA0.061.19NAXXX
    74445AX-ray exam of penis1.141.50NA0.122.76NAXXX
    7444526AX-ray exam of penis1.140.370.370.061.571.57XXX
    74445TCAX-ray exam of penis0.001.13NA0.061.19NAXXX
    74450AX-ray, urethra/bladder0.331.57NA0.102.00NAXXX
    7445026AX-ray, urethra/bladder0.330.110.110.020.460.46XXX
    74450TCAX-ray, urethra/bladder0.001.46NA0.081.54NAXXX
    74455AX-ray, urethra/bladder0.331.69NA0.122.14NAXXX
    7445526AX-ray, urethra/bladder0.330.110.110.020.460.46XXX
    74455TCAX-ray, urethra/bladder0.001.58NA0.101.68NAXXX
    74470AX-ray exam of kidney lesion0.541.43NA0.092.06NAXXX
    7447026AX-ray exam of kidney lesion0.540.180.180.020.740.74XXX
    74470TCAX-ray exam of kidney lesion0.001.25NA0.071.32NAXXX
    74475AX-ray control, cath insert0.544.27NA0.245.05NAXXX
    7447526AX-ray control, cath insert0.540.180.180.020.740.74XXX
    74475TCAX-ray control, cath insert0.004.09NA0.224.31NAXXX
    74480AX-ray control, cath insert0.544.27NA0.245.05NAXXX
    7448026AX-ray control, cath insert0.540.180.180.020.740.74XXX
    74480TCAX-ray control, cath insert0.004.09NA0.224.31NAXXX
    74485AX-ray guide, GU dilation0.543.35NA0.214.10NAXXX
    7448526AX-ray guide, GU dilation0.540.180.180.040.760.76XXX
    74485TCAX-ray guide, GU dilation0.003.17NA0.173.34NAXXX
    74710AX-ray measurement of pelvis0.341.17NA0.081.59NAXXX
    7471026AX-ray measurement of pelvis0.340.110.110.020.470.47XXX
    74710TCAX-ray measurement of pelvis0.001.06NA0.061.12NAXXX
    74740AX-ray, female genital tract0.381.44NA0.091.91NAXXX
    7474026AX-ray, female genital tract0.380.130.130.020.530.53XXX
    74740TCAX-ray, female genital tract0.001.31NA0.071.38NAXXX
    74742AX-ray, fallopian tube0.613.37NA0.194.17NAXXX
    7474226AX-ray, fallopian tube0.610.200.200.020.830.83XXX
    74742TCAX-ray, fallopian tube0.003.17NA0.173.34NAXXX
    74775AX-ray exam of perineum0.621.67NA0.122.41NAXXX
    7477526AX-ray exam of perineum0.620.210.210.040.870.87XXX
    74775TCAX-ray exam of perineum0.001.46NA0.081.54NAXXX
    Start Printed Page 1200
    75552AHeart mri for morph w/o dye1.6011.77NA0.6714.04NAXXX
    7555226AHeart mri for morph w/o dye1.600.530.530.082.212.21XXX
    75552TCAHeart mri for morph w/o dye0.0011.24NA0.5911.83NAXXX
    75553AHeart mri for morph w/dye2.0011.89NA0.7014.59NAXXX
    7555326AHeart mri for morph w/dye2.000.650.650.112.762.76XXX
    75553TCAHeart mri for morph w/dye0.0011.24NA0.5911.83NAXXX
    75554ACardiac MRI/function1.8311.88NA0.6714.38NAXXX
    7555426ACardiac MRI/function1.830.640.640.082.552.55XXX
    75554TCACardiac MRI/function0.0011.24NA0.5911.83NAXXX
    75555ACardiac MRI/limited study1.7411.88NA0.6714.29NAXXX
    7555526ACardiac MRI/limited study1.740.640.640.082.462.46XXX
    75555TCACardiac MRI/limited study0.0011.24NA0.5911.83NAXXX
    75556NCardiac MRI/flow mapping0.000.000.000.000.000.00XXX
    75600AContrast x-ray exam of aorta0.4912.83NA0.6713.99NAXXX
    7560026AContrast x-ray exam of aorta0.490.190.190.020.700.70XXX
    75600TCAContrast x-ray exam of aorta0.0012.64NA0.6513.29NAXXX
    75605AContrast x-ray exam of aorta1.1413.03NA0.7114.88NAXXX
    7560526AContrast x-ray exam of aorta1.140.390.390.061.591.59XXX
    75605TCAContrast x-ray exam of aorta0.0012.64NA0.6513.29NAXXX
    75625AContrast x-ray exam of aorta1.1413.02NA0.7114.87NAXXX
    7562526AContrast x-ray exam of aorta1.140.380.380.061.581.58XXX
    75625TCAContrast x-ray exam of aorta0.0012.64NA0.6513.29NAXXX
    75630AX-ray aorta, leg arteries1.7913.78NA0.7916.36NAXXX
    7563026AX-ray aorta, leg arteries1.790.610.610.102.502.50XXX
    75630TCAX-ray aorta, leg arteries0.0013.17NA0.6913.86NAXXX
    75635ACt angio abdominal arteries2.4016.77NA0.5019.67NAXXX
    7563526ACt angio abdominal arteries2.400.800.800.113.313.31XXX
    75635TCACt angio abdominal arteries0.0015.97NA0.3916.36NAXXX
    75650AArtery x-rays, head & neck1.4913.13NA0.7315.35NAXXX
    7565026AArtery x-rays, head & neck1.490.490.490.082.062.06XXX
    75650TCAArtery x-rays, head & neck0.0012.64NA0.6513.29NAXXX
    75658AArtery x-rays, arm1.3113.11NA0.7215.14NAXXX
    7565826AArtery x-rays, arm1.310.470.470.071.851.85XXX
    75658TCAArtery x-rays, arm0.0012.64NA0.6513.29NAXXX
    75660AArtery x-rays, head & neck1.3113.08NA0.7215.11NAXXX
    7566026AArtery x-rays, head & neck1.310.440.440.071.821.82XXX
    75660TCAArtery x-rays, head & neck0.0012.64NA0.6513.29NAXXX
    75662AArtery x-rays, head & neck1.6613.23NA0.7515.64NAXXX
    7566226AArtery x-rays, head & neck1.660.590.590.102.352.35XXX
    75662TCAArtery x-rays, head & neck0.0012.64NA0.6513.29NAXXX
    75665AArtery x-rays, head & neck1.3113.07NA0.7315.11NAXXX
    7566526AArtery x-rays, head & neck1.310.430.430.081.821.82XXX
    75665TCAArtery x-rays, head & neck0.0012.64NA0.6513.29NAXXX
    75671AArtery x-rays, head & neck1.6613.19NA0.7515.60NAXXX
    7567126AArtery x-rays, head & neck1.660.550.550.102.312.31XXX
    75671TCAArtery x-rays, head & neck0.0012.64NA0.6513.29NAXXX
    75676AArtery x-rays, neck1.3113.08NA0.7315.12NAXXX
    7567626AArtery x-rays, neck1.310.440.440.081.831.83XXX
    75676TCAArtery x-rays, neck0.0012.64NA0.6513.29NAXXX
    75680AArtery x-rays, neck1.6613.19NA0.7515.60NAXXX
    7568026AArtery x-rays, neck1.660.550.550.102.312.31XXX
    75680TCAArtery x-rays, neck0.0012.64NA0.6513.29NAXXX
    75685AArtery x-rays, spine1.3113.07NA0.7215.10NAXXX
    7568526AArtery x-rays, spine1.310.430.430.071.811.81XXX
    75685TCAArtery x-rays, spine0.0012.64NA0.6513.29NAXXX
    75705AArtery x-rays, spine2.1813.37NA0.7816.33NAXXX
    7570526AArtery x-rays, spine2.180.730.730.133.043.04XXX
    75705TCAArtery x-rays, spine0.0012.64NA0.6513.29NAXXX
    75710AArtery x-rays, arm/leg1.1413.02NA0.7214.88NAXXX
    7571026AArtery x-rays, arm/leg1.140.380.380.071.591.59XXX
    75710TCAArtery x-rays, arm/leg0.0012.64NA0.6513.29NAXXX
    75716AArtery x-rays, arms/legs1.3113.07NA0.7215.10NAXXX
    7571626AArtery x-rays, arms/legs1.310.430.430.071.811.81XXX
    75716TCAArtery x-rays, arms/legs0.0012.64NA0.6513.29NAXXX
    75722AArtery x-rays, kidney1.1413.04NA0.7114.89NAXXX
    7572226AArtery x-rays, kidney1.140.400.400.061.601.60XXX
    75722TCAArtery x-rays, kidney0.0012.64NA0.6513.29NAXXX
    75724AArtery x-rays, kidneys1.4913.20NA0.7115.40NAXXX
    7572426AArtery x-rays, kidneys1.490.560.560.062.112.11XXX
    75724TCAArtery x-rays, kidneys0.0012.64NA0.6513.29NAXXX
    75726AArtery x-rays, abdomen1.1413.01NA0.7114.86NAXXX
    7572626AArtery x-rays, abdomen1.140.370.370.061.571.57XXX
    75726TCAArtery x-rays, abdomen0.0012.64NA0.6513.29NAXXX
    75731AArtery x-rays, adrenal gland1.1413.01NA0.7114.86NAXXX
    7573126AArtery x-rays, adrenal gland1.140.370.370.061.571.57XXX
    Start Printed Page 1201
    75731TCAArtery x-rays, adrenal gland0.0012.64NA0.6513.29NAXXX
    75733AArtery x-rays, adrenals1.3113.07NA0.7215.10NAXXX
    7573326AArtery x-rays, adrenals1.310.430.430.071.811.81XXX
    75733TCAArtery x-rays, adrenals0.0012.64NA0.6513.29NAXXX
    75736AArtery x-rays, pelvis1.1413.01NA0.7114.86NAXXX
    7573626AArtery x-rays, pelvis1.140.370.370.061.571.57XXX
    75736TCAArtery x-rays, pelvis0.0012.64NA0.6513.29NAXXX
    75741AArtery x-rays, lung1.3113.07NA0.7215.10NAXXX
    7574126AArtery x-rays, lung1.310.430.430.071.811.81XXX
    75741TCAArtery x-rays, lung0.0012.64NA0.6513.29NAXXX
    75743AArtery x-rays, lungs1.6613.18NA0.7315.57NAXXX
    7574326AArtery x-rays, lungs1.660.540.540.082.282.28XXX
    75743TCAArtery x-rays, lungs0.0012.64NA0.6513.29NAXXX
    75746AArtery x-rays, lung1.1413.01NA0.7114.86NAXXX
    7574626AArtery x-rays, lung1.140.370.370.061.571.57XXX
    75746TCAArtery x-rays, lung0.0012.64NA0.6513.29NAXXX
    75756AArtery x-rays, chest1.1413.08NA0.7014.92NAXXX
    7575626AArtery x-rays, chest1.140.440.440.051.631.63XXX
    75756TCAArtery x-rays, chest0.0012.64NA0.6513.29NAXXX
    75774AArtery x-ray, each vessel0.3612.77NA0.6713.80NAZZZ
    7577426AArtery x-ray, each vessel0.360.130.130.020.510.51ZZZ
    75774TCAArtery x-ray, each vessel0.0012.64NA0.6513.29NAZZZ
    75790AVisualize A-V shunt1.841.96NA0.193.99NAXXX
    7579026AVisualize A-V shunt1.840.600.600.112.552.55XXX
    75790TCAVisualize A-V shunt0.001.36NA0.081.44NAXXX
    75801ALymph vessel x-ray, arm/leg0.815.71NA0.356.87NAXXX
    7580126ALymph vessel x-ray, arm/leg0.810.270.270.061.141.14XXX
    75801TCALymph vessel x-ray, arm/leg0.005.44NA0.295.73NAXXX
    75803ALymph vessel x-ray,arms/legs1.175.82NA0.357.34NAXXX
    7580326ALymph vessel x-ray,arms/legs1.170.380.380.061.611.61XXX
    75803TCALymph vessel x-ray,arms/legs0.005.44NA0.295.73NAXXX
    75805ALymph vessel x-ray, trunk0.816.39NA0.387.58NAXXX
    7580526ALymph vessel x-ray, trunk0.810.270.270.051.131.13XXX
    75805TCALymph vessel x-ray, trunk0.006.12NA0.336.45NAXXX
    75807ALymph vessel x-ray, trunk1.176.50NA0.398.06NAXXX
    7580726ALymph vessel x-ray, trunk1.170.380.380.061.611.61XXX
    75807TCALymph vessel x-ray, trunk0.006.12NA0.336.45NAXXX
    75809ANonvascular shunt, x-ray0.470.95NA0.071.49NAXXX
    7580926ANonvascular shunt, x-ray0.470.160.160.020.650.65XXX
    75809TCANonvascular shunt, x-ray0.000.79NA0.050.84NAXXX
    75810AVein x-ray, spleen/liver1.1413.01NA0.7214.87NAXXX
    7581026AVein x-ray, spleen/liver1.140.370.370.071.581.58XXX
    75810TCAVein x-ray, spleen/liver0.0012.64NA0.6513.29NAXXX
    75820AVein x-ray, arm/leg0.701.18NA0.101.98NAXXX
    7582026AVein x-ray, arm/leg0.700.230.230.040.970.97XXX
    75820TCAVein x-ray, arm/leg0.000.95NA0.061.01NAXXX
    75822AVein x-ray, arms/legs1.061.83NA0.143.03NAXXX
    7582226AVein x-ray, arms/legs1.060.350.350.061.471.47XXX
    75822TCAVein x-ray, arms/legs0.001.48NA0.081.56NAXXX
    75825AVein x-ray, trunk1.1413.01NA0.7214.87NAXXX
    7582526AVein x-ray, trunk1.140.370.370.071.581.58XXX
    75825TCAVein x-ray, trunk0.0012.64NA0.6513.29NAXXX
    75827AVein x-ray, chest1.1413.01NA0.7114.86NAXXX
    7582726AVein x-ray, chest1.140.370.370.061.571.57XXX
    75827TCAVein x-ray, chest0.0012.64NA0.6513.29NAXXX
    75831AVein x-ray, kidney1.1413.01NA0.7114.86NAXXX
    7583126AVein x-ray, kidney1.140.370.370.061.571.57XXX
    75831TCAVein x-ray, kidney0.0012.64NA0.6513.29NAXXX
    75833AVein x-ray, kidneys1.4913.13NA0.7315.35NAXXX
    7583326AVein x-ray, kidneys1.490.490.490.082.062.06XXX
    75833TCAVein x-ray, kidneys0.0012.64NA0.6513.29NAXXX
    75840AVein x-ray, adrenal gland1.1413.01NA0.7314.88NAXXX
    7584026AVein x-ray, adrenal gland1.140.370.370.081.591.59XXX
    75840TCAVein x-ray, adrenal gland0.0012.64NA0.6513.29NAXXX
    75842AVein x-ray, adrenal glands1.4913.12NA0.7315.34NAXXX
    7584226AVein x-ray, adrenal glands1.490.480.480.082.052.05XXX
    75842TCAVein x-ray, adrenal glands0.0012.64NA0.6513.29NAXXX
    75860AVein x-ray, neck1.1413.03NA0.7214.89NAXXX
    7586026AVein x-ray, neck1.140.390.390.071.601.60XXX
    75860TCAVein x-ray, neck0.0012.64NA0.6513.29NAXXX
    75870AVein x-ray, skull1.1413.03NA0.7214.89NAXXX
    7587026AVein x-ray, skull1.140.390.390.071.601.60XXX
    75870TCAVein x-ray, skull0.0012.64NA0.6513.29NAXXX
    75872AVein x-ray, skull1.1413.01NA0.7114.86NAXXX
    7587226AVein x-ray, skull1.140.370.370.061.571.57XXX
    Start Printed Page 1202
    75872TCAVein x-ray, skull0.0012.64NA0.6513.29NAXXX
    75880AVein x-ray, eye socket0.701.18NA0.101.98NAXXX
    7588026AVein x-ray, eye socket0.700.230.230.040.970.97XXX
    75880TCAVein x-ray, eye socket0.000.95NA0.061.01NAXXX
    75885AVein x-ray, liver1.4413.11NA0.7215.27NAXXX
    7588526AVein x-ray, liver1.440.470.470.071.981.98XXX
    75885TCAVein x-ray, liver0.0012.64NA0.6513.29NAXXX
    75887AVein x-ray, liver1.4413.11NA0.7215.27NAXXX
    7588726AVein x-ray, liver1.440.470.470.071.981.98XXX
    75887TCAVein x-ray, liver0.0012.64NA0.6513.29NAXXX
    75889AVein x-ray, liver1.1413.01NA0.7114.86NAXXX
    7588926AVein x-ray, liver1.140.370.370.061.571.57XXX
    75889TCAVein x-ray, liver0.0012.64NA0.6513.29NAXXX
    75891AVein x-ray, liver1.1413.01NA0.7114.86NAXXX
    7589126AVein x-ray, liver1.140.370.370.061.571.57XXX
    75891TCAVein x-ray, liver0.0012.64NA0.6513.29NAXXX
    75893AVenous sampling by catheter0.5412.82NA0.6714.03NAXXX
    7589326AVenous sampling by catheter0.540.180.180.020.740.74XXX
    75893TCAVenous sampling by catheter0.0012.64NA0.6513.29NAXXX
    75894AX-rays, transcath therapy1.3124.65NA1.3527.31NAXXX
    7589426AX-rays, transcath therapy1.310.430.430.081.821.82XXX
    75894TCAX-rays, transcath therapy0.0024.22NA1.2725.49NAXXX
    75896AX-rays, transcath therapy1.3121.51NA1.1723.99NAXXX
    7589626AX-rays, transcath therapy1.310.450.450.071.831.83XXX
    75896TCAX-rays, transcath therapy0.0021.06NA1.1022.16NAXXX
    75898AFollow-up angiography1.651.61NA0.143.40NAXXX
    7589826AFollow-up angiography1.650.550.550.082.282.28XXX
    75898TCAFollow-up angiography0.001.06NA0.061.12NAXXX
    75900AArterial catheter exchange0.4921.20NA1.1322.82NAXXX
    7590026AArterial catheter exchange0.490.160.160.020.670.67XXX
    75900TCAArterial catheter exchange0.0021.04NA1.1122.15NAXXX
    75901ARemove cva device obstruct0.491.47NA0.852.81NAXXX
    7590126ARemove cva device obstruct0.490.160.160.020.670.67XXX
    75901TCARemove cva device obstruct0.001.31NA0.832.14NAXXX
    75902ARemove cva lumen obstruct0.391.44NA0.852.68NAXXX
    7590226ARemove cva lumen obstruct0.390.130.130.020.540.54XXX
    75902TCARemove cva lumen obstruct0.001.31NA0.832.14NAXXX
    75940AX-ray placement, vein filter0.5412.82NA0.6914.05NAXXX
    7594026AX-ray placement, vein filter0.540.180.180.040.760.76XXX
    75940TCAX-ray placement, vein filter0.0012.64NA0.6513.29NAXXX
    75945AIntravascular us0.404.72NA0.285.40NAXXX
    7594526AIntravascular us0.400.140.140.040.580.58XXX
    75945TCAIntravascular us0.004.58NA0.244.82NAXXX
    75946AIntravascular us add-on0.402.44NA0.173.01NAZZZ
    7594626AIntravascular us add-on0.400.140.140.040.580.58ZZZ
    75946TCAIntravascular us add-on0.002.30NA0.132.43NAZZZ
    75952CEndovasc repair abdom aorta0.000.000.000.000.000.00XXX
    7595226AEndovasc repair abdom aorta4.491.501.500.826.816.81XXX
    75952TCCEndovasc repair abdom aorta0.000.000.000.000.000.00XXX
    75953CAbdom aneurysm endovas rpr0.000.000.000.000.000.00XXX
    7595326AAbdom aneurysm endovas rpr1.360.450.450.822.632.63XXX
    75953TCCAbdom aneurysm endovas rpr0.000.000.000.000.000.00XXX
    75954CIliac aneurysm endovas rpr0.000.000.000.000.000.00XXX
    7595426AIliac aneurysm endovas rpr2.250.470.470.823.543.54XXX
    75954TCCIliac aneurysm endovas rpr0.000.000.000.000.000.00XXX
    75960ATranscatheter intro, stent0.8215.24NA0.8216.88NAXXX
    7596026ATranscatheter intro, stent0.820.290.290.051.161.16XXX
    75960TCATranscatheter intro, stent0.0014.95NA0.7715.72NAXXX
    75961ARetrieval, broken catheter4.2411.94NA0.7716.95NAXXX
    7596126ARetrieval, broken catheter4.241.401.400.225.865.86XXX
    75961TCARetrieval, broken catheter0.0010.54NA0.5511.09NAXXX
    75962ARepair arterial blockage0.5415.99NA0.8717.40NAXXX
    7596226ARepair arterial blockage0.540.190.190.040.770.77XXX
    75962TCARepair arterial blockage0.0015.80NA0.8316.63NAXXX
    75964ARepair artery blockage, each0.368.54NA0.459.35NAZZZ
    7596426ARepair artery blockage, each0.360.120.120.020.500.50ZZZ
    75964TCARepair artery blockage, each0.008.42NA0.438.85NAZZZ
    75966ARepair arterial blockage1.3116.26NA0.9018.47NAXXX
    7596626ARepair arterial blockage1.310.460.460.071.841.84XXX
    75966TCARepair arterial blockage0.0015.80NA0.8316.63NAXXX
    75968ARepair artery blockage, each0.368.55NA0.449.35NAZZZ
    7596826ARepair artery blockage, each0.360.130.130.010.500.50ZZZ
    75968TCARepair artery blockage, each0.008.42NA0.438.85NAZZZ
    75970AVascular biopsy0.8311.88NA0.6513.36NAXXX
    7597026AVascular biopsy0.830.290.290.051.171.17XXX
    Start Printed Page 1203
    75970TCAVascular biopsy0.0011.59NA0.6012.19NAXXX
    75978ARepair venous blockage0.5415.98NA0.8517.37NAXXX
    7597826ARepair venous blockage0.540.180.180.020.740.74XXX
    75978TCARepair venous blockage0.0015.80NA0.8316.63NAXXX
    75980AContrast xray exam bile duct1.445.91NA0.367.71NAXXX
    7598026AContrast xray exam bile duct1.440.470.470.071.981.98XXX
    75980TCAContrast xray exam bile duct0.005.44NA0.295.73NAXXX
    75982AContrast xray exam bile duct1.446.58NA0.408.42NAXXX
    7598226AContrast xray exam bile duct1.440.460.460.071.971.97XXX
    75982TCAContrast xray exam bile duct0.006.12NA0.336.45NAXXX
    75984AXray control catheter change0.722.20NA0.153.07NAXXX
    7598426AXray control catheter change0.720.240.240.041.001.00XXX
    75984TCAXray control catheter change0.001.96NA0.112.07NAXXX
    75989AAbscess drainage under x-ray1.193.55NA0.234.97NAXXX
    7598926AAbscess drainage under x-ray1.190.380.380.061.631.63XXX
    75989TCAAbscess drainage under x-ray0.003.17NA0.173.34NAXXX
    75992AAtherectomy, x-ray exam0.5415.99NA0.8517.38NAXXX
    7599226AAtherectomy, x-ray exam0.540.190.190.020.750.75XXX
    75992TCAAtherectomy, x-ray exam0.0015.80NA0.8316.63NAXXX
    75993AAtherectomy, x-ray exam0.368.56NA0.449.36NAZZZ
    7599326AAtherectomy, x-ray exam0.360.140.140.010.510.51ZZZ
    75993TCAAtherectomy, x-ray exam0.008.42NA0.438.85NAZZZ
    75994AAtherectomy, x-ray exam1.3116.26NA0.9018.47NAXXX
    7599426AAtherectomy, x-ray exam1.310.460.460.071.841.84XXX
    75994TCAAtherectomy, x-ray exam0.0015.80NA0.8316.63NAXXX
    75995AAtherectomy, x-ray exam1.3116.27NA0.9018.48NAXXX
    7599526AAtherectomy, x-ray exam1.310.470.470.071.851.85XXX
    75995TCAAtherectomy, x-ray exam0.0015.80NA0.8316.63NAXXX
    75996AAtherectomy, x-ray exam0.368.54NA0.449.34NAZZZ
    7599626AAtherectomy, x-ray exam0.360.120.120.010.490.49ZZZ
    75996TCAAtherectomy, x-ray exam0.008.42NA0.438.85NAZZZ
    75998AFluoroguide for vein device0.381.44NA0.151.97NAZZZ
    7599826AFluoroguide for vein device0.380.130.130.050.560.56ZZZ
    75998TCAFluoroguide for vein device0.001.31NA0.101.41NAZZZ
    76000AFluoroscope examination0.171.36NA0.081.61NAXXX
    7600026AFluoroscope examination0.170.050.050.010.230.23XXX
    76000TCAFluoroscope examination0.001.31NA0.071.38NAXXX
    76001AFluoroscope exam, extensive0.672.84NA0.183.69NAXXX
    7600126AFluoroscope exam, extensive0.670.220.220.040.930.93XXX
    76001TCAFluoroscope exam, extensive0.002.62NA0.142.76NAXXX
    76003ANeedle localization by x-ray0.541.48NA0.112.13NAXXX
    7600326ANeedle localization by x-ray0.540.170.170.040.750.75XXX
    76003TCANeedle localization by x-ray0.001.31NA0.071.38NAXXX
    76005AFluoroguide for spine inject0.601.47NA0.112.18NAXXX
    7600526AFluoroguide for spine inject0.600.160.160.040.800.80XXX
    76005TCAFluoroguide for spine inject0.001.31NA0.071.38NAXXX
    76006AX-ray stress view0.410.190.190.050.650.65XXX
    76010AX-ray, nose to rectum0.180.58NA0.030.79NAXXX
    7601026AX-ray, nose to rectum0.180.060.060.010.250.25XXX
    76010TCAX-ray, nose to rectum0.000.52NA0.020.54NAXXX
    76012CPercut vertebroplasty fluor0.000.000.000.000.000.00XXX
    7601226APercut vertebroplasty fluor1.310.460.460.282.052.05XXX
    76012TCCPercut vertebroplasty fluor0.000.000.000.000.000.00XXX
    76013CPercut vertebroplasty, ct0.000.000.000.000.000.00XXX
    7601326APercut vertebroplasty, ct1.380.470.470.582.432.43XXX
    76013TCCPercut vertebroplasty, ct0.000.000.000.000.000.00XXX
    76020AX-rays for bone age0.190.58NA0.030.80NAXXX
    7602026AX-rays for bone age0.190.060.060.010.260.26XXX
    76020TCAX-rays for bone age0.000.52NA0.020.54NAXXX
    76040AX-rays, bone evaluation0.270.88NA0.091.24NAXXX
    7604026AX-rays, bone evaluation0.270.090.090.040.400.40XXX
    76040TCAX-rays, bone evaluation0.000.79NA0.050.84NAXXX
    76061AX-rays, bone survey0.451.15NA0.081.68NAXXX
    7606126AX-rays, bone survey0.450.150.150.020.620.62XXX
    76061TCAX-rays, bone survey0.001.00NA0.061.06NAXXX
    76062AX-rays, bone survey0.541.62NA0.102.26NAXXX
    7606226AX-rays, bone survey0.540.180.180.020.740.74XXX
    76062TCAX-rays, bone survey0.001.44NA0.081.52NAXXX
    76065AX-rays, bone evaluation0.700.98NA0.061.74NAXXX
    7606526AX-rays, bone evaluation0.700.240.240.010.950.95XXX
    76065TCAX-rays, bone evaluation0.000.74NA0.050.79NAXXX
    76066AJoint survey, single view0.311.23NA0.081.62NAXXX
    7606626AJoint survey, single view0.310.110.110.020.440.44XXX
    76066TCAJoint survey, single view0.001.12NA0.061.18NAXXX
    76070ACt bone density, axial0.253.04NA0.173.46NAXXX
    Start Printed Page 1204
    7607026ACt bone density, axial0.250.080.080.010.340.34XXX
    76070TCACt bone density, axial0.002.96NA0.163.12NAXXX
    76071ACt bone density, peripheral0.223.03NA0.063.31NAXXX
    7607126ACt bone density, peripheral0.220.070.070.010.300.30XXX
    76071TCACt bone density, peripheral0.002.96NA0.053.01NAXXX
    76075ADexa, axial skeleton study0.303.21NA0.183.69NAXXX
    7607526ADexa, axial skeleton study0.300.100.100.010.410.41XXX
    76075TCADexa, axial skeleton study0.003.11NA0.173.28NAXXX
    76076ADexa, peripheral study0.220.84NA0.061.12NAXXX
    7607626ADexa, peripheral study0.220.080.080.010.310.31XXX
    76076TCADexa, peripheral study0.000.76NA0.050.81NAXXX
    76078ARadiographic absorptiometry0.200.83NA0.061.09NAXXX
    7607826ARadiographic absorptiometry0.200.070.070.010.280.28XXX
    76078TCARadiographic absorptiometry0.000.76NA0.050.81NAXXX
    76080AX-ray exam of fistula0.541.24NA0.081.86NAXXX
    7608026AX-ray exam of fistula0.540.180.180.020.740.74XXX
    76080TCAX-ray exam of fistula0.001.06NA0.061.12NAXXX
    76082AComputer mammogram add-on0.060.43NA0.020.51NAZZZ
    7608226AComputer mammogram add-on0.060.020.020.010.090.09ZZZ
    76082TCAComputer mammogram add-on0.000.41NA0.010.42NAZZZ
    76083AComputer mammogram add-on0.060.43NA0.020.51NAZZZ
    7608326AComputer mammogram add-on0.060.020.020.010.090.09ZZZ
    76083TCAComputer mammogram add-on0.000.41NA0.010.42NAZZZ
    76085FComputer mammogram add-on+0.000.000.000.000.000.00ZZZ
    7608526FComputer mammogram add-on+0.000.000.000.000.000.00ZZZ
    76085TCFComputer mammogram add-on+0.000.000.000.000.000.00ZZZ
    76086AX-ray of mammary duct0.362.74NA0.163.26NAXXX
    7608626AX-ray of mammary duct0.360.120.120.020.500.50XXX
    76086TCAX-ray of mammary duct0.002.62NA0.142.76NAXXX
    76088AX-ray of mammary ducts0.453.83NA0.214.49NAXXX
    7608826AX-ray of mammary ducts0.450.150.150.020.620.62XXX
    76088TCAX-ray of mammary ducts0.003.68NA0.193.87NAXXX
    76090AMammogram, one breast0.701.29NA0.102.09NAXXX
    7609026AMammogram, one breast0.700.230.230.040.970.97XXX
    76090TCAMammogram, one breast0.001.06NA0.061.12NAXXX
    76091AMammogram, both breasts0.871.60NA0.112.58NAXXX
    7609126AMammogram, both breasts0.870.290.290.041.201.20XXX
    76091TCAMammogram, both breasts0.001.31NA0.071.38NAXXX
    76092AMammogram, screening0.701.46NA0.112.27NAXXX
    7609226AMammogram, screening0.700.230.230.040.970.97XXX
    76092TCAMammogram, screening0.001.23NA0.071.30NAXXX
    76093AMagnetic image, breast1.6318.21NA1.0020.84NAXXX
    7609326AMagnetic image, breast1.630.530.530.082.242.24XXX
    76093TCAMagnetic image, breast0.0017.68NA0.9218.60NAXXX
    76094AMagnetic image, both breasts1.6324.52NA1.3227.47NAXXX
    7609426AMagnetic image, both breasts1.630.530.530.082.242.24XXX
    76094TCAMagnetic image, both breasts0.0023.99NA1.2425.23NAXXX
    76095AStereotactic breast biopsy1.597.71NA0.489.78NAXXX
    7609526AStereotactic breast biopsy1.590.520.520.112.222.22XXX
    76095TCAStereotactic breast biopsy0.007.19NA0.377.56NAXXX
    76096AX-ray of needle wire, breast0.561.50NA0.112.17NAXXX
    7609626AX-ray of needle wire, breast0.560.190.190.040.790.79XXX
    76096TCAX-ray of needle wire, breast0.001.31NA0.071.38NAXXX
    76098AX-ray exam, breast specimen0.160.46NA0.030.65NAXXX
    7609826AX-ray exam, breast specimen0.160.050.050.010.220.22XXX
    76098TCAX-ray exam, breast specimen0.000.41NA0.020.43NAXXX
    76100AX-ray exam of body section0.581.44NA0.112.13NAXXX
    7610026AX-ray exam of body section0.580.190.190.040.810.81XXX
    76100TCAX-ray exam of body section0.001.25NA0.071.32NAXXX
    76101AComplex body section x-ray0.581.62NA0.122.32NAXXX
    7610126AComplex body section x-ray0.580.190.190.040.810.81XXX
    76101TCAComplex body section x-ray0.001.43NA0.081.51NAXXX
    76102AComplex body section x-rays0.581.94NA0.152.67NAXXX
    7610226AComplex body section x-rays0.580.200.200.040.820.82XXX
    76102TCAComplex body section x-rays0.001.74NA0.111.85NAXXX
    76120ACine/video x-rays0.381.19NA0.081.65NAXXX
    7612026ACine/video x-rays0.380.130.130.020.530.53XXX
    76120TCACine/video x-rays0.001.06NA0.061.12NAXXX
    76125ACine/video x-rays add-on0.270.88NA0.061.21NAZZZ
    7612526ACine/video x-rays add-on0.270.090.090.010.370.37ZZZ
    76125TCACine/video x-rays add-on0.000.79NA0.050.84NAZZZ
    76140IX-ray consultation0.000.000.000.000.000.00XXX
    76150AX-ray exam, dry process0.000.41NA0.020.43NAXXX
    76350CSpecial x-ray contrast study0.000.000.000.000.000.00XXX
    76355ACt scan for localization1.218.69NA0.4910.39NAXXX
    Start Printed Page 1205
    7635526ACt scan for localization1.210.400.400.071.681.68XXX
    76355TCACt scan for localization0.008.29NA0.428.71NAXXX
    76360ACt scan for needle biopsy1.168.66NA0.4810.30NAXXX
    7636026ACt scan for needle biopsy1.160.370.370.061.591.59XXX
    76360TCACt scan for needle biopsy0.008.29NA0.428.71NAXXX
    76362ACt guide for tissue ablation3.999.59NA1.6815.26NAXXX
    7636226ACt guide for tissue ablation3.991.301.300.225.515.51XXX
    76362TCACt guide for tissue ablation0.008.29NA1.469.75NAXXX
    76370ACt scan for therapy guide0.853.24NA0.214.30NAXXX
    7637026ACt scan for therapy guide0.850.280.280.051.181.18XXX
    76370TCACt scan for therapy guide0.002.96NA0.163.12NAXXX
    76375A3d/holograph reconstr add-on0.163.60NA0.193.95NAXXX
    7637526A3d/holograph reconstr add-on0.160.050.050.010.220.22XXX
    76375TCA3d/holograph reconstr add-on0.003.55NA0.183.73NAXXX
    76380ACAT scan follow-up study0.983.84NA0.235.05NAXXX
    7638026ACAT scan follow-up study0.980.330.330.051.361.36XXX
    76380TCACAT scan follow-up study0.003.51NA0.183.69NAXXX
    76390NMr spectroscopy+1.4011.4811.480.6613.5413.54XXX
    7639026NMr spectroscopy+1.400.470.470.071.941.94XXX
    76390TCNMr spectroscopy+0.0011.0111.010.5911.6011.60XXX
    76393AMr guidance for needle place1.5011.74NA0.6313.87NAXXX
    7639326AMr guidance for needle place1.500.500.500.082.082.08XXX
    76393TCAMr guidance for needle place0.0011.24NA0.5511.79NAXXX
    76394AMri for tissue ablation4.2412.63NA1.7918.66NAXXX
