07-6308. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the ...
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AGENCY:
Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION:
Correction Notice of Final Rule with Comment Period.
SUMMARY:
This correction notice corrects several technical and typographical errors in the final rule with comment period that appeared in the November 27, 2007 Federal Register (72 FR 66222). The final rule with comment period addressed Medicare Part B payment policy, including the physician fee schedule (PFS) that is applicable for calendar year (CY) 2008; the competitive acquisition program (CAP); clinical lab fee schedule issues; performance standards for diagnostic testing facilities; conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); physician self-referral issues; and standards and requirements related to therapy services under Medicare Parts A and B. The final rule with comment period also updated the list of services subject to the physician self-referral prohibitions.
Effective Date:
This correction notice is effective January 1, 2008.
Start Further InfoFOR FURTHER INFORMATION CONTACT:
Diane Milstead, (410) 786-3355.
End Further Info End Preamble Start Supplemental InformationSUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 07-5506 of November 27, 2007 (72 FR 66222) (hereinafter referred to as the CY 2008 PFS final rule with comment period), there were a number of technical and typographical errors that are identified and corrected in the Correction of Errors section of this notice. The provisions of this notice are effective as if they had been included in the CY 2008 PFS final rule with comment period. Accordingly, the corrections are effective January 1, 2008.
II. Summary of Errors
A. Errors in the Preamble
On page 66276, the third column, the third paragraph, lines are 10 through 13, the sentence “It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action” is deleted because the sentence was inadvertently repeated.
On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change for both facility and non-facility are corrected due to a methodological error.
B. Errors in the Addenda
On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, incorrect PE RVUs were listed for many CPT codes due to a methodological error. Therefore, for the convenience of health care providers and the public, we are republishing Addendum B in its entirety. In addition, the work RVUs are corrected for CPT code 67113 and the status indicator, work RVUs, and malpractice RVUs are corrected for CPT code 93503 in this revised addendum.
On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, incorrect PE RVUs were listed for many CPT codes due to a methodological error. Therefore, for the convenience of health care providers and the public, we are republishing Addendum C in its entirety.
On pages 66545 through 66546, Addendum D, 2008 Geographic Adjustment Factors (GAFs), we identified errors in the data used to calculate the GAFs, and therefore, we are republishing Addendum D in its entirety.
On pages 66546 through 66547, Addendum E, 2008 * * * Geographic Practice Cost Indices by State and Medicare Locality, we identified errors in the data used to calculate the Geographic Practice Cost Indices (GPCIs), and therefore, we are republishing Addendum E in its entirety.
On pages 66575 through 66578, Addendum I, List of CPT 1/HCPCS Codes Used to Describe Certain Designated Health Service Categories 2 Under Section 1877 of the Social Security Act, Correction to Addendum I, we incorrectly included CPT code 0147T and its short descriptor within the short descriptor for CPT code 0146T, and CPT code 71015 and its short descriptor within the short descriptor for CPT code 71010. Therefore, we are republishing the entries for CPT 0146T, 0147T, 71010, and 71015 on separate lines. We are removing CPT codes 75558, 75560, 75562, and 75564 because these codes are considered non-covered services and were incorrectly included on the Code List. We are removing HCPCS code C2637 because it is paid for as part of an ASC service and should not have been included on the Code List. (We note that when provided in an inpatient or outpatient hospital setting, this source is considered to be a Designated Health Service.) In addition, the short descriptor for the HCPCS code G0103 was incorrect, and therefore, we are revising. Also, we omitted CPT code 76801 and we are adding it to Addendum I.
III. Correction of Errors
A. Corrections to the Preamble
1. On page 66226, 3rd column, 4th paragraph, lines 5 through 7, the phrase “we are applying a separate budget neutrality (BN) adjustor” is corrected to read “we applied a separate budget neutrality (BN) adjustor”.
2. On page 66227, at the top of the 1st column, the formula “Payment = [(RVU work × budget neutrality adjustor × work GPCI) + (RVU PE × PE GPCI) + (MP RVU × MP GPCI)] × CF” is corrected to read “Payment = [(RVU work × budget neutrality adjustor (round product to two decimal places) × GPCI work) + (RVU PE × GPCI PE) + (RVU malpractice × GPCI malpractice)] × CF”.
3. On page 66241, in Table 4, Practice Expense Supply Item Additions for CY 2008, the 8th row, with the supply description “fee, image analysis” is corrected by deleting this row.
4. On page 66242, in Table 5, Practice Expense Equipment Item Additions for CY 2008,
a. In the 2nd row, in the 5th column, CPT codes “7557” and “7558” are corrected to read “75557” and “75558”.
b. In the 5th row, the equipment description “Camera, ocular photoscreening, w-laptop and software” is corrected by deleting this row.
5. On page 66253, in the 2nd column, following the 2nd full paragraph, 2nd bullet, line 1, the term “angioscopy” is corrected to read “angiography”.
6. On page 66254,
a. First column, after the 1st full paragraph, the title of item 2, lines 3 and 4, the phrase “(CPT codes 17311 Through 17315)” is corrected to read “(CPT codes 17311 and 17313)”.Start Printed Page 2569
b. Second column, the 2nd full paragraph,
(1) Line 6, the phrase “17311 through 17315” is corrected to read “17311 and 17313”.
(2) Line 11, following the phrase “created in 2007.” insert the sentence “(Note: CPT codes 17312, 17314, and 17315 are not subject to the multiple surgery payment reduction because they are add-on codes.)”
7. On page 66262, 3rd column, 3rd full paragraph, lines 32 through 35, the Web site reference to “http://www.cmsm.hhs.gov/CompetitiveAcquisforBios/15____Approved____Vendor.asp#TopOfPage” is corrected to read “http://www.cms.hhs.gov/CompetitiveAcquisforBios/15____Approved____Vendor.asp#TopOfPage.”
8. On page 66263, 1st column, 1st partial paragraph, lines 20 and 21, the Web site reference to “http://www.cms.hhs.gov/manuals/downloads/pim83co2pdf” is corrected to read “http://www.cms.hhs.gov/Manuals/01_Overview.asp.”
9. On page 66268, 1st column, the last paragraph, line 1, the phrase “section 1847B((b)(4)(E)” is corrected to read “section 1847B(b)(4)(E)”.
10. On page 66270, 2nd column, 1st full paragraph, line 1, the phrase “commercially-available” is corrected to read “commercially available”.
11. On page 66273, 3rd column, 1st full paragraph, lines 14 and 15, the Web site reference to “http://www.grants.nih.gov/grants/guide/rfa-files/FRA-HS-06-001.html” is corrected to read “http://www.grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-001.html.”
12. On page 66276, 3rd column, 3rd full paragraph, lines 10 through 13, the sentence “It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action” is corrected by deleting the sentence.
13. On page 66285, 3rd column, 1st partial paragraph, line 3, the term “Administrator” is corrected to “Administrative”.
14. On page 66287, 1st column, 5th full paragraph, line 6, the phrase “by noting that term” is corrected to read “by noting that the term”.
15. On page 66291, 1st column, 2nd paragraph, line 14, the phrase “procedure to another Medicare-enrolled” is corrected to read “procedure from another Medicare-enrolled”.
16. On page 66292, 3rd column, 2nd paragraph,
a. Line 6, the phrase “a fixed-base IDTF does not-” is corrected to read “a fixed-base IDTF is prohibited from—”.
b. Line 7 (1st bullet), the term “Share” is corrected to read “Sharing.”
c. Line 10 (2nd bullet), the phrase “Lease or sublease” is corrected to read “Leasing or subleasing.”
d. Line 14 (3rd bullet), the term “Share” is corrected to read “Sharing.”
17. On page 66301, 3rd column, 1st partial paragraph, lines 3 and 4, the phrase “and should not be referring” is corrected to read “and should not be understood to refer”.
18. In Table 16, “AMA RUC and HCPAC Recommendations and CMS' Decisions for New and Revised 2008 CPT Codes”, in the second column labeled “Mod”, the “26” following CPT code 93503 is removed.
19. On page 66372, 3rd column, 1st partial paragraph, line 1, the reference to “Addendum x” is corrected to read “Addendum I.”
20. On pages 66372 and 66373, Table 19, Additions to the Physician Self-Referral List of CPT/HCPCS Codes, the table is corrected by—
a. Deleting the following entries:
(1) Under the heading “Radiology and Certain Other Imaging Services”,
Radiology and Certain Other Imaging Services 75558 Cardiac mri flow/velocity. 75560 Cardiac mri flow/vel/stress. 75562 Card mri flow/vel w/dye. 75564 Ht mri w/flow/vel/strs & dye. (2). Under the heading “Radiation Therapy Services and Supplies”,
Radiation Therapy Services and Supplies C2637 Brachytx, Ytterbium-169 b. Correcting the following entries:
C1716 Brachytx, non-str, Gold-198. C1717 Brachytx, non-str, HDR Ir-192. C1719 Brachytx, NS, Non-HDRIr-192. C2616 Brachytx, non-str, Yttrium-90. C2634 Brachytx, non-str, HA, I-125. C2635 Brachytx, non-str, HA, P-103. C2636 Brachy linear, non-str, P-103. C2640 Brachytx, stranded, P-103. C2641 Brachytx, non-stranded, P-103. 21. On page 66383, Table 35, Calculation for the 2008 Anesthesia Conversion Factor,
a. Third row (2007 Combined Adjustment for PE and BN), 2nd column, the figure “0.9089” is corrected to read “0.911”.
b. Fourth row (CY 2007 Pre-TRHCA Anesthesia Conversion Factor), 2nd column, the figure “$15.3328” is corrected to read “$15.3682”.
c. Seventh row (CY 2008 Anesthesia CF after MEI and 2008 Adjustment Factor), 2nd column, the figure “$14.5162” is corrected to read “$14.5497”.
d. Eighth row (2008 Combined Adjustment for PE and BN), 2nd column, the figure “1.1250” is corrected to read “1.2277”.
e. Ninth row (CY 2008 Anesthesia Conversion Factor), 2nd column, the figure “16.3307” is corrected to read “$17.8627”.
22. On page 66391, Table 39, Combined CY 2008 Total Allowed Charge Impact for the Remaining 5-Year Review of Work RVUs and Practice Expense Changes, OPPS Imagining Cap, and the CY 2008 Update, the 1st footnote “*PE changes are CY 2008 second year transition changes. For fully implemented CY 2010 PE changes see Table 1.” is corrected to read “*PE changes are CY 2008 second year transition changes. For fully implemented CY 2010 PE changes see Table 38.”
23. On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change are corrected to read as follows:
Table 40.—Impact of Final Rule With Comment Period and Physician Update on 2008 Payment for Selected Procedures
CPT/HCPCS MOD Description Facility Non-facility 2007 2008 Percent change 2007 2008 Percent change 11721 Debride nail, 6 or more $28.80 $24.53 −15 $39.03 $35.43 −9 17000 Destruct premalg lesion 44.72 41.56 −7 63.29 60.30 −5 27130 Total hip arthroplasty 1,360.52 1,195.11 −12 na na na 27244 Treat thigh fracture 1,100.92 963.45 −12 na na na Start Printed Page 2570 27447 Total knee arthroplasty 1,464.74 1,283.69 −12 na na na 33533 CABG, arterial, single 1,908.52 1,659.12 −13 na na na 35301 Rechanneling of artery 1,071.74 934.83 −13 na na na 43239 Upper GI endoscopy, biopsy 155.00 140.36 −9 325.16 294.35 −9 66821 After cataract laser surgery 253.53 223.15 −12 270.97 238.14 −12 66984 Cataract surg w/iol, 1 stage 641.98 560.08 −13 na na na 67210 Treatment of retinal lesion 556.34 488.20 −12 580.59 507.96 −13 71010 Chest x-ray na na na 26.15 22.83 −13 71010 26 Chest x-ray 8.72 7.84 −10 8.72 7.84 −10 77056 Mammogram, both breasts na na na 97.40 93.69 −4 77056 26 Mammogram, both breasts 41.31 37.48 −9 41.31 37.48 −9 77057 Mammogram, screening na na na 81.86 73.93 −10 77057 26 Mammogram, screening 33.35 30.32 −9 33.35 30.32 −9 77427 Radiation tx management, x5 176.22 158.42 −10 176.22 158.42 −10 78465 26 Heart image (3d), multiple 73.14 66.43 −9 73.14 66.43 −9 88305 26 Tissue exam by pathologist 37.90 32.36 −15 37.90 32.36 −15 90801 Psy dx interview 129.99 112.08 −14 145.15 131.50 −9 90862 Medication management 44.72 39.18 −12 50.40 46.67 −7 90935 Hemodialysis, one evaluation 67.46 58.26 −14 na na na 92012 Eye exam established pat 34.11 38.50 13 61.77 62.69 1 92014 Eye exam & treatment 55.71 59.28 6 91.33 90.96 0 92980 Insert intracoronary stent 795.85 721.22 −9 na na na 93000 Electrocardiogram, complete 24.63 20.78 −16 24.63 20.78 −16 93010 Electrocardiogram report 8.34 7.50 −10 8.34 7.50 −10 93015 Cardiovascular stress test 104.22 93.01 −11 104.22 93.01 −11 93307 26 Echo exam of heart 46.99 42.24 −10 46.99 42.24 −10 93510 26 Left heart catheterization 242.92 215.65 −11 242.92 215.65 −11 98941 Chiropractic manipulation 28.80 25.55 −11 33.35 29.64 −11 99203 Office/outpatient visit, new 67.08 58.60 −13 91.71 81.42 −11 99213 Office/outpatient visit, est 42.07 37.48 −11 59.50 53.49 −10 99214 Office/outpatient visit, est 66.32 58.60 −12 90.20 80.40 −11 99222 Initial hospital care 119.00 104.59 −12 na na na 99223 Initial hospital care 173.57 153.65 −11 na na na 99231 Subsequent hospital care 35.62 31.68 −11 na na na 99232 Subsequent hospital care 63.67 56.55 −11 na na na 99233 Subsequent hospital care 90.95 81.08 −11 na na na 99236 Observ/hosp same date 205.40 179.20 −13 na na na 99239 Hospital discharge day 94.74 83.13 −12 na na na 99243 Office consultation 93.23 83.13 −11 122.41 109.36 −11 99244 Office consultation 145.91 130.14 −11 179.26 160.12 −11 99253 Inpatient consultation 108.77 97.09 −11 na na na 99254 Inpatient consultation 156.52 140.02 −11 na na na 99283 Emergency dept visit 60.64 52.81 −13 na na na 99284 Emergency dept visit 110.28 97.44 −12 na na na 99291 Critical care, first hour 208.82 182.61 −13 256.19 224.51 −12 99292 Critical care, add'l 30 min 104.60 91.64 −12 114.45 100.16 −12 99348 Home visit, est patient na na na 66.32 68.14 3 99350 Home visit, est patient na na na 150.83 139.34 −8 G0008 Admin influenza virus vac na na na 18.95 18.40 −3 G0317 ESRD related svs 4+mo 20+yrs 283.09 245.63 −13 283.09 245.63 −13 23. On page 66393,
a. First column, after the 2nd full paragraph, the following paragraph is inserted as a result of corrections to Addendum D noted below in this notice. The insertion reads as follows:
“In 2008, the counties with the three highest GAFs were in California. Thirty-one payment localities had increases in the GAF of less than one percent. Thirty-eight payment localities had decreases of less than 1 percent. Fifteen payment localities had decreases of over 1 percent and eight payment localities had increases of over 1 percent.”
b. First column, the 3rd full paragraph and 4th partial paragraph are deleted as a result of corrections to Addendum D noted below in this notice.
c. Second column, the 1st partial paragraph is deleted as a result of corrections to Addendum D noted below in this notice.
B. Corrections to the Addenda
The corrections to Addenda B, C, D, E, F, and I will not appear in the Code of Federal Regulations.
1. On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, the table is corrected to read as follows:
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—————————— 1 CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.Addendum B.—Relative Value Units and Related Information Used in Determining Medicare Payments for 2008; Corrected
CPT1/ HCPCS Mod Status Description Physician work RVUs2 Fully Implemented non-facility PE RVUs2 Year 2008 transitional non-facility PE RVUs2 Fully implemented facility PE RVUs2 Year 2008 transitional facility PE RVUs2 Mal-practice RVUs2 Global 0016T C Thermotx choroid vasc lesion 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0017T C Photocoagulat macular drusen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0019T C Extracorp shock wv tx,ms nos 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0026T C Measure remnant lipoproteins 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0027T C Endoscopic epidural lysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0028T C Dexa body composition study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0029T C Magnetic tx for incontinence 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0030T C Antiprothrombin antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0031T C Speculoscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0032T C Speculoscopy w/direct sample 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0041T C Detect ur infect agnt w/cpas 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0042T C Ct perfusion w/contrast, cbf 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0043T C Co expired gas analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0046T C Cath lavage, mammary duct(s) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0047T C Cath lavage, mammary duct(s) 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0048T C Implant ventricular device 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0049T C External circulation assist 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0050T C Removal circulation assist 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0051T C Implant total heart system 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0052T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0053T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0058T C Cryopreservation, ovary tiss 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0059T C Cryopreservation, oocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0060T C Electrical impedance scan 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0061T C Destruction of tumor, breast 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0062T C Rep intradisc annulus;1 lev 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0063T C Rep intradisc annulus;>1lev 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0064T C Spectroscop eval expired gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0066T N Ct colonography;screen 0.00 0.00 0.00 NA NA 0.00 XXX 0066T TC N Ct colonography;screen 0.00 0.00 0.00 NA NA 0.00 XXX 0066T 26 N Ct colonography;screen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0067T C Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX 0067T TC C Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX 0067T 26 C Ct colonography;dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0068T C Interp/rept heart sound 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0069T C Analysis only heart sound 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0070T C Interp only heart sound 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0071T C U/s leiomyomata ablate <200 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0072T C U/s leiomyomata ablate >200 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0073T A Delivery, comp imrt 0.00 13.17 15.60 NA NA 0.13 XXX 0075T C Perq stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0075T TC C Perq stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0075T 26 C Perq stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0076T C S&i stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0076T TC C S&i stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0076T 26 C S&i stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0077T C Cereb therm perfusion probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0078T C Endovasc aort repr w/device 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0079T C Endovasc visc extnsn repr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0080T C Endovasc aort repr rad s&i 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0081T C Endovasc visc extnsn s&i 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0084T C Temp prostate urethral stent 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0085T C Breath test heart reject 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0086T C L ventricle fill pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0087T C Sperm eval hyaluronan 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0088T C Rf tongue base vol reduxn 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0089T C Actigraphy testing, 3-day 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0090T C Cervical artific disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0092T C Artific disc addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0093T C Cervical artific diskectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0095T C Artific diskectomy addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0096T C Rev cervical artific disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0098T C Rev artific disc addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0099T C Implant corneal ring 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0100T C Prosth retina receive&gen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0101T C Extracorp shockwv tx,hi enrg 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0102T C Extracorp shockwv tx,anesth 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0103T C Holotranscobalamin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0104T C At rest cardio gas rebreathe 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0105T C Exerc cardio gas rebreathe 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0106T C Touch quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0107T C Vibrate quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0108T C Cool quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 2572 0109T C Heat quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0110T C Nos quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0111T C Rbc membranes fatty acids 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0123T C Scleral fistulization 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0124T C Conjunctival drug placement 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0126T C Chd risk imt study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0130T C Chron care drug investigatn 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0137T C Prostate saturation sampling 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0140T C Exhaled breath condensate ph 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0141T I Perq islet transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0142T I Open islet transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0143T I Laparoscopic islet transplnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0144T C CT heart wo dye; qual calc 0.00 0.00 0.00 NA NA 0.00 XXX 0144T TC C CT heart wo dye; qual calc 0.00 0.00 0.00 NA NA 0.00 XXX 0144T 26 C CT heart wo dye; qual calc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0145T C CT heart w/wo dye funct 0.00 0.00 0.00 NA NA 0.00 XXX 0145T TC C CT heart w/wo dye funct 0.00 0.00 0.00 NA NA 0.00 XXX 0145T 26 C CT heart w/wo dye funct 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0146T C CCTA w/wo dye 0.00 0.00 0.00 NA NA 0.00 XXX 0146T TC C CCTA w/wo dye 0.00 0.00 0.00 NA NA 0.00 XXX 0146T 26 C CCTA w/wo dye 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0147T C CCTA w/wo, quan calcium 0.00 0.00 0.00 NA NA 0.00 XXX 0147T TC C CCTA w/wo, quan calcium 0.00 0.00 0.00 NA NA 0.00 XXX 0147T 26 C CCTA w/wo, quan calcium 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0148T C CCTA w/wo, strxr 0.00 0.00 0.00 NA NA 0.00 XXX 0148T TC C CCTA w/wo, strxr 0.00 0.00 0.00 NA NA 0.00 XXX 0148T 26 C CCTA w/wo, strxr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0149T C CCTA w/wo, strxr quan calc 0.00 0.00 0.00 NA NA 0.00 XXX 0149T TC C CCTA w/wo, strxr quan calc 0.00 0.00 0.00 NA NA 0.00 XXX 0149T 26 C CCTA w/wo, strxr quan calc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0150T C CCTA w/wo, disease strxr 0.00 0.00 0.00 NA NA 0.00 XXX 0150T TC C CCTA w/wo, disease strxr 0.00 0.00 0.00 NA NA 0.00 XXX 0150T 26 C CCTA w/wo, disease strxr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0151T C CT heart funct add-on 0.00 0.00 0.00 NA NA 0.00 XXX 0151T TC C CT heart funct add-on 0.00 0.00 0.00 NA NA 0.00 XXX 0151T 26 C CT heart funct add-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0155T C Lap impl gast curve electrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0156T C Lap remv gast curve electrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0157T C Open impl gast curve electrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0158T C Open remv gast curve electrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0159T C Cad breast mri 0.00 0.00 0.00 NA NA 0.00 ZZZ 0159T TC C Cad breast mri 0.00 0.00 0.00 NA NA 0.00 ZZZ 0159T 26 C Cad breast mri 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 0160T C Tcranial magn stim tx plan 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0161T C Tcranial magn stim tx deliv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0162T C Anal program gast neurostim 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0163T C Lumb artif diskectomy addl 0.00 0.00 0.00 0.00 0.00 0.00 YYY 0164T C Remove lumb artif disc addl 0.00 0.00 0.00 0.00 0.00 0.00 YYY 0165T C Revise lumb artif disc addl 0.00 0.00 0.00 0.00 0.00 0.00 YYY 0166T C Tcath vsd close w/o bypass 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0167T C Tcath vsd close w bypass 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0168T C Rhinophototx light app bilat 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0169T C Place stereo cath brain 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0170T C Anorectal fistula plug rpr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0171T C Lumbar spine proces distract 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0172T C Lumbar spine process addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0173T C Iop monit io pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0174T C Cad cxr with interp 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0175T C Cad cxr remote 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0176T C Aqu canal dilat w/o retent 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0177T C Aqu canal dilat w retent 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0178T C 64 lead ecg w i&r 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0179T C 64 lead ecg w tracing 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0180T C 64 lead ecg w i&r only 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0181T C Corneal hysteresis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0182T C Hdr elect brachytherapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0183T C Wound ultrasound 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0184T C Exc rectal tumor endoscopic 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0185T C Comptr probability analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0186T C Suprachoroidal drug delivery 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0187T C Ophthalmic dx image anterior 0.00 0.00 0.00 0.00 0.00 0.00 XXX 10021 A Fna w/o image 1.27 2.18 2.17 0.37 0.46 0.10 XXX Start Printed Page 2573 10022 A Fna w/image 1.27 2.15 2.35 0.41 0.41 0.08 XXX 10040 A Acne surgery 1.19 1.33 1.17 0.98 0.88 0.05 010 10060 A Drainage of skin abscess 1.19 1.51 1.36 1.08 1.01 0.12 010 10061 A Drainage of skin abscess 2.42 2.07 1.95 1.51 1.50 0.26 010 10080 A Drainage of pilonidal cyst 1.19 2.68 2.89 1.10 1.11 0.11 010 10081 A Drainage of pilonidal cyst 2.47 3.49 3.78 1.45 1.47 0.24 010 10120 A Remove foreign body 1.23 1.95 2.06 0.94 0.96 0.12 010 10121 A Remove foreign body 2.71 3.51 3.51 1.65 1.72 0.33 010 10140 A Drainage of hematoma/fluid 1.55 2.26 2.02 1.29 1.29 0.19 010 10160 A Puncture drainage of lesion 1.22 1.85 1.72 1.08 1.08 0.14 010 10180 A Complex drainage, wound 2.27 3.25 3.12 1.80 1.89 0.35 010 11000 A Debride infected skin 0.60 0.72 0.65 0.16 0.19 0.07 000 11001 A Debride infected skin add-on 0.30 0.23 0.23 0.08 0.10 0.04 ZZZ 11004 A Debride genitalia & perineum 10.80 NA NA 3.21 3.55 0.67 000 11005 A Debride abdom wall 14.24 NA NA 3.78 4.67 0.96 000 11006 A Debride genit/per/abdom wall 13.10 NA NA 3.96 4.40 1.28 000 11008 A Remove mesh from abd wall 5.00 NA NA 1.29 1.66 0.61 ZZZ 11010 A Debride skin, fx 4.19 6.81 6.84 2.34 2.48 0.66 010 11011 A Debride skin/muscle, fx 4.94 7.04 7.60 2.01 2.18 0.74 000 11012 A Debride skin/muscle/bone, fx 6.87 9.01 10.56 3.11 3.47 1.16 000 11040 A Debride skin, partial 0.50 0.68 0.60 0.16 0.18 0.06 000 11041 A Debride skin, full 0.60 0.72 0.69 0.19 0.26 0.10 000 11042 A Debride skin/tissue 0.80 0.95 0.96 0.24 0.34 0.13 000 11043 A Debride tissue/muscle 3.04 3.51 3.44 2.60 2.60 0.32 010 11044 A Debride tissue/muscle/bone 4.11 4.84 4.65 3.58 3.67 0.43 010 11055 R Trim skin lesion 0.43 0.81 0.68 0.11 0.14 0.05 000 11056 R Trim skin lesions, 2 to 4 0.61 0.88 0.76 0.16 0.19 0.07 000 11057 R Trim skin lesions, over 4 0.79 0.99 0.86 0.20 0.25 0.10 000 11100 A Biopsy, skin lesion 0.81 1.88 1.56 0.38 0.38 0.03 000 11101 A Biopsy, skin add-on 0.41 0.41 0.37 0.20 0.19 0.02 ZZZ 11200 A Removal of skin tags 0.79 1.23 1.13 0.90 0.83 0.04 010 11201 A Remove skin tags add-on 0.29 0.16 0.16 0.11 0.12 0.02 ZZZ 11300 A Shave skin lesion 0.51 1.19 1.09 0.21 0.21 0.03 000 11301 A Shave skin lesion 0.85 1.51 1.31 0.38 0.38 0.04 000 11302 A Shave skin lesion 1.05 1.76 1.53 0.48 0.47 0.05 000 11303 A Shave skin lesion 1.24 2.03 1.81 0.55 0.54 0.07 000 11305 A Shave skin lesion 0.67 1.07 0.96 0.20 0.24 0.07 000 11306 A Shave skin lesion 0.99 1.43 1.26 0.38 0.40 0.07 000 11307 A Shave skin lesion 1.14 1.70 1.49 0.47 0.48 0.07 000 11308 A Shave skin lesion 1.41 1.71 1.58 0.49 0.54 0.13 000 11310 A Shave skin lesion 0.73 1.38 1.25 0.31 0.32 0.04 000 11311 A Shave skin lesion 1.05 1.64 1.43 0.48 0.48 0.05 000 11312 A Shave skin lesion 1.20 1.92 1.67 0.56 0.55 0.06 000 11313 A Shave skin lesion 1.62 2.19 2.00 0.73 0.72 0.10 000 11400 A Exc tr-ext b9+marg 0.5 < cm 0.87 1.88 1.94 0.93 0.91 0.06 010 11401 A Exc tr-ext b9+marg 0.6-1 cm 1.25 2.19 2.12 1.15 1.09 0.10 010 11402 A Exc tr-ext b9+marg 1.1-2 cm 1.42 2.40 2.31 1.21 1.14 0.13 010 11403 A Exc tr-ext b9+marg 2.1-3 cm 1.81 2.56 2.48 1.57 1.44 0.17 010 11404 A Exc tr-ext b9+marg 3.1-4 cm 2.08 2.86 2.78 1.63 1.51 0.21 010 11406 A Exc tr-ext b9+marg > 4.0 cm 3.47 3.54 3.30 2.10 1.87 0.32 010 11420 A Exc h-f-nk-sp b9+marg 0.5 < 1.00 1.83 1.80 0.93 0.93 0.09 010 11421 A Exc h-f-nk-sp b9+marg 0.6-1 1.44 2.22 2.14 1.16 1.14 0.13 010 11422 A Exc h-f-nk-sp b9+marg 1.1-2 1.65 2.44 2.35 1.53 1.43 0.16 010 11423 A Exc h-f-nk-sp b9+marg 2.1-3 2.03 2.67 2.63 1.66 1.55 0.20 010 11424 A Exc h-f-nk-sp b9+marg 3.1-4 2.45 2.97 2.89 1.77 1.69 0.25 010 11426 A Exc h-f-nk-sp b9+marg > 4 cm 4.04 3.59 3.54 2.31 2.21 0.44 010 11440 A Exc face-mm b9+marg 0.5 < cm 1.02 2.00 2.10 1.31 1.31 0.08 010 11441 A Exc face-mm b9+marg 0.6-1 cm 1.50 2.38 2.36 1.55 1.52 0.13 010 11442 A Exc face-mm b9+marg 1.1-2 cm 1.74 2.65 2.59 1.66 1.61 0.16 010 11443 A Exc face-mm b9+marg 2.1-3 cm 2.31 2.89 2.90 1.84 1.83 0.22 010 11444 A Exc face-mm b9+marg 3.1-4 cm 3.16 3.32 3.40 2.10 2.14 0.30 010 11446 A Exc face-mm b9+marg > 4 cm 4.75 4.10 4.07 2.68 2.73 0.43 010 11450 A Removal, sweat gland lesion 3.14 5.13 5.08 2.41 2.22 0.34 090 11451 A Removal, sweat gland lesion 4.35 6.38 6.49 2.91 2.73 0.53 090 11462 A Removal, sweat gland lesion 2.92 5.33 5.22 2.47 2.24 0.32 090 11463 A Removal, sweat gland lesion 4.35 6.53 6.68 2.94 2.81 0.54 090 11470 A Removal, sweat gland lesion 3.66 5.47 5.27 2.63 2.45 0.40 090 11471 A Removal, sweat gland lesion 4.81 6.51 6.61 3.01 2.89 0.58 090 11600 A Exc tr-ext mlg+marg 0.5 < cm 1.58 2.74 2.69 1.14 1.05 0.10 010 11601 A Exc tr-ext mlg+marg 0.6-1 cm 2.02 3.44 3.07 1.51 1.36 0.12 010 11602 A Exc tr-ext mlg+marg 1.1-2 cm 2.22 3.85 3.34 1.69 1.47 0.12 010 11603 A Exc tr-ext mlg+marg 2.1-3 cm 2.77 4.05 3.56 1.87 1.60 0.16 010 Start Printed Page 2574 11604 A Exc tr-ext mlg+marg 3.1-4 cm 3.12 4.34 3.86 1.93 1.66 0.20 010 11606 A Exc tr-ext mlg+marg > 4 cm 4.97 5.50 4.78 2.46 2.10 0.36 010 11620 A Exc h-f-nk-sp mlg+marg 0.5 < 1.59 2.85 2.72 1.19 1.07 0.09 010 11621 A Exc h-f-nk-sp mlg+marg 0.6-1 2.03 3.51 3.10 1.54 1.39 0.12 010 11622 A Exc h-f-nk-sp mlg+marg 1.1-2 2.36 3.90 3.43 1.75 1.57 0.14 010 11623 A Exc h-f-nk-sp mlg+marg 2.1-3 3.06 4.12 3.73 1.95 1.77 0.20 010 11624 A Exc h-f-nk-sp mlg+marg 3.1-4 3.57 4.43 4.09 2.08 1.93 0.27 010 11626 A Exc h-f-nk-sp mlg+mar > 4 cm 4.56 4.96 4.80 2.33 2.36 0.45 010 11640 A Exc face-mm malig+marg 0.5 < 1.62 3.06 2.86 1.29 1.20 0.11 010 11641 A Exc face-mm malig+marg 0.6-1 2.12 3.64 3.33 1.61 1.57 0.16 010 11642 A Exc face-mm malig+marg 1.1-2 2.57 4.04 3.72 1.84 1.78 0.19 010 11643 A Exc face-mm malig+marg 2.1-3 3.37 4.28 4.04 2.11 2.04 0.26 010 11644 A Exc face-mm malig+marg 3.1-4 4.29 5.07 4.88 2.47 2.46 0.37 010 11646 A Exc face-mm mlg+marg > 4 cm 6.21 5.91 5.83 3.14 3.30 0.61 010 11719 R Trim nail(s) 0.17 0.38 0.31 0.04 0.06 0.02 000 11720 A Debride nail, 1-5 0.32 0.47 0.40 0.08 0.10 0.04 000 11721 A Debride nail, 6 or more 0.54 0.55 0.49 0.14 0.17 0.07 000 11730 A Removal of nail plate 1.10 1.33 1.18 0.28 0.36 0.14 000 11732 A Remove nail plate, add-on 0.57 0.55 0.49 0.15 0.18 0.07 ZZZ 11740 A Drain blood from under nail 0.37 0.80 0.67 0.43 0.39 0.04 000 11750 A Removal of nail bed 2.40 2.96 2.56 1.88 1.82 0.22 010 11752 A Remove nail bed/finger tip 3.48 4.06 3.53 2.78 2.88 0.35 010 11755 A Biopsy, nail unit 1.31 2.03 1.80 0.76 0.76 0.14 000 11760 A Repair of nail bed 1.60 3.40 3.01 1.43 1.61 0.21 010 11762 A Reconstruction of nail bed 2.91 3.70 3.29 1.68 2.01 0.36 010 11765 A Excision of nail fold, toe 0.71 2.67 2.23 1.01 0.88 0.08 010 11770 A Removal of pilonidal lesion 2.63 3.46 3.47 1.52 1.51 0.33 010 11771 A Removal of pilonidal lesion 5.98 6.64 6.14 3.69 3.50 0.74 090 11772 A Removal of pilonidal lesion 7.23 8.04 7.77 5.56 5.31 0.89 090 11900 A Injection into skin lesions 0.52 0.92 0.78 0.25 0.23 0.02 000 11901 A Added skin lesions injection 0.80 1.01 0.83 0.39 0.37 0.03 000 11920 R Correct skin color defects 1.61 2.35 3.02 1.09 1.09 0.24 000 11921 R Correct skin color defects 1.93 2.66 3.31 1.26 1.26 0.29 000 11922 R Correct skin color defects 0.49 0.92 1.03 0.22 0.24 0.07 ZZZ 11950 R Therapy for contour defects 0.84 0.88 1.01 0.36 0.37 0.06 000 11951 R Therapy for contour defects 1.19 0.90 1.20 0.36 0.43 0.11 000 11952 R Therapy for contour defects 1.69 1.63 1.74 0.77 0.72 0.16 000 11954 R Therapy for contour defects 1.85 1.79 2.12 0.77 0.83 0.25 000 11960 A Insert tissue expander(s) 11.01 NA NA 10.58 10.49 1.31 090 11970 A Replace tissue expander 7.86 NA NA 6.17 6.15 1.05 090 11971 A Remove tissue expander(s) 3.21 7.40 8.26 4.02 3.91 0.32 090 11975 N Insert contraceptive cap 1.48 1.54 1.48 0.34 0.45 0.17 XXX 11976 R Removal of contraceptive cap 1.78 1.73 1.72 0.48 0.58 0.21 000 11977 N Removal/reinsert contra cap 3.30 1.98 2.13 0.76 1.01 0.37 XXX 11980 A Implant hormone pellet(s) 1.48 1.07 1.08 0.49 0.51 0.13 000 11981 A Insert drug implant device 1.48 1.90 1.80 0.58 0.63 0.12 XXX 11982 A Remove drug implant device 1.78 2.02 1.98 0.70 0.76 0.17 XXX 11983 A Remove/insert drug implant 3.30 2.64 2.46 1.32 1.39 0.23 XXX 12001 A Repair superficial wound(s) 1.72 1.73 1.86 0.73 0.75 0.15 010 12002 A Repair superficial wound(s) 1.88 1.80 1.92 0.84 0.87 0.17 010 12004 A Repair superficial wound(s) 2.26 2.08 2.20 0.92 0.97 0.21 010 12005 A Repair superficial wound(s) 2.88 2.52 2.67 1.06 1.13 0.27 010 12006 A Repair superficial wound(s) 3.68 3.06 3.23 1.30 1.40 0.35 010 12007 A Repair superficial wound(s) 4.13 3.36 3.59 1.46 1.64 0.45 010 12011 A Repair superficial wound(s) 1.78 1.91 2.02 0.76 0.77 0.16 010 12013 A Repair superficial wound(s) 2.01 2.07 2.17 0.89 0.91 0.18 010 12014 A Repair superficial wound(s) 2.48 2.29 2.43 0.98 1.02 0.23 010 12015 A Repair superficial wound(s) 3.21 2.79 2.96 1.12 1.18 0.29 010 12016 A Repair superficial wound(s) 3.94 3.17 3.36 1.28 1.40 0.37 010 12017 A Repair superficial wound(s) 4.72 NA NA 1.52 1.71 0.47 010 12018 A Repair superficial wound(s) 5.54 NA NA 1.92 2.09 0.64 010 12020 A Closure of split wound 2.64 3.69 3.76 1.75 1.84 0.30 010 12021 A Closure of split wound 1.86 1.85 1.84 1.33 1.37 0.24 010 12031 A Layer closure of wound(s) 2.17 3.90 3.09 1.77 1.37 0.17 010 12032 A Layer closure of wound(s) 2.49 5.22 4.53 2.28 2.04 0.16 010 12034 A Layer closure of wound(s) 2.94 4.61 3.90 2.00 1.72 0.25 010 12035 A Layer closure of wound(s) 3.44 5.30 5.25 2.11 2.13 0.39 010 12036 A Layer closure of wound(s) 4.06 5.41 5.48 2.23 2.39 0.55 010 12037 A Layer closure of wound(s) 4.68 5.99 6.04 2.63 2.80 0.66 010 12041 A Layer closure of wound(s) 2.39 3.87 3.21 1.78 1.45 0.19 010 12042 A Layer closure of wound(s) 2.76 4.50 3.88 2.13 1.79 0.17 010 12044 A Layer closure of wound(s) 3.16 5.41 4.31 1.95 1.77 0.27 010 Start Printed Page 2575 12045 A Layer closure of wound(s) 3.65 5.03 5.15 2.06 2.17 0.41 010 12046 A Layer closure of wound(s) 4.26 5.66 6.08 2.29 2.52 0.54 010 12047 A Layer closure of wound(s) 4.66 6.50 6.42 2.66 2.87 0.58 010 12051 A Layer closure of wound(s) 2.49 4.11 3.69 1.92 1.69 0.20 010 12052 A Layer closure of wound(s) 2.81 4.87 4.04 2.56 2.00 0.17 010 12053 A Layer closure of wound(s) 3.14 5.39 4.32 2.13 1.83 0.23 010 12054 A Layer closure of wound(s) 3.47 5.43 4.50 2.06 1.84 0.30 010 12055 A Layer closure of wound(s) 4.44 6.01 5.25 2.09 2.11 0.45 010 12056 A Layer closure of wound(s) 5.25 6.57 6.66 2.58 2.82 0.59 010 12057 A Layer closure of wound(s) 5.97 7.76 6.95 2.93 3.34 0.56 010 13100 A Repair of wound or lesion 3.14 4.42 4.24 2.47 2.39 0.26 010 13101 A Repair of wound or lesion 3.93 5.95 5.30 2.97 2.83 0.26 010 13102 A Repair wound/lesion add-on 1.24 1.35 1.26 0.53 0.55 0.13 ZZZ 13120 A Repair of wound or lesion 3.32 4.58 4.36 2.58 2.46 0.26 010 13121 A Repair of wound or lesion 4.36 6.72 5.78 3.64 3.22 0.25 010 13122 A Repair wound/lesion add-on 1.44 1.37 1.44 0.58 0.60 0.15 ZZZ 13131 A Repair of wound or lesion 3.80 5.01 4.69 2.88 2.78 0.26 010 13132 A Repair of wound or lesion 6.48 7.89 6.90 4.96 4.56 0.32 010 13133 A Repair wound/lesion add-on 2.19 1.88 1.77 0.98 1.00 0.18 ZZZ 13150 A Repair of wound or lesion 3.82 4.72 4.80 2.72 2.74 0.34 010 13151 A Repair of wound or lesion 4.46 5.52 5.16 3.22 3.18 0.31 010 13152 A Repair of wound or lesion 6.34 7.54 6.79 3.92 3.98 0.40 010 13153 A Repair wound/lesion add-on 2.38 2.05 1.99 1.03 1.08 0.24 ZZZ 13160 A Late closure of wound 11.84 NA NA 7.02 7.09 1.54 090 14000 A Skin tissue rearrangement 6.83 8.95 8.40 6.04 5.76 0.59 090 14001 A Skin tissue rearrangement 9.60 11.02 10.22 7.49 7.28 0.82 090 14020 A Skin tissue rearrangement 7.66 10.04 9.32 6.89 6.71 0.64 090 14021 A Skin tissue rearrangement 11.18 12.47 11.23 8.66 8.47 0.81 090 14040 A Skin tissue rearrangement 8.44 10.20 9.50 6.99 7.10 0.62 090 14041 A Skin tissue rearrangement 12.67 13.58 12.09 9.35 9.01 0.73 090 14060 A Skin tissue rearrangement 9.07 9.69 9.24 7.18 7.31 0.68 090 14061 A Skin tissue rearrangement 13.67 14.84 13.22 10.18 9.84 0.76 090 14300 A Skin tissue rearrangement 13.26 13.53 12.33 9.45 9.31 1.16 090 14350 A Skin tissue rearrangement 10.82 NA NA 6.90 7.02 1.34 090 15002 A Wnd prep, ch/inf, trk/arm/lg 3.65 4.22 4.22 1.69 1.69 0.49 000 15003 A Wnd prep, ch/inf addl 100 cm 0.80 0.90 0.90 0.26 0.26 0.11 ZZZ 15004 A Wnd prep ch/inf, f/n/hf/g 4.58 4.88 4.88 2.02 2.02 0.62 000 15005 A Wnd prep, f/n/hf/g, addl cm 1.60 1.24 1.24 0.53 0.53 0.22 ZZZ 15040 A Harvest cultured skin graft 2.00 3.94 4.25 1.05 1.09 0.24 000 15050 A Skin pinch graft 5.37 7.63 7.27 5.01 5.06 0.57 090 15100 A Skin splt grft, trnk/arm/leg 9.74 9.77 11.18 6.68 7.25 1.28 090 15101 A Skin splt grft t/a/l, add-on 1.72 2.47 3.10 0.85 1.01 0.24 ZZZ 15110 A Epidrm autogrft trnk/arm/leg 10.88 8.75 9.71 6.36 6.68 1.31 090 15111 A Epidrm autogrft t/a/l add-on 1.85 0.87 1.08 0.62 0.70 0.26 ZZZ 15115 A Epidrm a-grft face/nck/hf/g 11.19 9.23 9.23 6.74 7.05 1.15 090 15116 A Epidrm a-grft f/n/hf/g addl 2.50 1.19 1.39 0.86 0.99 0.33 ZZZ 15120 A Skn splt a-grft fac/nck/hf/g 10.96 11.35 11.04 7.45 7.62 1.16 090 15121 A Skn splt a-grft f/n/hf/g add 2.67 3.44 3.97 1.29 1.57 0.36 ZZZ 15130 A Derm autograft, trnk/arm/leg 7.41 7.96 8.91 5.58 5.96 0.97 090 15131 A Derm autograft t/a/l add-on 1.50 0.66 0.86 0.48 0.56 0.21 ZZZ 15135 A Derm autograft face/nck/hf/g 10.91 9.49 9.68 7.05 7.59 1.23 090 15136 A Derm autograft, f/n/hf/g add 1.50 0.66 0.77 0.51 0.59 0.20 ZZZ 15150 A Cult epiderm grft t/arm/leg 9.30 7.05 7.75 5.76 6.10 1.14 090 15151 A Cult epiderm grft t/a/l addl 2.00 0.88 1.09 0.67 0.76 0.28 ZZZ 15152 A Cult epiderm graft t/a/l +% 2.50 1.05 1.30 0.84 0.95 0.35 ZZZ 15155 A Cult epiderm graft, f/n/hf/g 10.05 7.66 7.74 6.31 6.64 1.05 090 15156 A Cult epidrm grft f/n/hfg add 2.75 1.15 1.35 0.94 1.09 0.36 ZZZ 15157 A Cult epiderm grft f/n/hfg +% 3.00 1.34 1.56 1.03 1.19 0.39 ZZZ 15170 A Acell graft trunk/arms/legs 5.99 4.01 3.92 2.60 2.48 0.55 090 15171 A Acell graft t/arm/leg add-on 1.55 0.60 0.64 0.46 0.54 0.19 ZZZ 15175 A Acellular graft, f/n/hf/g 7.99 4.47 4.95 3.15 3.57 0.82 090 15176 A Acell graft, f/n/hf/g add-on 2.45 1.04 1.07 0.79 0.89 0.29 ZZZ 15200 A Skin full graft, trunk 8.97 9.91 9.66 6.35 6.28 0.98 090 15201 A Skin full graft trunk add-on 1.32 2.02 2.29 0.47 0.54 0.19 ZZZ 15220 A Skin full graft sclp/arm/leg 7.95 10.47 9.83 6.70 6.69 0.84 090 15221 A Skin full graft add-on 1.19 2.00 2.16 0.50 0.53 0.16 ZZZ 15240 A Skin full grft face/genit/hf 10.15 12.04 11.12 8.90 8.43 0.92 090 15241 A Skin full graft add-on 1.86 2.54 2.49 0.81 0.86 0.23 ZZZ 15260 A Skin full graft een & lips 11.39 13.02 11.62 9.34 8.96 0.69 090 15261 A Skin full graft add-on 2.23 2.98 2.84 1.16 1.28 0.21 ZZZ 15300 A Apply skinallogrft, t/arm/lg 4.65 3.44 3.32 2.15 2.19 0.49 090 15301 A Apply sknallogrft t/a/l addl 1.00 0.46 0.46 0.32 0.36 0.14 ZZZ Start Printed Page 2576 15320 A Apply skin allogrft f/n/hf/g 5.36 3.78 3.70 2.36 2.45 0.58 090 15321 A Aply sknallogrft f/n/hfg add 1.50 0.69 0.69 0.51 0.55 0.21 ZZZ 15330 A Aply acell alogrft t/arm/leg 3.99 3.50 3.34 2.14 2.18 0.49 090 15331 A Aply acell grft t/a/l add-on 1.00 0.49 0.47 0.36 0.38 0.14 ZZZ 15335 A Apply acell graft, f/n/hf/g 4.50 3.32 3.40 2.01 2.23 0.55 090 15336 A Aply acell grft f/n/hf/g add 1.43 0.74 0.71 0.51 0.54 0.20 ZZZ 15340 A Apply cult skin substitute 3.76 3.69 3.84 2.64 2.70 0.41 010 15341 A Apply cult skin sub add-on 0.50 0.64 0.62 0.13 0.17 0.06 ZZZ 15360 A Apply cult derm sub, t/a/l 3.93 4.85 4.66 3.54 3.31 0.43 090 15361 A Aply cult derm sub t/a/l add 1.15 0.50 0.54 0.32 0.39 0.14 ZZZ 15365 A Apply cult derm sub f/n/hf/g 4.21 4.22 4.38 3.10 3.15 0.46 090 15366 A Apply cult derm f/hf/g add 1.45 0.67 0.68 0.47 0.53 0.17 ZZZ 15400 A Apply skin xenograft, t/a/l 4.38 5.00 4.50 3.76 3.89 0.47 090 15401 A Apply skn xenogrft t/a/l add 1.00 1.01 1.45 0.33 0.39 0.14 ZZZ 15420 A Apply skin xgraft, f/n/hf/g 4.89 5.43 5.11 4.18 3.98 0.52 090 15421 A Apply skn xgrft f/n/hf/g add 1.50 1.16 1.24 0.48 0.55 0.21 ZZZ 15430 A Apply acellular xenograft 5.93 6.61 6.76 6.06 6.34 0.66 090 15431 C Apply acellular xgraft add 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 15570 A Form skin pedicle flap 10.00 10.09 10.70 6.27 6.52 1.34 090 15572 A Form skin pedicle flap 9.94 9.79 9.64 6.66 6.56 1.20 090 15574 A Form skin pedicle flap 10.52 10.55 10.62 7.04 7.42 1.20 090 15576 A Form skin pedicle flap 9.24 9.67 9.72 6.52 6.70 0.87 090 15600 A Skin graft 1.95 5.32 6.46 2.75 2.91 0.27 090 15610 A Skin graft 2.46 5.57 5.13 3.05 3.24 0.35 090 15620 A Skin graft 3.62 6.47 7.13 3.90 3.89 0.35 090 15630 A Skin graft 3.95 7.08 7.06 4.32 4.23 0.34 090 15650 A Transfer skin pedicle flap 4.64 7.28 7.21 4.39 4.30 0.42 090 15731 A Forehead flap w/vasc pedicle 14.12 11.90 11.90 9.34 9.34 1.28 090 15732 A Muscle-skin graft, head/neck 19.70 14.66 16.36 11.10 11.66 2.00 090 15734 A Muscle-skin graft, trunk 19.62 15.70 16.91 11.85 12.12 2.62 090 15736 A Muscle-skin graft, arm 16.92 13.40 15.82 9.60 10.41 2.46 090 15738 A Muscle-skin graft, leg 18.92 13.78 15.88 10.20 10.96 2.66 090 15740 A Island pedicle flap graft 11.57 13.58 11.86 9.43 8.84 0.63 090 15750 A Neurovascular pedicle graft 12.73 NA NA 8.86 8.95 1.42 090 15756 A Free myo/skin flap microvasc 36.74 NA NA 18.57 19.57 4.62 090 15757 A Free skin flap, microvasc 36.95 NA NA 17.87 19.74 3.90 090 15758 A Free fascial flap, microvasc 36.70 NA NA 17.58 19.58 4.24 090 15760 A Composite skin graft 9.68 10.42 10.23 7.06 7.16 0.85 090 15770 A Derma-fat-fascia graft 8.73 NA NA 6.64 6.66 1.05 090 15775 R Hair transplant punch grafts 3.95 2.88 3.56 1.23 1.26 0.52 000 15776 R Hair transplant punch grafts 5.53 4.85 5.11 2.14 2.47 0.72 000 15780 A Abrasion treatment of skin 8.50 11.24 11.38 6.53 7.39 0.67 090 15781 A Abrasion treatment of skin 4.91 8.68 7.80 5.64 5.51 0.34 090 15782 A Abrasion treatment of skin 4.36 8.72 9.29 4.97 5.76 0.34 090 15783 A Abrasion treatment of skin 4.33 7.92 7.40 4.97 4.58 0.28 090 15786 A Abrasion, lesion, single 2.05 3.90 3.63 1.25 1.28 0.11 010 15787 A Abrasion, lesions, add-on 0.33 0.83 0.96 0.08 0.12 0.04 ZZZ 15788 R Chemical peel, face, epiderm 2.09 9.47 8.09 4.13 3.60 0.11 090 15789 R Chemical peel, face, dermal 4.91 9.43 8.76 5.83 5.32 0.20 090 15792 R Chemical peel, nonfacial 1.86 8.98 8.04 4.58 4.52 0.13 090 15793 A Chemical peel, nonfacial 3.82 8.10 7.20 4.90 4.64 0.19 090 15819 A Plastic surgery, neck 10.45 NA NA 6.68 6.93 0.97 090 15820 A Revision of lower eyelid 6.09 6.39 6.68 5.20 5.38 0.40 090 15821 A Revision of lower eyelid 6.66 6.57 6.96 5.28 5.50 0.45 090 15822 A Revision of upper eyelid 4.51 5.23 5.53 4.09 4.29 0.37 090 15823 A Revision of upper eyelid 8.12 7.39 7.62 6.11 6.27 0.50 090 15824 R Removal of forehead wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15825 R Removal of neck wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15826 R Removal of brow wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15828 R Removal of face wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15829 R Removal of skin wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 000 15830 R Exc skin abd 16.90 NA NA 9.82 9.82 2.93 090 15832 A Excise excessive skin tissue 12.65 NA NA 8.28 8.31 1.66 090 15833 A Excise excessive skin tissue 11.70 NA NA 7.50 7.86 1.49 090 15834 A Excise excessive skin tissue 11.97 NA NA 8.16 7.93 1.61 090 15835 A Excise excessive skin tissue 12.79 NA NA 7.86 7.70 1.60 090 15836 A Excise excessive skin tissue 10.41 NA NA 6.83 6.81 1.34 090 15837 A Excise excessive skin tissue 9.37 8.68 8.62 5.79 6.58 1.18 090 15838 A Excise excessive skin tissue 8.07 NA NA 5.45 5.76 0.58 090 15839 A Excise excessive skin tissue 10.32 9.76 9.30 6.47 6.43 1.22 090 15840 A Graft for face nerve palsy 14.76 NA NA 8.93 9.45 1.32 090 15841 A Graft for face nerve palsy 25.69 NA NA 13.54 14.27 2.55 090 Start Printed Page 2577 15842 A Flap for face nerve palsy 40.68 NA NA 20.89 21.91 4.94 090 15845 A Skin and muscle repair, face 14.04 NA NA 8.36 8.84 0.81 090 15847 C Exc skin abd add-on 0.00 0.00 0.00 0.00 0.00 0.00 YYY 15850 B Removal of sutures 0.78 1.20 1.38 0.18 0.24 0.05 XXX 15851 A Removal of sutures 0.86 1.33 1.51 0.24 0.27 0.06 000 15852 A Dressing change not for burn 0.86 NA NA 0.25 0.29 0.09 000 15860 A Test for blood flow in graft 1.95 NA NA 0.64 0.71 0.27 000 15876 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15877 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15878 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15879 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 000 15920 A Removal of tail bone ulcer 8.15 NA NA 5.35 5.45 1.04 090 15922 A Removal of tail bone ulcer 10.23 NA NA 7.17 7.19 1.42 090 15931 A Remove sacrum pressure sore 9.96 NA NA 5.56 5.63 1.25 090 15933 A Remove sacrum pressure sore 11.60 NA NA 7.31 7.58 1.52 090 15934 A Remove sacrum pressure sore 13.54 NA NA 7.73 7.88 1.79 090 15935 A Remove sacrum pressure sore 15.58 NA NA 9.18 9.75 2.10 090 15936 A Remove sacrum pressure sore 13.04 NA NA 7.42 7.82 1.77 090 15937 A Remove sacrum pressure sore 15.00 NA NA 8.94 9.38 2.07 090 15940 A Remove hip pressure sore 10.11 NA NA 5.81 5.99 1.31 090 15941 A Remove hip pressure sore 12.24 NA NA 8.43 8.94 1.66 090 15944 A Remove hip pressure sore 12.27 NA NA 8.14 8.37 1.65 090 15945 A Remove hip pressure sore 13.57 NA NA 8.81 9.23 1.85 090 15946 A Remove hip pressure sore 23.80 NA NA 13.71 14.04 3.17 090 15950 A Remove thigh pressure sore 7.91 NA NA 5.40 5.41 1.04 090 15951 A Remove thigh pressure sore 11.41 NA NA 7.34 7.60 1.49 090 15952 A Remove thigh pressure sore 12.14 NA NA 7.46 7.61 1.60 090 15953 A Remove thigh pressure sore 13.39 NA NA 8.23 8.62 1.80 090 15956 A Remove thigh pressure sore 16.59 NA NA 9.55 10.16 2.22 090 15958 A Remove thigh pressure sore 16.55 NA NA 10.43 10.74 2.26 090 15999 C Removal of pressure sore 0.00 0.00 0.00 0.00 0.00 0.00 YYY 16000 A Initial treatment of burn(s) 0.89 0.72 0.79 0.23 0.25 0.08 000 16020 A Dress/debrid p-thick burn, s 0.80 1.11 1.20 0.56 0.57 0.08 000 16025 A Dress/debrid p-thick burn, m 1.85 1.57 1.67 0.86 0.91 0.19 000 16030 A Dress/debrid p-thick burn, l 2.08 2.08 2.13 1.02 1.07 0.24 000 16035 A Incision of burn scab, initi 3.74 NA NA 1.22 1.40 0.46 000 16036 A Escharotomy; addÆl incision 1.50 NA NA 0.46 0.53 0.20 ZZZ 17000 A Destruct premalg lesion 0.62 1.41 1.19 0.74 0.64 0.03 010 17003 A Destruct premalg les, 2-14 0.07 0.10 0.11 0.03 0.05 0.01 ZZZ 17004 A Destroy premlg lesions 15+ 1.82 2.44 2.37 1.38 1.48 0.11 010 17106 A Destruction of skin lesions 4.62 4.69 4.65 3.28 3.31 0.35 090 17107 A Destruction of skin lesions 9.19 6.98 7.09 4.95 5.20 0.63 090 17108 A Destruction of skin lesions 13.22 8.87 9.07 6.39 7.03 0.54 090 17110 A Destruct b9 lesion, 1-14 0.67 1.79 1.70 0.88 0.79 0.05 010 17111 A Destruct lesion, 15 or more 0.94 2.25 1.96 1.11 0.96 0.05 010 17250 A Chemical cautery, tissue 0.50 1.32 1.27 0.38 0.36 0.06 000 17260 A Destruction of skin lesions 0.93 1.41 1.34 0.71 0.69 0.04 010 17261 A Destruction of skin lesions 1.19 2.49 2.05 1.07 0.95 0.05 010 17262 A Destruction of skin lesions 1.60 2.84 2.36 1.27 1.15 0.06 010 17263 A Destruction of skin lesions 1.81 3.07 2.56 1.37 1.23 0.07 010 17264 A Destruction of skin lesions 1.96 3.27 2.75 1.44 1.28 0.08 010 17266 A Destruction of skin lesions 2.36 3.50 3.00 1.59 1.40 0.09 010 17270 A Destruction of skin lesions 1.34 2.44 2.07 1.10 0.98 0.05 010 17271 A Destruction of skin lesions 1.51 2.66 2.22 1.22 1.10 0.06 010 17272 A Destruction of skin lesions 1.79 2.97 2.49 1.37 1.24 0.07 010 17273 A Destruction of skin lesions 2.07 3.21 2.71 1.49 1.35 0.08 010 17274 A Destruction of skin lesions 2.61 3.61 3.09 1.74 1.59 0.10 010 17276 A Destruction of skin lesions 3.22 3.89 3.42 1.97 1.82 0.16 010 17280 A Destruction of skin lesions 1.19 2.36 1.99 1.03 0.92 0.05 010 17281 A Destruction of skin lesions 1.74 2.74 2.32 1.33 1.21 0.07 010 17282 A Destruction of skin lesions 2.06 3.14 2.65 1.49 1.36 0.08 010 17283 A Destruction of skin lesions 2.66 3.56 3.05 1.77 1.63 0.11 010 17284 A Destruction of skin lesions 3.23 3.97 3.45 2.03 1.89 0.13 010 17286 A Destruction of skin lesions 4.45 4.45 4.06 2.49 2.47 0.23 010 17311 A Mohs, 1 stage, h/n/hf/g 6.20 10.71 10.71 3.05 3.05 0.24 000 17312 A Mohs addl stage 3.30 6.89 6.89 1.62 1.62 0.13 ZZZ 17313 A Mohs, 1 stage, t/a/l 5.56 9.88 9.88 2.74 2.74 0.22 000 17314 A Mohs, addl stage, t/a/l 3.06 6.37 6.37 1.50 1.50 0.12 ZZZ 17315 A Mohs surg, addl block 0.87 1.14 1.14 0.43 0.43 0.03 ZZZ 17340 A Cryotherapy of skin 0.76 0.35 0.36 0.38 0.37 0.05 010 17360 A Skin peel therapy 1.44 1.86 1.65 1.01 0.94 0.06 010 17380 R Hair removal by electrolysis 0.00 0.00 0.00 0.00 0.00 0.00 000 Start Printed Page 2578 17999 C Skin tissue procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 19000 A Drainage of breast lesion 0.84 1.91 1.95 0.26 0.29 0.08 000 19001 A Drain breast lesion add-on 0.42 0.26 0.25 0.14 0.14 0.04 ZZZ 19020 A Incision of breast lesion 3.74 6.63 6.48 3.04 2.86 0.45 090 19030 A Injection for breast x-ray 1.53 2.67 2.77 0.54 0.52 0.09 000 19100 A Bx breast percut w/o image 1.27 2.08 2.08 0.33 0.37 0.16 000 19101 A Biopsy of breast, open 3.20 4.37 4.44 1.78 1.85 0.39 010 19102 A Bx breast percut w/image 2.00 3.47 3.65 0.68 0.67 0.14 000 19103 A Bx breast percut w/device 3.69 10.10 10.80 1.19 1.21 0.30 000 19105 A Cryosurg ablate fa, each 3.69 46.51 46.51 1.00 1.00 0.30 000 19110 A Nipple exploration 4.35 6.07 5.93 3.10 2.98 0.57 090 19112 A Excise breast duct fistula 3.72 6.23 6.15 3.13 2.91 0.48 090 19120 A Removal of breast lesion 5.84 5.09 4.81 3.37 3.21 0.73 090 19125 A Excision, breast lesion 6.59 5.56 5.17 3.65 3.47 0.80 090 19126 A Excision, addl breast lesion 2.93 NA NA 0.75 0.87 0.38 ZZZ 19260 A Removal of chest wall lesion 17.60 NA NA 10.15 10.65 2.14 090 19271 A Revision of chest wall 21.86 NA NA 15.83 16.90 2.63 090 19272 A Extensive chest wall surgery 24.82 NA NA 16.97 17.95 3.00 090 19290 A Place needle wire, breast 1.27 2.89 2.87 0.45 0.43 0.07 000 19291 A Place needle wire, breast 0.63 1.14 1.17 0.22 0.21 0.04 ZZZ 19295 A Place breast clip, percut 0.00 2.28 2.49 NA NA 0.01 ZZZ 19296 A Place po breast cath for rad 3.63 86.03 105.75 1.19 1.36 0.36 000 19297 A Place breast cath for rad 1.72 NA NA 0.44 0.54 0.17 ZZZ 19298 A Place breast rad tube/caths 6.00 22.02 32.10 2.11 2.26 0.43 000 19300 A Removal of breast tissue 5.20 8.06 7.60 3.86 3.63 0.69 090 19301 A Partical mastectomy 10.00 NA NA 4.63 4.02 0.79 090 19302 A P-mastectomy w/ln removal 13.88 NA NA 6.14 6.24 1.80 090 19303 A Mast, simple, complete 15.67 NA NA 7.00 6.01 1.18 090 19304 A Mast, subq 7.81 NA NA 4.94 4.85 1.04 090 19305 A Mast, radical 17.23 NA NA 8.12 8.04 1.93 090 19306 A Mast, rad, urban type 17.85 NA NA 8.72 8.48 2.08 090 19307 A Mast, mod rad 17.95 NA NA 8.77 8.49 2.13 090 19316 A Suspension of breast 10.98 NA NA 6.95 7.23 1.64 090 19318 A Reduction of large breast 15.91 NA NA 9.91 10.54 2.93 090 19324 A Enlarge breast 6.65 NA NA 4.47 4.68 0.84 090 19325 A Enlarge breast with implant 8.52 NA NA 6.41 6.47 1.33 090 19328 A Removal of breast implant 6.35 NA NA 4.99 5.01 0.91 090 19330 A Removal of implant material 8.39 NA NA 5.95 6.00 1.26 090 19340 A Immediate breast prosthesis 6.32 NA NA 2.81 2.96 1.06 ZZZ 19342 A Delayed breast prosthesis 12.40 NA NA 8.93 8.93 1.84 090 19350 A Breast reconstruction 8.99 9.89 11.87 6.59 6.88 1.41 090 19355 A Correct inverted nipple(s) 8.37 7.41 8.83 4.68 4.69 0.92 090 19357 A Breast reconstruction 20.57 NA NA 15.39 15.51 2.94 090 19361 A Breast reconstr w/lat flap 23.17 NA NA 16.80 14.62 2.93 090 19364 A Breast reconstruction 42.40 NA NA 22.17 22.87 6.24 090 19366 A Breast reconstruction 21.70 NA NA 9.91 10.75 3.25 090 19367 A Breast reconstruction 26.59 NA NA 15.19 15.95 4.04 090 19368 A Breast reconstruction 33.61 NA NA 18.04 18.48 5.54 090 19369 A Breast reconstruction 31.02 NA NA 16.33 17.37 4.51 090 19370 A Surgery of breast capsule 8.99 NA NA 6.79 6.85 1.29 090 19371 A Removal of breast capsule 10.42 NA NA 7.69 7.76 1.62 090 19380 A Revise breast reconstruction 10.21 NA NA 7.61 7.66 1.44 090 19396 A Design custom breast implant 2.17 4.53 2.81 1.28 1.14 0.30 000 19499 C Breast surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 20000 A Incision of abscess 2.14 2.78 2.74 1.53 1.63 0.25 010 20005 A Incision of deep abscess 3.55 3.67 3.58 2.01 2.13 0.46 010 20100 A Explore wound, neck 10.33 NA NA 3.58 4.02 1.21 010 20101 A Explore wound, chest 3.22 6.60 6.26 1.53 1.57 0.44 010 20102 A Explore wound, abdomen 3.95 6.95 7.21 1.84 1.87 0.49 010 20103 A Explore wound, extremity 5.31 7.81 8.20 2.79 3.09 0.75 010 20150 A Excise epiphyseal bar 14.60 NA NA 7.65 7.34 2.04 090 20200 A Muscle biopsy 1.46 3.09 3.06 0.69 0.72 0.23 000 20205 A Deep muscle biopsy 2.35 3.83 3.86 1.10 1.14 0.33 000 20206 A Needle biopsy, muscle 0.99 5.22 5.86 0.57 0.60 0.07 000 20220 A Bone biopsy, trocar/needle 1.27 2.71 3.63 0.68 0.73 0.08 000 20225 A Bone biopsy, trocar/needle 1.87 12.00 18.23 1.02 1.08 0.22 000 20240 A Bone biopsy, excisional 3.25 NA NA 2.02 2.29 0.44 010 20245 A Bone biopsy, excisional 8.77 NA NA 5.75 6.16 1.31 010 20250 A Open bone biopsy 5.16 NA NA 3.63 3.57 1.02 010 20251 A Open bone biopsy 5.69 NA NA 3.85 4.00 1.15 010 20500 A Injection of sinus tract 1.25 1.34 1.80 0.88 1.20 0.12 010 20501 A Inject sinus tract for x-ray 0.76 2.37 2.64 0.27 0.26 0.04 000 Start Printed Page 2579 20520 A Removal of foreign body 1.87 2.61 2.76 1.45 1.61 0.21 010 20525 A Removal of foreign body 3.51 7.11 8.13 2.21 2.42 0.51 010 20526 A Ther injection, carp tunnel 0.94 0.81 0.89 0.41 0.46 0.13 000 20550 A Inj tendon sheath/ligament 0.75 0.63 0.67 0.28 0.26 0.09 000 20551 A Inj tendon origin/insertion 0.75 0.64 0.66 0.29 0.31 0.08 000 20552 A Inj trigger point, 1/2 muscl 0.66 0.58 0.65 0.24 0.22 0.05 000 20553 A Inject trigger points, =/> 3 0.75 0.64 0.73 0.26 0.24 0.04 000 20555 A Place ndl musc/tis for rt 6.00 NA NA 2.18 2.18 0.43 000 20600 A Drain/inject, joint/bursa 0.66 0.66 0.66 0.31 0.33 0.08 000 20605 A Drain/inject, joint/bursa 0.68 0.74 0.75 0.32 0.34 0.08 000 20610 A Drain/inject, joint/bursa 0.79 1.07 1.01 0.40 0.41 0.11 000 20612 A Aspirate/inj ganglion cyst 0.70 0.70 0.70 0.32 0.34 0.10 000 20615 A Treatment of bone cyst 2.30 2.71 3.11 1.42 1.63 0.20 010 20650 A Insert and remove bone pin 2.25 2.46 2.41 1.45 1.50 0.31 010 20660 A Apply, rem fixation device 4.00 1.50 2.28 1.50 1.55 0.59 000 20661 A Application of head brace 5.14 NA NA 6.05 5.48 1.14 090 20662 A Application of pelvis brace 6.26 NA NA 4.81 5.17 0.56 090 20663 A Application of thigh brace 5.62 NA NA 4.86 4.84 0.94 090 20664 A Halo brace application 9.86 NA NA 7.81 7.43 1.75 090 20665 A Removal of fixation device 1.33 1.37 1.76 0.98 1.16 0.19 010 20670 A Removal of support implant 1.76 6.63 9.08 1.67 1.89 0.28 010 20680 A Removal of support implant 5.90 8.14 8.47 4.07 3.89 0.56 090 20690 A Apply bone fixation device 8.65 NA NA 4.91 3.71 0.59 090 20692 A Apply bone fixation device 16.00 NA NA 9.81 6.79 1.05 090 20693 A Adjust bone fixation device 5.97 NA NA 4.49 4.97 0.98 090 20694 A Remove bone fixation device 4.20 5.31 6.23 3.53 3.78 0.71 090 20802 A Replantation, arm, complete 42.30 NA NA 13.23 17.10 3.82 090 20805 A Replant forearm, complete 51.14 NA NA 17.99 26.16 4.85 090 20808 A Replantation hand, complete 62.77 NA NA 30.34 36.29 6.88 090 20816 A Replantation digit, complete 31.74 NA NA 16.37 27.09 4.53 090 20822 A Replantation digit, complete 26.42 NA NA 15.07 24.84 4.19 090 20824 A Replantation thumb, complete 31.74 NA NA 16.21 26.39 4.62 090 20827 A Replantation thumb, complete 27.24 NA NA 14.75 25.62 3.67 090 20838 A Replantation foot, complete 42.56 NA NA 14.03 18.16 1.12 090 20900 A Removal of bone for graft 5.77 9.23 8.83 4.90 5.29 0.94 090 20902 A Removal of bone for graft 7.98 NA NA 5.98 6.43 1.30 090 20910 A Remove cartilage for graft 5.41 NA NA 4.57 4.88 0.71 090 20912 A Remove cartilage for graft 6.42 NA NA 4.95 5.37 0.69 090 20920 A Removal of fascia for graft 5.42 NA NA 4.34 4.28 0.66 090 20922 A Removal of fascia for graft 6.84 7.56 7.55 5.00 4.93 0.70 090 20924 A Removal of tendon for graft 6.59 NA NA 4.97 5.43 1.04 090 20926 A Removal of tissue for graft 5.70 NA NA 4.50 4.62 0.87 090 20930 B Sp bone algrft morsel add-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20931 A Sp bone algrft struct add-on 1.81 NA NA 0.68 0.80 0.43 ZZZ 20936 B Sp bone agrft local add-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX 20937 A Sp bone agrft morsel add-on 2.79 NA NA 1.08 1.26 0.54 ZZZ 20938 A Sp bone agrft struct add-on 3.02 NA NA 1.15 1.35 0.64 ZZZ 20950 A Fluid pressure, muscle 1.26 4.23 5.54 0.88 0.94 0.20 000 20955 A Fibula bone graft, microvasc 40.02 NA NA 18.55 21.42 4.90 090 20956 A Iliac bone graft, microvasc 40.93 NA NA 20.34 22.55 7.03 090 20957 A Mt bone graft, microvasc 42.33 NA NA 15.89 17.42 7.07 090 20962 A Other bone graft, microvasc 39.21 NA NA 21.32 23.93 6.57 090 20969 A Bone/skin graft, microvasc 45.11 NA NA 21.12 23.88 4.80 090 20970 A Bone/skin graft, iliac crest 44.26 NA NA 20.92 23.16 6.62 090 20972 A Bone/skin graft, metatarsal 44.19 NA NA 14.93 17.76 5.32 090 20973 A Bone/skin graft, great toe 46.95 NA NA 14.16 19.67 5.56 090 20974 A Electrical bone stimulation 0.62 0.98 0.83 0.48 0.51 0.11 000 20975 A Electrical bone stimulation 2.60 NA NA 1.46 1.58 0.51 000 20979 A Us bone stimulation 0.62 0.61 0.71 0.20 0.27 0.09 000 20982 A Ablate, bone tumor(s) perq 7.27 80.09 94.85 2.69 2.83 0.69 000 20985 A Cptr-asst dir ms px 2.50 0.99 0.99 0.99 0.99 0.48 ZZZ 20986 C Cptr-asst dir ms px io img 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 20987 C Cptr-asst dir ms px pre img 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 20999 C Musculoskeletal surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21010 A Incision of jaw joint 10.90 NA NA 6.29 6.69 1.11 090 21015 A Resection of facial tumor 5.59 NA NA 4.31 4.66 0.70 090 21025 A Excision of bone, lower jaw 11.07 12.55 12.40 8.75 9.05 1.32 090 21026 A Excision of facial bone(s) 5.54 8.83 8.35 5.94 6.13 0.60 090 21029 A Contour of face bone lesion 8.26 9.56 9.47 6.52 6.77 0.94 090 21030 A Excise max/zygoma b9 tumor 4.80 7.19 6.76 4.69 4.86 0.54 090 21031 A Remove exostosis, mandible 3.26 5.92 5.54 3.47 3.55 0.48 090 21032 A Remove exostosis, maxilla 3.28 6.04 5.70 3.37 3.44 0.47 090 Start Printed Page 2580 21034 A Excise max/zygoma mlg tumor 17.17 13.94 14.94 10.12 11.40 1.72 090 21040 A Excise mandible lesion 4.80 7.20 6.80 4.64 4.68 0.54 090 21044 A Removal of jaw bone lesion 12.61 NA NA 8.11 8.74 1.12 090 21045 A Extensive jaw surgery 18.13 NA NA 10.79 11.58 1.52 090 21046 A Remove mandible cyst complex 13.97 NA NA 11.50 11.70 1.86 090 21047 A Excise lwr jaw cyst w/repair 19.83 NA NA 10.22 11.83 2.13 090 21048 A Remove maxilla cyst complex 14.47 NA NA 11.39 11.77 1.77 090 21049 A Excis uppr jaw cyst w/repair 19.08 NA NA 10.29 11.66 1.59 090 21050 A Removal of jaw joint 11.54 NA NA 8.21 8.83 1.47 090 21060 A Remove jaw joint cartilage 10.91 NA NA 7.20 7.90 1.38 090 21070 A Remove coronoid process 8.50 NA NA 6.27 6.69 1.27 090 21073 A Mnpj of tmj w/anesth 3.33 5.50 5.50 2.31 2.31 0.43 090 21076 A Prepare face/oral prosthesis 13.40 8.02 10.19 4.69 7.35 2.00 010 21077 A Prepare face/oral prosthesis 33.70 18.44 24.89 11.83 18.93 4.56 090 21079 A Prepare face/oral prosthesis 22.31 13.97 17.74 8.10 12.63 3.16 090 21080 A Prepare face/oral prosthesis 25.06 16.16 20.33 9.02 14.20 3.75 090 21081 A Prepare face/oral prosthesis 22.85 15.02 18.67 8.41 12.95 3.21 090 21082 A Prepare face/oral prosthesis 20.84 14.91 17.13 8.27 12.01 3.12 090 21083 A Prepare face/oral prosthesis 19.27 14.91 16.86 7.78 11.11 2.89 090 21084 A Prepare face/oral prosthesis 22.48 16.85 19.65 8.95 13.33 2.19 090 21085 A Prepare face/oral prosthesis 8.99 6.93 7.61 3.52 5.15 1.27 010 21086 A Prepare face/oral prosthesis 24.88 12.91 18.34 8.45 13.95 3.72 090 21087 A Prepare face/oral prosthesis 24.88 13.05 18.17 8.55 13.88 3.45 090 21088 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 090 21089 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 090 21100 A Maxillofacial fixation 4.56 14.87 13.20 5.53 5.14 0.34 090 21110 A Interdental fixation 5.80 13.06 11.31 9.74 9.05 0.72 090 21116 A Injection, jaw joint x-ray 0.81 2.52 3.42 0.23 0.28 0.06 000 21120 A Reconstruction of chin 4.99 9.65 10.12 6.65 7.07 0.60 090 21121 A Reconstruction of chin 7.70 10.65 10.19 7.59 7.71 0.90 090 21122 A Reconstruction of chin 8.59 NA NA 8.46 8.54 1.07 090 21123 A Reconstruction of chin 11.22 NA NA 7.03 8.92 1.40 090 21125 A Augmentation, lower jaw bone 10.68 64.01 59.63 6.43 7.38 0.79 090 21127 A Augmentation, lower jaw bone 12.24 85.03 63.93 7.50 8.48 1.52 090 21137 A Reduction of forehead 10.12 NA NA 7.44 7.59 1.32 090 21138 A Reduction of forehead 12.73 NA NA 7.79 8.66 1.75 090 21139 A Reduction of forehead 14.90 NA NA 6.99 9.03 1.18 090 21141 A Reconstruct midface, lefort 19.27 NA NA 11.87 12.76 2.36 090 21142 A Reconstruct midface, lefort 19.98 NA NA 10.08 11.46 2.39 090 21143 A Reconstruct midface, lefort 20.75 NA NA 11.81 13.06 1.66 090 21145 A Reconstruct midface, lefort 23.64 NA NA 12.98 13.44 2.85 090 21146 A Reconstruct midface, lefort 24.54 NA NA 9.18 12.26 3.10 090 21147 A Reconstruct midface, lefort 26.14 NA NA 14.31 14.68 1.85 090 21150 A Reconstruct midface, lefort 25.78 NA NA 16.93 16.85 2.56 090 21151 A Reconstruct midface, lefort 28.84 NA NA 11.61 17.29 2.31 090 21154 A Reconstruct midface, lefort 31.05 NA NA 17.89 20.52 2.49 090 21155 A Reconstruct midface, lefort 34.98 NA NA 18.17 21.04 6.66 090 21159 A Reconstruct midface, lefort 42.90 NA NA 15.13 22.12 8.20 090 21160 A Reconstruct midface, lefort 46.95 NA NA 23.24 25.37 4.14 090 21172 A Reconstruct orbit/forehead 28.07 NA NA 13.75 13.75 3.56 090 21175 A Reconstruct orbit/forehead 33.43 NA NA 13.53 15.67 4.84 090 21179 A Reconstruct entire forehead 22.53 NA NA 11.22 12.68 2.81 090 21180 A Reconstruct entire forehead 25.46 NA NA 13.00 14.19 3.49 090 21181 A Contour cranial bone lesion 10.18 NA NA 6.83 7.15 1.32 090 21182 A Reconstruct cranial bone 32.45 NA NA 15.27 17.20 2.81 090 21183 A Reconstruct cranial bone 35.57 NA NA 19.23 20.03 4.48 090 21184 A Reconstruct cranial bone 38.49 NA NA 15.63 18.79 5.72 090 21188 A Reconstruction of midface 22.97 NA NA 15.65 17.27 1.70 090 21193 A Reconst lwr jaw w/o graft 18.65 NA NA 9.82 11.24 2.24 090 21194 A Reconst lwr jaw w/graft 21.54 NA NA 12.13 12.95 2.03 090 21195 A Reconst lwr jaw w/o fixation 18.88 NA NA 13.08 13.95 1.64 090 21196 A Reconst lwr jaw w/fixation 20.55 NA NA 13.95 14.83 2.08 090 21198 A Reconstr lwr jaw segment 15.48 NA NA 11.89 12.30 1.44 090 21199 A Reconstr lwr jaw w/advance 16.62 NA NA 7.57 8.35 1.39 090 21206 A Reconstruct upper jaw bone 15.36 NA NA 10.89 11.77 1.33 090 21208 A Augmentation of facial bones 11.15 33.18 27.76 8.01 8.80 1.09 090 21209 A Reduction of facial bones 7.58 12.20 11.50 7.40 7.73 0.90 090 21210 A Face bone graft 11.40 43.50 34.19 7.64 8.50 1.30 090 21215 A Lower jaw bone graft 11.94 86.14 64.02 7.97 8.67 1.53 090 21230 A Rib cartilage graft 11.06 NA NA 7.02 7.53 1.29 090 21235 A Ear cartilage graft 7.31 10.12 9.98 6.19 6.30 0.61 090 21240 A Reconstruction of jaw joint 15.77 NA NA 9.44 10.75 2.25 090 Start Printed Page 2581 21242 A Reconstruction of jaw joint 14.32 NA NA 9.02 10.27 1.79 090 21243 A Reconstruction of jaw joint 24.03 NA NA 14.16 15.80 3.26 090 21244 A Reconstruction of lower jaw 13.35 NA NA 11.53 11.81 1.25 090 21245 A Reconstruction of jaw 12.88 14.22 14.31 8.62 9.24 1.19 090 21246 A Reconstruction of jaw 12.78 NA NA 7.43 8.24 1.35 090 21247 A Reconstruct lower jaw bone 24.05 NA NA 12.70 15.03 2.84 090 21248 A Reconstruction of jaw 12.54 12.61 12.38 7.52 8.46 1.55 090 21249 A Reconstruction of jaw 18.57 15.74 16.24 9.62 11.16 2.49 090 21255 A Reconstruct lower jaw bone 18.14 NA NA 14.05 15.10 2.39 090 21256 A Reconstruction of orbit 17.42 NA NA 9.59 10.70 1.50 090 21260 A Revise eye sockets 17.74 NA NA 12.96 12.87 0.97 090 21261 A Revise eye sockets 33.78 NA NA 14.75 19.50 3.43 090 21263 A Revise eye sockets 30.72 NA NA 14.05 16.57 2.63 090 21267 A Revise eye sockets 20.45 NA NA 16.05 17.92 1.71 090 21268 A Revise eye sockets 26.78 NA NA 13.14 16.68 3.66 090 21270 A Augmentation, cheek bone 10.52 11.16 11.41 5.90 6.58 0.72 090 21275 A Revision, orbitofacial bones 11.65 NA NA 7.16 7.66 1.29 090 21280 A Revision of eyelid 6.92 NA NA 5.66 5.79 0.42 090 21282 A Revision of eyelid 4.11 NA NA 4.16 4.32 0.26 090 21295 A Revision of jaw muscle/bone 1.82 NA NA 2.23 2.38 0.16 090 21296 A Revision of jaw muscle/bone 4.67 NA NA 5.43 5.17 0.34 090 21299 C Cranio/maxillofacial surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21310 A Treatment of nose fracture 0.58 2.00 2.14 0.11 0.13 0.05 000 21315 A Treatment of nose fracture 1.78 4.72 4.48 1.78 1.83 0.14 010 21320 A Treatment of nose fracture 1.86 4.30 4.11 1.36 1.49 0.18 010 21325 A Treatment of nose fracture 4.07 NA NA 6.98 7.80 0.31 090 21330 A Treatment of nose fracture 5.68 NA NA 7.63 8.67 0.56 090 21335 A Treatment of nose fracture 8.91 NA NA 8.48 9.05 0.74 090 21336 A Treat nasal septal fracture 6.56 NA NA 8.67 9.14 0.55 090 21337 A Treat nasal septal fracture 3.26 6.15 6.14 3.56 3.57 0.28 090 21338 A Treat nasoethmoid fracture 6.76 NA NA 9.93 11.98 0.82 090 21339 A Treat nasoethmoid fracture 8.39 NA NA 9.84 11.87 0.96 090 21340 A Treatment of nose fracture 11.33 NA NA 7.25 7.83 1.15 090 21343 A Treatment of sinus fracture 14.11 NA NA 12.80 14.14 1.47 090 21344 A Treatment of sinus fracture 21.36 NA NA 13.06 14.79 2.44 090 21345 A Treat nose/jaw fracture 8.87 10.50 10.17 6.56 6.87 0.92 090 21346 A Treat nose/jaw fracture 11.29 NA NA 10.83 11.52 1.21 090 21347 A Treat nose/jaw fracture 13.37 NA NA 11.74 13.97 1.47 090 21348 A Treat nose/jaw fracture 17.36 NA NA 11.00 11.06 2.49 090 21355 A Treat cheek bone fracture 4.32 5.91 6.07 3.25 3.37 0.34 010 21356 A Treat cheek bone fracture 4.70 6.98 7.05 4.06 4.30 0.46 010 21360 A Treat cheek bone fracture 7.03 NA NA 5.40 5.67 0.74 090 21365 A Treat cheek bone fracture 16.52 NA NA 9.10 9.97 1.70 090 21366 A Treat cheek bone fracture 18.44 NA NA 10.51 10.92 2.50 090 21385 A Treat eye socket fracture 9.46 NA NA 7.14 7.71 0.97 090 21386 A Treat eye socket fracture 9.46 NA NA 6.01 6.54 0.97 090 21387 A Treat eye socket fracture 10.00 NA NA 7.45 8.21 1.08 090 21390 A Treat eye socket fracture 11.07 NA NA 7.01 7.41 0.90 090 21395 A Treat eye socket fracture 14.62 NA NA 8.34 8.69 1.44 090 21400 A Treat eye socket fracture 1.44 2.71 2.66 1.96 1.92 0.15 090 21401 A Treat eye socket fracture 3.57 7.04 7.52 3.05 3.27 0.38 090 21406 A Treat eye socket fracture 7.31 NA NA 5.29 5.69 0.73 090 21407 A Treat eye socket fracture 8.91 NA NA 5.92 6.39 0.94 090 21408 A Treat eye socket fracture 12.67 NA NA 7.45 8.17 1.44 090 21421 A Treat mouth roof fracture 5.80 12.47 10.90 9.22 8.76 0.73 090 21422 A Treat mouth roof fracture 8.62 NA NA 7.05 7.56 0.99 090 21423 A Treat mouth roof fracture 10.71 NA NA 7.40 8.37 1.27 090 21431 A Treat craniofacial fracture 7.74 NA NA 10.85 10.19 0.70 090 21432 A Treat craniofacial fracture 8.76 NA NA 6.81 7.44 0.81 090 21433 A Treat craniofacial fracture 26.13 NA NA 12.14 14.28 2.79 090 21435 A Treat craniofacial fracture 20.02 NA NA 11.08 11.90 1.99 090 21436 A Treat craniofacial fracture 30.01 NA NA 13.15 15.69 3.10 090 21440 A Treat dental ridge fracture 3.28 10.07 8.59 7.46 6.81 0.38 090 21445 A Treat dental ridge fracture 6.04 12.29 11.02 8.47 8.42 0.78 090 21450 A Treat lower jaw fracture 3.55 10.51 8.95 7.72 7.30 0.33 090 21451 A Treat lower jaw fracture 5.46 12.99 11.17 9.68 9.04 0.63 090 21452 A Treat lower jaw fracture 2.29 12.04 12.54 6.06 5.34 0.27 090 21453 A Treat lower jaw fracture 6.40 14.81 12.78 11.66 11.20 0.74 090 21454 A Treat lower jaw fracture 7.17 NA NA 5.72 6.00 0.82 090 21461 A Treat lower jaw fracture 9.07 41.73 33.10 12.82 12.74 0.98 090 21462 A Treat lower jaw fracture 10.77 43.02 35.32 13.41 13.07 1.27 090 21465 A Treat lower jaw fracture 12.88 NA NA 8.12 8.97 1.50 090 Start Printed Page 2582 21470 A Treat lower jaw fracture 17.24 NA NA 10.18 11.10 1.97 090 21480 A Reset dislocated jaw 0.61 1.52 1.65 0.18 0.18 0.06 000 21485 A Reset dislocated jaw 4.58 12.10 10.16 9.11 8.39 0.51 090 21490 A Repair dislocated jaw 12.71 NA NA 8.13 8.91 1.97 090 21495 A Treat hyoid bone fracture 6.55 NA NA 10.48 9.45 0.46 090 21497 A Interdental wiring 4.45 12.23 10.34 9.35 8.50 0.50 090 21499 C Head surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21501 A Drain neck/chest lesion 3.87 6.56 6.49 3.52 3.67 0.43 090 21502 A Drain chest lesion 7.43 NA NA 4.56 5.10 0.97 090 21510 A Drainage of bone lesion 6.06 NA NA 4.81 5.24 0.80 090 21550 A Biopsy of neck/chest 2.08 4.36 3.97 1.79 1.75 0.16 010 21555 A Remove lesion, neck/chest 4.40 5.79 5.65 3.43 3.31 0.56 090 21556 A Remove lesion, neck/chest 5.63 NA NA 4.14 4.12 0.65 090 21557 A Remove tumor, neck/chest 8.91 NA NA 4.51 4.94 1.08 090 21600 A Partial removal of rib 7.14 NA NA 5.97 5.85 0.99 090 21610 A Partial removal of rib 15.76 NA NA 8.90 8.89 3.08 090 21615 A Removal of rib 10.31 NA NA 5.17 5.93 1.45 090 21616 A Removal of rib and nerves 12.54 NA NA 6.52 7.27 1.87 090 21620 A Partial removal of sternum 7.16 NA NA 4.76 5.37 0.98 090 21627 A Sternal debridement 7.18 NA NA 5.55 5.93 1.02 090 21630 A Extensive sternum surgery 19.01 NA NA 10.36 11.10 2.59 090 21632 A Extensive sternum surgery 19.51 NA NA 9.43 10.27 2.66 090 21685 A Hyoid myotomy & suspension 14.89 NA NA 8.77 9.37 1.06 090 21700 A Revision of neck muscle 6.23 NA NA 4.40 4.42 0.32 090 21705 A Revision of neck muscle/rib 9.83 NA NA 4.36 4.97 1.43 090 21720 A Revision of neck muscle 5.72 NA NA 4.11 3.29 0.91 090 21725 A Revision of neck muscle 7.10 NA NA 5.15 5.30 1.21 090 21740 A Reconstruction of sternum 17.47 NA NA 8.21 8.36 2.37 090 21742 C Repair stern/nuss w/o scope 0.00 0.00 0.00 0.00 0.00 0.00 090 21743 C Repair sternum/nuss w/scope 0.00 0.00 0.00 0.00 0.00 0.00 090 21750 A Repair of sternum separation 11.35 NA NA 5.32 5.72 1.63 090 21800 A Treatment of rib fracture 0.98 1.36 1.35 1.43 1.38 0.09 090 21805 A Treatment of rib fracture 2.80 NA NA 3.27 3.24 0.38 090 21810 A Treatment of rib fracture(s) 6.92 NA NA 5.38 5.17 0.94 090 21820 A Treat sternum fracture 1.31 1.83 1.83 1.89 1.83 0.16 090 21825 A Treat sternum fracture 7.65 NA NA 5.38 5.89 1.11 090 21899 C Neck/chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21920 A Biopsy soft tissue of back 2.08 4.44 3.86 1.88 1.68 0.14 010 21925 A Biopsy soft tissue of back 4.54 5.35 5.26 3.36 3.30 0.60 090 21930 A Remove lesion, back or flank 5.06 6.05 5.88 3.78 3.59 0.66 090 21935 A Remove tumor, back 18.38 NA NA 8.45 9.04 2.48 090 22010 A I&d, p-spine, c/t/cerv-thor 12.57 NA NA 8.36 8.62 1.74 090 22015 A I&d, p-spine, l/s/ls 12.46 NA NA 8.34 8.59 1.72 090 22100 A Remove part of neck vertebra 10.80 NA NA 8.20 7.87 2.14 090 22101 A Remove part, thorax vertebra 10.88 NA NA 8.12 7.94 1.91 090 22102 A Remove part, lumbar vertebra 10.88 NA NA 7.93 8.02 1.88 090 22103 A Remove extra spine segment 2.34 NA NA 0.90 1.05 0.44 ZZZ 22110 A Remove part of neck vertebra 13.80 NA NA 9.12 9.15 2.77 090 22112 A Remove part, thorax vertebra 13.87 NA NA 9.03 9.16 2.53 090 22114 A Remove part, lumbar vertebra 13.87 NA NA 9.01 9.14 2.64 090 22116 A Remove extra spine segment 2.32 NA NA 0.89 1.03 0.50 ZZZ 22206 A Cut spine 3 col, thor 37.00 NA NA 17.73 17.73 6.23 090 22207 A Cut spine 3 col, lumb 36.50 NA NA 17.61 17.61 6.07 090 22208 A Cut spine 3 col, addl seg 9.66 3.73 3.73 3.73 3.73 2.07 ZZZ 22210 A Revision of neck spine 25.13 NA NA 14.56 14.99 5.46 090 22212 A Revision of thorax spine 20.74 NA NA 12.45 12.87 3.91 090 22214 A Revision of lumbar spine 20.77 NA NA 12.54 13.18 3.92 090 22216 A Revise, extra spine segment 6.03 NA NA 2.32 2.73 1.29 ZZZ 22220 A Revision of neck spine 22.69 NA NA 13.36 13.50 5.08 090 22222 A Revision of thorax spine 22.84 NA NA 10.47 10.80 4.13 090 22224 A Revision of lumbar spine 22.84 NA NA 12.90 13.57 4.19 090 22226 A Revise, extra spine segment 6.03 NA NA 2.28 2.69 1.29 ZZZ 22305 A Treat spine process fracture 2.08 2.15 2.23 1.80 1.86 0.39 090 22310 A Treat spine fracture 3.69 2.99 2.90 2.50 2.43 0.50 090 22315 A Treat spine fracture 9.91 9.89 9.79 7.44 7.39 1.86 090 22318 A Treat odontoid fx w/o graft 22.54 NA NA 13.27 13.33 5.30 090 22319 A Treat odontoid fx w/graft 25.15 NA NA 13.46 14.09 6.05 090 22325 A Treat spine fracture 19.62 NA NA 12.15 12.12 3.88 090 22326 A Treat neck spine fracture 20.64 NA NA 12.03 12.37 4.43 090 22327 A Treat thorax spine fracture 20.52 NA NA 12.34 12.36 3.99 090 22328 A Treat each add spine fx 4.60 NA NA 1.76 2.01 0.94 ZZZ 22505 A Manipulation of spine 1.87 NA NA 1.10 1.02 0.36 010 Start Printed Page 2583 22520 A Percut vertebroplasty thor 9.17 43.83 52.77 4.58 4.84 1.72 010 22521 A Percut vertebroplasty lumb 8.60 45.01 50.51 4.36 4.65 1.60 010 22522 A Percut vertebroplasty addÆl 4.30 NA NA 1.51 1.59 0.82 ZZZ 22523 A Percut kyphoplasty, thor 9.21 NA NA 4.67 5.29 1.72 010 22524 A Percut kyphoplasty, lumbar 8.81 NA NA 4.53 5.11 1.60 010 22525 A Percut kyphoplasty, add-on 4.47 NA NA 1.69 1.98 0.82 ZZZ 22526 A Idet, single level 6.07 46.73 46.73 2.05 2.05 1.16 010 22527 A Idet, 1 or more levels 3.03 40.40 40.40 0.70 0.70 0.58 ZZZ 22532 A Lat thorax spine fusion 25.81 NA NA 13.79 14.31 4.35 090 22533 A Lat lumbar spine fusion 24.61 NA NA 13.58 13.59 3.16 090 22534 A Lat thor/lumb, addÆl seg 5.99 NA NA 2.28 2.66 1.25 ZZZ 22548 A Neck spine fusion 26.86 NA NA 14.94 15.38 5.61 090 22554 A Neck spine fusion 17.54 NA NA 10.65 11.50 4.46 090 22556 A Thorax spine fusion 24.50 NA NA 12.96 13.85 4.35 090 22558 A Lumbar spine fusion 23.33 NA NA 11.44 12.37 3.16 090 22585 A Additional spinal fusion 5.52 NA NA 2.06 2.43 1.25 ZZZ 22590 A Spine & skull spinal fusion 21.56 NA NA 13.08 13.21 4.79 090 22595 A Neck spinal fusion 20.44 NA NA 12.65 12.75 4.41 090 22600 A Neck spine fusion 17.20 NA NA 11.20 11.20 3.73 090 22610 A Thorax spine fusion 17.08 NA NA 10.82 11.12 3.53 090 22612 A Lumbar spine fusion 23.38 NA NA 12.50 13.36 4.47 090 22614 A Spine fusion, extra segment 6.43 NA NA 2.46 2.90 1.38 ZZZ 22630 A Lumbar spine fusion 21.89 NA NA 12.54 13.08 4.73 090 22632 A Spine fusion, extra segment 5.22 NA NA 1.99 2.33 1.16 ZZZ 22800 A Fusion of spine 19.30 NA NA 11.16 11.97 3.76 090 22802 A Fusion of spine 31.91 NA NA 16.00 17.80 6.17 090 22804 A Fusion of spine 37.30 NA NA 18.13 20.42 7.00 090 22808 A Fusion of spine 27.31 NA NA 14.06 15.19 4.93 090 22810 A Fusion of spine 31.30 NA NA 14.92 16.64 5.15 090 22812 A Fusion of spine 34.00 NA NA 17.39 18.73 5.30 090 22818 A Kyphectomy, 1-2 segments 34.18 NA NA 16.63 17.75 6.47 090 22819 A Kyphectomy, 3 or more 39.18 NA NA 18.88 19.47 7.67 090 22830 A Exploration of spinal fusion 11.13 NA NA 7.06 7.51 2.30 090 22840 A Insert spine fixation device 12.52 NA NA 4.78 5.64 2.79 ZZZ 22841 B Insert spine fixation device 0.00 0.00 0.00 0.00 0.00 0.00 XXX 22842 A Insert spine fixation device 12.56 NA NA 4.80 5.65 2.75 ZZZ 22843 A Insert spine fixation device 13.44 NA NA 5.16 5.88 2.86 ZZZ 22844 A Insert spine fixation device 16.42 NA NA 6.41 7.58 3.19 ZZZ 22845 A Insert spine fixation device 11.94 NA NA 4.49 5.28 2.86 ZZZ 22846 A Insert spine fixation device 12.40 NA NA 4.66 5.50 2.96 ZZZ 22847 A Insert spine fixation device 13.78 NA NA 5.20 6.11 3.00 ZZZ 22848 A Insert pelv fixation device 5.99 NA NA 2.34 2.76 1.15 ZZZ 22849 A Reinsert spinal fixation 19.08 NA NA 10.17 10.95 3.90 090 22850 A Remove spine fixation device 9.74 NA NA 6.41 6.70 2.05 090 22851 A Apply spine prosth device 6.70 NA NA 2.54 2.95 1.49 ZZZ 22852 A Remove spine fixation device 9.29 NA NA 6.18 6.49 1.90 090 22855 A Remove spine fixation device 15.77 NA NA 9.18 9.43 3.52 090 22857 R Lumbar artif diskectomy 26.93 NA NA 14.82 14.82 3.56 090 22862 R Revise lumbar artif disc 32.43 NA NA 16.09 16.09 5.36 090 22865 R Remove lumb artif disc 31.55 NA NA 15.74 15.74 5.18 090 22899 C Spine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 22900 A Remove abdominal wall lesion 6.14 NA NA 3.54 3.38 0.76 090 22999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 23000 A Removal of calcium deposits 4.40 7.89 8.21 3.74 4.08 0.68 090 23020 A Release shoulder joint 9.24 NA NA 6.49 7.02 1.54 090 23030 A Drain shoulder lesion 3.44 6.29 6.84 2.40 2.65 0.57 010 23031 A Drain shoulder bursa 2.76 6.52 7.19 2.22 2.47 0.46 010 23035 A Drain shoulder bone lesion 9.04 NA NA 6.46 7.36 1.47 090 23040 A Exploratory shoulder surgery 9.63 NA NA 6.75 7.31 1.60 090 23044 A Exploratory shoulder surgery 7.48 NA NA 5.52 5.98 1.24 090 23065 A Biopsy shoulder tissues 2.28 2.96 2.72 1.74 1.68 0.20 010 23066 A Biopsy shoulder tissues 4.21 7.76 7.72 3.61 3.80 0.63 090 23075 A Removal of shoulder lesion 2.41 3.70 3.68 1.72 1.75 0.34 010 23076 A Removal of shoulder lesion 7.77 NA NA 5.32 5.44 1.13 090 23077 A Remove tumor of shoulder 18.08 NA NA 9.61 9.92 2.34 090 23100 A Biopsy of shoulder joint 6.09 NA NA 5.00 5.33 1.04 090 23101 A Shoulder joint surgery 5.63 NA NA 4.54 4.94 0.96 090 23105 A Remove shoulder joint lining 8.36 NA NA 6.10 6.61 1.42 090 23106 A Incision of collarbone joint 6.02 NA NA 4.79 5.25 0.99 090 23107 A Explore treat shoulder joint 8.75 NA NA 6.26 6.83 1.49 090 23120 A Partial removal, collar bone 7.23 NA NA 5.47 5.97 1.23 090 23125 A Removal of collar bone 9.52 NA NA 6.39 6.98 1.62 090 Start Printed Page 2584 23130 A Remove shoulder bone, part 7.63 NA NA 6.08 6.61 1.30 090 23140 A Removal of bone lesion 7.01 NA NA 4.90 5.07 1.08 090 23145 A Removal of bone lesion 9.28 NA NA 6.49 6.97 1.49 090 23146 A Removal of bone lesion 7.96 NA NA 5.92 6.52 1.35 090 23150 A Removal of humerus lesion 8.79 NA NA 6.26 6.59 1.32 090 23155 A Removal of humerus lesion 10.72 NA NA 7.26 7.79 1.81 090 23156 A Removal of humerus lesion 8.99 NA NA 6.29 6.84 1.50 090 23170 A Remove collar bone lesion 7.10 NA NA 5.00 5.51 1.12 090 23172 A Remove shoulder blade lesion 7.20 NA NA 5.52 5.90 1.01 090 23174 A Remove humerus lesion 9.90 NA NA 7.18 7.77 1.65 090 23180 A Remove collar bone lesion 8.85 NA NA 6.42 7.71 1.47 090 23182 A Remove shoulder blade lesion 8.47 NA NA 6.43 7.49 1.37 090 23184 A Remove humerus lesion 9.76 NA NA 6.93 8.12 1.63 090 23190 A Partial removal of scapula 7.36 NA NA 5.31 5.74 1.17 090 23195 A Removal of head of humerus 10.24 NA NA 6.92 7.33 1.71 090 23200 A Removal of collar bone 12.69 NA NA 7.12 7.92 1.94 090 23210 A Removal of shoulder blade 13.16 NA NA 7.81 8.41 2.03 090 23220 A Partial removal of humerus 15.36 NA NA 9.15 9.99 2.49 090 23221 A Partial removal of humerus 18.41 NA NA 10.62 11.17 3.06 090 23222 A Partial removal of humerus 25.44 NA NA 13.35 14.57 3.95 090 23330 A Remove shoulder foreign body 1.87 3.36 3.52 1.51 1.70 0.24 010 23331 A Remove shoulder foreign body 7.51 NA NA 5.84 6.32 1.27 090 23332 A Remove shoulder foreign body 12.23 NA NA 7.97 8.65 2.03 090 23350 A Injection for shoulder x-ray 1.00 2.73 3.10 0.35 0.34 0.06 000 23395 A Muscle transfer,shoulder/arm 18.29 NA NA 11.21 12.04 2.94 090 23397 A Muscle transfers 16.62 NA NA 9.56 10.47 2.74 090 23400 A Fixation of shoulder blade 13.73 NA NA 8.55 9.31 2.30 090 23405 A Incision of tendon & muscle 8.43 NA NA 5.92 6.42 1.45 090 23406 A Incise tendon(s) & muscle(s) 10.90 NA NA 6.91 7.63 1.88 090 23410 A Repair rotator cuff, acute 12.63 NA NA 7.78 8.60 2.17 090 23412 A Repair rotator cuff, chronic 13.55 NA NA 8.16 9.03 2.32 090 23415 A Release of shoulder ligament 10.09 NA NA 6.59 7.29 1.74 090 23420 A Repair of shoulder 14.75 NA NA 9.71 10.28 2.32 090 23430 A Repair biceps tendon 10.05 NA NA 6.78 7.44 1.74 090 23440 A Remove/transplant tendon 10.53 NA NA 6.78 7.52 1.83 090 23450 A Repair shoulder capsule 13.58 NA NA 8.18 9.02 2.33 090 23455 A Repair shoulder capsule 14.55 NA NA 8.56 9.50 2.50 090 23460 A Repair shoulder capsule 15.68 NA NA 9.37 10.37 2.67 090 23462 A Repair shoulder capsule 15.60 NA NA 9.09 9.92 2.60 090 23465 A Repair shoulder capsule 16.16 NA NA 9.50 10.34 2.77 090 23466 A Repair shoulder capsule 15.55 NA NA 10.00 10.69 2.47 090 23470 A Reconstruct shoulder joint 17.75 NA NA 10.13 11.19 2.99 090 23472 A Reconstruct shoulder joint 22.47 NA NA 12.15 13.28 3.67 090 23480 A Revision of collar bone 11.42 NA NA 7.30 8.04 1.95 090 23485 A Revision of collar bone 13.79 NA NA 8.21 9.05 2.34 090 23490 A Reinforce clavicle 12.04 NA NA 6.75 7.73 1.47 090 23491 A Reinforce shoulder bones 14.40 NA NA 8.72 9.72 2.47 090 23500 A Treat clavicle fracture 2.13 2.64 2.76 2.71 2.62 0.30 090 23505 A Treat clavicle fracture 3.74 4.01 4.21 3.62 3.73 0.61 090 23515 A Treat clavicle fracture 9.53 NA NA 7.01 6.78 1.28 090 23520 A Treat clavicle dislocation 2.21 2.77 2.81 2.84 2.79 0.34 090 23525 A Treat clavicle dislocation 3.67 4.17 4.35 3.64 3.79 0.46 090 23530 A Treat clavicle dislocation 7.37 NA NA 5.31 5.62 1.20 090 23532 A Treat clavicle dislocation 8.08 NA NA 6.02 6.50 1.38 090 23540 A Treat clavicle dislocation 2.28 2.67 2.77 2.74 2.55 0.29 090 23545 A Treat clavicle dislocation 3.32 3.74 3.97 3.26 3.31 0.35 090 23550 A Treat clavicle dislocation 7.48 NA NA 5.54 5.96 1.25 090 23552 A Treat clavicle dislocation 8.70 NA NA 6.26 6.79 1.46 090 23570 A Treat shoulder blade fx 2.28 2.78 2.90 2.92 2.91 0.36 090 23575 A Treat shoulder blade fx 4.12 4.59 4.74 4.08 4.20 0.59 090 23585 A Treat scapula fracture 14.07 NA NA 8.51 8.08 1.54 090 23600 A Treat humerus fracture 3.00 4.07 4.31 3.65 3.60 0.48 090 23605 A Treat humerus fracture 4.94 5.38 5.77 4.60 4.85 0.84 090 23615 A Treat humerus fracture 12.12 NA NA 8.06 8.45 1.62 090 23616 A Treat humerus fracture 18.19 NA NA 10.46 12.30 3.70 090 23620 A Treat humerus fracture 2.46 3.41 3.51 3.15 3.07 0.40 090 23625 A Treat humerus fracture 3.99 4.45 4.69 3.92 4.10 0.67 090 23630 A Treat humerus fracture 10.39 NA NA 7.37 7.00 1.27 090 23650 A Treat shoulder dislocation 3.44 3.29 3.53 2.83 2.79 0.30 090 23655 A Treat shoulder dislocation 4.64 NA NA 4.15 4.16 0.69 090 23660 A Treat shoulder dislocation 7.55 NA NA 5.69 6.04 1.29 090 23665 A Treat dislocation/fracture 4.54 4.85 5.09 4.27 4.49 0.71 090 Start Printed Page 2585 23670 A Treat dislocation/fracture 12.12 NA NA 7.93 7.38 1.36 090 23675 A Treat dislocation/fracture 6.13 6.13 6.48 5.13 5.49 1.01 090 23680 A Treat dislocation/fracture 12.99 NA NA 8.24 8.17 1.76 090 23700 A Fixation of shoulder 2.54 NA NA 1.90 2.04 0.44 010 23800 A Fusion of shoulder joint 14.59 NA NA 8.87 9.64 2.36 090 23802 A Fusion of shoulder joint 18.17 NA NA 11.22 10.70 2.71 090 23900 A Amputation of arm & girdle 20.57 NA NA 10.43 11.07 3.19 090 23920 A Amputation at shoulder joint 16.03 NA NA 9.22 9.58 2.47 090 23921 A Amputation follow-up surgery 5.61 NA NA 4.85 4.97 0.78 090 23929 C Shoulder surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 23930 A Drainage of arm lesion 2.96 4.98 5.65 1.98 2.15 0.43 010 23931 A Drainage of arm bursa 1.81 4.36 5.14 1.75 1.96 0.28 010 23935 A Drain arm/elbow bone lesion 6.27 NA NA 5.10 5.51 1.05 090 24000 A Exploratory elbow surgery 5.99 NA NA 4.75 5.08 0.97 090 24006 A Release elbow joint 9.62 NA NA 6.60 7.18 1.50 090 24065 A Biopsy arm/elbow soft tissue 2.10 4.15 3.68 1.92 1.83 0.17 010 24066 A Biopsy arm/elbow soft tissue 5.26 8.27 8.61 3.92 4.03 0.80 090 24075 A Remove arm/elbow lesion 3.96 7.19 7.27 3.27 3.33 0.56 090 24076 A Remove arm/elbow lesion 6.36 NA NA 4.59 4.72 0.95 090 24077 A Remove tumor of arm/elbow 11.95 NA NA 6.86 7.30 1.73 090 24100 A Biopsy elbow joint lining 4.98 NA NA 4.09 4.31 0.85 090 24101 A Explore/treat elbow joint 6.19 NA NA 5.05 5.49 1.03 090 24102 A Remove elbow joint lining 8.15 NA NA 5.81 6.34 1.33 090 24105 A Removal of elbow bursa 3.67 NA NA 4.03 4.21 0.61 090 24110 A Remove humerus lesion 7.46 NA NA 5.65 6.16 1.28 090 24115 A Remove/graft bone lesion 10.00 NA NA 4.32 5.77 1.68 090 24116 A Remove/graft bone lesion 12.11 NA NA 7.68 8.38 2.06 090 24120 A Remove elbow lesion 6.71 NA NA 5.18 5.55 1.10 090 24125 A Remove/graft bone lesion 8.02 NA NA 5.99 6.08 1.06 090 24126 A Remove/graft bone lesion 8.50 NA NA 6.01 6.52 1.16 090 24130 A Removal of head of radius 6.31 NA NA 5.13 5.58 1.04 090 24134 A Removal of arm bone lesion 10.10 NA NA 6.91 7.88 1.64 090 24136 A Remove radius bone lesion 8.29 NA NA 5.77 6.50 1.38 090 24138 A Remove elbow bone lesion 8.33 NA NA 6.49 7.14 1.34 090 24140 A Partial removal of arm bone 9.43 NA NA 6.58 7.84 1.51 090 24145 A Partial removal of radius 7.70 NA NA 5.64 6.85 1.25 090 24147 A Partial removal of elbow 7.69 NA NA 6.28 7.44 1.30 090 24149 A Radical resection of elbow 15.92 NA NA 10.77 11.20 2.35 090 24150 A Extensive humerus surgery 13.70 NA NA 8.50 9.25 2.33 090 24151 A Extensive humerus surgery 16.08 NA NA 9.70 10.61 2.60 090 24152 A Extensive radius surgery 10.24 NA NA 6.17 6.95 1.48 090 24153 A Extensive radius surgery 11.73 NA NA 4.87 5.22 0.74 090 24155 A Removal of elbow joint 11.97 NA NA 7.42 7.91 1.93 090 24160 A Remove elbow joint implant 7.89 NA NA 5.83 6.36 1.30 090 24164 A Remove radius head implant 6.34 NA NA 4.90 5.34 1.03 090 24200 A Removal of arm foreign body 1.78 2.74 3.08 1.36 1.49 0.20 010 24201 A Removal of arm foreign body 4.61 7.80 8.81 3.66 3.95 0.72 090 24220 A Injection for elbow x-ray 1.31 2.66 3.15 0.46 0.45 0.08 000 24300 A Manipulate elbow w/anesth 3.86 NA NA 5.16 5.44 0.65 090 24301 A Muscle/tendon transfer 10.26 NA NA 6.83 7.51 1.66 090 24305 A Arm tendon lengthening 7.51 NA NA 5.66 6.19 1.15 090 24310 A Revision of arm tendon 6.03 NA NA 4.73 5.16 0.96 090 24320 A Repair of arm tendon 10.74 NA NA 7.03 7.28 1.74 090 24330 A Revision of arm muscles 9.67 NA NA 6.64 7.26 1.60 090 24331 A Revision of arm muscles 10.83 NA NA 6.95 7.82 1.78 090 24332 A Tenolysis, triceps 7.77 NA NA 5.92 6.35 1.23 090 24340 A Repair of biceps tendon 7.96 NA NA 5.96 6.47 1.36 090 24341 A Repair arm tendon/muscle 9.24 NA NA 7.53 7.72 1.36 090 24342 A Repair of ruptured tendon 10.74 NA NA 7.07 7.79 1.86 090 24343 A Repr elbow lat ligmnt w/tiss 8.99 NA NA 6.99 7.57 1.43 090 24344 A Reconstruct elbow lat ligmnt 14.97 NA NA 9.96 10.74 2.37 090 24345 A Repr elbw med ligmnt w/tissu 8.99 NA NA 6.94 7.48 1.44 090 24346 A Reconstruct elbow med ligmnt 14.97 NA NA 10.04 10.69 2.34 090 24357 A Repair elbow, perc 5.32 NA NA 4.72 5.15 0.87 090 24358 A Repair elbow w/deb, open 6.54 NA NA 5.28 5.73 1.07 090 24359 A Repair elbow deb/attch open 8.86 NA NA 6.20 6.20 1.41 090 24360 A Reconstruct elbow joint 12.53 NA NA 7.84 8.66 2.06 090 24361 A Reconstruct elbow joint 14.27 NA NA 8.76 9.67 2.19 090 24362 A Reconstruct elbow joint 15.18 NA NA 5.74 7.89 2.61 090 24363 A Replace elbow joint 22.47 NA NA 12.18 12.95 3.02 090 24365 A Reconstruct head of radius 8.51 NA NA 5.97 6.59 1.41 090 24366 A Reconstruct head of radius 9.25 NA NA 6.31 6.93 1.52 090 Start Printed Page 2586 24400 A Revision of humerus 11.19 NA NA 7.50 8.18 1.93 090 24410 A Revision of humerus 14.96 NA NA 9.25 9.78 2.58 090 24420 A Revision of humerus 13.58 NA NA 8.51 9.53 2.18 090 24430 A Repair of humerus 15.07 NA NA 9.23 9.49 2.22 090 24435 A Repair humerus with graft 14.74 NA NA 9.82 10.35 2.28 090 24470 A Revision of elbow joint 8.81 NA NA 5.66 6.69 1.48 090 24495 A Decompression of forearm 8.30 NA NA 6.41 7.58 1.18 090 24498 A Reinforce humerus 12.16 NA NA 7.67 8.47 2.07 090 24500 A Treat humerus fracture 3.29 4.45 4.65 3.81 3.75 0.50 090 24505 A Treat humerus fracture 5.25 5.84 6.22 4.88 5.14 0.89 090 24515 A Treat humerus fracture 11.97 NA NA 8.04 8.72 2.03 090 24516 A Treat humerus fracture 12.07 NA NA 7.65 8.38 2.03 090 24530 A Treat humerus fracture 3.57 4.73 4.97 4.00 4.02 0.57 090 24535 A Treat humerus fracture 6.96 6.82 7.33 5.86 6.24 1.18 090 24538 A Treat humerus fracture 9.63 NA NA 7.19 7.95 1.64 090 24545 A Treat humerus fracture 12.99 NA NA 8.28 8.37 1.83 090 24546 A Treat humerus fracture 14.73 NA NA 9.11 10.22 2.74 090 24560 A Treat humerus fracture 2.87 4.11 4.30 3.43 3.31 0.44 090 24565 A Treat humerus fracture 5.64 5.94 6.28 5.05 5.29 0.93 090 24566 A Treat humerus fracture 8.86 NA NA 6.80 7.48 1.30 090 24575 A Treat humerus fracture 9.53 NA NA 6.97 7.69 1.87 090 24576 A Treat humerus fracture 2.94 4.41 4.59 3.71 3.71 0.46 090 24577 A Treat humerus fracture 5.87 6.04 6.49 5.08 5.47 0.95 090 24579 A Treat humerus fracture 11.26 NA NA 7.74 8.29 2.03 090 24582 A Treat humerus fracture 9.89 NA NA 8.18 8.65 1.48 090 24586 A Treat elbow fracture 15.64 NA NA 9.33 10.28 2.65 090 24587 A Treat elbow fracture 15.65 NA NA 9.32 10.17 2.53 090 24600 A Treat elbow dislocation 4.28 3.86 4.36 3.28 3.39 0.50 090 24605 A Treat elbow dislocation 5.50 NA NA 4.91 5.14 0.89 090 24615 A Treat elbow dislocation 9.72 NA NA 6.56 7.19 1.60 090 24620 A Treat elbow fracture 7.07 NA NA 5.49 5.87 1.07 090 24635 A Treat elbow fracture 8.64 NA NA 6.55 10.31 2.29 090 24640 A Treat elbow dislocation 1.22 1.53 1.69 0.83 0.81 0.12 010 24650 A Treat radius fracture 2.22 3.43 3.60 2.99 2.87 0.35 090 24655 A Treat radius fracture 4.48 5.18 5.57 4.40 4.60 0.70 090 24665 A Treat radius fracture 8.22 NA NA 6.51 7.01 1.41 090 24666 A Treat radius fracture 9.74 NA NA 6.96 7.51 1.62 090 24670 A Treat ulnar fracture 2.60 3.73 3.92 3.15 3.11 0.41 090 24675 A Treat ulnar fracture 4.79 5.38 5.69 4.57 4.77 0.81 090 24685 A Treat ulnar fracture 8.21 NA NA 6.52 7.02 1.52 090 24800 A Fusion of elbow joint 11.27 NA NA 6.89 7.82 1.63 090 24802 A Fusion/graft of elbow joint 14.18 NA NA 8.03 9.21 2.38 090 24900 A Amputation of upper arm 10.04 NA NA 6.42 6.74 1.53 090 24920 A Amputation of upper arm 10.02 NA NA 6.04 6.49 1.61 090 24925 A Amputation follow-up surgery 7.19 NA NA 4.95 5.52 1.14 090 24930 A Amputation follow-up surgery 10.72 NA NA 6.20 6.72 1.68 090 24931 A Amputate upper arm & implant 13.32 NA NA 5.08 5.40 1.90 090 24935 A Revision of amputation 16.30 NA NA 10.47 9.25 2.14 090 24940 C Revision of upper arm 0.00 0.00 0.00 0.00 0.00 0.00 090 24999 C Upper arm/elbow surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 25000 A Incision of tendon sheath 3.44 NA NA 3.98 5.43 0.55 090 25001 A Incise flexor carpi radialis 3.68 NA NA 3.95 4.09 0.55 090 25020 A Decompress forearm 1 space 5.97 NA NA 6.95 8.26 0.93 090 25023 A Decompress forearm 1 space 13.69 NA NA 11.33 13.14 2.04 090 25024 A Decompress forearm 2 spaces 10.62 NA NA 7.08 7.28 1.36 090 25025 A Decompress forearm 2 spaces 17.77 NA NA 9.70 9.84 1.83 090 25028 A Drainage of forearm lesion 5.30 NA NA 6.20 7.18 0.81 090 25031 A Drainage of forearm bursa 4.18 NA NA 3.49 5.71 0.63 090 25035 A Treat forearm bone lesion 7.54 NA NA 5.63 9.61 1.24 090 25040 A Explore/treat wrist joint 7.41 NA NA 5.40 6.35 1.15 090 25065 A Biopsy forearm soft tissues 2.01 4.33 3.78 1.98 1.94 0.15 010 25066 A Biopsy forearm soft tissues 4.18 NA NA 3.84 5.45 0.64 090 25075 A Removal forearm lesion subcu 3.78 NA NA 3.31 4.60 0.55 090 25076 A Removal forearm lesion deep 4.97 NA NA 4.11 6.83 0.74 090 25077 A Remove tumor, forearm/wrist 9.90 NA NA 6.18 9.14 1.42 090 25085 A Incision of wrist capsule 5.55 NA NA 4.62 5.87 0.85 090 25100 A Biopsy of wrist joint 3.94 NA NA 3.77 4.53 0.59 090 25101 A Explore/treat wrist joint 4.74 NA NA 4.35 5.12 0.75 090 25105 A Remove wrist joint lining 5.91 NA NA 4.98 6.14 0.92 090 25107 A Remove wrist joint cartilage 7.50 NA NA 6.24 7.29 0.99 090 25109 A Excise tendon forearm/wrist 6.81 NA NA 5.24 5.24 0.96 090 25110 A Remove wrist tendon lesion 3.96 NA NA 3.62 5.34 0.62 090 Start Printed Page 2587 25111 A Remove wrist tendon lesion 3.44 NA NA 3.62 4.16 0.53 090 25112 A Reremove wrist tendon lesion 4.58 NA NA 4.08 4.67 0.70 090 25115 A Remove wrist/forearm lesion 9.89 NA NA 7.34 10.69 1.31 090 25116 A Remove wrist/forearm lesion 7.38 NA NA 6.19 9.67 1.11 090 25118 A Excise wrist tendon sheath 4.42 NA NA 4.15 4.95 0.68 090 25119 A Partial removal of ulna 6.10 NA NA 5.07 6.33 0.96 090 25120 A Removal of forearm lesion 6.16 NA NA 5.10 8.60 1.00 090 25125 A Remove/graft forearm lesion 7.55 NA NA 5.68 9.27 1.06 090 25126 A Remove/graft forearm lesion 7.62 NA NA 5.86 9.44 1.27 090 25130 A Removal of wrist lesion 5.32 NA NA 4.73 5.58 0.80 090 25135 A Remove & graft wrist lesion 6.96 NA NA 5.62 6.57 1.02 090 25136 A Remove & graft wrist lesion 6.03 NA NA 5.10 5.85 1.03 090 25145 A Remove forearm bone lesion 6.43 NA NA 5.21 8.64 1.01 090 25150 A Partial removal of ulna 7.27 NA NA 5.53 6.87 1.14 090 25151 A Partial removal of radius 7.57 NA NA 5.65 9.19 1.18 090 25170 A Extensive forearm surgery 11.34 NA NA 7.37 11.26 1.78 090 25210 A Removal of wrist bone 6.01 NA NA 5.05 5.92 0.88 090 25215 A Removal of wrist bones 8.02 NA NA 6.03 7.40 1.19 090 25230 A Partial removal of radius 5.28 NA NA 4.50 5.32 0.79 090 25240 A Partial removal of ulna 5.22 NA NA 4.47 5.71 0.81 090 25246 A Injection for wrist x-ray 1.45 2.73 3.09 0.53 0.50 0.09 000 25248 A Remove forearm foreign body 5.20 NA NA 4.05 6.29 0.72 090 25250 A Removal of wrist prosthesis 6.66 NA NA 5.27 5.69 1.01 090 25251 A Removal of wrist prosthesis 9.70 NA NA 6.75 7.33 1.26 090 25259 A Manipulate wrist w/anesthes 3.86 NA NA 5.16 5.44 0.62 090 25260 A Repair forearm tendon/muscle 7.89 NA NA 6.38 9.85 1.19 090 25263 A Repair forearm tendon/muscle 7.90 NA NA 6.10 9.68 1.18 090 25265 A Repair forearm tendon/muscle 9.96 NA NA 7.11 10.71 1.47 090 25270 A Repair forearm tendon/muscle 6.06 NA NA 4.97 8.50 0.95 090 25272 A Repair forearm tendon/muscle 7.10 NA NA 5.49 9.14 1.11 090 25274 A Repair forearm tendon/muscle 8.82 NA NA 6.37 10.00 1.36 090 25275 A Repair forearm tendon sheath 8.82 NA NA 6.48 7.03 1.31 090 25280 A Revise wrist/forearm tendon 7.28 NA NA 5.56 9.10 1.08 090 25290 A Incise wrist/forearm tendon 5.34 NA NA 4.50 9.75 0.82 090 25295 A Release wrist/forearm tendon 6.61 NA NA 5.29 8.73 1.00 090 25300 A Fusion of tendons at wrist 8.88 NA NA 6.66 7.56 1.26 090 25301 A Fusion of tendons at wrist 8.47 NA NA 6.19 7.13 1.29 090 25310 A Transplant forearm tendon 8.26 NA NA 5.94 9.49 1.21 090 25312 A Transplant forearm tendon 9.70 NA NA 6.71 10.33 1.41 090 25315 A Revise palsy hand tendon(s) 10.56 NA NA 7.11 10.76 1.58 090 25316 A Revise palsy hand tendon(s) 12.76 NA NA 7.82 12.03 1.75 090 25320 A Repair/revise wrist joint 12.38 NA NA 9.87 10.63 1.61 090 25332 A Revise wrist joint 11.60 NA NA 7.61 8.40 1.84 090 25335 A Realignment of hand 13.25 NA NA 8.31 9.95 1.93 090 25337 A Reconstruct ulna/radioulnar 11.44 NA NA 8.63 9.86 1.61 090 25350 A Revision of radius 8.97 NA NA 6.35 10.17 1.46 090 25355 A Revision of radius 10.41 NA NA 6.75 10.68 1.74 090 25360 A Revision of ulna 8.62 NA NA 6.24 10.06 1.41 090 25365 A Revise radius & ulna 12.77 NA NA 8.18 11.92 2.16 090 25370 A Revise radius or ulna 13.93 NA NA 9.01 12.55 2.29 090 25375 A Revise radius & ulna 13.41 NA NA 8.37 12.40 2.27 090 25390 A Shorten radius or ulna 10.58 NA NA 7.07 10.83 1.65 090 25391 A Lengthen radius or ulna 14.14 NA NA 8.67 12.62 2.22 090 25392 A Shorten radius & ulna 14.44 NA NA 8.91 12.44 2.11 090 25393 A Lengthen radius & ulna 16.42 NA NA 9.57 13.58 2.77 090 25394 A Repair carpal bone, shorten 10.71 NA NA 6.95 7.51 1.59 090 25400 A Repair radius or ulna 11.16 NA NA 7.27 11.23 1.83 090 25405 A Repair/graft radius or ulna 14.87 NA NA 8.93 13.11 2.33 090 25415 A Repair radius & ulna 13.66 NA NA 8.80 12.66 2.18 090 25420 A Repair/graft radius & ulna 16.89 NA NA 9.93 14.11 2.62 090 25425 A Repair/graft radius or ulna 13.58 NA NA 8.49 14.94 2.09 090 25426 A Repair/graft radius & ulna 16.31 NA NA 9.20 12.88 2.55 090 25430 A Vasc graft into carpal bone 9.57 NA NA 7.04 7.19 1.27 090 25431 A Repair nonunion carpal bone 10.75 NA NA 7.16 7.78 1.91 090 25440 A Repair/graft wrist bone 10.56 NA NA 6.90 8.15 1.63 090 25441 A Reconstruct wrist joint 13.15 NA NA 8.11 9.06 2.08 090 25442 A Reconstruct wrist joint 10.98 NA NA 7.51 8.20 1.53 090 25443 A Reconstruct wrist joint 10.52 NA NA 7.22 8.00 1.37 090 25444 A Reconstruct wrist joint 11.28 NA NA 7.44 8.24 1.72 090 25445 A Reconstruct wrist joint 9.76 NA NA 6.70 7.35 1.55 090 25446 A Wrist replacement 17.16 NA NA 9.99 10.96 2.48 090 25447 A Repair wrist joint(s) 10.95 NA NA 7.87 8.27 1.61 090 Start Printed Page 2588 25449 A Remove wrist joint implant 14.80 NA NA 8.96 9.82 2.22 090 25450 A Revision of wrist joint 7.94 NA NA 3.84 7.02 1.36 090 25455 A Revision of wrist joint 9.57 NA NA 6.85 8.86 0.96 090 25490 A Reinforce radius 9.61 NA NA 6.58 10.16 1.43 090 25491 A Reinforce ulna 10.03 NA NA 6.79 10.63 1.60 090 25492 A Reinforce radius and ulna 12.52 NA NA 8.34 11.82 2.15 090 25500 A Treat fracture of radius 2.51 3.31 3.44 2.86 2.79 0.35 090 25505 A Treat fracture of radius 5.30 5.83 6.19 4.98 5.20 0.90 090 25515 A Treat fracture of radius 8.64 NA NA 6.47 6.97 1.59 090 25520 A Treat fracture of radius 6.35 5.70 6.28 5.14 5.60 1.08 090 25525 A Treat fracture of radius 10.37 NA NA 7.42 8.71 2.13 090 25526 A Treat fracture of radius 12.96 NA NA 8.69 11.10 2.20 090 25530 A Treat fracture of ulna 2.15 3.48 3.62 2.98 2.92 0.34 090 25535 A Treat fracture of ulna 5.22 5.57 5.79 4.84 5.07 0.89 090 25545 A Treat fracture of ulna 7.78 NA NA 6.23 6.95 1.53 090 25560 A Treat fracture radius & ulna 2.50 3.37 3.53 2.85 2.73 0.35 090 25565 A Treat fracture radius & ulna 5.71 5.91 6.31 4.93 5.18 0.93 090 25574 A Treat fracture radius & ulna 8.64 NA NA 6.55 6.88 1.21 090 25575 A Treat fracture radius/ulna 12.10 NA NA 8.37 8.94 1.82 090 25600 A Treat fracture radius/ulna 2.69 3.68 3.89 3.17 3.07 0.42 090 25605 A Treat fracture radius/ulna 7.02 6.87 7.05 6.14 6.18 1.00 090 25606 A Treat fx distal radial 8.10 NA NA 6.70 7.83 1.26 090 25607 A Treat fx rad extra-articul 9.35 NA NA 7.20 7.20 1.36 090 25608 A Treat fx rad intra-articul 10.86 NA NA 7.80 7.80 1.84 090 25609 A Treat fx radial 3+ frag 14.12 NA NA 9.66 9.66 2.38 090 25622 A Treat wrist bone fracture 2.68 3.91 4.09 3.36 3.23 0.41 090 25624 A Treat wrist bone fracture 4.62 5.64 5.97 4.78 4.92 0.76 090 25628 A Treat wrist bone fracture 9.51 NA NA 6.85 7.34 1.37 090 25630 A Treat wrist bone fracture 2.94 3.76 3.97 3.25 3.10 0.45 090 25635 A Treat wrist bone fracture 4.47 5.12 5.53 4.34 4.12 0.74 090 25645 A Treat wrist bone fracture 7.31 NA NA 5.56 6.10 1.20 090 25650 A Treat wrist bone fracture 3.12 3.85 4.08 3.45 3.31 0.45 090 25651 A Pin ulnar styloid fracture 5.68 NA NA 5.15 5.32 0.86 090 25652 A Treat fracture ulnar styloid 7.92 NA NA 6.16 6.58 1.21 090 25660 A Treat wrist dislocation 4.84 NA NA 4.33 4.52 0.58 090 25670 A Treat wrist dislocation 7.98 NA NA 5.82 6.41 1.28 090 25671 A Pin radioulnar dislocation 6.32 NA NA 5.54 5.85 1.00 090 25675 A Treat wrist dislocation 4.75 4.72 5.19 4.00 4.32 0.62 090 25676 A Treat wrist dislocation 8.17 NA NA 6.14 6.72 1.34 090 25680 A Treat wrist fracture 6.08 NA NA 4.39 4.56 0.78 090 25685 A Treat wrist fracture 9.97 NA NA 6.63 7.21 1.60 090 25690 A Treat wrist dislocation 5.58 NA NA 4.85 5.18 0.88 090 25695 A Treat wrist dislocation 8.40 NA NA 6.01 6.55 1.32 090 25800 A Fusion of wrist joint 9.95 NA NA 6.80 7.95 1.57 090 25805 A Fusion/graft of wrist joint 11.59 NA NA 7.68 8.97 1.81 090 25810 A Fusion/graft of wrist joint 11.75 NA NA 8.04 8.98 1.68 090 25820 A Fusion of hand bones 7.52 NA NA 6.41 7.13 1.22 090 25825 A Fuse hand bones with graft 9.54 NA NA 7.66 8.45 1.41 090 25830 A Fusion, radioulnar jnt/ulna 10.69 NA NA 10.59 12.50 1.55 090 25900 A Amputation of forearm 9.46 NA NA 6.74 9.66 1.30 090 25905 A Amputation of forearm 9.48 NA NA 6.07 9.19 1.40 090 25907 A Amputation follow-up surgery 7.98 NA NA 5.77 8.77 1.10 090 25909 A Amputation follow-up surgery 9.20 NA NA 6.33 9.31 1.44 090 25915 A Amputation of forearm 17.38 NA NA 5.98 12.43 2.94 090 25920 A Amputate hand at wrist 8.92 NA NA 6.59 7.22 1.35 090 25922 A Amputate hand at wrist 7.54 NA NA 6.28 6.67 1.12 090 25924 A Amputation follow-up surgery 8.70 NA NA 6.13 7.11 1.32 090 25927 A Amputation of hand 8.98 NA NA 8.66 10.17 1.27 090 25929 A Amputation follow-up surgery 7.71 NA NA 5.67 5.77 1.14 090 25931 A Amputation follow-up surgery 7.93 NA NA 8.33 9.90 1.15 090 25999 C Forearm or wrist surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26010 A Drainage of finger abscess 1.56 4.06 4.81 1.52 1.57 0.18 010 26011 A Drainage of finger abscess 2.21 6.25 7.54 1.96 2.14 0.33 010 26020 A Drain hand tendon sheath 4.97 NA NA 4.74 5.05 0.73 090 26025 A Drainage of palm bursa 4.99 NA NA 4.46 4.79 0.76 090 26030 A Drainage of palm bursa(s) 6.16 NA NA 5.00 5.36 0.92 090 26034 A Treat hand bone lesion 6.49 NA NA 5.58 5.97 1.01 090 26035 A Decompress fingers/hand 11.14 NA NA 8.13 8.00 1.47 090 26037 A Decompress fingers/hand 7.48 NA NA 5.50 5.91 1.13 090 26040 A Release palm contracture 3.38 NA NA 3.60 3.83 0.53 090 26045 A Release palm contracture 5.62 NA NA 4.89 5.27 0.93 090 26055 A Incise finger tendon sheath 3.00 9.05 11.70 3.83 3.88 0.43 090 Start Printed Page 2589 26060 A Incision of finger tendon 2.85 NA NA 3.06 3.28 0.45 090 26070 A Explore/treat hand joint 3.73 NA NA 3.06 3.21 0.48 090 26075 A Explore/treat finger joint 3.83 NA NA 3.37 3.58 0.53 090 26080 A Explore/treat finger joint 4.36 NA NA 4.32 4.59 0.66 090 26100 A Biopsy hand joint lining 3.71 NA NA 3.67 3.90 0.54 090 26105 A Biopsy finger joint lining 3.75 NA NA 3.68 3.96 0.59 090 26110 A Biopsy finger joint lining 3.57 NA NA 3.61 3.83 0.53 090 26115 A Removal hand lesion subcut 3.92 9.84 11.47 4.23 4.50 0.59 090 26116 A Removal hand lesion, deep 5.61 NA NA 5.31 5.66 0.84 090 26117 A Remove tumor, hand/finger 8.62 NA NA 6.19 6.63 1.26 090 26121 A Release palm contracture 7.61 NA NA 5.93 6.45 1.17 090 26123 A Release palm contracture 10.63 NA NA 8.22 8.54 1.43 090 26125 A Release palm contracture 4.60 NA NA 1.87 2.16 0.70 ZZZ 26130 A Remove wrist joint lining 5.48 NA NA 4.89 5.12 0.94 090 26135 A Revise finger joint, each 7.02 NA NA 5.47 5.97 1.07 090 26140 A Revise finger joint, each 6.23 NA NA 5.17 5.61 0.92 090 26145 A Tendon excision, palm/finger 6.38 NA NA 5.19 5.62 0.97 090 26160 A Remove tendon sheath lesion 3.46 9.04 10.71 3.94 4.03 0.49 090 26170 A Removal of palm tendon, each 4.82 NA NA 4.37 4.66 0.69 090 26180 A Removal of finger tendon 5.24 NA NA 4.71 5.06 0.78 090 26185 A Remove finger bone 6.32 NA NA 5.73 5.89 0.81 090 26200 A Remove hand bone lesion 5.56 NA NA 4.56 4.96 0.88 090 26205 A Remove/graft bone lesion 7.82 NA NA 5.85 6.37 1.20 090 26210 A Removal of finger lesion 5.21 NA NA 4.74 5.08 0.79 090 26215 A Remove/graft finger lesion 7.16 NA NA 5.54 5.93 0.98 090 26230 A Partial removal of hand bone 6.38 NA NA 4.95 5.43 1.01 090 26235 A Partial removal, finger bone 6.24 NA NA 4.95 5.38 0.95 090 26236 A Partial removal, finger bone 5.37 NA NA 4.58 4.95 0.81 090 26250 A Extensive hand surgery 7.61 NA NA 5.72 6.08 1.07 090 26255 A Extensive hand surgery 12.80 NA NA 8.29 8.83 1.69 090 26260 A Extensive finger surgery 7.09 NA NA 5.47 5.83 1.01 090 26261 A Extensive finger surgery 9.28 NA NA 6.73 6.45 1.14 090 26262 A Partial removal of finger 5.72 NA NA 4.75 5.04 0.88 090 26320 A Removal of implant from hand 4.02 NA NA 3.79 4.05 0.59 090 26340 A Manipulate finger w/anesth 2.62 NA NA 4.61 4.74 0.39 090 26350 A Repair finger/hand tendon 6.07 NA NA 9.54 12.08 0.93 090 26352 A Repair/graft hand tendon 7.75 NA NA 10.07 12.72 1.13 090 26356 A Repair finger/hand tendon 10.22 NA NA 13.72 16.05 1.21 090 26357 A Repair finger/hand tendon 8.65 NA NA 10.36 13.00 1.33 090 26358 A Repair/graft hand tendon 9.22 NA NA 10.96 13.81 1.38 090 26370 A Repair finger/hand tendon 7.17 NA NA 9.51 12.31 1.12 090 26372 A Repair/graft hand tendon 8.89 NA NA 10.54 13.54 1.40 090 26373 A Repair finger/hand tendon 8.29 NA NA 10.17 13.11 1.23 090 26390 A Revise hand/finger tendon 9.31 NA NA 9.21 11.25 1.40 090 26392 A Repair/graft hand tendon 10.38 NA NA 11.17 13.95 1.57 090 26410 A Repair hand tendon 4.68 NA NA 7.64 9.79 0.73 090 26412 A Repair/graft hand tendon 6.37 NA NA 8.63 10.95 0.97 090 26415 A Excision, hand/finger tendon 8.40 NA NA 7.47 9.63 0.98 090 26416 A Graft hand or finger tendon 9.44 NA NA 9.05 11.83 0.79 090 26418 A Repair finger tendon 4.33 NA NA 8.15 10.24 0.67 090 26420 A Repair/graft finger tendon 6.83 NA NA 8.81 11.22 1.07 090 26426 A Repair finger/hand tendon 6.21 NA NA 5.12 9.14 0.95 090 26428 A Repair/graft finger tendon 7.28 NA NA 9.26 11.57 1.09 090 26432 A Repair finger tendon 4.07 NA NA 6.79 8.53 0.64 090 26433 A Repair finger tendon 4.61 NA NA 7.02 8.91 0.72 090 26434 A Repair/graft finger tendon 6.15 NA NA 7.94 9.74 0.93 090 26437 A Realignment of tendons 5.88 NA NA 7.82 9.69 0.89 090 26440 A Release palm/finger tendon 5.07 NA NA 8.49 10.97 0.75 090 26442 A Release palm & finger tendon 9.50 NA NA 11.83 13.89 1.20 090 26445 A Release hand/finger tendon 4.36 NA NA 8.24 10.69 0.65 090 26449 A Release forearm/hand tendon 8.34 NA NA 7.28 11.53 1.06 090 26450 A Incision of palm tendon 3.71 NA NA 5.19 6.26 0.59 090 26455 A Incision of finger tendon 3.68 NA NA 5.15 6.22 0.58 090 26460 A Incise hand/finger tendon 3.50 NA NA 5.12 6.13 0.55 090 26471 A Fusion of finger tendons 5.79 NA NA 7.80 9.52 0.88 090 26474 A Fusion of finger tendons 5.38 NA NA 7.61 9.50 0.76 090 26476 A Tendon lengthening 5.24 NA NA 7.36 9.15 0.79 090 26477 A Tendon shortening 5.21 NA NA 7.58 9.32 0.81 090 26478 A Lengthening of hand tendon 5.86 NA NA 7.79 9.81 0.90 090 26479 A Shortening of hand tendon 5.80 NA NA 7.74 9.65 0.92 090 26480 A Transplant hand tendon 6.76 NA NA 9.67 12.36 1.02 090 26483 A Transplant/graft hand tendon 8.36 NA NA 10.23 12.87 1.26 090 Start Printed Page 2590 26485 A Transplant palm tendon 7.77 NA NA 10.09 12.73 1.15 090 26489 A Transplant/graft palm tendon 9.74 NA NA 10.83 11.45 1.26 090 26490 A Revise thumb tendon 8.48 NA NA 8.88 10.86 1.21 090 26492 A Tendon transfer with graft 9.70 NA NA 9.83 11.72 1.40 090 26494 A Hand tendon/muscle transfer 8.54 NA NA 9.24 11.11 1.28 090 26496 A Revise thumb tendon 9.66 NA NA 9.58 11.41 1.45 090 26497 A Finger tendon transfer 9.64 NA NA 9.54 11.56 1.41 090 26498 A Finger tendon transfer 14.07 NA NA 11.66 13.92 2.11 090 26499 A Revision of finger 9.05 NA NA 8.86 10.95 1.35 090 26500 A Hand tendon reconstruction 6.02 NA NA 7.75 9.60 0.90 090 26502 A Hand tendon reconstruction 7.20 NA NA 8.33 10.18 1.13 090 26508 A Release thumb contracture 6.07 NA NA 7.80 9.74 0.98 090 26510 A Thumb tendon transfer 5.49 NA NA 7.64 9.49 0.79 090 26516 A Fusion of knuckle joint 7.21 NA NA 8.31 10.28 1.10 090 26517 A Fusion of knuckle joints 8.96 NA NA 9.00 11.26 1.41 090 26518 A Fusion of knuckle joints 9.15 NA NA 8.97 11.18 1.35 090 26520 A Release knuckle contracture 5.36 NA NA 8.87 11.39 0.80 090 26525 A Release finger contracture 5.39 NA NA 8.89 11.44 0.81 090 26530 A Revise knuckle joint 6.76 NA NA 5.41 5.78 1.04 090 26531 A Revise knuckle with implant 7.99 NA NA 6.17 6.65 1.17 090 26535 A Revise finger joint 5.30 NA NA 4.09 3.92 0.71 090 26536 A Revise/implant finger joint 6.44 NA NA 9.25 9.45 0.96 090 26540 A Repair hand joint 6.49 NA NA 8.06 9.97 0.99 090 26541 A Repair hand joint with graft 8.69 NA NA 9.12 11.26 1.28 090 26542 A Repair hand joint with graft 6.84 NA NA 8.20 10.12 1.02 090 26545 A Reconstruct finger joint 6.99 NA NA 8.46 10.30 1.05 090 26546 A Repair nonunion hand 10.53 NA NA 11.43 13.24 1.44 090 26548 A Reconstruct finger joint 8.10 NA NA 8.81 10.83 1.20 090 26550 A Construct thumb replacement 21.54 NA NA 14.55 16.07 2.46 090 26551 A Great toe-hand transfer 48.23 NA NA 17.17 24.82 7.98 090 26553 A Single transfer, toe-hand 47.92 NA NA 27.38 25.04 2.42 090 26554 A Double transfer, toe-hand 56.73 NA NA 35.82 36.69 9.44 090 26555 A Positional change of finger 16.94 NA NA 14.01 16.10 2.49 090 26556 A Toe joint transfer 49.43 NA NA 18.05 25.70 2.58 090 26560 A Repair of web finger 5.43 NA NA 6.65 8.23 0.85 090 26561 A Repair of web finger 10.98 NA NA 9.51 10.93 1.45 090 26562 A Repair of web finger 16.40 NA NA 8.77 12.96 2.24 090 26565 A Correct metacarpal flaw 6.80 NA NA 8.16 10.08 1.00 090 26567 A Correct finger deformity 6.88 NA NA 8.12 10.04 1.04 090 26568 A Lengthen metacarpal/finger 9.15 NA NA 10.70 13.07 1.49 090 26580 A Repair hand deformity 19.50 NA NA 9.74 11.70 2.29 090 26587 A Reconstruct extra finger 14.36 NA NA 8.02 8.62 1.53 090 26590 A Repair finger deformity 18.51 NA NA 12.43 13.19 2.78 090 26591 A Repair muscles of hand 3.30 NA NA 6.22 7.92 0.48 090 26593 A Release muscles of hand 5.38 NA NA 7.80 9.47 0.78 090 26596 A Excision constricting tissue 9.02 NA NA 7.49 8.16 1.43 090 26600 A Treat metacarpal fracture 2.48 3.84 3.73 3.49 3.07 0.30 090 26605 A Treat metacarpal fracture 2.92 4.09 4.32 3.51 3.58 0.49 090 26607 A Treat metacarpal fracture 5.40 NA NA 4.89 5.58 0.87 090 26608 A Treat metacarpal fracture 5.43 NA NA 5.23 5.74 0.88 090 26615 A Treat metacarpal fracture 6.91 NA NA 6.02 5.66 0.86 090 26641 A Treat thumb dislocation 4.01 4.04 4.30 3.40 3.47 0.39 090 26645 A Treat thumb fracture 4.47 4.61 4.89 3.92 4.06 0.67 090 26650 A Treat thumb fracture 5.19 NA NA 4.89 5.79 0.94 090 26665 A Treat thumb fracture 7.78 NA NA 6.32 6.47 0.90 090 26670 A Treat hand dislocation 3.74 3.62 3.94 3.03 2.99 0.39 090 26675 A Treat hand dislocation 4.71 5.26 5.37 4.52 4.49 0.77 090 26676 A Pin hand dislocation 5.60 NA NA 5.57 6.13 0.91 090 26685 A Treat hand dislocation 6.91 NA NA 5.97 6.06 1.09 090 26686 A Treat hand dislocation 8.06 NA NA 6.08 6.49 1.24 090 26700 A Treat knuckle dislocation 3.74 3.30 3.53 2.93 2.90 0.35 090 26705 A Treat knuckle dislocation 4.26 4.75 5.04 4.04 4.17 0.66 090 26706 A Pin knuckle dislocation 5.19 NA NA 4.70 4.90 0.81 090 26715 A Treat knuckle dislocation 6.87 NA NA 6.00 5.76 0.91 090 26720 A Treat finger fracture, each 1.70 2.58 2.68 2.30 2.18 0.24 090 26725 A Treat finger fracture, each 3.39 4.09 4.43 3.41 3.46 0.53 090 26727 A Treat finger fracture, each 5.30 NA NA 5.18 5.71 0.84 090 26735 A Treat finger fracture, each 7.26 NA NA 6.13 5.84 0.95 090 26740 A Treat finger fracture, each 1.99 3.01 3.07 2.72 2.71 0.31 090 26742 A Treat finger fracture, each 3.90 4.27 4.63 3.57 3.72 0.58 090 26746 A Treat finger fracture, each 9.59 NA NA 7.20 6.38 0.91 090 26750 A Treat finger fracture, each 1.74 2.25 2.37 2.26 2.14 0.22 090 Start Printed Page 2591 26755 A Treat finger fracture, each 3.15 3.75 4.08 2.94 2.97 0.42 090 26756 A Pin finger fracture, each 4.46 NA NA 4.86 5.29 0.71 090 26765 A Treat finger fracture, each 5.70 NA NA 5.47 4.93 0.66 090 26770 A Treat finger dislocation 3.07 2.92 3.18 2.55 2.48 0.27 090 26775 A Treat finger dislocation 3.78 4.62 4.91 3.88 3.85 0.54 090 26776 A Pin finger dislocation 4.87 NA NA 4.99 5.50 0.77 090 26785 A Treat finger dislocation 6.44 NA NA 5.78 5.15 0.68 090 26820 A Thumb fusion with graft 8.33 NA NA 8.97 11.11 1.30 090 26841 A Fusion of thumb 7.21 NA NA 8.77 11.00 1.18 090 26842 A Thumb fusion with graft 8.37 NA NA 9.02 11.20 1.32 090 26843 A Fusion of hand joint 7.67 NA NA 8.57 10.46 1.15 090 26844 A Fusion/graft of hand joint 8.86 NA NA 9.16 11.27 1.33 090 26850 A Fusion of knuckle 7.03 NA NA 8.27 10.24 1.06 090 26852 A Fusion of knuckle with graft 8.59 NA NA 9.14 11.02 1.22 090 26860 A Fusion of finger joint 4.76 NA NA 7.54 9.37 0.73 090 26861 A Fusion of finger jnt, add-on 1.74 NA NA 0.70 0.82 0.27 ZZZ 26862 A Fusion/graft of finger joint 7.44 NA NA 8.67 10.51 1.10 090 26863 A Fuse/graft added joint 3.89 NA NA 1.58 1.85 0.56 ZZZ 26910 A Amputate metacarpal bone 7.67 NA NA 8.28 9.75 1.16 090 26951 A Amputation of finger/thumb 5.85 NA NA 8.40 9.28 0.71 090 26952 A Amputation of finger/thumb 6.37 NA NA 7.91 9.79 0.95 090 26989 C Hand/finger surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26990 A Drainage of pelvis lesion 7.84 NA NA 6.21 6.71 1.22 090 26991 A Drainage of pelvis bursa 6.97 8.62 9.89 4.88 5.16 1.11 090 26992 A Drainage of bone lesion 13.37 NA NA 8.42 9.40 2.17 090 27000 A Incision of hip tendon 5.66 NA NA 4.51 4.90 0.98 090 27001 A Incision of hip tendon 7.05 NA NA 5.23 5.66 1.24 090 27003 A Incision of hip tendon 7.70 NA NA 5.73 6.11 1.12 090 27005 A Incision of hip tendon 9.96 NA NA 6.49 7.15 1.73 090 27006 A Incision of hip tendons 9.99 NA NA 6.76 7.37 1.70 090 27025 A Incision of hip/thigh fascia 12.66 NA NA 8.21 8.38 1.85 090 27030 A Drainage of hip joint 13.54 NA NA 8.04 8.84 2.27 090 27033 A Exploration of hip joint 13.99 NA NA 8.40 9.16 2.33 090 27035 A Denervation of hip joint 17.23 NA NA 8.53 9.88 2.16 090 27036 A Excision of hip joint/muscle 14.18 NA NA 8.92 9.47 2.27 090 27040 A Biopsy of soft tissues 2.89 5.19 5.22 1.87 1.94 0.27 010 27041 A Biopsy of soft tissues 10.07 NA NA 5.74 6.19 1.35 090 27047 A Remove hip/pelvis lesion 7.51 7.03 7.07 4.50 4.63 1.03 090 27048 A Remove hip/pelvis lesion 6.44 NA NA 4.61 4.70 0.92 090 27049 A Remove tumor, hip/pelvis 15.20 NA NA 8.17 8.29 2.07 090 27050 A Biopsy of sacroiliac joint 4.65 NA NA 3.01 3.72 0.60 090 27052 A Biopsy of hip joint 7.27 NA NA 5.65 5.77 1.08 090 27054 A Removal of hip joint lining 9.09 NA NA 6.49 6.92 1.47 090 27060 A Removal of ischial bursa 5.78 NA NA 4.37 4.37 0.80 090 27062 A Remove femur lesion/bursa 5.66 NA NA 4.60 4.90 0.93 090 27065 A Removal of hip bone lesion 6.44 NA NA 4.99 5.22 1.01 090 27066 A Removal of hip bone lesion 11.06 NA NA 7.44 7.94 1.80 090 27067 A Remove/graft hip bone lesion 14.57 NA NA 8.85 9.76 1.85 090 27070 A Partial removal of hip bone 11.44 NA NA 8.03 8.59 1.75 090 27071 A Partial removal of hip bone 12.25 NA NA 8.48 9.31 1.93 090 27075 A Extensive hip surgery 36.77 NA NA 16.15 17.68 5.66 090 27076 A Extensive hip surgery 24.25 NA NA 12.83 13.68 3.71 090 27077 A Extensive hip surgery 42.54 NA NA 19.95 21.31 6.14 090 27078 A Extensive hip surgery 14.54 NA NA 8.82 9.38 2.23 090 27079 A Extensive hip surgery 14.91 NA NA 8.01 8.78 1.95 090 27080 A Removal of tail bone 6.80 NA NA 4.59 4.71 0.93 090 27086 A Remove hip foreign body 1.89 3.66 4.11 1.48 1.65 0.25 010 27087 A Remove hip foreign body 8.72 NA NA 5.66 6.16 1.35 090 27090 A Removal of hip prosthesis 11.57 NA NA 7.41 8.10 1.95 090 27091 A Removal of hip prosthesis 24.15 NA NA 12.91 13.46 3.85 090 27093 A Injection for hip x-ray 1.30 3.15 3.81 0.47 0.48 0.13 000 27095 A Injection for hip x-ray 1.50 3.71 4.72 0.51 0.51 0.14 000 27096 A Inject sacroiliac joint 1.40 2.52 3.44 0.33 0.33 0.08 000 27097 A Revision of hip tendon 9.16 NA NA 6.34 6.38 1.57 090 27098 A Transfer tendon to pelvis 9.20 NA NA 4.91 5.97 0.95 090 27100 A Transfer of abdominal muscle 11.21 NA NA 7.40 8.04 1.86 090 27105 A Transfer of spinal muscle 11.90 NA NA 7.36 8.26 1.73 090 27110 A Transfer of iliopsoas muscle 13.63 NA NA 8.28 8.70 2.19 090 27111 A Transfer of iliopsoas muscle 12.46 NA NA 8.07 8.61 1.95 090 27120 A Reconstruction of hip socket 19.10 NA NA 10.82 11.33 3.09 090 27122 A Reconstruction of hip socket 15.95 NA NA 9.44 10.24 2.62 090 27125 A Partial hip replacement 16.46 NA NA 9.60 10.11 2.55 090 Start Printed Page 2592 27130 A Total hip arthroplasty 21.61 NA NA 11.77 12.54 3.51 090 27132 A Total hip arthroplasty 25.49 NA NA 13.43 14.54 4.05 090 27134 A Revise hip joint replacement 30.13 NA NA 14.69 16.25 4.95 090 27137 A Revise hip joint replacement 22.55 NA NA 11.73 12.84 3.68 090 27138 A Revise hip joint replacement 23.55 NA NA 12.12 13.26 3.85 090 27140 A Transplant femur ridge 12.66 NA NA 7.88 8.65 2.12 090 27146 A Incision of hip bone 18.72 NA NA 10.69 11.42 2.97 090 27147 A Revision of hip bone 21.87 NA NA 12.02 12.64 3.58 090 27151 A Incision of hip bones 23.92 NA NA 12.89 10.42 3.92 090 27156 A Revision of hip bones 26.03 NA NA 13.72 14.90 4.22 090 27158 A Revision of pelvis 20.89 NA NA 11.52 11.25 3.17 090 27161 A Incision of neck of femur 17.74 NA NA 10.36 11.24 2.95 090 27165 A Incision/fixation of femur 20.06 NA NA 11.58 12.25 3.11 090 27170 A Repair/graft femur head/neck 17.46 NA NA 9.76 10.53 2.82 090 27175 A Treat slipped epiphysis 9.29 NA NA 5.17 5.92 1.46 090 27176 A Treat slipped epiphysis 12.78 NA NA 8.18 8.60 2.23 090 27177 A Treat slipped epiphysis 15.94 NA NA 9.64 10.27 2.62 090 27178 A Treat slipped epiphysis 12.78 NA NA 7.98 8.20 2.09 090 27179 A Revise head/neck of femur 13.83 NA NA 8.57 9.29 2.26 090 27181 A Treat slipped epiphysis 15.98 NA NA 9.74 9.98 1.57 090 27185 A Revision of femur epiphysis 9.67 NA NA 6.65 7.08 2.40 090 27187 A Reinforce hip bones 14.09 NA NA 8.69 9.51 2.38 090 27193 A Treat pelvic ring fracture 5.98 4.63 4.86 4.76 4.92 0.96 090 27194 A Treat pelvic ring fracture 10.08 NA NA 6.61 7.13 1.65 090 27200 A Treat tail bone fracture 1.87 2.08 2.15 2.22 2.19 0.28 090 27202 A Treat tail bone fracture 7.25 NA NA 4.91 10.89 1.06 090 27215 A Treat pelvic fracture(s) 10.45 NA NA 6.55 6.82 1.98 090 27216 A Treat pelvic ring fracture 15.73 NA NA 9.14 9.37 2.64 090 27217 A Treat pelvic ring fracture 14.65 NA NA 8.63 9.39 2.42 090 27218 A Treat pelvic ring fracture 20.93 NA NA 11.33 11.37 3.49 090 27220 A Treat hip socket fracture 6.72 5.25 5.49 5.15 5.39 1.07 090 27222 A Treat hip socket fracture 13.97 NA NA 8.52 9.25 2.20 090 27226 A Treat hip wall fracture 15.45 NA NA 8.93 8.37 2.49 090 27227 A Treat hip fracture(s) 25.21 NA NA 13.38 14.39 4.06 090 27228 A Treat hip fracture(s) 29.13 NA NA 14.85 16.24 4.67 090 27230 A Treat thigh fracture 5.69 4.93 5.23 4.87 4.98 0.95 090 27232 A Treat thigh fracture 11.66 NA NA 6.10 6.64 1.86 090 27235 A Treat thigh fracture 12.88 NA NA 7.98 8.72 2.12 090 27236 A Treat thigh fracture 17.43 NA NA 10.14 10.60 2.72 090 27238 A Treat thigh fracture 5.64 NA NA 4.65 4.90 0.89 090 27240 A Treat thigh fracture 13.66 NA NA 8.21 8.84 2.17 090 27244 A Treat thigh fracture 17.08 NA NA 9.62 10.46 2.78 090 27245 A Treat thigh fracture 21.09 NA NA 11.34 12.55 3.53 090 27246 A Treat thigh fracture 4.75 3.91 4.18 3.95 4.18 0.81 090 27248 A Treat thigh fracture 10.64 NA NA 6.38 7.30 1.82 090 27250 A Treat hip dislocation 7.21 NA NA 4.30 4.46 0.62 090 27252 A Treat hip dislocation 10.92 NA NA 6.49 6.96 1.66 090 27253 A Treat hip dislocation 13.46 NA NA 8.17 8.98 2.25 090 27254 A Treat hip dislocation 18.80 NA NA 10.54 11.28 3.18 090 27256 A Treat hip dislocation 4.25 2.52 3.02 1.41 1.75 0.46 010 27257 A Treat hip dislocation 5.35 NA NA 2.54 2.68 0.69 010 27258 A Treat hip dislocation 16.04 NA NA 9.48 10.18 2.65 090 27259 A Treat hip dislocation 23.03 NA NA 12.78 13.45 3.75 090 27265 A Treat hip dislocation 5.12 NA NA 3.95 4.37 0.63 090 27266 A Treat hip dislocation 7.67 NA NA 5.51 5.93 1.29 090 27267 A Cltx thigh fx 5.38 NA NA 4.40 4.40 0.89 090 27268 A Cltx thigh fx w/mnpj 7.00 NA NA 5.02 5.02 1.16 090 27269 A Optx thigh fx 18.75 NA NA 9.89 9.89 2.93 090 27275 A Manipulation of hip joint 2.29 NA NA 1.85 1.98 0.39 010 27280 A Fusion of sacroiliac joint 14.49 NA NA 8.88 9.58 2.54 090 27282 A Fusion of pubic bones 11.71 NA NA 7.78 7.89 1.87 090 27284 A Fusion of hip joint 24.91 NA NA 12.01 13.39 3.93 090 27286 A Fusion of hip joint 24.97 NA NA 12.61 14.21 3.13 090 27290 A Amputation of leg at hip 24.38 NA NA 12.11 13.09 3.44 090 27295 A Amputation of leg at hip 19.54 NA NA 9.59 10.45 2.96 090 27299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27301 A Drain thigh/knee lesion 6.67 8.20 9.14 4.65 4.89 1.04 090 27303 A Drainage of bone lesion 8.52 NA NA 5.99 6.49 1.43 090 27305 A Incise thigh tendon & fascia 6.09 NA NA 4.68 4.93 1.01 090 27306 A Incision of thigh tendon 4.66 NA NA 4.08 4.40 0.85 090 27307 A Incision of thigh tendons 5.97 NA NA 4.74 5.06 1.04 090 27310 A Exploration of knee joint 9.88 NA NA 6.78 7.18 1.61 090 Start Printed Page 2593 27323 A Biopsy, thigh soft tissues 2.30 4.20 3.86 1.93 1.91 0.24 010 27324 A Biopsy, thigh soft tissues 4.95 NA NA 3.82 4.00 0.75 090 27325 A Neurectomy, hamstring 7.09 NA NA 4.99 4.97 1.09 090 27326 A Neurectomy, popliteal 6.36 NA NA 5.12 5.18 1.06 090 27327 A Removal of thigh lesion 4.52 6.04 6.02 3.58 3.65 0.64 090 27328 A Removal of thigh lesion 5.62 NA NA 4.07 4.22 0.84 090 27329 A Remove tumor, thigh/knee 15.68 NA NA 8.47 8.75 2.15 090 27330 A Biopsy, knee joint lining 5.02 NA NA 4.26 4.42 0.86 090 27331 A Explore/treat knee joint 5.93 NA NA 4.80 5.16 1.02 090 27332 A Removal of knee cartilage 8.34 NA NA 6.12 6.62 1.43 090 27333 A Removal of knee cartilage 7.43 NA NA 5.69 6.18 1.26 090 27334 A Remove knee joint lining 9.07 NA NA 6.43 6.92 1.51 090 27335 A Remove knee joint lining 10.43 NA NA 7.02 7.62 1.75 090 27340 A Removal of kneecap bursa 4.23 NA NA 4.04 4.30 0.72 090 27345 A Removal of knee cyst 5.98 NA NA 4.89 5.26 1.00 090 27347 A Remove knee cyst 6.58 NA NA 5.26 5.34 0.98 090 27350 A Removal of kneecap 8.54 NA NA 6.25 6.75 1.41 090 27355 A Remove femur lesion 7.89 NA NA 5.81 6.29 1.32 090 27356 A Remove femur lesion/graft 9.97 NA NA 6.84 7.34 1.65 090 27357 A Remove femur lesion/graft 11.02 NA NA 7.48 8.09 1.96 090 27358 A Remove femur lesion/fixation 4.73 NA NA 1.81 2.17 0.82 ZZZ 27360 A Partial removal, leg bone(s) 11.34 NA NA 8.05 8.81 1.84 090 27365 A Extensive leg surgery 17.93 NA NA 10.42 11.05 2.80 090 27370 A Injection for knee x-ray 0.96 3.00 3.36 0.36 0.34 0.08 000 27372 A Removal of foreign body 5.12 8.31 9.18 4.04 4.36 0.84 090 27380 A Repair of kneecap tendon 7.34 NA NA 6.06 6.67 1.24 090 27381 A Repair/graft kneecap tendon 10.64 NA NA 7.56 8.33 1.80 090 27385 A Repair of thigh muscle 8.00 NA NA 6.31 6.97 1.36 090 27386 A Repair/graft of thigh muscle 10.99 NA NA 7.93 8.72 1.86 090 27390 A Incision of thigh tendon 5.44 NA NA 4.47 4.79 0.92 090 27391 A Incision of thigh tendons 7.38 NA NA 5.55 6.06 1.23 090 27392 A Incision of thigh tendons 9.51 NA NA 6.67 7.13 1.57 090 27393 A Lengthening of thigh tendon 6.50 NA NA 4.96 5.40 1.10 090 27394 A Lengthening of thigh tendons 8.68 NA NA 6.15 6.69 1.47 090 27395 A Lengthening of thigh tendons 12.10 NA NA 7.93 8.63 2.05 090 27396 A Transplant of thigh tendon 8.04 NA NA 5.83 6.42 1.34 090 27397 A Transplants of thigh tendons 12.46 NA NA 8.35 8.70 1.83 090 27400 A Revise thigh muscles/tendons 9.21 NA NA 6.51 6.88 1.31 090 27403 A Repair of knee cartilage 8.51 NA NA 6.03 6.61 1.44 090 27405 A Repair of knee ligament 8.96 NA NA 6.39 6.94 1.51 090 27407 A Repair of knee ligament 10.71 NA NA 6.83 7.58 1.79 090 27409 A Repair of knee ligaments 13.57 NA NA 8.26 9.11 2.25 090 27412 A Autochondrocyte implant knee 24.53 NA NA 13.66 14.23 4.36 090 27415 A Osteochondral knee allograft 19.79 NA NA 11.79 12.17 4.36 090 27416 A Osteochondral knee autograft 14.00 NA NA 8.39 8.39 2.32 090 27418 A Repair degenerated kneecap 11.46 NA NA 7.57 8.24 1.89 090 27420 A Revision of unstable kneecap 10.14 NA NA 6.91 7.51 1.72 090 27422 A Revision of unstable kneecap 10.09 NA NA 6.88 7.50 1.71 090 27424 A Revision/removal of kneecap 10.12 NA NA 6.90 7.50 1.71 090 27425 A Lat retinacular release open 5.28 NA NA 4.70 5.12 0.90 090 27427 A Reconstruction, knee 9.67 NA NA 6.70 7.25 1.63 090 27428 A Reconstruction, knee 15.33 NA NA 10.05 10.65 2.43 090 27429 A Reconstruction, knee 17.24 NA NA 11.26 11.84 2.71 090 27430 A Revision of thigh muscles 10.04 NA NA 6.84 7.42 1.70 090 27435 A Incision of knee joint 10.68 NA NA 7.59 8.04 1.70 090 27437 A Revise kneecap 8.82 NA NA 6.19 6.72 1.49 090 27438 A Revise kneecap with implant 11.77 NA NA 7.50 8.02 1.96 090 27440 A Revision of knee joint 10.97 NA NA 7.00 6.50 1.82 090 27441 A Revision of knee joint 11.42 NA NA 7.36 7.04 1.89 090 27442 A Revision of knee joint 12.25 NA NA 7.64 8.28 2.10 090 27443 A Revision of knee joint 11.29 NA NA 7.35 8.04 1.91 090 27445 A Revision of knee joint 18.52 NA NA 10.42 11.39 3.09 090 27446 A Revision of knee joint 16.26 NA NA 9.29 10.28 2.81 090 27447 A Total knee arthroplasty 23.04 NA NA 12.58 13.59 3.80 090 27448 A Incision of thigh 11.48 NA NA 7.32 7.96 1.95 090 27450 A Incision of thigh 14.47 NA NA 8.84 9.71 2.43 090 27454 A Realignment of thigh bone 18.97 NA NA 10.73 11.62 3.13 090 27455 A Realignment of knee 13.24 NA NA 8.31 9.10 2.25 090 27457 A Realignment of knee 13.92 NA NA 8.23 9.08 2.35 090 27465 A Shortening of thigh bone 18.44 NA NA 10.29 10.26 2.48 090 27466 A Lengthening of thigh bone 17.13 NA NA 10.06 10.95 2.78 090 27468 A Shorten/lengthen thighs 19.82 NA NA 11.17 11.77 3.31 090 Start Printed Page 2594 27470 A Repair of thigh 16.97 NA NA 10.16 10.98 2.80 090 27472 A Repair/graft of thigh 18.57 NA NA 10.64 11.67 3.08 090 27475 A Surgery to stop leg growth 8.82 NA NA 6.20 6.71 1.36 090 27477 A Surgery to stop leg growth 10.03 NA NA 6.60 7.17 1.74 090 27479 A Surgery to stop leg growth 13.04 NA NA 8.85 9.25 2.79 090 27485 A Surgery to stop leg growth 9.02 NA NA 6.22 6.81 1.53 090 27486 A Revise/replace knee joint 20.92 NA NA 11.63 12.57 3.37 090 27487 A Revise/replace knee joint 26.91 NA NA 13.98 15.27 4.40 090 27488 A Removal of knee prosthesis 17.40 NA NA 10.25 10.98 2.75 090 27495 A Reinforce thigh 16.40 NA NA 9.60 10.51 2.72 090 27496 A Decompression of thigh/knee 6.66 NA NA 4.98 5.29 0.99 090 27497 A Decompression of thigh/knee 7.70 NA NA 4.99 5.21 1.15 090 27498 A Decompression of thigh/knee 8.54 NA NA 5.19 5.57 1.24 090 27499 A Decompression of thigh/knee 9.31 NA NA 5.98 6.40 1.47 090 27500 A Treatment of thigh fracture 6.21 5.36 5.75 4.58 4.79 1.02 090 27501 A Treatment of thigh fracture 6.34 5.01 5.40 4.92 5.15 1.03 090 27502 A Treatment of thigh fracture 11.24 NA NA 6.86 7.49 1.79 090 27503 A Treatment of thigh fracture 11.13 NA NA 7.22 7.75 1.85 090 27506 A Treatment of thigh fracture 19.42 NA NA 11.37 12.08 3.04 090 27507 A Treatment of thigh fracture 14.39 NA NA 8.13 8.99 2.43 090 27508 A Treatment of thigh fracture 6.08 5.69 6.08 5.05 5.27 0.97 090 27509 A Treatment of thigh fracture 8.02 NA NA 6.54 7.25 1.34 090 27510 A Treatment of thigh fracture 9.68 NA NA 6.27 6.80 1.53 090 27511 A Treatment of thigh fracture 14.97 NA NA 8.11 9.66 2.38 090 27513 A Treatment of thigh fracture 19.11 NA NA 9.75 11.82 3.13 090 27514 A Treatment of thigh fracture 14.46 NA NA 7.89 10.62 3.01 090 27516 A Treat thigh fx growth plate 5.45 5.72 6.04 5.07 5.30 0.81 090 27517 A Treat thigh fx growth plate 8.98 NA NA 6.42 6.94 1.22 090 27519 A Treat thigh fx growth plate 13.11 NA NA 7.39 9.49 2.56 090 27520 A Treat kneecap fracture 2.93 4.10 4.32 3.53 3.48 0.47 090 27524 A Treat kneecap fracture 10.25 NA NA 6.94 7.59 1.75 090 27530 A Treat knee fracture 3.97 4.82 5.07 4.26 4.34 0.65 090 27532 A Treat knee fracture 7.43 6.40 6.88 5.63 6.04 1.26 090 27535 A Treat knee fracture 13.27 NA NA 7.45 8.78 2.01 090 27536 A Treat knee fracture 17.19 NA NA 10.20 10.91 2.74 090 27538 A Treat knee fracture(s) 4.95 5.51 5.83 4.89 5.05 0.84 090 27540 A Treat knee fracture 11.16 NA NA 7.39 8.45 2.28 090 27550 A Treat knee dislocation 5.84 5.21 5.62 4.51 4.72 0.76 090 27552 A Treat knee dislocation 8.04 NA NA 6.09 6.52 1.36 090 27556 A Treat knee dislocation 12.86 NA NA 7.26 9.46 2.51 090 27557 A Treat knee dislocation 15.76 NA NA 8.45 10.79 2.98 090 27558 A Treat knee dislocation 18.25 NA NA 9.29 11.17 3.09 090 27560 A Treat kneecap dislocation 3.88 4.25 4.54 3.72 3.45 0.40 090 27562 A Treat kneecap dislocation 5.86 NA NA 4.61 4.69 0.94 090 27566 A Treat kneecap dislocation 12.59 NA NA 7.89 8.61 2.13 090 27570 A Fixation of knee joint 1.76 NA NA 1.62 1.70 0.30 010 27580 A Fusion of knee 20.90 NA NA 12.19 13.50 3.38 090 27590 A Amputate leg at thigh 13.35 NA NA 6.02 6.35 1.75 090 27591 A Amputate leg at thigh 13.82 NA NA 7.35 8.00 2.03 090 27592 A Amputate leg at thigh 10.86 NA NA 5.45 5.81 1.45 090 27594 A Amputation follow-up surgery 7.17 NA NA 4.73 4.95 1.02 090 27596 A Amputation follow-up surgery 11.15 NA NA 5.98 6.40 1.57 090 27598 A Amputate lower leg at knee 11.08 NA NA 6.20 6.61 1.65 090 27599 C Leg surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27600 A Decompression of lower leg 5.94 NA NA 3.80 4.16 0.86 090 27601 A Decompression of lower leg 5.94 NA NA 4.18 4.51 0.80 090 27602 A Decompression of lower leg 7.71 NA NA 4.29 4.71 1.10 090 27603 A Drain lower leg lesion 5.12 7.05 7.27 3.90 4.03 0.74 090 27604 A Drain lower leg bursa 4.51 6.49 6.29 3.43 3.69 0.69 090 27605 A Incision of achilles tendon 2.89 5.16 6.42 1.74 2.03 0.41 010 27606 A Incision of achilles tendon 4.15 NA NA 2.63 2.99 0.69 010 27607 A Treat lower leg bone lesion 8.51 NA NA 5.70 5.94 1.31 090 27610 A Explore/treat ankle joint 9.01 NA NA 6.11 6.56 1.40 090 27612 A Exploration of ankle joint 8.01 NA NA 5.18 5.64 1.13 090 27613 A Biopsy lower leg soft tissue 2.19 3.91 3.57 1.78 1.79 0.20 010 27614 A Biopsy lower leg soft tissue 5.71 7.76 7.45 3.94 4.19 0.78 090 27615 A Remove tumor, lower leg 12.93 NA NA 7.28 8.34 1.84 090 27618 A Remove lower leg lesion 5.14 6.44 6.23 3.80 3.90 0.72 090 27619 A Remove lower leg lesion 8.47 10.00 9.76 5.28 5.62 1.25 090 27620 A Explore/treat ankle joint 6.04 NA NA 4.57 5.02 0.97 090 27625 A Remove ankle joint lining 8.37 NA NA 5.50 5.98 1.28 090 27626 A Remove ankle joint lining 8.98 NA NA 5.78 6.35 1.48 090 Start Printed Page 2595 27630 A Removal of tendon lesion 4.85 7.99 7.77 3.81 4.09 0.74 090 27635 A Remove lower leg bone lesion 7.91 NA NA 5.63 6.19 1.31 090 27637 A Remove/graft leg bone lesion 10.17 NA NA 6.91 7.60 1.66 090 27638 A Remove/graft leg bone lesion 10.87 NA NA 7.05 7.67 1.85 090 27640 A Partial removal of tibia 12.10 NA NA 7.47 8.89 1.89 090 27641 A Partial removal of fibula 9.73 NA NA 6.09 7.22 1.46 090 27645 A Extensive lower leg surgery 14.78 NA NA 8.74 10.40 2.42 090 27646 A Extensive lower leg surgery 13.21 NA NA 7.64 9.34 2.06 090 27647 A Extensive ankle/heel surgery 12.85 NA NA 6.54 7.08 1.76 090 27648 A Injection for ankle x-ray 0.96 2.88 3.20 0.34 0.34 0.08 000 27650 A Repair achilles tendon 9.94 NA NA 6.16 6.84 1.59 090 27652 A Repair/graft achilles tendon 10.64 NA NA 6.44 7.24 1.72 090 27654 A Repair of achilles tendon 10.32 NA NA 5.99 6.57 1.58 090 27656 A Repair leg fascia defect 4.62 7.96 8.25 3.58 3.68 0.69 090 27658 A Repair of leg tendon, each 5.03 NA NA 3.89 4.22 0.79 090 27659 A Repair of leg tendon, each 6.99 NA NA 4.68 5.16 1.09 090 27664 A Repair of leg tendon, each 4.64 NA NA 3.88 4.22 0.76 090 27665 A Repair of leg tendon, each 5.46 NA NA 4.33 4.65 0.89 090 27675 A Repair lower leg tendons 7.24 NA NA 4.67 5.21 1.11 090 27676 A Repair lower leg tendons 8.61 NA NA 5.73 6.24 1.37 090 27680 A Release of lower leg tendon 5.79 NA NA 4.16 4.64 0.93 090 27681 A Release of lower leg tendons 6.94 NA NA 5.09 5.51 1.15 090 27685 A Revision of lower leg tendon 6.57 8.78 8.04 4.57 5.02 0.97 090 27686 A Revise lower leg tendons 7.64 NA NA 5.29 5.89 1.24 090 27687 A Revision of calf tendon 6.30 NA NA 4.47 4.90 1.00 090 27690 A Revise lower leg tendon 8.96 NA NA 5.37 5.86 1.33 090 27691 A Revise lower leg tendon 10.28 NA NA 6.66 7.21 1.64 090 27692 A Revise additional leg tendon 1.87 NA NA 0.71 0.82 0.32 ZZZ 27695 A Repair of ankle ligament 6.58 NA NA 4.88 5.38 1.05 090 27696 A Repair of ankle ligaments 8.46 NA NA 5.26 5.85 1.28 090 27698 A Repair of ankle ligament 9.49 NA NA 5.87 6.41 1.47 090 27700 A Revision of ankle joint 9.54 NA NA 5.21 5.45 1.30 090 27702 A Reconstruct ankle joint 14.28 NA NA 8.65 9.56 2.38 090 27703 A Reconstruction, ankle joint 16.79 NA NA 9.78 10.51 2.77 090 27704 A Removal of ankle implant 7.69 NA NA 5.62 5.61 1.27 090 27705 A Incision of tibia 10.74 NA NA 6.96 7.57 1.81 090 27707 A Incision of fibula 4.67 NA NA 4.49 4.71 0.76 090 27709 A Incision of tibia & fibula 17.32 NA NA 9.96 9.05 1.74 090 27712 A Realignment of lower leg 15.67 NA NA 9.45 10.10 2.48 090 27715 A Revision of lower leg 15.36 NA NA 9.04 9.91 2.50 090 27720 A Repair of tibia 12.22 NA NA 7.93 8.67 2.05 090 27722 A Repair/graft of tibia 12.31 NA NA 7.89 8.51 2.06 090 27724 A Repair/graft of tibia 19.18 NA NA 10.29 11.33 3.17 090 27725 A Repair of lower leg 17.15 NA NA 10.59 11.25 2.72 090 27726 A Repair fibula nonunion 14.20 NA NA 7.68 7.68 1.43 090 27727 A Repair of lower leg 14.69 NA NA 9.07 9.71 2.44 090 27730 A Repair of tibia epiphysis 7.59 NA NA 5.31 5.87 1.73 090 27732 A Repair of fibula epiphysis 5.37 NA NA 4.17 4.55 0.77 090 27734 A Repair lower leg epiphyses 8.72 NA NA 6.17 6.23 1.35 090 27740 A Repair of leg epiphyses 9.49 NA NA 6.61 7.30 1.62 090 27742 A Repair of leg epiphyses 10.49 NA NA 4.60 5.08 1.80 090 27745 A Reinforce tibia 10.37 NA NA 7.00 7.58 1.76 090 27750 A Treatment of tibia fracture 3.26 4.32 4.54 3.74 3.79 0.55 090 27752 A Treatment of tibia fracture 6.15 5.95 6.30 5.11 5.39 1.01 090 27756 A Treatment of tibia fracture 7.33 NA NA 5.76 6.11 1.17 090 27758 A Treatment of tibia fracture 12.40 NA NA 8.03 8.61 2.04 090 27759 A Treatment of tibia fracture 14.31 NA NA 8.67 9.50 2.39 090 27760 A Cltx medial ankle fx 3.09 4.28 4.48 3.68 3.63 0.48 090 27762 A Cltx med ankle fx w/mnpj 5.33 5.48 5.91 4.65 4.97 0.85 090 27766 A Optx medial ankle fx 7.73 NA NA 6.13 6.68 1.44 090 27767 A Cltx post ankle fx 2.50 3.62 3.62 3.65 3.65 0.30 090 27768 A Cltx post ankle fx w/mnpj 5.00 NA NA 4.30 4.30 0.79 090 27769 A Optx post ankle fx 10.00 NA NA 6.08 6.08 1.45 090 27780 A Treatment of fibula fracture 2.72 3.87 4.02 3.31 3.26 0.41 090 27781 A Treatment of fibula fracture 4.47 4.88 5.19 4.26 4.45 0.73 090 27784 A Treatment of fibula fracture 9.51 NA NA 6.85 6.66 1.23 090 27786 A Treatment of ankle fracture 2.91 4.05 4.26 3.43 3.38 0.46 090 27788 A Treatment of ankle fracture 4.52 4.97 5.31 4.23 4.44 0.74 090 27792 A Treatment of ankle fracture 9.55 NA NA 6.81 6.89 1.32 090 27808 A Treatment of ankle fracture 2.91 4.40 4.60 3.71 3.70 0.46 090 27810 A Treatment of ankle fracture 5.20 5.41 5.83 4.55 4.85 0.82 090 27814 A Treatment of ankle fracture 10.46 NA NA 7.24 7.90 1.86 090 Start Printed Page 2596 27816 A Treatment of ankle fracture 2.96 3.99 4.19 3.33 3.37 0.43 090 27818 A Treatment of ankle fracture 5.57 5.41 5.89 4.44 4.81 0.82 090 27822 A Treatment of ankle fracture 11.03 NA NA 8.21 9.43 1.92 090 27823 A Treatment of ankle fracture 12.98 NA NA 8.94 10.21 2.26 090 27824 A Treat lower leg fracture 3.20 3.65 3.86 3.47 3.52 0.45 090 27825 A Treat lower leg fracture 6.60 5.78 6.19 4.76 5.07 1.02 090 27826 A Treat lower leg fracture 10.92 NA NA 8.21 8.52 1.47 090 27827 A Treat lower leg fracture 14.56 NA NA 10.19 11.48 2.44 090 27828 A Treat lower leg fracture 18.20 NA NA 11.58 12.76 2.82 090 27829 A Treat lower leg joint 8.64 NA NA 6.97 6.88 0.95 090 27830 A Treat lower leg dislocation 3.85 4.09 4.24 3.56 3.71 0.54 090 27831 A Treat lower leg dislocation 4.62 NA NA 4.06 4.26 0.73 090 27832 A Treat lower leg dislocation 10.01 NA NA 6.83 6.50 1.03 090 27840 A Treat ankle dislocation 4.65 NA NA 3.65 3.71 0.46 090 27842 A Treat ankle dislocation 6.34 NA NA 4.85 4.98 1.00 090 27846 A Treat ankle dislocation 10.16 NA NA 6.77 7.35 1.71 090 27848 A Treat ankle dislocation 11.56 NA NA 7.32 8.52 1.95 090 27860 A Fixation of ankle joint 2.36 NA NA 1.69 1.84 0.39 010 27870 A Fusion of ankle joint, open 15.21 NA NA 9.08 9.81 2.37 090 27871 A Fusion of tibiofibular joint 9.42 NA NA 6.54 7.06 1.59 090 27880 A Amputation of lower leg 15.24 NA NA 6.65 6.89 1.76 090 27881 A Amputation of lower leg 13.32 NA NA 7.38 8.12 1.99 090 27882 A Amputation of lower leg 9.67 NA NA 4.91 5.70 1.29 090 27884 A Amputation follow-up surgery 8.64 NA NA 5.11 5.43 1.22 090 27886 A Amputation follow-up surgery 9.88 NA NA 5.65 6.08 1.40 090 27888 A Amputation of foot at ankle 10.23 NA NA 6.01 6.76 1.51 090 27889 A Amputation of foot at ankle 10.72 NA NA 5.44 5.96 1.46 090 27892 A Decompression of leg 7.82 NA NA 5.10 5.35 1.10 090 27893 A Decompression of leg 7.78 NA NA 5.13 5.30 1.10 090 27894 A Decompression of leg 12.42 NA NA 7.34 7.56 1.65 090 27899 C Leg/ankle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 28001 A Drainage of bursa of foot 2.75 4.00 3.49 1.61 1.78 0.33 010 28002 A Treatment of foot infection 5.78 6.68 5.83 3.57 3.67 0.61 010 28003 A Treatment of foot infection 8.95 7.78 7.01 4.56 4.89 1.12 090 28005 A Treat foot bone lesion 9.30 NA NA 5.53 5.79 1.16 090 28008 A Incision of foot fascia 4.50 6.17 5.36 3.00 3.10 0.57 090 28010 A Incision of toe tendon 2.89 2.86 2.62 2.35 2.36 0.36 090 28011 A Incision of toe tendons 4.19 3.80 3.55 3.03 3.17 0.59 090 28020 A Exploration of foot joint 5.06 7.37 6.69 3.58 3.86 0.72 090 28022 A Exploration of foot joint 4.72 6.93 6.06 3.33 3.59 0.62 090 28024 A Exploration of toe joint 4.43 6.56 5.89 3.12 3.52 0.58 090 28035 A Decompression of tibia nerve 5.14 7.28 6.57 3.55 3.82 0.70 090 28043 A Excision of foot lesion 3.58 4.78 4.30 2.73 2.95 0.46 090 28045 A Excision of foot lesion 4.77 7.03 6.20 3.24 3.42 0.63 090 28046 A Resection of tumor, foot 10.55 10.37 9.57 5.76 6.12 1.36 090 28050 A Biopsy of foot joint lining 4.30 6.95 5.92 3.30 3.44 0.60 090 28052 A Biopsy of foot joint lining 3.98 6.30 5.61 2.87 3.15 0.53 090 28054 A Biopsy of toe joint lining 3.49 6.25 5.49 2.80 3.01 0.46 090 28055 A Neurectomy, foot 6.20 NA NA 3.44 3.55 0.74 090 28060 A Partial removal, foot fascia 5.29 7.08 6.28 3.54 3.71 0.70 090 28062 A Removal of foot fascia 6.58 7.83 7.17 3.82 3.92 0.83 090 28070 A Removal of foot joint lining 5.15 7.37 6.29 3.54 3.68 0.73 090 28072 A Removal of foot joint lining 4.63 7.57 6.55 3.60 3.95 0.68 090 28080 A Removal of foot lesion 4.65 7.67 6.39 4.19 3.94 0.47 090 28086 A Excise foot tendon sheath 4.83 7.87 7.93 3.81 4.25 0.76 090 28088 A Excise foot tendon sheath 3.90 7.00 6.38 3.19 3.54 0.61 090 28090 A Removal of foot lesion 4.46 6.77 5.96 3.18 3.32 0.59 090 28092 A Removal of toe lesions 3.69 6.47 5.84 2.99 3.26 0.49 090 28100 A Removal of ankle/heel lesion 5.72 8.10 8.03 4.00 4.34 0.82 090 28102 A Remove/graft foot lesion 7.80 NA NA 4.84 5.40 1.14 090 28103 A Remove/graft foot lesion 6.56 NA NA 4.03 4.32 0.91 090 28104 A Removal of foot lesion 5.17 7.23 6.36 3.47 3.69 0.70 090 28106 A Remove/graft foot lesion 7.23 NA NA 4.23 4.33 0.97 090 28107 A Remove/graft foot lesion 5.62 7.70 7.11 3.66 3.93 0.74 090 28108 A Removal of toe lesions 4.21 6.35 5.47 2.99 3.12 0.53 090 28110 A Part removal of metatarsal 4.13 6.93 6.07 3.06 3.14 0.54 090 28111 A Part removal of metatarsal 5.06 7.10 6.69 3.20 3.43 0.67 090 28112 A Part removal of metatarsal 4.54 7.19 6.50 3.24 3.41 0.61 090 28113 A Part removal of metatarsal 5.88 8.37 7.21 4.61 4.46 0.63 090 28114 A Removal of metatarsal heads 11.61 13.40 12.51 8.30 8.34 1.42 090 28116 A Revision of foot 8.94 9.45 8.12 5.34 5.26 1.03 090 28118 A Removal of heel bone 6.02 7.93 7.09 4.02 4.18 0.84 090 Start Printed Page 2597 28119 A Removal of heel spur 5.45 7.22 6.32 3.58 3.65 0.70 090 28120 A Part removal of ankle/heel 5.64 8.09 7.69 3.97 4.19 0.77 090 28122 A Partial removal of foot bone 7.56 8.47 7.65 4.78 5.02 0.98 090 28124 A Partial removal of toe 4.88 6.78 5.88 3.46 3.56 0.60 090 28126 A Partial removal of toe 3.56 5.96 5.09 2.66 2.83 0.45 090 28130 A Removal of ankle bone 9.30 NA NA 6.16 6.44 1.26 090 28140 A Removal of metatarsal 7.03 7.82 7.52 4.12 4.44 0.92 090 28150 A Removal of toe 4.14 6.36 5.60 2.98 3.13 0.53 090 28153 A Partial removal of toe 3.71 6.21 5.26 2.89 2.79 0.47 090 28160 A Partial removal of toe 3.79 6.31 5.44 2.93 3.13 0.49 090 28171 A Extensive foot surgery 9.85 NA NA 5.26 5.34 1.33 090 28173 A Extensive foot surgery 9.05 8.74 8.16 4.61 4.91 1.12 090 28175 A Extensive foot surgery 6.17 7.14 6.43 3.63 3.67 0.73 090 28190 A Removal of foot foreign body 1.98 4.01 3.70 1.34 1.41 0.22 010 28192 A Removal of foot foreign body 4.69 6.72 6.10 3.19 3.42 0.61 090 28193 A Removal of foot foreign body 5.79 7.34 6.47 3.63 3.78 0.73 090 28200 A Repair of foot tendon 4.65 6.88 5.99 3.23 3.39 0.61 090 28202 A Repair/graft of foot tendon 6.96 7.77 7.49 3.94 4.21 0.91 090 28208 A Repair of foot tendon 4.42 6.70 5.75 3.19 3.24 0.58 090 28210 A Repair/graft of foot tendon 6.41 7.63 6.92 3.93 3.98 0.81 090 28220 A Release of foot tendon 4.58 6.42 5.54 3.08 3.25 0.57 090 28222 A Release of foot tendons 5.67 6.93 6.09 3.35 3.73 0.69 090 28225 A Release of foot tendon 3.70 6.02 5.15 2.72 2.81 0.46 090 28226 A Release of foot tendons 4.58 6.89 5.84 3.25 3.50 0.58 090 28230 A Incision of foot tendon(s) 4.28 6.27 5.47 2.88 3.27 0.55 090 28232 A Incision of toe tendon 3.43 5.94 5.23 2.68 2.99 0.44 090 28234 A Incision of foot tendon 3.43 6.30 5.48 3.06 3.21 0.44 090 28238 A Revision of foot tendon 7.85 8.39 7.82 4.37 4.65 1.06 090 28240 A Release of big toe 4.40 6.36 5.49 2.95 3.22 0.58 090 28250 A Revision of foot fascia 5.97 7.56 6.59 3.82 3.98 0.82 090 28260 A Release of midfoot joint 8.08 8.45 7.39 4.61 4.80 1.14 090 28261 A Revision of foot tendon 12.91 10.68 9.64 6.33 6.82 1.57 090 28262 A Revision of foot and ankle 17.01 15.54 14.55 9.74 10.33 2.60 090 28264 A Release of midfoot joint 10.53 10.32 9.03 5.95 6.62 1.54 090 28270 A Release of foot contracture 4.82 6.92 5.90 3.44 3.59 0.62 090 28272 A Release of toe joint, each 3.84 5.84 5.01 2.65 2.75 0.46 090 28280 A Fusion of toes 5.24 7.29 6.77 3.54 4.01 0.73 090 28285 A Repair of hammertoe 4.65 6.71 5.79 3.35 3.39 0.59 090 28286 A Repair of hammertoe 4.61 6.53 5.66 3.06 3.16 0.57 090 28288 A Partial removal of foot bone 5.81 8.60 7.27 4.69 4.79 0.65 090 28289 A Repair hallux rigidus 8.11 9.43 8.71 5.34 5.55 1.02 090 28290 A Correction of bunion 5.72 8.19 7.22 3.96 4.34 0.82 090 28292 A Correction of bunion 8.72 10.35 8.91 6.16 5.85 0.91 090 28293 A Correction of bunion 11.10 14.48 12.61 6.92 6.51 1.13 090 28294 A Correction of bunion 8.63 9.46 8.45 4.77 4.74 1.09 090 28296 A Correction of bunion 9.31 9.58 8.87 4.79 5.10 1.19 090 28297 A Correction of bunion 9.31 10.47 9.71 5.33 5.80 1.32 090 28298 A Correction of bunion 8.01 9.30 8.26 4.59 4.79 1.05 090 28299 A Correction of bunion 11.39 10.55 9.66 5.73 5.90 1.37 090 28300 A Incision of heel bone 9.61 NA NA 6.04 6.54 1.54 090 28302 A Incision of ankle bone 9.62 NA NA 6.21 6.55 1.42 090 28304 A Incision of midfoot bones 9.29 9.56 8.75 5.08 5.41 1.27 090 28305 A Incise/graft midfoot bones 10.63 NA NA 5.79 6.26 1.27 090 28306 A Incision of metatarsal 5.91 8.42 7.63 3.89 4.03 0.84 090 28307 A Incision of metatarsal 6.39 9.28 10.15 4.33 4.81 0.90 090 28308 A Incision of metatarsal 5.36 7.92 6.83 3.83 3.75 0.70 090 28309 A Incision of metatarsals 13.96 NA NA 7.69 7.82 2.05 090 28310 A Revision of big toe 5.48 7.55 6.65 3.42 3.49 0.70 090 28312 A Revision of toe 4.60 7.38 6.41 3.23 3.43 0.63 090 28313 A Repair deformity of toe 5.06 7.27 6.28 3.61 4.22 0.73 090 28315 A Removal of sesamoid bone 4.91 6.68 5.79 3.22 3.28 0.63 090 28320 A Repair of foot bones 9.25 NA NA 5.69 6.20 1.43 090 28322 A Repair of metatarsals 8.41 9.75 9.46 5.32 5.83 1.27 090 28340 A Resect enlarged toe tissue 7.04 8.10 7.27 4.08 4.16 0.84 090 28341 A Resect enlarged toe 8.60 8.60 7.77 4.42 4.62 1.01 090 28344 A Repair extra toe(s) 4.31 6.42 6.08 2.93 3.28 0.51 090 28345 A Repair webbed toe(s) 5.98 7.62 6.91 3.79 4.23 0.80 090 28360 A Reconstruct cleft foot 14.67 NA NA 6.35 8.42 2.29 090 28400 A Treatment of heel fracture 2.22 3.37 3.50 2.92 2.99 0.35 090 28405 A Treatment of heel fracture 4.63 4.43 4.63 3.68 4.15 0.73 090 28406 A Treatment of heel fracture 6.44 NA NA 5.56 6.18 1.11 090 28415 A Treat heel fracture 15.96 NA NA 10.25 11.77 2.67 090 Start Printed Page 2598 28420 A Treat/graft heel fracture 17.29 NA NA 10.28 11.60 2.81 090 28430 A Treatment of ankle fracture 2.14 3.12 3.26 2.57 2.57 0.31 090 28435 A Treatment of ankle fracture 3.45 3.99 3.93 3.26 3.50 0.55 090 28436 A Treatment of ankle fracture 4.78 NA NA 4.75 5.33 0.81 090 28445 A Treat ankle fracture 15.53 NA NA 9.49 10.26 2.59 090 28446 A Osteochondral talus autogrft 17.50 NA NA 10.36 10.36 2.45 090 28450 A Treat midfoot fracture, each 1.95 2.92 3.02 2.42 2.45 0.28 090 28455 A Treat midfoot fracture, each 3.15 3.74 3.58 3.10 3.26 0.44 090 28456 A Treat midfoot fracture 2.75 NA NA 3.73 3.94 0.44 090 28465 A Treat midfoot fracture, each 8.64 NA NA 6.07 6.19 1.10 090 28470 A Treat metatarsal fracture 1.99 2.80 2.96 2.36 2.40 0.30 090 28475 A Treat metatarsal fracture 2.97 3.13 3.23 2.52 2.86 0.44 090 28476 A Treat metatarsal fracture 3.46 NA NA 4.33 4.65 0.54 090 28485 A Treat metatarsal fracture 7.28 NA NA 5.56 5.51 0.83 090 28490 A Treat big toe fracture 1.12 2.09 2.05 1.67 1.65 0.14 090 28495 A Treat big toe fracture 1.62 2.46 2.32 1.87 1.97 0.20 090 28496 A Treat big toe fracture 2.39 7.42 7.83 2.99 3.09 0.36 090 28505 A Treat big toe fracture 7.28 8.46 8.28 4.82 4.36 0.56 090 28510 A Treatment of toe fracture 1.12 1.69 1.61 1.61 1.57 0.14 090 28515 A Treatment of toe fracture 1.50 2.22 2.06 1.82 1.86 0.18 090 28525 A Treat toe fracture 5.46 8.12 7.82 4.32 3.88 0.49 090 28530 A Treat sesamoid bone fracture 1.08 1.62 1.53 1.34 1.39 0.14 090 28531 A Treat sesamoid bone fracture 2.51 6.55 6.91 2.43 2.25 0.34 090 28540 A Treat foot dislocation 2.10 2.75 2.58 2.31 2.36 0.26 090 28545 A Treat foot dislocation 2.51 3.43 2.89 2.81 2.58 0.37 090 28546 A Treat foot dislocation 3.28 8.06 7.49 3.64 4.01 0.52 090 28555 A Repair foot dislocation 9.49 10.81 10.36 6.29 5.99 1.04 090 28570 A Treat foot dislocation 1.70 2.49 2.46 1.91 2.12 0.23 090 28575 A Treat foot dislocation 3.38 4.42 4.07 3.72 3.72 0.56 090 28576 A Treat foot dislocation 4.48 NA NA 4.06 4.12 0.69 090 28585 A Repair foot dislocation 10.92 11.57 9.45 6.97 6.41 1.25 090 28600 A Treat foot dislocation 1.94 3.03 2.92 2.37 2.53 0.27 090 28605 A Treat foot dislocation 2.78 3.89 3.51 3.27 3.20 0.40 090 28606 A Treat foot dislocation 4.97 NA NA 4.12 4.40 0.82 090 28615 A Repair foot dislocation 10.46 NA NA 8.14 8.09 1.30 090 28630 A Treat toe dislocation 1.72 1.85 1.71 0.91 0.95 0.20 010 28635 A Treat toe dislocation 1.93 2.27 2.15 1.33 1.43 0.26 010 28636 A Treat toe dislocation 2.77 4.39 4.13 2.05 2.34 0.43 010 28645 A Repair toe dislocation 7.28 8.34 6.65 4.62 3.95 0.57 090 28660 A Treat toe dislocation 1.25 1.30 1.28 0.78 0.79 0.13 010 28665 A Treat toe dislocation 1.94 1.82 1.63 1.33 1.38 0.26 010 28666 A Treat toe dislocation 2.66 NA NA 1.83 2.21 0.43 010 28675 A Repair of toe dislocation 5.46 8.24 7.69 4.45 3.90 0.45 090 28705 A Fusion of foot bones 20.12 NA NA 10.66 11.55 3.09 090 28715 A Fusion of foot bones 14.40 NA NA 8.49 9.12 2.17 090 28725 A Fusion of foot bones 11.97 NA NA 6.82 7.53 1.87 090 28730 A Fusion of foot bones 12.21 NA NA 7.76 8.12 1.71 090 28735 A Fusion of foot bones 12.03 NA NA 6.97 7.40 1.69 090 28737 A Revision of foot bones 10.83 NA NA 6.07 6.44 1.47 090 28740 A Fusion of foot bones 9.09 10.87 10.87 5.99 6.23 1.22 090 28750 A Fusion of big toe joint 8.37 10.77 11.34 5.88 6.27 1.13 090 28755 A Fusion of big toe joint 4.79 7.26 6.68 3.35 3.55 0.65 090 28760 A Fusion of big toe joint 8.94 9.87 8.92 5.27 5.39 1.05 090 28800 A Amputation of midfoot 8.65 NA NA 5.01 5.40 1.15 090 28805 A Amputation thru metatarsal 12.55 NA NA 5.90 5.77 1.18 090 28810 A Amputation toe & metatarsal 6.52 NA NA 4.06 4.27 0.86 090 28820 A Amputation of toe 4.89 7.65 7.60 3.55 3.67 0.61 090 28825 A Partial amputation of toe 3.71 7.13 7.06 3.13 3.30 0.50 090 28890 A High energy eswt, plantar f 3.36 4.57 5.14 2.20 2.14 0.41 090 28899 C Foot/toes surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29000 A Application of body cast 2.25 4.01 3.49 1.64 1.69 0.41 000 29010 A Application of body cast 2.06 4.38 3.83 1.62 1.70 0.45 000 29015 A Application of body cast 2.41 3.61 3.29 1.56 1.58 0.28 000 29020 A Application of body cast 2.11 3.81 3.50 1.41 1.41 0.28 000 29025 A Application of body cast 2.40 4.04 3.59 1.76 1.81 0.44 000 29035 A Application of body cast 1.77 3.70 3.66 1.48 1.53 0.28 000 29040 A Application of body cast 2.22 3.28 2.87 1.34 1.42 0.36 000 29044 A Application of body cast 2.12 3.58 3.77 1.47 1.69 0.35 000 29046 A Application of body cast 2.41 4.49 3.86 1.91 2.00 0.42 000 29049 A Application of figure eight 0.89 1.12 1.21 0.59 0.56 0.13 000 29055 A Application of shoulder cast 1.78 2.82 2.90 1.23 1.35 0.30 000 29058 A Application of shoulder cast 1.31 1.26 1.41 0.67 0.70 0.17 000 Start Printed Page 2599 29065 A Application of long arm cast 0.87 1.28 1.30 0.70 0.73 0.15 000 29075 A Application of forearm cast 0.77 1.24 1.25 0.66 0.67 0.13 000 29085 A Apply hand/wrist cast 0.87 1.26 1.27 0.68 0.66 0.14 000 29086 A Apply finger cast 0.62 1.08 1.02 0.55 0.52 0.07 000 29105 A Apply long arm splint 0.87 1.09 1.16 0.53 0.52 0.12 000 29125 A Apply forearm splint 0.59 0.97 0.99 0.42 0.41 0.07 000 29126 A Apply forearm splint 0.77 1.01 1.11 0.48 0.47 0.07 000 29130 A Application of finger splint 0.50 0.43 0.45 0.18 0.18 0.06 000 29131 A Application of finger splint 0.55 0.59 0.66 0.24 0.24 0.03 000 29200 A Strapping of chest 0.65 0.61 0.66 0.35 0.34 0.04 000 29220 A Strapping of low back 0.64 0.65 0.69 0.38 0.38 0.04 000 29240 A Strapping of shoulder 0.71 0.68 0.76 0.40 0.38 0.06 000 29260 A Strapping of elbow or wrist 0.55 0.67 0.71 0.37 0.35 0.05 000 29280 A Strapping of hand or finger 0.51 0.67 0.73 0.37 0.35 0.03 000 29305 A Application of hip cast 2.03 3.29 3.31 1.56 1.66 0.35 000 29325 A Application of hip casts 2.32 3.33 3.43 1.58 1.77 0.40 000 29345 A Application of long leg cast 1.40 1.66 1.72 0.94 1.00 0.24 000 29355 A Application of long leg cast 1.53 1.62 1.66 0.94 1.03 0.26 000 29358 A Apply long leg cast brace 1.43 2.01 2.04 0.91 1.00 0.25 000 29365 A Application of long leg cast 1.18 1.58 1.62 0.86 0.90 0.20 000 29405 A Apply short leg cast 0.86 1.20 1.21 0.65 0.68 0.14 000 29425 A Apply short leg cast 1.01 1.22 1.23 0.66 0.70 0.15 000 29435 A Apply short leg cast 1.18 1.53 1.54 0.81 0.87 0.20 000 29440 A Addition of walker to cast 0.57 0.64 0.67 0.26 0.26 0.08 000 29445 A Apply rigid leg cast 1.78 1.56 1.68 0.89 0.92 0.27 000 29450 A Application of leg cast 2.08 1.59 1.53 0.90 0.99 0.27 000 29505 A Application, long leg splint 0.69 1.07 1.13 0.45 0.45 0.08 000 29515 A Application lower leg splint 0.73 0.96 0.91 0.46 0.46 0.09 000 29520 A Strapping of hip 0.54 0.66 0.75 0.37 0.42 0.03 000 29530 A Strapping of knee 0.57 0.66 0.72 0.37 0.35 0.05 000 29540 A Strapping of ankle and/or ft 0.51 0.55 0.48 0.31 0.31 0.06 000 29550 A Strapping of toes 0.47 0.56 0.49 0.30 0.29 0.06 000 29580 A Application of paste boot 0.55 0.71 0.68 0.33 0.34 0.07 000 29590 A Application of foot splint 0.76 0.59 0.55 0.26 0.27 0.09 000 29700 A Removal/revision of cast 0.57 0.95 0.92 0.25 0.26 0.08 000 29705 A Removal/revision of cast 0.76 0.76 0.79 0.36 0.37 0.13 000 29710 A Removal/revision of cast 1.34 1.32 1.43 0.55 0.63 0.20 000 29715 A Removal/revision of cast 0.94 1.20 1.19 0.43 0.42 0.09 000 29720 A Repair of body cast 0.68 1.17 1.16 0.35 0.37 0.12 000 29730 A Windowing of cast 0.75 0.74 0.77 0.34 0.34 0.12 000 29740 A Wedging of cast 1.12 1.03 1.09 0.47 0.48 0.18 000 29750 A Wedging of clubfoot cast 1.26 1.07 1.06 0.52 0.55 0.21 000 29799 C Casting/strapping procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29800 A Jaw arthroscopy/surgery 6.73 NA NA 4.63 5.80 0.99 090 29804 A Jaw arthroscopy/surgery 8.71 NA NA 5.70 6.66 1.38 090 29805 A Shoulder arthroscopy, dx 5.94 NA NA 4.71 5.19 1.02 090 29806 A Shoulder arthroscopy/surgery 14.95 NA NA 9.36 10.26 2.50 090 29807 A Shoulder arthroscopy/surgery 14.48 NA NA 9.20 10.10 2.42 090 29819 A Shoulder arthroscopy/surgery 7.68 NA NA 5.63 6.21 1.32 090 29820 A Shoulder arthroscopy/surgery 7.12 NA NA 5.18 5.70 1.22 090 29821 A Shoulder arthroscopy/surgery 7.78 NA NA 5.66 6.23 1.33 090 29822 A Shoulder arthroscopy/surgery 7.49 NA NA 5.58 6.14 1.28 090 29823 A Shoulder arthroscopy/surgery 8.24 NA NA 6.05 6.64 1.41 090 29824 A Shoulder arthroscopy/surgery 8.82 NA NA 6.54 7.03 1.42 090 29825 A Shoulder arthroscopy/surgery 7.68 NA NA 5.64 6.20 1.32 090 29826 A Shoulder arthroscopy/surgery 9.05 NA NA 6.18 6.86 1.55 090 29827 A Arthroscop rotator cuff repr 15.44 NA NA 9.32 10.43 2.67 090 29828 A Arthroscopy biceps tenodesis 13.00 NA NA 8.18 8.18 2.17 090 29830 A Elbow arthroscopy 5.80 NA NA 4.49 4.92 0.99 090 29834 A Elbow arthroscopy/surgery 6.33 NA NA 4.86 5.35 1.08 090 29835 A Elbow arthroscopy/surgery 6.53 NA NA 4.97 5.43 1.13 090 29836 A Elbow arthroscopy/surgery 7.61 NA NA 5.54 6.17 1.22 090 29837 A Elbow arthroscopy/surgery 6.92 NA NA 5.07 5.60 1.19 090 29838 A Elbow arthroscopy/surgery 7.77 NA NA 5.66 6.28 1.30 090 29840 A Wrist arthroscopy 5.59 NA NA 4.63 4.98 0.84 090 29843 A Wrist arthroscopy/surgery 6.06 NA NA 4.81 5.22 0.92 090 29844 A Wrist arthroscopy/surgery 6.42 NA NA 4.88 5.35 1.04 090 29845 A Wrist arthroscopy/surgery 7.58 NA NA 5.60 6.04 0.99 090 29846 A Wrist arthroscopy/surgery 6.80 NA NA 5.11 5.59 1.07 090 29847 A Wrist arthroscopy/surgery 7.13 NA NA 5.28 5.74 1.08 090 29848 A Wrist endoscopy/surgery 6.24 NA NA 5.28 5.44 0.86 090 29850 A Knee arthroscopy/surgery 8.18 NA NA 4.72 4.88 1.25 090 Start Printed Page 2600 29851 A Knee arthroscopy/surgery 13.08 NA NA 8.22 9.01 2.35 090 29855 A Tibial arthroscopy/surgery 10.60 NA NA 7.28 8.03 1.85 090 29856 A Tibial arthroscopy/surgery 14.12 NA NA 8.70 9.69 2.40 090 29860 A Hip arthroscopy, dx 8.85 NA NA 6.25 6.60 1.36 090 29861 A Hip arthroscopy/surgery 9.95 NA NA 6.40 6.87 1.59 090 29862 A Hip arthroscopy/surgery 10.97 NA NA 7.57 8.07 1.62 090 29863 A Hip arthroscopy/surgery 10.97 NA NA 7.49 8.00 1.42 090 29866 A Autgrft implnt, knee w/scope 14.48 NA NA 9.47 10.41 2.40 090 29867 A Allgrft implnt, knee w/scope 18.18 NA NA 11.04 12.13 2.79 090 29868 A Meniscal trnspl, knee w/scpe 24.89 NA NA 13.80 15.30 4.36 090 29870 A Knee arthroscopy, dx 5.11 NA NA 4.18 4.53 0.85 090 29871 A Knee arthroscopy/drainage 6.60 NA NA 5.06 5.47 1.14 090 29873 A Knee arthroscopy/surgery 6.09 NA NA 5.60 6.09 1.04 090 29874 A Knee arthroscopy/surgery 7.10 NA NA 5.09 5.58 1.11 090 29875 A Knee arthroscopy/surgery 6.36 NA NA 4.89 5.37 1.09 090 29876 A Knee arthroscopy/surgery 8.72 NA NA 6.19 6.61 1.37 090 29877 A Knee arthroscopy/surgery 8.15 NA NA 5.98 6.36 1.28 090 29879 A Knee arthroscopy/surgery 8.84 NA NA 6.23 6.68 1.39 090 29880 A Knee arthroscopy/surgery 9.30 NA NA 6.43 6.90 1.47 090 29881 A Knee arthroscopy/surgery 8.56 NA NA 6.14 6.55 1.34 090 29882 A Knee arthroscopy/surgery 9.45 NA NA 6.46 6.85 1.50 090 29883 A Knee arthroscopy/surgery 11.61 NA NA 7.59 8.33 1.93 090 29884 A Knee arthroscopy/surgery 8.13 NA NA 5.96 6.33 1.27 090 29885 A Knee arthroscopy/surgery 10.03 NA NA 7.03 7.50 1.58 090 29886 A Knee arthroscopy/surgery 8.34 NA NA 6.04 6.45 1.30 090 29887 A Knee arthroscopy/surgery 9.98 NA NA 6.97 7.45 1.57 090 29888 A Knee arthroscopy/surgery 14.14 NA NA 8.27 9.24 2.42 090 29889 A Knee arthroscopy/surgery 17.15 NA NA 10.62 11.53 2.79 090 29891 A Ankle arthroscopy/surgery 9.47 NA NA 6.65 7.08 1.39 090 29892 A Ankle arthroscopy/surgery 10.07 NA NA 6.39 7.07 1.41 090 29893 A Scope, plantar fasciotomy 6.08 8.84 7.56 4.67 4.33 0.63 090 29894 A Ankle arthroscopy/surgery 7.26 NA NA 4.72 5.10 1.15 090 29895 A Ankle arthroscopy/surgery 7.04 NA NA 4.52 5.00 1.11 090 29897 A Ankle arthroscopy/surgery 7.23 NA NA 4.82 5.35 1.17 090 29898 A Ankle arthroscopy/surgery 8.38 NA NA 5.24 5.72 1.28 090 29899 A Ankle arthroscopy/surgery 15.21 NA NA 9.21 9.88 2.41 090 29900 A Mcp joint arthroscopy, dx 5.74 NA NA 4.67 5.27 0.94 090 29901 A Mcp joint arthroscopy, surg 6.45 NA NA 5.10 5.68 1.06 090 29902 A Mcp joint arthroscopy, surg 7.02 NA NA 4.71 5.63 1.12 090 29904 A Subtalar arthro w/fb rmvl 8.50 NA NA 5.89 5.89 1.25 090 29905 A Subtalar arthro w/exc 9.00 NA NA 6.52 6.52 1.32 090 29906 A Subtalar arthro w/deb 9.47 NA NA 6.88 6.88 1.39 090 29907 A Subtalar arthro w/fusion 12.00 NA NA 7.87 7.87 1.90 090 29999 C Arthroscopy of joint 0.00 0.00 0.00 0.00 0.00 0.00 YYY 30000 A Drainage of nose lesion 1.45 4.02 4.04 1.34 1.37 0.12 010 30020 A Drainage of nose lesion 1.45 4.17 3.72 1.39 1.43 0.12 010 30100 A Intranasal biopsy 0.94 2.58 2.28 0.75 0.78 0.07 000 30110 A Removal of nose polyp(s) 1.65 3.90 3.57 1.45 1.51 0.14 010 30115 A Removal of nose polyp(s) 4.38 NA NA 5.99 5.88 0.41 090 30117 A Removal of intranasal lesion 3.20 18.17 15.66 4.92 4.77 0.26 090 30118 A Removal of intranasal lesion 9.81 NA NA 8.56 8.88 0.78 090 30120 A Revision of nose 5.31 7.08 6.79 5.09 5.55 0.52 090 30124 A Removal of nose lesion 3.14 NA NA 3.68 3.65 0.25 090 30125 A Removal of nose lesion 7.21 NA NA 7.41 7.87 0.63 090 30130 A Excise inferior turbinate 3.41 NA NA 5.64 5.62 0.31 090 30140 A Resect inferior turbinate 3.48 NA NA 7.11 6.65 0.35 090 30150 A Partial removal of nose 9.44 NA NA 9.04 10.03 0.93 090 30160 A Removal of nose 9.88 NA NA 8.88 9.55 0.88 090 30200 A Injection treatment of nose 0.78 2.02 1.82 0.67 0.71 0.06 000 30210 A Nasal sinus therapy 1.10 2.51 2.31 1.27 1.29 0.09 010 30220 A Insert nasal septal button 1.56 5.82 5.03 1.43 1.48 0.12 010 30300 A Remove nasal foreign body 1.06 4.30 4.46 1.87 1.89 0.08 010 30310 A Remove nasal foreign body 1.98 NA NA 2.91 3.01 0.16 010 30320 A Remove nasal foreign body 4.56 NA NA 6.36 6.70 0.39 090 30400 R Reconstruction of nose 10.58 NA NA 13.92 14.71 1.04 090 30410 R Reconstruction of nose 13.72 NA NA 15.34 16.86 1.42 090 30420 R Reconstruction of nose 16.62 NA NA 15.84 16.88 1.46 090 30430 R Revision of nose 7.96 NA NA 13.25 14.64 0.77 090 30435 R Revision of nose 12.45 NA NA 15.43 17.40 1.22 090 30450 R Revision of nose 19.38 NA NA 16.90 19.40 1.97 090 30460 A Revision of nose 10.24 NA NA 7.49 8.72 1.03 090 30462 A Revision of nose 20.12 NA NA 14.66 17.46 2.54 090 Start Printed Page 2601 30465 A Repair nasal stenosis 12.20 NA NA 11.08 11.53 1.06 090 30520 A Repair of nasal septum 6.85 NA NA 8.05 7.36 0.46 090 30540 A Repair nasal defect 7.81 NA NA 8.55 8.92 0.67 090 30545 A Repair nasal defect 11.50 NA NA 11.09 11.50 1.71 090 30560 A Release of nasal adhesions 1.28 5.28 5.03 2.03 2.08 0.10 010 30580 A Repair upper jaw fistula 6.76 8.14 7.96 4.69 5.24 0.89 090 30600 A Repair mouth/nose fistula 6.07 7.68 7.60 4.18 4.60 0.70 090 30620 A Intranasal reconstruction 6.04 NA NA 8.67 8.76 0.57 090 30630 A Repair nasal septum defect 7.18 NA NA 7.73 7.84 0.61 090 30801 A Ablate inf turbinate, superf 1.11 4.30 4.22 2.12 2.02 0.09 010 30802 A Cauterization, inner nose 2.05 4.98 4.79 2.51 2.44 0.16 010 30901 A Control of nosebleed 1.21 1.27 1.32 0.31 0.31 0.11 000 30903 A Control of nosebleed 1.54 3.28 3.00 0.43 0.46 0.13 000 30905 A Control of nosebleed 1.97 3.94 3.73 0.51 0.63 0.17 000 30906 A Repeat control of nosebleed 2.45 4.29 4.09 0.76 0.98 0.20 000 30915 A Ligation, nasal sinus artery 7.36 NA NA 6.46 6.58 0.58 090 30920 A Ligation, upper jaw artery 11.03 NA NA 8.97 8.97 0.80 090 30930 A Ther fx, nasal inf turbinate 1.28 NA NA 1.64 1.63 0.12 010 30999 C Nasal surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31000 A Irrigation, maxillary sinus 1.17 3.22 3.03 1.34 1.37 0.09 010 31002 A Irrigation, sphenoid sinus 1.93 NA NA 2.69 2.97 0.15 010 31020 A Exploration, maxillary sinus 2.99 8.61 8.57 5.55 5.37 0.29 090 31030 A Exploration, maxillary sinus 5.95 10.41 10.96 6.45 6.56 0.60 090 31032 A Explore sinus, remove polyps 6.61 NA NA 7.00 7.12 0.59 090 31040 A Exploration behind upper jaw 9.66 NA NA 7.38 8.60 0.87 090 31050 A Exploration, sphenoid sinus 5.31 NA NA 6.51 6.43 0.49 090 31051 A Sphenoid sinus surgery 7.16 NA NA 8.37 8.31 0.62 090 31070 A Exploration of frontal sinus 4.32 NA NA 6.19 6.06 0.38 090 31075 A Exploration of frontal sinus 9.40 NA NA 9.33 9.53 0.75 090 31080 A Removal of frontal sinus 12.54 NA NA 10.63 12.08 1.23 090 31081 A Removal of frontal sinus 13.99 NA NA 15.38 14.69 2.47 090 31084 A Removal of frontal sinus 14.75 NA NA 12.88 13.20 1.19 090 31085 A Removal of frontal sinus 15.44 NA NA 14.44 14.20 1.73 090 31086 A Removal of frontal sinus 14.16 NA NA 12.79 13.04 1.07 090 31087 A Removal of frontal sinus 14.39 NA NA 11.65 12.10 1.44 090 31090 A Exploration of sinuses 10.88 NA NA 13.41 12.99 0.94 090 31200 A Removal of ethmoid sinus 5.03 NA NA 7.44 8.33 0.29 090 31201 A Removal of ethmoid sinus 8.49 NA NA 9.00 9.09 0.82 090 31205 A Removal of ethmoid sinus 10.47 NA NA 9.52 10.70 0.67 090 31225 A Removal of upper jaw 26.44 NA NA 17.90 17.87 1.59 090 31230 A Removal of upper jaw 30.56 NA NA 19.50 19.44 1.78 090 31231 A Nasal endoscopy, dx 1.10 3.60 3.49 0.77 0.82 0.09 000 31233 A Nasal/sinus endoscopy, dx 2.18 4.27 4.28 1.12 1.30 0.20 000 31235 A Nasal/sinus endoscopy, dx 2.64 4.65 4.78 1.26 1.49 0.26 000 31237 A Nasal/sinus endoscopy, surg 2.98 4.90 5.05 1.39 1.64 0.28 000 31238 A Nasal/sinus endoscopy, surg 3.26 4.83 5.03 1.48 1.79 0.27 000 31239 A Nasal/sinus endoscopy, surg 9.23 NA NA 6.43 7.21 0.62 010 31240 A Nasal/sinus endoscopy, surg 2.61 NA NA 1.27 1.50 0.24 000 31254 A Revision of ethmoid sinus 4.64 NA NA 1.94 2.39 0.45 000 31255 A Removal of ethmoid sinus 6.95 NA NA 2.69 3.40 0.73 000 31256 A Exploration maxillary sinus 3.29 NA NA 1.49 1.80 0.33 000 31267 A Endoscopy, maxillary sinus 5.45 NA NA 2.20 2.75 0.55 000 31276 A Sinus endoscopy, surgical 8.84 NA NA 3.31 4.21 0.92 000 31287 A Nasal/sinus endoscopy, surg 3.91 NA NA 1.69 2.07 0.39 000 31288 A Nasal/sinus endoscopy, surg 4.57 NA NA 1.91 2.36 0.46 000 31290 A Nasal/sinus endoscopy, surg 18.50 NA NA 9.05 10.55 1.40 010 31291 A Nasal/sinus endoscopy, surg 19.45 NA NA 9.54 11.01 1.69 010 31292 A Nasal/sinus endoscopy, surg 15.79 NA NA 8.06 9.34 1.21 010 31293 A Nasal/sinus endoscopy, surg 17.36 NA NA 8.69 10.04 1.28 010 31294 A Nasal/sinus endoscopy, surg 20.20 NA NA 9.67 11.28 1.53 010 31299 C Sinus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31300 A Removal of larynx lesion 15.71 NA NA 14.59 14.79 1.17 090 31320 A Diagnostic incision, larynx 5.62 NA NA 10.15 10.23 0.46 090 31360 A Removal of larynx 29.57 NA NA 20.08 18.41 1.38 090 31365 A Removal of larynx 38.47 NA NA 23.00 21.69 1.98 090 31367 A Partial removal of larynx 30.23 NA NA 22.52 22.21 1.79 090 31368 A Partial removal of larynx 33.85 NA NA 24.61 25.06 2.21 090 31370 A Partial removal of larynx 27.23 NA NA 22.16 22.22 1.75 090 31375 A Partial removal of larynx 25.73 NA NA 21.16 20.78 1.63 090 31380 A Partial removal of larynx 25.23 NA NA 20.81 20.71 1.71 090 31382 A Partial removal of larynx 28.23 NA NA 22.71 22.17 1.68 090 31390 A Removal of larynx & pharynx 42.17 NA NA 25.99 25.19 2.24 090 Start Printed Page 2602 31395 A Reconstruct larynx & pharynx 43.46 NA NA 28.53 28.42 2.49 090 31400 A Revision of larynx 11.48 NA NA 12.50 13.14 0.83 090 31420 A Removal of epiglottis 11.32 NA NA 8.59 9.07 0.83 090 31500 A Insert emergency airway 2.33 NA NA 0.42 0.48 0.17 000 31502 A Change of windpipe airway 0.65 NA NA 0.21 0.25 0.05 000 31505 A Diagnostic laryngoscopy 0.61 1.43 1.44 0.59 0.60 0.05 000 31510 A Laryngoscopy with biopsy 1.92 3.23 3.26 1.00 1.13 0.16 000 31511 A Remove foreign body, larynx 2.16 2.94 3.03 1.03 1.04 0.19 000 31512 A Removal of larynx lesion 2.07 2.97 3.09 1.06 1.21 0.18 000 31513 A Injection into vocal cord 2.10 NA NA 1.09 1.27 0.17 000 31515 A Laryngoscopy for aspiration 1.80 3.20 3.37 0.88 0.97 0.14 000 31520 A Dx laryngoscopy, newborn 2.56 NA NA 1.21 1.38 0.20 000 31525 A Dx laryngoscopy excl nb 2.63 3.45 3.55 1.23 1.44 0.21 000 31526 A Dx laryngoscopy w/oper scope 2.57 NA NA 1.25 1.48 0.21 000 31527 A Laryngoscopy for treatment 3.27 NA NA 1.40 1.64 0.26 000 31528 A Laryngoscopy and dilation 2.37 NA NA 1.09 1.27 0.19 000 31529 A Laryngoscopy and dilation 2.68 NA NA 1.25 1.48 0.22 000 31530 A Laryngoscopy w/fb removal 3.38 NA NA 1.45 1.70 0.29 000 31531 A Laryngoscopy w/fb & op scope 3.58 NA NA 1.59 1.93 0.29 000 31535 A Laryngoscopy w/biopsy 3.16 NA NA 1.44 1.72 0.26 000 31536 A Laryngoscopy w/bx & op scope 3.55 NA NA 1.57 1.91 0.29 000 31540 A Laryngoscopy w/exc of tumor 4.12 NA NA 1.76 2.15 0.33 000 31541 A Larynscop w/tumr exc + scope 4.52 NA NA 1.89 2.34 0.37 000 31545 A Remove vc lesion w/scope 6.30 NA NA 2.52 2.99 0.37 000 31546 A Remove vc lesion scope/graft 9.73 NA NA 3.43 4.20 0.78 000 31560 A Laryngoscop w/arytenoidectom 5.45 NA NA 2.16 2.65 0.43 000 31561 A Larynscop, remve cart + scop 5.99 NA NA 2.32 2.85 0.49 000 31570 A Laryngoscope w/vc inj 3.86 4.26 4.97 1.65 2.02 0.31 000 31571 A Laryngoscop w/vc inj + scope 4.26 NA NA 1.81 2.21 0.35 000 31575 A Diagnostic laryngoscopy 1.10 1.70 1.80 0.76 0.83 0.09 000 31576 A Laryngoscopy with biopsy 1.97 3.52 3.59 1.04 1.17 0.14 000 31577 A Remove foreign body, larynx 2.47 3.38 3.57 1.17 1.35 0.21 000 31578 A Removal of larynx lesion 2.84 4.00 4.14 1.34 1.43 0.23 000 31579 A Diagnostic laryngoscopy 2.26 2.87 3.32 1.15 1.31 0.18 000 31580 A Revision of larynx 14.46 NA NA 13.83 14.88 1.00 090 31582 A Revision of larynx 22.87 NA NA 22.57 24.19 1.76 090 31584 A Treat larynx fracture 20.35 NA NA 15.28 16.72 1.72 090 31587 A Revision of larynx 15.12 NA NA 8.64 8.96 0.97 090 31588 A Revision of larynx 14.62 NA NA 12.52 13.07 1.06 090 31590 A Reinnervate larynx 7.63 NA NA 12.80 14.17 0.84 090 31595 A Larynx nerve surgery 8.75 NA NA 9.65 10.10 0.68 090 31599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31600 A Incision of windpipe 7.17 NA NA 2.28 2.74 0.80 000 31601 A Incision of windpipe 4.44 NA NA 1.74 2.07 0.40 000 31603 A Incision of windpipe 4.14 NA NA 1.19 1.45 0.44 000 31605 A Incision of windpipe 3.57 NA NA 0.82 1.00 0.40 000 31610 A Incision of windpipe 9.29 NA NA 7.73 8.00 0.79 090 31611 A Surgery/speech prosthesis 5.92 NA NA 7.08 7.07 0.46 090 31612 A Puncture/clear windpipe 0.91 1.09 1.09 0.26 0.30 0.08 000 31613 A Repair windpipe opening 4.63 NA NA 6.14 6.07 0.42 090 31614 A Repair windpipe opening 8.47 NA NA 9.59 9.15 0.58 090 31615 A Visualization of windpipe 2.09 2.38 2.49 1.05 1.12 0.16 000 31620 A Endobronchial us add-on 1.40 6.02 5.83 0.33 0.44 0.11 ZZZ 31622 A Dx bronchoscope/wash 2.78 5.24 5.45 0.90 0.98 0.18 000 31623 A Dx bronchoscope/brush 2.88 5.98 6.20 0.89 0.97 0.13 000 31624 A Dx bronchoscope/lavage 2.88 5.34 5.56 0.89 0.97 0.13 000 31625 A Bronchoscopy w/biopsy(s) 3.36 5.48 5.65 1.01 1.11 0.18 000 31628 A Bronchoscopy/lung bx, each 3.80 6.96 6.99 1.10 1.20 0.18 000 31629 A Bronchoscopy/needle bx, each 4.09 12.01 13.14 1.17 1.28 0.16 000 31630 A Bronchoscopy dilate/fx repr 3.81 NA NA 1.27 1.49 0.32 000 31631 A Bronchoscopy, dilate w/stent 4.36 NA NA 1.42 1.59 0.34 000 31632 A Bronchoscopy/lung bx, addÆl 1.03 0.86 0.83 0.24 0.27 0.18 ZZZ 31633 A Bronchoscopy/needle bx addÆl 1.32 0.99 0.95 0.31 0.35 0.16 ZZZ 31635 A Bronchoscopy w/fb removal 3.67 5.20 5.66 1.13 1.28 0.24 000 31636 A Bronchoscopy, bronch stents 4.30 NA NA 1.34 1.55 0.31 000 31637 A Bronchoscopy, stent add-on 1.58 NA NA 0.41 0.48 0.13 ZZZ 31638 A Bronchoscopy, revise stent 4.88 NA NA 1.54 1.76 0.22 000 31640 A Bronchoscopy