    7639426AMri for tissue ablation4.241.391.390.235.865.86XXX
    76394TCAMri for tissue ablation0.0011.24NA1.5612.80NAXXX
    76400AMagnetic image, bone marrow1.6011.76NA0.6714.03NAXXX
    7640026AMagnetic image, bone marrow1.600.520.520.082.202.20XXX
    76400TCAMagnetic image, bone marrow0.0011.24NA0.5911.83NAXXX
    76490DUs for tissue ablation0.000.000.000.000.000.00XXX
    7649026DUs for tissue ablation0.000.000.000.000.000.00XXX
    76490TCDUs for tissue ablation0.000.000.000.000.000.00XXX
    76496CFluoroscopic procedure0.000.000.000.000.000.00XXX
    7649626CFluoroscopic procedure0.000.000.000.000.000.00XXX
    76496TCCFluoroscopic procedure0.000.000.000.000.000.00XXX
    76497CCt procedure0.000.000.000.000.000.00XXX
    7649726CCt procedure0.000.000.000.000.000.00XXX
    76497TCCCt procedure0.000.000.000.000.000.00XXX
    76498CMri procedure0.000.000.000.000.000.00XXX
    7649826CMri procedure0.000.000.000.000.000.00XXX
    76498TCCMri procedure0.000.000.000.000.000.00XXX
    76499CRadiographic procedure0.000.000.000.000.000.00XXX
    7649926CRadiographic procedure0.000.000.000.000.000.00XXX
    76499TCCRadiographic procedure0.000.000.000.000.000.00XXX
    76506AEcho exam of head0.631.68NA0.122.43NAXXX
    7650626AEcho exam of head0.630.250.250.040.920.92XXX
    76506TCAEcho exam of head0.001.43NA0.081.51NAXXX
    76511AEcho exam of eye0.941.09NA0.092.12NAXXX
    7651126AEcho exam of eye0.940.400.400.021.361.36XXX
    76511TCAEcho exam of eye0.000.69NA0.070.76NAXXX
    76512AEcho exam of eye0.661.02NA0.111.79NAXXX
    7651226AEcho exam of eye0.660.300.300.010.970.97XXX
    76512TCAEcho exam of eye0.000.72NA0.100.82NAXXX
    76513AEcho exam of eye, water bath0.661.10NA0.111.87NAXXX
    7651326AEcho exam of eye, water bath0.660.300.300.010.970.97XXX
    76513TCAEcho exam of eye, water bath0.000.80NA0.100.90NAXXX
    76514AEcho exam of eye, thickness0.170.14NA0.020.33NAXXX
    7651426AEcho exam of eye, thickness0.170.080.080.010.260.26XXX
    76514TCAEcho exam of eye, thickness0.000.06NA0.010.07NAXXX
    76516AEcho exam of eye0.540.73NA0.081.35NAXXX
    7651626AEcho exam of eye0.540.250.250.010.800.80XXX
    76516TCAEcho exam of eye0.000.48NA0.070.55NAXXX
    76519AEcho exam of eye0.540.81NA0.081.43NAXXX
    7651926AEcho exam of eye0.540.250.250.010.800.80XXX
    76519TCAEcho exam of eye0.000.56NA0.070.63NAXXX
    76529AEcho exam of eye0.570.77NA0.091.43NAXXX
    7652926AEcho exam of eye0.570.250.250.010.830.83XXX
    76529TCAEcho exam of eye0.000.52NA0.080.60NAXXX
    76536AUs exam of head and neck0.561.62NA0.102.28NAXXX
    7653626AUs exam of head and neck0.560.190.190.020.770.77XXX
    76536TCAUs exam of head and neck0.001.43NA0.081.51NAXXX
    76604AUs exam, chest, b-scan0.551.49NA0.092.13NAXXX
    7660426AUs exam, chest, b-scan0.550.180.180.020.750.75XXX
    76604TCAUs exam, chest, b-scan0.001.31NA0.071.38NAXXX
    76645AUs exam, breast(s)0.541.24NA0.101.88NAXXX
    Start Printed Page 1206
    7664526AUs exam, breast(s)0.540.180.180.040.760.76XXX
    76645TCAUs exam, breast(s)0.001.06NA0.061.12NAXXX
    76700AUs exam, abdom, complete0.812.25NA0.163.22NAXXX
    7670026AUs exam, abdom, complete0.810.270.270.051.131.13XXX
    76700TCAUs exam, abdom, complete0.001.98NA0.112.09NAXXX
    76705AEcho exam of abdomen0.591.63NA0.122.34NAXXX
    7670526AEcho exam of abdomen0.590.200.200.040.830.83XXX
    76705TCAEcho exam of abdomen0.001.43NA0.081.51NAXXX
    76770AUs exam abdo back wall, comp0.742.23NA0.153.12NAXXX
    7677026AUs exam abdo back wall, comp0.740.250.250.041.031.03XXX
    76770TCAUs exam abdo back wall, comp0.001.98NA0.112.09NAXXX
    76775AUs exam abdo back wall, lim0.581.62NA0.122.32NAXXX
    7677526AUs exam abdo back wall, lim0.580.190.190.040.810.81XXX
    76775TCAUs exam abdo back wall, lim0.001.43NA0.081.51NAXXX
    76778AUs exam kidney transplant0.742.23NA0.153.12NAXXX
    7677826AUs exam kidney transplant0.740.250.250.041.031.03XXX
    76778TCAUs exam kidney transplant0.001.98NA0.112.09NAXXX
    76800AUs exam, spinal canal1.131.78NA0.133.04NAXXX
    7680026AUs exam, spinal canal1.130.350.350.051.531.53XXX
    76800TCAUs exam, spinal canal0.001.43NA0.081.51NAXXX
    76801AOb us < 14 wks, single fetus0.992.45NA0.173.61NAXXX
    7680126AOb us < 14 wks, single fetus0.990.350.350.051.391.39XXX
    76801TCAOb us < 14 wks, single fetus0.002.10NA0.122.22NAXXX
    76802AOb us < 14 wks, add'l fetus0.831.35NA0.172.35NAZZZ
    7680226AOb us < 14 wks, add'l fetus0.830.290.290.051.171.17ZZZ
    76802TCAOb us < 14 wks, add'l fetus0.001.06NA0.121.18NAZZZ
    76805AOb us >/= 14 wks, sngl fetus0.992.45NA0.173.61NAXXX
    7680526AOb us >/= 14 wks, sngl fetus0.990.350.350.051.391.39XXX
    76805TCAOb us >/= 14 wks, sngl fetus0.002.10NA0.122.22NAXXX
    76810AOb us >/= 14 wks, addl fetus0.981.41NA0.302.69NAZZZ
    7681026AOb us >/= 14 wks, addl fetus0.980.350.350.081.411.41ZZZ
    76810TCAOb us >/= 14 wks, addl fetus0.001.06NA0.221.28NAZZZ
    76811AOb us, detailed, sngl fetus1.904.20NA0.616.71NAXXX
    7681126AOb us, detailed, sngl fetus1.900.660.660.182.742.74XXX
    76811TCAOb us, detailed, sngl fetus0.003.54NA0.433.97NAXXX
    76812AOb us, detailed, addl fetus1.781.69NA0.554.02NAZZZ
    7681226AOb us, detailed, addl fetus1.780.630.630.142.552.55ZZZ
    76812TCAOb us, detailed, addl fetus0.001.06NA0.411.47NAZZZ
    76815AOb us, limited, fetus(s)0.651.66NA0.102.41NAXXX
    7681526AOb us, limited, fetus(s)0.650.230.230.020.900.90XXX
    76815TCAOb us, limited, fetus(s)0.001.43NA0.081.51NAXXX
    76816AOb us, follow-up, per fetus0.851.44NA0.082.37NAXXX
    7681626AOb us, follow-up, per fetus0.850.320.320.021.191.19XXX
    76816TCAOb us, follow-up, per fetus0.001.12NA0.061.18NAXXX
    76817ATransvaginal us, obstetric0.751.80NA0.082.63NAXXX
    7681726ATransvaginal us, obstetric0.750.280.280.021.051.05XXX
    76817TCATransvaginal us, obstetric0.001.52NA0.061.58NAXXX
    76818AFetal biophys profile w/nst1.052.00NA0.153.20NAXXX
    7681826AFetal biophys profile w/nst1.050.380.380.051.481.48XXX
    76818TCAFetal biophys profile w/nst0.001.62NA0.101.72NAXXX
    76819AFetal biophys profil w/o nst0.771.90NA0.122.79NAXXX
    7681926AFetal biophys profil w/o nst0.770.280.280.021.071.07XXX
    76819TCAFetal biophys profil w/o nst0.001.62NA0.101.72NAXXX
    76825AEcho exam of fetal heart1.672.58NA0.184.43NAXXX
    7682526AEcho exam of fetal heart1.670.600.600.072.342.34XXX
    76825TCAEcho exam of fetal heart0.001.98NA0.112.09NAXXX
    76826AEcho exam of fetal heart0.831.00NA0.091.92NAXXX
    7682626AEcho exam of fetal heart0.830.290.290.041.161.16XXX
    76826TCAEcho exam of fetal heart0.000.71NA0.050.76NAXXX
    76827AEcho exam of fetal heart0.581.95NA0.142.67NAXXX
    7682726AEcho exam of fetal heart0.580.220.220.020.820.82XXX
    76827TCAEcho exam of fetal heart0.001.73NA0.121.85NAXXX
    76828AEcho exam of fetal heart0.561.34NA0.102.00NAXXX
    7682826AEcho exam of fetal heart0.560.220.220.020.800.80XXX
    76828TCAEcho exam of fetal heart0.001.12NA0.081.20NAXXX
    76830ATransvaginal us, non-ob0.691.75NA0.142.58NAXXX
    7683026ATransvaginal us, non-ob0.690.230.230.040.960.96XXX
    76830TCATransvaginal us, non-ob0.001.52NA0.101.62NAXXX
    76831AEcho exam, uterus0.721.78NA0.122.62NAXXX
    7683126AEcho exam, uterus0.720.260.260.021.001.00XXX
    76831TCAEcho exam, uterus0.001.52NA0.101.62NAXXX
    76856AUs exam, pelvic, complete0.691.75NA0.142.58NAXXX
    7685626AUs exam, pelvic, complete0.690.230.230.040.960.96XXX
    76856TCAUs exam, pelvic, complete0.001.52NA0.101.62NAXXX
    76857AUs exam, pelvic, limited0.381.70NA0.082.16NAXXX
    Start Printed Page 1207
    7685726AUs exam, pelvic, limited0.380.130.130.020.530.53XXX
    76857TCAUs exam, pelvic, limited0.001.57NA0.061.63NAXXX
    76870AUs exam, scrotum0.641.73NA0.142.51NAXXX
    7687026AUs exam, scrotum0.640.210.210.040.890.89XXX
    76870TCAUs exam, scrotum0.001.52NA0.101.62NAXXX
    76872AUs, transrectal0.692.09NA0.152.93NAXXX
    7687226AUs, transrectal0.690.230.230.050.970.97XXX
    76872TCAUs, transrectal0.001.86NA0.101.96NAXXX
    76873AEchograp trans r, pros study1.552.59NA0.264.40NAXXX
    7687326AEchograp trans r, pros study1.550.490.490.102.142.14XXX
    76873TCAEchograp trans r, pros study0.002.10NA0.162.26NAXXX
    76880AUs exam, extremity0.591.63NA0.122.34NAXXX
    7688026AUs exam, extremity0.590.200.200.040.830.83XXX
    76880TCAUs exam, extremity0.001.43NA0.081.51NAXXX
    76885AUs exam infant hips, dynamic0.741.77NA0.142.65NAXXX
    7688526AUs exam infant hips, dynamic0.740.250.250.041.031.03XXX
    76885TCAUs exam infant hips, dynamic0.001.52NA0.101.62NAXXX
    76886AUs exam infant hips, static0.621.64NA0.122.38NAXXX
    7688626AUs exam infant hips, static0.620.210.210.040.870.87XXX
    76886TCAUs exam infant hips, static0.001.43NA0.081.51NAXXX
    76930AEcho guide, cardiocentesis0.671.78NA0.122.57NAXXX
    7693026AEcho guide, cardiocentesis0.670.260.260.020.950.95XXX
    76930TCAEcho guide, cardiocentesis0.001.52NA0.101.62NAXXX
    76932AEcho guide for heart biopsy0.671.78NA0.122.57NAXXX
    7693226AEcho guide for heart biopsy0.670.260.260.020.950.95XXX
    76932TCAEcho guide for heart biopsy0.001.52NA0.101.62NAXXX
    76936AEcho guide for artery repair1.996.98NA0.479.44NAXXX
    7693626AEcho guide for artery repair1.990.660.660.132.782.78XXX
    76936TCAEcho guide for artery repair0.006.32NA0.346.66NAXXX
    76937AUs guide, vascular access0.300.47NA0.150.92NAZZZ
    7693726AUs guide, vascular access0.300.100.100.050.450.45ZZZ
    76937TCAUs guide, vascular access0.000.37NA0.100.47NAZZZ
    76940AUs guide, tissue ablation2.002.17NA0.424.59NAXXX
    7694026AUs guide, tissue ablation2.000.650.650.132.782.78XXX
    76940TCAUs guide, tissue ablation0.001.52NA0.291.81NAXXX
    76941AEcho guide for transfusion1.342.00NA0.153.49NAXXX
    7694126AEcho guide for transfusion1.340.470.470.071.881.88XXX
    76941TCAEcho guide for transfusion0.001.53NA0.081.61NAXXX
    76942AEcho guide for biopsy0.672.76NA0.153.58NAXXX
    7694226AEcho guide for biopsy0.670.220.220.050.940.94XXX
    76942TCAEcho guide for biopsy0.002.54NA0.102.64NAXXX
    76945AEcho guide, villus sampling0.671.76NA0.122.55NAXXX
    7694526AEcho guide, villus sampling0.670.230.230.040.940.94XXX
    76945TCAEcho guide, villus sampling0.001.53NA0.081.61NAXXX
    76946AEcho guide for amniocentesis0.381.66NA0.112.15NAXXX
    7694626AEcho guide for amniocentesis0.380.140.140.010.530.53XXX
    76946TCAEcho guide for amniocentesis0.001.52NA0.101.62NAXXX
    76948AEcho guide, ova aspiration0.381.65NA0.122.15NAXXX
    7694826AEcho guide, ova aspiration0.380.130.130.020.530.53XXX
    76948TCAEcho guide, ova aspiration0.001.52NA0.101.62NAXXX
    76950AEcho guidance radiotherapy0.581.50NA0.112.19NAXXX
    7695026AEcho guidance radiotherapy0.580.190.190.040.810.81XXX
    76950TCAEcho guidance radiotherapy0.001.31NA0.071.38NAXXX
    76965AEcho guidance radiotherapy1.346.01NA0.377.72NAXXX
    7696526AEcho guidance radiotherapy1.340.420.420.081.841.84XXX
    76965TCAEcho guidance radiotherapy0.005.59NA0.295.88NAXXX
    76970AUltrasound exam follow-up0.401.19NA0.081.67NAXXX
    7697026AUltrasound exam follow-up0.400.130.130.020.550.55XXX
    76970TCAUltrasound exam follow-up0.001.06NA0.061.12NAXXX
    76975AGI endoscopic ultrasound0.811.80NA0.142.75NAXXX
    7697526AGI endoscopic ultrasound0.810.280.280.041.131.13XXX
    76975TCAGI endoscopic ultrasound0.001.52NA0.101.62NAXXX
    76977AUs bone density measure0.050.85NA0.060.96NAXXX
    7697726AUs bone density measure0.050.020.020.010.080.08XXX
    76977TCAUs bone density measure0.000.83NA0.050.88NAXXX
    76986AUltrasound guide intraoper1.203.02NA0.224.44NAXXX
    7698626AUltrasound guide intraoper1.200.400.400.081.681.68XXX
    76986TCAUltrasound guide intraoper0.002.62NA0.142.76NAXXX
    76999CEcho examination procedure0.000.000.000.000.000.00XXX
    7699926CEcho examination procedure0.000.000.000.000.000.00XXX
    76999TCCEcho examination procedure0.000.000.000.000.000.00XXX
    77261ARadiation therapy planning1.390.510.510.071.971.97XXX
    77262ARadiation therapy planning2.110.750.750.112.972.97XXX
    77263ARadiation therapy planning3.141.121.120.164.424.42XXX
    77280ASet radiation therapy field0.703.70NA0.224.62NAXXX
    Start Printed Page 1208
    7728026ASet radiation therapy field0.700.220.220.040.960.96XXX
    77280TCASet radiation therapy field0.003.48NA0.183.66NAXXX
    77285ASet radiation therapy field1.055.93NA0.357.33NAXXX
    7728526ASet radiation therapy field1.050.340.340.051.441.44XXX
    77285TCASet radiation therapy field0.005.59NA0.305.89NAXXX
    77290ASet radiation therapy field1.567.02NA0.429.00NAXXX
    7729026ASet radiation therapy field1.560.490.490.072.122.12XXX
    77290TCASet radiation therapy field0.006.53NA0.356.88NAXXX
    77295ASet radiation therapy field4.5629.48NA1.7035.74NAXXX
    7729526ASet radiation therapy field4.561.451.450.226.236.23XXX
    77295TCASet radiation therapy field0.0028.03NA1.4829.51NAXXX
    77299CRadiation therapy planning0.000.000.000.000.000.00XXX
    7729926CRadiation therapy planning0.000.000.000.000.000.00XXX
    77299TCCRadiation therapy planning0.000.000.000.000.000.00XXX
    77300ARadiation therapy dose plan0.621.55NA0.112.28NAXXX
    7730026ARadiation therapy dose plan0.620.200.200.040.860.86XXX
    77300TCARadiation therapy dose plan0.001.35NA0.071.42NAXXX
    77301ARadiotherapy dose plan, imrt7.9930.57NA1.7040.26NAXXX
    7730126ARadiotherapy dose plan, imrt7.992.542.540.2210.7510.75XXX
    77301TCARadiotherapy dose plan, imrt0.0028.03NA1.4829.51NAXXX
    77305ATeletx isodose plan simple0.702.10NA0.152.95NAXXX
    7730526ATeletx isodose plan simple0.700.230.230.040.970.97XXX
    77305TCATeletx isodose plan simple0.001.87NA0.111.98NAXXX
    77310ATeletx isodose plan intermed1.052.68NA0.183.91NAXXX
    7731026ATeletx isodose plan intermed1.050.340.340.051.441.44XXX
    77310TCATeletx isodose plan intermed0.002.34NA0.132.47NAXXX
    77315ATeletx isodose plan complex1.563.15NA0.214.92NAXXX
    7731526ATeletx isodose plan complex1.560.490.490.072.122.12XXX
    77315TCATeletx isodose plan complex0.002.66NA0.142.80NAXXX
    77321ASpecial teletx port plan0.954.37NA0.265.58NAXXX
    7732126ASpecial teletx port plan0.950.310.310.051.311.31XXX
    77321TCASpecial teletx port plan0.004.06NA0.214.27NAXXX
    77326ABrachytx isodose calc simp0.932.67NA0.183.78NAXXX
    7732626ABrachytx isodose calc simp0.930.300.300.051.281.28XXX
    77326TCABrachytx isodose calc simp0.002.37NA0.132.50NAXXX
    77327ABrachytx isodose calc interm1.393.92NA0.255.56NAXXX
    7732726ABrachytx isodose calc interm1.390.440.440.071.901.90XXX
    77327TCABrachytx isodose calc interm0.003.48NA0.183.66NAXXX
    77328ABrachytx isodose plan compl2.095.63NA0.368.08NAXXX
    7732826ABrachytx isodose plan compl2.090.660.660.112.862.86XXX
    77328TCABrachytx isodose plan compl0.004.97NA0.255.22NAXXX
    77331ASpecial radiation dosimetry0.870.78NA0.071.72NAXXX
    7733126ASpecial radiation dosimetry0.870.280.280.051.201.20XXX
    77331TCASpecial radiation dosimetry0.000.50NA0.020.52NAXXX
    77332ARadiation treatment aid(s)0.541.52NA0.092.15NAXXX
    7733226ARadiation treatment aid(s)0.540.170.170.020.730.73XXX
    77332TCARadiation treatment aid(s)0.001.35NA0.071.42NAXXX
    77333ARadiation treatment aid(s)0.842.17NA0.163.17NAXXX
    7733326ARadiation treatment aid(s)0.840.270.270.051.161.16XXX
    77333TCARadiation treatment aid(s)0.001.90NA0.112.01NAXXX
    77334ARadiation treatment aid(s)1.243.65NA0.235.12NAXXX
    7733426ARadiation treatment aid(s)1.240.390.390.061.691.69XXX
    77334TCARadiation treatment aid(s)0.003.26NA0.173.43NAXXX
    77336ARadiation physics consult0.002.99NA0.163.15NAXXX
    77370ARadiation physics consult0.003.50NA0.183.68NAXXX
    77399CExternal radiation dosimetry0.000.000.000.000.000.00XXX
    7739926CExternal radiation dosimetry0.000.000.000.000.000.00XXX
    77399TCCExternal radiation dosimetry0.000.000.000.000.000.00XXX
    77401ARadiation treatment delivery0.001.78NA0.111.89NAXXX
    77402ARadiation treatment delivery0.001.78NA0.111.89NAXXX
    77403ARadiation treatment delivery0.001.78NA0.111.89NAXXX
    77404ARadiation treatment delivery0.001.78NA0.111.89NAXXX
    77406ARadiation treatment delivery0.001.78NA0.111.89NAXXX
    77407ARadiation treatment delivery0.002.09NA0.122.21NAXXX
    77408ARadiation treatment delivery0.002.09NA0.122.21NAXXX
    77409ARadiation treatment delivery0.002.09NA0.122.21NAXXX
    77411ARadiation treatment delivery0.002.09NA0.122.21NAXXX
    77412ARadiation treatment delivery0.002.34NA0.132.47NAXXX
    77413ARadiation treatment delivery0.002.34NA0.132.47NAXXX
    77414ARadiation treatment delivery0.002.34NA0.132.47NAXXX
    77416ARadiation treatment delivery0.002.34NA0.132.47NAXXX
    77417ARadiology port film(s)0.000.59NA0.040.63NAXXX
    77418ARadiation tx delivery, imrt0.0018.05NA0.1318.18NAXXX
    77427ARadiation tx management, x53.311.051.050.174.534.53XXX
    77431ARadiation therapy management1.810.680.680.082.572.57XXX
    Start Printed Page 1209
    77432AStereotactic radiation trmt7.922.912.910.4011.2311.23XXX
    77470ASpecial radiation treatment2.0911.85NA0.7014.64NAXXX
    7747026ASpecial radiation treatment2.090.660.660.112.862.86XXX
    77470TCASpecial radiation treatment0.0011.19NA0.5911.78NAXXX
    77499CRadiation therapy management0.000.000.000.000.000.00XXX
    7749926CRadiation therapy management0.000.000.000.000.000.00XXX
    77499TCCRadiation therapy management0.000.000.000.000.000.00XXX
    77520CProton trmt, simple w/o comp0.000.000.000.000.000.00XXX
    77522CProton trmt, simple w/comp0.000.000.000.000.000.00XXX
    77523CProton trmt, intermediate0.000.000.000.000.000.00XXX
    77525CProton treatment, complex0.000.000.000.000.000.00XXX
    77600RHyperthermia treatment1.563.55NA0.265.37NAXXX
    7760026RHyperthermia treatment1.560.490.490.102.152.15XXX
    77600TCRHyperthermia treatment0.003.06NA0.163.22NAXXX
    77605RHyperthermia treatment2.094.74NA0.387.21NAXXX
    7760526RHyperthermia treatment2.090.660.660.162.912.91XXX
    77605TCRHyperthermia treatment0.004.08NA0.224.30NAXXX
    77610RHyperthermia treatment1.563.56NA0.245.36NAXXX
    7761026RHyperthermia treatment1.560.500.500.082.142.14XXX
    77610TCRHyperthermia treatment0.003.06NA0.163.22NAXXX
    77615RHyperthermia treatment2.094.74NA0.337.16NAXXX
    7761526RHyperthermia treatment2.090.660.660.112.862.86XXX
    77615TCRHyperthermia treatment0.004.08NA0.224.30NAXXX
    77620RHyperthermia treatment1.563.57NA0.235.36NAXXX
    7762026RHyperthermia treatment1.560.510.510.072.142.14XXX
    77620TCRHyperthermia treatment0.003.06NA0.163.22NAXXX
    77750AInfuse radioactive materials4.902.91NA0.288.09NA090
    7775026AInfuse radioactive materials4.901.571.570.216.686.68090
    77750TCAInfuse radioactive materials0.001.34NA0.071.41NA090
    77761AApply intrcav radiat simple3.803.62NA0.337.75NA090
    7776126AApply intrcav radiat simple3.801.101.100.195.095.09090
    77761TCAApply intrcav radiat simple0.002.52NA0.142.66NA090
    77762AApply intrcav radiat interm5.715.45NA0.4611.62NA090
    7776226AApply intrcav radiat interm5.711.831.830.277.817.81090
    77762TCAApply intrcav radiat interm0.003.62NA0.193.81NA090
    77763AApply intrcav radiat compl8.567.22NA0.6416.42NA090
    7776326AApply intrcav radiat compl8.562.722.720.4111.6911.69090
    77763TCAApply intrcav radiat compl0.004.50NA0.234.73NA090
    77776AApply interstit radiat simpl4.653.14NA0.428.21NA090
    7777626AApply interstit radiat simpl4.650.960.960.295.905.90090
    77776TCAApply interstit radiat simpl0.002.18NA0.132.31NA090
    77777AApply interstit radiat inter7.476.61NA0.6114.69NA090
    7777726AApply interstit radiat inter7.472.362.360.3910.2210.22090
    77777TCAApply interstit radiat inter0.004.25NA0.224.47NA090
    77778AApply interstit radiat compl11.178.69NA0.8420.70NA090
    7777826AApply interstit radiat compl11.173.543.540.5715.2815.28090
    77778TCAApply interstit radiat compl0.005.15NA0.275.42NA090
    77781AHigh intensity brachytherapy1.6620.91NA1.1423.71NA090
    7778126AHigh intensity brachytherapy1.660.530.530.082.272.27090
    77781TCAHigh intensity brachytherapy0.0020.38NA1.0621.44NA090
    77782AHigh intensity brachytherapy2.4921.18NA1.1824.85NA090
    7778226AHigh intensity brachytherapy2.490.800.800.123.413.41090
    77782TCAHigh intensity brachytherapy0.0020.38NA1.0621.44NA090
    77783AHigh intensity brachytherapy3.7221.56NA1.2426.52NA090
    7778326AHigh intensity brachytherapy3.721.181.180.185.085.08090
    77783TCAHigh intensity brachytherapy0.0020.38NA1.0621.44NA090
    77784AHigh intensity brachytherapy5.6022.16NA1.3329.09NA090
    7778426AHigh intensity brachytherapy5.601.781.780.277.657.65090
    77784TCAHigh intensity brachytherapy0.0020.38NA1.0621.44NA090
    77789AApply surface radiation1.120.82NA0.062.00NA000
    7778926AApply surface radiation1.120.370.370.041.531.53000
    77789TCAApply surface radiation0.000.45NA0.020.47NA000
    77790ARadiation handling1.050.84NA0.071.96NAXXX
    7779026ARadiation handling1.050.340.340.051.441.44XXX
    77790TCARadiation handling0.000.50NA0.020.52NAXXX
    77799CRadium/radioisotope therapy0.000.000.000.000.000.00XXX
    7779926CRadium/radioisotope therapy0.000.000.000.000.000.00XXX
    77799TCCRadium/radioisotope therapy0.000.000.000.000.000.00XXX
    78000AThyroid, single uptake0.191.04NA0.071.30NAXXX
    7800026AThyroid, single uptake0.190.070.070.010.270.27XXX
    78000TCAThyroid, single uptake0.000.97NA0.061.03NAXXX
    78001AThyroid, multiple uptakes0.261.40NA0.081.74NAXXX
    7800126AThyroid, multiple uptakes0.260.090.090.010.360.36XXX
    78001TCAThyroid, multiple uptakes0.001.31NA0.071.38NAXXX
    78003AThyroid suppress/stimul0.331.08NA0.071.48NAXXX
    Start Printed Page 1210
    7800326AThyroid suppress/stimul0.330.110.110.010.450.45XXX
    78003TCAThyroid suppress/stimul0.000.97NA0.061.03NAXXX
    78006AThyroid imaging with uptake0.492.56NA0.153.20NAXXX
    7800626AThyroid imaging with uptake0.490.170.170.020.680.68XXX
    78006TCAThyroid imaging with uptake0.002.39NA0.132.52NAXXX
    78007AThyroid image, mult uptakes0.502.76NA0.163.42NAXXX
    7800726AThyroid image, mult uptakes0.500.170.170.020.690.69XXX
    78007TCAThyroid image, mult uptakes0.002.59NA0.142.73NAXXX
    78010AThyroid imaging0.391.96NA0.132.48NAXXX
    7801026AThyroid imaging0.390.130.130.020.540.54XXX
    78010TCAThyroid imaging0.001.83NA0.111.94NAXXX
    78011AThyroid imaging with flow0.452.57NA0.153.17NAXXX
    7801126AThyroid imaging with flow0.450.150.150.020.620.62XXX
    78011TCAThyroid imaging with flow0.002.42NA0.132.55NAXXX
    78015AThyroid met imaging0.672.82NA0.183.67NAXXX
    7801526AThyroid met imaging0.670.230.230.040.940.94XXX
    78015TCAThyroid met imaging0.002.59NA0.142.73NAXXX
    78016AThyroid met imaging/studies0.823.78NA0.224.82NAXXX
    7801626AThyroid met imaging/studies0.820.290.290.041.151.15XXX
    78016TCAThyroid met imaging/studies0.003.49NA0.183.67NAXXX
    78018AThyroid met imaging, body0.865.75NA0.336.94NAXXX
    7801826AThyroid met imaging, body0.860.300.300.041.201.20XXX
    78018TCAThyroid met imaging, body0.005.45NA0.295.74NAXXX
    78020AThyroid met uptake0.601.52NA0.162.28NAZZZ
    7802026AThyroid met uptake0.600.210.210.020.830.83ZZZ
    78020TCAThyroid met uptake0.001.31NA0.141.45NAZZZ
    78070AParathyroid nuclear imaging0.822.11NA0.153.08NAXXX
    7807026AParathyroid nuclear imaging0.820.280.280.041.141.14XXX
    78070TCAParathyroid nuclear imaging0.001.83NA0.111.94NAXXX
    78075AAdrenal nuclear imaging0.745.72NA0.336.79NAXXX
    7807526AAdrenal nuclear imaging0.740.270.270.041.051.05XXX
    78075TCAAdrenal nuclear imaging0.005.45NA0.295.74NAXXX
    78099CEndocrine nuclear procedure0.000.000.000.000.000.00XXX
    7809926CEndocrine nuclear procedure0.000.000.000.000.000.00XXX
    78099TCCEndocrine nuclear procedure0.000.000.000.000.000.00XXX
    78102ABone marrow imaging, ltd0.552.24NA0.142.93NAXXX
    7810226ABone marrow imaging, ltd0.550.200.200.020.770.77XXX
    78102TCABone marrow imaging, ltd0.002.04NA0.122.16NAXXX
    78103ABone marrow imaging, mult0.753.44NA0.214.40NAXXX
    7810326ABone marrow imaging, mult0.750.260.260.041.051.05XXX
    78103TCABone marrow imaging, mult0.003.18NA0.173.35NAXXX
    78104ABone marrow imaging, body0.804.36NA0.265.42NAXXX
    7810426ABone marrow imaging, body0.800.270.270.041.111.11XXX
    78104TCABone marrow imaging, body0.004.09NA0.224.31NAXXX
    78110APlasma volume, single0.191.02NA0.071.28NAXXX
    7811026APlasma volume, single0.190.070.070.010.270.27XXX
    78110TCAPlasma volume, single0.000.95NA0.061.01NAXXX
    78111APlasma volume, multiple0.222.67NA0.153.04NAXXX
    7811126APlasma volume, multiple0.220.080.080.010.310.31XXX
    78111TCAPlasma volume, multiple0.002.59NA0.142.73NAXXX
    78120ARed cell mass, single0.231.82NA0.122.17NAXXX
    7812026ARed cell mass, single0.230.080.080.010.320.32XXX
    78120TCARed cell mass, single0.001.74NA0.111.85NAXXX
    78121ARed cell mass, multiple0.323.03NA0.153.50NAXXX
    7812126ARed cell mass, multiple0.320.110.110.010.440.44XXX
    78121TCARed cell mass, multiple0.002.92NA0.143.06NAXXX
    78122ABlood volume0.454.78NA0.265.49NAXXX
    7812226ABlood volume0.450.160.160.020.630.63XXX
    78122TCABlood volume0.004.62NA0.244.86NAXXX
    78130ARed cell survival study0.613.07NA0.183.86NAXXX
    7813026ARed cell survival study0.610.210.210.040.860.86XXX
    78130TCARed cell survival study0.002.86NA0.143.00NAXXX
    78135ARed cell survival kinetics0.645.11NA0.296.04NAXXX
    7813526ARed cell survival kinetics0.640.220.220.040.900.90XXX
    78135TCARed cell survival kinetics0.004.89NA0.255.14NAXXX
    78140ARed cell sequestration0.614.15NA0.255.01NAXXX
    7814026ARed cell sequestration0.610.200.200.040.850.85XXX
    78140TCARed cell sequestration0.003.95NA0.214.16NAXXX
    78160APlasma iron turnover0.333.80NA0.234.36NAXXX
    7816026APlasma iron turnover0.330.120.120.040.490.49XXX
    78160TCAPlasma iron turnover0.003.68NA0.193.87NAXXX
    78162ARadioiron absorption exam0.453.40NA0.184.03NAXXX
    7816226ARadioiron absorption exam0.450.190.190.010.650.65XXX
    78162TCARadioiron absorption exam0.003.21NA0.173.38NAXXX
    78170ARed cell iron utilization0.415.47NA0.336.21NAXXX
    Start Printed Page 1211
    7817026ARed cell iron utilization0.410.140.140.050.600.60XXX
    78170TCARed cell iron utilization0.005.33NA0.285.61NAXXX
    78172CTotal body iron estimation0.000.000.000.000.000.00XXX
    7817226ATotal body iron estimation0.530.180.180.020.730.73XXX