w/tumor excise 4.93 NA NA 1.53 1.80 0.46 000 31641 A Bronchoscopy, treat blockage 5.02 NA NA 1.49 1.69 0.35 000 31643 A Diag bronchoscope/catheter 3.49 NA NA 1.04 1.13 0.20 000 31645 A Bronchoscopy, clear airways 3.16 4.72 4.93 0.96 1.04 0.16 000 31646 A Bronchoscopy, reclear airway 2.72 4.42 4.64 0.85 0.92 0.14 000 Start Printed Page 2603 31656 A Bronchoscopy, inj for x-ray 2.17 5.69 6.49 0.68 0.76 0.15 000 31715 A Injection for bronchus x-ray 1.11 NA NA 0.25 0.30 0.07 000 31717 A Bronchial brush biopsy 2.12 5.84 7.05 0.72 0.75 0.14 000 31720 A Clearance of airways 1.06 NA NA 0.27 0.30 0.07 000 31725 A Clearance of airways 1.96 NA NA 0.41 0.49 0.14 000 31730 A Intro, windpipe wire/tube 2.85 25.74 13.97 0.74 0.87 0.21 000 31750 A Repair of windpipe 15.19 NA NA 17.46 17.51 1.05 090 31755 A Repair of windpipe 17.19 NA NA 24.00 24.27 1.29 090 31760 A Repair of windpipe 23.36 NA NA 9.78 10.25 2.95 090 31766 A Reconstruction of windpipe 31.58 NA NA 11.70 12.68 4.53 090 31770 A Repair/graft of bronchus 23.48 NA NA 8.54 9.39 2.84 090 31775 A Reconstruct bronchus 24.51 NA NA 9.52 10.66 3.02 090 31780 A Reconstruct windpipe 19.70 NA NA 8.80 9.93 1.65 090 31781 A Reconstruct windpipe 24.77 NA NA 9.67 10.90 2.25 090 31785 A Remove windpipe lesion 18.29 NA NA 7.68 8.93 1.59 090 31786 A Remove windpipe lesion 25.34 NA NA 9.62 11.36 3.30 090 31800 A Repair of windpipe injury 8.10 NA NA 8.68 8.97 0.79 090 31805 A Repair of windpipe injury 13.34 NA NA 6.22 6.72 1.83 090 31820 A Closure of windpipe lesion 4.58 5.86 5.76 3.26 3.46 0.38 090 31825 A Repair of windpipe defect 6.98 7.45 7.56 4.48 4.93 0.53 090 31830 A Revise windpipe scar 4.54 5.93 5.85 3.56 3.77 0.44 090 31899 C Airways surgical procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 32035 A Exploration of chest 11.20 NA NA 6.09 5.97 1.26 090 32036 A Exploration of chest 12.21 NA NA 6.30 6.37 1.43 090 32095 A Biopsy through chest wall 10.06 NA NA 5.10 5.24 1.22 090 32100 A Exploration/biopsy of chest 16.08 NA NA 7.01 7.42 2.24 090 32110 A Explore/repair chest 25.15 NA NA 9.88 10.31 3.22 090 32120 A Re-exploration of chest 14.27 NA NA 6.78 6.93 1.63 090 32124 A Explore chest free adhesions 15.33 NA NA 6.96 7.09 1.90 090 32140 A Removal of lung lesion(s) 16.54 NA NA 7.40 7.54 1.97 090 32141 A Remove/treat lung lesions 27.10 NA NA 10.19 8.87 2.01 090 32150 A Removal of lung lesion(s) 16.70 NA NA 7.51 7.56 2.01 090 32151 A Remove lung foreign body 16.82 NA NA 7.92 7.96 2.04 090 32160 A Open chest heart massage 13.02 NA NA 5.84 5.56 1.31 090 32200 A Drain, open, lung lesion 18.48 NA NA 8.77 8.69 2.14 090 32201 A Drain, percut, lung lesion 3.99 19.87 20.29 1.43 1.36 0.24 000 32215 A Treat chest lining 12.93 NA NA 6.24 6.57 1.69 090 32220 A Release of lung 26.41 NA NA 11.91 12.44 3.57 090 32225 A Partial release of lung 16.63 NA NA 7.46 7.56 2.07 090 32310 A Removal of chest lining 15.16 NA NA 6.93 7.16 2.00 090 32320 A Free/remove chest lining 27.04 NA NA 11.46 11.81 3.52 090 32400 A Needle biopsy chest lining 1.76 2.15 2.14 0.57 0.56 0.10 000 32402 A Open biopsy chest lining 8.89 NA NA 4.69 4.90 1.07 090 32405 A Biopsy, lung or mediastinum 1.93 0.69 0.68 0.69 0.66 0.11 000 32420 A Puncture/clear lung 2.18 NA NA 0.71 0.70 0.12 000 32421 A Thoracentesis for aspiration 1.54 2.41 2.73 0.47 0.47 0.08 000 32422 A Thoracentesis w/tube insert 2.19 2.88 3.05 1.03 1.05 0.12 000 32440 A Removal of lung 27.17 NA NA 10.92 11.91 3.69 090 32442 A Sleeve pneumonectomy 56.37 NA NA 18.74 16.75 3.85 090 32445 A Removal of lung 63.60 NA NA 22.80 18.43 3.72 090 32480 A Partial removal of lung 25.71 NA NA 10.19 11.13 3.50 090 32482 A Bilobectomy 27.28 NA NA 11.10 12.01 3.67 090 32484 A Segmentectomy 25.30 NA NA 9.57 10.48 3.04 090 32486 A Sleeve lobectomy 42.80 NA NA 14.62 13.94 3.52 090 32488 A Completion pneumonectomy 42.83 NA NA 15.58 14.68 3.81 090 32491 R Lung volume reduction 25.09 NA NA 10.43 11.53 2.99 090 32500 A Partial removal of lung 24.48 NA NA 10.27 11.32 3.26 090 32501 A Repair bronchus add-on 4.68 NA NA 1.34 1.44 0.65 ZZZ 32503 A Resect apical lung tumor 31.61 NA NA 12.09 13.58 4.38 090 32504 A Resect apical lung tum/chest 36.41 NA NA 13.48 15.08 5.09 090 32540 A Removal of lung lesion 30.22 NA NA 11.49 10.56 2.08 090 32550 A Insert pleural cath 4.17 14.97 17.47 1.51 1.58 0.42 000 32551 A Insertion of chest tube 3.29 NA NA 0.97 1.16 0.43 000 32560 A Treat lung lining chemically 2.19 5.06 5.76 0.58 0.64 0.23 000 32601 A Thoracoscopy, diagnostic 5.45 NA NA 2.07 2.21 0.80 000 32602 A Thoracoscopy, diagnostic 5.95 NA NA 2.22 2.37 0.87 000 32603 A Thoracoscopy, diagnostic 7.80 NA NA 2.74 2.89 1.14 000 32604 A Thoracoscopy, diagnostic 8.77 NA NA 3.05 3.25 1.25 000 32605 A Thoracoscopy, diagnostic 6.92 NA NA 2.58 2.74 1.00 000 32606 A Thoracoscopy, diagnostic 8.39 NA NA 2.97 3.15 1.22 000 32650 A Thoracoscopy, surgical 10.77 NA NA 5.24 6.00 1.58 090 32651 A Thoracoscopy, surgical 18.70 NA NA 7.70 7.47 1.87 090 Start Printed Page 2604 32652 A Thoracoscopy, surgical 29.00 NA NA 11.14 10.64 2.73 090 32653 A Thoracoscopy, surgical 18.09 NA NA 7.46 7.22 1.89 090 32654 A Thoracoscopy, surgical 20.44 NA NA 7.96 7.75 1.63 090 32655 A Thoracoscopy, surgical 16.09 NA NA 6.88 7.06 1.90 090 32656 A Thoracoscopy, surgical 13.18 NA NA 5.96 6.95 1.90 090 32657 A Thoracoscopy, surgical 12.85 NA NA 5.97 6.83 2.00 090 32658 A Thoracoscopy, surgical 11.65 NA NA 5.50 6.43 1.70 090 32659 A Thoracoscopy, surgical 11.86 NA NA 5.80 6.63 1.62 090 32660 A Thoracoscopy, surgical 17.69 NA NA 7.59 8.54 2.09 090 32661 A Thoracoscopy, surgical 13.27 NA NA 6.05 6.92 1.93 090 32662 A Thoracoscopy, surgical 14.91 NA NA 6.64 7.74 2.18 090 32663 A Thoracoscopy, surgical 24.56 NA NA 9.40 10.08 2.73 090 32664 A Thoracoscopy, surgical 14.22 NA NA 5.62 6.62 2.33 090 32665 A Thoracoscopy, surgical 21.45 NA NA 8.57 8.35 2.16 090 32800 A Repair lung hernia 15.59 NA NA 6.93 7.17 1.99 090 32810 A Close chest after drainage 14.83 NA NA 6.98 7.25 1.94 090 32815 A Close bronchial fistula 49.79 NA NA 18.60 14.79 3.28 090 32820 A Reconstruct injured chest 22.33 NA NA 10.57 11.37 2.53 090 32850 X Donor pneumonectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 32851 A Lung transplant, single 40.94 NA NA 20.19 23.94 5.58 090 32852 A Lung transplant with bypass 44.65 NA NA 22.58 27.88 6.02 090 32853 A Lung transplant, double 50.11 NA NA 22.80 27.29 7.07 090 32854 A Lung transplant with bypass 53.88 NA NA 25.79 30.27 7.22 090 32855 C Prepare donor lung, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX 32856 C Prepare donor lung, double 0.00 0.00 0.00 0.00 0.00 0.00 XXX 32900 A Removal of rib(s) 23.69 NA NA 9.57 9.73 2.94 090 32905 A Revise & repair chest wall 23.17 NA NA 9.53 9.84 3.16 090 32906 A Revise & repair chest wall 29.18 NA NA 11.04 11.55 3.98 090 32940 A Revision of lung 21.22 NA NA 8.49 8.99 2.89 090 32960 A Therapeutic pneumothorax 1.84 1.61 1.68 0.68 0.62 0.16 000 32997 A Total lung lavage 7.31 NA NA 1.84 1.88 0.55 000 32998 A Perq rf ablate tx, pul tumor 5.68 70.26 70.26 1.99 1.99 0.36 000 32999 C Chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 33010 A Drainage of heart sac 2.24 NA NA 1.04 0.91 0.14 000 33011 A Repeat drainage of heart sac 2.24 NA NA 1.13 0.97 0.15 000 33015 A Incision of heart sac 8.44 NA NA 5.16 5.05 0.65 090 33020 A Incision of heart sac 14.87 NA NA 6.37 6.58 1.80 090 33025 A Incision of heart sac 13.65 NA NA 5.85 6.10 1.81 090 33030 A Partial removal of heart sac 22.27 NA NA 9.12 9.33 2.84 090 33031 A Partial removal of heart sac 25.30 NA NA 9.58 9.81 3.14 090 33050 A Removal of heart sac lesion 16.85 NA NA 7.37 7.61 2.15 090 33120 A Removal of heart lesion 27.33 NA NA 10.57 11.08 3.70 090 33130 A Removal of heart lesion 24.05 NA NA 9.37 9.75 3.01 090 33140 A Heart revascularize (tmr) 28.26 NA NA 10.31 10.60 2.86 090 33141 A Heart tmr w/other procedure 2.54 NA NA 0.78 1.18 0.69 ZZZ 33202 A Insert epicard eltrd, open 13.15 NA NA 6.08 6.08 1.71 090 33203 A Insert epicard eltrd, endo 13.92 NA NA 6.13 6.13 1.39 090 33206 A Insertion of heart pacemaker 7.31 NA NA 5.13 4.79 0.52 090 33207 A Insertion of heart pacemaker 8.00 NA NA 5.23 4.94 0.59 090 33208 A Insertion of heart pacemaker 8.72 NA NA 5.66 5.21 0.56 090 33210 A Insertion of heart electrode 3.30 NA NA 1.66 1.46 0.18 000 33211 A Insertion of heart electrode 3.39 NA NA 1.59 1.45 0.21 000 33212 A Insertion of pulse generator 5.51 NA NA 3.71 3.53 0.43 090 33213 A Insertion of pulse generator 6.36 NA NA 4.21 3.97 0.45 090 33214 A Upgrade of pacemaker system 7.78 NA NA 5.36 5.13 0.58 090 33215 A Reposition pacing-defib lead 4.89 NA NA 3.49 3.33 0.37 090 33216 A Insert lead pace-defib, one 5.81 NA NA 4.54 4.37 0.36 090 33217 A Insert lead pace-defib, dual 5.78 NA NA 4.43 4.33 0.39 090 33218 A Repair lead pace-defib, one 5.97 NA NA 4.82 4.56 0.37 090 33220 A Repair lead pace-defib, dual 6.05 NA NA 4.78 4.53 0.37 090 33222 A Revise pocket, pacemaker 5.01 NA NA 4.30 4.30 0.42 090 33223 A Revise pocket, pacing-defib 6.49 NA NA 4.88 4.74 0.45 090 33224 A Insert pacing lead & connect 9.04 NA NA 4.91 4.45 0.54 000 33225 A L ventric pacing lead add-on 8.33 NA NA 4.35 3.80 0.45 ZZZ 33226 A Reposition l ventric lead 8.68 NA NA 4.74 4.28 0.59 000 33233 A Removal of pacemaker system 3.33 NA NA 3.27 3.27 0.22 090 33234 A Removal of pacemaker system 7.85 NA NA 5.49 5.20 0.56 090 33235 A Removal pacemaker electrode 9.93 NA NA 7.24 7.03 0.73 090 33236 A Remove electrode/thoracotomy 12.64 NA NA 6.38 6.91 1.69 090 33237 A Remove electrode/thoracotomy 13.75 NA NA 8.02 7.90 1.59 090 33238 A Remove electrode/thoracotomy 15.28 NA NA 8.05 8.13 2.03 090 33240 A Insert pulse generator 7.61 NA NA 5.25 4.92 0.41 090 Start Printed Page 2605 33241 A Remove pulse generator 3.26 NA NA 3.00 2.98 0.18 090 33243 A Remove eltrd/thoracotomy 23.42 NA NA 10.94 11.20 2.10 090 33244 A Remove eltrd, transven 13.84 NA NA 9.44 9.17 0.99 090 33249 A Eltrd/insert pace-defib 15.02 NA NA 10.16 9.26 0.77 090 33250 A Ablate heart dysrhythm focus 25.78 NA NA 10.89 10.96 3.19 090 33251 A Ablate heart dysrhythm focus 28.80 NA NA 10.97 11.32 3.60 090 33254 A Ablate atria, lmtd 23.58 NA NA 9.77 9.77 3.35 090 33255 A Ablate atria w/o bypass, ext 28.91 NA NA 11.37 11.37 3.94 090 33256 A Ablate atria w/bypass, exten 34.77 NA NA 13.12 13.12 4.95 090 33257 A Ablate atria, lmtd, add-on 9.63 NA NA 5.47 5.47 0.89 ZZZ 33258 A Ablate atria, x10sv, add-on 11.00 NA NA 5.99 5.99 1.09 ZZZ 33259 A Ablate atria w/bypass add-on 14.14 NA NA 7.80 7.80 1.78 ZZZ 33261 A Ablate heart dysrhythm focus 28.80 NA NA 11.69 11.73 3.46 090 33265 A Ablate atria, lmtd, endo 23.58 NA NA 9.77 9.77 3.35 090 33266 A Ablate atria, x10sv, endo 32.91 NA NA 12.57 12.57 4.80 090 33282 A Implant pat-active ht record 4.70 NA NA 4.24 4.13 0.23 090 33284 A Remove pat-active ht record 3.04 NA NA 3.38 3.45 0.14 090 33300 A Repair of heart wound 44.89 NA NA 15.06 12.15 2.66 090 33305 A Repair of heart wound 76.85 NA NA 25.14 17.88 3.13 090 33310 A Exploratory heart surgery 20.22 NA NA 8.36 8.97 2.59 090 33315 A Exploratory heart surgery 26.05 NA NA 10.36 10.62 3.28 090 33320 A Repair major blood vessel(s) 18.46 NA NA 8.01 8.11 2.08 090 33321 A Repair major vessel 20.71 NA NA 8.38 9.08 2.91 090 33322 A Repair major blood vessel(s) 24.30 NA NA 9.55 9.96 2.86 090 33330 A Insert major vessel graft 25.17 NA NA 9.50 9.89 2.82 090 33332 A Insert major vessel graft 24.46 NA NA 9.46 9.99 3.03 090 33335 A Insert major vessel graft 33.79 NA NA 12.49 12.92 4.28 090 33400 A Repair of aortic valve 41.37 NA NA 14.58 15.13 4.11 090 33401 A Valvuloplasty, open 24.41 NA NA 10.28 11.89 3.57 090 33403 A Valvuloplasty, w/cp bypass 25.39 NA NA 12.53 13.42 3.55 090 33404 A Prepare heart-aorta conduit 31.25 NA NA 12.02 13.28 4.33 090 33405 A Replacement of aortic valve 41.19 NA NA 15.12 16.71 5.33 090 33406 A Replacement of aortic valve 52.55 NA NA 18.39 18.76 5.45 090 33410 A Replacement of aortic valve 46.28 NA NA 16.53 16.56 4.69 090 33411 A Replacement of aortic valve 61.94 NA NA 21.11 19.93 5.48 090 33412 A Replacement of aortic valve 43.77 NA NA 16.22 18.32 6.39 090 33413 A Replacement of aortic valve 59.74 NA NA 23.55 22.19 6.53 090 33414 A Repair of aortic valve 39.29 NA NA 14.29 14.21 4.57 090 33415 A Revision, subvalvular tissue 37.19 NA NA 13.15 12.59 4.14 090 33416 A Revise ventricle muscle 36.43 NA NA 13.24 13.38 4.57 090 33417 A Repair of aortic valve 29.17 NA NA 11.71 12.66 4.10 090 33420 A Revision of mitral valve 25.67 NA NA 9.50 9.53 1.82 090 33422 A Revision of mitral valve 29.61 NA NA 11.36 12.51 3.94 090 33425 A Repair of mitral valve 49.83 NA NA 17.61 15.34 4.07 090 33426 A Repair of mitral valve 43.15 NA NA 15.76 16.45 5.03 090 33427 A Repair of mitral valve 44.70 NA NA 15.70 17.54 6.09 090 33430 A Replacement of mitral valve 50.75 NA NA 18.57 17.93 5.10 090 33460 A Revision of tricuspid valve 44.62 NA NA 14.72 13.01 3.45 090 33463 A Valvuloplasty, tricuspid 56.95 NA NA 19.73 16.33 3.87 090 33464 A Valvuloplasty, tricuspid 44.49 NA NA 15.85 14.69 4.15 090 33465 A Replace tricuspid valve 50.59 NA NA 17.65 15.31 4.39 090 33468 A Revision of tricuspid valve 32.82 NA NA 15.25 14.45 4.07 090 33470 A Revision of pulmonary valve 21.32 NA NA 7.93 9.31 1.03 090 33471 A Valvotomy, pulmonary valve 22.83 NA NA 11.60 10.68 3.39 090 33472 A Revision of pulmonary valve 22.90 NA NA 8.79 10.33 3.55 090 33474 A Revision of pulmonary valve 39.27 NA NA 12.95 11.92 3.22 090 33475 A Replacement, pulmonary valve 42.27 NA NA 15.07 15.22 4.93 090 33476 A Revision of heart chamber 26.41 NA NA 10.37 11.17 2.42 090 33478 A Revision of heart chamber 27.38 NA NA 11.02 12.04 3.89 090 33496 A Repair, prosth valve clot 29.71 NA NA 11.10 11.93 4.13 090 33500 A Repair heart vessel fistula 27.82 NA NA 11.04 11.25 3.87 090 33501 A Repair heart vessel fistula 19.43 NA NA 8.00 8.14 1.91 090 33502 A Coronary artery correction 21.69 NA NA 9.34 10.21 3.00 090 33503 A Coronary artery graft 22.29 NA NA 12.33 11.03 1.78 090 33504 A Coronary artery graft 25.30 NA NA 10.59 11.20 3.36 090 33505 A Repair artery w/tunnel 38.35 NA NA 15.14 14.03 2.19 090 33506 A Repair artery, translocation 37.80 NA NA 12.71 13.64 4.66 090 33507 A Repair art, intramural 31.35 NA NA 11.10 12.37 4.06 090 33508 A Endoscopic vein harvest 0.31 NA NA 0.09 0.10 0.04 ZZZ 33510 A CABG, vein, single 34.87 NA NA 12.92 14.63 4.41 090 33511 A CABG, vein, two 38.34 NA NA 14.16 15.62 4.56 090 33512 A CABG, vein, three 43.87 NA NA 15.95 16.78 4.67 090 Start Printed Page 2606 33513 A CABG, vein, four 45.26 NA NA 16.38 17.09 4.88 090 33514 A CABG, vein, five 47.97 NA NA 17.36 17.71 4.77 090 33516 A Cabg, vein, six or more 49.65 NA NA 17.97 18.39 5.13 090 33517 A CABG, artery-vein, single 3.61 NA NA 1.08 0.96 0.39 ZZZ 33518 A CABG, artery-vein, two 7.93 NA NA 2.37 1.97 0.73 ZZZ 33519 A CABG, artery-vein, three 10.49 NA NA 3.14 2.73 1.04 ZZZ 33521 A CABG, artery-vein, four 12.59 NA NA 3.78 3.42 1.37 ZZZ 33522 A CABG, artery-vein, five 14.14 NA NA 4.24 4.02 1.78 ZZZ 33523 A Cabg, art-vein, six or more 16.08 NA NA 4.78 4.66 2.13 ZZZ 33530 A Coronary artery, bypass/reop 10.13 NA NA 2.95 2.43 0.88 ZZZ 33533 A CABG, arterial, single 33.64 NA NA 12.57 14.52 4.56 090 33534 A CABG, arterial, two 39.77 NA NA 14.75 16.24 4.70 090 33535 A CABG, arterial, three 44.64 NA NA 16.31 17.22 5.03 090 33536 A Cabg, arterial, four or more 48.32 NA NA 17.34 17.82 5.44 090 33542 A Removal of heart lesion 48.08 NA NA 16.90 14.95 4.38 090 33545 A Repair of heart damage 56.93 NA NA 20.16 17.90 5.21 090 33548 A Restore/remodel, ventricle 53.96 NA NA 19.35 19.33 5.53 090 33572 A Open coronary endarterectomy 4.44 NA NA 1.31 1.38 0.65 ZZZ 33600 A Closure of valve 30.15 NA NA 12.15 12.34 4.42 090 33602 A Closure of valve 29.18 NA NA 11.17 11.81 3.82 090 33606 A Anastomosis/artery-aorta 31.37 NA NA 11.92 12.80 4.41 090 33608 A Repair anomaly w/conduit 31.72 NA NA 12.86 13.49 4.74 090 33610 A Repair by enlargement 31.24 NA NA 13.56 13.58 4.56 090 33611 A Repair double ventricle 35.49 NA NA 12.37 13.26 4.37 090 33612 A Repair double ventricle 36.49 NA NA 14.32 14.74 5.30 090 33615 A Repair, modified fontan 35.76 NA NA 13.80 13.48 4.32 090 33617 A Repair single ventricle 38.96 NA NA 13.96 14.98 5.66 090 33619 A Repair single ventricle 48.60 NA NA 17.99 19.40 6.46 090 33641 A Repair heart septum defect 29.50 NA NA 10.89 10.24 3.23 090 33645 A Revision of heart veins 27.98 NA NA 10.68 11.23 3.79 090 33647 A Repair heart septum defects 29.37 NA NA 12.72 13.25 3.32 090 33660 A Repair of heart defects 31.75 NA NA 11.83 12.66 4.49 090 33665 A Repair of heart defects 34.77 NA NA 12.17 13.01 4.00 090 33670 A Repair of heart chambers 36.58 NA NA 15.64 14.41 4.65 090 33675 A Close mult vsd 35.87 NA NA 15.76 15.76 4.95 090 33676 A Close mult vsd w/resection 36.87 NA NA 16.06 16.06 5.44 090 33677 A Cl mult vsd w/rem pul band 38.37 NA NA 16.63 16.63 5.68 090 33681 A Repair heart septum defect 32.16 NA NA 12.89 13.79 4.45 090 33684 A Repair heart septum defect 34.29 NA NA 13.29 13.46 3.39 090 33688 A Repair heart septum defect 34.67 NA NA 11.63 11.05 4.73 090 33690 A Reinforce pulmonary artery 20.20 NA NA 8.64 9.40 1.97 090 33692 A Repair of heart defects 31.38 NA NA 19.59 16.76 4.58 090 33694 A Repair of heart defects 35.49 NA NA 10.05 12.14 5.28 090 33697 A Repair of heart defects 37.49 NA NA 16.95 15.91 4.09 090 33702 A Repair of heart defects 27.11 NA NA 10.53 11.55 3.68 090 33710 A Repair of heart defects 30.28 NA NA 11.26 12.62 4.43 090 33720 A Repair of heart defect 27.13 NA NA 10.69 11.49 3.84 090 33722 A Repair of heart defect 29.05 NA NA 10.61 12.24 1.30 090 33724 A Repair venous anomaly 27.55 NA NA 10.38 10.38 4.00 090 33726 A Repair pul venous stenosis 37.04 NA NA 13.23 13.23 5.03 090 33730 A Repair heart-vein defect(s) 36.01 NA NA 12.87 13.50 5.03 090 33732 A Repair heart-vein defect 28.80 NA NA 12.66 13.03 3.68 090 33735 A Revision of heart chamber 22.04 NA NA 11.04 10.00 1.92 090 33736 A Revision of heart chamber 24.16 NA NA 12.07 11.96 3.09 090 33737 A Revision of heart chamber 22.34 NA NA 9.13 10.03 3.25 090 33750 A Major vessel shunt 22.06 NA NA 9.43 9.82 1.16 090 33755 A Major vessel shunt 22.44 NA NA 7.80 8.30 3.26 090 33762 A Major vessel shunt 22.44 NA NA 8.69 9.43 3.14 090 33764 A Major vessel shunt & graft 22.44 NA NA 8.95 9.59 3.01 090 33766 A Major vessel shunt 23.41 NA NA 8.48 10.08 3.70 090 33767 A Major vessel shunt 25.14 NA NA 8.51 10.12 3.82 090 33768 A Cavopulmonary shunting 8.00 NA NA 1.84 2.25 1.19 ZZZ 33770 A Repair great vessels defect 39.02 NA NA 11.92 13.30 5.74 090 33771 A Repair great vessels defect 40.58 NA NA 13.09 12.74 5.68 090 33774 A Repair great vessels defect 31.54 NA NA 12.21 13.44 4.81 090 33775 A Repair great vessels defect 32.83 NA NA 10.11 12.55 4.99 090 33776 A Repair great vessels defect 34.53 NA NA 10.25 13.03 5.09 090 33777 A Repair great vessels defect 33.95 NA NA 9.93 12.78 5.49 090 33778 A Repair great vessels defect 42.62 NA NA 14.93 15.92 6.20 090 33779 A Repair great vessels defect 43.15 NA NA 12.46 13.92 2.92 090 33780 A Repair great vessels defect 43.85 NA NA 13.15 16.12 3.68 090 33781 A Repair great vessels defect 43.16 NA NA 11.13 12.23 5.97 090 Start Printed Page 2607 33786 A Repair arterial trunk 41.74 NA NA 14.10 15.41 5.71 090 33788 A Revision of pulmonary artery 27.26 NA NA 8.25 10.10 4.03 090 33800 A Aortic suspension 17.23 NA NA 6.82 7.47 2.46 090 33802 A Repair vessel defect 18.24 NA NA 7.95 8.59 2.27 090 33803 A Repair vessel defect 20.18 NA NA 6.39 8.08 3.20 090 33813 A Repair septal defect 21.23 NA NA 8.82 9.87 3.13 090 33814 A Repair septal defect 26.41 NA NA 10.41 11.53 3.85 090 33820 A Revise major vessel 16.61 NA NA 6.96 7.66 2.35 090 33822 A Revise major vessel 17.63 NA NA 5.94 7.45 2.68 090 33824 A Revise major vessel 20.10 NA NA 8.46 9.22 2.89 090 33840 A Remove aorta constriction 21.21 NA NA 9.34 9.82 2.16 090 33845 A Remove aorta constriction 22.77 NA NA 9.39 10.37 3.22 090 33851 A Remove aorta constriction 21.85 NA NA 8.88 9.78 3.18 090 33852 A Repair septal defect 24.28 NA NA 14.77 13.07 2.16 090 33853 A Repair septal defect 32.35 NA NA 12.26 13.54 4.48 090 33860 A Ascending aortic graft 59.33 NA NA 20.22 18.34 5.76 090 33861 A Ascending aortic graft 43.94 NA NA 15.71 16.71 6.37 090 33863 A Ascending aortic graft 58.71 NA NA 19.61 19.15 6.59 090 33864 A Ascending aortic graft 60.00 NA NA 20.11 20.11 6.73 090 33870 A Transverse aortic arch graft 45.93 NA NA 16.29 17.34 6.62 090 33875 A Thoracic aortic graft 35.68 NA NA 12.92 13.51 4.89 090 33877 A Thoracoabdominal graft 68.85 NA NA 21.03 18.68 5.94 090 33880 A Endovasc taa repr incl subcl 34.48 NA NA 10.93 12.20 2.75 090 33881 A Endovasc taa repr w/o subcl 29.48 NA NA 9.67 10.82 2.33 090 33883 A Insert endovasc prosth, taa 20.99 NA NA 7.24 8.21 2.11 090 33884 A Endovasc prosth, taa, add-on 8.20 NA NA 2.08 2.33 0.86 ZZZ 33886 A Endovasc prosth, delayed 17.99 NA NA 6.34 7.29 1.80 090 33889 A Artery transpose/endovas taa 15.92 NA NA 3.98 4.58 2.18 000 33891 A Car-car bp grft/endovas taa 20.00 NA NA 5.82 6.39 2.73 000 33910 A Remove lung artery emboli 29.59 NA NA 11.35 11.39 3.70 090 33915 A Remove lung artery emboli 24.83 NA NA 9.12 9.38 1.44 090 33916 A Surgery of great vessel 28.30 NA NA 10.83 11.09 3.67 090 33917 A Repair pulmonary artery 25.14 NA NA 10.04 11.12 3.70 090 33920 A Repair pulmonary atresia 32.58 NA NA 9.47 11.65 4.38 090 33922 A Transect pulmonary artery 24.09 NA NA 10.25 10.58 3.10 090 33924 A Remove pulmonary shunt 5.49 NA NA 1.59 1.72 0.82 ZZZ 33925 A Rpr pul art unifocal w/o cpb 31.25 NA NA 16.44 15.56 4.61 090 33926 A Repr pul art, unifocal w/cpb 44.68 NA NA 14.81 16.25 6.22 090 33930 X Removal of donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33933 C Prepare donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33935 R Transplantation, heart/lung 61.68 NA NA 22.96 25.87 9.06 090 33940 X Removal of donor heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33944 C Prepare donor heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33945 R Transplantation of heart 89.08 NA NA 30.40 25.90 6.26 090 33960 A External circulation assist 19.33 NA NA 5.26 5.08 2.67 000 33961 A External circulation assist 10.91 NA NA 2.99 3.30 0.88 ZZZ 33967 A Insert ia percut device 4.84 NA NA 2.41 2.13 0.35 000 33968 A Remove aortic assist device 0.64 NA NA 0.26 0.24 0.07 000 33970 A Aortic circulation assist 6.74 NA NA 2.54 2.41 0.82 000 33971 A Aortic circulation assist 11.91 NA NA 6.01 6.01 1.25 090 33973 A Insert balloon device 9.75 NA NA 3.94 3.63 1.26 000 33974 A Remove intra-aortic balloon 14.93 NA NA 7.74 7.81 1.74 090 33975 A Implant ventricular device 20.97 NA NA 6.30 6.29 3.07 XXX 33976 A Implant ventricular device 22.97 NA NA 7.67 7.61 3.26 XXX 33977 A Remove ventricular device 20.07 NA NA 9.42 10.25 2.81 090 33978 A Remove ventricular device 22.51 NA NA 10.43 11.09 3.31 090 33979 A Insert intracorporeal device 45.93 NA NA 13.29 14.11 6.97 XXX 33980 A Remove intracorporeal device 64.86 NA NA 23.09 24.17 8.59 090 33999 C Cardiac surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 34001 A Removal of artery clot 17.78 NA NA 6.37 6.54 1.85 090 34051 A Removal of artery clot 16.91 NA NA 7.44 7.61 2.21 090 34101 A Removal of artery clot 10.85 NA NA 4.30 4.83 1.41 090 34111 A Removal of arm artery clot 10.85 NA NA 4.28 4.82 1.40 090 34151 A Removal of artery clot 26.41 NA NA 8.66 9.53 3.56 090 34201 A Removal of artery clot 19.38 NA NA 6.55 5.98 1.45 090 34203 A Removal of leg artery clot 17.73 NA NA 6.38 7.22 2.36 090 34401 A Removal of vein clot 26.41 NA NA 9.27 9.97 3.10 090 34421 A Removal of vein clot 13.29 NA NA 5.20 5.75 1.55 090 34451 A Removal of vein clot 28.41 NA NA 9.39 10.42 3.84 090 34471 A Removal of vein clot 21.00 NA NA 7.87 6.59 1.18 090 34490 A Removal of vein clot 10.83 NA NA 4.35 4.89 1.41 090 34501 A Repair valve, femoral vein 16.74 NA NA 6.43 7.46 2.35 090 Start Printed Page 2608 34502 A Reconstruct vena cava 27.86 NA NA 10.49 11.39 3.63 090 34510 A Transposition of vein valve 19.80 NA NA 7.53 8.47 2.33 090 34520 A Cross-over vein graft 19.05 NA NA 7.02 7.74 2.29 090 34530 A Leg vein fusion 17.77 NA NA 6.77 7.69 1.74 090 34800 A Endovas aaa repr w/sm tube 21.46 NA NA 7.25 8.21 2.46 090 34802 A Endovas aaa repr w/2-p part 23.71 NA NA 8.18 8.99 2.33 090 34803 A Endovas aaa repr w/3-p part 24.74 NA NA 8.02 9.12 2.01 090 34804 A Endovas aaa repr w/1-p part 23.71 NA NA 8.07 8.94 2.30 090 34805 A Endovas aaa repr w/long tube 22.59 NA NA 7.27 8.46 2.01 090 34806 A Aneurysm press sensor add-on 2.06 0.51 0.51 0.51 0.51 0.30 ZZZ 34808 A Endovas iliac a device addon 4.12 NA NA 1.05 1.21 0.59 ZZZ 34812 A Xpose for endoprosth, femorl 6.74 NA NA 1.67 1.95 1.18 000 34813 A Femoral endovas graft add-on 4.79 NA NA 1.16 1.36 0.67 ZZZ 34820 A Xpose for endoprosth, iliac 9.74 NA NA 2.45 2.84 1.50 000 34825 A Endovasc extend prosth, init 12.72 NA NA 5.15 5.65 1.28 090 34826 A Endovasc exten prosth, addÆl 4.12 NA NA 1.14 1.25 0.44 ZZZ 34830 A Open aortic tube prosth repr 35.10 NA NA 10.34 12.02 4.55 090 34831 A Open aortoiliac prosth repr 37.85 NA NA 11.28 11.51 4.89 090 34832 A Open aortofemor prosth repr 37.85 NA NA 11.81 13.22 4.85 090 34833 A Xpose for endoprosth, iliac 11.98 NA NA 3.29 3.86 1.70 000 34834 A Xpose, endoprosth, brachial 5.34 NA NA 1.57 1.88 0.76 000 34900 A Endovasc iliac repr w/graft 16.77 NA NA 6.06 6.82 2.00 090 35001 A Repair defect of artery 20.70 NA NA 7.71 8.63 2.81 090 35002 A Repair artery rupture, neck 22.12 NA NA 7.52 8.61 3.00 090 35005 A Repair defect of artery 19.18 NA NA 8.53 8.69 1.77 090 35011 A Repair defect of artery 18.50 NA NA 6.30 7.14 2.55 090 35013 A Repair artery rupture, arm 23.10 NA NA 7.77 8.72 3.10 090 35021 A Repair defect of artery 22.09 NA NA 8.47 8.94 2.87 090 35022 A Repair artery rupture, chest 25.62 NA NA 10.59 10.22 3.17 090 35045 A Repair defect of arm artery 17.94 NA NA 6.28 6.89 2.45 090 35081 A Repair defect of artery 33.37 NA NA 10.71 11.09 4.01 090 35082 A Repair artery rupture, aorta 41.93 NA NA 12.78 14.04 5.44 090 35091 A Repair defect of artery 35.35 NA NA 10.00 11.79 5.14 090 35092 A Repair artery rupture, aorta 50.81 NA NA 14.51 16.08 6.40 090 35102 A Repair defect of artery 36.37 NA NA 11.30 11.83 4.48 090 35103 A Repair artery rupture, groin 43.49 NA NA 12.64 14.25 5.76 090 35111 A Repair defect of artery 26.17 NA NA 8.51 9.49 3.47 090 35112 A Repair artery rupture,spleen 32.44 NA NA 10.08 11.02 4.08 090 35121 A Repair defect of artery 31.41 NA NA 9.98 11.17 4.30 090 35122 A Repair artery rupture, belly 37.76 NA NA 11.52 12.66 4.75 090 35131 A Repair defect of artery 26.29 NA NA 8.64 9.69 3.80 090 35132 A Repair artery rupture, groin 32.44 NA NA 10.29 11.34 4.30 090 35141 A Repair defect of artery 20.83 NA NA 6.94 7.93 2.90 090 35142 A Repair artery rupture, thigh 25.03 NA NA 8.25 9.31 3.36 090 35151 A Repair defect of artery 23.61 NA NA 7.65 8.82 3.24 090 35152 A Repair artery rupture, knee 27.53 NA NA 9.12 10.25 3.61 090 35180 A Repair blood vessel lesion 15.01 NA NA 6.26 6.60 1.00 090 35182 A Repair blood vessel lesion 31.58 NA NA 10.84 11.82 4.36 090 35184 A Repair blood vessel lesion 18.72 NA NA 6.51 7.40 2.53 090 35188 A Repair blood vessel lesion 15.05 NA NA 6.29 6.96 2.16 090 35189 A Repair blood vessel lesion 29.85 NA NA 10.68 11.32 4.01 090 35190 A Repair blood vessel lesion 13.33 NA NA 5.24 5.86 1.80 090 35201 A Repair blood vessel lesion 16.84 NA NA 6.32 7.16 2.34 090 35206 A Repair blood vessel lesion 13.76 NA NA 5.30 5.93 1.87 090 35207 A Repair blood vessel lesion 10.85 NA NA 6.64 7.00 1.48 090 35211 A Repair blood vessel lesion 24.50 NA NA 9.72 10.17 3.20 090 35216 A Repair blood vessel lesion 36.47 NA NA 13.58 11.28 2.65 090 35221 A Repair blood vessel lesion 26.54 NA NA 8.34 9.14 3.37 090 35226 A Repair blood vessel lesion 15.22 NA NA 5.80 6.62 2.02 090 35231 A Repair blood vessel lesion 21.08 NA NA 7.73 8.75 2.89 090 35236 A Repair blood vessel lesion 17.94 NA NA 6.30 7.09 2.43 090 35241 A Repair blood vessel lesion 25.50 NA NA 10.03 10.58 3.53 090 35246 A Repair blood vessel lesion 28.15 NA NA 10.11 10.77 3.86 090 35251 A Repair blood vessel lesion 31.83 NA NA 9.46 10.63 4.13 090 35256 A Repair blood vessel lesion 18.98 NA NA 6.38 7.36 2.63 090 35261 A Repair blood vessel lesion 18.88 NA NA 6.98 7.50 2.61 090 35266 A Repair blood vessel lesion 15.75 NA NA 5.47 6.24 2.10 090 35271 A Repair blood vessel lesion 24.50 NA NA 9.69 10.10 3.16 090 35276 A Repair blood vessel lesion 25.72 NA NA 9.79 10.50 3.49 090 35281 A Repair blood vessel lesion 29.93 NA NA 9.29 10.50 3.97 090 35286 A Repair blood vessel lesion 17.06 NA NA 6.31 7.18 2.35 090 35301 A Rechanneling of artery 19.53 NA NA 6.69 7.56 2.68 090 Start Printed Page 2609 35302 A Rechanneling of artery 21.27 NA NA 6.91 6.91 2.98 090 35303 A Rechanneling of artery 23.52 NA NA 7.46 7.46 3.26 090 35304 A Rechanneling of artery 24.52 NA NA 7.71 7.71 3.41 090 35305 A Rechanneling of artery 23.52 NA NA 7.46 7.46 3.26 090 35306 A Rechanneling of artery 9.25 NA NA 2.28 2.28 1.34 ZZZ 35311 A Rechanneling of artery 28.52 NA NA 9.64 10.69 3.42 090 35321 A Rechanneling of artery 16.51 NA NA 5.78 6.58 2.25 090 35331 A Rechanneling of artery 27.61 NA NA 8.82 10.03 3.83 090 35341 A Rechanneling of artery 26.10 NA NA 8.25 9.56 3.78 090 35351 A Rechanneling of artery 24.53 NA NA 7.65 8.62 3.35 090 35355 A Rechanneling of artery 19.78 NA NA 6.36 7.22 2.67 090 35361 A Rechanneling of artery 30.11 NA NA 9.60 10.65 4.15 090 35363 A Rechanneling of artery 32.22 NA NA 10.44 11.52 4.33 090 35371 A Rechanneling of artery 15.23 NA NA 5.33 6.14 2.14 090 35372 A Rechanneling of artery 18.50 NA NA 6.13 7.09 2.63 090 35390 A Reoperation, carotid add-on 3.19 NA NA 0.82 0.94 0.46 ZZZ 35400 A Angioscopy 3.00 NA NA 0.72 0.91 0.43 ZZZ 35450 A Repair arterial blockage 10.05 NA NA 2.97 3.27 1.25 000 35452 A Repair arterial blockage 6.90 NA NA 2.06 2.33 0.94 000 35454 A Repair arterial blockage 6.03 NA NA 1.76 2.04 0.87 000 35456 A Repair arterial blockage 7.34 NA NA 2.12 2.44 1.04 000 35458 A Repair arterial blockage 9.48 NA NA 2.80 3.14 1.26 000 35459 A Repair arterial blockage 8.62 NA NA 2.65 2.91 1.21 000 35460 A Repair venous blockage 6.03 NA NA 1.75 2.01 0.83 000 35470 A Repair arterial blockage 8.62 61.19 75.06 3.44 3.40 0.69 000 35471 A Repair arterial blockage 10.05 66.05 83.19 4.69 4.32 0.67 000 35472 A Repair arterial blockage 6.90 47.53 55.97 2.81 2.78 0.58 000 35473 A Repair arterial blockage 6.03 46.56 53.22 2.50 2.46 0.51 000 35474 A Repair arterial blockage 7.35 60.44 74.11 2.98 2.94 0.57 000 35475 R Repair arterial blockage 9.48 48.69 52.41 3.39 3.47 0.62 000 35476 A Repair venous blockage 6.03 37.15 40.96 2.23 2.29 0.34 000 35480 A Atherectomy, open 11.06 NA NA 4.05 4.04 1.28 000 35481 A Atherectomy, open 7.60 NA NA 2.57 2.72 1.13 000 35482 A Atherectomy, open 6.64 NA NA 2.01 2.29 0.89 000 35483 A Atherectomy, open 8.09 NA NA 2.57 2.79 1.15 000 35484 A Atherectomy, open 10.42 NA NA 2.90 3.34 1.27 000 35485 A Atherectomy, open 9.48 NA NA 2.87 3.20 1.35 000 35490 A Atherectomy, percutaneous 11.06 NA NA 5.18 4.94 0.71 000 35491 A Atherectomy, percutaneous 7.60 NA NA 3.86 3.57 0.74 000 35492 A Atherectomy, percutaneous 6.64 NA NA 3.49 3.34 0.43 000 35493 A Atherectomy, percutaneous 8.09 NA NA 3.97 3.88 0.56 000 35494 A Atherectomy, percutaneous 10.42 NA NA 5.15 4.81 0.59 000 35495 A Atherectomy, percutaneous 9.48 NA NA 4.45 4.42 0.69 000 35500 A Harvest vein for bypass 6.44 NA NA 1.60 1.81 0.93 ZZZ 35501 A Artery bypass graft 28.99 NA NA 11.07 9.77 4.10 090 35506 A Artery bypass graft 25.23 NA NA 8.32 8.89 2.87 090 35508 A Artery bypass graft 25.99 NA NA 8.77 9.11 2.78 090 35509 A Artery bypass graft 27.99 NA NA 10.79 9.78 3.92 090 35510 A Artery bypass graft 24.29 NA NA 7.70 8.94 2.12 090 35511 A Artery bypass graft 22.12 NA NA 7.66 8.51 2.91 090 35512 A Artery bypass graft 23.79 NA NA 7.48 8.74 2.12 090 35515 A Artery bypass graft 25.99 NA NA 9.09 9.19 2.78 090 35516 A Artery bypass graft 24.11 NA NA 7.46 7.13 2.34 090 35518 A Artery bypass graft 22.57 NA NA 7.33 8.15 3.03 090 35521 A Artery bypass graft 24.00 NA NA 7.95 8.89 3.13 090 35522 A Artery bypass graft 23.05 NA NA 7.40 8.58 2.12 090 35523 A Artery bypass graft 24.00 NA NA 9.22 9.22 2.14 090 35525 A Artery bypass graft 21.59 NA NA 7.04 8.21 2.12 090 35526 A Artery bypass graft 31.47 NA NA 14.04 13.28 3.63 090 35531 A Artery bypass graft 38.98 NA NA 11.48 12.98 5.18 090 35533 A Artery bypass graft 29.79 NA NA 9.50 10.61 3.85 090 35536 A Artery bypass graft 33.60 NA NA 9.51 11.23 4.62 090 35537 A Artery bypass graft 41.75 NA NA 13.10 13.10 5.72 090 35538 A Artery bypass graft 46.82 NA NA 14.45 14.45 6.39 090 35539 A Artery bypass graft 43.98 NA NA 13.47 13.47 6.02 090 35540 A Artery bypass graft 49.20 NA NA 14.82 14.82 6.76 090 35548 A Artery bypass graft 22.57 NA NA 7.74 8.58 2.98 090 35549 A Artery bypass graft 24.34 NA NA 8.74 9.56 3.30 090 35551 A Artery bypass graft 27.72 NA NA 9.38 10.44 3.75 090 35556 A Artery bypass graft 26.62 NA NA 8.64 9.18 3.10 090 35558 A Artery bypass graft 23.00 NA NA 7.87 8.71 3.00 090 35560 A Artery bypass graft 33.90 NA NA 10.63 11.97 4.75 090 Start Printed Page 2610 35563 A Artery bypass graft 25.99 NA NA 8.88 9.70 3.52 090 35565 A Artery bypass graft 25.00 NA NA 8.17 9.15 3.30 090 35566 A Artery bypass graft 32.22 NA NA 9.85 10.62 3.83 090 35571 A Artery bypass graft 25.39 NA NA 8.09 9.47 3.43 090 35572 A Harvest femoropopliteal vein 6.81 NA NA 1.92 2.08 0.99 ZZZ 35583 A Vein bypass graft 27.62 NA NA 8.64 9.40 3.17 090 35585 A Vein bypass graft 32.22 NA NA 10.11 11.17 4.02 090 35587 A Vein bypass graft 26.08 NA NA 8.51 9.98 3.52 090 35600 A Harvest art for cabg add-on 4.94 NA NA 1.52 1.57 0.73 ZZZ 35601 A Artery bypass graft 26.99 NA NA 10.43 9.53 3.72 090 35606 A Artery bypass graft 22.36 NA NA 7.30 8.16 2.70 090 35612 A Artery bypass graft 16.71 NA NA 6.31 7.10 2.09 090 35616 A Artery bypass graft 21.74 NA NA 7.13 7.62 2.20 090 35621 A Artery bypass graft 20.95 NA NA 6.78 7.73 2.92 090 35623 A Bypass graft, not vein 25.79 NA NA 8.44 9.47 3.46 090 35626 A Artery bypass graft 29.06 NA NA 10.28 11.13 4.08 090 35631 A Artery bypass graft 35.90 NA NA 10.56 12.20 4.96 090 35636 A Artery bypass graft 31.62 NA NA 9.72 11.01 4.10 090 35637 A Artery bypass graft 32.92 NA NA 10.65 10.65 4.44 090 35638 A Artery bypass graft 33.47 NA NA 10.79 10.79 4.52 090 35642 A Artery bypass graft 18.85 NA NA 6.22 7.45 2.28 090 35645 A Artery bypass graft 18.34 NA NA 7.98 8.13 2.50 090 35646 A Artery bypass graft 32.84 NA NA 10.45 11.78 4.44 090 35647 A Artery bypass graft 29.62 NA NA 9.66 10.72 3.99 090 35650 A Artery bypass graft 20.08 NA NA 6.93 7.65 2.72 090 35651 A Artery bypass graft 25.97 NA NA 8.71 9.72 3.36 090 35654 A Artery bypass graft 26.17 NA NA 8.36 9.51 3.53 090 35656 A Artery bypass graft 20.39 NA NA 6.84 7.72 2.80 090 35661 A Artery bypass graft 20.22 NA NA 7.04 7.99 2.72 090 35663 A Artery bypass graft 23.80 NA NA 7.90 8.94 3.11 090 35665 A Artery bypass graft 22.22 NA NA 7.36 8.41 3.01 090 35666 A Artery bypass graft 23.53 NA NA 8.51 9.58 3.16 090 35671 A Artery bypass graft 20.64 NA NA 7.63 8.50 2.78 090 35681 A Composite bypass graft 1.60 NA NA 0.40 0.47 0.23 ZZZ 35682 A Composite bypass graft 7.19 NA NA 1.70 2.04 1.03 ZZZ 35683 A Composite bypass graft 8.49 NA NA 1.96 2.39 1.20 ZZZ 35685 A Bypass graft patency/patch 4.04 NA NA 0.96 1.15 0.58 ZZZ 35686 A Bypass graft/av fist patency 3.34 NA NA 0.85 0.99 0.47 ZZZ 35691 A Arterial transposition 18.32 NA NA 5.95 7.18 2.59 090 35693 A Arterial transposition 15.64 NA NA 6.12 6.92 2.22 090 35694 A Arterial transposition 19.19 NA NA 6.32 7.46 2.70 090 35695 A Arterial transposition 19.97 NA NA 6.71 7.63 2.74 090 35697 A Reimplant artery each 3.00 NA NA 0.74 0.88 0.41 ZZZ 35700 A Reoperation, bypass graft 3.08 NA NA 0.77 0.89 0.44 ZZZ 35701 A Exploration, carotid artery 9.11 NA NA 4.32 4.73 1.12 090 35721 A Exploration, femoral artery 7.66 NA NA 3.83 4.13 1.03 090 35741 A Exploration popliteal artery 8.61 NA NA 3.87 4.26 1.12 090 35761 A Exploration of artery/vein 5.84 NA NA 3.44 3.72 0.75 090 35800 A Explore neck vessels 7.99 NA NA 3.95 4.30 0.95 090 35820 A Explore chest vessels 36.81 NA NA 12.91 10.06 1.95 090 35840 A Explore abdominal vessels 10.87 NA NA 4.81 5.05 1.34 090 35860 A Explore limb vessels 6.72 NA NA 3.38 3.71 0.78 090 35870 A Repair vessel graft defect 24.39 NA NA 7.92 8.85 3.01 090 35875 A Removal of clot in graft 10.64 NA NA 4.29 4.74 1.41 090 35876 A Removal of clot in graft 17.74 NA NA 5.95 6.73 2.40 090 35879 A Revise graft w/vein 17.28 NA NA 5.98 6.83 2.28 090 35881 A Revise graft w/vein 19.22 NA NA 6.46 7.57 2.56 090 35883 A Revise graft w/nonauto graft 23.07 NA NA 8.50 8.50 3.19 090 35884 A Revise graft w/vein 24.57 NA NA 8.94 8.94 3.41 090 35901 A Excision, graft, neck 8.26 NA NA 4.24 4.77 1.15 090 35903 A Excision, graft, extremity 9.44 NA NA 4.60 5.38 1.30 090 35905 A Excision, graft, thorax 33.39 NA NA 10.66 11.92 4.44 090 35907 A Excision, graft, abdomen 37.14 NA NA 10.89 12.53 4.92 090 36000 A Place needle in vein 0.18 0.46 0.51 0.06 0.06 0.01 XXX 36002 A Pseudoaneurysm injection trt 1.96 2.24 2.55 0.86 0.91 0.17 000 36005 A Injection ext venography 0.95 8.47 8.06 0.39 0.35 0.05 000 36010 A Place catheter in vein 2.43 11.10 15.21 0.78 0.79 0.20 XXX 36011 A Place catheter in vein 3.14 19.63 23.73 1.01 1.03 0.27 XXX 36012 A Place catheter in vein 3.51 20.26 19.61 1.28 1.23 0.23 XXX 36013 A Place catheter in artery 2.52 18.79 20.08 0.93 0.81 0.25 XXX 36014 A Place catheter in artery 3.02 18.96 19.55 1.11 1.07 0.19 XXX 36015 A Place catheter in artery 3.51 18.56 21.12 1.05 1.12 0.21 XXX Start Printed Page 2611 36100 A Establish access to artery 3.02 11.25 11.66 1.21 1.16 0.26 XXX 36120 A Establish access to artery 2.01 9.21 9.96 0.59 0.62 0.14 XXX 36140 A Establish access to artery 2.01 10.49 11.63 0.71 0.67 0.16 XXX 36145 A Artery to vein shunt 2.01 10.29 11.43 0.66 0.66 0.11 XXX 36160 A Establish access to aorta 2.52 11.55 12.52 1.05 0.95 0.26 XXX 36200 A Place catheter in aorta 3.02 13.67 15.10 1.02 1.01 0.24 XXX 36215 A Place catheter in artery 4.67 25.97 26.51 1.89 1.75 0.27 XXX 36216 A Place catheter in artery 5.27 28.06 28.58 2.09 1.94 0.31 XXX 36217 A Place catheter in artery 6.29 45.91 50.69 2.43 2.30 0.44 XXX 36218 A Place catheter in artery 1.01 3.77 4.43 0.39 0.36 0.07 ZZZ 36245 A Place catheter in artery 4.67 28.80 30.46 2.12 1.90 0.31 XXX 36246 A Place catheter in artery 5.27 27.45 28.72 1.99 1.91 0.38 XXX 36247 A Place catheter in artery 6.29 45.20 47.37 2.36 2.25 0.47 XXX 36248 A Place catheter in artery 1.01 3.18 3.61 0.38 0.36 0.07 ZZZ 36260 A Insertion of infusion pump 9.82 NA NA 4.65 4.76 1.29 090 36261 A Revision of infusion pump 5.55 NA NA 3.06 3.36 0.70 090 36262 A Removal of infusion pump 4.05 NA NA 2.71 2.73 0.54 090 36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 36400 A Bl draw < 3 yrs fem/jugular 0.38 0.28 0.28 0.09 0.09 0.03 XXX 36405 A Bl draw < 3 yrs scalp vein 0.31 0.27 0.27 0.08 0.08 0.03 XXX 36406 A Bl draw < 3 yrs other vein 0.18 0.25 0.26 0.04 0.05 0.01 XXX 36410 A Non-routine bl draw > 3 yrs 0.18 0.32 0.30 0.05 0.05 0.01 XXX 36415 X Routine venipuncture 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36416 B Capillary blood draw 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36420 A Vein access cutdown < 1 yr 1.01 NA NA 0.21 0.24 0.07 XXX 36425 A Vein access cutdown > 1 yr 0.76 NA NA 0.21 0.21 0.06 XXX 36430 A Blood transfusion service 0.00 0.94 0.97 NA NA 0.06 XXX 36440 A Bl push transfuse, 2 yr or < 1.03 NA NA 0.25 0.27 0.10 XXX 36450 A Bl exchange/transfuse, nb 2.23 NA NA 0.77 0.74 0.21 XXX 36455 A Bl exchange/transfuse non-nb 2.43 NA NA 0.67 0.84 0.15 XXX 36460 A Transfusion service, fetal 6.58 NA NA 1.81 2.03 0.79 XXX 36468 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36469 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36470 A Injection therapy of vein 1.09 2.41 2.55 0.64 0.69 0.12 010 36471 A Injection therapy of veins 1.60 2.56 2.82 0.79 0.88 0.19 010 36475 A Endovenous rf, 1st vein 6.72 35.78 43.60 1.88 2.21 0.37 000 36476 A Endovenous rf, vein add-on 3.38 6.14 7.01 0.83 0.98 0.18 ZZZ 36478 A Endovenous laser, 1st vein 6.72 26.98 36.90 2.04 2.29 0.37 000 36479 A Endovenous laser vein addon 3.38 6.36 7.18 0.95 1.04 0.18 ZZZ 36481 A Insertion of catheter, vein 6.98 NA NA 2.36 2.48 0.55 000 36500 A Insertion of catheter, vein 3.51 NA NA 1.25 1.31 0.20 000 36510 A Insertion of catheter, vein 1.09 1.08 2.48 0.30 0.45 0.10 000 36511 A Apheresis wbc 1.74 NA NA 0.58 0.65 0.08 000 36512 A Apheresis rbc 1.74 NA NA 0.60 0.67 0.08 000 36513 A Apheresis platelets 1.74 NA NA 0.55 0.64 0.17 000 36514 A Apheresis plasma 1.74 10.51 13.74 0.53 0.62 0.08 000 36515 A Apheresis, adsorp/reinfuse 1.74 45.51 55.93 0.48 0.57 0.08 000 36516 A Apheresis, selective 1.22 49.59 66.85 0.39 0.43 0.08 000 36522 A Photopheresis 1.67 37.44 34.92 0.94 0.95 0.13 000 36555 A Insert non-tunnel cv cath 2.68 3.81 4.78 0.59 0.69 0.11 000 36556 A Insert non-tunnel cv cath 2.50 2.86 4.24 0.55 0.65 0.19 000 36557 A Insert tunneled cv cath 5.11 15.11 18.13 2.29 2.47 0.57 010 36558 A Insert tunneled cv cath 4.81 14.85 17.95 2.36 2.46 0.57 010 36560 A Insert tunneled cv cath 6.26 21.33 25.51 2.72 2.88 0.57 010 36561 A Insert tunneled cv cath 6.01 22.27 25.94 2.64 2.80 0.57 010 36563 A Insert tunneled cv cath 6.21 23.11 24.94 2.60 2.79 0.84 010 36565 A Insert tunneled cv cath 6.01 17.53 21.12 2.47 2.71 0.57 010 36566 A Insert tunneled cv cath 6.51 111.95 68.73 2.60 2.86 0.57 010 36568 A Insert picc cath 1.92 5.88 6.70 0.59 0.59 0.11 000 36569 A Insert picc cath 1.82 4.47 5.91 0.67 0.62 0.19 000 36570 A Insert picvad cath 5.33 21.25 27.22 2.10 2.41 0.57 010 36571 A Insert picvad cath 5.31 24.53 28.90 2.45 2.58 0.57 010 36575 A Repair tunneled cv cath 0.67 3.31 3.68 0.23 0.25 0.20 000 36576 A Repair tunneled cv cath 3.21 5.91 6.43 1.57 1.71 0.19 010 36578 A Replace tunneled cv cath 3.51 9.18 10.16 2.00 2.15 0.19 010 36580 A Replace cvad cath 1.31 3.96 5.45 0.43 0.42 0.19 000 36581 A Replace tunneled cv cath 3.45 15.51 17.51 1.74 1.83 0.19 010 36582 A Replace tunneled cv cath 5.21 21.55 23.79 2.46 2.66 0.19 010 36583 A Replace tunneled cv cath 5.26 21.60 23.82 2.49 2.68 0.19 010 36584 A Replace picc cath 1.20 3.97 5.47 0.61 0.58 0.19 000 36585 A Replace picvad cath 4.81 22.57 25.20 2.43 2.58 0.19 010 36589 A Removal tunneled cv cath 2.27 1.86 2.05 1.23 1.31 0.24 010 Start Printed Page 2612 36590 A Removal tunneled cv cath 3.32 3.62 3.50 1.60 1.66 0.44 010 36591 T Draw blood off venous device 0.00 0.54 0.54 NA NA 0.01 XXX 36592 T Collect blood from picc 0.00 0.67 0.67 NA NA 0.01 XXX 36593 A Declot vascular device 0.00 0.82 0.60 NA NA 0.37 XXX 36595 A Mech remov tunneled cv cath 3.59 10.84 14.05 1.38 1.41 0.21 000 36596 A Mech remov tunneled cv cath 0.75 2.58 3.13 0.43 0.47 0.05 000 36597 A Reposition venous catheter 1.21 2.04 2.22 0.46 0.45 0.07 000 36598 T Inj w/fluor, eval cv device 0.74 2.22 2.43 0.27 1.46 0.05 000 36600 A Withdrawal of arterial blood 0.32 0.50 0.49 0.07 0.08 0.02 XXX 36620 A Insertion catheter, artery 1.15 NA NA 0.15 0.19 0.07 000 36625 A Insertion catheter, artery 2.11 NA NA 0.50 0.52 0.26 000 36640 A Insertion catheter, artery 2.10 NA NA 0.91 0.97 0.21 000 36660 A Insertion catheter, artery 1.40 NA NA 0.41 0.42 0.14 000 36680 A Insert needle, bone cavity 1.20 NA NA 0.28 0.39 0.11 000 36800 A Insertion of cannula 2.43 NA NA 1.53 1.67 0.25 000 36810 A Insertion of cannula 3.96 NA NA 1.32 1.50 0.45 000 36815 A Insertion of cannula 2.62 NA NA 1.04 1.10 0.35 000 36818 A Av fuse, uppr arm, cephalic 11.81 NA NA 4.49 5.26 1.90 090 36819 A Av fuse, uppr arm, basilic 14.39 NA NA 5.12 5.75 1.96 090 36820 A Av fusion/forearm vein 14.39 NA NA 5.24 5.82 1.95 090 36821 A Av fusion direct any site 9.15 NA NA 3.94 4.30 1.23 090 36822 A Insertion of cannula(s) 5.51 NA NA 3.75 4.06 0.79 090 36823 A Insertion of cannula(s) 22.82 NA NA 8.64 9.01 2.89 090 36825 A Artery-vein autograft 10.00 NA NA 4.23 4.64 1.35 090 36830 A Artery-vein nonautograft 12.00 NA NA 4.13 4.68 1.66 090 36831 A Open thrombect av fistula 8.01 NA NA 3.19 3.57 1.09 090 36832 A Av fistula revision, open 10.50 NA NA 3.75 4.23 1.44 090 36833 A Av fistula revision 11.95 NA NA 4.12 4.66 1.65 090 36834 A Repair A-V aneurysm 11.11 NA NA 4.22 4.50 1.37 090 36835 A Artery to vein shunt 7.43 NA NA 3.74 4.03 0.98 090 36838 A Dist revas ligation, hemo 21.59 NA NA 7.05 8.22 3.02 090 36860 A External cannula declotting 2.01 3.36 2.57 0.63 0.65 0.11 000 36861 A Cannula declotting 2.52 NA NA 1.22 1.35 0.27 000 36870 A Percut thrombect av fistula 5.17 40.83 46.94 2.76 2.96 0.29 090 37140 A Revision of circulation 25.12 NA NA 8.93 9.71 2.02 090 37145 A Revision of circulation 26.13 NA NA 10.46 10.66 3.26 090 37160 A Revision of circulation 23.13 NA NA 7.93 8.60 2.82 090 37180 A Revision of circulation 26.13 NA NA 9.28 9.79 3.35 090 37181 A Splice spleen/kidney veins 28.26 NA NA 8.84 9.92 3.41 090 37182 A Insert hepatic shunt (tips) 16.97 NA NA 6.33 6.20 1.00 000 37183 A Remove hepatic shunt (tips) 7.99 NA NA 3.09 3.05 0.47 000 37184 A Prim art mech thrombectomy 8.66 49.97 60.86 3.24 3.29 0.55 000 37185 A Prim art m-thrombect add-on 3.28 16.39 19.65 1.12 1.12 0.21 ZZZ 37186 A Sec art m-thrombect add-on 4.92 34.94 42.18 1.79 1.72 0.32 ZZZ 37187 A Venous mech thrombectomy 8.03 48.27 59.25 2.99 3.07 0.51 000 37188 A Venous m-thrombectomy add-on 5.71 42.27 52.14 2.18 2.27 0.37 000 37195 C Thrombolytic therapy, stroke 0.00 0.00 0.00 0.00 0.00 0.00 XXX 37200 A Transcatheter biopsy 4.55 NA NA 1.65 1.58 0.27 000 37201 A Transcatheter therapy infuse 4.99 NA NA 2.33 2.44 0.33 000 37202 A Transcatheter therapy infuse 5.67 NA NA 3.34 3.19 0.43 000 37203 A Transcatheter retrieval 5.02 30.14 31.52 2.07 2.06 0.29 000 37204 A Transcatheter occlusion 18.11 NA NA 6.24 6.07 1.48 000 37205 A Transcath iv stent, percut 8.27 108.78 56.26 3.25 3.50 0.60 000 37206 A Transcath iv stent/perc addl 4.12 66.53 33.98 1.58 1.50 0.31 ZZZ 37207 A Transcath iv stent, open 8.27 NA NA 2.38 2.77 1.17 000 37208 A Transcath iv stent/open addl 4.12 NA NA 1.01 1.19 0.59 ZZZ 37209 A Change iv cath at thromb tx 2.27 NA NA 0.77 0.75 0.15 000 37210 A Embolization uterine fibroid 10.60 83.31 83.31 3.68 3.68 0.60 000 37215 R Transcath stent, cca w/eps 19.58 NA NA 9.94 9.52 1.09 090 37216 N Transcath stent, cca w/o eps 18.85 NA NA 5.76 7.29 1.04 090 37250 A Iv us first vessel add-on 2.10 NA NA 0.77 0.76 0.21 ZZZ 37251 A Iv us each add vessel add-on 1.60 NA NA 0.50 0.52 0.19 ZZZ 37500 A Endoscopy ligate perf veins 11.54 NA NA 5.35 6.10 1.54 090 37501 C Vascular endoscopy procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 37565 A Ligation of neck vein 11.97 NA NA 5.14 5.38 1.33 090 37600 A Ligation of neck artery 12.34 NA NA 4.92 5.78 1.41 090 37605 A Ligation of neck artery 14.20 NA NA 5.45 6.18 1.99 090 37606 A Ligation of neck artery 8.72 NA NA 4.86 4.71 1.23 090 37607 A Ligation of a-v fistula 6.19 NA NA 3.03 3.29 0.85 090 37609 A Temporal artery procedure 3.02 4.20 4.35 1.82 1.89 0.36 010 37615 A Ligation of neck artery 7.72 NA NA 4.09 4.10 0.68 090 37616 A Ligation of chest artery 18.89 NA NA 7.93 8.01 2.33 090 Start Printed Page 2613 37617 A Ligation of abdomen artery 23.71 NA NA 7.89 8.53 2.98 090 37618 A Ligation of extremity artery 5.95 NA NA 3.37 3.49 0.67 090 37620 A Revision of major vein 11.49 NA NA 5.45 5.58 0.91 090 37650 A Revision of major vein 8.41 NA NA 4.23 4.46 1.01 090 37660 A Revision of major vein 22.20 NA NA 7.59 8.33 2.49 090 37700 A Revise leg vein 3.76 NA NA 2.39 2.59 0.53 090 37718 A Ligate/strip short leg vein 7.05 NA NA 3.48 3.77 0.14 090 37722 A Ligate/strip long leg vein 8.08 NA NA 3.69 4.05 0.86 090 37735 A Removal of leg veins/lesion 10.81 NA NA 4.69 5.10 1.48 090 37760 A Ligation, leg veins, open 10.69 NA NA 4.48 4.91 1.44 090 37765 A Phleb veins extrem 10-20 7.63 NA NA 3.57 4.09 0.48 090 37766 A Phleb veins extrem 20+ 9.58 NA NA 4.13 4.73 0.48 090 37780 A Revision of leg vein 3.87 NA NA 2.39 2.62 0.53 090 37785 A Ligate/divide/excise vein 3.87 4.92 5.06 2.58 2.65 0.54 090 37788 A Revascularization, penis 23.21 NA NA 12.05 10.57 2.26 090 37790 A Penile venous occlusion 8.37 NA NA 5.15 4.76 0.59 090 37799 C Vascular surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38100 A Removal of spleen, total 19.47 NA NA 6.85 6.51 1.92 090 38101 A Removal of spleen, partial 19.47 NA NA 6.92 6.72 2.05 090 38102 A Removal of spleen, total 4.79 NA NA 1.23 1.43 0.63 ZZZ 38115 A Repair of ruptured spleen 21.80 NA NA 7.44 7.04 2.09 090 38120 A Laparoscopy, splenectomy 16.97 NA NA 6.93 7.16 2.25 090 38129 C Laparoscope proc, spleen 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38200 A Injection for spleen x-ray 2.64 NA NA 1.09 0.99 0.14 000 38204 B Bl donor search management 2.00 0.46 0.46 0.46 0.46 0.06 XXX 38205 R Harvest allogenic stem cells 1.50 NA NA 0.53 0.60 0.07 000 38206 R Harvest auto stem cells 1.50 NA NA 0.55 0.61 0.07 000 38207 I Cryopreserve stem cells 0.89 0.40 0.40 0.40 0.40 0.01 XXX 38208 I Thaw preserved stem cells 0.56 0.25 0.25 0.25 0.25 0.02 XXX 38209 I Wash harvest stem cells 0.24 0.11 0.11 0.11 0.11 0.01 XXX 38210 I T-cell depletion of harvest 1.57 0.71 0.71 0.71 0.71 0.03 XXX 38211 I Tumor cell deplete of harvst 1.42 0.64 0.64 0.64 0.64 0.02 XXX 38212 I Rbc depletion of harvest 0.94 0.42 0.42 0.42 0.42 0.02 XXX 38213 I Platelet deplete of harvest 0.24 0.11 0.11 0.11 0.11 0.01 XXX 38214 I Volume deplete of harvest 0.81 0.36 0.36 0.36 0.36 0.01 XXX 38215 I Harvest stem cell concentrte 0.94 0.42 0.42 0.42 0.42 0.02 XXX 38220 A Bone marrow aspiration 1.08 2.68 3.20 0.45 0.48 0.05 XXX 38221 A Bone marrow biopsy 1.37 2.79 3.36 0.57 0.61 0.07 XXX 38230 R Bone marrow collection 4.80 NA NA 3.13 3.18 0.48 010 38240 R Bone marrow/stem transplant 2.24 NA NA 0.94 0.98 0.11 XXX 38241 R Bone marrow/stem transplant 2.24 NA NA 0.94 0.99 0.11 XXX 38242 A Lymphocyte infuse transplant 1.71 NA NA 0.67 0.73 0.08 000 38300 A Drainage, lymph node lesion 2.28 4.22 4.26 2.04 2.05 0.25 010 38305 A Drainage, lymph node lesion 6.55 NA NA 4.20 4.32 0.88 090 38308 A Incision of lymph channels 6.73 NA NA 3.54 3.64 0.85 090 38380 A Thoracic duct procedure 8.34 NA NA 5.06 5.37 0.74 090 38381 A Thoracic duct procedure 13.32 NA NA 6.08 6.48 1.85 090 38382 A Thoracic duct procedure 10.51 NA NA 5.43 5.60 1.37 090 38500 A Biopsy/removal, lymph nodes 3.76 3.75 3.72 2.03 2.06 0.49 010 38505 A Needle biopsy, lymph nodes 1.14 2.11 2.08 0.74 0.76 0.09 000 38510 A Biopsy/removal, lymph nodes 6.69 5.38 5.47 3.09 3.29 0.72 010 38520 A Biopsy/removal, lymph nodes 6.95 NA NA 3.75 3.90 0.84 090 38525 A Biopsy/removal, lymph nodes 6.35 NA NA 3.47 3.38 0.80 090 38530 A Biopsy/removal, lymph nodes 8.26 NA NA 4.12 4.26 1.12 090 38542 A Explore deep node(s), neck 6.08 NA NA 3.97 4.22 0.60 090 38550 A Removal, neck/armpit lesion 6.99 NA NA 4.28 4.10 0.88 090 38555 A Removal, neck/armpit lesion 15.42 NA NA 7.45 7.99 1.76 090 38562 A Removal, pelvic lymph nodes 10.92 NA NA 5.77 5.77 1.20 090 38564 A Removal, abdomen lymph nodes 11.29 NA NA 5.21 5.23 1.32 090 38570 A Laparoscopy, lymph node biop 9.28 NA NA 4.04 4.00 1.13 010 38571 A Laparoscopy, lymphadenectomy 14.70 NA NA 6.80 6.22 1.15 010 38572 A Laparoscopy, lymphadenectomy 16.86 NA NA 5.94 6.51 1.91 010 38589 C Laparoscope proc, lymphatic 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38700 A Removal of lymph nodes, neck 12.68 NA NA 6.51 6.38 0.72 090 38720 A Removal of lymph nodes, neck 21.72 NA NA 10.18 9.77 1.20 090 38724 A Removal of lymph nodes, neck 23.72 NA NA 10.93 10.38 1.28 090 38740 A Remove armpit lymph nodes 10.57 NA NA 5.00 4.97 1.32 090 38745 A Remove armpit lymph nodes 13.71 NA NA 6.05 6.06 1.74 090 38746 A Remove thoracic lymph nodes 4.88 NA NA 1.42 1.51 0.72 ZZZ 38747 A Remove abdominal lymph nodes 4.88 NA NA 1.27 1.47 0.64 ZZZ 38760 A Remove groin lymph nodes 13.49 NA NA 5.92 6.02 1.72 090 38765 A Remove groin lymph nodes 21.78 NA NA 8.35 8.58 2.48 090 Start Printed Page 2614 38770 A Remove pelvis lymph nodes 13.98 NA NA 6.72 6.23 1.40 090 38780 A Remove abdomen lymph nodes 17.56 NA NA 7.99 8.09 1.89 090 38790 A Inject for lymphatic x-ray 1.29 NA NA 0.75 0.75 0.13 000 38792 A Identify sentinel node 0.52 NA NA 0.49 0.46 0.06 000 38794 A Access thoracic lymph duct 4.51 NA NA 3.18 3.31 0.32 090 38999 C Blood/lymph system procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39000 A Exploration of chest 7.49 NA NA 4.27 4.46 0.89 090 39010 A Exploration of chest 13.11 NA NA 6.34 6.94 1.76 090 39200 A Removal chest lesion 15.04 NA NA 6.20 6.87 2.03 090 39220 A Removal chest lesion 19.47 NA NA 8.00 8.68 2.46 090 39400 A Visualization of chest 8.00 NA NA 4.15 4.50 0.82 010 39499 C Chest procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39501 A Repair diaphragm laceration 13.89 NA NA 5.82 6.14 1.78 090 39502 A Repair paraesophageal hernia 17.09 NA NA 6.59 6.87 2.17 090 39503 A Repair of diaphragm hernia 108.67 NA NA 27.41 30.40 10.98 090 39520 A Repair of diaphragm hernia 16.63 NA NA 6.80 7.42 2.24 090 39530 A Repair of diaphragm hernia 16.22 NA NA 6.23 6.68 2.11 090 39531 A Repair of diaphragm hernia 17.23 NA NA 6.58 6.98 2.22 090 39540 A Repair of diaphragm hernia 14.51 NA NA 5.70 5.96 1.80 090 39541 A Repair of diaphragm hernia 15.67 NA NA 6.07 6.33 1.93 090 39545 A Revision of diaphragm 14.58 NA NA 6.93 7.24 1.84 090 39560 A Resect diaphragm, simple 12.97 NA NA 5.52 5.90 1.59 090 39561 A Resect diaphragm, complex 19.75 NA NA 9.32 9.33 2.45 090 39599 C Diaphragm surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40490 A Biopsy of lip 1.22 2.08 1.85 0.58 0.59 0.05 000 40500 A Partial excision of lip 4.35 7.91 7.40 4.36 4.35 0.38 090 40510 A Partial excision of lip 4.74 6.74 6.68 3.62 3.82 0.49 090 40520 A Partial excision of lip 4.71 7.00 7.27 3.82 3.97 0.52 090 40525 A Reconstruct lip with flap 7.61 NA NA 5.33 5.82 0.85 090 40527 A Reconstruct lip with flap 9.20 NA NA 6.14 6.75 0.97 090 40530 A Partial removal of lip 5.45 7.59 7.70 4.27 4.42 0.55 090 40650 A Repair lip 3.69 5.99 6.39 3.17 3.23 0.38 090 40652 A Repair lip 4.32 7.26 7.50 4.12 4.19 0.52 090 40654 A Repair lip 5.37 8.09 8.35 4.68 4.81 0.60 090 40700 A Repair cleft lip/nasal 13.97 NA NA 8.66 8.87 0.95 090 40701 A Repair cleft lip/nasal 17.03 NA NA 7.82 9.58 1.65 090 40702 A Repair cleft lip/nasal 14.09 NA NA 5.82 7.03 1.23 090 40720 A Repair cleft lip/nasal 14.54 NA NA 9.53 9.71 1.80 090 40761 A Repair cleft lip/nasal 15.69 NA NA 9.29 9.79 1.94 090 40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40800 A Drainage of mouth lesion 1.19 3.84 3.40 1.88 1.83 0.13 010 40801 A Drainage of mouth lesion 2.57 4.88 4.45 2.58 2.66 0.31 010 40804 A Removal, foreign body, mouth 1.26 3.79 3.59 1.83 1.85 0.11 010 40805 A Removal, foreign body, mouth 2.73 5.14 4.81 2.66 2.74 0.32 010 40806 A Incision of lip fold 0.31 2.43 2.13 0.51 0.50 0.04 000 40808 A Biopsy of mouth lesion 0.98 3.61 3.13 1.62 1.55 0.10 010 40810 A Excision of mouth lesion 1.33 3.69 3.29 1.72 1.69 0.13 010 40812 A Excise/repair mouth lesion 2.33 4.54 4.13 2.28 2.34 0.28 010 40814 A Excise/repair mouth lesion 3.45 5.69 5.32 3.70 3.79 0.41 090 40816 A Excision of mouth lesion 3.70 5.91 5.54 3.77 3.89 0.40 090 40818 A Excise oral mucosa for graft 2.72 5.83 5.50 3.75 3.86 0.21 090 40819 A Excise lip or cheek fold 2.45 4.93 4.51 3.11 3.10 0.29 090 40820 A Treatment of mouth lesion 1.30 5.30 4.62 2.94 2.69 0.11 010 40830 A Repair mouth laceration 1.78 4.04 3.88 2.00 2.05 0.19 010 40831 A Repair mouth laceration 2.50 5.24 4.95 2.70 2.88 0.30 010 40840 R Reconstruction of mouth 9.03 10.03 9.91 5.59 6.28 1.08 090 40842 R Reconstruction of mouth 9.03 10.22 10.14 5.72 6.25 1.08 090 40843 R Reconstruction of mouth 12.62 11.34 11.65 5.75 6.78 1.39 090 40844 R Reconstruction of mouth 16.57 15.23 15.50 9.12 10.34 2.00 090 40845 R Reconstruction of mouth 19.13 16.04 16.55 10.22 11.72 2.01 090 40899 C Mouth surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41000 A Drainage of mouth lesion 1.32 2.56 2.44 1.33 1.37 0.12 010 41005 A Drainage of mouth lesion 1.28 4.33 3.83 1.77 1.75 0.12 010 41006 A Drainage of mouth lesion 3.28 5.44 5.11 2.82 3.00 0.35 090 41007 A Drainage of mouth lesion 3.14 5.35 5.24 2.72 2.87 0.31 090 41008 A Drainage of mouth lesion 3.40 5.52 5.10 2.85 3.02 0.42 090 41009 A Drainage of mouth lesion 3.63 5.83 5.40 3.15 3.36 0.47 090 41010 A Incision of tongue fold 1.08 3.90 3.66 1.56 1.58 0.07 010 41015 A Drainage of mouth lesion 4.00 6.29 5.85 3.98 4.06 0.46 090 41016 A Drainage of mouth lesion 4.11 6.23 5.92 4.07 4.15 0.53 090 41017 A Drainage of mouth lesion 4.11 6.37 6.01 4.12 4.21 0.53 090 41018 A Drainage of mouth lesion 5.14 6.76 6.45 4.48 4.53 0.68 090 Start Printed Page 2615 41019 A Place needles h&n for rt 8.84 NA NA 3.28 3.28 0.59 000 41100 A Biopsy of tongue 1.39 2.68 2.55 1.17 1.29 0.15 010 41105 A Biopsy of tongue 1.44 2.68 2.49 1.20 1.26 0.13 010 41108 A Biopsy of floor of mouth 1.07 2.52 2.30 1.08 1.11 0.10 010 41110 A Excision of tongue lesion 1.53 3.66 3.32 1.65 1.64 0.13 010 41112 A Excision of tongue lesion 2.77 5.26 4.87 3.24 3.23 0.28 090 41113 A Excision of tongue lesion 3.23 5.52 5.13 3.39 3.43 0.34 090 41114 A Excision of tongue lesion 8.71 NA NA 6.30 6.75 0.83 090 41115 A Excision of tongue fold 1.76 4.19 3.74 1.72 1.79 0.18 010 41116 A Excision of mouth lesion 2.47 5.56 4.96 2.80 2.80 0.23 090 41120 A Partial removal of tongue 10.91 NA NA 14.34 14.83 0.79 090 41130 A Partial removal of tongue 15.51 NA NA 15.89 16.05 0.93 090 41135 A Tongue and neck surgery 29.83 NA NA 21.87 22.55 1.89 090 41140 A Removal of tongue 28.81 NA NA 23.59 25.14 2.27 090 41145 A Tongue removal, neck surgery 37.59 NA NA 28.83 29.70 2.55 090 41150 A Tongue, mouth, jaw surgery 29.52 NA NA 23.05 23.89 1.95 090 41153 A Tongue, mouth, neck surgery 33.28 NA NA 23.95 24.49 2.01 090 41155 A Tongue, jaw, & neck surgery 43.96 NA NA 27.62 27.22 2.34 090 41250 A Repair tongue laceration 1.93 3.86 3.30 1.61 1.39 0.18 010 41251 A Repair tongue laceration 2.29 3.49 3.38 1.78 1.66 0.22 010 41252 A Repair tongue laceration 2.99 4.60 4.24 2.12 2.19 0.29 010 41500 A Fixation of tongue 3.74 NA NA 7.53 7.49 0.30 090 41510 A Tongue to lip surgery 3.45 NA NA 6.48 7.21 0.20 090 41520 A Reconstruction, tongue fold 2.77 5.81 5.22 3.26 3.44 0.27 090 41599 C Tongue and mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41800 A Drainage of gum lesion 1.21 4.80 3.70 2.12 1.70 0.12 010 41805 A Removal foreign body, gum 1.28 4.64 3.66 2.70 2.46 0.13 010 41806 A Removal foreign body,jawbone 2.73 5.83 4.71 3.34 3.19 0.37 010 41820 R Excision, gum, each quadrant 0.00 0.00 0.00 0.00 0.00 0.00 000 41821 R Excision of gum flap 0.00 0.00 0.00 0.00 0.00 0.00 000 41822 R Excision of gum lesion 2.35 4.80 4.35 1.85 1.86 0.31 010 41823 R Excision of gum lesion 3.63 6.46 6.01 3.73 3.87 0.47 090 41825 A Excision of gum lesion 1.35 3.69 3.38 1.47 1.86 0.15 010 41826 A Excision of gum lesion 2.35 5.09 3.76 2.58 2.34 0.30 010 41827 A Excision of gum lesion 3.72 6.65 6.08 3.38 3.52 0.35 090 41828 R Excision of gum lesion 3.11 4.09 3.95 1.64 2.30 0.44 010 41830 R Removal of gum tissue 3.38 5.99 5.47 3.12 3.37 0.44 010 41850 R Treatment of gum lesion 0.00 0.00 0.00 0.00 0.00 0.00 000 41870 R Gum graft 0.00 0.00 0.00 0.00 0.00 0.00 000 41872 R Repair gum 2.90 6.05 5.53 3.31 3.38 0.30 090 41874 R Repair tooth socket 3.13 5.67 5.25 2.72 2.95 0.45 090 41899 C Dental surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42000 A Drainage mouth roof lesion 1.25 2.48 2.52 1.21 1.23 0.12 010 42100 A Biopsy roof of mouth 1.33 2.27 2.18 1.26 1.31 0.13 010 42104 A Excision lesion, mouth roof 1.66 3.58 3.06 1.67 1.61 0.16 010 42106 A Excision lesion, mouth roof 2.12 4.45 3.84 2.07 2.26 0.25 010 42107 A Excision lesion, mouth roof 4.48 6.54 6.13 3.69 3.82 0.44 090 42120 A Remove palate/lesion 11.70 NA NA 12.29 12.03 0.52 090 42140 A Excision of uvula 1.65 4.58 4.15 2.12 2.11 0.13 090 42145 A Repair palate, pharynx/uvula 9.63 NA NA 7.49 7.49 0.65 090 42160 A Treatment mouth roof lesion 1.82 3.78 4.01 1.69 1.99 0.17 010 42180 A Repair palate 2.52 3.38 3.22 1.86 1.98 0.21 010 42182 A Repair palate 3.84 3.99 3.93 2.40 2.71 0.40 010 42200 A Reconstruct cleft palate 12.41 NA NA 8.63 9.42 1.27 090 42205 A Reconstruct cleft palate 13.57 NA NA 7.37 8.72 1.58 090 42210 A Reconstruct cleft palate 14.91 NA NA 10.25 10.86 2.17 090 42215 A Reconstruct cleft palate 8.88 NA NA 7.42 8.25 1.31 090 42220 A Reconstruct cleft palate 7.07 NA NA 7.22 7.00 0.73 090 42225 A Reconstruct cleft palate 9.66 NA NA 12.25 14.66 0.86 090 42226 A Lengthening of palate 10.24 NA NA 11.91 13.31 1.01 090 42227 A Lengthening of palate 9.81 NA NA 11.22 13.39 0.98 090 42235 A Repair palate 7.92 NA NA 10.35 11.11 0.72 090 42260 A Repair nose to lip fistula 10.10 9.74 9.97 6.03 6.55 1.26 090 42280 A Preparation, palate mold 1.56 2.23 2.10 0.83 0.99 0.19 010 42281 A Insertion, palate prosthesis 1.95 3.03 2.83 1.69 1.78 0.17 010 42299 C Palate/uvula surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42300 A Drainage of salivary gland 1.95 3.14 2.98 1.74 1.78 0.16 010 42305 A Drainage of salivary gland 6.23 NA NA 3.99 4.36 0.51 090 42310 A Drainage of salivary gland 1.58 2.29 2.28 1.39 1.46 0.13 010 42320 A Drainage of salivary gland 2.37 3.74 3.51 1.88 1.99 0.21 010 42330 A Removal of salivary stone 2.23 3.41 3.28 1.73 1.79 0.19 010 42335 A Removal of salivary stone 3.35 5.77 5.34 2.85 3.00 0.29 090 Start Printed Page 2616 42340 A Removal of salivary stone 4.64 6.71 6.38 3.48 3.71 0.42 090 42400 A Biopsy of salivary gland 0.78 2.00 1.82 0.65 0.68 0.06 000 42405 A Biopsy of salivary gland 3.31 3.97 3.98 2.15 2.30 0.28 010 42408 A Excision of salivary cyst 4.58 6.42 6.17 3.27 3.44 0.45 090 42409 A Drainage of salivary cyst 2.85 5.32 4.92 2.53 2.65 0.27 090 42410 A Excise parotid gland/lesion 9.46 NA NA 5.37 5.80 0.91 090 42415 A Excise parotid gland/lesion 17.99 NA NA 8.63 9.75 1.43 090 42420 A Excise parotid gland/lesion 20.87 NA NA 9.58 10.98 1.65 090 42425 A Excise parotid gland/lesion 13.31 NA NA 6.84 7.72 1.05 090 42426 A Excise parotid gland/lesion 22.54 NA NA 10.01 11.52 1.81 090 42440 A Excise submaxillary gland 7.05 NA NA 3.86 4.33 0.59 090 42450 A Excise sublingual gland 4.66 6.38 6.14 4.03 4.14 0.42 090 42500 A Repair salivary duct 4.34 6.12 5.90 3.86 4.02 0.41 090 42505 A Repair salivary duct 6.23 7.28 7.20 4.71 5.04 0.55 090 42507 A Parotid duct diversion 6.16 NA NA 6.34 6.44 0.49 090 42508 A Parotid duct diversion 9.22 NA NA 8.08 8.21 1.04 090 42509 A Parotid duct diversion 11.65 NA NA 8.92 9.56 0.93 090 42510 A Parotid duct diversion 8.26 NA NA 6.90 7.35 0.66 090 42550 A Injection for salivary x-ray 1.25 2.28 2.75 0.44 0.43 0.07 000 42600 A Closure of salivary fistula 4.86 6.57 6.58 3.43 3.77 0.43 090 42650 A Dilation of salivary duct 0.77 1.29 1.19 0.66 0.68 0.07 000 42660 A Dilation of salivary duct 1.13 1.46 1.40 0.75 0.80 0.09 000 42665 A Ligation of salivary duct 2.57 5.00 4.59 2.40 2.50 0.23 090 42699 C Salivary surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42700 A Drainage of tonsil abscess 1.64 2.97 2.81 1.65 1.67 0.13 010 42720 A Drainage of throat abscess 6.31 4.70 4.76 3.17 3.48 0.44 010 42725 A Drainage of throat abscess 12.28 NA NA 7.09 7.65 0.91 090 42800 A Biopsy of throat 1.41 2.47 2.33 1.30 1.35 0.11 010 42802 A Biopsy of throat 1.56 4.14 4.45 1.67 1.87 0.12 010 42804 A Biopsy of upper nose/throat 1.26 3.59 3.66 1.50 1.62 0.10 010 42806 A Biopsy of upper nose/throat 1.60 3.83 3.95 1.61 1.77 0.13 010 42808 A Excise pharynx lesion 2.32 3.22 3.16 1.60 1.77 0.19 010 42809 A Remove pharynx foreign body 1.83 2.23 2.28 1.32 1.32 0.16 010 42810 A Excision of neck cyst 3.30 6.23 5.97 3.73 3.64 0.29 090 42815 A Excision of neck cyst 7.23 NA NA 6.26 6.34 0.61 090 42820 A Remove tonsils and adenoids 4.17 NA NA 2.85 3.07 0.31 090 42821 A Remove tonsils and adenoids 4.31 NA NA 2.99 3.25 0.35 090 42825 A Removal of tonsils 3.45 NA NA 2.90 3.04 0.25 090 42826 A Removal of tonsils 3.40 NA NA 2.69 2.86 0.27 090 42830 A Removal of adenoids 2.60 NA NA 2.43 2.50 0.20 090 42831 A Removal of adenoids 2.75 NA NA 2.66 2.75 0.22 090 42835 A Removal of adenoids 2.33 NA NA 1.78 2.12 0.21 090 42836 A Removal of adenoids 3.21 NA NA 2.65 2.81 0.26 090 42842 A Extensive surgery of throat 12.02 NA NA 12.05 11.52 0.71 090 42844 A Extensive surgery of throat 17.57 NA NA 15.48 15.86 1.16 090 42845 A Extensive surgery of throat 32.35 NA NA 21.17 22.18 1.99 090 42860 A Excision of tonsil tags 2.25 NA NA 2.30 2.35 0.18 090 42870 A Excision of lingual tonsil 5.44 NA NA 8.71 8.64 0.44 090 42890 A Partial removal of pharynx 18.92 NA NA 15.26 14.71 1.05 090 42892 A Revision of pharyngeal walls 25.77 NA NA 19.22 18.20 1.28 090 42894 A Revision of pharyngeal walls 33.61 NA NA 23.55 22.79 1.87 090 42900 A Repair throat wound 5.26 NA NA 2.96 3.31 0.50 010 42950 A Reconstruction of throat 8.16 NA NA 11.08 11.47 0.72 090 42953 A Repair throat, esophagus 9.33 NA NA 13.79 15.56 0.88 090 42955 A Surgical opening of throat 7.92 NA NA 10.11 10.39 0.80 090 42960 A Control throat bleeding 2.35 NA NA 1.72 1.84 0.19 010 42961 A Control throat bleeding 5.69 NA NA 4.49 4.72 0.45 090 42962 A Control throat bleeding 7.31 NA NA 5.19 5.55 0.58 090 42970 A Control nose/throat bleeding 5.76 NA NA 3.59 3.88 0.39 090 42971 A Control nose/throat bleeding 6.54 NA NA 4.51 4.81 0.51 090 42972 A Control nose/throat bleeding 7.53 NA NA 4.99 5.35 0.62 090 42999 C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43020 A Incision of esophagus 8.14 NA NA 4.58 5.00 0.87 090 43030 A Throat muscle surgery 7.91 NA NA 4.52 5.01 0.70 090 43045 A Incision of esophagus 21.70 NA NA 9.31 10.01 2.59 090 43100 A Excision of esophagus lesion 9.55 NA NA 5.21 5.72 0.93 090 43101 A Excision of esophagus lesion 16.99 NA NA 7.17 7.53 2.32 090 43107 A Removal of esophagus 43.97 NA NA 16.27 17.27 5.24 090 43108 A Removal of esophagus 82.66 NA NA 24.49 19.35 4.08 090 43112 A Removal of esophagus 47.27 NA NA 17.02 18.20 5.81 090 43113 A Removal of esophagus 79.85 NA NA 25.37 20.24 4.43 090 43116 A Partial removal of esophagus 92.78 NA NA 30.34 23.52 3.06 090 Start Printed Page 2617 43117 A Partial removal of esophagus 43.52 NA NA 15.16 16.22 5.19 090 43118 A Partial removal of esophagus 66.86 NA NA 21.53 17.66 4.11 090 43121 A Partial removal of esophagus 51.22 NA NA 18.29 15.98 3.91 090 43122 A Partial removal of esophagus 43.97 NA NA 15.62 16.51 5.42 090 43123 A Partial removal of esophagus 82.91 NA NA 25.78 19.95 4.16 090 43124 A Removal of esophagus 68.83 NA NA 24.37 18.73 3.74 090 43130 A Removal of esophagus pouch 12.41 NA NA 6.38 6.97 1.16 090 43135 A Removal of esophagus pouch 26.09 NA NA 9.93 9.01 2.34 090 43200 A Esophagus endoscopy 1.59 3.73 3.93 0.98 1.02 0.13 000 43201 A Esoph scope w/submucous inj 2.09 5.63 5.13 1.19 1.15 0.15 000 43202 A Esophagus endoscopy, biopsy 1.89 5.17 5.36 0.98 0.96 0.15 000 43204 A Esoph scope w/sclerosis inj 3.76 NA NA 2.01 1.76 0.30 000 43205 A Esophagus endoscopy/ligation 3.78 NA NA 2.06 1.79 0.28 000 43215 A Esophagus endoscopy 2.60 NA NA 1.29 1.24 0.22 000 43216 A Esophagus endoscopy/lesion 2.40 3.08 2.07 1.26 1.16 0.20 000 43217 A Esophagus endoscopy 2.90 6.58 6.77 1.38 1.28 0.26 000 43219 A Esophagus endoscopy 2.80 NA NA 1.55 1.45 0.24 000 43220 A Esoph endoscopy, dilation 2.10 NA NA 1.13 1.05 0.17 000 43226 A Esoph endoscopy, dilation 2.34 NA NA 1.29 1.16 0.19 000 43227 A Esoph endoscopy, repair 3.59 NA NA 1.77 1.61 0.28 000 43228 A Esoph endoscopy, ablation 3.76 NA NA 1.89 1.72 0.34 000 43231 A Esoph endoscopy w/us exam 3.19 NA NA 1.76 1.53 0.23 000 43232 A Esoph endoscopy w/us fn bx 4.47 NA NA 2.39 2.10 0.34 000 43234 A Upper GI endoscopy, exam 2.01 4.98 5.16 1.02 0.94 0.17 000 43235 A Uppr gi endoscopy, diagnosis 2.39 5.29 5.23 1.35 1.18 0.19 000 43236 A Uppr gi scope w/submuc inj 2.92 6.72 6.56 1.65 1.43 0.21 000 43237 A Endoscopic us exam, esoph 3.98 NA NA 2.16 1.88 0.43 000 43238 A Uppr gi endoscopy w/us fn bx 5.02 NA NA 2.57 2.27 0.43 000 43239 A Upper GI endoscopy, biopsy 2.87 6.06 5.89 1.56 1.37 0.22 000 43240 A Esoph endoscope w/drain cyst 6.85 NA NA 3.29 2.95 0.56 000 43241 A Upper GI endoscopy with tube 2.59 NA NA 1.40 1.25 0.21 000 43242 A Uppr gi endoscopy w/us fn bx 7.30 NA NA 3.68 3.21 0.53 000 43243 A Upper gi endoscopy & inject 4.56 NA NA 2.36 2.08 0.33 000 43244 A Upper GI endoscopy/ligation 5.04 NA NA 2.65 2.31 0.37 000 43245 A Uppr gi scope dilate strictr 3.18 NA NA 1.63 1.46 0.26 000 43246 A Place gastrostomy tube 4.32 NA NA 2.11 1.90 0.34 000 43247 A Operative upper GI endoscopy 3.38 NA NA 1.79 1.58 0.27 000 43248 A Uppr gi endoscopy/guide wire 3.15 NA NA 1.77 1.54 0.23 000 43249 A Esoph endoscopy, dilation 2.90 NA NA 1.62 1.41 0.22 000 43250 A Upper GI endoscopy/tumor 3.20 NA NA 1.61 1.46 0.26 000 43251 A Operative upper GI endoscopy 3.69 NA NA 1.92 1.70 0.29 000 43255 A Operative upper GI endoscopy 4.81 NA NA 2.53 2.21 0.35 000 43256 A Uppr gi endoscopy w/stent 4.34 NA NA 2.25 1.98 0.32 000 43257 A Uppr gi scope w/thrml txmnt 5.50 NA NA 2.14 2.17 0.36 000 43258 A Operative upper GI endoscopy 4.54 NA NA 2.37 2.08 0.33 000 43259 A Endoscopic ultrasound exam 5.19 NA NA 2.69 2.34 0.35 000 43260 A Endo cholangiopancreatograph 5.95 NA NA 3.06 2.67 0.43 000 43261 A Endo cholangiopancreatograph 6.26 NA NA 3.20 2.80 0.46 000 43262 A Endo cholangiopancreatograph 7.38 NA NA 3.73 3.26 0.54 000 43263 A Endo cholangiopancreatograph 7.28 NA NA 3.64 3.20 0.54 000 43264 A Endo cholangiopancreatograph 8.89 NA NA 4.44 3.88 0.65 000 43265 A Endo cholangiopancreatograph 10.00 NA NA 4.99 4.34 0.73 000 43267 A Endo cholangiopancreatograph 7.38 NA NA 3.39 3.09 0.54 000 43268 A Endo cholangiopancreatograph 7.38 NA NA 3.89 3.39 0.54 000 43269 A Endo cholangiopancreatograph 8.20 NA NA 4.10 3.59 0.60 000 43271 A Endo cholangiopancreatograph 7.38 NA NA 3.71 3.25 0.54 000 43272 A Endo cholangiopancreatograph 7.38 NA NA 3.78 3.28 0.54 000 43280 A Laparoscopy, fundoplasty 18.00 NA NA 6.66 6.96 2.28 090 43289 C Laparoscope proc, esoph 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43300 A Repair of esophagus 9.21 NA NA 5.41 5.90 1.12 090 43305 A Repair esophagus and fistula 17.98 NA NA 8.34 9.52 1.54 090 43310 A Repair of esophagus 26.18 NA NA 9.82 10.44 3.61 090 43312 A Repair esophagus and fistula 29.23 NA NA 10.28 11.09 4.01 090 43313 A Esophagoplasty congenital 48.17 NA NA 17.48 18.15 5.47 090 43314 A Tracheo-esophagoplasty cong 53.15 NA NA 15.11 17.15 6.65 090 43320 A Fuse esophagus & stomach 23.18 NA NA 8.61 8.91 2.74 090 43324 A Revise esophagus & stomach 22.86 NA NA 8.35 8.56 2.76 090 43325 A Revise esophagus & stomach 22.47 NA NA 8.39 8.59 2.60 090 43326 A Revise esophagus & stomach 22.15 NA NA 9.21 9.25 2.85 090 43330 A Repair of esophagus 22.06 NA NA 8.10 8.32 2.63 090 43331 A Repair of esophagus 22.93 NA NA 9.83 9.81 2.94 090 43340 A Fuse esophagus & intestine 22.86 NA NA 9.28 9.13 2.46 090 Start Printed Page 2618 43341 A Fuse esophagus & intestine 24.10 NA NA 9.66 9.84 2.92 090 43350 A Surgical opening, esophagus 19.31 NA NA 8.76 8.60 1.42 090 43351 A Surgical opening, esophagus 21.87 NA NA 10.87 10.33 2.47 090 43352 A Surgical opening, esophagus 17.68 NA NA 7.95 8.17 2.06 090 43360 A Gastrointestinal repair 39.90 NA NA 14.90 14.99 4.97 090 43361 A Gastrointestinal repair 45.50 NA NA 18.15 17.52 4.50 090 43400 A Ligate esophagus veins 25.47 NA NA 13.60 11.52 1.96 090 43401 A Esophagus surgery for veins 26.36 NA NA 9.55 9.52 3.05 090 43405 A Ligate/staple esophagus 24.55 NA NA 10.68 10.13 2.84 090 43410 A Repair esophagus wound 16.28 NA NA 7.67 7.65 1.72 090 43415 A Repair esophagus wound 28.70 NA NA 11.84 11.79 3.53 090 43420 A Repair esophagus opening 16.65 NA NA 7.48 7.44 1.43 090 43425 A Repair esophagus opening 24.91 NA NA 10.46 10.22 3.03 090 43450 A Dilate esophagus 1.38 2.68 2.66 0.93 0.81 0.11 000 43453 A Dilate esophagus 1.51 6.31 6.19 1.01 0.87 0.11 000 43456 A Dilate esophagus 2.57 13.02 13.39 1.45 1.27 0.20 000 43458 A Dilate esophagus 3.06 6.93 6.79 1.59 1.44 0.24 000 43460 A Pressure treatment esophagus 3.79 NA NA 1.76 1.62 0.31 000 43496 C Free jejunum flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 090 43499 C Esophagus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43500 A Surgical opening of stomach 12.71 NA NA 5.29 5.13 1.45 090 43501 A Surgical repair of stomach 22.47 NA NA 8.10 8.20 2.65 090 43502 A Surgical repair of stomach 25.56 NA NA 8.97 9.22 3.10 090 43510 A Surgical opening of stomach 15.01 NA NA 9.14 7.86 1.48 090 43520 A Incision of pyloric muscle 11.21 NA NA 4.82 5.04 1.36 090 43600 A Biopsy of stomach 1.91 NA NA 0.77 0.71 0.14 000 43605 A Biopsy of stomach 13.64 NA NA 5.36 5.32 1.58 090 43610 A Excision of stomach lesion 16.26 NA NA 6.03 6.09 1.94 090 43611 A Excision of stomach lesion 20.25 NA NA 7.49 7.53 2.36 090 43620 A Removal of stomach 33.91 NA NA 11.10 11.45 3.96 090 43621 A Removal of stomach 39.40 NA NA 12.41 12.19 4.04 090 43622 A Removal of stomach 39.90 NA NA 12.51 12.55 4.30 090 43631 A Removal of stomach, partial 24.38 NA NA 8.59 8.88 2.99 090 43632 A Removal of stomach, partial 35.01 NA NA 11.28 10.22 2.99 090 43633 A Removal of stomach, partial 33.01 NA NA 10.76 10.04 3.06 090 43634 A Removal of stomach, partial 36.51 NA NA 11.79 10.94 3.33 090 43635 A Removal of stomach, partial 2.06 NA NA 0.52 0.61 0.27 ZZZ 43640 A Vagotomy & pylorus repair 19.43 NA NA 7.34 7.30 2.26 090 43641 A Vagotomy & pylorus repair 19.68 NA NA 7.63 7.50 2.25 090 43644 A Lap gastric bypass/roux-en-y 29.24 NA NA 10.11 10.66 3.16 090 43645 A Lap gastr bypass incl smll i 31.37 NA NA 10.49 11.25 3.54 090 43647 C Lap impl electrode, antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43648 C Lap revise/remv eltrd antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43651 A Laparoscopy, vagus nerve 10.13 NA NA 4.62 4.69 1.33 090 43652 A Laparoscopy, vagus nerve 12.13 NA NA 5.23 5.49 1.55 090 43653 A Laparoscopy, gastrostomy 8.38 NA NA 4.47 4.32 1.01 090 43659 C Laparoscope proc, stom 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43752 A Nasal/orogastric w/stent 0.81 NA NA 0.27 0.26 0.02 000 43760 A Change gastrostomy tube 0.90 5.99 4.04 0.33 0.39 0.09 000 43761 A Reposition gastrostomy tube 2.01 1.04 1.10 0.70 0.68 0.13 000 43770 A Lap place gastr adj device 17.85 NA NA 7.40 7.56 2.19 090 43771 A Lap revise gastr adj device 20.64 NA NA 8.13 8.36 2.55 090 43772 A Lap rmvl gastr adj device 15.62 NA NA 6.00 6.21 1.93 090 43773 A Lap replace gastr adj device 20.64 NA NA 8.11 8.35 2.56 090 43774 A Lap rmvl gastr adj all parts 15.66 NA NA 6.18 6.37 1.85 090 43800 A Reconstruction of pylorus 15.35 NA NA 5.82 5.86 1.82 090 43810 A Fusion of stomach and bowel 16.80 NA NA 6.14 6.16 1.94 090 43820 A Fusion of stomach and bowel 22.40 NA NA 8.08 7.24 2.04 090 43825 A Fusion of stomach and bowel 21.63 NA NA 7.90 7.96 2.54 090 43830 A Place gastrostomy tube 10.75 NA NA 5.17 5.01 1.25 090 43831 A Place gastrostomy tube 8.38 NA NA 4.93 4.72 1.03 090 43832 A Place gastrostomy tube 17.26 NA NA 7.07 6.96 1.98 090 43840 A Repair of stomach lesion 22.70 NA NA 8.15 7.46 2.06 090 43842 N V-band gastroplasty 20.90 NA NA 6.75 7.27 2.45 090 43843 A Gastroplasty w/o v-band 21.08 NA NA 7.85 7.80 2.46 090 43845 A Gastroplasty duodenal switch 33.12 NA NA 12.89 11.83 4.06 090 43846 A Gastric bypass for obesity 27.23 NA NA 9.98 10.01 3.19 090 43847 A Gastric bypass incl small i 30.10 NA NA 10.52 10.71 3.56 090 43848 A Revision gastroplasty 32.57 NA NA 11.31 11.56 3.88 090 43850 A Revise stomach-bowel fusion 27.45 NA NA 9.50 9.66 3.28 090 43855 A Revise stomach-bowel fusion 28.56 NA NA 9.71 10.02 3.47 090 43860 A Revise stomach-bowel fusion 27.76 NA NA 9.48 9.73 3.31 090 Start Printed Page 2619 43865 A Revise stomach-bowel fusion 28.92 NA NA 9.74 10.12 3.51 090 43870 A Repair stomach opening 11.36 NA NA 4.95 4.73 1.27 090 43880 A Repair stomach-bowel fistula 27.05 NA NA 9.28 9.59 3.27 090 43881 C Impl/redo electrd, antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43882 C Revise/remove electrd antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43886 A Revise gastric port, open 4.54 NA NA 3.45 3.29 0.25 090 43887 A Remove gastric port, open 4.24 NA NA 3.06 2.91 0.51 090 43888 A Change gastric port, open 6.34 NA NA 4.01 3.89 0.70 090 43999 C Stomach surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44005 A Freeing of bowel adhesion 18.38 NA NA 6.59 6.65 2.15 090 44010 A Incision of small bowel 14.18 NA NA 5.53 5.49 1.64 090 44015 A Insert needle cath bowel 2.62 NA NA 0.68 0.78 0.35 ZZZ 44020 A Explore small intestine 16.14 NA NA 6.01 5.97 1.86 090 44021 A Decompress small bowel 16.23 NA NA 6.15 6.06 1.87 090 44025 A Incision of large bowel 16.43 NA NA 6.06 6.04 1.90 090 44050 A Reduce bowel obstruction 15.44 NA NA 5.83 5.89 1.86 090 44055 A Correct malrotation of bowel 25.53 NA NA 8.49 8.61 2.91 090 44100 A Biopsy of bowel 2.01 NA NA 0.91 0.81 0.17 000 44110 A Excise intestine lesion(s) 13.96 NA NA 5.51 5.37 1.55 090 44111 A Excision of bowel lesion(s) 16.44 NA NA 6.10 6.10 1.87 090 44120 A Removal of small intestine 20.74 NA NA 7.15 7.11 2.25 090 44121 A Removal of small intestine 4.44 NA NA 1.12 1.32 0.58 ZZZ 44125 A Removal of small intestine 19.93 NA NA 7.03 7.14 2.27 090 44126 A Enterectomy w/o taper, cong 42.02 NA NA 13.61 13.86 4.69 090 44127 A Enterectomy w/taper, cong 49.09 NA NA 15.65 15.69 5.77 090 44128 A Enterectomy cong, add-on 4.44 NA NA 1.22 1.37 0.61 ZZZ 44130 A Bowel to bowel fusion 21.98 NA NA 7.98 7.10 1.88 090 44132 R Enterectomy, cadaver donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44133 R Enterectomy, live donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44135 R Intestine transplnt, cadaver 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44136 R Intestine transplant, live 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44137 C Remove intestinal allograft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44139 A Mobilization of colon 2.23 NA NA 0.56 0.66 0.28 ZZZ 44140 A Partial removal of colon 22.46 NA NA 8.07 8.36 2.71 090 44141 A Partial removal of colon 29.75 NA NA 11.85 10.95 2.53 090 44143 A Partial removal of colon 27.63 NA NA 10.29 10.49 3.05 090 44144 A Partial removal of colon 29.75 NA NA 10.63 10.12 2.86 090 44145 A Partial removal of colon 28.45 NA NA 9.49 10.15 3.29 090 44146 A Partial removal of colon 35.14 NA NA 13.37 13.12 3.41 090 44147 A Partial removal of colon 33.56 NA NA 10.79 9.74 2.56 090 44150 A Removal of colon 29.99 NA NA 12.62 12.32 3.04 090 44151 A Removal of colon/ileostomy 34.73 NA NA 13.93 13.67 3.49 090 44155 A Removal of colon/ileostomy 34.23 NA NA 13.46 13.38 3.28 090 44156 A Removal of colon/ileostomy 37.23 NA NA 14.49 14.76 3.95 090 44157 A Colectomy w/ileoanal anast 35.49 NA NA 17.10 17.10 3.93 090 44158 A Colectomy w/neo-rectum pouch 36.49 NA NA 17.44 17.44 4.06 090 44160 A Removal of colon 20.78 NA NA 7.52 7.63 2.37 090 44180 A Lap, enterolysis 15.19 NA NA 5.81 6.02 1.86 090 44186 A Lap, jejunostomy 10.30 NA NA 4.59 4.69 1.27 090 44187 A Lap, ileo/jejuno-stomy 17.27 NA NA 8.13 8.20 1.96 090 44188 A Lap, colostomy 19.20 NA NA 8.68 8.76 2.24 090 44202 A Lap, enterectomy 23.26 NA NA 8.32 8.62 2.85 090 44203 A Lap resect s/intestine, addl 4.44 NA NA 1.12 1.31 0.57 ZZZ 44204 A Laparo partial colectomy 26.29 NA NA 8.89 9.42 3.11 090 44205 A Lap colectomy part w/ileum 22.86 NA NA 7.81 8.33 2.75 090 44206 A Lap part colectomy w/stoma 29.63 NA NA 10.48 10.87 3.46 090 44207 A L colectomy/coloproctostomy 31.79 NA NA 10.11 10.80 3.67 090 44208 A L colectomy/coloproctostomy 33.86 NA NA 12.02 12.58 3.88 090 44210 A Laparo total proctocolectomy 29.88 NA NA 11.19 11.53 3.42 090 44211 A Lap colectomy w/proctectomy 36.87 NA NA 13.60 14.14 4.17 090 44212 A Laparo total proctocolectomy 34.37 NA NA 13.05 13.37 3.78 090 44213 A Lap, mobil splenic fl add-on 3.50 NA NA 0.86 1.04 0.44 ZZZ 44227 A Lap, close enterostomy 28.49 NA NA 9.49 10.06 3.38 090 44238 C Laparoscope proc, intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44300 A Open bowel to skin 13.65 NA NA 5.56 5.52 1.60 090 44310 A Ileostomy/jejunostomy 17.49 NA NA 6.40 6.55 1.99 090 44312 A Revision of ileostomy 9.33 NA NA 4.66 4.32 0.92 090 44314 A Revision of ileostomy 16.61 NA NA 6.78 6.67 1.75 090 44316 A Devise bowel pouch 23.46 NA NA 8.88 8.71 2.38 090 44320 A Colostomy 19.75 NA NA 7.60 7.63 2.26 090 44322 A Colostomy with biopsies 13.15 NA NA 9.11 8.84 1.54 090 44340 A Revision of colostomy 9.12 NA NA 4.94 4.60 0.99 090 Start Printed Page 2620 44345 A Revision of colostomy 17.06 NA NA 6.92 6.90 1.97 090 44346 A Revision of colostomy 19.47 NA NA 7.53 7.46 2.13 090 44360 A Small bowel endoscopy 2.59 NA NA 1.50 1.30 0.19 000 44361 A Small bowel endoscopy/biopsy 2.87 NA NA 1.63 1.41 0.21 000 44363 A Small bowel endoscopy 3.49 NA NA 1.85 1.61 0.27 000 44364 A Small bowel endoscopy 3.73 NA NA 1.98 1.73 0.27 000 44365 A Small bowel endoscopy 3.31 NA NA 1.74 1.55 0.24 000 44366 A Small bowel endoscopy 4.40 NA NA 2.37 2.05 0.32 000 44369 A Small bowel endoscopy 4.51 NA NA 2.36 2.05 0.33 000 44370 A Small bowel endoscopy/stent 4.79 NA NA 2.56 2.27 0.37 000 44372 A Small bowel endoscopy 4.40 NA NA 2.12 1.93 0.35 000 44373 A Small bowel endoscopy 3.49 NA NA 1.77 1.59 0.27 000 44376 A Small bowel endoscopy 5.25 NA NA 2.47 2.25 0.42 000 44377 A Small bowel endoscopy/biopsy 5.52 NA NA 2.76 2.45 0.40 000 44378 A Small bowel endoscopy 7.12 NA NA 3.58 3.14 0.52 000 44379 A S bowel endoscope w/stent 7.46 NA NA 3.93 3.42 0.62 000 44380 A Small bowel endoscopy 1.05 NA NA 0.74 0.65 0.08 000 44382 A Small bowel endoscopy 1.27 NA NA 0.84 0.73 0.12 000 44383 A Ileoscopy w/stent 2.94 NA NA 1.61 1.44 0.21 000 44385 A Endoscopy of bowel pouch 1.82 4.90 4.13 0.89 0.82 0.15 000 44386 A Endoscopy, bowel pouch/biop 2.12 6.65 6.65 1.02 0.95 0.20 000 44388 A Colonoscopy 2.82 6.12 5.60 1.35 1.25 0.26 000 44389 A Colonoscopy with biopsy 3.13 7.11 6.87 1.58 1.42 0.27 000 44390 A Colonoscopy for foreign body 3.82 8.34 7.73 1.92 1.70 0.32 000 44391 A Colonoscopy for bleeding 4.31 8.94 8.84 2.22 1.95 0.34 000 44392 A Colonoscopy & polypectomy 3.81 7.37 6.98 1.72 1.60 0.34 000 44393 A Colonoscopy, lesion removal 4.83 8.04 7.47 2.13 2.00 0.42 000 44394 A Colonoscopy w/snare 4.42 8.51 8.16 2.07 1.89 0.38 000 44397 A Colonoscopy w/stent 4.70 NA NA 2.16 1.98 0.39 000 44500 A Intro, gastrointestinal tube 0.49 NA NA 0.17 0.17 0.03 000 44602 A Suture, small intestine 24.64 NA NA 7.62 7.01 2.12 090 44603 A Suture, small intestine 28.03 NA NA 8.97 8.12 2.42 090 44604 A Suture, large intestine 18.06 NA NA 6.07 6.26 2.12 090 44605 A Repair of bowel lesion 22.00 NA NA 7.83 8.11 2.52 090 44615 A Intestinal stricturoplasty 18.08 NA NA 6.54 6.61 2.07 090 44620 A Repair bowel opening 14.35 NA NA 5.51 5.42 1.51 090 44625 A Repair bowel opening 17.20 NA NA 6.15 6.23 1.86 090 44626 A Repair bowel opening 27.82 NA NA 8.89 9.35 3.27 090 44640 A Repair bowel-skin fistula 24.12 NA NA 8.02 8.30 2.78 090 44650 A Repair bowel fistula 25.04 NA NA 8.31 8.60 2.93 090 44660 A Repair bowel-bladder fistula 23.83 NA NA 9.76 9.05 2.14 090 44661 A Repair bowel-bladder fistula 27.27 NA NA 9.40 9.48 2.81 090 44680 A Surgical revision, intestine 17.88 NA NA 6.69 6.57 2.00 090 44700 A Suspend bowel w/prosthesis 17.40 NA NA 6.16 6.41 1.84 090 44701 A Intraop colon lavage add-on 3.10 NA NA 0.76 0.91 0.37 ZZZ 44715 C Prepare donor intestine 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44720 A Prep donor intestine/venous 5.00 NA NA 1.27 1.49 0.37 XXX 44721 A Prep donor intestine/artery 7.00 NA NA 1.78 2.09 0.97 XXX 44799 C Unlisted procedure intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44800 A Excision of bowel pouch 11.94 NA NA 5.49 5.44 1.47 090 44820 A Excision of mesentery lesion 13.63 NA NA 5.56 5.53 1.59 090 44850 A Repair of mesentery 12.03 NA NA 5.01 5.01 1.39 090 44899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44900 A Drain app abscess, open 12.44 NA NA 5.03 4.86 1.33 090 44901 A Drain app abscess, percut 3.37 19.81 23.86 1.20 1.15 0.22 000 44950 A Appendectomy 10.52 NA NA 4.05 4.18 1.31 090 44955 A Appendectomy add-on 1.53 NA NA 0.40 0.47 0.20 ZZZ 44960 A Appendectomy 14.39 NA NA 5.40 5.37 1.63 090 44970 A Laparoscopy, appendectomy 9.35 NA NA 4.19 4.14 1.14 090 44979 C Laparoscope proc, app 0.00 0.00 0.00 0.00 0.00 0.00 YYY 45000 A Drainage of pelvic abscess 6.20 NA NA 3.57 3.27 0.52 090 45005 A Drainage of rectal abscess 2.00 3.99 4.02 1.59 1.58 0.25 010 45020 A Drainage of rectal abscess 8.43 NA NA 4.55 3.91 0.55 090 45100 A Biopsy of rectum 3.96 NA NA 2.81 2.59 0.44 090 45108 A Removal of anorectal lesion 5.04 NA NA 3.10 2.94 0.59 090 45110 A Removal of rectum 30.57 NA NA 11.86 12.13 3.36 090 45111 A Partial removal of rectum 17.89 NA NA 7.00 7.08 2.07 090 45112 A Removal of rectum 33.05 NA NA 10.31 11.04 3.43 090 45113 A Partial proctectomy 33.09 NA NA 11.59 12.09 3.49 090 45114 A Partial removal of rectum 30.63 NA NA 10.30 10.59 3.36 090 45116 A Partial removal of rectum 27.56 NA NA 9.65 9.84 2.88 090 45119 A Remove rectum w/reservoir 33.35 NA NA 11.54 12.00 3.36 090 Start Printed Page 2621 45120 A Removal of rectum 26.25 NA NA 9.27 9.70 2.90 090 45121 A Removal of rectum and colon 28.93 NA NA 10.04 10.57 3.25 090 45123 A Partial proctectomy 18.70 NA NA 6.94 6.90 1.86 090 45126 A Pelvic exenteration 48.89 NA NA 17.89 18.55 4.33 090 45130 A Excision of rectal prolapse 18.37 NA NA 6.67 6.72 1.80 090 45135 A Excision of rectal prolapse 22.15 NA NA 8.61 8.51 2.36 090 45136 A Excise ileoanal reservior 30.63 NA NA 11.96 12.24 2.82 090 45150 A Excision of rectal stricture 5.77 NA NA 3.34 3.15 0.61 090 45160 A Excision of rectal lesion 16.17 NA NA 6.44 6.54 1.68 090 45170 A Excision of rectal lesion 12.48 NA NA 5.36 5.30 1.35 090 45190 A Destruction, rectal tumor 10.29 NA NA 5.52 5.07 1.13 090 45300 A Proctosigmoidoscopy dx 0.80 1.96 1.74 0.45 0.37 0.04 000 45303 A Proctosigmoidoscopy dilate 1.50 19.93 19.31 0.66 0.49 0.05 000 45305 A Proctosigmoidoscopy w/bx 1.25 3.19 2.91 0.59 0.55 0.11 000 45307 A Proctosigmoidoscopy fb 1.70 3.25 3.14 0.70 0.59 0.11 000 45308 A Proctosigmoidoscopy removal 1.40 3.41 2.70 0.63 0.53 0.09 000 45309 A Proctosigmoidoscopy removal 1.50 3.53 3.17 0.67 0.75 0.22 000 45315 A Proctosigmoidoscopy removal 1.80 3.82 3.34 0.88 0.75 0.15 000 45317 A Proctosigmoidoscopy bleed 2.00 3.37 2.90 0.77 0.71 0.15 000 45320 A Proctosigmoidoscopy ablate 1.78 3.40 3.16 0.80 0.75 0.16 000 45321 A Proctosigmoidoscopy volvul 1.75 NA NA 0.86 0.71 0.13 000 45327 A Proctosigmoidoscopy w/stent 2.00 NA NA 0.91 0.80 0.16 000 45330 A Diagnostic sigmoidoscopy 0.96 2.52 2.40 0.62 0.56 0.08 000 45331 A Sigmoidoscopy and biopsy 1.15 3.28 3.18 0.79 0.69 0.09 000 45332 A Sigmoidoscopy w/fb removal 1.79 5.54 5.27 0.99 0.90 0.16 000 45333 A Sigmoidoscopy & polypectomy 1.79 5.67 5.27 0.99 0.89 0.15 000 45334 A Sigmoidoscopy for bleeding 2.73 NA NA 1.54 1.34 0.20 000 45335 A Sigmoidoscopy w/submuc inj 1.46 5.34 4.28 0.90 0.79 0.11 000 45337 A Sigmoidoscopy & decompress 2.36 NA NA 1.25 1.12 0.21 000 45338 A Sigmoidoscopy w/tumr remove 2.34 5.91 5.57 1.28 1.14 0.19 000 45339 A Sigmoidoscopy w/ablate tumr 3.14 5.73 4.60 1.66 1.47 0.26 000 45340 A Sig w/balloon dilation 1.89 10.27 8.22 1.03 0.93 0.15 000 45341 A Sigmoidoscopy w/ultrasound 2.60 NA NA 1.47 1.27 0.19 000 45342 A Sigmoidoscopy w/us guide bx 4.05 NA NA 2.17 1.85 0.30 000 45345 A Sigmoidoscopy w/stent 2.92 NA NA 1.50 1.33 0.23 000 45355 A Surgical colonoscopy 3.51 NA NA 1.58 1.48 0.36 000 45378 A Diagnostic colonoscopy 3.69 6.39 6.27 1.82 1.65 0.30 000 45378 53 A Diagnostic colonoscopy 0.96 2.52 2.40 0.62 0.56 0.08 000 45379 A Colonoscopy w/fb removal 4.68 8.08 7.87 2.17 1.99 0.39 000 45380 A Colonoscopy and biopsy 4.43 7.76 7.48 2.24 1.99 0.35 000 45381 A Colonoscopy, submucous inj 4.19 7.73 7.42 2.16 1.90 0.30 000 45382 A Colonoscopy/control bleeding 5.68 10.36 10.15 2.89 2.54 0.41 000 45383 A Lesion removal colonoscopy 5.86 8.56 8.24 2.63 2.43 0.48 000 45384 A Lesion remove colonoscopy 4.69 7.20 7.00 2.18 2.01 0.38 000 45385 A Lesion removal colonoscopy 5.30 8.38 8.09 2.59 2.31 0.42 000 45386 A Colonoscopy dilate stricture 4.57 12.37 12.39 2.18 1.98 0.39 000 45387 A Colonoscopy w/stent 5.90 NA NA 2.80 2.57 0.48 000 45391 A Colonoscopy w/endoscope us 5.09 NA NA 2.60 2.29 0.42 000 45392 A Colonoscopy w/endoscopic fnb 6.54 NA NA 3.21 2.85 0.42 000 45395 A Lap, removal of rectum 32.79 NA NA 12.96 13.32 3.63 090 45397 A Lap, remove rectum w/pouch 36.29 NA NA 13.40 13.83 3.67 090 45400 A Laparoscopic proc 19.31 NA NA 7.08 7.46 2.03 090 45402 A Lap proctopexy w/sig resect 26.38 NA NA 8.74 9.37 2.82 090 45499 C Laparoscope proc, rectum 0.00 0.00 0.00 0.00 0.00 0.00 YYY 45500 A Repair of rectum 7.64 NA NA 4.46 4.00 0.75 090 45505 A Repair of rectum 8.20 NA NA 5.04 4.45 0.86 090 45520 A Treatment of rectal prolapse 0.55 2.86 2.25 0.38 0.38 0.05 000 45540 A Correct rectal prolapse 18.02 NA NA 5.84 6.32 1.85 090 45541 A Correct rectal prolapse 14.72 NA NA 6.59 6.27 1.55 090 45550 A Repair rectum/remove sigmoid 24.67 NA NA 8.96 9.09 2.62 090 45560 A Repair of rectocele 11.42 NA NA 5.52 5.29 1.13 090 45562 A Exploration/repair of rectum 17.82 NA NA 8.11 7.55 1.84 090 45563 A Exploration/repair of rectum 26.22 NA NA 10.76 10.64 3.11 090 45800 A Repair rect/bladder fistula 20.18 NA NA 9.15 8.29 1.86 090 45805 A Repair fistula w/colostomy 23.19 NA NA 9.93 9.72 2.03 090 45820 A Repair rectourethral fistula 20.24 NA NA 9.10 8.36 1.58 090 45825 A Repair fistula w/colostomy 24.01 NA NA 9.47 9.64 2.32 090 45900 A Reduction of rectal prolapse 2.96 NA NA 1.66 1.58 0.30 010 45905 A Dilation of anal sphincter 2.32 NA NA 1.60 1.51 0.27 010 45910 A Dilation of rectal narrowing 2.82 NA NA 1.85 1.75 0.30 010 45915 A Remove rectal obstruction 3.16 4.21 4.26 2.02 2.06 0.30 010 45990 A Surg dx exam, anorectal 1.80 NA NA 0.72 0.76 0.17 000 Start Printed Page 2622 45999 C Rectum surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 46020 A Placement of seton 2.94 3.26 2.80 2.35 2.10 0.31 010 46030 A Removal of rectal marker 1.24 1.89 1.62 0.81 0.76 0.14 010 46040 A Incision of rectal abscess 5.26 6.54 6.02 3.99 3.78 0.62 090 46045 A Incision of rectal abscess 5.79 NA NA 3.94 3.42 0.54 090 46050 A Incision of anal abscess 1.21 3.20 2.87 0.98 0.91 0.14 010 46060 A Incision of rectal abscess 6.24 NA NA 4.42 3.83 0.67 090 46070 A Incision of anal septum 2.74 NA NA 2.35 2.09 0.36 090 46080 A Incision of anal sphincter 2.50 3.07 2.72 1.12 1.13 0.30 010 46083 A Incise external hemorrhoid 1.42 2.37 2.44 0.96 0.94 0.15 010 46200 A Removal of anal fissure 3.48 6.29 5.07 3.73 3.30 0.39 090 46210 A Removal of anal crypt 2.73 5.83 5.47 3.30 2.96 0.31 090 46211 A Removal of anal crypts 4.31 7.85 6.63 4.67 4.09 0.48 090 46220 A Removal of anal tag 1.58 3.02 2.66 1.10 1.02 0.17 010 46221 A Ligation of hemorrhoid(s) 2.31 3.73 3.19 2.00 1.87 0.23 010 46230 A Removal of anal tags 2.59 3.51 3.29 1.33 1.31 0.30 010 46250 A Hemorrhoidectomy 4.17 5.96 5.63 2.83 2.72 0.48 090 46255 A Hemorrhoidectomy 4.88 6.34 6.09 3.07 2.95 0.58 090 46257 A Remove hemorrhoids & fissure 5.68 NA NA 3.85 3.36 0.64 090 46258 A Remove hemorrhoids & fistula 6.28 NA NA 3.96 3.61 0.68 090 46260 A Hemorrhoidectomy 6.65 NA NA 4.07 3.63 0.76 090 46261 A Remove hemorrhoids & fissure 7.63 NA NA 4.30 3.95 0.79 090 46262 A Remove hemorrhoids & fistula 7.80 NA NA 4.66 4.20 0.83 090 46270 A Removal of anal fistula 4.81 6.39 5.69 3.92 3.37 0.46 090 46275 A Removal of anal fistula 5.31 6.63 5.63 3.97 3.47 0.52 090 46280 A Removal of anal fistula 6.28 NA NA 4.27 3.76 0.66 090 46285 A Removal of anal fistula 5.31 6.53 5.15 3.96 3.35 0.44 090 46288 A Repair anal fistula 7.68 NA NA 4.68 4.17 0.79 090 46320 A Removal of hemorrhoid clot 1.62 2.41 2.27 0.88 0.86 0.18 010 46500 A Injection into hemorrhoid(s) 1.64 3.61 2.86 1.25 1.20 0.16 010 46505 A Chemodenervation anal musc 3.13 3.28 3.16 2.28 2.12 0.14 010 46600 A Diagnostic anoscopy 0.55 1.37 1.47 0.38 0.36 0.05 000 46604 A Anoscopy and dilation 1.03 12.52 10.83 0.51 0.56 0.12 000 46606 A Anoscopy and biopsy 1.20 3.88 3.83 0.58 0.50 0.09 000 46608 A Anoscopy, remove for body 1.30 3.76 4.08 0.58 0.61 0.16 000 46610 A Anoscopy, remove lesion 1.28 3.80 3.91 0.59 0.60 0.15 000 46611 A Anoscopy 1.30 2.53 2.93 0.57 0.67 0.19 000 46612 A Anoscopy, remove lesions 1.50 4.70 4.94 0.72 0.85 0.28 000 46614 A Anoscopy, control bleeding 1.00 1.93 2.13 0.52 0.68 0.20 000 46615 A Anoscopy 1.50 1.74 2.11 0.64 0.85 0.33 000 46700 A Repair of anal stricture 9.68 NA NA 5.16 4.68 0.94 090 46705 A Repair of anal stricture 7.32 NA NA 4.07 3.87 0.91 090 46706 A Repr of anal fistula w/glue 2.41 NA NA 1.49 1.37 0.28 010 46710 A Repr per/vag pouch sngl proc 17.01 NA NA 7.55 7.65 1.38 090 46712 A Repr per/vag pouch dbl proc 36.32 NA NA 14.02 14.53 3.67 090 46715 A Rep perf anoper fistu 7.54 NA NA 3.76 3.66 0.92 090 46716 A Rep perf anoper/vestib fistu 17.14 NA NA 9.60 8.79 1.58 090 46730 A Construction of absent anus 30.17 NA NA 12.50 12.26 2.47 090 46735 A Construction of absent anus 35.66 NA NA 15.02 14.28 3.21 090 46740 A Construction of absent anus 33.42 NA NA 15.30 14.26 2.42 090 46742 A Repair of imperforated anus 39.66 NA NA 13.76 15.58 3.20 090 46744 A Repair of cloacal anomaly 58.46 NA NA 18.15 19.64 6.40 090 46746 A Repair of cloacal anomaly 64.93 NA NA 19.69 22.42 7.70 090 46748 A Repair of cloacal anomaly 70.91 NA NA 21.06 22.35 3.37 090 46750 A Repair of anal sphincter 12.02 NA NA 5.77 5.41 1.10 090 46751 A Repair of anal sphincter 9.19 NA NA 5.02 5.22 0.94 090 46753 A Reconstruction of anus 8.81 NA NA 4.59 4.22 0.94 090 46754 A Removal of suture from anus 2.88 3.64 3.61 2.21 1.94 0.19 010 46760 A Repair of anal sphincter 17.21 NA NA 8.06 7.57 1.59 090 46761 A Repair of anal sphincter 15.16 NA NA 6.47 6.24 1.43 090 46762 A Implant artificial sphincter 14.66 NA NA 7.08 6.30 1.24 090 46900 A Destruction, anal lesion(s) 1.91 3.66 3.12 1.31 1.29 0.17 010 46910 A Destruction, anal lesion(s) 1.88 3.88 3.39 1.20 1.13 0.19 010 46916 A Cryosurgery, anal lesion(s) 1.88 3.77 3.46 1.58 1.48 0.11 010 46917 A Laser surgery, anal lesions 1.88 8.79 8.96 1.22 1.17 0.21 010 46922 A Excision of anal lesion(s) 1.88 4.14 3.71 1.20 1.13 0.22 010 46924 A Destruction, anal lesion(s) 2.78 9.58 9.14 1.52 1.43 0.26 010 46934 A Destruction of hemorrhoids 3.79 5.57 5.32 2.88 2.91 0.32 090 46935 A Destruction of hemorrhoids 2.44 3.86 3.66 1.11 1.16 0.23 010 46936 A Destruction of hemorrhoids 3.70 6.24 5.56 2.66 2.57 0.34 090 46937 A Cryotherapy of rectal lesion 2.70 3.41 3.09 1.43 1.32 0.14 010 46938 A Cryotherapy of rectal lesion 4.70 5.63 4.81 3.55 3.30 0.58 090 Start Printed Page 2623 46940 A Treatment of anal fissure 2.33 2.85 2.42 1.04 1.07 0.23 010 46942 A Treatment of anal fissure 2.05 2.80 2.32 0.96 0.99 0.19 010 46945 A Ligation of hemorrhoids 2.13 4.80 4.03 2.98 2.73 0.19 090 46946 A Ligation of hemorrhoids 2.60 4.64 4.18 2.65 2.52 0.27 090 46947 A Hemorrhoidopexy by stapling 5.49 NA NA 3.11 2.91 0.75 090 46999 C Anus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47000 A Needle biopsy of liver 1.90 7.67 5.37 0.70 0.66 0.12 000 47001 A Needle biopsy, liver add-on 1.90 NA NA 0.48 0.57 0.25 ZZZ 47010 A Open drainage, liver lesion 19.27 NA NA 8.32 8.36 1.81 090 47011 A Percut drain, liver lesion 3.69 NA NA 1.32 1.26 0.22 000 47015 A Inject/aspirate liver cyst 18.37 NA NA 8.17 7.83 1.84 090 47100 A Wedge biopsy of liver 12.78 NA NA 6.32 6.18 1.53 090 47120 A Partial removal of liver 38.82 NA NA 14.08 14.61 4.66 090 47122 A Extensive removal of liver 59.35 NA NA 18.76 20.11 7.21 090 47125 A Partial removal of liver 52.91 NA NA 17.18 18.35 6.47 090 47130 A Partial removal of liver 57.06 NA NA 18.12 19.55 6.96 090 47133 X Removal of donor liver 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47135 R Transplantation of liver 83.29 NA NA 27.76 29.64 9.96 090 47136 R Transplantation of liver 70.39 NA NA 24.56 25.80 8.44 090 47140 A Partial removal, donor liver 59.22 NA NA 21.63 21.95 5.19 090 47141 A Partial removal, donor liver 71.27 NA NA 25.36 26.14 5.19 090 47142 A Partial removal, donor liver 79.21 NA NA 27.37 28.43 5.19 090 47143 C Prep donor liver, whole 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47144 C Prep donor liver, 3-segment 0.00 0.00 0.00 0.00 0.00 0.00 090 47145 C Prep donor liver, lobe split 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47146 A Prep donor liver/venous 6.00 NA NA 1.52 1.79 0.83 XXX 47147 A Prep donor liver/arterial 7.00 NA NA 1.77 2.08 0.97 XXX 47300 A Surgery for liver lesion 18.01 NA NA 7.75 7.49 1.99 090 47350 A Repair liver wound 22.36 NA NA 8.78 8.82 2.59 090 47360 A Repair liver wound 31.18 NA NA 11.25 11.41 3.38 090 47361 A Repair liver wound 52.47 NA NA 17.40 17.96 5.87 090 47362 A Repair liver wound 23.41 NA NA 9.31 9.01 2.51 090 47370 A Laparo ablate liver tumor rf 20.67 NA NA 7.70 7.91 2.56 090 47371 A Laparo ablate liver cryosurg 20.67 NA NA 7.90 8.02 2.61 090 47379 C Laparoscope procedure, liver 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47380 A Open ablate liver tumor rf 24.43 NA NA 8.61 8.98 2.87 090 47381 A Open ablate liver tumor cryo 24.72 NA NA 9.32 9.46 2.85 090 47382 A Percut ablate liver rf 15.19 NA NA 6.21 6.14 0.96 010 47399 C Liver surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47400 A Incision of liver duct 36.23 NA NA 13.02 13.23 3.08 090 47420 A Incision of bile duct 21.92 NA NA 8.55 8.66 2.63 090 47425 A Incision of bile duct 22.20 NA NA 8.65 8.73 2.62 090 47460 A Incise bile duct sphincter 20.41 NA NA 9.14 8.75 2.21 090 47480 A Incision of gallbladder 13.12 NA NA 6.64 6.28 1.42 090 47490 A Incision of gallbladder 8.05 NA NA 5.30 5.43 0.43 090 47500 A Injection for liver x-rays 1.96 NA NA 0.71 0.67 0.12 000 47505 A Injection for liver x-rays 0.76 NA NA 0.27 0.26 0.04 000 47510 A Insert catheter, bile duct 7.94 NA NA 4.63 4.82 0.46 090 47511 A Insert bile duct drain 10.74 NA NA 5.05 5.06 0.62 090 47525 A Change bile duct catheter 5.55 14.87 14.98 2.69 2.75 0.33 010 47530 A Revise/reinsert bile tube 5.96 30.60 32.20 3.45 3.58 0.37 090 47550 A Bile duct endoscopy add-on 3.02 NA NA 0.78 0.90 0.40 ZZZ 47552 A Biliary endoscopy thru skin 6.03 NA NA 2.48 2.43 0.42 000 47553 A Biliary endoscopy thru skin 6.34 NA NA 2.25 2.16 0.37 000 47554 A Biliary endoscopy thru skin 9.05 NA NA 3.30 3.32 0.96 000 47555 A Biliary endoscopy thru skin 7.55 NA NA 2.75 2.61 0.45 000 47556 A Biliary endoscopy thru skin 8.55 NA NA 3.09 2.94 0.50 000 47560 A Laparoscopy w/cholangio 4.88 NA NA 1.24 1.45 0.65 000 47561 A Laparo w/cholangio/biopsy 5.17 NA NA 1.58 1.75 0.66 000 47562 A Laparoscopic cholecystectomy 11.63 NA NA 5.27 5.13 1.46 090 47563 A Laparo cholecystectomy/graph 12.03 NA NA 5.07 5.18 1.58 090 47564 A Laparo cholecystectomy/explr 14.21 NA NA 5.42 5.68 1.89 090 47570 A Laparo cholecystoenterostomy 12.56 NA NA 4.97 5.17 1.65 090 47579 C Laparoscope proc, biliary 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47600 A Removal of gallbladder 17.35 NA NA 7.22 6.68 1.80 090 47605 A Removal of gallbladder 15.90 NA NA 6.39 6.44 1.95 090 47610 A Removal of gallbladder 20.84 NA NA 7.66 7.79 2.49 090 47612 A Removal of gallbladder 21.13 NA NA 7.68 7.78 2.48 090 47620 A Removal of gallbladder 22.99 NA NA 8.16 8.34 2.74 090 47630 A Remove bile duct stone 9.57 NA NA 4.73 4.81 0.65 090 47700 A Exploration of bile ducts 16.39 NA NA 7.31 7.36 2.07 090 47701 A Bile duct revision 28.62 NA NA 10.65 11.06 3.68 090 Start Printed Page 2624 47711 A Excision of bile duct tumor 25.77 NA NA 9.65 9.78 3.05 090 47712 A Excision of bile duct tumor 33.59 NA NA 11.66 12.04 3.93 090 47715 A Excision of bile duct cyst 21.42 NA NA 8.61 8.52 2.49 090 47720 A Fuse gallbladder & bowel 18.21 NA NA 7.71 7.59 2.11 090 47721 A Fuse upper gi structures 21.86 NA NA 8.55 8.55 2.53 090 47740 A Fuse gallbladder & bowel 21.10 NA NA 8.34 8.35 2.42 090 47741 A Fuse gallbladder & bowel 24.08 NA NA 9.26 9.27 2.83 090 47760 A Fuse bile ducts and bowel 38.14 NA NA 13.05 11.94 3.42 090 47765 A Fuse liver ducts & bowel 52.01 NA NA 16.96 13.87 3.30 090 47780 A Fuse bile ducts and bowel 42.14 NA NA 14.13 12.66 3.50 090 47785 A Fuse bile ducts and bowel 56.01 NA NA 17.86 15.38 4.10 090 47800 A Reconstruction of bile ducts 26.04 NA NA 9.78 9.91 3.08 090 47801 A Placement, bile duct support 17.47 NA NA 8.44 8.29 1.16 090 47802 A Fuse liver duct & intestine 24.80 NA NA 9.69 9.68 2.86 090 47900 A Suture bile duct injury 22.31 NA NA 8.86 8.86 2.65 090 47999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 48000 A Drainage of abdomen 31.82 NA NA 10.87 11.18 3.48 090 48001 A Placement of drain, pancreas 39.56 NA NA 12.77 13.32 4.69 090 48020 A Removal of pancreatic stone 18.96 NA NA 7.60 7.45 2.13 090 48100 A Biopsy of pancreas, open 14.38 NA NA 5.96 5.77 1.62 090 48102 A Needle biopsy, pancreas 4.68 9.62 8.78 1.91 1.93 0.28 010 48105 A Resect/debride pancreas 49.05 NA NA 15.78 16.17 5.56 090 48120 A Removal of pancreas lesion 18.33 NA NA 6.86 6.85 2.10 090 48140 A Partial removal of pancreas 26.19 NA NA 9.38 9.46 3.03 090 48145 A Partial removal of pancreas 27.26 NA NA 9.56 9.69 3.18 090 48146 A Pancreatectomy 30.42 NA NA 11.94 11.96 3.50 090 48148 A Removal of pancreatic duct 20.26 NA NA 8.21 7.90 2.30 090 48150 A Partial removal of pancreas 52.63 NA NA 18.03 18.77 6.32 090 48152 A Pancreatectomy 48.47 NA NA 16.84 17.52 5.80 090 48153 A Pancreatectomy 52.61 NA NA 17.92 18.73 6.31 090 48154 A Pancreatectomy 48.70 NA NA 17.07 17.64 5.84 090 48155 A Removal of pancreas 29.27 NA NA 11.97 11.81 3.27 090 48160 N Pancreas removal/transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48400 A Injection, intraop add-on 1.95 NA NA 0.66 0.65 0.15 ZZZ 48500 A Surgery of pancreatic cyst 18.03 NA NA 7.67 7.50 2.03 090 48510 A Drain pancreatic pseudocyst 17.06 NA NA 7.61 7.52 1.83 090 48511 A Drain pancreatic pseudocyst 3.99 20.20 20.55 1.43 1.37 0.24 000 48520 A Fuse pancreas cyst and bowel 18.07 NA NA 6.83 6.76 2.06 090 48540 A Fuse pancreas cyst and bowel 21.86 NA NA 7.80 7.95 2.61 090 48545 A Pancreatorrhaphy 22.10 NA NA 8.42 8.20 2.38 090 48547 A Duodenal exclusion 30.25 NA NA 10.29 10.38 3.42 090 48548 A Fuse pancreas and bowel 27.96 NA NA 9.89 10.02 3.28 090 48550 X Donor pancreatectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48551 C Prep donor pancreas 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48552 A Prep donor pancreas/venous 4.30 NA NA 1.14 1.30 0.31 XXX 48554 R Transpl allograft pancreas 37.03 NA NA 20.53 19.40 4.19 090 48556 A Removal, allograft pancreas 19.24 NA NA 9.23 8.65 2.08 090 48999 C Pancreas surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49000 A Exploration of abdomen 12.44 NA NA 5.21 5.29 1.52 090 49002 A Reopening of abdomen 17.55 NA NA 6.39 5.70 1.37 090 49010 A Exploration behind abdomen 15.98 NA NA 6.20 6.05 1.51 090 49020 A Drain abdominal abscess 26.46 NA NA 9.89 10.04 2.85 090 49021 A Drain abdominal abscess 3.37 19.65 20.36 1.21 1.16 0.20 000 49040 A Drain, open, abdom abscess 16.41 NA NA 6.52 6.47 1.70 090 49041 A Drain, percut, abdom abscess 3.99 19.93 19.73 1.43 1.37 0.24 000 49060 A Drain, open, retrop abscess 18.42 NA NA 7.25 7.34 1.75 090 49061 A Drain, percut, retroper absc 3.69 19.76 19.70 1.33 1.27 0.22 000 49062 A Drain to peritoneal cavity 12.12 NA NA 5.12 5.27 1.39 090 49080 A Puncture, peritoneal cavity 1.35 2.73 3.36 0.48 0.47 0.08 000 49081 A Removal of abdominal fluid 1.26 2.94 2.76 0.47 0.45 0.09 000 49180 A Biopsy, abdominal mass 1.73 2.48 2.79 0.62 0.59 0.10 000 49203 A Exc abd tum 5 cm or less 20.00 NA NA 7.66 7.66 2.27 090 49204 A Exc abd tum over 5 cm 26.00 NA NA 9.27 9.27 2.94 090 49205 A Exc abd tum over 10 cm 30.00 NA NA 10.35 10.35 3.40 090 49215 A Excise sacral spine tumor 37.66 NA NA 12.69 13.37 4.38 090 49220 A Multiple surgery, abdomen 15.70 NA NA 6.46 6.54 1.89 090 49250 A Excision of umbilicus 8.93 NA NA 4.34 4.30 1.08 090 49255 A Removal of omentum 12.41 NA NA 5.63 5.62 1.43 090 49320 A Diag laparo separate proc 5.09 NA NA 2.44 2.54 0.65 010 49321 A Laparoscopy, biopsy 5.39 NA NA 2.56 2.60 0.70 010 49322 A Laparoscopy, aspiration 5.96 NA NA 2.63 2.81 0.71 010 49323 A Laparo drain lymphocele 10.13 NA NA 4.69 4.59 1.20 090 Start Printed Page 2625 49324 A Lap insertion perm ip cath 6.27 NA NA 2.79 2.79 0.73 010 49325 A Lap revision perm ip cath 6.77 NA NA 2.91 2.91 0.86 010 49326 A Lap w/omentopexy add-on 3.50 NA NA 0.92 0.92 0.44 ZZZ 49329 C Laparo proc, abdm/per/oment 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49400 A Air injection into abdomen 1.88 2.47 2.77 0.62 0.62 0.15 000 49402 A Remove foreign body, adbomen 14.01 NA NA 5.52 5.51 1.62 090 49419 A Insrt abdom cath for chemotx 7.03 NA NA 3.43 3.50 0.81 090 49420 A Insert abdom drain, temp 2.22 NA NA 1.18 1.13 0.21 000 49421 A Insert abdom drain, perm 5.87 NA NA 3.12 3.14 0.74 090 49422 A Remove perm cannula/catheter 6.26 NA NA 2.61 2.75 0.83 010 49423 A Exchange drainage catheter 1.46 13.10 13.59 0.56 0.54 0.09 000 49424 A Assess cyst, contrast inject 0.76 3.08 3.40 0.30 0.30 0.04 000 49425 A Insert abdomen-venous drain 12.13 NA NA 5.29 5.44 1.54 090 49426 A Revise abdomen-venous shunt 10.33 NA NA 4.56 4.66 1.28 090 49427 A Injection, abdominal shunt 0.89 NA NA 0.32 0.31 0.07 000 49428 A Ligation of shunt 6.79 NA NA 3.00 3.46 0.80 010 49429 A Removal of shunt 7.41 NA NA 2.99 3.21 1.02 010 49435 A Insert subq exten to ip cath 2.25 NA NA 0.62 0.62 0.28 ZZZ 49436 A Embedded ip cath exit-site 2.69 NA NA 1.66 1.66 0.28 010 49440 A Place gastrostomy tube perc 4.18 25.06 25.06 1.81 1.81 0.49 010 49441 A Place duod/jej tube perc 4.77 30.13 30.13 2.01 2.01 0.29 010 49442 A Place cecostomy tube perc 4.00 24.46 24.46 1.63 1.63 0.24 010 49446 A Change g-tube to g-j perc 3.31 25.78 25.78 1.15 1.15 0.18 000 49450 A Replace g/c tube perc 1.36 18.97 18.97 0.44 0.44 0.08 000 49451 A Replace duod/jej tube perc 1.84 19.71 19.71 0.64 0.64 0.11 000 49452 A Replace g-j tube perc 2.86 23.51 23.51 1.00 1.00 0.18 000 49460 A Fix g/colon tube w/device 0.96 20.59 20.59 0.31 0.31 0.05 000 49465 A Fluoro exam of g/colon tube 0.62 3.89 3.89 0.22 0.22 0.03 000 49491 A Rpr hern preemie reduc 12.42 NA NA 4.62 4.83 1.40 090 49492 A Rpr ing hern premie, blocked 15.32 NA NA 6.23 6.17 1.81 090 49495 A Rpr ing hernia baby, reduc 6.15 NA NA 3.06 3.01 0.74 090 49496 A Rpr ing hernia baby, blocked 9.32 NA NA 4.45 4.36 1.07 090 49500 A Rpr ing hernia, init, reduce 5.76 NA NA 3.65 3.38 0.71 090 49501 A Rpr ing hernia, init blocked 9.28 NA NA 4.27 4.23 1.12 090 49505 A Prp i/hern init reduc >5 yr 7.88 NA NA 3.88 3.81 1.03 090 49507 A Prp i/hern init block >5 yr 9.97 NA NA 4.45 4.45 1.27 090 49520 A Rerepair ing hernia, reduce 9.91 NA NA 4.38 4.40 1.28 090 49521 A Rerepair ing hernia, blocked 12.36 NA NA 4.98 5.11 1.59 090 49525 A Repair ing hernia, sliding 8.85 NA NA 4.12 4.10 1.13 090 49540 A Repair lumbar hernia 10.66 NA NA 4.58 4.66 1.37 090 49550 A Rpr rem hernia, init, reduce 8.91 NA NA 4.11 4.12 1.14 090 49553 A Rpr fem hernia, init blocked 9.84 NA NA 4.42 4.41 1.24 090 49555 A Rerepair fem hernia, reduce 9.31 NA NA 4.20 4.23 1.20 090 49557 A Rerepair fem hernia, blocked 11.54 NA NA 4.83 4.91 1.47 090 49560 A Rpr ventral hern init, reduc 11.84 NA NA 4.88 5.01 1.52 090 49561 A Rpr ventral hern init, block 15.30 NA NA 5.80 5.93 1.89 090 49565 A Rerepair ventrl hern, reduce 12.29 NA NA 5.08 5.15 1.52 090 49566 A Rerepair ventrl hern, block 15.45 NA NA 5.85 5.99 1.91 090 49568 A Hernia repair w/mesh 4.88 NA NA 1.24 1.45 0.64 ZZZ 49570 A Rpr epigastric hern, reduce 5.97 NA NA 3.38 3.27 0.75 090 49572 A Rpr epigastric hern, blocked 7.79 NA NA 3.83 3.64 0.88 090 49580 A Rpr umbil hern, reduc < 5 yr 4.39 NA NA 2.95 2.77 0.54 090 49582 A Rpr umbil hern, block < 5 yr 7.05 NA NA 3.69 3.58 0.88 090 49585 A Rpr umbil hern, reduc > 5 yr 6.51 NA NA 3.51 3.40 0.82 090 49587 A Rpr umbil hern, block > 5 yr 7.96 NA NA 3.86 3.80 0.99 090 49590 A Repair spigelian hernia 8.82 NA NA 4.09 4.08 1.13 090 49600 A Repair umbilical lesion 11.47 NA NA 5.38 5.35 1.32 090 49605 A Repair umbilical lesion 86.85 NA NA 27.59 28.05 9.39 090 49606 A Repair umbilical lesion 18.92 NA NA 6.78 7.23 2.46 090 49610 A Repair umbilical lesion 10.83 NA NA 5.29 5.24 1.07 090 49611 A Repair umbilical lesion 9.26 NA NA 4.21 5.59 0.78 090 49650 A Laparo hernia repair initial 6.30 NA NA 3.35 3.27 0.93 090 49651 A Laparo hernia repair recur 8.29 NA NA 4.23 4.13 1.14 090 49659 C Laparo proc, hernia repair 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49900 A Repair of abdominal wall 12.26 NA NA 6.29 6.26 1.62 090 49904 A Omental flap, extra-abdom 22.16 NA NA 11.89 13.55 2.70 090 49905 A Omental flap, intra-abdom 6.54 NA NA 1.69 1.99 0.75 ZZZ 49906 C Free omental flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 090 49999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50010 A Exploration of kidney 12.13 NA NA 6.73 5.98 0.93 090 50020 A Renal abscess, open drain 17.88 NA NA 8.49 8.12 1.34 090 50021 A Renal abscess, percut drain 3.37 21.11 21.39 1.22 1.16 0.20 000 Start Printed Page 2626 50040 A Drainage of kidney 16.48 NA NA 8.83 7.82 1.03 090 50045 A Exploration of kidney 16.67 NA NA 8.15 7.37 1.24 090 50060 A Removal of kidney stone 20.80 NA NA 10.83 9.33 1.36 090 50065 A Incision of kidney 22.17 NA NA 11.53 8.80 1.59 090 50070 A Incision of kidney 21.70 NA NA 11.34 9.77 1.44 090 50075 A Removal of kidney stone 26.91 NA NA 13.51 11.70 1.81 090 50080 A Removal of kidney stone 15.61 NA NA 8.56 7.42 1.04 090 50081 A Removal of kidney stone 23.32 NA NA 12.18 10.47 1.54 090 50100 A Revise kidney blood vessels 17.30 NA NA 6.52 7.15 2.07 090 50120 A Exploration of kidney 17.06 NA NA 9.12 7.94 1.21 090 50125 A Explore and drain kidney 17.67 NA NA 9.72 8.34 1.43 090 50130 A Removal of kidney stone 18.67 NA NA 10.06 8.61 1.22 090 50135 A Exploration of kidney 20.44 NA NA 10.70 9.24 1.33 090 50200 A Biopsy of kidney 2.63 NA NA 1.19 1.24 0.16 000 50205 A Biopsy of kidney 12.19 NA NA 5.51 5.26 1.30 090 50220 A Remove kidney, open 18.53 NA NA 9.52 8.38 1.35 090 50225 A Removal kidney open, complex 21.73 NA NA 11.02 9.58 1.50 090 50230 A Removal kidney open, radical 23.68 NA NA 11.65 10.11 1.55 090 50234 A Removal of kidney & ureter 23.90 NA NA 12.04 10.44 1.59 090 50236 A Removal of kidney & ureter 26.74 NA NA 13.92 12.08 1.77 090 50240 A Partial removal of kidney 24.01 NA NA 12.61 10.81 1.55 090 50250 A Cryoablate renal mass open 22.06 NA NA 11.49 10.33 1.39 090 50280 A Removal of kidney lesion 16.94 NA NA 9.07 7.88 1.19 090 50290 A Removal of kidney lesion 16.00 NA NA 7.74 7.10 1.41 090 50300 X Remove cadaver donor kidney 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50320 A Remove kidney, living donor 22.28 NA NA 12.31 11.48 2.36 090 50323 C Prep cadaver renal allograft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50325 C Prep donor renal graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50327 A Prep renal graft/venous 4.00 NA NA 1.10 1.22 0.29 XXX 50328 A Prep renal graft/arterial 3.50 NA NA 0.98 1.08 0.26 XXX 50329 A Prep renal graft/ureteral 3.34 NA NA 1.05 1.09 0.25 XXX 50340 A Removal of kidney 13.86 NA NA 7.81 7.15 1.65 090 50360 A Transplantation of kidney 40.45 NA NA 18.68 17.08 3.82 090 50365 A Transplantation of kidney 45.68 NA NA 19.42 18.81 4.43 090 50370 A Remove transplanted kidney 18.68 NA NA 9.19 8.17 1.68 090 50380 A Reimplantation of kidney 29.66 NA NA 16.21 14.12 2.51 090 50382 A Change ureter stent, percut 5.50 26.38 31.26 2.05 1.96 0.34 000 50384 A Remove ureter stent, percut 5.00 20.68 27.96 1.86 1.78 0.31 000 50385 A Change stent via transureth 4.44 30.64 30.64 2.05 2.05 0.27 000 50386 A Remove stent via transureth 3.30 19.38 19.38 1.61 1.61 0.20 000 50387 A Change ext/int ureter stent 2.00 12.61 15.42 0.73 0.70 0.12 000 50389 A Remove renal tube w/fluoro 1.10 6.68 9.72 0.40 0.39 0.07 000 50390 A Drainage of kidney lesion 1.96 NA NA 0.71 0.67 0.12 000 50391 A Instll rx agnt into rnal tub 1.96 1.38 1.48 0.72 0.67 0.14 000 50392 A Insert kidney drain 3.37 NA NA 1.52 1.52 0.20 000 50393 A Insert ureteral tube 4.15 NA NA 1.80 1.80 0.25 000 50394 A Injection for kidney x-ray 0.76 1.87 2.28 0.58 0.62 0.05 000 50395 A Create passage to kidney 3.37 NA NA 1.57 1.53 0.21 000 50396 A Measure kidney pressure 2.09 NA NA 1.08 1.08 0.13 000 50398 A Change kidney tube 1.46 11.85 14.08 0.57 0.54 0.09 000 50400 A Revision of kidney/ureter 21.12 NA NA 10.95 9.41 1.38 090 50405 A Revision of kidney/ureter 25.68 NA NA 12.91 10.97 1.79 090 50500 A Repair of kidney wound 21.07 NA NA 8.70 8.54 2.02 090 50520 A Close kidney-skin fistula 18.73 NA NA 9.25 8.34 1.49 090 50525 A Repair renal-abdomen fistula 24.21 NA NA 11.80 10.40 1.84 090 50526 A Repair renal-abdomen fistula 26.13 NA NA 8.16 9.01 1.97 090 50540 A Revision of horseshoe kidney 20.95 NA NA 10.62 9.47 1.36 090 50541 A Laparo ablate renal cyst 16.76 NA NA 8.70 7.59 1.13 090 50542 A Laparo ablate renal mass 21.18 NA NA 11.18 9.66 1.39 090 50543 A Laparo partial nephrectomy 27.18 NA NA 14.10 12.15 1.81 090 50544 A Laparoscopy, pyeloplasty 23.27 NA NA 11.44 9.98 1.58 090 50545 A Laparo radical nephrectomy 24.93 NA NA 12.15 10.67 1.71 090 50546 A Laparoscopic nephrectomy 21.69 NA NA 11.29 9.83 1.57 090 50547 A Laparo removal donor kidney 26.24 NA NA 12.48 11.79 2.77 090 50548 A Laparo remove w/ureter 25.26 NA NA 12.12 10.65 1.73 090 50549 C Laparoscope proc, renal 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50551 A Kidney endoscopy 5.59 4.60 4.37 2.65 2.31 0.40 000 50553 A Kidney endoscopy 5.98 4.50 4.43 2.63 2.40 0.39 000 50555 A Kidney endoscopy & biopsy 6.52 5.10 4.95 3.02 2.68 0.45 000 50557 A Kidney endoscopy & treatment 6.61 5.27 4.92 3.07 2.68 0.47 000 50561 A Kidney endoscopy & treatment 7.58 5.81 5.45 3.41 3.03 0.54 000 50562 A Renal scope w/tumor resect 10.90 NA NA 5.36 4.84 0.73 090 Start Printed Page 2627 50570 A Kidney endoscopy 9.53 NA NA 4.15 3.68 0.68 000 50572 A Kidney endoscopy 10.33 NA NA 4.32 3.91 0.85 000 50574 A Kidney endoscopy & biopsy 11.00 NA NA 4.79 4.27 0.77 000 50575 A Kidney endoscopy 13.96 NA NA 5.96 5.29 0.99 000 50576 A Kidney endoscopy & treatment 10.97 NA NA 4.78 4.22 0.78 000 50580 A Kidney endoscopy & treatment 11.84 NA NA 5.10 4.53 0.83 000 50590 A Fragmenting of kidney stone 9.64 17.10 14.75 6.13 5.12 0.65 090 50592 A Perc rf ablate renal tumor 6.77 75.49 112.31 3.00 2.99 0.43 010 50593 A Perc cryo ablate renal tum 9.08 114.62 114.62 3.45 3.45 0.58 010 50600 A Exploration of ureter 17.04 NA NA 8.51 7.59 1.13 090 50605 A Insert ureteral support 16.66 NA NA 7.89 7.31 1.45 090 50610 A Removal of ureter stone 17.12 NA NA 8.98 7.97 1.43 090 50620 A Removal of ureter stone 16.30 NA NA 8.88 7.61 1.07 090 50630 A Removal of ureter stone 16.08 NA NA 8.20 7.24 1.09 090 50650 A Removal of ureter 18.67 NA NA 9.96 8.59 1.23 090 50660 A Removal of ureter 20.87 NA NA 10.73 9.34 1.38 090 50684 A Injection for ureter x-ray 0.76 3.97 4.47 0.63 0.55 0.05 000 50686 A Measure ureter pressure 1.51 2.30 2.87 0.81 0.82 0.11 000 50688 A Change of ureter tube/stent 1.18 NA NA 0.95 1.01 0.07 010 50690 A Injection for ureter x-ray 1.16 1.45 1.64 0.75 0.73 0.07 000 50700 A Revision of ureter 16.54 NA NA 8.76 7.94 1.27 090 50715 A Release of ureter 20.49 NA NA 8.54 8.64 2.14 090 50722 A Release of ureter 17.80 NA NA 7.27 7.54 1.91 090 50725 A Release/revise ureter 20.05 NA NA 8.82 8.43 1.52 090 50727 A Revise ureter 8.17 NA NA 5.73 5.00 0.61 090 50728 A Revise ureter 12.00 NA NA 6.75 6.15 1.00 090 50740 A Fusion of ureter & kidney 19.92 NA NA 8.98 8.35 1.97 090 50750 A Fusion of ureter & kidney 21.07 NA NA 11.08 9.53 1.38 090 50760 A Fusion of ureters 19.92 NA NA 9.90 8.78 1.55 090 50770 A Splicing of ureters 21.07 NA NA 10.88 9.43 1.45 090 50780 A Reimplant ureter in bladder 19.80 NA NA 10.11 8.85 1.51 090 50782 A Reimplant ureter in bladder 19.51 NA NA 9.89 9.33 1.61 090 50783 A Reimplant ureter in bladder 20.52 NA NA 10.12 9.17 1.99 090 50785 A Reimplant ureter in bladder 22.08 NA NA 11.20 9.74 1.45 090 50800 A Implant ureter in bowel 16.23 NA NA 9.17 7.82 1.19 090 50810 A Fusion of ureter & bowel 22.38 NA NA 10.58 9.83 2.32 090 50815 A Urine shunt to intestine 22.06 NA NA 11.47 9.95 1.54 090 50820 A Construct bowel bladder 23.89 NA NA 11.86 10.25 1.90 090 50825 A Construct bowel bladder 30.48 NA NA 14.91 13.02 2.08 090 50830 A Revise urine flow 33.57 NA NA 15.62 13.90 2.38 090 50840 A Replace ureter by bowel 22.19 NA NA 11.93 10.18 1.47 090 50845 A Appendico-vesicostomy 22.21 NA NA 12.07 10.48 1.57 090 50860 A Transplant ureter to skin 16.93 NA NA 9.22 7.92 1.29 090 50900 A Repair of ureter 14.89 NA NA 7.99 7.06 1.14 090 50920 A Closure ureter/skin fistula 15.66 NA NA 8.52 7.54 1.01 090 50930 A Closure ureter/bowel fistula 20.04 NA NA 9.49 8.73 1.28 090 50940 A Release of ureter 15.78 NA NA 7.79 7.09 1.26 090 50945 A Laparoscopy ureterolithotomy 17.87 NA NA 9.29 8.16 1.36 090 50947 A Laparo new ureter/bladder 25.63 NA NA 12.29 10.99 2.17 090 50948 A Laparo new ureter/bladder 23.69 NA NA 11.19 9.94 1.71 090 50949 C Laparoscope proc, ureter 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50951 A Endoscopy of ureter 5.83 4.82 4.56 2.76 2.41 0.41 000 50953 A Endoscopy of ureter 6.23 4.93 4.67 3.22 2.79 0.43 000 50955 A Ureter endoscopy & biopsy 6.74 5.15 5.78 3.45 3.07 0.48 000 50957 A Ureter endoscopy & treatment 6.78 5.38 4.97 3.14 2.76 0.48 000 50961 A Ureter endoscopy & treatment 6.04 4.75 4.55 2.79 2.49 0.41 000 50970 A Ureter endoscopy 7.13 NA NA 3.24 2.85 0.52 000 50972 A Ureter endoscopy & catheter 6.88 NA NA 3.05 2.76 0.49 000 50974 A Ureter endoscopy & biopsy 9.16 NA NA 3.77 3.44 0.64 000 50976 A Ureter endoscopy & treatment 9.03 NA NA 3.85 3.46 0.66 000 50980 A Ureter endoscopy & treatment 6.84 NA NA 3.12 2.75 0.48 000 51020 A Incise & treat bladder 7.56 NA NA 5.39 4.62 0.47 090 51030 A Incise & treat bladder 7.68 NA NA 4.90 4.43 0.58 090 51040 A Incise & drain bladder 4.43 NA NA 3.69 3.23 0.31 090 51045 A Incise bladder/drain ureter 7.68 NA NA 5.15 4.54 0.52 090 51050 A Removal of bladder stone 7.87 NA NA 5.33 4.48 0.49 090 51060 A Removal of ureter stone 9.82 NA NA 6.42 5.46 0.62 090 51065 A Remove ureter calculus 9.82 NA NA 6.25 5.30 0.63 090 51080 A Drainage of bladder abscess 6.61 NA NA 4.61 4.07 0.43 090 51100 A Drain bladder by needle 0.78 0.92 0.92 0.27 0.27 0.05 000 51101 A Drain bladder by trocar/cath 1.02 2.41 2.41 0.34 0.34 0.10 000 51102 A Drain bl w/cath insertion 4.27 4.75 4.75 2.37 2.37 0.28 010 Start Printed Page 2628 51500 A Removal of bladder cyst 10.92 NA NA 5.76 5.38 1.03 090 51520 A Removal of bladder lesion 10.08 NA NA 6.31 5.49 0.69 090 51525 A Removal of bladder lesion 15.29 NA NA 8.47 7.30 0.99 090 51530 A Removal of bladder lesion 13.58 NA NA 7.38 6.57 1.05 090 51535 A Repair of ureter lesion 13.77 NA NA 7.38 6.74 1.23 090 51550 A Partial removal of bladder 17.10 NA NA 8.71 7.72 1.31 090 51555 A Partial removal of bladder 23.03 NA NA 11.36 10.01 1.70 090 51565 A Revise bladder & ureter(s) 23.50 NA NA 12.12 10.54 1.63 090 51570 A Removal of bladder 27.31 NA NA 13.49 11.62 1.72 090 51575 A Removal of bladder & nodes 34.00 NA NA 16.45 14.24 2.17 090 51580 A Remove bladder/revise tract 35.14 NA NA 17.59 15.04 2.25 090 51585 A Removal of bladder & nodes 39.41 NA NA 19.26 16.48 2.49 090 51590 A Remove bladder/revise tract 36.15 NA NA 17.25 14.93 2.28 090 51595 A Remove bladder/revise tract 41.12 NA NA 19.58 16.85 2.60 090 51596 A Remove bladder/create pouch 44.01 NA NA 21.20 18.21 2.78 090 51597 A Removal of pelvic structures 42.61 NA NA 20.19 17.51 2.82 090 51600 A Injection for bladder x-ray 0.88 4.23 4.64 0.33 0.31 0.06 000 51605 A Preparation for bladder xray 0.64 NA NA 0.43 0.39 0.04 000 51610 A Injection for bladder x-ray 1.05 1.91 2.10 0.71 0.65 0.07 000 51700 A Irrigation of bladder 0.88 1.50 1.55 0.34 0.31 0.06 000 51701 A Insert bladder catheter 0.50 1.04 1.31 0.24 0.22 0.04 000 51702 A Insert temp bladder cath 0.50 1.53 1.81 0.33 0.29 0.04 000 51703 A Insert bladder cath, complex 1.47 2.26 2.50 0.80 0.68 0.10 000 51705 A Change of bladder tube 1.03 2.02 2.15 0.85 0.73 0.07 010 51710 A Change of bladder tube 1.50 2.73 3.03 1.18 0.97 0.11 010 51715 A Endoscopic injection/implant 3.73 4.41 4.16 1.73 1.54 0.29 000 51720 A Treatment of bladder lesion 1.50 1.62 1.68 0.74 0.71 0.14 000 51725 A Simple cystometrogram 1.51 4.23 4.91 NA NA 0.16 000 51725 TC A Simple cystometrogram 0.00 3.68 4.39 NA NA 0.04 000 51725 26 A Simple cystometrogram 1.51 0.55 0.52 0.55 0.52 0.12 000 51726 A Complex cystometrogram 1.71 7.11 7.31 NA NA 0.18 000 51726 TC A Complex cystometrogram 0.00 6.47 6.71 NA NA 0.05 000 51726 26 A Complex cystometrogram 1.71 0.64 0.60 0.64 0.60 0.13 000 51736 A Urine flow measurement 0.61 0.94 0.76 NA NA 0.06 000 51736 TC A Urine flow measurement 0.00 0.70 0.54 NA NA 0.01 000 51736 26 A Urine flow measurement 0.61 0.24 0.22 0.24 0.22 0.05 000 51741 A Electro-uroflowmetry, first 1.14 1.27 1.03 NA NA 0.11 000 51741 TC A Electro-uroflowmetry, first 0.00 0.83 0.62 NA NA 0.02 000 51741 26 A Electro-uroflowmetry, first 1.14 0.44 0.41 0.44 0.41 0.09 000 51772 A Urethra pressure profile 1.61 5.06 5.32 NA NA 0.20 000 51772 TC A Urethra pressure profile 0.00 4.51 4.77 NA NA 0.05 000 51772 26 A Urethra pressure profile 1.61 0.55 0.55 0.55 0.55 0.15 000 51784 A Anal/urinary muscle study 1.53 4.12 4.05 NA NA 0.16 000 51784 TC A Anal/urinary muscle study 0.00 3.56 3.52 NA NA 0.04 000 51784 26 A Anal/urinary muscle study 1.53 0.56 0.53 0.56 0.53 0.12 000 51785 A Anal/urinary muscle study 1.53 4.55 4.50 NA NA 0.15 000 51785 TC A Anal/urinary muscle study 0.00 3.99 3.97 NA NA 0.04 000 51785 26 A Anal/urinary muscle study 1.53 0.56 0.53 0.56 0.53 0.11 000 51792 A Urinary reflex study 1.10 5.05 5.52 NA NA 0.20 000 51792 TC A Urinary reflex study 0.00 4.66 5.12 NA NA 0.13 000 51792 26 A Urinary reflex study 1.10 0.39 0.40 0.39 0.40 0.07 000 51795 A Urine voiding pressure study 1.53 6.72 7.00 NA NA 0.22 000 51795 TC A Urine voiding pressure study 0.00 6.15 6.47 NA NA 0.10 000 51795 26 A Urine voiding pressure study 1.53 0.57 0.53 0.57 0.53 0.12 000 51797 A Intraabdominal pressure test 0.80 2.44 4.11 NA NA 0.17 ZZZ 51797 TC A Intraabdominal pressure test 0.00 2.14 3.70 NA NA 0.05 ZZZ 51797 26 A Intraabdominal pressure test 0.80 0.30 0.41 0.30 0.41 0.12 ZZZ 51798 A Us urine capacity measure 0.00 0.59 0.47 NA NA 0.08 XXX 51800 A Revision of bladder/urethra 18.74 NA NA 9.72 8.64 1.32 090 51820 A Revision of urinary tract 19.41 NA NA 9.75 9.02 1.75 090 51840 A Attach bladder/urethra 11.28 NA NA 5.76 5.66 1.06 090 51841 A Attach bladder/urethra 13.60 NA NA 6.86 6.62 1.24 090 51845 A Repair bladder neck 10.07 NA NA 5.89 5.31 0.79 090 51860 A Repair of bladder wound 12.49 NA NA 6.73 6.25 1.16 090 51865 A Repair of bladder wound 15.69 NA NA 8.33 7.50 1.23 090 51880 A Repair of bladder opening 7.81 NA NA 4.73 4.34 0.72 090 51900 A Repair bladder/vagina lesion 14.48 NA NA 7.98 7.02 1.21 090 51920 A Close bladder-uterus fistula 13.26 NA NA 8.04 6.84 1.18 090 51925 A Hysterectomy/bladder repair 17.35 NA NA 12.42 10.51 2.04 090 51940 A Correction of bladder defect 30.48 NA NA 11.73 11.91 2.15 090 51960 A Revision of bladder & bowel 25.20 NA NA 12.89 11.27 1.63 090 51980 A Construct bladder opening 12.44 NA NA 7.07 6.22 0.86 090 Start Printed Page 2629 51990 A Laparo urethral suspension 13.26 NA NA 5.93 6.04 1.39 090 51992 A Laparo sling operation 14.77 NA NA 6.51 6.36 1.41 090 51999 C Laparoscope proc, bla 0.00 0.00 0.00 0.00 0.00 0.00 YYY 52000 A Cystoscopy 2.23 3.66 3.48 1.31 1.03 0.14 000 52001 A Cystoscopy, removal of clots 5.44 5.05 5.06 2.57 2.22 0.39 000 52005 A Cystoscopy & ureter catheter 2.37 5.73 5.65 1.37 1.13 0.17 000 52007 A Cystoscopy and biopsy 3.02 10.71 13.58 1.62 1.38 0.22 000 52010 A Cystoscopy & duct catheter 3.02 8.08 9.42 1.62 1.38 0.21 000 52204 A Cystoscopy w/biopsy(s) 2.59 8.31 11.41 1.38 1.14 0.17 000 52214 A Cystoscopy and treatment 3.70 19.89 29.01 1.83 1.58 0.26 000 52224 A Cystoscopy and treatment 3.14 19.07 27.77 1.60 1.38 0.22 000 52234 A Cystoscopy and treatment 4.62 NA NA 2.27 1.96 0.33 000 52235 A Cystoscopy and treatment 5.44 NA NA 2.64 2.29 0.39 000 52240 A Cystoscopy and treatment 9.71 NA NA 4.34 3.82 0.69 000 52250 A Cystoscopy and radiotracer 4.49 NA NA 2.30 1.97 0.32 000 52260 A Cystoscopy and treatment 3.91 NA NA 1.93 1.67 0.28 000 52265 A Cystoscopy and treatment 2.94 7.49 10.42 1.47 1.29 0.22 000 52270 A Cystoscopy & revise urethra 3.36 7.02 9.03 1.74 1.49 0.24 000 52275 A Cystoscopy & revise urethra 4.69 9.30 12.43 2.27 1.96 0.33 000 52276 A Cystoscopy and treatment 4.99 NA NA 2.44 2.11 0.35 000 52277 A Cystoscopy and treatment 6.16 NA NA 2.90 2.56 0.44 000 52281 A Cystoscopy and treatment 2.80 5.29 6.19 1.54 1.31 0.20 000 52282 A Cystoscopy, implant stent 6.39 NA NA 2.96 2.60 0.45 000 52283 A Cystoscopy and treatment 3.73 4.06 4.00 1.86 1.62 0.26 000 52285 A Cystoscopy and treatment 3.60 4.33 4.17 1.83 1.58 0.26 000 52290 A Cystoscopy and treatment 4.58 NA NA 2.26 1.95 0.32 000 52300 A Cystoscopy and treatment 5.30 NA NA 2.56 2.23 0.38 000 52301 A Cystoscopy and treatment 5.50 NA NA 2.68 2.33 0.46 000 52305 A Cystoscopy and treatment 5.30 NA NA 2.49 2.17 0.38 000 52310 A Cystoscopy and treatment 2.81 4.00 4.35 1.43 1.23 0.20 000 52315 A Cystoscopy and treatment 5.20 6.63 7.65 2.47 2.15 0.37 000 52317 A Remove bladder stone 6.71 17.07 23.01 2.99 2.64 0.48 000 52318 A Remove bladder stone 9.18 NA NA 4.04 3.57 0.65 000 52320 A Cystoscopy and treatment 4.69 NA NA 2.21 1.92 0.33 000 52325 A Cystoscopy, stone removal 6.15 NA NA 2.78 2.45 0.44 000 52327 A Cystoscopy, inject material 5.18 2.04 16.94 2.04 1.93 0.37 000 52330 A Cystoscopy and treatment 5.03 20.41 29.63 2.35 2.05 0.36 000 52332 A Cystoscopy and treatment 2.83 12.42 9.08 1.55 1.30 0.21 000 52334 A Create passage to kidney 4.82 NA NA 2.33 2.03 0.35 000 52341 A Cysto w/ureter stricture tx 6.11 NA NA 3.04 2.63 0.43 000 52342 A Cysto w/up stricture tx 6.61 NA NA 3.25 2.80 0.46 000 52343 A Cysto w/renal stricture tx 7.31 NA NA 3.49 3.04 0.51 000 52344 A Cysto/uretero, stricture tx 7.81 NA NA 3.90 3.35 0.55 000 52345 A Cysto/uretero w/up stricture 8.31 NA NA 4.11 3.53 0.58 000 52346 A Cystouretero w/renal strict 9.34 NA NA 4.51 3.90 0.65 000 52351 A Cystouretero & or pyeloscope 5.85 NA NA 2.95 2.55 0.41 000 52352 A Cystouretero w/stone remove 6.87 NA NA 3.46 2.98 0.49 000 52353 A Cystouretero w/lithotripsy 7.96 NA NA 3.90 3.38 0.57 000 52354 A Cystouretero w/biopsy 7.33 NA NA 3.64 3.16 0.52 000 52355 A Cystouretero w/excise tumor 8.81 NA NA 4.24 3.69 0.63 000 52400 A Cystouretero w/congen repr 10.06 NA NA 5.39 4.56 0.68 090 52402 A Cystourethro cut ejacul duct 5.27 NA NA 2.15 1.92 0.40 000 52450 A Incision of prostate 7.63 NA NA 5.48 4.58 0.54 090 52500 A Revision of bladder neck 9.39 NA NA 6.18 5.05 0.60 090 52601 A Prostatectomy (TURP) 15.13 NA NA 8.43 6.76 0.87 090 52606 A Control postop bleeding 8.84 NA NA 5.48 4.52 0.57 090 52612 A Prostatectomy, first stage 9.07 NA NA 5.88 4.81 0.56 090 52614 A Prostatectomy, second stage 7.81 NA NA 5.37 4.36 0.48 090 52620 A Remove residual prostate 7.19 NA NA 4.61 3.80 0.47 090 52630 A Remove prostate regrowth 7.65 NA NA 4.80 3.99 0.51 090 52640 A Relieve bladder contracture 6.89 NA NA 4.41 3.69 0.47 090 52647 A Laser surgery of prostate 11.15 41.95 57.97 6.89 5.71 0.73 090 52648 A Laser surgery of prostate 12.00 42.49 58.24 7.22 6.00 0.79 090 52649 A 2Prostate laser enucleation 17.16 NA NA 9.32 9.32 1.11 090 52700 A Drainage of prostate abscess 7.39 NA NA 4.90 4.04 0.48 090 53000 A Incision of urethra 2.30 NA NA 1.78 1.66 0.16 010 53010 A Incision of urethra 4.35 NA NA 3.83 3.37 0.24 090 53020 A Incision of urethra 1.77 NA NA 0.95 0.81 0.13 000 53025 A Incision of urethra 1.13 NA NA 0.82 0.66 0.08 000 53040 A Drainage of urethra abscess 6.49 NA NA 4.40 3.92 0.45 090 53060 A Drainage of urethra abscess 2.65 2.09 2.09 1.54 1.45 0.28 010 53080 A Drainage of urinary leakage 6.82 NA NA 4.97 5.46 0.52 090 Start Printed Page 2630 53085 A Drainage of urinary leakage 11.05 NA NA 4.41 5.91 0.92 090 53200 A Biopsy of urethra 2.59 1.70 1.51 1.29 1.14 0.20 000 53210 A Removal of urethra 13.59 NA NA 7.76 6.80 0.89 090 53215 A Removal of urethra 16.72 NA NA 9.12 7.88 1.10 090 53220 A Treatment of urethra lesion 7.53 NA NA 4.98 4.35 0.49 090 53230 A Removal of urethra lesion 10.31 NA NA 6.37 5.54 0.73 090 53235 A Removal of urethra lesion 10.86 NA NA 6.92 5.91 0.72 090 53240 A Surgery for urethra pouch 6.98 NA NA 4.87 4.20 0.52 090 53250 A Removal of urethra gland 6.42 NA NA 4.38 3.84 0.49 090 53260 A Treatment of urethra lesion 3.00 2.45 2.35 1.84 1.63 0.25 010 53265 A Treatment of urethra lesion 3.14 2.94 2.82 1.98 1.70 0.24 010 53270 A Removal of urethra gland 3.11 2.46 2.33 1.84 1.69 0.30 010 53275 A Repair of urethra defect 4.54 NA NA 2.77 2.51 0.32 010 53400 A Revise urethra, stage 1 13.98 NA NA 8.17 7.10 0.98 090 53405 A Revise urethra, stage 2 15.51 NA NA 8.69 7.50 1.10 090 53410 A Reconstruction of urethra 17.53 NA NA 9.68 8.36 1.16 090 53415 A Reconstruction of urethra 20.55 NA NA 10.70 9.01 1.37 090 53420 A Reconstruct urethra, stage 1 15.04 NA NA 7.12 6.70 0.96 090 53425 A Reconstruct urethra, stage 2 16.94 NA NA 9.00 7.94 1.13 090 53430 A Reconstruction of urethra 17.30 NA NA 8.81 7.90 1.15 090 53431 A Reconstruct urethra/bladder 21.03 NA NA 10.98 9.52 1.41 090 53440 A Male sling procedure 15.34 NA NA 9.19 7.58 0.96 090 53442 A Remove/revise male sling 13.29 NA NA 8.36 6.90 0.82 090 53444 A Insert tandem cuff 14.06 NA NA 8.02 6.95 0.94 090 53445 A Insert uro/ves nck sphincter 15.21 NA NA 8.75 7.92 0.99 090 53446 A Remove uro sphincter 10.89 NA NA 7.00 6.11 0.72 090 53447 A Remove/replace ur sphincter 14.15 NA NA 8.38 7.40 0.95 090 53448 A Remov/replc ur sphinctr comp 23.26 NA NA 12.33 10.69 1.50 090 53449 A Repair uro sphincter 10.43 NA NA 6.61 5.66 0.68 090 53450 A Revision of urethra 6.67 NA NA 4.75 4.02 0.43 090 53460 A Revision of urethra 7.65 NA NA 5.05 4.37 0.50 090 53500 A Urethrlys, transvag w/ scope 12.87 NA NA 7.41 6.81 0.90 090 53502 A Repair of urethra injury 8.16 NA NA 5.10 4.54 0.62 090 53505 A Repair of urethra injury 8.16 NA NA 5.38 4.62 0.54 090 53510 A Repair of urethra injury 10.83 NA NA 6.83 6.00 0.74 090 53515 A Repair of urethra injury 14.09 NA NA 7.96 6.95 1.05 090 53520 A Repair of urethra defect 9.35 NA NA 6.20 5.34 0.61 090 53600 A Dilate urethra stricture 1.21 1.15 1.14 0.57 0.50 0.09 000 53601 A Dilate urethra stricture 0.98 1.36 1.32 0.52 0.44 0.07 000 53605 A Dilate urethra stricture 1.28 NA NA 0.51 0.46 0.09 000 53620 A Dilate urethra stricture 1.62 1.70 1.85 0.83 0.71 0.11 000 53621 A Dilate urethra stricture 1.35 1.81 1.94 0.67 0.58 0.10 000 53660 A Dilation of urethra 0.71 1.32 1.31 0.45 0.38 0.05 000 53661 A Dilation of urethra 0.72 1.29 1.30 0.41 0.35 0.05 000 53665 A Dilation of urethra 0.76 NA NA 0.27 0.26 0.06 000 53850 A Prostatic microwave thermotx 9.98 49.25 71.68 5.86 4.90 0.67 090 53852 A Prostatic rf thermotx 10.68 46.37 67.60 6.66 5.51 0.70 090 53853 A Prostatic water thermother 5.54 29.10 42.24 4.35 3.60 0.37 090 53899 C Urology surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54000 A Slitting of prepuce 1.56 2.70 2.80 1.48 1.20 0.11 010 54001 A Slitting of prepuce 2.21 3.06 3.12 1.67 1.39 0.15 010 54015 A Drain penis lesion 5.33 NA NA 3.21 2.88 0.38 010 54050 A Destruction, penis lesion(s) 1.26 2.10 1.88 1.39 1.21 0.08 010 54055 A Destruction, penis lesion(s) 1.23 1.97 1.77 1.23 1.02 0.08 010 54056 A Cryosurgery, penis lesion(s) 1.26 2.37 2.03 1.53 1.33 0.06 010 54057 A Laser surg, penis lesion(s) 1.26 2.63 2.42 1.37 1.10 0.09 010 54060 A Excision of penis lesion(s) 1.95 3.09 3.10 1.64 1.35 0.13 010 54065 A Destruction, penis lesion(s) 2.44 3.30 2.97 2.00 1.61 0.13 010 54100 A Biopsy of penis 1.90 3.35 3.08 1.36 1.09 0.10 000 54105 A Biopsy of penis 3.51 3.98 4.13 2.43 2.18 0.25 010 54110 A Treatment of penis lesion 10.79 NA NA 6.72 5.74 0.72 090 54111 A Treat penis lesion, graft 14.29 NA NA 8.03 6.90 0.96 090 54112 A Treat penis lesion, graft 16.83 NA NA 9.31 8.05 1.11 090 54115 A Treatment of penis lesion 6.82 5.76 5.07 4.94 4.20 0.43 090 54120 A Partial removal of penis 10.88 NA NA 6.72 5.70 0.68 090 54125 A Removal of penis 14.43 NA NA 8.07 6.95 0.95 090 54130 A Remove penis & nodes 21.66 NA NA 11.58 9.87 1.52 090 54135 A Remove penis & nodes 27.99 NA NA 14.11 12.14 1.88 090 54150 A Circumcision w/regionl block 1.90 2.40 3.13 0.73 0.73 0.16 000 54160 A Circumcision, neonate 2.50 3.80 3.97 1.48 1.28 0.19 010 54161 A Circum 28 days or older 3.29 NA NA 2.20 1.88 0.23 010 54162 A Lysis penil circumic lesion 3.27 4.01 4.33 2.26 1.85 0.21 010 Start Printed Page 2631 54163 A Repair of circumcision 3.27 NA NA 2.85 2.43 0.21 010 54164 A Frenulotomy of penis 2.77 NA NA 2.66 2.25 0.18 010 54200 A Treatment of penis lesion 1.08 2.02 1.91 1.30 1.14 0.08 010 54205 A Treatment of penis lesion 8.84 NA NA 6.06 5.37 0.56 090 54220 A Treatment of penis lesion 2.42 3.32 3.58 1.35 1.15 0.17 000 54230 A Prepare penis study 1.34 1.40 1.24 0.91 0.77 0.09 000 54231 A Dynamic cavernosometry 2.04 1.97 1.67 1.24 1.06 0.16 000 54235 A Penile injection 1.19 1.39 1.17 0.89 0.73 0.08 000 54240 A Penis study 1.31 1.51 1.26 NA NA 0.17 000 54240 TC A Penis study 0.00 1.03 0.81 NA NA 0.06 000 54240 26 A Penis study 1.31 0.48 0.45 0.48 0.45 0.11 000 54250 A Penis study 2.22 1.22 1.06 NA NA 0.18 000 54250 TC A Penis study 0.00 0.37 0.28 NA NA 0.02 000 54250 26 A Penis study 2.22 0.85 0.78 0.85 0.78 0.16 000 54300 A Revision of penis 11.07 NA NA 6.70 6.14 0.76 090 54304 A Revision of penis 13.15 NA NA 7.80 7.06 0.88 090 54308 A Reconstruction of urethra 12.49 NA NA 4.76 5.36 0.84 090 54312 A Reconstruction of urethra 14.36 NA NA 8.87 7.93 1.24 090 54316 A Reconstruction of urethra 17.90 NA NA 9.94 8.94 1.21 090 54318 A Reconstruction of urethra 12.28 NA NA 4.83 5.31 1.39 090 54322 A Reconstruction of urethra 13.85 NA NA 7.94 7.20 0.92 090 54324 A Reconstruction of urethra 17.40 NA NA 9.75 8.85 1.14 090 54326 A Reconstruction of urethra 16.87 NA NA 9.16 8.47 1.11 090 54328 A Revise penis/urethra 16.74 NA NA 9.48 8.36 0.98 090 54332 A Revise penis/urethra 18.22 NA NA 10.07 8.90 1.21 090 54336 A Revise penis/urethra 21.44 NA NA 7.31 8.80 2.21 090 54340 A Secondary urethral surgery 9.58 NA NA 6.36 5.70 0.63 090 54344 A Secondary urethral surgery 16.91 NA NA 9.54 8.64 1.54 090 54348 A Secondary urethral surgery 18.17 NA NA 10.13 9.23 1.23 090 54352 A Reconstruct urethra/penis 25.95 NA NA 14.00 12.59 2.25 090 54360 A Penis plastic surgery 12.65 NA NA 7.45 6.74 0.84 090 54380 A Repair penis 14.03 NA NA 8.04 7.32 0.93 090 54385 A Repair penis 16.38 NA NA 11.31 9.78 0.86 090 54390 A Repair penis and bladder 22.59 NA NA 7.42 8.42 1.54 090 54400 A Insert semi-rigid prosthesis 9.09 NA NA 5.75 5.05 0.64 090 54401 A Insert self-contd prosthesis 10.26 NA NA 8.15 6.94 0.73 090 54405 A Insert multi-comp penis pros 14.39 NA NA 8.12 7.02 0.95 090 54406 A Remove muti-comp penis pros 12.76 NA NA 7.60 6.51 0.86 090 54408 A Repair multi-comp penis pros 13.73 NA NA 8.25 6.99 0.90 090 54410 A Remove/replace penis prosth 16.48 NA NA 9.35 7.98 1.10 090 54411 A Remov/replc penis pros, comp 18.14 NA NA 10.41 8.72 1.13 090 54415 A Remove self-contd penis pros 8.75 NA NA 6.00 5.10 0.58 090 54416 A Remv/repl penis contain pros 11.87 NA NA 7.90 6.64 0.77 090 54417 A Remv/replc penis pros, compl 15.94 NA NA 9.10 7.63 1.00 090 54420 A Revision of penis 12.26 NA NA 7.39 6.48 0.81 090 54430 A Revision of penis 10.93 NA NA 6.97 6.03 0.72 090 54435 A Revision of penis 6.71 NA NA 4.99 4.30 0.43 090 54440 C Repair of penis 0.00 0.00 0.00 0.00 0.00 0.00 090 54450 A Preputial stretching 1.12 0.85 0.90 0.48 0.46 0.08 000 54500 A Biopsy of testis 1.31 NA NA 0.76 0.66 0.10 000 54505 A Biopsy of testis 3.47 NA NA 2.44 2.18 0.27 010 54512 A Excise lesion testis 9.23 NA NA 5.67 4.90 0.67 090 54520 A Removal of testis 5.25 NA NA 3.72 3.25 0.50 090 54522 A Orchiectomy, partial 10.15 NA NA 5.59 5.22 0.89 090 54530 A Removal of testis 9.31 NA NA 6.06 5.15 0.66 090 54535 A Extensive testis surgery 13.06 NA NA 6.91 6.22 0.95 090 54550 A Exploration for testis 8.31 NA NA 5.21 4.51 0.59 090 54560 A Exploration for testis 11.97 NA NA 6.87 6.01 0.90 090 54600 A Reduce testis torsion 7.54 NA NA 5.11 4.33 0.51 090 54620 A Suspension of testis 5.16 NA NA 3.22 2.83 0.37 010 54640 A Suspension of testis 7.57 NA NA 5.35 4.54 0.62 090 54650 A Orchiopexy (Fowler-Stephens) 12.24 NA NA 5.66 5.53 1.16 090 54660 A Revision of testis 5.64 NA NA 4.35 3.67 0.44 090 54670 A Repair testis injury 6.57 NA NA 4.79 4.16 0.47 090 54680 A Relocation of testis(es) 13.91 NA NA 7.70 6.92 1.16 090 54690 A Laparoscopy, orchiectomy 11.60 NA NA 5.59 5.26 1.02 090 54692 A Laparoscopy, orchiopexy 13.64 NA NA 7.56 6.49 1.30 090 54699 C Laparoscope proc, testis 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54700 A Drainage of scrotum 3.44 NA NA 2.37 2.16 0.28 010 54800 A Biopsy of epididymis 2.33 NA NA 1.22 1.06 0.23 000 54830 A Remove epididymis lesion 5.91 NA NA 4.43 3.72 0.41 090 54840 A Remove epididymis lesion 5.22 NA NA 3.80 3.29 0.37 090 Start Printed Page 2632 54860 A Removal of epididymis 6.85 NA NA 4.87 4.09 0.45 090 54861 A Removal of epididymis 9.57 NA NA 6.25 5.28 0.63 090 54865 A Explore epididymis 5.67 NA NA 4.26 3.60 0.40 090 54900 A Fusion of spermatic ducts 14.05 NA NA 5.24 5.52 0.93 090 54901 A Fusion of spermatic ducts 18.92 NA NA 10.51 9.01 1.83 090 55000 A Drainage of hydrocele 1.43 1.85 1.96 0.91 0.78 0.11 000 55040 A Removal of hydrocele 5.39 NA NA 3.96 3.42 0.43 090 55041 A Removal of hydroceles 8.41 NA NA 5.68 4.82 0.60 090 55060 A Repair of hydrocele 6.05 NA NA 4.45 3.76 0.46 090 55100 A Drainage of scrotum abscess 2.40 3.49 3.58 2.11 1.83 0.17 010 55110 A Explore scrotum 6.23 NA NA 4.48 3.80 0.43 090 55120 A Removal of scrotum lesion 5.62 NA NA 4.21 3.58 0.39 090 55150 A Removal of scrotum 8.01 NA NA 5.45 4.64 0.56 090 55175 A Revision of scrotum 5.77 NA NA 4.34 3.67 0.37 090 55180 A Revision of scrotum 11.63 NA NA 7.27 6.32 0.90 090 55200 A Incision of sperm duct 4.50 8.01 10.17 3.30 2.84 0.33 090 55250 A Removal of sperm duct(s) 3.32 7.83 9.65 3.06 2.64 0.25 090 55300 A Prepare, sperm duct x-ray 3.50 NA NA 1.75 1.53 0.25 000 55400 A Repair of sperm duct 8.53 NA NA 5.41 4.73 0.64 090 55450 A Ligation of sperm duct 4.38 5.46 6.23 2.57 2.22 0.29 010 55500 A Removal of hydrocele 6.12 NA NA 4.20 3.64 0.55 090 55520 A Removal of sperm cord lesion 6.56 NA NA 3.82 3.53 0.75 090 55530 A Revise spermatic cord veins 5.69 NA NA 4.09 3.55 0.45 090 55535 A Revise spermatic cord veins 7.09 NA NA 4.83 4.11 0.47 090 55540 A Revise hernia & sperm veins 8.20 NA NA 4.25 4.02 0.94 090 55550 A Laparo ligate spermatic vein 7.10 NA NA 4.55 3.92 0.57 090 55559 C Laparo proc, spermatic cord 0.00 0.00 0.00 0.00 0.00 0.00 YYY 55600 A Incise sperm duct pouch 6.91 NA NA 4.90 4.11 0.62 090 55605 A Incise sperm duct pouch 8.63 NA NA 4.63 4.45 0.64 090 55650 A Remove sperm duct pouch 12.52 NA NA 7.40 6.33 0.92 090 55680 A Remove sperm pouch lesion 5.59 NA NA 3.93 3.45 0.47 090 55700 A Biopsy of prostate 2.58 3.71 3.95 1.32 0.98 0.11 000 55705 A Biopsy of prostate 4.58 NA NA 2.85 2.57 0.32 010 55720 A Drainage of prostate abscess 7.67 NA NA 4.89 4.35 0.95 090 55725 A Drainage of prostate abscess 9.90 NA NA 6.28 5.38 0.70 090 55801 A Removal of prostate 19.62 NA NA 10.34 8.97 1.34 090 55810 A Extensive prostate surgery 24.14 NA NA 12.34 10.64 1.60 090 55812 A Extensive prostate surgery 29.69 NA NA 14.21 12.59 2.05 090 55815 A Extensive prostate surgery 32.75 NA NA 16.20 14.03 2.17 090 55821 A Removal of prostate 15.63 NA NA 8.67 7.43 1.01 090 55831 A Removal of prostate 17.06 NA NA 9.24 7.94 1.10 090 55840 A Extensive prostate surgery 24.45 NA NA 12.69 10.98 1.61 090 55842 A Extensive prostate surgery 26.31 NA NA 13.48 11.65 1.73 090 55845 A Extensive prostate surgery 30.52 NA NA 14.86 12.89 2.03 090 55860 A Surgical exposure, prostate 15.71 NA NA 8.54 7.47 1.02 090 55862 A Extensive prostate surgery 19.89 NA NA 10.70 9.27 1.49 090 55865 A Extensive prostate surgery 24.39 NA NA 12.41 10.83 1.63 090 55866 A Laparo radical prostatectomy 32.25 NA NA 15.96 13.83 2.17 090 55870 A Electroejaculation 2.58 2.49 2.01 1.45 1.27 0.16 000 55873 A Cryoablate prostate 20.25 NA NA 11.29 10.11 1.38 090 55875 A Transperi needle place, pros 13.31 NA NA 7.84 6.84 0.89 090 55876 A Place rt device/marker, pros 1.73 2.07 2.07 1.05 1.05 0.28 000 55899 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 55920 A Place needles pelvic for rt 8.31 NA NA 3.14 3.14 0.58 000 55970 N Sex transformation, M to F 0.00 0.00 0.00 0.00 0.00 0.00 XXX 55980 N Sex transformation, F to M 0.00 0.00 0.00 0.00 0.00 0.00 XXX 56405 A I & D of vulva/perineum 1.46 1.18 1.25 1.16 1.15 0.17 010 56420 A Drainage of gland abscess 1.41 1.52 1.90 0.78 0.91 0.16 010 56440 A Surgery for vulva lesion 2.86 NA NA 1.56 1.63 0.34 010 56441 A Lysis of labial lesion(s) 1.99 1.71 1.76 1.56 1.48 0.20 010 56442 A Hymenotomy 0.68 NA NA 0.52 0.51 0.08 000 56501 A Destroy, vulva lesions, sim 1.55 1.63 1.71 1.21 1.23 0.18 010 56515 A Destroy vulva lesion/s compl 3.03 2.40 2.47 1.74 1.78 0.33 010 56605 A Biopsy of vulva/perineum 1.10 0.93 1.00 0.34 0.40 0.13 000 56606 A Biopsy of vulva/perineum 0.55 0.36 0.43 0.15 0.19 0.07 ZZZ 56620 A Partial removal of vulva 8.44 NA NA 4.40 4.59 0.90 090 56625 A Complete removal of vulva 9.55 NA NA 4.81 5.06 1.02 090 56630 A Extensive vulva surgery 14.67 NA NA 6.28 6.56 1.49 090 56631 A Extensive vulva surgery 18.81 NA NA 7.79 8.30 1.96 090 56632 A Extensive vulva surgery 21.61 NA NA 9.30 9.41 2.39 090 56633 A Extensive vulva surgery 19.47 NA NA 7.80 8.20 1.98 090 56634 A Extensive vulva surgery 20.48 NA NA 8.19 8.81 2.17 090 Start Printed Page 2633 56637 A Extensive vulva surgery 24.57 NA NA 9.31 10.19 2.61 090 56640 A Extensive vulva surgery 24.65 NA NA 8.84 9.73 2.89 090 56700 A Partial removal of hymen 2.79 NA NA 1.77 1.80 0.30 010 56740 A Remove vagina gland lesion 4.83 NA NA 2.33 2.45 0.56 010 56800 A Repair of vagina 3.90 NA NA 1.96 2.08 0.44 010 56805 A Repair clitoris 19.75 NA NA 7.69 8.55 2.15 090 56810 A Repair of perineum 4.26 NA NA 2.04 2.17 0.49 010 56820 A Exam of vulva w/scope 1.50 1.19 1.25 0.53 0.59 0.18 000 56821 A Exam/biopsy of vulva w/scope 2.05 1.53 1.65 0.68 0.80 0.25 000 57000 A Exploration of vagina 2.99 NA NA 1.75 1.73 0.31 010 57010 A Drainage of pelvic abscess 6.74 NA NA 3.80 3.80 0.71 090 57020 A Drainage of pelvic fluid 1.50 0.77 0.86 0.45 0.52 0.18 000 57022 A I & d vaginal hematoma, pp 2.70 NA NA 1.43 1.46 0.26 010 57023 A I & d vag hematoma, non-ob 5.13 NA NA 2.37 2.47 0.58 010 57061 A Destroy vag lesions, simple 1.27 1.52 1.59 1.12 1.12 0.15 010 57065 A Destroy vag lesions, complex 2.63 2.03 2.16 1.49 1.58 0.31 010 57100 A Biopsy of vagina 1.20 0.95 1.02 0.37 0.42 0.14 000 57105 A Biopsy of vagina 1.71 1.59 1.69 1.33 1.37 0.20 010 57106 A Remove vagina wall, partial 7.35 NA NA 4.27 4.23 0.73 090 57107 A Remove vagina tissue, part 24.43 NA NA 9.06 9.76 2.72 090 57109 A Vaginectomy partial w/nodes 28.25 NA NA 10.26 10.75 3.22 090 57110 A Remove vagina wall, complete 15.38 NA NA 6.19 6.73 1.74 090 57111 A Remove vagina tissue, compl 28.25 NA NA 10.43 11.53 3.18 090 57112 A Vaginectomy w/nodes, compl 30.37 NA NA 10.62 11.36 3.08 090 57120 A Closure of vagina 8.18 NA NA 4.20 4.40 0.89 090 57130 A Remove vagina lesion 2.44 1.96 2.06 1.47 1.50 0.29 010 57135 A Remove vagina lesion 2.68 2.03 2.15 1.53 1.59 0.31 010 57150 A Treat vagina infection 0.55 0.58 0.84 0.15 0.18 0.07 000 57155 A Insert uteri tandems/ovoids 6.79 NA NA 3.49 4.03 0.43 090 57160 A Insert pessary/other device 0.89 1.04 1.03 0.25 0.30 0.10 000 57170 A Fitting of diaphragm/cap 0.91 0.57 1.02 0.25 0.29 0.11 000 57180 A Treat vaginal bleeding 1.60 1.86 2.01 0.93 1.09 0.19 010 57200 A Repair of vagina 4.34 NA NA 2.99 2.94 0.46 090 57210 A Repair vagina/perineum 5.63 NA NA 3.27 3.35 0.62 090 57220 A Revision of urethra 4.77 NA NA 3.01 3.06 0.51 090 57230 A Repair of urethral lesion 6.22 NA NA 3.64 3.52 0.54 090 57240 A Repair bladder & vagina 11.42 NA NA 5.49 4.65 0.62 090 57250 A Repair rectum & vagina 11.42 NA NA 5.04 4.31 0.65 090 57260 A Repair of vagina 14.36 NA NA 5.86 5.34 0.97 090 57265 A Extensive repair of vagina 15.86 NA NA 6.33 6.18 1.32 090 57267 A Insert mesh/pelvic flr addon 4.88 NA NA 1.50 1.74 0.64 ZZZ 57268 A Repair of bowel bulge 7.47 NA NA 4.34 4.26 0.79 090 57270 A Repair of bowel pouch 13.57 NA NA 5.84 6.04 1.42 090 57280 A Suspension of vagina 16.62 NA NA 6.97 7.17 1.68 090 57282 A Colpopexy, extraperitoneal 7.84 NA NA 4.50 4.50 1.02 090 57283 A Colpopexy, intraperitoneal 11.58 NA NA 5.12 5.52 1.02 090 57284 A Repair paravag defect, open 14.25 NA NA 5.99 6.57 1.41 090 57285 A Repair paravag defect, vag 11.52 NA NA 5.16 5.16 0.63 090 57287 A Revise/remove sling repair 11.49 NA NA 6.35 5.92 0.90 090 57288 A Repair bladder defect 14.01 NA NA 7.02 6.46 1.12 090 57289 A Repair bladder & vagina 12.69 NA NA 6.71 6.37 1.21 090 57291 A Construction of vagina 8.54 NA NA 4.90 4.91 0.93 090 57292 A Construct vagina with graft 13.91 NA NA 5.91 6.42 1.58 090 57295 A Revise vag graft via vagina 7.74 NA NA 4.09 4.26 0.91 090 57296 A Revise vag graft, open abd 16.46 NA NA 6.67 6.67 1.68 090 57300 A Repair rectum-vagina fistula 8.58 NA NA 4.44 4.36 0.87 090 57305 A Repair rectum-vagina fistula 15.24 NA NA 6.20 6.23 1.73 090 57307 A Fistula repair & colostomy 17.02 NA NA 6.91 6.95 2.02 090 57308 A Fistula repair, transperine 10.48 NA NA 4.96 5.03 1.14 090 57310 A Repair urethrovaginal lesion 7.55 NA NA 5.02 4.43 0.54 090 57311 A Repair urethrovaginal lesion 8.81 NA NA 5.51 4.81 0.65 090 57320 A Repair bladder-vagina lesion 8.78 NA NA 5.28 4.82 0.69 090 57330 A Repair bladder-vagina lesion 13.11 NA NA 7.20 6.46 1.06 090 57335 A Repair vagina 19.87 NA NA 7.83 8.43 1.92 090 57400 A Dilation of vagina 2.27 NA NA 1.00 1.05 0.26 000 57410 A Pelvic examination 1.75 NA NA 0.91 0.90 0.18 000 57415 A Remove vaginal foreign body 2.44 NA NA 1.49 1.46 0.24 010 57420 A Exam of vagina w/scope 1.60 1.23 1.29 0.56 0.61 0.19 000 57421 A Exam/biopsy of vag w/scope 2.20 1.59 1.72 0.72 0.84 0.27 000 57423 A Repair paravag defect, lap 16.00 NA NA 6.52 6.52 1.65 090 57425 A Laparoscopy, surg, colpopexy 16.93 NA NA 6.91 6.77 1.76 090 57452 A Exam of cervix w/scope 1.50 1.18 1.23 0.74 0.75 0.18 000 Start Printed Page 2634 57454 A Bx/curett of cervix w/scope 2.33 1.39 1.52 0.95 1.05 0.28 000 57455 A Biopsy of cervix w/scope 1.99 1.50 1.61 0.66 0.76 0.24 000 57456 A Endocerv curettage w/scope 1.85 1.46 1.55 0.62 0.72 0.22 000 57460 A Bx of cervix w/scope, leep 2.83 4.28 5.06 1.09 1.23 0.34 000 57461 A Conz of cervix w/scope, leep 3.43 4.57 5.34 1.05 1.26 0.41 000 57500 A Biopsy of cervix 1.20 2.02 2.28 0.64 0.64 0.12 000 57505 A Endocervical curettage 1.16 1.33 1.39 1.07 1.08 0.14 010 57510 A Cauterization of cervix 1.90 1.30 1.43 0.90 0.97 0.23 010 57511 A Cryocautery of cervix 1.92 1.60 1.71 1.27 1.32 0.23 010 57513 A Laser surgery of cervix 1.92 1.57 1.64 1.28 1.34 0.23 010 57520 A Conization of cervix 4.06 3.38 3.66 2.51 2.69 0.49 090 57522 A Conization of cervix 3.62 2.77 2.96 2.25 2.35 0.41 090 57530 A Removal of cervix 5.19 NA NA 3.10 3.24 0.58 090 57531 A Removal of cervix, radical 29.77 NA NA 10.86 12.02 3.35 090 57540 A Removal of residual cervix 13.19 NA NA 5.44 5.84 1.49 090 57545 A Remove cervix/repair pelvis 14.00 NA NA 5.72 6.20 1.52 090 57550 A Removal of residual cervix 6.24 NA NA 3.61 3.72 0.67 090 57555 A Remove cervix/repair vagina 9.84 NA NA 4.75 4.92 1.09 090 57556 A Remove cervix, repair bowel 9.26 NA NA 4.61 4.73 0.92 090 57558 A D&c of cervical stump 1.69 1.35 1.41 1.05 1.09 0.20 010 57700 A Revision of cervix 4.22 NA NA 3.28 3.19 0.41 090 57720 A Revision of cervix 4.53 NA NA 2.94 3.02 0.49 090 57800 A Dilation of cervical canal 0.77 0.72 0.74 0.41 0.44 0.09 000 58100 A Biopsy of uterus lining 1.53 1.14 1.23 0.58 0.65 0.18 000 58110 A Bx done w/colposcopy add-on 0.77 0.40 0.47 0.21 0.26 0.09 ZZZ 58120 A Dilation and curettage 3.54 2.70 2.50 1.66 1.77 0.39 010 58140 A Myomectomy abdom method 15.69 NA NA 6.18 6.64 1.82 090 58145 A Myomectomy vag method 8.81 NA NA 4.23 4.51 0.97 090 58146 A Myomectomy abdom complex 20.24 NA NA 7.34 8.18 2.33 090 58150 A Total hysterectomy 17.21 NA NA 6.56 7.02 1.85 090 58152 A Total hysterectomy 21.73 NA NA 8.03 8.95 2.48 090 58180 A Partial hysterectomy 16.50 NA NA 6.33 6.89 1.64 090 58200 A Extensive hysterectomy 23.00 NA NA 8.15 9.07 2.55 090 58210 A Extensive hysterectomy 30.76 NA NA 10.72 11.96 3.38 090 58240 A Removal of pelvis contents 49.02 NA NA 17.64 17.63 4.23 090 58260 A Vaginal hysterectomy 14.02 NA NA 5.79 6.24 1.57 090 58262 A Vag hyst including t/o 15.81 NA NA 6.23 6.81 1.80 090 58263 A Vag hyst w/t/o & vag repair 17.10 NA NA 6.64 7.26 1.95 090 58267 A Vag hyst w/urinary repair 18.23 NA NA 6.97 7.67 2.07 090 58270 A Vag hyst w/enterocele repair 15.20 NA NA 5.93 6.50 1.74 090 58275 A Hysterectomy/revise vagina 16.90 NA NA 6.61 7.19 1.92 090 58280 A Hysterectomy/revise vagina 18.20 NA NA 6.96 7.60 2.07 090 58285 A Extensive hysterectomy 23.30 NA NA 7.94 8.94 2.71 090 58290 A Vag hyst complex 20.17 NA NA 7.35 8.24 2.30 090 58291 A Vag hyst incl t/o, complex 21.96 NA NA 7.82 8.85 2.53 090 58292 A Vag hyst t/o & repair, compl 23.25 NA NA 8.21 9.29 2.68 090 58293 A Vag hyst w/uro repair, compl 24.23 NA NA 8.52 9.59 2.79 090 58294 A Vag hyst w/enterocele, compl 21.45 NA NA 7.51 8.53 2.40 090 58300 N Insert intrauterine device 1.01 0.63 1.03 0.23 0.31 0.12 XXX 58301 A Remove intrauterine device 1.27 1.05 1.18 0.34 0.41 0.15 000 58321 A Artificial insemination 0.92 0.94 1.04 0.23 0.30 0.10 000 58322 A Artificial insemination 1.10 1.03 1.12 0.31 0.36 0.13 000 58323 A Sperm washing 0.23 0.16 0.34 0.07 0.08 0.03 000 58340 A Catheter for hysterography 0.88 2.15 2.66 0.56 0.61 0.09 000 58345 A Reopen fallopian tube 4.67 NA NA 2.11 2.27 0.41 010 58346 A Insert heyman uteri capsule 7.48 NA NA 3.74 3.83 0.56 090 58350 A Reopen fallopian tube 1.03 1.35 1.42 0.88 0.90 0.12 010 58353 A Endometr ablate, thermal 3.57 22.84 29.26 1.71 1.88 0.43 010 58356 A Endometrial cryoablation 6.36 43.38 52.43 1.85 2.27 0.82 010 58400 A Suspension of uterus 7.06 NA NA 3.86 3.90 0.75 090 58410 A Suspension of uterus 13.70 NA NA 5.55 5.99 1.45 090 58520 A Repair of ruptured uterus 13.38 NA NA 5.49 5.76 1.47 090 58540 A Revision of uterus 15.61 NA NA 6.15 6.55 1.79 090 58541 A Lsh, uterus 250 g or less 14.57 NA NA 6.13 6.13 1.68 090 58542 A Lsh w/t/o ut 250 g or less 16.43 NA NA 6.64 6.64 1.69 090 58543 A Lsh uterus above 250 g 16.74 NA NA 6.71 6.71 1.73 090 58544 A Lsh w/t/o uterus above 250 g 18.24 NA NA 7.11 7.11 1.89 090 58545 A Laparoscopic myomectomy 15.45 NA NA 5.87 6.52 1.78 090 58546 A Laparo-myomectomy, complex 19.84 NA NA 7.05 7.99 2.31 090 58548 A Lap radical hyst 31.45 NA NA 12.47 12.47 3.52 090 58550 A Laparo-asst vag hysterectomy 14.97 NA NA 6.13 6.71 1.73 090 58552 A Laparo-vag hyst incl t/o 16.78 NA NA 6.56 7.29 1.73 090 Start Printed Page 2635 58553 A Laparo-vag hyst, complex 19.96 NA NA 7.09 8.00 2.31 090 58554 A Laparo-vag hyst w/t/o, compl 22.98 NA NA 8.24 9.32 2.28 090 58555 A Hysteroscopy, dx, sep proc 3.33 2.76 2.48 1.23 1.39 0.40 000 58558 A Hysteroscopy, biopsy 4.74 3.62 2.90 1.65 1.91 0.57 000 58559 A Hysteroscopy, lysis 6.16 NA NA 2.04 2.39 0.74 000 58560 A Hysteroscopy, resect septum 6.99 NA NA 2.32 2.70 0.84 000 58561 A Hysteroscopy, remove myoma 9.99 NA NA 3.11 3.70 1.21 000 58562 A Hysteroscopy, remove fb 5.20 3.53 2.94 1.75 2.05 0.63 000 58563 A Hysteroscopy, ablation 6.16 37.26 46.74 2.04 2.40 0.74 000 58565 A Hysteroscopy, sterilization 7.06 41.99 45.79 3.37 3.64 1.19 090 58570 A Tlh, uterus 250 g or less 15.75 NA NA 6.46 6.46 1.82 090 58571 A Tlh w/t/o 250 g or less 17.56 NA NA 6.95 6.95 1.81 090 58572 A Tlh, uterus over 250 g 19.96 NA NA 7.60 7.60 2.31 090 58573 A Tlh w/t/o uterus over 250 g 22.98 NA NA 8.42 8.42 2.28 090 58578 C Laparo proc, uterus 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58579 C Hysteroscope procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58600 A Division of fallopian tube 5.86 NA NA 2.92 3.13 0.66 090 58605 A Division of fallopian tube 5.25 NA NA 2.71 2.91 0.59 090 58611 A Ligate oviduct(s) add-on 1.45 NA NA 0.40 0.48 0.18 ZZZ 58615 A Occlude fallopian tube(s) 3.91 NA NA 2.04 2.37 0.47 010 58660 A Laparoscopy, lysis 11.54 NA NA 4.49 4.88 1.40 090 58661 A Laparoscopy, remove adnexa 11.30 NA NA 3.99 4.55 1.34 010 58662 A Laparoscopy, excise lesions 12.08 NA NA 4.76 5.27 1.43 090 58670 A Laparoscopy, tubal cautery 5.86 NA NA 2.95 3.11 0.67 090 58671 A Laparoscopy, tubal block 5.86 NA NA 2.94 3.11 0.68 090 58672 A Laparoscopy, fimbrioplasty 12.88 NA NA 4.78 5.48 1.60 090 58673 A Laparoscopy, salpingostomy 13.99 NA NA 5.13 5.85 1.70 090 58679 C Laparo proc, oviduct-ovary 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58700 A Removal of fallopian tube 12.84 NA NA 5.49 5.74 1.51 090 58720 A Removal of ovary/tube(s) 12.08 NA NA 5.09 5.43 1.39 090 58740 A Revise fallopian tube(s) 14.79 NA NA 6.05 6.59 1.72 090 58750 A Repair oviduct 15.56 NA NA 6.05 6.71 1.85 090 58752 A Revise ovarian tube(s) 15.56 NA NA 5.99 6.47 1.81 090 58760 A Remove tubal obstruction 13.85 NA NA 5.59 6.15 1.80 090 58770 A Create new tubal opening 14.69 NA NA 5.75 6.33 1.74 090 58800 A Drainage of ovarian cyst(s) 4.54 3.21 3.43 2.69 2.80 0.43 090 58805 A Drainage of ovarian cyst(s) 6.34 NA NA 3.51 3.50 0.69 090 58820 A Drain ovary abscess, open 4.62 NA NA 2.90 3.10 0.52 090 58822 A Drain ovary abscess, percut 11.71 NA NA 5.16 5.19 1.16 090 58823 A Drain pelvic abscess, percut 3.37 20.00 20.67 1.16 1.14 0.24 000 58825 A Transposition, ovary(s) 11.70 NA NA 4.84 5.32 1.32 090 58900 A Biopsy of ovary(s) 6.51 NA NA 3.55 3.56 0.69 090 58920 A Partial removal of ovary(s) 11.87 NA NA 5.05 5.31 1.43 090 58925 A Removal of ovarian cyst(s) 12.33 NA NA 5.25 5.47 1.41 090 58940 A Removal of ovary(s) 8.12 NA NA 4.04 4.07 0.91 090 58943 A Removal of ovary(s) 19.42 NA NA 7.18 7.91 2.23 090 58950 A Resect ovarian malignancy 18.24 NA NA 7.25 7.82 2.05 090 58951 A Resect ovarian malignancy 24.15 NA NA 8.60 9.52 2.64 090 58952 A Resect ovarian malignancy 27.15 NA NA 9.82 10.79 3.03 090 58953 A Tah, rad dissect for debulk 33.97 NA NA 11.63 13.09 3.84 090 58954 A Tah rad debulk/lymph remove 36.97 NA NA 12.52 14.12 4.18 090 58956 A Bso, omentectomy w/tah 22.65 NA NA 8.59 9.45 4.01 090 58957 A Resect recurrent gyn mal 26.06 NA NA 9.57 9.57 2.95 090 58958 A Resect recur gyn mal w/lym 29.06 NA NA 10.36 10.36 3.29 090 58960 A Exploration of abdomen 15.68 NA NA 6.25 6.80 1.80 090 58970 A Retrieval of oocyte 3.52 1.85 2.08 1.28 1.38 0.43 000 58974 C Transfer of embryo 0.00 0.00 0.00 0.00 0.00 0.00 000 58976 A Transfer of embryo 3.82 1.94 2.31 1.20 1.51 0.47 000 58999 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59000 A Amniocentesis, diagnostic 1.30 1.75 1.91 0.55 0.61 0.31 000 59001 A Amniocentesis, therapeutic 3.00 NA NA 1.07 1.24 0.71 000 59012 A Fetal cord puncture,prenatal 3.44 NA NA 1.13 1.34 0.82 000 59015 A Chorion biopsy 2.20 1.42 1.48 0.79 0.92 0.52 000 59020 A Fetal contract stress test 0.66 1.07 0.92 NA NA 0.26 000 59020 TC A Fetal contract stress test 0.00 0.89 0.70 NA NA 0.10 000 59020 26 A Fetal contract stress test 0.66 0.18 0.22 0.18 0.22 0.16 000 59025 A Fetal non-stress test 0.53 0.63 0.54 NA NA 0.15 000 59025 TC A Fetal non-stress test 0.00 0.48 0.36 NA NA 0.02 000 59025 26 A Fetal non-stress test 0.53 0.15 0.18 0.15 0.18 0.13 000 59030 A Fetal scalp blood sample 1.99 NA NA 0.46 0.61 0.47 000 59050 A Fetal monitor w/report 0.89 NA NA 0.27 0.31 0.21 XXX 59051 A Fetal monitor/interpret only 0.74 NA NA 0.20 0.25 0.17 XXX Start Printed Page 2636 59070 A Transabdom amnioinfus w/us 5.24 4.39 4.77 1.77 2.04 0.28 000 59072 A Umbilical cord occlud w/us 8.99 NA NA 2.39 2.76 0.16 000 59074 A Fetal fluid drainage w/us 5.24 3.61 4.09 1.53 1.92 0.28 000 59076 A Fetal shunt placement, w/us 8.99 NA NA 2.39 2.76 0.16 000 59100 A Remove uterus lesion 13.26 NA NA 5.55 6.00 2.95 090 59120 A Treat ectopic pregnancy 12.56 NA NA 5.40 5.82 2.73 090 59121 A Treat ectopic pregnancy 12.64 NA NA 5.35 5.84 2.79 090 59130 A Treat ectopic pregnancy 14.98 NA NA 6.74 5.76 3.39 090 59135 A Treat ectopic pregnancy 14.82 NA NA 5.09 6.16 3.31 090 59136 A Treat ectopic pregnancy 14.15 NA NA 4.93 5.77 3.14 090 59140 A Treat ectopic pregnancy 5.86 NA NA 3.30 2.76 1.29 090 59150 A Treat ectopic pregnancy 12.19 NA NA 5.23 5.61 2.79 090 59151 A Treat ectopic pregnancy 12.01 NA NA 4.87 5.46 2.74 090 59160 A D & c after delivery 2.73 1.99 2.64 1.17 1.65 0.64 010 59200 A Insert cervical dilator 0.79 0.94 1.06 0.22 0.26 0.19 000 59300 A Episiotomy or vaginal repair 2.41 2.19 2.18 1.00 0.98 0.57 000 59320 A Revision of cervix 2.48 NA NA 1.00 1.12 0.59 000 59325 A Revision of cervix 4.06 NA NA 1.44 1.67 0.88 000 59350 A Repair of uterus 4.94 NA NA 1.21 1.54 1.17 000 59400 A Obstetrical care 26.80 NA NA 14.09 14.71 5.50 MMM 59409 A Obstetrical care 13.48 NA NA 3.70 4.51 3.22 MMM 59410 A Obstetrical care 15.29 NA NA 4.92 5.61 3.52 MMM 59412 A Antepartum manipulation 1.71 NA NA 0.64 0.72 0.40 MMM 59414 A Deliver placenta 1.61 NA NA 0.44 0.54 0.38 MMM 59425 A Antepartum care only 6.22 4.24 4.22 1.68 1.77 1.14 MMM 59426 A Antepartum care only 11.04 7.79 7.67 2.99 3.11 1.98 MMM 59430 A Care after delivery 2.13 1.08 1.15 0.71 0.82 0.50 MMM 59510 A Cesarean delivery 30.34 NA NA 15.98 16.63 6.25 MMM 59514 A Cesarean delivery only 15.95 NA NA 4.43 5.32 3.80 MMM 59515 A Cesarean delivery 18.26 NA NA 6.13 6.98 4.13 MMM 59525 A Remove uterus after cesarean 8.53 NA NA 2.25 2.78 1.95 ZZZ 59610 A Vbac delivery 28.21 NA NA 14.94 15.41 5.87 MMM 59612 A Vbac delivery only 15.04 NA NA 4.19 5.13 3.59 MMM 59614 A Vbac care after delivery 16.59 NA NA 5.11 6.02 3.89 MMM 59618 A Attempted vbac delivery 31.78 NA NA 16.37 17.30 6.61 MMM 59620 A Attempted vbac delivery only 17.50 NA NA 4.66 5.71 4.17 MMM 59622 A Attempted vbac after care 19.70 NA NA 6.71 7.67 4.50 MMM 59812 A Treatment of miscarriage 4.39 3.10 2.82 2.36 2.45 0.95 090 59820 A Care of miscarriage 4.68 4.07 4.25 3.46 3.51 0.95 090 59821 A Treatment of miscarriage 4.97 3.91 4.09 3.24 3.32 1.06 090 59830 A Treat uterus infection 6.51 NA NA 3.44 3.71 1.44 090 59840 R Abortion 3.01 2.00 2.06 1.77 1.95 0.71 010 59841 R Abortion 5.57 3.12 3.30 2.55 2.76 1.24 010 59850 R Abortion 5.90 NA NA 2.46 2.86 1.28 090 59851 R Abortion 5.92 NA NA 3.29 3.51 1.28 090 59852 R Abortion 8.23 NA NA 3.82 4.43 1.81 090 59855 R Abortion 6.38 NA NA 3.08 3.31 1.45 090 59856 R Abortion 7.74 NA NA 3.32 3.69 1.79 090 59857 R Abortion 9.30 NA NA 3.64 4.18 2.02 090 59866 R Abortion (mpr) 3.99 NA NA 1.36 1.63 0.87 000 59870 A Evacuate mole of uterus 6.40 NA NA 4.38 4.43 1.42 090 59871 A Remove cerclage suture 2.13 NA NA 0.91 1.02 0.50 000 59897 C Fetal invas px w/us 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59898 C Laparo proc, ob care/deliver 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59899 C Maternity care procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 60000 A Drain thyroid/tongue cyst 1.78 2.09 2.01 1.70 1.70 0.15 010 60100 A Biopsy of thyroid 1.56 1.32 1.36 0.52 0.52 0.10 000 60200 A Remove thyroid lesion 9.91 NA NA 5.50 5.74 1.01 090 60210 A Partial thyroid excision 11.15 NA NA 5.23 5.43 1.23 090 60212 A Partial thyroid excision 16.32 NA NA 6.95 7.31 1.95 090 60220 A Partial removal of thyroid 12.29 NA NA 5.67 5.91 1.32 090 60225 A Partial removal of thyroid 14.67 NA NA 6.92 7.16 1.64 090 60240 A Removal of thyroid 16.18 NA NA 6.40 6.99 1.86 090 60252 A Removal of thyroid 21.88 NA NA 8.83 9.46 2.30 090 60254 A Extensive thyroid surgery 28.29 NA NA 11.22 12.69 2.61 090 60260 A Repeat thyroid surgery 18.18 NA NA 7.41 8.03 1.94 090 60270 A Removal of thyroid 23.07 NA NA 9.33 9.89 2.33 090 60271 A Removal of thyroid 17.54 NA NA 7.15 7.87 1.75 090 60280 A Remove thyroid duct lesion 6.05 NA NA 4.48 4.57 0.54 090 60281 A Remove thyroid duct lesion 8.71 NA NA 5.32 5.58 0.73 090 60300 A Aspir/inj thyroid cyst 0.97 1.94 1.67 0.30 0.32 0.07 000 60500 A Explore parathyroid glands 16.69 NA NA 6.86 7.13 2.01 090 Start Printed Page 2637 60502 A Re-explore parathyroids 21.01 NA NA 8.61 8.99 2.54 090 60505 A Explore parathyroid glands 22.91 NA NA 9.39 10.16 2.65 090 60512 A Autotransplant parathyroid 4.44 NA NA 1.21 1.41 0.53 ZZZ 60520 A Removal of thymus gland 17.07 NA NA 7.01 7.65 2.20 090 60521 A Removal of thymus gland 19.11 NA NA 8.13 8.84 2.82 090 60522 A Removal of thymus gland 23.37 NA NA 9.61 10.44 3.27 090 60540 A Explore adrenal gland 17.91 NA NA 8.25 7.92 1.75 090 60545 A Explore adrenal gland 20.82 NA NA 8.95 8.74 2.08 090 60600 A Remove carotid body lesion 24.99 NA NA 8.83 9.90 2.20 090 60605 A Remove carotid body lesion 31.86 NA NA 12.14 12.20 2.50 090 60650 A Laparoscopy adrenalectomy 20.63 NA NA 8.09 8.04 2.29 090 60659 C Laparo proc, endocrine 0.00 0.00 0.00 0.00 0.00 0.00 YYY 60699 C Endocrine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 61000 A Remove cranial cavity fluid 1.58 NA NA 1.24 1.09 0.13 000 61001 A Remove cranial cavity fluid 1.49 NA NA 1.08 1.07 0.16 000 61020 A Remove brain cavity fluid 1.51 NA NA 1.63 1.48 0.34 000 61026 A Injection into brain canal 1.69 NA NA 1.30 1.34 0.33 000 61050 A Remove brain canal fluid 1.51 NA NA 1.15 1.21 0.11 000 61055 A Injection into brain canal 2.10 NA NA 1.33 1.37 0.17 000 61070 A Brain canal shunt procedure 0.89 NA NA 1.16 1.08 0.17 000 61105 A Twist drill hole 5.40 NA NA 4.91 4.42 1.32 090 61107 A Drill skull for implantation 4.99 NA NA 1.83 2.18 1.29 000 61108 A Drill skull for drainage 11.51 NA NA 8.35 7.75 2.64 090 61120 A Burr hole for puncture 9.52 NA NA 6.78 6.39 2.10 090 61140 A Pierce skull for biopsy 17.10 NA NA 10.42 10.15 4.12 090 61150 A Pierce skull for drainage 18.80 NA NA 10.68 10.53 4.32 090 61151 A Pierce skull for drainage 13.41 NA NA 8.44 8.13 3.01 090 61154 A Pierce skull & remove clot 16.92 NA NA 10.83 10.16 4.21 090 61156 A Pierce skull for drainage 17.37 NA NA 9.72 9.78 4.23 090 61210 A Pierce skull, implant device 5.83 NA NA 2.15 2.53 1.50 000 61215 A Insert brain-fluid device 5.77 NA NA 5.45 4.72 1.26 090 61250 A Pierce skull & explore 11.41 NA NA 7.38 7.12 2.77 090 61253 A Pierce skull & explore 13.41 NA NA 7.49 7.61 2.62 090 61304 A Open skull for exploration 23.31 NA NA 12.54 12.69 5.63 090 61305 A Open skull for exploration 28.51 NA NA 14.97 15.14 6.09 090 61312 A Open skull for drainage 30.07 NA NA 15.24 15.14 6.36 090 61313 A Open skull for drainage 27.94 NA NA 15.37 15.09 6.45 090 61314 A Open skull for drainage 25.77 NA NA 14.15 13.60 6.28 090 61315 A Open skull for drainage 29.52 NA NA 15.51 15.77 7.16 090 61316 A Implt cran bone flap to abdo 1.39 NA NA 0.51 0.56 0.35 ZZZ 61320 A Open skull for drainage 27.32 NA NA 14.25 14.50 6.62 090 61321 A Open skull for drainage 30.40 NA NA 16.07 16.10 7.14 090 61322 A Decompressive craniotomy 34.08 NA NA 17.48 16.58 7.63 090 61323 A Decompressive lobectomy 34.93 NA NA 17.31 16.70 8.03 090 61330 A Decompress eye socket 25.17 NA NA 11.53 12.63 2.32 090 61332 A Explore/biopsy eye socket 28.50 NA NA 12.96 14.28 4.83 090 61333 A Explore orbit/remove lesion 29.17 NA NA 12.88 14.24 3.92 090 61334 A Explore orbit/remove object 19.50 NA NA 9.02 9.83 1.75 090 61340 A Subtemporal decompression 20.01 NA NA 11.68 11.40 4.84 090 61343 A Incise skull (press relief) 31.73 NA NA 15.94 16.37 7.64 090 61345 A Relieve cranial pressure 29.10 NA NA 14.86 15.13 7.04 090 61440 A Incise skull for surgery 28.53 NA NA 15.23 14.72 6.90 090 61450 A Incise skull for surgery 27.59 NA NA 14.06 14.18 5.79 090 61458 A Incise skull for brain wound 28.71 NA NA 14.89 15.20 7.03 090 61460 A Incise skull for surgery 30.11 NA NA 14.58 15.50 6.04 090 61470 A Incise skull for surgery 27.52 NA NA 14.06 13.96 5.90 090 61480 A Incise skull for surgery 27.95 NA NA 8.14 11.71 6.73 090 61490 A Incise skull for surgery 27.12 NA NA 14.23 14.28 6.92 090 61500 A Removal of skull lesion 19.05 NA NA 10.69 10.75 4.11 090 61501 A Remove infected skull bone 16.22 NA NA 9.45 9.33 3.22 090 61510 A Removal of brain lesion 30.63 NA NA 16.95 16.83 7.35 090 61512 A Remove brain lining lesion 36.99 NA NA 18.47 19.08 9.08 090 61514 A Removal of brain abscess 27.10 NA NA 14.42 14.43 6.54 090 61516 A Removal of brain lesion 26.45 NA NA 14.06 14.16 6.35 090 61517 A Implt brain chemotx add-on 1.38 NA NA 0.51 0.58 0.35 ZZZ 61518 A Removal of brain lesion 39.69 NA NA 20.31 20.71 9.65 090 61519 A Remove brain lining lesion 43.28 NA NA 20.65 21.66 10.63 090 61520 A Removal of brain lesion 56.89 NA NA 25.96 28.15 11.21 090 61521 A Removal of brain lesion 46.84 NA NA 22.16 23.19 11.39 090 61522 A Removal of brain abscess 31.41 NA NA 15.77 16.10 7.62 090 61524 A Removal of brain lesion 29.76 NA NA 15.70 15.69 7.16 090 61526 A Removal of brain lesion 53.90 NA NA 22.53 26.02 7.07 090 Start Printed Page 2638 61530 A Removal of brain lesion 45.43 NA NA 19.49 22.28 6.15 090 61531 A Implant brain electrodes 16.28 NA NA 10.46 9.80 3.79 090 61533 A Implant brain electrodes 21.36 NA NA 11.79 11.66 5.12 090 61534 A Removal of brain lesion 22.88 NA NA 13.13 12.61 5.44 090 61535 A Remove brain electrodes 13.05 NA NA 8.84 8.13 3.02 090 61536 A Removal of brain lesion 37.59 NA NA 18.53 19.17 9.21 090 61537 A Removal of brain tissue 36.35 NA NA 17.04 15.89 6.94 090 61538 A Removal of brain tissue 39.35 NA NA 18.37 16.84 6.94 090 61539 A Removal of brain tissue 34.15 NA NA 16.83 17.30 8.32 090 61540 A Removal of brain tissue 31.30 NA NA 16.30 16.78 8.32 090 61541 A Incision of brain tissue 30.81 NA NA 16.09 16.15 6.60 090 61542 A Removal of brain tissue 33.03 NA NA 16.78 17.31 8.03 090 61543 A Removal of brain tissue 31.18 NA NA 13.86 15.13 7.56 090 61544 A Remove & treat brain lesion 27.26 NA NA 14.28 14.06 5.97 090 61545 A Excision of brain tumor 46.23 NA NA 22.83 23.53 10.63 090 61546 A Removal of pituitary gland 33.31 NA NA 16.74 17.12 7.67 090 61548 A Removal of pituitary gland 23.27 NA NA 11.62 12.20 3.43 090 61550 A Release of skull seams 15.44 NA NA 5.65 6.29 0.98 090 61552 A Release of skull seams 20.27 NA NA 12.15 10.64 1.06 090 61556 A Incise skull/sutures 24.00 NA NA 13.29 12.33 4.65 090 61557 A Incise skull/sutures 23.16 NA NA 13.64 13.63 5.80 090 61558 A Excision of skull/sutures 26.35 NA NA 14.70 14.45 1.36 090 61559 A Excision of skull/sutures 33.82 NA NA 18.38 18.85 8.51 090 61563 A Excision of skull tumor 28.35 NA NA 13.09 14.17 5.17 090 61564 A Excision of skull tumor 34.59 NA NA 17.91 18.10 8.78 090 61566 A Removal of brain tissue 32.32 NA NA 16.65 17.21 6.94 090 61567 A Incision of brain tissue 36.84 NA NA 19.07 19.88 6.54 090 61570 A Remove foreign body, brain 26.38 NA NA 14.02 13.97 5.88 090 61571 A Incise skull for brain wound 28.29 NA NA 14.64 14.89 6.79 090 61575 A Skull base/brainstem surgery 36.43 NA NA 16.10 17.87 5.34 090 61576 A Skull base/brainstem surgery 55.11 NA NA 28.09 31.42 5.58 090 61580 A Craniofacial approach, skull 34.34 NA NA 22.85 24.22 3.37 090 61581 A Craniofacial approach, skull 38.88 NA NA 27.83 25.65 3.92 090 61582 A Craniofacial approach, skull 34.93 NA NA 30.48 28.90 7.21 090 61583 A Craniofacial approach, skull 38.41 NA NA 25.90 25.51 9.21 090 61584 A Orbitocranial approach/skull 37.61 NA NA 26.04 25.29 8.18 090 61585 A Orbitocranial approach/skull 42.46 NA NA 25.13 25.82 7.03 090 61586 A Resect nasopharynx, skull 27.28 NA NA 22.64 22.62 4.37 090 61590 A Infratemporal approach/skull 46.87 NA NA 24.81 26.73 5.31 090 61591 A Infratemporal approach/skull 46.87 NA NA 24.60 27.07 5.66 090 61592 A Orbitocranial approach/skull 42.98 NA NA 26.80 26.66 10.07 090 61595 A Transtemporal approach/skull 33.57 NA NA 21.14 21.75 3.98 090 61596 A Transcochlear approach/skull 39.31 NA NA 20.95 22.70 3.40 090 61597 A Transcondylar approach/skull 40.73 NA NA 23.27 23.14 8.84 090 61598 A Transpetrosal approach/skull 36.41 NA NA 22.16 22.70 5.70 090 61600 A Resect/excise cranial lesion 29.84 NA NA 19.76 19.77 3.79 090 61601 A Resect/excise cranial lesion 31.04 NA NA 22.38 21.44 6.63 090 61605 A Resect/excise cranial lesion 32.40 NA NA 19.47 20.72 2.86 090 61606 A Resect/excise cranial lesion 41.94 NA NA 23.77 24.47 8.97 090 61607 A Resect/excise cranial lesion 40.82 NA NA 21.00 22.40 6.90 090 61608 A Resect/excise cranial lesion 45.45 NA NA 26.32 26.46 10.75 090 61609 A Transect artery, sinus 9.88 NA NA 3.25 4.05 2.56 ZZZ 61610 A Transect artery, sinus 29.63 NA NA 11.06 12.11 7.68 ZZZ 61611 A Transect artery, sinus 7.41 NA NA 1.71 2.76 1.89 ZZZ 61612 A Transect artery, sinus 27.84 NA NA 6.41 9.86 4.31 ZZZ 61613 A Remove aneurysm, sinus 44.94 NA NA 27.35 26.82 8.45 090 61615 A Resect/excise lesion, skull 35.63 NA NA 21.30 22.02 4.73 090 61616 A Resect/excise lesion, skull 46.60 NA NA 27.24 27.96 8.26 090 61618 A Repair dura 18.58 NA NA 10.44 10.44 3.72 090 61619 A Repair dura 22.01 NA NA 11.67 11.96 3.95 090 61623 A Endovasc tempory vessel occl 9.95 NA NA 3.72 3.90 1.05 000 61624 A Transcath occlusion, cns 20.12 NA NA 7.29 7.09 1.96 000 61626 A Transcath occlusion, non-cns 16.60 NA NA 5.97 5.75 1.24 000 61630 N Intracranial angioplasty 22.07 NA NA 6.44 9.47 2.02 090 61635 N Intracran angioplsty w/stent 24.28 NA NA 6.95 10.25 2.21 090 61640 N Dilate ic vasospasm, init 12.32 NA NA 2.83 2.83 0.71 000 61641 N Dilate ic vasospasm add-on 4.33 NA NA 1.00 1.00 0.25 ZZZ 61642 N Dilate ic vasospasm add-on 8.66 NA NA 1.99 1.99 0.50 ZZZ 61680 A Intracranial vessel surgery 32.40 NA NA 16.75 17.09 7.95 090 61682 A Intracranial vessel surgery 