    78172TCCTotal body iron estimation0.000.000.000.000.000.00XXX
    78185ASpleen imaging0.402.51NA0.153.06NAXXX
    7818526ASpleen imaging0.400.140.140.020.560.56XXX
    78185TCASpleen imaging0.002.37NA0.132.50NAXXX
    78190APlatelet survival, kinetics1.096.12NA0.377.58NAXXX
    7819026APlatelet survival, kinetics1.090.390.390.071.551.55XXX
    78190TCAPlatelet survival, kinetics0.005.73NA0.306.03NAXXX
    78191APlatelet survival0.617.56NA0.418.58NAXXX
    7819126APlatelet survival0.610.200.200.040.850.85XXX
    78191TCAPlatelet survival0.007.36NA0.377.73NAXXX
    78195ALymph system imaging1.204.50NA0.285.98NAXXX
    7819526ALymph system imaging1.200.410.410.061.671.67XXX
    78195TCALymph system imaging0.004.09NA0.224.31NAXXX
    78199CBlood/lymph nuclear exam0.000.000.000.000.000.00XXX
    7819926CBlood/lymph nuclear exam0.000.000.000.000.000.00XXX
    78199TCCBlood/lymph nuclear exam0.000.000.000.000.000.00XXX
    78201ALiver imaging0.442.52NA0.153.11NAXXX
    7820126ALiver imaging0.440.150.150.020.610.61XXX
    78201TCALiver imaging0.002.37NA0.132.50NAXXX
    78202ALiver imaging with flow0.513.07NA0.163.74NAXXX
    7820226ALiver imaging with flow0.510.180.180.020.710.71XXX
    78202TCALiver imaging with flow0.002.89NA0.143.03NAXXX
    78205ALiver imaging (3D)0.716.18NA0.357.24NAXXX
    7820526ALiver imaging (3D)0.710.250.250.041.001.00XXX
    78205TCALiver imaging (3D)0.005.93NA0.316.24NAXXX
    78206ALiver image (3d) with flow0.966.27NA0.167.39NAXXX
    7820626ALiver image (3d) with flow0.960.340.340.051.351.35XXX
    78206TCALiver image (3d) with flow0.005.93NA0.116.04NAXXX
    78215ALiver and spleen imaging0.493.12NA0.163.77NAXXX
    7821526ALiver and spleen imaging0.490.170.170.020.680.68XXX
    78215TCALiver and spleen imaging0.002.95NA0.143.09NAXXX
    78216ALiver & spleen image/flow0.573.69NA0.204.46NAXXX
    7821626ALiver & spleen image/flow0.570.200.200.020.790.79XXX
    78216TCALiver & spleen image/flow0.003.49NA0.183.67NAXXX
    78220ALiver function study0.493.91NA0.214.61NAXXX
    7822026ALiver function study0.490.170.170.020.680.68XXX
    78220TCALiver function study0.003.74NA0.193.93NAXXX
    78223AHepatobiliary imaging0.843.96NA0.245.04NAXXX
    7822326AHepatobiliary imaging0.840.280.280.051.171.17XXX
    78223TCAHepatobiliary imaging0.003.68NA0.193.87NAXXX
    78230ASalivary gland imaging0.452.33NA0.152.93NAXXX
    7823026ASalivary gland imaging0.450.150.150.020.620.62XXX
    78230TCASalivary gland imaging0.002.18NA0.132.31NAXXX
    78231ASerial salivary imaging0.523.37NA0.194.08NAXXX
    7823126ASerial salivary imaging0.520.190.190.020.730.73XXX
    78231TCASerial salivary imaging0.003.18NA0.173.35NAXXX
    78232ASalivary gland function exam0.473.72NA0.194.38NAXXX
    7823226ASalivary gland function exam0.470.170.170.010.650.65XXX
    78232TCASalivary gland function exam0.003.55NA0.183.73NAXXX
    78258AEsophageal motility study0.743.14NA0.184.06NAXXX
    7825826AEsophageal motility study0.740.250.250.041.031.03XXX
    78258TCAEsophageal motility study0.002.89NA0.143.03NAXXX
    78261AGastric mucosa imaging0.694.36NA0.265.31NAXXX
    7826126AGastric mucosa imaging0.690.250.250.040.980.98XXX
    78261TCAGastric mucosa imaging0.004.11NA0.224.33NAXXX
    78262AGastroesophageal reflux exam0.684.51NA0.265.45NAXXX
    7826226AGastroesophageal reflux exam0.680.240.240.040.960.96XXX
    78262TCAGastroesophageal reflux exam0.004.27NA0.224.49NAXXX
    78264AGastric emptying study0.784.41NA0.265.45NAXXX
    7826426AGastric emptying study0.780.270.270.041.091.09XXX
    78264TCAGastric emptying study0.004.14NA0.224.36NAXXX
    78267XBreath tst attain/anal c-140.000.000.000.000.000.00XXX
    78268XBreath test analysis, c-140.000.000.000.000.000.00XXX
    78270AVit B-12 absorption exam0.201.62NA0.111.93NAXXX
    7827026AVit B-12 absorption exam0.200.070.070.010.280.28XXX
    78270TCAVit B-12 absorption exam0.001.55NA0.101.65NAXXX
    78271AVit b-12 absrp exam, int fac0.201.72NA0.112.03NAXXX
    7827126AVit b-12 absrp exam, int fac0.200.070.070.010.280.28XXX
    78271TCAVit b-12 absrp exam, int fac0.001.65NA0.101.75NAXXX
    78272AVit B-12 absorp, combined0.272.43NA0.142.84NAXXX
    7827226AVit B-12 absorp, combined0.270.100.100.010.380.38XXX
    Start Printed Page 1212
    78272TCAVit B-12 absorp, combined0.002.33NA0.132.46NAXXX
    78278AAcute GI blood loss imaging0.995.23NA0.306.52NAXXX
    7827826AAcute GI blood loss imaging0.990.340.340.051.381.38XXX
    78278TCAAcute GI blood loss imaging0.004.89NA0.255.14NAXXX
    78282CGI protein loss exam0.000.000.000.000.000.00XXX
    7828226AGI protein loss exam0.380.130.130.020.530.53XXX
    78282TCCGI protein loss exam0.000.000.000.000.000.00XXX
    78290AMeckel's divert exam0.683.29NA0.204.17NAXXX
    7829026AMeckel's divert exam0.680.230.230.040.950.95XXX
    78290TCAMeckel's divert exam0.003.06NA0.163.22NAXXX
    78291ALeveen/shunt patency exam0.883.38NA0.214.47NAXXX
    7829126ALeveen/shunt patency exam0.880.300.300.051.231.23XXX
    78291TCALeveen/shunt patency exam0.003.08NA0.163.24NAXXX
    78299CGI nuclear procedure0.000.000.000.000.000.00XXX
    7829926CGI nuclear procedure0.000.000.000.000.000.00XXX
    78299TCCGI nuclear procedure0.000.000.000.000.000.00XXX
    78300ABone imaging, limited area0.622.71NA0.183.51NAXXX
    7830026ABone imaging, limited area0.620.210.210.040.870.87XXX
    78300TCABone imaging, limited area0.002.50NA0.142.64NAXXX
    78305ABone imaging, multiple areas0.833.96NA0.235.02NAXXX
    7830526ABone imaging, multiple areas0.830.280.280.041.151.15XXX
    78305TCABone imaging, multiple areas0.003.68NA0.193.87NAXXX
    78306ABone imaging, whole body0.864.58NA0.275.71NAXXX
    7830626ABone imaging, whole body0.860.290.290.051.201.20XXX
    78306TCABone imaging, whole body0.004.29NA0.224.51NAXXX
    78315ABone imaging, 3 phase1.025.15NA0.306.47NAXXX
    7831526ABone imaging, 3 phase1.020.350.350.051.421.42XXX
    78315TCABone imaging, 3 phase0.004.80NA0.255.05NAXXX
    78320ABone imaging (3D)1.046.30NA0.367.70NAXXX
    7832026ABone imaging (3D)1.040.370.370.051.461.46XXX
    78320TCABone imaging (3D)0.005.93NA0.316.24NAXXX
    78350ABone mineral, single photon0.220.83NA0.061.11NAXXX
    7835026ABone mineral, single photon0.220.070.070.010.300.30XXX
    78350TCABone mineral, single photon0.000.76NA0.050.81NAXXX
    78351NBone mineral, dual photon+0.301.720.120.012.030.43XXX
    78399CMusculoskeletal nuclear exam0.000.000.000.000.000.00XXX
    7839926CMusculoskeletal nuclear exam0.000.000.000.000.000.00XXX
    78399TCCMusculoskeletal nuclear exam0.000.000.000.000.000.00XXX
    78414CNon-imaging heart function0.000.000.000.000.000.00XXX
    7841426ANon-imaging heart function0.450.160.160.020.630.63XXX
    78414TCCNon-imaging heart function0.000.000.000.000.000.00XXX
    78428ACardiac shunt imaging0.782.56NA0.173.51NAXXX
    7842826ACardiac shunt imaging0.780.300.300.041.121.12XXX
    78428TCACardiac shunt imaging0.002.26NA0.132.39NAXXX
    78445AVascular flow imaging0.492.04NA0.132.66NAXXX
    7844526AVascular flow imaging0.490.170.170.020.680.68XXX
    78445TCAVascular flow imaging0.001.87NA0.111.98NAXXX
    78455AVenous thrombosis study0.734.25NA0.255.23NAXXX
    7845526AVenous thrombosis study0.730.250.250.041.021.02XXX
    78455TCAVenous thrombosis study0.004.00NA0.214.21NAXXX
    78456AAcute venous thrombus image1.004.35NA0.345.69NAXXX
    7845626AAcute venous thrombus image1.000.350.350.051.401.40XXX
    78456TCAAcute venous thrombus image0.004.00NA0.294.29NAXXX
    78457AVenous thrombosis imaging0.772.92NA0.183.87NAXXX
    7845726AVenous thrombosis imaging0.770.260.260.041.071.07XXX
    78457TCAVenous thrombosis imaging0.002.66NA0.142.80NAXXX
    78458AVen thrombosis images, bilat0.904.37NA0.255.52NAXXX
    7845826AVen thrombosis images, bilat0.900.330.330.041.271.27XXX
    78458TCAVen thrombosis images, bilat0.004.04NA0.214.25NAXXX
    78459CHeart muscle imaging (PET)0.000.000.000.000.000.00XXX
    7845926RHeart muscle imaging (PET)1.500.570.570.052.122.12XXX
    78459TCCHeart muscle imaging (PET)0.000.000.000.000.000.00XXX
    78460AHeart muscle blood, single0.862.67NA0.173.70NAXXX
    7846026AHeart muscle blood, single0.860.300.300.041.201.20XXX
    78460TCAHeart muscle blood, single0.002.37NA0.132.50NAXXX
    78461AHeart muscle blood, multiple1.235.17NA0.316.71NAXXX
    7846126AHeart muscle blood, multiple1.230.430.430.061.721.72XXX
    78461TCAHeart muscle blood, multiple0.004.74NA0.254.99NAXXX
    78464AHeart image (3d), single1.097.48NA0.428.99NAXXX
    7846426AHeart image (3d), single1.090.380.380.051.521.52XXX
    78464TCAHeart image (3d), single0.007.10NA0.377.47NAXXX
    78465AHeart image (3d), multiple1.4612.35NA0.6814.49NAXXX
    7846526AHeart image (3d), multiple1.460.520.520.062.042.04XXX
    78465TCAHeart image (3d), multiple0.0011.83NA0.6212.45NAXXX
    78466AHeart infarct image0.692.87NA0.183.74NAXXX
    Start Printed Page 1213
    7846626AHeart infarct image0.690.250.250.040.980.98XXX
    78466TCAHeart infarct image0.002.62NA0.142.76NAXXX
    78468AHeart infarct image (ef)0.803.96NA0.234.99NAXXX
    7846826AHeart infarct image (ef)0.800.280.280.041.121.12XXX
    78468TCAHeart infarct image (ef)0.003.68NA0.193.87NAXXX
    78469AHeart infarct image (3D)0.925.56NA0.326.80NAXXX
    7846926AHeart infarct image (3D)0.920.320.320.041.281.28XXX
    78469TCAHeart infarct image (3D)0.005.24NA0.285.52NAXXX
    78472AGated heart, planar, single0.985.88NA0.357.21NAXXX
    7847226AGated heart, planar, single0.980.350.350.051.381.38XXX
    78472TCAGated heart, planar, single0.005.53NA0.305.83NAXXX
    78473AGated heart, multiple1.478.80NA0.4810.75NAXXX
    7847326AGated heart, multiple1.470.510.510.062.042.04XXX
    78473TCAGated heart, multiple0.008.29NA0.428.71NAXXX
    78478AHeart wall motion add-on0.621.79NA0.122.53NAXXX
    7847826AHeart wall motion add-on0.620.230.230.020.870.87XXX
    78478TCAHeart wall motion add-on0.001.56NA0.101.66NAXXX
    78480AHeart function add-on0.621.79NA0.122.53NAXXX
    7848026AHeart function add-on0.620.230.230.020.870.87XXX
    78480TCAHeart function add-on0.001.56NA0.101.66NAXXX
    78481AHeart first pass, single0.985.61NA0.326.91NAXXX
    7848126AHeart first pass, single0.980.370.370.041.391.39XXX
    78481TCAHeart first pass, single0.005.24NA0.285.52NAXXX
    78483AHeart first pass, multiple1.478.43NA0.4710.37NAXXX
    7848326AHeart first pass, multiple1.470.540.540.062.072.07XXX
    78483TCAHeart first pass, multiple0.007.89NA0.418.30NAXXX
    78491IHeart image (pet), single0.000.000.000.000.000.00XXX
    7849126IHeart image (pet), single+1.500.590.590.062.152.15XXX
    78491TCIHeart image (pet), single0.000.000.000.000.000.00XXX
    78492IHeart image (pet), multiple0.000.000.000.000.000.00XXX
    7849226IHeart image (pet), multiple+1.870.740.740.072.682.68XXX
    78492TCIHeart image (pet), multiple0.000.000.000.000.000.00XXX
    78494AHeart image, spect1.197.51NA0.359.05NAXXX
    7849426AHeart image, spect1.190.410.410.051.651.65XXX
    78494TCAHeart image, spect0.007.10NA0.307.40NAXXX
    78496AHeart first pass add-on0.507.28NA0.328.10NAZZZ
    7849626AHeart first pass add-on0.500.180.180.020.700.70ZZZ
    78496TCAHeart first pass add-on0.007.10NA0.307.40NAZZZ
    78499CCardiovascular nuclear exam0.000.000.000.000.000.00XXX
    7849926CCardiovascular nuclear exam0.000.000.000.000.000.00XXX
    78499TCCCardiovascular nuclear exam0.000.000.000.000.000.00XXX
    78580ALung perfusion imaging0.743.69NA0.224.65NAXXX
    7858026ALung perfusion imaging0.740.250.250.041.031.03XXX
    78580TCALung perfusion imaging0.003.44NA0.183.62NAXXX
    78584ALung V/Q image single breath0.993.54NA0.224.75NAXXX
    7858426ALung V/Q image single breath0.990.330.330.051.371.37XXX
    78584TCALung V/Q image single breath0.003.21NA0.173.38NAXXX
    78585ALung V/Q imaging1.096.02NA0.367.47NAXXX
    7858526ALung V/Q imaging1.090.370.370.061.521.52XXX
    78585TCALung V/Q imaging0.005.65NA0.305.95NAXXX
    78586AAerosol lung image, single0.402.73NA0.163.29NAXXX
    7858626AAerosol lung image, single0.400.130.130.020.550.55XXX
    78586TCAAerosol lung image, single0.002.60NA0.142.74NAXXX
    78587AAerosol lung image, multiple0.492.98NA0.163.63NAXXX
    7858726AAerosol lung image, multiple0.490.170.170.020.680.68XXX
    78587TCAAerosol lung image, multiple0.002.81NA0.142.95NAXXX
    78588APerfusion lung image1.093.58NA0.244.91NAXXX
    7858826APerfusion lung image1.090.370.370.061.521.52XXX
    78588TCAPerfusion lung image0.003.21NA0.183.39NAXXX
    78591AVent image, 1 breath, 1 proj0.403.00NA0.163.56NAXXX
    7859126AVent image, 1 breath, 1 proj0.400.140.140.020.560.56XXX
    78591TCAVent image, 1 breath, 1 proj0.002.86NA0.143.00NAXXX
    78593AVent image, 1 proj, gas0.493.63NA0.204.32NAXXX
    7859326AVent image, 1 proj, gas0.490.170.170.020.680.68XXX
    78593TCAVent image, 1 proj, gas0.003.46NA0.183.64NAXXX
    78594AVent image, mult proj, gas0.535.17NA0.275.97NAXXX
    7859426AVent image, mult proj, gas0.530.180.180.020.730.73XXX
    78594TCAVent image, mult proj, gas0.004.99NA0.255.24NAXXX
    78596ALung differential function1.277.52NA0.439.22NAXXX
    7859626ALung differential function1.270.420.420.061.751.75XXX
    78596TCALung differential function0.007.10NA0.377.47NAXXX
    78599CRespiratory nuclear exam0.000.000.000.000.000.00XXX
    7859926CRespiratory nuclear exam0.000.000.000.000.000.00XXX
    78599TCCRespiratory nuclear exam0.000.000.000.000.000.00XXX
    78600ABrain imaging, ltd static0.443.04NA0.163.64NAXXX
    Start Printed Page 1214
    7860026ABrain imaging, ltd static0.440.150.150.020.610.61XXX
    78600TCABrain imaging, ltd static0.002.89NA0.143.03NAXXX
    78601ABrain imaging, ltd w/flow0.513.58NA0.204.29NAXXX
    7860126ABrain imaging, ltd w/flow0.510.170.170.020.700.70XXX
    78601TCABrain imaging, ltd w/flow0.003.41NA0.183.59NAXXX
    78605ABrain imaging, complete0.533.60NA0.204.33NAXXX
    7860526ABrain imaging, complete0.530.190.190.020.740.74XXX
    78605TCABrain imaging, complete0.003.41NA0.183.59NAXXX
    78606ABrain imaging, compl w/flow0.644.10NA0.254.99NAXXX
    7860626ABrain imaging, compl w/flow0.640.220.220.040.900.90XXX
    78606TCABrain imaging, compl w/flow0.003.88NA0.214.09NAXXX
    78607ABrain imaging (3D)1.237.01NA0.418.65NAXXX
    7860726ABrain imaging (3D)1.230.430.430.061.721.72XXX
    78607TCABrain imaging (3D)0.006.58NA0.356.93NAXXX
    78608NBrain imaging (PET)0.000.000.000.000.000.00XXX
    78609NBrain imaging (PET)0.000.000.000.000.000.00XXX
    78610ABrain flow imaging only0.301.69NA0.112.10NAXXX
    7861026ABrain flow imaging only0.300.110.110.010.420.42XXX
    78610TCABrain flow imaging only0.001.58NA0.101.68NAXXX
    78615ACerebral vascular flow image0.424.02NA0.234.67NAXXX
    7861526ACerebral vascular flow image0.420.160.160.020.600.60XXX
    78615TCACerebral vascular flow image0.003.86NA0.214.07NAXXX
    78630ACerebrospinal fluid scan0.685.28NA0.316.27NAXXX
    7863026ACerebrospinal fluid scan0.680.230.230.040.950.95XXX
    78630TCACerebrospinal fluid scan0.005.05NA0.275.32NAXXX
    78635ACSF ventriculography0.612.80NA0.163.57NAXXX
    7863526ACSF ventriculography0.610.240.240.020.870.87XXX
    78635TCACSF ventriculography0.002.56NA0.142.70NAXXX
    78645ACSF shunt evaluation0.573.64NA0.204.41NAXXX
    7864526ACSF shunt evaluation0.570.200.200.020.790.79XXX
    78645TCACSF shunt evaluation0.003.44NA0.183.62NAXXX
    78647ACerebrospinal fluid scan0.906.25NA0.357.50NAXXX
    7864726ACerebrospinal fluid scan0.900.320.320.041.261.26XXX
    78647TCACerebrospinal fluid scan0.005.93NA0.316.24NAXXX
    78650ACSF leakage imaging0.614.87NA0.265.74NAXXX
    7865026ACSF leakage imaging0.610.210.210.020.840.84XXX
    78650TCACSF leakage imaging0.004.66NA0.244.90NAXXX
    78660ANuclear exam of tear flow0.532.30NA0.142.97NAXXX
    7866026ANuclear exam of tear flow0.530.180.180.020.730.73XXX
    78660TCANuclear exam of tear flow0.002.12NA0.122.24NAXXX
    78699CNervous system nuclear exam0.000.000.000.000.000.00XXX
    7869926CNervous system nuclear exam0.000.000.000.000.000.00XXX
    78699TCCNervous system nuclear exam0.000.000.000.000.000.00XXX
    78700AKidney imaging, static0.453.21NA0.183.84NAXXX
    7870026AKidney imaging, static0.450.150.150.020.620.62XXX
    78700TCAKidney imaging, static0.003.06NA0.163.22NAXXX
    78701AKidney imaging with flow0.493.74NA0.204.43NAXXX
    7870126AKidney imaging with flow0.490.170.170.020.680.68XXX
    78701TCAKidney imaging with flow0.003.57NA0.183.75NAXXX
    78704AImaging renogram0.744.22NA0.255.21NAXXX
    7870426AImaging renogram0.740.250.250.041.031.03XXX
    78704TCAImaging renogram0.003.97NA0.214.18NAXXX
    78707AKidney flow/function image0.964.81NA0.286.05NAXXX
    7870726AKidney flow/function image0.960.330.330.051.341.34XXX
    78707TCAKidney flow/function image0.004.48NA0.234.71NAXXX
    78708AKidney flow/function image1.214.89NA0.296.39NAXXX
    7870826AKidney flow/function image1.210.410.410.061.681.68XXX
    78708TCAKidney flow/function image0.004.48NA0.234.71NAXXX
    78709AKidney flow/function image1.414.95NA0.306.66NAXXX
    7870926AKidney flow/function image1.410.470.470.071.951.95XXX
    78709TCAKidney flow/function image0.004.48NA0.234.71NAXXX
    78710AKidney imaging (3D)0.666.15NA0.357.16NAXXX
    7871026AKidney imaging (3D)0.660.220.220.040.920.92XXX
    78710TCAKidney imaging (3D)0.005.93NA0.316.24NAXXX
    78715ARenal vascular flow exam0.301.69NA0.112.10NAXXX
    7871526ARenal vascular flow exam0.300.110.110.010.420.42XXX
    78715TCARenal vascular flow exam0.001.58NA0.101.68NAXXX
    78725AKidney function study0.381.92NA0.122.42NAXXX
    7872526AKidney function study0.380.130.130.010.520.52XXX
    78725TCAKidney function study0.001.79NA0.111.90NAXXX
    78730AUrinary bladder retention0.361.59NA0.102.05NAXXX
    7873026AUrinary bladder retention0.360.130.130.020.510.51XXX
    78730TCAUrinary bladder retention0.001.46NA0.081.54NAXXX
    78740AUreteral reflux study0.572.31NA0.143.02NAXXX
    7874026AUreteral reflux study0.570.190.190.020.780.78XXX
    Start Printed Page 1215
    78740TCAUreteral reflux study0.002.12NA0.122.24NAXXX
    78760ATesticular imaging0.662.90NA0.183.74NAXXX
    7876026ATesticular imaging0.660.220.220.040.920.92XXX
    78760TCATesticular imaging0.002.68NA0.142.82NAXXX
    78761ATesticular imaging/flow0.713.45NA0.214.37NAXXX
    7876126ATesticular imaging/flow0.710.240.240.040.990.99XXX
    78761TCATesticular imaging/flow0.003.21NA0.173.38NAXXX
    78799CGenitourinary nuclear exam0.000.000.000.000.000.00XXX
    7879926CGenitourinary nuclear exam0.000.000.000.000.000.00XXX
    78799TCCGenitourinary nuclear exam0.000.000.000.000.000.00XXX
    78800ATumor imaging, limited area0.663.63NA0.224.51NAXXX
    7880026ATumor imaging, limited area0.660.220.220.040.920.92XXX
    78800TCATumor imaging, limited area0.003.41NA0.183.59NAXXX
    78801ATumor imaging, mult areas0.794.51NA0.265.56NAXXX
    7880126ATumor imaging, mult areas0.790.270.270.041.101.10XXX
    78801TCATumor imaging, mult areas0.004.24NA0.224.46NAXXX
    78802ATumor imaging, whole body0.865.85NA0.347.05NAXXX
    7880226ATumor imaging, whole body0.860.300.300.041.201.20XXX
    78802TCATumor imaging, whole body0.005.55NA0.305.85NAXXX
    78803ATumor imaging (3D)1.096.96NA0.408.45NAXXX
    7880326ATumor imaging (3D)1.090.380.380.051.521.52XXX
    78803TCATumor imaging (3D)0.006.58NA0.356.93NAXXX
    78804ATumor imaging, whole body1.074.66NA0.346.07NAXXX
    7880426ATumor imaging, whole body1.070.370.370.041.481.48XXX
    78804TCATumor imaging, whole body0.004.29NA0.304.59NAXXX
    78805AAbscess imaging, ltd area0.733.66NA0.224.61NAXXX
    7880526AAbscess imaging, ltd area0.730.250.250.041.021.02XXX
    78805TCAAbscess imaging, ltd area0.003.41NA0.183.59NAXXX
    78806AAbscess imaging, whole body0.866.75NA0.398.00NAXXX
    7880626AAbscess imaging, whole body0.860.300.300.041.201.20XXX
    78806TCAAbscess imaging, whole body0.006.45NA0.356.80NAXXX
    78807ANuclear localization/abscess1.096.97NA0.408.46NAXXX
    7880726ANuclear localization/abscess1.090.390.390.051.531.53XXX
    78807TCANuclear localization/abscess0.006.58NA0.356.93NAXXX
    78810NTumor imaging (PET)0.000.000.000.000.000.00XXX
    7881026NTumor imaging (PET)+1.930.740.740.112.782.78XXX
    78810TCNTumor imaging (PET)0.000.000.000.000.000.00XXX
    78890BNuclear medicine data proc+0.051.33NA0.071.45NAXXX
    7889026BNuclear medicine data proc+0.050.020.020.010.080.08XXX
    78890TCBNuclear medicine data proc+0.001.31NA0.061.37NAXXX
    78891BNuclear med data proc+0.102.66NA0.142.90NAXXX
    7889126BNuclear med data proc+0.100.040.040.010.150.15XXX
    78891TCBNuclear med data proc+0.002.62NA0.132.75NAXXX
    78990IProvide diag radionuclide(s)0.000.000.000.000.000.00XXX
    78999CNuclear diagnostic exam0.000.000.000.000.000.00XXX
    7899926CNuclear diagnostic exam0.000.000.000.000.000.00XXX
    78999TCCNuclear diagnostic exam0.000.000.000.000.000.00XXX
    79000AInit hyperthyroid therapy1.803.22NA0.225.24NAXXX
    7900026AInit hyperthyroid therapy1.800.600.600.082.482.48XXX
    79000TCAInit hyperthyroid therapy0.002.62NA0.142.76NAXXX
    79001ARepeat hyperthyroid therapy1.051.67NA0.122.84NAXXX
    7900126ARepeat hyperthyroid therapy1.050.360.360.051.461.46XXX
    79001TCARepeat hyperthyroid therapy0.001.31NA0.071.38NAXXX
    79020AThyroid ablation1.813.22NA0.225.25NAXXX
    7902026AThyroid ablation1.810.600.600.082.492.49XXX
    79020TCAThyroid ablation0.002.62NA0.142.76NAXXX
    79030AThyroid ablation, carcinoma2.103.33NA0.245.67NAXXX
    7903026AThyroid ablation, carcinoma2.100.710.710.102.912.91XXX
    79030TCAThyroid ablation, carcinoma0.002.62NA0.142.76NAXXX
    79035AThyroid metastatic therapy2.523.50NA0.256.27NAXXX
    7903526AThyroid metastatic therapy2.520.880.880.113.513.51XXX
    79035TCAThyroid metastatic therapy0.002.62NA0.142.76NAXXX
    79100AHematopoetic nuclear therapy1.323.08NA0.204.60NAXXX
    7910026AHematopoetic nuclear therapy1.320.460.460.061.841.84XXX
    79100TCAHematopoetic nuclear therapy0.002.62NA0.142.76NAXXX
    79200AIntracavitary nuclear trmt1.993.31NA0.225.52NAXXX
    7920026AIntracavitary nuclear trmt1.990.690.690.082.762.76XXX
    79200TCAIntracavitary nuclear trmt0.002.62NA0.142.76NAXXX
    79300CInterstitial nuclear therapy0.000.000.000.000.000.00XXX
    7930026AInterstitial nuclear therapy1.600.560.560.082.242.24XXX
    79300TCCInterstitial nuclear therapy0.000.000.000.000.000.00XXX
    79400ANonhemato nuclear therapy1.963.29NA0.245.49NAXXX
    7940026ANonhemato nuclear therapy1.960.670.670.102.732.73XXX
    79400TCANonhemato nuclear therapy0.002.62NA0.142.76NAXXX
    79403AHematopoetic nuclear therapy2.255.19NA0.247.68NAXXX
    Start Printed Page 1216
    7940326AHematopoetic nuclear therapy2.250.900.900.103.253.25XXX
    79403TCAHematopoetic nuclear therapy0.004.29NA0.144.43NAXXX
    79420CIntravascular nuclear ther0.000.000.000.000.000.00XXX
    7942026AIntravascular nuclear ther1.510.490.490.072.072.07XXX
    79420TCCIntravascular nuclear ther0.000.000.000.000.000.00XXX
    79440ANuclear joint therapy1.993.34NA0.245.57NAXXX
    7944026ANuclear joint therapy1.990.720.720.102.812.81XXX
    79440TCANuclear joint therapy0.002.62NA0.142.76NAXXX
    79900CProvide ther radiopharm(s)0.000.000.000.000.000.00XXX
    79999CNuclear medicine therapy0.000.000.000.000.000.00XXX
    7999926CNuclear medicine therapy0.000.000.000.000.000.00XXX
    79999TCCNuclear medicine therapy0.000.000.000.000.000.00XXX
    80500ALab pathology consultation0.370.220.160.010.600.54XXX
    80502ALab pathology consultation1.330.620.580.062.011.97XXX
    8302026AHemoglobin electrophoresis0.370.160.160.010.540.54XXX
    8391226AGenetic examination0.370.150.150.010.530.53XXX
    8416526AElectrophoreisis of proteins0.370.160.160.010.540.54XXX
    8418126AWestern blot test0.370.140.140.010.520.52XXX
    8418226AProtein, western blot test0.370.170.160.010.550.54XXX
    85060ABlood smear interpretation0.450.200.200.020.670.67XXX
    85097ABone marrow interpretation0.941.750.410.042.731.39XXX
    8539026AFibrinolysins screen0.370.150.150.010.530.53XXX
    85396AClotting assay, whole blood0.37NA0.170.04NA0.58XXX
    8557626ABlood platelet aggregation0.370.170.160.010.550.54XXX
    86077APhysician blood bank service0.940.460.410.041.441.39XXX
    86078APhysician blood bank service0.940.490.400.041.471.38XXX
    86079APhysician blood bank service0.940.490.410.041.471.39XXX
    8625526AFluorescent antibody, screen0.370.170.160.010.550.54XXX
    8625626AFluorescent antibody, titer0.370.160.160.010.540.54XXX
    8632026ASerum immunoelectrophoresis0.370.160.160.010.540.54XXX
    8632526AOther immunoelectrophoresis0.370.160.160.010.540.54XXX
    8632726AImmunoelectrophoresis assay0.420.190.190.010.620.62XXX
    8633426AImmunofixation procedure0.370.160.160.010.540.54XXX
    86485CSkin test, candida0.000.000.000.000.000.00XXX
    86490ACoccidioidomycosis skin test0.000.29NA0.020.31NAXXX
    86510AHistoplasmosis skin test0.000.32NA0.020.34NAXXX
    86580ATB intradermal test0.000.26NA0.020.28NAXXX
    86585ATB tine test0.000.21NA0.010.22NAXXX
    86586CSkin test, unlisted0.000.000.000.000.000.00XXX
    8716426ADark field examination0.370.120.120.010.500.50XXX
    8720726ASmear, special stain0.370.170.160.010.550.54XXX
    88104ACytopathology, fluids0.560.75NA0.041.35NAXXX
    8810426ACytopathology, fluids0.560.250.250.020.830.83XXX
    88104TCACytopathology, fluids0.000.50NA0.020.52NAXXX
    88106ACytopathology, fluids0.560.62NA0.041.22NAXXX
    8810626ACytopathology, fluids0.560.250.250.020.830.83XXX
    88106TCACytopathology, fluids0.000.37NA0.020.39NAXXX
    88107ACytopathology, fluids0.760.98NA0.061.80NAXXX
    8810726ACytopathology, fluids0.760.340.340.041.141.14XXX
    88107TCACytopathology, fluids0.000.64NA0.020.66NAXXX
    88108ACytopath, concentrate tech0.560.81NA0.041.41NAXXX
    8810826ACytopath, concentrate tech0.560.250.250.020.830.83XXX
    88108TCACytopath, concentrate tech0.000.56NA0.020.58NAXXX
    88112ACytopath, cell enhance tech1.181.98NA0.083.24NAXXX
    8811226ACytopath, cell enhance tech1.180.510.510.061.751.75XXX
    88112TCACytopath, cell enhance tech0.001.47NA0.021.49NAXXX
    88125AForensic cytopathology0.260.26NA0.020.54NAXXX
    8812526AForensic cytopathology0.260.120.120.010.390.39XXX
    88125TCAForensic cytopathology0.000.14NA0.010.15NAXXX
    88141ACytopath, c/v, interpret0.420.180.180.010.610.61XXX
    88160ACytopath smear, other source0.500.92NA0.041.46NAXXX
    8816026ACytopath smear, other source0.500.220.220.020.740.74XXX