63.31 NA NA 27.54 29.89 15.90 090 61684 A Intracranial vessel surgery 41.49 NA NA 20.38 21.19 10.31 090 61686 A Intracranial vessel surgery 67.32 NA NA 30.47 32.61 16.71 090 Start Printed Page 2639 61690 A Intracranial vessel surgery 31.18 NA NA 16.52 16.63 6.94 090 61692 A Intracranial vessel surgery 54.43 NA NA 24.35 25.92 13.43 090 61697 A Brain aneurysm repr, complx 63.22 NA NA 28.64 28.33 12.85 090 61698 A Brain aneurysm repr, complx 69.45 NA NA 30.59 28.65 12.54 090 61700 A Brain aneurysm repr, simple 50.44 NA NA 24.03 25.92 13.02 090 61702 A Inner skull vessel surgery 59.86 NA NA 27.50 26.78 10.79 090 61703 A Clamp neck artery 18.70 NA NA 10.06 10.27 4.06 090 61705 A Revise circulation to head 37.97 NA NA 18.32 18.79 8.87 090 61708 A Revise circulation to head 37.07 NA NA 14.87 15.02 2.51 090 61710 A Revise circulation to head 31.19 NA NA 13.79 13.72 4.52 090 61711 A Fusion of skull arteries 38.10 NA NA 18.61 19.21 9.42 090 61720 A Incise skull/brain surgery 17.52 NA NA 7.89 8.93 2.79 090 61735 A Incise skull/brain surgery 22.22 NA NA 9.17 10.67 2.73 090 61750 A Incise skull/brain biopsy 19.73 NA NA 10.95 10.79 4.72 090 61751 A Brain biopsy w/ct/mr guide 18.64 NA NA 11.37 11.10 4.56 090 61760 A Implant brain electrodes 22.24 NA NA 12.06 10.39 5.42 090 61770 A Incise skull for treatment 23.09 NA NA 9.89 11.08 3.55 090 61790 A Treat trigeminal nerve 11.50 NA NA 7.70 6.81 2.82 090 61791 A Treat trigeminal tract 15.31 NA NA 8.21 8.57 3.40 090 61793 A Focus radiation beam 17.75 NA NA 9.55 9.84 4.46 090 61795 A Brain surgery using computer 4.03 NA NA 1.43 1.73 0.79 ZZZ 61850 A Implant neuroelectrodes 13.26 NA NA 7.89 7.78 3.22 090 61860 A Implant neuroelectrodes 22.16 NA NA 11.60 11.83 4.95 090 61863 A Implant neuroelectrode 20.56 NA NA 12.42 12.10 5.43 090 61864 A Implant neuroelectrde, addl 4.49 NA NA 1.68 1.98 5.43 ZZZ 61867 A Implant neuroelectrode 32.88 NA NA 16.37 17.20 5.43 090 61868 A Implant neuroelectrde, addÆl 7.91 NA NA 2.94 3.48 5.43 ZZZ 61870 A Implant neuroelectrodes 16.24 NA NA 9.69 9.70 3.87 090 61875 A Implant neuroelectrodes 16.36 NA NA 5.33 6.95 2.95 090 61880 A Revise/remove neuroelectrode 6.87 NA NA 5.18 4.87 1.66 090 61885 A Insrt/redo neurostim 1 array 7.37 NA NA 7.06 6.19 1.59 090 61886 A Implant neurostim arrays 9.73 NA NA 8.52 7.44 1.97 090 61888 A Revise/remove neuroreceiver 5.20 NA NA 3.47 3.57 1.33 010 62000 A Treat skull fracture 13.83 NA NA 7.61 6.57 1.06 090 62005 A Treat skull fracture 17.53 NA NA 9.59 9.20 3.87 090 62010 A Treatment of head injury 21.30 NA NA 11.81 11.76 5.14 090 62100 A Repair brain fluid leakage 23.40 NA NA 12.09 12.44 4.84 090 62115 A Reduction of skull defect 22.71 NA NA 13.89 12.77 5.51 090 62116 A Reduction of skull defect 24.90 NA NA 13.35 13.36 6.11 090 62117 A Reduction of skull defect 28.26 NA NA 12.74 14.06 4.53 090 62120 A Repair skull cavity lesion 24.39 NA NA 17.33 17.91 3.00 090 62121 A Incise skull repair 22.93 NA NA 14.24 14.85 4.17 090 62140 A Repair of skull defect 14.45 NA NA 8.64 8.48 3.47 090 62141 A Repair of skull defect 15.97 NA NA 9.34 9.19 3.76 090 62142 A Remove skull plate/flap 11.73 NA NA 7.79 7.39 2.73 090 62143 A Replace skull plate/flap 14.05 NA NA 8.73 8.39 3.37 090 62145 A Repair of skull & brain 19.99 NA NA 10.26 10.58 4.50 090 62146 A Repair of skull with graft 17.18 NA NA 9.52 9.58 3.62 090 62147 A Repair of skull with graft 20.57 NA NA 11.00 11.15 4.32 090 62148 A Retr bone flap to fix skull 2.00 NA NA 0.74 0.80 0.48 ZZZ 62160 A Neuroendoscopy add-on 3.00 NA NA 1.11 1.32 0.77 ZZZ 62161 A Dissect brain w/scope 21.10 NA NA 12.15 12.13 5.19 090 62162 A Remove colloid cyst w/scope 26.67 NA NA 14.65 14.75 5.91 090 62163 A Neuroendoscopy w/fb removal 16.40 NA NA 9.25 9.59 4.01 090 62164 A Remove brain tumor w/scope 29.27 NA NA 15.93 15.44 5.38 090 62165 A Remove pituit tumor w/scope 23.10 NA NA 11.78 12.58 3.01 090 62180 A Establish brain cavity shunt 22.45 NA NA 12.37 12.33 4.98 090 62190 A Establish brain cavity shunt 12.07 NA NA 7.37 7.23 2.80 090 62192 A Establish brain cavity shunt 13.25 NA NA 8.02 7.82 3.02 090 62194 A Replace/irrigate catheter 5.68 NA NA 3.14 2.79 0.92 010 62200 A Establish brain cavity shunt 19.19 NA NA 10.70 10.77 4.65 090 62201 A Brain cavity shunt w/scope 15.89 NA NA 10.35 9.90 3.68 090 62220 A Establish brain cavity shunt 14.00 NA NA 8.62 8.30 3.35 090 62223 A Establish brain cavity shunt 13.90 NA NA 9.36 8.80 3.14 090 62225 A Replace/irrigate catheter 6.11 NA NA 5.48 4.79 1.39 090 62230 A Replace/revise brain shunt 11.35 NA NA 7.21 6.85 2.71 090 62252 A Csf shunt reprogram 0.74 1.77 1.62 NA NA 0.21 XXX 62252 TC A Csf shunt reprogram 0.00 1.50 1.30 NA NA 0.02 XXX 62252 26 A Csf shunt reprogram 0.74 0.27 0.32 0.27 0.32 0.19 XXX 62256 A Remove brain cavity shunt 7.30 NA NA 5.90 5.30 1.72 090 62258 A Replace brain cavity shunt 15.54 NA NA 9.30 9.01 3.74 090 62263 A Epidural lysis mult sessions 6.41 9.46 11.08 2.98 3.09 0.41 010 Start Printed Page 2640 62264 A Epidural lysis on single day 4.42 5.63 6.68 1.24 1.33 0.27 010 62268 A Drain spinal cord cyst 4.73 6.70 9.12 1.81 1.98 0.43 000 62269 A Needle biopsy, spinal cord 5.01 6.25 10.47 1.48 1.73 0.37 000 62270 A Spinal fluid tap, diagnostic 1.37 2.40 2.69 0.58 0.57 0.08 000 62272 A Drain cerebro spinal fluid 1.35 3.13 3.37 0.62 0.66 0.18 000 62273 A Inject epidural patch 2.15 1.67 2.19 0.57 0.64 0.13 000 62280 A Treat spinal cord lesion 2.63 4.63 5.78 1.15 1.08 0.30 010 62281 A Treat spinal cord lesion 2.66 4.08 4.87 1.03 0.96 0.19 010 62282 A Treat spinal canal lesion 2.33 4.08 6.22 1.11 1.02 0.17 010 62284 A Injection for myelogram 1.54 3.79 4.38 0.71 0.70 0.13 000 62287 A Percutaneous diskectomy 8.88 NA NA 4.30 4.93 0.58 090 62290 A Inject for spine disk x-ray 3.00 4.50 5.82 1.15 1.26 0.23 000 62291 A Inject for spine disk x-ray 2.91 4.24 5.09 1.08 1.15 0.26 000 62292 A Injection into disk lesion 9.14 NA NA 2.87 3.67 0.82 090 62294 A Injection into spinal artery 12.77 NA NA 6.49 6.04 1.24 090 62310 A Inject spine c/t 1.91 3.00 3.90 0.56 0.60 0.12 000 62311 A Inject spine l/s (cd) 1.54 2.66 3.79 0.52 0.56 0.09 000 62318 A Inject spine w/cath, c/t 2.04 3.09 4.41 0.43 0.54 0.12 000 62319 A Inject spine w/cath l/s (cd) 1.87 2.80 3.89 0.44 0.52 0.11 000 62350 A Implant spinal canal cath 8.04 NA NA 3.99 3.96 1.02 090 62351 A Implant spinal canal cath 11.54 NA NA 7.65 7.39 2.25 090 62355 A Remove spinal canal catheter 6.60 NA NA 3.52 3.34 0.71 090 62360 A Insert spine infusion device 3.68 NA NA 3.17 2.93 0.34 090 62361 A Implant spine infusion pump 6.59 NA NA 4.07 3.99 0.80 090 62362 A Implant spine infusion pump 8.58 NA NA 4.65 4.51 1.18 090 62365 A Remove spine infusion device 6.57 NA NA 3.71 3.65 0.86 090 62367 A Analyze spine infusion pump 0.48 0.42 0.52 0.11 0.11 0.03 XXX 62368 A Analyze spine infusion pump 0.75 0.58 0.63 0.17 0.17 0.06 XXX 63001 A Removal of spinal lamina 17.51 NA NA 9.77 9.64 3.77 090 63003 A Removal of spinal lamina 17.64 NA NA 9.73 9.80 3.73 090 63005 A Removal of spinal lamina 16.28 NA NA 9.74 9.86 3.35 090 63011 A Removal of spinal lamina 15.78 NA NA 9.01 8.64 3.38 090 63012 A Removal of spinal lamina 16.72 NA NA 9.76 9.95 3.49 090 63015 A Removal of spinal lamina 20.70 NA NA 11.85 11.86 4.76 090 63016 A Removal of spinal lamina 21.90 NA NA 11.65 11.72 4.59 090 63017 A Removal of spinal lamina 17.18 NA NA 10.35 10.37 3.64 090 63020 A Neck spine disk surgery 16.05 NA NA 9.88 9.78 3.72 090 63030 A Low back disk surgery 13.03 NA NA 8.60 8.51 3.01 090 63035 A Spinal disk surgery add-on 3.15 NA NA 1.19 1.39 0.79 ZZZ 63040 A Laminotomy, single cervical 20.18 NA NA 11.03 11.27 4.68 090 63042 A Laminotomy, single lumbar 18.61 NA NA 10.59 10.97 4.26 090 63043 C Laminotomy, addÆl cervical 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63044 C Laminotomy, addÆl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63045 A Removal of spinal lamina 17.82 NA NA 10.34 10.35 3.99 090 63046 A Removal of spinal lamina 17.12 NA NA 9.79 9.99 3.56 090 63047 A Removal of spinal lamina 15.22 NA NA 9.34 9.62 3.24 090 63048 A Remove spinal lamina add-on 3.47 NA NA 1.32 1.49 0.72 ZZZ 63050 A Cervical laminoplasty 21.88 NA NA 11.82 11.83 4.67 090 63051 A C-laminoplasty w/graft/plate 25.38 NA NA 13.08 13.28 4.67 090 63055 A Decompress spinal cord 23.42 NA NA 12.45 12.80 5.29 090 63056 A Decompress spinal cord 21.73 NA NA 11.38 11.98 4.76 090 63057 A Decompress spine cord add-on 5.25 NA NA 1.98 2.31 1.22 ZZZ 63064 A Decompress spinal cord 26.09 NA NA 13.22 13.82 5.71 090 63066 A Decompress spine cord add-on 3.26 NA NA 1.21 1.43 0.69 ZZZ 63075 A Neck spine disk surgery 19.47 NA NA 11.01 11.55 4.63 090 63076 A Neck spine disk surgery 4.04 NA NA 1.52 1.79 0.96 ZZZ 63077 A Spine disk surgery, thorax 22.75 NA NA 11.08 11.94 3.99 090 63078 A Spine disk surgery, thorax 3.28 NA NA 1.21 1.43 0.66 ZZZ 63081 A Removal of vertebral body 25.97 NA NA 13.49 13.91 5.56 090 63082 A Remove vertebral body add-on 4.36 NA NA 1.64 1.94 1.02 ZZZ 63085 A Removal of vertebral body 29.34 NA NA 13.54 14.51 4.49 090 63086 A Remove vertebral body add-on 3.19 NA NA 1.17 1.38 0.59 ZZZ 63087 A Removal of vertebral body 37.38 NA NA 16.65 18.06 6.22 090 63088 A Remove vertebral body add-on 4.32 NA NA 1.59 1.88 0.82 ZZZ 63090 A Removal of vertebral body 30.78 NA NA 14.39 15.22 4.22 090 63091 A Remove vertebral body add-on 3.03 NA NA 1.14 1.30 0.48 ZZZ 63101 A Removal of vertebral body 33.92 NA NA 17.04 18.16 5.71 090 63102 A Removal of vertebral body 33.92 NA NA 16.83 18.06 5.71 090 63103 A Remove vertebral body add-on 4.82 NA NA 1.74 2.12 0.69 ZZZ 63170 A Incise spinal cord tract(s) 22.08 NA NA 10.44 11.15 4.87 090 63172 A Drainage of spinal cyst 19.66 NA NA 11.07 10.86 4.49 090 63173 A Drainage of spinal cyst 24.18 NA NA 13.57 13.19 5.70 090 Start Printed Page 2641 63180 A Revise spinal cord ligaments 20.40 NA NA 10.95 10.97 3.96 090 63182 A Revise spinal cord ligaments 22.69 NA NA 7.18 9.07 5.32 090 63185 A Incise spinal column/nerves 16.36 NA NA 9.80 8.95 2.80 090 63190 A Incise spinal column/nerves 18.76 NA NA 9.60 9.87 3.25 090 63191 A Incise spinal column/nerves 18.79 NA NA 4.10 7.29 6.36 090 63194 A Incise spinal column & cord 21.97 NA NA 11.20 11.46 3.27 090 63195 A Incise spinal column & cord 21.54 NA NA 12.10 11.57 4.88 090 63196 A Incise spinal column & cord 25.14 NA NA 13.79 13.59 5.78 090 63197 A Incise spinal column & cord 23.95 NA NA 7.47 9.84 5.38 090 63198 A Incise spinal column & cord 29.75 NA NA 8.93 8.68 6.45 090 63199 A Incise spinal column & cord 31.32 NA NA 9.29 12.16 1.40 090 63200 A Release of spinal cord 21.31 NA NA 12.10 11.70 4.97 090 63250 A Revise spinal cord vessels 43.73 NA NA 20.91 20.42 9.04 090 63251 A Revise spinal cord vessels 44.49 NA NA 21.53 22.07 10.44 090 63252 A Revise spinal cord vessels 44.48 NA NA 20.87 21.56 10.67 090 63265 A Excise intraspinal lesion 23.69 NA NA 12.99 12.88 5.45 090 63266 A Excise intraspinal lesion 24.55 NA NA 13.18 13.18 5.56 090 63267 A Excise intraspinal lesion 19.32 NA NA 11.13 11.10 4.38 090 63268 A Excise intraspinal lesion 19.89 NA NA 11.25 10.81 3.70 090 63270 A Excise intraspinal lesion 29.67 NA NA 15.36 15.41 6.84 090 63271 A Excise intraspinal lesion 29.79 NA NA 15.32 15.45 6.92 090 63272 A Excise intraspinal lesion 27.37 NA NA 14.29 14.49 6.20 090 63273 A Excise intraspinal lesion 26.34 NA NA 14.08 14.21 5.76 090 63275 A Biopsy/excise spinal tumor 25.73 NA NA 13.74 13.76 5.82 090 63276 A Biopsy/excise spinal tumor 25.56 NA NA 13.52 13.60 5.85 090 63277 A Biopsy/excise spinal tumor 22.26 NA NA 12.13 12.32 5.03 090 63278 A Biopsy/excise spinal tumor 21.99 NA NA 11.92 12.16 4.56 090 63280 A Biopsy/excise spinal tumor 30.14 NA NA 15.88 16.10 7.29 090 63281 A Biopsy/excise spinal tumor 29.84 NA NA 15.87 16.02 7.19 090 63282 A Biopsy/excise spinal tumor 28.00 NA NA 15.01 15.17 6.78 090 63283 A Biopsy/excise spinal tumor 26.61 NA NA 14.68 14.67 6.28 090 63285 A Biopsy/excise spinal tumor 37.90 NA NA 18.10 19.02 9.21 090 63286 A Biopsy/excise spinal tumor 37.47 NA NA 18.71 19.31 9.24 090 63287 A Biopsy/excise spinal tumor 39.93 NA NA 19.62 20.02 9.42 090 63290 A Biopsy/excise spinal tumor 40.67 NA NA 19.29 19.94 9.05 090 63295 A Repair of laminectomy defect 5.25 NA NA 1.95 2.05 1.03 ZZZ 63300 A Removal of vertebral body 26.67 NA NA 13.80 14.05 5.99 090 63301 A Removal of vertebral body 31.42 NA NA 14.21 14.88 5.41 090 63302 A Removal of vertebral body 31.00 NA NA 13.78 14.82 5.55 090 63303 A Removal of vertebral body 33.42 NA NA 15.00 15.96 4.69 090 63304 A Removal of vertebral body 33.70 NA NA 17.58 17.43 6.43 090 63305 A Removal of vertebral body 36.09 NA NA 16.99 17.52 5.73 090 63306 A Removal of vertebral body 35.40 NA NA 16.65 17.22 8.35 090 63307 A Removal of vertebral body 34.81 NA NA 14.83 15.82 4.47 090 63308 A Remove vertebral body add-on 5.24 NA NA 1.95 2.28 1.29 ZZZ 63600 A Remove spinal cord lesion 15.02 NA NA 4.03 4.72 1.52 090 63610 A Stimulation of spinal cord 8.72 13.95 36.83 1.49 1.87 0.86 000 63615 A Remove lesion of spinal cord 17.22 NA NA 8.53 8.90 2.85 090 63650 A Implant neuroelectrodes 7.57 NA NA 2.92 3.05 0.53 090 63655 A Implant neuroelectrodes 11.43 NA NA 7.63 7.26 2.44 090 63660 A Revise/remove neuroelectrode 6.87 NA NA 3.42 3.52 0.78 090 63685 A Insrt/redo spine n generator 7.87 NA NA 3.65 3.90 1.05 090 63688 A Revise/remove neuroreceiver 6.10 NA NA 3.53 3.54 0.89 090 63700 A Repair of spinal herniation 17.32 NA NA 9.95 10.13 3.53 090 63702 A Repair of spinal herniation 19.26 NA NA 9.98 10.51 4.13 090 63704 A Repair of spinal herniation 22.23 NA NA 11.66 12.29 4.58 090 63706 A Repair of spinal herniation 25.15 NA NA 14.30 13.94 6.25 090 63707 A Repair spinal fluid leakage 12.52 NA NA 7.83 7.77 2.52 090 63709 A Repair spinal fluid leakage 15.52 NA NA 8.97 9.19 3.10 090 63710 A Graft repair of spine defect 15.27 NA NA 9.19 9.12 3.41 090 63740 A Install spinal shunt 12.50 NA NA 8.28 7.81 2.94 090 63741 A Install spinal shunt 9.02 NA NA 4.93 4.84 1.66 090 63744 A Revision of spinal shunt 8.86 NA NA 5.76 5.51 1.90 090 63746 A Removal of spinal shunt 7.25 NA NA 5.69 4.73 1.53 090 64400 A N block inj, trigeminal 1.11 1.42 1.66 0.45 0.44 0.07 000 64402 A N block inj, facial 1.25 1.41 1.51 0.50 0.55 0.09 000 64405 A N block inj, occipital 1.32 1.16 1.31 0.49 0.48 0.08 000 64408 A N block inj, vagus 1.41 1.45 1.51 0.71 0.78 0.10 000 64410 A N block inj, phrenic 1.43 1.92 2.21 0.56 0.51 0.09 000 64412 A N block inj, spinal accessor 1.18 2.13 2.39 0.59 0.51 0.08 000 64413 A N block inj, cervical plexus 1.40 1.31 1.58 0.48 0.49 0.08 000 64415 A N block inj, brachial plexus 1.48 1.41 2.11 0.30 0.38 0.09 000 Start Printed Page 2642 64416 A N block cont infuse, b plex 3.85 NA NA 0.46 0.63 0.31 010 64417 A N block inj, axillary 1.44 1.43 2.23 0.32 0.40 0.11 000 64418 A N block inj, suprascapular 1.32 1.89 2.26 0.52 0.48 0.07 000 64420 A N block inj, intercost, sng 1.18 2.40 3.14 0.45 0.43 0.08 000 64421 A N block inj, intercost, mlt 1.68 3.55 4.82 0.53 0.52 0.11 000 64425 A N block inj, ilio-ing/hypogi 1.75 1.29 1.47 0.53 0.53 0.13 000 64430 A N block inj, pudendal 1.46 2.39 2.45 0.77 0.66 0.10 000 64435 A N block inj, paracervical 1.45 2.00 2.26 0.56 0.62 0.16 000 64445 A N block inj, sciatic, sng 1.48 1.63 2.15 0.50 0.50 0.10 000 64446 A N blk inj, sciatic, cont inf 3.61 NA NA 0.48 0.74 0.20 010 64447 A N block inj fem, single 1.50 NA NA 0.17 0.30 0.09 000 64448 A N block inj fem, cont inf 3.36 NA NA 0.39 0.60 0.18 010 64449 A N block inj, lumbar plexus 3.24 NA NA 0.42 0.69 0.15 010 64450 A N block, other peripheral 1.27 1.28 1.26 0.49 0.48 0.13 000 64470 A Inj paravertebral c/t 1.85 3.83 5.53 0.70 0.70 0.11 000 64472 A Inj paravertebral c/t add-on 1.29 1.22 1.78 0.33 0.33 0.08 ZZZ 64475 A Inj paravertebral l/s 1.41 3.64 5.26 0.58 0.60 0.10 000 64476 A Inj paravertebral l/s add-on 0.98 1.10 1.61 0.22 0.23 0.07 ZZZ 64479 A Inj foramen epidural c/t 2.20 3.75 5.62 0.81 0.85 0.12 000 64480 A Inj foramen epidural add-on 1.54 1.55 2.20 0.39 0.43 0.10 ZZZ 64483 A Inj foramen epidural l/s 1.90 3.82 5.86 0.75 0.79 0.11 000 64484 A Inj foramen epidural add-on 1.33 1.63 2.45 0.32 0.35 0.08 ZZZ 64505 A N block, spenopalatine gangl 1.36 1.13 1.18 0.74 0.70 0.10 000 64508 A N block, carotid sinus s/p 1.12 2.04 2.68 0.56 0.65 0.07 000 64510 A N block, stellate ganglion 1.22 1.90 2.68 0.43 0.47 0.07 000 64517 A N block inj, hypogas plxs 2.20 1.72 2.22 0.68 0.78 0.11 000 64520 A N block, lumbar/thoracic 1.35 2.57 3.86 0.51 0.53 0.08 000 64530 A N block inj, celiac pelus 1.58 2.79 3.62 0.65 0.65 0.10 000 64550 A Apply neurostimulator 0.18 0.20 0.24 0.05 0.05 0.01 000 64553 A Implant neuroelectrodes 2.33 2.65 2.74 1.45 1.65 0.18 010 64555 A Implant neuroelectrodes 2.29 2.78 2.94 1.49 1.34 0.19 010 64560 A Implant neuroelectrodes 2.38 2.41 2.52 1.26 1.27 0.22 010 64561 A Implant neuroelectrodes 7.07 19.61 24.84 3.76 3.27 0.51 010 64565 A Implant neuroelectrodes 1.78 2.47 2.88 1.29 1.28 0.13 010 64573 A Implant neuroelectrodes 8.15 NA NA 5.16 5.21 1.60 090 64575 A Implant neuroelectrodes 4.37 NA NA 2.06 2.37 0.61 090 64577 A Implant neuroelectrodes 4.64 NA NA 4.79 4.03 1.04 090 64580 A Implant neuroelectrodes 4.14 NA NA 2.71 3.13 0.36 090 64581 A Implant neuroelectrodes 14.15 NA NA 6.60 5.99 1.05 090 64585 A Revise/remove neuroelectrode 2.08 5.92 8.60 2.29 2.21 0.20 010 64590 A Insrt/redo pn/gastr stimul 2.42 6.41 6.77 2.46 2.37 0.19 010 64595 A Revise/rmv pn/gastr stimul 1.75 6.45 8.42 2.18 2.05 0.19 010 64600 A Injection treatment of nerve 3.46 5.43 7.39 1.63 1.64 0.34 010 64605 A Injection treatment of nerve 5.62 7.22 8.39 2.27 2.23 0.79 010 64610 A Injection treatment of nerve 7.17 9.18 9.02 3.43 3.57 1.58 010 64612 A Destroy nerve, face muscle 1.98 1.58 2.03 1.34 1.33 0.11 010 64613 A Destroy nerve, neck muscle 1.98 1.37 2.15 1.14 1.18 0.11 010 64614 A Destroy nerve, extrem musc 2.20 1.62 2.42 1.31 1.31 0.10 010 64620 A Injection treatment of nerve 2.86 3.30 4.18 1.11 1.22 0.20 010 64622 A Destr paravertebrl nerve l/s 3.02 4.06 5.91 1.26 1.31 0.18 010 64623 A Destr paravertebral n add-on 0.99 1.68 2.32 0.22 0.22 0.06 ZZZ 64626 A Destr paravertebrl nerve c/t 3.82 4.74 6.26 1.87 1.92 0.20 010 64627 A Destr paravertebral n add-on 1.16 2.37 3.45 0.25 0.26 0.07 ZZZ 64630 A Injection treatment of nerve 3.02 2.76 2.75 1.84 1.62 0.22 010 64640 A Injection treatment of nerve 2.78 2.42 3.30 1.42 1.63 0.29 010 64650 A Chemodenerv eccrine glands 0.70 0.72 0.79 0.16 0.23 0.06 000 64653 A Chemodenerv eccrine glands 0.88 0.75 0.83 0.19 0.29 0.08 000 64680 A Injection treatment of nerve 2.64 4.25 5.48 1.20 1.31 0.18 010 64681 A Injection treatment of nerve 3.78 4.82 7.06 1.27 1.67 0.28 010 64702 A Revise finger/toe nerve 6.10 NA NA 5.19 4.53 0.61 090 64704 A Revise hand/foot nerve 4.61 NA NA 3.28 3.30 0.61 090 64708 A Revise arm/leg nerve 6.22 NA NA 4.20 4.53 0.96 090 64712 A Revision of sciatic nerve 7.98 NA NA 4.38 4.67 0.95 090 64713 A Revision of arm nerve(s) 11.29 NA NA 6.05 5.96 1.83 090 64714 A Revise low back nerve(s) 10.44 NA NA 4.37 4.29 1.19 090 64716 A Revision of cranial nerve 6.86 NA NA 5.46 5.72 0.63 090 64718 A Revise ulnar nerve at elbow 7.06 NA NA 6.20 6.10 1.05 090 64719 A Revise ulnar nerve at wrist 4.89 NA NA 4.14 4.33 0.77 090 64721 A Carpal tunnel surgery 4.84 4.71 5.04 4.65 5.01 0.73 090 64722 A Relieve pressure on nerve(s) 4.74 NA NA 3.00 3.02 0.48 090 64726 A Release foot/toe nerve 4.21 NA NA 2.80 2.80 0.54 090 64727 A Internal nerve revision 3.10 NA NA 1.19 1.34 0.48 ZZZ Start Printed Page 2643 64732 A Incision of brow nerve 4.81 NA NA 3.66 3.58 0.98 090 64734 A Incision of cheek nerve 5.45 NA NA 4.44 4.24 0.89 090 64736 A Incision of chin nerve 5.13 NA NA 3.72 3.87 0.52 090 64738 A Incision of jaw nerve 6.26 NA NA 4.65 4.63 1.08 090 64740 A Incision of tongue nerve 6.12 NA NA 4.98 5.05 0.69 090 64742 A Incision of facial nerve 6.75 NA NA 4.28 4.49 0.73 090 64744 A Incise nerve, back of head 5.64 NA NA 4.04 3.91 1.16 090 64746 A Incise diaphragm nerve 6.46 NA NA 3.86 4.18 0.82 090 64752 A Incision of vagus nerve 7.59 NA NA 3.79 4.04 0.93 090 64755 A Incision of stomach nerves 14.97 NA NA 5.50 5.57 1.84 090 64760 A Incision of vagus nerve 7.49 NA NA 3.78 3.62 0.81 090 64761 A Incision of pelvis nerve 6.94 NA NA 4.33 3.92 0.53 090 64763 A Incise hip/thigh nerve 7.46 NA NA 3.91 4.55 0.94 090 64766 A Incise hip/thigh nerve 9.34 NA NA 4.74 4.99 1.06 090 64771 A Sever cranial nerve 8.02 NA NA 5.64 5.60 1.23 090 64772 A Incision of spinal nerve 7.74 NA NA 5.12 5.02 1.40 090 64774 A Remove skin nerve lesion 5.70 NA NA 4.03 3.93 0.74 090 64776 A Remove digit nerve lesion 5.52 NA NA 3.73 3.70 0.76 090 64778 A Digit nerve surgery add-on 3.11 NA NA 1.21 1.35 0.46 ZZZ 64782 A Remove limb nerve lesion 6.76 NA NA 4.22 4.00 0.86 090 64783 A Limb nerve surgery add-on 3.71 NA NA 1.37 1.60 0.51 ZZZ 64784 A Remove nerve lesion 10.49 NA NA 6.41 6.50 1.38 090 64786 A Remove sciatic nerve lesion 16.12 NA NA 8.44 9.14 2.61 090 64787 A Implant nerve end 4.29 NA NA 1.64 1.88 0.58 ZZZ 64788 A Remove skin nerve lesion 5.14 NA NA 4.06 3.76 0.73 090 64790 A Removal of nerve lesion 11.97 NA NA 6.98 7.09 2.11 090 64792 A Removal of nerve lesion 15.71 NA NA 8.30 8.57 2.49 090 64795 A Biopsy of nerve 3.01 NA NA 1.43 1.49 0.52 000 64802 A Remove sympathetic nerves 10.24 NA NA 3.51 4.32 1.29 090 64804 A Remove sympathetic nerves 15.78 NA NA 5.97 6.57 2.15 090 64809 A Remove sympathetic nerves 14.61 NA NA 7.04 6.40 1.50 090 64818 A Remove sympathetic nerves 11.24 NA NA 4.32 4.80 1.33 090 64820 A Remove sympathetic nerves 10.64 NA NA 6.94 7.03 1.49 090 64821 A Remove sympathetic nerves 9.19 NA NA 6.54 6.94 1.24 090 64822 A Remove sympathetic nerves 9.19 NA NA 6.43 6.83 1.30 090 64823 A Remove sympathetic nerves 10.80 NA NA 6.47 7.30 1.57 090 64831 A Repair of digit nerve 10.23 NA NA 6.62 6.85 1.41 090 64832 A Repair nerve add-on 5.65 NA NA 2.32 2.62 0.85 ZZZ 64834 A Repair of hand or foot nerve 10.71 NA NA 6.45 6.77 1.54 090 64835 A Repair of hand or foot nerve 11.60 NA NA 6.91 7.30 1.74 090 64836 A Repair of hand or foot nerve 11.60 NA NA 7.07 7.37 1.68 090 64837 A Repair nerve add-on 6.25 NA NA 2.57 2.90 0.97 ZZZ 64840 A Repair of leg nerve 13.87 NA NA 7.52 7.89 1.37 090 64856 A Repair/transpose nerve 14.94 NA NA 8.48 8.84 2.13 090 64857 A Repair arm/leg nerve 15.69 NA NA 8.76 9.20 2.22 090 64858 A Repair sciatic nerve 17.69 NA NA 9.57 10.17 3.34 090 64859 A Nerve surgery 4.25 NA NA 1.75 1.97 0.67 ZZZ 64861 A Repair of arm nerves 20.74 NA NA 10.01 10.89 4.09 090 64862 A Repair of low back nerves 20.94 NA NA 10.14 11.03 4.32 090 64864 A Repair of facial nerve 13.31 NA NA 7.47 8.12 1.26 090 64865 A Repair of facial nerve 15.96 NA NA 11.53 12.53 1.50 090 64866 A Fusion of facial/other nerve 16.70 NA NA 11.11 12.14 2.05 090 64868 A Fusion of facial/other nerve 14.80 NA NA 9.79 10.61 1.43 090 64870 A Fusion of facial/other nerve 16.95 NA NA 8.06 8.40 1.30 090 64872 A Subsequent repair of nerve 1.99 NA NA 0.78 0.93 0.29 ZZZ 64874 A Repair & revise nerve add-on 2.98 NA NA 1.26 1.39 0.42 ZZZ 64876 A Repair nerve/shorten bone 3.37 NA NA 1.43 1.59 0.47 ZZZ 64885 A Nerve graft, head or neck 17.50 NA NA 8.95 10.28 1.63 090 64886 A Nerve graft, head or neck 20.72 NA NA 10.38 11.96 2.09 090 64890 A Nerve graft, hand or foot 16.11 NA NA 8.98 9.49 2.30 090 64891 A Nerve graft, hand or foot 17.22 NA NA 9.67 8.62 1.63 090 64892 A Nerve graft, arm or leg 15.61 NA NA 9.13 9.00 2.48 090 64893 A Nerve graft, arm or leg 16.74 NA NA 9.63 9.75 2.62 090 64895 A Nerve graft, hand or foot 20.26 NA NA 11.04 10.35 2.58 090 64896 A Nerve graft, hand or foot 21.81 NA NA 11.67 11.33 3.17 090 64897 A Nerve graft, arm or leg 19.25 NA NA 10.50 10.60 2.55 090 64898 A Nerve graft, arm or leg 20.82 NA NA 11.46 11.63 2.78 090 64901 A Nerve graft add-on 10.20 NA NA 3.63 4.45 1.37 ZZZ 64902 A Nerve graft add-on 11.81 NA NA 4.66 5.31 1.55 ZZZ 64905 A Nerve pedicle transfer 14.98 NA NA 7.00 7.75 2.01 090 64907 A Nerve pedicle transfer 19.90 NA NA 6.35 9.44 3.17 090 64910 A Nerve repair w/allograft 11.21 NA NA 4.66 4.66 1.74 090 Start Printed Page 2644 64911 A Neurorraphy w/vein autograft 14.21 NA NA 5.32 5.32 1.91 090 64999 C Nervous system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 65091 A Revise eye 7.13 NA NA 6.73 7.54 0.32 090 65093 A Revise eye with implant 6.93 NA NA 6.79 7.76 0.34 090 65101 A Removal of eye 8.10 NA NA 7.96 8.75 0.35 090 65103 A Remove eye/insert implant 8.64 NA NA 8.12 8.93 0.37 090 65105 A Remove eye/attach implant 9.70 NA NA 8.77 9.62 0.42 090 65110 A Removal of eye 15.42 NA NA 11.42 12.55 0.81 090 65112 A Remove eye/revise socket 18.18 NA NA 13.30 14.72 1.30 090 65114 A Remove eye/revise socket 19.32 NA NA 13.57 14.96 1.02 090 65125 A Revise ocular implant 3.18 6.71 7.76 3.17 3.38 0.19 090 65130 A Insert ocular implant 8.22 NA NA 7.68 8.42 0.35 090 65135 A Insert ocular implant 8.40 NA NA 7.74 8.53 0.36 090 65140 A Attach ocular implant 9.23 NA NA 8.38 9.13 0.40 090 65150 A Revise ocular implant 6.32 NA NA 6.29 7.13 0.31 090 65155 A Reinsert ocular implant 9.87 NA NA 8.77 9.63 0.50 090 65175 A Removal of ocular implant 7.22 NA NA 7.04 7.76 0.31 090 65205 A Remove foreign body from eye 0.71 0.57 0.60 0.32 0.30 0.03 000 65210 A Remove foreign body from eye 0.84 0.71 0.76 0.39 0.38 0.04 000 65220 A Remove foreign body from eye 0.71 0.59 0.62 0.28 0.28 0.05 000 65222 A Remove foreign body from eye 0.93 0.78 0.83 0.41 0.40 0.04 000 65235 A Remove foreign body from eye 8.78 NA NA 6.78 6.76 0.37 090 65260 A Remove foreign body from eye 12.29 NA NA 8.74 9.20 0.57 090 65265 A Remove foreign body from eye 14.06 NA NA 9.59 10.11 0.62 090 65270 A Repair of eye wound 1.92 3.82 4.52 1.20 1.29 0.09 010 65272 A Repair of eye wound 4.49 6.30 7.00 3.15 3.22 0.19 090 65273 A Repair of eye wound 5.03 NA NA 3.36 3.47 0.22 090 65275 A Repair of eye wound 6.14 6.30 6.31 3.90 3.92 0.26 090 65280 A Repair of eye wound 8.87 NA NA 5.83 6.03 0.38 090 65285 A Repair of eye wound 14.43 NA NA 8.39 8.80 0.64 090 65286 A Repair of eye wound 6.45 8.70 9.92 4.38 4.50 0.27 090 65290 A Repair of eye socket wound 6.35 NA NA 4.43 4.59 0.31 090 65400 A Removal of eye lesion 7.27 7.44 7.88 5.84 5.98 0.30 090 65410 A Biopsy of cornea 1.47 1.66 1.89 0.86 0.91 0.07 000 65420 A Removal of eye lesion 4.24 6.85 7.86 3.96 4.20 0.21 090 65426 A Removal of eye lesion 5.93 8.09 9.13 4.50 4.71 0.25 090 65430 A Corneal smear 1.47 1.09 1.19 0.86 0.92 0.07 000 65435 A Curette/treat cornea 0.92 0.86 0.93 0.64 0.68 0.04 000 65436 A Curette/treat cornea 4.72 3.76 3.92 3.43 3.55 0.21 090 65450 A Treatment of corneal lesion 3.35 3.67 3.87 3.60 3.77 0.16 090 65600 A Revision of cornea 4.07 4.43 4.72 3.38 3.37 0.17 090 65710 A Corneal transplant 14.09 NA NA 10.14 10.67 0.61 090 65730 A Corneal transplant 15.99 NA NA 10.96 11.49 0.70 090 65750 A Corneal transplant 16.60 NA NA 10.61 11.29 0.74 090 65755 A Corneal transplant 16.49 NA NA 10.58 11.24 0.73 090 65760 N Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 XXX 65765 N Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 XXX 65767 N Corneal tissue transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 65770 A Revise cornea with implant 19.41 NA NA 11.65 12.43 0.87 090 65771 N Radial keratotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 65772 A Correction of astigmatism 4.96 4.84 5.19 3.91 4.02 0.21 090 65775 A Correction of astigmatism 6.73 NA NA 5.30 5.63 0.28 090 65780 A Ocular reconst, transplant 10.43 NA NA 8.93 9.61 0.44 090 65781 A Ocular reconst, transplant 17.84 NA NA 11.57 12.63 0.44 090 65782 A Ocular reconst, transplant 15.16 NA NA 10.19 11.09 0.44 090 65800 A Drainage of eye 1.91 1.39 1.60 1.02 1.10 0.09 000 65805 A Drainage of eye 1.91 1.70 1.94 1.02 1.11 0.09 000 65810 A Drainage of eye 5.67 NA NA 4.66 4.68 0.24 090 65815 A Drainage of eye 5.85 7.91 8.96 4.57 4.69 0.25 090 65820 A Relieve inner eye pressure 8.72 NA NA 7.50 8.28 0.40 090 65850 A Incision of eye 11.24 NA NA 7.32 7.88 0.52 090 65855 A Laser surgery of eye 3.90 3.49 3.90 2.62 2.86 0.19 010 65860 A Incise inner eye adhesions 3.56 3.26 3.65 2.07 2.29 0.18 090 65865 A Incise inner eye adhesions 5.66 NA NA 4.69 5.16 0.28 090 65870 A Incise inner eye adhesions 7.21 NA NA 5.70 6.06 0.31 090 65875 A Incise inner eye adhesions 7.61 NA NA 6.13 6.46 0.32 090 65880 A Incise inner eye adhesions 8.16 NA NA 6.30 6.67 0.35 090 65900 A Remove eye lesion 12.26 NA NA 8.89 9.58 0.54 090 65920 A Remove implant of eye 9.74 NA NA 7.46 7.82 0.41 090 65930 A Remove blood clot from eye 8.24 NA NA 5.77 6.30 0.37 090 66020 A Injection treatment of eye 1.61 2.42 2.77 1.27 1.36 0.08 010 66030 A Injection treatment of eye 1.27 2.29 2.63 1.15 1.21 0.06 010 Start Printed Page 2645 66130 A Remove eye lesion 7.74 7.51 8.57 4.86 5.24 0.38 090 66150 A Glaucoma surgery 10.18 NA NA 8.81 9.11 0.46 090 66155 A Glaucoma surgery 10.17 NA NA 8.81 9.08 0.41 090 66160 A Glaucoma surgery 12.04 NA NA 9.47 9.83 0.50 090 66165 A Glaucoma surgery 9.89 NA NA 8.77 9.01 0.40 090 66170 A Glaucoma surgery 14.57 NA NA 11.54 11.89 0.60 090 66172 A Incision of eye 18.26 NA NA 14.63 14.92 0.74 090 66180 A Implant eye shunt 16.02 NA NA 9.69 10.23 0.71 090 66185 A Revise eye shunt 9.35 NA NA 7.04 7.21 0.40 090 66220 A Repair eye lesion 8.98 NA NA 7.17 7.13 0.40 090 66225 A Repair/graft eye lesion 12.38 NA NA 8.11 8.43 0.55 090 66250 A Follow-up surgery of eye 6.92 9.24 10.47 5.25 5.37 0.30 090 66500 A Incision of iris 3.75 NA NA 3.95 4.29 0.18 090 66505 A Incision of iris 4.13 NA NA 4.30 4.65 0.20 090 66600 A Remove iris and lesion 9.89 NA NA 8.25 8.24 0.43 090 66605 A Removal of iris 13.99 NA NA 9.45 9.74 0.77 090 66625 A Removal of iris 5.19 NA NA 4.21 4.47 0.26 090 66630 A Removal of iris 7.10 NA NA 5.34 5.53 0.31 090 66635 A Removal of iris 7.19 NA NA 5.37 5.56 0.31 090 66680 A Repair iris & ciliary body 6.24 NA NA 5.06 5.17 0.27 090 66682 A Repair iris & ciliary body 7.15 NA NA 6.71 6.66 0.31 090 66700 A Destruction, ciliary body 5.06 4.78 5.01 3.59 3.76 0.24 090 66710 A Ciliary transsleral therapy 5.06 4.60 4.88 3.60 3.72 0.23 090 66711 A Ciliary endoscopic ablation 7.70 NA NA 6.29 6.38 0.30 090 66720 A Destruction, ciliary body 4.86 5.37 5.58 4.32 4.52 0.26 090 66740 A Destruction, ciliary body 5.06 4.53 4.81 3.60 3.79 0.23 090 66761 A Revision of iris 4.87 5.02 5.31 4.19 4.25 0.20 090 66762 A Revision of iris 5.25 5.10 5.38 4.06 4.18 0.23 090 66770 A Removal of inner eye lesion 5.98 5.53 5.81 4.59 4.69 0.26 090 66820 A Incision, secondary cataract 3.93 NA NA 4.62 5.22 0.19 090 66821 A After cataract laser surgery 3.32 3.82 3.96 3.42 3.52 0.11 090 66825 A Reposition intraocular lens 8.82 NA NA 7.77 8.42 0.40 090 66830 A Removal of lens lesion 9.27 NA NA 6.37 6.66 0.36 090 66840 A Removal of lens material 8.98 NA NA 6.29 6.58 0.39 090 66850 A Removal of lens material 10.32 NA NA 7.06 7.35 0.45 090 66852 A Removal of lens material 11.18 NA NA 7.38 7.74 0.49 090 66920 A Extraction of lens 9.93 NA NA 6.64 6.97 0.44 090 66930 A Extraction of lens 11.38 NA NA 7.45 7.80 0.49 090 66940 A Extraction of lens 10.14 NA NA 7.00 7.30 0.43 090 66982 A Cataract surgery, complex 14.83 NA NA 8.95 9.41 0.63 090 66983 A Cataract surg w/iol, 1 stage 10.20 NA NA 6.51 6.31 0.14 090 66984 A Cataract surg w/iol, 1 stage 10.36 NA NA 6.44 6.93 0.39 090 66985 A Insert lens prosthesis 9.73 NA NA 7.12 7.29 0.36 090 66986 A Exchange lens prosthesis 12.26 NA NA 8.05 8.62 0.60 090 66990 A Ophthalmic endoscope add-on 1.51 NA NA 0.54 0.61 0.07 ZZZ 66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67005 A Partial removal of eye fluid 5.77 NA NA 4.57 4.72 0.28 090 67010 A Partial removal of eye fluid 6.94 NA NA 4.99 5.21 0.34 090 67015 A Release of eye fluid 7.00 NA NA 5.70 6.08 0.34 090 67025 A Replace eye fluid 7.91 7.86 8.54 5.91 6.07 0.34 090 67027 A Implant eye drug system 11.43 NA NA 7.37 7.68 0.54 090 67028 A Injection eye drug 2.52 2.15 2.43 1.24 1.35 0.12 000 67030 A Incise inner eye strands 5.91 NA NA 5.60 5.73 0.24 090 67031 A Laser surgery, eye strands 4.34 4.09 4.35 3.43 3.53 0.18 090 67036 A Removal of inner eye fluid 13.09 NA NA 8.06 8.59 0.58 090 67039 A Laser treatment of retina 16.39 NA NA 10.69 11.44 0.71 090 67040 A Laser treatment of retina 19.23 NA NA 12.00 12.84 0.85 090 67041 A Vit for macular pucker 19.00 NA NA 10.37 10.37 0.86 090 67042 A Vit for macular hole 22.13 NA NA 11.49 11.49 1.00 090 67043 A Vit for membrane dissect 22.94 NA NA 12.35 12.35 1.04 090 67101 A Repair detached retina 8.60 8.49 8.81 6.17 6.35 0.37 090 67105 A Repair detached retina 8.35 7.41 7.75 5.78 5.97 0.37 090 67107 A Repair detached retina 16.35 NA NA 10.35 10.83 0.73 090 67108 A Repair detached retina 22.49 NA NA 12.93 13.68 1.02 090 67110 A Repair detached retina 10.02 8.92 9.58 6.96 7.18 0.44 090 67112 A Rerepair detached retina 18.45 NA NA 10.86 11.33 0.83 090 67113 A Repair retinal detach, cplx 25.00 NA NA 13.75 13.75 1.13 090 67115 A Release encircling material 5.93 NA NA 4.92 5.00 0.25 090 67120 A Remove eye implant material 6.92 7.35 7.97 5.28 5.41 0.29 090 67121 A Remove eye implant material 12.00 NA NA 7.95 8.24 0.53 090 67141 A Treatment of retina 6.00 5.41 5.63 4.65 4.76 0.26 090 67145 A Treatment of retina 6.17 5.34 5.53 4.71 4.82 0.27 090 Start Printed Page 2646 67208 A Treatment of retinal lesion 7.50 5.64 5.89 5.20 5.36 0.33 090 67210 A Treatment of retinal lesion 9.35 5.91 6.24 5.44 5.66 0.44 090 67218 A Treatment of retinal lesion 20.22 NA NA 10.61 11.39 0.92 090 67220 A Treatment of choroid lesion 14.19 9.22 9.82 8.16 8.59 0.65 090 67221 R Ocular photodynamic ther 3.45 2.92 3.62 1.38 1.59 0.20 000 67225 A Eye photodynamic ther add-on 0.47 0.22 0.24 0.17 0.19 0.02 ZZZ 67227 A Treatment of retinal lesion 7.38 6.00 6.29 5.16 5.34 0.33 090 67228 A Treatment of retinal lesion 13.67 13.60 12.54 10.19 9.37 0.63 090 67229 A Tr retinal les preterm inf 16.00 NA NA 9.52 9.52 0.71 090 67250 A Reinforce eye wall 9.46 NA NA 7.66 8.42 0.47 090 67255 A Reinforce/graft eye wall 9.97 NA NA 8.43 9.16 0.44 090 67299 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67311 A Revise eye muscle 7.59 NA NA 5.50 5.76 0.37 090 67312 A Revise two eye muscles 9.48 NA NA 6.19 6.47 0.43 090 67314 A Revise eye muscle 8.59 NA NA 6.15 6.35 0.39 090 67316 A Revise two eye muscles 10.73 NA NA 6.92 7.21 0.49 090 67318 A Revise eye muscle(s) 8.92 NA NA 6.51 6.72 0.41 090 67320 A Revise eye muscle(s) add-on 5.40 NA NA 1.92 1.94 0.22 ZZZ 67331 A Eye surgery follow-up add-on 5.13 NA NA 1.81 1.82 0.21 ZZZ 67332 A Rerevise eye muscles add-on 5.56 NA NA 1.97 2.00 0.23 ZZZ 67334 A Revise eye muscle w/suture 5.05 NA NA 1.80 1.80 0.20 ZZZ 67335 A Eye suture during surgery 2.49 NA NA 0.88 1.00 0.13 ZZZ 67340 A Revise eye muscle add-on 6.00 NA NA 2.14 2.17 0.25 ZZZ 67343 A Release eye tissue 8.29 NA NA 6.06 6.29 0.37 090 67345 A Destroy nerve of eye muscle 2.98 2.17 2.38 1.69 1.85 0.17 010 67346 A Biopsy, eye muscle 2.87 NA NA 1.62 1.75 0.15 000 67399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67400 A Explore/biopsy eye socket 10.97 NA NA 9.42 10.34 0.56 090 67405 A Explore/drain eye socket 9.00 NA NA 8.34 9.06 0.44 090 67412 A Explore/treat eye socket 10.17 NA NA 8.53 9.73 0.48 090 67413 A Explore/treat eye socket 10.09 NA NA 8.70 9.74 0.50 090 67414 A Explr/decompress eye socket 17.78 NA NA 11.64 11.84 0.65 090 67415 A Aspiration, orbital contents 1.76 NA NA 0.62 0.69 0.09 000 67420 A Explore/treat eye socket 21.62 NA NA 14.24 15.82 1.15 090 67430 A Explore/treat eye socket 14.99 NA NA 11.87 13.38 0.86 090 67440 A Explore/drain eye socket 14.56 NA NA 11.88 13.07 0.70 090 67445 A Explr/decompress eye socket 18.96 NA NA 12.14 13.03 0.90 090 67450 A Explore/biopsy eye socket 15.11 NA NA 12.30 13.50 0.68 090 67500 A Inject/treat eye socket 1.44 0.57 0.62 0.44 0.37 0.05 000 67505 A Inject/treat eye socket 1.27 0.65 0.67 0.50 0.41 0.05 000 67515 A Inject/treat eye socket 1.40 0.77 0.68 0.61 0.50 0.03 000 67550 A Insert eye socket implant 11.52 NA NA 9.83 10.57 0.72 090 67560 A Revise eye socket implant 11.93 NA NA 9.78 10.58 0.60 090 67570 A Decompress optic nerve 14.21 NA NA 11.01 12.30 0.68 090 67599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67700 A Drainage of eyelid abscess 1.37 4.31 5.17 1.17 1.22 0.07 010 67710 A Incision of eyelid 1.04 3.70 4.54 1.08 1.14 0.05 010 67715 A Incision of eyelid fold 1.24 3.83 4.61 1.15 1.22 0.06 010 67800 A Remove eyelid lesion 1.39 1.39 1.50 0.90 0.97 0.07 010 67801 A Remove eyelid lesions 1.89 1.67 1.82 1.08 1.17 0.09 010 67805 A Remove eyelid lesions 2.24 2.18 2.35 1.41 1.53 0.11 010 67808 A Remove eyelid lesion(s) 4.47 NA NA 3.61 3.69 0.19 090 67810 A Biopsy of eyelid 1.48 3.94 3.64 0.68 0.68 0.06 000 67820 A Revise eyelashes 0.71 0.43 0.52 0.50 0.53 0.04 000 67825 A Revise eyelashes 1.40 1.40 1.57 1.26 1.33 0.07 010 67830 A Revise eyelashes 1.72 3.99 4.76 1.32 1.41 0.08 010 67835 A Revise eyelashes 5.61 NA NA 4.12 4.37 0.28 090 67840 A Remove eyelid lesion 2.06 3.90 4.69 1.45 1.55 0.10 010 67850 A Treat eyelid lesion 1.71 3.29 3.33 1.45 1.46 0.07 010 67875 A Closure of eyelid by suture 1.35 2.38 2.84 0.83 0.89 0.07 000 67880 A Revision of eyelid 4.47 5.44 6.03 3.57 3.69 0.19 090 67882 A Revision of eyelid 5.87 6.36 6.99 4.46 4.63 0.25 090 67900 A Repair brow defect 6.69 7.37 8.22 4.61 4.93 0.38 090 67901 A Repair eyelid defect 7.47 8.99 7.20 5.29 5.35 0.54 090 67902 A Repair eyelid defect 9.68 NA NA 6.34 5.90 0.60 090 67903 A Repair eyelid defect 6.42 6.63 8.10 4.34 4.93 0.47 090 67904 A Repair eyelid defect 7.83 8.17 8.90 5.37 5.30 0.41 090 67906 A Repair eyelid defect 6.84 NA NA 4.47 4.75 0.46 090 67908 A Repair eyelid defect 5.19 5.55 6.09 4.12 4.74 0.28 090 67909 A Revise eyelid defect 5.46 6.18 7.11 4.17 4.56 0.31 090 67911 A Revise eyelid defect 7.38 NA NA 5.05 4.91 0.31 090 67912 A Correction eyelid w/implant 6.23 13.14 16.04 4.74 5.14 0.28 090 Start Printed Page 2647 67914 A Repair eyelid defect 3.70 4.75 5.55 2.68 2.86 0.19 090 67915 A Repair eyelid defect 3.21 4.32 5.15 2.43 2.62 0.16 090 67916 A Repair eyelid defect 5.37 6.37 7.21 4.15 4.45 0.28 090 67917 A Repair eyelid defect 6.08 6.72 7.59 4.41 4.74 0.36 090 67921 A Repair eyelid defect 3.42 4.62 5.41 2.56 2.73 0.17 090 67922 A Repair eyelid defect 3.09 4.16 5.04 2.33 2.54 0.15 090 67923 A Repair eyelid defect 5.94 6.44 7.28 4.33 4.65 0.30 090 67924 A Repair eyelid defect 5.84 6.91 7.92 4.06 4.37 0.30 090 67930 A Repair eyelid wound 3.62 4.37 5.04 1.78 1.98 0.19 010 67935 A Repair eyelid wound 6.27 6.76 7.64 3.58 4.00 0.39 090 67938 A Remove eyelid foreign body 1.35 3.83 4.61 1.22 1.24 0.06 010 67950 A Revision of eyelid 5.88 6.66 7.65 4.37 4.80 0.36 090 67961 A Revision of eyelid 5.75 6.81 7.75 4.30 4.67 0.33 090 67966 A Revision of eyelid 8.83 8.05 8.59 5.74 5.66 0.37 090 67971 A Reconstruction of eyelid 9.87 NA NA 6.18 6.73 0.53 090 67973 A Reconstruction of eyelid 12.96 NA NA 7.71 8.52 0.75 090 67974 A Reconstruction of eyelid 12.93 NA NA 7.69 8.46 0.75 090 67975 A Reconstruction of eyelid 9.21 NA NA 5.94 6.45 0.50 090 67999 C Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68020 A Incise/drain eyelid lining 1.39 1.24 1.32 1.05 1.13 0.06 010 68040 A Treatment of eyelid lesions 0.85 0.60 0.66 0.35 0.39 0.04 000 68100 A Biopsy of eyelid lining 1.35 2.36 2.81 0.86 0.90 0.07 000 68110 A Remove eyelid lining lesion 1.79 3.07 3.59 1.48 1.56 0.09 010 68115 A Remove eyelid lining lesion 2.38 4.33 5.15 1.69 1.80 0.12 010 68130 A Remove eyelid lining lesion 4.99 6.64 7.68 4.02 4.31 0.24 090 68135 A Remove eyelid lining lesion 1.86 1.58 1.70 1.47 1.56 0.09 010 68200 A Treat eyelid by injection 0.49 0.45 0.49 0.29 0.31 0.02 000 68320 A Revise/graft eyelid lining 6.44 9.16 10.22 5.31 5.42 0.27 090 68325 A Revise/graft eyelid lining 8.43 NA NA 6.10 6.32 0.44 090 68326 A Revise/graft eyelid lining 8.22 NA NA 5.92 6.17 0.35 090 68328 A Revise/graft eyelid lining 9.25 NA NA 6.38 6.84 0.54 090 68330 A Revise eyelid lining 5.63 7.41 8.42 4.44 4.58 0.24 090 68335 A Revise/graft eyelid lining 8.26 NA NA 5.92 6.15 0.36 090 68340 A Separate eyelid adhesions 4.84 6.87 7.88 3.87 3.98 0.21 090 68360 A Revise eyelid lining 5.04 6.43 7.24 3.96 4.07 0.22 090 68362 A Revise eyelid lining 8.41 NA NA 5.97 6.19 0.36 090 68371 A Harvest eye tissue, alograft 4.97 NA NA 4.06 4.39 0.44 010 68399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68400 A Incise/drain tear gland 1.71 4.42 5.16 1.21 1.52 0.08 010 68420 A Incise/drain tear sac 2.32 4.59 5.39 1.42 1.76 0.11 010 68440 A Incise tear duct opening 0.96 1.25 1.67 1.19 1.23 0.05 010 68500 A Removal of tear gland 12.49 NA NA 9.53 9.63 0.55 090 68505 A Partial removal, tear gland 12.41 NA NA 8.91 9.79 0.55 090 68510 A Biopsy of tear gland 4.60 5.21 6.27 2.02 2.06 0.23 000 68520 A Removal of tear sac 8.58 NA NA 6.49 6.96 0.37 090 68525 A Biopsy of tear sac 4.42 NA NA 1.57 1.80 0.22 000 68530 A Clearance of tear duct 3.67 5.60 6.89 2.07 2.36 0.18 010 68540 A Remove tear gland lesion 11.93 NA NA 8.49 8.94 0.52 090 68550 A Remove tear gland lesion 14.86 NA NA 9.68 10.52 0.80 090 68700 A Repair tear ducts 7.67 NA NA 5.56 5.77 0.32 090 68705 A Revise tear duct opening 2.08 3.03 3.60 1.58 1.69 0.10 010 68720 A Create tear sac drain 9.78 NA NA 6.88 7.37 0.44 090 68745 A Create tear duct drain 9.70 NA NA 6.98 7.42 0.52 090 68750 A Create tear duct drain 9.87 NA NA 7.43 7.85 0.43 090 68760 A Close tear duct opening 1.75 2.59 3.06 1.45 1.54 0.09 010 68761 A Close tear duct opening 1.38 1.83 2.05 1.25 1.28 0.06 010 68770 A Close tear system fistula 8.09 NA NA 5.75 4.47 0.35 090 68801 A Dilate tear duct opening 0.96 1.77 1.86 1.41 1.45 0.05 010 68810 A Probe nasolacrimal duct 2.63 3.39 3.53 2.68 2.68 0.10 010 68811 A Probe nasolacrimal duct 2.39 NA NA 2.12 2.27 0.13 010 68815 A Probe nasolacrimal duct 3.24 6.42 7.33 2.43 2.62 0.17 010 68816 A Probe nl duct w/balloon 3.00 12.75 12.75 2.51 2.51 0.16 010 68840 A Explore/irrigate tear ducts 1.27 1.51 1.55 1.28 1.20 0.06 010 68850 A Injection for tear sac x-ray 0.80 0.72 0.80 0.60 0.64 0.04 000 68899 C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69000 A Drain external ear lesion 1.47 2.89 2.88 1.34 1.35 0.12 010 69005 A Drain external ear lesion 2.13 2.99 2.96 1.61 1.73 0.17 010 69020 A Drain outer ear canal lesion 1.50 4.09 4.04 1.90 1.98 0.12 010 69090 N Pierce earlobes 0.00 0.00 0.00 0.00 0.00 0.00 XXX 69100 A Biopsy of external ear 0.81 1.85 1.78 0.39 0.39 0.03 000 69105 A Biopsy of external ear canal 0.85 2.64 2.49 0.71 0.74 0.07 000 69110 A Remove external ear, partial 3.47 7.84 7.29 4.45 4.46 0.30 090 Start Printed Page 2648 69120 A Removal of external ear 4.08 NA NA 5.36 5.77 0.38 090 69140 A Remove ear canal lesion(s) 8.03 NA NA 13.23 13.26 0.65 090 69145 A Remove ear canal lesion(s) 2.65 7.03 6.41 3.37 3.34 0.21 090 69150 A Extensive ear canal surgery 13.49 NA NA 11.46 12.44 1.22 090 69155 A Extensive ear/neck surgery 23.06 NA NA 17.00 18.28 1.93 090 69200 A Clear outer ear canal 0.77 2.15 2.27 0.61 0.58 0.06 000 69205 A Clear outer ear canal 1.20 NA NA 1.24 1.30 0.10 010 69210 A Remove impacted ear wax 0.61 0.58 0.60 0.17 0.20 0.05 000 69220 A Clean out mastoid cavity 0.83 2.56 2.46 0.68 0.70 0.07 000 69222 A Clean out mastoid cavity 1.42 3.97 3.91 1.90 1.98 0.12 010 69300 R Revise external ear 6.69 10.72 7.47 5.19 4.70 0.72 YYY 69310 A Rebuild outer ear canal 10.85 NA NA 15.50 15.90 0.85 090 69320 A Rebuild outer ear canal 17.03 NA NA 20.07 20.96 1.37 090 69399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69400 A Inflate middle ear canal 0.83 2.82 2.49 0.68 0.67 0.07 000 69401 A Inflate middle ear canal 0.63 1.53 1.38 0.59 0.62 0.05 000 69405 A Catheterize middle ear canal 2.65 3.66 3.58 1.96 2.14 0.21 010 69420 A Incision of eardrum 1.35 3.32 3.24 1.56 1.57 0.11 010 69421 A Incision of eardrum 1.75 NA NA 1.85 2.01 0.15 010 69424 A Remove ventilating tube 0.85 2.34 2.26 0.68 0.68 0.07 000 69433 A Create eardrum opening 1.54 3.32 3.21 1.60 1.62 0.13 010 69436 A Create eardrum opening 1.98 NA NA 1.90 2.10 0.19 010 69440 A Exploration of middle ear 7.62 NA NA 9.12 8.95 0.61 090 69450 A Eardrum revision 5.61 NA NA 7.62 7.33 0.45 090 69501 A Mastoidectomy 9.12 NA NA 8.66 8.84 0.73 090 69502 A Mastoidectomy 12.44 NA NA 11.05 11.32 1.00 090 69505 A Remove mastoid structures 13.05 NA NA 16.15 16.68 1.05 090 69511 A Extensive mastoid surgery 13.58 NA NA 16.34 16.91 1.09 090 69530 A Extensive mastoid surgery 20.24 NA NA 19.67 20.66 1.54 090 69535 A Remove part of temporal bone 37.27 NA NA 26.78 29.38 2.93 090 69540 A Remove ear lesion 1.22 3.90 3.82 1.85 1.92 0.10 010 69550 A Remove ear lesion 11.04 NA NA 14.28 14.58 0.89 090 69552 A Remove ear lesion 19.69 NA NA 18.20 19.44 1.59 090 69554 A Remove ear lesion 35.71 NA NA 24.01 27.18 2.92 090 69601 A Mastoid surgery revision 13.31 NA NA 11.93 12.31 1.07 090 69602 A Mastoid surgery revision 13.64 NA NA 12.81 13.03 1.10 090 69603 A Mastoid surgery revision 14.08 NA NA 16.45 17.41 1.14 090 69604 A Mastoid surgery revision 14.08 NA NA 12.79 13.24 1.14 090 69605 A Mastoid surgery revision 18.55 NA NA 19.30 20.13 1.50 090 69610 A Repair of eardrum 4.44 4.91 5.24 2.59 2.93 0.36 010 69620 A Repair of eardrum 5.94 10.92 11.02 5.84 6.07 0.48 090 69631 A Repair eardrum structures 9.93 NA NA 11.53 11.37 0.80 090 69632 A Rebuild eardrum structures 12.82 NA NA 13.32 13.40 1.03 090 69633 A Rebuild eardrum structures 12.17 NA NA 13.09 13.08 0.98 090 69635 A Repair eardrum structures 13.39 NA NA 16.30 16.53 1.08 090 69636 A Rebuild eardrum structures 15.29 NA NA 18.21 18.76 1.23 090 69637 A Rebuild eardrum structures 15.18 NA NA 18.12 18.68 1.22 090 69641 A Revise middle ear & mastoid 12.77 NA NA 12.48 12.64 1.03 090 69642 A Revise middle ear & mastoid 16.91 NA NA 15.54 15.92 1.36 090 69643 A Revise middle ear & mastoid 15.45 NA NA 14.17 14.50 1.24 090 69644 A Revise middle ear & mastoid 17.09 NA NA 18.75 19.58 1.37 090 69645 A Revise middle ear & mastoid 16.57 NA NA 18.61 19.32 1.33 090 69646 A Revise middle ear & mastoid 18.23 NA NA 19.12 19.95 1.46 090 69650 A Release middle ear bone 9.71 NA NA 9.54 9.73 0.78 090 69660 A Revise middle ear bone 11.94 NA NA 10.51 10.85 0.96 090 69661 A Revise middle ear bone 15.80 NA NA 13.47 14.09 1.27 090 69662 A Revise middle ear bone 15.49 NA NA 12.51 13.13 1.25 090 69666 A Repair middle ear structures 9.80 NA NA 9.81 9.89 0.79 090 69667 A Repair middle ear structures 9.81 NA NA 9.84 9.92 0.79 090 69670 A Remove mastoid air cells 11.62 NA NA 11.25 11.48 0.93 090 69676 A Remove middle ear nerve 9.58 NA NA 10.62 10.69 0.81 090 69700 A Close mastoid fistula 8.28 NA NA 8.68 8.97 0.67 090 69710 N Implant/replace hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX 69711 A Remove/repair hearing aid 10.50 NA NA 10.42 10.61 0.83 090 69714 A Implant temple bone w/stimul 14.31 NA NA 11.80 12.23 1.13 090 69715 A Temple bne implnt w/stimulat 18.80 NA NA 13.34 14.19 1.48 090 69717 A Temple bone implant revision 15.29 NA NA 11.97 13.22 0.90 090 69718 A Revise temple bone implant 19.05 NA NA 13.42 14.36 3.22 090 69720 A Release facial nerve 14.57 NA NA 14.03 14.28 1.16 090 69725 A Release facial nerve 27.44 NA NA 18.04 19.09 2.45 090 69740 A Repair facial nerve 16.18 NA NA 11.59 12.51 1.27 090 69745 A Repair facial nerve 16.91 NA NA 9.94 12.46 1.14 090 Start Printed Page 2649 69799 C Middle ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69801 A Incise inner ear 8.61 NA NA 9.63 9.55 0.69 090 69802 A Incise inner ear 13.39 NA NA 11.87 12.10 1.06 090 69805 A Explore inner ear 14.55 NA NA 10.90 11.39 1.12 090 69806 A Explore inner ear 12.52 NA NA 10.40 10.72 1.00 090 69820 A Establish inner ear window 10.40 NA NA 10.26 10.74 0.90 090 69840 A Revise inner ear window 10.32 NA NA 11.38 12.28 0.79 090 69905 A Remove inner ear 11.15 NA NA 11.04 11.20 0.90 090 69910 A Remove inner ear & mastoid 13.80 NA NA 10.89 11.41 1.07 090 69915 A Incise inner ear nerve 22.65 NA NA 14.83 15.65 1.70 090 69930 A Implant cochlear device 17.60 NA NA 13.12 13.94 1.36 090 69949 C Inner ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69950 A Incise inner ear nerve 27.44 NA NA 16.86 17.89 2.29 090 69955 A Release facial nerve 29.22 NA NA 19.41 20.40 2.49 090 69960 A Release inner ear canal 29.22 NA NA 17.92 18.99 2.18 090 69970 A Remove inner ear lesion 32.21 NA NA 19.54 21.41 2.42 090 69979 C Temporal bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69990 R Microsurgery add-on 3.46 NA NA 1.27 1.53 0.89 ZZZ 70010 A Contrast x-ray of brain 1.19 2.82 3.77 NA NA 0.27 XXX 70010 TC A Contrast x-ray of brain 0.00 2.40 3.37 NA NA 0.22 XXX 70010 26 A Contrast x-ray of brain 1.19 0.42 0.40 0.42 0.40 0.05 XXX 70015 A Contrast x-ray of brain 1.19 2.92 2.33 NA NA 0.16 XXX 70015 TC A Contrast x-ray of brain 0.00 2.49 1.92 NA NA 0.08 XXX 70015 26 A Contrast x-ray of brain 1.19 0.43 0.41 0.43 0.41 0.08 XXX 70030 A X-ray eye for foreign body 0.17 0.61 0.54 NA NA 0.03 XXX 70030 TC A X-ray eye for foreign body 0.00 0.55 0.48 NA NA 0.02 XXX 70030 26 A X-ray eye for foreign body 0.17 0.06 0.06 0.06 0.06 0.01 XXX 70100 A X-ray exam of jaw 0.18 0.63 0.61 NA NA 0.03 XXX 70100 TC A X-ray exam of jaw 0.00 0.58 0.55 NA NA 0.02 XXX 70100 26 A X-ray exam of jaw 0.18 0.05 0.06 0.05 0.06 0.01 XXX 70110 A X-ray exam of jaw 0.25 0.81 0.75 NA NA 0.05 XXX 70110 TC A X-ray exam of jaw 0.00 0.72 0.67 NA NA 0.04 XXX 70110 26 A X-ray exam of jaw 0.25 0.09 0.08 0.09 0.08 0.01 XXX 70120 A X-ray exam of mastoids 0.18 0.69 0.69 NA NA 0.05 XXX 70120 TC A X-ray exam of mastoids 0.00 0.64 0.63 NA NA 0.04 XXX 70120 26 A X-ray exam of mastoids 0.18 0.05 0.06 0.05 0.06 0.01 XXX 70130 A X-ray exam of mastoids 0.34 1.15 1.02 NA NA 0.07 XXX 70130 TC A X-ray exam of mastoids 0.00 1.04 0.91 NA NA 0.05 XXX 70130 26 A X-ray exam of mastoids 0.34 0.11 0.11 0.11 0.11 0.02 XXX 70134 A X-ray exam of middle ear 0.34 0.92 0.87 NA NA 0.07 XXX 70134 TC A X-ray exam of middle ear 0.00 0.80 0.76 NA NA 0.05 XXX 70134 26 A X-ray exam of middle ear 0.34 0.12 0.11 0.12 0.11 0.02 XXX 70140 A X-ray exam of facial bones 0.19 0.54 0.62 NA NA 0.05 XXX 70140 TC A X-ray exam of facial bones 0.00 0.49 0.56 NA NA 0.04 XXX 70140 26 A X-ray exam of facial bones 0.19 0.05 0.06 0.05 0.06 0.01 XXX 70150 A X-ray exam of facial bones 0.26 0.85 0.85 NA NA 0.06 XXX 70150 TC A X-ray exam of facial bones 0.00 0.77 0.77 NA NA 0.05 XXX 70150 26 A X-ray exam of facial bones 0.26 0.08 0.08 0.08 0.08 0.01 XXX 70160 A X-ray exam of nasal bones 0.17 0.71 0.64 NA NA 0.03 XXX 70160 TC A X-ray exam of nasal bones 0.00 0.65 0.58 NA NA 0.02 XXX 70160 26 A X-ray exam of nasal bones 0.17 0.06 0.06 0.06 0.06 0.01 XXX 70170 C X-ray exam of tear duct 0.00 0.00 0.00 NA NA 0.00 XXX 70170 TC C X-ray exam of tear duct 0.00 0.00 0.00 NA NA 0.00 XXX 70170 26 A X-ray exam of tear duct 0.30 0.10 0.10 0.10 0.10 0.01 XXX 70190 A X-ray exam of eye sockets 0.21 0.72 0.71 NA NA 0.05 XXX 70190 TC A X-ray exam of eye sockets 0.00 0.65 0.64 NA NA 0.04 XXX 70190 26 A X-ray exam of eye sockets 0.21 0.07 0.07 0.07 0.07 0.01 XXX 70200 A X-ray exam of eye sockets 0.28 0.87 0.87 NA NA 0.06 XXX 70200 TC A X-ray exam of eye sockets 0.00 0.78 0.78 NA NA 0.05 XXX 70200 26 A X-ray exam of eye sockets 0.28 0.09 0.09 0.09 0.09 0.01 XXX 70210 A X-ray exam of sinuses 0.17 0.58 0.62 NA NA 0.05 XXX 70210 TC A X-ray exam of sinuses 0.00 0.53 0.57 NA NA 0.04 XXX 70210 26 A X-ray exam of sinuses 0.17 0.05 0.05 0.05 0.05 0.01 XXX 70220 A X-ray exam of sinuses 0.25 0.73 0.80 NA NA 0.06 XXX 70220 TC A X-ray exam of sinuses 0.00 0.65 0.72 NA NA 0.05 XXX 70220 26 A X-ray exam of sinuses 0.25 0.08 0.08 0.08 0.08 0.01 XXX 70240 A X-ray exam, pituitary saddle 0.19 0.61 0.54 NA NA 0.03 XXX 70240 TC A X-ray exam, pituitary saddle 0.00 0.55 0.48 NA NA 0.02 XXX 70240 26 A X-ray exam, pituitary saddle 0.19 0.06 0.06 0.06 0.06 0.01 XXX 70250 A X-ray exam of skull 0.24 0.70 0.69 NA NA 0.05 XXX 70250 TC A X-ray exam of skull 0.00 0.63 0.62 NA NA 0.04 XXX 70250 26 A X-ray exam of skull 0.24 0.07 0.07 0.07 0.07 0.01 XXX Start Printed Page 2650 70260 A X-ray exam of skull 0.34 0.88 0.94 NA NA 0.08 XXX 70260 TC A X-ray exam of skull 0.00 0.78 0.83 NA NA 0.06 XXX 70260 26 A X-ray exam of skull 0.34 0.10 0.11 0.10 0.11 0.02 XXX 70300 A X-ray exam of teeth 0.10 0.24 0.27 NA NA 0.03 XXX 70300 TC A X-ray exam of teeth 0.00 0.21 0.23 NA NA 0.02 XXX 70300 26 A X-ray exam of teeth 0.10 0.03 0.04 0.03 0.04 0.01 XXX 70310 A X-ray exam of teeth 0.16 0.82 0.65 NA NA 0.03 XXX 70310 TC A X-ray exam of teeth 0.00 0.77 0.59 NA NA 0.02 XXX 70310 26 A X-ray exam of teeth 0.16 0.05 0.06 0.05 0.06 0.01 XXX 70320 A Full mouth x-ray of teeth 0.22 1.07 0.97 NA NA 0.06 XXX 70320 TC A Full mouth x-ray of teeth 0.00 1.00 0.89 NA NA 0.05 XXX 70320 26 A Full mouth x-ray of teeth 0.22 0.07 0.08 0.07 0.08 0.01 XXX 70328 A X-ray exam of jaw joint 0.18 0.63 0.59 NA NA 0.03 XXX 70328 TC A X-ray exam of jaw joint 0.00 0.57 0.53 NA NA 0.02 XXX 70328 26 A X-ray exam of jaw joint 0.18 0.06 0.06 0.06 0.06 0.01 XXX 70330 A X-ray exam of jaw joints 0.24 1.01 0.96 NA NA 0.06 XXX 70330 TC A X-ray exam of jaw joints 0.00 0.93 0.88 NA NA 0.05 XXX 70330 26 A X-ray exam of jaw joints 0.24 0.08 0.08 0.08 0.08 0.01 XXX 70332 A X-ray exam of jaw joint 0.54 1.45 1.88 NA NA 0.14 XXX 70332 TC A X-ray exam of jaw joint 0.00 1.29 1.70 NA NA 0.12 XXX 70332 26 A X-ray exam of jaw joint 0.54 0.16 0.18 0.16 0.18 0.02 XXX 70336 A Magnetic image, jaw joint 1.48 12.17 11.94 NA NA 0.66 XXX 70336 TC A Magnetic image, jaw joint 0.00 11.67 11.44 NA NA 0.59 XXX 70336 26 A Magnetic image, jaw joint 1.48 0.50 0.50 0.50 0.50 0.07 XXX 70350 A X-ray head for orthodontia 0.17 0.32 0.39 NA NA 0.03 XXX 70350 TC A X-ray head for orthodontia 0.00 0.27 0.33 NA NA 0.02 XXX 70350 26 A X-ray head for orthodontia 0.17 0.05 0.06 0.05 0.06 0.01 XXX 70355 A Panoramic x-ray of jaws 0.20 0.30 0.47 NA NA 0.05 XXX 70355 TC A Panoramic x-ray of jaws 0.00 0.23 0.40 NA NA 0.04 XXX 70355 26 A Panoramic x-ray of jaws 0.20 0.07 0.07 0.07 0.07 0.01 XXX 70360 A X-ray exam of neck 0.17 0.56 0.52 NA NA 0.03 XXX 70360 TC A X-ray exam of neck 0.00 0.51 0.46 NA NA 0.02 XXX 70360 26 A X-ray exam of neck 0.17 0.05 0.06 0.05 0.06 0.01 XXX 70370 A Throat x-ray & fluoroscopy 0.32 1.65 1.53 NA NA 0.08 XXX 70370 TC A Throat x-ray & fluoroscopy 0.00 1.55 1.43 NA NA 0.07 XXX 70370 26 A Throat x-ray & fluoroscopy 0.32 0.10 0.10 0.10 0.10 0.01 XXX 70371 A Speech evaluation, complex 0.84 1.48 1.93 NA NA 0.16 XXX 70371 TC A Speech evaluation, complex 0.00 1.22 1.66 NA NA 0.12 XXX 70371 26 A Speech evaluation, complex 0.84 0.26 0.27 0.26 0.27 0.04 XXX 70373 A Contrast x-ray of larynx 0.44 1.58 1.76 NA NA 0.13 XXX 70373 TC A Contrast x-ray of larynx 0.00 1.47 1.63 NA NA 0.11 XXX 70373 26 A Contrast x-ray of larynx 0.44 0.11 0.13 0.11 0.13 0.02 XXX 70380 A X-ray exam of salivary gland 0.17 0.82 0.78 NA NA 0.05 XXX 70380 TC A X-ray exam of salivary gland 0.00 0.76 0.72 NA NA 0.04 XXX 70380 26 A X-ray exam of salivary gland 0.17 0.06 0.06 0.06 0.06 0.01 XXX 70390 A X-ray exam of salivary duct 0.38 2.34 2.13 NA NA 0.13 XXX 70390 TC A X-ray exam of salivary duct 0.00 2.21 2.00 NA NA 0.11 XXX 70390 26 A X-ray exam of salivary duct 0.38 0.13 0.13 0.13 0.13 0.02 XXX 70450 A Ct head/brain w/o dye 0.85 4.92 4.96 NA NA 0.29 XXX 70450 TC A Ct head/brain w/o dye 0.00 4.62 4.67 NA NA 0.25 XXX 70450 26 A Ct head/brain w/o dye 0.85 0.30 0.29 0.30 0.29 0.04 XXX 70460 A Ct head/brain w/dye 1.13 6.51 6.28 NA NA 0.35 XXX 70460 TC A Ct head/brain w/dye 0.00 6.11 5.89 NA NA 0.30 XXX 70460 26 A Ct head/brain w/dye 1.13 0.40 0.39 0.40 0.39 0.05 XXX 70470 A Ct head/brain w/o & w/dye 1.27 7.94 7.71 NA NA 0.43 XXX 70470 TC A Ct head/brain w/o & w/dye 0.00 7.49 7.28 NA NA 0.37 XXX 70470 26 A Ct head/brain w/o & w/dye 1.27 0.45 0.43 0.45 0.43 0.06 XXX 70480 A Ct orbit/ear/fossa w/o dye 1.28 8.49 6.81 NA NA 0.31 XXX 70480 TC A Ct orbit/ear/fossa w/o dye 0.00 8.04 6.38 NA NA 0.25 XXX 70480 26 A Ct orbit/ear/fossa w/o dye 1.28 0.45 0.43 0.45 0.43 0.06 XXX 70481 A Ct orbit/ear/fossa w/dye 1.38 9.98 8.05 NA NA 0.36 XXX 70481 TC A Ct orbit/ear/fossa w/dye 0.00 9.49 7.58 NA NA 0.30 XXX 70481 26 A Ct orbit/ear/fossa w/dye 1.38 0.49 0.47 0.49 0.47 0.06 XXX 70482 A Ct orbit/ear/fossa w/o&w/dye 1.45 11.41 9.48 NA NA 0.43 XXX 70482 TC A Ct orbit/ear/fossa w/o&w/dye 0.00 10.90 8.99 NA NA 0.37 XXX 70482 26 A Ct orbit/ear/fossa w/o&w/dye 1.45 0.51 0.49 0.51 0.49 0.06 XXX 70486 A Ct maxillofacial w/o dye 1.14 6.80 5.94 NA NA 0.30 XXX 70486 TC A Ct maxillofacial w/o dye 0.00 6.40 5.56 NA NA 0.25 XXX 70486 26 A Ct maxillofacial w/o dye 1.14 0.40 0.38 0.40 0.38 0.05 XXX 70487 A Ct maxillofacial w/dye 1.30 8.35 7.23 NA NA 0.36 XXX 70487 TC A Ct maxillofacial w/dye 0.00 7.89 6.78 NA NA 0.30 XXX 70487 26 A Ct maxillofacial w/dye 1.30 0.46 0.45 0.46 0.45 0.06 XXX Start Printed Page 2651 70488 A Ct maxillofacial w/o & w/dye 1.42 10.40 8.97 NA NA 0.43 XXX 70488 TC A Ct maxillofacial w/o & w/dye 0.00 9.91 8.49 NA NA 0.37 XXX 70488 26 A Ct maxillofacial w/o & w/dye 1.42 0.49 0.48 0.49 0.48 0.06 XXX 70490 A Ct soft tissue neck w/o dye 1.28 6.49 5.82 NA NA 0.31 XXX 70490 TC A Ct soft tissue neck w/o dye 0.00 6.04 5.38 NA NA 0.25 XXX 70490 26 A Ct soft tissue neck w/o dye 1.28 0.45 0.44 0.45 0.44 0.06 XXX 70491 A Ct soft tissue neck w/dye 1.38 8.04 7.08 NA NA 0.36 XXX 70491 TC A Ct soft tissue neck w/dye 0.00 7.55 6.61 NA NA 0.30 XXX 70491 26 A Ct soft tissue neck w/dye 1.38 0.49 0.47 0.49 0.47 0.06 XXX 70492 A Ct sft tsue nck w/o & w/dye 1.45 10.04 8.79 NA NA 0.43 XXX 70492 TC A Ct sft tsue nck w/o & w/dye 0.00 9.53 8.30 NA NA 0.37 XXX 70492 26 A Ct sft tsue nck w/o & w/dye 1.45 0.51 0.49 0.51 0.49 0.06 XXX 70496 A Ct angiography, head 1.75 17.10 14.14 NA NA 0.66 XXX 70496 TC A Ct angiography, head 0.00 16.47 13.54 NA NA 0.58 XXX 70496 26 A Ct angiography, head 1.75 0.63 0.60 0.63 0.60 0.08 XXX 70498 A Ct angiography, neck 1.75 17.24 14.21 NA NA 0.66 XXX 70498 TC A Ct angiography, neck 0.00 16.59 13.60 NA NA 0.58 XXX 70498 26 A Ct angiography, neck 1.75 0.65 0.61 0.65 0.61 0.08 XXX 70540 A Mri orbit/face/neck w/o dye 1.35 14.18 12.91 NA NA 0.45 XXX 70540 TC A Mri orbit/face/neck w/o dye 0.00 13.72 12.46 NA NA 0.39 XXX 70540 26 A Mri orbit/face/neck w/o dye 1.35 0.46 0.45 0.46 0.45 0.06 XXX 70542 A Mri orbit/face/neck w/dye 1.62 15.29 14.64 NA NA 0.54 XXX 70542 TC A Mri orbit/face/neck w/dye 0.00 14.73 14.09 NA NA 0.47 XXX 70542 26 A Mri orbit/face/neck w/dye 1.62 0.56 0.55 0.56 0.55 0.07 XXX 70543 A Mri orbt/fac/nck w/o & w/dye 2.15 18.77 22.18 NA NA 0.94 XXX 70543 TC A Mri orbt/fac/nck w/o & w/dye 0.00 18.03 21.46 NA NA 0.84 XXX 70543 26 A Mri orbt/fac/nck w/o & w/dye 2.15 0.74 0.72 0.74 0.72 0.10 XXX 70544 A Mr angiography head w/o dye 1.20 15.86 13.73 NA NA 0.64 XXX 70544 TC A Mr angiography head w/o dye 0.00 15.44 13.32 NA NA 0.59 XXX 70544 26 A Mr angiography head w/o dye 1.20 0.42 0.41 0.42 0.41 0.05 XXX 70545 A Mr angiography head w/dye 1.20 15.74 13.67 NA NA 0.64 XXX 70545 TC A Mr angiography head w/dye 0.00 15.32 13.26 NA NA 0.59 XXX 70545 26 A Mr angiography head w/dye 1.20 0.42 0.41 0.42 0.41 0.05 XXX 70546 A Mr angiograph head w/o&w/dye 1.80 24.03 23.53 NA NA 0.67 XXX 70546 TC A Mr angiograph head w/o&w/dye 0.00 23.41 22.92 NA NA 0.59 XXX 70546 26 A Mr angiograph head w/o&w/dye 1.80 0.62 0.61 0.62 0.61 0.08 XXX 70547 A Mr angiography neck w/o dye 1.20 15.79 13.69 NA NA 0.64 XXX 70547 TC A Mr angiography neck w/o dye 0.00 15.38 13.29 NA NA 0.59 XXX 70547 26 A Mr angiography neck w/o dye 1.20 0.41 0.40 0.41 0.40 0.05 XXX 70548 A Mr angiography neck w/dye 1.20 16.65 14.13 NA NA 0.64 XXX 70548 TC A Mr angiography neck w/dye 0.00 16.23 13.72 NA NA 0.59 XXX 70548 26 A Mr angiography neck w/dye 1.20 0.42 0.41 0.42 0.41 0.05 XXX 70549 A Mr angiograph neck w/o&w/dye 1.80 24.05 23.53 NA NA 0.67 XXX 70549 TC A Mr angiograph neck w/o&w/dye 0.00 23.42 22.92 NA NA 0.59 XXX 70549 26 A Mr angiograph neck w/o&w/dye 1.80 0.63 0.61 0.63 0.61 0.08 XXX 70551 A Mri brain w/o dye 1.48 14.44 13.07 NA NA 0.66 XXX 70551 TC A Mri brain w/o dye 0.00 13.93 12.57 NA NA 0.59 XXX 70551 26 A Mri brain w/o dye 1.48 0.51 0.50 0.51 0.50 0.07 XXX 70552 A Mri brain w/dye 1.78 15.59 14.82 NA NA 0.78 XXX 70552 TC A Mri brain w/dye 0.00 14.97 14.21 NA NA 0.70 XXX 70552 26 A Mri brain w/dye 1.78 0.62 0.61 0.62 0.61 0.08 XXX 70553 A Mri brain w/o & w/dye 2.36 18.09 21.88 NA NA 1.41 XXX 70553 TC A Mri brain w/o & w/dye 0.00 17.27 21.08 NA NA 1.31 XXX 70553 26 A Mri brain w/o & w/dye 2.36 0.82 0.80 0.82 0.80 0.10 XXX 70554 A Fmri brain by tech 2.11 15.42 15.42 NA NA 0.92 XXX 70554 TC A Fmri brain by tech 0.00 14.73 14.73 NA NA 0.82 XXX 70554 26 A Fmri brain by tech 2.11 0.69 0.69 0.69 0.69 0.10 XXX 70555 C Fmri brain by phys/psych 0.00 0.00 0.00 NA NA 0.00 XXX 70555 TC C Fmri brain by phys/psych 0.00 0.00 0.00 NA NA 0.00 XXX 70555 26 A Fmri brain by phys/psych 2.54 0.90 0.90 0.90 0.90 0.11 XXX 70557 C Mri brain w/o dye 0.00 0.00 0.00 NA NA 0.00 XXX 70557 TC C Mri brain w/o dye 0.00 0.00 0.00 NA NA 0.00 XXX 70557 26 A Mri brain w/o dye 2.90 1.03 1.08 1.03 1.08 0.08 XXX 70558 C Mri brain w/dye 0.00 0.00 0.00 NA NA 0.00 XXX 70558 TC C Mri brain w/dye 0.00 0.00 0.00 NA NA 0.00 XXX 70558 26 A Mri brain w/dye 3.20 1.10 1.17 1.10 1.17 0.10 XXX 70559 C Mri brain w/o & w/dye 0.00 0.00 0.00 NA NA 0.00 XXX 70559 TC C Mri brain w/o & w/dye 0.00 0.00 0.00 NA NA 0.00 XXX 70559 26 A Mri brain w/o & w/dye 3.20 1.14 1.19 1.14 1.19 0.12 XXX 71010 A Chest x-ray 0.18 0.43 0.48 NA NA 0.03 XXX 71010 TC A Chest x-ray 0.00 0.37 0.42 NA NA 0.02 XXX 71010 26 A Chest x-ray 0.18 0.06 0.06 0.06 0.06 0.01 XXX Start Printed Page 2652 71015 A Chest x-ray 0.21 0.58 0.58 NA NA 0.03 XXX 71015 TC A Chest x-ray 0.00 0.51 0.51 NA NA 0.02 XXX 71015 26 A Chest x-ray 0.21 0.07 0.07 0.07 0.07 0.01 XXX 71020 A Chest x-ray 0.22 0.57 0.63 NA NA 0.05 XXX 71020 TC A Chest x-ray 0.00 0.50 0.56 NA NA 0.04 XXX 71020 26 A Chest x-ray 0.22 0.07 0.07 0.07 0.07 0.01 XXX 71021 A Chest x-ray 0.27 0.71 0.77 NA NA 0.06 XXX 71021 TC A Chest x-ray 0.00 0.62 0.68 NA NA 0.05 XXX 71021 26 A Chest x-ray 0.27 0.09 0.09 0.09 0.09 0.01 XXX 71022 A Chest x-ray 0.31 0.90 0.86 NA NA 0.06 XXX 71022 TC A Chest x-ray 0.00 0.80 0.76 NA NA 0.05 XXX 71022 26 A Chest x-ray 0.31 0.10 0.10 0.10 0.10 0.01 XXX 71023 A Chest x-ray and fluoroscopy 0.38 1.54 1.23 NA NA 0.06 XXX 71023 TC A Chest x-ray and fluoroscopy 0.00 1.40 1.09 NA NA 0.05 XXX 71023 26 A Chest x-ray and fluoroscopy 0.38 0.14 0.14 0.14 0.14 0.01 XXX 71030 A Chest x-ray 0.31 0.92 0.90 NA NA 0.06 XXX 71030 TC A Chest x-ray 0.00 0.82 0.80 NA NA 0.05 XXX 71030 26 A Chest x-ray 0.31 0.10 0.10 0.10 0.10 0.01 XXX 71034 A Chest x-ray and fluoroscopy 0.46 2.12 1.85 NA NA 0.10 XXX 71034 TC A Chest x-ray and fluoroscopy 0.00 1.91 1.67 NA NA 0.08 XXX 71034 26 A Chest x-ray and fluoroscopy 0.46 0.21 0.18 0.21 0.18 0.02 XXX 71035 A Chest x-ray 0.18 0.78 0.68 NA NA 0.03 XXX 71035 TC A Chest x-ray 0.00 0.72 0.62 NA NA 0.02 XXX 71035 26 A Chest x-ray 0.18 0.06 0.06 0.06 0.06 0.01 XXX 71040 A Contrast x-ray of bronchi 0.58 2.06 1.85 NA NA 0.11 XXX 71040 TC A Contrast x-ray of bronchi 0.00 1.88 1.67 NA NA 0.08 XXX 71040 26 A Contrast x-ray of bronchi 0.58 0.18 0.18 0.18 0.18 0.03 XXX 71060 A Contrast x-ray of bronchi 0.74 3.11 2.78 NA NA 0.16 XXX 71060 TC A Contrast x-ray of bronchi 0.00 2.85 2.53 NA NA 0.13 XXX 71060 26 A Contrast x-ray of bronchi 0.74 0.26 0.25 0.26 0.25 0.03 XXX 71090 C X-ray & pacemaker insertion 0.00 0.00 0.00 NA NA 0.00 XXX 71090 TC C X-ray & pacemaker insertion 0.00 0.00 0.00 NA NA 0.00 XXX 71090 26 A X-ray & pacemaker insertion 0.54 0.28 0.24 0.28 0.24 0.02 XXX 71100 A X-ray exam of ribs 0.22 0.62 0.63 NA NA 0.05 XXX 71100 TC A X-ray exam of ribs 0.00 0.55 0.56 NA NA 0.04 XXX 71100 26 A X-ray exam of ribs 0.22 0.07 0.07 0.07 0.07 0.01 XXX 71101 A X-ray exam of ribs/chest 0.27 0.77 0.76 NA NA 0.05 XXX 71101 TC A X-ray exam of ribs/chest 0.00 0.68 0.67 NA NA 0.04 XXX 71101 26 A X-ray exam of ribs/chest 0.27 0.09 0.09 0.09 0.09 0.01 XXX 71110 A X-ray exam of ribs 0.27 0.77 0.82 NA NA 0.06 XXX 71110 TC A X-ray exam of ribs 0.00 0.69 0.73 NA NA 0.05 XXX 71110 26 A X-ray exam of ribs 0.27 0.08 0.09 0.08 0.09 0.01 XXX 71111 A X-ray exam of ribs/chest 0.32 1.06 1.03 NA NA 0.07 XXX 71111 TC A X-ray exam of ribs/chest 0.00 0.96 0.93 NA NA 0.06 XXX 71111 26 A X-ray exam of ribs/chest 0.32 0.10 0.10 0.10 0.10 0.01 XXX 71120 A X-ray exam of breastbone 0.20 0.63 0.68 NA NA 0.05 XXX 71120 TC A X-ray exam of breastbone 0.00 0.56 0.61 NA NA 0.04 XXX 71120 26 A X-ray exam of breastbone 0.20 0.07 0.07 0.07 0.07 0.01 XXX 71130 A X-ray exam of breastbone 0.22 0.76 0.76 NA NA 0.05 XXX 71130 TC A X-ray exam of breastbone 0.00 0.68 0.69 NA NA 0.04 XXX 71130 26 A X-ray exam of breastbone 0.22 0.08 0.07 0.08 0.07 0.01 XXX 71250 A Ct thorax w/o dye 1.16 6.45 6.37 NA NA 0.36 XXX 71250 TC A Ct thorax w/o dye 0.00 6.04 5.98 NA NA 0.31 XXX 71250 26 A Ct thorax w/o dye 1.16 0.41 0.39 0.41 0.39 0.05 XXX 71260 A Ct thorax w/dye 1.24 8.00 7.74 NA NA 0.42 XXX 71260 TC A Ct thorax w/dye 0.00 7.56 7.32 NA NA 0.37 XXX 71260 26 A Ct thorax w/dye 1.24 0.44 0.42 0.44 0.42 0.05 XXX 71270 A Ct thorax w/o & w/dye 1.38 10.04 9.68 NA NA 0.52 XXX 71270 TC A Ct thorax w/o & w/dye 0.00 9.56 9.21 NA NA 0.46 XXX 71270 26 A Ct thorax w/o & w/dye 1.38 0.48 0.47 0.48 0.47 0.06 XXX 71275 A Ct angiography, chest 1.92 11.77 12.39 NA NA 0.48 XXX 71275 TC A Ct angiography, chest 0.00 11.08 11.73 NA NA 0.39 XXX 71275 26 A Ct angiography, chest 1.92 0.69 0.66 0.69 0.66 0.09 XXX 71550 A Mri chest w/o dye 1.46 16.38 14.03 NA NA 0.51 XXX 71550 TC A Mri chest w/o dye 0.00 15.87 13.54 NA NA 0.45 XXX 71550 26 A Mri chest w/o dye 1.46 0.51 0.49 0.51 0.49 0.06 XXX 71551 A Mri chest w/dye 1.73 17.94 15.97 NA NA 0.60 XXX 71551 TC A Mri chest w/dye 0.00 17.34 15.39 NA NA 0.52 XXX 71551 26 A Mri chest w/dye 1.73 0.60 0.58 0.60 0.58 0.08 XXX 71552 A Mri chest w/o & w/dye 2.26 22.58 24.10 NA NA 0.78 XXX 71552 TC A Mri chest w/o & w/dye 0.00 21.77 23.33 NA NA 0.68 XXX 71552 26 A Mri chest w/o & w/dye 2.26 0.81 0.77 0.81 0.77 0.10 XXX Start Printed Page 2653 71555 R Mri angio chest w or w/o dye 1.81 15.31 13.56 NA NA 0.67 XXX 71555 TC R Mri angio chest w or w/o dye 0.00 14.65 12.93 NA NA 0.59 XXX 71555 26 R Mri angio chest w or w/o dye 1.81 0.66 0.63 0.66 0.63 0.08 XXX 72010 A X-ray exam of spine 0.45 1.43 1.30 NA NA 0.08 XXX 72010 TC A X-ray exam of spine 0.00 1.30 1.16 NA NA 0.06 XXX 72010 26 A X-ray exam of spine 0.45 0.13 0.14 0.13 0.14 0.02 XXX 72020 A X-ray exam of spine 0.15 0.47 0.47 NA NA 0.03 XXX 72020 TC A X-ray exam of spine 0.00 0.42 0.42 NA NA 0.02 XXX 72020 26 A X-ray exam of spine 0.15 0.05 0.05 0.05 0.05 0.01 XXX 72040 A X-ray exam of neck spine 0.22 0.76 0.72 NA NA 0.05 XXX 72040 TC A X-ray exam of neck spine 0.00 0.69 0.65 NA NA 0.04 XXX 72040 26 A X-ray exam of neck spine 0.22 0.07 0.07 0.07 0.07 0.01 XXX 72050 A X-ray exam of neck spine 0.31 1.08 1.03 NA NA 0.07 XXX 72050 TC A X-ray exam of neck spine 0.00 0.97 0.93 NA NA 0.06 XXX 72050 26 A X-ray exam of neck spine 0.31 0.11 0.10 0.11 0.10 0.01 XXX 72052 A X-ray exam of neck spine 0.36 1.39 1.32 NA NA 0.08 XXX 72052 TC A X-ray exam of neck spine 0.00 1.27 1.20 NA NA 0.06 XXX 72052 26 A X-ray exam of neck spine 0.36 0.12 0.12 0.12 0.12 0.02 XXX 72069 A X-ray exam of trunk spine 0.22 0.76 0.66 NA NA 0.03 XXX 72069 TC A X-ray exam of trunk spine 0.00 0.68 0.58 NA NA 0.02 XXX 72069 26 A X-ray exam of trunk spine 0.22 0.08 0.08 0.08 0.08 0.01 XXX 72070 A X-ray exam of thoracic spine 0.22 0.64 0.68 NA NA 0.05 XXX 72070 TC A X-ray exam of thoracic spine 0.00 0.57 0.61 NA NA 0.04 XXX 72070 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.07 0.07 0.01 XXX 72072 A X-ray exam of thoracic spine 0.22 0.77 0.78 NA NA 0.06 XXX 72072 TC A X-ray exam of thoracic spine 0.00 0.70 0.71 NA NA 0.05 XXX 72072 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.07 0.07 0.01 XXX 72074 A X-ray exam of thoracic spine 0.22 0.95 0.96 NA NA 0.07 XXX 72074 TC A X-ray exam of thoracic spine 0.00 0.88 0.89 NA NA 0.06 XXX 72074 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.07 0.07 0.01 XXX 72080 A X-ray exam of trunk spine 0.22 0.70 0.71 NA NA 0.05 XXX 72080 TC A X-ray exam of trunk spine 0.00 0.62 0.64 NA NA 0.04 XXX 72080 26 A X-ray exam of trunk spine 0.22 0.08 0.07 0.08 0.07 0.01 XXX 72090 A X-ray exam of trunk spine 0.28 1.00 0.89 NA NA 0.05 XXX 72090 TC A X-ray exam of trunk spine 0.00 0.90 0.79 NA NA 0.04 XXX 72090 26 A X-ray exam of trunk spine 0.28 0.10 0.10 0.10 0.10 0.01 XXX 72100 A X-ray exam of lower spine 0.22 0.81 0.77 NA NA 0.05 XXX 72100 TC A X-ray exam of lower spine 0.00 0.74 0.70 NA NA 0.04 XXX 72100 26 A X-ray exam of lower spine 0.22 0.07 0.07 0.07 0.07 0.01 XXX 72110 A X-ray exam of lower spine 0.31 1.15 1.07 NA NA 0.07 XXX 72110 TC A X-ray exam of lower spine 0.00 1.04 0.97 NA NA 0.06 XXX 72110 26 A X-ray exam of lower spine 0.31 0.11 0.10 0.11 0.10 0.01 XXX 72114 A X-ray exam of lower spine 0.36 1.57 1.43 NA NA 0.08 XXX 72114 TC A X-ray exam of lower spine 0.00 1.44 1.31 NA NA 0.06 XXX 72114 26 A X-ray exam of lower spine 0.36 0.13 0.12 0.13 0.12 0.02 XXX 72120 A X-ray exam of lower spine 0.22 1.08 1.01 NA NA 0.07 XXX 72120 TC A X-ray exam of lower spine 0.00 1.00 0.94 NA NA 0.06 XXX 72120 26 A X-ray exam of lower spine 0.22 0.08 0.07 0.08 0.07 0.01 XXX 72125 A Ct neck spine w/o dye 1.16 6.47 6.38 NA NA 0.36 XXX 72125 TC A Ct neck spine w/o dye 0.00 6.06 5.99 NA NA 0.31 XXX 72125 26 A Ct neck spine w/o dye 1.16 0.41 0.39 0.41 0.39 0.05 XXX 72126 A Ct neck spine w/dye 1.22 8.00 7.73 NA NA 0.42 XXX 72126 TC A Ct neck spine w/dye 0.00 7.57 7.32 NA NA 0.37 XXX 72126 26 A Ct neck spine w/dye 1.22 0.43 0.41 0.43 0.41 0.05 XXX 72127 A Ct neck spine w/o & w/dye 1.27 10.05 9.66 NA NA 0.52 XXX 72127 TC A Ct neck spine w/o & w/dye 0.00 9.61 9.23 NA NA 0.46 XXX 72127 26 A Ct neck spine w/o & w/dye 1.27 0.44 0.43 0.44 0.43 0.06 XXX 72128 A Ct chest spine w/o dye 1.16 6.46 6.37 NA NA 0.36 XXX 72128 TC A Ct chest spine w/o dye 0.00 6.05 5.98 NA NA 0.31 XXX 72128 26 A Ct chest spine w/o dye 1.16 0.41 0.39 0.41 0.39 0.05 XXX 72129 A Ct chest spine w/dye 1.22 8.00 7.74 NA NA 0.42 XXX 72129 TC A Ct chest spine w/dye 0.00 7.57 7.32 NA NA 0.37 XXX 72129 26 A Ct chest spine w/dye 1.22 0.43 0.42 0.43 0.42 0.05 XXX 72130 A Ct chest spine w/o & w/dye 1.27 9.98 9.63 NA NA 0.52 XXX 72130 TC A Ct chest spine w/o & w/dye 0.00 9.54 9.20 NA NA 0.46 XXX 72130 26 A Ct chest spine w/o & w/dye 1.27 0.44 0.43 0.44 0.43 0.06 XXX 72131 A Ct lumbar spine w/o dye 1.16 6.43 6.36 NA NA 0.36 XXX 72131 TC A Ct lumbar spine w/o dye 0.00 6.03 5.97 NA NA 0.31 XXX 72131 26 A Ct lumbar spine w/o dye 1.16 0.40 0.39 0.40 0.39 0.05 XXX 72132 A Ct lumbar spine w/dye 1.22 7.98 7.72 NA NA 0.42 XXX 72132 TC A Ct lumbar spine w/dye 0.00 7.55 7.31 NA NA 0.37 XXX 72132 26 A Ct lumbar spine w/dye 1.22 0.43 0.41 0.43 0.41 0.05 XXX Start Printed Page 2654 72133 A Ct lumbar spine w/o & w/dye 1.27 10.02 9.65 NA NA 0.52 XXX 72133 TC A Ct lumbar spine w/o & w/dye 0.00 9.58 9.22 NA NA 0.46 XXX 72133 26 A Ct lumbar spine w/o & w/dye 1.27 0.44 0.43 0.44 0.43 0.06 XXX 72141 A Mri neck spine w/o dye 1.60 12.46 12.10 NA NA 0.66 XXX 72141 TC A Mri neck spine w/o dye 0.00 11.91 11.56 NA NA 0.59 XXX 72141 26 A Mri neck spine w/o dye 1.60 0.55 0.54 0.55 0.54 0.07 XXX 72142 A Mri neck spine w/dye 1.92 15.62 14.85 NA NA 0.79 XXX 72142 TC A Mri neck spine w/dye 0.00 14.96 14.20 NA NA 0.70 XXX 72142 26 A Mri neck spine w/dye 1.92 0.66 0.65 0.66 0.65 0.09 XXX 72146 A Mri chest spine w/o dye 1.60 12.48 12.73 NA NA 0.71 XXX 72146 TC A Mri chest spine w/o dye 0.00 11.93 12.19 NA NA 0.64 XXX 72146 26 A Mri chest spine w/o dye 1.60 0.55 0.54 0.55 0.54 0.07 XXX 72147 A Mri chest spine w/dye 1.92 13.58 13.83 NA NA 0.79 XXX 72147 TC A Mri chest spine w/dye 0.00 12.91 13.18 NA NA 0.70 XXX 72147 26 A Mri chest spine w/dye 1.92 0.67 0.65 0.67 0.65 0.09 XXX 72148 A Mri lumbar spine w/o dye 1.48 12.42 12.68 NA NA 0.71 XXX 72148 TC A Mri lumbar spine w/o dye 0.00 11.91 12.18 NA NA 0.64 XXX 72148 26 A Mri lumbar spine w/o dye 1.48 0.51 0.50 0.51 0.50 0.07 XXX 72149 A Mri lumbar spine w/dye 1.78 15.52 14.79 NA NA 0.78 XXX 72149 TC A Mri lumbar spine w/dye 0.00 14.90 14.18 NA NA 0.70 XXX 72149 26 A Mri lumbar spine w/dye 1.78 0.62 0.61 0.62 0.61 0.08 XXX 72156 A Mri neck spine w/o & w/dye 2.57 17.79 21.77 NA NA 1.42 XXX 72156 TC A Mri neck spine w/o & w/dye 0.00 16.90 20.90 NA NA 1.31 XXX 72156 26 A Mri neck spine w/o & w/dye 2.57 0.89 0.87 0.89 0.87 0.11 XXX 72157 A Mri chest spine w/o & w/dye 2.57 16.22 20.98 NA NA 1.42 XXX 72157 TC A Mri chest spine w/o & w/dye 0.00 15.32 20.11 NA NA 1.31 XXX 72157 26 A Mri chest spine w/o & w/dye 2.57 0.90 0.87 0.90 0.87 0.11 XXX 72158 A Mri lumbar spine w/o & w/dye 2.36 17.70 21.69 NA NA 1.41 XXX 72158 TC A Mri lumbar spine w/o & w/dye 0.00 16.88 20.89 NA NA 1.31 XXX 72158 26 A Mri lumbar spine w/o & w/dye 2.36 0.82 0.80 0.82 0.80 0.10 XXX 72159 N Mr angio spine w/o&w/dye 1.80 14.67 13.80 NA NA 0.74 XXX 72159 TC N Mr angio spine w/o&w/dye 0.00 14.25 13.25 NA NA 0.64 XXX 72159 26 N Mr angio spine w/o&w/dye 1.80 0.42 0.55 0.42 0.55 0.10 XXX 72170 A X-ray exam of pelvis 0.17 0.50 0.54 NA NA 0.03 XXX 72170 TC A X-ray exam of pelvis 0.00 0.44 0.48 NA NA 0.02 XXX 72170 26 A X-ray exam of pelvis 0.17 0.06 0.06 0.06 0.06 0.01 XXX 72190 A X-ray exam of pelvis 0.21 0.84 0.79 NA NA 0.05 XXX 72190 TC A X-ray exam of pelvis 0.00 0.77 0.72 NA NA 0.04 XXX 72190 26 A X-ray exam of pelvis 0.21 0.07 0.07 0.07 0.07 0.01 XXX 72191 A Ct angiograph pelv w/o&w/dye 1.81 11.34 11.99 NA NA 0.47 XXX 72191 TC A Ct angiograph pelv w/o&w/dye 0.00 10.69 11.36 NA NA 0.39 XXX 72191 26 A Ct angiograph pelv w/o&w/dye 1.81 0.65 0.63 0.65 0.63 0.08 XXX 72192 A Ct pelvis w/o dye 1.09 6.04 6.15 NA NA 0.36 XXX 72192 TC A Ct pelvis w/o dye 0.00 5.65 5.78 NA NA 0.31 XXX 72192 26 A Ct pelvis w/o dye 1.09 0.39 0.37 0.39 0.37 0.05 XXX 72193 A Ct pelvis w/dye 1.16 7.55 7.39 NA NA 0.41 XXX 72193 TC A Ct pelvis w/dye 0.00 7.14 6.99 NA NA 0.36 XXX 72193 26 A Ct pelvis w/dye 1.16 0.41 0.40 0.41 0.40 0.05 XXX 72194 A Ct pelvis w/o & w/dye 1.22 10.13 9.51 NA NA 0.48 XXX 72194 TC A Ct pelvis w/o & w/dye 0.00 9.70 9.10 NA NA 0.43 XXX 72194 26 A Ct pelvis w/o & w/dye 1.22 0.43 0.41 0.43 0.41 0.05 XXX 72195 A Mri pelvis w/o dye 1.46 14.44 13.06 NA NA 0.51 XXX 72195 TC A Mri pelvis w/o dye 0.00 13.93 12.57 NA NA 0.45 XXX 72195 26 A Mri pelvis w/o dye 1.46 0.51 0.49 0.51 0.49 0.06 XXX 72196 A Mri pelvis w/dye 1.73 15.54 14.78 NA NA 0.60 XXX 72196 TC A Mri pelvis w/dye 0.00 14.93 14.19 NA NA 0.52 XXX 72196 26 A Mri pelvis w/dye 1.73 0.61 0.59 0.61 0.59 0.08 XXX 72197 A Mri pelvis w/o & w/dye 2.26 18.97 22.30 NA NA 1.02 XXX 72197 TC A Mri pelvis w/o & w/dye 0.00 18.18 21.54 NA NA 0.92 XXX 72197 26 A Mri pelvis w/o & w/dye 2.26 0.79 0.76 0.79 0.76 0.10 XXX 72198 A Mr angio pelvis w/o & w/dye 1.80 15.09 13.44 NA NA 0.67 XXX 72198 TC A Mr angio pelvis w/o & w/dye 0.00 14.45 12.83 NA NA 0.59 XXX 72198 26 A Mr angio pelvis w/o & w/dye 1.80 0.64 0.61 0.64 0.61 0.08 XXX 72200 A X-ray exam sacroiliac joints 0.17 0.59 0.59 NA NA 0.03 XXX 72200 TC A X-ray exam sacroiliac joints 0.00 0.54 0.53 NA NA 0.02 XXX 72200 26 A X-ray exam sacroiliac joints 0.17 0.05 0.06 0.05 0.06 0.01 XXX 72202 A X-ray exam sacroiliac joints 0.19 0.74 0.71 NA NA 0.05 XXX 72202 TC A X-ray exam sacroiliac joints 0.00 0.67 0.65 NA NA 0.04 XXX 72202 26 A X-ray exam sacroiliac joints 0.19 0.07 0.06 0.07 0.06 0.01 XXX 72220 A X-ray exam of tailbone 0.17 0.58 0.61 NA NA 0.05 XXX 72220 TC A X-ray exam of tailbone 0.00 0.52 0.55 NA NA 0.04 XXX 72220 26 A X-ray exam of tailbone 0.17 0.06 0.06 0.06 0.06 0.01 XXX Start Printed Page 2655 72240 A Contrast x-ray of neck spine 0.91 2.58 3.80 NA NA 0.29 XXX 72240 TC A Contrast x-ray of neck spine 0.00 2.26 3.50 NA NA 0.25 XXX 72240 26 A Contrast x-ray of neck spine 0.91 0.32 0.30 0.32 0.30 0.04 XXX 72255 A Contrast x-ray, thorax spine 0.91 2.24 3.43 NA NA 0.26 XXX 72255 TC A Contrast x-ray, thorax spine 0.00 1.96 3.15 NA NA 0.22 XXX 72255 26 A Contrast x-ray, thorax spine 0.91 0.28 0.28 0.28 0.28 0.04 XXX 72265 A Contrast x-ray, lower spine 0.83 2.54 3.43 NA NA 0.26 XXX 72265 TC A Contrast x-ray, lower spine 0.00 2.25 3.16 NA NA 0.22 XXX 72265 26 A Contrast x-ray, lower spine 0.83 0.29 0.27 0.29 0.27 0.04 XXX 72270 A Contrast x-ray, spine 1.33 3.99 5.27 NA NA 0.39 XXX 72270 TC A Contrast x-ray, spine 0.00 3.52 4.82 NA NA 0.33 XXX 72270 26 A Contrast x-ray, spine 1.33 0.47 0.45 0.47 0.45 0.06 XXX 72275 A Epidurography 0.76 1.73 2.02 NA NA 0.26 XXX 72275 TC A Epidurography 0.00 1.53 1.82 NA NA 0.22 XXX 72275 26 A Epidurography 0.76 0.20 0.20 0.20 0.20 0.04 XXX 72285 A X-ray c/t spine disk 1.16 1.44 5.09 NA NA 0.50 XXX 72285 TC A X-ray c/t spine disk 0.00 1.14 4.76 NA NA 0.43 XXX 72285 26 A X-ray c/t spine disk 1.16 0.30 0.33 0.30 0.33 0.07 XXX 72291 C Perq vertebroplasty, fluor 0.00 0.00 0.00 NA NA 0.00 XXX 72291 TC C Perq vertebroplasty, fluor 0.00 0.00 0.00 NA NA 0.00 XXX 72291 26 A Perq vertebroplasty, fluor 1.31 0.48 0.47 0.48 0.47 0.10 XXX 72292 C Perq vertebroplasty, ct 0.00 0.00 0.00 NA NA 0.00 XXX 72292 TC C Perq vertebroplasty, ct 0.00 0.00 0.00 NA NA 0.00 XXX 72292 26 A Perq vertebroplasty, ct 1.38 0.50 0.49 0.50 0.49 0.07 XXX 72295 A X-ray of lower spine disk 0.83 1.46 4.80 NA NA 0.46 XXX 72295 TC A X-ray of lower spine disk 0.00 1.22 4.54 NA NA 0.40 XXX 72295 26 A X-ray of lower spine disk 0.83 0.24 0.26 0.24 0.26 0.06 XXX 73000 A X-ray exam of collar bone 0.16 0.55 0.56 NA NA 0.03 XXX 73000 TC A X-ray exam of collar bone 0.00 0.50 0.51 NA NA 0.02 XXX 73000 26 A X-ray exam of collar bone 0.16 0.05 0.05 0.05 0.05 0.01 XXX 73010 A X-ray exam of shoulder blade 0.17 0.58 0.58 NA NA 0.03 XXX 73010 TC A X-ray exam of shoulder blade 0.00 0.52 0.52 NA NA 0.02 XXX 73010 26 A X-ray exam of shoulder blade 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73020 A X-ray exam of shoulder 0.15 0.44 0.48 NA NA 0.03 XXX 73020 TC A X-ray exam of shoulder 0.00 0.39 0.43 NA NA 0.02 XXX 73020 26 A X-ray exam of shoulder 0.15 0.05 0.05 0.05 0.05 0.01 XXX 73030 A X-ray exam of shoulder 0.18 0.57 0.60 NA NA 0.05 XXX 73030 TC A X-ray exam of shoulder 0.00 0.51 0.54 NA NA 0.04 XXX 73030 26 A X-ray exam of shoulder 0.18 0.06 0.06 0.06 0.06 0.01 XXX 73040 A Contrast x-ray of shoulder 0.54 2.25 2.27 NA NA 0.14 XXX 73040 TC A Contrast x-ray of shoulder 0.00 2.06 2.08 NA NA 0.12 XXX 73040 26 A Contrast x-ray of shoulder 0.54 0.19 0.19 0.19 0.19 0.02 XXX 73050 A X-ray exam of shoulders 0.20 0.74 0.73 NA NA 0.05 XXX 73050 TC A X-ray exam of shoulders 0.00 0.66 0.66 NA NA 0.04 XXX 73050 26 A X-ray exam of shoulders 0.20 0.08 0.07 0.08 0.07 0.01 XXX 73060 A X-ray exam of humerus 0.17 0.58 0.60 NA NA 0.05 XXX 73060 TC A X-ray exam of humerus 0.00 0.52 0.54 NA NA 0.04 XXX 73060 26 A X-ray exam of humerus 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73070 A X-ray exam of elbow 0.15 0.55 0.56 NA NA 0.03 XXX 73070 TC A X-ray exam of elbow 0.00 0.50 0.51 NA NA 0.02 XXX 73070 26 A X-ray exam of elbow 0.15 0.05 0.05 0.05 0.05 0.01 XXX 73080 A X-ray exam of elbow 0.17 0.76 0.69 NA NA 0.05 XXX 73080 TC A X-ray exam of elbow 0.00 0.70 0.63 NA NA 0.04 XXX 73080 26 A X-ray exam of elbow 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73085 A Contrast x-ray of elbow 0.54 1.84 2.07 NA NA 0.14 XXX 73085 TC A Contrast x-ray of elbow 0.00 1.66 1.88 NA NA 0.12 XXX 73085 26 A Contrast x-ray of elbow 0.54 0.18 0.19 0.18 0.19 0.02 XXX 73090 A X-ray exam of forearm 0.16 0.55 0.56 NA NA 0.03 XXX 73090 TC A X-ray exam of forearm 0.00 0.50 0.51 NA NA 0.02 XXX 73090 26 A X-ray exam of forearm 0.16 0.05 0.05 0.05 0.05 0.01 XXX 73092 A X-ray exam of arm, infant 0.16 0.58 0.56 NA NA 0.03 XXX 73092 TC A X-ray exam of arm, infant 0.00 0.53 0.51 NA NA 0.02 XXX 73092 26 A X-ray exam of arm, infant 0.16 0.05 0.05 0.05 0.05 0.01 XXX 73100 A X-ray exam of wrist 0.16 0.61 0.57 NA NA 0.03 XXX 73100 TC A X-ray exam of wrist 0.00 0.55 0.52 NA NA 0.02 XXX 73100 26 A X-ray exam of wrist 0.16 0.06 0.05 0.06 0.05 0.01 XXX 73110 A X-ray exam of wrist 0.17 0.78 0.68 NA NA 0.03 XXX 73110 TC A X-ray exam of wrist 0.00 0.72 0.62 NA NA 0.02 XXX 73110 26 A X-ray exam of wrist 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73115 A Contrast x-ray of wrist 0.54 2.33 2.04 NA NA 0.12 XXX 73115 TC A Contrast x-ray of wrist 0.00 2.14 1.86 NA NA 0.10 XXX 73115 26 A Contrast x-ray of wrist 0.54 0.19 0.18 0.19 0.18 0.02 XXX Start Printed Page 2656 73120 A X-ray exam of hand 0.16 0.56 0.55 NA NA 0.03 XXX 73120 TC A X-ray exam of hand 0.00 0.51 0.50 NA NA 0.02 XXX 73120 26 A X-ray exam of hand 0.16 0.05 0.05 0.05 0.05 0.01 XXX 73130 A X-ray exam of hand 0.17 0.66 0.63 NA NA 0.03 XXX 73130 TC A X-ray exam of hand 0.00 0.60 0.57 NA NA 0.02 XXX 73130 26 A X-ray exam of hand 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73140 A X-ray exam of finger(s) 0.13 0.67 0.57 NA NA 0.03 XXX 73140 TC A X-ray exam of finger(s) 0.00 0.63 0.53 NA NA 0.02 XXX 73140 26 A X-ray exam of finger(s) 0.13 0.04 0.04 0.04 0.04 0.01 XXX 73200 A Ct upper extremity w/o dye 1.09 6.40 5.86 NA NA 0.30 XXX 73200 TC A Ct upper extremity w/o dye 0.00 6.02 5.49 NA NA 0.25 XXX 73200 26 A Ct upper extremity w/o dye 1.09 0.38 0.37 0.38 0.37 0.05 XXX 73201 A Ct upper extremity w/dye 1.16 7.92 7.10 NA NA 0.36 XXX 73201 TC A Ct upper extremity w/dye 0.00 7.51 6.71 NA NA 0.31 XXX 73201 26 A Ct upper extremity w/dye 1.16 0.41 0.39 0.41 0.39 0.05 XXX 73202 A Ct uppr extremity w/o&w/dye 1.22 10.55 9.19 NA NA 0.44 XXX 73202 TC A Ct uppr extremity w/o&w/dye 0.00 10.13 8.78 NA NA 0.39 XXX 73202 26 A Ct uppr extremity w/o&w/dye 1.22 0.42 0.41 0.42 0.41 0.05 XXX 73206 A Ct angio upr extrm w/o&w/dye 1.81 10.94 11.24 NA NA 0.47 XXX 73206 TC A Ct angio upr extrm w/o&w/dye 0.00 10.26 10.61 NA NA 0.39 XXX 73206 26 A Ct angio upr extrm w/o&w/dye 1.81 0.68 0.63 0.68 0.63 0.08 XXX 73218 A Mri upper extremity w/o dye 1.35 14.65 13.15 NA NA 0.45 XXX 73218 TC A Mri upper extremity w/o dye 0.00 14.19 12.70 NA NA 0.39 XXX 73218 26 A Mri upper extremity w/o dye 1.35 0.46 0.45 0.46 0.45 0.06 XXX 73219 A Mri upper extremity w/dye 1.62 15.41 14.70 NA NA 0.54 XXX 73219 TC A Mri upper extremity w/dye 0.00 14.85 14.15 NA NA 0.47 XXX 73219 26 A Mri upper extremity w/dye 1.62 0.56 0.55 0.56 0.55 0.07 XXX 73220 A Mri uppr extremity w/o&w/dye 2.15 19.06 22.33 NA NA 0.94 XXX 73220 TC A Mri uppr extremity w/o&w/dye 0.00 18.31 21.60 NA NA 0.84 XXX 73220 26 A Mri uppr extremity w/o&w/dye 2.15 0.75 0.73 0.75 0.73 0.10 XXX 73221 A Mri joint upr extrem w/o dye 1.35 13.56 12.60 NA NA 0.45 XXX 73221 TC A Mri joint upr extrem w/o dye 0.00 13.09 12.15 NA NA 0.39 XXX 73221 26 A Mri joint upr extrem w/o dye 1.35 0.47 0.45 0.47 0.45 0.06 XXX 73222 A Mri joint upr extrem w/dye 1.62 14.31 14.15 NA NA 0.54 XXX 73222 TC A Mri joint upr extrem w/dye 0.00 13.75 13.60 NA NA 0.47 XXX 73222 26 A Mri joint upr extrem w/dye 1.62 0.56 0.55 0.56 0.55 0.07 XXX 73223 A Mri joint upr extr w/o&w/dye 2.15 17.58 21.59 NA NA 0.94 XXX 73223 TC A Mri joint upr extr w/o&w/dye 0.00 16.84 20.87 NA NA 0.84 XXX 73223 26 A Mri joint upr extr w/o&w/dye 2.15 0.74 0.72 0.74 0.72 0.10 XXX 73225 N Mr angio upr extr w/o&w/dye 1.73 14.65 13.16 NA NA 0.69 XXX 73225 TC N Mr angio upr extr w/o&w/dye 0.00 14.25 12.63 NA NA 0.59 XXX 73225 26 N Mr angio upr extr w/o&w/dye 1.73 0.40 0.53 0.40 0.53 0.10 XXX 73500 A X-ray exam of hip 0.17 0.49 0.51 NA NA 0.03 XXX 73500 TC A X-ray exam of hip 0.00 0.43 0.45 NA NA 0.02 XXX 73500 26 A X-ray exam of hip 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73510 A X-ray exam of hip 0.21 0.77 0.71 NA NA 0.05 XXX 73510 TC A X-ray exam of hip 0.00 0.70 0.64 NA NA 0.04 XXX 73510 26 A X-ray exam of hip 0.21 0.07 0.07 0.07 0.07 0.01 XXX 73520 A X-ray exam of hips 0.26 0.79 0.77 NA NA 0.05 XXX 73520 TC A X-ray exam of hips 0.00 0.70 0.68 NA NA 0.04 XXX 73520 26 A X-ray exam of hips 0.26 0.09 0.09 0.09 0.09 0.01 XXX 73525 A Contrast x-ray of hip 0.54 1.83 2.06 NA NA 0.15 XXX 73525 TC A Contrast x-ray of hip 0.00 1.65 1.88 NA NA 0.12 XXX 73525 26 A Contrast x-ray of hip 0.54 0.18 0.18 0.18 0.18 0.03 XXX 73530 C X-ray exam of hip 0.00 0.00 0.00 NA NA 0.00 XXX 73530 TC C X-ray exam of hip 0.00 0.00 0.00 NA NA 0.00 XXX 73530 26 A X-ray exam of hip 0.29 0.11 0.10 0.11 0.10 0.01 XXX 73540 A X-ray exam of pelvis & hips 0.20 0.81 0.72 NA NA 0.05 XXX 73540 TC A X-ray exam of pelvis & hips 0.00 0.74 0.65 NA NA 0.04 XXX 73540 26 A X-ray exam of pelvis & hips 0.20 0.07 0.07 0.07 0.07 0.01 XXX 73542 A X-ray exam, sacroiliac joint 0.59 1.13 1.70 NA NA 0.15 XXX 73542 TC A X-ray exam, sacroiliac joint 0.00 0.99 1.55 NA NA 0.12 XXX 73542 26 A X-ray exam, sacroiliac joint 0.59 0.14 0.15 0.14 0.15 0.03 XXX 73550 A X-ray exam of thigh 0.17 0.55 0.59 NA NA 0.05 XXX 73550 TC A X-ray exam of thigh 0.00 0.49 0.53 NA NA 0.04 XXX 73550 26 A X-ray exam of thigh 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73560 A X-ray exam of knee, 1 or 2 0.17 0.58 0.58 NA NA 0.03 XXX 73560 TC A X-ray exam of knee, 1 or 2 0.00 0.52 0.52 NA NA 0.02 XXX 73560 26 A X-ray exam of knee, 1 or 2 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73562 A X-ray exam of knee, 3 0.18 0.73 0.68 NA NA 0.05 XXX 73562 TC A X-ray exam of knee, 3 0.00 0.66 0.62 NA NA 0.04 XXX 73562 26 A X-ray exam of knee, 3 0.18 0.07 0.06 0.07 0.06 0.01 XXX Start Printed Page 2657 73564 A X-ray exam, knee, 4 or more 0.22 0.86 0.77 NA NA 0.05 XXX 73564 TC A X-ray exam, knee, 4 or more 0.00 0.78 0.70 NA NA 0.04 XXX 73564 26 A X-ray exam, knee, 4 or more 0.22 0.08 0.07 0.08 0.07 0.01 XXX 73565 A X-ray exam of knees 0.17 0.65 0.60 NA NA 0.03 XXX 73565 TC A X-ray exam of knees 0.00 0.59 0.54 NA NA 0.02 XXX 73565 26 A X-ray exam of knees 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73580 A Contrast x-ray of knee joint 0.54 2.56 2.68 NA NA 0.17 XXX 73580 TC A Contrast x-ray of knee joint 0.00 2.37 2.50 NA NA 0.14 XXX 73580 26 A Contrast x-ray of knee joint 0.54 0.19 0.18 0.19 0.18 0.03 XXX 73590 A X-ray exam of lower leg 0.17 0.54 0.56 NA NA 0.03 XXX 73590 TC A X-ray exam of lower leg 0.00 0.48 0.50 NA NA 0.02 XXX 73590 26 A X-ray exam of lower leg 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73592 A X-ray exam of leg, infant 0.16 0.58 0.56 NA NA 0.03 XXX 73592 TC A X-ray exam of leg, infant 0.00 0.53 0.51 NA NA 0.02 XXX 73592 26 A X-ray exam of leg, infant 0.16 0.05 0.05 0.05 0.05 0.01 XXX 73600 A X-ray exam of ankle 0.16 0.56 0.55 NA NA 0.03 XXX 73600 TC A X-ray exam of ankle 0.00 0.51 0.50 NA NA 0.02 XXX 73600 26 A X-ray exam of ankle 0.16 0.05 0.05 0.05 0.05 0.01 XXX 73610 A X-ray exam of ankle 0.17 0.68 0.63 NA NA 0.03 XXX 73610 TC A X-ray exam of ankle 0.00 0.62 0.57 NA NA 0.02 XXX 73610 26 A X-ray exam of ankle 0.17 0.06 0.06 0.06 0.06 0.01 XXX 73615 A Contrast x-ray of ankle 0.54 2.00 2.14 NA NA 0.15 XXX 73615 TC A Contrast x-ray of ankle 0.00 1.82 1.96 NA NA 0.12 XXX 73615 26 A Contrast x-ray of ankle 0.54 0.18 0.18 0.18 0.18 0.03 XXX 73620 A X-ray exam of foot 0.16 0.52 0.54 NA NA 0.03 XXX 73620 TC A X-ray exam of foot 0.00 0.48 0.49 NA NA 0.02 XXX 73620 26 A X-ray exam of foot 0.16 0.04 0.05 0.04 0.05 0.01 XXX 73630 A X-ray exam of foot 0.17 0.65 0.63 NA NA 0.03 XXX 73630 TC A X-ray exam of foot 0.00 0.60 0.57 NA NA 0.02 XXX 73630 26 A X-ray exam of foot 0.17 0.05 0.06 0.05 0.06 0.01 XXX 73650 A X-ray exam of heel 0.16 0.55 0.53 NA NA 0.03 XXX 73650 TC A X-ray exam of heel 0.00 0.50 0.48 NA NA 0.02 XXX 73650 26 A X-ray exam of heel 0.16 0.05 0.05 0.05 0.05 0.01 XXX 73660 A X-ray exam of toe(s) 0.13 0.64 0.55 NA NA 0.03 XXX 73660 TC A X-ray exam of toe(s) 0.00 0.60 0.51 NA NA 0.02 XXX 73660 26 A X-ray exam of toe(s) 0.13 0.04 0.04 0.04 0.04 0.01 XXX 73700 A Ct lower extremity w/o dye 1.09 6.41 5.86 NA NA 0.30 XXX 73700 TC A Ct lower extremity w/o dye 0.00 6.03 5.49 NA NA 0.25 XXX 73700 26 A Ct lower extremity w/o dye 1.09 0.38 0.37 0.38 0.37 0.05 XXX 73701 A Ct lower extremity w/dye 1.16 7.98 7.14 NA NA 0.36 XXX 73701 TC A Ct lower extremity w/dye 0.00 7.57 6.74 NA NA 0.31 XXX 73701 26 A Ct lower extremity w/dye 1.16 0.41 0.40 0.41 0.40 0.05 XXX 73702 A Ct lwr extremity w/o&w/dye 1.22 10.73 9.28 NA NA 0.44 XXX 73702 TC A Ct lwr extremity w/o&w/dye 0.00 10.29 8.86 NA NA 0.39 XXX 73702 26 A Ct lwr extremity w/o&w/dye 1.22 0.44 0.42 0.44 0.42 0.05 XXX 73706 A Ct angio lwr extr w/o&w/dye 1.90 12.35 11.97 NA NA 0.47 XXX 73706 TC A Ct angio lwr extr w/o&w/dye 0.00 11.63 11.30 NA NA 0.39 XXX 73706 26 A Ct angio lwr extr w/o&w/dye 1.90 0.72 0.67 0.72 0.67 0.08 XXX 73718 A Mri lower extremity w/o dye 1.35 14.27 12.96 NA NA 0.45 XXX 73718 TC A Mri lower extremity w/o dye 0.00 13.81 12.51 NA NA 0.39 XXX 73718 26 A Mri lower extremity w/o dye 1.35 0.46 0.45 0.46 0.45 0.06 XXX 73719 A Mri lower extremity w/dye 1.62 15.41 14.70 NA NA 0.54 XXX 73719 TC A Mri lower extremity w/dye 0.00 14.84 14.15 NA NA 0.47 XXX 73719 26 A Mri lower extremity w/dye 1.62 0.57 0.55 0.57 0.55 0.07 XXX 73720 A Mri lwr extremity w/o&w/dye 2.15 19.00 22.29 NA NA 0.94 XXX 73720 TC A Mri lwr extremity w/o&w/dye 0.00 18.25 21.57 NA NA 0.84 XXX 73720 26 A Mri lwr extremity w/o&w/dye 2.15 0.75 0.72 0.75 0.72 0.10 XXX 73721 A Mri jnt of lwr extre w/o dye 1.35 13.88 12.76 NA NA 0.45 XXX 73721 TC A Mri jnt of lwr extre w/o dye 0.00 13.41 12.31 NA NA 0.39 XXX 73721 26 A Mri jnt of lwr extre w/o dye 1.35 0.47 0.45 0.47 0.45 0.06 XXX 73722 A Mri joint of lwr extr w/dye 1.62 14.49 14.24 NA NA 0.54 XXX 73722 TC A Mri joint of lwr extr w/dye 0.00 13.92 13.69 NA NA 0.47 XXX 73722 26 A Mri joint of lwr extr w/dye 1.62 0.57 0.55 0.57 0.55 0.07 XXX 73723 A Mri joint lwr extr w/o&w/dye 2.15 17.56 21.59 NA NA 0.94 XXX 73723 TC A Mri joint lwr extr w/o&w/dye 0.00 16.82 20.86 NA NA 0.84 XXX 73723 26 A Mri joint lwr extr w/o&w/dye 2.15 0.74 0.73 0.74 0.73 0.10 XXX 73725 R Mr ang lwr ext w or w/o dye 1.82 15.13 13.47 NA NA 0.67 XXX 73725 TC R Mr ang lwr ext w or w/o dye 0.00 14.49 12.85 NA NA 0.59 XXX 73725 26 R Mr ang lwr ext w or w/o dye 1.82 0.64 0.62 0.64 0.62 0.08 XXX 74000 A X-ray exam of abdomen 0.18 0.46 0.52 NA NA 0.03 XXX 74000 TC A X-ray exam of abdomen 0.00 0.40 0.46 NA NA 0.02 XXX 74000 26 A X-ray exam of abdomen 0.18 0.06 0.06 0.06 0.06 0.01 XXX Start Printed Page 2658 74010 A X-ray exam of abdomen 0.23 0.79 0.72 NA NA 0.05 XXX 74010 TC A X-ray exam of abdomen 0.00 0.71 0.64 NA NA 0.04 XXX 74010 26 A X-ray exam of abdomen 0.23 0.08 0.08 0.08 0.08 0.01 XXX 74020 A X-ray exam of abdomen 0.27 0.81 0.76 NA NA 0.05 XXX 74020 TC A X-ray exam of abdomen 0.00 0.72 0.67 NA NA 0.04 XXX 74020 26 A X-ray exam of abdomen 0.27 0.09 0.09 0.09 0.09 0.01 XXX 74022 A X-ray exam series, abdomen 0.32 0.99 0.91 NA NA 0.06 XXX 74022 TC A X-ray exam series, abdomen 0.00 0.88 0.80 NA NA 0.05 XXX 74022 26 A X-ray exam series, abdomen 0.32 0.11 0.11 0.11 0.11 0.01 XXX 74150 A Ct abdomen w/o dye 1.19 6.07 6.07 NA NA 0.35 XXX 74150 TC A Ct abdomen w/o dye 0.00 5.65 5.66 NA NA 0.30 XXX 74150 26 A Ct abdomen w/o dye 1.19 0.42 0.41 0.42 0.41 0.05 XXX 74160 A Ct abdomen w/dye 1.27 8.82 8.05 NA NA 0.42 XXX 74160 TC A Ct abdomen w/dye 0.00 8.37 7.61 NA NA 0.36 XXX 74160 26 A Ct abdomen w/dye 1.27 0.45 0.44 0.45 0.44 0.06 XXX 74170 A Ct abdomen w/o & w/dye 1.40 12.19 10.57 NA NA 0.49 XXX 74170 TC A Ct abdomen w/o & w/dye 0.00 11.70 10.09 NA NA 0.43 XXX 74170 26 A Ct abdomen w/o & w/dye 1.40 0.49 0.48 0.49 0.48 0.06 XXX 74175 A Ct angio abdom w/o & w/dye 1.90 12.28 12.46 NA NA 0.47 XXX 74175 TC A Ct angio abdom w/o & w/dye 0.00 11.59 11.81 NA NA 0.39 XXX 74175 26 A Ct angio abdom w/o & w/dye 1.90 0.69 0.65 0.69 0.65 0.08 XXX 74181 A Mri abdomen w/o dye 1.46 12.45 12.07 NA NA 0.51 XXX 74181 TC A Mri abdomen w/o dye 0.00 11.94 11.57 NA NA 0.45 XXX 74181 26 A Mri abdomen w/o dye 1.46 0.51 0.50 0.51 0.50 0.06 XXX 74182 A Mri abdomen w/dye 1.73 17.45 15.74 NA NA 0.60 XXX 74182 TC A Mri abdomen w/dye 0.00 16.84 15.15 NA NA 0.52 XXX 74182 26 A Mri abdomen w/dye 1.73 0.61 0.59 0.61 0.59 0.08 XXX 74183 A Mri abdomen w/o & w/dye 2.26 19.00 22.31 NA NA 1.02 XXX 74183 TC A Mri abdomen w/o & w/dye 0.00 18.21 21.55 NA NA 0.92 XXX 74183 26 A Mri abdomen w/o & w/dye 2.26 0.79 0.76 0.79 0.76 0.10 XXX 74185 R Mri angio, abdom w orw/o dye 1.80 15.09 13.44 NA NA 0.67 XXX 74185 TC R Mri angio, abdom w orw/o dye 0.00 14.45 12.83 NA NA 0.59 XXX 74185 26 R Mri angio, abdom w orw/o dye 1.80 0.64 0.61 0.64 0.61 0.08 XXX 74190 C X-ray exam of peritoneum 0.00 0.00 0.00 NA NA 0.00 XXX 74190 TC C X-ray exam of peritoneum 0.00 0.00 0.00 NA NA 0.00 XXX 74190 26 A X-ray exam of peritoneum 0.48 0.17 0.16 0.17 0.16 0.02 XXX 74210 A Contrst x-ray exam of throat 0.36 1.77 1.54 NA NA 0.08 XXX 74210 TC A Contrst x-ray exam of throat 0.00 1.64 1.42 NA NA 0.06 XXX 74210 26 A Contrst x-ray exam of throat 0.36 0.13 0.12 0.13 0.12 0.02 XXX 74220 A Contrast x-ray, esophagus 0.46 2.01 1.68 NA NA 0.08 XXX 74220 TC A Contrast x-ray, esophagus 0.00 1.85 1.52 NA NA 0.06 XXX 74220 26 A Contrast x-ray, esophagus 0.46 0.16 0.16 0.16 0.16 0.02 XXX 74230 A Cine/vid x-ray, throat/esoph 0.53 1.95 1.72 NA NA 0.09 XXX 74230 TC A Cine/vid x-ray, throat/esoph 0.00 1.76 1.54 NA NA 0.07 XXX 74230 26 A Cine/vid x-ray, throat/esoph 0.53 0.19 0.18 0.19 0.18 0.02 XXX 74235 C Remove esophagus obstruction 0.00 0.00 0.00 NA NA 0.00 XXX 74235 TC C Remove esophagus obstruction 0.00 0.00 0.00 NA NA 0.00 XXX 74235 26 A Remove esophagus obstruction 1.19 0.47 0.43 0.47 0.43 0.05 XXX 74240 A X-ray exam, upper gi tract 0.69 2.30 2.00 NA NA 0.11 XXX 74240 TC A X-ray exam, upper gi tract 0.00 2.06 1.76 NA NA 0.08 XXX 74240 26 A X-ray exam, upper gi tract 0.69 0.24 0.24 0.24 0.24 0.03 XXX 74241 A X-ray exam, upper gi tract 0.69 2.57 2.14 NA NA 0.11 XXX 74241 TC A X-ray exam, upper gi tract 0.00 2.33 1.91 NA NA 0.08 XXX 74241 26 A X-ray exam, upper gi tract 0.69 0.24 0.23 0.24 0.23 0.03 XXX 74245 A X-ray exam, upper gi tract 0.91 3.96 3.32 NA NA 0.17 XXX 74245 TC A X-ray exam, upper gi tract 0.00 3.64 3.01 NA NA 0.13 XXX 74245 26 A X-ray exam, upper gi tract 0.91 0.32 0.31 0.32 0.31 0.04 XXX 74246 A Contrst x-ray uppr gi tract 0.69 2.81 2.34 NA NA 0.13 XXX 74246 TC A Contrst x-ray uppr gi tract 0.00 2.56 2.10 NA NA 0.10 XXX 74246 26 A Contrst x-ray uppr gi tract 0.69 0.25 0.24 0.25 0.24 0.03 XXX 74247 A Contrst x-ray uppr gi tract 0.69 3.22 2.57 NA NA 0.14 XXX 74247 TC A Contrst x-ray uppr gi tract 0.00 2.98 2.33 NA NA 0.11 XXX 74247 26 A Contrst x-ray uppr gi tract 0.69 0.24 0.24 0.24 0.24 0.03 XXX 74249 A Contrst x-ray uppr gi tract 0.91 4.35 3.61 NA NA 0.18 XXX 74249 TC A Contrst x-ray uppr gi tract 0.00 4.03 3.30 NA NA 0.14 XXX 74249 26 A Contrst x-ray uppr gi tract 0.91 0.32 0.31 0.32 0.31 0.04 XXX 74250 A X-ray exam of small bowel 0.47 2.49 1.97 NA NA 0.09 XXX 74250 TC A X-ray exam of small bowel 0.00 2.32 1.81 NA NA 0.07 XXX 74250 26 A X-ray exam of small bowel 0.47 0.17 0.16 0.17 0.16 0.02 XXX 74251 A X-ray exam of small bowel 0.69 10.02 5.78 NA NA 0.10 XXX 74251 TC A X-ray exam of small bowel 0.00 9.77 5.54 NA NA 0.07 XXX 74251 26 A X-ray exam of small bowel 0.69 0.25 0.24 0.25 0.24 0.03 XXX Start Printed Page 2659 74260 A X-ray exam of small bowel 0.50 8.31 4.98 NA NA 0.10 XXX 74260 TC A X-ray exam of small bowel 0.00 8.13 4.81 NA NA 0.08 XXX 74260 26 A X-ray exam of small bowel 0.50 0.18 0.17 0.18 0.17 0.02 XXX 74270 A Contrast x-ray exam of colon 0.69 3.59 2.76 NA NA 0.14 XXX 74270 TC A Contrast x-ray exam of colon 0.00 3.34 2.52 NA NA 0.11 XXX 74270 26 A Contrast x-ray exam of colon 0.69 0.25 0.24 0.25 0.24 0.03 XXX 74280 A Contrast x-ray exam of colon 0.99 4.95 3.75 NA NA 0.17 XXX 74280 TC A Contrast x-ray exam of colon 0.00 4.60 3.42 NA NA 0.13 XXX 74280 26 A Contrast x-ray exam of colon 0.99 0.35 0.33 0.35 0.33 0.04 XXX 74283 A Contrast x-ray exam of colon 2.02 3.49 3.35 NA NA 0.23 XXX 74283 TC A Contrast x-ray exam of colon 0.00 2.80 2.68 NA NA 0.14 XXX 74283 26 A Contrast x-ray exam of colon 2.02 0.69 0.67 0.69 0.67 0.09 XXX 74290 A Contrast x-ray, gallbladder 0.32 1.58 1.21 NA NA 0.06 XXX 74290 TC A Contrast x-ray, gallbladder 0.00 1.47 1.10 NA NA 0.05 XXX 74290 26 A Contrast x-ray, gallbladder 0.32 0.11 0.11 0.11 0.11 0.01 XXX 74291 A Contrast x-rays, gallbladder 0.20 1.56 1.02 NA NA 0.03 XXX 74291 TC A Contrast x-rays, gallbladder 0.00 1.49 0.95 NA NA 0.02 XXX 74291 26 A Contrast x-rays, gallbladder 0.20 0.07 0.07 0.07 0.07 0.01 XXX 74300 C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX 74300 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX 74300 26 A X-ray bile ducts/pancreas 0.36 0.13 0.12 0.13 0.12 0.02 XXX 74301 C X-rays at surgery add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 74301 TC C X-rays at surgery add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 74301 26 A X-rays at surgery add-on 0.21 0.07 0.07 0.07 0.07 0.01 ZZZ 74305 C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX 74305 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX 74305 26 A X-ray bile ducts/pancreas 0.42 0.15 0.15 0.15 0.15 0.02 XXX 74320 A Contrast x-ray of bile ducts 0.54 2.14 2.73 NA NA 0.19 XXX 74320 TC A Contrast x-ray of bile ducts 0.00 1.94 2.54 NA NA 0.17 XXX 74320 26 A Contrast x-ray of bile ducts 0.54 0.20 0.19 0.20 0.19 0.02 XXX 74327 A X-ray bile stone removal 0.70 2.97 2.48 NA NA 0.14 XXX 74327 TC A X-ray bile stone removal 0.00 2.72 2.24 NA NA 0.11 XXX 74327 26 A X-ray bile stone removal 0.70 0.25 0.24 0.25 0.24 0.03 XXX 74328 C X-ray bile duct endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX 74328 TC C X-ray bile duct endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX 74328 26 A X-ray bile duct endoscopy 0.70 0.26 0.25 0.26 0.25 0.03 XXX 74329 C X-ray for pancreas endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX 74329 TC C X-ray for pancreas endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX 74329 26 A X-ray for pancreas endoscopy 0.70 0.27 0.25 0.27 0.25 0.03 XXX 74330 C X-ray bile/panc endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX 74330 TC C X-ray bile/panc endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX 74330 26 A X-ray bile/panc endoscopy 0.90 0.33 0.31 0.33 0.31 0.04 XXX 74340 C X-ray guide for GI tube 0.00 0.00 0.00 NA NA 0.00 XXX 74340 TC C X-ray guide for GI tube 0.00 0.00 0.00 NA NA 0.00 XXX 74340 26 A X-ray guide for GI tube 0.54 0.19 0.19 0.19 0.19 0.02 XXX 74355 C X-ray guide, intestinal tube 0.00 0.00 0.00 NA NA 0.00 XXX 74355 TC C X-ray guide, intestinal tube 0.00 0.00 0.00 NA NA 0.00 XXX 74355 26 A X-ray guide, intestinal tube 0.76 0.28 0.26 0.28 0.26 0.03 XXX 74360 C X-ray guide, GI dilation 0.00 0.00 0.00 NA NA 0.00 XXX 74360 TC C X-ray guide, GI dilation 0.00 0.00 0.00 NA NA 0.00 XXX 74360 26 A X-ray guide, GI dilation 0.54 0.24 0.21 0.24 0.21 0.02 XXX 74363 C X-ray, bile duct dilation 0.00 0.00 0.00 NA NA 0.00 XXX 74363 TC C X-ray, bile duct dilation 0.00 0.00 0.00 NA NA 0.00 XXX 74363 26 A X-ray, bile duct dilation 0.88 0.32 0.30 0.32 0.30 0.04 XXX 74400 A Contrst x-ray, urinary tract 0.49 2.60 2.22 NA NA 0.13 XXX 74400 TC A Contrst x-ray, urinary tract 0.00 2.43 2.05 NA NA 0.11 XXX 74400 26 A Contrst x-ray, urinary tract 0.49 0.17 0.17 0.17 0.17 0.02 XXX 74410 A Contrst x-ray, urinary tract 0.49 2.69 2.40 NA NA 0.13 XXX 74410 TC A Contrst x-ray, urinary tract 0.00 2.51 2.23 NA NA 0.11 XXX 74410 26 A Contrst x-ray, urinary tract 0.49 0.18 0.17 0.18 0.17 0.02 XXX 74415 A Contrst x-ray, urinary tract 0.49 3.27 2.78 NA NA 0.14 XXX 74415 TC A Contrst x-ray, urinary tract 0.00 3.10 2.61 NA NA 0.12 XXX 74415 26 A Contrst x-ray, urinary tract 0.49 0.17 0.17 0.17 0.17 0.02 XXX 74420 C Contrst x-ray, urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX 74420 TC C Contrst x-ray, urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX 74420 26 A Contrst x-ray, urinary tract 0.36 0.14 0.13 0.14 0.13 0.02 XXX 74425 C Contrst x-ray, urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX 74425 TC C Contrst x-ray, urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX 74425 26 A Contrst x-ray, urinary tract 0.36 0.13 0.13 0.13 0.13 0.02 XXX 74430 A Contrast x-ray, bladder 0.32 1.96 1.56 NA NA 0.08 XXX 74430 TC A Contrast x-ray, bladder 0.00 1.84 1.45 NA NA 0.06 XXX 74430 26 A Contrast x-ray, bladder 0.32 0.12 0.11 0.12 0.11 0.02 XXX Start Printed Page 2660 74440 A X-ray, male genital tract 0.38 2.12 1.68 NA NA 0.08 XXX 74440 TC A X-ray, male genital tract 0.00 1.98 1.55 NA NA 0.06 XXX 74440 26 A X-ray, male genital tract 0.38 0.14 0.13 0.14 0.13 0.02 XXX 74445 C X-ray exam of penis 0.00 0.00 0.00 NA NA 0.00 XXX 74445 TC C X-ray exam of penis 0.00 0.00 0.00 NA NA 0.00 XXX 74445 26 A X-ray exam of penis 1.14 0.45 0.41 0.45 0.41 0.07 XXX 74450 C X-ray, urethra/bladder 0.00 0.00 0.00 NA NA 0.00 XXX 74450 TC C X-ray, urethra/bladder 0.00 0.00 0.00 NA NA 0.00 XXX 74450 26 A X-ray, urethra/bladder 0.33 0.12 0.12 0.12 0.12 0.02 XXX 74455 A X-ray, urethra/bladder 0.33 2.18 1.94 NA NA 0.12 XXX 74455 TC A X-ray, urethra/bladder 0.00 2.06 1.82 NA NA 0.10 XXX 74455 26 A X-ray, urethra/bladder 0.33 0.12 0.12 0.12 0.12 0.02 XXX 74470 C X-ray exam of kidney lesion 0.00 0.00 0.00 NA NA 0.00 XXX 74470 TC C X-ray exam of kidney lesion 0.00 0.00 0.00 NA NA 0.00 XXX 74470 26 A X-ray exam of kidney lesion 0.54 0.17 0.18 0.17 0.18 0.02 XXX 74475 A X-ray control, cath insert 0.54 2.12 3.19 NA NA 0.24 XXX 74475 TC A X-ray control, cath insert 0.00 1.92 3.00 NA NA 0.22 XXX 74475 26 A X-ray control, cath insert 0.54 0.20 0.19 0.20 0.19 0.02 XXX 74480 A X-ray control, cath insert 0.54 2.13 3.19 NA NA 0.24 XXX 74480 TC A X-ray control, cath insert 0.00 1.93 3.00 NA NA 0.22 XXX 74480 26 A X-ray control, cath insert 0.54 0.20 0.19 0.20 0.19 0.02 XXX 74485 A X-ray guide, GU dilation 0.54 2.27 2.80 NA NA 0.20 XXX 74485 TC A X-ray guide, GU dilation 0.00 2.07 2.61 NA NA 0.17 XXX 74485 26 A X-ray guide, GU dilation 0.54 0.20 0.19 0.20 0.19 0.03 XXX 74710 A X-ray measurement of pelvis 0.34 0.64 0.90 NA NA 0.08 XXX 74710 TC A X-ray measurement of pelvis 0.00 0.53 0.79 NA NA 0.06 XXX 74710 26 A X-ray measurement of pelvis 0.34 0.11 0.11 0.11 0.11 0.02 XXX 74740 A X-ray, female genital tract 0.38 1.77 1.60 NA NA 0.09 XXX 74740 TC A X-ray, female genital tract 0.00 1.64 1.47 NA NA 0.07 XXX 74740 26 A X-ray, female genital tract 0.38 0.13 0.13 0.13 0.13 0.02 XXX 74742 C X-ray, fallopian tube 0.00 0.00 0.00 NA NA 0.00 XXX 74742 TC C X-ray, fallopian tube 0.00 0.00 0.00 NA NA 0.00 XXX 74742 26 A X-ray, fallopian tube 0.61 0.19 0.20 0.19 0.20 0.03 XXX 74775 C X-ray exam of perineum 0.00 0.00 0.00 NA NA 0.00 XXX 74775 TC C X-ray exam of perineum 0.00 0.00 0.00 NA NA 0.00 XXX 74775 26 A X-ray exam of perineum 0.62 0.22 0.21 0.22 0.21 0.03 XXX 75557 A Cardiac mri for morph 2.35 11.27 11.27 NA NA 0.97 XXX 75557 TC A Cardiac mri for morph 0.00 10.33 10.33 NA NA 0.87 XXX 75557 26 A Cardiac mri for morph 2.35 0.94 0.94 0.94 0.94 0.10 XXX 75558 N Cardiac mri flow/velocity 2.60 12.39 12.39 NA NA 1.07 XXX 75558 TC N Cardiac mri flow/velocity 0.00 11.79 11.79 NA NA 0.96 XXX 75558 26 N Cardiac mri flow/velocity 2.60 0.60 0.60 0.60 0.60 0.11 XXX 75559 A Cardiac mri w/stress img 2.95 17.26 17.26 NA NA 0.97 XXX 75559 TC A Cardiac mri w/stress img 0.00 15.99 15.99 NA NA 0.87 XXX 75559 26 A Cardiac mri w/stress img 2.95 1.27 1.27 1.27 1.27 0.10 XXX 75560 N Cardiac mri flow/vel/stress 3.00 16.84 16.84 NA NA 1.00 XXX 75560 TC N Cardiac mri flow/vel/stress 0.00 16.15 16.15 NA NA 0.89 XXX 75560 26 N Cardiac mri flow/vel/stress 3.00 0.69 0.69 0.69 0.69 0.11 XXX 75561 A Cardiac mri for morph w/dye 2.60 15.98 15.98 NA NA 1.07 XXX 75561 TC A Cardiac mri for morph w/dye 0.00 14.94 14.94 NA NA 0.96 XXX 75561 26 A Cardiac mri for morph w/dye 2.60 1.04 1.04 1.04 1.04 0.11 XXX 75562 N Card mri flow/vel w/dye 2.86 16.77 16.77 NA NA 1.03 XXX 75562 TC N Card mri flow/vel w/dye 0.00 16.11 16.11 NA NA 0.92 XXX 75562 26 N Card mri flow/vel w/dye 2.86 0.66 0.66 0.66 0.66 0.11 XXX 75563 A Card mri w/stress img & dye 3.00 20.22 20.22 NA NA 1.08 XXX 75563 TC A Card mri w/stress img & dye 0.00 18.84 18.84 NA NA 0.97 XXX 75563 26 A Card mri w/stress img & dye 3.00 1.38 1.38 1.38 1.38 0.11 XXX 75564 N Ht mri w/flo/vel/strs & dye 3.35 19.73 19.73 NA NA 1.21 XXX 75564 TC N Ht mri w/flo/vel/strs & dye 0.00 18.96 18.96 NA NA 1.08 XXX 75564 26 N Ht mri w/flo/vel/strs & dye 3.35 0.77 0.77 0.77 0.77 0.13 XXX 75600 A Contrast x-ray exam of aorta 0.49 6.42 9.62 NA NA 0.67 XXX 75600 TC A Contrast x-ray exam of aorta 0.00 6.18 9.40 NA NA 0.65 XXX 75600 26 A Contrast x-ray exam of aorta 0.49 0.24 0.22 0.24 0.22 0.02 XXX 75605 A Contrast x-ray exam of aorta 1.14 3.55 8.28 NA NA 0.70 XXX 75605 TC A Contrast x-ray exam of aorta 0.00 3.06 7.84 NA NA 0.65 XXX 75605 26 A Contrast x-ray exam of aorta 1.14 0.49 0.44 0.49 0.44 0.05 XXX 75625 A Contrast x-ray exam of aorta 1.14 3.35 8.17 NA NA 0.71 XXX 75625 TC A Contrast x-ray exam of aorta 0.00 2.93 7.77 NA NA 0.65 XXX 75625 26 A Contrast x-ray exam of aorta 1.14 0.42 0.40 0.42 0.40 0.06 XXX 75630 A X-ray aorta, leg arteries 1.79 3.76 8.76 NA NA 0.80 XXX 75630 TC A X-ray aorta, leg arteries 0.00 3.05 8.10 NA NA 0.69 XXX 75630 26 A X-ray aorta, leg arteries 1.79 0.71 0.66 0.71 0.66 0.11 XXX Start Printed Page 2661 75635 A Ct angio abdominal arteries 2.40 12.94 14.82 NA NA 0.50 XXX 75635 TC A Ct angio abdominal arteries 0.00 12.02 13.97 NA NA 0.39 XXX 75635 26 A Ct angio abdominal arteries 2.40 0.92 0.85 0.92 0.85 0.11 XXX 75650 A Artery x-rays, head & neck 1.49 3.53 8.31 NA NA 0.72 XXX 75650 TC A Artery x-rays, head & neck 0.00 2.95 7.78 NA NA 0.65 XXX 75650 26 A Artery x-rays, head & neck 1.49 0.58 0.53 0.58 0.53 0.07 XXX 75658 A Artery x-rays, arm 1.31 3.73 8.41 NA NA 0.72 XXX 75658 TC A Artery x-rays, arm 0.00 3.29 7.95 NA NA 0.65 XXX 75658 26 A Artery x-rays, arm 1.31 0.44 0.46 0.44 0.46 0.07 XXX 75660 A Artery x-rays, head & neck 1.31 3.88 8.47 NA NA 0.71 XXX 75660 TC A Artery x-rays, head & neck 0.00 3.39 8.00 NA NA 0.65 XXX 75660 26 A Artery x-rays, head & neck 1.31 0.49 0.47 0.49 0.47 0.06 XXX 75662 A Artery x-rays, head & neck 1.66 5.01 9.11 NA NA 0.71 XXX 75662 TC A Artery x-rays, head & neck 0.00 4.31 8.46 NA NA 0.65 XXX 75662 26 A Artery x-rays, head & neck 1.66 0.70 0.65 0.70 0.65 0.06 XXX 75665 A Artery x-rays, head & neck 1.31 4.10 8.58 NA NA 0.74 XXX 75665 TC A Artery x-rays, head & neck 0.00 3.62 8.12 NA NA 0.65 XXX 75665 26 A Artery x-rays, head & neck 1.31 0.48 0.46 0.48 0.46 0.09 XXX 75671 A Artery x-rays, head & neck 1.66 5.10 9.13 NA NA 0.72 XXX 75671 TC A Artery x-rays, head & neck 0.00 4.46 8.54 NA NA 0.65 XXX 75671 26 A Artery x-rays, head & neck 1.66 0.64 0.59 0.64 0.59 0.07 XXX 75676 A Artery x-rays, neck 1.31 3.87 8.46 NA NA 0.72 XXX 75676 TC A Artery x-rays, neck 0.00 3.38 8.00 NA NA 0.65 XXX 75676 26 A Artery x-rays, neck 1.31 0.49 0.46 0.49 0.46 0.07 XXX 75680 A Artery x-rays, neck 1.66 4.61 8.88 NA NA 0.72 XXX 75680 TC A Artery x-rays, neck 0.00 3.95 8.28 NA NA 0.65 XXX 75680 26 A Artery x-rays, neck 1.66 0.66 0.60 0.66 0.60 0.07 XXX 75685 A Artery x-rays, spine 1.31 3.89 8.47 NA NA 0.71 XXX 75685 TC A Artery x-rays, spine 0.00 3.39 8.00 NA NA 0.65 XXX 75685 26 A Artery x-rays, spine 1.31 0.50 0.47 0.50 0.47 0.06 XXX 75705 A Artery x-rays, spine 2.18 4.18 8.75 NA NA 0.78 XXX 75705 TC A Artery x-rays, spine 0.00 3.38 7.99 NA NA 0.65 XXX 75705 26 A Artery x-rays, spine 2.18 0.80 0.76 0.80 0.76 0.13 XXX 75710 A Artery x-rays, arm/leg 1.14 3.95 8.48 NA NA 0.72 XXX 75710 TC A Artery x-rays, arm/leg 0.00 3.53 8.07 NA NA 0.65 XXX 75710 26 A Artery x-rays, arm/leg 1.14 0.42 0.41 0.42 0.41 0.07 XXX 75716 A Artery x-rays, arms/legs 1.31 4.92 8.98 NA NA 0.72 XXX 75716 TC A Artery x-rays, arms/legs 0.00 4.42 8.52 NA NA 0.65 XXX 75716 26 A Artery x-rays, arms/legs 1.31 0.50 0.46 0.50 0.46 0.07 XXX 75722 A Artery x-rays, kidney 1.14 3.84 8.43 NA NA 0.70 XXX 75722 TC A Artery x-rays, kidney 0.00 3.37 7.99 NA NA 0.65 XXX 75722 26 A Artery x-rays, kidney 1.14 0.47 0.44 0.47 0.44 0.05 XXX 75724 A Artery x-rays, kidneys 1.49 5.13 9.15 NA NA 0.70 XXX 75724 TC A Artery x-rays, kidneys 0.00 4.39 8.50 NA NA 0.65 XXX 75724 26 A Artery x-rays, kidneys 1.49 0.74 0.65 0.74 0.65 0.05 XXX 75726 A Artery x-rays, abdomen 1.14 3.77 8.37 NA NA 0.70 XXX 75726 TC A Artery x-rays, abdomen 0.00 3.35 7.98 NA NA 0.65 XXX 75726 26 A Artery x-rays, abdomen 1.14 0.42 0.39 0.42 0.39 0.05 XXX 75731 A Artery x-rays, adrenal gland 1.14 4.10 8.54 NA NA 0.71 XXX 75731 TC A Artery x-rays, adrenal gland 0.00 3.60 8.10 NA NA 0.65 XXX 75731 26 A Artery x-rays, adrenal gland 1.14 0.50 0.44 0.50 0.44 0.06 XXX 75733 A Artery x-rays, adrenals 1.31 5.46 9.26 NA NA 0.71 XXX 75733 TC A Artery x-rays, adrenals 0.00 4.81 8.71 NA NA 0.65 XXX 75733 26 A Artery x-rays, adrenals 1.31 0.65 0.55 0.65 0.55 0.06 XXX 75736 A Artery x-rays, pelvis 1.14 3.87 8.44 NA NA 0.71 XXX 75736 TC A Artery x-rays, pelvis 0.00 3.44 8.03 NA NA 0.65 XXX 75736 26 A Artery x-rays, pelvis 1.14 0.43 0.41 0.43 0.41 0.06 XXX 75741 A Artery x-rays, lung 1.31 3.18 8.11 NA NA 0.71 XXX 75741 TC A Artery x-rays, lung 0.00 2.69 7.65 NA NA 0.65 XXX 75741 26 A Artery x-rays, lung 1.31 0.49 0.46 0.49 0.46 0.06 XXX 75743 A Artery x-rays, lungs 1.66 3.56 8.36 NA NA 0.72 XXX 75743 TC A Artery x-rays, lungs 0.00 2.94 7.78 NA NA 0.65 XXX 75743 26 A Artery x-rays, lungs 1.66 0.62 0.58 0.62 0.58 0.07 XXX 75746 A Artery x-rays, lung 1.14 3.52 8.26 NA NA 0.70 XXX 75746 TC A Artery x-rays, lung 0.00 3.12 7.87 NA NA 0.65 XXX 75746 26 A Artery x-rays, lung 1.14 0.40 0.39 0.40 0.39 0.05 XXX 75756 A Artery x-rays, chest 1.14 4.34 8.70 NA NA 0.69 XXX 75756 TC A Artery x-rays, chest 0.00 3.76 8.19 NA NA 0.65 XXX 75756 26 A Artery x-rays, chest 1.14 0.58 0.51 0.58 0.51 0.04 XXX 75774 A Artery x-ray, each vessel 0.36 2.51 7.62 NA NA 0.67 ZZZ 75774 TC A Artery x-ray, each vessel 0.00 2.37 7.49 NA NA 0.65 ZZZ 75774 26 A Artery x-ray, each vessel 0.36 0.14 0.13 0.14 0.13 0.02 ZZZ Start Printed Page 2662 75790 A Visualize A-V shunt 1.84 3.12 2.54 NA NA 0.17 XXX 75790 TC A Visualize A-V shunt 0.00 2.52 1.94 NA NA 0.08 XXX 75790 26 A Visualize A-V shunt 1.84 0.60 0.60 0.60 0.60 0.09 XXX 75801 C Lymph vessel x-ray, arm/leg 0.00 0.00 0.00 NA NA 0.00 XXX 75801 TC C Lymph vessel x-ray, arm/leg 0.00 0.00 0.00 NA NA 0.00 XXX 75801 26 A Lymph vessel x-ray, arm/leg 0.81 0.22 0.25 0.22 0.25 0.08 XXX 75803 C Lymph vessel x-ray,arms/legs 0.00 0.00 0.00 NA NA 0.00 XXX 75803 TC C Lymph vessel x-ray,arms/legs 0.00 0.00 0.00 NA NA 0.00 XXX 75803 26 A Lymph vessel x-ray,arms/legs 1.17 0.40 0.39 0.40 0.39 0.05 XXX 75805 C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX 75805 TC C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX 75805 26 A Lymph vessel x-ray, trunk 0.81 0.27 0.27 0.27 0.27 0.05 XXX 75807 C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX 75807 TC C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX 75807 26 A Lymph vessel x-ray, trunk 1.17 0.39 0.39 0.39 0.39 0.05 XXX 75809 A Nonvascular shunt, x-ray 0.47 2.17 1.54 NA NA 0.07 XXX 75809 TC A Nonvascular shunt, x-ray 0.00 2.01 1.39 NA NA 0.05 XXX 75809 26 A Nonvascular shunt, x-ray 0.47 0.16 0.15 0.16 0.15 0.02 XXX 75810 C Vein x-ray, spleen/liver 0.00 0.00 0.00 NA NA 0.00 XXX 75810 TC C Vein x-ray, spleen/liver 0.00 0.00 0.00 NA NA 0.00 XXX 75810 26 A Vein x-ray, spleen/liver 1.14 0.39 0.38 0.39 0.38 0.05 XXX 75820 A Vein x-ray, arm/leg 0.70 3.01 2.09 NA NA 0.09 XXX 75820 TC A Vein x-ray, arm/leg 0.00 2.72 1.83 NA NA 0.06 XXX 75820 26 A Vein x-ray, arm/leg 0.70 0.29 0.26 0.29 0.26 0.03 XXX 75822 A Vein x-ray, arms/legs 1.06 3.18 2.50 NA NA 0.13 XXX 75822 TC A Vein x-ray, arms/legs 0.00 2.81 2.14 NA NA 0.08 XXX 75822 26 A Vein x-ray, arms/legs 1.06 0.37 0.36 0.37 0.36 0.05 XXX 75825 A Vein x-ray, trunk 1.14 2.93 7.96 NA NA 0.72 XXX 75825 TC A Vein x-ray, trunk 0.00 2.55 7.58 NA NA 0.65 XXX 75825 26 A Vein x-ray, trunk 1.14 0.38 0.38 0.38 0.38 0.07 XXX 75827 A Vein x-ray, chest 1.14 2.95 7.97 NA NA 0.70 XXX 75827 TC A Vein x-ray, chest 0.00 2.58 7.60 NA NA 0.65 XXX 75827 26 A Vein x-ray, chest 1.14 0.37 0.37 0.37 0.37 0.05 XXX 75831 A Vein x-ray, kidney 1.14 3.05 8.01 NA NA 0.71 XXX 75831 TC A Vein x-ray, kidney 0.00 2.67 7.64 NA NA 0.65 XXX 75831 26 A Vein x-ray, kidney 1.14 0.38 0.37 0.38 0.37 0.06 XXX 75833 A Vein x-ray, kidneys 1.49 3.68 8.39 NA NA 0.74 XXX 75833 TC A Vein x-ray, kidneys 0.00 3.18 7.89 NA NA 0.65 XXX 75833 26 A Vein x-ray, kidneys 1.49 0.50 0.50 0.50 0.50 0.09 XXX 75840 A Vein x-ray, adrenal gland 1.14 2.96 7.98 NA NA 0.72 XXX 75840 TC A Vein x-ray, adrenal gland 0.00 2.60 7.61 NA NA 0.65 XXX 75840 26 A Vein x-ray, adrenal gland 1.14 0.36 0.37 0.36 0.37 0.07 XXX 75842 A Vein x-ray, adrenal glands 1.49 3.75 8.42 NA NA 0.72 XXX 75842 TC A Vein x-ray, adrenal glands 0.00 3.20 7.91 NA NA 0.65 XXX 75842 26 A Vein x-ray, adrenal glands 1.49 0.55 0.51 0.55 0.51 0.07 XXX 75860 A Vein x-ray, neck 1.14 3.40 8.20 NA NA 0.69 XXX 75860 TC A Vein x-ray, neck 0.00 2.91 7.76 NA NA 0.65 XXX 75860 26 A Vein x-ray, neck 1.14 0.49 0.44 0.49 0.44 0.04 XXX 75870 A Vein x-ray, skull 1.14 3.29 8.15 NA NA 0.70 XXX 75870 TC A Vein x-ray, skull 0.00 2.89 7.75 NA NA 0.65 XXX 75870 26 A Vein x-ray, skull 1.14 0.40 0.40 0.40 0.40 0.05 XXX 75872 A Vein x-ray, skull 1.14 4.04 8.52 NA NA 0.79 XXX 75872 TC A Vein x-ray, skull 0.00 3.60 8.11 NA NA 0.65 XXX 75872 26 A Vein x-ray, skull 1.14 0.44 0.41 0.44 0.41 0.14 XXX 75880 A Vein x-ray, eye socket 0.70 3.21 2.20 NA NA 0.09 XXX 75880 TC A Vein x-ray, eye socket 0.00 2.94 1.95 NA NA 0.06 XXX 75880 26 A Vein x-ray, eye socket 0.70 0.27 0.25 0.27 0.25 0.03 XXX 75885 A Vein x-ray, liver 1.44 3.18 8.13 NA NA 0.71 XXX 75885 TC A Vein x-ray, liver 0.00 2.66 7.64 NA NA 0.65 XXX 75885 26 A Vein x-ray, liver 1.44 0.52 0.49 0.52 0.49 0.06 XXX 75887 A Vein x-ray, liver 1.44 3.42 8.25 NA NA 0.71 XXX 75887 TC A Vein x-ray, liver 0.00 2.85 7.73 NA NA 0.65 XXX 75887 26 A Vein x-ray, liver 1.44 0.57 0.52 0.57 0.52 0.06 XXX 75889 A Vein x-ray, liver 1.14 3.07 8.03 NA NA 0.70 XXX 75889 TC A Vein x-ray, liver 0.00 2.66 7.64 NA NA 0.65 XXX 75889 26 A Vein x-ray, liver 1.14 0.41 0.39 0.41 0.39 0.05 XXX 75891 A Vein x-ray, liver 1.14 3.07 8.02 NA NA 0.70 XXX 75891 TC A Vein x-ray, liver 0.00 2.66 7.63 NA NA 0.65 XXX 75891 26 A Vein x-ray, liver 1.14 0.41 0.39 0.41 0.39 0.05 XXX 75893 A Venous sampling by catheter 0.54 2.86 7.83 NA NA 0.67 XXX 75893 TC A Venous sampling by catheter 0.00 2.66 7.64 NA NA 0.65 XXX 75893 26 A Venous sampling by catheter 0.54 0.20 0.19 0.20 0.19 0.02 XXX Start Printed Page 2663 75894 C X-rays, transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX 75894 TC C X-rays, transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX 75894 26 A X-rays, transcath therapy 1.31 0.46 0.44 0.46 0.44 0.08 XXX 75896 C X-rays, transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX 75896 TC C X-rays, transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX 75896 26 A X-rays, transcath therapy 1.31 0.52 0.48 0.52 0.48 0.05 XXX 75898 C Follow-up angiography 0.00 0.00 0.00 NA NA 0.00 XXX 75898 TC C Follow-up angiography 0.00 0.00 0.00 NA NA 0.00 XXX 75898 26 A Follow-up angiography 1.65 0.63 0.59 0.63 0.59 0.07 XXX 75900 C Intravascular cath exchange 0.00 0.00 0.00 NA NA 0.00 XXX 75900 TC C Intravascular cath exchange 0.00 0.00 0.00 NA NA 0.00 XXX 75900 26 A Intravascular cath exchange 0.49 0.17 0.16 0.17 0.16 0.03 XXX 75901 A Remove cva device obstruct 0.49 4.15 2.81 NA NA 0.85 XXX 75901 TC A Remove cva device obstruct 0.00 3.98 2.64 NA NA 0.83 XXX 75901 26 A Remove cva device obstruct 0.49 0.17 0.17 0.17 0.17 0.02 XXX 75902 A Remove cva lumen obstruct 0.39 1.63 1.53 NA NA 0.85 XXX 75902 TC A Remove cva lumen obstruct 0.00 1.50 1.40 NA NA 0.83 XXX 75902 26 A Remove cva lumen obstruct 0.39 0.13 0.13 0.13 0.13 0.02 XXX 75940 C X-ray placement, vein filter 0.00 0.00 0.00 NA NA 0.00 XXX 75940 TC C X-ray placement, vein filter 0.00 0.00 0.00 NA NA 0.00 XXX 75940 26 A X-ray placement, vein filter 0.54 0.18 0.18 0.18 0.18 0.04 XXX 75945 C Intravascular us 0.00 0.00 0.00 NA NA 0.00 XXX 75945 TC C Intravascular us 0.00 0.00 0.00 NA NA 0.00 XXX 75945 26 A Intravascular us 0.40 0.14 0.14 0.14 0.14 0.04 XXX 75946 C Intravascular us add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 75946 TC C Intravascular us add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 75946 26 A Intravascular us add-on 0.40 0.12 0.13 0.12 0.13 0.05 ZZZ 75952 C Endovasc repair abdom aorta 0.00 0.00 0.00 NA NA 0.00 XXX 75952 TC C Endovasc repair abdom aorta 0.00 0.00 0.00 NA NA 0.00 XXX 75952 26 A Endovasc repair abdom aorta 4.49 1.30 1.39 1.30 1.39 0.43 XXX 75953 C Abdom aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX 75953 TC C Abdom aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX 75953 26 A Abdom aneurysm endovas rpr 1.36 0.40 0.42 0.40 0.42 0.13 XXX 75954 C Iliac aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX 75954 TC C Iliac aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX 75954 26 A Iliac aneurysm endovas rpr 2.25 0.63 0.70 0.63 0.70 0.15 XXX 75956 C Xray, endovasc thor ao repr 0.00 0.00 0.00 NA NA 0.00 XXX 75956 TC C Xray, endovasc thor ao repr 0.00 0.00 0.00 NA NA 0.00 XXX 75956 26 A Xray, endovasc thor ao repr 7.00 1.88 2.29 1.88 2.29 0.69 XXX 75957 C Xray, endovasc thor ao repr 0.00 0.00 0.00 NA NA 0.00 XXX 75957 TC C Xray, endovasc thor ao repr 0.00 0.00 0.00 NA NA 0.00 XXX 75957 26 A Xray, endovasc thor ao repr 6.00 1.63 1.97 1.63 1.97 0.59 XXX 75958 C Xray, place prox ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX 75958 TC C Xray, place prox ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX 75958 26 A Xray, place prox ext thor ao 4.00 1.05 1.30 1.05 1.30 0.39 XXX 75959 C Xray, place dist ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX 75959 TC C Xray, place dist ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX 75959 26 A Xray, place dist ext thor ao 3.50 0.92 1.14 0.92 1.14 0.34 XXX 75960 A Transcath iv stent rs&i 0.82 2.71 8.95 NA NA 0.82 XXX 75960 TC A Transcath iv stent rs&i 0.00 2.39 8.65 NA NA 0.77 XXX 75960 26 A Transcath iv stent rs&i 0.82 0.32 0.30 0.32 0.30 0.05 XXX 75961 A Retrieval, broken catheter 4.24 4.68 8.29 NA NA 0.73 XXX 75961 TC A Retrieval, broken catheter 0.00 3.19 6.85 NA NA 0.55 XXX 75961 26 A Retrieval, broken catheter 4.24 1.49 1.44 1.49 1.44 0.18 XXX 75962 A Repair arterial blockage 0.54 3.50 9.72 NA NA 0.86 XXX 75962 TC A Repair arterial blockage 0.00 3.30 9.53 NA NA 0.83 XXX 75962 26 A Repair arterial blockage 0.54 0.20 0.19 0.20 0.19 0.03 XXX 75964 A Repair artery blockage, each 0.36 2.35 5.43 NA NA 0.46 ZZZ 75964 TC A Repair artery blockage, each 0.00 2.22 5.31 NA NA 0.43 ZZZ 75964 26 A Repair artery blockage, each 0.36 0.13 0.12 0.13 0.12 0.03 ZZZ 75966 A Repair arterial blockage 1.31 4.17 10.19 NA NA 0.89 XXX 75966 TC A Repair arterial blockage 0.00 3.60 9.68 NA NA 0.83 XXX 75966 26 A Repair arterial blockage 1.31 0.57 0.51 0.57 0.51 0.06 XXX 75968 A Repair artery blockage, each 0.36 2.41 5.46 NA NA 0.45 ZZZ 75968 TC A Repair artery blockage, each 0.00 2.25 5.32 NA NA 0.43 ZZZ 75968 26 A Repair artery blockage, each 0.36 0.16 0.14 0.16 0.14 0.02 ZZZ 75970 C Vascular biopsy 0.00 0.00 0.00 NA NA 0.00 XXX 75970 TC C Vascular biopsy 0.00 0.00 0.00 NA NA 0.00 XXX 75970 26 A Vascular biopsy 0.83 0.31 0.29 0.31 0.29 0.04 XXX 75978 A Repair venous blockage 0.54 3.27 9.60 NA NA 0.85 XXX 75978 TC A Repair venous blockage 0.00 3.09 9.42 NA NA 0.83 XXX 75978 26 A Repair venous blockage 0.54 0.18 0.18 0.18 0.18 0.02 XXX Start Printed Page 2664 75980 C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX 75980 TC C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX 75980 26 A Contrast xray exam bile duct 1.44 0.52 0.50 0.52 0.50 0.06 XXX 75982 C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX 75982 TC C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX 75982 26 A Contrast xray exam bile duct 1.44 0.52 0.50 0.52 0.50 0.06 XXX 75984 A Xray control catheter change 0.72 2.31 2.24 NA NA 0.14 XXX 75984 TC A Xray control catheter change 0.00 2.05 2.00 NA NA 0.11 XXX 75984 26 A Xray control catheter change 0.72 0.26 0.24 0.26 0.24 0.03 XXX 75989 A Abscess drainage under x-ray 1.19 2.24 2.90 NA NA 0.22 XXX 75989 TC A Abscess drainage under x-ray 0.00 1.82 2.49 NA NA 0.17 XXX 75989 26 A Abscess drainage under x-ray 1.19 0.42 0.41 0.42 0.41 0.05 XXX 75992 C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 XXX 75992 TC C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 XXX 75992 26 A Atherectomy, x-ray exam 0.54 0.22 0.21 0.22 0.21 0.03 XXX 75993 C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 ZZZ 75993 TC C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 ZZZ 75993 26 A Atherectomy, x-ray exam 0.36 0.14 0.13 0.14 0.13 0.02 ZZZ 75994 C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 XXX 75994 TC C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 XXX 75994 26 A Atherectomy, x-ray exam 1.31 0.54 0.50 0.54 0.50 0.07 XXX 75995 C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 XXX 75995 TC C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 XXX 75995 26 A Atherectomy, x-ray exam 1.31 0.48 0.47 0.48 0.47 0.05 XXX 75996 C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 ZZZ 75996 TC C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 ZZZ 75996 26 A Atherectomy, x-ray exam 0.36 0.12 0.12 0.12 0.12 0.02 ZZZ 76000 A Fluoroscope examination 0.17 2.77 2.06 NA NA 0.08 XXX 76000 TC A Fluoroscope examination 0.00 2.71 2.01 NA NA 0.07 XXX 76000 26 A Fluoroscope examination 0.17 0.06 0.05 0.06 0.05 0.01 XXX 76001 C Fluoroscope exam, extensive 0.00 0.00 0.00 NA NA 0.00 XXX 76001 TC C Fluoroscope exam, extensive 0.00 0.00 0.00 NA NA 0.00 XXX 76001 26 A Fluoroscope exam, extensive 0.67 0.24 0.23 0.24 0.23 0.05 XXX 76010 A X-ray, nose to rectum 0.18 0.54 0.56 NA NA 0.03 XXX 76010 TC A X-ray, nose to rectum 0.00 0.48 0.50 NA NA 0.02 XXX 76010 26 A X-ray, nose to rectum 0.18 0.06 0.06 0.06 0.06 0.01 XXX 76080 A X-ray exam of fistula 0.54 1.10 1.16 NA NA 0.08 XXX 76080 TC A X-ray exam of fistula 0.00 0.90 0.97 NA NA 0.06 XXX 76080 26 A X-ray exam of fistula 0.54 0.20 0.19 0.20 0.19 0.02 XXX 76098 A X-ray exam, breast specimen 0.16 0.32 0.39 NA NA 0.03 XXX 76098 TC A X-ray exam, breast specimen 0.00 0.27 0.34 NA NA 0.02 XXX 76098 26 A X-ray exam, breast specimen 0.16 0.05 0.05 0.05 0.05 0.01 XXX 76100 A X-ray exam of body section 0.58 3.55 2.50 NA NA 0.10 XXX 76100 TC A X-ray exam of body section 0.00 3.35 2.30 NA NA 0.07 XXX 76100 26 A X-ray exam of body section 0.58 0.20 0.20 0.20 0.20 0.03 XXX 76101 A Complex body section x-ray 0.58 5.47 3.54 NA NA 0.11 XXX 76101 TC A Complex body section x-ray 0.00 5.28 3.35 NA NA 0.08 XXX 76101 26 A Complex body section x-ray 0.58 0.19 0.19 0.19 0.19 0.03 XXX 76102 A Complex body section x-rays 0.58 7.65 4.78 NA NA 0.14 XXX 76102 TC A Complex body section x-rays 0.00 7.47 4.60 NA NA 0.11 XXX 76102 26 A Complex body section x-rays 0.58 0.18 0.18 0.18 0.18 0.03 XXX 76120 A Cine/video x-rays 0.38 1.87 1.53 NA NA 0.08 XXX 76120 TC A Cine/video x-rays 0.00 1.74 1.40 NA NA 0.06 XXX 76120 26 A Cine/video x-rays 0.38 0.13 0.13 0.13 0.13 0.02 XXX 76125 C Cine/video x-rays add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 76125 TC C Cine/video x-rays add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 76125 26 A Cine/video x-rays add-on 0.27 0.12 0.11 0.12 0.11 0.01 ZZZ 76140 I X-ray consultation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76150 A X-ray exam, dry process 0.00 0.68 0.55 NA NA 0.02 XXX 76350 C Special x-ray contrast study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76376 A 3d render w/o postprocess 0.20 1.41 2.45 NA NA 0.10 XXX 76376 TC A 3d render w/o postprocess 0.00 1.34 2.38 NA NA 0.08 XXX 76376 26 A 3d render w/o postprocess 0.20 0.07 0.07 0.07 0.07 0.02 XXX 76377 A 3d rendering w/postprocess 0.79 1.40 2.54 NA NA 0.39 XXX 76377 TC A 3d rendering w/postprocess 0.00 1.12 2.27 NA NA 0.31 XXX 76377 26 A 3d rendering w/postprocess 0.79 0.28 0.27 0.28 0.27 0.08 XXX 76380 A CAT scan follow-up study 0.98 4.72 4.27 NA NA 0.22 XXX 76380 TC A CAT scan follow-up study 0.00 4.38 3.94 NA NA 0.18 XXX 76380 26 A CAT scan follow-up study 0.98 0.34 0.33 0.34 0.33 0.04 XXX 76390 N Mr spectroscopy 1.40 9.43 10.46 NA NA 0.66 XXX 76390 TC N Mr spectroscopy 0.00 9.11 10.06 NA NA 0.59 XXX 76390 26 N Mr spectroscopy 1.40 0.32 0.40 0.32 0.40 0.07 XXX Start Printed Page 2665 76496 C Fluoroscopic procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76496 TC C Fluoroscopic procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76496 26 C Fluoroscopic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76497 C Ct procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76497 TC C Ct procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76497 26 C Ct procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76498 C Mri procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76498 TC C Mri procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76498 26 C Mri procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76499 C Radiographic procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76499 TC C Radiographic procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76499 26 C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76506 A Echo exam of head 0.63 2.76 2.21 NA NA 0.14 XXX 76506 TC A Echo exam of head 0.00 2.56 1.99 NA NA 0.08 XXX 76506 26 A Echo exam of head 0.63 0.20 0.22 0.20 0.22 0.06 XXX 76510 A Ophth us, b & quant a 1.55 2.25 2.55 NA NA 0.10 XXX 76510 TC A Ophth us, b & quant a 0.00 1.70 1.94 NA NA 0.07 XXX 76510 26 A Ophth us, b & quant a 1.55 0.55 0.61 0.55 0.61 0.03 XXX 76511 A Ophth us, quant a only 0.94 1.35 1.89 NA NA 0.10 XXX 76511 TC A Ophth us, quant a only 0.00 1.02 1.53 NA NA 0.07 XXX 76511 26 A Ophth us, quant a only 0.94 0.33 0.36 0.33 0.36 0.03 XXX 76512 A Ophth us, b w/non-quant a 0.94 1.16 1.69 NA NA 0.12 XXX 76512 TC A Ophth us, b w/non-quant a 0.00 0.83 1.32 NA NA 0.10 XXX 76512 26 A Ophth us, b w/non-quant a 0.94 0.33 0.37 0.33 0.37 0.02 XXX 76513 A Echo exam of eye, water bath 0.66 1.52 1.67 NA NA 0.12 XXX 76513 TC A Echo exam of eye, water bath 0.00 1.29 1.41 NA NA 0.10 XXX 76513 26 A Echo exam of eye, water bath 0.66 0.23 0.26 0.23 0.26 0.02 XXX 76514 A Echo exam of eye, thickness 0.17 0.16 0.15 NA NA 0.02 XXX 76514 TC A Echo exam of eye, thickness 0.00 0.10 0.08 NA NA 0.01 XXX 76514 26 A Echo exam of eye, thickness 0.17 0.06 0.07 0.06 0.07 0.01 XXX 76516 A Echo exam of eye 0.54 1.15 1.31 NA NA 0.08 XXX 76516 TC A Echo exam of eye 0.00 0.97 1.10 NA NA 0.07 XXX 76516 26 A Echo exam of eye 0.54 0.18 0.21 0.18 0.21 0.01 XXX 76519 A Echo exam of eye 0.54 1.29 1.42 NA NA 0.08 XXX 76519 TC A Echo exam of eye 0.00 1.10 1.20 NA NA 0.07 XXX 76519 26 A Echo exam of eye 0.54 0.19 0.22 0.19 0.22 0.01 XXX 76529 A Echo exam of eye 0.57 1.15 1.26 NA NA 0.10 XXX 76529 TC A Echo exam of eye 0.00 0.95 1.04 NA NA 0.08 XXX 76529 26 A Echo exam of eye 0.57 0.20 0.22 0.20 0.22 0.02 XXX 76536 A Us exam of head and neck 0.56 2.68 2.14 NA NA 0.10 XXX 76536 TC A Us exam of head and neck 0.00 2.50 1.96 NA NA 0.08 XXX 76536 26 A Us exam of head and neck 0.56 0.18 0.18 0.18 0.18 0.02 XXX 76604 A Us exam, chest 0.55 1.83 1.66 NA NA 0.09 XXX 76604 TC A Us exam, chest 0.00 1.64 1.47 NA NA 0.07 XXX 76604 26 A Us exam, chest 0.55 0.19 0.19 0.19 0.19 0.02 XXX 76645 A Us exam, breast(s) 0.54 2.12 1.67 NA NA 0.08 XXX 76645 TC A Us exam, breast(s) 0.00 1.93 1.49 NA NA 0.06 XXX 76645 26 A Us exam, breast(s) 0.54 0.19 0.18 0.19 0.18 0.02 XXX 76700 A Us exam, abdom, complete 0.81 3.02 2.63 NA NA 0.15 XXX 76700 TC A Us exam, abdom, complete 0.00 2.75 2.36 NA NA 0.11 XXX 76700 26 A Us exam, abdom, complete 0.81 0.27 0.27 0.27 0.27 0.04 XXX 76705 A Echo exam of abdomen 0.59 2.36 1.98 NA NA 0.11 XXX 76705 TC A Echo exam of abdomen 0.00 2.15 1.78 NA NA 0.08 XXX 76705 26 A Echo exam of abdomen 0.59 0.21 0.20 0.21 0.20 0.03 XXX 76770 A Us exam abdo back wall, comp 0.74 2.93 2.57 NA NA 0.14 XXX 76770 TC A Us exam abdo back wall, comp 0.00 2.67 2.32 NA NA 0.11 XXX 76770 26 A Us exam abdo back wall, comp 0.74 0.26 0.25 0.26 0.25 0.03 XXX 76775 A Us exam abdo back wall, lim 0.58 2.42 2.01 NA NA 0.11 XXX 76775 TC A Us exam abdo back wall, lim 0.00 2.21 1.81 NA NA 0.08 XXX 76775 26 A Us exam abdo back wall, lim 0.58 0.21 0.20 0.21 0.20 0.03 XXX 76776 A Us exam k transpl w/doppler 0.76 3.43 2.83 NA NA 0.14 XXX 76776 TC A Us exam k transpl w/doppler 0.00 3.16 2.57 NA NA 0.11 XXX 76776 26 A Us exam k transpl w/doppler 0.76 0.27 0.26 0.27 0.26 0.03 XXX 76800 A Us exam, spinal canal 1.13 2.31 2.03 NA NA 0.13 XXX 76800 TC A Us exam, spinal canal 0.00 2.03 1.72 NA NA 0.08 XXX 76800 26 A Us exam, spinal canal 1.13 0.28 0.31 0.28 0.31 0.05 XXX 76801 A Ob us < 14 wks, single fetus 0.99 2.46 2.45 NA NA 0.16 XXX 76801 TC A Ob us < 14 wks, single fetus 0.00 2.16 2.13 NA NA 0.12 XXX 76801 26 A Ob us < 14 wks, single fetus 0.99 0.30 0.32 0.30 0.32 0.04 XXX 76802 A Ob us < 14 wks, addÆl fetus 0.83 0.97 1.16 NA NA 0.16 ZZZ 76802 TC A Ob us < 14 wks, addÆl fetus 0.00 0.71 0.88 NA NA 0.12 ZZZ 76802 26 A Ob us < 14 wks, addÆl fetus 0.83 0.26 0.28 0.26 0.28 0.04 ZZZ Start Printed Page 2666 76805 A Ob us >/= 14 wks, sngl fetus 0.99 3.05 2.74 NA NA 0.16 XXX 76805 TC A Ob us >/= 14 wks, sngl fetus 0.00 2.74 2.42 NA NA 0.12 XXX 76805 26 A Ob us >/= 14 wks, sngl fetus 0.99 0.31 0.32 0.31 0.32 0.04 XXX 76810 A Ob us >/= 14 wks, addl fetus 0.98 1.65 1.52 NA NA 0.26 ZZZ 76810 TC A Ob us >/= 14 wks, addl fetus 0.00 1.35 1.20 NA NA 0.22 ZZZ 76810 26 A Ob us >/= 14 wks, addl fetus 0.98 0.30 0.32 0.30 0.32 0.04 ZZZ 76811 A Ob us, detailed, sngl fetus 1.90 3.05 3.64 NA NA 0.52 XXX 76811 TC A Ob us, detailed, sngl fetus 0.00 2.51 3.02 NA NA 0.43 XXX 76811 26 A Ob us, detailed, sngl fetus 1.90 0.54 0.62 0.54 0.62 0.09 XXX 76812 A Ob us, detailed, addl fetus 1.78 3.98 2.84 NA NA 0.49 ZZZ 76812 TC A Ob us, detailed, addl fetus 0.00 3.48 2.26 NA NA 0.41 ZZZ 76812 26 A Ob us, detailed, addl fetus 1.78 0.50 0.58 0.50 0.58 0.08 ZZZ 76813 A Ob us nuchal meas, 1 gest 1.18 2.21 2.21 NA NA 0.19 XXX 76813 TC A Ob us nuchal meas, 1 gest 0.00 1.81 1.81 NA NA 0.14 XXX 76813 26 A Ob us nuchal meas, 1 gest 1.18 0.40 0.40 0.40 0.40 0.05 XXX 76814 A Ob us nuchal meas, add-on 0.99 1.15 1.15 NA NA 0.19 XXX 76814 TC A Ob us nuchal meas, add-on 0.00 0.86 0.86 NA NA 0.14 XXX 76814 26 A Ob us nuchal meas, add-on 0.99 0.29 0.29 0.29 0.29 0.05 XXX 76815 A Ob us, limited, fetus(s) 0.65 1.80 1.72 NA NA 0.11 XXX 76815 TC A Ob us, limited, fetus(s) 0.00 1.60 1.51 NA NA 0.08 XXX 76815 26 A Ob us, limited, fetus(s) 0.65 0.20 0.21 0.20 0.21 0.03 XXX 76816 A Ob us, follow-up, per fetus 0.85 2.38 1.90 NA NA 0.10 XXX 76816 TC A Ob us, follow-up, per fetus 0.00 2.13 1.62 NA NA 0.06 XXX 76816 26 A Ob us, follow-up, per fetus 0.85 0.25 0.28 0.25 0.28 0.04 XXX 76817 A Transvaginal us, obstetric 0.75 2.02 1.89 NA NA 0.09 XXX 76817 TC A Transvaginal us, obstetric 0.00 1.79 1.65 NA NA 0.06 XXX 76817 26 A Transvaginal us, obstetric 0.75 0.23 0.24 0.23 0.24 0.03 XXX 76818 A Fetal biophys profile w/nst 1.05 2.22 2.11 NA NA 0.15 XXX 76818 TC A Fetal biophys profile w/nst 0.00 1.92 1.76 NA NA 0.10 XXX 76818 26 A Fetal biophys profile w/nst 1.05 0.30 0.35 0.30 0.35 0.05 XXX 76819 A Fetal biophys profil w/o nst 0.77 1.63 1.76 NA NA 0.13 XXX 76819 TC A Fetal biophys profil w/o nst 0.00 1.40 1.50 NA NA 0.10 XXX 76819 26 A Fetal biophys profil w/o nst 0.77 0.23 0.26 0.23 0.26 0.03 XXX 76820 A Umbilical artery echo 0.50 0.56 1.18 NA NA 0.15 XXX 76820 TC A Umbilical artery echo 0.00 0.42 1.01 NA NA 0.12 XXX 76820 26 A Umbilical artery echo 0.50 0.14 0.17 0.14 0.17 0.03 XXX 76821 A Middle cerebral artery echo 0.70 1.87 1.88 NA NA 0.15 XXX 76821 TC A Middle cerebral artery echo 0.00 1.67 1.64 NA NA 0.12 XXX 76821 26 A Middle cerebral artery echo 0.70 0.20 0.24 0.20 0.24 0.03 XXX 76825 A Echo exam of fetal heart 1.67 4.37 3.47 NA NA 0.18 XXX 76825 TC A Echo exam of fetal heart 0.00 3.87 2.92 NA NA 0.11 XXX 76825 26 A Echo exam of fetal heart 1.67 0.50 0.55 0.50 0.55 0.07 XXX 76826 A Echo exam of fetal heart 0.83 2.76 1.88 NA NA 0.08 XXX 76826 TC A Echo exam of fetal heart 0.00 2.52 1.61 NA NA 0.05 XXX 76826 26 A Echo exam of fetal heart 0.83 0.24 0.27 0.24 0.27 0.03 XXX 76827 A Echo exam of fetal heart 0.58 1.07 1.50 NA NA 0.14 XXX 76827 TC A Echo exam of fetal heart 0.00 0.90 1.31 NA NA 0.12 XXX 76827 26 A Echo exam of fetal heart 0.58 0.17 0.19 0.17 0.19 0.02 XXX 76828 A Echo exam of fetal heart 0.56 0.63 0.98 NA NA 0.11 XXX 76828 TC A Echo exam of fetal heart 0.00 0.48 0.79 NA NA 0.08 XXX 76828 26 A Echo exam of fetal heart 0.56 0.15 0.19 0.15 0.19 0.03 XXX 76830 A Transvaginal us, non-ob 0.69 2.76 2.26 NA NA 0.13 XXX 76830 TC A Transvaginal us, non-ob 0.00 2.54 2.03 NA NA 0.10 XXX 76830 26 A Transvaginal us, non-ob 0.69 0.22 0.23 0.22 0.23 0.03 XXX 76831 A Echo exam, uterus 0.72 2.74 2.25 NA NA 0.13 XXX 76831 TC A Echo exam, uterus 0.00 2.53 2.02 NA NA 0.10 XXX 76831 26 A Echo exam, uterus 0.72 0.21 0.23 0.21 0.23 0.03 XXX 76856 A Us exam, pelvic, complete 0.69 2.80 2.27 NA NA 0.13 XXX 76856 TC A Us exam, pelvic, complete 0.00 2.56 2.04 NA NA 0.10 XXX 76856 26 A Us exam, pelvic, complete 0.69 0.24 0.23 0.24 0.23 0.03 XXX 76857 A Us exam, pelvic, limited 0.38 2.49 2.16 NA NA 0.08 XXX 76857 TC A Us exam, pelvic, limited 0.00 2.35 2.03 NA NA 0.06 XXX 76857 26 A Us exam, pelvic, limited 0.38 0.14 0.13 0.14 0.13 0.02 XXX 76870 A Us exam, scrotum 0.64 2.83 2.28 NA NA 0.13 XXX 76870 TC A Us exam, scrotum 0.00 2.60 2.06 NA NA 0.10 XXX 76870 26 A Us exam, scrotum 0.64 0.23 0.22 0.23 0.22 0.03 XXX 76872 A Us, transrectal 0.69 3.41 2.82 NA NA 0.14 XXX 76872 TC A Us, transrectal 0.00 3.14 2.58 NA NA 0.10 XXX 76872 26 A Us, transrectal 0.69 0.27 0.24 0.27 0.24 0.04 XXX 76873 A Echograp trans r, pros study 1.55 3.40 3.00 NA NA 0.25 XXX 76873 TC A Echograp trans r, pros study 0.00 2.85 2.48 NA NA 0.16 XXX 76873 26 A Echograp trans r, pros study 1.55 0.55 0.52 0.55 0.52 0.09 XXX Start Printed Page 2667 76880 A Us exam, extremity 0.59 3.19 2.40 NA NA 0.11 XXX 76880 TC A Us exam, extremity 0.00 3.01 2.21 NA NA 0.08 XXX 76880 26 A Us exam, extremity 0.59 0.18 0.19 0.18 0.19 0.03 XXX 76885 A Us exam infant hips, dynamic 0.74 3.26 2.50 NA NA 0.13 XXX 76885 TC A Us exam infant hips, dynamic 0.00 3.01 2.26 NA NA 0.10 XXX 76885 26 A Us exam infant hips, dynamic 0.74 0.25 0.24 0.25 0.24 0.03 XXX 76886 A Us exam infant hips, static 0.62 2.28 1.95 NA NA 0.11 XXX 76886 TC A Us exam infant hips, static 0.00 2.06 1.74 NA NA 0.08 XXX 76886 26 A Us exam infant hips, static 0.62 0.22 0.21 0.22 0.21 0.03 XXX 76930 A Echo guide, cardiocentesis 0.67 2.08 1.92 NA NA 0.12 XXX 76930 TC A Echo guide, cardiocentesis 0.00 1.74 1.63 NA NA 0.10 XXX 76930 26 A Echo guide, cardiocentesis 0.67 0.34 0.29 0.34 0.29 0.02 XXX 76932 C Echo guide for heart biopsy 0.00 0.00 0.00 NA NA 0.00 XXX 76932 TC C Echo guide for heart biopsy 0.00 0.00 0.00 NA NA 0.00 XXX 76932 26 A Echo guide for heart biopsy 0.67 0.35 0.30 0.35 0.30 0.02 XXX 76936 A Echo guide for artery repair 1.99 6.13 6.55 NA NA 0.47 XXX 76936 TC A Echo guide for artery repair 0.00 5.42 5.86 NA NA 0.34 XXX 76936 26 A Echo guide for artery repair 1.99 0.71 0.69 0.71 0.69 0.13 XXX 76937 A Us guide, vascular access 0.30 0.62 0.55 NA NA 0.13 ZZZ 76937 TC A Us guide, vascular access 0.00 0.52 0.45 NA NA 0.10 ZZZ 76937 26 A Us guide, vascular access 0.30 0.10 0.10 0.10 0.10 0.03 ZZZ 76940 C Us guide, tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX 76940 TC C Us guide, tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX 76940 26 A Us guide, tissue ablation 2.00 0.65 0.65 0.65 0.65 0.31 XXX 76941 C Echo guide for transfusion 0.00 0.00 0.00 NA NA 0.00 XXX 76941 TC C Echo guide for transfusion 0.00 0.00 0.00 NA NA 0.00 XXX 76941 26 A Echo guide for transfusion 1.34 0.38 0.43 0.38 0.43 0.07 XXX 76942 A Echo guide for biopsy 0.67 4.80 3.91 NA NA 0.13 XXX 76942 TC A Echo guide for biopsy 0.00 4.56 3.68 NA NA 0.10 XXX 76942 26 A Echo guide for biopsy 0.67 0.24 0.23 0.24 0.23 0.03 XXX 76945 C Echo guide, villus sampling 0.00 0.00 0.00 NA NA 0.00 XXX 76945 TC C Echo guide, villus sampling 0.00 0.00 0.00 NA NA 0.00 XXX 76945 26 A Echo guide, villus sampling 0.67 0.21 0.21 0.21 0.21 0.03 XXX 76946 A Echo guide for amniocentesis 0.38 0.45 1.05 NA NA 0.12 XXX 76946 TC A Echo guide for amniocentesis 0.00 0.34 0.93 NA NA 0.10 XXX 76946 26 A Echo guide for amniocentesis 0.38 0.11 0.12 0.11 0.12 0.02 XXX 76948 A Echo guide, ova aspiration 0.38 0.45 1.04 NA NA 0.12 XXX 76948 TC A Echo guide, ova aspiration 0.00 0.35 0.93 NA NA 0.10 XXX 76948 26 A Echo guide, ova aspiration 0.38 0.10 0.11 0.10 0.11 0.02 XXX 76950 A Echo guidance radiotherapy 0.58 1.21 1.35 NA NA 0.10 XXX 76950 TC A Echo guidance radiotherapy 0.00 1.02 1.16 NA NA 0.07 XXX 76950 26 A Echo guidance radiotherapy 0.58 0.19 0.19 0.19 0.19 0.03 XXX 76965 A Echo guidance radiotherapy 1.34 1.20 3.60 NA NA 0.37 XXX 76965 TC A Echo guidance radiotherapy 0.00 0.70 3.14 NA NA 0.29 XXX 76965 26 A Echo guidance radiotherapy 1.34 0.50 0.46 0.50 0.46 0.08 XXX 76970 A Ultrasound exam follow-up 0.40 1.99 1.58 NA NA 0.08 XXX 76970 TC A Ultrasound exam follow-up 0.00 1.88 1.46 NA NA 0.06 XXX 76970 26 A Ultrasound exam follow-up 0.40 0.11 0.12 0.11 0.12 0.02 XXX 76975 C GI endoscopic ultrasound 0.00 0.00 0.00 NA NA 0.00 XXX 76975 TC C GI endoscopic ultrasound 0.00 0.00 0.00 NA NA 0.00 XXX 76975 26 A GI endoscopic ultrasound 0.81 0.30 0.29 0.30 0.29 0.04 XXX 76977 A Us bone density measure 0.05 0.10 0.48 NA NA 0.06 XXX 76977 TC A Us bone density measure 0.00 0.09 0.46 NA NA 0.05 XXX 76977 26 A Us bone density measure 0.05 0.01 0.02 0.01 0.02 0.01 XXX 76998 C Us guide, intraop 0.00 0.00 0.00 NA NA 0.00 XXX 76998 TC C Us guide, intraop 0.00 0.00 0.00 NA NA 0.00 XXX 76998 26 A Us guide, intraop 1.20 0.35 0.38 0.35 0.38 0.13 XXX 76999 C Echo examination procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76999 TC C Echo examination procedure 0.00 0.00 0.00 NA NA 0.00 XXX 76999 26 C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77001 A Fluoroguide for vein device 0.38 2.73 2.08 NA NA 0.11 ZZZ 77001 TC A Fluoroguide for vein device 0.00 2.60 1.95 NA NA 0.10 ZZZ 77001 26 A Fluoroguide for vein device 0.38 0.13 0.13 0.13 0.13 0.01 ZZZ 77002 A Needle localization by xray 0.54 1.23 1.35 NA NA 0.09 XXX 77002 TC A Needle localization by xray 0.00 1.07 1.19 NA NA 0.07 XXX 77002 26 A Needle localization by xray 0.54 0.16 0.16 0.16 0.16 0.02 XXX 77003 A Fluoroguide for spine inject 0.60 0.76 1.11 NA NA 0.10 XXX 77003 TC A Fluoroguide for spine inject 0.00 0.62 0.96 NA NA 0.07 XXX 77003 26 A Fluoroguide for spine inject 0.60 0.14 0.15 0.14 0.15 0.03 XXX 77011 A Ct scan for localization 1.21 20.28 14.47 NA NA 0.47 XXX 77011 TC A Ct scan for localization 0.00 19.88 14.07 NA NA 0.42 XXX 77011 26 A Ct scan for localization 1.21 0.40 0.40 0.40 0.40 0.05 XXX Start Printed Page 2668 77012 A Ct scan for needle biopsy 1.16 2.33 5.49 NA NA 0.47 XXX 77012 TC A Ct scan for needle biopsy 0.00 1.92 5.09 NA NA 0.42 XXX 77012 26 A Ct scan for needle biopsy 1.16 0.41 0.40 0.41 0.40 0.05 XXX 77013 C Ct guide for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX 77013 TC C Ct guide for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX 77013 26 A Ct guide for tissue ablation 3.99 1.43 1.36 1.43 1.36 0.18 XXX 77014 A Ct scan for therapy guide 0.85 4.48 3.86 NA NA 0.20 XXX 77014 TC A Ct scan for therapy guide 0.00 4.20 3.58 NA NA 0.16 XXX 77014 26 A Ct scan for therapy guide 0.85 0.28 0.28 0.28 0.28 0.04 XXX 77021 A Mr guidance for needle place 1.50 9.71 10.71 NA NA 0.64 XXX 77021 TC A Mr guidance for needle place 0.00 9.19 10.20 NA NA 0.55 XXX 77021 26 A Mr guidance for needle place 1.50 0.52 0.51 0.52 0.51 0.09 XXX 77022 C Mri for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX 77022 TC C Mri for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX 77022 26 A Mri for tissue ablation 4.24 1.52 1.45 1.52 1.45 0.24 XXX 77031 A Stereotact guide for brst bx 1.59 1.87 4.78 NA NA 0.46 XXX 77031 TC A Stereotact guide for brst bx 0.00 1.34 4.25 NA NA 0.37 XXX 77031 26 A Stereotact guide for brst bx 1.59 0.53 0.53 0.53 0.53 0.09 XXX 77032 A Guidance for needle, breast 0.56 0.84 1.17 NA NA 0.09 XXX 77032 TC A Guidance for needle, breast 0.00 0.64 0.98 NA NA 0.07 XXX 77032 26 A Guidance for needle, breast 0.56 0.20 0.19 0.20 0.19 0.02 XXX 77051 A Computer dx mammogram add-on 0.06 0.20 0.32 NA NA 0.02 ZZZ 77051 TC A Computer dx mammogram add-on 0.00 0.18 0.30 NA NA 0.01 ZZZ 77051 26 A Computer dx mammogram add-on 0.06 0.02 0.02 0.02 0.02 0.01 ZZZ 77052 A Comp screen mammogram add-on 0.06 0.20 0.32 NA NA 0.02 ZZZ 77052 TC A Comp screen mammogram add-on 0.00 0.18 0.30 NA NA 0.01 ZZZ 77052 26 A Comp screen mammogram add-on 0.06 0.02 0.02 0.02 0.02 0.01 ZZZ 77053 A X-ray of mammary duct 0.36 1.24 1.99 NA NA 0.16 XXX 77053 TC A X-ray of mammary duct 0.00 1.11 1.87 NA NA 0.14 XXX 77053 26 A X-ray of mammary duct 0.36 0.13 0.12 0.13 0.12 0.02 XXX 77054 A X-ray of mammary ducts 0.45 1.68 2.74 NA NA 0.21 XXX 77054 TC A X-ray of mammary ducts 0.00 1.52 2.59 NA NA 0.19 XXX 77054 26 A X-ray of mammary ducts 0.45 0.16 0.15 0.16 0.15 0.02 XXX 77055 A Mammogram, one breast 0.70 1.65 1.46 NA NA 0.09 XXX 77055 TC A Mammogram, one breast 0.00 1.40 1.22 NA NA 0.06 XXX 77055 26 A Mammogram, one breast 0.70 0.25 0.24 0.25 0.24 0.03 XXX 77056 A Mammogram, both breasts 0.87 2.15 1.86 NA NA 0.11 XXX 77056 TC A Mammogram, both breasts 0.00 1.84 1.57 NA NA 0.07 XXX 77056 26 A Mammogram, both breasts 0.87 0.31 0.29 0.31 0.29 0.04 XXX 77057 A Mammogram, screening 0.70 1.44 1.46 NA NA 0.10 XXX 77057 TC A Mammogram, screening 0.00 1.20 1.22 NA NA 0.07 XXX 77057 26 A Mammogram, screening 0.70 0.24 0.24 0.24 0.24 0.03 XXX 77058 A Mri, one breast 1.63 21.65 19.91 NA NA 0.99 XXX 77058 TC A Mri, one breast 0.00 21.09 19.36 NA NA 0.92 XXX 77058 26 A Mri, one breast 1.63 0.56 0.55 0.56 0.55 0.07 XXX 77059 A Mri, both breasts 1.63 21.58 23.02 NA NA 1.31 XXX 77059 TC A Mri, both breasts 0.00 21.01 22.47 NA NA 1.24 XXX 77059 26 A Mri, both breasts 1.63 0.57 0.55 0.57 0.55 0.07 XXX 77071 A X-ray stress view 0.41 0.77 0.48 0.77 0.48 0.06 XXX 77072 A X-rays for bone age 0.19 0.42 0.42 NA NA 0.03 XXX 77072 TC A X-rays for bone age 0.00 0.36 0.36 NA NA 0.02 XXX 77072 26 A X-rays for bone age 0.19 0.06 0.06 0.06 0.06 0.01 XXX 77073 A X-rays, bone length studies 0.27 0.67 0.78 NA NA 0.06 XXX 77073 TC A X-rays, bone length studies 0.00 0.57 0.68 NA NA 0.05 XXX 77073 26 A X-rays, bone length studies 0.27 0.10 0.10 0.10 0.10 0.01 XXX 77074 A X-rays, bone survey, limited 0.45 1.45 1.30 NA NA 0.08 XXX 77074 TC A X-rays, bone survey, limited 0.00 1.29 1.14 NA NA 0.06 XXX 77074 26 A X-rays, bone survey, limited 0.45 0.16 0.16 0.16 0.16 0.02 XXX 77075 A X-rays, bone survey complete 0.54 2.29 1.96 NA NA 0.10 XXX 77075 TC A X-rays, bone survey complete 0.00 2.10 1.77 NA NA 0.08 XXX 77075 26 A X-rays, bone survey complete 0.54 0.19 0.19 0.19 0.19 0.02 XXX 77076 A X-rays, bone survey, infant 0.70 2.13 1.55 NA NA 0.08 XXX 77076 TC A X-rays, bone survey, infant 0.00 1.90 1.32 NA NA 0.05 XXX 77076 26 A X-rays, bone survey, infant 0.70 0.23 0.23 0.23 0.23 0.03 XXX 77077 A Joint survey, single view 0.31 0.66 0.93 NA NA 0.08 XXX 77077 TC A Joint survey, single view 0.00 0.55 0.83 NA NA 0.06 XXX 77077 26 A Joint survey, single view 0.31 0.11 0.10 0.11 0.10 0.02 XXX 77078 A Ct bone density, axial 0.25 4.75 3.88 NA NA 0.17 XXX 77078 TC A Ct bone density, axial 0.00 4.66 3.80 NA NA 0.16 XXX 77078 26 A Ct bone density, axial 0.25 0.09 0.08 0.09 0.08 0.01 XXX 77079 A Ct bone density, peripheral 0.22 0.83 1.92 NA NA 0.06 XXX 77079 TC A Ct bone density, peripheral 0.00 0.75 1.85 NA NA 0.05 XXX Start Printed Page 2669 77079 26 A Ct bone density, peripheral 0.22 0.08 0.07 0.08 0.07 0.01 XXX 77080 A Dxa bone density, axial 0.20 1.10 2.15 NA NA 0.18 XXX 77080 TC A Dxa bone density, axial 0.00 1.04 2.07 NA NA 0.17 XXX 77080 26 A Dxa bone density, axial 0.20 0.06 0.08 0.06 0.08 0.01 XXX 77081 A Dxa bone density/peripheral 0.22 0.47 0.65 NA NA 0.06 XXX 77081 TC A Dxa bone density/peripheral 0.00 0.41 0.58 NA NA 0.05 XXX 77081 26 A Dxa bone density/peripheral 0.22 0.06 0.07 0.06 0.07 0.01 XXX 77082 A Dxa bone density, vert fx 0.17 0.53 0.66 NA NA 0.06 XXX 77082 TC A Dxa bone density, vert fx 0.00 0.48 0.61 NA NA 0.05 XXX 77082 26 A Dxa bone density, vert fx 0.17 0.05 0.05 0.05 0.05 0.01 XXX 77083 A Radiographic absorptiometry 0.20 0.37 0.59 NA NA 0.06 XXX 77083 TC A Radiographic absorptiometry 0.00 0.32 0.53 NA NA 0.05 XXX 77083 26 A Radiographic absorptiometry 0.20 0.05 0.06 0.05 0.06 0.01 XXX 77084 A Magnetic image, bone marrow 1.60 13.57 12.65 NA NA 0.66 XXX 77084 TC A Magnetic image, bone marrow 0.00 13.05 12.13 NA NA 0.59 XXX 77084 26 A Magnetic image, bone marrow 1.60 0.52 0.52 0.52 0.52 0.07 XXX 77261 A Radiation therapy planning 1.39 0.48 0.49 0.48 0.49 0.07 XXX 77262 A Radiation therapy planning 2.11 0.69 0.72 0.69 0.72 0.11 XXX 77263 A Radiation therapy planning 3.14 1.03 1.07 1.03 1.07 0.16 XXX 77280 A Set radiation therapy field 0.70 4.43 4.07 NA NA 0.22 XXX 77280 TC A Set radiation therapy field 0.00 4.20 3.84 NA NA 0.18 XXX 77280 26 A Set radiation therapy field 0.70 0.23 0.23 0.23 0.23 0.04 XXX 77285 A Set radiation therapy field 1.05 8.02 6.97 NA NA 0.35 XXX 77285 TC A Set radiation therapy field 0.00 7.68 6.63 NA NA 0.30 XXX 77285 26 A Set radiation therapy field 1.05 0.34 0.34 0.34 0.34 0.05 XXX 77290 A Set radiation therapy field 1.56 13.43 10.22 NA NA 0.43 XXX 77290 TC A Set radiation therapy field 0.00 12.92 9.72 NA NA 0.35 XXX 77290 26 A Set radiation therapy field 1.56 0.51 0.50 0.51 0.50 0.08 XXX 77295 A Set radiation therapy field 4.56 7.46 18.43 NA NA 1.71 XXX 77295 TC A Set radiation therapy field 0.00 5.96 16.95 NA NA 1.48 XXX 77295 26 A Set radiation therapy field 4.56 1.50 1.48 1.50 1.48 0.23 XXX 77299 C Radiation therapy planning 0.00 0.00 0.00 NA NA 0.00 XXX 77299 TC C Radiation therapy planning 0.00 0.00 0.00 NA NA 0.00 XXX 77299 26 C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77300 A Radiation therapy dose plan 0.62 1.18 1.36 NA NA 0.10 XXX 77300 TC A Radiation therapy dose plan 0.00 0.98 1.16 NA NA 0.07 XXX 77300 26 A Radiation therapy dose plan 0.62 0.20 0.20 0.20 0.20 0.03 XXX 77301 A Radiotherapy dose plan, imrt 7.99 57.48 43.99 NA NA 1.88 XXX 77301 TC A Radiotherapy dose plan, imrt 0.00 54.86 41.40 NA NA 1.48 XXX 77301 26 A Radiotherapy dose plan, imrt 7.99 2.62 2.59 2.62 2.59 0.40 XXX 77305 A Teletx isodose plan simple 0.70 0.90 1.50 NA NA 0.15 XXX 77305 TC A Teletx isodose plan simple 0.00 0.67 1.27 NA NA 0.11 XXX 77305 26 A Teletx isodose plan simple 0.70 0.23 0.23 0.23 0.23 0.04 XXX 77310 A Teletx isodose plan intermed 1.05 1.24 1.96 NA NA 0.18 XXX 77310 TC A Teletx isodose plan intermed 0.00 0.90 1.62 NA NA 0.13 XXX 77310 26 A Teletx isodose plan intermed 1.05 0.34 0.34 0.34 0.34 0.05 XXX 77315 A Teletx isodose plan complex 1.56 2.08 2.62 NA NA 0.22 XXX 77315 TC A Teletx isodose plan complex 0.00 1.57 2.12 NA NA 0.14 XXX 77315 26 A Teletx isodose plan complex 1.56 0.51 0.50 0.51 0.50 0.08 XXX 77321 A Special teletx port plan 0.95 1.51 2.93 NA NA 0.26 XXX 77321 TC A Special teletx port plan 0.00 1.20 2.62 NA NA 0.21 XXX 77321 26 A Special teletx port plan 0.95 0.31 0.31 0.31 0.31 0.05 XXX 77326 A Brachytx isodose calc simp 0.93 2.98 2.82 NA NA 0.18 XXX 77326 TC A Brachytx isodose calc simp 0.00 2.68 2.52 NA NA 0.13 XXX 77326 26 A Brachytx isodose calc simp 0.93 0.30 0.30 0.30 0.30 0.05 XXX 77327 A Brachytx isodose calc interm 1.39 4.09 4.01 NA NA 0.25 XXX 77327 TC A Brachytx isodose calc interm 0.00 3.64 3.56 NA NA 0.18 XXX 77327 26 A Brachytx isodose calc interm 1.39 0.45 0.45 0.45 0.45 0.07 XXX 77328 A Brachytx isodose plan compl 2.09 5.26 5.44 NA NA 0.36 XXX 77328 TC A Brachytx isodose plan compl 0.00 4.57 4.76 NA NA 0.25 XXX 77328 26 A Brachytx isodose plan compl 2.09 0.69 0.68 0.69 0.68 0.11 XXX 77331 A Special radiation dosimetry 0.87 0.81 0.79 NA NA 0.06 XXX 77331 TC A Special radiation dosimetry 0.00 0.52 0.51 NA NA 0.02 XXX 77331 26 A Special radiation dosimetry 0.87 0.29 0.28 0.29 0.28 0.04 XXX 77332 A Radiation treatment aid(s) 0.54 1.55 1.53 NA NA 0.10 XXX 77332 TC A Radiation treatment aid(s) 0.00 1.37 1.36 NA NA 0.07 XXX 77332 26 A Radiation treatment aid(s) 0.54 0.18 0.17 0.18 0.17 0.03 XXX 77333 A Radiation treatment aid(s) 0.84 0.52 1.34 NA NA 0.15 XXX 77333 TC A Radiation treatment aid(s) 0.00 0.24 1.07 NA NA 0.11 XXX 77333 26 A Radiation treatment aid(s) 0.84 0.28 0.27 0.28 0.27 0.04 XXX 77334 A Radiation treatment aid(s) 1.24 2.72 3.18 NA NA 0.23 XXX 77334 TC A Radiation treatment aid(s) 0.00 2.31 2.78 NA NA 0.17 XXX Start Printed Page 2670 77334 26 A Radiation treatment aid(s) 1.24 0.41 0.40 0.41 0.40 0.06 XXX 77336 A Radiation physics consult 0.00 1.14 2.06 NA NA 0.16 XXX 77370 A Radiation physics consult 0.00 3.05 3.27 NA NA 0.18 XXX 77371 A Srs, multisource 0.00 30.11 30.11 NA NA 0.13 XXX 77372 A Srs, linear based 0.00 22.83 22.83 NA NA 0.13 XXX 77373 A Sbrt delivery 0.00 42.67 42.67 NA NA 0.13 XXX 77399 C External radiation dosimetry 0.00 0.00 0.00 NA NA 0.00 XXX 77399 TC C External radiation dosimetry 0.00 0.00 0.00 NA NA 0.00 XXX 77399 26 C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77401 A Radiation treatment delivery 0.00 0.47 1.12 NA NA 0.11 XXX 77402 A Radiation treatment delivery 0.00 4.35 3.06 NA NA 0.11 XXX 77403 A Radiation treatment delivery 0.00 3.76 2.77 NA NA 0.11 XXX 77404 A Radiation treatment delivery 0.00 4.21 2.99 NA NA 0.11 XXX 77406 A Radiation treatment delivery 0.00 4.24 3.01 NA NA 0.11 XXX 77407 A Radiation treatment delivery 0.00 5.78 3.94 NA NA 0.12 XXX 77408 A Radiation treatment delivery 0.00 5.19 3.64 NA NA 0.12 XXX 77409 A Radiation treatment delivery 0.00 5.77 3.93 NA NA 0.12 XXX 77411 A Radiation treatment delivery 0.00 5.74 3.92 NA NA 0.12 XXX 77412 A Radiation treatment delivery 0.00 6.79 4.56 NA NA 0.13 XXX 77413 A Radiation treatment delivery 0.00 6.86 4.60 NA NA 0.13 XXX 77414 A Radiation treatment delivery 0.00 7.72 5.03 NA NA 0.13 XXX 77416 A Radiation treatment delivery 0.00 7.73 5.03 NA NA 0.13 XXX 77417 A Radiology port film(s) 0.00 0.36 0.48 NA NA 0.04 XXX 77418 A Radiation tx delivery, imrt 0.00 13.17 15.60 NA NA 0.13 XXX 77421 A Stereoscopic x-ray guidance 0.39 2.39 2.93 NA NA 0.12 XXX 77421 TC A Stereoscopic x-ray guidance 0.00 2.26 2.80 NA NA 0.10 XXX 77421 26 A Stereoscopic x-ray guidance 0.39 0.13 0.13 0.13 0.13 0.02 XXX 77422 A Neutron beam tx, simple 0.00 5.36 3.53 NA NA 0.13 XXX 77423 A Neutron beam tx, complex 0.00 7.47 4.86 NA NA 0.13 XXX 77427 A Radiation tx management, x5 3.70 1.39 1.22 1.39 1.22 0.17 XXX 77431 A Radiation therapy management 1.81 0.78 0.73 0.78 0.73 0.09 XXX 77432 A Stereotactic radiation trmt 7.92 2.59 2.75 2.59 2.75 0.41 XXX 77435 A Sbrt management 13.00 4.76 4.76 NA NA 0.67 XXX 77470 A Special radiation treatment 2.09 1.92 6.88 NA NA 0.70 XXX 77470 TC A Special radiation treatment 0.00 1.24 6.20 NA NA 0.59 XXX 77470 26 A Special radiation treatment 2.09 0.68 0.68 0.68 0.68 0.11 XXX 77499 C Radiation therapy management 0.00 0.00 0.00 NA NA 0.00 XXX 77499 TC C Radiation therapy management 0.00 0.00 0.00 NA NA 0.00 XXX 77499 26 C Radiation therapy management 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77520 C Proton trmt, simple w/o comp 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77522 C Proton trmt, simple w/comp 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77523 C Proton trmt, intermediate 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77525 C Proton treatment, complex 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77600 R Hyperthermia treatment 1.56 10.24 6.90 NA NA 0.24 XXX 77600 TC R Hyperthermia treatment 0.00 9.74 6.40 NA NA 0.16 XXX 77600 26 R Hyperthermia treatment 1.56 0.50 0.50 0.50 0.50 0.08 XXX 77605 R Hyperthermia treatment 2.09 18.48 11.60 NA NA 0.38 XXX 77605 TC R Hyperthermia treatment 0.00 17.93 11.00 NA NA 0.22 XXX 77605 26 R Hyperthermia treatment 2.09 0.55 0.60 0.55 0.60 0.16 XXX 77610 R Hyperthermia treatment 1.56 17.94 10.75 NA NA 0.24 XXX 77610 TC R Hyperthermia treatment 0.00 17.58 10.32 NA NA 0.16 XXX 77610 26 R Hyperthermia treatment 1.56 0.36 0.43 0.36 0.43 0.08 XXX 77615 R Hyperthermia treatment 2.09 25.93 15.32 NA NA 0.33 XXX 77615 TC R Hyperthermia treatment 0.00 25.29 14.67 NA NA 0.22 XXX 77615 26 R Hyperthermia treatment 2.09 0.64 0.65 0.64 0.65 0.11 XXX 77620 R Hyperthermia treatment 1.56 10.50 7.04 NA NA 0.36 XXX 77620 TC R Hyperthermia treatment 0.00 10.10 6.58 NA NA 0.16 XXX 77620 26 R Hyperthermia treatment 1.56 0.40 0.46 0.40 0.46 0.20 XXX 77750 A Infuse radioactive materials 4.94 4.55 3.73 NA NA 0.32 090 77750 TC A Infuse radioactive materials 0.00 2.93 2.13 NA NA 0.07 090 77750 26 A Infuse radioactive materials 4.94 1.62 1.60 1.62 1.60 0.25 090 77761 A Apply intrcav radiat simple 3.82 6.34 4.97 NA NA 0.33 090 77761 TC A Apply intrcav radiat simple 0.00 5.10 3.80 NA NA 0.14 090 77761 26 A Apply intrcav radiat simple 3.82 1.24 1.17 1.24 1.17 0.19 090 77762 A Apply intrcav radiat interm 5.73 7.63 6.54 NA NA 0.48 090 77762 TC A Apply intrcav radiat interm 0.00 5.75 4.68 NA NA 0.19 090 77762 26 A Apply intrcav radiat interm 5.73 1.88 1.86 1.88 1.86 0.29 090 77763 A Apply intrcav radiat compl 8.60 10.35 8.79 NA NA 0.66 090 77763 TC A Apply intrcav radiat compl 0.00 7.53 6.01 NA NA 0.23 090 77763 26 A Apply intrcav radiat compl 8.60 2.82 2.78 2.82 2.78 0.43 090 77776 A Apply interstit radiat simpl 4.67 7.46 5.30 NA NA 0.57 090 77776 TC A Apply interstit radiat simpl 0.00 5.79 3.99 NA NA 0.13 090 Start Printed Page 2671 77776 26 A Apply interstit radiat simpl 4.67 1.67 1.31 1.67 1.31 0.44 090 77777 A Apply interstit radiat inter 7.49 7.92 7.26 NA NA 0.61 090 77777 TC A Apply interstit radiat inter 0.00 5.47 4.85 NA NA 0.22 090 77777 26 A Apply interstit radiat inter 7.49 2.45 2.41 2.45 2.41 0.39 090 77778 A Apply interstit radiat compl 11.23 11.33 10.01 NA NA 0.84 090 77778 TC A Apply interstit radiat compl 0.00 7.63 6.38 NA NA 0.27 090 77778 26 A Apply interstit radiat compl 11.23 3.70 3.63 3.70 3.63 0.57 090 77781 A High intensity brachytherapy 1.21 4.41 12.62 NA NA 1.14 XXX 77781 TC A High intensity brachytherapy 0.00 4.01 12.16 NA NA 1.06 XXX 77781 26 A High intensity brachytherapy 1.21 0.40 0.46 0.40 0.46 0.08 XXX 77782 A High intensity brachytherapy 2.04 12.42 16.76 NA NA 1.19 XXX 77782 TC A High intensity brachytherapy 0.00 11.75 16.03 NA NA 1.06 XXX 77782 26 A High intensity brachytherapy 2.04 0.67 0.73 0.67 0.73 0.13 XXX 77783 A High intensity brachytherapy 3.27 24.21 22.86 NA NA 1.25 XXX 77783 TC A High intensity brachytherapy 0.00 23.14 21.73 NA NA 1.06 XXX 77783 26 A High intensity brachytherapy 3.27 1.07 1.13 1.07 1.13 0.19 XXX 77784 A High intensity brachytherapy 5.15 45.71 33.91 NA NA 1.35 XXX 77784 TC A High intensity brachytherapy 0.00 44.03 32.17 NA NA 1.06 XXX 77784 26 A High intensity brachytherapy 5.15 1.68 1.74 1.68 1.74 0.29 XXX 77789 A Apply surface radiation 1.14 2.02 1.42 NA NA 0.08 000 77789 TC A Apply surface radiation 0.00 1.64 1.04 NA NA 0.02 000 77789 26 A Apply surface radiation 1.14 0.38 0.38 0.38 0.38 0.06 000 77790 A Radiation handling 1.05 1.46 1.15 NA NA 0.07 XXX 77790 TC A Radiation handling 0.00 1.12 0.81 NA NA 0.02 XXX 77790 26 A Radiation handling 1.05 0.34 0.34 0.34 0.34 0.05 XXX 77799 C Radium/radioisotope therapy 0.00 0.00 0.00 NA NA 0.00 XXX 77799 TC C Radium/radioisotope therapy 0.00 0.00 0.00 NA NA 0.00 XXX 77799 26 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78000 A Thyroid, single uptake 0.19 1.85 1.44 NA NA 0.07 XXX 78000 TC A Thyroid, single uptake 0.00 1.79 1.38 NA NA 0.06 XXX 78000 26 A Thyroid, single uptake 0.19 0.06 0.06 0.06 0.06 0.01 XXX 78001 A Thyroid, multiple uptakes 0.26 2.31 1.85 NA NA 0.08 XXX 78001 TC A Thyroid, multiple uptakes 0.00 2.22 1.76 NA NA 0.07 XXX 78001 26 A Thyroid, multiple uptakes 0.26 0.09 0.09 0.09 0.09 0.01 XXX 78003 A Thyroid suppress/stimul 0.33 1.94 1.50 NA NA 0.07 XXX 78003 TC A Thyroid suppress/stimul 0.00 1.82 1.39 NA NA 0.06 XXX 78003 26 A Thyroid suppress/stimul 0.33 0.12 0.11 0.12 0.11 0.01 XXX 78006 A Thyroid imaging with uptake 0.49 6.23 4.38 NA NA 0.15 XXX 78006 TC A Thyroid imaging with uptake 0.00 6.06 4.22 NA NA 0.13 XXX 78006 26 A Thyroid imaging with uptake 0.49 0.17 0.16 0.17 0.16 0.02 XXX 78007 A Thyroid image, mult uptakes 0.50 3.06 2.90 NA NA 0.16 XXX 78007 TC A Thyroid image, mult uptakes 0.00 2.89 2.73 NA NA 0.14 XXX 78007 26 A Thyroid image, mult uptakes 0.50 0.17 0.17 0.17 0.17 0.02 XXX 78010 A Thyroid imaging 0.39 4.19 3.07 NA NA 0.13 XXX 78010 TC A Thyroid imaging 0.00 4.06 2.94 NA NA 0.11 XXX 78010 26 A Thyroid imaging 0.39 0.13 0.13 0.13 0.13 0.02 XXX 78011 A Thyroid imaging with flow 0.45 4.55 3.55 NA NA 0.15 XXX 78011 TC A Thyroid imaging with flow 0.00 4.39 3.40 NA NA 0.13 XXX 78011 26 A Thyroid imaging with flow 0.45 0.16 0.15 0.16 0.15 0.02 XXX 78015 A Thyroid met imaging 0.67 5.34 4.08 NA NA 0.17 XXX 78015 TC A Thyroid met imaging 0.00 5.12 3.85 NA NA 0.14 XXX 78015 26 A Thyroid met imaging 0.67 0.22 0.23 0.22 0.23 0.03 XXX 78016 A Thyroid met imaging/studies 0.82 8.54 6.15 NA NA 0.21 XXX 78016 TC A Thyroid met imaging/studies 0.00 8.26 5.87 NA NA 0.18 XXX 78016 26 A Thyroid met imaging/studies 0.82 0.28 0.28 0.28 0.28 0.03 XXX 78018 A Thyroid met imaging, body 0.86 7.94 6.83 NA NA 0.33 XXX 78018 TC A Thyroid met imaging, body 0.00 7.64 6.53 NA NA 0.29 XXX 78018 26 A Thyroid met imaging, body 0.86 0.30 0.30 0.30 0.30 0.04 XXX 78020 A Thyroid met uptake 0.60 1.80 1.66 NA NA 0.16 ZZZ 78020 TC A Thyroid met uptake 0.00 1.60 1.45 NA NA 0.14 ZZZ 78020 26 A Thyroid met uptake 0.60 0.20 0.21 0.20 0.21 0.02 ZZZ 78070 A Parathyroid nuclear imaging 0.82 3.48 4.02 NA NA 0.15 XXX 78070 TC A Parathyroid nuclear imaging 0.00 3.20 3.74 NA NA 0.11 XXX 78070 26 A Parathyroid nuclear imaging 0.82 0.28 0.28 0.28 0.28 0.04 XXX 78075 A Adrenal nuclear imaging 0.74 11.63 8.65 NA NA 0.32 XXX 78075 TC A Adrenal nuclear imaging 0.00 11.38 8.40 NA NA 0.29 XXX 78075 26 A Adrenal nuclear imaging 0.74 0.25 0.25 0.25 0.25 0.03 XXX 78099 C Endocrine nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX 78099 TC C Endocrine nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX 78099 26 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78102 A Bone marrow imaging, ltd 0.55 4.18 3.21 NA NA 0.14 XXX 78102 TC A Bone marrow imaging, ltd 0.00 3.99 3.02 NA NA 0.12 XXX Start Printed Page 2672 78102 26 A Bone marrow imaging, ltd 0.55 0.19 0.19 0.19 0.19 0.02 XXX 78103 A Bone marrow imaging, mult 0.75 5.44 4.44 NA NA 0.20 XXX 78103 TC A Bone marrow imaging, mult 0.00 5.18 4.18 NA NA 0.17 XXX 78103 26 A Bone marrow imaging, mult 0.75 0.26 0.26 0.26 0.26 0.03 XXX 78104 A Bone marrow imaging, body 0.80 6.23 5.29 NA NA 0.25 XXX 78104 TC A Bone marrow imaging, body 0.00 5.94 5.01 NA NA 0.22 XXX 78104 26 A Bone marrow imaging, body 0.80 0.29 0.28 0.29 0.28 0.03 XXX 78110 A Plasma volume, single 0.19 2.13 1.58 NA NA 0.07 XXX 78110 TC A Plasma volume, single 0.00 2.06 1.51 NA NA 0.06 XXX 78110 26 A Plasma volume, single 0.19 0.07 0.07 0.07 0.07 0.01 XXX 78111 A Plasma volume, multiple 0.22 2.14 2.40 NA NA 0.15 XXX 78111 TC A Plasma volume, multiple 0.00 2.07 2.32 NA NA 0.14 XXX 78111 26 A Plasma volume, multiple 0.22 0.07 0.08 0.07 0.08 0.01 XXX 78120 A Red cell mass, single 0.23 2.10 1.96 NA NA 0.12 XXX 78120 TC A Red cell mass, single 0.00 2.02 1.88 NA NA 0.11 XXX 78120 26 A Red cell mass, single 0.23 0.08 0.08 0.08 0.08 0.01 XXX 78121 A Red cell mass, multiple 0.32 2.20 2.62 NA NA 0.15 XXX 78121 TC A Red cell mass, multiple 0.00 2.10 2.51 NA NA 0.14 XXX 78121 26 A Red cell mass, multiple 0.32 0.10 0.11 0.10 0.11 0.01 XXX 78122 A Blood volume 0.45 2.25 3.51 NA NA 0.26 XXX 78122 TC A Blood volume 0.00 2.10 3.35 NA NA 0.24 XXX 78122 26 A Blood volume 0.45 0.15 0.16 0.15 0.16 0.02 XXX 78130 A Red cell survival study 0.61 3.50 3.28 NA NA 0.17 XXX 78130 TC A Red cell survival study 0.00 3.29 3.07 NA NA 0.14 XXX 78130 26 A Red cell survival study 0.61 0.21 0.21 0.21 0.21 0.03 XXX 78135 A Red cell survival kinetics 0.64 8.68 6.89 NA NA 0.28 XXX 78135 TC A Red cell survival kinetics 0.00 8.46 6.67 NA NA 0.25 XXX 78135 26 A Red cell survival kinetics 0.64 0.22 0.22 0.22 0.22 0.03 XXX 78140 A Red cell sequestration 0.61 2.95 3.54 NA NA 0.24 XXX 78140 TC A Red cell sequestration 0.00 2.73 3.33 NA NA 0.21 XXX 78140 26 A Red cell sequestration 0.61 0.22 0.21 0.22 0.21 0.03 XXX 78185 A Spleen imaging 0.40 5.20 3.85 NA NA 0.15 XXX 78185 TC A Spleen imaging 0.00 5.06 3.71 NA NA 0.13 XXX 78185 26 A Spleen imaging 0.40 0.14 0.14 0.14 0.14 0.02 XXX 78190 A Platelet survival, kinetics 1.09 8.38 7.24 NA NA 0.38 XXX 78190 TC A Platelet survival, kinetics 0.00 8.13 6.92 NA NA 0.30 XXX 78190 26 A Platelet survival, kinetics 1.09 0.25 0.32 0.25 0.32 0.08 XXX 78191 A Platelet survival 0.61 3.52 5.53 NA NA 0.40 XXX 78191 TC A Platelet survival 0.00 3.31 5.32 NA NA 0.37 XXX 78191 26 A Platelet survival 0.61 0.21 0.21 0.21 0.21 0.03 XXX 78195 A Lymph system imaging 1.20 8.69 6.58 NA NA 0.28 XXX 78195 TC A Lymph system imaging 0.00 8.28 6.17 NA NA 0.22 XXX 78195 26 A Lymph system imaging 1.20 0.41 0.41 0.41 0.41 0.06 XXX 78199 C Blood/lymph nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78199 TC C Blood/lymph nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78199 26 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78201 A Liver imaging 0.44 4.60 3.56 NA NA 0.15 XXX 78201 TC A Liver imaging 0.00 4.47 3.42 NA NA 0.13 XXX 78201 26 A Liver imaging 0.44 0.13 0.14 0.13 0.14 0.02 XXX 78202 A Liver imaging with flow 0.51 5.35 4.20 NA NA 0.16 XXX 78202 TC A Liver imaging with flow 0.00 5.18 4.03 NA NA 0.14 XXX 78202 26 A Liver imaging with flow 0.51 0.17 0.17 0.17 0.17 0.02 XXX 78205 A Liver imaging (3D) 0.71 5.27 5.71 NA NA 0.34 XXX 78205 TC A Liver imaging (3D) 0.00 5.02 5.47 NA NA 0.31 XXX 78205 26 A Liver imaging (3D) 0.71 0.25 0.24 0.25 0.24 0.03 XXX 78206 A Liver image (3d) with flow 0.96 8.61 7.42 NA NA 0.15 XXX 78206 TC A Liver image (3d) with flow 0.00 8.27 7.09 NA NA 0.11 XXX 78206 26 A Liver image (3d) with flow 0.96 0.34 0.33 0.34 0.33 0.04 XXX 78215 A Liver and spleen imaging 0.49 4.82 3.97 NA NA 0.16 XXX 78215 TC A Liver and spleen imaging 0.00 4.65 3.80 NA NA 0.14 XXX 78215 26 A Liver and spleen imaging 0.49 0.17 0.17 0.17 0.17 0.02 XXX 78216 A Liver & spleen image/flow 0.57 2.86 3.26 NA NA 0.20 XXX 78216 TC A Liver & spleen image/flow 0.00 2.66 3.07 NA NA 0.18 XXX 78216 26 A Liver & spleen image/flow 0.57 0.20 0.19 0.20 0.19 0.02 XXX 78220 A Liver function study 0.49 3.08 3.48 NA NA 0.21 XXX 78220 TC A Liver function study 0.00 2.91 3.32 NA NA 0.19 XXX 78220 26 A Liver function study 0.49 0.17 0.16 0.17 0.16 0.02 XXX 78223 A Hepatobiliary imaging 0.84 8.51 6.23 NA NA 0.23 XXX 78223 TC A Hepatobiliary imaging 0.00 8.22 5.94 NA NA 0.19 XXX 78223 26 A Hepatobiliary imaging 0.84 0.29 0.29 0.29 0.29 0.04 XXX 78230 A Salivary gland imaging 0.45 4.17 3.25 NA NA 0.15 XXX 78230 TC A Salivary gland imaging 0.00 4.01 3.10 NA NA 0.13 XXX Start Printed Page 2673 78230 26 A Salivary gland imaging 0.45 0.16 0.15 0.16 0.15 0.02 XXX 78231 A Serial salivary imaging 0.52 2.81 3.07 NA NA 0.19 XXX 78231 TC A Serial salivary imaging 0.00 2.64 2.90 NA NA 0.17 XXX 78231 26 A Serial salivary imaging 0.52 0.17 0.17 0.17 0.17 0.02 XXX 78232 A Salivary gland function exam 0.47 2.78 3.24 NA NA 0.20 XXX 78232 TC A Salivary gland function exam 0.00 2.63 3.08 NA NA 0.18 XXX 78232 26 A Salivary gland function exam 0.47 0.15 0.16 0.15 0.16 0.02 XXX 78258 A Esophageal motility study 0.74 5.52 4.33 NA NA 0.17 XXX 78258 TC A Esophageal motility study 0.00 5.25 4.07 NA NA 0.14 XXX 78258 26 A Esophageal motility study 0.74 0.27 0.26 0.27 0.26 0.03 XXX 78261 A Gastric mucosa imaging 0.69 6.01 5.17 NA NA 0.25 XXX 78261 TC A Gastric mucosa imaging 0.00 5.77 4.93 NA NA 0.22 XXX 78261 26 A Gastric mucosa imaging 0.69 0.24 0.24 0.24 0.24 0.03 XXX 78262 A Gastroesophageal reflux exam 0.68 5.96 5.22 NA NA 0.25 XXX 78262 TC A Gastroesophageal reflux exam 0.00 5.74 5.00 NA NA 0.22 XXX 78262 26 A Gastroesophageal reflux exam 0.68 0.22 0.22 0.22 0.22 0.03 XXX 78264 A Gastric emptying study 0.78 7.16 5.78 NA NA 0.25 XXX 78264 TC A Gastric emptying study 0.00 6.89 5.51 NA NA 0.22 XXX 78264 26 A Gastric emptying study 0.78 0.27 0.27 0.27 0.27 0.03 XXX 78267 X Breath tst attain/anal c-14 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78268 X Breath test analysis, c-14 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78270 A Vit B-12 absorption exam 0.20 1.95 1.78 NA NA 0.11 XXX 78270 TC A Vit B-12 absorption exam 0.00 1.88 1.71 NA NA 0.10 XXX 78270 26 A Vit B-12 absorption exam 0.20 0.07 0.07 0.07 0.07 0.01 XXX 78271 A Vit b-12 absrp exam, int fac 0.20 1.89 1.80 NA NA 0.11 XXX 78271 TC A Vit b-12 absrp exam, int fac 0.00 1.84 1.74 NA NA 0.10 XXX 78271 26 A Vit b-12 absrp exam, int fac 0.20 0.05 0.06 0.05 0.06 0.01 XXX 78272 A Vit B-12 absorp, combined 0.27 2.06 2.24 NA NA 0.14 XXX 78272 TC A Vit B-12 absorp, combined 0.00 1.99 2.16 NA NA 0.13 XXX 78272 26 A Vit B-12 absorp, combined 0.27 0.07 0.08 0.07 0.08 0.01 XXX 78278 A Acute GI blood loss imaging 0.99 8.61 6.91 NA NA 0.29 XXX 78278 TC A Acute GI blood loss imaging 0.00 8.26 6.57 NA NA 0.25 XXX 78278 26 A Acute GI blood loss imaging 0.99 0.35 0.34 0.35 0.34 0.04 XXX 78282 C GI protein loss exam 0.00 0.00 0.00 NA NA 0.00 XXX 78282 TC C GI protein loss exam 0.00 0.00 0.00 NA NA 0.00 XXX 78282 26 A GI protein loss exam 0.38 0.13 0.13 0.13 0.13 0.02 XXX 78290 A MeckelÆs divert exam 0.68 8.52 5.91 NA NA 0.19 XXX 78290 TC A MeckelÆs divert exam 0.00 8.28 5.67 NA NA 0.16 XXX 78290 26 A MeckelÆs divert exam 0.68 0.24 0.24 0.24 0.24 0.03 XXX 78291 A Leveen/shunt patency exam 0.88 6.15 4.76 NA NA 0.20 XXX 78291 TC A Leveen/shunt patency exam 0.00 5.85 4.46 NA NA 0.16 XXX 78291 26 A Leveen/shunt patency exam 0.88 0.30 0.30 0.30 0.30 0.04 XXX 78299 C GI nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX 78299 TC C GI nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX 78299 26 C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78300 A Bone imaging, limited area 0.62 4.23 3.46 NA NA 0.17 XXX 78300 TC A Bone imaging, limited area 0.00 4.01 3.25 NA NA 0.14 XXX 78300 26 A Bone imaging, limited area 0.62 0.22 0.21 0.22 0.21 0.03 XXX 78305 A Bone imaging, multiple areas 0.83 5.48 4.71 NA NA 0.23 XXX 78305 TC A Bone imaging, multiple areas 0.00 5.20 4.43 NA NA 0.19 XXX 78305 26 A Bone imaging, multiple areas 0.83 0.28 0.28 0.28 0.28 0.04 XXX 78306 A Bone imaging, whole body 0.86 6.07 5.32 NA NA 0.26 XXX 78306 TC A Bone imaging, whole body 0.00 5.77 5.02 NA NA 0.22 XXX 78306 26 A Bone imaging, whole body 0.86 0.30 0.30 0.30 0.30 0.04 XXX 78315 A Bone imaging, 3 phase 1.02 8.60 6.86 NA NA 0.29 XXX 78315 TC A Bone imaging, 3 phase 0.00 8.24 6.51 NA NA 0.25 XXX 78315 26 A Bone imaging, 3 phase 1.02 0.36 0.35 0.36 0.35 0.04 XXX 78320 A Bone imaging (3D) 1.04 5.35 5.82 NA NA 0.35 XXX 78320 TC A Bone imaging (3D) 0.00 4.99 5.46 NA NA 0.31 XXX 78320 26 A Bone imaging (3D) 1.04 0.36 0.36 0.36 0.36 0.04 XXX 78350 N Bone mineral, single photon 0.22 0.51 0.67 NA NA 0.06 XXX 78350 TC N Bone mineral, single photon 0.00 0.46 0.61 NA NA 0.05 XXX 78350 26 N Bone mineral, single photon 0.22 0.05 0.06 0.05 0.06 0.01 XXX 78351 N Bone mineral, dual photon 0.30 NA NA 0.07 0.09 0.01 XXX 78399 C Musculoskeletal nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78399 TC C Musculoskeletal nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78399 26 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78414 C Non-imaging heart function 0.00 0.00 0.00 NA NA 0.00 XXX 78414 TC C Non-imaging heart function 0.00 0.00 0.00 NA NA 0.00 XXX 78414 26 A Non-imaging heart function 0.45 0.17 0.17 0.17 0.17 0.02 XXX 78428 A Cardiac shunt imaging 0.78 5.26 3.90 NA NA 0.16 XXX 78428 TC A Cardiac shunt imaging 0.00 4.90 3.58 NA NA 0.13 XXX Start Printed Page 2674 78428 26 A Cardiac shunt imaging 0.78 0.36 0.32 0.36 0.32 0.03 XXX 78445 A Vascular flow imaging 0.49 4.49 3.26 NA NA 0.13 XXX 78445 TC A Vascular flow imaging 0.00 4.32 3.09 NA NA 0.11 XXX 78445 26 A Vascular flow imaging 0.49 0.17 0.17 0.17 0.17 0.02 XXX 78456 A Acute venous thrombus image 1.00 8.81 6.57 NA NA 0.33 XXX 78456 TC A Acute venous thrombus image 0.00 8.44 6.21 NA NA 0.29 XXX 78456 26 A Acute venous thrombus image 1.00 0.37 0.36 0.37 0.36 0.04 XXX 78457 A Venous thrombosis imaging 0.77 4.66 3.79 NA NA 0.17 XXX 78457 TC A Venous thrombosis imaging 0.00 4.41 3.54 NA NA 0.14 XXX 78457 26 A Venous thrombosis imaging 0.77 0.25 0.25 0.25 0.25 0.03 XXX 78458 A Ven thrombosis images, bilat 0.90 4.51 4.43 NA NA 0.25 XXX 78458 TC A Ven thrombosis images, bilat 0.00 4.22 4.12 NA NA 0.21 XXX 78458 26 A Ven thrombosis images, bilat 0.90 0.29 0.31 0.29 0.31 0.04 XXX 78459 C Heart muscle imaging (PET) 0.00 0.00 0.00 NA NA 0.00 XXX 78459 TC C Heart muscle imaging (PET) 0.00 0.00 0.00 NA NA 0.00 XXX 78459 26 A Heart muscle imaging (PET) 1.50 0.61 0.59 0.61 0.59 0.05 XXX 78460 A Heart muscle blood, single 0.86 4.66 3.65 NA NA 0.17 XXX 78460 TC A Heart muscle blood, single 0.00 4.34 3.35 NA NA 0.13 XXX 78460 26 A Heart muscle blood, single 0.86 0.32 0.30 0.32 0.30 0.04 XXX 78461 A Heart muscle blood, multiple 1.23 4.07 4.61 NA NA 0.30 XXX 78461 TC A Heart muscle blood, multiple 0.00 3.61 4.17 NA NA 0.25 XXX 78461 26 A Heart muscle blood, multiple 1.23 0.46 0.44 0.46 0.44 0.05 XXX 78464 A Heart image (3d), single 1.09 5.86 6.66 NA NA 0.41 XXX 78464 TC A Heart image (3d), single 0.00 5.36 6.22 NA NA 0.37 XXX 78464 26 A Heart image (3d), single 1.09 0.50 0.44 0.50 0.44 0.04 XXX 78465 A Heart image (3d), multiple 1.46 11.46 11.88 NA NA 0.67 XXX 78465 TC A Heart image (3d), multiple 0.00 10.75 11.27 NA NA 0.62 XXX 78465 26 A Heart image (3d), multiple 1.46 0.71 0.61 0.71 0.61 0.05 XXX 78466 