    88160TCACytopath smear, other source0.000.70NA0.020.72NAXXX
    88161ACytopath smear, other source0.500.88NA0.041.42NAXXX
    8816126ACytopath smear, other source0.500.220.220.020.740.74XXX
    88161TCACytopath smear, other source0.000.66NA0.020.68NAXXX
    88162ACytopath smear, other source0.760.68NA0.061.50NAXXX
    8816226ACytopath smear, other source0.760.340.340.041.141.14XXX
    88162TCACytopath smear, other source0.000.34NA0.020.36NAXXX
    88172ACytopathology eval of fna0.600.66NA0.041.30NAXXX
    8817226ACytopathology eval of fna0.600.270.270.020.890.89XXX
    88172TCACytopathology eval of fna0.000.39NA0.020.41NAXXX
    88173ACytopath eval, fna, report1.391.75NA0.083.22NAXXX
    8817326ACytopath eval, fna, report1.390.600.600.062.052.05XXX
    88173TCACytopath eval, fna, report0.001.15NA0.021.17NAXXX
    Start Printed Page 1217
    88180ACell marker study0.361.43NA0.031.82NAXXX
    8818026ACell marker study0.360.160.160.010.530.53XXX
    88180TCACell marker study0.001.27NA0.021.29NAXXX
    88182ACell marker study0.771.59NA0.082.44NAXXX
    8818226ACell marker study0.770.340.340.041.151.15XXX
    88182TCACell marker study0.001.25NA0.041.29NAXXX
    88199CCytopathology procedure0.000.000.000.000.000.00XXX
    8819926CCytopathology procedure0.000.000.000.000.000.00XXX
    88199TCCCytopathology procedure0.000.000.000.000.000.00XXX
    88291ACyto/molecular report0.520.280.280.020.820.82XXX
    88299CCytogenetic study0.000.000.000.000.000.00XXX
    88300ASurgical path, gross0.080.28NA0.020.38NAXXX
    8830026ASurgical path, gross0.080.040.040.010.130.13XXX
    88300TCASurgical path, gross0.000.24NA0.010.25NAXXX
    88302ATissue exam by pathologist0.130.69NA0.030.85NAXXX
    8830226ATissue exam by pathologist0.130.060.060.010.200.20XXX
    88302TCATissue exam by pathologist0.000.63NA0.020.65NAXXX
    88304ATissue exam by pathologist0.220.87NA0.031.12NAXXX
    8830426ATissue exam by pathologist0.220.100.100.010.330.33XXX
    88304TCATissue exam by pathologist0.000.77NA0.020.79NAXXX
    88305ATissue exam by pathologist0.751.74NA0.062.55NAXXX
    8830526ATissue exam by pathologist0.750.340.340.021.111.11XXX
    88305TCATissue exam by pathologist0.001.40NA0.041.44NAXXX
    88307ATissue exam by pathologist1.592.65NA0.134.37NAXXX
    8830726ATissue exam by pathologist1.590.690.690.072.352.35XXX
    88307TCATissue exam by pathologist0.001.96NA0.062.02NAXXX
    88309ATissue exam by pathologist2.283.25NA0.165.69NAXXX
    8830926ATissue exam by pathologist2.281.001.000.103.383.38XXX
    88309TCATissue exam by pathologist0.002.25NA0.062.31NAXXX
    88311ADecalcify tissue0.240.20NA0.020.46NAXXX
    8831126ADecalcify tissue0.240.110.110.010.360.36XXX
    88311TCADecalcify tissue0.000.09NA0.010.10NAXXX
    88312ASpecial stains0.541.35NA0.031.92NAXXX
    8831226ASpecial stains0.540.240.240.020.800.80XXX
    88312TCASpecial stains0.001.11NA0.011.12NAXXX
    88313ASpecial stains0.241.09NA0.021.35NAXXX
    8831326ASpecial stains0.240.110.110.010.360.36XXX
    88313TCASpecial stains0.000.98NA0.010.99NAXXX
    88314AHistochemical stain0.450.89NA0.041.38NAXXX
    8831426AHistochemical stain0.450.200.200.020.670.67XXX
    88314TCAHistochemical stain0.000.69NA0.020.71NAXXX
    88318AChemical histochemistry0.420.80NA0.021.24NAXXX
    8831826AChemical histochemistry0.420.190.190.010.620.62XXX
    88318TCAChemical histochemistry0.000.61NA0.010.62NAXXX
    88319AEnzyme histochemistry0.531.89NA0.042.46NAXXX
    8831926AEnzyme histochemistry0.530.230.230.020.780.78XXX
    88319TCAEnzyme histochemistry0.001.66NA0.021.68NAXXX
    88321AMicroslide consultation1.300.820.560.052.171.91XXX
    88323AMicroslide consultation1.351.44NA0.082.87NAXXX
    8832326AMicroslide consultation1.350.590.590.062.002.00XXX
    88323TCAMicroslide consultation0.000.85NA0.020.87NAXXX
    88325AComprehensive review of data2.222.900.970.105.223.29XXX
    88329APath consult introp0.670.630.300.021.320.99XXX
    88331APath consult intraop, 1 bloc1.190.98NA0.092.26NAXXX
    8833126APath consult intraop, 1 bloc1.190.520.520.051.761.76XXX
    88331TCAPath consult intraop, 1 bloc0.000.46NA0.040.50NAXXX
    88332APath consult intraop, add'l0.590.50NA0.041.13NAXXX
    8833226APath consult intraop, add'l0.590.260.260.020.870.87XXX
    88332TCAPath consult intraop, add'l0.000.24NA0.020.26NAXXX
    88342AImmunohistochemistry0.851.35NA0.062.26NAXXX
    8834226AImmunohistochemistry0.850.370.370.041.261.26XXX
    88342TCAImmunohistochemistry0.000.98NA0.021.00NAXXX
    88346AImmunofluorescent study0.861.44NA0.062.36NAXXX
    8834626AImmunofluorescent study0.860.370.370.041.271.27XXX
    88346TCAImmunofluorescent study0.001.07NA0.021.09NAXXX
    88347AImmunofluorescent study0.861.76NA0.062.68NAXXX
    8834726AImmunofluorescent study0.860.360.360.041.261.26XXX
    88347TCAImmunofluorescent study0.001.40NA0.021.42NAXXX
    88348AElectron microscopy1.518.47NA0.1310.11NAXXX
    8834826AElectron microscopy1.510.650.650.062.222.22XXX
    88348TCAElectron microscopy0.007.82NA0.077.89NAXXX
    88349AScanning electron microscopy0.769.99NA0.1010.85NAXXX
    8834926AScanning electron microscopy0.760.340.340.041.141.14XXX
    88349TCAScanning electron microscopy0.009.65NA0.069.71NAXXX
    88355AAnalysis, skeletal muscle1.852.60NA0.144.59NAXXX
    Start Printed Page 1218
    8835526AAnalysis, skeletal muscle1.850.800.800.082.732.73XXX
    88355TCAAnalysis, skeletal muscle0.001.80NA0.061.86NAXXX
    88356AAnalysis, nerve3.022.87NA0.196.08NAXXX
    8835626AAnalysis, nerve3.021.271.270.124.414.41XXX
    88356TCAAnalysis, nerve0.001.60NA0.071.67NAXXX
    88358AAnalysis, tumor0.951.38NA0.192.52NAXXX
    8835826AAnalysis, tumor0.951.231.230.122.302.30XXX
    88358TCAAnalysis, tumor0.000.15NA0.070.22NAXXX
    88361AImmunohistochemistry, tumor0.942.59NA0.193.72NAXXX
    8836126AImmunohistochemistry, tumor0.940.410.410.121.471.47XXX
    88361TCAImmunohistochemistry, tumor0.002.18NA0.072.25NAXXX
    88362ANerve teasing preparations2.174.40NA0.146.71NAXXX
    8836226ANerve teasing preparations2.170.930.930.083.183.18XXX
    88362TCANerve teasing preparations0.003.47NA0.063.53NAXXX
    88365ATissue hybridization0.932.21NA0.063.20NAXXX
    8836526ATissue hybridization0.930.410.410.041.381.38XXX
    88365TCATissue hybridization0.001.80NA0.021.82NAXXX
    8837126AProtein, western blot tissue0.370.130.130.010.510.51XXX
    8837226AProtein analysis w/probe0.370.170.170.010.550.55XXX
    88380CMicrodissection0.000.000.000.000.000.00XXX
    8838026CMicrodissection0.000.000.000.000.000.00XXX
    88380TCCMicrodissection0.000.000.000.000.000.00XXX
    88399CSurgical pathology procedure0.000.000.000.000.000.00XXX
    8839926CSurgical pathology procedure0.000.000.000.000.000.00XXX
    88399TCCSurgical pathology procedure0.000.000.000.000.000.00XXX
    8906026AExam,synovial fluid crystals0.370.170.160.010.550.54XXX
    89100ASample intestinal contents0.601.600.220.022.220.84XXX
    89105ASample intestinal contents0.502.240.170.022.760.69XXX
    89130ASample stomach contents0.451.740.130.022.210.60XXX
    89132ASample stomach contents0.191.480.060.011.680.26XXX
    89135ASample stomach contents0.791.590.250.042.421.08XXX
    89136ASample stomach contents0.211.600.090.011.820.31XXX
    89140ASample stomach contents0.942.060.280.043.041.26XXX
    89141ASample stomach contents0.852.720.340.043.611.23XXX
    90281IHuman ig, im0.000.000.000.000.000.00XXX
    90283IHuman ig, iv0.000.000.000.000.000.00XXX
    90287IBotulinum antitoxin0.000.000.000.000.000.00XXX
    90288IBotulism ig, iv0.000.000.000.000.000.00XXX
    90291ICmv ig, iv0.000.000.000.000.000.00XXX
    90296EDiphtheria antitoxin0.000.000.000.000.000.00XXX
    90371EHep b ig, im0.000.000.000.000.000.00XXX
    90375ERabies ig, im/sc0.000.000.000.000.000.00XXX
    90376ERabies ig, heat treated0.000.000.000.000.000.00XXX
    90378XRsv ig, im, 50mg0.000.000.000.000.000.00XXX
    90379IRsv ig, iv0.000.000.000.000.000.00XXX
    90384IRh ig, full-dose, im0.000.000.000.000.000.00XXX
    90385ERh ig, minidose, im0.000.000.000.000.000.00XXX
    90386IRh ig, iv0.000.000.000.000.000.00XXX
    90389ITetanus ig, im0.000.000.000.000.000.00XXX
    90393EVaccina ig, im0.000.000.000.000.000.00XXX
    90396EVaricella-zoster ig, im0.000.000.000.000.000.00XXX
    90399IImmune globulin0.000.000.000.000.000.00XXX
    90471AImmunization admin0.000.21NA0.010.22NAXXX
    90472AImmunization admin, each add0.000.14NA0.010.15NAZZZ
    90473NImmune admin oral/nasal0.000.000.000.000.000.00XXX
    90474NImmune admin oral/nasal addl0.000.000.000.000.000.00ZZZ
    90476EAdenovirus vaccine, type 40.000.000.000.000.000.00XXX
    90477EAdenovirus vaccine, type 70.000.000.000.000.000.00XXX
    90581EAnthrax vaccine, sc0.000.000.000.000.000.00XXX
    90585EBcg vaccine, percut0.000.000.000.000.000.00XXX
    90586EBcg vaccine, intravesical0.000.000.000.000.000.00XXX
    90632EHep a vaccine, adult im0.000.000.000.000.000.00XXX
    90633EHep a vacc, ped/adol, 2 dose0.000.000.000.000.000.00XXX
    90634EHep a vacc, ped/adol, 3 dose0.000.000.000.000.000.00XXX
    90636EHep a/hep b vacc, adult im0.000.000.000.000.000.00XXX
    90645EHib vaccine, hboc, im0.000.000.000.000.000.00XXX
    90646EHib vaccine, prp-d, im0.000.000.000.000.000.00XXX
    90647EHib vaccine, prp-omp, im0.000.000.000.000.000.00XXX
    90648EHib vaccine, prp-t, im0.000.000.000.000.000.00XXX
    90655XFlu vaccine, 6-35 mo, im0.000.000.000.000.000.00XXX
    90657XFlu vaccine, 6-35 mo, im0.000.000.000.000.000.00XXX
    90658XFlu vaccine, 3 yrs, im0.000.000.000.000.000.00XXX
    90659DFlu vaccine, whole, im0.000.000.000.000.000.00XXX
    90660XFlu vaccine, nasal0.000.000.000.000.000.00XXX
    90665ELyme disease vaccine, im0.000.000.000.000.000.00XXX
    Start Printed Page 1219
    90669NPneumococcal vacc, ped <50.000.000.000.000.000.00XXX
    90675ERabies vaccine, im0.000.000.000.000.000.00XXX
    90676ERabies vaccine, id0.000.000.000.000.000.00XXX
    90680ERotovirus vaccine, oral0.000.000.000.000.000.00XXX
    90690ETyphoid vaccine, oral0.000.000.000.000.000.00XXX
    90691ETyphoid vaccine, im0.000.000.000.000.000.00XXX
    90692ETyphoid vaccine, h-p, sc/id0.000.000.000.000.000.00XXX
    90693ETyphoid vaccine, akd, sc0.000.000.000.000.000.00XXX
    90698EDtap-hib-ip vaccine, im0.000.000.000.000.000.00XXX
    90700EDtap vaccine, im0.000.000.000.000.000.00XXX
    90701EDtp vaccine, im0.000.000.000.000.000.00XXX
    90702EDt vaccine < 7, im0.000.000.000.000.000.00XXX
    90703ETetanus vaccine, im0.000.000.000.000.000.00XXX
    90704EMumps vaccine, sc0.000.000.000.000.000.00XXX
    90705EMeasles vaccine, sc0.000.000.000.000.000.00XXX
    90706ERubella vaccine, sc0.000.000.000.000.000.00XXX
    90707EMmr vaccine, sc0.000.000.000.000.000.00XXX
    90708EMeasles-rubella vaccine, sc0.000.000.000.000.000.00XXX
    90710EMmrv vaccine, sc0.000.000.000.000.000.00XXX
    90712EOral poliovirus vaccine0.000.000.000.000.000.00XXX
    90713EPoliovirus, ipv, sc0.000.000.000.000.000.00XXX
    90715ETdap vaccine >7 im0.000.000.000.000.000.00XXX
    90716EChicken pox vaccine, sc0.000.000.000.000.000.00XXX
    90717EYellow fever vaccine, sc0.000.000.000.000.000.00XXX
    90718ETd vaccine > 7, im0.000.000.000.000.000.00XXX
    90719EDiphtheria vaccine, im0.000.000.000.000.000.00XXX
    90720EDtp/hib vaccine, im0.000.000.000.000.000.00XXX
    90721EDtap/hib vaccine, im0.000.000.000.000.000.00XXX
    90723IDtap-hep b-ipv vaccine, im0.000.000.000.000.000.00XXX
    90725ECholera vaccine, injectable0.000.000.000.000.000.00XXX
    90727EPlague vaccine, im0.000.000.000.000.000.00XXX
    90732XPneumococcal vaccine0.000.000.000.000.000.00XXX
    90733EMeningococcal vaccine, sc0.000.000.000.000.000.00XXX
    90734EMeningococcal vaccine, im0.000.000.000.000.000.00XXX
    90735EEncephalitis vaccine, sc0.000.000.000.000.000.00XXX
    90740XHepb vacc, ill pat 3 dose im0.000.000.000.000.000.00XXX
    90743XHep b vacc, adol, 2 dose, im0.000.000.000.000.000.00XXX
    90744XHepb vacc ped/adol 3 dose im0.000.000.000.000.000.00XXX
    90746XHep b vaccine, adult, im0.000.000.000.000.000.00XXX
    90747XHepb vacc, ill pat 4 dose im0.000.000.000.000.000.00XXX
    90748IHep b/hib vaccine, im0.000.000.000.000.000.00XXX
    90749EVaccine toxoid0.000.000.000.000.000.00XXX
    90780AIV infusion therapy, 1 hour0.172.15NA0.072.39NAXXX
    90781AIV infusion, additional hour0.170.46NA0.040.67NAZZZ
    90782TInjection, sc/im0.170.32NA0.010.50NAXXX
    90783TInjection, ia0.170.32NA0.020.51NAXXX
    90784TInjection, iv0.170.80NA0.041.01NAXXX
    90788TInjection of antibiotic0.170.27NA0.010.45NAXXX
    90799CTher/prophylactic/dx inject0.000.000.000.000.000.00XXX
    90801APsy dx interview2.801.170.940.074.043.81XXX
    90802AIntac psy dx interview3.011.200.980.084.294.07XXX
    90804APsytx, office, 20-30 min1.210.490.380.041.741.63XXX
    90805APsytx, off, 20-30 min w/e&m1.370.500.420.041.911.83XXX
    90806APsytx, off, 45-50 min1.860.700.600.052.612.51XXX
    90807APsytx, off, 45-50 min w/e&m2.020.700.630.062.782.71XXX
    90808APsytx, office, 75-80 min2.791.030.910.083.903.78XXX
    90809APsytx, off, 75-80, w/e&m2.951.000.920.084.033.95XXX
    90810AIntac psytx, off, 20-30 min1.320.500.420.041.861.78XXX
    90811AIntac psytx, 20-30, w/e&m1.480.570.460.042.091.98XXX
    90812AIntac psytx, off, 45-50 min1.970.790.640.062.822.67XXX
    90813AIntac psytx, 45-50 min w/e&m2.130.770.670.062.962.86XXX
    90814AIntac psytx, off, 75-80 min2.901.110.990.084.093.97XXX
    90815AIntac psytx, 75-80 w/e&m3.061.050.950.084.194.09XXX
    90816APsytx, hosp, 20-30 min1.25NA0.460.04NA1.75XXX
    90817APsytx, hosp, 20-30 min w/e&m1.41NA0.450.04NA1.90XXX
    90818APsytx, hosp, 45-50 min1.89NA0.690.05NA2.63XXX
    90819APsytx, hosp, 45-50 min w/e&m2.05NA0.650.06NA2.76XXX
    90821APsytx, hosp, 75-80 min2.83NA1.010.07NA3.91XXX
    90822APsytx, hosp, 75-80 min w/e&m2.99NA0.950.08NA4.02XXX
    90823AIntac psytx, hosp, 20-30 min1.36NA0.480.04NA1.88XXX
    90824AIntac psytx, hsp 20-30 w/e&m1.52NA0.490.04NA2.05XXX
    90826AIntac psytx, hosp, 45-50 min2.01NA0.730.05NA2.79XXX
    90827AIntac psytx, hsp 45-50 w/e&m2.16NA0.690.06NA2.91XXX
    90828AIntac psytx, hosp, 75-80 min2.94NA1.070.08NA4.09XXX
    90829AIntac psytx, hsp 75-80 w/e&m3.10NA0.990.08NA4.17XXX
    Start Printed Page 1220
    90845APsychoanalysis1.790.580.550.052.422.39XXX
    90846RFamily psytx w/o patient1.830.650.650.052.532.53XXX
    90847RFamily psytx w/patient2.210.820.760.063.093.03XXX
    90849RMultiple family group psytx0.590.270.240.010.870.84XXX
    90853AGroup psychotherapy0.590.250.230.010.850.83XXX
    90857AIntac group psytx0.630.300.260.020.950.91XXX
    90862AMedication management0.950.400.320.021.371.29XXX
    90865ANarcosynthesis2.841.590.890.084.513.81XXX
    90870AElectroconvulsive therapy1.880.790.790.052.722.72000
    90871NElectroconvulsive therapy+2.721.071.070.073.863.86000
    90875NPsychophysiological therapy+1.200.900.460.042.141.70XXX
    90876NPsychophysiological therapy+1.901.160.730.053.112.68XXX
    90880AHypnotherapy2.191.040.690.063.292.94XXX
    90882NEnvironmental manipulation0.000.000.000.000.000.00XXX
    90885BPsy evaluation of records+0.970.370.370.021.361.36XXX
    90887BConsultation with family+1.480.820.560.042.342.08XXX
    90889BPreparation of report0.000.000.000.000.000.00XXX
    90899CPsychiatric service/therapy0.000.000.000.000.000.00XXX
    90901ABiofeedback train, any meth0.410.660.140.021.090.57000
    90911ABiofeedback peri/uro/rectal0.891.610.310.052.551.25000
    90918IESRD related services, month+11.167.347.340.3618.8618.86XXX
    90919IESRD related services, month+8.534.074.070.2912.8912.89XXX
    90920IESRD related services, month+7.263.813.810.2311.3011.30XXX
    90921IESRD related services, month+4.462.482.480.147.087.08XXX
    90922IESRD related services, day+0.370.220.220.010.600.60XXX
    90923IEsrd related services, day+0.280.130.130.010.420.42XXX
    90924IEsrd related services, day+0.240.120.120.010.370.37XXX
    90925IEsrd related services, day+0.150.080.080.010.240.24XXX
    90935AHemodialysis, one evaluation1.22NA0.670.04NA1.93000
    90937AHemodialysis, repeated eval2.11NA0.980.07NA3.16000
    90939XHemodialysis study, transcut0.000.000.000.000.000.00XXX
    90940XHemodialysis access study0.000.000.000.000.000.00XXX
    90945ADialysis, one evaluation1.28NA0.700.05NA2.03000
    90947ADialysis, repeated eval2.16NA1.010.07NA3.24000
    90989XDialysis training, complete0.000.000.000.000.000.00XXX
    90993XDialysis training, incompl0.000.000.000.000.000.00XXX
    90997AHemoperfusion1.84NA1.410.06NA3.31000
    90999CDialysis procedure0.000.000.000.000.000.00XXX
    91000AEsophageal intubation0.730.33NA0.051.11NA000
    9100026AEsophageal intubation0.730.250.250.041.021.02000
    91000TCAEsophageal intubation0.000.08NA0.010.09NA000
    91010AEsophagus motility study1.252.71NA0.124.08NA000
    9101026AEsophagus motility study1.250.430.430.061.741.74000
    91010TCAEsophagus motility study0.002.28NA0.062.34NA000
    91011AEsophagus motility study1.503.20NA0.124.82NA000
    9101126AEsophagus motility study1.500.530.530.062.092.09000
    91011TCAEsophagus motility study0.002.67NA0.062.73NA000
    91012AEsophagus motility study1.463.34NA0.144.94NA000
    9101226AEsophagus motility study1.460.510.510.072.042.04000
    91012TCAEsophagus motility study0.002.83NA0.072.90NA000
    91020AGastric motility1.442.93NA0.134.50NA000
    9102026AGastric motility1.440.480.480.071.991.99000
    91020TCAGastric motility0.002.45NA0.062.51NA000
    91030AAcid perfusion of esophagus0.912.40NA0.063.37NA000
    9103026AAcid perfusion of esophagus0.910.330.330.041.281.28000
    91030TCAAcid perfusion of esophagus0.002.07NA0.022.09NA000
    91032AEsophagus, acid reflux test1.214.10NA0.125.43NA000
    9103226AEsophagus, acid reflux test1.210.410.410.061.681.68000
    91032TCAEsophagus, acid reflux test0.003.69NA0.063.75NA000
    91033AProlonged acid reflux test1.304.16NA0.175.63NA000
    9103326AProlonged acid reflux test1.300.450.450.061.811.81000
    91033TCAProlonged acid reflux test0.003.71NA0.113.82NA000
    91052AGastric analysis test0.792.19NA0.063.04NA000
    9105226AGastric analysis test0.790.280.280.041.111.11000
    91052TCAGastric analysis test0.001.91NA0.021.93NA000
    91055AGastric intubation for smear0.942.37NA0.073.38NA000
    9105526AGastric intubation for smear0.940.270.270.051.261.26000
    91055TCAGastric intubation for smear0.002.10NA0.022.12NA000
    91060AGastric saline load test0.450.30NA0.040.79NA000
    9106026AGastric saline load test0.450.140.140.020.610.61000
    91060TCAGastric saline load test0.000.16NA0.020.18NA000
    91065ABreath hydrogen test0.201.96NA0.032.19NA000
    9106526ABreath hydrogen test0.200.070.070.010.280.28000
    91065TCABreath hydrogen test0.001.89NA0.021.91NA000
    91100APass intestine bleeding tube1.08NA0.290.07NA1.44000
    Start Printed Page 1221
    91105AGastric intubation treatment0.37NA0.090.02NA0.48000
    91110AGi tract capsule endoscopy3.6421.13NA0.0924.86NAXXX
    9111026AGi tract capsule endoscopy3.641.301.300.024.964.96XXX
    91110TCAGi tract capsule endoscopy0.0019.83NA0.0719.90NAXXX
    91122AAnal pressure record1.776.06NA0.208.03NA000
    9112226AAnal pressure record1.770.600.600.122.492.49000
    91122TCAAnal pressure record0.005.46NA0.085.54NA000
    91123BIrrigate fecal impaction0.000.000.000.000.000.00XXX
    91132CElectrogastrography0.000.000.000.000.000.00XXX
    9113226AElectrogastrography0.520.190.190.040.750.75XXX
    91132TCCElectrogastrography0.000.000.000.000.000.00XXX
    91133CElectrogastrography w/test0.000.000.000.000.000.00XXX
    9113326AElectrogastrography w/test0.660.240.240.040.940.94XXX
    91133TCCElectrogastrography w/test0.000.000.000.000.000.00XXX
    91299CGastroenterology procedure0.000.000.000.000.000.00XXX
    9129926CGastroenterology procedure0.000.000.000.000.000.00XXX
    91299TCCGastroenterology procedure0.000.000.000.000.000.00XXX
    92002AEye exam, new patient0.880.960.350.021.861.25XXX
    92004AEye exam, new patient1.671.680.680.043.392.39XXX
    92012AEye exam established pat0.671.020.290.011.700.97XXX
    92014AEye exam & treatment1.101.380.460.022.501.58XXX
    92015NRefraction+0.381.490.150.011.880.54XXX
    92018ANew eye exam & treatment2.50NA1.080.04NA3.62XXX
    92019AEye exam & treatment1.31NA0.560.04NA1.91XXX
    92020ASpecial eye evaluation0.370.330.160.010.710.54XXX
    92060ASpecial eye evaluation0.690.72NA0.021.43NAXXX
    9206026ASpecial eye evaluation0.690.290.290.010.990.99XXX
    92060TCASpecial eye evaluation0.000.43NA0.010.44NAXXX
    92065AOrthoptic/pleoptic training0.370.54NA0.020.93NAXXX
    9206526AOrthoptic/pleoptic training0.370.150.150.010.530.53XXX
    92065TCAOrthoptic/pleoptic training0.000.39NA0.010.40NAXXX
    92070AFitting of contact lens0.701.080.320.011.791.03XXX
    92081AVisual field examination(s)0.360.85NA0.021.23NAXXX
    9208126AVisual field examination(s)0.360.150.150.010.520.52XXX
    92081TCAVisual field examination(s)0.000.70NA0.010.71NAXXX
    92082AVisual field examination(s)0.441.15NA0.021.61NAXXX
    9208226AVisual field examination(s)0.440.190.190.010.640.64XXX
    92082TCAVisual field examination(s)0.000.96NA0.010.97NAXXX
    92083AVisual field examination(s)0.501.33NA0.021.85NAXXX
    9208326AVisual field examination(s)0.500.220.220.010.730.73XXX
    92083TCAVisual field examination(s)0.001.11NA0.011.12NAXXX
    92100ASerial tonometry exam(s)0.921.260.370.022.201.31XXX
    92120ATonography & eye evaluation0.811.040.320.021.871.15XXX
    92130AWater provocation tonography0.811.230.370.022.061.20XXX
    92135AOpthalmic dx imaging0.350.78NA0.021.15NAXXX
    9213526AOpthalmic dx imaging0.350.160.160.010.520.52XXX
    92135TCAOpthalmic dx imaging0.000.62NA0.010.63NAXXX
    92136AOphthalmic biometry0.541.75NA0.082.37NAXXX
    9213626AOphthalmic biometry0.540.250.250.010.800.80XXX
    92136TCAOphthalmic biometry0.001.50NA0.071.57NAXXX
    92140AGlaucoma provocative tests0.500.940.210.011.450.72XXX
    92225ASpecial eye exam, initial0.380.220.160.010.610.55XXX
    92226ASpecial eye exam, subsequent0.330.210.150.010.550.49XXX
    92230AEye exam with photos0.601.670.200.022.290.82XXX
    92235AEye exam with photos0.812.93NA0.083.82NAXXX
    9223526AEye exam with photos0.810.370.370.021.201.20XXX
    92235TCAEye exam with photos0.002.56NA0.062.62NAXXX
    92240AIcg angiography1.107.03NA0.088.21NAXXX
    9224026AIcg angiography1.100.490.490.021.611.61XXX
    92240TCAIcg angiography0.006.54NA0.066.60NAXXX
    92250AEye exam with photos0.441.73NA0.022.19NAXXX
    9225026AEye exam with photos0.440.200.200.010.650.65XXX
    92250TCAEye exam with photos0.001.53NA0.011.54NAXXX
    92260AOphthalmoscopy/dynamometry0.200.290.090.010.500.30XXX
    92265AEye muscle evaluation0.811.88NA0.042.73NAXXX
    9226526AEye muscle evaluation0.810.280.280.021.111.11XXX
    92265TCAEye muscle evaluation0.001.60NA0.021.62NAXXX
    92270AElectro-oculography0.811.56NA0.062.43NAXXX
    9227026AElectro-oculography0.810.340.340.041.191.19XXX
    92270TCAElectro-oculography0.001.22NA0.021.24NAXXX
    92275AElectroretinography1.011.93NA0.042.98NAXXX
    9227526AElectroretinography1.010.420.420.021.451.45XXX
    92275TCAElectroretinography0.001.51NA0.021.53NAXXX
    92283AColor vision examination0.170.83NA0.021.02NAXXX
    9228326AColor vision examination0.170.070.070.010.250.25XXX
    Start Printed Page 1222
    92283TCAColor vision examination0.000.76NA0.010.77NAXXX
    92284ADark adaptation eye exam0.242.31NA0.022.57NAXXX
    9228426ADark adaptation eye exam0.240.090.090.010.340.34XXX
    92284TCADark adaptation eye exam0.002.22NA0.012.23NAXXX
    92285AEye photography0.201.07NA0.021.29NAXXX
    9228526AEye photography0.200.090.090.010.300.30XXX
    92285TCAEye photography0.000.98NA0.010.99NAXXX
    92286AInternal eye photography0.663.37NA0.034.06NAXXX
    9228626AInternal eye photography0.660.300.300.010.970.97XXX
    92286TCAInternal eye photography0.003.07NA0.023.09NAXXX
    92287AInternal eye photography0.812.690.310.023.521.14XXX
    92310NContact lens fitting+1.171.120.450.042.331.66XXX
    92311AContact lens fitting1.081.180.350.042.301.47XXX
    92312AContact lens fitting1.261.160.490.042.461.79XXX
    92313AContact lens fitting0.921.160.290.022.101.23XXX
    92314NPrescription of contact lens+0.690.940.270.011.640.97XXX
    92315APrescription of contact lens0.450.950.160.011.410.62XXX
    92316APrescription of contact lens0.681.000.300.011.690.99XXX
    92317APrescription of contact lens0.451.050.150.011.510.61XXX
    92325AModification of contact lens0.000.39NA0.010.40NAXXX
    92326AReplacement of contact lens0.001.64NA0.061.70NAXXX
    92330AFitting of artificial eye1.081.080.330.052.211.46XXX
    92335AFitting of artificial eye0.451.010.170.011.470.63XXX
    92340NFitting of spectacles+0.370.700.140.011.080.52XXX
    92341NFitting of spectacles+0.470.740.180.011.220.66XXX
    92342NFitting of spectacles+0.530.760.210.011.300.75XXX
    92352BSpecial spectacles fitting+0.370.730.140.011.110.52XXX
    92353BSpecial spectacles fitting+0.500.780.190.021.300.71XXX
    92354BSpecial spectacles fitting+0.008.89NA0.108.99NAXXX
    92355BSpecial spectacles fitting+0.004.34NA0.014.35NAXXX
    92358BEye prosthesis service+0.000.97NA0.051.02NAXXX
    92370NRepair & adjust spectacles+0.320.550.130.020.890.47XXX
    92371BRepair & adjust spectacles+0.000.62NA0.020.64NAXXX
    92390NSupply of spectacles0.000.000.000.000.000.00XXX
    92391NSupply of contact lenses0.000.000.000.000.000.00XXX
    92392ISupply of low vision aids+0.003.793.790.023.813.81XXX
    92393ISupply of artificial eye+0.0011.7611.760.5712.3312.33XXX
    92395ISupply of spectacles+0.001.281.280.101.381.38XXX
    92396ISupply of contact lenses+0.002.162.160.072.232.23XXX
    92499CEye service or procedure0.000.000.000.000.000.00XXX
    9249926CEye service or procedure0.000.000.000.000.000.00XXX
    92499TCCEye service or procedure0.000.000.000.000.000.00XXX
    92502AEar and throat examination1.51NA1.130.07NA2.71000
    92504AEar microscopy examination0.180.490.090.010.680.28XXX
    92506ASpeech/hearing evaluation0.862.610.400.053.521.31XXX
    92507ASpeech/hearing therapy0.521.130.240.021.670.78XXX
    92508ASpeech/hearing therapy0.260.520.120.010.790.39XXX
    92510IRehab for ear implant+1.502.080.820.073.652.39XXX
    92511ANasopharyngoscopy0.843.140.790.044.021.67000
    92512ANasal function studies0.551.080.180.021.650.75XXX
    92516AFacial nerve function test0.430.890.220.021.340.67XXX