A Heart infarct image 0.69 4.58 3.72 NA NA 0.17 XXX 78466 TC A Heart infarct image 0.00 4.29 3.46 NA NA 0.14 XXX 78466 26 A Heart infarct image 0.69 0.29 0.26 0.29 0.26 0.03 XXX 78468 A Heart infarct image (ef) 0.80 5.88 4.90 NA NA 0.22 XXX 78468 TC A Heart infarct image (ef) 0.00 5.48 4.57 NA NA 0.19 XXX 78468 26 A Heart infarct image (ef) 0.80 0.40 0.33 0.40 0.33 0.03 XXX 78469 A Heart infarct image (3D) 0.92 6.29 5.92 NA NA 0.31 XXX 78469 TC A Heart infarct image (3D) 0.00 5.85 5.54 NA NA 0.28 XXX 78469 26 A Heart infarct image (3D) 0.92 0.44 0.38 0.44 0.38 0.03 XXX 78472 A Gated heart, planar, single 0.98 6.03 5.94 NA NA 0.34 XXX 78472 TC A Gated heart, planar, single 0.00 5.62 5.57 NA NA 0.30 XXX 78472 26 A Gated heart, planar, single 0.98 0.41 0.37 0.41 0.37 0.04 XXX 78473 A Gated heart, multiple 1.47 7.76 8.27 NA NA 0.48 XXX 78473 TC A Gated heart, multiple 0.00 7.12 7.69 NA NA 0.42 XXX 78473 26 A Gated heart, multiple 1.47 0.64 0.58 0.64 0.58 0.06 XXX 78478 A Heart wall motion add-on 0.50 0.80 1.30 NA NA 0.12 XXX 78478 TC A Heart wall motion add-on 0.00 0.56 1.06 NA NA 0.10 XXX 78478 26 A Heart wall motion add-on 0.50 0.24 0.24 0.24 0.24 0.02 XXX 78480 A Heart function add-on 0.30 0.70 1.24 NA NA 0.12 XXX 78480 TC A Heart function add-on 0.00 0.56 1.06 NA NA 0.10 XXX 78480 26 A Heart function add-on 0.30 0.14 0.18 0.14 0.18 0.02 XXX 78481 A Heart first pass, single 0.98 5.07 5.33 NA NA 0.31 XXX 78481 TC A Heart first pass, single 0.00 4.58 4.90 NA NA 0.28 XXX 78481 26 A Heart first pass, single 0.98 0.49 0.43 0.49 0.43 0.03 XXX 78483 A Heart first pass, multiple 1.47 6.87 7.64 NA NA 0.46 XXX 78483 TC A Heart first pass, multiple 0.00 6.09 6.98 NA NA 0.41 XXX 78483 26 A Heart first pass, multiple 1.47 0.78 0.66 0.78 0.66 0.05 XXX 78491 C Heart image (pet), single 0.00 0.00 0.00 NA NA 0.00 XXX 78491 TC C Heart image (pet), single 0.00 0.00 0.00 NA NA 0.00 XXX 78491 26 A Heart image (pet), single 1.50 0.63 0.61 0.63 0.61 0.06 XXX 78492 C Heart image (pet), multiple 0.00 0.00 0.00 NA NA 0.00 XXX 78492 TC C Heart image (pet), multiple 0.00 0.00 0.00 NA NA 0.00 XXX 78492 26 A Heart image (pet), multiple 1.87 0.91 0.82 0.91 0.82 0.07 XXX 78494 A Heart image, spect 1.19 6.23 6.86 NA NA 0.35 XXX 78494 TC A Heart image, spect 0.00 5.69 6.38 NA NA 0.30 XXX 78494 26 A Heart image, spect 1.19 0.54 0.48 0.54 0.48 0.05 XXX 78496 A Heart first pass add-on 0.50 0.88 4.06 NA NA 0.32 ZZZ 78496 TC A Heart first pass add-on 0.00 0.65 3.86 NA NA 0.30 ZZZ 78496 26 A Heart first pass add-on 0.50 0.23 0.20 0.23 0.20 0.02 ZZZ 78499 C Cardiovascular nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78499 TC C Cardiovascular nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78499 26 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78580 A Lung perfusion imaging 0.74 5.13 4.41 NA NA 0.21 XXX 78580 TC A Lung perfusion imaging 0.00 4.87 4.15 NA NA 0.18 XXX Start Printed Page 2675 78580 26 A Lung perfusion imaging 0.74 0.26 0.26 0.26 0.26 0.03 XXX 78584 A Lung V/Q image single breath 0.99 3.02 3.28 NA NA 0.21 XXX 78584 TC A Lung V/Q image single breath 0.00 2.67 2.94 NA NA 0.17 XXX 78584 26 A Lung V/Q image single breath 0.99 0.35 0.34 0.35 0.34 0.04 XXX 78585 A Lung V/Q imaging 1.09 8.63 7.32 NA NA 0.35 XXX 78585 TC A Lung V/Q imaging 0.00 8.25 6.95 NA NA 0.30 XXX 78585 26 A Lung V/Q imaging 1.09 0.38 0.37 0.38 0.37 0.05 XXX 78586 A Aerosol lung image, single 0.40 4.17 3.44 NA NA 0.16 XXX 78586 TC A Aerosol lung image, single 0.00 4.03 3.31 NA NA 0.14 XXX 78586 26 A Aerosol lung image, single 0.40 0.14 0.13 0.14 0.13 0.02 XXX 78587 A Aerosol lung image, multiple 0.49 5.44 4.21 NA NA 0.16 XXX 78587 TC A Aerosol lung image, multiple 0.00 5.27 4.04 NA NA 0.14 XXX 78587 26 A Aerosol lung image, multiple 0.49 0.17 0.17 0.17 0.17 0.02 XXX 78588 A Perfusion lung image 1.09 8.66 6.11 NA NA 0.23 XXX 78588 TC A Perfusion lung image 0.00 8.28 5.74 NA NA 0.18 XXX 78588 26 A Perfusion lung image 1.09 0.38 0.37 0.38 0.37 0.05 XXX 78591 A Vent image, 1 breath, 1 proj 0.40 4.17 3.58 NA NA 0.16 XXX 78591 TC A Vent image, 1 breath, 1 proj 0.00 4.03 3.44 NA NA 0.14 XXX 78591 26 A Vent image, 1 breath, 1 proj 0.40 0.14 0.14 0.14 0.14 0.02 XXX 78593 A Vent image, 1 proj, gas 0.49 4.82 4.21 NA NA 0.20 XXX 78593 TC A Vent image, 1 proj, gas 0.00 4.65 4.05 NA NA 0.18 XXX 78593 26 A Vent image, 1 proj, gas 0.49 0.17 0.16 0.17 0.16 0.02 XXX 78594 A Vent image, mult proj, gas 0.53 5.29 5.23 NA NA 0.27 XXX 78594 TC A Vent image, mult proj, gas 0.00 5.11 5.05 NA NA 0.25 XXX 78594 26 A Vent image, mult proj, gas 0.53 0.18 0.18 0.18 0.18 0.02 XXX 78596 A Lung differential function 1.27 8.68 8.09 NA NA 0.42 XXX 78596 TC A Lung differential function 0.00 8.29 7.68 NA NA 0.37 XXX 78596 26 A Lung differential function 1.27 0.39 0.41 0.39 0.41 0.05 XXX 78599 C Respiratory nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78599 TC C Respiratory nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78599 26 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78600 A Brain image < 4 views 0.44 4.39 3.71 NA NA 0.16 XXX 78600 TC A Brain image < 4 views 0.00 4.24 3.56 NA NA 0.14 XXX 78600 26 A Brain image < 4 views 0.44 0.15 0.15 0.15 0.15 0.02 XXX 78601 A Brain image w/flow < 4 views 0.51 5.39 4.47 NA NA 0.20 XXX 78601 TC A Brain image w/flow < 4 views 0.00 5.21 4.30 NA NA 0.18 XXX 78601 26 A Brain image w/flow < 4 views 0.51 0.18 0.17 0.18 0.17 0.02 XXX 78605 A Brain image 4+ views 0.53 4.85 4.22 NA NA 0.20 XXX 78605 TC A Brain image 4+ views 0.00 4.66 4.03 NA NA 0.18 XXX 78605 26 A Brain image 4+ views 0.53 0.19 0.19 0.19 0.19 0.02 XXX 78606 A Brain image w/flow 4 + views 0.64 8.54 6.31 NA NA 0.24 XXX 78606 TC A Brain image w/flow 4 + views 0.00 8.32 6.10 NA NA 0.21 XXX 78606 26 A Brain image w/flow 4 + views 0.64 0.22 0.21 0.22 0.21 0.03 XXX 78607 A Brain imaging (3D) 1.23 8.64 7.81 NA NA 0.40 XXX 78607 TC A Brain imaging (3D) 0.00 8.23 7.39 NA NA 0.35 XXX 78607 26 A Brain imaging (3D) 1.23 0.41 0.42 0.41 0.42 0.05 XXX 78608 C Brain imaging (PET) 0.00 0.00 0.00 NA NA 0.00 XXX 78608 TC C Brain imaging (PET) 0.00 0.00 0.00 NA NA 0.00 XXX 78608 26 A Brain imaging (PET) 1.50 0.49 0.50 0.49 0.50 0.06 XXX 78609 N Brain imaging (PET) 1.50 0.00 0.49 NA NA 0.06 XXX 78609 TC N Brain imaging (PET) 0.00 0.00 0.00 NA NA 0.00 XXX 78609 26 N Brain imaging (PET) 1.50 0.00 0.49 0.00 0.49 0.06 XXX 78610 A Brain flow imaging only 0.30 4.46 4.24 NA NA 0.11 XXX 78610 TC A Brain flow imaging only 0.00 4.36 4.11 NA NA 0.10 XXX 78610 26 A Brain flow imaging only 0.30 0.10 0.13 0.10 0.13 0.01 XXX 78630 A Cerebrospinal fluid scan 0.68 8.66 6.96 NA NA 0.30 XXX 78630 TC A Cerebrospinal fluid scan 0.00 8.42 6.73 NA NA 0.27 XXX 78630 26 A Cerebrospinal fluid scan 0.68 0.24 0.23 0.24 0.23 0.03 XXX 78635 A CSF ventriculography 0.61 8.80 5.79 NA NA 0.16 XXX 78635 TC A CSF ventriculography 0.00 8.59 5.57 NA NA 0.14 XXX 78635 26 A CSF ventriculography 0.61 0.21 0.22 0.21 0.22 0.02 XXX 78645 A CSF shunt evaluation 0.57 8.49 6.05 NA NA 0.20 XXX 78645 TC A CSF shunt evaluation 0.00 8.29 5.86 NA NA 0.18 XXX 78645 26 A CSF shunt evaluation 0.57 0.20 0.19 0.20 0.19 0.02 XXX 78647 A Cerebrospinal fluid scan 0.90 8.53 7.38 NA NA 0.35 XXX 78647 TC A Cerebrospinal fluid scan 0.00 8.24 7.08 NA NA 0.31 XXX 78647 26 A Cerebrospinal fluid scan 0.90 0.29 0.30 0.29 0.30 0.04 XXX 78650 A CSF leakage imaging 0.61 8.57 6.71 NA NA 0.27 XXX 78650 TC A CSF leakage imaging 0.00 8.36 6.50 NA NA 0.24 XXX 78650 26 A CSF leakage imaging 0.61 0.21 0.21 0.21 0.21 0.03 XXX 78660 A Nuclear exam of tear flow 0.53 4.26 3.28 NA NA 0.14 XXX 78660 TC A Nuclear exam of tear flow 0.00 4.07 3.10 NA NA 0.12 XXX Start Printed Page 2676 78660 26 A Nuclear exam of tear flow 0.53 0.19 0.18 0.19 0.18 0.02 XXX 78699 C Nervous system nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78699 TC C Nervous system nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78699 26 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78700 A Kidney imaging, morphol 0.45 4.39 3.80 NA NA 0.18 XXX 78700 TC A Kidney imaging, morphol 0.00 4.23 3.64 NA NA 0.16 XXX 78700 26 A Kidney imaging, morphol 0.45 0.16 0.16 0.16 0.16 0.02 XXX 78701 A Kidney imaging with flow 0.49 5.39 4.56 NA NA 0.20 XXX 78701 TC A Kidney imaging with flow 0.00 5.22 4.39 NA NA 0.18 XXX 78701 26 A Kidney imaging with flow 0.49 0.17 0.17 0.17 0.17 0.02 XXX 78707 A K flow/funct image w/o drug 0.96 5.49 5.14 NA NA 0.27 XXX 78707 TC A K flow/funct image w/o drug 0.00 5.15 4.81 NA NA 0.23 XXX 78707 26 A K flow/funct image w/o drug 0.96 0.34 0.33 0.34 0.33 0.04 XXX 78708 A K flow/funct image w/drug 1.21 3.48 4.18 NA NA 0.28 XXX 78708 TC A K flow/funct image w/drug 0.00 3.05 3.76 NA NA 0.23 XXX 78708 26 A K flow/funct image w/drug 1.21 0.43 0.42 0.43 0.42 0.05 XXX 78709 A K flow/funct image, multiple 1.41 8.89 6.91 NA NA 0.29 XXX 78709 TC A K flow/funct image, multiple 0.00 8.40 6.43 NA NA 0.23 XXX 78709 26 A K flow/funct image, multiple 1.41 0.49 0.48 0.49 0.48 0.06 XXX 78710 A Kidney imaging (3D) 0.66 5.28 5.71 NA NA 0.34 XXX 78710 TC A Kidney imaging (3D) 0.00 5.06 5.49 NA NA 0.31 XXX 78710 26 A Kidney imaging (3D) 0.66 0.22 0.22 0.22 0.22 0.03 XXX 78725 A Kidney function study 0.38 2.35 2.14 NA NA 0.13 XXX 78725 TC A Kidney function study 0.00 2.23 2.01 NA NA 0.11 XXX 78725 26 A Kidney function study 0.38 0.12 0.13 0.12 0.13 0.02 XXX 78730 A Urinary bladder retention 0.15 1.99 1.78 NA NA 0.10 ZZZ 78730 TC A Urinary bladder retention 0.00 1.93 1.69 NA NA 0.08 ZZZ 78730 26 A Urinary bladder retention 0.15 0.06 0.09 0.06 0.09 0.02 ZZZ 78740 A Ureteral reflux study 0.57 5.65 3.98 NA NA 0.15 XXX 78740 TC A Ureteral reflux study 0.00 5.46 3.79 NA NA 0.12 XXX 78740 26 A Ureteral reflux study 0.57 0.19 0.19 0.19 0.19 0.03 XXX 78761 A Testicular imaging w/flow 0.71 5.06 4.24 NA NA 0.20 XXX 78761 TC A Testicular imaging w/flow 0.00 4.81 4.00 NA NA 0.17 XXX 78761 26 A Testicular imaging w/flow 0.71 0.25 0.24 0.25 0.24 0.03 XXX 78799 C Genitourinary nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78799 TC C Genitourinary nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX 78799 26 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78800 A Tumor imaging, limited area 0.66 4.34 3.99 NA NA 0.22 XXX 78800 TC A Tumor imaging, limited area 0.00 4.13 3.77 NA NA 0.18 XXX 78800 26 A Tumor imaging, limited area 0.66 0.21 0.22 0.21 0.22 0.04 XXX 78801 A Tumor imaging, mult areas 0.79 6.06 5.27 NA NA 0.27 XXX 78801 TC A Tumor imaging, mult areas 0.00 5.79 5.00 NA NA 0.22 XXX 78801 26 A Tumor imaging, mult areas 0.79 0.27 0.27 0.27 0.27 0.05 XXX 78802 A Tumor imaging, whole body 0.86 8.15 6.98 NA NA 0.34 XXX 78802 TC A Tumor imaging, whole body 0.00 7.85 6.69 NA NA 0.30 XXX 78802 26 A Tumor imaging, whole body 0.86 0.30 0.29 0.30 0.29 0.04 XXX 78803 A Tumor imaging (3D) 1.09 8.54 7.74 NA NA 0.40 XXX 78803 TC A Tumor imaging (3D) 0.00 8.17 7.36 NA NA 0.35 XXX 78803 26 A Tumor imaging (3D) 1.09 0.37 0.38 0.37 0.38 0.05 XXX 78804 A Tumor imaging, whole body 1.07 14.85 13.14 NA NA 0.34 XXX 78804 TC A Tumor imaging, whole body 0.00 14.48 12.77 NA NA 0.30 XXX 78804 26 A Tumor imaging, whole body 1.07 0.37 0.37 0.37 0.37 0.04 XXX 78805 A Abscess imaging, ltd area 0.73 4.23 3.94 NA NA 0.21 XXX 78805 TC A Abscess imaging, ltd area 0.00 3.98 3.69 NA NA 0.18 XXX 78805 26 A Abscess imaging, ltd area 0.73 0.25 0.25 0.25 0.25 0.03 XXX 78806 A Abscess imaging, whole body 0.86 8.36 7.54 NA NA 0.39 XXX 78806 TC A Abscess imaging, whole body 0.00 8.06 7.25 NA NA 0.35 XXX 78806 26 A Abscess imaging, whole body 0.86 0.30 0.29 0.30 0.29 0.04 XXX 78807 A Nuclear localization/abscess 1.09 8.52 7.73 NA NA 0.39 XXX 78807 TC A Nuclear localization/abscess 0.00 8.15 7.35 NA NA 0.35 XXX 78807 26 A Nuclear localization/abscess 1.09 0.37 0.38 0.37 0.38 0.04 XXX 78811 C Pet image, ltd area 0.00 0.00 0.00 NA NA 0.00 XXX 78811 TC C Pet image, ltd area 0.00 0.00 0.00 NA NA 0.00 XXX 78811 26 A Pet image, ltd area 1.54 0.54 0.53 0.54 0.53 0.11 XXX 78812 C Pet image, skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX 78812 TC C Pet image, skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX 78812 26 A Pet image, skull-thigh 1.93 0.67 0.66 0.67 0.66 0.11 XXX 78813 C Pet image, full body 0.00 0.00 0.00 NA NA 0.00 XXX 78813 TC C Pet image, full body 0.00 0.00 0.00 NA NA 0.00 XXX 78813 26 A Pet image, full body 2.00 0.68 0.69 0.68 0.69 0.11 XXX 78814 C Pet image w/ct, lmtd 0.00 0.00 0.00 NA NA 0.00 XXX 78814 TC C Pet image w/ct, lmtd 0.00 0.00 0.00 NA NA 0.00 XXX Start Printed Page 2677 78814 26 A Pet image w/ct, lmtd 2.20 0.74 0.75 0.74 0.75 0.11 XXX 78815 C Pet image w/ct, skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX 78815 TC C Pet image w/ct, skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX 78815 26 A Pet image w/ct, skull-thigh 2.44 0.84 0.84 0.84 0.84 0.11 XXX 78816 C Pet image w/ct, full body 0.00 0.00 0.00 NA NA 0.00 XXX 78816 TC C Pet image w/ct, full body 0.00 0.00 0.00 NA NA 0.00 XXX 78816 26 A Pet image w/ct, full body 2.50 0.85 0.86 0.85 0.86 0.11 XXX 78890 B Nuclear medicine data proc 0.05 0.39 0.86 NA NA 0.07 XXX 78890 TC B Nuclear medicine data proc 0.00 0.38 0.84 NA NA 0.06 XXX 78890 26 B Nuclear medicine data proc 0.05 0.01 0.02 0.01 0.02 0.01 XXX 78891 B Nuclear med data proc 0.10 0.88 1.77 NA NA 0.14 XXX 78891 TC B Nuclear med data proc 0.00 0.86 1.74 NA NA 0.13 XXX 78891 26 B Nuclear med data proc 0.10 0.02 0.03 0.02 0.03 0.01 XXX 78999 C Nuclear diagnostic exam 0.00 0.00 0.00 NA NA 0.00 XXX 78999 TC C Nuclear diagnostic exam 0.00 0.00 0.00 NA NA 0.00 XXX 78999 26 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79005 A Nuclear rx, oral admin 1.80 1.85 2.54 NA NA 0.22 XXX 79005 TC A Nuclear rx, oral admin 0.00 1.27 1.95 NA NA 0.14 XXX 79005 26 A Nuclear rx, oral admin 1.80 0.58 0.59 0.58 0.59 0.08 XXX 79101 A Nuclear rx, iv admin 1.96 2.17 2.73 NA NA 0.22 XXX 79101 TC A Nuclear rx, iv admin 0.00 1.43 2.03 NA NA 0.14 XXX 79101 26 A Nuclear rx, iv admin 1.96 0.74 0.70 0.74 0.70 0.08 XXX 79200 A Nuclear rx, intracav admin 1.99 2.22 2.77 NA NA 0.23 XXX 79200 TC A Nuclear rx, intracav admin 0.00 1.57 2.10 NA NA 0.14 XXX 79200 26 A Nuclear rx, intracav admin 1.99 0.65 0.67 0.65 0.67 0.09 XXX 79300 C Nuclr rx, interstit colloid 0.00 0.00 0.00 NA NA 0.00 XXX 79300 TC C Nuclr rx, interstit colloid 0.00 0.00 0.00 NA NA 0.00 XXX 79300 26 A Nuclr rx, interstit colloid 1.60 0.54 0.55 0.54 0.55 0.13 XXX 79403 A Hematopoietic nuclear tx 2.25 2.92 4.04 NA NA 0.24 XXX 79403 TC A Hematopoietic nuclear tx 0.00 2.17 3.22 NA NA 0.14 XXX 79403 26 A Hematopoietic nuclear tx 2.25 0.75 0.82 0.75 0.82 0.10 XXX 79440 A Nuclear rx, intra-articular 1.99 1.84 2.59 NA NA 0.22 XXX 79440 TC A Nuclear rx, intra-articular 0.00 1.16 1.89 NA NA 0.14 XXX 79440 26 A Nuclear rx, intra-articular 1.99 0.68 0.70 0.68 0.70 0.08 XXX 79445 C Nuclear rx, intra-arterial 0.00 0.00 0.00 NA NA 0.00 XXX 79445 TC C Nuclear rx, intra-arterial 0.00 0.00 0.00 NA NA 0.00 XXX 79445 26 A Nuclear rx, intra-arterial 2.40 0.85 0.83 0.85 0.83 0.12 XXX 79999 C Nuclear medicine therapy 0.00 0.00 0.00 NA NA 0.00 XXX 79999 TC C Nuclear medicine therapy 0.00 0.00 0.00 NA NA 0.00 XXX 79999 26 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 80500 A Lab pathology consultation 0.37 0.20 0.20 0.11 0.14 0.01 XXX 80502 A Lab pathology consultation 1.33 0.31 0.43 0.25 0.40 0.04 XXX 83020 26 A Hemoglobin electrophoresis 0.37 0.12 0.13 0.12 0.13 0.01 XXX 83912 26 A Genetic examination 0.37 0.11 0.12 0.11 0.12 0.01 XXX 84165 26 A Protein e-phoresis, serum 0.37 0.12 0.13 0.12 0.13 0.01 XXX 84166 26 A Protein e-phoresis/urine/csf 0.37 0.12 0.13 0.12 0.13 0.01 XXX 84181 26 A Western blot test 0.37 0.12 0.13 0.12 0.13 0.01 XXX 84182 26 A Protein, western blot test 0.37 0.12 0.14 0.12 0.14 0.02 XXX 85060 A Blood smear interpretation 0.45 0.14 0.16 0.14 0.16 0.02 XXX 85097 A Bone marrow interpretation 0.94 1.25 1.58 0.27 0.34 0.04 XXX 85390 26 A Fibrinolysins screen 0.37 0.13 0.13 0.13 0.13 0.01 XXX 85396 A Clotting assay, whole blood 0.37 NA NA 0.10 0.13 0.04 XXX 85576 26 A Blood platelet aggregation 0.37 0.12 0.14 0.12 0.14 0.01 XXX 86077 A Physician blood bank service 0.94 0.38 0.39 0.30 0.34 0.03 XXX 86078 A Physician blood bank service 0.94 0.38 0.42 0.30 0.35 0.03 XXX 86079 A Physician blood bank service 0.94 0.39 0.42 0.30 0.36 0.03 XXX 86255 26 A Fluorescent antibody, screen 0.37 0.12 0.13 0.12 0.13 0.01 XXX 86256 26 A Fluorescent antibody, titer 0.37 0.12 0.14 0.12 0.14 0.01 XXX 86320 26 A Serum immunoelectrophoresis 0.37 0.12 0.14 0.12 0.14 0.01 XXX 86325 26 A Other immunoelectrophoresis 0.37 0.12 0.13 0.12 0.13 0.01 XXX 86327 26 A Immunoelectrophoresis assay 0.42 0.12 0.15 0.12 0.15 0.02 XXX 86334 26 A Immunofix e-phoresis, serum 0.37 0.12 0.13 0.12 0.13 0.01 XXX 86335 26 A Immunfix e-phorsis/urine/csf 0.37 0.12 0.13 0.12 0.13 0.01 XXX 86485 C Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86486 A Skin test, nos antigen 0.00 0.13 0.13 NA NA 0.02 XXX 86490 A Coccidioidomycosis skin test 0.00 0.13 0.21 NA NA 0.02 XXX 86510 A Histoplasmosis skin test 0.00 0.13 0.22 NA NA 0.02 XXX 86580 A TB intradermal test 0.00 0.16 0.20 NA NA 0.02 XXX 87164 26 A Dark field examination 0.37 0.12 0.12 0.12 0.12 0.01 XXX 87207 26 A Smear, special stain 0.37 0.12 0.14 0.12 0.14 0.01 XXX 88104 A Cytopath fl nongyn, smears 0.56 1.19 1.02 NA NA 0.04 XXX 88104 TC A Cytopath fl nongyn, smears 0.00 1.03 0.82 NA NA 0.02 XXX Start Printed Page 2678 88104 26 A Cytopath fl nongyn, smears 0.56 0.16 0.20 0.16 0.20 0.02 XXX 88106 A Cytopath fl nongyn, filter 0.56 1.52 1.44 NA NA 0.04 XXX 88106 TC A Cytopath fl nongyn, filter 0.00 1.37 1.24 NA NA 0.02 XXX 88106 26 A Cytopath fl nongyn, filter 0.56 0.15 0.20 0.15 0.20 0.02 XXX 88107 A Cytopath fl nongyn, sm/fltr 0.76 2.00 1.77 NA NA 0.05 XXX 88107 TC A Cytopath fl nongyn, sm/fltr 0.00 1.77 1.49 NA NA 0.02 XXX 88107 26 A Cytopath fl nongyn, sm/fltr 0.76 0.23 0.28 0.23 0.28 0.03 XXX 88108 A Cytopath, concentrate tech 0.56 1.47 1.34 NA NA 0.04 XXX 88108 TC A Cytopath, concentrate tech 0.00 1.32 1.14 NA NA 0.02 XXX 88108 26 A Cytopath, concentrate tech 0.56 0.15 0.20 0.15 0.20 0.02 XXX 88112 A Cytopath, cell enhance tech 1.18 1.47 1.72 NA NA 0.04 XXX 88112 TC A Cytopath, cell enhance tech 0.00 1.18 1.32 NA NA 0.02 XXX 88112 26 A Cytopath, cell enhance tech 1.18 0.29 0.40 0.29 0.40 0.02 XXX 88125 A Forensic cytopathology 0.26 0.21 0.24 NA NA 0.02 XXX 88125 TC A Forensic cytopathology 0.00 0.16 0.16 NA NA 0.01 XXX 88125 26 A Forensic cytopathology 0.26 0.05 0.08 0.05 0.08 0.01 XXX 88141 A Cytopath, c/v, interpret 0.42 0.38 0.26 0.38 0.26 0.02 XXX 88160 A Cytopath smear, other source 0.50 0.91 0.87 NA NA 0.04 XXX 88160 TC A Cytopath smear, other source 0.00 0.78 0.70 NA NA 0.02 XXX 88160 26 A Cytopath smear, other source 0.50 0.13 0.17 0.13 0.17 0.02 XXX 88161 A Cytopath smear, other source 0.50 1.06 1.00 NA NA 0.04 XXX 88161 TC A Cytopath smear, other source 0.00 0.92 0.82 NA NA 0.02 XXX 88161 26 A Cytopath smear, other source 0.50 0.14 0.18 0.14 0.18 0.02 XXX 88162 A Cytopath smear, other source 0.76 1.58 1.30 NA NA 0.05 XXX 88162 TC A Cytopath smear, other source 0.00 1.35 1.02 NA NA 0.02 XXX 88162 26 A Cytopath smear, other source 0.76 0.23 0.28 0.23 0.28 0.03 XXX 88172 A Cytopathology eval of fna 0.60 0.81 0.77 NA NA 0.04 XXX 88172 TC A Cytopathology eval of fna 0.00 0.64 0.55 NA NA 0.02 XXX 88172 26 A Cytopathology eval of fna 0.60 0.17 0.22 0.17 0.22 0.02 XXX 88173 A Cytopath eval, fna, report 1.39 2.20 2.16 NA NA 0.07 XXX 88173 TC A Cytopath eval, fna, report 0.00 1.82 1.68 NA NA 0.02 XXX 88173 26 A Cytopath eval, fna, report 1.39 0.38 0.48 0.38 0.48 0.05 XXX 88182 A Cell marker study 0.77 2.02 1.99 NA NA 0.07 XXX 88182 TC A Cell marker study 0.00 1.88 1.76 NA NA 0.04 XXX 88182 26 A Cell marker study 0.77 0.14 0.23 0.14 0.23 0.03 XXX 88184 A Flowcytometry/ tc, 1 marker 0.00 2.47 1.89 NA NA 0.02 XXX 88185 A Flowcytometry/tc, add-on 0.00 1.50 1.07 NA NA 0.02 ZZZ 88187 A Flowcytometry/read, 2-8 1.36 0.40 0.42 0.40 0.42 0.01 XXX 88188 A Flowcytometry/read, 9-15 1.69 0.44 0.51 0.44 0.51 0.01 XXX 88189 A Flowcytometry/read, 16 & > 2.23 0.47 0.61 0.47 0.61 0.01 XXX 88199 C Cytopathology procedure 0.00 0.00 0.00 NA NA 0.00 XXX 88199 TC C Cytopathology procedure 0.00 0.00 0.00 NA NA 0.00 XXX 88199 26 C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88291 A Cyto/molecular report 0.52 0.27 0.22 0.27 0.22 0.02 XXX 88299 C Cytogenetic study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88300 A Surgical path, gross 0.08 0.56 0.51 NA NA 0.02 XXX 88300 TC A Surgical path, gross 0.00 0.54 0.48 NA NA 0.01 XXX 88300 26 A Surgical path, gross 0.08 0.02 0.03 0.02 0.03 0.01 XXX 88302 A Tissue exam by pathologist 0.13 1.29 1.16 NA NA 0.03 XXX 88302 TC A Tissue exam by pathologist 0.00 1.25 1.11 NA NA 0.02 XXX 88302 26 A Tissue exam by pathologist 0.13 0.04 0.05 0.04 0.05 0.01 XXX 88304 A Tissue exam by pathologist 0.22 1.48 1.39 NA NA 0.03 XXX 88304 TC A Tissue exam by pathologist 0.00 1.42 1.32 NA NA 0.02 XXX 88304 26 A Tissue exam by pathologist 0.22 0.06 0.07 0.06 0.07 0.01 XXX 88305 A Tissue exam by pathologist 0.75 2.05 1.97 NA NA 0.07 XXX 88305 TC A Tissue exam by pathologist 0.00 1.85 1.71 NA NA 0.04 XXX 88305 26 A Tissue exam by pathologist 0.75 0.20 0.26 0.20 0.26 0.03 XXX 88307 A Tissue exam by pathologist 1.59 4.41 3.79 NA NA 0.12 XXX 88307 TC A Tissue exam by pathologist 0.00 3.94 3.21 NA NA 0.06 XXX 88307 26 A Tissue exam by pathologist 1.59 0.47 0.58 0.47 0.58 0.06 XXX 88309 A Tissue exam by pathologist 2.80 6.17 5.28 NA NA 0.14 XXX 88309 TC A Tissue exam by pathologist 0.00 5.34 4.38 NA NA 0.06 XXX 88309 26 A Tissue exam by pathologist 2.80 0.83 0.90 0.83 0.90 0.08 XXX 88311 A Decalcify tissue 0.24 0.24 0.23 NA NA 0.02 XXX 88311 TC A Decalcify tissue 0.00 0.17 0.15 NA NA 0.01 XXX 88311 26 A Decalcify tissue 0.24 0.07 0.08 0.07 0.08 0.01 XXX 88312 A Special stains 0.54 2.30 1.90 NA NA 0.03 XXX 88312 TC A Special stains 0.00 2.16 1.72 NA NA 0.01 XXX 88312 26 A Special stains 0.54 0.14 0.18 0.14 0.18 0.02 XXX 88313 A Special stains 0.24 1.95 1.60 NA NA 0.02 XXX 88313 TC A Special stains 0.00 1.89 1.52 NA NA 0.01 XXX 88313 26 A Special stains 0.24 0.06 0.08 0.06 0.08 0.01 XXX Start Printed Page 2679 88314 A Histochemical stain 0.45 1.96 2.01 NA NA 0.04 XXX 88314 TC A Histochemical stain 0.00 1.82 1.85 NA NA 0.02 XXX 88314 26 A Histochemical stain 0.45 0.14 0.16 0.14 0.16 0.02 XXX 88318 A Chemical histochemistry 0.42 2.95 2.30 NA NA 0.03 XXX 88318 TC A Chemical histochemistry 0.00 2.83 2.15 NA NA 0.01 XXX 88318 26 A Chemical histochemistry 0.42 0.12 0.15 0.12 0.15 0.02 XXX 88319 A Enzyme histochemistry 0.53 3.23 3.32 NA NA 0.04 XXX 88319 TC A Enzyme histochemistry 0.00 3.08 3.13 NA NA 0.02 XXX 88319 26 A Enzyme histochemistry 0.53 0.15 0.19 0.15 0.19 0.02 XXX 88321 A Microslide consultation 1.63 0.71 0.75 0.46 0.51 0.05 XXX 88323 A Microslide consultation 1.83 2.21 2.00 NA NA 0.07 XXX 88323 TC A Microslide consultation 0.00 1.75 1.48 NA NA 0.02 XXX 88323 26 A Microslide consultation 1.83 0.46 0.52 0.46 0.52 0.05 XXX 88325 A Comprehensive review of data 2.50 2.40 2.67 0.69 0.82 0.07 XXX 88329 A Path consult introp 0.67 0.66 0.66 0.20 0.24 0.02 XXX 88331 A Path consult intraop, 1 bloc 1.19 1.21 1.16 NA NA 0.08 XXX 88331 TC A Path consult intraop, 1 bloc 0.00 0.84 0.72 NA NA 0.04 XXX 88331 26 A Path consult intraop, 1 bloc 1.19 0.37 0.44 0.37 0.44 0.04 XXX 88332 A Path consult intraop, addÆl 0.59 0.48 0.47 NA NA 0.04 XXX 88332 TC A Path consult intraop, addÆl 0.00 0.30 0.25 NA NA 0.02 XXX 88332 26 A Path consult intraop, addÆl 0.59 0.18 0.22 0.18 0.22 0.02 XXX 88333 A Intraop cyto path consult, 1 1.20 1.32 1.20 NA NA 0.08 XXX 88333 TC A Intraop cyto path consult, 1 0.00 0.95 0.75 NA NA 0.04 XXX 88333 26 A Intraop cyto path consult, 1 1.20 0.37 0.45 0.37 0.45 0.04 XXX 88334 A Intraop cyto path consult, 2 0.73 0.78 0.69 NA NA 0.04 XXX 88334 TC A Intraop cyto path consult, 2 0.00 0.56 0.45 NA NA 0.02 XXX 88334 26 A Intraop cyto path consult, 2 0.73 0.22 0.24 0.22 0.24 0.02 XXX 88342 A Immunohistochemistry 0.85 2.00 1.72 NA NA 0.05 XXX 88342 TC A Immunohistochemistry 0.00 1.77 1.43 NA NA 0.02 XXX 88342 26 A Immunohistochemistry 0.85 0.23 0.29 0.23 0.29 0.03 XXX 88346 A Immunofluorescent study 0.86 1.91 1.74 NA NA 0.05 XXX 88346 TC A Immunofluorescent study 0.00 1.68 1.45 NA NA 0.02 XXX 88346 26 A Immunofluorescent study 0.86 0.23 0.29 0.23 0.29 0.03 XXX 88347 A Immunofluorescent study 0.86 1.31 1.29 NA NA 0.05 XXX 88347 TC A Immunofluorescent study 0.00 1.13 1.02 NA NA 0.02 XXX 88347 26 A Immunofluorescent study 0.86 0.18 0.27 0.18 0.27 0.03 XXX 88348 A Electron microscopy 1.51 18.26 13.81 NA NA 0.13 XXX 88348 TC A Electron microscopy 0.00 17.84 13.28 NA NA 0.07 XXX 88348 26 A Electron microscopy 1.51 0.42 0.53 0.42 0.53 0.06 XXX 88349 A Scanning electron microscopy 0.76 9.40 6.48 NA NA 0.09 XXX 88349 TC A Scanning electron microscopy 0.00 9.17 6.20 NA NA 0.06 XXX 88349 26 A Scanning electron microscopy 0.76 0.23 0.28 0.23 0.28 0.03 XXX 88355 A Analysis, skeletal muscle 1.85 3.22 6.00 NA NA 0.13 XXX 88355 TC A Analysis, skeletal muscle 0.00 2.85 5.42 NA NA 0.06 XXX 88355 26 A Analysis, skeletal muscle 1.85 0.37 0.58 0.37 0.58 0.07 XXX 88356 A Analysis, nerve 3.02 5.36 4.77 NA NA 0.19 XXX 88356 TC A Analysis, nerve 0.00 4.78 3.85 NA NA 0.07 XXX 88356 26 A Analysis, nerve 3.02 0.58 0.92 0.58 0.92 0.12 XXX 88358 A Analysis, tumor 0.95 1.10 0.97 NA NA 0.17 XXX 88358 TC A Analysis, tumor 0.00 0.94 0.69 NA NA 0.07 XXX 88358 26 A Analysis, tumor 0.95 0.16 0.28 0.16 0.28 0.10 XXX 88360 A Tumor immunohistochem/manual 1.10 2.22 1.98 NA NA 0.08 XXX 88360 TC A Tumor immunohistochem/manual 0.00 1.95 1.61 NA NA 0.02 XXX 88360 26 A Tumor immunohistochem/manual 1.10 0.27 0.37 0.27 0.37 0.06 XXX 88361 A Tumor immunohistochem/comput 1.18 2.80 2.91 NA NA 0.17 XXX 88361 TC A Tumor immunohistochem/comput 0.00 2.53 2.53 NA NA 0.07 XXX 88361 26 A Tumor immunohistochem/comput 1.18 0.27 0.38 0.27 0.38 0.10 XXX 88362 A Nerve teasing preparations 2.17 5.00 4.85 NA NA 0.15 XXX 88362 TC A Nerve teasing preparations 0.00 4.43 4.10 NA NA 0.06 XXX 88362 26 A Nerve teasing preparations 2.17 0.57 0.75 0.57 0.75 0.09 XXX 88365 A Insitu hybridization (fish) 1.20 3.34 2.73 NA NA 0.05 XXX 88365 TC A Insitu hybridization (fish) 0.00 3.04 2.33 NA NA 0.02 XXX 88365 26 A Insitu hybridization (fish) 1.20 0.30 0.40 0.30 0.40 0.03 XXX 88367 A Insitu hybridization, auto 1.30 5.16 4.60 NA NA 0.12 XXX 88367 TC A Insitu hybridization, auto 0.00 4.94 4.22 NA NA 0.06 XXX 88367 26 A Insitu hybridization, auto 1.30 0.22 0.38 0.22 0.38 0.06 XXX 88368 A Insitu hybridization, manual 1.40 4.97 3.69 NA NA 0.12 XXX 88368 TC A Insitu hybridization, manual 0.00 4.72 3.26 NA NA 0.06 XXX 88368 26 A Insitu hybridization, manual 1.40 0.25 0.43 0.25 0.43 0.06 XXX 88371 26 A Protein, western blot tissue 0.37 0.10 0.12 0.10 0.12 0.01 XXX 88372 26 A Protein analysis w/probe 0.37 0.12 0.14 0.12 0.14 0.01 XXX 88380 A Microdissection, laser 1.56 2.66 2.66 NA NA 0.14 XXX Start Printed Page 2680 88380 TC A Microdissection, laser 0.00 2.23 2.23 NA NA 0.07 XXX 88380 26 A Microdissection, laser 1.56 0.43 0.43 0.43 0.43 0.07 XXX 88381 A Microdissection, manual 1.18 4.47 4.47 NA NA 0.08 XXX 88381 TC A Microdissection, manual 0.00 4.15 4.15 NA NA 0.02 XXX 88381 26 A Microdissection, manual 1.18 0.32 0.32 0.32 0.32 0.06 XXX 88384 C Eval molecular probes, 11-50 0.00 0.00 0.00 NA NA 0.00 XXX 88384 TC C Eval molecular probes, 11-50 0.00 0.00 0.00 NA NA 0.00 XXX 88384 26 C Eval molecular probes, 11-50 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88385 A Eval molecul probes, 51-250 1.50 15.55 11.32 NA NA 0.12 XXX 88385 TC A Eval molecul probes, 51-250 0.00 15.28 10.86 NA NA 0.06 XXX 88385 26 A Eval molecul probes, 51-250 1.50 0.27 0.46 0.27 0.46 0.06 XXX 88386 A Eval molecul probes, 251-500 1.88 15.46 11.25 NA NA 0.16 XXX 88386 TC A Eval molecul probes, 251-500 0.00 15.12 10.67 NA NA 0.08 XXX 88386 26 A Eval molecul probes, 251-500 1.88 0.34 0.58 0.34 0.58 0.08 XXX 88399 C Surgical pathology procedure 0.00 0.00 0.00 NA NA 0.00 XXX 88399 TC C Surgical pathology procedure 0.00 0.00 0.00 NA NA 0.00 XXX 88399 26 C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 89049 A Chct for mal hyperthermia 1.40 3.56 3.56 0.19 0.23 0.06 XXX 89060 26 A Exam,synovial fluid crystals 0.37 0.12 0.14 0.12 0.14 0.01 XXX 89100 A Sample intestinal contents 0.60 7.90 4.87 0.54 0.37 0.03 XXX 89105 A Sample intestinal contents 0.50 7.85 5.04 0.46 0.32 0.02 XXX 89130 A Sample stomach contents 0.45 6.55 4.15 0.38 0.25 0.02 XXX 89132 A Sample stomach contents 0.19 8.39 4.97 0.39 0.22 0.01 XXX 89135 A Sample stomach contents 0.79 8.83 5.36 0.67 0.46 0.04 XXX 89136 A Sample stomach contents 0.21 5.95 3.84 0.26 0.18 0.01 XXX 89140 A Sample stomach contents 0.94 6.22 4.15 0.43 0.35 0.04 XXX 89141 A Sample stomach contents 0.85 6.36 4.58 0.49 0.41 0.03 XXX 89220 A Sputum specimen collection 0.00 0.37 0.40 NA NA 0.02 XXX 89230 A Collect sweat for test 0.00 0.07 0.09 NA NA 0.02 XXX 89240 C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90281 I Human ig, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90283 I Human ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90284 X Human ig, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90287 I Botulinum antitoxin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90288 I Botulism ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90291 I Cmv ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90296 E Diphtheria antitoxin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90371 E Hep b ig, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90375 E Rabies ig, im/sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90376 E Rabies ig, heat treated 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90378 X Rsv ig, im, 50mg 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90379 I Rsv ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90384 I Rh ig, full-dose, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90385 E Rh ig, minidose, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90386 I Rh ig, iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90389 I Tetanus ig, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90393 E Vaccina ig, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90396 E Varicella-zoster ig, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90399 I Immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90465 A Immune admin 1 inj, < 8 yrs 0.17 0.44 0.38 NA NA 0.01 XXX 90466 A Immune admin addl inj, < 8 y 0.15 0.12 0.12 0.04 0.08 0.01 ZZZ 90467 R Immune admin o or n, < 8 yrs 0.17 0.17 0.17 0.07 0.08 0.01 XXX 90468 R Immune admin o/n, addl < 8 y 0.15 0.11 0.11 0.04 0.05 0.01 ZZZ 90471 A Immunization admin 0.17 0.44 0.38 NA NA 0.01 XXX 90472 A Immunization admin, each add 0.15 0.12 0.13 0.04 0.08 0.01 ZZZ 90473 R Immune admin oral/nasal 0.17 0.17 0.18 0.04 0.06 0.01 XXX 90474 R Immune admin oral/nasal addl 0.15 0.08 0.09 0.04 0.05 0.01 ZZZ 90476 E Adenovirus vaccine, type 4 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90477 E Adenovirus vaccine, type 7 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90581 E Anthrax vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90585 E Bcg vaccine, percut 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90586 E Bcg vaccine, intravesical 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90632 E Hep a vaccine, adult im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90633 E Hep a vacc, ped/adol, 2 dose 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90634 E Hep a vacc, ped/adol, 3 dose 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90636 E Hep a/hep b vacc, adult im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90645 E Hib vaccine, hboc, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90646 E Hib vaccine, prp-d, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90647 E Hib vaccine, prp-omp, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90648 E Hib vaccine, prp-t, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90649 E H papilloma vacc 3 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90655 X Flu vaccine no preserv 6-35m 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 2681 90656 X Flu vaccine no preserv 3 & > 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90657 X Flu vaccine, 3 yrs, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90658 X Flu vaccine, 3 yrs & >, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90660 X Flu vaccine, nasal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90661 X Flu vacc cell cult prsv free 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90662 X Flu vacc prsv free inc antig 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90663 X Flu vacc pandemic 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90665 E Lyme disease vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90669 X Pneumococcal vacc, ped <5 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90675 E Rabies vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90676 E Rabies vaccine, id 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90680 E Rotovirus vacc 3 dose, oral 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90690 E Typhoid vaccine, oral 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90691 E Typhoid vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90692 E Typhoid vaccine, h-p, sc/id 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90693 E Typhoid vaccine, akd, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90698 E Dtap-hib-ip vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90700 E Dtap vaccine, < 7 yrs, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90701 E Dtp vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90702 E Dt vaccine < 7, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90703 E Tetanus vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90704 E Mumps vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90705 E Measles vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90706 E Rubella vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90707 E Mmr vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90708 E Measles-rubella vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90710 E Mmrv vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90712 E Oral poliovirus vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90713 E Poliovirus, ipv, sc/im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90714 E Td vaccine no prsrv >/= 7 im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90715 E Tdap vaccine >7 im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90716 E Chicken pox vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90717 E Yellow fever vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90718 E Td vaccine > 7, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90719 E Diphtheria vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90720 E Dtp/hib vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90721 E Dtap/hib vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90723 I Dtap-hep b-ipv vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90725 E Cholera vaccine, injectable 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90727 E Plague vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90732 X Pneumococcal vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90733 E Meningococcal vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90734 E Meningococcal vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90735 E Encephalitis vaccine, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90736 E Zoster vacc, sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90740 X Hepb vacc, ill pat 3 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90743 X Hep b vacc, adol, 2 dose, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90744 X Hepb vacc ped/adol 3 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90746 X Hep b vaccine, adult, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90747 X Hepb vacc, ill pat 4 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90748 I Hep b/hib vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90749 E Vaccine toxoid 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90760 A Hydration iv infusion, init 0.17 1.32 1.37 NA NA 0.07 XXX 90761 A Hydrate iv infusion, add-on 0.09 0.32 0.36 NA NA 0.04 ZZZ 90765 A Ther/proph/diag iv inf, init 0.21 1.62 1.69 NA NA 0.07 XXX 90766 A Ther/proph/dg iv inf, add-on 0.18 0.37 0.42 NA NA 0.04 ZZZ 90767 A Tx/proph/dg addl seq iv inf 0.19 0.69 0.79 NA NA 0.04 ZZZ 90768 A Ther/diag concurrent inf 0.17 0.33 0.39 NA NA 0.04 ZZZ 90769 A Sc ther infusion, up to 1 hr 0.21 3.93 3.93 NA NA 0.06 XXX 90770 A Sc ther infusion, addl hr 0.18 0.22 0.22 NA NA 0.04 ZZZ 90771 A Sc ther infusion, reset pump 0.00 1.86 1.86 NA NA 0.01 ZZZ 90772 A Ther/proph/diag inj, sc/im 0.17 0.44 0.38 NA NA 0.01 XXX 90773 A Ther/proph/diag inj, ia 0.17 0.30 0.31 NA NA 0.02 XXX 90774 A Ther/proph/diag inj, iv push 0.18 1.33 1.32 NA NA 0.04 XXX 90775 A Tx/pro/dx inj new drug addon 0.10 0.51 0.54 NA NA 0.04 ZZZ 90776 X Tx/pro/dx inj same drug adon 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 90779 C Ther/prop/diag inj/inf proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90801 A Psy dx interview 2.80 1.49 1.33 0.60 0.76 0.06 XXX 90802 A Intac psy dx interview 3.01 1.54 1.37 0.68 0.83 0.07 XXX 90804 A Psytx, office, 20-30 min 1.21 0.56 0.52 0.22 0.30 0.03 XXX 90805 A Psytx, off, 20-30 min w/e&m 1.37 0.60 0.55 0.24 0.33 0.03 XXX 90806 A Psytx, off, 45-50 min 1.86 0.53 0.61 0.33 0.46 0.04 XXX Start Printed Page 2682 90807 A Psytx, off, 45-50 min w/e&m 2.02 0.70 0.70 0.35 0.49 0.05 XXX 90808 A Psytx, office, 75-80 min 2.79 0.69 0.86 0.49 0.70 0.06 XXX 90809 A Psytx, off, 75-80, w/e&m 2.95 0.86 0.93 0.52 0.72 0.07 XXX 90810 A Intac psytx, off, 20-30 min 1.32 0.54 0.52 0.23 0.33 0.04 XXX 90811 A Intac psytx, 20-30, w/e&m 1.48 0.72 0.64 0.26 0.36 0.04 XXX 90812 A Intac psytx, off, 45-50 min 1.97 0.65 0.72 0.34 0.49 0.04 XXX 90813 A Intac psytx, 45-50 min w/e&m 2.13 0.83 0.80 0.37 0.52 0.05 XXX 90814 A Intac psytx, off, 75-80 min 2.90 0.81 0.95 0.53 0.75 0.06 XXX 90815 A Intac psytx, 75-80 w/e&m 3.06 0.99 1.02 0.53 0.74 0.07 XXX 90816 A Psytx, hosp, 20-30 min 1.25 NA NA 0.33 0.39 0.03 XXX 90817 A Psytx, hosp, 20-30 min w/e&m 1.41 NA NA 0.35 0.40 0.03 XXX 90818 A Psytx, hosp, 45-50 min 1.89 NA NA 0.44 0.56 0.04 XXX 90819 A Psytx, hosp, 45-50 min w/e&m 2.05 NA NA 0.46 0.56 0.05 XXX 90821 A Psytx, hosp, 75-80 min 2.83 NA NA 0.60 0.80 0.06 XXX 90822 A Psytx, hosp, 75-80 min w/e&m 2.99 NA NA 0.63 0.79 0.08 XXX 90823 A Intac psytx, hosp, 20-30 min 1.36 NA NA 0.35 0.41 0.03 XXX 90824 A Intac psytx, hsp 20-30 w/e&m 1.52 NA NA 0.37 0.43 0.04 XXX 90826 A Intac psytx, hosp, 45-50 min 2.01 NA NA 0.46 0.59 0.05 XXX 90827 A Intac psytx, hsp 45-50 w/e&m 2.16 NA NA 0.48 0.58 0.05 XXX 90828 A Intac psytx, hosp, 75-80 min 2.94 NA NA 0.62 0.84 0.06 XXX 90829 A Intac psytx, hsp 75-80 w/e&m 3.10 NA NA 0.64 0.81 0.07 XXX 90845 A Psychoanalysis 1.79 0.39 0.48 0.32 0.43 0.04 XXX 90846 R Family psytx w/o patient 1.83 0.51 0.58 0.43 0.54 0.04 XXX 90847 R Family psytx w/patient 2.21 0.74 0.78 0.49 0.63 0.05 XXX 90849 R Multiple family group psytx 0.59 0.33 0.30 0.21 0.22 0.02 XXX 90853 A Group psychotherapy 0.59 0.26 0.26 0.20 0.21 0.01 XXX 90857 A Intac group psytx 0.63 0.38 0.33 0.21 0.23 0.01 XXX 90862 A Medication management 0.95 0.62 0.51 0.27 0.29 0.02 XXX 90865 A Narcosynthesis 2.84 1.17 1.26 0.63 0.77 0.12 XXX 90870 A Electroconvulsive therapy 1.88 1.92 1.93 0.38 0.49 0.04 000 90875 N Psychophysiological therapy 1.20 0.53 0.71 0.28 0.37 0.04 XXX 90876 N Psychophysiological therapy 1.90 0.67 0.92 0.44 0.58 0.05 XXX 90880 A Hypnotherapy 2.19 0.58 0.81 0.39 0.54 0.05 XXX 90882 N Environmental manipulation 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90885 B Psy evaluation of records 0.97 0.22 0.30 0.22 0.30 0.02 XXX 90887 B Consultation with family 1.48 0.61 0.71 0.34 0.45 0.04 XXX 90889 B Preparation of report 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90899 C Psychiatric service/therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90901 A Biofeedback train, any meth 0.41 0.46 0.56 0.10 0.12 0.02 000 90911 A Biofeedback peri/uro/rectal 0.89 1.37 1.47 0.30 0.30 0.06 000 90918 I ESRD related services, month 11.16 4.70 5.41 3.74 4.93 0.36 XXX 90919 I ESRD related services, month 8.53 3.03 3.52 2.55 3.28 0.29 XXX 90920 I ESRD related services, month 7.26 2.74 3.24 2.27 3.01 0.23 XXX 90921 I ESRD related services, month 4.46 1.71 2.08 1.61 2.03 0.14 XXX 90922 I ESRD related services, day 0.37 0.16 0.18 0.13 0.17 0.01 XXX 90923 I Esrd related services, day 0.28 0.10 0.11 0.08 0.11 0.01 XXX 90924 I Esrd related services, day 0.24 0.09 0.10 0.07 0.10 0.01 XXX 90925 I Esrd related services, day 0.15 0.05 0.07 0.05 0.07 0.01 XXX 90935 A Hemodialysis, one evaluation 1.22 NA NA 0.54 0.60 0.04 000 90937 A Hemodialysis, repeated eval 2.11 NA NA 0.77 0.87 0.07 000 90940 X Hemodialysis access study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90945 A Dialysis, one evaluation 1.28 NA NA 0.55 0.62 0.04 000 90947 A Dialysis, repeated eval 2.16 NA NA 0.79 0.89 0.07 000 90989 X Dialysis training, complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90993 X Dialysis training, incompl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90997 A Hemoperfusion 1.84 NA NA 0.50 0.58 0.06 000 90999 C Dialysis procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91000 A Esophageal intubation 0.73 2.13 1.23 NA NA 0.04 000 91000 TC A Esophageal intubation 0.00 1.91 0.99 NA NA 0.01 000 91000 26 A Esophageal intubation 0.73 0.22 0.24 0.22 0.24 0.03 000 91010 A Esophagus motility study 1.25 3.67 4.04 NA NA 0.12 000 91010 TC A Esophagus motility study 0.00 3.12 3.55 NA NA 0.06 000 91010 26 A Esophagus motility study 1.25 0.55 0.49 0.55 0.49 0.06 000 91011 A Esophagus motility study 1.50 5.38 5.30 NA NA 0.13 000 91011 TC A Esophagus motility study 0.00 4.66 4.68 NA NA 0.06 000 91011 26 A Esophagus motility study 1.50 0.72 0.62 0.72 0.62 0.07 000 91012 A Esophagus motility study 1.46 5.44 5.60 NA NA 0.13 000 91012 TC A Esophagus motility study 0.00 4.76 5.00 NA NA 0.07 000 91012 26 A Esophagus motility study 1.46 0.68 0.60 0.68 0.60 0.06 000 91020 A Gastric motility studies 1.44 4.82 4.67 NA NA 0.13 000 91020 TC A Gastric motility studies 0.00 4.21 4.12 NA NA 0.06 000 91020 26 A Gastric motility studies 1.44 0.61 0.55 0.61 0.55 0.07 000 Start Printed Page 2683 91022 A Duodenal motility study 1.44 3.14 3.76 NA NA 0.13 000 91022 TC A Duodenal motility study 0.00 2.52 3.20 NA NA 0.06 000 91022 26 A Duodenal motility study 1.44 0.62 0.56 0.62 0.56 0.07 000 91030 A Acid perfusion of esophagus 0.91 2.90 2.67 NA NA 0.06 000 91030 TC A Acid perfusion of esophagus 0.00 2.48 2.30 NA NA 0.02 000 91030 26 A Acid perfusion of esophagus 0.91 0.42 0.37 0.42 0.37 0.04 000 91034 A Gastroesophageal reflux test 0.97 4.15 4.69 NA NA 0.12 000 91034 TC A Gastroesophageal reflux test 0.00 3.73 4.31 NA NA 0.06 000 91034 26 A Gastroesophageal reflux test 0.97 0.42 0.38 0.42 0.38 0.06 000 91035 A G-esoph reflx tst w/electrod 1.59 11.39 11.10 NA NA 0.12 000 91035 TC A G-esoph reflx tst w/electrod 0.00 10.69 10.47 NA NA 0.06 000 91035 26 A G-esoph reflx tst w/electrod 1.59 0.70 0.63 0.70 0.63 0.06 000 91037 A Esoph imped function test 0.97 3.47 3.20 NA NA 0.12 000 91037 TC A Esoph imped function test 0.00 3.03 2.81 NA NA 0.06 000 91037 26 A Esoph imped function test 0.97 0.44 0.39 0.44 0.39 0.06 000 91038 A Esoph imped funct test > 1h 1.10 2.81 2.52 NA NA 0.12 000 91038 TC A Esoph imped funct test > 1h 0.00 2.31 2.07 NA NA 0.06 000 91038 26 A Esoph imped funct test > 1h 1.10 0.50 0.45 0.50 0.45 0.06 000 91040 A Esoph balloon distension tst 0.97 7.73 9.43 NA NA 0.12 000 91040 TC A Esoph balloon distension tst 0.00 7.45 9.12 NA NA 0.06 000 91040 26 A Esoph balloon distension tst 0.97 0.28 0.31 0.28 0.31 0.06 000 91052 A Gastric analysis test 0.79 2.92 2.68 NA NA 0.05 000 91052 TC A Gastric analysis test 0.00 2.55 2.36 NA NA 0.02 000 91052 26 A Gastric analysis test 0.79 0.37 0.32 0.37 0.32 0.03 000 91055 A Gastric intubation for smear 0.94 2.58 2.76 NA NA 0.07 000 91055 TC A Gastric intubation for smear 0.00 2.29 2.48 NA NA 0.02 000 91055 26 A Gastric intubation for smear 0.94 0.29 0.28 0.29 0.28 0.05 000 91065 A Breath hydrogen test 0.20 1.34 1.40 NA NA 0.03 000 91065 TC A Breath hydrogen test 0.00 1.28 1.33 NA NA 0.02 000 91065 26 A Breath hydrogen test 0.20 0.06 0.07 0.06 0.07 0.01 000 91100 A Pass intestine bleeding tube 1.08 2.14 2.47 0.32 0.30 0.07 000 91105 A Gastric intubation treatment 0.37 1.67 1.89 0.07 0.08 0.03 000 91110 A Gi tract capsule endoscopy 3.64 20.66 21.42 NA NA 0.16 XXX 91110 TC A Gi tract capsule endoscopy 0.00 18.99 19.95 NA NA 0.07 XXX 91110 26 A Gi tract capsule endoscopy 3.64 1.67 1.47 1.67 1.47 0.09 XXX 91111 A Esophageal capsule endoscopy 1.00 18.84 18.84 NA NA 0.05 XXX 91111 TC A Esophageal capsule endoscopy 0.00 18.39 18.39 NA NA 0.02 XXX 91111 26 A Esophageal capsule endoscopy 1.00 0.45 0.45 0.45 0.45 0.03 XXX 91120 A Rectal sensation test 0.97 8.89 9.94 NA NA 0.11 XXX 91120 TC A Rectal sensation test 0.00 8.62 9.63 NA NA 0.04 XXX 91120 26 A Rectal sensation test 0.97 0.27 0.31 0.27 0.31 0.07 XXX 91122 A Anal pressure record 1.77 4.31 4.70 NA NA 0.21 000 91122 TC A Anal pressure record 0.00 3.69 4.09 NA NA 0.08 000 91122 26 A Anal pressure record 1.77 0.62 0.61 0.62 0.61 0.13 000 91123 B Irrigate fecal impaction 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91132 C Electrogastrography 0.00 0.00 0.00 NA NA 0.00 XXX 91132 TC C Electrogastrography 0.00 0.00 0.00 NA NA 0.00 XXX 91132 26 A Electrogastrography 0.52 0.25 0.22 0.25 0.22 0.02 XXX 91133 C Electrogastrography w/test 0.00 0.00 0.00 NA NA 0.00 XXX 91133 TC C Electrogastrography w/test 0.00 0.00 0.00 NA NA 0.00 XXX 91133 26 A Electrogastrography w/test 0.66 0.32 0.28 0.32 0.28 0.03 XXX 91299 C Gastroenterology procedure 0.00 0.00 0.00 NA NA 0.00 XXX 91299 TC C Gastroenterology procedure 0.00 0.00 0.00 NA NA 0.00 XXX 91299 26 C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92002 A Eye exam, new patient 0.88 0.93 0.95 0.25 0.30 0.02 XXX 92004 A Eye exam, new patient 1.82 1.57 1.63 0.55 0.62 0.04 XXX 92012 A Eye exam established pat 0.92 0.99 1.01 0.31 0.30 0.02 XXX 92014 A Eye exam & treatment 1.42 1.37 1.39 0.46 0.46 0.03 XXX 92015 N Refraction 0.38 0.10 0.79 0.09 0.12 0.01 XXX 92018 A New eye exam & treatment 2.50 NA NA 0.86 0.96 0.07 XXX 92019 A Eye exam & treatment 1.31 NA NA 0.35 0.46 0.03 XXX 92020 A Special eye evaluation 0.37 0.25 0.29 0.13 0.14 0.01 XXX 92025 A Corneal topography 0.35 0.49 0.49 NA NA 0.02 XXX 92025 TC A Corneal topography 0.00 0.37 0.37 NA NA 0.01 XXX 92025 26 A Corneal topography 0.35 0.12 0.12 0.12 0.12 0.01 XXX 92060 A Special eye evaluation 0.69 0.76 0.75 NA NA 0.03 XXX 92060 TC A Special eye evaluation 0.00 0.54 0.49 NA NA 0.01 XXX 92060 26 A Special eye evaluation 0.69 0.22 0.26 0.22 0.26 0.02 XXX 92065 A Orthoptic/pleoptic training 0.37 0.86 0.69 NA NA 0.02 XXX 92065 TC A Orthoptic/pleoptic training 0.00 0.77 0.57 NA NA 0.01 XXX 92065 26 A Orthoptic/pleoptic training 0.37 0.09 0.12 0.09 0.12 0.01 XXX 92070 A Fitting of contact lens 0.70 0.90 0.99 0.22 0.27 0.02 XXX Start Printed Page 2684 92081 A Visual field examination(s) 0.36 0.95 0.95 NA NA 0.02 XXX 92081 TC A Visual field examination(s) 0.00 0.84 0.82 NA NA 0.01 XXX 92081 26 A Visual field examination(s) 0.36 0.11 0.13 0.11 0.13 0.01 XXX 92082 A Visual field examination(s) 0.44 1.32 1.27 NA NA 0.02 XXX 92082 TC A Visual field examination(s) 0.00 1.18 1.11 NA NA 0.01 XXX 92082 26 A Visual field examination(s) 0.44 0.14 0.16 0.14 0.16 0.01 XXX 92083 A Visual field examination(s) 0.50 1.51 1.47 NA NA 0.02 XXX 92083 TC A Visual field examination(s) 0.00 1.35 1.28 NA NA 0.01 XXX 92083 26 A Visual field examination(s) 0.50 0.16 0.19 0.16 0.19 0.01 XXX 92100 A Serial tonometry exam(s) 0.92 1.24 1.29 0.27 0.32 0.02 XXX 92120 A Tonography & eye evaluation 0.81 0.97 1.02 0.25 0.28 0.02 XXX 92130 A Water provocation tonography 0.81 1.18 1.23 0.27 0.32 0.02 XXX 92135 A Ophth dx imaging post seg 0.35 0.79 0.79 NA NA 0.02 XXX 92135 TC A Ophth dx imaging post seg 0.00 0.67 0.66 NA NA 0.01 XXX 92135 26 A Ophth dx imaging post seg 0.35 0.12 0.13 0.12 0.13 0.01 XXX 92136 A Ophthalmic biometry 0.54 1.42 1.54 NA NA 0.08 XXX 92136 TC A Ophthalmic biometry 0.00 1.23 1.32 NA NA 0.07 XXX 92136 26 A Ophthalmic biometry 0.54 0.19 0.22 0.19 0.22 0.01 XXX 92140 A Glaucoma provocative tests 0.50 0.89 0.94 0.14 0.18 0.01 XXX 92225 A Special eye exam, initial 0.38 0.24 0.23 0.12 0.14 0.01 XXX 92226 A Special eye exam, subsequent 0.33 0.23 0.22 0.11 0.13 0.01 XXX 92230 A Eye exam with photos 0.60 0.68 1.10 0.19 0.19 0.02 XXX 92235 A Eye exam with photos 0.81 2.26 2.44 NA NA 0.08 XXX 92235 TC A Eye exam with photos 0.00 1.97 2.11 NA NA 0.06 XXX 92235 26 A Eye exam with photos 0.81 0.29 0.33 0.29 0.33 0.02 XXX 92240 A Icg angiography 1.10 4.38 5.25 NA NA 0.09 XXX 92240 TC A Icg angiography 0.00 3.99 4.80 NA NA 0.06 XXX 92240 26 A Icg angiography 1.10 0.39 0.45 0.39 0.45 0.03 XXX 92250 A Eye exam with photos 0.44 1.30 1.41 NA NA 0.02 XXX 92250 TC A Eye exam with photos 0.00 1.16 1.25 NA NA 0.01 XXX 92250 26 A Eye exam with photos 0.44 0.14 0.16 0.14 0.16 0.01 XXX 92260 A Ophthalmoscopy/dynamometry 0.20 0.23 0.24 0.07 0.08 0.01 XXX 92265 A Eye muscle evaluation 0.81 1.00 1.24 NA NA 0.06 XXX 92265 TC A Eye muscle evaluation 0.00 0.76 0.98 NA NA 0.02 XXX 92265 26 A Eye muscle evaluation 0.81 0.24 0.26 0.24 0.26 0.04 XXX 92270 A Electro-oculography 0.81 1.32 1.42 NA NA 0.05 XXX 92270 TC A Electro-oculography 0.00 1.09 1.14 NA NA 0.02 XXX 92270 26 A Electro-oculography 0.81 0.23 0.28 0.23 0.28 0.03 XXX 92275 A Electroretinography 1.01 2.42 2.18 NA NA 0.05 XXX 92275 TC A Electroretinography 0.00 2.07 1.79 NA NA 0.02 XXX 92275 26 A Electroretinography 1.01 0.35 0.39 0.35 0.39 0.03 XXX 92283 A Color vision examination 0.17 0.99 0.91 NA NA 0.02 XXX 92283 TC A Color vision examination 0.00 0.94 0.85 NA NA 0.01 XXX 92283 26 A Color vision examination 0.17 0.05 0.06 0.05 0.06 0.01 XXX 92284 A Dark adaptation eye exam 0.24 1.13 1.50 NA NA 0.02 XXX 92284 TC A Dark adaptation eye exam 0.00 1.06 1.43 NA NA 0.01 XXX 92284 26 A Dark adaptation eye exam 0.24 0.07 0.07 0.07 0.07 0.01 XXX 92285 A Eye photography 0.20 0.80 0.89 NA NA 0.02 XXX 92285 TC A Eye photography 0.00 0.73 0.81 NA NA 0.01 XXX 92285 26 A Eye photography 0.20 0.07 0.08 0.07 0.08 0.01 XXX 92286 A Internal eye photography 0.66 2.09 2.56 NA NA 0.04 XXX 92286 TC A Internal eye photography 0.00 1.87 2.31 NA NA 0.02 XXX 92286 26 A Internal eye photography 0.66 0.22 0.25 0.22 0.25 0.02 XXX 92287 A Internal eye photography 0.81 1.90 2.14 0.27 0.29 0.02 XXX 92310 N Contact lens fitting 1.17 1.06 1.09 0.27 0.36 0.04 XXX 92311 A Contact lens fitting 1.08 1.27 1.18 0.31 0.33 0.03 XXX 92312 A Contact lens fitting 1.26 1.45 1.27 0.33 0.42 0.03 XXX 92313 A Contact lens fitting 0.92 1.42 1.24 0.31 0.30 0.02 XXX 92314 N Prescription of contact lens 0.69 1.14 1.04 0.16 0.21 0.01 XXX 92315 A Prescription of contact lens 0.45 1.31 1.08 0.13 0.14 0.01 XXX 92316 A Prescription of contact lens 0.68 1.63 1.27 0.22 0.26 0.02 XXX 92317 A Prescription of contact lens 0.45 1.31 1.12 0.11 0.13 0.01 XXX 92325 A Modification of contact lens 0.00 0.83 0.62 NA NA 0.01 XXX 92326 A Replacement of contact lens 0.00 0.73 1.18 NA NA 0.06 XXX 92340 N Fitting of spectacles 0.37 0.44 0.57 0.09 0.11 0.01 XXX 92341 N Fitting of spectacles 0.47 0.46 0.60 0.11 0.14 0.01 XXX 92342 N Fitting of spectacles 0.53 0.48 0.62 0.12 0.17 0.01 XXX 92352 B Special spectacles fitting 0.37 0.56 0.62 0.09 0.11 0.01 XXX 92353 B Special spectacles fitting 0.50 0.59 0.66 0.11 0.15 0.02 XXX 92354 B Special spectacles fitting 0.00 0.28 4.58 NA NA 0.10 XXX 92355 B Special spectacles fitting 0.00 0.44 2.39 NA NA 0.01 XXX 92358 B Eye prosthesis service 0.00 0.24 0.60 NA NA 0.05 XXX Start Printed Page 2685 92370 N Repair & adjust spectacles 0.32 0.39 0.47 0.07 0.10 0.02 XXX 92371 B Repair & adjust spectacles 0.00 0.24 0.43 NA NA 0.02 XXX 92499 C Eye service or procedure 0.00 0.00 0.00 NA NA 0.00 XXX 92499 TC C Eye service or procedure 0.00 0.00 0.00 NA NA 0.00 XXX 92499 26 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92502 A Ear and throat examination 1.51 NA NA 0.90 1.01 0.05 000 92504 A Ear microscopy examination 0.18 0.60 0.55 0.06 0.07 0.01 XXX 92506 A Speech/hearing evaluation 0.86 3.50 3.05 0.28 0.34 0.03 XXX 92507 A Speech/hearing therapy 0.52 1.23 1.17 0.16 0.19 0.02 XXX 92508 A Speech/hearing therapy 0.26 0.55 0.53 0.09 0.11 0.01 XXX 92511 A Nasopharyngoscopy 0.84 3.12 3.22 0.67 0.72 0.03 000 92512 A Nasal function studies 0.55 1.00 1.07 0.17 0.18 0.02 XXX 92516 A Facial nerve function test 0.43 1.23 1.21 0.14 0.18 0.01 XXX 92520 A Laryngeal function studies 0.75 0.93 0.72 0.24 0.31 0.03 XXX 92526 A Oral function therapy 0.55 1.70 1.67 0.16 0.18 0.02 XXX 92531 B Spontaneous nystagmus study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92532 B Positional nystagmus test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92533 B Caloric vestibular test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92534 B Optokinetic nystagmus test 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92541 A Spontaneous nystagmus test 0.40 1.15 1.09 NA NA 0.04 XXX 92541 TC A Spontaneous nystagmus test 0.00 1.04 0.94 NA NA 0.02 XXX 92541 26 A Spontaneous nystagmus test 0.40 0.11 0.15 0.11 0.15 0.02 XXX 92542 A Positional nystagmus test 0.33 1.29 1.22 NA NA 0.03 XXX 92542 TC A Positional nystagmus test 0.00 1.20 1.09 NA NA 0.02 XXX 92542 26 A Positional nystagmus test 0.33 0.09 0.13 0.09 0.13 0.01 XXX 92543 A Caloric vestibular test 0.10 0.65 0.61 NA NA 0.02 XXX 92543 TC A Caloric vestibular test 0.00 0.62 0.57 NA NA 0.01 XXX 92543 26 A Caloric vestibular test 0.10 0.03 0.04 0.03 0.04 0.01 XXX 92544 A Optokinetic nystagmus test 0.26 1.03 0.97 NA NA 0.03 XXX 92544 TC A Optokinetic nystagmus test 0.00 0.96 0.87 NA NA 0.02 XXX 92544 26 A Optokinetic nystagmus test 0.26 0.07 0.10 0.07 0.10 0.01 XXX 92545 A Oscillating tracking test 0.23 1.00 0.90 NA NA 0.03 XXX 92545 TC A Oscillating tracking test 0.00 0.94 0.81 NA NA 0.02 XXX 92545 26 A Oscillating tracking test 0.23 0.06 0.09 0.06 0.09 0.01 XXX 92546 A Sinusoidal rotational test 0.29 1.81 1.90 NA NA 0.03 XXX 92546 TC A Sinusoidal rotational test 0.00 1.73 1.80 NA NA 0.02 XXX 92546 26 A Sinusoidal rotational test 0.29 0.08 0.10 0.08 0.10 0.01 XXX 92547 A Supplemental electrical test 0.00 0.11 0.09 0.11 0.09 0.06 ZZZ 92548 A Posturography 0.50 1.70 1.98 NA NA 0.15 XXX 92548 TC A Posturography 0.00 1.56 1.78 NA NA 0.13 XXX 92548 26 A Posturography 0.50 0.14 0.20 0.14 0.20 0.02 XXX 92551 N Pure tone hearing test, air 0.00 0.25 0.25 NA NA 0.01 XXX 92552 A Pure tone audiometry, air 0.00 0.61 0.52 NA NA 0.04 XXX 92553 A Audiometry, air & bone 0.00 0.77 0.71 NA NA 0.06 XXX 92555 A Speech threshold audiometry 0.00 0.41 0.40 NA NA 0.04 XXX 92556 A Speech audiometry, complete 0.00 0.51 0.54 NA NA 0.06 XXX 92557 A Comprehensive hearing test 0.60 0.29 0.74 0.20 0.69 0.12 XXX 92559 N Group audiometric testing 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92560 N Bekesy audiometry, screen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92561 A Bekesy audiometry, diagnosis 0.00 0.70 0.71 NA NA 0.06 XXX 92562 A Loudness balance test 0.00 0.62 0.51 NA NA 0.04 XXX 92563 A Tone decay hearing test 0.00 0.55 0.46 NA NA 0.04 XXX 92564 A Sisi hearing test 0.00 0.48 0.47 NA NA 0.05 XXX 92565 A Stenger test, pure tone 0.00 0.25 0.33 NA NA 0.04 XXX 92567 A Tympanometry 0.20 0.13 0.33 0.07 0.29 0.06 XXX 92568 A Acoustic refl threshold tst 0.29 0.10 0.24 0.09 0.24 0.04 XXX 92569 A Acoustic reflex decay test 0.20 0.07 0.24 0.07 0.24 0.04 XXX 92571 A Filtered speech hearing test 0.00 0.44 0.41 NA NA 0.04 XXX 92572 A Staggered spondaic word test 0.00 0.59 0.34 NA NA 0.01 XXX 92575 A Sensorineural acuity test 0.00 1.15 0.73 NA NA 0.02 XXX 92576 A Synthetic sentence test 0.00 0.58 0.51 NA NA 0.05 XXX 92577 A Stenger test, speech 0.00 0.26 0.49 NA NA 0.07 XXX 92579 A Visual audiometry (vra) 0.70 0.35 0.54 0.23 0.48 0.06 XXX 92582 A Conditioning play audiometry 0.00 1.17 0.95 NA NA 0.06 XXX 92583 A Select picture audiometry 0.00 0.73 0.81 NA NA 0.08 XXX 92584 A Electrocochleography 0.00 1.36 1.92 NA NA 0.21 XXX 92585 A Auditor evoke potent, compre 0.50 2.10 2.08 NA NA 0.17 XXX 92585 TC A Auditor evoke potent, compre 0.00 1.95 1.90 NA NA 0.14 XXX 92585 26 A Auditor evoke potent, compre 0.50 0.15 0.18 0.15 0.18 0.03 XXX 92586 A Auditor evoke potent, limit 0.00 1.41 1.64 NA NA 0.14 XXX 92587 A Evoked auditory test 0.13 0.65 1.01 NA NA 0.12 XXX 92587 TC A Evoked auditory test 0.00 0.61 0.96 NA NA 0.11 XXX Start Printed Page 2686 92587 26 A Evoked auditory test 0.13 0.04 0.05 0.04 0.05 0.01 XXX 92588 A Evoked auditory test 0.36 1.12 1.38 NA NA 0.14 XXX 92588 TC A Evoked auditory test 0.00 1.01 1.24 NA NA 0.13 XXX 92588 26 A Evoked auditory test 0.36 0.11 0.14 0.11 0.14 0.01 XXX 92590 N Hearing aid exam, one ear 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92591 N Hearing aid exam, both ears 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92592 N Hearing aid check, one ear 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92593 N Hearing aid check, both ears 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92594 N Electro hearng aid test, one 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92595 N Electro hearng aid tst, both 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92596 A Ear protector evaluation 0.00 1.02 0.80 NA NA 0.06 XXX 92597 A Oral speech device eval 0.86 1.99 1.84 0.28 0.37 0.03 XXX 92601 A Cochlear implt f/up exam < 7 2.30 1.09 2.29 0.64 2.07 0.07 XXX 92602 A Reprogram cochlear implt < 7 1.30 0.84 1.61 0.40 1.39 0.07 XXX 92603 A Cochlear implt f/up exam 7 > 2.25 1.19 1.67 0.73 1.44 0.07 XXX 92604 A Reprogram cochlear implt 7 > 1.25 0.78 1.06 0.41 0.88 0.07 XXX 92605 B Eval for nonspeech device rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92606 B Non-speech device service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92607 A Ex for speech device rx, 1hr 0.00 4.63 3.86 NA NA 0.05 XXX 92608 A Ex for speech device rx addl 0.00 0.88 0.72 NA NA 0.05 XXX 92609 A Use of speech device service 0.00 2.45 2.02 NA NA 0.04 XXX 92610 A Evaluate swallowing function 0.00 1.70 2.57 NA NA 0.08 XXX 92611 A Motion fluoroscopy/swallow 0.00 1.95 2.69 NA NA 0.08 XXX 92612 A Endoscopy swallow tst (fees) 1.27 2.97 2.86 0.42 0.54 0.04 XXX 92613 A Endoscopy swallow tst (fees) 0.71 0.24 0.32 0.24 0.31 0.05 XXX 92614 A Laryngoscopic sensory test 1.27 2.42 2.46 0.42 0.54 0.04 XXX 92615 A Eval laryngoscopy sense tst 0.63 0.21 0.28 0.21 0.28 0.05 XXX 92616 A Fees w/laryngeal sense test 1.88 3.16 3.28 0.61 0.80 0.06 XXX 92617 A Interprt fees/laryngeal test 0.79 0.26 0.35 0.26 0.35 0.05 XXX 92620 A Auditory function, 60 min 0.00 1.93 1.54 NA NA 0.06 XXX 92621 A Auditory function, + 15 min 0.00 0.44 0.34 NA NA 0.06 ZZZ 92625 A Tinnitus assessment 0.00 1.94 1.53 1.94 1.53 0.06 XXX 92626 A Eval aud rehab status 0.00 2.01 2.10 NA NA 0.06 XXX 92627 A Eval aud status rehab add-on 0.00 0.46 0.50 0.46 0.50 0.02 ZZZ 92630 I Aud rehab pre-ling hear loss 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92633 I Aud rehab postling hear loss 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92640 A Aud brainstem implt programg 0.00 1.34 1.34 1.34 1.34 0.01 XXX 92700 C Ent procedure/service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92950 A Heart/lung resuscitation cpr 3.79 3.25 3.72 0.77 0.87 0.28 000 92953 A Temporary external pacing 0.23 NA NA 0.07 0.07 0.02 000 92960 A Cardioversion electric, ext 2.25 4.37 5.34 1.45 1.31 0.07 000 92961 A Cardioversion, electric, int 4.59 NA NA 2.43 2.26 0.29 000 92970 A Cardioassist, internal 3.51 NA NA 1.46 1.26 0.16 000 92971 A Cardioassist, external 1.77 NA NA 1.09 0.97 0.06 000 92973 A Percut coronary thrombectomy 3.28 NA NA 1.76 1.52 0.23 ZZZ 92974 A Cath place, cardio brachytx 3.00 NA NA 1.62 1.40 0.21 ZZZ 92975 A Dissolve clot, heart vessel 7.24 NA NA 3.84 3.33 0.50 000 92977 A Dissolve clot, heart vessel 0.00 1.73 4.89 NA NA 0.46 XXX 92978 C Intravasc us, heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 92978 TC C Intravasc us, heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 92978 26 A Intravasc us, heart add-on 1.80 0.96 0.84 0.96 0.84 0.06 ZZZ 92979 C Intravasc us, heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 92979 TC C Intravasc us, heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 92979 26 A Intravasc us, heart add-on 1.44 0.77 0.67 0.77 0.67 0.06 ZZZ 92980 A Insert intracoronary stent 14.82 NA NA 8.13 7.09 1.03 000 92981 A Insert intracoronary stent 4.16 NA NA 2.23 1.93 0.29 ZZZ 92982 A Coronary artery dilation 10.96 NA NA 6.06 5.29 0.76 000 92984 A Coronary artery dilation 2.97 NA NA 1.58 1.37 0.21 ZZZ 92986 A Revision of aortic valve 22.70 NA NA 15.34 13.59 1.51 090 92987 A Revision of mitral valve 23.48 NA NA 15.96 14.09 1.59 090 92990 A Revision of pulmonary valve 18.12 NA NA 11.34 10.57 1.20 090 92992 C Revision of heart chamber 0.00 0.00 0.00 0.00 0.00 0.00 090 92993 C Revision of heart chamber 0.00 0.00 0.00 0.00 0.00 0.00 090 92995 A Coronary atherectomy 12.07 NA NA 6.65 5.80 0.84 000 92996 A Coronary atherectomy add-on 3.26 NA NA 1.76 1.51 0.10 ZZZ 92997 A Pul art balloon repr, percut 11.98 NA NA 5.61 5.22 0.40 000 92998 A Pul art balloon repr, percut 5.99 NA NA 3.00 2.60 0.28 ZZZ 93000 A Electrocardiogram, complete 0.17 0.35 0.42 NA NA 0.03 XXX 93005 A Electrocardiogram, tracing 0.00 0.28 0.36 NA NA 0.02 XXX 93010 A Electrocardiogram report 0.17 0.07 0.06 0.07 0.06 0.01 XXX 93012 A Transmission of ecg 0.00 4.17 5.09 NA NA 0.18 XXX 93014 A Report on transmitted ecg 0.52 0.22 0.21 0.22 0.21 0.02 XXX Start Printed Page 2687 93015 A Cardiovascular stress test 0.75 1.91 1.94 NA NA 0.14 XXX 93016 A Cardiovascular stress test 0.45 0.22 0.20 0.22 0.20 0.02 XXX 93017 A Cardiovascular stress test 0.00 1.54 1.61 NA NA 0.11 XXX 93018 A Cardiovascular stress test 0.30 0.15 0.13 0.15 0.13 0.01 XXX 93024 A Cardiac drug stress test 1.17 2.40 1.98 NA NA 0.12 XXX 93024 TC A Cardiac drug stress test 0.00 1.82 1.47 NA NA 0.08 XXX 93024 26 A Cardiac drug stress test 1.17 0.58 0.51 0.58 0.51 0.04 XXX 93025 A Microvolt t-wave assess 0.75 3.93 5.77 NA NA 0.14 XXX 93025 TC A Microvolt t-wave assess 0.00 3.55 5.43 NA NA 0.11 XXX 93025 26 A Microvolt t-wave assess 0.75 0.38 0.34 0.38 0.34 0.03 XXX 93040 A Rhythm ECG with report 0.16 0.19 0.20 NA NA 0.02 XXX 93041 A Rhythm ECG, tracing 0.00 0.14 0.15 NA NA 0.01 XXX 93042 A Rhythm ECG, report 0.16 0.05 0.05 0.05 0.05 0.01 XXX 93224 A ECG monitor/report, 24 hrs 0.52 2.31 2.97 NA NA 0.24 XXX 93225 A ECG monitor/record, 24 hrs 0.00 0.85 1.05 NA NA 0.08 XXX 93226 A ECG monitor/report, 24 hrs 0.00 1.19 1.69 NA NA 0.14 XXX 93227 A ECG monitor/review, 24 hrs 0.52 0.27 0.23 0.27 0.23 0.02 XXX 93230 A ECG monitor/report, 24 hrs 0.52 2.30 3.10 NA NA 0.26 XXX 93231 A Ecg monitor/record, 24 hrs 0.00 0.72 1.12 NA NA 0.11 XXX 93232 A ECG monitor/report, 24 hrs 0.00 1.35 1.77 NA NA 0.13 XXX 93233 A ECG monitor/review, 24 hrs 0.52 0.23 0.21 0.23 0.21 0.02 XXX 93235 C ECG monitor/report, 24 hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93236 C ECG monitor/report, 24 hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93237 A ECG monitor/review, 24 hrs 0.45 0.22 0.19 0.22 0.19 0.02 XXX 93268 A ECG record/review 0.52 5.79 6.61 NA NA 0.28 XXX 93270 A ECG recording 0.00 0.29 0.76 NA NA 0.08 XXX 93271 A Ecg/monitoring and analysis 0.00 5.28 5.65 NA NA 0.18 XXX 93272 A Ecg/review, interpret only 0.52 0.22 0.20 0.22 0.20 0.02 XXX 93278 A ECG/signal-averaged 0.25 0.62 0.93 NA NA 0.12 XXX 93278 TC A ECG/signal-averaged 0.00 0.52 0.83 NA NA 0.11 XXX 93278 26 A ECG/signal-averaged 0.25 0.10 0.10 0.10 0.10 0.01 XXX 93303 A Echo transthoracic 1.30 4.50 4.41 NA NA 0.27 XXX 93303 TC A Echo transthoracic 0.00 3.97 3.91 NA NA 0.23 XXX 93303 26 A Echo transthoracic 1.30 0.53 0.50 0.53 0.50 0.04 XXX 93304 A Echo transthoracic 0.75 3.10 2.67 NA NA 0.15 XXX 93304 TC A Echo transthoracic 0.00 2.80 2.38 NA NA 0.13 XXX 93304 26 A Echo transthoracic 0.75 0.30 0.29 0.30 0.29 0.02 XXX 93307 A Echo exam of heart 0.92 3.73 3.97 NA NA 0.26 XXX 93307 TC A Echo exam of heart 0.00 3.28 3.57 NA NA 0.23 XXX 93307 26 A Echo exam of heart 0.92 0.45 0.40 0.45 0.40 0.03 XXX 93308 A Echo exam of heart 0.53 2.62 2.38 NA NA 0.15 XXX 93308 TC A Echo exam of heart 0.00 2.35 2.15 NA NA 0.13 XXX 93308 26 A Echo exam of heart 0.53 0.27 0.23 0.27 0.23 0.02 XXX 93312 A Echo transesophageal 2.20 7.39 5.98 NA NA 0.37 XXX 93312 TC A Echo transesophageal 0.00 6.42 5.10 NA NA 0.29 XXX 93312 26 A Echo transesophageal 2.20 0.97 0.88 0.97 0.88 0.08 XXX 93313 A Echo transesophageal 0.95 NA NA 0.12 0.17 0.06 XXX 93314 A Echo transesophageal 1.25 7.22 5.73 NA NA 0.33 XXX 93314 TC A Echo transesophageal 0.00 6.66 5.22 NA NA 0.29 XXX 93314 26 A Echo transesophageal 1.25 0.56 0.51 0.56 0.51 0.04 XXX 93315 C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX 93315 TC C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX 93315 26 A Echo transesophageal 2.78 1.31 1.16 1.31 1.16 0.09 XXX 93316 A Echo transesophageal 0.95 NA NA 0.26 0.25 0.05 XXX 93317 C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX 93317 TC C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX 93317 26 A Echo transesophageal 1.83 0.55 0.61 0.55 0.61 0.08 XXX 93318 C Echo transesophageal intraop 0.00 0.00 0.00 NA NA 0.00 XXX 93318 TC C Echo transesophageal intraop 0.00 0.00 0.00 NA NA 0.00 XXX 93318 26 A Echo transesophageal intraop 2.20 0.86 0.67 0.86 0.67 0.14 XXX 93320 A Doppler echo exam, heart 0.38 1.67 1.77 NA NA 0.13 ZZZ 93320 TC A Doppler echo exam, heart 0.00 1.49 1.60 NA NA 0.12 ZZZ 93320 26 A Doppler echo exam, heart 0.38 0.18 0.17 0.18 0.17 0.01 ZZZ 93321 A Doppler echo exam, heart 0.15 0.61 0.89 NA NA 0.09 ZZZ 93321 TC A Doppler echo exam, heart 0.00 0.54 0.82 NA NA 0.08 ZZZ 93321 26 A Doppler echo exam, heart 0.15 0.07 0.07 0.07 0.07 0.01 ZZZ 93325 A Doppler color flow add-on 0.07 0.66 1.80 NA NA 0.22 ZZZ 93325 TC A Doppler color flow add-on 0.00 0.63 1.77 NA NA 0.21 ZZZ 93325 26 A Doppler color flow add-on 0.07 0.03 0.03 0.03 0.03 0.01 ZZZ 93350 A Echo transthoracic 1.48 5.09 3.71 NA NA 0.18 XXX 93350 TC A Echo transthoracic 0.00 4.33 3.05 NA NA 0.13 XXX 93350 26 A Echo transthoracic 1.48 0.76 0.66 0.76 0.66 0.05 XXX Start Printed Page 2688 93501 A Right heart catheterization 3.02 18.71 18.39 NA NA 1.27 000 93501 TC A Right heart catheterization 0.00 17.14 17.03 NA NA 1.06 000 93501 26 A Right heart catheterization 3.02 1.57 1.36 1.57 1.36 0.21 000 93503 A Insert/place heart catheter 2.91 NA NA NA NA 0.20 000 93505 A Biopsy of heart lining 4.37 20.92 12.29 NA NA 0.46 000 93505 TC A Biopsy of heart lining 0.00 18.64 10.31 NA NA 0.16 000 93505 26 A Biopsy of heart lining 4.37 2.28 1.98 2.28 1.98 0.30 000 93508 A Cath placement, angiography 4.09 28.85 21.78 NA NA 0.93 000 93508 TC A Cath placement, angiography 0.00 26.68 19.65 NA NA 0.65 000 93508 26 A Cath placement, angiography 4.09 2.17 2.13 2.17 2.13 0.28 000 93510 A Left heart catheterization 4.32 28.15 33.65 NA NA 2.61 000 93510 TC A Left heart catheterization 0.00 25.87 31.42 NA NA 2.31 000 93510 26 A Left heart catheterization 4.32 2.28 2.23 2.28 2.23 0.30 000 93511 C Left heart catheterization 0.00 NA NA NA NA 0.00 000 93511 TC C Left heart catheterization 0.00 NA NA NA NA 0.00 000 93511 26 A Left heart catheterization 5.02 2.65 2.55 2.65 2.55 0.35 000 93514 C Left heart catheterization 0.00 NA NA NA NA 0.00 000 93514 TC C Left heart catheterization 0.00 NA NA NA NA 0.00 000 93514 26 A Left heart catheterization 7.04 2.95 3.04 2.95 3.04 0.49 000 93524 C Left heart catheterization 0.00 NA NA NA NA 0.00 000 93524 TC C Left heart catheterization 0.00 NA NA NA NA 0.00 000 93524 26 A Left heart catheterization 6.94 3.78 3.47 3.78 3.47 0.48 000 93526 A Rt & Lt heart catheters 5.98 35.14 43.04 NA NA 3.46 000 93526 TC A Rt & Lt heart catheters 0.00 31.97 40.05 NA NA 3.04 000 93526 26 A Rt & Lt heart catheters 5.98 3.17 2.99 3.17 2.99 0.42 000 93527 C Rt & Lt heart catheters 0.00 NA NA NA NA 0.00 000 93527 TC C Rt & Lt heart catheters 0.00 NA NA NA NA 0.00 000 93527 26 A Rt & Lt heart catheters 7.27 3.86 3.59 3.86 3.59 0.51 000 93528 C Rt & Lt heart catheters 0.00 NA NA NA NA 0.00 000 93528 TC C Rt & Lt heart catheters 0.00 NA NA NA NA 0.00 000 93528 26 A Rt & Lt heart catheters 8.99 4.43 4.23 4.43 4.23 0.62 000 93529 C Rt, lt heart catheterization 0.00 NA NA NA NA 0.00 000 93529 TC C Rt, lt heart catheterization 0.00 NA NA NA NA 0.00 000 93529 26 A Rt, lt heart catheterization 4.79 2.58 2.43 2.58 2.43 0.33 000 93530 C Rt heart cath, congenital 0.00 NA NA NA NA 0.00 000 93530 TC C Rt heart cath, congenital 0.00 NA NA NA NA 0.00 000 93530 26 A Rt heart cath, congenital 4.22 1.84 1.89 1.84 1.89 0.29 000 93531 C R & l heart cath, congenital 0.00 NA NA NA NA 0.00 000 93531 TC C R & l heart cath, congenital 0.00 NA NA NA NA 0.00 000 93531 26 A R & l heart cath, congenital 8.34 3.57 3.58 3.57 3.58 0.58 000 93532 C R & l heart cath, congenital 0.00 NA NA NA NA 0.00 000 93532 TC C R & l heart cath, congenital 0.00 NA NA NA NA 0.00 000 93532 26 A R & l heart cath, congenital 9.99 3.66 3.95 3.66 3.95 0.69 000 93533 C R & l heart cath, congenital 0.00 NA NA NA NA 0.00 000 93533 TC C R & l heart cath, congenital 0.00 NA NA NA NA 0.00 000 93533 26 A R & l heart cath, congenital 6.69 3.16 2.98 3.16 2.98 0.47 000 93539 A Injection, cardiac cath 0.40 2.47 1.31 0.21 0.19 0.01 000 93540 A Injection, cardiac cath 0.43 8.62 4.39 0.23 0.20 0.01 000 93541 A Injection for lung angiogram 0.29 0.15 0.13 0.15 0.13 0.01 000 93542 A Injection for heart x-rays 0.29 5.19 2.65 0.15 0.13 0.01 000 93543 A Injection for heart x-rays 0.29 2.62 1.37 0.16 0.13 0.01 000 93544 A Injection for aortography 0.25 1.84 0.97 0.13 0.12 0.01 000 93545 A Inject for coronary x-rays 0.40 5.87 3.01 0.21 0.19 0.01 000 93555 A Imaging, cardiac cath 0.81 0.60 3.59 NA NA 0.37 XXX 93555 TC A Imaging, cardiac cath 0.00 0.17 3.22 NA NA 0.34 XXX 93555 26 A Imaging, cardiac cath 0.81 0.43 0.37 0.43 0.37 0.03 XXX 93556 A Imaging, cardiac cath 0.83 0.88 5.55 NA NA 0.54 XXX 93556 TC A Imaging, cardiac cath 0.00 0.44 5.17 NA NA 0.51 XXX 93556 26 A Imaging, cardiac cath 0.83 0.44 0.38 0.44 0.38 0.03 XXX 93561 C Cardiac output measurement 0.00 NA NA NA NA 0.00 000 93561 TC C Cardiac output measurement 0.00 NA NA NA NA 0.00 000 93561 26 A Cardiac output measurement 0.50 0.14 0.15 0.14 0.15 0.02 000 93562 C Cardiac output measurement 0.00 NA NA NA NA 0.00 000 93562 TC C Cardiac output measurement 0.00 NA NA NA NA 0.00 000 93562 26 A Cardiac output measurement 0.16 0.03 0.04 0.03 0.04 0.01 000 93571 C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ 93571 TC C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ 93571 26 A Heart flow reserve measure 1.80 0.96 0.82 0.96 0.82 0.06 ZZZ 93572 C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ 93572 TC C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ 93572 26 A Heart flow reserve measure 1.44 0.74 0.62 0.74 0.62 0.04 ZZZ 93580 A Transcath closure of asd 17.97 NA NA 9.41 8.40 1.25 000 Start Printed Page 2689 93581 A Transcath closure of vsd 24.39 NA NA 11.56 10.48 1.72 000 93600 C Bundle of His recording 0.00 0.00 0.00 NA NA 0.00 000 93600 TC C Bundle of His recording 0.00 0.00 0.00 NA NA 0.00 000 93600 26 A Bundle of His recording 2.12 1.09 0.96 1.09 0.96 0.16 000 93602 C Intra-atrial recording 0.00 0.00 0.00 NA NA 0.00 000 93602 TC C Intra-atrial recording 0.00 0.00 0.00 NA NA 0.00 000 93602 26 A Intra-atrial recording 2.12 1.04 0.93 1.04 0.93 0.17 000 93603 C Right ventricular recording 0.00 0.00 0.00 NA NA 0.00 000 93603 TC C Right ventricular recording 0.00 0.00 0.00 NA NA 0.00 000 93603 26 A Right ventricular recording 2.12 1.04 0.92 1.04 0.92 0.18 000 93609 C Map tachycardia, add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 93609 TC C Map tachycardia, add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ 93609 26 A Map tachycardia, add-on 4.99 2.61 2.29 2.61 2.29 0.35 ZZZ 93610 C Intra-atrial pacing 0.00 0.00 0.00 NA NA 0.00 000 93610 TC C Intra-atrial pacing 0.00 0.00 0.00 NA NA 0.00 000 93610 26 A Intra-atrial pacing 3.02 1.47 1.31 1.47 1.31 0.24 000 93612 C Intraventricular pacing 0.00 0.00 0.00 NA NA 0.00 000 93612 TC C Intraventricular pacing 0.00 0.00 0.00 NA NA 0.00 000 93612 26 A Intraventricular pacing 3.02 1.43 1.29 1.43 1.29 0.25 000 93613 A Electrophys map 3d, add-on 6.99 NA NA 3.69 3.23 0.49 ZZZ 93615 C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 000 93615 TC C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 000 93615 26 A Esophageal recording 0.99 0.54 0.40 0.54 0.40 0.03 000 93616 C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 000 93616 TC C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 000 93616 26 A Esophageal recording 1.49 0.26 0.35 0.26 0.35 0.09 000 93618 C Heart rhythm pacing 0.00 0.00 0.00 NA NA 0.00 000 93618 TC C Heart rhythm pacing 0.00 0.00 0.00 NA NA 0.00 000 93618 26 A Heart rhythm pacing 4.25 2.28 1.97 2.28 1.97 0.30 000 93619 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93619 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93619 26 A Electrophysiology evaluation 7.31 3.87 3.53 3.87 3.53 0.51 000 93620 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93620 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93620 26 A Electrophysiology evaluation 11.57 6.09 5.46 6.09 5.46 0.80 000 93621 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ 93621 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ 93621 26 A Electrophysiology evaluation 2.10 1.10 0.96 1.10 0.96 0.15 ZZZ 93622 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ 93622 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ 93622 26 A Electrophysiology evaluation 3.10 1.57 1.39 1.57 1.39 0.22 ZZZ 93623 C Stimulation, pacing heart 0.00 0.00 0.00 NA NA 0.00 ZZZ 93623 TC C Stimulation, pacing heart 0.00 0.00 0.00 NA NA 0.00 ZZZ 93623 26 A Stimulation, pacing heart 2.85 1.50 1.30 1.50 1.30 0.20 ZZZ 93624 C Electrophysiologic study 0.00 0.00 0.00 NA NA 0.00 000 93624 TC C Electrophysiologic study 0.00 0.00 0.00 NA NA 0.00 000 93624 26 A Electrophysiologic study 4.80 2.60 2.40 2.60 2.40 0.33 000 93631 C Heart pacing, mapping 0.00 0.00 0.00 NA NA 0.00 000 93631 TC C Heart pacing, mapping 0.00 0.00 0.00 NA NA 0.00 000 93631 26 A Heart pacing, mapping 7.59 2.75 2.76 2.75 2.76 0.97 000 93640 C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 000 93640 TC C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 000 93640 26 A Evaluation heart device 3.51 1.82 1.59 1.82 1.59 0.24 000 93641 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93641 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93641 26 A Electrophysiology evaluation 5.92 3.11 2.71 3.11 2.71 0.41 000 93642 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93642 TC A Electrophysiology evaluation 0.00 4.77 5.97 NA NA 0.42 000 93642 26 A Electrophysiology evaluation 4.88 2.60 2.41 2.60 2.41 0.15 000 93650 A Ablate heart dysrhythm focus 10.49 NA NA 5.80 5.12 0.73 000 93651 A Ablate heart dysrhythm focus 16.23 NA NA 8.53 7.43 1.13 000 93652 A Ablate heart dysrhythm focus 17.65 NA NA 9.35 8.12 1.23 000 93660 A Tilt table evaluation 1.89 3.01 2.71 NA NA 0.08 000 93660 TC A Tilt table evaluation 0.00 2.04 1.86 NA NA 0.02 000 93660 26 A Tilt table evaluation 1.89 0.97 0.85 0.97 0.85 0.06 000 93662 C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ 93662 TC C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ 93662 26 A Intracardiac ecg (ice) 2.80 1.47 1.29 1.47 1.29 0.09 ZZZ 93668 N Peripheral vascular rehab 0.00 0.41 0.41 NA NA 0.01 XXX 93701 A Bioimpedance, thoracic 0.17 0.70 0.84 NA NA 0.02 XXX 93701 TC A Bioimpedance, thoracic 0.00 0.64 0.77 NA NA 0.01 XXX 93701 26 A Bioimpedance, thoracic 0.17 0.06 0.07 0.06 0.07 0.01 XXX Start Printed Page 2690 93720 A Total body plethysmography 0.17 1.17 0.97 NA NA 0.07 XXX 93721 A Plethysmography tracing 0.00 1.13 0.92 NA NA 0.06 XXX 93722 A Plethysmography report 0.17 0.04 0.05 0.04 0.05 0.01 XXX 93724 A Analyze pacemaker system 4.88 3.23 4.55 NA NA 0.39 000 93724 TC A Analyze pacemaker system 0.00 0.88 2.42 NA NA 0.24 000 93724 26 A Analyze pacemaker system 4.88 2.35 2.13 2.35 2.13 0.15 000 93727 A Analyze ilr system 0.52 0.64 0.42 0.64 0.42 0.02 XXX 93731 A Analyze pacemaker system 0.45 0.79 0.72 NA NA 0.05 XXX 93731 TC A Analyze pacemaker system 0.00 0.55 0.52 NA NA 0.04 XXX 93731 26 A Analyze pacemaker system 0.45 0.24 0.20 0.24 0.20 0.01 XXX 93732 A Analyze pacemaker system 0.92 1.15 1.01 NA NA 0.07 XXX 93732 TC A Analyze pacemaker system 0.00 0.67 0.59 NA NA 0.04 XXX 93732 26 A Analyze pacemaker system 0.92 0.48 0.42 0.48 0.42 0.03 XXX 93733 A Telephone analy, pacemaker 0.17 0.93 0.86 NA NA 0.07 XXX 93733 TC A Telephone analy, pacemaker 0.00 0.85 0.79 NA NA 0.06 XXX 93733 26 A Telephone analy, pacemaker 0.17 0.08 0.07 0.08 0.07 0.01 XXX 93734 A Analyze pacemaker system 0.38 0.69 0.60 NA NA 0.03 XXX 93734 TC A Analyze pacemaker system 0.00 0.50 0.43 NA NA 0.02 XXX 93734 26 A Analyze pacemaker system 0.38 0.19 0.17 0.19 0.17 0.01 XXX 93735 A Analyze pacemaker system 0.74 0.96 0.84 NA NA 0.06 XXX 93735 TC A Analyze pacemaker system 0.00 0.57 0.51 NA NA 0.04 XXX 93735 26 A Analyze pacemaker system 0.74 0.39 0.33 0.39 0.33 0.02 XXX 93736 A Telephonic analy, pacemaker 0.15 0.91 0.79 NA NA 0.07 XXX 93736 TC A Telephonic analy, pacemaker 0.00 0.84 0.73 NA NA 0.06 XXX 93736 26 A Telephonic analy, pacemaker 0.15 0.07 0.06 0.07 0.06 0.01 XXX 93740 B Temperature gradient studies 0.16 0.04 0.11 NA NA 0.02 XXX 93740 TC B Temperature gradient studies 0.00 0.00 0.07 NA NA 0.01 XXX 93740 26 B Temperature gradient studies 0.16 0.04 0.04 0.04 0.04 0.01 XXX 93741 A Analyze ht pace device sngl 0.80 1.02 0.99 NA NA 0.07 XXX 93741 TC A Analyze ht pace device sngl 0.00 0.60 0.63 NA NA 0.04 XXX 93741 26 A Analyze ht pace device sngl 0.80 0.42 0.36 0.42 0.36 0.03 XXX 93742 A Analyze ht pace device sngl 0.91 1.15 1.09 NA NA 0.07 XXX 93742 TC A Analyze ht pace device sngl 0.00 0.67 0.67 NA NA 0.04 XXX 93742 26 A Analyze ht pace device sngl 0.91 0.48 0.42 0.48 0.42 0.03 XXX 93743 A Analyze ht pace device dual 1.03 1.19 1.16 NA NA 0.07 XXX 93743 TC A Analyze ht pace device dual 0.00 0.64 0.69 NA NA 0.04 XXX 93743 26 A Analyze ht pace device dual 1.03 0.55 0.47 0.55 0.47 0.03 XXX 93744 A Analyze ht pace device dual 1.18 1.35 1.23 NA NA 0.08 XXX 93744 TC A Analyze ht pace device dual 0.00 0.72 0.69 NA NA 0.04 XXX 93744 26 A Analyze ht pace device dual 1.18 0.63 0.54 0.63 0.54 0.04 XXX 93745 C Set-up cardiovert-defibrill 0.00 0.00 0.00 NA NA 0.00 XXX 93745 TC C Set-up cardiovert-defibrill 0.00 0.00 0.00 NA NA 0.00 XXX 93745 26 C Set-up cardiovert-defibrill 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93760 N Cephalic thermogram 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93762 N Peripheral thermogram 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93770 B Measure venous pressure 0.16 0.04 0.05 NA NA 0.02 XXX 93770 TC B Measure venous pressure 0.00 0.00 0.01 NA NA 0.01 XXX 93770 26 B Measure venous pressure 0.16 0.04 0.04 0.04 0.04 0.01 XXX 93784 A Ambulatory BP monitoring 0.38 1.39 1.47 NA NA 0.03 XXX 93786 A Ambulatory BP recording 0.00 0.81 0.86 NA NA 0.01 XXX 93788 A Ambulatory BP analysis 0.00 0.45 0.48 NA NA 0.01 XXX 93790 A Review/report BP recording 0.38 0.13 0.13 0.13 0.13 0.01 XXX 93797 A Cardiac rehab 0.18 0.32 0.31 0.09 0.08 0.01 000 93798 A Cardiac rehab/monitor 0.28 0.44 0.45 0.13 0.12 0.01 000 93799 C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX 93799 TC C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX 93799 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93875 A Extracranial study 0.22 2.55 2.44 NA NA 0.12 XXX 93875 TC A Extracranial study 0.00 2.48 2.37 NA NA 0.11 XXX 93875 26 A Extracranial study 0.22 0.07 0.07 0.07 0.07 0.01 XXX 93880 A Extracranial study 0.60 6.16 5.85 NA NA 0.39 XXX 93880 TC A Extracranial study 0.00 5.95 5.65 NA NA 0.35 XXX 93880 26 A Extracranial study 0.60 0.21 0.20 0.21 0.20 0.04 XXX 93882 A Extracranial study 0.40 4.12 3.82 NA NA 0.26 XXX 93882 TC A Extracranial study 0.00 4.01 3.69 NA NA 0.22 XXX 93882 26 A Extracranial study 0.40 0.11 0.13 0.11 0.13 0.04 XXX 93886 A Intracranial study 0.94 7.03 6.88 NA NA 0.45 XXX 93886 TC A Intracranial study 0.00 6.75 6.56 NA NA 0.39 XXX 93886 26 A Intracranial study 0.94 0.28 0.32 0.28 0.32 0.06 XXX 93888 A Intracranial study 0.62 4.92 4.57 NA NA 0.32 XXX 93888 TC A Intracranial study 0.00 4.72 4.36 NA NA 0.27 XXX 93888 26 A Intracranial study 0.62 0.20 0.21 0.20 0.21 0.05 XXX Start Printed Page 2691 93890 A Tcd, vasoreactivity study 1.00 6.44 5.68 NA NA 0.45 XXX 93890 TC A Tcd, vasoreactivity study 0.00 6.13 5.32 NA NA 0.39 XXX 93890 26 A Tcd, vasoreactivity study 1.00 0.31 0.36 0.31 0.36 0.06 XXX 93892 A Tcd, emboli detect w/o inj 1.15 6.85 6.00 NA NA 0.45 XXX 93892 TC A Tcd, emboli detect w/o inj 0.00 6.53 5.61 NA NA 0.39 XXX 93892 26 A Tcd, emboli detect w/o inj 1.15 0.32 0.39 0.32 0.39 0.06 XXX 93893 A Tcd, emboli detect w/inj 1.15 7.00 6.01 NA NA 0.45 XXX 93893 TC A Tcd, emboli detect w/inj 0.00 6.67 5.62 NA NA 0.39 XXX 93893 26 A Tcd, emboli detect w/inj 1.15 0.33 0.39 0.33 0.39 0.06 XXX 93922 A Extremity study 0.25 3.11 2.90 NA NA 0.15 XXX 93922 TC A Extremity study 0.00 3.03 2.82 NA NA 0.13 XXX 93922 26 A Extremity study 0.25 0.08 0.08 0.08 0.08 0.02 XXX 93923 A Extremity study 0.45 4.68 4.35 NA NA 0.26 XXX 93923 TC A Extremity study 0.00 4.54 4.21 NA NA 0.22 XXX 93923 26 A Extremity study 0.45 0.14 0.14 0.14 0.14 0.04 XXX 93924 A Extremity study 0.50 5.94 5.36 NA NA 0.30 XXX 93924 TC A Extremity study 0.00 5.77 5.19 NA NA 0.25 XXX 93924 26 A Extremity study 0.50 0.17 0.17 0.17 0.17 0.05 XXX 93925 A Lower extremity study 0.58 8.02 7.40 NA NA 0.39 XXX 93925 TC A Lower extremity study 0.00 7.83 7.21 NA NA 0.35 XXX 93925 26 A Lower extremity study 0.58 0.19 0.19 0.19 0.19 0.04 XXX 93926 A Lower extremity study 0.39 5.14 4.60 NA NA 0.27 XXX 93926 TC A Lower extremity study 0.00 5.03 4.48 NA NA 0.23 XXX 93926 26 A Lower extremity study 0.39 0.11 0.12 0.11 0.12 0.04 XXX 93930 A Upper extremity study 0.46 6.25 5.80 NA NA 0.41 XXX 93930 TC A Upper extremity study 0.00 6.10 5.65 NA NA 0.37 XXX 93930 26 A Upper extremity study 0.46 0.15 0.15 0.15 0.15 0.04 XXX 93931 A Upper extremity study 0.31 4.18 3.83 NA NA 0.27 XXX 93931 TC A Upper extremity study 0.00 4.08 3.73 NA NA 0.24 XXX 93931 26 A Upper extremity study 0.31 0.10 0.10 0.10 0.10 0.03 XXX 93965 A Extremity study 0.35 3.01 2.90 NA NA 0.14 XXX 93965 TC A Extremity study 0.00 2.90 2.79 NA NA 0.12 XXX 93965 26 A Extremity study 0.35 0.11 0.11 0.11 0.11 0.02 XXX 93970 A Extremity study 0.68 6.20 5.73 NA NA 0.46 XXX 93970 TC A Extremity study 0.00 5.99 5.51 NA NA 0.40 XXX 93970 26 A Extremity study 0.68 0.21 0.22 0.21 0.22 0.06 XXX 93971 A Extremity study 0.45 4.07 3.83 NA NA 0.30 XXX 93971 TC A Extremity study 0.00 3.92 3.68 NA NA 0.27 XXX 93971 26 A Extremity study 0.45 0.15 0.15 0.15 0.15 0.03 XXX 93975 A Vascular study 1.80 8.46 8.04 NA NA 0.56 XXX 93975 TC A Vascular study 0.00 7.83 7.43 NA NA 0.43 XXX 93975 26 A Vascular study 1.80 0.63 0.61 0.63 0.61 0.13 XXX 93976 A Vascular study 1.21 4.58 4.45 NA NA 0.35 XXX 93976 TC A Vascular study 0.00 4.16 4.04 NA NA 0.30 XXX 93976 26 A Vascular study 1.21 0.42 0.41 0.42 0.41 0.05 XXX 93978 A Vascular study 0.65 6.03 5.28 NA NA 0.43 XXX 93978 TC A Vascular study 0.00 5.82 5.06 NA NA 0.37 XXX 93978 26 A Vascular study 0.65 0.21 0.22 0.21 0.22 0.06 XXX 93979 A Vascular study 0.44 4.16 3.69 NA NA 0.27 XXX 93979 TC A Vascular study 0.00 4.02 3.54 NA NA 0.24 XXX 93979 26 A Vascular study 0.44 0.14 0.15 0.14 0.15 0.03 XXX 93980 A Penile vascular study 1.25 3.48 3.16 NA NA 0.42 XXX 93980 TC A Penile vascular study 0.00 3.02 2.73 NA NA 0.34 XXX 93980 26 A Penile vascular study 1.25 0.46 0.43 0.46 0.43 0.08 XXX 93981 A Penile vascular study 0.44 2.84 2.86 NA NA 0.33 XXX 93981 TC A Penile vascular study 0.00 2.68 2.71 NA NA 0.31 XXX 93981 26 A Penile vascular study 0.44 0.16 0.15 0.16 0.15 0.02 XXX 93982 R Aneurysm pressure sens study 0.30 0.80 0.80 NA NA 0.01 XXX 93990 A Doppler flow testing 0.25 5.22 4.61 NA NA 0.26 XXX 93990 TC A Doppler flow testing 0.00 5.16 4.53 NA NA 0.23 XXX 93990 26 A Doppler flow testing 0.25 0.06 0.08 0.06 