    92520ALaryngeal function studies0.760.500.380.041.301.18XXX
    92526AOral function therapy0.551.660.200.022.230.77XXX
    92531BSpontaneous nystagmus study0.000.000.000.000.000.00XXX
    92532BPositional nystagmus test0.000.000.000.000.000.00XXX
    92533BCaloric vestibular test0.000.000.000.000.000.00XXX
    92534BOptokinetic nystagmus test0.000.000.000.000.000.00XXX
    92541ASpontaneous nystagmus test0.400.97NA0.041.41NAXXX
    9254126ASpontaneous nystagmus test0.400.190.190.020.610.61XXX
    92541TCASpontaneous nystagmus test0.000.78NA0.020.80NAXXX
    92542APositional nystagmus test0.331.06NA0.031.42NAXXX
    9254226APositional nystagmus test0.330.160.160.010.500.50XXX
    92542TCAPositional nystagmus test0.000.90NA0.020.92NAXXX
    92543ACaloric vestibular test0.100.53NA0.020.65NAXXX
    9254326ACaloric vestibular test0.100.050.050.010.160.16XXX
    92543TCACaloric vestibular test0.000.48NA0.010.49NAXXX
    92544AOptokinetic nystagmus test0.260.84NA0.031.13NAXXX
    9254426AOptokinetic nystagmus test0.260.120.120.010.390.39XXX
    92544TCAOptokinetic nystagmus test0.000.72NA0.020.74NAXXX
    92545AOscillating tracking test0.230.79NA0.031.05NAXXX
    9254526AOscillating tracking test0.230.110.110.010.350.35XXX
    92545TCAOscillating tracking test0.000.68NA0.020.70NAXXX
    92546ASinusoidal rotational test0.291.80NA0.032.12NAXXX
    9254626ASinusoidal rotational test0.290.130.130.010.430.43XXX
    92546TCASinusoidal rotational test0.001.67NA0.021.69NAXXX
    Start Printed Page 1223
    92547ASupplemental electrical test0.001.15NA0.061.21NAZZZ
    92548APosturography0.503.19NA0.153.84NAXXX
    9254826APosturography0.500.260.260.020.780.78XXX
    92548TCAPosturography0.002.93NA0.133.06NAXXX
    92551NPure tone hearing test, air0.000.000.000.000.000.00XXX
    92552APure tone audiometry, air0.000.44NA0.040.48NAXXX
    92553AAudiometry, air & bone0.000.66NA0.060.72NAXXX
    92555ASpeech threshold audiometry0.000.37NA0.040.41NAXXX
    92556ASpeech audiometry, complete0.000.57NA0.060.63NAXXX
    92557AComprehensive hearing test0.001.19NA0.121.31NAXXX
    92559NGroup audiometric testing0.000.000.000.000.000.00XXX
    92560NBekesy audiometry, screen0.000.000.000.000.000.00XXX
    92561ABekesy audiometry, diagnosis0.000.72NA0.060.78NAXXX
    92562ALoudness balance test0.000.40NA0.040.44NAXXX
    92563ATone decay hearing test0.000.37NA0.040.41NAXXX
    92564ASisi hearing test0.000.47NA0.050.52NAXXX
    92565AStenger test, pure tone0.000.39NA0.040.43NAXXX
    92567ATympanometry0.000.52NA0.060.58NAXXX
    92568AAcoustic reflex testing0.000.37NA0.040.41NAXXX
    92569AAcoustic reflex decay test0.000.40NA0.040.44NAXXX
    92571AFiltered speech hearing test0.000.38NA0.040.42NAXXX
    92572AStaggered spondaic word test0.000.09NA0.010.10NAXXX
    92573ALombard test0.000.35NA0.040.39NAXXX
    92575ASensorineural acuity test0.000.30NA0.020.32NAXXX
    92576ASynthetic sentence test0.000.44NA0.050.49NAXXX
    92577AStenger test, speech0.000.72NA0.070.79NAXXX
    92579AVisual audiometry (vra)0.000.73NA0.060.79NAXXX
    92582AConditioning play audiometry0.000.73NA0.060.79NAXXX
    92583ASelect picture audiometry0.000.89NA0.080.97NAXXX
    92584AElectrocochleography0.002.49NA0.212.70NAXXX
    92585AAuditor evoke potent, compre0.502.08NA0.162.74NAXXX
    9258526AAuditor evoke potent, compre0.500.220.220.020.740.74XXX
    92585TCAAuditor evoke potent, compre0.001.86NA0.142.00NAXXX
    92586AAuditor evoke potent, limit0.001.86NA0.142.00NAXXX
    92587AEvoked auditory test0.131.38NA0.121.63NAXXX
    9258726AEvoked auditory test0.130.070.070.010.210.21XXX
    92587TCAEvoked auditory test0.001.31NA0.111.42NAXXX
    92588AEvoked auditory test0.361.64NA0.142.14NAXXX
    9258826AEvoked auditory test0.360.170.170.010.540.54XXX
    92588TCAEvoked auditory test0.001.47NA0.131.60NAXXX
    92589AAuditory function test(s)0.000.53NA0.060.59NAXXX
    92590NHearing aid exam, one ear0.000.000.000.000.000.00XXX
    92591NHearing aid exam, both ears0.000.000.000.000.000.00XXX
    92592NHearing aid check, one ear0.000.000.000.000.000.00XXX
    92593NHearing aid check, both ears0.000.000.000.000.000.00XXX
    92594NElectro hearng aid test, one0.000.000.000.000.000.00XXX
    92595NElectro hearng aid tst, both0.000.000.000.000.000.00XXX
    92596AEar protector evaluation0.000.59NA0.060.65NAXXX
    92597AOral speech device eval0.861.690.450.052.601.36XXX
    92601ACochlear implt f/up exam < 70.003.41NA0.073.48NAXXX
    92602AReprogram cochlear implt < 70.002.36NA0.072.43NAXXX
    92603ACochlear implt f/up exam 7 >0.002.23NA0.072.30NAXXX
    92604AReprogram cochlear implt 7 >0.001.47NA0.071.54NAXXX
    92605BEval for nonspeech device rx0.000.000.000.000.000.00XXX
    92606BNon-speech device service0.000.000.000.000.000.00XXX
    92607AEx for speech device rx, 1hr0.003.22NA0.053.27NAXXX
    92608AEx for speech device rx addl0.000.67NA0.050.72NAXXX
    92609AUse of speech device service0.001.60NA0.041.64NAXXX
    92610AEvaluate swallowing function0.003.44NA0.083.52NAXXX
    92611AMotion fluoroscopy/swallow0.003.44NA0.083.52NAXXX
    92612AEndoscopy swallow tst (fees)1.272.710.670.084.062.02XXX
    92613AEndoscopy swallow tst (fees)0.710.390.390.051.151.15XXX
    92614ALaryngoscopic sensory test1.272.410.610.083.761.96XXX
    92615AEval laryngoscopy sense tst0.630.360.360.051.041.04XXX
    92616AFees w/laryngeal sense test1.883.290.970.085.252.93XXX
    92617AInterprt fees/laryngeal test0.790.440.440.051.281.28XXX
    92700CEnt procedure/service0.000.000.000.000.000.00XXX
    92950AHeart/lung resuscitation cpr3.79NA0.980.25NA5.02000
    92953ATemporary external pacing0.23NA0.230.01NA0.47000
    92960ACardioversion electric, ext2.256.661.170.109.013.52000
    92961ACardioversion, electric, int4.59NA2.090.21NA6.89000
    92970ACardioassist, internal3.51NA1.070.21NA4.79000
    92971ACardioassist, external1.77NA0.850.07NA2.69000
    92973APercut coronary thrombectomy3.28NA1.290.14NA4.71ZZZ
    92974ACath place, cardio brachytx3.00NA1.180.17NA4.35ZZZ
    Start Printed Page 1224
    92975ADissolve clot, heart vessel7.24NA2.810.27NA10.32000
    92977ADissolve clot, heart vessel0.008.08NA0.468.54NAXXX
    92978AIntravasc us, heart add-on1.805.29NA0.317.40NAZZZ
    9297826AIntravasc us, heart add-on1.800.710.710.072.582.58ZZZ
    92978TCAIntravasc us, heart add-on0.004.58NA0.244.82NAZZZ
    92979AIntravasc us, heart add-on1.442.86NA0.184.48NAZZZ
    9297926AIntravasc us, heart add-on1.440.560.560.052.052.05ZZZ
    92979TCAIntravasc us, heart add-on0.002.30NA0.132.43NAZZZ
    92980AInsert intracoronary stent14.82NA6.070.86NA21.75000
    92981AInsert intracoronary stent4.16NA1.640.24NA6.04ZZZ
    92982ACoronary artery dilation10.96NA4.550.63NA16.14000
    92984ACoronary artery dilation2.97NA1.160.17NA4.30ZZZ
    92986ARevision of aortic valve21.77NA11.621.37NA34.76090
    92987ARevision of mitral valve22.67NA12.011.42NA36.10090
    92990ARevision of pulmonary valve17.31NA9.631.09NA28.03090
    92992CRevision of heart chamber0.000.000.000.000.000.00090
    92993CRevision of heart chamber0.000.000.000.000.000.00090
    92995ACoronary atherectomy12.07NA4.980.70NA17.75000
    92996ACoronary atherectomy add-on3.26NA1.280.19NA4.73ZZZ
    92997APul art balloon repr, percut11.98NA4.850.76NA17.59000
    92998APul art balloon repr, percut5.99NA2.210.37NA8.57ZZZ
    93000AElectrocardiogram, complete0.170.51NA0.030.71NAXXX
    93005AElectrocardiogram, tracing0.000.45NA0.020.47NAXXX
    93010AElectrocardiogram report0.170.060.060.010.240.24XXX
    93012ATransmission of ecg0.006.04NA0.186.22NAXXX
    93014AReport on transmitted ecg0.520.190.190.020.730.73XXX
    93015ACardiovascular stress test0.751.98NA0.132.86NAXXX
    93016ACardiovascular stress test0.450.170.170.010.630.63XXX
    93017ACardiovascular stress test0.001.69NA0.111.80NAXXX
    93018ACardiovascular stress test0.300.120.120.010.430.43XXX
    93024ACardiac drug stress test1.171.57NA0.132.87NAXXX
    9302426ACardiac drug stress test1.170.450.450.051.671.67XXX
    93024TCACardiac drug stress test0.001.12NA0.081.20NAXXX
    93025AMicrovolt t-wave assess0.758.18NA0.139.06NAXXX
    9302526AMicrovolt t-wave assess0.750.290.290.021.061.06XXX
    93025TCAMicrovolt t-wave assess0.007.89NA0.118.00NAXXX
    93040ARhythm ECG with report0.160.20NA0.020.38NAXXX
    93041ARhythm ECG, tracing0.000.15NA0.010.16NAXXX
    93042ARhythm ECG, report0.160.050.050.010.220.22XXX
    93224AECG monitor/report, 24 hrs0.523.63NA0.244.39NAXXX
    93225AECG monitor/record, 24 hrs0.001.24NA0.081.32NAXXX
    93226AECG monitor/report, 24 hrs0.002.19NA0.142.33NAXXX
    93227AECG monitor/review, 24 hrs0.520.200.200.020.740.74XXX
    93230AECG monitor/report, 24 hrs0.523.90NA0.264.68NAXXX
    93231AEcg monitor/record, 24 hrs0.001.52NA0.111.63NAXXX
    93232AECG monitor/report, 24 hrs0.002.18NA0.132.31NAXXX
    93233AECG monitor/review, 24 hrs0.520.200.200.020.740.74XXX
    93235AECG monitor/report, 24 hrs0.452.79NA0.153.39NAXXX
    93236AECG monitor/report, 24 hrs0.002.62NA0.142.76NAXXX
    93237AECG monitor/review, 24 hrs0.450.170.170.010.630.63XXX
    93268AECG record/review0.527.47NA0.288.27NAXXX
    93270AECG recording0.001.24NA0.081.32NAXXX
    93271AEcg/monitoring and analysis0.006.04NA0.186.22NAXXX
    93272AEcg/review, interpret only0.520.190.190.020.730.73XXX
    93278AECG/signal-averaged0.251.25NA0.121.62NAXXX
    9327826AECG/signal-averaged0.250.100.100.010.360.36XXX
    93278TCAECG/signal-averaged0.001.15NA0.111.26NAXXX
    93303AEcho transthoracic1.304.35NA0.285.93NAXXX
    9330326AEcho transthoracic1.300.480.480.051.831.83XXX
    93303TCAEcho transthoracic0.003.87NA0.234.10NAXXX
    93304AEcho transthoracic0.752.23NA0.153.13NAXXX
    9330426AEcho transthoracic0.750.280.280.021.051.05XXX
    93304TCAEcho transthoracic0.001.95NA0.132.08NAXXX
    93307AEcho exam of heart0.924.23NA0.275.42NAXXX
    9330726AEcho exam of heart0.920.360.360.041.321.32XXX
    93307TCAEcho exam of heart0.003.87NA0.234.10NAXXX
    93308AEcho exam of heart0.532.16NA0.152.84NAXXX
    9330826AEcho exam of heart0.530.210.210.020.760.76XXX
    93308TCAEcho exam of heart0.001.95NA0.132.08NAXXX
    93312AEcho transesophageal2.204.58NA0.397.17NAXXX
    9331226AEcho transesophageal2.200.790.790.103.093.09XXX
    93312TCAEcho transesophageal0.003.79NA0.294.08NAXXX
    93313AEcho transesophageal0.95NA0.210.06NA1.22XXX
    93314AEcho transesophageal1.254.26NA0.345.85NAXXX
    9331426AEcho transesophageal1.250.470.470.051.771.77XXX
    Start Printed Page 1225
    93314TCAEcho transesophageal0.003.79NA0.294.08NAXXX
    93315CEcho transesophageal0.000.00NA0.000.00NAXXX
    9331526AEcho transesophageal2.781.021.020.123.923.92XXX
    93315TCCEcho transesophageal0.000.00NA0.000.00NAXXX
    93316AEcho transesophageal0.95NA0.240.06NA1.25XXX
    93317CEcho transesophageal0.000.00NA0.000.00NAXXX
    9331726AEcho transesophageal1.830.670.670.072.572.57XXX
    93317TCCEcho transesophageal0.000.00NA0.000.00NAXXX
    93318CEcho transesophageal intraop0.000.000.000.000.000.00XXX
    9331826AEcho transesophageal intraop2.200.470.470.072.742.74XXX
    93318TCCEcho transesophageal intraop0.000.000.000.000.000.00XXX
    93320ADoppler echo exam, heart0.381.87NA0.132.38NAZZZ
    9332026ADoppler echo exam, heart0.380.150.150.010.540.54ZZZ
    93320TCADoppler echo exam, heart0.001.72NA0.121.84NAZZZ
    93321ADoppler echo exam, heart0.151.18NA0.091.42NAZZZ
    9332126ADoppler echo exam, heart0.150.060.060.010.220.22ZZZ
    93321TCADoppler echo exam, heart0.001.12NA0.081.20NAZZZ
    93325ADoppler color flow add-on0.072.94NA0.223.23NAZZZ
    9332526ADoppler color flow add-on0.070.030.030.010.110.11ZZZ
    93325TCADoppler color flow add-on0.002.91NA0.213.12NAZZZ
    93350AEcho transthoracic1.482.34NA0.153.97NAXXX
    9335026AEcho transthoracic1.480.570.570.022.072.07XXX
    93350TCAEcho transthoracic0.001.77NA0.131.90NAXXX
    93501ARight heart catheterization3.0218.11NA1.2422.37NA000
    9350126ARight heart catheterization3.021.151.150.194.364.36000
    93501TCARight heart catheterization0.0016.96NA1.0518.01NA000
    93503AInsert/place heart catheter2.91NA0.680.19NA3.78000
    93505ABiopsy of heart lining4.373.68NA0.448.49NA000
    9350526ABiopsy of heart lining4.371.691.690.286.346.34000
    93505TCABiopsy of heart lining0.001.99NA0.162.15NA000
    93508ACath placement, angiography4.0914.73NA0.9019.72NA000
    9350826ACath placement, angiography4.092.092.090.256.436.43000
    93508TCACath placement, angiography0.0012.64NA0.6513.29NA000
    93510ALeft heart catheterization4.3239.26NA2.5746.15NA000
    9351026ALeft heart catheterization4.322.182.180.276.776.77000
    93510TCALeft heart catheterization0.0037.08NA2.3039.38NA000
    93511ALeft heart catheterization5.0238.55NA2.5446.11NA000
    9351126ALeft heart catheterization5.022.452.450.317.787.78000
    93511TCALeft heart catheterization0.0036.10NA2.2338.33NA000
    93514ALeft heart catheterization7.0439.24NA2.6848.96NA000
    9351426ALeft heart catheterization7.043.143.140.4510.6310.63000
    93514TCALeft heart catheterization0.0036.10NA2.2338.33NA000
    93524ALeft heart catheterization6.9450.36NA3.3660.66NA000
    9352426ALeft heart catheterization6.943.193.190.4310.5610.56000
    93524TCALeft heart catheterization0.0047.17NA2.9350.10NA000
    93526ARt & Lt heart catheters5.9851.28NA3.3960.65NA000
    9352626ARt & Lt heart catheters5.982.822.820.379.179.17000
    93526TCARt & Lt heart catheters0.0048.46NA3.0251.48NA000
    93527ARt & Lt heart catheters7.2750.50NA3.3961.16NA000
    9352726ARt & Lt heart catheters7.273.333.330.4611.0611.06000
    93527TCARt & Lt heart catheters0.0047.17NA2.9350.10NA000
    93528ARt & Lt heart catheters8.9951.22NA3.5063.71NA000
    9352826ARt & Lt heart catheters8.994.054.050.5713.6113.61000
    93528TCARt & Lt heart catheters0.0047.17NA2.9350.10NA000
    93529ARt, lt heart catheterization4.7949.46NA3.2357.48NA000
    9352926ARt, lt heart catheterization4.792.292.290.307.387.38000
    93529TCARt, lt heart catheterization0.0047.17NA2.9350.10NA000
    93530ARt heart cath, congenital4.2218.90NA1.3424.46NA000
    9353026ARt heart cath, congenital4.221.941.940.296.456.45000
    93530TCARt heart cath, congenital0.0016.96NA1.0518.01NA000
    93531AR & l heart cath, congenital8.3452.05NA3.5763.96NA000
    9353126AR & l heart cath, congenital8.343.593.590.5512.4812.48000
    93531TCAR & l heart cath, congenital0.0048.46NA3.0251.48NA000
    93532AR & l heart cath, congenital9.9951.44NA3.5664.99NA000
    9353226AR & l heart cath, congenital9.994.274.270.6314.8914.89000
    93532TCAR & l heart cath, congenital0.0047.17NA2.9350.10NA000
    93533AR & l heart cath, congenital6.6949.98NA3.4560.12NA000
    9353326AR & l heart cath, congenital6.692.812.810.5210.0210.02000
    93533TCAR & l heart cath, congenital0.0047.17NA2.9350.10NA000
    93539AInjection, cardiac cath0.40NA0.160.01NA0.57000
    93540AInjection, cardiac cath0.43NA0.170.01NA0.61000
    93541AInjection for lung angiogram0.29NA0.110.01NA0.41000
    93542AInjection for heart x-rays0.29NA0.110.01NA0.41000
    93543AInjection for heart x-rays0.29NA0.120.01NA0.42000
    93544AInjection for aortography0.25NA0.100.01NA0.36000
    Start Printed Page 1226
    93545AInject for coronary x-rays0.40NA0.160.01NA0.57000
    93555AImaging, cardiac cath0.816.62NA0.387.81NAXXX
    9355526AImaging, cardiac cath0.810.320.320.041.171.17XXX
    93555TCAImaging, cardiac cath0.006.30NA0.346.64NAXXX
    93556AImaging, cardiac cath0.8310.26NA0.5511.64NAXXX
    9355626AImaging, cardiac cath0.830.330.330.041.201.20XXX
    93556TCAImaging, cardiac cath0.009.93NA0.5110.44NAXXX
    93561ACardiac output measurement0.500.68NA0.081.26NA000
    9356126ACardiac output measurement0.500.160.160.020.680.68000
    93561TCACardiac output measurement0.000.52NA0.060.58NA000
    93562ACardiac output measurement0.160.37NA0.050.58NA000
    9356226ACardiac output measurement0.160.050.050.010.220.22000
    93562TCACardiac output measurement0.000.32NA0.040.36NA000
    93571AHeart flow reserve measure1.805.26NA0.377.43NAZZZ
    9357126AHeart flow reserve measure1.800.680.680.132.612.61ZZZ
    93571TCAHeart flow reserve measure0.004.58NA0.244.82NAZZZ
    93572AHeart flow reserve measure1.442.80NA0.344.58NAZZZ
    9357226AHeart flow reserve measure1.440.500.500.212.152.15ZZZ
    93572TCAHeart flow reserve measure0.002.30NA0.132.43NAZZZ
    93580ATranscath closure of asd17.97NA7.211.37NA26.55000
    93581ATranscath closure of vsd24.39NA9.661.37NA35.42000
    93600ABundle of His recording2.122.79NA0.265.17NA000
    9360026ABundle of His recording2.120.830.830.133.083.08000
    93600TCABundle of His recording0.001.96NA0.132.09NA000
    93602AIntra-atrial recording2.121.95NA0.214.28NA000
    9360226AIntra-atrial recording2.120.830.830.143.093.09000
    93602TCAIntra-atrial recording0.001.12NA0.071.19NA000
    93603ARight ventricular recording2.122.51NA0.244.87NA000
    9360326ARight ventricular recording2.120.820.820.133.073.07000
    93603TCARight ventricular recording0.001.69NA0.111.80NA000
    93609AMap tachycardia, add-on4.994.67NA0.8010.46NAZZZ
    9360926AMap tachycardia, add-on4.991.951.950.637.577.57ZZZ
    93609TCAMap tachycardia, add-on0.002.72NA0.172.89NAZZZ
    93610AIntra-atrial pacing3.022.52NA0.315.85NA000
    9361026AIntra-atrial pacing3.021.161.160.214.394.39000
    93610TCAIntra-atrial pacing0.001.36NA0.101.46NA000
    93612AIntraventricular pacing3.022.78NA0.326.12NA000
    9361226AIntraventricular pacing3.021.161.160.214.394.39000
    93612TCAIntraventricular pacing0.001.62NA0.111.73NA000
    93613AElectrophys map 3d, add-on6.99NA2.760.63NA10.38ZZZ
    93615AEsophageal recording0.990.59NA0.061.64NA000
    9361526AEsophageal recording0.990.270.270.041.301.30000
    93615TCAEsophageal recording0.000.32NA0.020.34NA000
    93616AEsophageal recording1.490.74NA0.092.32NA000
    9361626AEsophageal recording1.490.420.420.071.981.98000
    93616TCAEsophageal recording0.000.32NA0.020.34NA000
    93618AHeart rhythm pacing4.255.66NA0.5110.42NA000
    9361826AHeart rhythm pacing4.251.681.680.276.206.20000
    93618TCAHeart rhythm pacing0.003.98NA0.244.22NA000
    93619AElectrophysiology evaluation7.3110.94NA0.9319.18NA000
    9361926AElectrophysiology evaluation7.313.203.200.4610.9710.97000
    93619TCAElectrophysiology evaluation0.007.74NA0.478.21NA000
    93620CElectrophysiology evaluation0.000.00NA0.000.00NA000
    9362026AElectrophysiology evaluation11.574.864.860.7217.1517.15000
    93620TCCElectrophysiology evaluation0.000.00NA0.000.00NA000
    93621CElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    9362126AElectrophysiology evaluation2.100.820.820.183.103.10ZZZ
    93621TCCElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    93622CElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    9362226AElectrophysiology evaluation3.101.211.210.815.125.12ZZZ
    93622TCCElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    93623CStimulation, pacing heart0.000.000.000.000.000.00ZZZ
    9362326AStimulation, pacing heart2.851.121.120.184.154.15ZZZ
    93623TCCStimulation, pacing heart0.000.000.000.000.000.00ZZZ
    93624AElectrophysiologic study4.804.19NA0.439.42NA000
    9362426AElectrophysiologic study4.802.202.200.307.307.30000
    93624TCAElectrophysiologic study0.001.99NA0.132.12NA000
    93631AHeart pacing, mapping7.598.95NA1.4217.96NA000
    9363126AHeart pacing, mapping7.592.782.780.8011.1711.17000
    93631TCAHeart pacing, mapping0.006.17NA0.626.79NA000
    93640AEvaluation heart device3.518.56NA0.6412.71NA000
    9364026AEvaluation heart device3.511.361.360.225.095.09000
    93640TCAEvaluation heart device0.007.20NA0.427.62NA000
    93641AElectrophysiology evaluation5.929.52NA0.7916.23NA000
    9364126AElectrophysiology evaluation5.922.322.320.378.618.61000
    Start Printed Page 1227
    93641TCAElectrophysiology evaluation0.007.20NA0.427.62NA000
    93642AElectrophysiology evaluation4.889.42NA0.6114.91NA000
    9364226AElectrophysiology evaluation4.882.222.220.197.297.29000
    93642TCAElectrophysiology evaluation0.007.20NA0.427.62NA000
    93650AAblate heart dysrhythm focus10.49NA4.450.66NA15.60000
    93651AAblate heart dysrhythm focus16.23NA6.351.03NA23.61000
    93652AAblate heart dysrhythm focus17.65NA6.911.11NA25.67000
    93660ATilt table evaluation1.892.43NA0.094.41NA000
    9366026ATilt table evaluation1.890.740.740.072.702.70000
    93660TCATilt table evaluation0.001.69NA0.021.71NA000
    93662CIntracardiac ecg (ice)0.000.000.000.000.000.00ZZZ
    9366226AIntracardiac ecg (ice)2.801.111.110.494.404.40ZZZ
    93662TCCIntracardiac ecg (ice)0.000.00NA0.000.00NAZZZ
    93668NPeripheral vascular rehab0.000.000.000.000.000.00XXX
    93701ABioimpedance, thoracic0.171.02NA0.021.21NAXXX
    9370126ABioimpedance, thoracic0.170.070.070.010.250.25XXX
    93701TCABioimpedance, thoracic0.000.95NA0.010.96NAXXX
    93720ATotal body plethysmography0.170.76NA0.071.00NAXXX
    93721APlethysmography tracing0.000.71NA0.060.77NAXXX
    93722APlethysmography report0.170.050.050.010.230.23XXX
    93724AAnalyze pacemaker system4.885.90NA0.4611.24NA000
    9372426AAnalyze pacemaker system4.881.921.920.227.027.02000
    93724TCAAnalyze pacemaker system0.003.98NA0.244.22NA000
    93727AAnalyze ilr system0.520.200.200.060.780.78XXX
    93731AAnalyze pacemaker system0.450.67NA0.061.18NAXXX
    9373126AAnalyze pacemaker system0.450.180.180.020.650.65XXX
    93731TCAAnalyze pacemaker system0.000.49NA0.040.53NAXXX
    93732AAnalyze pacemaker system0.920.87NA0.081.87NAXXX
    9373226AAnalyze pacemaker system0.920.360.360.041.321.32XXX
    93732TCAAnalyze pacemaker system0.000.51NA0.040.55NAXXX
    93733ATelephone analy, pacemaker0.170.80NA0.071.04NAXXX
    9373326ATelephone analy, pacemaker0.170.070.070.010.250.25XXX
    93733TCATelephone analy, pacemaker0.000.73NA0.060.79NAXXX
    93734AAnalyze pacemaker system0.380.50NA0.030.91NAXXX
    9373426AAnalyze pacemaker system0.380.150.150.010.540.54XXX
    93734TCAAnalyze pacemaker system0.000.35NA0.020.37NAXXX
    93735AAnalyze pacemaker system0.740.73NA0.081.55NAXXX
    9373526AAnalyze pacemaker system0.740.290.290.041.071.07XXX
    93735TCAAnalyze pacemaker system0.000.44NA0.040.48NAXXX
    93736ATelephonic analy, pacemaker0.150.69NA0.070.91NAXXX
    9373626ATelephonic analy, pacemaker0.150.060.060.010.220.22XXX
    93736TCATelephonic analy, pacemaker0.000.63NA0.060.69NAXXX
    93740BTemperature gradient studies+0.160.20NA0.020.38NAXXX
    9374026BTemperature gradient studies+0.160.040.040.010.210.21XXX
    93740TCBTemperature gradient studies+0.000.16NA0.010.17NAXXX
    93741AAnalyze ht pace device sngl0.800.99NA0.061.85NAXXX
    9374126AAnalyze ht pace device sngl0.800.320.320.021.141.14XXX
    93741TCAAnalyze ht pace device sngl0.000.67NA0.040.71NAXXX
    93742AAnalyze ht pace device sngl0.911.03NA0.062.00NAXXX
    9374226AAnalyze ht pace device sngl0.910.360.360.021.291.29XXX
    93742TCAAnalyze ht pace device sngl0.000.67NA0.040.71NAXXX
    93743AAnalyze ht pace device dual1.031.14NA0.082.25NAXXX
    9374326AAnalyze ht pace device dual1.030.400.400.041.471.47XXX
    93743TCAAnalyze ht pace device dual0.000.74NA0.040.78NAXXX
    93744AAnalyze ht pace device dual1.181.13NA0.082.39NAXXX
    9374426AAnalyze ht pace device dual1.180.460.460.041.681.68XXX
    93744TCAAnalyze ht pace device dual0.000.67NA0.040.71NAXXX
    93760NCephalic thermogram0.000.000.000.000.000.00XXX
    93762NPeripheral thermogram0.000.000.000.000.000.00XXX
    93770BMeasure venous pressure+0.160.08NA0.020.26NAXXX
    9377026BMeasure venous pressure+0.160.050.050.010.220.22XXX
    93770TCBMeasure venous pressure+0.000.03NA0.010.04NAXXX
    93784AAmbulatory BP monitoring0.381.55NA0.031.96NAXXX
    93786AAmbulatory BP recording0.000.91NA0.010.92NAXXX
    93788AAmbulatory BP analysis0.000.51NA0.010.52NAXXX
    93790AReview/report BP recording0.380.130.130.010.520.52XXX
    93797ACardiac rehab0.180.370.070.010.560.26000
    93798ACardiac rehab/monitor0.280.490.110.010.780.40000
    93799CCardiovascular procedure0.000.000.000.000.000.00XXX
    9379926CCardiovascular procedure0.000.000.000.000.000.00XXX
    93799TCCCardiovascular procedure0.000.000.000.000.000.00XXX
    93875AExtracranial study0.221.66NA0.122.00NAXXX
    9387526AExtracranial study0.220.080.080.010.310.31XXX
    93875TCAExtracranial study0.001.58NA0.111.69NAXXX
    93880AExtracranial study0.604.18NA0.405.18NAXXX
    Start Printed Page 1228
    9388026AExtracranial study0.600.210.210.050.860.86XXX
    93880TCAExtracranial study0.003.97NA0.354.32NAXXX
    93882AExtracranial study0.403.01NA0.273.68NAXXX
    9388226AExtracranial study0.400.140.140.050.590.59XXX
    93882TCAExtracranial study0.002.87NA0.223.09NAXXX
    93886AIntracranial study0.944.47NA0.455.86NAXXX
    9388626AIntracranial study0.940.370.370.061.371.37XXX
    93886TCAIntracranial study0.004.10NA0.394.49NAXXX
    93888AIntracranial study0.623.02NA0.323.96NAXXX
    9388826AIntracranial study0.620.230.230.050.900.90XXX
    93888TCAIntracranial study0.002.79NA0.273.06NAXXX
    93922AExtremity study0.251.93NA0.152.33NAXXX
    9392226AExtremity study0.250.090.090.020.360.36XXX
    93922TCAExtremity study0.001.84NA0.131.97NAXXX
    93923AExtremity study0.453.00NA0.273.72NAXXX
    9392326AExtremity study0.450.150.150.050.650.65XXX
    93923TCAExtremity study0.002.85NA0.223.07NAXXX
    93924AExtremity study0.503.76NA0.314.57NAXXX
    9392426AExtremity study0.500.170.170.060.730.73XXX
    93924TCAExtremity study0.003.59NA0.253.84NAXXX
    93925ALower extremity study0.584.87NA0.405.85NAXXX
    9392526ALower extremity study0.580.200.200.050.830.83XXX
    93925TCALower extremity study0.004.67NA0.355.02NAXXX
    93926ALower extremity study0.393.49NA0.274.15NAXXX
    9392626ALower extremity study0.390.130.130.040.560.56XXX
    93926TCALower extremity study0.003.36NA0.233.59NAXXX
    93930AUpper extremity study0.463.85NA0.414.72NAXXX
    9393026AUpper extremity study0.460.160.160.040.660.66XXX
    93930TCAUpper extremity study0.003.69NA0.374.06NAXXX
    93931AUpper extremity study0.312.82NA0.263.39NAXXX
    9393126AUpper extremity study0.310.110.110.020.440.44XXX
    93931TCAUpper extremity study0.002.71NA0.242.95NAXXX
    93965AExtremity study0.351.86NA0.142.35NAXXX
    9396526AExtremity study0.350.120.120.020.490.49XXX
    93965TCAExtremity study0.001.74NA0.121.86NAXXX
    93970AExtremity study0.683.97NA0.465.11NAXXX
    9397026AExtremity study0.680.230.230.060.970.97XXX
    93970TCAExtremity study0.003.74NA0.404.14NAXXX
    93971AExtremity study0.452.86NA0.313.62NAXXX
    9397126AExtremity study0.450.150.150.040.640.64XXX
    93971TCAExtremity study0.002.71NA0.272.98NAXXX
    93975AVascular study1.805.82NA0.568.18NAXXX
    9397526AVascular study1.800.600.600.132.532.53XXX
    93975TCAVascular study0.005.22NA0.435.65NAXXX
    93976AVascular study1.213.46NA0.375.04NAXXX
    9397626AVascular study1.210.400.400.071.681.68XXX
    93976TCAVascular study0.003.06NA0.303.36NAXXX
    93978AVascular study0.653.58NA0.434.66NAXXX
    9397826AVascular study0.650.220.220.060.930.93XXX
    93978TCAVascular study0.003.36NA0.373.73NAXXX
    93979AVascular study0.442.65NA0.293.38NAXXX
    9397926AVascular study0.440.150.150.050.640.64XXX
    93979TCAVascular study0.002.50NA0.242.74NAXXX
    93980APenile vascular study1.254.78NA0.426.45NAXXX
    9398026APenile vascular study1.250.410.410.081.741.74XXX
    93980TCAPenile vascular study0.004.37NA0.344.71NAXXX
    93981APenile vascular study0.444.61NA0.335.38NAXXX
    9398126APenile vascular study0.440.150.150.020.610.61XXX
    93981TCAPenile vascular study0.004.46NA0.314.77NAXXX
    93990ADoppler flow testing0.253.42NA0.253.92NAXXX
    9399026ADoppler flow testing0.250.090.090.020.360.36XXX
    93990TCADoppler flow testing0.003.33NA0.233.56NAXXX
    94010ABreathing capacity test0.170.67NA0.030.87NAXXX
    9401026ABreathing capacity test0.170.050.050.010.230.23XXX
    94010TCABreathing capacity test0.000.62NA0.020.64NAXXX
    94014APatient recorded spirometry0.520.77NA0.031.32NAXXX
    94015APatient recorded spirometry0.000.60NA0.010.61NAXXX
    94016AReview patient spirometry0.520.170.170.020.710.71XXX
    94060AEvaluation of wheezing0.311.12NA0.071.50NAXXX
    9406026AEvaluation of wheezing0.310.100.100.010.420.42XXX
    94060TCAEvaluation of wheezing0.001.02NA0.061.08NAXXX
    94070AEvaluation of wheezing0.602.99NA0.123.71NAXXX
    9407026AEvaluation of wheezing0.600.190.190.020.810.81XXX
    94070TCAEvaluation of wheezing0.002.80NA0.102.90NAXXX
    94150BVital capacity test+0.070.48NA0.020.57NAXXX
    Start Printed Page 1229
    9415026BVital capacity test+0.070.030.030.010.110.11XXX
    94150TCBVital capacity test+0.000.45NA0.010.46NAXXX
    94200ALung function test (MBC/MVV)0.110.44NA0.030.58NAXXX
    9420026ALung function test (MBC/MVV)0.110.030.030.010.150.15XXX
    94200TCALung function test (MBC/MVV)0.000.41NA0.020.43NAXXX
    94240AResidual lung capacity0.260.65NA0.060.97NAXXX
    9424026AResidual lung capacity0.260.080.080.010.350.35XXX
    94240TCAResidual lung capacity0.000.57NA0.050.62NAXXX
    94250AExpired gas collection0.110.65NA0.020.78NAXXX
    9425026AExpired gas collection0.110.030.030.010.150.15XXX
    94250TCAExpired gas collection0.000.62NA0.010.63NAXXX
    94260AThoracic gas volume0.130.57NA0.050.75NAXXX
    9426026AThoracic gas volume0.130.040.040.010.180.18XXX
    94260TCAThoracic gas volume0.000.53NA0.040.57NAXXX
    94350ALung nitrogen washout curve0.260.75NA0.051.06NAXXX
    9435026ALung nitrogen washout curve0.260.080.080.010.350.35XXX
    94350TCALung nitrogen washout curve0.000.67NA0.040.71NAXXX
    94360AMeasure airflow resistance0.260.69NA0.071.02NAXXX
    9436026AMeasure airflow resistance0.260.080.080.010.350.35XXX
    94360TCAMeasure airflow resistance0.000.61NA0.060.67NAXXX
    94370ABreath airway closing volume0.260.72NA0.031.01NAXXX
    9437026ABreath airway closing volume0.260.080.080.010.350.35XXX
    94370TCABreath airway closing volume0.000.64NA0.020.66NAXXX
    94375ARespiratory flow volume loop0.310.61NA0.030.95NAXXX
    9437526ARespiratory flow volume loop0.310.100.100.010.420.42XXX
    94375TCARespiratory flow volume loop0.000.51NA0.020.53NAXXX
    94400ACO2 breathing response curve0.400.84NA0.071.31NAXXX
    9440026ACO2 breathing response curve0.400.120.120.010.530.53XXX
    94400TCACO2 breathing response curve0.000.72NA0.060.78NAXXX
    94450AHypoxia response curve0.400.68NA0.041.12NAXXX
    9445026AHypoxia response curve0.400.120.120.020.540.54XXX
    94450TCAHypoxia response curve0.000.56NA0.020.58NAXXX
    94620APulmonary stress test/simple0.642.42NA0.123.18NAXXX
    9462026APulmonary stress test/simple0.640.200.200.020.860.86XXX
    94620TCAPulmonary stress test/simple0.002.22NA0.102.32NAXXX
    94621APulm stress test/complex1.422.06NA0.163.64NAXXX
    9462126APulm stress test/complex1.420.430.430.061.911.91XXX
    94621TCAPulm stress test/complex0.001.63NA0.101.73NAXXX
    94640AAirway inhalation treatment0.000.32NA0.020.34NAXXX
    94642CAerosol inhalation treatment0.000.000.000.000.000.00XXX
    94656AInitial ventilator mgmt1.221.180.320.072.471.61XXX
    94657AContinued ventilator mgmt0.831.000.250.041.871.12XXX
    94660APos airway pressure, CPAP0.760.660.240.041.461.04XXX
    94662ANeg press ventilation, cnp0.76NA0.240.02NA1.02XXX
    94664AEvaluate pt use of inhaler0.000.32NA0.040.36NAXXX
    94667AChest wall manipulation0.000.54NA0.050.59NAXXX
    94668AChest wall manipulation0.000.46NA0.020.48NAXXX
    94680AExhaled air analysis, o20.261.89NA0.072.22NAXXX
    9468026AExhaled air analysis, o20.260.080.080.010.350.35XXX
    94680TCAExhaled air analysis, o20.001.81NA0.061.87NAXXX
    94681AExhaled air analysis, o2/co20.202.62NA0.132.95NAXXX
    9468126AExhaled air analysis, o2/co20.200.070.070.010.280.28XXX
    94681TCAExhaled air analysis, o2/co20.002.55NA0.122.67NAXXX
    94690AExhaled air analysis0.071.97NA0.052.09NAXXX
    9469026AExhaled air analysis0.070.020.020.010.100.10XXX
    94690TCAExhaled air analysis0.001.95NA0.041.99NAXXX
    94720AMonoxide diffusing capacity0.261.00NA0.071.33NAXXX
    9472026AMonoxide diffusing capacity0.260.080.080.010.350.35XXX
    94720TCAMonoxide diffusing capacity0.000.92NA0.060.98NAXXX
    94725AMembrane diffusion capacity0.262.92NA0.133.31NAXXX
    9472526AMembrane diffusion capacity0.260.080.080.010.350.35XXX
    94725TCAMembrane diffusion capacity0.002.84NA0.122.96NAXXX
    94750APulmonary compliance study0.231.35NA0.051.63NAXXX
    9475026APulmonary compliance study0.230.070.070.010.310.31XXX
    94750TCAPulmonary compliance study0.001.28NA0.041.32NAXXX
    94760TMeasure blood oxygen level0.000.04NA0.020.06NAXXX
    94761TMeasure blood oxygen level0.000.07NA0.060.13NAXXX
    94762AMeasure blood oxygen level0.000.40NA0.100.50NAXXX
    94770AExhaled carbon dioxide test0.151.67NA0.081.90NAXXX
    9477026AExhaled carbon dioxide test0.150.040.040.010.200.20XXX
    94770TCAExhaled carbon dioxide test0.001.63NA0.071.70NAXXX
    94772CBreath recording, infant0.000.000.000.000.000.00XXX
    9477226CBreath recording, infant0.000.000.000.000.000.00XXX
    94772TCCBreath recording, infant0.000.000.000.000.000.00XXX
    94799CPulmonary service/procedure0.000.000.000.000.000.00XXX
    Start Printed Page 1230
    9479926CPulmonary service/procedure0.000.000.000.000.000.00XXX
    94799TCCPulmonary service/procedure0.000.000.000.000.000.00XXX
    95004APercut allergy skin tests0.000.10NA0.010.11NAXXX
    95010APercut allergy titrate test0.150.330.060.010.490.22XXX
    95015AId allergy titrate-drug/bug0.150.150.060.010.310.22XXX
    95024AId allergy test, drug/bug0.000.15NA0.010.16NAXXX
    95027AId allergy titrate-airborne0.000.15NA0.010.16NAXXX
    95028AId allergy test-delayed type0.000.24NA0.010.25NAXXX
    95044AAllergy patch tests0.000.21NA0.010.22NAXXX
    95052APhoto patch test0.000.26NA0.010.27NAXXX
    95056APhotosensitivity tests0.000.18NA0.010.19NAXXX
    95060AEye allergy tests0.000.35NA0.020.37NAXXX
    95065ANose allergy test0.000.21NA0.010.22NAXXX
    95070ABronchial allergy tests0.002.29NA0.022.31NAXXX
    95071ABronchial allergy tests0.002.93NA0.022.95NAXXX
    95075AIngestion challenge test0.950.830.380.041.821.37XXX
    95078AProvocative testing0.000.26NA0.020.28NAXXX
    95115AImmunotherapy, one injection0.000.38NA0.020.40NA000
    95117AImmunotherapy injections0.000.50NA0.020.52NA000
    95120IImmunotherapy, one injection0.000.000.000.000.000.00XXX
    95125IImmunotherapy, many antigens0.000.000.000.000.000.00XXX
    95130IImmunotherapy, insect venom0.000.000.000.000.000.00XXX
    95131IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95132IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95133IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95134IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95144AAntigen therapy services0.060.150.020.010.220.09000
    95145AAntigen therapy services0.060.330.020.010.400.09000
    95146AAntigen therapy services0.060.440.030.010.510.10000
    95147AAntigen therapy services0.060.420.020.010.490.09000
    95148AAntigen therapy services0.060.580.030.010.650.10000
    95149AAntigen therapy services0.060.810.030.010.880.10000
    95165AAntigen therapy services0.060.200.020.010.270.09000
    95170AAntigen therapy services0.060.140.020.010.210.09000
    95180ARapid desensitization2.011.520.820.053.582.88000
    95199CAllergy immunology services0.000.000.000.000.000.00000
    95250AGlucose monitoring, cont0.003.82NA0.013.83NAXXX
    95805AMultiple sleep latency test1.8816.26NA0.4118.55NAXXX
    9580526AMultiple sleep latency test1.880.660.660.072.612.61XXX
    95805TCAMultiple sleep latency test0.0015.60NA0.3415.94NAXXX
    95806ASleep study, unattended1.663.81NA0.385.85NAXXX
    9580626ASleep study, unattended1.660.530.530.072.262.26XXX
    95806TCASleep study, unattended0.003.28NA0.313.59NAXXX
    95807ASleep study, attended1.6611.67NA0.4813.81NAXXX
    9580726ASleep study, attended1.660.530.530.062.252.25XXX
    95807TCASleep study, attended0.0011.14NA0.4211.56NAXXX
    95808APolysomnography, 1-32.6512.91NA0.5316.09NAXXX
    9580826APolysomnography, 1-32.650.930.930.113.693.69XXX
    95808TCAPolysomnography, 1-30.0011.98NA0.4212.40NAXXX
    95810APolysomnography, 4 or more3.5217.02NA0.5621.10NAXXX
    9581026APolysomnography, 4 or more3.521.181.180.144.844.84XXX
    95810TCAPolysomnography, 4 or more0.0015.84NA0.4216.26NAXXX
    95811APolysomnography w/cpap3.7918.45NA0.5922.83NAXXX
    9581126APolysomnography w/cpap3.791.271.270.165.225.22XXX
    95811TCAPolysomnography w/cpap0.0017.18NA0.4317.61NAXXX
    95812AEeg, 41-60 minutes1.083.91NA0.165.15NAXXX
    9581226AEeg, 41-60 minutes1.080.450.450.051.581.58XXX
    95812TCAEeg, 41-60 minutes0.003.46NA0.113.57NAXXX
    95813AEeg, over 1 hour1.734.93NA0.186.84NAXXX
    9581326AEeg, over 1 hour1.730.700.700.072.502.50XXX
    95813TCAEeg, over 1 hour0.004.23NA0.114.34NAXXX
    95816AEeg, awake and drowsy1.083.14NA0.154.37NAXXX
    9581626AEeg, awake and drowsy1.080.460.460.051.591.59XXX
    95816TCAEeg, awake and drowsy0.002.68NA0.102.78NAXXX
    95819AEeg, awake and asleep1.083.69NA0.154.92NAXXX
    9581926AEeg, awake and asleep1.080.460.460.051.591.59XXX
    95819TCAEeg, awake and asleep0.003.23NA0.103.33NAXXX
    95822AEeg, coma or sleep only1.084.35NA0.185.61NAXXX
    9582226AEeg, coma or sleep only1.080.450.450.051.581.58XXX
    95822TCAEeg, coma or sleep only0.003.90NA0.134.03NAXXX
    95824CEeg, cerebral death only0.000.000.000.000.000.00XXX
    9582426AEeg, cerebral death only0.740.320.320.061.121.12XXX
    95824TCCEeg, cerebral death only0.000.00NA0.000.00NAXXX
    95827AEeg, all night recording1.082.70NA0.183.96NAXXX
    9582726AEeg, all night recording1.080.400.400.041.521.52XXX
    Start Printed Page 1231
    95827TCAEeg, all night recording0.002.30NA0.142.44NAXXX
    95829ASurgery electrocorticogram6.2031.30NA0.3937.89NAXXX
    9582926ASurgery electrocorticogram6.202.332.330.378.908.90XXX
    95829TCASurgery electrocorticogram0.0028.97NA0.0228.99NAXXX
    95830AInsert electrodes for EEG1.703.370.730.085.152.51XXX
    95831ALimb muscle testing, manual0.280.340.130.010.630.42XXX
    95832AHand muscle testing, manual0.290.250.120.010.550.42XXX
    95833ABody muscle testing, manual0.470.450.230.010.930.71XXX
    95834ABody muscle testing, manual0.600.500.280.021.120.90XXX
    95851ARange of motion measurements0.160.370.080.010.540.25XXX
    95852ARange of motion measurements0.110.260.050.010.380.17XXX
    95857ATensilon test0.530.610.230.021.160.78XXX
    95858ATensilon test & myogram1.561.06NA0.092.71NAXXX
    9585826ATensilon test & myogram1.560.670.670.052.282.28XXX
    95858TCATensilon test & myogram0.000.39NA0.040.43NAXXX
    95860AMuscle test, one limb0.961.45NA0.062.47NAXXX
    9586026AMuscle test, one limb0.960.420.420.041.421.42XXX
    95860TCAMuscle test, one limb0.001.03NA0.021.05NAXXX
    95861AMuscle test, 2 limbs1.541.42NA0.123.08NAXXX
    9586126AMuscle test, 2 limbs1.540.680.680.062.282.28XXX
    95861TCAMuscle test, 2 limbs0.000.74NA0.060.80NAXXX
    95863AMuscle test, 3 limbs1.871.75NA0.133.75NAXXX
    9586326AMuscle test, 3 limbs1.870.810.810.072.752.75XXX
    95863TCAMuscle test, 3 limbs0.000.94NA0.061.00NAXXX
    95864AMuscle test, 4 limbs1.992.66NA0.194.84NAXXX
    9586426AMuscle test, 4 limbs1.990.870.870.072.932.93XXX
    95864TCAMuscle test, 4 limbs0.001.79NA0.121.91NAXXX
    95867AMuscle test cran nerv unilat0.790.93NA0.081.80NAXXX
    9586726AMuscle test cran nerv unilat0.790.350.350.041.181.18XXX
    95867TCAMuscle test cran nerv unilat0.000.58NA0.040.62NAXXX
    95868AMuscle test cran nerve bilat1.181.21NA0.102.49NAXXX
    9586826AMuscle test cran nerve bilat1.180.510.510.051.741.74XXX
    95868TCAMuscle test cran nerve bilat0.000.70NA0.050.75NAXXX
    95869AMuscle test, thor paraspinal0.370.38NA0.030.78NAXXX
    9586926AMuscle test, thor paraspinal0.370.160.160.010.540.54XXX
    95869TCAMuscle test, thor paraspinal0.000.22NA0.020.24NAXXX
    95870AMuscle test, nonparaspinal0.370.38NA0.030.78NAXXX
    9587026AMuscle test, nonparaspinal0.370.160.160.010.540.54XXX
    95870TCAMuscle test, nonparaspinal0.000.22NA0.020.24NAXXX
    95872AMuscle test, one fiber1.501.23NA0.102.83NAXXX
    9587226AMuscle test, one fiber1.500.630.630.052.182.18XXX
    95872TCAMuscle test, one fiber0.000.60NA0.050.65NAXXX
    95875ALimb exercise test1.101.46NA0.112.67NAXXX
    9587526ALimb exercise test1.100.460.460.051.611.61XXX
    95875TCALimb exercise test0.001.00NA0.061.06NAXXX
    95900AMotor nerve conduction test0.421.29NA0.031.74NAXXX
    9590026AMotor nerve conduction test0.420.190.190.010.620.62XXX
    95900TCAMotor nerve conduction test0.001.10NA0.021.12NAXXX
    95903AMotor nerve conduction test0.601.21NA0.041.85NAXXX
    9590326AMotor nerve conduction test0.600.260.260.020.880.88XXX
    95903TCAMotor nerve conduction test0.000.95NA0.020.97NAXXX
    95904ASense nerve conduction test0.341.11NA0.031.48NAXXX
    9590426ASense nerve conduction test0.340.150.150.010.500.50XXX
    95904TCASense nerve conduction test0.000.96NA0.020.98NAXXX
    95920AIntraop nerve test add-on2.112.25NA0.244.60NAZZZ
    9592026AIntraop nerve test add-on2.110.940.940.173.223.22ZZZ
    95920TCAIntraop nerve test add-on0.001.31NA0.071.38NAZZZ
    95921AAutonomic nerv function test0.900.70NA0.061.66NAXXX
    9592126AAutonomic nerv function test0.900.330.330.041.271.27XXX
    95921TCAAutonomic nerv function test0.000.37NA0.020.39NAXXX
    95922AAutonomic nerv function test0.960.77NA0.061.79NAXXX
    9592226AAutonomic nerv function test0.960.400.400.041.401.40XXX
    95922TCAAutonomic nerv function test0.000.37NA0.020.39NAXXX
    95923AAutonomic nerv function test0.902.08NA0.063.04NAXXX
    9592326AAutonomic nerv function test0.900.370.370.041.311.31XXX
    95923TCAAutonomic nerv function test0.001.71NA0.021.73NAXXX
    95925ASomatosensory testing0.541.14NA0.081.76NAXXX
    9592526ASomatosensory testing0.540.230.230.020.790.79XXX
    95925TCASomatosensory testing0.000.91NA0.060.97NAXXX
    95926ASomatosensory testing0.541.15NA0.081.77NAXXX
    9592626ASomatosensory testing0.540.240.240.020.800.80XXX
    95926TCASomatosensory testing0.000.91NA0.060.97NAXXX
    95927ASomatosensory testing0.541.16NA0.101.80NAXXX
    9592726ASomatosensory testing0.540.250.250.040.830.83XXX
    95927TCASomatosensory testing0.000.91NA0.060.97NAXXX
    Start Printed Page 1232
    95930AVisual evoked potential test0.351.43NA0.021.80NAXXX
    9593026AVisual evoked potential test0.350.150.150.010.510.51XXX
    95930TCAVisual evoked potential test0.001.28NA0.011.29NAXXX
    95933ABlink reflex test0.591.03NA0.081.70NAXXX
    9593326ABlink reflex test0.590.240.240.020.850.85XXX
    95933TCABlink reflex test0.000.79NA0.060.85NAXXX
    95934AH-reflex test0.510.44NA0.040.99NAXXX
    9593426AH-reflex test0.510.220.220.020.750.75XXX
    95934TCAH-reflex test0.000.22NA0.020.24NAXXX
    95936AH-reflex test0.550.46NA0.041.05NAXXX
    9593626AH-reflex test0.550.240.240.020.810.81XXX
    95936TCAH-reflex test0.000.22NA0.020.24NAXXX
    95937ANeuromuscular junction test0.650.61NA0.041.30NAXXX
    9593726ANeuromuscular junction test0.650.270.270.020.940.94XXX
    95937TCANeuromuscular junction test0.000.34NA0.020.36NAXXX
    95950AAmbulatory eeg monitoring1.514.47NA0.536.51NAXXX
    9595026AAmbulatory eeg monitoring1.510.640.640.102.252.25XXX
    95950TCAAmbulatory eeg monitoring0.003.83NA0.434.26NAXXX
    95951CEEG monitoring/videorecord0.000.00NA0.000.00NAXXX
    9595126AEEG monitoring/videorecord5.992.572.570.248.808.80XXX
    95951TCCEEG monitoring/videorecord0.000.00NA0.000.00NAXXX
    95953AEEG monitoring/computer3.087.64NA0.5511.27NAXXX
    9595326AEEG monitoring/computer3.081.291.290.124.494.49XXX
    95953TCAEEG monitoring/computer0.006.35NA0.436.78NAXXX
    95954AEEG monitoring/giving drugs2.454.29NA0.186.92NAXXX
    9595426AEEG monitoring/giving drugs2.451.051.050.123.623.62XXX
    95954TCAEEG monitoring/giving drugs0.003.24NA0.063.30NAXXX
    95955AEEG during surgery1.012.33NA0.233.57NAXXX
    9595526AEEG during surgery1.010.360.360.061.431.43XXX
    95955TCAEEG during surgery0.001.97NA0.172.14NAXXX
    95956AEeg monitoring, cable/radio3.0814.14NA0.5617.78NAXXX
    9595626AEeg monitoring, cable/radio3.081.301.300.134.514.51XXX
    95956TCAEeg monitoring, cable/radio0.0012.84NA0.4313.27NAXXX
    95957AEEG digital analysis1.982.56NA0.204.74NAXXX
    9595726AEEG digital analysis1.980.850.850.082.912.91XXX
    95957TCAEEG digital analysis0.001.71NA0.121.83NAXXX
    95958AEEG monitoring/function test4.243.50NA0.358.09NAXXX
    9595826AEEG monitoring/function test4.241.751.750.226.216.21XXX
    95958TCAEEG monitoring/function test0.001.75NA0.131.88NAXXX
    95961AElectrode stimulation, brain2.972.63NA0.295.89NAXXX
    9596126AElectrode stimulation, brain2.971.321.320.224.514.51XXX
    95961TCAElectrode stimulation, brain0.001.31NA0.071.38NAXXX
    95962AElectrode stim, brain add-on3.212.70NA0.286.19NAZZZ
    9596226AElectrode stim, brain add-on3.211.391.390.214.814.81ZZZ
    95962TCAElectrode stim, brain add-on0.001.31NA0.071.38NAZZZ
    95965CMeg, spontaneous0.000.000.000.000.000.00XXX
    9596526AMeg, spontaneous7.993.423.420.3711.7811.78XXX
    95965TCCMeg, spontaneous0.000.000.000.000.000.00XXX
    95966CMeg, evoked, single0.000.000.000.000.000.00XXX
    9596626AMeg, evoked, single3.991.731.730.185.905.90XXX
    95966TCCMeg, evoked, single0.000.000.000.000.000.00XXX
    95967CMeg, evoked, each add'l0.000.000.000.000.000.00ZZZ
    9596726AMeg, evoked, each add'l3.491.331.330.164.984.98ZZZ
    95967TCCMeg, evoked, each add'l0.000.000.000.000.000.00ZZZ
    95970AAnalyze neurostim, no prog0.450.170.150.040.660.64XXX
    95971AAnalyze neurostim, simple0.780.280.230.071.131.08XXX
    95972AAnalyze neurostim, complex1.500.590.490.212.302.20XXX
    95973AAnalyze neurostim, complex0.920.390.350.081.391.35ZZZ
    95974ACranial neurostim, complex3.001.291.290.184.474.47XXX
    95975ACranial neurostim, complex1.700.730.730.082.512.51ZZZ
    95990ASpin/brain pump refil & main0.001.50NA0.061.56NAXXX
    95991ASpin/brain pump refil & main0.771.430.190.062.261.02XXX
    95999CNeurological procedure0.000.000.000.000.000.00XXX
    96000AMotion analysis, video/3d1.80NA0.550.02NA2.37XXX
    96001AMotion test w/ft press meas2.15NA0.660.02NA2.83XXX
    96002ADynamic surface emg0.41NA0.150.02NA0.58XXX
    96003ADynamic fine wire emg0.37NA0.140.04NA0.55XXX
    96004APhys review of motion tests2.140.950.950.103.193.19XXX
    96100APsychological testing0.001.77NA0.181.95NAXXX
    96105AAssessment of aphasia0.001.77NA0.181.95NAXXX
    96110ADevelopmental test, lim0.000.19NA0.180.37NAXXX
    96111ADevelopmental test, extend2.601.07NA0.183.85NAXXX
    96115ANeurobehavior status exam0.001.77NA0.181.95NAXXX
    96117ANeuropsych test battery0.001.77NA0.181.95NAXXX
    96150AAssess lth/behave, init0.500.190.180.020.710.70XXX
    Start Printed Page 1233
    96151AAssess hlth/behave, subseq0.480.180.170.020.680.67XXX
    96152AIntervene hlth/behave, indiv0.460.170.160.020.650.64XXX
    96153AIntervene hlth/behave, group0.100.040.040.010.150.15XXX
    96154AInterv hlth/behav, fam w/pt0.450.170.160.020.640.63XXX
    96155NInterv hlth/behav fam no pt+0.440.180.170.020.640.63XXX
    96400AChemotherapy, sc/im0.171.12NA0.011.30NAXXX
    96405AIntralesional chemo admin0.522.350.240.022.890.78000
    96406AIntralesional chemo admin0.803.100.300.023.921.12000
    96408AChemotherapy, push technique0.172.91NA0.063.14NAXXX
    96410AChemotherapy,infusion method0.174.16NA0.084.41NAXXX
    96412AChemo, infuse method add-on0.170.74NA0.070.98NAZZZ
    96414AChemo, infuse method add-on0.175.22NA0.085.47NAXXX
    96420AChemotherapy, push technique0.172.81NA0.083.06NAXXX
    96422AChemotherapy,infusion method0.175.19NA0.085.44NAXXX
    96423AChemo, infuse method add-on0.171.96NA0.022.15NAZZZ
    96425AChemotherapy,infusion method0.174.73NA0.084.98NAXXX
    96440AChemotherapy, intracavitary2.378.421.240.1410.933.75000
    96445AChemotherapy, intracavitary2.208.541.190.0810.823.47000
    96450AChemotherapy, into CNS1.897.321.100.079.283.06000
    96520APort pump refill & main0.173.94NA0.064.17NAXXX
    96530ASyst pump refill & main0.172.86NA0.063.09NAXXX
    96542AChemotherapy injection1.424.430.660.065.912.14XXX
    96545BProvide chemotherapy agent0.000.000.000.000.000.00XXX
    96549CChemotherapy, unspecified0.000.000.000.000.000.00XXX
    96567APhotodynamic tx, skin0.000.98NA0.041.02NAXXX
    96570APhotodynamic tx, 30 min1.10NA0.370.05NA1.52ZZZ
    96571APhotodynamic tx, addl 15 min0.55NA0.200.02NA0.77ZZZ
    96900AUltraviolet light therapy0.000.48NA0.020.50NAXXX
    96902BTrichogram+0.410.250.160.010.670.58XXX
    96910APhotochemotherapy with UV-B0.001.07NA0.041.11NAXXX
    96912APhotochemotherapy with UV-A0.001.34NA0.051.39NAXXX
    96913APhotochemotherapy, UV-A or B0.001.78NA0.101.88NAXXX
    96920ALaser tx, skin < 250 sq cm1.157.670.560.118.931.82000
    96921ALaser tx, skin 250-500 sq cm1.177.740.570.119.021.85000
    96922ALaser tx, skin > 500 sq cm2.108.481.040.1910.773.33000
    96999CDermatological procedure0.000.000.000.000.000.00XXX
    97001APt evaluation1.200.730.450.061.991.71XXX
    97002APt re-evaluation0.600.430.240.021.050.86XXX
    97003AOt evaluation1.200.860.400.062.121.66XXX
    97004AOt re-evaluation0.600.600.200.021.220.82XXX
    97005IAthletic train eval0.000.000.000.000.000.00XXX
    97006IAthletic train reeval0.000.000.000.000.000.00XXX
    97010BHot or cold packs therapy+0.060.05NA0.010.12NAXXX
    97012AMechanical traction therapy0.250.14NA0.010.40NAXXX
    97014IElectric stimulation therapy+0.180.190.190.010.380.38XXX
    97016AVasopneumatic device therapy0.180.19NA0.010.38NAXXX
    97018AParaffin bath therapy0.060.11NA0.010.18NAXXX
    97020AMicrowave therapy0.060.06NA0.010.13NAXXX
    97022AWhirlpool therapy0.170.22NA0.010.40NAXXX
    97024ADiathermy treatment0.060.09NA0.010.16NAXXX
    97026AInfrared therapy0.060.06NA0.010.13NAXXX
    97028AUltraviolet therapy0.080.07NA0.010.16NAXXX
    97032AElectrical stimulation0.250.16NA0.010.42NAXXX
    97033AElectric current therapy0.260.28NA0.020.56NAXXX
    97034AContrast bath therapy0.210.16NA0.010.38NAXXX
    97035AUltrasound therapy0.210.11NA0.010.33NAXXX
    97036AHydrotherapy0.280.33NA0.010.62NAXXX
    97039APhysical therapy treatment0.200.10NA0.010.31NAXXX
    97110ATherapeutic exercises0.450.28NA0.040.77NAXXX
    97112ANeuromuscular reeducation0.450.30NA0.020.77NAXXX
    97113AAquatic therapy/exercises0.440.40NA0.040.88NAXXX
    97116AGait training therapy0.400.24NA0.020.66NAXXX
    97124AMassage therapy0.350.23NA0.010.59NAXXX
    97139APhysical medicine procedure0.210.20NA0.010.42NAXXX
    97140AManual therapy0.430.26NA0.020.71NAXXX
    97150AGroup therapeutic procedures0.270.18NA0.020.47NAXXX
    97504AOrthotic training0.450.33NA0.040.82NAXXX
    97520AProsthetic training0.450.28NA0.020.75NAXXX
    97530ATherapeutic activities0.440.32NA0.020.78NAXXX
    97532ACognitive skills development0.440.21NA0.010.66NAXXX
    97533ASensory integration0.440.24NA0.010.69NAXXX
    97535ASelf care mngment training0.450.33NA0.020.80NAXXX
    97537ACommunity/work reintegration0.450.27NA0.010.73NAXXX
    97542AWheelchair mngment training0.450.28NA0.010.74NAXXX
    97545RWork hardening0.000.000.000.000.000.00XXX
    Start Printed Page 1234
    97546RWork hardening add-on0.000.000.000.000.000.00ZZZ
    97601AWound(s) care, selective0.500.49NA0.051.04NAXXX
    97602BWound(s) care non-selective0.000.000.000.000.000.00XXX
    97703AProsthetic checkout0.250.41NA0.020.68NAXXX
    97750APhysical performance test0.450.30NA0.020.77NAXXX
    97755AAssistive technology assess0.620.29NA0.020.93NAXXX
    97780NAcupuncture w/o stimul0.000.000.000.000.000.00XXX
    97781NAcupuncture w/stimul0.000.000.000.000.000.00XXX
    97799CPhysical medicine procedure0.000.000.000.000.000.00XXX
    97802AMedical nutrition, indiv, in0.000.47NA0.010.48NAXXX
    97803AMed nutrition, indiv, subseq0.000.47NA0.010.48NAXXX
    97804AMedical nutrition, group0.000.19NA0.010.20NAXXX
    98925AOsteopathic manipulation0.450.330.140.010.790.60000
    98926AOsteopathic manipulation0.650.420.250.021.090.92000
    98927AOsteopathic manipulation0.870.510.300.041.421.21000
    98928AOsteopathic manipulation1.030.600.350.041.671.42000
    98929AOsteopathic manipulation1.190.680.370.051.921.61000
    98940AChiropractic manipulation0.450.240.120.010.700.58000
    98941AChiropractic manipulation0.650.300.180.020.970.85000
    98942AChiropractic manipulation0.870.360.240.041.271.15000
    98943NChiropractic manipulation+0.400.240.160.010.650.57XXX
    99000BSpecimen handling0.000.000.000.000.000.00XXX
    99001BSpecimen handling0.000.000.000.000.000.00XXX
    99002BDevice handling0.000.000.000.000.000.00XXX
    99024BPostop follow-up visit0.000.000.000.000.000.00XXX
    99025FInitial surgical evaluation0.000.000.000.000.000.00XXX
    99026NIn-hospital on call service0.000.000.000.000.000.00XXX
    99027NOut-of-hosp on call service0.000.000.000.000.000.00XXX
    99050BMedical services after hrs0.000.000.000.000.000.00XXX