0.08 0.03 XXX 94002 A Vent mgmt inpat, init day 1.99 NA NA 0.35 0.34 0.09 XXX 94003 A Vent mgmt inpat, subq day 1.37 NA NA 0.32 0.32 0.06 XXX 94004 A Vent mgmt nf per day 1.00 NA NA 0.23 0.23 0.04 XXX 94005 B Home vent mgmt supervision 1.50 0.70 0.70 NA NA 0.06 XXX 94010 A Breathing capacity test 0.17 0.74 0.71 NA NA 0.03 XXX 94010 TC A Breathing capacity test 0.00 0.70 0.66 NA NA 0.02 XXX 94010 26 A Breathing capacity test 0.17 0.04 0.05 0.04 0.05 0.01 XXX 94014 A Patient recorded spirometry 0.52 0.81 0.78 NA NA 0.03 XXX 94015 A Patient recorded spirometry 0.00 0.67 0.63 NA NA 0.01 XXX 94016 A Review patient spirometry 0.52 0.14 0.15 0.14 0.15 0.02 XXX 94060 A Evaluation of wheezing 0.31 1.32 1.19 NA NA 0.07 XXX Start Printed Page 2692 94060 TC A Evaluation of wheezing 0.00 1.24 1.11 NA NA 0.06 XXX 94060 26 A Evaluation of wheezing 0.31 0.08 0.08 0.08 0.08 0.01 XXX 94070 A Evaluation of wheezing 0.60 1.00 0.90 NA NA 0.13 XXX 94070 TC A Evaluation of wheezing 0.00 0.85 0.74 NA NA 0.10 XXX 94070 26 A Evaluation of wheezing 0.60 0.15 0.16 0.15 0.16 0.03 XXX 94150 B Vital capacity test 0.07 0.48 0.47 NA NA 0.02 XXX 94150 TC B Vital capacity test 0.00 0.46 0.45 NA NA 0.01 XXX 94150 26 B Vital capacity test 0.07 0.02 0.02 0.02 0.02 0.01 XXX 94200 A Lung function test (MBC/MVV) 0.11 0.51 0.47 NA NA 0.03 XXX 94200 TC A Lung function test (MBC/MVV) 0.00 0.48 0.44 NA NA 0.02 XXX 94200 26 A Lung function test (MBC/MVV) 0.11 0.03 0.03 0.03 0.03 0.01 XXX 94240 A Residual lung capacity 0.26 0.82 0.74 NA NA 0.06 XXX 94240 TC A Residual lung capacity 0.00 0.76 0.67 NA NA 0.05 XXX 94240 26 A Residual lung capacity 0.26 0.06 0.07 0.06 0.07 0.01 XXX 94250 A Expired gas collection 0.11 0.51 0.58 NA NA 0.02 XXX 94250 TC A Expired gas collection 0.00 0.48 0.55 NA NA 0.01 XXX 94250 26 A Expired gas collection 0.11 0.03 0.03 0.03 0.03 0.01 XXX 94260 A Thoracic gas volume 0.13 0.76 0.66 NA NA 0.05 XXX 94260 TC A Thoracic gas volume 0.00 0.73 0.63 NA NA 0.04 XXX 94260 26 A Thoracic gas volume 0.13 0.03 0.03 0.03 0.03 0.01 XXX 94350 A Lung nitrogen washout curve 0.26 0.61 0.69 NA NA 0.05 XXX 94350 TC A Lung nitrogen washout curve 0.00 0.55 0.62 NA NA 0.04 XXX 94350 26 A Lung nitrogen washout curve 0.26 0.06 0.07 0.06 0.07 0.01 XXX 94360 A Measure airflow resistance 0.26 0.95 0.82 NA NA 0.07 XXX 94360 TC A Measure airflow resistance 0.00 0.89 0.75 NA NA 0.06 XXX 94360 26 A Measure airflow resistance 0.26 0.06 0.07 0.06 0.07 0.01 XXX 94370 A Breath airway closing volume 0.26 0.60 0.66 NA NA 0.03 XXX 94370 TC A Breath airway closing volume 0.00 0.53 0.59 NA NA 0.02 XXX 94370 26 A Breath airway closing volume 0.26 0.07 0.07 0.07 0.07 0.01 XXX 94375 A Respiratory flow volume loop 0.31 0.73 0.66 NA NA 0.03 XXX 94375 TC A Respiratory flow volume loop 0.00 0.65 0.58 NA NA 0.02 XXX 94375 26 A Respiratory flow volume loop 0.31 0.08 0.08 0.08 0.08 0.01 XXX 94400 A CO2 breathing response curve 0.40 1.03 0.94 NA NA 0.09 XXX 94400 TC A CO2 breathing response curve 0.00 0.93 0.83 NA NA 0.06 XXX 94400 26 A CO2 breathing response curve 0.40 0.10 0.11 0.10 0.11 0.03 XXX 94450 A Hypoxia response curve 0.40 1.01 0.92 NA NA 0.04 XXX 94450 TC A Hypoxia response curve 0.00 0.92 0.82 NA NA 0.02 XXX 94450 26 A Hypoxia response curve 0.40 0.09 0.10 0.09 0.10 0.02 XXX 94452 A Hast w/report 0.31 1.27 1.14 NA NA 0.04 XXX 94452 TC A Hast w/report 0.00 1.20 1.06 NA NA 0.02 XXX 94452 26 A Hast w/report 0.31 0.07 0.08 0.07 0.08 0.02 XXX 94453 A Hast w/oxygen titrate 0.40 1.69 1.60 NA NA 0.04 XXX 94453 TC A Hast w/oxygen titrate 0.00 1.59 1.49 NA NA 0.02 XXX 94453 26 A Hast w/oxygen titrate 0.40 0.10 0.11 0.10 0.11 0.02 XXX 94610 A Surfactant admin thru tube 1.16 0.34 0.34 0.34 0.34 0.26 XXX 94620 A Pulmonary stress test/simple 0.64 0.79 1.64 NA NA 0.13 XXX 94620 TC A Pulmonary stress test/simple 0.00 0.63 1.46 NA NA 0.10 XXX 94620 26 A Pulmonary stress test/simple 0.64 0.16 0.18 0.16 0.18 0.03 XXX 94621 A Pulm stress test/complex 1.42 3.18 2.69 NA NA 0.16 XXX 94621 TC A Pulm stress test/complex 0.00 2.73 2.25 NA NA 0.10 XXX 94621 26 A Pulm stress test/complex 1.42 0.45 0.44 0.45 0.44 0.06 XXX 94640 A Airway inhalation treatment 0.00 0.38 0.34 NA NA 0.02 XXX 94642 C Aerosol inhalation treatment 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94644 A Cbt, 1st hour 0.00 0.96 0.96 NA NA 0.02 XXX 94645 A Cbt, each addl hour 0.00 0.35 0.35 NA NA 0.02 XXX 94660 A Pos airway pressure, CPAP 0.76 0.81 0.73 0.19 0.21 0.04 XXX 94662 A Neg press ventilation, cnp 0.76 NA NA 0.20 0.21 0.03 XXX 94664 A Evaluate pt use of inhaler 0.00 0.40 0.36 NA NA 0.04 XXX 94667 A Chest wall manipulation 0.00 0.54 0.53 NA NA 0.05 XXX 94668 A Chest wall manipulation 0.00 0.51 0.48 NA NA 0.02 XXX 94680 A Exhaled air analysis, o2 0.26 1.06 1.46 NA NA 0.07 XXX 94680 TC A Exhaled air analysis, o2 0.00 1.00 1.39 NA NA 0.06 XXX 94680 26 A Exhaled air analysis, o2 0.26 0.06 0.07 0.06 0.07 0.01 XXX 94681 A Exhaled air analysis, o2/co2 0.20 1.07 1.79 NA NA 0.13 XXX 94681 TC A Exhaled air analysis, o2/co2 0.00 1.02 1.74 NA NA 0.12 XXX 94681 26 A Exhaled air analysis, o2/co2 0.20 0.05 0.05 0.05 0.05 0.01 XXX 94690 A Exhaled air analysis 0.07 1.04 1.52 NA NA 0.05 XXX 94690 TC A Exhaled air analysis 0.00 1.02 1.50 NA NA 0.04 XXX 94690 26 A Exhaled air analysis 0.07 0.02 0.02 0.02 0.02 0.01 XXX 94720 A Monoxide diffusing capacity 0.26 1.15 1.08 NA NA 0.07 XXX 94720 TC A Monoxide diffusing capacity 0.00 1.09 1.01 NA NA 0.06 XXX 94720 26 A Monoxide diffusing capacity 0.26 0.06 0.07 0.06 0.07 0.01 XXX Start Printed Page 2693 94725 A Membrane diffusion capacity 0.26 0.98 1.94 NA NA 0.13 XXX 94725 TC A Membrane diffusion capacity 0.00 0.91 1.87 NA NA 0.12 XXX 94725 26 A Membrane diffusion capacity 0.26 0.07 0.07 0.07 0.07 0.01 XXX 94750 A Pulmonary compliance study 0.23 1.77 1.55 NA NA 0.05 XXX 94750 TC A Pulmonary compliance study 0.00 1.71 1.49 NA NA 0.04 XXX 94750 26 A Pulmonary compliance study 0.23 0.06 0.06 0.06 0.06 0.01 XXX 94760 T Measure blood oxygen level 0.00 0.06 0.05 NA NA 0.02 XXX 94761 T Measure blood oxygen level 0.00 0.11 0.09 NA NA 0.06 XXX 94762 A Measure blood oxygen level 0.00 0.84 0.66 NA NA 0.10 XXX 94770 A Exhaled carbon dioxide test 0.15 0.81 0.78 NA NA 0.08 XXX 94770 TC A Exhaled carbon dioxide test 0.00 0.77 0.74 NA NA 0.07 XXX 94770 26 A Exhaled carbon dioxide test 0.15 0.04 0.04 0.04 0.04 0.01 XXX 94772 C Breath recording, infant 0.00 0.00 0.00 NA NA 0.00 XXX 94772 TC C Breath recording, infant 0.00 0.00 0.00 NA NA 0.00 XXX 94772 26 C Breath recording, infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94774 C Ped home apnea rec, compl 0.00 0.00 0.00 0.00 0.00 0.00 YYY 94775 C Ped home apnea rec, hk-up 0.00 0.00 0.00 0.00 0.00 0.00 YYY 94776 C Ped home apnea rec, downld 0.00 0.00 0.00 0.00 0.00 0.00 YYY 94777 C Ped home apnea rec, report 0.00 0.00 0.00 0.00 0.00 0.00 YYY 94799 C Pulmonary service/procedure 0.00 0.00 0.00 NA NA 0.00 XXX 94799 TC C Pulmonary service/procedure 0.00 0.00 0.00 NA NA 0.00 XXX 94799 26 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95004 A Percut allergy skin tests 0.01 0.15 0.13 NA NA 0.01 XXX 95010 A Percut allergy titrate test 0.15 0.31 0.32 NA NA 0.01 XXX 95012 A Exhaled nitric oxide meas 0.00 0.49 0.49 NA NA 0.01 XXX 95015 A Id allergy titrate-drug/bug 0.15 0.21 0.18 NA NA 0.01 XXX 95024 A Id allergy test, drug/bug 0.01 0.17 0.16 NA NA 0.01 XXX 95027 A Id allergy titrate-airborne 0.01 0.10 0.12 NA NA 0.01 XXX 95028 A Id allergy test-delayed type 0.00 0.31 0.27 NA NA 0.01 XXX 95044 A Allergy patch tests 0.00 0.15 0.18 NA NA 0.01 XXX 95052 A Photo patch test 0.00 0.16 0.20 NA NA 0.01 XXX 95056 A Photosensitivity tests 0.00 1.25 0.71 NA NA 0.01 XXX 95060 A Eye allergy tests 0.00 0.73 0.54 0.73 0.54 0.02 XXX 95065 A Nose allergy test 0.00 0.70 0.45 0.70 0.45 0.01 XXX 95070 A Bronchial allergy tests 0.00 0.81 1.55 NA NA 0.02 XXX 95071 A Bronchial allergy tests 0.00 0.98 1.95 NA NA 0.02 XXX 95075 A Ingestion challenge test 0.95 0.68 0.75 0.26 0.32 0.03 XXX 95115 A Immunotherapy, one injection 0.00 0.23 0.31 NA NA 0.02 XXX 95117 A Immunotherapy injections 0.00 0.28 0.39 NA NA 0.02 XXX 95120 I Immunotherapy, one injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95125 I Immunotherapy, many antigens 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95130 I Immunotherapy, insect venom 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95131 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95132 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95133 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95134 I Immunotherapy, insect venoms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95144 A Antigen therapy services 0.06 0.27 0.23 0.02 0.02 0.01 XXX 95145 A Antigen therapy services 0.06 0.36 0.34 0.02 0.02 0.01 XXX 95146 A Antigen therapy services 0.06 0.68 0.56 0.02 0.02 0.01 XXX 95147 A Antigen therapy services 0.06 0.66 0.54 0.02 0.02 0.01 XXX 95148 A Antigen therapy services 0.06 0.98 0.78 0.02 0.02 0.01 XXX 95149 A Antigen therapy services 0.06 1.30 1.05 0.02 0.02 0.01 XXX 95165 A Antigen therapy services 0.06 0.26 0.23 0.02 0.02 0.01 XXX 95170 A Antigen therapy services 0.06 0.20 0.17 0.02 0.02 0.01 XXX 95180 A Rapid desensitization 2.01 1.66 1.85 0.77 0.85 0.04 XXX 95199 C Allergy immunology services 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95250 A Glucose monitoring, cont 0.00 3.50 3.80 NA NA 0.01 XXX 95251 A Gluc monitor, cont, phys i&r 0.85 0.26 0.22 0.26 0.22 0.02 XXX 95805 A Multiple sleep latency test 1.88 7.02 12.14 NA NA 0.43 XXX 95805 TC A Multiple sleep latency test 0.00 6.51 11.56 NA NA 0.34 XXX 95805 26 A Multiple sleep latency test 1.88 0.51 0.58 0.51 0.58 0.09 XXX 95806 A Sleep study, unattended 1.66 3.93 3.64 NA NA 0.39 XXX 95806 TC A Sleep study, unattended 0.00 3.46 3.13 NA NA 0.31 XXX 95806 26 A Sleep study, unattended 1.66 0.47 0.51 0.47 0.51 0.08 XXX 95807 A Sleep study, attended 1.66 12.31 12.08 NA NA 0.50 XXX 95807 TC A Sleep study, attended 0.00 11.90 11.61 NA NA 0.42 XXX 95807 26 A Sleep study, attended 1.66 0.41 0.47 0.41 0.47 0.08 XXX 95808 A Polysomnography, 1-3 2.65 15.76 14.48 NA NA 0.55 XXX 95808 TC A Polysomnography, 1-3 0.00 15.06 13.67 NA NA 0.42 XXX 95808 26 A Polysomnography, 1-3 2.65 0.70 0.81 0.70 0.81 0.13 XXX 95810 A Polysomnography, 4 or more 3.52 17.70 17.60 NA NA 0.59 XXX 95810 TC A Polysomnography, 4 or more 0.00 16.80 16.56 NA NA 0.42 XXX Start Printed Page 2694 95810 26 A Polysomnography, 4 or more 3.52 0.90 1.04 0.90 1.04 0.17 XXX 95811 A Polysomnography w/cpap 3.79 19.70 19.45 NA NA 0.61 XXX 95811 TC A Polysomnography w/cpap 0.00 18.74 18.34 NA NA 0.43 XXX 95811 26 A Polysomnography w/cpap 3.79 0.96 1.11 0.96 1.11 0.18 XXX 95812 A Eeg, 41-60 minutes 1.08 5.90 4.97 NA NA 0.17 XXX 95812 TC A Eeg, 41-60 minutes 0.00 5.60 4.59 NA NA 0.11 XXX 95812 26 A Eeg, 41-60 minutes 1.08 0.30 0.38 0.30 0.38 0.06 XXX 95813 A Eeg, over 1 hour 1.73 6.52 5.77 NA NA 0.20 XXX 95813 TC A Eeg, over 1 hour 0.00 6.04 5.18 NA NA 0.11 XXX 95813 26 A Eeg, over 1 hour 1.73 0.48 0.59 0.48 0.59 0.09 XXX 95816 A Eeg, awake and drowsy 1.08 5.28 4.49 NA NA 0.16 XXX 95816 TC A Eeg, awake and drowsy 0.00 4.98 4.11 NA NA 0.10 XXX 95816 26 A Eeg, awake and drowsy 1.08 0.30 0.38 0.30 0.38 0.06 XXX 95819 A Eeg, awake and asleep 1.08 6.13 4.56 NA NA 0.16 XXX 95819 TC A Eeg, awake and asleep 0.00 5.83 4.18 NA NA 0.10 XXX 95819 26 A Eeg, awake and asleep 1.08 0.30 0.38 0.30 0.38 0.06 XXX 95822 A Eeg, coma or sleep only 1.08 5.52 5.06 NA NA 0.19 XXX 95822 TC A Eeg, coma or sleep only 0.00 5.22 4.68 NA NA 0.13 XXX 95822 26 A Eeg, coma or sleep only 1.08 0.30 0.38 0.30 0.38 0.06 XXX 95824 C Eeg, cerebral death only 0.00 0.00 0.00 NA NA 0.00 XXX 95824 TC C Eeg, cerebral death only 0.00 0.00 0.00 NA NA 0.00 XXX 95824 26 A Eeg, cerebral death only 0.74 0.21 0.26 0.21 0.26 0.04 XXX 95827 A Eeg, all night recording 1.08 11.54 7.12 NA NA 0.19 XXX 95827 TC A Eeg, all night recording 0.00 11.24 6.77 NA NA 0.14 XXX 95827 26 A Eeg, all night recording 1.08 0.30 0.35 0.30 0.35 0.05 XXX 95829 A Surgery electrocorticogram 6.20 24.77 27.90 NA NA 0.50 XXX 95829 TC A Surgery electrocorticogram 0.00 23.01 25.86 NA NA 0.02 XXX 95829 26 A Surgery electrocorticogram 6.20 1.76 2.04 1.76 2.04 0.48 XXX 95830 A Insert electrodes for EEG 1.70 2.97 3.13 0.41 0.57 0.11 XXX 95831 A Limb muscle testing, manual 0.28 0.40 0.43 0.09 0.11 0.01 XXX 95832 A Hand muscle testing, manual 0.29 0.37 0.35 0.10 0.11 0.02 XXX 95833 A Body muscle testing, manual 0.47 0.50 0.54 0.14 0.18 0.02 XXX 95834 A Body muscle testing, manual 0.60 0.54 0.58 0.17 0.23 0.03 XXX 95851 A Range of motion measurements 0.16 0.26 0.31 0.04 0.06 0.01 XXX 95852 A Range of motion measurements 0.11 0.24 0.25 0.04 0.04 0.01 XXX 95857 A Tensilon test 0.53 0.58 0.59 0.16 0.19 0.02 XXX 95860 A Muscle test, one limb 0.96 1.16 1.29 NA NA 0.07 XXX 95860 TC A Muscle test, one limb 0.00 0.84 0.92 NA NA 0.02 XXX 95860 26 A Muscle test, one limb 0.96 0.32 0.37 0.32 0.37 0.05 XXX 95861 A Muscle test, 2 limbs 1.54 1.66 1.53 NA NA 0.13 XXX 95861 TC A Muscle test, 2 limbs 0.00 1.15 0.94 NA NA 0.06 XXX 95861 26 A Muscle test, 2 limbs 1.54 0.51 0.59 0.51 0.59 0.07 XXX 95863 A Muscle test, 3 limbs 1.87 1.92 1.82 NA NA 0.15 XXX 95863 TC A Muscle test, 3 limbs 0.00 1.35 1.14 NA NA 0.06 XXX 95863 26 A Muscle test, 3 limbs 1.87 0.57 0.68 0.57 0.68 0.09 XXX 95864 A Muscle test, 4 limbs 1.99 2.14 2.40 NA NA 0.21 XXX 95864 TC A Muscle test, 4 limbs 0.00 1.53 1.66 NA NA 0.12 XXX 95864 26 A Muscle test, 4 limbs 1.99 0.61 0.74 0.61 0.74 0.09 XXX 95865 A Muscle test, larynx 1.57 1.39 1.42 NA NA 0.11 XXX 95865 TC A Muscle test, larynx 0.00 0.90 0.79 NA NA 0.03 XXX 95865 26 A Muscle test, larynx 1.57 0.49 0.63 0.49 0.63 0.08 XXX 95866 A Muscle test, hemidiaphragm 1.25 1.32 1.03 NA NA 0.10 XXX 95866 TC A Muscle test, hemidiaphragm 0.00 0.93 0.56 NA NA 0.03 XXX 95866 26 A Muscle test, hemidiaphragm 1.25 0.39 0.47 0.39 0.47 0.07 XXX 95867 A Muscle test cran nerv unilat 0.79 1.15 1.04 NA NA 0.07 XXX 95867 TC A Muscle test cran nerv unilat 0.00 0.91 0.75 NA NA 0.04 XXX 95867 26 A Muscle test cran nerv unilat 0.79 0.24 0.29 0.24 0.29 0.03 XXX 95868 A Muscle test cran nerve bilat 1.18 1.47 1.35 NA NA 0.10 XXX 95868 TC A Muscle test cran nerve bilat 0.00 1.11 0.91 NA NA 0.05 XXX 95868 26 A Muscle test cran nerve bilat 1.18 0.36 0.44 0.36 0.44 0.05 XXX 95869 A Muscle test, thor paraspinal 0.37 1.03 0.70 NA NA 0.04 XXX 95869 TC A Muscle test, thor paraspinal 0.00 0.91 0.56 NA NA 0.02 XXX 95869 26 A Muscle test, thor paraspinal 0.37 0.12 0.14 0.12 0.14 0.02 XXX 95870 A Muscle test, nonparaspinal 0.37 0.99 0.68 NA NA 0.04 XXX 95870 TC A Muscle test, nonparaspinal 0.00 0.87 0.54 NA NA 0.02 XXX 95870 26 A Muscle test, nonparaspinal 0.37 0.12 0.14 0.12 0.14 0.02 XXX 95872 A Muscle test, one fiber 2.88 1.64 1.43 NA NA 0.13 XXX 95872 TC A Muscle test, one fiber 0.00 0.76 0.68 NA NA 0.05 XXX 95872 26 A Muscle test, one fiber 2.88 0.88 0.75 0.88 0.75 0.08 XXX 95873 A Guide nerv destr, elec stim 0.37 1.02 0.69 NA NA 0.04 ZZZ 95873 TC A Guide nerv destr, elec stim 0.00 0.88 0.54 NA NA 0.02 ZZZ 95873 26 A Guide nerv destr, elec stim 0.37 0.14 0.15 0.14 0.15 0.02 ZZZ Start Printed Page 2695 95874 A Guide nerv destr, needle emg 0.37 0.95 0.67 NA NA 0.04 ZZZ 95874 TC A Guide nerv destr, needle emg 0.00 0.83 0.52 NA NA 0.02 ZZZ 95874 26 A Guide nerv destr, needle emg 0.37 0.12 0.15 0.12 0.15 0.02 ZZZ 95875 A Limb exercise test 1.10 1.48 1.46 NA NA 0.11 XXX 95875 TC A Limb exercise test 0.00 1.09 1.03 NA NA 0.06 XXX 95875 26 A Limb exercise test 1.10 0.39 0.43 0.39 0.43 0.05 XXX 95900 A Motor nerve conduction test 0.42 0.92 1.09 NA NA 0.04 XXX 95900 TC A Motor nerve conduction test 0.00 0.78 0.93 NA NA 0.02 XXX 95900 26 A Motor nerve conduction test 0.42 0.14 0.16 0.14 0.16 0.02 XXX 95903 A Motor nerve conduction test 0.60 1.00 1.10 NA NA 0.05 XXX 95903 TC A Motor nerve conduction test 0.00 0.83 0.88 NA NA 0.02 XXX 95903 26 A Motor nerve conduction test 0.60 0.17 0.22 0.17 0.22 0.03 XXX 95904 A Sense nerve conduction test 0.34 0.84 0.97 NA NA 0.04 XXX 95904 TC A Sense nerve conduction test 0.00 0.74 0.84 NA NA 0.02 XXX 95904 26 A Sense nerve conduction test 0.34 0.10 0.13 0.10 0.13 0.02 XXX 95920 A Intraop nerve test add-on 2.11 1.72 1.99 NA NA 0.23 ZZZ 95920 TC A Intraop nerve test add-on 0.00 1.10 1.21 NA NA 0.07 ZZZ 95920 26 A Intraop nerve test add-on 2.11 0.62 0.78 0.62 0.78 0.16 ZZZ 95921 A Autonomic nerv function test 0.90 1.16 0.94 NA NA 0.06 XXX 95921 TC A Autonomic nerv function test 0.00 0.91 0.65 NA NA 0.02 XXX 95921 26 A Autonomic nerv function test 0.90 0.25 0.29 0.25 0.29 0.04 XXX 95922 A Autonomic nerv function test 0.96 1.61 1.19 NA NA 0.07 XXX 95922 TC A Autonomic nerv function test 0.00 1.35 0.86 NA NA 0.02 XXX 95922 26 A Autonomic nerv function test 0.96 0.26 0.33 0.26 0.33 0.05 XXX 95923 A Autonomic nerv function test 0.90 2.33 2.14 NA NA 0.07 XXX 95923 TC A Autonomic nerv function test 0.00 2.08 1.82 NA NA 0.02 XXX 95923 26 A Autonomic nerv function test 0.90 0.25 0.32 0.25 0.32 0.05 XXX 95925 A Somatosensory testing 0.54 3.07 2.10 NA NA 0.10 XXX 95925 TC A Somatosensory testing 0.00 2.92 1.91 NA NA 0.06 XXX 95925 26 A Somatosensory testing 0.54 0.15 0.19 0.15 0.19 0.04 XXX 95926 A Somatosensory testing 0.54 3.00 2.07 NA NA 0.09 XXX 95926 TC A Somatosensory testing 0.00 2.85 1.88 NA NA 0.06 XXX 95926 26 A Somatosensory testing 0.54 0.15 0.19 0.15 0.19 0.03 XXX 95927 A Somatosensory testing 0.54 3.13 2.15 NA NA 0.10 XXX 95927 TC A Somatosensory testing 0.00 2.97 1.94 NA NA 0.06 XXX 95927 26 A Somatosensory testing 0.54 0.16 0.21 0.16 0.21 0.04 XXX 95928 A C motor evoked, uppr limbs 1.50 3.94 3.48 NA NA 0.09 XXX 95928 TC A C motor evoked, uppr limbs 0.00 3.50 2.94 NA NA 0.03 XXX 95928 26 A C motor evoked, uppr limbs 1.50 0.44 0.54 0.44 0.54 0.06 XXX 95929 A C motor evoked, lwr limbs 1.50 4.26 3.74 NA NA 0.09 XXX 95929 TC A C motor evoked, lwr limbs 0.00 3.82 3.19 NA NA 0.03 XXX 95929 26 A C motor evoked, lwr limbs 1.50 0.44 0.55 0.44 0.55 0.06 XXX 95930 A Visual evoked potential test 0.35 2.64 2.45 NA NA 0.03 XXX 95930 TC A Visual evoked potential test 0.00 2.54 2.32 NA NA 0.01 XXX 95930 26 A Visual evoked potential test 0.35 0.10 0.13 0.10 0.13 0.02 XXX 95933 A Blink reflex test 0.59 1.11 1.07 NA NA 0.10 XXX 95933 TC A Blink reflex test 0.00 0.94 0.86 NA NA 0.06 XXX 95933 26 A Blink reflex test 0.59 0.17 0.21 0.17 0.21 0.04 XXX 95934 A H-reflex test 0.51 0.85 0.64 NA NA 0.04 XXX 95934 TC A H-reflex test 0.00 0.70 0.45 NA NA 0.02 XXX 95934 26 A H-reflex test 0.51 0.15 0.19 0.15 0.19 0.02 XXX 95936 A H-reflex test 0.55 0.59 0.52 NA NA 0.05 XXX 95936 TC A H-reflex test 0.00 0.43 0.32 NA NA 0.02 XXX 95936 26 A H-reflex test 0.55 0.16 0.20 0.16 0.20 0.03 XXX 95937 A Neuromuscular junction test 0.65 0.92 0.76 NA NA 0.10 XXX 95937 TC A Neuromuscular junction test 0.00 0.72 0.53 NA NA 0.02 XXX 95937 26 A Neuromuscular junction test 0.65 0.20 0.23 0.20 0.23 0.08 XXX 95950 A Ambulatory eeg monitoring 1.51 4.93 4.43 NA NA 0.51 XXX 95950 TC A Ambulatory eeg monitoring 0.00 4.50 3.90 NA NA 0.43 XXX 95950 26 A Ambulatory eeg monitoring 1.51 0.43 0.53 0.43 0.53 0.08 XXX 95951 C EEG monitoring/videorecord 0.00 0.00 0.00 NA NA 0.00 XXX 95951 TC C EEG monitoring/videorecord 0.00 0.00 0.00 NA NA 0.00 XXX 95951 26 A EEG monitoring/videorecord 5.99 1.68 2.12 1.68 2.12 0.32 XXX 95953 A EEG monitoring/computer 3.30 7.22 7.43 NA NA 0.60 XXX 95953 TC A EEG monitoring/computer 0.00 6.29 6.32 NA NA 0.43 XXX 95953 26 A EEG monitoring/computer 3.30 0.93 1.11 0.93 1.11 0.17 XXX 95954 A EEG monitoring/giving drugs 2.45 4.38 4.30 NA NA 0.19 XXX 95954 TC A EEG monitoring/giving drugs 0.00 3.96 3.57 NA NA 0.06 XXX 95954 26 A EEG monitoring/giving drugs 2.45 0.42 0.73 0.42 0.73 0.13 XXX 95955 A EEG during surgery 1.01 2.76 2.54 NA NA 0.22 XXX 95955 TC A EEG during surgery 0.00 2.48 2.22 NA NA 0.17 XXX 95955 26 A EEG during surgery 1.01 0.28 0.32 0.28 0.32 0.05 XXX Start Printed Page 2696 95956 A Eeg monitoring, cable/radio 3.08 16.30 15.86 NA NA 0.59 XXX 95956 TC A Eeg monitoring, cable/radio 0.00 15.44 14.78 NA NA 0.43 XXX 95956 26 A Eeg monitoring, cable/radio 3.08 0.86 1.08 0.86 1.08 0.16 XXX 95957 A EEG digital analysis 1.98 5.85 4.20 NA NA 0.23 XXX 95957 TC A EEG digital analysis 0.00 5.30 3.50 NA NA 0.12 XXX 95957 26 A EEG digital analysis 1.98 0.55 0.70 0.55 0.70 0.11 XXX 95958 A EEG monitoring/function test 4.24 6.70 5.10 NA NA 0.34 XXX 95958 TC A EEG monitoring/function test 0.00 5.47 3.61 NA NA 0.13 XXX 95958 26 A EEG monitoring/function test 4.24 1.23 1.49 1.23 1.49 0.21 XXX 95961 A Electrode stimulation, brain 2.97 3.05 2.84 NA NA 0.55 XXX 95961 TC A Electrode stimulation, brain 0.00 2.18 1.74 NA NA 0.07 XXX 95961 26 A Electrode stimulation, brain 2.97 0.87 1.10 0.87 1.10 0.48 XXX 95962 A Electrode stim, brain add-on 3.21 2.21 2.45 NA NA 0.39 ZZZ 95962 TC A Electrode stim, brain add-on 0.00 1.30 1.30 NA NA 0.07 ZZZ 95962 26 A Electrode stim, brain add-on 3.21 0.91 1.15 0.91 1.15 0.32 ZZZ 95965 C Meg, spontaneous 0.00 0.00 0.00 NA NA 0.00 XXX 95965 TC C Meg, spontaneous 0.00 0.00 0.00 NA NA 0.00 XXX 95965 26 A Meg, spontaneous 7.99 2.39 2.91 2.39 2.91 0.46 XXX 95966 C Meg, evoked, single 0.00 0.00 0.00 NA NA 0.00 XXX 95966 TC C Meg, evoked, single 0.00 0.00 0.00 NA NA 0.00 XXX 95966 26 A Meg, evoked, single 3.99 1.19 1.45 1.19 1.45 0.19 XXX 95967 C Meg, evoked, each addÆl 0.00 0.00 0.00 NA NA 0.00 ZZZ 95967 TC C Meg, evoked, each addÆl 0.00 0.00 0.00 NA NA 0.00 ZZZ 95967 26 A Meg, evoked, each addÆl 3.49 1.01 1.09 1.01 1.09 0.16 ZZZ 95970 A Analyze neurostim, no prog 0.45 0.90 0.87 0.13 0.13 0.03 XXX 95971 A Analyze neurostim, simple 0.78 0.58 0.63 0.18 0.20 0.07 XXX 95972 A Analyze neurostim, complex 1.50 1.15 1.18 0.44 0.46 0.14 XXX 95973 A Analyze neurostim, complex 0.92 0.49 0.55 0.22 0.28 0.07 ZZZ 95974 A Cranial neurostim, complex 3.00 1.44 1.57 0.78 1.04 0.16 XXX 95975 A Cranial neurostim, complex 1.70 0.73 0.81 0.47 0.60 0.12 ZZZ 95978 A Analyze neurostim brain/1h 3.50 1.86 1.90 1.02 1.16 0.18 XXX 95979 A Analyz neurostim brain addon 1.64 0.72 0.80 0.46 0.58 0.08 ZZZ 95980 A Io anal gast n-stim init 0.80 NA NA 0.25 0.25 0.07 XXX 95981 A Io anal gast n-stim subsq 0.30 0.44 0.44 0.12 0.12 0.02 XXX 95982 A Io ga n-stim subsq w/reprog 0.65 0.47 0.47 0.18 0.18 0.05 XXX 95990 A Spin/brain pump refil & main 0.00 1.62 1.56 NA NA 0.06 XXX 95991 A Spin/brain pump refil & main 0.77 1.61 1.55 0.17 0.17 0.06 XXX 95999 C Neurological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96000 A Motion analysis, video/3d 1.80 NA NA 0.44 0.48 0.11 XXX 96001 A Motion test w/ft press meas 2.15 NA NA 0.56 0.61 0.10 XXX 96002 A Dynamic surface emg 0.41 NA NA 0.10 0.13 0.02 XXX 96003 A Dynamic fine wire emg 0.37 NA NA 0.09 0.10 0.02 XXX 96004 A Phys review of motion tests 2.14 0.65 0.79 0.65 0.79 0.11 XXX 96020 C Functional brain mapping 0.00 0.00 0.00 NA NA 0.00 XXX 96020 TC C Functional brain mapping 0.00 0.00 0.00 NA NA 0.00 XXX 96020 26 A Functional brain mapping 3.43 1.07 1.07 1.07 1.07 0.17 XXX 96040 B Genetic counseling, 30 min 0.00 0.98 0.98 NA NA 0.01 XXX 96101 A Psycho testing by psych/phys 1.86 0.35 0.50 0.33 0.48 0.05 XXX 96102 A Psycho testing by technician 0.50 1.10 0.88 0.09 0.13 0.01 XXX 96103 A Psycho testing admin by comp 0.51 0.92 0.56 0.10 0.14 0.02 XXX 96105 A Assessment of aphasia 0.00 1.66 1.71 NA NA 0.18 XXX 96110 A Developmental test, lim 0.00 0.19 0.18 NA NA 0.18 XXX 96111 A Developmental test, extend 2.60 0.69 0.87 0.58 0.81 0.18 XXX 96116 A Neurobehavioral status exam 1.86 0.53 0.68 0.40 0.52 0.18 XXX 96118 A Neuropsych tst by psych/phys 1.86 0.84 1.11 0.33 0.48 0.18 XXX 96119 A Neuropsych testing by tec 0.55 1.53 1.27 0.10 0.14 0.18 XXX 96120 A Neuropsych tst admin w/comp 0.51 1.69 1.21 0.10 0.13 0.02 XXX 96125 A Cognitive test by hc pro 1.70 0.76 0.76 0.37 0.37 0.16 XXX 96150 A Assess hlth/behave, init 0.50 0.10 0.14 0.09 0.13 0.01 XXX 96151 A Assess hlth/behave, subseq 0.48 0.10 0.14 0.09 0.13 0.01 XXX 96152 A Intervene hlth/behave, indiv 0.46 0.09 0.13 0.08 0.12 0.01 XXX 96153 A Intervene hlth/behave, group 0.10 0.02 0.03 0.02 0.02 0.01 XXX 96154 A Interv hlth/behav, fam w/pt 0.45 0.09 0.13 0.08 0.12 0.01 XXX 96155 N Interv hlth/behav fam no pt 0.44 0.10 0.14 0.10 0.14 0.02 XXX 96401 A Chemo, anti-neopl, sq/im 0.21 1.86 1.51 NA NA 0.01 XXX 96402 A Chemo hormon antineopl sq/im 0.19 0.78 0.89 NA NA 0.01 XXX 96405 A Chemo intralesional, up to 7 0.52 3.69 3.06 0.24 0.24 0.03 000 96406 A Chemo intralesional over 7 0.80 3.62 3.31 0.32 0.31 0.03 000 96409 A Chemo, iv push, sngl drug 0.24 2.80 2.86 NA NA 0.06 XXX 96411 A Chemo, iv push, addl drug 0.20 1.50 1.55 NA NA 0.06 ZZZ 96413 A Chemo, iv infusion, 1 hr 0.28 3.64 3.91 NA NA 0.08 XXX 96415 A Chemo, iv infusion, addl hr 0.19 0.66 0.71 NA NA 0.07 ZZZ Start Printed Page 2697 96416 A Chemo prolong infuse w/pump 0.21 4.09 4.34 NA NA 0.08 XXX 96417 A Chemo iv infus each addl seq 0.21 1.73 1.84 NA NA 0.07 ZZZ 96420 A Chemo, ia, push tecnique 0.17 2.78 2.72 NA NA 0.08 XXX 96422 A Chemo ia infusion up to 1 hr 0.17 4.50 4.66 NA NA 0.08 XXX 96423 A Chemo ia infuse each addl hr 0.17 1.99 1.94 NA NA 0.02 ZZZ 96425 A Chemotherapy,infusion method 0.17 4.67 4.57 NA NA 0.08 XXX 96440 A Chemotherapy, intracavitary 2.37 5.56 6.84 0.98 1.10 0.17 000 96445 A Chemotherapy, intracavitary 2.20 5.42 6.73 0.96 1.07 0.14 000 96450 A Chemotherapy, into CNS 1.53 4.99 5.97 0.83 1.06 0.09 000 96521 A Refill/maint, portable pump 0.21 3.16 3.46 NA NA 0.06 XXX 96522 A Refill/maint pump/resvr syst 0.21 2.78 2.71 NA NA 0.06 XXX 96523 T Irrig drug delivery device 0.04 0.64 0.67 NA NA 0.01 XXX 96542 A Chemotherapy injection 0.75 3.56 3.90 0.32 0.49 0.07 XXX 96549 C Chemotherapy, unspecified 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96567 A Photodynamic tx, skin 0.00 3.74 2.85 NA NA 0.04 XXX 96570 A Photodynamic tx, 30 min 1.10 0.40 0.38 0.40 0.38 0.11 ZZZ 96571 A Photodynamic tx, addl 15 min 0.55 0.19 0.19 0.19 0.19 0.03 ZZZ 96900 A Ultraviolet light therapy 0.00 0.57 0.50 NA NA 0.02 XXX 96902 B Trichogram 0.41 0.11 0.15 0.09 0.13 0.01 XXX 96904 R Whole body photography 0.00 1.90 1.90 NA NA 0.01 XXX 96910 A Photochemotherapy with UV-B 0.00 2.01 1.50 NA NA 0.04 XXX 96912 A Photochemotherapy with UV-A 0.00 2.58 1.92 NA NA 0.05 XXX 96913 A Photochemotherapy, UV-A or B 0.00 3.47 2.57 NA NA 0.10 XXX 96920 A Laser tx, skin < 250 sq cm 1.15 3.58 3.06 0.56 0.56 0.02 000 96921 A Laser tx, skin 250-500 sq cm 1.17 3.33 2.97 0.51 0.54 0.03 000 96922 A Laser tx, skin > 500 sq cm 2.10 4.64 4.06 1.04 0.83 0.04 000 96999 C Dermatological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97001 A Pt evaluation 1.20 0.65 0.70 NA NA 0.05 XXX 97002 A Pt re-evaluation 0.60 0.41 0.42 NA NA 0.02 XXX 97003 A Ot evaluation 1.20 0.76 0.82 NA NA 0.06 XXX 97004 A Ot re-evaluation 0.60 0.54 0.61 NA NA 0.02 XXX 97005 I Athletic train eval 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97006 I Athletic train reeval 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97010 B Hot or cold packs therapy 0.06 0.07 0.06 NA NA 0.01 XXX 97012 A Mechanical traction therapy 0.25 0.14 0.14 NA NA 0.01 XXX 97014 I Electric stimulation therapy 0.18 0.18 0.18 NA NA 0.01 XXX 97016 A Vasopneumatic device therapy 0.18 0.24 0.21 NA NA 0.01 XXX 97018 A Paraffin bath therapy 0.06 0.17 0.13 NA NA 0.01 XXX 97022 A Whirlpool therapy 0.17 0.33 0.27 NA NA 0.01 XXX 97024 A Diathermy eg, microwave 0.06 0.08 0.07 NA NA 0.01 XXX 97026 A Infrared therapy 0.06 0.07 0.06 NA NA 0.01 XXX 97028 A Ultraviolet therapy 0.08 0.08 0.08 NA NA 0.01 XXX 97032 A Electrical stimulation 0.25 0.20 0.18 NA NA 0.01 XXX 97033 A Electric current therapy 0.26 0.44 0.36 NA NA 0.01 XXX 97034 A Contrast bath therapy 0.21 0.20 0.17 NA NA 0.01 XXX 97035 A Ultrasound therapy 0.21 0.10 0.10 NA NA 0.01 XXX 97036 A Hydrotherapy 0.28 0.44 0.38 NA NA 0.01 XXX 97039 C Physical therapy treatment 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97110 A Therapeutic exercises 0.45 0.32 0.29 NA NA 0.02 XXX 97112 A Neuromuscular reeducation 0.45 0.34 0.33 NA NA 0.01 XXX 97113 A Aquatic therapy/exercises 0.44 0.53 0.46 NA NA 0.01 XXX 97116 A Gait training therapy 0.40 0.27 0.26 NA NA 0.01 XXX 97124 A Massage therapy 0.35 0.27 0.25 NA NA 0.01 XXX 97139 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97140 A Manual therapy 0.43 0.29 0.27 NA NA 0.01 XXX 97150 A Group therapeutic procedures 0.27 0.22 0.20 NA NA 0.01 XXX 97530 A Therapeutic activities 0.44 0.38 0.35 NA NA 0.01 XXX 97532 A Cognitive skills development 0.44 0.22 0.21 NA NA 0.01 XXX 97533 A Sensory integration 0.44 0.27 0.25 NA NA 0.01 XXX 97535 A Self care mngment training 0.45 0.37 0.35 NA NA 0.01 XXX 97537 A Community/work reintegration 0.45 0.28 0.27 NA NA 0.01 XXX 97542 A Wheelchair mngment training 0.45 0.29 0.28 NA NA 0.01 XXX 97545 R Work hardening 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97546 R Work hardening add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 97597 A Active wound care/20 cm or < 0.58 1.10 0.88 0.12 0.39 0.05 XXX 97598 A Active wound care > 20 cm 0.80 1.27 1.03 0.17 0.48 0.05 XXX 97602 B Wound(s) care non-selective 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97605 A Neg press wound tx, < 50 cm 0.55 0.40 0.37 0.11 0.17 0.02 XXX 97606 A Neg press wound tx, > 50 cm 0.60 0.41 0.38 0.13 0.18 0.03 XXX 97750 A Physical performance test 0.45 0.33 0.32 NA NA 0.02 XXX 97755 A Assistive technology assess 0.62 0.27 0.28 NA NA 0.02 XXX 97760 A Orthotic mgmt and training 0.45 0.42 0.38 NA NA 0.03 XXX Start Printed Page 2698 97761 A Prosthetic training 0.45 0.33 0.30 NA NA 0.02 XXX 97762 A C/o for orthotic/prosth use 0.25 0.73 0.58 NA NA 0.02 XXX 97799 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97802 A Medical nutrition, indiv, in 0.45 0.14 0.30 0.11 0.29 0.01 XXX 97803 A Med nutrition, indiv, subseq 0.37 0.12 0.29 0.09 0.28 0.01 XXX 97804 A Medical nutrition, group 0.25 0.08 0.13 0.07 0.12 0.01 XXX 97810 N Acupunct w/o stimul 15 min 0.60 0.26 0.32 0.14 0.18 0.03 XXX 97811 N Acupunct w/o stimul addl 15m 0.50 0.15 0.20 0.11 0.15 0.03 ZZZ 97813 N Acupunct w/stimul 15 min 0.65 0.27 0.33 0.15 0.20 0.03 XXX 97814 N Acupunct w/stimul addl 15m 0.55 0.19 0.24 0.13 0.17 0.03 ZZZ 98925 A Osteopathic manipulation 0.45 0.29 0.30 0.12 0.13 0.02 000 98926 A Osteopathic manipulation 0.65 0.37 0.39 0.17 0.21 0.03 000 98927 A Osteopathic manipulation 0.87 0.45 0.48 0.22 0.26 0.03 000 98928 A Osteopathic manipulation 1.03 0.51 0.55 0.26 0.30 0.04 000 98929 A Osteopathic manipulation 1.19 0.57 0.62 0.30 0.33 0.05 000 98940 A Chiropractic manipulation 0.45 0.21 0.22 0.12 0.12 0.01 000 98941 A Chiropractic manipulation 0.65 0.27 0.29 0.17 0.17 0.01 000 98942 A Chiropractic manipulation 0.87 0.33 0.35 0.24 0.23 0.02 000 98943 N Chiropractic manipulation 0.40 0.17 0.21 0.09 0.13 0.01 XXX 98960 B Self-mgmt educ & train, 1 pt 0.00 0.58 0.58 NA NA 0.01 XXX 98961 B Self-mgmt educ/train, 2-4 pt 0.00 0.28 0.28 NA NA 0.01 XXX 98962 B Self-mgmt educ/train, 5-8 pt 0.00 0.20 0.20 NA NA 0.01 XXX 98966 N Hc pro phone call 5-10 min 0.25 0.09 0.09 0.06 0.06 0.01 XXX 98967 N Hc pro phone call 11-20 min 0.50 0.14 0.14 0.11 0.11 0.02 XXX 98968 N Hc pro phone call 21-30 min 0.75 0.20 0.20 0.17 0.17 0.03 XXX 98969 N Online service by hc pro 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99000 B Specimen handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99001 B Specimen handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99002 B Device handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99024 B Postop follow-up visit 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99026 N In-hospital on call service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99027 N Out-of-hosp on call service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99050 B Medical services after hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99051 B Med serv, eve/wkend/holiday 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99053 B Med serv 10pm-8am, 24 hr fac 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99056 B Med service out of office 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99058 B Office emergency care 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99060 B Out of office emerg med serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99070 B Special supplies 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99071 B Patient education materials 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99075 N Medical testimony 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99078 B Group health education 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99080 B Special reports or forms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99082 C Unusual physician travel 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99090 B Computer data analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99091 B Collect/review data from pt 1.10 0.25 0.25 NA NA 0.04 XXX 99100 B Special anesthesia service 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99116 B Anesthesia with hypothermia 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99135 B Special anesthesia procedure 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99140 B Emergency anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99143 C Mod cs by same phys, < 5 yrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99144 C Mod cs by same phys, 5 yrs + 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99145 C Mod cs by same phys add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99148 C Mod cs diff phys < 5 yrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99149 C Mod cs diff phys 5 yrs + 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99150 C Mod cs diff phys add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99170 A Anogenital exam, child 1.75 1.83 1.80 0.61 0.58 0.08 000 99172 N Ocular function screen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99173 N Visual acuity screen 0.00 0.06 0.06 NA NA 0.01 XXX 99174 N Ocular photoscreening 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99175 A Induction of vomiting 0.00 0.36 0.87 NA NA 0.10 XXX 99183 A Hyperbaric oxygen therapy 2.34 2.60 2.92 0.57 0.65 0.16 XXX 99185 A Regional hypothermia 0.00 1.67 1.15 NA NA 0.04 XXX 99186 A Total body hypothermia 0.00 1.63 1.71 NA NA 0.45 XXX 99190 X Special pump services 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99191 X Special pump services 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99192 X Special pump services 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99195 A Phlebotomy 0.00 2.56 1.50 NA NA 0.02 XXX 99199 C Special service/proc/report 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99201 A Office/outpatient visit, new 0.45 0.55 0.52 0.16 0.15 0.03 XXX 99202 A Office/outpatient visit, new 0.88 0.84 0.81 0.29 0.30 0.05 XXX 99203 A Office/outpatient visit, new 1.34 1.11 1.12 0.43 0.45 0.09 XXX Start Printed Page 2699 99204 A Office/outpatient visit, new 2.30 1.49 1.49 0.71 0.71 0.12 XXX 99205 A Office/outpatient visit, new 3.00 1.79 1.78 0.91 0.93 0.15 XXX 99211 A Office/outpatient visit, est 0.17 0.32 0.36 0.06 0.06 0.01 XXX 99212 A Office/outpatient visit, est 0.45 0.55 0.55 0.15 0.15 0.03 XXX 99213 A Office/outpatient visit, est 0.92 0.76 0.73 0.28 0.26 0.03 XXX 99214 A Office/outpatient visit, est 1.42 1.10 1.06 0.44 0.42 0.05 XXX 99215 A Office/outpatient visit, est 2.00 1.38 1.35 0.61 0.63 0.08 XXX 99217 A Observation care discharge 1.28 NA NA 0.50 0.51 0.06 XXX 99218 A Observation care 1.28 NA NA 0.38 0.41 0.06 XXX 99219 A Observation care 2.14 NA NA 0.59 0.65 0.10 XXX 99220 A Observation care 2.99 NA NA 0.84 0.93 0.14 XXX 99221 A Initial hospital care 1.88 NA NA 0.54 0.50 0.07 XXX 99222 A Initial hospital care 2.56 NA NA 0.71 0.72 0.10 XXX 99223 A Initial hospital care 3.78 NA NA 1.07 1.05 0.13 XXX 99231 A Subsequent hospital care 0.76 NA NA 0.24 0.23 0.03 XXX 99232 A Subsequent hospital care 1.39 NA NA 0.42 0.40 0.04 XXX 99233 A Subsequent hospital care 2.00 NA NA 0.59 0.56 0.06 XXX 99234 A Observ/hosp same date 2.56 NA NA 0.78 0.83 0.13 XXX 99235 A Observ/hosp same date 3.41 NA NA 0.98 1.07 0.16 XXX 99236 A Observ/hosp same date 4.26 NA NA 1.21 1.32 0.19 XXX 99238 A Hospital discharge day 1.28 NA NA 0.49 0.52 0.05 XXX 99239 A Hospital discharge day 1.90 NA NA 0.67 0.70 0.07 XXX 99241 A Office consultation 0.64 0.66 0.65 0.22 0.22 0.05 XXX 99242 A Office consultation 1.34 1.08 1.06 0.48 0.47 0.10 XXX 99243 A Office consultation 1.88 1.45 1.42 0.67 0.65 0.13 XXX 99244 A Office consultation 3.02 1.93 1.88 1.08 1.00 0.16 XXX 99245 A Office consultation 3.77 2.26 2.27 1.31 1.27 0.21 XXX 99251 A Inpatient consultation 1.00 NA NA 0.31 0.27 0.05 XXX 99252 A Inpatient consultation 1.50 NA NA 0.49 0.50 0.09 XXX 99253 A Inpatient consultation 2.27 NA NA 0.80 0.74 0.11 XXX 99254 A Inpatient consultation 3.29 NA NA 1.19 1.08 0.13 XXX 99255 A Inpatient consultation 4.00 NA NA 1.39 1.37 0.18 XXX 99281 A Emergency dept visit 0.45 NA NA 0.09 0.09 0.02 XXX 99282 A Emergency dept visit 0.88 NA NA 0.17 0.15 0.04 XXX 99283 A Emergency dept visit 1.34 NA NA 0.25 0.28 0.09 XXX 99284 A Emergency dept visit 2.56 NA NA 0.46 0.47 0.14 XXX 99285 A Emergency dept visit 3.80 NA NA 0.67 0.69 0.23 XXX 99288 B Direct advanced life support 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99289 A Ped crit care transport 4.79 NA NA 1.08 1.26 0.24 XXX 99290 A Ped crit care transport addl 2.40 NA NA 0.89 0.85 0.12 ZZZ 99291 A Critical care, first hour 4.50 2.26 2.42 1.10 1.19 0.21 XXX 99292 A Critical care, addÆl 30 min 2.25 0.80 0.85 0.56 0.60 0.11 ZZZ 99293 A Ped critical care, initial 15.98 NA NA 3.78 4.27 1.12 XXX 99294 A Ped critical care, subseq 7.99 NA NA 1.65 2.03 0.45 XXX 99295 A Neonate crit care, initial 18.46 NA NA 4.57 4.97 1.16 XXX 99296 A Neonate critical care subseq 7.99 NA NA 2.06 2.30 0.32 XXX 99298 A Ic for lbw infant < 1500 gm 2.75 NA NA 0.68 0.80 0.17 XXX 99299 A Ic, lbw infant 1500-2500 gm 2.50 NA NA 0.58 0.72 0.16 XXX 99300 A Ic, infant pbw 2501-5000 gm 2.40 NA NA 0.71 0.77 0.15 XXX 99304 A Nursing facility care, init 1.61 0.57 0.53 0.57 0.53 0.05 XXX 99305 A Nursing facility care, init 2.30 0.74 0.68 0.74 0.68 0.07 XXX 99306 A Nursing facility care, init 3.00 0.91 0.83 0.91 0.83 0.09 XXX 99307 A Nursing fac care, subseq 0.76 0.31 0.29 0.31 0.29 0.03 XXX 99308 A Nursing fac care, subseq 1.16 0.47 0.46 0.47 0.46 0.04 XXX 99309 A Nursing fac care, subseq 1.55 0.61 0.61 0.61 0.61 0.06 XXX 99310 A Nursing fac care, subseq 2.35 0.87 0.82 0.87 0.82 0.08 XXX 99315 A Nursing fac discharge day 1.13 0.41 0.43 0.41 0.43 0.05 XXX 99316 A Nursing fac discharge day 1.50 0.51 0.55 0.51 0.55 0.06 XXX 99318 A Annual nursing fac assessmnt 1.71 0.56 0.53 0.56 0.53 0.05 XXX 99324 A Domicil/r-home visit new pat 1.01 0.43 0.46 NA NA 0.05 XXX 99325 A Domicil/r-home visit new pat 1.52 0.55 0.62 NA NA 0.07 XXX 99326 A Domicil/r-home visit new pat 2.63 0.82 0.87 NA NA 0.10 XXX 99327 A Domicil/r-home visit new pat 3.46 1.02 1.09 NA NA 0.13 XXX 99328 A Domicil/r-home visit new pat 4.09 1.16 1.29 NA NA 0.16 XXX 99334 A Domicil/r-home visit est pat 1.07 0.43 0.42 NA NA 0.04 XXX 99335 A Domicil/r-home visit est pat 1.72 0.59 0.58 NA NA 0.06 XXX 99336 A Domicil/r-home visit est pat 2.46 0.77 0.79 NA NA 0.09 XXX 99337 A Domicil/r-home visit est pat 3.58 1.03 1.09 NA NA 0.13 XXX 99339 B Domicil/r-home care supervis 1.25 0.58 0.58 NA NA 0.06 XXX 99340 B Domicil/r-home care supervis 1.80 0.77 0.77 NA NA 0.07 XXX 99341 A Home visit, new patient 1.01 0.43 0.45 NA NA 0.05 XXX 99342 A Home visit, new patient 1.52 0.56 0.62 NA NA 0.07 XXX Start Printed Page 2700 99343 A Home visit, new patient 2.53 0.82 0.88 NA NA 0.10 XXX 99344 A Home visit, new patient 3.38 1.00 1.09 NA NA 0.13 XXX 99345 A Home visit, new patient 4.09 1.15 1.29 NA NA 0.16 XXX 99347 A Home visit, est patient 1.00 0.42 0.41 NA NA 0.04 XXX 99348 A Home visit, est patient 1.56 0.56 0.57 NA NA 0.06 XXX 99349 A Home visit, est patient 2.33 0.73 0.78 NA NA 0.09 XXX 99350 A Home visit, est patient 3.28 0.96 1.07 NA NA 0.13 XXX 99354 A Prolonged service, office 1.77 0.65 0.71 0.50 0.58 0.08 ZZZ 99355 A Prolonged service, office 1.77 0.62 0.68 0.47 0.54 0.07 ZZZ 99356 A Prolonged service, inpatient 1.71 NA NA 0.50 0.56 0.07 ZZZ 99357 A Prolonged service, inpatient 1.71 NA NA 0.50 0.56 0.08 ZZZ 99358 B Prolonged serv, w/o contact 2.10 0.51 0.51 0.51 0.51 0.09 ZZZ 99359 B Prolonged serv, w/o contact 1.00 0.26 0.26 0.26 0.26 0.04 ZZZ 99360 X Physician standby services 1.20 0.28 0.28 0.28 0.28 0.05 XXX 99363 B Anticoag mgmt, init 1.65 1.30 1.30 0.38 0.38 0.07 XXX 99364 B Anticoag mgmt, subseq 0.63 0.38 0.38 0.14 0.14 0.04 XXX 99366 B Team conf w/pat by hc pro 0.82 0.20 0.20 0.19 0.19 0.06 XXX 99367 B Team conf w/o pat by phys 1.10 0.25 0.25 0.25 0.25 0.05 XXX 99368 B Team conf w/o pat by hc pro 0.72 0.16 0.16 0.16 0.16 0.03 XXX 99374 B Home health care supervision 1.10 0.55 0.62 0.25 0.34 0.05 XXX 99375 I Home health care supervision 1.73 0.75 1.15 0.40 0.97 0.07 XXX 99377 B Hospice care supervision 1.10 0.55 0.62 0.25 0.34 0.05 XXX 99378 I Hospice care supervision 1.73 0.75 1.35 0.40 1.17 0.07 XXX 99379 B Nursing fac care supervision 1.10 0.55 0.62 0.25 0.34 0.04 XXX 99380 B Nursing fac care supervision 1.73 0.75 0.87 0.40 0.53 0.06 XXX 99381 N Init pm e/m, new pat, inf 1.19 1.00 1.25 0.27 0.36 0.05 XXX 99382 N Init pm e/m, new pat 1-4 yrs 1.36 1.04 1.29 0.31 0.42 0.05 XXX 99383 N Prev visit, new, age 5-11 1.36 1.03 1.25 0.31 0.42 0.05 XXX 99384 N Prev visit, new, age 12-17 1.53 1.07 1.31 0.35 0.47 0.06 XXX 99385 N Prev visit, new, age 18-39 1.53 1.07 1.31 0.35 0.47 0.06 XXX 99386 N Prev visit, new, age 40-64 1.88 1.15 1.45 0.43 0.58 0.07 XXX 99387 N Init pm e/m, new pat 65+ yrs 2.06 1.28 1.58 0.47 0.63 0.07 XXX 99391 N Per pm reeval, est pat, inf 1.02 0.86 0.94 0.24 0.31 0.04 XXX 99392 N Prev visit, est, age 1-4 1.19 0.90 1.00 0.27 0.36 0.05 XXX 99393 N Prev visit, est, age 5-11 1.19 0.90 0.98 0.27 0.36 0.05 XXX 99394 N Prev visit, est, age 12-17 1.36 0.93 1.03 0.31 0.42 0.05 XXX 99395 N Prev visit, est, age 18-39 1.36 0.94 1.05 0.31 0.42 0.05 XXX 99396 N Prev visit, est, age 40-64 1.53 0.98 1.11 0.35 0.47 0.06 XXX 99397 N Per pm reeval est pat 65+ yr 1.71 1.12 1.24 0.39 0.53 0.06 XXX 99401 N Preventive counseling, indiv 0.48 0.36 0.49 0.11 0.15 0.01 XXX 99402 N Preventive counseling, indiv 0.98 0.48 0.67 0.22 0.30 0.02 XXX 99403 N Preventive counseling, indiv 1.46 0.59 0.84 0.34 0.45 0.04 XXX 99404 N Preventive counseling, indiv 1.95 0.70 1.01 0.45 0.60 0.05 XXX 99406 A Behav chng smoking 3-10 min 0.24 0.11 0.10 0.07 0.08 0.01 XXX 99407 A Behav chng smoking < 10 min 0.50 0.18 0.18 0.13 0.15 0.01 XXX 99408 N Audit/dast, 15-30 min 0.65 0.19 0.19 0.15 0.15 0.01 XXX 99409 N Audit/dast, over 30 min 1.30 0.34 0.34 0.30 0.30 0.03 XXX 99411 N Preventive counseling, group 0.15 0.22 0.20 0.03 0.05 0.01 XXX 99412 N Preventive counseling, group 0.25 0.24 0.25 0.06 0.08 0.01 XXX 99420 N Health risk assessment test 0.00 0.22 0.22 NA NA 0.01 XXX 99429 N Unlisted preventive service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99431 A Initial care, normal newborn 1.17 NA NA 0.27 0.32 0.05 XXX 99432 A Newborn care, not in hosp 1.26 1.01 0.97 0.29 0.34 0.07 XXX 99433 A Normal newborn care/hospital 0.62 NA NA 0.17 0.19 0.02 XXX 99435 A Newborn discharge day hosp 1.50 NA NA 0.50 0.54 0.06 XXX 99436 A Attendance, birth 1.50 NA NA 0.33 0.40 0.06 XXX 99440 A Newborn resuscitation 2.93 NA NA 0.67 0.80 0.12 XXX 99441 N Phone e/m by phys 5-10 min 0.25 0.09 0.09 0.06 0.06 0.02 XXX 99442 N Phone e/m by phys 11-20 min 0.50 0.14 0.14 0.11 0.11 0.02 XXX 99443 N Phone e/m by phys 21-30 min 0.75 0.20 0.20 0.17 0.17 0.03 XXX 99444 N Online e/m by phys 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99450 N Basic life disability exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99455 R Work related disability exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99456 R Disability examination 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99477 A Init day hosp neonate care 7.00 1.98 1.98 1.98 1.98 0.32 XXX 99499 C Unlisted e&m service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99500 I Home visit, prenatal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99501 I Home visit, postnatal 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99502 I Home visit, nb care 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99503 I Home visit, resp therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99504 I Home visit mech ventilator 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99505 I Home visit, stoma care 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 2701 99506 I Home visit, im injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99507 I Home visit, cath maintain 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99509 I Home visit day life activity 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99510 I Home visit, sing/m/fam couns 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99511 I Home visit, fecal/enema mgmt 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99512 I Home visit for hemodialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99600 I Home visit nos 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99601 I Home infusion/visit, 2 hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99602 I Home infusion, each addtl hr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99605 X Mtms by pharm, np, 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99606 X Mtms by pharm, est, 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99607 X Mtms by pharm, addl 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXX A4890 R Repair/maint cont hemo equip 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0008 X Admin influenza virus vac 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0009 X Admin pneumococcal vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0010 X Admin hepatitis b vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0027 X Semen analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0101 A CA screen;pelvic/breast exam 0.45 0.48 0.50 NA NA 0.02 XXX G0102 A Prostate ca screening; dre 0.17 0.32 0.36 0.06 0.06 0.01 XXX G0103 X PSA screening 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0104 A CA screen;flexi sigmoidscope 0.96 2.52 2.40 0.62 0.56 0.08 000 G0105 A Colorectal scrn; hi risk ind 3.69 6.39 6.27 1.82 1.65 0.30 000 G0105 53 A Colorectal scrn; hi risk ind 0.96 2.52 2.40 0.62 0.56 0.08 000 G0106 A Colon CA screen;barium enema 0.99 4.95 3.75 NA NA 0.17 XXX G0106 TC A Colon CA screen;barium enema 0.00 4.60 3.42 NA NA 0.13 XXX G0106 26 A Colon CA screen;barium enema 0.99 0.35 0.33 0.35 0.33 0.04 XXX G0108 A Diab manage trn per indiv 0.00 0.59 0.71 NA NA 0.01 XXX G0109 A Diab manage trn ind/group 0.00 0.31 0.40 NA NA 0.01 XXX G0117 T Glaucoma scrn hgh risk direc 0.45 0.76 0.74 NA NA 0.01 XXX G0118 T Glaucoma scrn hgh risk direc 0.17 0.71 0.62 NA NA 0.01 XXX G0120 A Colon ca scrn; barium enema 0.99 4.95 3.75 NA NA 0.17 XXX G0120 TC A Colon ca scrn; barium enema 0.00 4.60 3.42 NA NA 0.13 XXX G0120 26 A Colon ca scrn; barium enema 0.99 0.35 0.33 0.35 0.33 0.04 XXX G0121 A Colon ca scrn not hi rsk ind 3.69 6.39 6.27 1.82 1.65 0.30 000 G0121 53 A Colon ca scrn not hi rsk ind 0.96 2.52 2.40 0.62 0.56 0.08 000 G0122 N Colon ca scrn; barium enema 0.99 5.65 4.11 NA NA 0.18 XXX G0122 TC N Colon ca scrn; barium enema 0.00 5.42 3.81 NA NA 0.13 XXX G0122 26 N Colon ca scrn; barium enema 0.99 0.23 0.30 0.23 0.30 0.05 XXX G0123 X Screen cerv/vag thin layer 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0124 A Screen c/v thin layer by MD 0.42 0.38 0.26 0.38 0.26 0.02 XXX G0127 R Trim nail(s) 0.17 0.38 0.32 0.04 0.06 0.01 000 G0128 R CORF skilled nursing service 0.08 0.02 0.02 0.02 0.02 0.01 XXX G0130 A Single energy x-ray study 0.22 0.55 0.72 NA NA 0.06 XXX G0130 TC A Single energy x-ray study 0.00 0.49 0.65 NA NA 0.05 XXX G0130 26 A Single energy x-ray study 0.22 0.06 0.07 0.06 0.07 0.01 XXX G0141 A Scr c/v cyto,autosys and md 0.42 0.38 0.26 0.38 0.26 0.02 XXX G0143 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0144 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0145 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0147 X Scr c/v cyto, automated sys 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0148 X Scr c/v cyto, autosys, rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0166 A Extrnl counterpulse, per tx 0.07 4.50 4.04 NA NA 0.01 XXX G0168 A Wound closure by adhesive 0.45 1.58 1.76 0.21 0.21 0.03 000 G0173 X Linear acc stereo radsur com 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0175 X OPPS Service,sched team conf 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0176 X OPPS/PHP;activity therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0177 X OPPS/PHP; train & educ serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0179 A MD recertification HHA PT 0.45 0.48 0.75 NA NA 0.02 XXX G0180 A MD certification HHA patient 0.67 0.56 0.91 NA NA 0.03 XXX G0181 A Home health care supervision 1.73 0.80 1.14 NA NA 0.07 XXX G0182 A Hospice care supervision 1.73 0.82 1.24 NA NA 0.07 XXX G0186 C Dstry eye lesn,fdr vssl tech 0.00 0.00 0.00 0.00 0.00 0.00 YYY G0202 A Screeningmammographydigital 0.70 2.81 2.79 NA NA 0.10 XXX G0202 TC A Screeningmammographydigital 0.00 2.57 2.56 NA NA 0.07 XXX G0202 26 A Screeningmammographydigital 0.70 0.24 0.23 0.24 0.23 0.03 XXX G0204 A Diagnosticmammographydigital 0.87 3.40 3.09 NA NA 0.11 XXX G0204 TC A Diagnosticmammographydigital 0.00 3.10 2.80 NA NA 0.07 XXX G0204 26 A Diagnosticmammographydigital 0.87 0.30 0.29 0.30 0.29 0.04 XXX G0206 A Diagnosticmammographydigital 0.70 2.67 2.46 NA NA 0.09 XXX G0206 TC A Diagnosticmammographydigital 0.00 2.43 2.23 NA NA 0.06 XXX G0206 26 A Diagnosticmammographydigital 0.70 0.24 0.23 0.24 0.23 0.03 XXX G0219 N PET img wholbod melano nonco 0.00 0.00 0.00 NA NA 0.00 XXX Start Printed Page 2702 G0219 TC N PET img wholbod melano nonco 0.00 0.00 0.00 NA NA 0.00 XXX G0219 26 N PET img wholbod melano nonco 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0235 N PET not otherwise specified 0.00 0.00 0.00 NA NA 0.00 XXX G0235 TC N PET not otherwise specified 0.00 0.00 0.00 NA NA 0.00 XXX G0235 26 N PET not otherwise specified 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0237 A Therapeutic procd strg endur 0.00 0.21 0.34 NA NA 0.02 XXX G0238 A Oth resp proc, indiv 0.00 0.23 0.36 NA NA 0.02 XXX G0239 A Oth resp proc, group 0.00 0.31 0.32 NA NA 0.02 XXX G0245 R Initial foot exam pt lops 0.88 0.84 0.81 0.29 0.30 0.04 XXX G0246 R Followup eval of foot pt lop 0.45 0.55 0.55 0.15 0.15 0.02 XXX G0247 R Routine footcare pt w lops 0.50 0.68 0.60 0.16 0.18 0.02 ZZZ G0248 R Demonstrate use home inr mon 0.00 3.41 5.01 NA NA 0.01 XXX G0249 R Provide test material,equipm 0.00 3.40 3.68 NA NA 0.01 XXX G0250 R MD review interpret of test 0.18 0.08 0.07 NA NA 0.01 XXX G0251 E Linear acc based stero radio 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0252 N PET imaging initial dx 0.00 0.00 0.00 NA NA 0.00 XXX G0252 TC N PET imaging initial dx 0.00 0.00 0.00 NA NA 0.00 XXX G0252 26 N PET imaging initial dx 1.50 0.00 0.60 0.00 0.60 0.04 XXX G0255 N Current percep threshold tst 0.00 0.00 0.00 NA NA 0.00 XXX G0255 TC N Current percep threshold tst 0.00 0.00 0.00 NA NA 0.00 XXX G0255 26 N Current percep threshold tst 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0257 E Unsched dialysis ESRD pt hos 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0259 E Inject for sacroiliac joint 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0260 E Inj for sacroiliac jt anesth 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0268 A Removal of impacted wax md 0.61 0.66 0.65 0.20 0.22 0.02 000 G0269 B Occlusive device in vein art 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0270 A MNT subs tx for change dx 0.37 0.12 0.29 0.09 0.28 0.01 XXX G0271 A Group MNT 2 or more 30 mins 0.25 0.08 0.13 0.07 0.12 0.01 XXX G0275 A Renal angio, cardiac cath 0.25 NA NA 0.13 0.12 0.01 ZZZ G0278 A Iliac art angio,cardiac cath 0.25 NA NA 0.13 0.12 0.01 ZZZ G0281 A Elec stim unattend for press 0.18 0.14 0.12 NA NA 0.01 XXX G0282 N Elect stim wound care not pd 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0283 A Elec stim other than wound 0.18 0.14 0.12 NA NA 0.01 XXX G0288 A Recon, CTA for surg plan 0.00 1.03 5.83 NA NA 0.18 XXX G0289 A Arthro, loose body + chondro 1.48 NA NA 0.58 0.69 0.26 ZZZ G0290 E Drug-eluting stents, single 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0291 E Drug-eluting stents,each add 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0293 E Non-cov surg proc,clin trial 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0294 E Non-cov proc, clinical trial 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0295 N Electromagnetic therapy onc 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0297 X Insert single chamber/cd 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0300 X Insert reposit lead dual+gen 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0302 X Pre-op service LVRS complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0303 X Pre-op service LVRS 10-15dos 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0304 X Pre-op service LVRS 1-9 dos 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0305 X Post op service LVRS min 6 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0306 X CBC/diffwbc w/o platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0307 X CBC without platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0308 A ESRD related svc 4+mo < 2yrs 12.74 5.57 7.06 5.57 7.06 0.42 XXX G0309 A ESRD related svc 2-3mo <2yrs 10.61 4.16 5.63 4.16 5.63 0.36 XXX G0310 A ESRD related svc 1 vst <2yrs 8.49 2.78 4.24 2.78 4.24 0.28 XXX G0311 A ESRD related svs 4+mo 2-11yr 9.73 3.55 4.13 3.55 4.13 0.34 XXX G0312 A ESRD relate svs 2-3 mo 2-11y 8.11 2.70 3.31 2.70 3.31 0.29 XXX G0313 A ESRD related svs 1 mon 2-11y 6.49 1.84 2.49 1.84 2.49 0.22 XXX G0314 A ESRD related svs 4+ mo 12-19 8.28 3.39 3.90 3.39 3.90 0.27 XXX G0315 A ESRD related svs 2-3mo/12-19 6.90 2.56 3.12 2.56 3.12 0.23 XXX G0316 A ESRD related svs 1vis/12-19y 5.52 1.66 2.30 1.66 2.30 0.17 XXX G0317 A ESRD related svs 4+mo 20+yrs 5.09 2.25 2.56 2.25 2.56 0.17 XXX G0318 A ESRD related svs 2-3 mo 20+y 4.24 1.69 2.04 1.69 2.04 0.14 XXX G0319 A ESRD related svs 1visit 20+y 3.39 1.13 1.52 1.13 1.52 0.11 XXX G0320 A ESD related svs home undr 2 10.61 2.69 4.90 2.69 4.90 0.36 XXX G0321 A ESRDrelatedsvs home mo 2-11y 8.11 1.99 2.95 1.99 2.95 0.29 XXX G0322 A ESRD related svs hom mo12-19 6.90 1.71 2.69 1.71 2.69 0.23 XXX G0323 A ESRD related svs home mo 20+ 4.24 1.14 1.76 1.14 1.76 0.14 XXX G0324 A ESRD relate svs home/dy <2yr 0.35 0.16 0.20 0.16 0.20 0.01 XXX G0325 A ESRD relate home/day/ 2-11yr 0.23 0.09 0.10 0.09 0.10 0.01 XXX G0326 A ESRD relate home/dy 12-19yr 0.27 0.10 0.11 0.10 0.11 0.01 XXX G0327 A ESRD relate home/dy 20+yrs 0.14 0.06 0.07 0.06 0.07 0.01 XXX G0328 X Fecal blood scrn immunoassay 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0329 A Electromagntic tx for ulcers 0.06 0.15 0.15 NA NA 0.01 XXX G0332 A Preadmin IV immunoglobulin 0.00 0.00 1.97 NA NA 0.00 XXX G0333 X Dispense fee initial 30 day 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 2703 G0337 X Hospice evaluation preelecti 1.34 0.31 0.41 0.31 0.41 0.09 XXX G0339 C Robot lin-radsurg com, first 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0340 C Robt lin-radsurg fractx 2-5 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0341 A Percutaneous islet celltrans 6.98 NA NA 2.36 2.48 0.48 000 G0342 A Laparoscopy islet cell trans 11.92 NA NA 5.07 5.18 1.46 090 G0343 A Laparotomy islet cell transp 19.85 NA NA 8.55 8.66 2.07 090 G0344 A Initial preventive exam 1.34 1.11 1.12 0.43 0.45 0.10 XXX G0364 A Bone marrow aspirate &biopsy 0.16 0.16 0.15 0.07 0.06 0.04 ZZZ G0365 A Vessel mapping hemo access 0.25 5.22 4.61 NA NA 0.25 XXX G0365 TC A Vessel mapping hemo access 0.00 5.16 4.53 NA NA 0.23 XXX G0365 26 A Vessel mapping hemo access 0.25 0.06 0.08 0.06 0.08 0.02 XXX G0366 A EKG for initial prevent exam 0.17 0.35 0.42 NA NA 0.03 XXX G0367 A EKG tracing for initial prev 0.00 0.28 0.36 NA NA 0.02 XXX G0368 A EKG interpret & report preve 0.17 0.07 0.06 0.07 0.06 0.01 XXX G0372 A MD service required for PMD 0.17 0.04 0.22 0.04 0.05 0.01 XXX G0377 X Administra Part D vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0378 X Hospital observation per hr 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0379 X Direct admit hospital observ 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0389 A Ultrasound exam AAA screen 0.58 2.41 2.41 NA NA 0.11 XXX G0389 TC A Ultrasound exam AAA screen 0.00 2.21 2.21 NA NA 0.08 XXX G0389 26 A Ultrasound exam AAA screen 0.58 0.20 0.20 0.20 0.20 0.03 XXX G0392 A AV fistula or graft arterial 9.48 48.69 52.41 3.39 3.47 0.62 000 G0393 A AV fistula or graft venous 6.03 37.15 40.96 2.23 2.29 0.34 000 G0394 X Blood occult test,colorectal 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0396 A Alcohol/subs interv 15-30mn 0.65 0.19 0.19 0.15 0.15 0.01 XXX G0397 A Alcohol/subs interv >30 min 1.30 0.34 0.34 0.29 0.29 0.03 XXX G3001 X Admin + supply, tositumomab 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9001 X MCCD, initial rate 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9002 X MCCD,maintenance rate 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9003 X MCCD, risk adj hi, initial 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9004 X MCCD, risk adj lo, initial 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9005 X MCCD, risk adj, maintenance 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9006 X MCCD, Home monitoring 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9007 X MCCD, sch team conf 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9008 X Mccd,phys coor-care ovrsght 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9009 X MCCD, risk adj, level 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9010 X MCCD, risk adj, level 4 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9011 X MCCD, risk adj, level 5 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9012 X Other Specified Case Mgmt 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9013 N ESRD demo bundle level I 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9014 N ESRD demo bundle-level II 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9016 N Demo-smoking cessation coun 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9017 X Amantadine HCL 100mg oral 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9018 X Zanamivir,inhalation pwd 10m 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9019 X Oseltamivir phosphate 75mg 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9020 X Rimantadine HCL 100mg oral 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9033 X Amantadine HCL oral brand 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9034 X Zanamivir, inh pwdr, brand 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9035 X Oseltamivir phosp, brand 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9036 X Rimantadine HCL, brand 0.00 0.00 0.00 0.00 0.00 0.00 XXX G9041 A Low vision rehab occupationa 0.44 0.10 0.20 0.10 0.20 0.01 XXX G9042 A Low vision rehab orient/mobi 0.10 0.02 0.16 0.02 0.16 0.01 XXX G9043 A Low vision lowvision therapi 0.10 0.02 0.16 0.02 0.16 0.01 XXX G9044 A Low vision rehabilate teache 0.10 0.02 0.13 0.02 0.13 0.01 XXX G9140 X Frontier extended stay demo 0.00 0.00 0.00 0.00 0.00 0.00 XXX M0064 A Visit for drug monitoring 0.37 0.91 0.62 0.07 0.09 0.01 XXX P3001 A Screening pap smear by phys 0.42 0.38 0.26 0.38 0.26 0.02 XXX Q0035 A Cardiokymography 0.17 0.30 0.37 NA NA 0.03 XXX Q0035 TC A Cardiokymography 0.00 0.25 0.32 NA NA 0.02 XXX Q0035 26 A Cardiokymography 0.17 0.05 0.05 0.05 0.05 0.01 XXX Q0091 A Obtaining screen pap smear 0.37 0.75 0.71 0.10 0.12 0.02 XXX Q0092 A Set up port xray equipment 0.00 0.47 0.40 0.47 0.40 0.01 XXX Q3001 C Brachytherapy Radioelements 0.00 0.00 0.00 0.00 0.00 0.00 XXX Q3014 X Telehealth facility fee 0.00 0.00 0.00 0.00 0.00 0.00 XXX R0070 C Transport portable x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX R0075 C Transport port x-ray multipl 0.00 0.00 0.00 0.00 0.00 0.00 XXX R0076 B Transport portable EKG 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5299 R Hearing service 0.00 0.00 0.00 0.00 0.00 0.00 XXX 1 CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment. Start Printed Page 2704
2. On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, the table is corrected to read as follows:
—————————— 1 CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.Addendum C.—Codes With Interim RVUS
CPT 1/ HCPCS Mod Status Description Physician work RVUs 2 Fully implemented non-facility PE RVUs 2 Year 2008 transitional non-facility PE RVUs 2 Fully implemented facility PE RVUs 2 Year 2008 transitional facility PE RVUs 2 Mal- practice RVUs 2 Global 20555 A Place ndl musc/tis for rt 6.00 NA NA 2.18 2.18 0.43 000 20660 A Apply, rem fixation device 4.00 2.28 2.28 1.55 1.55 0.59 000 20690 A Apply bone fixation device 8.65 NA NA 3.71 3.71 0.59 090 20692 A Apply bone fixation device 16.00 NA NA 6.79 6.79 1.05 090 20985 A Cptr-asst dir ms px 2.50 0.99 0.99 0.99 0.99 0.48 ZZZ 20986 C Cptr-asst dir ms px io img 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 20987 C Cptr-asst dir ms px pre img 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 21073 A Mnpj of tmj w/anesth 3.33 5.50 5.50 2.31 2.31 0.43 090 22206 A Cut spine 3 col, thor 37.00 NA NA 17.73 17.73 6.23 090 22207 A Cut spine 3 col, lumb 36.50 NA NA 17.61 17.61 6.07 090 22208 A Cut spine 3 col, addl seg 9.66 3.73 3.73 3.73 3.73 2.07 ZZZ 23515 A Treat clavicle fracture 9.53 NA NA 6.78 6.78 1.28 090 23585 A Treat scapula fracture 14.07 NA NA 8.08 8.08 1.54 090 23615 A Treat humerus fracture 12.12 NA NA 8.45 8.45 1.62 090 23616 A Treat humerus fracture 18.19 NA NA 12.30 12.30 3.70 090 23630 A Treat humerus fracture 10.39 NA NA 7.00 7.00 1.27 090 23670 A Treat dislocation/fracture 12.12 NA NA 7.38 7.38 1.36 090 23680 A Treat dislocation/fracture 12.99 NA NA 8.17 8.17 1.76 090 24357 A Repair elbow, perc 5.32 NA NA 5.15 5.15 0.87 090 24358 A Repair elbow w/deb, open 6.54 NA NA 5.73 5.73 1.07 090 24359 A Repair elbow deb/attch open 8.86 NA NA 6.20 6.20 1.41 090 24545 A Treat humerus fracture 12.99 NA NA 8.37 8.37 1.83 090 24546 A Treat humerus fracture 14.73 NA NA 10.22 10.22 2.74 090 24575 A Treat humerus fracture 9.53 NA NA 7.69 7.69 1.87 090 24579 A Treat humerus fracture 11.26 NA NA 8.29 8.29 2.03 090 24635 A Treat elbow fracture 8.64 NA NA 10.31 10.31 2.29 090 24685 A Treat ulnar fracture 8.21 NA NA 7.02 7.02 1.52 090 25515 A Treat fracture of radius 8.64 NA NA 6.97 6.97 1.59 090 25525 A Treat fracture of radius 10.37 NA NA 8.71 8.71 2.13 090 25526 A Treat fracture of radius 12.96 NA NA 11.10 11.10 2.20 090 25545 A Treat fracture of ulna 7.78 NA NA 6.95 6.95 1.53 090 25574 A Treat fracture radius & ulna 8.64 NA NA 6.88 6.88 1.21 090 25575 A Treat fracture radius/ulna 12.10 NA NA 8.94 8.94 1.82 090 25628 A Treat wrist bone fracture 9.51 NA NA 7.34 7.34 1.37 090 26615 A Treat metacarpal fracture 6.91 NA NA 5.66 5.66 0.86 090 26650 A Treat thumb fracture 5.19 NA NA 5.79 5.79 0.94 090 26665 A Treat thumb fracture 7.78 NA NA 6.47 6.47 0.90 090 26685 A Treat hand dislocation 6.91 NA NA 6.06 6.06 1.09 090 26715 A Treat knuckle dislocation 6.87 NA NA 5.76 5.76 0.91 090 26735 A Treat finger fracture, each 7.26 NA NA 5.84 5.84 0.95 090 26746 A Treat finger fracture, each 9.59 NA NA 6.38 6.38 0.91 090 26765 A Treat finger fracture, each 5.70 NA NA 4.93 4.93 0.66 090 26785 A Treat finger dislocation 6.44 NA NA 5.15 5.15 0.68 090 27248 A Treat thigh fracture 10.64 NA NA 7.30 7.30 1.82 090 27267 A Cltx thigh fx 5.38 NA NA 4.40 4.40 0.89 090 27268 A Cltx thigh fx w/mnpj 7.00 NA NA 5.02 5.02 1.16 090 27269 A Optx thigh fx 18.75 NA NA 9.89 9.89 2.93 090 27416 A Osteochondral knee autograft 14.00 NA NA 8.39 8.39 2.32 090 27511 A Treatment of thigh fracture 14.97 NA NA 9.66 9.66 2.38 090 27513 A Treatment of thigh fracture 19.11 NA NA 11.82 11.82 3.13 090 27514 A Treatment of thigh fracture 14.46 NA NA 10.62 10.62 3.01 090 27519 A Treat thigh fx growth plate 13.11 NA NA 9.49 9.49 2.56 090 27535 A Treat knee fracture 13.27 NA NA 8.78 8.78 2.01 090 27540 A Treat knee fracture 11.16 NA NA 8.45 8.45 2.28 090 27556 A Treat knee dislocation 12.86 NA NA 9.46 9.46 2.51 090 27557 A Treat knee dislocation 15.76 NA NA 10.79 10.79 2.98 090 27558 A Treat knee dislocation 18.25 NA NA 11.17 11.17 3.09 090 27726 A Repair fibula nonunion 14.20 NA NA 7.68 7.68 1.43 090 27766 A Optx medial ankle fx 7.73 NA NA 6.68 6.68 1.44 090 27767 A Cltx post ankle fx 2.50 3.62 3.62 3.65 3.65 0.30 090 27768 A Cltx post ankle fx w/mnpj 5.00 NA NA 4.30 4.30 0.79 090 27769 A Optx post ankle fx 10.00 NA NA 6.08 6.08 1.45 090 27784 A Treatment of fibula fracture 9.51 NA NA 6.66 6.66 1.23 090 27792 A Treatment of ankle fracture 9.55 NA NA 6.89 6.89 1.32 090 27814 A Treatment of ankle fracture 10.46 NA NA 7.90 7.90 1.86 090 27822 A Treatment of ankle fracture 11.03 NA NA 9.43 9.43 1.92 090 27823 A Treatment of ankle fracture 12.98 NA NA 10.21 10.21 2.26 090 27826 A Treat lower leg fracture 10.92 NA NA 8.52 8.52 1.47 090 27827 A Treat lower leg fracture 14.56 NA NA 11.48 11.48 2.44 090 27828 A Treat lower leg fracture 18.20 NA NA 12.76 12.76 2.82 090 Start Printed Page 2705 27829 A Treat lower leg joint 8.64 NA NA 6.88 6.88 0.95 090 27832 A Treat lower leg dislocation 10.01 NA NA 6.50 6.50 1.03 090 28415 A Treat heel fracture 15.96 NA NA 11.77 11.77 2.67 090 28420 A Treat/graft heel fracture 17.29 NA NA 11.60 11.60 2.81 090 28445 A Treat ankle fracture 15.53 NA NA 10.26 10.26 2.59 090 28446 A Osteochondral talus autogrft 17.50 NA NA 10.36 10.36 2.45 090 28465 A Treat midfoot fracture, each 8.64 NA NA 6.19 6.19 1.10 090 28485 A Treat metatarsal fracture 7.28 NA NA 5.51 5.51 0.83 090 28505 A Treat big toe fracture 7.28 8.28 8.28 4.36 4.36 0.56 090 28525 A Treat toe fracture 5.46 7.82 7.82 3.88 3.88 0.49 090 28555 A Repair foot dislocation 9.49 10.36 10.36 5.99 5.99 1.04 090 28585 A Repair foot dislocation 10.92 9.45 9.45 6.41 6.41 1.25 090 28615 A Repair foot dislocation 10.46 NA NA 8.09 8.09 1.30 090 28645 A Repair toe dislocation 7.28 6.65 6.65 3.95 3.95 0.57 090 28675 A Repair of toe dislocation 5.46 7.69 7.69 3.90 3.90 0.45 090 29828 A Arthroscopy biceps tenodesis 13.00 NA NA 8.18 8.18 2.17 090 29904 A Subtalar arthro w/fb rmvl 8.50 NA NA 5.89 5.89 1.25 090 29905 A Subtalar arthro w/exc 9.00 NA NA 6.52 6.52 1.32 090 29906 A Subtalar arthro w/deb 9.47 NA NA 6.88 6.88 1.39 090 29907 A Subtalar arthro w/fusion 12.00 NA NA 7.87 7.87 1.90 090 31500 A Insert emergency airway 2.33 NA NA 0.48 0.48 0.17 000 33257 A Ablate atria, lmtd, add-on 9.63 NA NA 5.47 5.47 0.89 ZZZ 33258 A Ablate atria, x10sv, add-on 11.00 NA NA 5.99 5.99 1.09 ZZZ 33259 A Ablate atria w/bypass add-on 14.14 NA NA 7.80 7.80 1.78 ZZZ 33864 A Ascending aortic graft 60.00 NA NA 20.11 20.11 6.73 090 34806 A Aneurysm press sensor add-on 2.06 0.51 0.51 0.51 0.51 0.30 ZZZ 35523 A Artery bypass graft 24.00 NA NA 9.22 9.22 2.14 090 36591 T Draw blood off venous device 0.00 0.54 0.54 NA NA 0.01 XXX 36592 T Collect blood from picc 0.00 0.67 0.67 NA NA 0.01 XXX 36593 A Declot vascular device 0.00 0.60 0.60 NA NA 0.37 XXX 36620 A Insertion catheter, artery 1.15 NA NA 0.19 0.19 0.07 000 41019 A Place needles h&n for rt 8.84 NA NA 3.28 3.28 0.59 000 43760 A Change gastrostomy tube 0.90 4.04 4.04 0.39 0.39 0.09 000 49203 A Exc abd tum 5 cm or less 20.00 NA NA 7.66 7.66 2.27 090 49204 A Exc abd tum over 5 cm 26.00 NA NA 9.27 9.27 2.94 090 49205 A Exc abd tum over 10 cm 30.00 NA NA 10.35 10.35 3.40 090 49440 A Place gastrostomy tube perc 4.18 25.06 25.06 1.81 1.81 0.49 010 49441 A Place duod/jej tube perc 4.77 30.13 30.13 2.01 2.01 0.29 010 49442 A Place cecostomy tube perc 4.00 24.46 24.46 1.63 1.63 0.24 010 49446 A Change g-tube to g-j perc 3.31 25.78 25.78 1.15 1.15 0.18 000 49450 A Replace g/c tube perc 1.36 18.97 18.97 0.44 0.44 0.08 000 49451 A Replace duod/jej tube perc 1.84 19.71 19.71 0.64 0.64 0.11 000 49452 A Replace g-j tube perc 2.86 23.51 23.51 1.00 1.00 0.18 000 49460 A Fix g/colon tube w/device 0.96 20.59 20.59 0.31 0.31 0.05 000 49465 A Fluoro exam of g/colon tube 0.62 3.89 3.89 0.22 0.22 0.03 000 50385 A Change stent via transureth 4.44 30.64 30.64 2.05 2.05 0.27 000 50386 A Remove stent via transureth 3.30 19.38 19.38 1.61 1.61 0.20 000 50593 A Perc cryo ablate renal tum 9.08 114.62 114.62 3.45 3.45 0.58 010 51797 26 A Intraabdominal pressure test 0.80 0.41 0.41 0.41 0.41 0.12 ZZZ 52649 A 2Prostate laser enucleation 17.16 NA NA 9.32 9.32 1.11 090 55920 A Place needles pelvic for rt 8.31 NA NA 3.14 3.14 0.58 000 57284 A Repair paravag defect, open 14.25 NA NA 6.57 6.57 1.41 090 57285 A Repair paravag defect, vag 11.52 NA NA 5.16 5.16 0.63 090 57423 A Repair paravag defect, lap 16.00 NA NA 6.52 6.52 1.65 090 58570 A Tlh, uterus 250 g or less 15.75 NA NA 6.46 6.46 1.82 090 58571 A Tlh w/t/o 250 g or less 17.56 NA NA 6.95 6.95 1.81 090 58572 A Tlh, uterus over 250 g 19.96 NA NA 7.60 7.60 2.31 090 58573 A Tlh w/t/o uterus over 250 g 22.98 NA NA 8.42 8.42 2.28 090 67041 A Vit for macular pucker 19.00 NA NA 10.37 10.37 0.86 090 67042 A Vit for macular hole 22.13 NA NA 11.49 11.49 1.00 090 67043 A Vit for membrane dissect 22.94 NA NA 12.35 12.35 1.04 090 67113 A Repair retinal detach, cplx 25.00 NA NA 13.75 13.75 1.13 090 67229 A Tr retinal les preterm inf 16.00 NA NA 9.52 9.52 0.71 090 68816 A Probe nl duct w/balloon 3.00 12.75 12.75 2.51 2.51 0.16 010 75557 26 A Cardiac mri for morph 2.35 0.94 0.94 0.94 0.94 0.10 XXX 75558 26 N Cardiac mri flow/velocity 2.60 0.60 0.60 0.60 0.60 0.11 XXX 75559 26 A Cardiac mri w/stress img 2.95 1.27 1.27 1.27 1.27 0.10 XXX 75560 26 N Cardiac mri flow/vel/stress 3.00 0.69 0.69 0.69 0.69 0.11 XXX 75561 26 A Cardiac mri for morph w/dye 2.60 1.04 1.04 1.04 1.04 0.11 XXX 75562 26 N Card mri flow/vel w/dye 2.86 0.66 0.66 0.66 0.66 0.11 XXX 75563 26 A Card mri w/stress img & dye 3.00 1.38 1.38 1.38 1.38 0.11 XXX 75564 26 N Ht mri w/flo/vel/strs & dye 3.35 0.77 0.77 0.77 0.77 0.13 XXX 78811 26 A Pet image, ltd area 1.54 0.53 0.53 0.53 0.53 0.11 XXX Start Printed Page 2706 78812 26 A Pet image, skull-thigh 1.93 0.66 0.66 0.66 0.66 0.11 XXX 78813 26 A Pet image, full body 2.00 0.69 0.69 0.69 0.69 0.11 XXX 78814 26 A Pet image w/ct, lmtd 2.20 0.75 0.75 0.75 0.75 0.11 XXX 78815 26 A Pet image w/ct, skull-thigh 2.44 0.84 0.84 0.84 0.84 0.11 XXX 78816 26 A Pet image w/ct, full body 2.50 0.86 0.86 0.86 0.86 0.11 XXX 86486 A Skin test, nos antigen 0.00 0.13 0.13 NA NA 0.02 XXX 88380 26 A Microdissection, laser 1.56 0.43 0.43 0.43 0.43 0.07 XXX 88381 26 A Microdissection, manual 1.18 0.32 0.32 0.32 0.32 0.06 XXX 90769 A Sc ther infusion, up to 1 hr 0.21 3.93 3.93 NA NA 0.06 XXX 90770 A Sc ther infusion, addl hr 0.18 0.22 0.22 NA NA 0.04 ZZZ 90771 A Sc ther infusion, reset pump 0.00 1.86 1.86 NA NA 0.01 ZZZ 93503 A Insert/place heart catheter 2.91 NA NA NA NA 0.20 000 93982 R Aneurysm pressure sens study 0.30 0.80 0.80 NA NA 0.01 XXX 95004 A Percut allergy skin tests 0.01 0.13 0.13 NA NA 0.01 XXX 95024 A Id allergy test, drug/bug 0.01 0.16 0.16 NA NA 0.01 XXX 95027 A Id allergy titrate-airborne 0.01 0.12 0.12 NA NA 0.01 XXX 95980 A Io anal gast n-stim init 0.80 NA NA 0.25 0.25 0.07 XXX 95981 A Io anal gast n-stim subsq 0.30 0.44 0.44 0.12 0.12 0.02 XXX 95982 A Io ga n-stim subsq w/reprog 0.65 0.47 0.47 0.18 0.18 0.05 XXX 96125 A Cognitive test by hc pro 1.70 0.76 0.76 0.37 0.37 0.16 XXX 98966 N Hc pro phone call 5-10 min 0.25 0.09 0.09 0.06 0.06 0.01 XXX 98967 N Hc pro phone call 11-20 min 0.50 0.14 0.14 0.11 0.11 0.02 XXX 98968 N Hc pro phone call 21-30 min 0.75 0.20 0.20 0.17 0.17 0.03 XXX 98969 N Online service by hc pro 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99174 N Ocular photoscreening 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99366 B Team conf w/pat by hc pro 0.82 0.20 0.20 0.19 0.19 0.06 XXX 99367 B Team conf w/o pat by phys 1.10 0.25 0.25 0.25 0.25 0.05 XXX 99368 B Team conf w/o pat by hc pro 0.72 0.16 0.16 0.16 0.16 0.03 XXX 99406 A Behav chng smoking 3-10 min 0.24 0.10 0.10 0.08 0.08 0.01 XXX 99407 A Behav chng smoking < 10 min 0.50 0.18 0.18 0.15 0.15 0.01 XXX 99408 N Audit/dast, 15-30 min 0.65 0.19 0.19 0.15 0.15 0.01 XXX 99409 N Audit/dast, over 30 min 1.30 0.34 0.34 0.30 0.30 0.03 XXX 99441 N Phone e/m by phys 5-10 min 0.25 0.09 0.09 0.06 0.06 0.02 XXX 99442 N Phone e/m by phys 11-20 min 0.50 0.14 0.14 0.11 0.11 0.02 XXX 99443 N Phone e/m by phys 21-30 min 0.75 0.20 0.20 0.17 0.17 0.03 XXX 99444 N Online e/m by phys 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99477 A Init day hosp neonate care 7.00 1.98 1.98 1.98 1.98 0.32 XXX G0396 A Alcohol/subs interv 15-30mn 0.65 0.19 0.19 0.15 0.15 0.01 XXX G0397 A Alcohol/subs interv > 30 min 1.30 0.34 0.34 0.29 0.29 0.03 XXX 1 CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment. 3. On pages 66545 through 66546, Addendum D, 2008 Geographic Adjustment Factors (GAFs), the table is corrected to read as follows:
Start Printed Page 2708Addendum D.—2008 Geographic Adjustment Factors (GAFs) by Medicare Locality
Carrier Locality Locality name GAF 31140 06 San Mateo, CA 1.231 31140 05 San Francisco, CA 1.228 31140 09 Santa Clara, CA 1.207 00803 01 Manhattan, NY 1.174 00803 02 NYC Suburbs/Long I., NY 1.171 31140 07 Oakland/Berkeley, CA 1.154 31143 01 Metropolitan Boston 1.143 14330 04 Queens, NY 1.137 31140 03 Marin/Napa/Solano, CA 1.133 00805 01 Northern NJ 1.130 00903 01 DC + MD/VA Suburbs 1.126 31146 26 Anaheim/Santa Ana, CA 1.124 31146 17 Ventura, CA 1.102 31146 18 Los Angeles, CA 1.100 00591 00 Connecticut 1.096 00952 16 Chicago, IL 1.093 00590 04 Miami, FL 1.092 00953 01 Detroit, MI 1.090 00805 99 Rest of New Jersey 1.078 00952 15 Suburban Chicago, IL 1.074 00865 01 Metropolitan Philadelphia, PA 1.072 00833 01 Hawaii/Guam 1.050 00831 01 Alaska 1.045 Start Printed Page 2707 00836 02 Seattle (King Cnty), WA 1.045 31143 99 Rest of Massachusetts 1.042 00803 03 Poughkpsie/N NYC Suburbs, NY 1.040 00901 01 Baltimore/Surr. Cntys, MD 1.037 00590 03 Fort Lauderdale, FL 1.033 00524 01 Rhode Island 1.031 00511 01 Atlanta, GA 1.024 00900 11 Dallas, TX 1.022 00900 18 Houston, TX 1.021 00834 00 Nevada 1.019 31140 99 Rest of California * 1.014 31146 99 Rest of California * 1.014 00902 01 Delaware 1.012 00900 31 Austin, TX 1.001 00835 01 Portland, OR 0.996 31144 40 New Hampshire 0.994 00900 09 Brazoria, TX 0.994 00528 01 New Orleans, LA 0.993 00952 12 East St. Louis, IL 0.992 00900 28 Fort Worth, TX 0.989 00973 50 Virgin Islands 0.989 00900 15 Galveston, TX 0.986 00824 01 Colorado 0.983 31142 03 Southern Maine 0.981 00901 99 Rest of Maryland 0.981 03102 00 Arizona 0.980 00740 02 Metropolitan Kansas City, MO 0.980 00590 99 Rest of Florida 0.977 00953 99 Rest of Michigan 0.976 00836 99 Rest of Washington 0.973 00523 01 Metropolitan St Louis, MO 0.971 00883 00 Ohio 0.970 00954 00 Minnesota 0.967 00865 99 Rest of Pennsylvania 0.956 31145 50 Vermont 0.953 00904 00 Virginia 0.950 03502 09 Utah 0.948 00900 20 Beaumont, TX 0.946 00801 99 Rest of New York 0.945 00951 00 Wisconsin 0.943 00952 99 Rest of Illinois 0.941 05535 00 North Carolina 0.937 00521 05 New Mexico 0.936 00630 00 Indiana 0.935 00511 99 Rest of Georgia 0.931 00900 99 Rest of Texas 0.931 00835 99 Rest of Oregon 0.930 00884 16 West Virginia 0.925 00528 99 Rest of Louisiana 0.923 05440 35 Tennessee 0.923 00880 01 South Carolina 0.920 00650 00 Kansas * 0.917 00740 04 Kansas * 0.917 31142 99 Rest of Maine 0.915 00660 00 Kentucky 0.912 00510 00 Alabama 0.910 05130 00 Idaho 0.909 03602 21 Wyoming 0.907 00826 00 Iowa 0.906 00512 00 Mississippi 0.902 00655 00 Nebraska 0.902 03202 01 Montana 0.898 00522 00 Oklahoma 0.898 00523 99 Rest of Missouri * 0.889 00740 99 Rest of Missouri * 0.889 03402 02 South Dakota 0.889 00520 13 Arkansas 0.888 03302 01 North Dakota 0.887 00973 20 Puerto Rico 0.789 * Indicates multiple carriers. 4. On pages 66546 through 66547, Addendum E, 2008*** Geographic Practice Cost Indices by State and Medicare Locality, the table is corrected to read as follows:
Addendum E.—2008** Geographic Practice Cost Indices by State and Medicare Locality
Carrier Locality Locality name 2008 GPCIs Work PE MP 00510 00 Alabama 0.982 0.850 0.617 00831 01 Alaska 1.017 1.098 0.828 03102 00 Arizona 0.988 0.975 0.936 00520 13 Arkansas 0.961 0.839 0.439 31146 26 Anaheim/Santa Ana, CA 1.034 1.254 0.874 31146 18 Los Angeles, CA 1.041 1.192 0.871 31140 03 Marin/Napa/Solano, CA 1.034 1.304 0.535 31140 07 Oakland/Berkeley, CA 1.053 1.330 0.531 31140 05 San Francisco, CA 1.059 1.494 0.526 31140 06 San Mateo, CA 1.072 1.486 0.510 31140 09 Santa Clara, CA 1.083 1.419 0.485 31146 17 Ventura, CA 1.027 1.223 0.749 31140 99 Rest of California * 1.007 1.056 0.634 31146 99 Rest of California * 1.007 1.056 0.634 00824 01 Colorado 0.986 1.004 0.715 00591 00 Connecticut 1.038 1.179 0.934 00903 01 DC + MD/VA Suburbs 1.047 1.235 0.972 00902 01 Delaware 1.011 1.033 0.777 00590 03 Fort Lauderdale, FL 0.989 1.004 1.965 00590 04 Miami, FL 1.000 1.059 2.703 00590 99 Rest of Florida 0.973 0.937 1.489 00511 01 Atlanta, GA 1.009 1.053 0.892 00511 99 Rest of Georgia 0.979 0.878 0.889 00833 01 Hawaii/Guam 1.001 1.137 0.726 05130 00 Idaho 0.967 0.876 0.500 00952 12 East St. Louis, IL 0.989 0.929 1.757 00952 15 Suburban Chicago, IL 1.017 1.093 1.628 00952 16 Chicago, IL 1.025 1.104 1.888 00952 99 Rest of Illinois 0.975 0.877 1.196 00630 00 Indiana 0.986 0.912 0.514 00826 00 Iowa 0.966 0.869 0.506 00650 00 Kansas * 0.968 0.881 0.632 00740 04 Kansas * 0.968 0.881 0.632 00660 00 Kentucky 0.969 0.857 0.754 00528 01 New Orleans, LA 0.986 0.995 1.066 00528 99 Rest of Louisiana 0.970 0.863 0.965 31142 03 Southern Maine 0.980 1.020 0.558 31142 99 Rest of Maine 0.962 0.889 0.558 00901 01 Baltimore/Surr. Cntys, MD 1.012 1.069 1.010 00901 99 Rest of Maryland 0.994 0.981 0.812 31143 01 Metropolitan Boston 1.029 1.311 0.787 31143 99 Rest of Massachusetts 1.007 1.106 0.787 00953 01 Detroit, MI 1.036 1.048 2.300 00953 99 Rest of Michigan 0.998 0.922 1.287 00954 00 Minnesota 0.992 0.994 0.324 00512 00 Mississippi 0.959 0.847 0.760 00523 01 Metropolitan St Louis, MO 0.993 0.943 1.001 00740 02 Metropolitan Kansas City, MO 0.990 0.960 1.061 00523 99 Rest of Missouri * 0.949 0.812 0.938 00740 99 Rest of Missouri * 0.949 0.812 0.938 03202 01 Montana 0.950 0.846 0.780 00655 00 Nebraska 0.959 0.882 0.345 00834 00 Nevada 1.002 1.036 1.067 31144 40 New Hampshire 0.982 1.034 0.693 00805 01 Northern NJ 1.057 1.225 1.038 00805 99 Rest of New Jersey 1.042 1.124 1.038 00521 05 New Mexico 0.973 0.888 0.989 00803 01 Manhattan, NY 1.064 1.299 1.243 00803 02 NYC Suburbs/Long I., NY 1.051 1.286 1.493 00803 03 Poughkpsie/N NYC Suburbs, NY 1.014 1.077 0.983 14330 04 Queens, NY 1.032 1.235 1.449 00801 99 Rest of New York 0.997 0.919 0.544 05535 00 North Carolina 0.972 0.923 0.632 03302 01 North Dakota 0.946 0.852 0.490 00883 00 Ohio 0.993 0.930 1.097 00522 00 Oklahoma 0.964 0.853 0.503 Start Printed Page 2709 00835 01 Portland, OR 1.002 1.037 0.453 00835 99 Rest of Oregon 0.968 0.926 0.453 00865 01 Metropolitan Philadelphia, PA 1.016 1.102 1.492 00865 99 Rest of Pennsylvania 0.993 0.914 0.938 00973 20 Puerto Rico 0.905 0.696 0.254 00524 01 Rhode Island 1.029 1.040 0.946 00880 01 South Carolina 0.975 0.899 0.417 03402 02 South Dakota 0.942 0.870 0.390 05440 35 Tennessee 0.978 0.884 0.615 00900 31 Austin, TX 0.991 1.016 0.969 00900 20 Beaumont, TX 0.984 0.868 1.311 00900 09 Brazoria, TX 1.019 0.942 1.250 00900 11 Dallas, TX 1.009 1.033 1.077 00900 28 Fort Worth, TX 0.998 0.971 1.077 00900 15 Galveston, TX 0.991 0.956 1.250 00900 18 Houston, TX 1.016 1.001 1.310 00900 99 Rest of Texas 0.968 0.872 1.092 03502 09 Utah 0.977 0.922 0.841 31145 50 Vermont 0.968 0.976 0.497 00904 00 Virginia 0.982 0.941 0.614 00973 50 Virgin Islands 0.982 0.996 0.998 00836 02 Seattle (King Cnty), WA 1.014 1.109 0.755 00836 99 Rest of Washington 0.987 0.976 0.748 00951 00 Wisconsin 0.988 0.920 0.592 00884 16 West Virginia 0.973 0.823 1.436 03602 21 Wyoming 0.956 0.848 0.904 * Indicates multiple carriers. ** 2008 GPCIs are the first year of the update transition. 5. On page 66551, Addendum F, CPT/HCPCS Imaging Codes Defined by DRA 5102(B), the descriptors for the following CPT codes are corrected to read as follows:
Addendum F.—CPT/HCPCS Imaging Codes Defined by DRA 5102(B)
HCPCS/CPT* Short descriptor 92135 Ophth dx imaging post seg. 92235 Eye exam with photos. 92240 Icg angiography. 92250 Eye exam with photos. 92285 Eye photography. 92286 Internal eye photography. 6. On pages 66575 through 66578, Addendum I, List of CPT 1/HCPCS Codes Used to Describe Certain Designated Health Service Categories 2 Under Section 1877 of the Social Security Act, the table is corrected by—
a. Correcting the following entries:
Radiology and Certain Other Imaging Services 0146T Ccta w/wo dye. 0147T Ccta w/wo, quan calcium. 71010 Chest x-ray. 71015 Chest x-ray. 76801 Ob us < 14 wks, single fetus. A9501 Technetium TC-99m teboroxime. Q9953 Inj Fe-based MR contrast, 1ml. Radiation Therapy Services and Supplies C1716 Brachytx, non-str, Gold-198. C1717 Brachytx, non-str, HDR Ir-192. C1719 Brachytx, NS, Non-HDRIr-192. C2616 Brachytx, non-str, Yttrium-90. C2634 Brachytx, non-str, HA, I-125. C2635 Brachytx, non-str, HA, P-103. C2636 Brachy linear, non-str, P-103. C2640 Brachytx, stranded, P-103. C2641 Brachytx, non-stranded, P-103. G0103 PSA screening. b. Deleting the following entries:
Radiology and Certain Other Imaging Services 75558 Cardiac MRI flow/velocity. 75560 Cardiac MRI flo/vel/stress. 75562 Card MRI flow/vel w/dye. 75564 Ht MRI w/flow/vel/strs & dye. Radiation Therapy Services and Supplies C2637 Brachytx, Ytterbium-169. IV. Waiver of Proposed Rulemaking and Delay in Effective Date
We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive the notice and comment procedures if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the rule.
Section 553(d) of the APA ordinarily requires a 30-day delay in effective date of final rules after the date of their publication. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued.
This correction notice addresses typographical and technical errors made in FR Doc. 07-5506, the CY 2008 PFS final rule with comment period, which appeared in the November 27, 2007 Federal Register (72 FR 66222), and is, with limited exceptions as noted in that rule, effective January 1, 2008. The provisions of the final rule with comment period have been subjected previously to notice and comment procedures. These corrections contained in this correction notice are consistent with, and do not make substantive Start Printed Page 2710changes to, the payment methodologies and policies adopted in the CY 2008 PFS final rule with comment period. As such, this correction notice is intended to ensure the CY 2008 PFS final rule with comment period accurately reflects the policies adopted in that rule. We find, therefore, for good cause that it is unnecessary and would be contrary to the public interest to undertake further notice and comment procedures to incorporate these corrections into the final rule with comment period.
For the same reasons, we are also waiving the 30-day delay in effective date for this correction notice. We believe that it is in the public interest to ensure that the CY 2008 PFS final rule with comment period accurately states our policies as of the date they take effect. Therefore, we find that delaying the effective date of these corrections beyond the effective date of the final rule with comment period would be contrary to the public interest. In so doing, we find good cause to waive the 30-day delay in the effective date.
Start SignatureEnd Signature End Supplemental InformationDated: December 31, 2007.
Ashley Files Flory,
Deputy Executive Secretary to the Department.
[FR Doc. 07-6308 Filed 12-31-07; 4:47 pm]
BILLING CODE 4120-01-P
Document Information
- Effective Date:
- 1/1/2008
- Published:
- 01/15/2008
- Department:
- Centers for Medicare & Medicaid Services
- Entry Type:
- Rule
- Action:
- Correction Notice of Final Rule with Comment Period.
- Document Number:
- 07-6308
- Dates:
- This correction notice is effective January 1, 2008.
- Pages:
- 2567-2710 (144 pages)
- Docket Numbers:
- CMS-1385-CN2
- RINs:
- 0938-A065
- PDF File:
- 07-6308.pdf
- CFR: (12)
- 42 CFR 409
- 42 CFR 410
- 42 CFR 411
- 42 CFR 413
- 42 CFR 414
- More ...