    99052BMedical services at night0.000.000.000.000.000.00XXX
    99054BMedical servcs, unusual hrs0.000.000.000.000.000.00XXX
    99056BNon-office medical services0.000.000.000.000.000.00XXX
    99058BOffice emergency care0.000.000.000.000.000.00XXX
    99070BSpecial supplies0.000.000.000.000.000.00XXX
    99071BPatient education materials0.000.000.000.000.000.00XXX
    99075NMedical testimony0.000.000.000.000.000.00XXX
    99078BGroup health education0.000.000.000.000.000.00XXX
    99080BSpecial reports or forms0.000.000.000.000.000.00XXX
    99082CUnusual physician travel0.000.000.000.000.000.00XXX
    99090BComputer data analysis0.000.000.000.000.000.00XXX
    99091BCollect/review data from pt0.000.000.000.000.000.00XXX
    99100BSpecial anesthesia service0.000.000.000.000.000.00ZZZ
    99116BAnesthesia with hypothermia0.000.000.000.000.000.00ZZZ
    99135BSpecial anesthesia procedure0.000.000.000.000.000.00ZZZ
    99140BEmergency anesthesia0.000.000.000.000.000.00ZZZ
    99141BSedation, iv/im or inhalant+0.801.920.380.052.771.23XXX
    99142BSedation, oral/rectal/nasal+0.600.990.310.041.630.95XXX
    99170AAnogenital exam, child1.751.720.520.083.552.35000
    99172NOcular function screen0.000.000.000.000.000.00XXX
    99173NVisual acuity screen0.000.000.000.000.000.00XXX
    99175AInduction of vomiting0.001.40NA0.101.50NAXXX
    99183AHyperbaric oxygen therapy2.344.750.720.147.233.20XXX
    99185ARegional hypothermia0.000.64NA0.040.68NAXXX
    99186ATotal body hypothermia0.001.79NA0.452.24NAXXX
    99190XSpecial pump services0.000.000.000.000.000.00XXX
    99191XSpecial pump services0.000.000.000.000.000.00XXX
    99192XSpecial pump services0.000.000.000.000.000.00XXX
    99195APhlebotomy0.000.44NA0.020.46NAXXX
    99199CSpecial service/proc/report0.000.000.000.000.000.00XXX
    99201AOffice/outpatient visit, new0.450.500.160.020.970.63XXX
    99202AOffice/outpatient visit, new0.880.790.320.061.731.26XXX
    99203AOffice/outpatient visit, new1.341.130.480.102.571.92XXX
    99204AOffice/outpatient visit, new2.001.510.710.123.632.83XXX
    99205AOffice/outpatient visit, new2.671.800.950.144.613.76XXX
    99211AOffice/outpatient visit, est0.170.390.060.010.570.24XXX
    99212AOffice/outpatient visit, est0.450.540.160.021.010.63XXX
    99213AOffice/outpatient visit, est0.670.700.240.041.410.95XXX
    99214AOffice/outpatient visit, est1.101.050.400.052.201.55XXX
    99215AOffice/outpatient visit, est1.771.340.650.083.192.50XXX
    99217AObservation care discharge1.28NA0.530.06NA1.87XXX
    99218AObservation care1.28NA0.430.06NA1.77XXX
    99219AObservation care2.14NA0.720.10NA2.96XXX
    99220AObservation care2.99NA1.030.13NA4.15XXX
    99221AInitial hospital care1.28NA0.450.06NA1.79XXX
    99222AInitial hospital care2.14NA0.740.10NA2.98XXX
    Start Printed Page 1235
    99223AInitial hospital care2.99NA1.040.12NA4.15XXX
    99231ASubsequent hospital care0.64NA0.230.02NA0.89XXX
    99232ASubsequent hospital care1.06NA0.370.04NA1.47XXX
    99233ASubsequent hospital care1.51NA0.520.06NA2.09XXX
    99234AObserv/hosp same date2.56NA1.000.13NA3.69XXX
    99235AObserv/hosp same date3.41NA1.290.16NA4.86XXX
    99236AObserv/hosp same date4.26NA1.590.21NA6.06XXX
    99238AHospital discharge day1.28NA0.540.05NA1.87XXX
    99239AHospital discharge day1.75NA0.740.06NA2.55XXX
    99241AOffice consultation0.640.650.220.051.340.91XXX
    99242AOffice consultation1.291.050.460.112.451.86XXX
    99243AOffice consultation1.721.390.630.123.232.47XXX
    99244AOffice consultation2.581.830.920.164.573.66XXX
    99245AOffice consultation3.422.291.240.195.904.85XXX
    99251AInitial inpatient consult0.66NA0.250.05NA0.96XXX
    99252AInitial inpatient consult1.32NA0.500.10NA1.92XXX
    99253AInitial inpatient consult1.82NA0.680.11NA2.61XXX
    99254AInitial inpatient consult2.64NA0.990.13NA3.76XXX
    99255AInitial inpatient consult3.64NA1.350.18NA5.17XXX
    99261AFollow-up inpatient consult0.42NA0.160.02NA0.60XXX
    99262AFollow-up inpatient consult0.85NA0.310.04NA1.20XXX
    99263AFollow-up inpatient consult1.27NA0.450.05NA1.77XXX
    99271AConfirmatory consultation0.450.550.160.041.040.65XXX
    99272AConfirmatory consultation0.840.820.310.071.731.22XXX
    99273AConfirmatory consultation1.191.100.440.082.371.71XXX
    99274AConfirmatory consultation1.731.360.640.113.202.48XXX
    99275AConfirmatory consultation2.311.640.840.124.073.27XXX
    99281AEmergency dept visit0.33NA0.090.02NA0.44XXX
    99282AEmergency dept visit0.55NA0.150.04NA0.74XXX
    99283AEmergency dept visit1.24NA0.310.10NA1.65XXX
    99284AEmergency dept visit1.95NA0.470.14NA2.56XXX
    99285AEmergency dept visit3.06NA0.720.23NA4.01XXX
    99288BDirect advanced life support0.000.000.000.000.000.00XXX
    99289APed crit care transport4.79NA1.910.17NA6.87XXX
    99290APed crit care transport addl2.40NA0.830.08NA3.31ZZZ
    99291ACritical care, first hour3.992.341.280.176.505.44XXX
    99292ACritical care, add'l 30 min2.000.810.640.082.892.72ZZZ
    99293APed critical care, initial15.98NA4.960.84NA21.78XXX
    99294APed critical care, subseq7.99NA2.490.28NA10.76XXX
    99295ANeonate crit care, initial18.46NA5.390.84NA24.69XXX
    99296ANeonate critical care subseq7.99NA2.550.28NA10.82XXX
    99298AIc for lbw infant < 1500 gm2.75NA0.930.12NA3.80XXX
    99299AIc, lbw infant 1500-2500 gm2.50NA0.950.12NA3.57XXX
    99301ANursing facility care1.200.670.400.051.921.65XXX
    99302ANursing facility care1.610.950.540.062.622.21XXX
    99303ANursing facility care2.011.160.670.073.242.75XXX
    99311ANursing fac care, subseq0.600.470.200.021.090.82XXX
    99312ANursing fac care, subseq1.000.650.340.041.691.38XXX
    99313ANursing fac care, subseq1.420.840.470.052.311.94XXX
    99315ANursing fac discharge day1.130.700.370.051.881.55XXX
    99316ANursing fac discharge day1.500.900.510.062.462.07XXX
    99321ARest home visit, new patient0.710.35NA0.021.08NAXXX
    99322ARest home visit, new patient1.010.46NA0.041.51NAXXX
    99323ARest home visit, new patient1.280.55NA0.051.88NAXXX
    99331ARest home visit, est pat0.600.32NA0.020.94NAXXX
    99332ARest home visit, est pat0.800.38NA0.041.22NAXXX
    99333ARest home visit, est pat1.000.45NA0.041.49NAXXX
    99341AHome visit, new patient1.010.48NA0.061.55NAXXX
    99342AHome visit, new patient1.520.68NA0.062.26NAXXX
    99343AHome visit, new patient2.270.95NA0.083.30NAXXX
    99344AHome visit, new patient3.031.18NA0.124.33NAXXX
    99345AHome visit, new patient3.781.44NA0.145.36NAXXX
    99347AHome visit, est patient0.760.39NA0.041.19NAXXX
    99348AHome visit, est patient1.260.71NA0.052.02NAXXX
    99349AHome visit, est patient2.021.04NA0.073.13NAXXX
    99350AHome visit, est patient3.031.40NA0.124.55NAXXX
    99354AProlonged service, office1.770.750.660.072.592.50ZZZ
    99355AProlonged service, office1.770.730.620.072.572.46ZZZ
    99356AProlonged service, inpatient1.71NA0.620.07NA2.40ZZZ
    99357AProlonged service, inpatient1.71NA0.630.07NA2.41ZZZ
    99358BProlonged serv, w/o contact0.000.000.000.000.000.00ZZZ
    99359BProlonged serv, w/o contact0.000.000.000.000.000.00ZZZ
    99360XPhysician standby services0.000.000.000.000.000.00XXX
    99361BPhysician/team conference0.000.000.000.000.000.00XXX
    99362BPhysician/team conference0.000.000.000.000.000.00XXX
    Start Printed Page 1236
    99371BPhysician phone consultation0.000.000.000.000.000.00XXX
    99372BPhysician phone consultation0.000.000.000.000.000.00XXX
    99373BPhysician phone consultation0.000.000.000.000.000.00XXX
    99374BHome health care supervision+1.100.700.410.051.851.56XXX
    99375IHome health care supervision+1.731.551.550.073.353.35XXX
    99377BHospice care supervision+1.100.700.410.051.851.56XXX
    99378IHospice care supervision+1.731.941.940.073.743.74XXX
    99379BNursing fac care supervision+1.100.700.700.041.841.84XXX
    99380BNursing fac care supervision+1.731.001.000.062.792.79XXX
    99381NPrev visit, new, infant+1.191.500.450.052.741.69XXX
    99382NPrev visit, new, age 1-4+1.361.540.520.052.951.93XXX
    99383NPrev visit, new, age 5-11+1.361.480.520.052.891.93XXX
    99384NPrev visit, new, age 12-17+1.531.550.590.063.142.18XXX
    99385NPrev visit, new, age 18-39+1.531.550.590.063.142.18XXX
    99386NPrev visit, new, age 40-64+1.881.740.720.073.692.67XXX
    99387NPrev visit, new, 65 & over+2.061.870.790.074.002.92XXX
    99391NPrev visit, est, infant+1.021.020.390.042.081.45XXX
    99392NPrev visit, est, age 1-4+1.191.090.450.052.331.69XXX
    99393NPrev visit, est, age 5-11+1.191.060.450.052.301.69XXX
    99394NPrev visit, est, age 12-17+1.361.130.520.052.541.93XXX
    99395NPrev visit, est, age 18-39+1.361.160.520.052.571.93XXX
    99396NPrev visit, est, age 40-64+1.531.250.590.062.842.18XXX
    99397NPrev visit, est, 65 & over+1.711.360.660.063.132.43XXX
    99401NPreventive counseling, indiv+0.480.620.190.011.110.68XXX
    99402NPreventive counseling, indiv+0.980.870.370.021.871.37XXX
    99403NPreventive counseling, indiv+1.461.090.560.042.592.06XXX
    99404NPreventive counseling, indiv+1.951.320.750.053.322.75XXX
    99411NPreventive counseling, group+0.150.180.060.010.340.22XXX
    99412NPreventive counseling, group+0.250.250.100.010.510.36XXX
    99420NHealth risk assessment test0.000.000.000.000.000.00XXX
    99429NUnlisted preventive service0.000.000.000.000.000.00XXX
    99431AInitial care, normal newborn1.17NA0.380.05NA1.60XXX
    99432ANewborn care, not in hosp1.260.900.400.072.231.73XXX
    99433ANormal newborn care/hospital0.62NA0.200.02NA0.84XXX
    99435ANewborn discharge day hosp1.50NA0.500.06NA2.06XXX
    99436AAttendance, birth1.50NA0.460.06NA2.02XXX
    99440ANewborn resuscitation2.93NA0.940.13NA4.00XXX
    99450NLife/disability evaluation0.000.000.000.000.000.00XXX
    99455RDisability examination0.000.000.000.000.000.00XXX
    99456RDisability examination0.000.000.000.000.000.00XXX
    99499CUnlisted e&m service0.000.000.000.000.000.00XXX
    99500IHome visit, prenatal0.000.000.000.000.000.00XXX
    99501IHome visit, postnatal0.000.000.000.000.000.00XXX
    99502IHome visit, nb care0.000.000.000.000.000.00XXX
    99503IHome visit, resp therapy0.000.000.000.000.000.00XXX
    99504IHome visit mech ventilator0.000.000.000.000.000.00XXX
    99505IHome visit, stoma care0.000.000.000.000.000.00XXX
    99506IHome visit, im injection0.000.000.000.000.000.00XXX
    99507IHome visit, cath maintain0.000.000.000.000.000.00XXX
    99509IHome visit day life activity0.000.000.000.000.000.00XXX
    99510IHome visit, sing/m/fam couns0.000.000.000.000.000.00XXX
    99511IHome visit, fecal/enema mgmt0.000.000.000.000.000.00XXX
    99512IHome visit for hemodialysis0.000.000.000.000.000.00XXX
    99551FHome infus, pain mgmt, iv/sc0.000.000.000.000.000.00XXX
    99552FHm infus pain mgmt, epid/ith0.000.000.000.000.000.00XXX
    99553FHome infuse, tocolytic tx0.000.000.000.000.000.00XXX
    99554FHome infus, hormone/platelet0.000.000.000.000.000.00XXX
    99555FHome infuse, chemotheraphy0.000.000.000.000.000.00XXX
    99556FHome infus, antibio/fung/vir0.000.000.000.000.000.00XXX
    99557FHome infuse, anticoagulant0.000.000.000.000.000.00XXX
    99558FHome infuse, immunotherapy0.000.000.000.000.000.00XXX
    99559FHome infus, periton dialysis0.000.000.000.000.000.00XXX
    99560FHome infus, entero nutrition0.000.000.000.000.000.00XXX
    99561FHome infuse, hydration tx0.000.000.000.000.000.00XXX
    99562FHome infus, parent nutrition0.000.000.000.000.000.00XXX
    99563FHome admin, pentamidine0.000.000.000.000.000.00XXX
    99564FHme infus, antihemophil agnt0.000.000.000.000.000.00XXX
    99565FHome infus, proteinase inhib0.000.000.000.000.000.00XXX
    99566FHome infuse, iv therapy0.000.000.000.000.000.00XXX
    99567FHome infuse, sympath agent0.000.000.000.000.000.00XXX
    99568FHome infus, misc drug, daily0.000.000.000.000.000.00XXX
    99569FHome infuse, each addl tx0.000.000.000.000.000.00XXX
    99600IHome visit nos0.000.000.000.000.000.00XXX
    99601IHome infusion/visit, 2 hrs0.000.000.000.000.000.00XXX
    99602IHome infusion, each addtl hr0.000.000.000.000.000.00XXX
    Start Printed Page 1237
    A4890RRepair/maint cont hemo equip0.000.000.000.000.000.00XXX
    D0150RComprehensve oral evaluation0.000.000.000.000.000.00YYY
    D0240RIntraoral occlusal film0.000.000.000.000.000.00YYY
    D0250RExtraoral first film0.000.000.000.000.000.00YYY
    D0260RExtraoral ea additional film0.000.000.000.000.000.00YYY
    D0270RDental bitewing single film0.000.000.000.000.000.00YYY
    D0272RDental bitewings two films0.000.000.000.000.000.00YYY
    D0274RDental bitewings four films0.000.000.000.000.000.00YYY
    D0277RVert bitewings-sev to eight0.000.000.000.000.000.00XXX
    D0460RPulp vitality test0.000.000.000.000.000.00YYY
    D0472RGross exam, prep & report0.000.000.000.000.000.00XXX
    D0473RMicro exam, prep & report0.000.000.000.000.000.00XXX
    D0474RMicro w exam of surg margins0.000.000.000.000.000.00XXX
    D0480RCytopath smear prep & report0.000.000.000.000.000.00XXX
    D0502ROther oral pathology procedu0.000.000.000.000.000.00YYY
    D0999RUnspecified diagnostic proce0.000.000.000.000.000.00YYY
    D1510RSpace maintainer fxd unilat0.000.000.000.000.000.00YYY
    D1515RFixed bilat space maintainer0.000.000.000.000.000.00YYY
    D1520RRemove unilat space maintain0.000.000.000.000.000.00YYY
    D1525RRemove bilat space maintain0.000.000.000.000.000.00YYY
    D1550RRecement space maintainer0.000.000.000.000.000.00YYY
    D2970RTemporary- fractured tooth0.000.000.000.000.000.00YYY
    D2999RDental unspec restorative pr0.000.000.000.000.000.00YYY
    D3460REndodontic endosseous implan0.000.000.000.000.000.00YYY
    D3999REndodontic procedure0.000.000.000.000.000.00YYY
    D4260ROsseous surgery per quadrant0.000.000.000.000.000.00YYY
    D4263RBone replce graft first site0.000.000.000.000.000.00YYY
    D4264RBone replce graft each add0.000.000.000.000.000.00YYY
    D4268RSurgical revision procedure0.000.000.000.000.000.00XXX
    D4270RPedicle soft tissue graft pr0.000.000.000.000.000.00YYY
    D4271RFree soft tissue graft proc0.000.000.000.000.000.00YYY
    D4273RSubepithelial tissue graft0.000.000.000.000.000.00YYY
    D4355RFull mouth debridement0.000.000.000.000.000.00YYY
    D4381RLocalized chemo delivery0.000.000.000.000.000.00YYY
    D5911RFacial moulage sectional0.000.000.000.000.000.00YYY
    D5912RFacial moulage complete0.000.000.000.000.000.00YYY
    D5951RFeeding aid0.000.000.000.000.000.00YYY
    D5983RRadiation applicator0.000.000.000.000.000.00YYY
    D5984RRadiation shield0.000.000.000.000.000.00YYY
    D5985RRadiation cone locator0.000.000.000.000.000.00YYY
    D5987RCommissure splint0.000.000.000.000.000.00YYY
    D6920RDental connector bar0.000.000.000.000.000.00YYY
    D7111RCoronal remnants deciduous t0.000.000.000.000.000.00XXX
    D7140RExtraction erupted tooth/exr0.000.000.000.000.000.00XXX
    D7210RRem imp tooth w mucoper flp0.000.000.000.000.000.00YYY
    D7220RImpact tooth remov soft tiss0.000.000.000.000.000.00YYY
    D7230RImpact tooth remov part bony0.000.000.000.000.000.00YYY
    D7240RImpact tooth remov comp bony0.000.000.000.000.000.00YYY
    D7241RImpact tooth rem bony w/comp0.000.000.000.000.000.00YYY
    D7250RTooth root removal0.000.000.000.000.000.00YYY
    D7260ROral antral fistula closure0.000.000.000.000.000.00YYY
    D7261RPrimary closure sinus perf0.000.000.000.000.000.00XXX
    D7291RTransseptal fiberotomy0.000.000.000.000.000.00YYY
    D7940RReshaping bone orthognathic0.000.000.000.000.000.00YYY
    D9110RTx dental pain minor proc0.000.000.000.000.000.00YYY
    D9230RAnalgesia0.000.000.000.000.000.00YYY
    D9248RSedation (non-iv)0.000.000.000.000.000.00XXX
    D9630ROther drugs/medicaments0.000.000.000.000.000.00YYY
    D9930RTreatment of complications0.000.000.000.000.000.00YYY
    D9940RDental occlusal guard0.000.000.000.000.000.00YYY
    D9950ROcclusion analysis0.000.000.000.000.000.00YYY
    D9951RLimited occlusal adjustment0.000.000.000.000.000.00YYY
    D9952RComplete occlusal adjustment0.000.000.000.000.000.00YYY
    G0001XDrawing blood for specimen0.000.000.000.000.000.00XXX
    G0008XAdmin influenza virus vac0.000.000.000.000.000.00XXX
    G0009XAdmin pneumococcal vaccine0.000.000.000.000.000.00XXX
    G0010XAdmin hepatitis b vaccine0.000.000.000.000.000.00XXX
    G0027XSemen analysis0.000.000.000.000.000.00XXX
    G0030CPET imaging prev PET single0.000.000.000.000.000.00XXX
    G003026APET imaging prev PET single1.500.580.580.052.132.13XXX
    G0030TCCPET imaging prev PET single0.000.000.000.000.000.00XXX
    G0031CPET imaging prev PET multple0.000.000.000.000.000.00XXX
    G003126APET imaging prev PET multple1.870.720.720.072.662.66XXX
    G0031TCCPET imaging prev PET multple0.000.000.000.000.000.00XXX
    G0032CPET follow SPECT 78464 singl0.000.000.000.000.000.00XXX
    Start Printed Page 1238
    G003226APET follow SPECT 78464 singl1.500.540.540.062.102.10XXX
    G0032TCCPET follow SPECT 78464 singl0.000.000.000.000.000.00XXX
    G0033CPET follow SPECT 78464 mult0.000.000.000.000.000.00XXX
    G003326APET follow SPECT 78464 mult1.870.740.740.072.682.68XXX
    G0033TCCPET follow SPECT 78464 mult0.000.000.000.000.000.00XXX
    G0034CPET follow SPECT 76865 singl0.000.000.000.000.000.00XXX
    G003426APET follow SPECT 76865 singl1.500.570.570.062.132.13XXX
    G0034TCCPET follow SPECT 76865 singl0.000.000.000.000.000.00XXX
    G0035CPET follow SPECT 78465 mult0.000.000.000.000.000.00XXX
    G003526APET follow SPECT 78465 mult1.870.730.730.072.672.67XXX
    G0035TCCPET follow SPECT 78465 mult0.000.000.000.000.000.00XXX
    G0036CPET follow cornry angio sing0.000.000.000.000.000.00XXX
    G003626APET follow cornry angio sing1.500.560.560.052.112.11XXX
    G0036TCCPET follow cornry angio sing0.000.000.000.000.000.00XXX
    G0037CPET follow cornry angio mult0.000.000.000.000.000.00XXX
    G003726APET follow cornry angio mult1.870.710.710.072.652.65XXX
    G0037TCCPET follow cornry angio mult0.000.000.000.000.000.00XXX
    G0038CPET follow myocard perf sing0.000.000.000.000.000.00XXX
    G003826APET follow myocard perf sing1.500.520.520.052.072.07XXX
    G0038TCCPET follow myocard perf sing0.000.000.000.000.000.00XXX
    G0039CPET follow myocard perf mult0.000.000.000.000.000.00XXX
    G003926APET follow myocard perf mult1.870.710.710.082.662.66XXX
    G0039TCCPET follow myocard perf mult0.000.000.000.000.000.00XXX
    G0040CPET follow stress echo singl0.000.000.000.000.000.00XXX
    G004026APET follow stress echo singl1.500.590.590.052.142.14XXX
    G0040TCCPET follow stress echo singl0.000.000.000.000.000.00XXX
    G0041CPET follow stress echo mult0.000.000.000.000.000.00XXX
    G004126APET follow stress echo mult1.870.730.730.062.662.66XXX
    G0041TCCPET follow stress echo mult0.000.000.000.000.000.00XXX
    G0042CPET follow ventriculogm sing0.000.000.000.000.000.00XXX
    G004226APET follow ventriculogm sing1.500.610.610.052.162.16XXX
    G0042TCCPET follow ventriculogm sing0.000.000.000.000.000.00XXX
    G0043CPET follow ventriculogm mult0.000.000.000.000.000.00XXX
    G004326APET follow ventriculogm mult1.870.750.750.072.692.69XXX
    G0043TCCPET follow ventriculogm mult0.000.000.000.000.000.00XXX
    G0044CPET following rest ECG singl0.000.000.000.000.000.00XXX
    G004426APET following rest ECG singl1.500.590.590.052.142.14XXX
    G0044TCCPET following rest ECG singl0.000.000.000.000.000.00XXX
    G0045CPET following rest ECG mult0.000.000.000.000.000.00XXX
    G004526APET following rest ECG mult1.870.720.720.072.662.66XXX
    G0045TCCPET following rest ECG mult0.000.000.000.000.000.00XXX
    G0046CPET follow stress ECG singl0.000.000.000.000.000.00XXX
    G004626APET follow stress ECG singl1.500.590.590.052.142.14XXX
    G0046TCCPET follow stress ECG singl0.000.000.000.000.000.00XXX
    G0047CPET follow stress ECG mult0.000.000.000.000.000.00XXX
    G004726APET follow stress ECG mult1.870.730.730.072.672.67XXX
    G0047TCCPET follow stress ECG mult0.000.000.000.000.000.00XXX
    G0101ACA screen;pelvic/breast exam0.450.520.170.010.980.63XXX
    G0102AProstate ca screening; dre0.170.390.060.010.570.24XXX
    G0103XPsa, total screening0.000.000.000.000.000.00XXX
    G0104ACA screen;flexi sigmoidscope0.962.200.520.063.221.54000
    G0105AColorectal scrn; hi risk ind3.696.041.580.249.975.51000
    G010553AColorectal scrn; hi risk ind0.962.200.520.063.221.54000
    G0106AColon CA screen;barium enema0.992.57NA0.183.74NAXXX
    G010626AColon CA screen;barium enema0.990.330.330.051.371.37XXX
    G0106TCAColon CA screen;barium enema0.002.24NA0.132.37NAXXX
    G0107XCA screen; fecal blood test0.000.000.000.000.000.00XXX
    G0108ADiab manage trn per indiv0.000.84NA0.010.85NAXXX
    G0109ADiab manage trn ind/group0.000.48NA0.010.49NAXXX
    G0110RNett pulm-rehab educ; ind0.900.700.300.041.641.24XXX
    G0111RNett pulm-rehab educ; group0.270.290.140.010.570.42XXX
    G0112RNett;nutrition guid, initial1.721.200.660.062.982.44XXX
    G0113RNett;nutrition guid,subseqnt1.290.830.410.052.171.75XXX
    G0114RNett; psychosocial consult1.200.490.370.041.731.61XXX
    G0115RNett; psychological testing1.200.640.370.051.891.62XXX
    G0116RNett; psychosocial counsel1.111.010.340.052.171.50XXX
    G0117TGlaucoma scrn hgh risk direc0.450.710.190.021.180.66XXX
    G0118TGlaucoma scrn hgh risk direc0.170.520.070.010.700.25XXX
    G0120AColon ca scrn; barium enema0.992.57NA0.183.74NAXXX
    G012026AColon ca scrn; barium enema0.990.330.330.051.371.37XXX
    G0120TCAColon ca scrn; barium enema0.002.24NA0.132.37NAXXX
    G0121AColon ca scrn not hi rsk ind3.696.041.580.249.975.51000
    G012153AColon ca scrn not hi rsk ind0.962.200.520.063.221.54000
    G0122NColon ca scrn; barium enema+0.992.572.570.183.743.74XXX
    G012226NColon ca scrn; barium enema+0.990.380.380.051.421.42XXX
    Start Printed Page 1239
    G0122TCNColon ca scrn; barium enema+0.002.192.190.132.322.32XXX
    G0123XScreen cerv/vag thin layer0.000.000.000.000.000.00XXX
    G0124AScreen c/v thin layer by MD0.420.180.180.010.610.61XXX
    G0125CPET image pulmonary nodule0.000.00NA0.000.00NAXXX
    G012526APET image pulmonary nodule1.500.520.520.062.082.08XXX
    G0125TCCPET image pulmonary nodule0.000.00NA0.000.00NAXXX
    G0127RTrim nail(s)0.170.250.070.010.430.25000
    G0128RCORF skilled nursing service0.080.030.030.010.120.12XXX
    G0130ASingle energy x-ray study0.220.88NA0.061.16NAXXX
    G013026ASingle energy x-ray study0.220.070.070.010.300.30XXX
    G0130TCASingle energy x-ray study0.000.81NA0.050.86NAXXX
    G0141AScr c/v cyto,autosys and md0.420.180.180.010.610.61XXX
    G0143XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.00XXX
    G0144XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.00XXX
    G0145XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.00XXX
    G0147XScr c/v cyto, automated sys0.000.000.000.000.000.00XXX
    G0148XScr c/v cyto, autosys, rescr0.000.000.000.000.000.00XXX
    G0166AExtrnl counterpulse, per tx0.073.580.030.013.660.11XXX
    G0167DHyperbaric oz tx;no md reqrd0.000.000.000.000.000.00XXX
    G0168AWound closure by adhesive0.451.920.160.012.380.62000
    G0173XStereo radoisurgery,complete0.000.000.000.000.000.00XXX
    G0175XOPPS Service,sched team conf0.000.000.000.000.000.00XXX
    G0176XOPPS/PHP;activity therapy0.000.000.000.000.000.00XXX
    G0177XOPPS/PHP; train & educ serv0.000.000.000.000.000.00XXX
    G0179AMD recertification HHA PT0.451.07NA0.011.53NAXXX
    G0180AMD certification HHA patient0.671.29NA0.021.98NAXXX
    G0181AHome health care supervision1.731.52NA0.073.32NAXXX
    G0182AHospice care supervision1.731.71NA0.073.51NAXXX
    G0186CDstry eye lesn,fdr vssl tech0.000.000.000.000.000.00YYY
    G0202AScreeningmammographydigital0.702.79NA0.113.60NAXXX
    G020226AScreeningmammographydigital0.700.230.230.040.970.97XXX
    G0202TCAScreeningmammographydigital0.002.56NA0.072.63NAXXX
    G0204ADiagnosticmammographydigital0.872.81NA0.123.80NAXXX
    G020426ADiagnosticmammographydigital0.870.290.290.051.211.21XXX
    G0204TCADiagnosticmammographydigital0.002.52NA0.072.59NAXXX
    G0206ADiagnosticmammographydigital0.702.25NA0.113.06NAXXX
    G020626ADiagnosticmammographydigital0.700.230.230.050.980.98XXX
    G0206TCADiagnosticmammographydigital0.002.02NA0.062.08NAXXX
    G0210CPET img wholebody dxlung0.000.000.000.000.000.00XXX
    G021026APET img wholebody dxlung1.500.510.510.052.062.06XXX
    G0210TCCPET img wholebody dxlung0.000.000.000.000.000.00XXX
    G0211CPET img wholbody init lung0.000.000.000.000.000.00XXX
    G021126APET img wholbody init lung1.500.510.510.052.062.06XXX
    G0211TCCPET img wholbody init lung0.000.000.000.000.000.00XXX
    G0212CPET img wholebod restag lung0.000.000.000.000.000.00XXX
    G021226APET img wholebod restag lung1.500.510.510.052.062.06XXX
    G0212TCCPET img wholebod restag lung0.000.000.000.000.000.00XXX
    G0213CPET img wholbody dx0.000.000.000.000.000.00XXX
    G021326APET img wholbody dx1.500.510.510.052.062.06XXX
    G0213TCCPET img wholbody dx0.000.000.000.000.000.00XXX
    G0214CPET img wholebod init0.000.000.000.000.000.00XXX
    G021426APET img wholebod init1.500.510.510.052.062.06XXX
    G0214TCCPET img wholebod init0.000.000.000.000.000.00XXX
    G0215CPETimg wholebod restag0.000.000.000.000.000.00XXX
    G021526APETimg wholebod restag1.500.510.510.052.062.06XXX
    G0215TCCPETimg wholebod restag0.000.000.000.000.000.00XXX
    G0216CPET img wholebod dx melanoma0.000.000.000.000.000.00XXX
    G021626APET img wholebod dx melanoma1.500.510.510.052.062.06XXX
    G0216TCCPET img wholebod dx melanoma0.000.000.000.000.000.00XXX
    G0217CPET img wholebod init melan0.000.000.000.000.000.00XXX
    G021726APET img wholebod init melan1.500.510.510.052.062.06XXX
    G0217TCCPET img wholebod init melan0.000.000.000.000.000.00XXX
    G0218CPET img wholebod restag mela0.000.000.000.000.000.00XXX
    G021826APET img wholebod restag mela1.500.520.520.052.072.07XXX
    G0218TCCPET img wholebod restag mela0.000.000.000.000.000.00XXX
    G0219NPET img wholbod melano nonco0.000.000.000.000.000.00XXX
    G021926NPET img wholbod melano nonco0.000.000.000.000.000.00XXX
    G0219TCNPET img wholbod melano nonco0.000.000.000.000.000.00XXX
    G0220CPET img wholebod dx lymphoma0.000.000.000.000.000.00XXX
    G022026APET img wholebod dx lymphoma1.500.510.510.052.062.06XXX
    G0220TCCPET img wholebod dx lymphoma0.000.000.000.000.000.00XXX
    G0221CPET imag wholbod init lympho0.000.000.000.000.000.00XXX
    G022126APET imag wholbod init lympho1.500.510.510.052.062.06XXX
    G0221TCCPET imag wholbod init lympho0.000.000.000.000.000.00XXX
    G0222CPET imag wholbod resta lymph0.000.000.000.000.000.00XXX
    Start Printed Page 1240
    G022226APET imag wholbod resta lymph1.500.520.520.052.072.07XXX
    G0222TCCPET imag wholbod resta lymph0.000.000.000.000.000.00XXX
    G0223CPET imag wholbod reg dx head0.000.000.000.000.000.00XXX
    G022326APET imag wholbod reg dx head1.500.510.510.052.062.06XXX
    G0223TCCPET imag wholbod reg dx head0.000.000.000.000.000.00XXX
    G0224CPET imag wholbod reg ini hea0.000.000.000.000.000.00XXX
    G022426APET imag wholbod reg ini hea1.500.510.510.052.062.06XXX
    G0224TCCPET imag wholbod reg ini hea0.000.000.000.000.000.00XXX
    G0225CPET whol restag headneckonly0.000.000.000.000.000.00XXX
    G022526APET whol restag headneckonly1.500.520.520.052.072.07XXX
    G0225TCCPET whol restag headneckonly0.000.000.000.000.000.00XXX
    G0226CPET img wholbody dx esophagl0.000.000.000.000.000.00XXX
    G022626APET img wholbody dx esophagl1.500.530.530.052.082.08XXX
    G0226TCCPET img wholbody dx esophagl0.000.000.000.000.000.00XXX
    G0227CPET img wholbod ini esophage0.000.000.000.000.000.00XXX
    G022726APET img wholbod ini esophage1.500.520.520.052.072.07XXX
    G0227TCCPET img wholbod ini esophage0.000.000.000.000.000.00XXX
    G0228CPET img wholbod restg esopha0.000.000.000.000.000.00XXX
    G022826APET img wholbod restg esopha1.500.510.510.052.062.06XXX
    G0228TCCPET img wholbod restg esopha0.000.000.000.000.000.00XXX
    G0229CPET img metaboloc brain pres0.000.000.000.000.000.00XXX
    G022926APET img metaboloc brain pres1.500.510.510.052.062.06XXX
    G0229TCCPET img metaboloc brain pres0.000.000.000.000.000.00XXX
    G0230CPET myocard viability post0.000.000.000.000.000.00XXX
    G023026APET myocard viability post1.500.530.530.052.082.08XXX
    G0230TCCPET myocard viability post0.000.000.000.000.000.00XXX
    G0231CPET WhBD colorec; gamma cam0.000.000.000.000.000.00XXX
    G023126APET WhBD colorec; gamma cam1.500.510.510.052.062.06XXX
    G0231TCCPET WhBD colorec; gamma cam0.000.000.000.000.000.00XXX
    G0232CPET whbd lymphoma; gamma cam0.000.000.000.000.000.00XXX
    G023226APET whbd lymphoma; gamma cam1.500.520.520.052.072.07XXX
    G0232TCCPET whbd lymphoma; gamma cam0.000.000.000.000.000.00XXX
    G0233CPET whbd melanoma; gamma cam0.000.000.000.000.000.00XXX
    G023326APET whbd melanoma; gamma cam1.500.520.520.052.072.07XXX
    G0233TCCPET whbd melanoma; gamma cam0.000.000.000.000.000.00XXX
    G0234CPET WhBD pulm nod; gamma cam0.000.000.000.000.000.00XXX
    G023426APET WhBD pulm nod; gamma cam1.500.520.520.052.072.07XXX
    G0234TCCPET WhBD pulm nod; gamma cam0.000.000.000.000.000.00XXX
    G0236FDigital film convert diag ma+0.000.000.000.000.000.00ZZZ
    G023626FDigital film convert diag ma+0.000.000.000.000.000.00ZZZ
    G0236TCFDigital film convert diag ma+0.000.000.000.000.000.00ZZZ
    G0237ATherapeutic procd strg endur0.000.47NA0.020.49NAXXX
    G0238COth resp proc, indiv0.000.000.000.000.000.00XXX
    G0239COth resp proc, group0.000.000.000.000.000.00XXX
    G0242XMultisource photon ster plan0.000.000.000.000.000.00XXX
    G0243XMultisour photon stero treat0.000.000.000.000.000.00XXX
    G0244EObserv care by facility topt0.000.000.000.000.000.00XXX
    G0245RInitial foot exam pt lops0.880.790.320.061.731.26XXX
    G0246RFollowup eval of foot pt lop0.450.540.160.021.010.63XXX
    G0247RRoutine footcare pt w lops0.500.510.210.061.070.77ZZZ
    G0248RDemonstrate use home inr mon0.006.75NA0.016.76NAXXX
    G0249RProvide test material,equipm0.003.91NA0.013.92NAXXX
    G0250RMD review interpret of test0.180.060.060.010.250.25XXX
    G0251ELinear acc based stero radio0.000.000.000.000.000.00XXX
    G0252NPET imaging initial dx0.000.000.000.000.000.00XXX
    G025226NPET imaging initial dx+1.500.600.600.042.142.14XXX
    G0252TCNPET imaging initial dx0.000.000.000.000.000.00XXX
    G0253CPET image brst dection recur0.000.000.000.000.000.00XXX
    G025326APET image brst dection recur1.870.710.710.082.662.66XXX
    G0253TCCPET image brst dection recur0.000.000.000.000.000.00XXX
    G0254CPET image brst eval to tx0.000.000.000.000.000.00XXX
    G025426APET image brst eval to tx1.870.710.710.082.662.66XXX
    G0254TCCPET image brst eval to tx0.000.000.000.000.000.00XXX
    G0255NCurrent percep threshold tst0.000.000.000.000.000.00XXX
    G025526NCurrent percep threshold tst0.000.000.000.000.000.00XXX
    G0255TCNCurrent percep threshold tst0.000.000.000.000.000.00XXX
    G0256DProstate brachy w palladium0.000.000.000.000.000.00XXX
    G0257EUnsched dialysis ESRD pt hos0.000.000.000.000.000.00XXX
    G0258EIV infusion during obs stay0.000.000.000.000.000.00XXX
    G0259EInject for sacroiliac joint0.000.000.000.000.000.00XXX
    G0260EInj for sacroiliac jt anesth0.000.000.000.000.000.00XXX
    G0261DProstate brachy w iodine see0.000.000.000.000.000.00XXX
    G0262DSm intestinal image capsule0.000.000.000.000.000.00XXX
    G026226DSm intestinal image capsule0.000.000.000.000.000.00XXX
    G0262TCDSm intestinal image capsule0.000.000.000.000.000.00XXX
    Start Printed Page 1241
    G0263EAdm with CHF, CP, asthma0.000.000.000.000.000.00XXX
    G0264EAssmt otr CHF, CP, asthma0.000.000.000.000.000.00XXX
    G0265XCryopresevation Freeze+stora0.000.000.000.000.000.00XXX
    G0266XThawing + expansion froz cel0.000.000.000.000.000.00XXX
    G0267XBone marrow or psc harvest0.000.000.000.000.000.00XXX
    G0268ARemoval of impacted wax md0.610.630.250.051.290.91000
    G0269BOcclusive device in vein art0.000.000.000.000.000.00XXX
    G0270AMNT subs tx for change dx0.000.47NA0.010.48NAXXX
    G0271AGroup MNT 2 or more 30 mins0.000.19NA0.010.20NAXXX
    G0272DNaso/oro gastric tube pl MD0.000.000.000.000.000.00000
    G0273DPretx planning, non-Hodgkins0.000.000.000.000.000.00XXX
    G027326DPretx planning, non-Hodgkins0.000.000.000.000.000.00XXX
    G0273TCDPretx planning, non-Hodgkins0.000.000.000.000.000.00XXX
    G0274DRadiopharm tx, non-Hodgkins0.000.000.000.000.000.00XXX
    G027426DRadiopharm tx, non-Hodgkins0.000.000.000.000.000.00XXX
    G0274TCDRadiopharm tx, non-Hodgkins0.000.000.000.000.000.00XXX
    G0275ARenal angio, cardiac cath0.25NA0.100.01NA0.36ZZZ
    G0278AIliac art angio,cardiac cath0.25NA0.100.01NA0.36ZZZ
    G0279CExcorp shock tx, elbow epi0.000.000.000.000.000.00XXX
    G0280CExcorp shock tx other than0.000.000.000.000.000.00XXX
    G0281AElec stim unattend for press0.180.11NA0.010.30NAXXX
    G0282NElect stim wound care not pd0.000.000.000.000.000.00XXX
    G0283AElec stim other than wound0.180.11NA0.010.30NAXXX
    G0288ARecon, CTA for surg plan0.0010.66NA0.1810.84NAXXX
    G0289AArthro, loose body + chondro1.48NA0.560.33NA2.37ZZZ
    G0290EDrug-eluting stents, single0.000.000.000.000.000.00XXX
    G0291EDrug-eluting stents,each add0.000.000.000.000.000.00XXX
    G0292EAdm exp drugs,clinical trial0.000.000.000.000.000.00XXX
    G0293ENon-cov surg proc,clin trial0.000.000.000.000.000.00XXX
    G0294ENon-cov proc, clinical trial0.000.000.000.000.000.00XXX
    G0295NElectromagnetic therapy onc0.000.000.000.000.000.00XXX
    G0296CPET imge restag thyrod cance0.000.000.000.000.000.00XXX
    G029626APET imge restag thyrod cance1.870.710.710.082.662.66XXX
    G0296TCCPET imge restag thyrod cance0.000.000.000.000.000.00XXX
    G0297XInsert single chamber/cd0.000.000.000.000.000.00XXX
    G0298XInsert dual chamber/cd0.000.000.000.000.000.00XXX
    G0299XInser/repos single icd+leads0.000.000.000.000.000.00XXX
    G0300XInsert reposit lead dual+gen0.000.000.000.000.000.00XXX
    G0302XPre-op service LVRS complete0.000.000.000.000.000.00XXX
    G0303XPre-op service LVRS 10-15dos0.000.000.000.000.000.00XXX
    G0304XPre-op service LVRS 1-9 dos0.000.000.000.000.000.00XXX
    G0305XPost op service LVRS min 60.000.000.000.000.000.00XXX
    G0306XCBC/diffwbc w/o platelet0.000.000.000.000.000.00XXX
    G0307XCBC without platelet0.000.000.000.000.000.00XXX
    G0308AESRD related svc 4+mo<2yrs12.748.548.540.4221.7021.70XXX
    G0309AESRD related svc 2-3mo<2yrs10.617.107.100.3618.0718.07XXX
    G0310AESRD related svc 1 visit<2yr8.495.685.680.2814.4514.45XXX
    G0311AESRD related svs 4+mo 2-11yr9.734.724.720.3414.7914.79XXX
    G0312AESRD relate svs 2-3 mo 2-11y8.113.923.920.2912.3212.32XXX
    G0313AESRD related svs 1 mon 2-11y6.493.143.140.229.859.85XXX
    G0314AESRD related svs 4+ mo 12-198.284.424.420.2712.9712.97XXX
    G0315AESRD related svs 2-3mo 12-196.903.673.670.2310.8010.80XXX
    G0316AESRD relate svs 1 vist 12-195.522.942.940.178.638.63XXX
    G0317AESRD related svs 4+mo 20+yrs5.092.862.860.178.128.12XXX
    G0318AESRD related svs 2-3 mo 20+y4.242.382.380.146.766.76XXX
    G0319AESRD related svs 1 visit 20+3.391.901.900.115.405.40XXX
    G0320AESRD related svs home under210.617.107.100.3618.0718.07XXX
    G0321AESRD related svs home mo<2ys6.903.673.670.2310.8010.80XXX
    G0322AESRD relate svs home mo12-198.113.923.920.2912.3212.32XXX
    G0323AESRD related svs home mo 20+4.242.382.380.146.766.76XXX
    G0324AESRD related svs home/dy<2y0.350.240.240.010.600.60XXX
    G0325AESRD relate home/dy 2-11 yr0.230.120.120.010.360.36XXX
    G0326AESRD relate home/dy 12-19y0.270.130.130.010.410.41XXX
    G0327AESRD relate home/dy 20+yrs0.140.080.080.010.230.23XXX
    G0328XFecal blood scrn immunoassay0.000.000.000.000.000.00XXX
    G0338XLinear accelerator stero pln0.000.000.000.000.000.00XXX
    G0339XRobot lin-radsurg com, first0.000.000.000.000.000.00XXX
    G0340XRobot linear steroradio max50.000.000.000.000.000.00XXX
    G3001XAdmin + supply, tositumomab0.000.000.000.000.000.00XXX
    G9001XMCCD, initial rate0.000.000.000.000.000.00XXX
    G9002XMCCD,maintenance rate0.000.000.000.000.000.00XXX
    G9003XMCCD, risk adj hi, initial0.000.000.000.000.000.00XXX
    G9004XMCCD, risk adj lo, initial0.000.000.000.000.000.00XXX
    G9005XMCCD, risk adj, maintenance0.000.000.000.000.000.00XXX
    G9006XMCCD, Home monitoring0.000.000.000.000.000.00XXX
    Start Printed Page 1242
    G9007XMCCD, sch team conf0.000.000.000.000.000.00XXX
    G9008XMccd,phys coor-care ovrsght0.000.000.000.000.000.00XXX
    G9009XMCCD, risk adj, level 30.000.000.000.000.000.00XXX
    G9010XMCCD, risk adj, level 40.000.000.000.000.000.00XXX
    G9011XMCCD, risk adj, level 50.000.000.000.000.000.00XXX
    G9012XOther Specified Case Mgmt0.000.000.000.000.000.00XXX
    G9016NDemo-smoking cessation coun0.000.000.000.000.000.00XXX
    M0064AVisit for drug monitoring0.370.340.120.010.720.50XXX
    P3001AScreening pap smear by phys0.420.180.180.010.610.61XXX
    Q0035ACardiokymography0.170.45NA0.030.65NAXXX
    Q003526ACardiokymography0.170.070.070.010.250.25XXX
    Q0035TCACardiokymography0.000.38NA0.020.40NAXXX
    Q0091AObtaining screen pap smear0.370.660.140.011.040.52XXX
    Q0092ASet up port xray equipment0.000.32NA0.010.33NAXXX
    Q3014XTelehealth facility fee0.000.000.000.000.000.00XXX
    R0070CTransport portable x-ray0.000.000.000.000.000.00XXX
    R0075CTransport port x-ray multipl0.000.000.000.000.000.00XXX
    R0076BTransport portable EKG0.000.000.000.000.000.00XXX
    V5299RHearing service0.000.000.000.000.000.00XXX
    1 1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
    2 Copyright 2003 American Dental Association. All rights reserved.
    3 + Indicates RVUs are not used for Medicare payment.
            Start Printed Page 1242

    —————————— 1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 2003 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. Start Printed Page 1242

    Addendum C.—Codes With Interim RVUs

    CPT 1 HCPCS 2MODStatusDescriptionPhysician work RVUs 3Non- facility PE RVUsFacility PE RVUsMal- practice RVUsNon- facility totalFacility totalGlobal
    11400AExc tr-ext b9+marg 0.5 < cm0.852.000.890.072.921.81010
    11401AExc tr-ext b9+marg 0.6-1 cm1.232.071.030.113.412.37010
    11402AExc tr-ext b9+marg 1.1-2 cm1.512.251.100.143.902.75010
    11403AExc tr-ext b9+marg 2.1-3 cm1.792.421.330.194.403.31010
    11404AExc tr-ext b9+marg 3.1-4 cm2.062.731.410.225.013.69010
    11406AExc tr-ext b9+marg > 4.0 cm2.763.101.670.306.164.73010
    11420AExc h-f-nk-sp b9+marg 0.5 <0.981.770.940.102.852.02010
    11421AExc h-f-nk-sp b9+marg 0.6-11.422.081.120.133.632.67010
    11422AExc h-f-nk-sp b9+marg 1.1-21.632.271.340.174.073.14010
    11423AExc h-f-nk-sp b9+marg 2.1-32.012.611.460.214.833.68010
    11424AExc h-f-nk-sp b9+marg 3.1-42.432.821.610.255.504.29010
    11426AExc h-f-nk-sp b9+marg > 4 cm3.773.522.110.417.706.29010
    11440AExc face-mm b9+marg 0.5 < cm1.062.281.330.103.442.49010
    11441AExc face-mm b9+marg 0.6-1 cm1.482.401.510.134.013.12010
    11442AExc face-mm b9+marg 1.1-2 cm1.722.591.580.174.483.47010
    11443AExc face-mm b9+marg 2.1-3 cm2.292.971.830.225.484.34010
    11444AExc face-mm b9+marg 3.1-4 cm3.143.542.190.306.985.63010
    11446AExc face-mm b9+marg > 4 cm4.484.112.780.368.957.62010
    11600AExc tr-ext mlg+marg 0.5 < cm1.312.650.980.114.072.40010
    11601AExc tr-ext mlg+marg 0.6-1 cm1.802.721.230.144.663.17010
    11602AExc tr-ext mlg+marg 1.1-2 cm1.952.861.270.164.973.38010
    11603AExc tr-ext mlg+marg 2.1-3 cm2.193.111.330.195.493.71010
    11604AExc tr-ext mlg+marg 3.1-4 cm2.403.411.400.226.034.02010
    11606AExc tr-ext mlg+marg > 4 cm3.424.111.750.347.875.51010
    11620AExc h-f-nk-sp mlg+marg 0.5 <1.192.620.960.113.922.26010
    11621AExc h-f-nk-sp mlg+marg 0.6-11.762.731.250.144.633.15010
    11622AExc h-f-nk-sp mlg+marg 1.1-22.093.001.390.185.273.66010
    11623AExc h-f-nk-sp mlg+marg 2.1-32.613.361.590.246.214.44010
    11624AExc h-f-nk-sp mlg+marg 3.1-43.063.791.780.307.155.14010
    11626AExc h-f-nk-sp mlg+mar > 4 cm4.294.702.400.429.417.11010
    11640AExc face-mm malig+marg 0.5 <1.352.691.120.124.162.59010
    11641AExc face-mm malig+marg 0.6-12.163.061.540.185.403.88010
    11642AExc face-mm malig+marg 1.1-22.593.441.730.226.254.54010
    11643AExc face-mm malig+marg 2.1-33.103.851.960.297.245.35010
    11644AExc face-mm malig+marg 3.1-44.024.742.470.409.166.89010
    11646AExc face-mm mlg+marg > 4 cm5.945.813.490.5512.309.98010
    20982AAblate, bone tumor(s) perq7.27105.352.990.69113.3110.95000
    21030AExcise max/zygoma b9 tumor4.496.844.310.7212.059.52090
    21040AExcise mandible lesion4.496.874.140.2311.598.86090
    21685AHyoid myotomy & suspension12.98NA10.091.52NA24.59090
    21742CRepair stern/nuss w/o scope0.000.000.000.000.000.00090
    21743CRepair sternum/nuss w/scope0.000.000.000.000.000.00090
    22532ALat thorax spine fusion23.96NA14.824.56NA43.34090
    22533ALat lumbar spine fusion23.09NA13.483.84NA40.41090
    22534ALat thor/lumb, add'l seg5.99NA3.041.18NA10.21ZZZ
    Start Printed Page 1243
    31622ADx bronchoscope/wash2.784.170.890.177.123.84000
    31623ADx bronchoscope/brush2.885.050.890.178.103.94000
    31624ADx bronchoscope/lavage2.884.280.900.167.323.94000
    31625ABronchoscopy w/biopsy(s)3.365.371.260.198.924.81000
    31628ABronchoscopy/lung bx, each3.805.531.340.179.505.31000
    31629ABronchoscopy/needle bx, each3.36NA1.220.16NA4.74000
    31630ABronchoscopy dilate/fx repr3.81NA2.000.36NA6.17000
    31631ABronchoscopy, dilate w/stent4.36NA2.020.37NA6.75000
    31632ABronchoscopy/lung bx, add'l1.030.760.320.171.961.52ZZZ
    31633ABronchoscopy/needle bx add'l1.320.910.400.172.401.89ZZZ
    31635ABronchoscopy w/fb removal3.67NA1.670.25NA5.59000
    31640ABronchoscopy w/tumor excise4.93NA2.350.45NA7.73000
    33310AExploratory heart surgery18.48NA9.652.73NA30.86090
    33315AExploratory heart surgery22.34NA10.953.50NA36.79090
    34805AEndovasc abdo repair w/pros21.85NA9.461.99NA33.30090
    35510AArtery bypass graft22.97NA10.172.10NA35.24090
    35512AArtery bypass graft22.47NA10.002.10NA34.57090
    35522AArtery bypass graft21.73NA9.742.10NA33.57090
    35525AArtery bypass graft20.60NA9.352.10NA32.05090
    35697AReimplant artery each3.00NA1.030.41NA4.44ZZZ
    36511AApheresis wbc1.74NA0.710.07NA2.52000
    36512AApheresis rbc1.74NA0.710.07NA2.52000
    36513AApheresis platelets1.74NA0.710.07NA2.52000
    36514AApheresis plasma1.74NA0.710.07NA2.52000
    36515AApheresis, adsorp/reinfuse1.74NA0.730.07NA2.54000
    36516AApheresis, selective1.22NA0.510.07NA1.80000
    36555AInsert non-tunnel cv cath2.686.000.820.218.893.71000
    36556AInsert non-tunnel cv cath2.505.850.740.108.453.34000
    36557AInsert tunneled cv cath5.0913.562.580.5919.248.26010
    36558AInsert tunneled cv cath4.7913.452.470.5918.837.85010
    36560AInsert tunneled cv cath6.2429.192.960.5936.029.79010
    36561AInsert tunneled cv cath5.9929.112.870.5935.699.45010
    36563AInsert tunneled cv cath6.1938.092.980.6844.969.85010
    36565AInsert tunneled cv cath5.9922.152.870.5928.739.45010
    36566AInsert tunneled cv cath6.4922.953.040.5930.0310.12010
    36568AInsert tunneled cv cath1.928.190.590.2110.322.72000
    36569AInsert tunneled cv cath1.827.390.570.169.372.55000
    36570AInsert tunneled cv cath5.3140.272.640.5946.178.54010
    36571AInsert tunneled cv cath5.2935.642.630.5941.528.51010
    36575ARepair tunneled cv cath0.673.350.260.594.611.52000
    36576ARepair tunneled cv cath3.197.711.760.5911.495.54010
    36578AReplace tunneled cv cath3.4910.542.200.5914.626.28010
    36580AReplace tunneled cv cath1.316.760.410.168.231.88000
    36581AReplace tunneled cv cath3.4313.271.840.5917.295.86010
    36582AReplace tunneled cv cath5.1926.632.760.5932.418.54010
    36583AReplace tunneled cv cath5.2413.132.770.5918.968.60010
    36584AReplace tunneled cv cath1.207.230.540.168.591.90000
    36585AReplace tunneled cv cath4.7935.462.620.5940.848.00010
    36589ARemoval tunneled cv cath2.272.201.410.254.723.93010
    36590ARemoval tunneled cv cath3.306.411.640.4110.125.35010
    36595AMech remov tunneled cv cath3.5919.711.460.2823.585.33000
    36596AMech remov tunneled cv cath0.754.390.490.055.191.29000
    36597AReposition venous catheter1.213.180.430.074.461.71000
    36838ADist revas ligation, hemo20.60NA9.362.99NA32.95090
    37765APhleb veins - extrem - to 207.34NA4.550.48NA12.37090
    37766APhleb veins - extrem 20+9.29NA5.260.48NA15.03090
    37785ALigate/divide/excise vein3.835.142.640.499.466.96090
    38207ICryopreserve stem cells0.000.000.000.000.000.00XXX
    38208IThaw preserved stem cells0.000.000.000.000.000.00XXX
    38209IWash harvest stem cells0.000.000.000.000.000.00XXX
    38210IT-cell depletion of harvest0.000.000.000.000.000.00XXX
    38211ITumor cell deplete of harvst0.000.000.000.000.000.00XXX
    38212IRbc depletion of harvest0.000.000.000.000.000.00XXX
    38213IPlatelet deplete of harvest0.000.000.000.000.000.00XXX
    38214IVolume deplete of harvest0.000.000.000.000.000.00XXX
    38215IHarvest stem cell concentrte0.000.000.000.000.000.00XXX
    43235AUppr gi endoscopy, diagnosis2.395.041.070.167.593.62000
    43237AEndoscopic us exam, esoph3.98NA1.610.27NA5.86000
    43238AUppr gi endoscopy w/us fn bx5.02NA1.970.27NA7.26000
    43242AUppr gi endoscopy w/us fn bx7.30NA2.780.35NA10.43000
    43259AEndoscopic ultrasound exam5.19NA2.040.27NA7.50000
    43752ANasal/orogastric w/stent0.680.260.260.020.960.96000
    47133CRemoval of donor liver0.000.000.000.000.000.00XXX
    47140APartial removal, donor liver54.92NA22.744.80NA82.46090
    47141APartial removal, donor liver67.40NA27.394.80NA99.59090
    Start Printed Page 1244
    47142APartial removal, donor liver74.89NA29.974.80NA109.66090
    53500AUrethrlys, transvag w/ scope12.19NA6.190.89NA19.27090
    57425ALaparoscopy, surg, colpopexy15.73NA6.691.74NA24.16090
    58545ALaparoscopic myomectomy14.58NA7.191.75NA23.52090
    58546ALaparo-myomectomy, complex18.97NA8.981.75NA29.70090
    58550ALaparo-asst vag hysterectomy14.17NA7.311.74NA23.22090
    58552ALaparo-vag hyst incl t/o15.98NA8.021.74NA25.74090
    58553ALaparo-vag hyst, complex18.97NA8.971.48NA29.42090
    58554ALaparo-vag hyst w/t/o, compl21.97NA10.461.48NA33.91090
    59070ATransabdom amnioinfus w/ us5.245.122.410.2810.647.93000
    59072AUmbilical cord occlud w/ us8.99NA3.130.68NA12.80000
    59074AFetal fluid drainage w/ us5.244.612.410.2810.137.93000
    59076AFetal shunt placement, w/ us8.99NA3.130.68NA12.80000
    59897CFetal invas px w/ us0.000.000.000.000.000.00YYY
    61537ARemoval of brain tissue24.96NA14.456.49NA45.90090
    61538ARemoval of brain tissue26.77NA15.386.49NA48.64090
    61539ARemoval of brain tissue32.03NA17.857.98NA57.86090
    61540ARemoval of brain tissue29.96NA17.487.98NA55.42090
    61543ARemoval of brain tissue29.18NA16.467.37NA53.01090
    61566ARemoval of brain tissue30.95NA17.426.49NA54.86090
    61567AIncision of brain tissue35.45NA20.736.49NA62.67090
    61863AImplant neuroelectrode18.97NA9.214.79NA32.97090
    61864AImplant neuroelectrde, add'l4.49NA2.291.13NA7.91ZZZ
    61867AImplant neuroelectrode31.29NA13.814.79NA49.89090
    61868AImplant neuroelectrde, add'l7.91NA4.031.21NA13.15ZZZ
    63101ARemoval of vertebral body31.95NA19.345.69NA56.98090
    63102ARemoval of vertebral body31.95NA19.345.69NA56.98090
    63103ARemove vertebral body add-on3.89NA2.010.76NA6.66ZZZ
    64449AN block inj, lumbar plexus3.00NA0.970.10NA4.07010
    64517AN block inj, hypogas plxs2.202.700.870.135.033.20000
    64680AInjection treatment of nerve2.625.971.280.188.774.08010
    64681AInjection treatment of nerve3.548.712.100.1812.435.82010
    65780AOcular reconst, transplant10.23NA9.940.35NA20.52090
    65781AOcular reconst, transplant17.64NA13.310.35NA31.30090
    65782AOcular reconst, transplant14.98NA11.660.35NA26.99090
    67912ACorrection eyelid w/ implant5.6720.385.270.2826.3311.22090
    68371AHarvest eye tissue, alograft4.89NA4.620.21NA9.72010
    7055726AMri brain w/o dye2.900.980.980.083.963.96XXX
    7055826AMri brain w/ dye3.201.081.080.104.384.38XXX
    7055926AMri brain w/o & w/ dye3.201.081.080.124.404.40XXX
    7590126ARemove cva device obstruct0.490.160.160.020.670.67XXX
    7590226ARemove cva lumen obstruct0.390.130.130.020.540.54XXX
    7599826AFluoroguide for vein device0.380.130.130.050.560.56ZZZ
    7608226AComputer mammogram add-on0.060.020.020.010.090.09ZZZ
    7608326AComputer mammogram add-on0.060.020.020.010.090.09ZZZ
    7651426AEcho exam of eye, thickness0.170.080.080.010.260.26XXX
    7693726AUs guide, vascular access0.300.100.100.050.450.45ZZZ
    7880026ATumor imaging, limited area0.660.220.220.040.920.92XXX
    7880126ATumor imaging, mult areas0.790.270.270.041.101.10XXX
    7880226ATumor imaging, whole body0.860.300.300.041.201.20XXX
    7880326ATumor imaging (3D)1.090.380.380.051.521.52XXX
    7880426ATumor imaging, whole body1.070.370.370.041.481.48XXX
    7910026AHematopoetic nuclear therapy1.320.460.460.061.841.84XXX
    7940026ANonhemato nuclear therapy1.960.670.670.102.732.73XXX
    7940326AHematopoetic nuclear therapy2.250.900.900.103.253.25XXX
    85396AClotting assay, whole blood0.37NA0.170.04NA0.58XXX
    8811226ACytopath, cell enhance tech1.180.510.510.061.751.75XXX
    8834226AImmunohistochemistry0.850.370.370.041.261.26XXX
    8835826AAnalysis, tumor0.951.231.230.122.302.30XXX
    8836126AImmunohistochemistry, tumor0.940.410.410.121.471.47XXX
    9111026AGi tract capsule endoscopy3.641.301.300.024.964.96XXX
    93784AAmbulatory BP monitoring0.381.55NA0.031.96NAXXX
    93786AAmbulatory BP recording0.000.91NA0.010.92NAXXX
    93788AAmbulatory BP analysis0.000.51NA0.010.52NAXXX
    93790AReview/report BP recording0.380.130.130.010.520.52XXX
    95990ASpin/brain pump refil & main0.001.50NA0.061.56NAXXX
    95991ASpin/brain pump refil & main0.771.430.190.062.261.02XXX
    96110ADevelopmental test, lim0.000.19NA0.180.37NAXXX
    96111ADevelopmental test, extend2.601.07NA0.183.85NAXXX
    97537ACommunity/work reintegration0.450.27NA0.010.73NAXXX
    97755AAssistive technology assess0.620.29NA0.020.93NAXXX
    G0308AESRD related svc 4+mo<2yrs12.748.548.540.4221.7021.70XXX
    G0309AESRD related svc 2-3mo<2yrs10.617.107.100.3618.0718.07XXX
    G0310AESRD related svc 1 visit<2yr8.495.685.680.2814.4514.45XXX
    G0311AESRD related svs 4+mo 2-11yr9.734.724.720.3414.7914.79XXX
    Start Printed Page 1245
    G0312AESRD relate svs 2-3 mo 2-11y8.113.923.920.2912.3212.32XXX
    G0313AESRD related svs 1 mon 2-11y6.493.143.140.229.859.85XXX
    G0314AESRD related svs 4+ mo 12-198.284.424.420.2712.9712.97XXX
    G0315AESRD related svs 2-3mo 12-196.903.673.670.2310.8010.80XXX
    G0316AESRD relate svs 1 vist 12-195.522.942.940.178.638.63XXX
    G0317AESRD related svs 4+mo 20+yrs5.092.862.860.178.128.12XXX
    G0318AESRD related svs 2-3 mo 20+y4.242.382.380.146.766.76XXX
    G0319AESRD related svs 1 visit 20+3.391.901.900.115.405.40XXX
    G0320AESRD related svs home under210.617.107.100.3618.0718.07XXX
    G0321AESRD related svs home mo<2ys6.903.673.670.2310.8010.80XXX
    G0322AESRD relate svs home mo12-198.113.923.920.2912.3212.32XXX
    G0323AESRD related svs home mo 20+4.242.382.380.146.766.76XXX
    G0324AESRD related svs home/dy<2y0.350.240.240.010.600.60XXX
    G0325AESRD relate home/dy 2-11 yr0.230.120.120.010.360.36XXX
    G0326AESRD relate home/dy 12-19y0.270.130.130.010.410.41XXX
    G0327AESRD relate home/dy 20+yrs0.140.080.080.010.230.23XXX
    1 CPT codes and descriptions only are copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
    2 Copyright 2003 American Dental Association. All rights reserved.
    3 + Indicates RVUs are not used for Medicare payment.
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    End Supplemental Information

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-C

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-C

    [FR Doc. 03-32323 Filed 12-31-03; 8:45 am]

    BILLING CODE 4120-01-C

Document Information

Published:
01/07/2004
Department:
Centers for Medicare & Medicaid Services
Entry Type:
Rule
Action:
Interim final rule with comment period.
Document Number:
03-32323
Pages:
1083-1267 (185 pages)
Docket Numbers:
CMS-1372-IFC
RINs:
0938-AM97: Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004--Correction Notice CMS-1372-IFC)
RIN Links:
https://www.federalregister.gov/regulations/0938-AM97/changes-to-medicare-payment-for-drugs-and-physician-fee-schedule-payments-for-calendar-year-2004-cor
Topics:
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medical devices, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays
PDF File:
03-32323.pdf
CFR: (6)
42 CFR 405.400
42 CFR 405.517
42 CFR 414.1
42 CFR 414.701
42 CFR 414.704
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